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Creamy Pink Hummus
Looking for a great recipe for this Valentine's Day. Jaime Slavin shares her amazing Pink Hummus Recipe inspired by Fresh Restaurant.
2 cups cooked or canned chickpeas
( when I use canned beans I always use Eden Organic brand b/c they contain no salt & no BPA. They cook their legumes & beans in kombu, which is a seaweed that helps break down the indigestible starches that make beans the "magical fruit" if you know what I'm saying).
1 large roasted beet, sliced
3 cloves garlic*
2 tbsp tahini
4 tbsp lemon juice
1/2 tsp sea salt
1 tbsp filtered water
In a food processor, puree all ingredients until creamy & smooth.
* if this sounds like too much/too strong, consider roasting the garlic before using for a sweeter/milder flavour. Or start with 1 clove & work your way up if you feel more garlicky flavour is needed!
Enjoy 🙂
Recipe inspired by Fresh Restaurant


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subset: commoncrawl


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NICU Families Reunite to 'Light Up the Night'
Ridgewood, New Jersey, May 25, 2018 – The Valley Hospital Neonatal Intensive Care Unit (NICU) and the members of Valley's NICU Patient Family Support Program hosted the 4th annual Fashion Show and Tricky Tray, themed "Light Up the Night with our NICU Stars". The event took place on Monday, May 14, 2018 at The Venetian in Garfield, where 525 guests gathered raising more than $30,000 for Valley's NICU fund.
"This year's NICU Fashion Show and Tricky Tray event highlighted all of our stars in a night of fashion, fun and a celebration of accomplishments," recounts Valley's NICU Family Support Specialist, Suzanne Bryjak, MA RN BSN HN-BC. "This year is particularly special because we honored our NICU nurses, with a special tribute to our beloved Catherine Tyukody. Watching NICU graduates walk the runway with the "stars" who took care of them in their first days of life, was remarkable."
The NICU Fashion show was made possible through the hard work of the Event Committee Chairs, including Suzanne Bryjak, RN BSN HN-BC, Lori Cavallario, Carla Marzano-Lindemulder, and Lisa Parker. Also, a zealous crew of committee members volunteered, including Samantha Burke, Wendy Bruffy, Sandy Carapezza, Maggy Diaz, Patrice Duker, Jennifer Horowitz, Erica Lui, RN BSN HN-BC, Liz Maresca, Kathleen McCarthy, RN, Diana Mikula, Fran Miller, RNC BSN, Jaclyn Passanante, Demi Piekarsky, RN, Michelle Ptaszynski, Meagan Reed, RN, Valicitie Rubino, Jane Salmon, Dawn Samphel, Nicole Serhat, Trisha Sullivan, Colleen Washburn, and Michelle Williams.
Each year, approximately 1 in 10 newborns is admitted to a NICU in the United States. The hospitalization of a baby in a NICU can be one of the most frightening, confusing, and overwhelming experiences for a parent. The Valley Hospital offers comprehensive neonatal services to babies requiring specialized care, and Valley's dedicated staff provides the highest quality of care while providing hope as they walk every step with the family members through the NICU journey.
The NICU Family Support Program was developed to build a community that brings together current and past NICU families who can assist in navigating the NICU journey for the families. This program provides information, guidance, support and comfort during the NICU hospitalization, on the transition home, and for the years to come.
The Valley Hospital NICU Fashion Show Committee Members
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Independent Dental Healthcare
Ivory Care Fees
What are the benefits under Ivory Care?
Will I have guaranteed access to continuing and emergency care?
Private Dental Care. Isn't that very expensive?
What are the financial advantages of Ivory Care?
How does it work?
01476 563 181
Commercial Rd, Grantham
The Maltings Dental Practice, Commercial Rd, Grantham, Lincs. NG31 6DE
t: 01476 563 181 e: firstname.lastname@example.com
Design by Gorsebush


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My list of fifteen books.
What's yours? Don't take too long to think about it. Fifteen books you've read that will always stick with you…. first 15 you can recall in no more than 15 minutes.
1. Pride and Prejudice
2. Silas Marner
3. Les Miserables
4. The Handmaid's Tale
5. A Thousand Nights in Venice
6. Where The Wild Things Are
7. The Five Chinese Brothers
8. Everything You Wanted To Know About Sex*
9. White Teeth
10. Jane Eyre
11. The Secret Garden
12. The Outsiders
13. To Kill A Mockingbird
14. Everything Is Illuminated
15. Stranger in a Strange Land
*but were afraid to ask
**(in German — I saw the movie in Germany — that's "Was Sie immer uber sex zu wissen wolten, aber nicht zu fragen wagten")


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Kellie Nguyen: Scholar and Yearbookie
December 18, 2017
Santiago senior Kellie Tuyet-Ngan Nguyen, Katt for short (17), is one of our more well know scholars here at Santiago High School. Katt is involved in multiple clubs and is the copy editor for our wonderful Santiago yearbook. Even with the massive work load that Katt deals with on a regular basis, she has learned to manage it all.
When I interviewed Katt, I asked if there was one thing that she wanted people to know about her, and she told me, "People shouldn't judge based off how I look, because I'm actually a bubbly person and I'm relatively nice".
This is the following transcript from the interview, and it was edited for clarity.
Interviewer (Walters): "So what would you say your strengths and your weaknesses are?"
Katt: "Academically: strengths are in math and literature and my weaknesses are in history. But as an individual: strengths are caring for other people, being mature and more independent than most. My weakness as an individual is that I'm really bad at reading my friends' emotions, and I feel like that limits me from supporting them to best of my ability."
Interviewer: "How do you think your friends would describe you?"
Katt: "Probably smart, funny, kind but very fragile. Someone who acts strong but isn't."
Interviewer: "Are you involved in any clubs at Santiago?"
Katt: "I'm involved in Physics and Chem club."
Interviewer: "How would you describe your life?"
Katt: "My life is relatively normal. I have a really supportive family and my friends are always there to make me laugh and have fun. I wouldn't change a lot about it. I feel happy with my life and where it is."
Interviewer: "How would you describe yourself?"
Katt: "I would describe myself as 'driven'. I definitely strive to better academically and socially. At the same time I can also be delicate because I have moments when I feel helpless and incompetent, and during those times I have to pause and bring myself back up. So on that note, I'm very independent as well."
Interviewer: "How do you enjoy yearbook?"
Katt: "I enjoy creating something for the entire school. Theres something special about recording all the events and memories and putting them all together–being apart of that process. It's involving and unique. Plus, you get to meet all sorts of people on campus and expand social circles."
Interviewer: "Whats your GPA?"
Katt: "Weighted – 4.667 Unweighted – 4.0."
Interviewer: "What are your hopes for the future?"
Katt: "For the future I want to live a comfortable life. I want a nice job, preferably as a chemical engineer and just own things that I got with my own money like a house and a car. I want to have a family and just be apart of something bigger than myself."
Interviewer: "So what's your take on Santiago?"
Katt: "For the most part, Santiago is definitely a diverse school with a very spirited student body. I definitely appreciate the options that Santiago provides for all interests and makes it easier for students to explore new routes and opportunities."
Interviewer: "So tell me, how do you manage all of your AP classes?"
Katt: "I really don't. I've taken 4 AP classes Junior and Senior year. It's not really managing… it's getting really good at prioritizing and procrastinating. Of course I still get my work done, I just deal with loads of stress every deadline. A proper way to manage would be time management. I kind of just don't though and do my own thing."
Interviewer: "If you were to give one piece of advice, what would it be?"
Katt: "Sometimes the world makes you feel small, but sometimes it's nice to remember that other people in that world love you and will always support you. There's always so much more to live for than people realize because they can only see what is in front of them. Beyond that there's a future. Around you there's support and love. Take a step back and take it all in before you want to give up."
Interviewer: "What are some of your absolute favorite things to do in your free time?"
Katt: "I like to sleep p,ossibly because I don't have a lot of time to do so, but at the same time I like to watch TV as well."
Interviewer: "What are your thoughts on yearbook?"
Katt: "It's time consuming and tedious, but its still a fun experience, so I don't hate the class that much."
Interviewer: "Any final comments before I bring this interview to a close?"
Katt: "No, but thank you for taking the time to interview me!"
Interviewer: "No problem."


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In my recent presentation at Fluent Conf I demonstrated the common features and also the differences between Flexbox and CSS Grid Layout. Right now, we can only use CSS Grid Layout by enabling browser flags, however once Grid ships there...


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Hinchliffe's Farm Shop & Restaurant
location on Google Maps.
in new tab.
on social media.
Drawing on more than 85 years experience of selling the best fresh food from the finest local producers, as farmers ourselves we know what makes for the tastiest produce and we are proud to stock only our fresh, family produced food and produce hand-picked from local people we know and trust.
Our farm shop offers a farm-gate to our own home reared beef, award winning pies, sausages and bacon, from the butchery, freshly baked bread & cakes from our on-site bakery and freshly laid eggs from the farm.
Business Hours
Monday 9:00 AM - 5:30 PM
Tuesday 9:00 AM - 5:30 PM
Wednesday 9:00 AM - 5:30 PM
Thursday 9:00 AM - 5:30 PM
Friday 9:00 AM - 5:30 PM
Saturday 9:00 AM - 5:30 PM
Sunday 10:00 AM - 4:00 PM


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Introduction: Lego Star Wars Final Animation
This is the final animation in the Brick Wars trilogy.
These are links to the first two Instructables, featuring the first two animations.
Teacher Notes
Teachers! Did you use this instructable in your classroom?
Add a Teacher Note to share how you incorporated it into your lesson.
Step 1: The Final Chapter
After completing two animations in the Brick Wars universe, I realized I needed to complete it, and finish the series once and for all. Before I sell the rights to Disney to make more.
Step 2: Changes
While the filming itself was nothing new, the credits were changed significantly.
Instead of using the Star Wars style opening crawl, I used something similar to the end credits, with the titles fading in and out with a starry background.
I found the random starry background on the internet, and used stills in the credits instead of the crawl. I used a normal fade at the beginning and end of each title.
*note - Brick Wars did not feature Mark Hamill, Harrison Ford, or Carrie Fisher.
Step 3: Special Thanks to Everyone
I would personally like to thank everyone who helped me:
Nick Maurice
Connor Ordish
Garrett Harvey
Mr. Noack, my teacher who was the key to my animation's success.
And to anyone else who watched, liked or commented on my videos.
Step 4: The Movie: Featuring End Product Credits (for Episodes 1, 2, and 3)
Be the First to Share
3 Discussions


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This post is by Phil Crossley, Business Development Director at Teleperformance UK.
I've been at the Retail Week Customer Experience Summit today listening to some great speakers from right across the retail spectrum. One of the sessions I enjoyed most was exploring the future of retail and the connected consumer. It covered subjects including wearables, the Internet of Things (IoT), Augmented Reality and Contactless Payments.
Some of these technologies are a reality today. Contactless and phone payment systems are already here and are growing especially fast now that Apple Pay has launched. Wearables are common for fitness fans or those with a health problem, but most of these new technologies are still nascent.
One of the problems I foresee as we rush towards the world of the connected consumer is the trade-off between information and privacy. Most of these services work only if the customer releases information about who they are and what they are interested in. Most customers are happy to give up information freely, if they can see something in return. Facebook is a good example of this.
However, when we start including payment and loyalty systems within the mix, information security is obviously more important. It's true that most modern smartphones have biometric security systems that can not only lock the phone, but be used to verify the identity of a person wanting to buy something using the phone too.
This is great, but as fast as features are added to phones, hackers published how to defeat them. At the Retail Week conference today it was demonstrated that other biometric measurements might become common. It seems you can even prove your identity by allowing someone to listen to your heartbeat! Getting security right and ensuring that identity can be verified easily and securely will be essential for all these other information-rich technologies to work in the customer service environment.
I can see it happening soon. Augmented reality to help customers find items and to create virtual offers targeted at the individual, the IoT ensuring that the store runs more effectively, and payment without delay using your phone – or another wearable device.
One day, I'm sure that I will be able to verify payment in store just by allowing the checkout robot to listen to my heartbeat. Until then, it's time to keep a strong focus on how to balance customer information sharing and security. It's the one issue that could cause consumers to reject more open technology systems.
Were you also at the Retail Week Customer Experience Summit? Leave a comment here with your views on customer security or anything else from the summit, or get in touch via my LinkedIn.
Photo by GotCredit licensed under Creative Commons.


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(07) 3721 8585
Contact for price
This remarkable 3 bedroom town house is a must see! The kitchen has plenty of storage space with a pantry and includes a dishwasher. There are ceilings fans to the bedrooms, built-in wardrobes with a mirror door and ensuite to main. Laminate click-timber flooring and vertical blinds throughout. Lock up garage available for parking, dryer in the laundry and air conditioning in the living room. Located close to shops and public transport. You will not find more pleasant and convenient accommodation. Book an inspection today!
Looking for a furnished property? Contact our office today for more information about appliance and furniture packages!
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Inspections by appointment, ring or email our office and we will arrange a time to suit you.
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- Home
- What is Arts in Health?
- Resources
- Directory
- Contacts
ARTiculate is an arts and mental health action research project based in Rotherham, South Yorkshire. The project launched in September 2012 and is expected to run until 2014.
ARTiculate aims to provide quality artistic workshops for patients at the Acute Adult Mental Health Inpatient Unit in Rotherham, and will also aim to assess whether arts based activities can aid people's recovery from mental health issues.
Rotherham Metropolitan Borough Council (RMBC) has a ten-year history of running arts projects with mental health service users, through Arts & Health Officer work.
However, ARTiculate has been formed as a result of the brand new partnership between Arts RMBC and the Mental Health Trust - which operates the Rotherham, Doncaster - and South Humber NHS Trust. The project is innovative, in that very few arts projects have been carried out in an acute mental health in-patient unit, due to the complexities involved. These include convincing staff as to the benefits of taking part, freeing up staff member time to support projects, negotiating permissions and ethics and so on.
The Arts & Health officer and a psychiatrist at the NHS Trust have designed the evaluation tools which will be used to evaluate the project work and, if useful, these will also be distributed nationally via arts and health websites and through mental health journals.
The project has been awarded £21,392 of funding by the Arts Council.
It is expected that patients at Swallownest Court Acute Adult Mental Health Inpatient Unit will benefit the most from this project. ARTiculate also hopes to exhibit art works at a central Rotherham location, in a bid to reduce the stigma associated with mental ill-health.
ARTiculate will also look to continue workshops for patients once they are discharged and living within the community.
For further information please contact Rhiannon Lister-Coburn - firstname.lastname@example.com


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This lifestyle blog celebrates our second fifty years. I enjoy sharing what I have learned about style, nutrition, and relationships. Hopefully, it will save you the trouble and expense I went through to learn these valuable lessons.
Wednesday, June 18, 2014
Wear It Wednesday ... The Skin You Are In
10 comments:
- Sheri said...
I do love the lemon/cucumber water idea. Great advice!
- June 18, 2014 at 9:05 AM
I like the lemon/water tip. Ever try freezing washed grapes. Love to snack on them especially on a hot day. Putting a few frozen grapes in a glass of white/rose wine adds a nice flair.
- June 18, 2014 at 11:23 AM
Thank you, Susan, I love everything you share! ♥
- June 18, 2014 at 12:43 PM
Susan, you always look fabulous and share wonderfully healthy tips. I am definitely going to use some sugar in my Neutrogena wash. I think you look particularly stunning in that photo because you have on what is arguably your best color...and so close to your face!
This should convince you to wear it more!
- June 18, 2014 at 2:47 PM
- Mid-Atlantic Martha said...
Well you look great! I think I'll be trying these tips!
- June 18, 2014 at 8:09 PM
- Donna said...
Thanks for sharing a bit of your personal routine. I daresay the young lady would be wise to follow your regime. You always look so calm and rested, which is good for the skin. Have to try the water infusion...
- June 18, 2014 at 8:47 PM
- Fancifrocks said...
Great tips . I'm a little older than you. Just turned 62. My skins not bad. Its not as clear as yours. You look like you have been blessed with good genes as well. Your mother and your sister also have lovely skin as noticed in a photo. As for dry brushing it is wonderful. My yoga teacher put me onto it a few months ago and my skin looks remarkably better. Thank you. Ann
- June 18, 2014 at 9:20 PM
Susan, you always look so fresh and beautiful in each photo you share with the many ladies who follow your posts....I was wondering if you use the organic coconut oil around your eyes or if not what do you use? Thanks you for all your helpful hints.Have a blessed weekend. Ramona
- June 19, 2014 at 12:32 PM
- JacquiG said...
Your skin always looks wonderful and you are glowing in this picture. Thanks for sharing your routine and I will be trying some of your tips.
- June 20, 2014 at 11:04 AM
- Pam said...
Wonderful tips! I am about your age, and my skin looked very young for my age until a couple of summers ago(the really HOT one), which I spent out in the sun, daily, without sunscreen, gardening. BAD idea. My skin aged considerably that summer. I love the idea of using olive or coconut oil. Do you use one of those in the morning after you clean your skin, or just at night? Thanks!
- June 20, 2014 at 2:49 PM


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The Military Times ranks The University of Alabama'sCulverhouse College of Commerce onits inaugural Best for Vets: BusinessSchools 2013 list after examining self-reported data from 100 business schoolsnationwide. Business schools that madethe cut had to offer graduate-levelbusiness degrees and participated in anextensive survey devised by the MilitaryTimes. The survey review evaluatedacademic support, student servicesand campus culture at the schools, aswell as measures of academic successand selectivity, according to the Times'website. Culverhouse earned threeof four stars for the veteran-staffcategory, which rates the staff membersdedicated to veterans' issues in thebusiness school and the full university,including how much time they spend onveteran-specific work. The University ofAlabama placed 33rd on the four-yearuniversities list Best for Vets: Colleges
In spite of these honors, Culverhousefaculty continue to work every dayto improve services and support forstudent veterans. Dr. Lou Marino,professor of entrepreneurship andstrategic management and coordinatorfor the Culverhouse College of Businessentrepreneurship program is currentlyworking with Dr. Craig Armstrong,associate professor of entrepreneurshipand a veteran, to launch the campus'sfirst New Venture Boot Camp in SpringSemester 2014. The goal of the 2 1/2-day workshop is to help participantsformulate a business model and aplan to sell that vision to individualswho can potentially provide funding orother forms of assistance to help themstart their companies. Participants areencouraged to come with an idea, andlocal experts will be on hand to helpthem flesh it out. At the end of theweekend, participants will have theopportunity to pitch their new venturesto potential investors, Marino said."Research shows that militaryveterans are much less likely to startbusinesses than people that never hadmilitary training," he said. "We thoughtCULVERHOUSE RANKED


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News stories from Brightwave Group in 2002
BrightWave welcomes new Director of Learning Services
Brightwave Group | 26 Nov 2002
BrightWave is delighted to welcome Lars Hyland as its Director of Learning Services.
BrightWave crosses the border
Brightwave Group | 18 Sep 2002
As Scotland's e-Learning market grows, BrightWave, the e-Learning specialist has opened a new office in Edinburgh to meet a growing demand for bespoke e-Learning in Scotland.
Getting it right, not getting away with it - in the e-learning industry
Brightwave Group | 10 Sep 2002
BrightWave is producing an article for its customers about how style and subject matter have become more important than 'learning' in many e-learning programmes. The article is being made available on an exclusive basis to the media; publications with an interest in publishing it are invited to contact BrightWave.
T-Mobile adds to its e-Learning Portfolio
Brightwave Group | 12 Aug 2002
T-Mobile is to build on the success of previous e-Learning programmes developed by BrightWave Ltd. Two new courses are now in production.
BrightWave's performance shines amid e-Learning casualties
Brightwave Group | 12 Aug 2002
Amid increasing frustration that on line training providers do not understand customers' real needs, the e-Learning industry has been showing signs of the shake out that many commentators had predicted.
Pfizer Research Rides the Wave.
Brightwave Group | 14 Jun 2002
Pfizer's Research University (ePRU) at Sandwich in Kent has commissioned fast-growing BrightWave, the Hove-based e-Learning specialists, to develop an e-learning module for Pfizer's re-designed education programme on the development of medicines.
ScottishPower chooses BrightWave
Brightwave Group | 05 Jun 2002
ScottishPower are to use BrightWave's WavePool methodology to develop bespoke e-Learning content across the organisation.
T-Mobile catches the e-Learning Wave
Brightwave Group | 22 May 2002
T-Mobile (UK) is now introducing 200 project managers to resource planning software, SAP, using a BrightWave online training programme.
Making Waves at the MoD
Brightwave Group | 17 May 2002
Ministry of Defence latest beneficiary of BrightWave's collaborative development tool: WavePool
New Waves
Brightwave Group | 17 May 2002
Fast-growing Brightwave on target for further expansion with two new senior appointments...
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Company profile
Brightwave Group is the leading agency for next generation learning solutions, services and products. We utilise our expertise, innovation and creativity to design award-winning learning solutions that deliver your business objectives and truly engage your employees.


text:
- This event has passed.
SD102 Spring Break Specialty Camp Registration Deadline
March 5$40.00
Spring Break is almost here for School District 102! With that in mind we'd like to take this opportunity to remind you that March 5th is the last day you can register your child for Specialty Camp. Please make sure to get your registration and payment in by 6 pm on Thursday, March 5th. No registrations will be accepted after this deadline! Registration is $45 per child per day. Please do not sign up for specialty camp on the BASE schedule forms. Specialty Camp forms will be provided to you at your BASE site or at the Park District. Please make your Specialty camp payments separate form your BASE payments. Unfortunately, online registration is not available for specialty camps.
Specialty Camp is located at the Park District and begins at 7:30 am and ends at 5:30 pm. Please send your camper with a lunch, water bottle, gym shoes and a back pack. We provide afternoon snack. We look forward to seeing our BASE families at specialty camp!


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Mims Davies has been appointed as the new Minister for Sport and Civil Society following Tracey Crouch's resignation last week.
Crouch quit last week after the government announced plans to delay cutting the stakes on fixed odds betting terminals from £100 to £2 until October 2019.
Davies, who is the MP for Eastleigh, has now been unveiled as the successor to Crouch, taking on the wide-range of responsibilities the role involves, including sport, charities, horse racing, the National Lottery and society lotteries. The role also now involves work on loneliness.
Despite calls for the role to be split up, with many charity leaders arguing civil society requires a role of its own, there is no sign of the position changing.
Davies was previously a minister in the Wales Office and has been a government whip since the beginning of the year.
In 2017, she ran the London Marathon in aid of Cardiac Risk in the Young, raising over £1,000. She is also a trustee for military charity, Building Heroes.
Commenting on the appointment, ACEVO CEO, Vicky Browning, said: "It is great for the sector that we have a minister who has demonstrated her commitment and passion for charities by running the marathon in aid of a charity and by holding a trustee position in a small armed forces charity.
"Like her predecessor, it seems she will not need to be convinced of the value of charities but, also like her predecessor Mims Davies has a large brief and it is important that she demonstrates her belief in the value of charities by prioritising the implementation of the civil society strategy."
Mims Davies appointed as new charities minister
Mims Davies has been appointed as the new Minister for Sport and Civil Society following Tracey Crouch's resignation last week.


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Warfighter Hemp's mission is to promote the health, wellness, and independence of our nation's citizens, with a particular emphasis on the Warriors who have sacrificed so much for the rest of us. To this end, Warfighter Hemp is proud to donate 50% OF ALL PROFITS directly to Veteran Charities, providing real support that will fill the gaps that currently exist in the Veterans Health Care system.
Warfighter Hemp's premium products augment the naturally occurring cannabinoids produced in the human endocannabinoid system. Cannabidiol Oil (CBD), is one of more than over 100 active compounds found in the Warfighter Hemp plant and accounts for more than 40% of the plant extract. Numerous clinical studies has shown CBD to be effective in treating a broad scope of conditions with a lack of adverse side effects. Specifically, Because the THC compound has been bread out of the Warfighter Hemp strain, the psychotropic effects typically affiliated with most common pain medications are non-existent.
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Project Description
Special Education Teacher
Education/Certification(s): BS in Education from Indiana University of Pennsylvania- Early Childhood and Special Education certifications; Certificate in Educating Individuals with Autism from Penn State University; Working towards my Masters in Special Education with an emphasis on Autism from Penn State University
Contact Information: 888-997-3352 ext. 211, firstname.lastname@example.com
Favorite Book: The Giving Tree by Shel Silverstein
Hobbies/Interest: I teach 3-6 year olds tap, ballet, and tumbling. I also enjoy watching the Penguins and Steelers, traveling, spending time with my family and friends, and relaxing.
Favorite Book: Be somebody who makes everybody feel like a somebody. ~Kid President
Personal Information: I am engaged and planning a wedding for June, 2020!


text:
In the opening words of "I Will Never, Not Ever Eat a Tomato" by Lauren Child: 'I have this little sister, Lola. She is small and very funny.'....well, I have this little sister, Lisa, who is petite and very funny too and is also what I consider a 'fussy eater'. However, what she likes, she loves and enjoys with gusto!
So when she asked me to create a 1-Ninja cup smoothie that she will love...I was excited and up for the challenge! Although I will give myself the push to drink a smoothie that is super healthful but maybe not-quite-so-awesome tasting, I know that if Lisa doesn't care for it - it's not going to happen! And it needed a great name...
1/4c Fruit Plus Veggie Juice(until you no longer crave it extra sweet), 1tsp green powder, 1tsp chia seeds, 1tsp hemp seeds, 1/2 a small banana, 1/2 an avocado, 1tbsp spinach(frozen), 1 tbsp kale(frozen), 1/2c blueberries, 1/2c mangoes, 1/2c. pineapple.
Fill smoothie cup to maximum level with water, screw on lid. Blend until smooth. Enjoy!
All my fruit and veggies were frozen but if yours are thawed, add ice cubes! Adjust the fruit measurements if you prefer a more pineapple-y flavour or blueberry flavour. Just keep the ratio of 1 part veggies to 2 parts fruit for Tastiness. Tip: Add the juice or a bit of water before adding the powders and seeds so they don't stick to the bottom.
Green Powder
Spirulina, Gelatanized Maca Root and Moringa Leaf - I use equal parts and blend together and store in my pantry in an air-tight container. Super easy!


text: Watopia Mountain 8… 9th October 201717th October 2017 By Growing Young My fastest forward lap Time on Zwift's Watopia 'Mountain 8' course… Done on the Tron bike. Top 42% isn't too shabby. Will give it another go soon as i reckon i can beat that as i messed up the start. #lovezwift Share this:TwitterTumblrPinterestRedditLinkedInSkypeFacebookPocketTelegramWhatsApp


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Name: Green Man
Diameter: 6"
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Item: DIS-MI-GMPQ-W
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The Green Man is an archetypal form of the God of Vegetation. He is known by many names all over the world and throughout history. He has been called Jack-in-the-Green, Atthys, Adonis, Lono, Xipe, Dionysus and most anciently Tammuz. Tammuz was the Sumerian Green Man, lover of the Goddess Inanna. His story is the oldest agricultural cycle: He is born in the Spring, loves in the Summer, cut down at the Harvest, spends Winter in the Underworld only to be reborn once more in the Spring. It is the same tale as the English folksong of John Barleycorn. Like the Egyptian green-faced God Osiris, these gods are all associated with the brewing of beer.
The most direct predecessor of the Green Man or foliate face is the Mask of Dionysus, used in classical Greek religious dramas. These were hung on temples as antefixes to guard from hostile influences. Dionysus, called Bacchus by the Romans, was the God of the Vine, crushed to death to make wine, "the blood of the God." This symbolism was adopted into Christianity with the sacrament of communion. Another influence, the pre-Christian Celtic cult of the head, produced leaf and interlace stone faces for monuments. The Dionysian mask/antefix and the Celtic leaf head fused in the artforms of the Dark and Middle Ages and became a major symbol used by stonemasons to decorate the cathedrals that proliferated throughout Europe.
Early on the Green Man was shown as sorrowing or sinister to echo the church's feelings about the evil of Nature worship. Later, during the Gothic period, the Green Man was depicted as triumphantly celebrating the resurrection, showing a hopeful resurgence of belief in the beauty of Nature reflecting the goodness of the Creation. At this time he is reunited with the Great Mother Goddess in the form of the Virgin Mary whose images also adorned the cathedral. In modern times the Green Man is appropriately associated with the Arthurian legend of the Green Knight, who comes to us at a time when we are vitally concerned with the "greening of the Earth" in order to insure our survival into the next century. Once more like the Springtime, the Green Man has returned to us.


text:
I made some in a small ice-cube tray, but they had a harder time coming out. Also I made the big ones in my mini muffin tins and then cut them up into small pieces.
I found they were a touch sticky so I rolled them in a tiny bit of arrowroot powder and that fixed that.
Then I put them all in a mason jar and tucked them into my cupboard to dispense when needed.


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Home > Vacancies > Yorkshire Cricket Board Participation Manager
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We are looking for a highly motivated, enthusiastic, self-starter, with strong experience and proven track record of delivering a range of high quality sport & community development projects. In addition, we would like the preferred candidate to have proven managerial and administrative competencies; together with excellent communication skills.
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The post is full-time, based at Emerald Headingley Cricket Ground. A full, current UK driving license with access to a vehicle is required, as the role will include regular travel. The job also includes regular evening and weekend work as required.
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Suspect arrested in cabbie road rage death Caught, questioned in Pennsylvania
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Suspect arrested in cabbie road rage death Caught, questioned in Pennsylvania
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Suspect arrested in cabbie road rage death Caught, questioned in Pennsylvania
Suspect arrested in cabbie road rage death
Caught, questioned in Pennsylvania
Eyewitness News
(New York-WABC, November 21, 2007) - A 24-year-old was arrested after being extradited to New York in the apparent road rage-related death of a taxi driver.
Charges are pending against Flores, suspected in the hit and run death of a hard-working taxi driver on the Upper East Side.
Flores appeared before a judge this morning in Chester County on a local fugitive charge.
He waived extradition and was returned to New York City.
Authorities had cast a wide net for the suspect, asking police in Norwalk, Connecticut, to visit a location in their search for suspects.
Police say they quickly caught the woman. No charges were filed against her.
Forty-four year-old Elwaleed Mohamed was run down after getting out his cab to settle a road rage dispute with another driver. And following the tragedy, the two occupants of the striking car, a 2005 Nissan Altima, leaped out and fled on foot.
Authorities say Mohamed pulled over at the intersection of East 65th Street and Madison Avenue to settle the dispute just after 12:25 a.m.
But instead of getting out himself, the driver of the Altima ran Mohamed down.
The male driver and female passenger of the Altima then allegedly ditched the car at the scene and fled.
Mohamed, a loving husband and the father of two young boys, was pinned under his cab. Police had to use a hydraulic lift to remove him.
"He was completely under the car," witness Tony Benevento said. "He didn't move at all."
The taxi driver was pronounced dead at New York Presbyterian Hospital.
Authorities say the two occupants of the Altima ran north on Madison Avenue and then west on East 66th Street.
"I turned around and a guy and girl are running up the block," Benevento said.
As family and friends consoled Mohamed's wife inside her Brooklyn home, police tracked the car's owner to a high-rise apartment building in Harlem. There, Marvin Loyola said his cousin was the last person to drive the vehicle.
Loyola told Eyewitness News that he hasn't seen his cousin and knows nothing of the incident.
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Adil Osman
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Re: Suspect arrested in cabbie road rage death Caught, questioned in Pennsylvania
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What a senseless death. My condolences to Elwaleed's wife and children.
Wife and son mourn hit-and-run death of Brooklyn cab driver
BY VERONIKA BELENKAYA and CORKY SIEMASZKO
Wednesday, November 21st 2007, 4:00 AM
Cabbie Mohammed Elwaleed was killed in midtown Manhattan early Tuesday when he climbed out of his taxi to argue with another motorist - who then mowed him down, cops said.
Mohammed Elwaleed's senseless death plunged his wife Mayada into mourning while their 7-year-old son struggled to understand what happened.
"She can't stop crying because Daddy won't come home," Khalid Elwaleed said. "I think God took him."
Cops were searching for the murderous motorist and the other occupant of the Nissan Altima, both of whom abandoned the car and fled on foot - leaving the 44-year-old Sudanese immigrant to die in the street.
"We have a suspect's name," Police Commissioner Raymond Kelly said. "I don't want to put that name out at this time, but we believe we know the individual who was driving the car."
Elwaleed, a U.S. citizen who had driven a cab for eight years, had less than an hour to go on his shift when he got into the fatal confrontation just after midnight at Madison Ave. and 65th St.
It was not immediately clear what sparked the quarrel between the cabbie and the occupants of the Nissan. Police traced the car to a 40-year-old Manhattan man. Sources said the Nissan had not been reported stolen. The taxi union offered a $3,000 reward for information leading to an arrest.
In Ditmas Park, Elwaleed's 27-year-old wife cradled their 18-month-old son, Ahmed, and cried, "I love him, I miss him, I can't believe this happened!"
Little Khalid said his dad was supposed to come to his Thanksgiving celebration today at PS 139, where he is a second-grader.
"He took me to places like McDonald's and Burger King and Toys 'R' Us," the boy said. "One time in the first grade, my dad took me to the circus. He made a surprise for me. It was so fun."
Family friends said the Elwaleeds were like honeymooners.
"Everyone was always jealous of them because they were so in love together," said family friend Sheza Mohamed, 34. "She can't believe he died."
Elwaleed immigrated from Sudan to New York 15 years ago. Two years ago he was able to bring his wife and older boy to the U.S. Things were looking up for the reunited family.
"He was so happy because he bought a computer for his family," said Osama Mostafa, a longtime friend. "He probably still had the receipt in his pocket. He was so jubilant about buying that computer."
A devoted dad, Elwaleed always called home to say good-night to his wife and son when he worked the night shift.
"She talked to him right before it happened," Mohamed said. "He told her, 'Go to sleep, I'm coming home.'"
In hindsight, his parting words to his wife took on a new poignancy.
"Last night before he left he told her, 'You have to take care of the boys,'" Mohamed recalled. "She was surprised when he said that."
A funeral service will be held this morning at the Masjid Al-Ihssan mosque on Atlantic Ave. and Fulton St. in Brooklyn. After that, his widow will fly his body home to Sudan for burial.
Friends said she and her sons are unlikely to return.
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With Alison Gendar and Tanangachi Mfuni
(Edited by
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on 11-23-2007, 04:03 PM)
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Internal Auditor cannot undertake GST Audit of same entity: ICAI
Internal Auditor not to undertake Goods and Service Tax (GST) Audit simultaneously We have received enquiries from the members at large and other stakeholders as to whether an internal auditor of an entity can also undertake GST Audit of the same entity as required under the Central Goods and Service Act, 2017. The Council of the Institute, while considering the issue at its 378th Meeting held on 26th and 27th September, 2018, noted its earlier decision taken at its 281st Meeting held from 3rd to 5th October, 2008, that internal auditor of an assesee, whether working with the organization or independently practising Chartered Accountant being an individual chartered accountant or a firm of chartered accountants, cannot be appointed as his Tax auditor (under the Income Tax Act, 1961).
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What happens if I play Urborg, Kormus Bell, and Humility? Or maybe Nature's Revolt and Humility? Anyway, do the lands lose their ability to tap for mana? I don't really understand how lands get this ability. Is it an ability on the card, so Humility takes it away, or is it granted by the -Swamp or -Mountain subtype, and in that case, does Humility take away that subtype?
Animated lands can't tap for mana.
The ability to tap for mana is just that an ability.
Humility removes all abilities.
Here is an old ruling from Saturday School. Probably one of the only rulings concerning Humility that is still accurate.
Q: My opponent plays Nature's Revolt. On my turn, I play Humility. Can we tap our creature-lands for mana anymore? What happens if theyre played in the opposite order?
--Eu-Ming Lee
A: You cant tap the creature-lands for mana at all, regardless of the order the enchantments are played in. Humility takes away the abilities of all creatures, including the mana abilities of the creature-lands. If there had been a later effect giving mana abilities, you could use them, but since Natures Revolt just animates the lands, their built-in abilities will always be removed by Humility.
...Unless Riftstone Portal gets tossed in the yard after Humility is played.
Early one morning while making the round,
I took a shot of cocaine and I shot my woman down;
I went right home and I went to bed,
I stuck that lovin' .44 beneath my head.
Considering the amount of times "timestamp is used in section 418.5 (15 times) I don't think that is the case.Unless I am mistaken the new Comp Rules updates removed timestamps altogether.
I spent a few hours going through the archives of the Judges' discussion boards, and I cannot find any reference material for my statement regarding the Riftstone Portal. I do recall a written discussion regarding a similar situation, yet I am not sure where it was.
That being said, without source material to back it up, I would have to retract my earlier statement, and offer an apology if I gave incorrect information. If I do find the information I believed was true, I will post the source of it, and a link if possible.
For now, I will say that, yes the Portal does nothing once Humility comes into play, but if it thrown into the bin after the Humility has been in play, then your animated lands will then be able to tap for G or W.
Old Fogey
You're not just wrong, rules say you're a dick!
Both Riftstone Portal's ability and Humility's "lose all abilities" ability apply in layer 5, and they do not depend on each other, so they are applied in timestamp order. I've used this trick many times with Anger in RGSA v. Rabid Wombat.
Originally Posted by Tacosnape
What happens to the comes into play abilities of creatures? Like harmonic sliver's comes into play ability? They comes into play first then ability resolves then become a useless 1/1 or do they become a useless 1/1 immediately without the ability resolving?
The creature comes into play as a 1/1 creature without abilities, so the CiP-Ability won't be there to trigger
Svogthos the Relentless Tomb
Tap: Add 1 to your mana pool.
3BG: Until end of turn, Svogthos, the Restless Tomb becomes a black and green Plant Zombie creature with This creatures power and toughness are each equal to the number of creature cards in your graveyard. Its still a land.
Under Humility, is this guy a 1/1 or X/X? The tricky part is whether layer 6a applies.
so neither ability is a characteristic-setting ability, and both apply in layer 6b in timestamp orderOriginally Posted by CompRules
It's possible. But it involves... {checks archives} Nature's Revolt, Opalescence, two Unstable Shapeshifters (one of which started as a Doppelganger), a Tide, an animated land, a creature with Fading, a Silver Wyvern, some way to get a creature into play in response to stuff, some way to get a land into play in response to stuff (a different land from the animated land), and one heck of a Rube Goldberg timing diagram.
-David DeLaney
Humility's "lose all abilities" is applied in Layer 5, as is Wonder's flying, so if Wonder is put into the graveyard after Humility comes into play, your creatures will have flying, if Humility comes into play after Wonder hits the grave, they won't.Originally Posted by CompRules
So did Carter solve Opalescence?
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Super Garlicky Paleo Tzatziki
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Ingredients10 m servings 19
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- Combine coconut milk yogurt, cucumber, lemon juice, garlic cloves, sea salt, and dill in a food processor; blend until well mixed.
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This turned out pretty good. I did end up adding more salt and dill because I thought it needed it. This went great with my lamb sliders and it is one I would make again.


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On six continents, wind energy is struggling to compete with fossil fuels. But in Antarctica, wind is carving out a big role.
Australia has been operating wind turbines at its research station, Mawson, since 2003. And Belgium has a new research station, Princess Elisabeth, that it says will be the first to be "zero emission," 100 percent wind and solar powered, with most of the energy coming from nine small wind turbines.
The United States' big logistics hub for work on the continent, McMurdo Station, has for several years used turbines — as well as a solar installation — to help power its communications hub on Black Island. And it will soon meet 11 percent of its total energy needs from wind, with help from an adjacent New Zealand base.
A New Zealand power company, Meridian Energy, begins work later this month (early summer in the southern hemisphere) on what it calls the world's coolest wind farm — and also its southernmost, on Ross Island. Three German-built turbines, each on a 128-foot tower and each generating 300 kilowatts, will be erected on a ridge line there, providing power to New Zealand's Scott Base, as well as the American one two miles away.
The continent is a challenge for wind power generation.
Outside the polar regions, changing levels of sunlight create heating and cooling on land and water, which in turn generates breezes to equalize the temperatures. In the Antarctic winters, the sun stays down for six months, generating no wind.
At other times of year, "We can get storms when the winds at McMurdo are 100 miles per hour,'' said Brian W. Stone, acting division director for Antarctic infrastructure and logistics at the National Science Foundation's Office of Polar Programs.
Wind turbines, just like a car engine, can be damaged if R.P.M. — or revolutions per minute — are too high. So the structures are designed to "feather" their blades — rotating them into a position where they no longer catch the wind's energy when it is blowing so fiercely.
At that point, Mr. Stone said, the machines generate no power and "we hope they don't blow away."
Generally speaking, when turbines do manage to run in Antarctica, they are especially valuable because they take the load off diesel generators.
McMurdo bought its fuel last year for $2.86 a gallon — not a bad price — but it comes all the way from Greece, where a refinery creates a special formulation meant to resist extremely cold temperatures, which can turn the fuel into a useless gel.
The tanker makes the last few hundred miles of the trip trailing a Swedish icebreaker.
And if the fuel is taken from McMurdo on the 1,100-mile trip to the base at the South Pole, it is often flown in a C-130 cargo plane that burns 700 gallons an hour for the three-hour flight — each way. The result is that the trip burns two gallons for every one gallon delivered.
Construction of the McMurdo installation is slated to begin in November, with completion aimed for sometime in late 2009 or early 2010.
"I never considered myself to be a particularly green person," Mr. Stone said, though he said his office pushes the maximum possible efficiency in the Antarctic operations. "The payoffs are so much more significant because of the extreme cost we have in logistics,'' he said.
For summertime field operations, his office has begun sending out tiny turbines that can be set up by hand, that can generate five or 10 kilowatts. A kilowatt is enough power to run a window air conditioner.
Some field stations still start up a diesel generator when they need enough power for a big piece of scientific equipment, but operate with wind machines, and sometimes small solar panels, the rest of the time. The windmills are much quieter than the generators, although their vibrations can disturb some seismic research, officials say.
And dragging along a small windmill is often easier than hauling fuel.
But engineers in Antarctica face the same problem with wind as American utilities do: its production does not meet peak demand. In the United States, that's generally on hot, windless summer days, when the air conditioners are running at full tilt. In Antarctica, peak demand comes on cold, windless winter nights, when the astronomers' telescopes are operating.
In the 1960s and 1970s, the Navy, which then ran McMurdo, tried to solve the energy problem there by operating a small nuclear reactor at the base, but Mr. Stone said it was unreliable and was shut down. A New Zealand government Web site, which contains information on how the reactor was shipped through that country, says it was known as "Nukey Poo.''
With few alternatives in the harsh conditions, "diesel is still very much the lifeblood of the Antarctic,'' said Mr. Stone.
But renewable energy is trimming the size of the problem.


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Join us for the release of our spring 2019 issue of Soul by Southwest, the literary and visual arts journal of Seminary of the Southwest. Browse the gallery of contributors' artworks, enjoy readings of contributors' written pieces, and share your own works during open mic.
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Episcopal music legend Fran McKendree will join us for community Eucharist on Thursday, February 21. Join us for this special service, and bring a friend!


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Filed under: Brain Health, News, Stroke Prevention & Care, Telemedicine | Tags: AcuteCare Telemedicine, american telemedicine association, artificial technology, atlanta healthcare, Atlanta healthcare news, atlanta hospitals, digital health, healthcare news, mhealth, nanotechnology, neurology, Technology, telemedicine, teleneurology, telestroke, tlemedicine technology, virtual healthcare, weable devices
While many believe that telemedicine first made its debut just a little more than a decade ago, the practice of telemedicine can be traced back to the early years of the space program. The National Aeronautics and Space Administration (NASA) pioneered the remote use of physiological measurements of astronauts and telemetered the data back to earth from the spacecraft. These early efforts from the 1960's enhanced the development of satellite technology which led to the development of telemedicine. The decades since have brought significant advances to the technology, lower costs of equipment and an expansion of the potential uses in the medical industry.
Advancements in the fidelity, mobility and affordability of technology is changing the landscape for healthcare delivery. As the digital gadgetry becomes smaller, more portable and easier to use patient/consumers are advancing their expectations of telemedicine as payers look to reduce the costs of routine medical care and shorten the length of hospitalization. There is a vast array of new technology being applied to healthcare that promises to give patients more responsibility and control over their health and fitness. Wearable technology and wellness devices enable users to continuously monitor their vital signs and track their progress towards their fitness goals.
Future wearable devises will focus on accuracy and data integration as well as visualization capabilities; virtual models that promote the patients understanding and significance of the all the wellness data generated by the wearable devise.
The newest digital health trend, nanotechnology, may have a significant impact on healthcare. Nanotechnology's precision and accuracy can aid in designing new drugs to specifically match a patients needs or monitor the progress of cancerous tumors in a patient's body. While still in its infancy, nanotechnology is expected to be a significant digital health trend in coming years. Artificial intelligence is another digital health trend that will help physicians track a patient's health and identify danger signs before an onset of a heart attack or stroke. As the costs of genome sequencing continues to decline, integration of personal genetics and research will advance the practice of genomics in the next few years.
"Access, cost, and convenience are driving it (technology) forward, plus advancement in technological capabilities", says John Jesser, vice president of engagement strategy at Anthem Blue Cross, an affiliate of the Indianapolis-based WellPoint. "Historically, telehealth meant expensive video conferencing equipment in a clinic at one location and expensive video conferencing in a hospital somewhere else. (The technology) now allows doctors to log in and log out easily at their convenience and it allows patients to seek care when they want it, from their iPhone or Android. That's changed everything,"
As virtual health initiatives move forward, new and valuable trends and telehealth technology solutions will continue to emerge and be adopted as the traditional methods of delivering medical care are challenged and disrupted at medical facilities, physicians' offices and hospitals. The venue of choice for patients seeking medical in the future will more likely be smartphones, laptops, and tablets. The preferred provider will have to be knowlegable and comfortable with this rapidly changing healthcare delivery landscape.
Filed under: Brain Health, News, Telemedicine | Tags: AcuteCare Telemedicine, american telemedicine association, Atlanta healthcare news, atlanta hospitals, atlanta medicine, atlanta neurology, brain health, Casa Para Ninos Aleluya, doctors, Georgia Partnership for Telehealth, Guatemala City, James Kiely, mhealth, modern medicine, neurology, orphanage, patients, physicians, Technology, telehealth, telemedicine, teleneurology
It has been a little more than a year since Georgia Partnership for TeleHealth (GPT), the Louisiana State University Health Science Center (LSU) and Casa Para Ninos Aleluya (CASA) launched its first international telemedicine program. The mission of the collaboration is to deliver much needed primary and specialized medical care to the children of the CASA orphanage through the use of telemedicine technology. The orphanage is home to over 400 abused, orphaned and mistreated children and is located just outside of Guatemala City. The medical needs of hundreds of the children at CASA are met daily through a few nurses that manage a clinic on-site.
Shortly after the Program got underway, Dr. James M. Kiely, a partner in Atlanta Neurology, P.C., AcuteCare Telemedicine (ACT) and Medical Director of the Neurophysiology Departments at Northside Hospital and St. Joseph's Hospital of Atlanta was given the opportunity to demonstrate telemedicine capabilities at the orphanage and volunteered his time and talents to render virtual care to the youth of CASA.
Dr. Kiely remotely treated a 19 year old CASA patient with a history of intractable epilepsy. The young patient was on numerous medications but continued to experience recurring seizures. By using a high definition audio-visual connection provided by GPT, Dr. Kiely was able to interview the patient's parents and examine the patient remotely. The imaging results, hemiparesis, and description of seizures allowed him to determine that the likely type and cause was attributed to porencephaly, the failure for one hemisphere of the brain to develop. Kiely was able to recommend appropriate medications to on-site doctors and to suggest additional steps to take if the patients epilepsy remained intractable. The process worked flawlessly and marked the beginning of a new relationship between the missions and medical providers across the region.
At a recent GPT Telehealth Summit this year in Florida, Dr. Kiely was brought up to date on the patient he first treated more than a year ago at the orphanage in Guatemala. A family member of the patient has recently received his Master's Degree. He is now serving an internship with the Georgia Partnership for Telehealth who continue to provide ongoing support to the children of the Guatemala region through donated physician time. He had the opportunity to speak with Dr. Kiely and informed him that the young patient, his sister, is doing well.
Dr. James M. Kiely says, "I am so invigorated when I'm able help a patient and to make a meaningful difference in their future. Whether here at home, or around the world, it is extremely rewarding."
Filed under: Stroke Prevention & Care, Telemedicine | Tags: AcuteCare Telemedicine, atlanta hospitals, Emory University Hospital, healthcare, Lisa Johnston, neurologist, neurology, physicians, Sleep Medicine, stroke, telehealth, telemedicine, teleneurology
Knowing how to analyze, organize and execute made her a star point guard on her undefeated high school basketball team, on Long Island, N.Y.
Those same qualities now in her professional life enable Lisa H. Johnston, M.D., to shine as the chief financial officer and founding partner of AcuteCare Telemedicine.
From Queens, N.Y., originally, it was at a young age that she decided to become a doctor. "I remember going to see my doctor at his house and thought, 'Wow, he gets to work at home and make sick people feel better'," Dr. Johnston says. "I remember looking through encyclopedias to figure out how old I would be when I graduated from medical school. Funny how it was so old then and so young now," she laughs.
Initially, she wanted to become a physiatrist, but studying Neurology as an elective caused her to change course. "I remember seeing a man in a wheelchair whose left arm kept hanging out of the chair. I thought, 'doesn't he know it's getting caught in the spokes,'" Johnston says, "and the resident said, 'he had a stroke in his right parietal lobe. He has neglect and doesn't know that's HIS left arm.' And that was it for me. I was completely sold after that."
Dr. Johnston received her BA and MD degrees from Brown University and completed her initial post graduate training at Rush Presbyterian St. Luke's Medical Center in Chicago. She was trained in Neurology at Emory University Hospital, where she also completed a fellowship in Sleep Medicine. Dr. Johnston is a partner in Atlanta Neurology, P.C. and served as Medical Director of the Sleep Disorders Center at Northside Hospital. She is board certified in Neurology and Sleep Medicine.
Creating AcuteCare Telemedicine in 2009 was an easy decision for Dr. Johnston and her partners. "We had an opportunity as a group to provide telemedicine services at a community hospital nearby," Dr. Johnston remembers. "We realized that we could provide the same service to other similarly situated hospitals; alas, ACT was born."
Knowing the value of teamwork, Dr. Johnston says she and her colleagues share a work environment that is trusting, reliable, and cohesive. "We four partners of ACT are very fortunate that as physicians we have worked together for the past 15 years, sharing patient cases, new ideas and future goals. On call duty, in certain ways, can be a very solitude and at times daunting part of being a physician. There is comfort in knowing that there is always a partner that is willing and able to provide backup if needed."
Dr. Johnston notes their commitment is multi-faceted. "Not only are we the physicians taking care of patients through ACT, we are the owners of ACT," Dr. Johnston says. "We have a vested interest, not only in providing superior quality care of patients, we have an interest in making our company thrive. There is an all-around positive energy into everything we do – caring for our patients, and caring for our company. It's a great environment to be a part of."
She sees the healthcare environment for telemedicine as an increasingly expanding area. "Unfortunately there is an exodus of neurologists away from hospital work and on call duty. There is a particular lack of neurologists in many rural hospitals," Dr. Johnston says. "As the trend continues, the need for telemedicine is only going to grow, especially in the field of Neurology, where assessing an acute stroke patient can be swiftly and completely performed via remote presence."
Dr. Johnston finds her inspiration in the fast-paced, challenging work that emanates from remote presence. "You are talking about trying to intervene either to save someone's life or improve their quality of life, within a limited period of time. You have to be there 'now' and you have to be on," she says. "You have to decide whether to take the jumpshot or pass the ball inside … and the clock is ticking."
Edward Herring's relationship with his daughter is a pillar of Dr. Johnston's success today. Her late father would have been 90 years old this year. "My dad (with mom's support of course!) made tremendous sacrifices for me and my brother; some sacrifices that took me until adulthood to appreciate," Dr. Johnston says. "His own dreams were deferred in order that ours could be realized. I know that he would not have had it any other way."
In what spare time she gets, Dr. Johnston enjoys traveling, photography and spending time laughing and simply enjoying life with her husband and their teenage son.
For Dr. Johnston, being able to care for patients on an emergency basis through AcuteCare Telemedicine is invaluable. "I know that when ACT is called to see a patient for an acute stroke, there is no other neurologist at that time at that facility who is available to provide care and that's what makes the work ACT does so impactful. We are providing care to patients that otherwise might be delayed or simply unavailable," she says. "To me, to be able to serve in this manner, is priceless."
Filed under: Stroke Prevention & Care | Tags: ACT, AcuteCare Telemedicine, Alabama partnership for tele health, atlanta healthcare, atlanta hospitals, doctor, Dr. Matthews Gwynn, health care, JAMA, James Kiely, Journal of the American Medical Association, Keith Sanders, life saving, Lisa Johnston, modern medicine, patient, SAMC, southeastern alabama medical center foundation, stroke, stroke prevention, stroke services, stroke victims, study, telehealth, teleneurology, telepsychology, telestroke, tPA, UCLA
Recently a team of researchers from UCLA completed a major study on the use of tissue plasminogen activator, or tPA, on stroke victims within 4.5 hours after the stroke occurs. That study of more than 50,000 stroke patients, as reported in a recent issue of JAMA, The Journal of the American Medical Association, confirms that the sooner tPA is administered, the better chance of recovery. In response to the study, AcuteCare Telemedicine (ACT), an Atlanta-based company that's billed as the largest practice-based provider of teleneurology is making an aggressive push to help smaller hospitals and networks that don't have immediate access to neurologists.
Their efforts have proven to be life saving for one Ozark, Alabama resident and recent stroke victim. The collaboration between ACT and the Southeast Alabama Medical Center (SAMC) is having its desired effect for SAMC patients, providing once unavailable, advanced life saving treatments to stroke patients. The Stroke Care Network, established in Dothan, Ala., in collaboration with ACT, the Southeastern Alabama Medical Center Foundation and the Alabama Partnership for Telehealth provides stroke services for a 240-square-mile swath that includes southeast Alabama, southwest Georgia and the Florida Panhandle.
The collaboration was initiated when Cecilia Land, SAMC's division director for rehabilitation services discovered an increase in the areas mortality and morbidity due to stroke. "We recognized an immediate need to establish a stroke care network, providing patients with access to 24×7 teleneurology," said Land. SAMC officials hope to add more "spokes" to the network, in the form of hospitals and clinics, and also want to use the network to educate communities on the importance of wellness and identifying precursors to a stroke. Dr. Keith A. Sanders from AcuteCare Telemedicine hopes to extend ACT's telemedicine platform to other specialties, such as telepsychology, and he expects more hospitals and health networks will buy into the system as executives see the benefits of sharing specialist services without having to house them on-site.
This most recent life-saving patient outcome from the collaboration between ACT and SAMC is proof that the new telemedicine health care model is an excellent vehicle to advancing the availability and quality of telestroke care to SAMC patients and to underserved patients all around the country.
Filed under: Telemedicine | Tags: acute care, acute stroke, acute stroke care, AcuteCare Telemedicine, american telemedicine association, ATA, Atlanta, atlanta healthcare, Atlanta healthcare news, atlanta hospitals, atlanta medicine, atlanta neurology, brain health, communications, cpt, current procedural terminology, doctors, Georgia, healthcare, healthcare costs, healthcare industry, healthcare news, hospitals, James Kiely, Jonathan Linkous, Keith Sanders, Lisa Johnston, matthews gwynn, Medicaid, medicare, Technology, telemedicine, teleneurology
The Centers for Medicare and Medicaid Services have proposed rules that would provide telemedicine services to nearly 1 million new Medicare beneficiaries. CMS proposes to increase the number of beneficiaries eligible for telemedicine by modifying their urban/rural definitions and proposes several new reimbursable telemedicine services.
The first change would extend reimbursable telehealth services to "originating sites" serving nearly one million rural beneficiaries living in large metropolitan areas. Currently, Medicare uses a strict county-based classification to enforce its rural-only rule for telemedicine coverage. The new rule would create a more precise urban/rural distinction based on geographically smaller census tracts.
The second proposed change would increase coverage for transitional care management services under Current Procedural Terminology (CPT) codes 99495 and 99496, involving post-discharge communication with a patient and/or caregiver. Reimbursement of these services will help healthcare providers deliver improved in-home care to at-risk beneficiaries and significantly reduce needless hospital readmissions.
Jonathan Linkous, Chief Executive Officer of the American Telemedicine Association cautiously supports the change and in a statement said, "This is one small step in the right direction. For 15 years the federal government has placed strict restraints on the use of telehealth while employers, private payers, states and many other nations have moved boldly forward, improving the quality and reducing the cost of care. It is time to unleash the power of modern technology and allow Medicare beneficiaries, regardless of whether they live in a rural area, underserved inner-city, in a clinic or at home to be eligible to receive the benefits of telehealth."
The proposal is currently open for comment and ATA encourages all telemedicine advocates to express their support. The American Telemedicine Association is the leading international resource and advocate promoting the use of advanced remote medical technologies. ATA and its diverse membership work to fully integrate telemedicine into healthcare systems to improve quality, equity and affordability of healthcare throughout the world.
Filed under: News | Tags: AcuteCare Telemedicine, american telemedicine association, ATA, Atlanta, atlanta healthcare, atlanta hospitals, atlanta medicine, atlanta neurology, barriers, benefit, care, country, government, health, healthcare, hospitals, house bill 986, James Kiely, Keith Sanders, Kentucky, law, legislation, legislators, Lisa Johnston, matthews gwynn, medical services, medicare, Missouri, modern medicine, restraints, services, state laws, states, Technology, telehealth, telemedicine
The states of Missouri and Kentucky are the two most recent states that are making significant strides in increased implementation and utilization of telemedicine. Effective Jan. 1, 2014, a Missouri law (House Bill 986) makes private insurers responsible for reimbursing providers offering telehealth services just as these payers are for in-person services. The bill states that insurers "shall not deny coverage for a health care service on the basis that the health care service is provided through telehealth if the same service would be covered if provided through face-to-face diagnosis, consultation, or treatment." While the new legislation benefits patients with private insurance payers, Missouri law still lacks provision for Medicaid beneficiaries.
In Kentucky, where state laws are in place for private and public payers, the legislators have expanded coverage of telemedicine services for Medicaid beneficiaries so long as these are delivered exclusively by way of interactive video-conferencing. The telehealth services covered by the law are extensive, ranging from mental health evaluations and care management to diabetes and physical therapy consultations.
These most recent events are indicative of individual state legislatures making the most aggressive progress towards removing regulations and passing legislation to accommodate the new technology's use, while the federal government continues to focus on achieving a last place finish in the race for expansion.
American Telemedicine Association (ATA) CEO Jonathan Linkous said in a public statement recently. "The federal government places unnecessarily strict barriers and restraints on how Medicare patients are served when they deserve access to quality healthcare, regardless of geographic location and technology used."
Kentucky and Missouri are joining a growing list of states that are realizing the benefit of telemedicine as a cost-effective delivery model for quality healthcare even though the two states have taken different approaches to expand access to telemedicine services. "This is a true win-win scenario," said Jonathan Linkous, "First, it is a big victory for patients in Kentucky and Missouri, who now have greater access to the best-possible healthcare. It's also a win for the treasury and taxpayers in those states, who will save significantly on public healthcare costs."
With healthcare costs rising rapidly and access to specialized care diminishing for many Americans, it is well past a reasonable period of time for the top payer of medical services, the federal healthcare agencies and the U.S. Congress, to pick up the pace on making advances in passing and implementing legislation that will promote the advancement of telemedicine throughout the entire country.
Filed under: News | Tags: AcuteCare Telemedicine, apps, Atlanta, atlanta healthcare, atlanta hospitals, cancer arthritis, death, diabetes, eHealth, future, health apps, healthcare, heart disease, James Kiely, Joint Center for Political and Economic Studues, Keith Sanders, Lisa Johnston, medicine, mhealth, mobile, mobile health, modern medicine, obesity, patients, physiciants, smart phones, Technology, telehealth, telemedicine, teleneurology
Mobile Health (mHealth) is the newest entrant in the world of telemedicine. Delivery of health services by way of mobile, smart phones is promising to be a quickly expanding healthcare delivery device and minority communities may be the segment of population that will benefit the most from the technology. The Joint Center for Political and Economic Studies recently released a report entitled "Minorities, Mobile Broadband, and the Management of Chronic Diseases," which evaluates the vast potential of mobile broadband technologies to help address our nation's most pressing health concerns.
Diabetes, heart disease, cancer, arthritis, and obesity claim the lives of 7 out every 10 Americans each year and these chronic diseases affect minority communities disproportionately, with many individuals lacking the ability to effectively treat and monitor their health due to geographic, financial, cultural and linguistic barriers. mHealth may be the answer to breaking down barriers to minorities receiving treatment for these chronic conditions. With more than 63 percent of the minority population having access to mobile devices like smartphones and "pads", equipping them with functionally relevant mobile applications can enhance the doctor-patient communication and empower patients to make informed healthcare decisions.
Some of the report's policy recommendations include:
- Ensure universal access to mobile broadband for households in both un-served and underserved areas.
- Reform regulatory barriers that limit the use of non-traditional medical treatment.
- Create incentives for physicians to use mobile broadband-enabled technologies for current and preventative care.
- Avoid excessive and regressive taxation on wireless goods and services.
According to the latest industry data available, there are presently 31,000 health, fitness, and medical related apps on the market, and the rate of new introductions is growing rapidly. According to Washington, D.C.-based eHealth Initiative, the number of smart phone apps increased 120% during the past year alone and while there are hundreds of the apps that really work and are completely legitimate, the medical community has legitimate concern about many of the products safety and effectiveness.
Patients, physicians, and the vast mHealth community are profoundly optimistic about the future of health apps in bringing much needed medical care to those who suffer from chronic illnesses, not only in the minority communities but the increasingly aging population as well.