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LA JOLLA, Calif., Aug. 11, 2014 (GLOBE NEWSWIRE) -- MediciNova, Inc. a biopharmaceutical company traded on the NASDAQ Global Market (Nasdaq:MNOV) and the JASDAQ Market of the Tokyo Stock Exchange (Code Number: 4875), today announced that it has received a Notice of Allowance from the U.S. Patent and Trademark Office for a pending patent application which covers MN-001 (tipelukast) and MN-002 (a major metabolite of MN-001) for the treatment of nonalcoholic fatty liver disease (NAFLD).
Once issued, the patent maturing from this allowed patent application is expected to expire no earlier than December 2032. The allowed claims cover a method of treating nonalcoholic fatty liver disease (NAFLD) and a method of reducing liver inflammation in nonalcoholic fatty liver disease (NAFLD) using MN-001 or MN-002. The allowed claims cover oral administration, including tablets and capsules, as well as liquid dosage forms.
"We are very pleased that this new patent will be granted as we believe it will substantially increase the length of exclusivity and hence the potential value of MN-001 for the treatment of liver disease," commented Yuichi Iwaki, MD, PhD, President and CEO of MediciNova, Inc.
About NASH (nonalcoholic steatohepatitis) and NAFLD (nonalcoholic fatty liver disease)
Nonalcoholic fatty liver disease (NAFLD) can be divided into (1) nonalcoholic steatohepatitis (NASH) in which there is fat in the liver along with inflammation and damage to liver cells, and (2) isolated "fatty liver", a condition in which there is accumulation of fat in the liver, but no inflammation or liver damage. Nonalcoholic steatohepatitis (NASH) is a common liver disease that resembles alcoholic liver disease but occurs in people who drink little or no alcohol. According to the U.S. National Digestive Diseases Information Clearinghouse (NDDIC), NASH prevalence in the U.S. is 2-5%, and an additional 10-20% of Americans have "fatty liver." The underlying cause of NASH is unclear, but it most often occurs in persons who are middle-aged and overweight or obese. Many patients with NASH have elevated serum lipids, diabetes or pre-diabetes. Progression of NASH can lead to liver cirrhosis. Liver transplantation is the only treatment for advanced cirrhosis with liver failure. At this time, there is no treatment for NASH.
About MN-001
MN-001 is a novel, orally bioavailable small molecule compound thought to exert its effects through several mechanisms to produce its anti-inflammatory activity in preclinical models, including leukotriene (LT) receptor antagonism, inhibition of phosphodiesterases (PDE) 3 and 4, and inhibition of 5-lipoxygenase (5-LO). It is postulated that inhibition of the 5-LO pathway exerts anti-inflammatory actions, which has implications in various inflammatory diseases such as arthritis, osteoarthritis, and allergy. Recently, 5-LO has been postulated as a pathogenic factor in fibrotic changes. MN-001's inhibitory effect on 5-LO and the 5-LO/LT pathway is considered to be a novel approach to treat fibrosis.
Previously, MediciNova evaluated MN-001 for its potential clinical efficacy in asthma and had positive Phase 2 results. MN-001 has been exposed to more than 600 subjects and considered generally safe and well-tolerated.
About MediciNova
MediciNova, Inc. is a publicly-traded biopharmaceutical company founded upon acquiring and developing novel, small-molecule therapeutics for the treatment of diseases with unmet medical needs with a commercial focus on the U.S. market. MediciNova's current strategy is to focus on MN-166 (ibudilast) for neurological disorders, MN-221 for the treatment of acute exacerbations of asthma, and MN-001 for NASH and IPF. MN-166 is being developed in multiple indications, largely through investigator-sponsored trials and outside funding. MediciNova is engaged in strategic partnering discussions to support further development of its programs. For more information on MediciNova, Inc., please visit www.medicinova.com.
Statements in this press release that are not historical in nature constitute forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include, without limitation, statements regarding the future development and efficacy of MN-001. These forward-looking statements may be preceded by, followed by or otherwise include the words "believes," "expects," "anticipates," "intends," "estimates," "projects," "can," "could," "may," "will," "would," "considering," "planning" or similar expressions. These forward-looking statements involve a number of risks and uncertainties that may cause actual results or events to differ materially from those expressed or implied by such forward-looking statements. Factors that may cause actual results or events to differ materially from those expressed or implied by these forward-looking statements include, but are not limited to, risks of obtaining future partner or grant funding for development of MN-001 and risks of raising sufficient capital when needed to fund MediciNova's operations and contribution to clinical development, risks and uncertainties inherent in clinical trials, including the potential cost, expected timing and risks associated with clinical trials designed to meet FDA guidance and the viability of further development considering these factors, product development and commercialization risks, the uncertainty of whether the results of clinical trials will be predictive of results in later stages of product development, the risk of delays or failure to obtain or maintain regulatory approval, risks associated with the reliance on third parties to sponsor and fund clinical trials, risks regarding intellectual property rights in product candidates and the ability to defend and enforce such intellectual property rights, the risk of failure of the third parties upon whom MediciNova relies to conduct its clinical trials and manufacture its product candidates to perform as expected, the risk of increased cost and delays due to delays in the commencement, enrollment, completion or analysis of clinical trials or significant issues regarding the adequacy of clinical trial designs or the execution of clinical trials, and the timing of expected filings with the regulatory authorities, MediciNova's collaborations with third parties, the availability of funds to complete product development plans and MediciNova's ability to obtain third party funding for programs and raise sufficient capital when needed, and the other risks and uncertainties described in MediciNova's filings with the Securities and Exchange Commission, including its annual report on Form 10-K for the year ended December 31, 2013 and its subsequent periodic reports on Forms 10-Q and 8-K. Undue reliance should not be placed on these forward-looking statements, which speak only as of the date hereof. MediciNova disclaims any intent or obligation to revise or update these forward-looking statements.
CONTACT: INVESTOR CONTACT: Geoff O'Brien Vice President MediciNova, Inc. firstname.lastname@example.com
Source:MediciNova, Inc.


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(Oswego, NY) - The Sacred Heart Pioneer women's hockey team traveled to Oswego State this weekend, and lost 7-0 Friday afternoon at 5-2 Saturday afternoon. Pioneer goalie Alexius Schutt (Elk River, MN) did all she could, making 52 saves Friday, and an impressive total of 86 saves on the weekend.
However, despite trailing just 1-0 after one period on a goal by Mady Paul in Friday's game, the Pioneers allowed five Laker goals in the second period. Chelsea Hunt, Carly Henderson, Jocelyn St. Clair, Sarah Hannon, and Mackenzie Lee all added goals for Oswego State. Lee scored her second goal of the game to make it 7-0.
Trailing 2-0 after one period on goals by Henderson and Kelly Collins in Saturday's game, Sacred Heart came back to tie it in the second period. Tara Kent (Glenview, IL) scored her fourth of the season, with assists to Jackie Galvin (Canton, MA) and Caitlin Gottwald (Reading, MA) just 2:10 into the period. SHU tied it on the power play when Lauren Fontaine (Windsor, ON) took a feed from Kent and snuck a shot from the point through a screen.
However, Oswego State came back with three goals, including what proved to be the game-winner on the power play with just 47 seconds left in the second period. Megan Howe deflected a shot from Brenna Weber to give the Lakers a lead they would only increase. Howe and Collins both added their second goals of the game in the third, as Oswego State completed the weekend sweep.
The Pioneers are on break until January 4th and 5th, when they travel to Southern Maine for 3:00 starts in both ends of a two-game weekend series.

subset: commoncrawl


text: The writer responds to an article in The Post on why African Americans should boycott the Olympics. He believes that Negroes should return to Africa or form their own community in the US separate from whites. God did not intend whites and Negroes to live together, the author maintains, or would have made them the same color. Negroes should take responsibility for their own condition rather than blaming whites. test


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The worst part of traveling is getting stuck on a massively lengthy flight, especially if you're in a window seat next to a crying baby, a snorer, or that anxious passenger who won't stop shaking his nervous leg. With this Evacuated Tube Transport (ETT) concept, the fuss of long distance travel could be eliminated altogether by significantly reducing travel time during this incredibly high speed transportation tube.
Seating a maximum of six passengers per tube plus a baggage compartment, the ETT can travel at a speed of approximately 4,000 miles per hour while remaining airless and frictionless. Thanks to magnetic levitation, the vacuum speed means you can go from New York to Los Angeles in a mere 45 minutes, New York to Beijing in two hours, or around the world in only six hours. Despite the high velocity, passengers will not experience discomfort because the tube apparently only produce 1G of force at top speed, comparable to riding in a normal car on a highway.
This bold claim from the folks at ET3 says the technology could be available within the next decade and can completely change the way people travel around the globe. Tubes will also be set up like freeways to prevent traffic congestion, all the while providing a quiet, train-like experience without sharing your car with hundreds of other passengers. No sign of food and waiting service available as of yet, but there is a TV for you to enjoy on your short ride.
"Just like trains, initial ETT use will be for cargo, and along high use routes of travel," ET3 says in a statement on its official site. "Since the system is efficient in energy and materials used, high-speed travel will be low-cost, and sustainable. Eventually, everyone in the world may use the system."
Though the idea derived from designer Daryl Oster, who imagined the ETT back in the 80s during his experience traveling to China, the concept sounds much like Comedy Central's Futurama's Tube Transport System which essentially does the same thing but in a less caricatural manner. In the cartoon, a passenger can just tell the tube where he or she wants to go and off they go catapulting to their destination. The TTS is also seen to speed underwater, and we're not sure if this will be incorporated with ETT's construction. With subways already built underground, it could very well be possible to help reduce above ground traffic. You know, just in case flying cars also make it into the picture in the next ten years.
Exciting? Nerve-wracking? Too wild to be true? Watch a video by Next Media Animation explaining the concept below and tell us what you think of the ETT in our future.
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- Elon Musk to unveil tunnel elevators and autonomous pods on December 18
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- The best Apple iPhone apps available right now (December 2018)


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Have you mastered it?
Do you put water before or after you put the toothpaste on the toothbrush? What's your favorite brushing technique, the smooth rotation or the powerful ''aint nobody got time fo dat''? How long do you keep the shampoo on for it to take effect? How would you describe and rate your soap application skills? Do you shower before or after you shave?
The world needs to know!
Burned Out Meter: Anime at 80% - Manga at 95% - Video Games at 2%
I put water on my toothbrush before the toothpaste is placed on it!
I need the smooth rotation because it helps. I also pace around my bathroom while I brush my teeth.
....CONDITIONER.....I don't really keep the shampoo on long...
The soap gets everywhere I want and don't want it to be. I'm a klutz with the soap, one time it went up and out of the bathtub into the trash. I was like "nooooooo, but nice slide!"
I shower after, no idea why.
The world does NOT need to know, but it's fun anyway! .w.
I changed your profile info a bit cause, ya know
You don't want to know about my "toilet" routine
And who brushes teeth in the toilet? Don't people normally brush their teeth in the "bathroom"?
But who am I to judge, I brush my teeth in my room.
The way I hold you and the night just seems to fly
Pfft okay I guess I'll answer this.
~I put water on before toothpaste.
~I keep the shampoo on as long as it takes for me to clean the rest of my body. Once done with that, rinse shampoo. Boom.
~I don't really care about the details of soap and all that stuff so no rates/descriptions.
~ I shower before of course
Don't be afraid, I am always by your side
I put the water on first, the toothpaster second.
Ain't nobody got time fo' dat.
I wash the shampoo off about 10 seconds after I've fully applied it to my hair.
As for soap I am flawless at dropping it.
I usually shower before I shave (not that there's much to shave off).
Now give me your peaches you little toad.
Water after i put on the toothpaste
Aint nobody got time fo dat
i keep the shampoo on until i'm done with the soap
Soap application skills? Mmmmm good i think?
I shave while i shower, kind of varies before or after the soap... i don't pay attention
I really wish CR would let me buy a username change.
Water before the toothpaste
Long strokes, ain't nobody got time fo dat little twirly circle swallup
I put the shampoo in, rub it in my scalp. Don't know the time it takes.
Soap application skills are good, in my opinion. I get what people soap up and do it rather well. <--Opinionated FACT
I only "trim", a weak version of shaving where you don't get the stubble. But, on the days I do trim, about once every couple of weeks, it differs as to where it is before or after I shower.
Tell the world my story.
Sometimes people dance when they are supposed to sing.
I don't put water on the brush. Just toothpaste is fine. Tooth-brushing strategy is mostly along the lines of 'ain't nobody got time fo dat'. I leave the shampoo in for a couple minutes (I tend to use shampoo/conditioner two-in-ones. Yeah, it's kind of effeminate, sue me.) before rinsing. I'm not sure how I would rate my soap application skills; I guess they're pretty normal. I wasn't aware it was a thing. I shave after I shower usually, but I don't shave every day, only when my facial hair gets long enough to be easily visible, so more like once every three-four days.
Morning ritual:
Alarm 1: 5:20 AM
Alarm 2: 5:25 AM
Alarm 3: 5:35 AM
Crack every joint in body, get up, go to porcelain goddess and utilize her.
Go straight to sink. Wash hands and grab toothbrush.
Place water on toothbrush, then add toothpaste.
Brush, spit, rinse.
Wipe mouth clean.
Place warm water on face.
Place shaving cream on face.
Shave face.
Rinse off excess shaving cream.
Wipe face. 5:45 AM
Get dressed into gym clothes
Find in exact order: Wallet, Keys, Phone, Reflective belt
Out the door, go do workout 7:30 AM
Eat breakfast
Change into work clothes9:00 AM
Proceed with day
Winter isn't just coming. It's here.
:: post-toothpaste
:: the kind that prevents me from getting cavities
:: for a minute. & then i leave conditioner in while i...
:: ...lather up with a bar of soap, rinse, use a spongey loofah thing to apply body wash, & rinse
:: post-shower
i use more product/spend more money on product than i need to, i'm sure, but i like to feel clean & smell good ^_^
Water is not involved in brushing my teeth. I just shove toothpaste on there, and brush away. I swallow the froth that ensues, rather than finding a sink. I brush in a fairly linear manner, but move of course move around as not to miss anything. Luckily I have very straight teeth, so there's no nooks that are hard to get clean.
If possible I poo before showering.
As for the shower itself, I get in, rinse a bit, apply shampoo + bar soap. I rinse that off, then apply conditioner + shower gel. (conditioner goes in my beard + pubes too), and rinse off again.
I shave afterwards, first applying foam to the areas I don't grow my beard, and going over those with a standard razor. I wash my face, then go over the beard part with a beard trimmer on a predetermined setting.
GayAsianBoy wrote:
You don't want to know about my "toilet" routine
And who brushes teeth in the toilet? Don't people normally brush their teeth in the "bathroom"?
But who am I to judge, I brush my teeth in my room.
In britain 'toilet' can also refer to the bathroom in general.
Maths is hard
I put water on after I put on the toothpaste.
I just... calmly brush my teeth.
I put the shampoo on my hair, wash the rest of myself, and then wash it all off. If it's shaving time I do that too.
I use liquid soap and a bath sponge. Amount of time of scrubbing depends on how dirty I am.
I shower at night. I feel gross if I go bed from the day's sweat and dirt.
you wouldn't believe your pants, if ten million fire ants
Water on the brush then toothpaste then a quick swipe under the water again.
I have a sonic toothbrush so my technique is to just run the toothbrush lightly over my teeth for 30 seconds in each of the four sections in my mouth. I usually do this twice.
My shampoo is also conditioner so it stays on until I am clean and rinse everything away.
Soap application skills are perfect. It goes where I want and nowhere else.
Since I don't shave exactly, I trim, I do it before I go into the shower in order to more easily wash away any loose bits of hair that have remained.
I'm pretty meticulous about healthy hygiene: handwashing, flossing, scrubbing between toes and behind ears, etc...
That said, you shouldn't overdo. Using too much soap and shampoo too often, or leaving it on too long will strip your hair, nails and skin, and actually make you more prone to infections and cause you to age prematurely. Your skin secretes natural emollients intended to protect you and keep things supple and healthy.
Especially if you treat your hair with chemicals (I color regularly) you should be very gentle to it, and try not to shampoo every single day. If you are in work or activities that require you to cleanse everything daily, use mild soaps and shampoos that are sulfate-free. If you must wash your hair daily, only apply shampoo to the scalp; don't rub it through the length to the ends, or they'll dry and split or break. After cleansing, apply a plant-based lotion or natural oil on your skin and leave-in conditioner in your hair; this will help replace what you stripped off, keeping hair and skin healthy.
Overseas until the end of August.


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EA reckons Vita has a "better chance" than 3DS
In a startlingly honest admission, EA Labels president Frank Gibeau has said he believes the PlayStation Vita has a better chance of succeeding in the market than Nintendo's 3DS.
"I don't think [Vita] is in quite in the same boat as the 3DS," he told CVG. The 3DS was a really interesting piece of technology but I think there was some confusion over it and the title slate was a little different.
"I think Vita has a better chance because it has a stronger title slate at launch. PSP's had a great run in Europe as a device, it seems to have reached a much larger audience here than it did in North America. So I think they've got a good shot.
We're going to publish a few games on it and see how it develops."
Gibeau also remains impressed with the innovative tech Sony has built into its new device.
"Sony has got a shot because they have some really unique innovation in the control scheme, the technology and the screen," he argued. It's got a lot of social features now so that you can actually communicate with your friends and be social.
"You can't ring them up by putting the device up to your ear but in general I think they've got most of the capabilities that you'd find in a smart phone, with some unique capabilities that make them stand out."


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Posted on: 09-25-2013


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How to Handle an Audit
The IRS examined 1%, or 1.5 million, individual returns filed in 2012. Jonnelle Marte gives tips on what to do you're singled out next. Photo: Getty Images.
This transcript has been automatically generated and may not be 100% accurate.
... Stuart at noon Monday April AAP know what that means ... when the going got about a week to get your taxes underscore Amblin right now you try to get all your paperwork to get you try to get this thing in the mail announcing it check but what the Fed but what you don't want ... isn't on it nobody wants in on it to most feared things in the IRS comes knocking but if they do ... how do you react to them and to Nomar case here for wrote about this one this week on ... the audit of the year ... it may appear I you know you mention that that that line we have one week I left the filing season ... but I can happen anytime in the year you know you can go into their notice now you can get in on this even after you get your refund you never know when the fire he did not get in on it for the attacks seven years ago exactly exactly so Dell want this to hear a year here at home sipping coffee and got your refund if I spent it already ... then you get the on exactly so but first things to keep in mind is that if you get a letter from the past ... he won the opener and when you wanna respond right away it is not the kind of letter that you can add to the pile of debt on to this leader ... yet you and they didn't actually look at you and Astle added the IRS and you and me from entering any email me and fasting especially if it's asking for anything important right on ... they go to the letter in the mail and I like this and it's most likely going to be lighter seventy five percent or so audits ... are done over the man of the a and a lot of times in the mountains necessarily mean that something is wrong with you return that you that they are accusing you of anything ... could just be that they wanna see the proof on ... they say for example a terrible exceptions and perhaps you are donated a lot of money to your shirt ... and it's a little bit more than people here in your income range you know they might just wanna see very CES ... on the so the sun to send them exactly with asking for no more ... Nomura don't give them more than the need exactly when exactly what you don't want everything in their questions and you know when a bog down VIX had to wait two more and then what that's for ... on another hit to keep in mind is that they may not necessarily the correct they are challenging some of the U boat that yes that's a very interesting point don't assume that the IRS is ranked no use it and sometimes the information that they're getting a aren't airing ... it it could be a incorrect reading in the field how the euro ten ninety nine he receives or anything you knew that so you need to keep a hold of all of those documents that even after you buy the half today a refund ... on so that you can show your your proof and sometimes I act interests and that and and and I will resolve the issue ... this is odd is it fear saying I've never been audited and he was able to pretty Nike no intention is not a lot of people are all it does it's one thing is ... though even though it is very feared ... one percent ... man can be audited Media ... so ... it is a slim chance of that happening but of course if not impossible ... I was PT like a you know I know that ... I'm even make enough money for them to waste their time ... honored wanted of me Ilya on its own the world of somebody who's actually the work their time or another that if the pain of that mentality I mean did the IRA's kid says in honesty they can focus on one coupon and get it ... but a few Likud members they are increasing their August highs and isn't part of that is because those of the people of that if they do though they probably can pay you know the hot assets that can be ... aam ... it seems whereas if you go after someone that I mean can I say oh you mean I think that my right what's the point I Pirates of making money on me ... why should you call a lawyer or tax attorney and she get on the phone ... sure so you may not need an attorney you better way for you deftly one attacks year tax compared to your content ... maybe have them talk to the IRS for you combine anything to keep in mind is that you never won a few no rush to stay you are one of the people with cats and in person I you can say ok I can see on that you have to say ... something just for the sake of saying something and then ... put ... yourself into more trouble right and that's to be key to leave it open to more trouble yes but if it were talkin about a bigger mounted a accusation they knew my one entity go home this up and don't be afraid to appeal ... that decision ... and you know to consult ... and ... if you know we know hard to know Mark A think you're a much will hopefully will see next week yes tax cut is the deadline are eight season ... were were ... the ...


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Watch The ::God Is Imaginary Videos On YouTube ::
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What other tomfoolery could result from such bills?
Quote from: Fiji on January 08, 2014, 07:14:41 AMWhat other tomfoolery could result from such bills?Pregnant women who drink even a single sip of wine could be prosecuted for providing alcohol to a minor.
Religions need books because they don't have gods.
Before anyone says that nobody would ever do things like that[1]....never underestimate stupid people, especially when you give them unintended consequences to play around with. 1. I caught myself starting to scoff at some of those things.
Pregnant women could vote twice, or is that too much of a stretch?Census data gets wonky too.
What about people selling alcohol to pregnant women, could they be prosecuted too as they have technically sold it to both woman and foetus?
Quote from: Mrjason on January 08, 2014, 07:52:06 AMWhat about people selling alcohol to pregnant women, could they be prosecuted too as they have technically sold it to both woman and foetus?Technically, they only sold the liquor to the mother. It would be no different then selling liquor to someone who had a baby with them in a carrier.
Pregnant women who drink even a single sip of wine could be prosecuted for providing alcohol to a minor.
Would all sexually active women be requirted by law to take monthly pregnancy tests? Or even daily test? Would pregnant women be required to wear a visual sign marking them as pregnant (now, it doesn't HAVE to be a star of David ...).
^^ Wasn't that a plot point in a Christofer Lambert movie?
Quote from: Fiji on January 09, 2014, 07:46:40 AM^^ Wasn't that a plot point in a Christofer Lambert movie?Possibly, I must admit I didn't really understand the last 3 highlander movies
I thought the whole point of these bills was to make abortion absolutely impossible. But indeed, if anyone still went ahead with an abortion, both parties would be up on charges of premeditated murder.And you get a godaweful[1] mess when a woman goes to a different state for her abortion.On her side of the border, she has a person in her womb, she crosses the border and the person ceases to exist. The fetus is still there, it's just not a person anymore.She has her fully legal abortion and goes back home without a person in her womb ... has a crime been committed? 1. intended!
Hey, psst, need some virgin wee? Mrjason can hook you up!
Quote from: Fiji on January 13, 2014, 02:30:55 AMHey, psst, need some virgin wee? Mrjason can hook you up!What are you trying to say?
Would this lead to a black market in virgins wee?
Wiki claims that the usual run of the mill pee-on-a-stick tests can give false negatives up to 17 days after the actual sex. Now, ignoring the fact that I might be taking notes for a potential short story, what would be the worst possible way (for the women, but who cares about the women, right?) this 17 day window can be worked into law. Immediat drug test, and if there's proof of drug use in the past 17 days ... jailtime?Interviewing friends and family to see if the walking baby-factory had any alcohol?


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If you need to change the credit card number, expiration date, or billing information that is on file, please call 760-786-0034.
Articles in this section
- How do I change my monthly membership auto pay information?
- What is the current Annual Pass Promotions?
- What do I do if I have lost my Merlin Annual Pass, or if it gets stolen?
- Where can I find information about the Merlin Annual Pass?
- How much do new annual passes cost?
- Where can I buy a Merlin Annual Pass?
- Can I purchase a Merlin Annual Pass over the phone?
- I'm an Annual Pass Holder and I'm bringing a non-pass holder. Do they need to buy a ticket?
- I am an Annual Pass Member and want to book a room. How can I do that?
- How can I exchange the 'printable vouchers' for my actual Annual Passes?


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Pet Food Industry Magazine
Petfood Industry is a monthly magazine serving individuals and firms involved with manufacturing pet food for the retail markets worldwide.
Petfood Industry brings you every month the latest news in the petfood manufacturing industry. Regular features include Editorial Notes by our resident expert Tim Phillips, European Report by Peter Best covering the latest news in Europe, E-News reporting on the industries latest web sites in the industry, Product News contains the latest info on new products in the industry. Also get the latest information on Petfood Forum USA and Petfood Forum Europe.
Free Magazine
Geographic Availability: U.S. Only


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In a word or phrase, what does leadership mean to you? To me leadership means to go beyond regular expectations, to be mature and respectful to others, and also to be a responsible role model.
Why did you join the program? I joined the program because I wanted to be around people who have high goals and high expectations for themselves. I wanted to go tour different places and see different colleges and have a better idea of what college I want to attend.
What do you hope to gain from the program? I hope to gain independence and learn how to be able to be responsible for myself. I also hope to gain knowledge about the future and how hard it's going to be when I get older.
What is or do you think will be your favorite part of the program? I enjoy the trips because we get to go to different places and see different things. We get to have different experiences and be able to tell someone that we've been to all of these different places.


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Huntingdon scored 14-points off of Webber International turnovers, including a forced fumble by D.J. Chappel and Cornelius Jenkins' blocked punt for a touchdown. Taylor Hughes made the most of his first collegiate start, by throwing for two touchdowns and running one for a score.
"I'm proud of the way our guys stayed focused and played hard to get a win today," said head coach Mike Turk.
Webber International jumped up 7-0 in the first quarter, with a ten-play 62 yard drive. Taylor Atwood led the Warriors to the endzone, by diving in from two-yards out after eight minutes of action.
The Hawks responded on the next drive, behind the arm of freshman quarterback Taylor Hughes. Hughes capped off the eight-play 80 yard drive, with a 35-yard touchdown pass to Cody Pearcy. Corey Robertson converted the extra-point to tie the game 7-7, with just under five to play in first quarter.
The Warriors started the next drive on their 11 yard line, after a delay of game penalty. On the next play, D.J. Chappell ripped through the offensive line to force Warrior's quarterback Torrance Moise to fumble, while Kirk Johnson recovered the ball on the 16 yard line for the Hawks.
Huntingdon capitalized off the turnover two-plays later, when Taylor Hughes ran 6-yards for the score. The Hawks took the 14-7 lead with the score, and didn't trail again in the game.
Webber International's next drive was halted on a third-and-long, when D.J. Chappell sacked Moise for a 6-yard loss. The Warriors responded when Deivon Tate intercepted a Taylor Hughes pass midfield on a third-and-long, early in the second quarter.
After the turnover, the Hawks defense held Webber International to a fourth-and-three on the Huntingdon six yard line. Mason Prater cut the Hawks lead down to four-points, 14-10, when Prater kicked a 24-yard field-goal, on fourth-and-three.
On the Hawks next possession, Hughes connected with Brian Watts for 35-yards down to the Warriors 15 yard line. Huntingdon was unable to convert the third-and-long in Webber International's red-zone. Corey Robertson's 30-yard field-goal attempt sailed wide left, with 6:17 left in the first-half.
With three-minutes left in the first-half, Huntingdon found the endzone twice extending the lead to 28-10 at the half. The first score came when Cornelius Jenkins blocked Adam Riley's punt and Jenkins returned it 20-yards for the touchdown. A Warriors personal foul set up the next points, when Taylor Hughes hit Cody Pearcy for a 30-yard touchdown pass, with thirty-seconds left in the half.
In the second half, the Hawks and Warriors exchanged field position until 2:26 on the clock. Huntingdon scored the only points of the third quarter, when Trevor Manuel took the hand off 15-yards straight up the middle into the endzone. Robertson's extra-point added the final points for the Hawks on the day, 35-10.
Webber International gained momentum in the fourth quarter, by scoring 13-points on three straight possessions. Mason Prater converted a 50-yard field-goal attempt on fourth-and-seven, with 14:46 in the fourth. After a successful on-side kick, Webber International's Taylor Atwood scored on a three-yard run, capping a five-play 56 yard drive.
The Warriors final three-points came from a Neal Posey interception by Beau Barnes, the 31-yard return into the Hawks territory was brought back to the Webber International 35 yard line, due to an illegal block. Huntigdon's defense made the Warriors earn the field-goal, after a 12-play 58 yard drive ending on fourth-and-goal, when Prater kicked a 24-yard field-goal with five minutes left in the game.
Huntindon's defense came up big limiting Webber International to only 23-points on 77-plays compared to the Hawks 46 total offensive plays. The Hawks offense gained 262 total yards of offense, 118 on the ground.
Despite allowing Webber International 336 total yards, the Hawks defense held the Warriors to 7-of-19 on third down. The Warriors were forced to kick field-goals on three of the five scoring drives, including the 50-yard long attempt.
Taylor Hughes completed 8-of-14 passes for 137 yards, including two touchdown passes from 30 and 35 yards. Hughes also contributed 47 rushing yards on 5 carries, including one touchdown run.
Trevor Manuel led the Hawks in rushing with 13 carries for 53 yards and one touchdown. Cody Pearcy caught both receiving touchdowns and led the team with three receptions for 66 yards.
The Hawks defense held Webber International's dual-threat quarterback to only 95 total yards of offense, after negative 27 rushing yards. Taylor Atwood led the Warriors with 90 rushing yards and two touchdowns, while backup quarterback Collin Saring ran for 60 yards on eight carries.
Defensively, Huntingdon was led by Kirk Johnson with 9 total tackles, including 6 solo stops and a recovered fumble in the game . Keith Anthony finished next posting 7 total tackles, while breaking up three passes. Jared Sill led the defense with 1.5 sacks for a loss of 13 yards, while the on a day where the Hawks sacked the quarterback five times.
The Hawks return to action on Saturday, Oct. 30, for the final home game of the season against Trinity (3-4). Saturday marks the 2010 seniors last home game, with kickoff set for noon.


text:
How San Diegans spend free time
Motorcycles, girl beauty contests, bingo, painting vans, polo, fox hunting
Various Authors 8:30 a.m., Dec. 9
My introduction to Elizabeth Cooper-Schultz comes by way of a text message in which she refers to Mary Birch as "that hospital that claims to be mother and baby friendly."
When I arrive at the apartment she shares with her husband and two children in the UTC area, Cooper-Schultz welcomes me into her home with a hug, a cup of coffee, and a plate of strawberries and coffee cake. Once we're seated, Cooper-Schultz begins. She's eager to tell the story of her son's birth.
"Usually I start off by telling people my C-section started even before I got to the hospital. I had a C-section because my doctor didn't care if I had a C-section."
According to statistics compiled by the Office of Statewide Health Planning and Development, Sharp Mary Birch Hospital for Women and Newborns had the highest rate of cesarean section deliveries in San Diego County in 2009. The California average was 29.8 per 100 births; at Sharp Mary Birch, the rate was 37.7. The World Health Organization suggests that C-section rates should be between 10 and 15 per 100 births.
At 40 weeks, two days prior to her due date, Cooper-Schultz's water broke, though she was not in labor. In a birthing class she'd taken at Mary Birch, she'd been told that this happens to 25 percent of women. She says she'd never recommend the class "because it's focused on the assumption that your birth will be intervened on in some way." If your water breaks, they told her, we have to get the baby out within 24 hours. So she and her husband went to the hospital right away.
"They pretty much wanted to put me on Pitocin the minute I walked in the door because I wasn't having regular contractions," she says.
Pitocin is a synthetic form of a natural hormone called oxytocin that stimulates uterine contractions. The drug is controversial not for what it can do — help induce labor — but for its overuse as a tool of convenience, for managing or controlling labor, despite the risks it presents, including, in rare cases, uterine rupture and fetal distress.
Dawn Thompson, a private doula, or birth coach, based in Encinitas, calls Pitocin the first in the "snowball effect" of interventions that ultimately lead to a C-section. The contractions induced by Pitocin come strong and fast, unaccompanied by the endorphins present with natural contractions, and the use of Pitocin requires constant fetal monitoring, which limits mobility for the mother. Most women find the pain intolerable and end up needing an epidural. An epidural is an injection into the bony spinal canal of a local anesthetic that blocks nerve impulses in the lower half of the body. While epidurals eliminate pain, they come with their own set of risks, potentially slowing down the process of labor, causing a drop in blood pressure for the mother, and causing a lower heart rate for the baby. Ultimately, these interventions set the stage for the C-section.
Mary Birch administrators do not deny that their C-section rate is high. John Cihomsky, Sharp's vice president of communications, wrote to me in an email, "Sharp Mary Birch Hospital for Women & Newborns is the busiest high-risk, Level III delivery center in the state. Sharp Mary Birch not only delivers the most babies in the state, but we also deliver the most babies weighing less than 1500 grams. These very low birth weight babies are almost always delivered by cesarean section. In addition, we also care for many mothers with high-risk perinatal conditions, such as placenta accreta, and medical conditions that often require delivery via cesarean."
Hospital administration declined to give me a tour of the hospital or a face-to-face interview.
To be fair, Mary Birch is but one hospital among thousands across the country whose C-section rates are two to four times higher than they should be. And it's likely that the "too posh to push" crowd and the "I want my kid born on Valentine's Day" moms do their fair share to raise these rates with their elective C-sections.
But a significant number of women believe their C-section deliveries at Mary Birch were the result of convenience for the doctors, fear of litigation, and/or lack of staff training in nonmedicated childbirth options.
A study done in Portland, Oregon, in the late 1990s found a correlation between the use of Pitocin and C-section rates. The January 1, 2003, issue of Ob.Gyn.News outlines the study, in which 4635 women who went into labor spontaneously had an 11.5 percent C-section rate, while 2647 who were induced had a rate of 23.7 percent.
On the Drugs.com website, an "Important Notice" accompanies the indications and usage information about Pitocin.
"Elective induction of labor is defined as the initiation of labor in a pregnant individual who has no medical indications for induction," the notice reads. "Since the available data are inadequate to evaluate the benefits-to-risks considerations, Pitocin is not indicated for elective induction of labor."
It is common for hospitals to use Pitocin if a woman has not gone into active labor within 24 hours after her water has broken to avoid the risk of infection. But the staff at Mary Birch wanted to give Cooper-Schultz Pitocin within the first two hours.
Cooper-Schultz refused the Pitocin at first. She wanted to get things going naturally, and for the next several hours, she and her doula walked and used the birth ball, a large physiotherapy ball on which the mom can sit to relieve pain during labor and which is believed to assist in positioning the baby. At the 12-hour mark, her cervix had dilated to four centimeters. She says she now understands that this "is a good natural labor progression for a first-time mom."
But it wasn't fast enough for the staff at Mary Birch. Cooper-Schultz, who describes herself as the kind of person who will "try not to be a problem because you might be mean to me if I am," allowed them to give her the Pitocin that she says they'd been pushing since she'd arrived.
Delivering babies used to be an art that OBs were proud to practice. Now, fear of malpractice suits has made them afraid to do anything but the easy, quick births after easy quick labors.
On a personal note, when my son was born at Mary Birch, after a mildly tricky delivery, my wife's OB -- who still practices the art of delivering babies -- whispered in my wife's ear, "I'm glad I got here. The on-call doctor would have had you in surgery for sure."
How a Hospital that is so quick to slice open women can call itself a hospital for women is beyond me.
Chy Z. says: I had my daughter at Mary Birch and yes I did have a c-section. But I was there over 24 hours before it was even suggested. No one there ever persuaded or led me to make a decision to have the c-section. It was actually quite the opposite. My Dr had always told me natural birth is the goal. Even when I had said I was not really looking forward to a natural delivery. The reason that the c-section was necessary was because my baby was trying to push through and I couldn't dilate enough to let her pass through. This decision was made late at night after we had waited almost 30 hours for it to happen naturally and only when it became a safety issue for my baby.
"This decision was made late at night after we had waited almost 30 hours for it to happen "
30 hours???? Are you on the level??? You were in labor, awake and in labor, for 30 hours???
If yes, is that a record? I have never heard of it lasting that long.I also have to ask, you were in pain? Severe, medium or mild pain????
hey pupster
i was in labor for 48 hrs with my first and was delivered by the Swedish Vacuum Extractor and yes i admit it ..my son David was a conehead...the first to be born by that method at UC San Francisco
i was saved from a C Section and my other deliveries were the normal kind thank goodness
C Sections r usually done one of a few reasons
fetal head to pelvic size disproportion
failure to progress
fetal distress (crash sections)
they r only done electively if all other deliveries have been C Section (to guard against uterine ruptures along the scar line)
I'm disappointed to see such one-sided reporting in this article. After an unexpected complication at the end of an otherwise normal pregnancy meant my daughter needed to be delivered by an emergency C-section at Mary Birch, I have a bit of a different perspective. My condition was very serious, but my nurse spoke to me calmly, held my hand, wiped my tears, and told me she would stay by my side. The neonatologist and nurses who spent what felt like several minutes reviving my daughter after she was born patiently told my husband, "This is why we're here," as he asked repeatedly whether she would be OK.
This article fails to acknowledge that these are people have devoted their lives to caring for others. Their devotion comes at a price; they have most certainly had to deliver terrible news to parents expecting bundles of joy. This article also misrepresents the risks of childbirth. Sure, it's natural. It's also quite natural for women and babies to die in childbirth.
After my second daughter was born at Mary Birch, I roomed beside a woman who had nearly done just that. I could hear her husband in the hall as he explained to a relative on the phone what had happened. His wife had started bleeding uncontrollably after an otherwise "normal" childbirth. She seized in the delivery room and then coded three times on the operating table as surgeons performed a hysterectomy that would ultimately save her life. The young father had glimpsed a lifetime without his wife that night, and it tempered his disappointment that they wouldn't have more children. "She's going to be OK," I heard him say, "And so is the baby. And that's all that matters."
He had come to realize what the nurses and doctors at the hospital also know: nothing impacts a birthing experience more severely than a tragic outcome. And in the end, a healthy baby and a healthy mom are all that matter. Thankfully – and often due to the benefit of the "interventions" this article blasts – these caregivers get to share in new parents' joy far more often than they comfort unthinkable loss.
Ms. Salaam makes these heroes out to be villains. But I know something she doesn't: the way the blonde curl at the base of my daughter's neck feels when I run it between my fingers. It's something I get to experience every day and it's far bigger and better than any experience I might otherwise have had on the day she was born. I'm forever grateful to the people who made that possible.
I'm all for natural birth- but if you'd asked any of those women you interviewed who they would have blamed (and sued) if they'd been left to make a decision and the baby didn't make it, they would all say the medical staff should have intervened and prevented it. Doctors and nurses have seen all kinds of senarios, and the one thing they know for sure is that a c-section is "doing all they can to assure a positive outcome" so that they don't get blamed and sued.All these women went to the hospital to have a healty baby, and they did so give it a break. Hospitals have guidelines to prevent lawsuits, because that's the answer now to anyone dissatisfied with ANYTHING. BLAME SOMEONE is the modern worlds' mantra
pb1, I think you missed the entire point of this article. Of course everyone is thankful for medical interventions to save the lives or mothers and children who have medical emergencies and complications in child birth. The point of this article is to point out that routine intervention WITHOUT a medical indication is CAUSING complications. I was bullied into an induction that was not necessary and was only needed because of an inpatient doctor, was not given any informed consent by either my doctor or the hospital, was not told the risks of the use of pitocin and was treated horribly during my emergency C-Section. I wanted a VBAC for my second and when I was at Mary Birch for a minor procedure to turn my breech baby, the nurses there were NOT supportive of my choice to have an all natural VBAC. My baby, my body, my choice. C-Sections that are not required for medical reasons lead to more complications and riskier future pregnancies and I knew I wanted more children. Thank god I found an amazing provider and went to Pomerado and had the unmedicated VBAC I wanted. Women deserve choices and you cannot have choices unless you know what they are and are given informed consent. Had I known that I was twice as likely to have a C-Section if I was induced, I would not have agreed to it. Had I known Pitocin can cause fetal distress, I would not have agreed to it. If my baby was in danger, of course I would have agreed to anything, but that wasn't the case. It is not unreasonable to expect your doctor and the hospital to give you informed consent and its amazing to me that something that should be routine practice in medicine we have to fight for. Ridiculous.
PB1, you're missing the point. Nobody's saying a baby born via c-section is any less wonderful than a baby born naturally.
The point is: Mary Birch calls itself the hospital for women, yet their c-section rate is very high -- three or four times what the World Health Organization says it should be. A hospital that claims to be in tune with women's particular needs should have a lower than average c-section rate than average.
The question then becomes why is MB's higher? I think this story supplies some answers -- i.e. delivery "on the clock," pitocin, epidurals, immobilized labor, forced fasting, and more.
If nothing else, it's good that Mary Birch should be challenged to do better on this point.
I've seen three children born there. The staff of nurses are mostly hard working and caring. But one quickly gets the feeling that they have a system and a timeline in mind for all births, and they don't like variations from either.
The on-call doctors we saw the last time did very little to disguise how bored and annoyed the was to be called in.
Frankly, the environment is not nurturing. It's cold, clinical... almost industrial.
A comment made here states: "And in the end, a healthy baby and a healthy mom are all that matter." It's incredible how often this is uttered, yet how painfully unbearable this is for many c-section recovering moms to hear. True, the ultimate goal is for mom and baby to be healthy, but at what cost? Many women have been devastated and left to feel helpless and violated as the result of an unwanted cesarean. True, these can be life-saving operations, but only about 8-10% of them are truly necessary. The rest are often brought on by unnecessary procedures in a process that can most often occur naturally and without interventions.
Please know that there is help for women who are traumatized or otherwise upset by their cesarean experiences. The International Cesarean Awareness Network (ICAN) is a non-profit advocacy and support group working to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery, and promoting Vaginal Birth After Cesarean (VBAC). I encourage anyone to visit their main website for more information. Their White Papers are incredibly informative and helpful: http://ican-online.org/
I don't believe I missed the point, but clearly mine was missed. That is, simply, these doctors and nurses have significantly more childbirthing experience than any of the women cited in the article. And that, as a result, they likely know things these mothers couldn't possibly.
Wouldn't a hospital that delivers the most babies under 1,500 grams (that's less than 3.5 pounds, by the way), naturally have a higher c-section rate than other hospitals in the state? And consider that the woman with twins was turned away from a birthing center. Multiples are high-risk births, so they didn't want the liability. She went to Mary Birch, like many other high-risk pregnancies, according to the article.
So while I understand the point that these women believe these rates reflect unnecessary C-sections, I wonder how they can be so sure when they don't have the benefit of years of experience nor access to the clinical data behind the numbers.
katiakata, I wonder whether your "My baby, my body, my choice" comment also applies to the "too posh to push crowd." Do they not have as much of a right to the birth experience they choose as you do? And perhaps your description of the procedure to turn your baby as being "simple" may be a bit, well, simplified. There are reasons they do that procedure -- an intervention itself -- in the hospital. The cord can get tangled or pinched, cutting off the baby's oxygen supply. It alone could have necessitated an emergency c-section.
Aquarimary- you're proving the point that one of the reasons that hospitals heavily rely on c-sections is to purely avoid lawsuits. OBs are among the top tier in malpractice suits and have incredible malpractice insurance premiums. (I have friends who are practicing OBs) So it ultimately does come down to risk management- the doctors are risk-averse and just about every one I know (including my friends) would prefer to go down the path of least resistance. So if there is any type of challenge in the labor process, they will use a medical intervention rather than trying natural methods.
By the way, I AM one of the women who were interviewed in the article and the whole idea that "you should be grateful you have a healthy set of twins" and "why are you complaining that you had to endure major abdominal surgery" this is very insulting. In my case, there was never any type of health issue or anything out of order. no medical emergency. So to answer your comment- my babies' health and safety was never part of the reason to have a c-section.
This article is one sided and unfairly represents Mary Birch as an organization. I have had both of my kids at Mary Birch the first one was a c-section after labor for 23 hrs, the second was a VBAC (vaginal birth after c-sec.) and we were in labor for 36 hours. With my first child they tried everything and alas the labor wouldn't permit us to have him vaginal. and the second one my wife really wanted to have the VBAC and the doctors did everything to make that happen. And the fact now that they are going to rally outside the hospital is making my blood boil. I understand the need for a vaginal/natural birth trust me, but some women either don't have the genetic make up or a problem free labor that would be conducive to that end. Further more the fact that Mary Birch has more high risk pregnancies and also the most babies BORN under 1500 grams in the state is something you should be praising them in their efforts not putting them on the cross because some peoples birth didn't goes as they wanted. But for all of those who feel a rally is important and you don't want to have c sections feel free to have your babies at home like they did 200 years ago, where i might add 50% of women or their babies died in child birth.
I have to say I agree with fred2468. The women (with good insurance) who deliver at Mary Birch are usually high risk. It is a hospital that specializes in complicated births or multiple pregnancies so of course their c-rates will be higher than other hospitals. If you want to luxuriate in homey birthing rooms, find another hospital.
Every book you read and class you attend before childbirth always instructs you to state your preferences for a birth plan but be open to changes and flexible. That means if something goes wrong or the labor is not progressing, sometimes you have to bite the bullet and do what needs to be done to get that baby out safely.
Women have some kind of rose-colored glasses on to think that it will be a walk in the park to have a baby. It is dirty, painful, and fraught with danger but also the most wonderful thing in the world. You can say you want to do it "naturally" all you want but it doesn't always work out that way. I wanted "natural" too but with my back labor feeling like a knife slicing by spine with every contraction, I opted for an epidural and thanked God for it and the relief it brought me! My son decided to break my water at a most inconvenient time so I knew I would be getting the pitocin. Oh well, there goes my second attempt at "natural birth." But I didn't care about my so-called desire to have an organic birth at that point. I just wanted a healthy baby to come out any which way possible.
Some people need to count their blessings and stop the whining. It sets a bad example for those precious children you were lucky enough to give birth to, which ever way they came out!
Mary Birch Hospital has a high cesarean section rate because Mary Birch Hospital has a HIGH amount of HIGH RISK PREGNANCIES which follow HIGH RISK DELIVERIES.
And because a woman had an unhappy experience with her delivery, she sheds a very one-sided view to the reality of a nationally recognized hospital.
Fortunately, the sun will rise tomorrow...so let's get over it.
Fred2468, first I would like to be really clear that the Rally for Change is not about SMB. I realize this article does not show SMB in a kind light but the Rally was planned long before the article came out. We chose the word Rally vs. Protest very thoughtfully. This is a peaceful demonstration asking for evidenced based care. The rally is to bring awareness and education to the OUT of CONTROL Induction and C-Section rate in this COUNTRY, not just at SMB.
In 1964 the national c-section rate was 6% and the most recent numbers just released for 2010, the rate is 36%. This means that more than 1 out of every 3 women is having major abdominal surgery in order to bring their child into the world and yet the infant and maternal mortality rate has NOT changed. This is the reason for the Rally. I believe that there are a lot of dedicated nurses and staff that work at SMB and that SMB is already working to make changes in their policies to reduce the c-section rate, which by the way they agree is too high. The Rally is meant to educate the public about their responsibility to educate themselves. We are not here to judge what path women take during THEIR birth, be it medicated, non-medicated or surgical. What we are demanding is for these women to have FULL INFORMED CONSENT, which is the LAW. You have the experience of your 2 children. I have the experience of hundreds of births. You nor the hospital is the one that has to hear these women, who have been traumatized by theirs birth say things like "if I had only known that could happen".
Here is the press release below about the Rally. I encourage you to read it and really educate yourself about the subject. I appreciate your desire to support the hospital where you and your wife had such a positive experience, but the numbers tell a story at SMB and all the other hospitals in this country. Numbers don't lie. By the way, no where near 50% of mothers and babies died in home birth 200 hundred years ago. Most home birth midwives even today have c-section rates well under the World Health Organizations recommended rate of 10%.
Hey Sandoula i like how you assume I haven't educated myself on these stats and I like how you assume that the hospital doesn't already FULLY INFORM THEIR PATIENTS. Knowing how the medical guidelines are they have to fully inform and they do!!!! And Secondly if you have a rally planned about all hospitals why are you choosing the one that is mentioned in the article and not another hospital? You guys are jumping on the bandwagon, sorry that this hospital births more babies than any other hospital in the STATE so it's c-sec's are higher than any other in the state. But sure bring awareness if you read my post we had both a c sec and a VBAC so obviously we understand both sides. And yeah your home mid wife c sec could be well under the 10% mark but doesn't change the fact that with the advancements in modern medicine, with epidurals and better improvements to a c sec, more babies and moms now SURVIVE the birthing experience.
Fred2468, I have obviously offended you. This is sometimes the problem with the written word when you can't hear the inflection in someones voice. I was merely trying to explain the purpose of the rally. As for Full Informed Consent. I have witnessed on many occasions the absents of informed consent. Just handing a legal form with all the risks for them to sign while in labor or preparing for the induction doesn't mean informed consent. Women are not being told that if they get induced before their baby is ready, there is a greater than 50% chance of c-section. I could go on and on about the risks of low blood pressure, of fetal distress or the many other highly potential side affects to induction. Families are not being told this, therefore, it is not informed consent.
I also want to be clear that we are not talking about the high risk pregnancy. We are talking about the mass population of healthy birthing women. I will repeat this, In 1964 the national c-section rate was 6% and the most recent numbers just released for 2010, the rate is 36%. This means that more than 1 out of every 3 women is having major abdominal surgery in order to bring their child into the world and yet the infant and maternal mortality rate has NOT changed. How can you justify this? How is that ok?
On Saturday, December 17th at 10am – 12pm, hundreds of women, men and children will gather in front of Sharp Mary Birch Hospital for Women in a "Rally for Change". In 1964 the national c-section rate was 6% and the most recent numbers just released for 2010, the rate is 36%. This means that more than 1 out of every 3 women is having major abdominal surgery in order to bring their child into the world says Dawn Thompson of San Diego Birth Network. This peaceful rally is meant to help educate new mothers about the risk of both elective induction and elective c-section. The rally for change is meant for the vast majority of the birthing female population that has normal healthy pregnancies. Dawn goes on to say "Women deserve evidence-based care that is based on scientific studies, not tradition or "doctor convenience" based care." The definition of Evidence based care is; the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. Many women are being told dubious things like; their baby is too big, pelvis too small, and low amniotic fluid, even after all of the studies have shown that the means in which they measure these things are grossly inaccurate. The greatest cause for induction, which 50% of the time ends in c-section, is going past their due date. Most doctors do not support a women going past 41 weeks even though their own governing agency, ACOG, states that post dates is not until 42 weeks. Even more incredulous is that many inductions are happening before 39 weeks of pregnancy. The Rally for Change is meant to make a statement and encourage birthing families to do their own research and understand the clear risks and consequence to elective induction and elective c-sections. Any induction that does not have a "specific medical indication", such as Pre-Eclampsia, which the life of the mother or baby is in mortal danger, is considered elective. Women are daily misled by their doctors about the easy and casual affects of induction. Women are being traumatized by their birth experience and given arguable reasons for why their induction failed. Doctors rarely state the possibility that the failure was caused by intervening before mother and baby were ready for birth. Birth trauma specialists like Mary Obata, MFT, see women suffering from PTSD reactions caused by birth experiences that did not go as planned. She states, "I treat women with symptoms that include flashbacks and trouble bonding with the baby from inductions that resulted in complications and c-sections. The emotional and behavioral consequences are serious for both mother and baby." If you or someone you know, believes they may have had an unnecessary induction and or unnecessary c-section, please come and stand with all the other families to support this Rally for Change. Change only happens when consumers demand it.
Fred2468, I would also be interested to know, when you say they tried "everything" during your wife's first birth, did this include discussing the possibility of cervical scar tissue? Have you even heard of that? Did your wife get in many different positions, like hands and knees to encourage the baby to shift in the pelvis? There really is no reason to answer that, because I have been working in hospitals for almost 10 years, I know they didn't. That's what a doula or midwife would do. The doctors and nurses never even get trained on how to do these things. People don't know, what they don't know. We are trying to help educate them. The best decision is an EDUCATED ONE.
I like how you assume yet again that you know everything! They did go over all the things they could do but yet again we were on a time table as her water broke and it had almost been 24 hrs since then. But by all means keep up the view that you are always right even when you know nothing about what was said while we were in labor because last I checked you weren't there. But thanks again I love that you are on this high horse with we need to have everyone educated and yet you assume a lot about people. we have a friend who is a doula and she gave us all the info that you just spouted off, and we still had to have a c sec. And my 10 lbs 23 inch long baby boy was delivered safely, healthy, and without harm 4 years ago today. So please Sandoula take a step back off your high horse and try to not make assumptions about me and my children because we all know what happens when someone assumes...
The comment you made here about the "time table" proves my point exactly. Research does not support the 24 hour clock, but shows that 90% of labors start spontaneously within 48 hours of rupture and that little to no vaginal exams should be done during that 48 hour period to reduce the risk of infection. This is current, published and supported information by ACOG and yet doctors are still using the 24 hour clock. I am in no way saying that your c-section wasn't necessary, you are right, I wasn't there. Honestly the point I was trying to make is that Doctors and Nurses aren't even trained in "everything" that can be done. It sincerely wasn't to insult you or your wife's birth experience. It was to share the perspective that we as birth professionals have. Anyone who knows me, knows that I do not live my life on a "high horse". I am a loving, kind and devoted professional. Who left her corporate America career to serve women. I truly believe based on my experience and the experience of the thousands of other birth professionals around this country, that things need to change. So we will Rally for Change tomorrow morning and again in the future at another hospital in town. If you are at all truly interested in the other side of the story, I would encourage you to check out an OB by the name of Dr. Stuart Fischbein who is extremely outspoken about the current state of OB care, or look up youtube video on Marsden Wagner or Ina May Gaskin or Robin Lim, who won the CNN Hero of the year award Sunday night. I appreciate your perspective, I just don't agree with it based on my experience.
The fact of the matter is that you still assumed we weren't informed and assumed that although maybe the nurses or doctors didn't tell us the info that we'd already had prepared and learned, but doesn't mean those methods weren't used. and given the size of my baby and my wife there was no way she would safely be able to deliver him naturally and a c sec was needed. and my wife is more prone to infections so although yes we could have gone to the 48 hr mark we didn't want to risk it based on her prior medical history. And you are right doctors and nurses aren't trained on everything but neither are doulas and midwives which is why I had both sides talk to my wife before we had our first child. And don't worry you didn't offend me just find it funny how you assume you knew everything about how our birth went. But to give you the benefit of the doubt I will look into Dr. Fischbein and see what he has to say. and believe me I appreciate your view I just strongly don't agree with it.
Fred, don't you think that Doctors and nurses who are supporting the mass population of healthy birthing mothers should have training in all things related to birth? You and I can finally agree on one major point "And you are right doctors and nurses aren't trained on everything but neither are doulas and midwives" The point being all women need a midwife and/or doula in order to be fully educated and informed about birth and that the doctor should only cover his expertise and assist when only medically necessary. There are 2 sides and families need to educate themselves to make a Informed choice. Which sir was the exact reason for our Rally for Change yesterday. Thank you for an open mind and a great debate. :)
I used to work at S.M.B. as one of the newborn baby photographers. We always had a list of normal births and C Section births to work from and I was always appalled at the number of C Sections. I found it to be 40% to 50% C Section. Totally unnecessary putting lives at risk just to rake in more money. I am glad to see that someone is speaking up on this issue as this always bothered me.
I just wish that it had been thoroughly explained to me that if my birth didn't progress while on Pitocin, that the "dry" contractions could cause the baby's heart rate to drop dangerously (fetal distress), which would necessitate an immediate C-section.
I was under the impression that if the Pitocin wasn't helping, that it could be stopped and delivery could be postponed until my body did respond to it another day. Instead, once the bells and whistles started going off due to the baby's slowed heart rate, I was whisked into surgery and was given a C-section within minutes.
My baby was so unready to be born that she still hadn't dropped into my pelvis. Despite pushing and tugging hard, the OB's couldn't even pull her out once I was cut open and they had to perform a rare delivery: a forceps-assisted C-section.
This was not at Mary Birch, but it was at a major medical center. It occured at 37 weeks due to a maternal medical problem (severe cholestasis of pregnancy, non-emergency).
Listen - for those of you who are concerned that SMB was unfairly represented, its worth noting that THE HOSPITAL WAS OFFERED THE OPPORTUNITY TO PARTICIPATE IN THIS ARTICLE. THEY DECLINED. If they feel unfairly represented then that is their own fault. The article easily could have reflected something entirely different had the administration offered the reporter the interview and facility tour that she requested.
If you blame the reporter for being one-sided, then you've done her a disservice.
Next? It has been said and said again - the "natural" birthing community (which is not a bunch of hippies) is MORE concerned with women being offered the opportunity to give INFORMED CONSENT. If you know ALL the risks and the secondary effects of the decisions you make, and you still want the induction/augmentation/c-section, then bully for you. Women who receive treatment without being fully informed often feel misled, lied to, deceived... and in some cases its as severe as feeling assaulted. I supported a mother who experienced an AROM without consent while having a vaginal exam during labor. I cannot tell you how violated she feels to this day. She has every right to feel betrayed by her care provider.
This is an issue of American OB's not being held to the standards of "FIRST DO NO HARM". Too many operate for their own convenience and don't honor their patients. Too many poo-poo women who experience this only a few times in their life and who understandably have questions and concerns about what they are experiencing. Birth is natural. It has happened without OB's and without surgery for centuries and the human race is still here.
The US spends MORE money than any other country on birth. Why are we not at the TOP of the list for positive maternal outcomes? A c-section in the US costs an averages of 12-15k. A vaginal birth averages 7-9k. Despite spending the most we are 42nd in maternal mortality rates. 41 countries do a better job than we do and they spend less money. WHY IS THAT? How do you justify the increase in c-section rates and zero change in maternal mortality?
This is about educating the public. This is about informed consent. This is about not suffering at the hands of physicians who want your birth to fit their standards and slide into a neat little box. Birth is unpredictable. Birth is unique every single time. Birth is messy. Birth takes its time.
Research your doctor. Research your hospital. Hire a doula. Know before you go.
It's easy for me to say this article is one sided because if your desire was to bring the rise in c sections across the nation/state/county the reporter would have interviewed women from all the hospital systems in the county. And that could have been a very easy task to do since there are plenty of births but it was easier to pick on the biggest one and just gloss over why the stats would be higher than other hospitals. (most births in the state, most high risk pregnancies, and most babies under 1500 grams.) Further more I like how you claim it was only sharp to blame because "THE HOSPITAL WAS OFFERED THE OPPORTUNITY TO PARTICIPATE IN THIS ARTICLE. THEY DECLINED" but I like how you never tried to find the women who had a good experiences to show the other side. Instead you chose women who only had negitive. How is that not one sided. You found a easy story that you could sensationalize into fitting what the reporter wanted without having to really show the other side for their agenda (for lack of better words) to get accomplished. If you really wanted to do an expose on the rise in c sections you would've put more effort instead of a slam on an easy target. but if the reader and the reporter feel they were fair in showing both sides, you probablly wouldn't have had to defend the article.
To answer your comment to me pb1, of course I had my version in a hospital. I am not anti-hospital. I was given ALL the facts, risks and benefits on the external version and my husband and I made the decision accordingly. I did agree to this intervention, but only after knowing the facts. That is all I ever wanted for my first pregnancy and birth as well. I would not have had to make that choice if their had been an OB who was skilled in breech delivery, but unfortunately that is an art that has been lost here in the US and a differently discussion all together. So, we chose the the less invasive intervention. Luckily, with a little nudge and less than a minute of work, she flip flopped head down and stayed there. To your other question, yes, I 100% support anyone who chooses to have an elective C-Section, IF they are given all the facts. I WAS NOT given any facts on my induction. My informed consent included only being told "don't worry I do this all the time, its perfectly safe." That is not informed consent. It took me a year to recover from my C-Section, I had several infections and had severe pain for many months. It was over a year before I could return to running without any pain. My friend had a complication and ended up with a hysterectomy and she will never had children again. She was told she should have a C-Section because she was having a "big baby". That big baby turned out to be 8 pounds and she will never have anther. She was also told that "C-Sections are perfectly safe and there was nothing to worry about." I have heard this story time and time again. Women are NOT being given all the risks associated with induction/ elective C-Section / Pitocin... etc.. This is the focus. INFORMED CONSENT. I don't think that is being unreasonable at all and all women should want to know all the facts before making major decisions for themselves and their babies.
Jessica W. says: I used to work at S.M.B. as one of the newborn baby photographers. We always had a list of normal births and C Section births to work from and I was always appalled at the number of C Sections. I found it to be 40% to 50% C Section. Totally not necessary putting lives at risk just to rake in more money. I am glad to see that someone is speaking up on this issue.
Elizabeth M. says: There is an epidemic of c-sections in this county. We are the only country in the world that treats pregnancy and birth like it's a disease or medical condition.
I will be having my baby at the UCSD birth center with a midwife and doula. No drugs, no drama, just going to let my body do what it already knows how to. Women have been giving birth for 50,000 years without medical intervention.
Totally right, women have been giving birth for 50,000 years without medical intervention..... Childbirth mortality in the 1800's: highest at 40 % Childbirth mortality in 2008: 24 in 100,000
I understand the issue being addressed here but wow, so one-sided. The doctors and nurses at SMB save lives every day. I am so grateful to them for what they did for me and my children that this article makes me very sad. The author couldn't find one person with a good story to tell? Clearly, she didn't look for one. And while I understand that everyone has a personal story to tell, the statistics are being looked out out of context. So many micro preemies and multiples are born at SMB so of course the C-section rate is higher. Even comparing C-section rates back to 1964 or whatever someone quoted is misleading. Things have changed. Many more women do IVF and, while I haven't looking up the statistics, there are many more multiples being born. While multiples don't always require a c-section, the rates are definitely and justifiably higher than singleton births. Anyway, I just feel bad that such an amazing place is being presented in such an unfair light.
Wow. Having had a tragic experience, I cant help but notice all these women have healthy living children. That alone is a successful birth in my eyes. If you have ever had a fetal demise, all of your viewpoints would be "better safe than sorry". And if "overly safe to avoid lawsuits" is unappealing to anyone, go have your child at home, no one is stopping you. These days the c/s rate is up because many women having babies are older, overweight, and have more medical problems. The fetal monitoring might be excessive but at least you know when your baby is in trouble. Yes, SMB may have a high c/s rate but I would undergo ANY surgery on earth for a healthy baby. Im sorry these people did not get the sunshine, cupcakes and rainbows birth stories they wanted but if they all went home with healthy babies, the hospital did it's primary job. Be thankful. It's not about your "story" it's about your child.
There is another reason that the number of C-sections has increased. Trial lawyers found a gold mine in suing hospitals and doctors for infant maladies that they falsely blamed on situations that the lawyers claimed could have been avoided had a C-section been done.
This is a super timely article, as I'm currently seven months preggers. After submitting my birth plan to my doctor who delivers exclusively at Mary Birch, I was told that she does not support delayed cord clamping. I called another really reputable practice--- to see if I could find another option, another Mary Birch doctor. The second practice I called has about six doctors including some of the best perinatologists who work at Mary Birch. The coordinator (not the receptionist) there had not even heard of delayed cord clamping... which I did not think was "so radical." Heck- there was an article in the NYT science section in support of it on Nov. 28, 2011.
Anyway, after being shot down twice, I finally called the UCSD Birthing Center. Not only are they family with this procedure and are "ok" practicing it, they say many women opt to do it (very unlike the response I rec'd from the Mary Birch doctors).
It is really unfortunate b/c my husband and I do not consider ourselves hippies and really wanted to deliver at Sharp/ Mary Birch (where he was born). We just want some natural, non-medicated options, but the more we investigate and hear about Mary Birch, their nurses who are not so familiar or welcoming of natural options, we do not feel that this is no longer an option for us. We are among the lucky ones in that our insurance allows us to choose whatever hospital we want...
In terms of PR/crisis communications, I definitely think that Mary Birch spokespeople should have addressed the issues posed in this article- they chose not to comment/respond... and by offering some doula training sometime in 2012 is not much of a solution. I realize that changes do not come overnight. In the meantime, it is likely that Mary Birch will continue to have the reputation of being not-so friendly, knowledgeable or welcoming of natural, non-medicated deliveries.
Thank you for this article. It basically sealed our decision to switch to UCSD (or Scripps).
This is a blatant puff piece for the doulas. The author parades a handful of dissatisfied mothers (who, far as I can tell, all delivered healthy viable infants)and cites the expertise of a doula with a whopping 134 births in 8 years, a little over 1 per month, then interviews how many physicians or satisfied moms? None. She cites the WHO recommended c-section rate of 10-15%, and tries to apply it to a high-risk tertiary care hospital in a major US city. Can one rate be equally applicable to all patient poulations everywhere on the globe? One subject of the story is upset that she consented to a c-section even though she had been in labor for 40 hours, but refused suction-assisted delivery, but wanted "anything besides totally hands-off." What!? Now she wants a VBAC at home with a doula and midwife at her side. I wish her luck, because that is what she will need. Nowhere in this article does the author mention the very real complications that can and do occur during deliveries: hemorrhage, seizures, infection, fetal injury, and death. Is it conceivable that physicians are not just concerned about getting sued, making money, or dropping the kids off at school, but perhaps the well being and safety of their patients? I am all for advancing patient care and improving the informed consent process, but biased, pseudo-journalistic articles like this do a disservice to the thousands of dedicated nurses and physicians who help mothers bring children into the world safely every day.
After I read this article I found myself thinking, "wow, that was me".
A week after my doctor's estimated due date (I am certain that their date was early by 2 weeks, and informed my doctor of this. She did not budge and change the date) my husband and I show up at the hospital to be induced. I was given a clipboard full of paperwork to sign and fill out. I have no idea what I was signing or what half of it said, I was about to have a baby, am I really the right person to be looking over such important stuff and signing it? After all of that was taken care of, the nurse set my IV and got the pitocin going, then the doctor said we are going to break your water. I was never talked to about how the pitocin worked and how they used it, or how breaking my water worked, nor was I given any choice between the two. I was new at this baby business, as it was our first child, but I don't feel like the doctor or nurses treated it that way. They treated it as if it was routine for them and just went on about their day delivering babies.
After 10 hours, fetal distress twice, turning the pitocin on and off twice, and finally a high fever from me, the doctor said "we are going to have to do a c-section". When I asked about the possiblity of having a VBAC when I decide to have another child, the doctor's reponse was "we can discuss that when the time comes".
I understand that doctors and nurses go through training and have years of experience taking care of pregnant women and their fetuses and delivering babies, but I think they need to work on how they go about treating their patients. Taking just a few more minutes to listen to their patients and explain things like inductions and how they work and alternatives to using drugs, and giving you options would be some much more helpful. I feel like they just go through the motions to get it done and move on to the next patient. I also understand that with modern medicine there are a lot more women and children surviving child birth, but doesn't mother nature get a say at all? Doctors simply are not that smart. Isn't there somewhere in this process where doctors need to step back and let a women's body do what it has naturally done for so long? If the fit hits the shan then I am all for doctors stepping in to assist, that's what they have been trained to do; assist women having babies.
With all that I have said, I did not have my baby at Sharp Mary Birch, I had him at Scripps La Jolla, where I feel I received very similar treatment to the women in this article. This article points at SMB, but it happens other places as well. Women need to be more informed, and hopefully policies and doctors will change and when they do women will hopefully not have to endure what I, and so many other women have.


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Woman Struck By Lightning In Louisiana Supermarket
During a thunderstorm, you are always advised to go indoors, but for one woman, even being inside wasn't safe enough.
Lakeisha Brooks was standing on the checkout line at a Houma supermarket when a she was struck by lightning.
Fortunately, she is okay, but is recovering from burns from the strike. The floor has a foot-wide blackened tile showing where the lightning struck.
Houma Today reports the woman was only in the store to buy milk and cereal.
The Terrebonne Parish Sheriff's Office says the lightning struck the roof of the store, conducted through the sprinkler system, and struck a metal plate on the floor.
The store remained open throughout the entire incident.


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T Nehme
Don't fight the market, fight fear and greed. Not sure? don't trade because trading is not a trip to the casino. Know exactly what your bad trading habit is and develop the ability to accept losses quick... Do your own research before investing.
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WASHINGTON (AP) – Dismissing a veto threat from President Barack Obama, lawmakers in the Republican-led House approved legislation that links student loan rates to the ups and downs of the financial markets.
The Republican-backed bill would allow students to dodge a scheduled rate hike for students with new subsidized Stafford loans next month, but rates could rise in coming years. Democrats largely opposed the measure – which they branded the "Making College More Expensive Act" – while the Republican chairman of the Education Committee labeled the legislation a starting point for negotiations with the Senate and White House.
"The American people sent us here to tackle tough issues, not kick the can down the road. The time to act is now. Students, families and taxpayers cannot afford further delay," House Education and the Workforce Committee Chairman John Kline said after the vote.
Interest rates on new subsidized Stafford loans are set to double, from 3.4 percent to 6.8 percent, on July 1. Lawmakers from both parties say they want to avoid the increase but were divided on how.
Some Democrats are seeking a two-year extension of the current rates until Congress takes up a higher education bill later. Republicans have rejected that proposal – expected to cost taxpayers $9 billion – as costly and irresponsible.
Students, meanwhile, said they were left paying whatever rates were prescribed by Congress.
"We're caught in a bind that a college degree just isn't enough," said Ron Burruss, who will be a junior at Kentucky's University of Louisville in the autumn. "You're going to be forced to take those rates, regardless. There really isn't a choice nowadays."
Burruss shrugged off the prospect of facing higher student loan payments that would take more time to pay off if the interest rates go up.
"It kind of goes without saying that you're going to be paying on your student loans for quite a while," he said.
Under the GOP proposal, student loans would be reset every year, pegged to 10-year Treasury notes with added percentage points. For instance, students who receive subsidized or unsubsidized Stafford student loans would pay the Treasury rate, plus 2.5 percentage points starting for loans issued after July 1.
Current subsidized Stafford loans are offered at a fixed 3.4 percent rate and unsubsidized Stafford loans are offered at 6.8 percent. The interest rate on loans to parents and graduate students is 7.9 percent.
Using Congressional Budget Office projections, the GOP plan would translate to a 5 percent interest rate on all Stafford loans in 2014, but the rate would climb to 7.7 percent for loans in 2023.
"We're ripping off kids," said Rep. Peter Welch, D-Vt.
Stafford loan rates would be capped at 8.5 percent, while loans for parents and graduate students would have a 10.5 percent ceiling under the GOP plan.
In his budget proposal, Obama included flexible rate student loan rates pegged to 10-year Treasury bills. The president did not limit interest rates but included a smaller added interest rate. His plan also expanded income-based repayment options and loan forgiveness.
The House proposal faces a steep climb in the Senate despite some similarities to the White House's offer.
"The Senate is not going to pick this up," said Rep. Caroline McCarthy, D-N.Y.
The Democrat chairs the Senate education committee similarly criticized the House GOP and its bill.
"We are focused on making college more affordable while they seem focused on making it more expensive," said Sen. Tom Harkin, the Democratic chairman of the Senate Health, Education, Labor and Pensions Committee. "The bill they passed today fails the first test of any policy: do no harm. It's worse for students than if the rate doubles."
Students who max out their subsidized Stafford loans over four years would pay $8,331 in interest payments under the Republican bill, and $3,450 if rates were kept at 3.4 percent, according to the nonpartisan Congressional Research Services. If rates were allowed to double in July, that amount would be $7,284 over the typical 10-year window to repay the maximum $19,000.
Associated Press writer Bruce Schreiner in Louisville, Ky., contributed to this report.
Follow Philip Elliott on Twitter: www.twitter.com/philip_elliott
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Configure domain to point to mail server
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2009 Formula 31 Cruiser
- Description
- View Full Specifications
- Year:
- 2009
- Hull Material:
- Fiberglass
- Length:
- 32'
- Engine/Fuel Type:
- /
Formula Performance Cruisers are superior in every sense - in spacious, well designed cockpits, upscale contemporary interiors, sturdy offshore construction, and certainly in spirited, pleasurable performance. PC cockpit design is ideal for relaxed times together on the water. Comfortably contoured lounge seating and adjustable tables provide creative versatility, and the integrated wetbar is nearby for entertaining with ease. For sunning, the aft lounge along with tables and filler cushions becomes a generous sunpad. On the foredeck, two Sunbrella sunpads are reached by way of molded steps leading to the walk-thru windshield, a hallmark Formula Cruiser feature. The forward port lounge invites everyone to share conversation while enjoying the view underway. Doublewide helm seating adjusts individually to the position each prefers. Throughout, smoothly finished storage areas secure fenders, cushions, tables and carry-on items to maintain a clutter-free cockpit.
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Additional Specs, Equipment and Information:
Warranty: 5 years
Hull Shape: Modified Vee
LOA: 33 ft 1 in
Beam: 11 ft 0 in
Maximum Draft: 2 ft 10 in
Bridge Clearance: 10 ft 4 in
Headroom: 6 ft 4 in
Deadrise: 18 ° at Transom
Dry Weight: 14100 lbs
Drive Type: Stern drive
Engine Options
Engine Option 1: 2x Volvo Penta Twin 5.7 GXi DP
Fresh Water Tanks: (50 Gallons)
Fuel Tanks: (180 Gallons)
Holding Tanks: (40 Gallons)
Number of single berths: 4
Number of heads: 1
Additional Description
Each Performance Cruiser cabin elicits immediate admiration. The flawless, high-gloss, Deep Cherry finish of the cabinetry is echoed in solid wood tables, while gleaming, handcrafted Corian provides the perfect counterpoint. The galley is equipped with a refrigerator, polished stainless steel sink, microwave oven and a concealed electric stove. Each hardwood drawer has dovetailed corners as in all fine furniture. Either American Cherry woodgrain-finish flooring or warm, subtly patterned custom carpet is a beautiful touch underfoot. As always, the luxuriously supple Ultraleather lounge is the natural center for socializing, whether for eating, watching TV or just for interesting conversations.