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Journal: Journal of Chronic Fatigue Syndrome. Vol. 13(4) 2006 pp. 73-82. [Published online ahead of print. Article copies are available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: email@example.com ; Website: http://www.HaworthPress.com.] Author and affiliation: Samuel Shor. George Washington University Health Care Sciences, Reston, VA. [E-mail: firstname.lastname@example.com) DOI: 10.1300/J092v13n04_06
Objective: Chronic Fatigue Syndrome (CFS) by definition represents a diagnosis of exclusion. Late stage or "Chronic Lyme" infection with or without "co-infections" is a difficult diagnosis to establish. The symptom complex of both conditions can be very similar. This case study represents an attempt to support serious consideration for a subpopulation of patients otherwise diagnosed with "CFS," as actually representing chronic Lyme disease.
Method: A case study is presented of a 33-year-old man, who for two years, was being managed as having CFS. However, after ~2 years of utilizing multiple modalities of management with limited success, the diagnosis of Lyme was reconsidered. Historical exposure risks to Lyme in this individual were high. He had prolonged exposure in the highly tick-infested mountains of North Carolina for 18 months, several years prior to becoming ill. More aggressive investigation confirmed the diagnosis of Lyme. Appropriate changes in management were associated with an improved level of functioning that was far in excess of what maximal management of CFS was able to achieve.
The features of CFS and chronic Lyme can be very similar and include the following: Profound fatigue often associated with cognitive impairment. Other common symptoms related to both of these conditions include sleep disturbances, fibromyalgia, and dysautonomias. In pursuing clarification of this diagnosis, the author was exposed to a contrast in medical opinion regarding diagnostic tools and criteria that were perceived as creating potential barriers to the management of patients presenting with these symptoms.
Conclusion: Acceptance and awareness of the possibility that Lyme disease can present as CFS has important therapeutic and prognostic implications.
Keywords: Lyme disease, chronic Lyme, chronic fatigue syndrome, CFS, fatigue.

subset: commoncrawl


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Weeklong workshop for physically disabled held in GangtokDecember 23rd, 2007 - 8:14 pm ICT by admin
Gangtok, Dec 23 (ANI): A non-government organisation of Sikkim in association with a Jaipur organisation organised a week-long workshop at Zero Point here to provide free artificial limbs and callipers to the physically-challenged in Sikkim.
Organised by the Sikkim Viklang Sahayata Samiti (SVSS) in association with Bhagwan Mahavir Viklang Sahayata Samiti (BMVSS) of Jaipur, the eight-day workshop commenced last Monday (December 17) and will conclude on (Monday) December 24.
"We have affiliated ourselves with Jaipur Foot and now we organise this workshop every 2-3 years. The materials and appliances are brought from Jaipur and so are the technicians, said Draupdi Ghimiray, President of Sikkim Viklang Sahayata Samiti (SVSS), the non-government organisation.
We give free limbs and other things to all the handicapped and orthopaedic patients coming here. We have centres in northeast region along with Sikkim. Patients from all over the city along with places like Tripura, Shillong, Sikkim, Orissa and Nagaland, Darjeeling, Kalimpong do come," Draupadi added.
On the first day (Dec.17), at least 15 physically handicapped persons from Timi Tarku, Lingdong Subuk and adjoining places received artificial limbs and had them fixed besides getting callipers.
The physically disabled people visiting the workshop-cum-camp expressed their gratitude to the hosts and happiness for being helped by this workshop.
"I am very happy that they are making these parts for free. It's a good work, and that is why I came here," said Sonam Tenzing, a physically disabled.
Already 400 limbs and hands have been installed, while the authorities believe that the number may rise to 500 in the next workshop-cum-camp since handicapped people from all over the North Eastern regions are expected to come. (ANI)
- Rajiv Gandhi Sadbhavana award for D.R. Mehta - Aug 04, 2012
- Jaipur Foot to help sports star who lost leg - Apr 17, 2011
- Sonia seeks action in Assam violence, northeastern people's mistreatment (Lead) - Aug 19, 2012
- Jaipur foot for Sri Lankan amputees - Mar 12, 2010
- Iraqi amputees to wear Jaipur Foot - Mar 15, 2010
- Indian experts in Sri Lanka with Jaipur Foot (Lead) - Mar 12, 2010
- Jaipur NGO holds limb fitment camp in Iraq - Apr 25, 2010
- Iraqi nationals learn to make 'Jaipur Foot' - Sep 23, 2010
- 3.6 lakh disabled in Kashmir, many protest raw deal - May 25, 2011
- Kashmir disabled observe black day (Dec 3 is World Disabled Day) - Dec 03, 2011
- BRO provides free artificial limbs to victims of militant attacks in J-K - Oct 29, 2010
- AIIMS gets notice for not giving amputees artificial limbs - Feb 29, 2012
- Give blast victims artificial limbs in 3 weeks, AIIMS told - Mar 01, 2012
- Promise to make Delhi more disabled-friendly - Jul 31, 2009
- Jaipur Foot travels to Afghanistan - Apr 18, 2008
Tags: 3 years, appliances, artificial limbs, callipers, darjeeling, december 17, disabled people, eastern regions, government organisation, gratitude, happiness, jaipur, last monday, nagaland, orissa, orthopaedic patients, shillong, sikkim, weeklong workshop, zero point


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A second helping of warm, windy weather awaits Wichita today, forecasters say.
Partly cloudy skies and gusty south winds will accompany highs in the low 70s in the metropolitan area. Those winds may gust as high as 30 miles an hour.
Isolated showers and thunderstorms are possible after midnight, and increase in likelihood Wednesday afternoon and evening.
Central Kansas could see light snow Wednesday and Thursday as much colder temperatures slide through the state behind the storm front, forecasters say. But no accumulation is anticipated.


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By: Stephanie Szpila
Whenever we think about making our goals a reality, it is not uncommon to think about the self-control and discipline we will need to achieve our dreams. True winners know how to harness their willpower when obstacles arise. Whether it is that piece of chocolate cake or a missed workout that we have to say no to, it definitely takes practice to stick to our guns. Here are a few tips and tricks to keep your self-control going strong:
1. Choose a great network of friends and supporters along your journey
Being surrounded by likeminded people who support your goals always makes it easier to be held accountable. Think about how much easier it is to order a salad around healthy friends who are also making good food choices, than it is to say no to the burger and fries that another group may order. Self-control is contagious! When you surround yourself with other people who are also making their goals a reality, it is easier to see ourselves coming across the finish line, hitting a new PR, or reaching your goal weight.
2. Get moving outside
The warm summer months in Buffalo have finally allowed us the opportunity to enjoy nature and partake in new outdoor adventures. Its easier in the warmer weather to get out of bed in the morning and hit the gym rather than hit the snooze button. Hit the trails for a run, rollerblade along the river on the Niagara waterfront, enjoy the fun fitness festivities at Canal Side, or try a new water sport.
3. Hit the pillow and relax
We all know that we can get cranky or on edge when we don't get enough sleep. It's easier to follow through when we are well-rested and have a clear head because we have gotten a full night's rest. If you're a night owl, try going to bed 10 minutes earlier each week. Power off your cell phone, games, or the television at least an hour before bed so that your brain can mentally begin to relax. Check out Jada Blitz's new class offering of yoga that has been added to the class schedule for an hour of mindfulness and relaxation.
4. Be thankful
Get into the habit of reading or reflecting on the goals you have already reached and all of your blessings. Start a journal and write down at least three things you are grateful for every day. Rather than get caught in a web of negative emotions, you will have a positive mindset that will help propel you forward.
5. Avoid obstacles
Sometimes we have to be smart about obstacles that we know will make our willpower crumble. If you know your willpower is weak, drive a different route to avoid the bakery. Pack a meal and bring it to the work luncheon, rather than sit empty handed in front of the pizza that was just ordered in the break room. Set up a gym date with one of your friends to stay accountable. No more missed workouts!


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For our anniversary in October Ben bought me a lovely KitchenAid stand mixer at the local Target. Now, I've wanted one of these bad boys for AGES and I was so excited that all my (not so subtle) hinting had finally paid off! There was just one problem; the mixer he bought was white. I fully realize and acknowledge that in the grand scheme of things color shouldn't count because it doesn't change how something functions but what can I say, I wanted color! In all the time I've dreamed about owning my very own KitchenAid, I never once imagined a white one. Ben was his awesome self and didn't care if I returned the one he purchased if it meant I'd get the exact mixer I wanted. These is why I keep the man around! **Mwah, shmoop!** So I took the mixer back to Target and looked through the colors they had and was disappointed; it was the standard red, black, chrome which along with white were colors I wasn't interested in. There was a bright side to their not having a color I wanted... a gift card which I used to buy our Christmas tree and dresser (which Ben is attempting to assemble as I type!).
I looked online for several more weeks and didn't see what I liked for a price that I was okay with paying. Then QVC came in and saved the day! My mom is slightly addicted to the Q and has converted me as well; I find myself checking out their inventory especially for kitchen items and very rarely do I NOT find something I can't live without! About a month ago they had the KitchenAid Pro Version of the mixer on sale for a fab price and 6 easy pay (I love being able to spread the payment out), but best of all they had the color I'd been drooling over for months... tangerine. So without hesitation I placed my order and a week later this little beauty showed up at my door!
I was so excited that I could get her out of the box fast enough! Ben was pleasantly surprised with the color, but it's Florida Gators orange so I knew he would be! I had the perfect spot on my counter all picked out and don't ya know... she fits perfectly.
I like to imagine that the mixer and my awesome Kuerig (another fabulous Ben present) have long conversations about how happy they make me. I haven't used her as yet but I have all sorts of fabulous holiday recipes that I plan on whipping up and this mixer will save me so much work.
So dear readers, what should I make first? I was thinking about the chocolate peppermint crunch cookies I posted yesterday in my Edible Pinterest post. For those of you with a KitchenAid, what do you LOVE to make?


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Dollars for Scholars
The Dollars for Staff Scholars Fund 520015 was established in 1994 as a Scholarship to benefit Staff enrolled in for credit classes. Each semester our Staff are eligible to qualify to receive a scholarship when registered for the semester at USF. The fund is primarily supported through the Annual Faculty & Staff Campaign.
Eligibility requirements include the following:
1. Currently working on any USF campus as a full-time Staff (USPS) employee with permanent status.
2. Achieved a minimum of 3.0 cumulative USF GPA (provide last semester's Final Grades from OASIS).
3. Completed a minimum of 6 credit hours total at USF during the last 3 semesters (provide Registration Status from OASIS).
4. Must be currently enrolled at USF for this current semester. (Please attach copy of class registration from OASIS).
5. Must provide a letter verifying current employment as a full-time Staff employee with permanent status from your current, immediate supervisor. (Employment verification letter must accompany application to be considered).
SUBMISSION PERIOD FOR SPRING 2018 applications: Tuesday, January 23rd through Monday, February 5th.
Contact Brandis Waiz at email@example.com with questions.


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Sanjeev Kapoor Cookbooks
Sanjeev Kapoors Cakes and Bakes
- Details
- Category: Sanjeev Kapoor Cookbooks
- Published: Monday, 23 June 2008 04:04
- Hits: 32617
Here is your chance to exercise some flour power with Master Chef Sanjeev Kapoor as your guide, and exhibit some serious oven art!
Cakes and Bakes is the last word in books on baking, chock-a-block with recipes for the novice and the seasoned baker alike. Step-by-step instructions and information on tips and techniques will give you an insight into the science and art of baking. So grab your mixing bowl and whip up a range of never-fail, oven-fresh delights that will keep you coming back for more!
In Cakes and Bakes, Master Chef Sanjeev Kapoor dons his bakerâ€â"¢s cap and demystifies the art and science of baking with his characteristic step-by-step instructions and loads of tips and techniques.
Whip up some fabulous celebration cakes including Black Forest Gateau and Sacher Torte, sumptuous desserts such as Tiramisu and Baked Alaska; a variety of mouth-watering sweet and savoury quiches, tarts and pies including Spring Onion Tarts, Mushroom Quiche, Mississippi Mud Pie and Baked Lemon Cheesecake; crunchy cookies and biscuits like Jammie Bodgers, Walnut Coffee Biscuits, Chocolate Chip Cookies and Nankhatais; delightful Teatime Treats like Chocolate Eclairs, Cheese Balls and Date and Honey Bars; and to complete the baking experience, a range of breads and rolls from Lavash to Focaccia and Hot Cross Buns to Brioche.
Armed with this book and loads cake flour, venture into the fascinating world of baking, and experience at first hand the wonders of the oven. Store-bought baked goods will never again be an option!
Sanjeev Kapoors Kadai Cooking
- Details
- Category: Sanjeev Kapoor Cookbooks
- Published: Monday, 23 June 2008 04:04
- Hits: 1947
In this new cookbook, Chef Kapoor introduces you to the joys of Kadai Cooking, celebrating the humble cooking utensil which has leant its name to a popular style of cooking. Try out the spicy Prawn Bhuna, fragrant Khada Masala Chicken, Chatpatta Chiwda, delectable Dal Be Aab and Achari Gobhi., hearty Gosht Gulbarga and lip-smacking Makai Palak Pulao. Round off the meal with a sizzling Moong Dal or Saeb Ka Halwa.
Indulge in some kadai capers and taste the difference!
The Kadai is a versatile piece of kitchen equipment which is found in every Indian home. Used for deep-frying, stir-frying, steaming or cooking foods with minimum water and oil, no kitchen would be complete without a well-used kadai.
While most of the recipes included in this book are from North India, where kadai -cooking is a fine art, recipes from across our culinary diverse country, where the kadai also has a special place have also been included. However, recipes for deep-frying have not been included as, for the purposes of this book, kadai-cooking implies cooking with minimum liquid and fat. There are recipes in here for every course in a meal from spicy snacks and starters through vegetarian and non-vegetarian main courses to desserts. As usual, every recipe has been tried and tested to perfection and serves four persons.
Sanjeev Kapoors Pressure Cooking
- Details
- Category: Sanjeev Kapoor Cookbooks
- Published: Monday, 23 June 2008 04:04
- Hits: 2290
Recognising the urgent need for recipes for speedy cooking for the homemaker who juggles the demands of the workplace and running a home, Sanjeev Kapoor has developed a range of Indian and international pressure cooking recipes, for every occasion and for every course in a meal, from soups to desserts. The book also includes a comprehensive note and tips and techniques for safe and effective pressure cooking.
In Pressure Cooking, Chef Sanjeev Kapoor shows you how to take the pressure out of cooking by using the most essential of all kitchen equipment - the pressure cooker. Cook a variety of courses from soups to dessert including velvety Pumpkin Soup, spongy Sandwich Dhokla, crispy Caramel Popcorn, spicy Kolhapuri Chicken, delicious Methi Baingan, mouthwatering Bhatinda Mutton Curry, flavourful Herbed Rice with Mushrooms, satiny Kharvas and succulent Chocolate Modaks.
Cooking under pressure is cooking with pleasure!
Sanjeev Kapoors Salads
- Details
- Category: Sanjeev Kapoor Cookbooks
- Published: Monday, 23 June 2008 04:04
- Hits: 19826
Sanjeev Kapoor's Salads is a comprehensive collection of irresistible salads from around the world. There are main meal salads and salads on the side, cold salads and hot salads, vegetarian and non-vegetarian salads. Add crisp and crunch to your meals with generous helpings of refreshing Tzatziki, Spicy Mexican Salad, Pina Colada Salad, tangy Mango Salad, hearty Chickpea and Tahina Salad and Classic Greek Salad.
Salads have never been so cool!


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My stomach is full of gas does this medication help relieve it
Does omeprazol help with gas?
- Asked
- 13 Dec 2013 by jackiefriesen
- Updated
- 13 December 2013
- Topics
- omeprazole, gas, medication, stomach
Responses (1)
I do no think so, due to that stomach pain or gas is a common side effect of omeprazole.
Click on the link for a list of medications for gas/flatulence:
Take care,
Further Information
- Omeprazole Information for Consumers
- Omeprazole Information for Healthcare Professionals (includes dosage details)
- Side Effects of Omeprazole (detailed)
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Food For Thought
by Sarah Krieger, MPH, RD LD/N
Here are some great ways for families to improve their eating habits.
• Try new foods together – preferably from the fruit, veggie or grain group.
• Eat the same foods together; avoid sending the message that there are adult foods and kid foods.
• Let your children select a new fruit or veggie at the grocery store.
• Don't be emotional about food refusal; try again another day – there is no need to reward trying new foods.
• Plan Meals together – take turns having theme nights and/or everyone's favorites included once in a while (a.k.a. "avoid being a short order cook").
• Eat out less – this includes ordering take out food.
• Set a meal time routine and determine a designated eating area (not in front of the television).
• Cook more at home. Either teach your kids to cook or learn how to cook together.
• Enjoy your food, eat slowly and have fun at mealtime!


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Tiger Woods: Medicine not alcohol led to DUI arrest
The former world number one golfer was found by police asleep at the wheel of his vehicle, with the engine running, in the early hours of Monday morning. When he was an assistant captain at the Ryder Cup last September, the American team presented him a red shirt that said, "Make Tiger Great Again". And we wish him well.


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Lights & Sirens International mission is to support and develop children Domestic and International community through sports, education, health & cultural iwc replica watches exposure.
Our vision is to educate, inspire and empower residents of the USA and beyond, through sports, entertainment, education, health and entrepreneurship.
To create an unforgettable cultural experience for those who are willing to venture outside their comfort zone and walk in another person's flip flops. We're looking for travelers that are fundamentally curious, who have an interest in the world and are open to learning and sharing cultures.
We are committed to alleviating poverty and empowering others to become self-sufficient and prosperous by promoting commerce, education, and health supported through sports cheap Replica Watches and entertainment.


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Meet the team
Laura Warner
Associate Director, Client Services
Email: firstname.lastname@example.com
Phone: +44 (0)20 7096 9911
Laura is an Associate Director in the Client Services team here at DeVono Cresa.
She is there to provide early-stage advice and strategy input to corporate occupiers on all aspects of their real estate liabilities and events.
Since joining DeVono Cresa in 2010, Laura has worked on over 100 separate and successful real estate projects for clients, ranging from rent review work, to lease renewals, lease regears and office relocations. Clients she has worked on and advised include A+E Networks, Hotwire PR, Simba and Quidco.
In her spare time Laura is a music and literature enthusiast, while also indulging in her passion for both travel and fashion.


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Palm Theatre | 721 W Colorado Ave, Telluride, CO
Monday, August 15th at 6pm
Tickets available at the door
$20-adults, $15-students/children
Met Music Director James Levine leads a revival of Mozart's masterpiece about fidelity and mistaken identity, Così fan tutte. The cast of charismatic young stars includes Susanna Phillips as Fiordiligi; Isabel Leonard as Dorabella; Danielle de Niese as Despina; and Matthew Polenzani as Ferrando. Mozart's opera balances broad comedy with heart-rending tragedy, and features some of his best-loved arias, duets, and trios.


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This past Saturday, Nelson Mandela Bay Tourism hosted it's third instameet, and the first in collaboration with Colours of You SA. At the Eastern Cape Bloggers Meetup, Nadine from Keep Passing the Open Windows told me about the Nelson Mandela Bay Instameet. She attend two before and encouraged me to join the next one as they were fun and a fun way to meet new people. So when Anje from Going Somewhere Slowly sent the email on the latest instameet, I prepared my kit (if I have can even be considered as a kit) and trotted along.
I went alone, you know being an introvert and all, attending events on your own can be daunting (especially when you're living in a small city), but I've been doing this for a while and I feel like I've got this down. There was quite a large group, larger than I expected and when I arrived my introversion nearly got the best of me as I considered sneaking back to my car under the pretence of having forgotten something and left. I'm glad I didn't.
There was a wide variety of people at the Nelson Mandela Bay Instameet. From bloggers to instagrammmers (well obviously Odette), to hobby photographers and professionals. Young and old alike took part in the day. There were people with fancy DSLRs and trusty ol'smartphones. The guys at Colours of You SA brought along colour bombs and confetti and Nelson Mandela Bay Tourism brought shades for every one and ensured that security was close by to ensure that we were all safe while navigating the city. The instameet began at the ArtEC building and we went down to the Old Museum building, then to Elsen school, Trinder Square, the Athaneum and lastly Fort Frederick. It's was fun, free and suitable for the whole family. The Instameets are held on a monthly basis, so check out their Facebook pages to keep an eye out for the next one.
Here are a few shots I took at the event.
You can find more photographs from the event on #ShareTheBay, #MyNelsonMandelaBay & #ColoursofYouSA. While you're there, you should follow me as well.


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Well, let's see, what can I say that I haven't already said. Heat + humidity do not mix with social outings. I'll try to shut up now. Approximately 4-6 hours were set aside to visit the vineyards of Virginia as attendees piled into random buses not knowing which wineries they would visit. As the travelers dripped their way back to the hotel, I heard a lot of good things, and a lot of bad. Good = lunch inside. Bad = lunch outside. All loved the wineries tours, all mixed on the quality of VA wine; but that VA Viogniers seem to be best known and best liked. Some of the wineries visited were White Hall, King Family, Flying Fox, Cardinal Point and Afton Mountain – to name a few. We were offered a pre-dinner reception with Cognac/EU…who scheduled this? Cognac pre-dinner?? The dinner was alot of fun. Wine Blog Awards were announced by a very colorful presenter. We tasted 12? wines to pair with the food, which was so-so. I felt sorry for the servers who seemed totally out of their element serving that much wine. Evening ended with a Vibrant Rioja Crawl – more to follow in next post!
August 11, 2011
Thoughts of a First Time Attendee of the WBC11 – Day 2Posted by atozinfandel under #wbc11, Wine Bloggers Conference, wine pairing, Wine Tours
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WMF Bowl-a-thon
Sunday, April 29, 4-8 pm
It's almost time to lace up those bowling shoes!
Join us to knock down barriers to abortion access.
Registration info coming in mid February.
WMF Spring Reception
Thursday, May 10, 6-8:30 pm
This year we honor Philadelphia Councilwoman Helen Gym
as a hero of abortion access
and welcome her as our featured speaker!
Click here for more info.
Click here to purchase your tickets or sponsor!


text:
This is a rush transcript from "Your World," July 22, 2015. This copy may not be in its final form and may be updated.
DONALD TRUMP, R-PRESIDENTIAL CANDIDATE: I see Rick Perry the other day, and he's so -- he's doing very poorly in the polls. He put glasses on, so people will think he's smart.
TRUMP: And it just doesn't work. People can see through the glasses.
And he said, he shouldn't be allowed on the debate stage. I said to myself, he shouldn't. So, I tweeted that Rick Perry should have to have an I.Q. test before getting on the debate stage.
NEIL CAVUTO, HOST: Do you think Rick Perry is going to take that sitting down? The nation's longest-serving governor for some 15 years as head of the fine state of Texas joining me right now.
Governor, you fired back today. Boy, did you ever. And you're one of the few who do. I don't know what it is or whether people walk on eggshells with Donald Trump, but you engaged him, and he engaged back. And then you got into this Instagram tit for tat.
What is going on here? Do you guys just hate each other? What is happening?
RICK PERRY, R-PRESIDENTIAL CANDIDATE: Well, this isn't about me.
This is about Donald Trump and making statements that are just so out of the realm of appropriate, taking on our POWs. To say what he said about John McCain and the rest of the men and women who spent time in the Hanoi Hilton is just -- that's inappropriate. An individual who...
CAVUTO: But more than, Governor -- no, and I understand. And you, as a veteran, one of only two veterans in the race, a captain in the Air Force, and, of course, Lindsey Graham, the other, you have a right to feel angry about that. And I give you your due there.
I think, where you escalated it in these comments today in which you talked of Trump being a cancer on conservatism, what did you mean by that?
PERRY: Well, indeed, he is, when you look at his statements.
This country is begging for a leader that will bring this country together, not a divider. We have had a divider for the last six-and-a-half years. And Americans are looking for somebody to bring this country together.
And that incendiary rhetoric that you hear out of Donald Trump, whether it's at the immigrant population in this country or whether it's our veterans, that's just -- that's unacceptable. And I think Americans are going to take a look at that, just as I did, and say, you know what, we're not going to quietly take this. We're going to push back and we're going to push back hard.
CAVUTO: But they're not, Governor. Right now, they are not doing that. And I don't know whether that does change.
I mean, polls are fleeting, as you have reminded me many times. But right now, Donald Trump is doing very well in the polls. What do you make of that?
PERRY: Well, I make it early horse race polls.
And if you will recall, I think it was four years ago, in '07 -- longer ago than that, eight years ago -- Rudy Giuliani was ahead in the polls. And he didn't even make it to Florida. So these polls, they ebb and flow and what have you.
But one thing that doesn't ebb and flow are the values of this country. And Americans want an optimistic view about the future of this country. People want to feel good that the best days are ahead of us. And when they see someone like Donald Trump, who spends all his time throwing invectives and being very negative to individuals, I don't think that is going to play well.
CAVUTO: No, actually, Governor, what he is doing is one-upping it, right? He's promising to go to the border tomorrow, your fine state, to bring the point home that those who work at the border, they love him. They are going to honor him. And he said that, by extension, that they never did that for you.
What do you make of that?
PERRY: Here's what I hope that Donald Trump realizes tomorrow, that the failure at the border is a federal responsibility. Securing the border is a federal responsibility.
He's down there casting aspersion on Texas Rangers, on the Texas Parks and Wildlife wardens, on our Texas National Guard that we have sent down there to fill in where the federal government has failed. Donald Trump needs a lesson in how the country is supposed to work. And the federal government is supposed to be securing that border. They have failed. And Texas has stepped in and done the best they could do to help secure that border.
CAVUTO: You know, Governor, not surprising that you would take on Donald Trump or whatever. You're in a junkyard dogfight. And he's very aggressive. It has made him a very successful businessman.
But he has looked at this and come back at you with your critical comments to say, well, a fine thing for Governor Perry to be saying all this stuff about me. Four years ago, he was begging for my support and my money.
What do you say?
PERRY: Well, I don't ever recall any begging that was going on.
There were a lot of people that went and sat down with Donald Trump four years ago. But here's what I have found out is...
CAVUTO: We showed this Instagram picture of you and him together. But go ahead. Explain that.
PERRY: Well, listen, I have been with a lot of people before.
But when I found out about the real Donald Trump, which is, by the way, his Twitter tag is the @realDonaldTrump. And when I found out about the real Donald Trump, I didn't like what I saw. I didn't like what I heard.
And I don't think Americans are when they really take a -- this is a guy who is for single-payer health care. This is a guy who is for raising the taxes a huge amount. This is a person that I think would be more comfortable with Hillary Clinton than he is running for the Republicans.
CAVUTO: But, Governor, if he were your nominee, the Republican Party nominee, would you support him?
PERRY: There's a lot of people that are going to be -- I think have a better chance of being our nominee before Donald Trump.
CAVUTO: I understand that. And I understand you're hoping that is the case. But if he were the nominee, would you support him? Would you support him over Hillary Clinton?
PERRY: We can say that about a whole lot of people.
I'm a Republican. I'm going to support the Republican nominee. And Donald Trump's got a long way to go to make people really believe he's a conservative. When you really look at what this guy believes, come on, single-payer health care and he's running as a Republican? Where's that coming from, Neil?
CAVUTO: When you hear comments on either physical features or, in your case, the glasses, and all, what do you think? How do you respond to that? What do you say? Do you just think, all right, I won't trade on that kind of exchange? Or I'm not going to ignore it?
Because unlike some of the others, you are going back full-bore. Why? There's great risk for that too, isn't there?
PERRY: I happen to believe that my record is what's going to stand out, not either how I do my hair or whether I wear glasses or not.
I mean, I'm not going to -- I'm not going to talk about Donald Trump's hair. I doubt if he talks about mine. But what we are going to talk about is our record. I'm going to talk about where I grew up in that dry land cotton farm and those experiences that paint my world view, wearing the uniform of the country.
And nobody, nobody on that stage is going to be able to talk about having the executive experience of running the 12th largest economy in the world. And the job creation that occurred in the state of Texas, it blows away anybody on that stage.
CAVUTO: All right.
Rick Perry, very good seeing you. Thank you very, very much.
PERRY: Thank you, Neil.
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The Wild River Review has a six page comics section featuring "So… Only Nixon Could've Gone to China", written by Jonathan Baylis, a former Marvel intern and illustrated by David Beyer Jr, following a young American student (Jonathan himself?) as he travels to Europe, gets freaked out by Germany but finds great music in London in a strip which seemed to me to have some nods towards other biographical comics work such as Harvey Pekar's. I love the line that comes up as he listens to a mix tape on his Walkman, "I felt as though my life had a soundtrack"; I'm sure most of us have had a moment like that where the sounds from your personal player mixed with the scenery going past you and for a moment it fits perfectly, like it had been written to be played to your life. Jonathan is working on self-publishing a collection of his tales, but in the meantime you can check out a lot more of the series on his own site.
(panels from "So… Only Nixon Could've Gone to China" by Jonathan Baylis and David Beyer Jr)
David has a LiveJournal with a number of his sketches and other works (including this simple but effective and funny little strip which appealed to me, see below) while the Wild River Review has a whole bunch of links on the final page of the strip to more comics work they have featured, so why not go and have a good browse?
(panels from The Adventures of Stinko by David Beyer Jr)


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Here's the scoop. You fill out a style profile, like Stitchfix, and enter in all of your information, your likes, your dislikes, etc. The fun part is that they also ask you to take photos of yourself and send it in so they can see your physical body shape too!
The other differences between Stitchfix and Trendsend are:
-Trendsend offers clearance and sale items.
-Instead of receiving one item and then giving you suggestions of what to pair with it, Trensend sends you full outfits.
-You have five days to try and return your items with Trendsend instead of three days.
-With Stitchfix you can decide the exact day you want to have your fix sent to you by. Trendsend says they will send you your fix "within 14 days," however mine took 16 days to send. So I just had to wait around and hope I was at home when it arrived.
-They send you more items per package. I got seven, where Stitchfix only sends you five items.
Now to segue off that last point, I had no clue when my package was coming and my apartment package delivery is pretty wishy-washy about alerting me if I have a package. So I received it on a Wednesday and then went down to check on a Saturday if I had a package. Yep…Three days ago. Luckily, I had five days to send it back but it wasn't enough time to photograph all the clothes with me wearing them. #badblogger. So here are just the images from Trendsend/Evereve's website of the items that they sent me.
Ezra Ponte Tunic Dress – $78
I love the idea of the dress, I loved the fabric, the pattern, however the style of this type of dress is absolutely awful on me. Since I'm so petite, where the drop waist lands is on my hips and the length of the dress is almost to my knees. If it was petite, I would have got it for sure. Verdict: Returned
In addition to the dress, they sent a black cami with it. Fine, that makes a whole outfit, but a black cami for $28? No way. I have camis already, and if I needed new ones, I'd go to target and buy them for $5. Verdict: Returned
Dark Evelyn Top – $78
Again, the same issue. I loved the style of the top and the material however it was way too long on me. The shirt entirely covered my butt and it just made me look frumpy. Verdict: Returned
Vegan Leather Seamed Legging – $108
Hanna Tee – $59
I really did like this tee, it fit well, and I love blue. However it was pretty see-through and I wasn't sure how the material would hold up in the long run. If it was cheaper I would have kept it, but it wasn't worth the $59 to me. Verdict: Returned
Krista Ankle Skinny with Raw Hem – $169
So first of all, I told my stylist, specifically not to send me jeans because I have so many already that I love. She acknowledged that in her letter to me and said that "these jeans were one of a kind." That's for sure. Okay take a peek at the hem line. They were completely frayed. Absolutely, not my style. They fit well, and they were comfortable but I'm just not sure what my stylist thought when looking at my style profile.Verdict: Returned
Cozy Cabled V Neck – $78
It's pretty funny looking at this picture because it's not how my sweater fits me at all. I guess I truly am petite. The sweater is so much longer on me, but it is everything I wanted. The sleeves are a bit long so if I'm cold they cover more of my hands. It also is just oversized enough but not too long to look like it is too big. The material is perfectly soft. The night that I got the box, I wore it out. Verdict: Kept!
My overall opinion of Trendsend is just okay.
Clothing: 4/5. Great options, cute styles, materials felt durable.
Styling Process: 2/5. I wish they listened better to what I requested and focused on styles that would work for petite.
Prices: 4/5. I think most things were priced well. I would never spend that amount for jeans or leggings but the tops and dress were just at the right price point.
Overall Process: 3/5. I wish they told you exactly when you would be receiving the fix or updated you of the tracking information when it sent out, so you can anticipate when it will arrive. The five days to decide is much better than only three. I'm still a bit confused on the return process (so I'll have to follow up with you on that later), I just put the stuff I returned back into the bag and mailed out, but there was no online "check-out" like there is for Stitchfix. I just left feedback for the items. So we will see when I get charged? Not much instruction on this part.
I might give them another try again, however I'm a bit discouraged because they added on the $20 styling fee. (and I have some credit with Stitchfix, still)
Have you tried any clothing subscription boxes? Which are your favorites?


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Grasses, Sedges, and Rushes
All photographs are copyrighted and may not be used without the permission of the photographer.
Botanical Name
Common Name
|Carex hendersonii
|Henderson Sedge
|Carex obnupta
|Slough Sedge
|Elymus glaucus
|Blue Wildrye
|Elymus mollis
|American Dunegrass
|Eriophorum polystachion
|Tall Cottongrass
Biek, David. Flora of Mount Rainier National Park. Corvalis: Oregon State University Press, 2000. 506 pp.
Cooke, Sarah Spear, ed. A Field Guide to the Common Wetland Plants of Western Washington and Northwest Oregon. Seattle: Seattle Audubon Society, 1997. 417 pp.
Cronquist, Arthur and C. Leo Hitchcock. Flora of the Pacific Northwest. With illustrations by Jeanne R. Janish. Seattle: University of Washington Press, 1973. 730 pp.
MacKinnon, Andy and Jim Pojar, eds. and comp. Plants of the Pacific Northwest Coast. Canada: Lone Pine Publishing, 1994. 524 pp.
Mathews, Daniel. Cascade-Olympic Natural History. Portland: Raven Editions in conjunction with Portland Audubon Society, 1988. 625pp.
Strickler, Dee. Wayside Wildflowers of the Pacific Northwest. Columbia Falls: The Flower Press, 1993. 272 pp.
Taylor, Ronald J. Sagebrush Country A Wildflower Sanctuary. Missoula: Mountain Press Publishing Company, 1992. 211 pp.


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Affluent Americans may not be as ready for retirement as they believe, according a new survey from Charles Schwab & Co.
The survey found that while most affluent Americans have a retirement plan in place (84%) and feel confident about their retirement readiness (80%), they may be underestimating how much money they will need once they retire. Survey respondents estimate they will need on average about $66,000 in annual income, significantly less than their current average income of $115,000.
In many cases, we tell clients to assume theyll need roughly the same annual income in retirement as they had beforehand unless they anticipate a significant lifestyle change, and to take into account longevity risk when planning how much money they might need, Carrie Sxhwab-Pomerantz, senior vice president of Charles Schwab, said in a statement.
Almost four in 10 affluent Americans (39%) said they do not plan to work at all in retirement and 46% said they might work part-time even though they expect to have enough money to live without working. One in 10 believed they will have to work at least part-time to make ends meet, according to the survey.
For roughly half of the respondents (52%), confidence in their retirement readiness was unchanged from last year. Almost as many felt more optimistic (23%) as they did less optimistic (24%) about their retirement readiness than a year ago.
Respondents did express some financial worries. More than half (53%) said their primary concern is incurring unexpected expenses in retirement, such as medical or healthcare costs.
The study polled 1,811 investors between the ages of 25 and 80 with a minimum of $250,000 in investable assets and retirement funds. It was conducted between January 14, 2013 January 25, 2013 by Koski Research.
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text: Mr. Campbell just completed his Master's of Science in Teaching Mathematics Program at the University of Maine. He previously worked in the Investments Industry for 12 years. Mr. Campbell has also been a graduate assistant in the math department at the University of Maine and an Adjunct Professor at Husson University. Mr. Campbell will bring a wealth of mathematics knowledge to Ellsworth High School and his outgoing personality will engage EHS students.


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Colin Trevorrow Plans to Shoot 'Star Wars: Episode IX' on Film, Not Digital
During a press conference at the Sundance Film Festival, "Jurassic World" director Colin Trevorrow weighed in on the difference between shooting movies on film vs. digitally, which will ultimately affect the filming of "Star Wars: Episode VIII." Trevorrow will helm as-yet-untitled "Star Wars: Episode VIII," the followup to J.J. Abram's recording-breaking "Star Wars: The Force Awakens." Trevorrow revealed that he plans to use film stock to shoot the upcoming blockbuster.
"It's a period film," Trevorrow joked, referring to the franchise's iconic opening scrawl. "It happened a long time ago."
After all, when it comes to watching period films, he prefers when they're shot on film. "There's something in my brain that says, 'Well, they didn't have video cameras then,'" Trevorrow explained.
Directed by Abrams, "Star Wars: The Force Awakens" is now playing in theaters and stars franchise veterans Mark Hamill, Harrison Ford, Carrie Fisher, Peter Mayhew, Anthony Daniels and Kenny Baker, joined by newcomers John Boyega, Daisy Ridley, Adam Driver, Oscar Isaac, Andy Serkis, Domhnall Gleeson, Lupita Nyong'o, Gwendoline Christie and Max von Sydow.
(via Variety)
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text:
Dewi SandraSinger
- Video
Indonesian singer, model and dancer Dewi Sandra Killick, better known as Dewi Sandra, is bestx known for being named the 2004 Sexiest Female Indonesian Artist and one of the sexiest women in the world by For Him Magazine Indonesia. She pursues Pop, R&B, jazz, dance, therefore her music is generally very joyful and sometimes melodic. Since debuting in 1996, up to now, she has reached the peak of her career and released several albums.
Before fame
During her childhood, she suffered from weight problem and got a nickname as Miss Piggy. In her teens, she began taking care of her appearance and determined to lose weight. She later worked as a model and shifted into singing after recording an album titled Dance together with her friends. In 1998, she released her first solo album I Feel.
Personal life
Dewi Sandra has been married three times. In 2011, she got married the third time to Agus Rahman.
Social site
- The meaning of the name Sandra: Defender Of The People


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Chapter 194: Risking One's Self To Save Others
Translator: Sparrow Translations Editor: - -
Putting a few healing pills into his mouth, Mo Wuji limped out of the lightning lake. The cultivators he killed in the lightning lake were all noobs, they were at the most in the Transcending Mortality Stage. Most of them didn't even have storage bags so Mo Wuji really couldn't be bothered to spend his time and risk getting struck by lightning to collect his spoils of war. What he needed now was to get recovered, and not get rich.
The moment he emerged from the lightning lake, Mo Wuji immediately sat down and started to recuperate his energy. This wasn't because he didn't wish to leave as soon as possible, but he was overdraft, and even if he departed now, he would not be able to get far.
This patch of the Thunder Fog Forest had been razed to the ground, and it wouldn't be safe for him to loiter here for long. Wait till he managed to recover some energy, he would immediately get out of here, and take the risk to escape with his flying car.
Half an incense of time later, as Mo Wuji was intending to stand up, he suddenly heard a slight crashing sound. He hastily ran to the side and strained to see what was happen.
An ignited flame talisman came flying over; Mo Wuji used his fastest speed to take a step forward and dodge this flying talisman.
"Hong!" The flame talisman exploded and Mo Wuji was struck by the spreading fire; his tattered clothes and his hair were all burnt.
As he extinguished the fire on his body, Mo Wuji finally had a good look at the fella who sneak attacked him. This fella had a face as black as charcoal, it was blacker than his mask's black face, and his big mouth was panting heavily for air. This fella was clearly heavily injured; from the looks of it, he seemed to be struck by a demonic beast's wind blade on his chest and his legs.
Seeing this fella staring at him with his mouth wide open, Mo Wuji did not hesitate to grab his Tian Ji Pole and swung it downwards.
Even though the cultivator who ambushed Mo Wuji was immobilised, he still strained himself to lift his hand to block Mo Wuji's Tian Ji Pole.
"Peng!" A profound sound could be heard as an immense energy sent both Mo Wuji and his pole flying.
Mo Wuji was still in midair but he sent a bolt of Lightning Flash crashing towards that man. That cultivator was so heavily injured but he was still easily able to send Mo Wuji flying, his cultivation must at least be in the late levels of the Yuan Dan Stage.
Mo Wuji's skill came flying over, and the surrounding air started to get distorted. This black faced cultivator's eyes revealed an expression of despair. He was not able to move, and no matter how impressive he was, he wouldn't be able to defend against Mo Wuji's Lightning Flash. Moreover, when he sent Mo Wuji flying, his arm did not manage to avoid the strike by Mo Wuji's Tian Ji Pole, and was ripped apart.
"Hong!" The lightning exploded and drilled a blood hole in this black faced cultivator's chest.
Mo Wuji walked over to the cultivator's corpse with some lingering fear, and collected the storage bag.
Swallowing two healing pills, Mo Wuji decided that this was the time to leave.
"Hong!" The clash of two bouts of elemental energy could be heard. Mo Wuji did not even have the time to react before a figure came crashing over.
Mo Wuji hastily dodged to the side and was prepared to give this person a taste of his Lightning Flash. However, the moment he saw that person's face, he immediately gave up on that idea.
He recognised this person, this person wasn't pouncing towards him; she was Yan'Er's senior apprentice sister, the Pill Pagoda'a Shi Jinwen. Shi Jinwen clearly wasn't targeting him, but was sent flying over by her opponent.
As expected, before Shi Jinwen could even land on the ground, a figure came rushing towards her. It was a hooked nose man; he was definitely an alien cultivator.
Mo Wuji had battled with more than hundreds of alien cultivators and had developed a rough understanding towards the alien cultivators. The alien cultivators' cultivation method seemed to be different from here. When they attacked, there was a clear difference in their spirituality flow.
The hooked nose man's power was ostensibly inferior to that short wintermelon and the coffin man, but his attacks were much stronger than those alien cultivators he dealt with. When he was pouncing towards Shi Jinwen, the flow of spirituality around his body was more pronounced.
As this alien cultivator's magic treasure was about to trap Shi Jinwen, Shi Jinwen had already steadied her footings and lifted a pill cauldron. The pill cauldron clashed against the hooked nose man's magic treasure, sending waves of elemental energy which filled the sky. When the two battled, it was like a huge plow was being dragged across the land; it was incomparably messy.
This is not a battle I can poke my nose in, hurry and go. As Mo Wuji was prepared to leave, he heard Yan'Er's voice.
Mo Wuji's heart went into a fluster as he saw Yan'Er and two other ladies charging over. Mo Wuji was already in the Transcending Mortality Stage and he could tell that all three of were in the same stage with a single glance. With their level, any attempts to help Shi Jinwen would be futile.
Seeing Yan'Er rush over, the expression on Shi Jinwen's face changed drastically. Mo Wuji, who was originally intending to bolt, gave up on that idea and charged towards Yan'Er.
As long as that hook nose wasn't an idiot, he could definitely ascertain that Yan'Er and Shi Jinwen did not have a merely ordinary relationship. If he was that hook nose, he would not hesitate to sneak an attack on Yan'Er and destroy her.
Yan'Er's and that hook nose's cultivation were as different as heaven and earth; that hook nose only needed to lift his pinky and Yan'Er would definitely be killed. He would not be doing much, but Shi Jinwen would definitely be heavily impacted.
Yan'Er was clearly lacking in battle prowess; her intentions to help Shi Jinwen were understandable but with her power, on the premise that she wasn't able to use any ranged attacks, she was truly unable to help Shi Jinwen.
Mo Wuji's estimations was truly without error; at almost the instant Yan'Er appeared, a beam of black light shot towards her.
At this moment, Yan'Er was like Mo Wuji when he encountered Mo Wuji. The surrounding space around her was locked in place, and her movements became exaggeratedly slow. Even if Shi Jinwen wanted to save Yan'Er, she wouldn't be able to do it in time.
In her indignance, Shi Jinwen hurled her pill cauldron towards the hook nose with all her strength. At the same time, she grabbed some pills which she sent booming towards hook nose.
Using pills to attack the enemy, this was something Mo Wuji had never seen before. However, at this time, he was not able to split his concentration to examine how the pills could attack the enemy.
At the instant the black light reached, Mo Wuji had also arrived by Yan'Er's side. He immediately pulled Yan'Er away, and at the same time, swung the Tian Ji Pole towards the black light.
"Hong!" Mo Wuji's Tian Ji Pole was sent flying while that black light exploded into a finer trail of light. Its trajectory was only shifted slightly as it shot through Mo Wuji's chest.
This black light was originally going to perforate through Yan'Er's throat but Mo Wuji had arrived just in time to pull Yan'Er away. Since Mo Wuji was taller than Yan'Er that black light did not hit his throat but only pierced through his chest.
The burning sensation from the attack instantly spread throughout Mo Wuji's entire body. Mo Wuji felt as though his entire body was dipped in boiling water, and his entire body was charred with hints of red.
A minute blood hole appeared on Mo Wuji's chest. No blood gushed out from that injury, but instead, there was a slight fog.
"Peng!" Mo Wuji shot through the air and crashed against a huge rock.
The entire process happened in an instant. It was only when Mo Wuji was sent flying that Yan'Er came to the sudden realisation that she would have lost her life if no one risked his life to save her.
Seeing that Mo Wuji had risked his life to save Yan'Er, that hook nose knew that he wouldn't have another chance. With that failed sneak attack, the tables between him and Shi Jinwen had turned.
"I have some healing pill…" Yan'Er finally reacted; she hurriedly ran to Mo Wuji's side and handed some pills to Mo Wuji.
Mo Wuji waved his hands as he struggled to take a few pills from his bag. Yan'Er's healing pills could not compare to his, so naturally he would eat his own pills.
"Move to the side…" Mo Wuji spoke with a hoarse voice as he struggled to stand up. He felt as though all the blood in his body had dried up. Shi Jinwen saw that Yan'Er was fine and started to attack that hook nose with even greater madness and fervour.
Mo Wuji staggered over to his Tian Ji Pole and picked it up. He did not leave; that hook nose tried to kill Yan'Er, and even added injuries to his plethora of injuries. If he did not shift that black light's trajectory slightly, it would have pierced through his heart, and he would have lost his little life. If he didn't attempt to take revenge, it would not really sit well in his heart.
"Honghonghong!" That hook nose's power might be a little stronger than Shi Jinwen, but there was a limit to that difference. The two battled fiercely. Sand flew, rocks scattered. Their battlefield was a complete mess.
At this moment, Yan'Er and those two ladies couldn't even stand straight and see the two's battle, much less help Shi Jinwen out.
On the other hand, Mo Wuji could clearly see the changing attacks and defenses of the two. Mo Wuji really appreciated Shi Jinwen's fighting style. Fighting was irrespective of cultivation or power. It was about exerting your utmost best and pitting your life. Shi Jinwen was doing just that.
At this moment, Shi Jinwen's entire body was riddled with wounds. Two blood holes had nearly pierced through her heart and her throat. Still, her methods did not tone down, but became increasingly crazed.
The hook nose wasn't anywhere better. With some unknown method, Shi Jinwen actually managed to tear apart half of his neck, and his meat was a tangled mess. There was also a huge hole on the left side of his waist which was constantly leaking fresh blood.
Even though the two were still fighting desperately, Mo Wuji could tell that the two's battle would end soon. The final outcome would most likely be Shi Jinwen's demise while that hook nose ended up heavily injured.
Mo Wuji subconsciously took a few steps forward. With his spiritual will, he could see that the hook nose had taken out a huge net. Was this fella trying to trap Shi Jinwen?
Shi Jinwen would immediately lose the upper hand and end up at a disadvantage. However, Mo Wuji did not think that she would be that stupid to fall for that trap.
As expected, when that huge net was thrown, Shi Jinwen's pill cauldron was thrown out. The net trapped the pill cauldron but was unable to confine Shi Jinwen. At the same time, Shi Jinwen threw out a few pills.
Countering Shi Jinwen's pills were the hook nose's beams of black light.
Two pills exploded against the hook nose's body. Mo Wuji saw two clumps of blood light exploded from the hook nose's body. At the same time, Shi Jinwen's body had an additional two blood holes formed from the two beams of black light.
Shi Jinwen seemed to have gone crazy. With no heed of the injuries on her body, she pounced towards hook nose and formed some hand seals.
An inundating elemental energy same surging out. Hook nose could not help but take a step back and put in all his energy to deal with Shi Jinwen's final crazy strike.
At this moment, Mo Wuji lifted the Tian Ji Pole and threw it towards hook nose's back.
Hook nose laughed coldly, a little ant dared to sneak attack him. Even if he was fully engaged in his battle with Shi Jinwen, he was not someone an ant could plot against. His body was like a spring as he twisted and contorted his body. Ostensibly, according to the trajectory of Mo Wuji's Tian Ji Pole, it would not hit him.
The hook nose increased his speed, he wanted to force Shi Jinwen away before poking five holes into Mo Wuji's brain. Shi Jinwen's attack had reached its peak, there was nothing left for him to worry.
But that hook nose could not laugh coldly any further. A terrifying electroball came flying towards the blood hole at his waist. Just now, Shi Jinwen had caused a huge disturbance in space with her elemental energy that he actually didn't see this electroball sneaking to his side.


text: Section 36. Generalized Pruritus Without Skin Lesions (Pruritus Sine Materia) View Full Chapter Figures Only Tables Only Videos Only Print Share Email Twitter Facebook Linkedin Reddit Get Citation Citation AMA Citation Section 36. Generalized Pruritus Without Skin Lesions (Pruritus Sine Materia). In: Wolff K, Johnson R. Wolff K, Johnson R Eds. Klaus Wolff, and Richard Allen Johnson.eds. Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology, 6e New York, NY: McGraw-Hill; 2009. http://accessmedicine.mhmedical.com/content.aspx?bookid=349§ionid=40453136. Accessed August 22, 2018. MLA Citation . "Section 36. Generalized Pruritus Without Skin Lesions (Pruritus Sine Materia)." Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology, 6e Wolff K, Johnson R. Wolff K, Johnson R Eds. Klaus Wolff, and Richard Allen Johnson. New York, NY: McGraw-Hill, 2009, http://accessmedicine.mhmedical.com/content.aspx?bookid=349§ionid=40453136. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager Mendeley © Copyright Tools Search Book Top Return Clip Autosuggest Results ++ ++ Persistent severe pruritus, like pain, is a dominating factor in existence; from day to day it takes over one's life. Intense pruritus may, in fact, be more maddening for the patient than pain.The physician, therefore, often feels somewhat helpless in the management of these unfortunate patients.Pruritus leads to sleepless nights; a state of permanent fatigue ensues that precludes work and confounds family relationships. Most skin eruptions and rashes are more or less pruritic, but there are states where there is severe pruritus in the absence of skin lesions, except for scratch marks (Fig. 36-1). This is called pruritus sine materia (from Latin, "itch without physical substrate").The diagnostic approach to the patient with generalized pruritus without identifiable skin lesions is a diagnosis of exclusion.This pruritus may be intrinsic to the skin but not due to a skin disease with specific lesions.It may be a symptom of a skin disease that at the time of examination does not manifest with specific lesions.It may be due to an internal organ disease, metabolic and endocrine conditions, or hematologic disease.It may be a manifestation of malignant tumors, psychogenic states, or HIV-1 infection; or it may be related to injected or ingested drugs.The various causes of pruritus sine materia are listed in Table 36-1, and an algorithm of how to approach a patient with pruritus sine materia is shown in Table 36-2.A careful history and physical examination are essential and should take into account the different types of itching and their duration, the quality of itching, and its distribution and timing.It is understood that any patient referred with generalized pruritus without skin lesions should be assumed to have minimal or latent disease of the skin until proven otherwise.Skin signs may be clinically inapparent, perhaps confined to only circumscribed areas, and this is particularly important with regard to the exclusion of scabies, pediculosis, or conditions such as urticaria factitia. ++Figure 36-1Graphic Jump LocationView Full Size|Favorite Figure|Download Slide (.ppt)Pruritus without diagnostic skin lesions This patient had multiple scratch marks due to compulsive scratching because of severe pruritus. There were no other, and in particular, diagnostic lesions. Workup revealed biliary cirrhosis without jaundice. ++Table Graphic Jump LocationTable 36-1 Causes of Pruritus Sine MateriaView Table|Favorite Table|Download (.pdf)Table 36-1 Causes of Pruritus Sine MateriaMetabolic, endocrine conditionsHyperthyroidismHypothyroidismPregnancy relatedMalignant neoplasmsLymphoma, myeloid and lymphatic leukemia, myelodysplasiaMultiple myelomaHodgkin diseaseOther cancer (rare)Drug ingestionSubclinical drug sensitivities Aspirin, alcohol, dextran, polymyxin B, morphine, codeine, scopolamine, d-tubocurarine, IV hydroxyethyl starchInfestationsScabies*Pediculosis corporis, capitis, pubisHookworm (ancylostomiasis)OnchocerciasisAscariasisRenal diseaseRenal failureHematologic diseasePolycythemia veraParaproteinemia, iron deficiencyHepatic diseaseObstructive biliary diseasePregnancy (intrahepatic cholestasis) (see Section 15)Psychogenic statesTransitory:Periods of emotional stressPersistent:Delusions of parasitosisPsychogenic pruritus... 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This episode of The Tribe Seeker Podcast, I'm sharing a little travel story about how a very poorly planned vacation wound up being just perfect.
If you want to check out my photo album of the pictures I took, check out this link.
Bitcoin, Blogging and Learning To Code
This episode of The Tribe Seeker Podcast, I'm sharing a little travel story about how a very poorly planned vacation wound up being just perfect.
If you want to check out my photo album of the pictures I took, check out this link.
I really wanted to write a super long and articulate blog post about turning 30, but I simply can't find the words. Too much has happened, too much is in the process of happening and it's just bigger than me right now. I accept it.
So, Happy Birthday to Me! I am one tough, creative, resilient son of a gun. Time for cake and ice cream!
Something changes the moment you decide you've found a person you are ready to reveal parts of your soul to. Something stands out and makes the moment unique. A profound multidimensional clarity resembling a piece of carefully gathered stardust; As if you are whispering "finally" and your eyes fill with light and spontaneity. As if you do not care whether your heart will melt or crumble in the process because your brief courage undoes your tremendous fear of disbelief. You live for these moments; For you are, maybe for one second or more, sweetly forced to surrender yourself to unconditional intimacy. A moment of psychological reward smashing all self-imposed disciplines founded on terror. This is all you need.
~ Anais Nin
I'm not moved easily by too many R&B singers. I love R&B, but so many of them sound alike. I actually have always really liked Michael Buble. His voice is amazing and he's personable.
However, there's a new voice on the block and it belongs to Sam Smith. Just… listen.
Yes, I have tried to sing his songs and I cannot come even close to his range. It's literally unbelievable.
He is a solo artist and is also on some songs with Disclosure. I suggest looking him up and keeping an eye on this rising star. He's only 21!
As of today, I am officially announcing my return to the East Coast. At least for a little while until I decide where I truly want to be, geographically, professionally, etc. That might wind up being Boston, Worcester, Chicago, The BayArea, or anywhere else that calls me. My heart's totally open to whatever opportunities speak to my core passions and aspirations. Nothing is off the table.
The over-arching reason why I'm moving back is fairly personal, so out of respect for myself and the situation, I'm not going to go into details here right now. However, if you know me and you know how to get in touch with me, I'm happy to share my story and what I've learned from it all.
It's all good. Onward and upward. Life keeps getting better, regardless of setbacks. I am so stoked to see what 2014 brings.
While many of you likely have never even read my old blog, I want to at least explain to those who have followed me in the past why I'm no longer blogging at notsoliteral.com.
A little bit of background: I started blogging 12 years ago when I was 15 years old. Truth be told, it was because I went on vacation with my family and met a girl from Tom's River, New Jersey and developed my first serious crush. We liked each other and decided to stay in touch through our old school AOL accounts with email and instant messager. At the time, I was an angsty teenager with a lot going on in my life in the way of family and personal issues and I really enjoyed writing. However, I was painfully shy about sharing my writing with people in fear that I'd be judged and laughed at for what I was going through. So, my new lady friend in New Jersey happened to have a livejournal.com account and was an angsty teenage writer as well. So, I took the plunge and created an anonymous account and wrote my heart out. I expressed and shared with my anonymous audience in ways that I had never opened up in real life with anyone. It felt great.
Moving forward over a decade, I always continuously blogged. I jumped from platform to platform, went from an anonymous pen name to my actual name and developed personally and professionally in ways a person from my background never could have otherwise. I literally shaped my network and my life through my blogging and social networking. Looking back, I was incredibly lucky that I stumbled into this world at a relatively young age and kept an open mind while people were considering that style of writing narcissistic and no more than an online diary.
This story takes a bit of a halt on Christmas Day, 2011 when I was at my girlfriend's family's house in West Virginia. I was feeling nostalgic and wanted to write a blog post about my holiday and reflect on the past year. I did my normal login routine and realized that my notsoliteral.com domain was directed to a place-holding page – the kind you see when I website domain has just been bought but nothing is built on it yet. I calmly grabbed my phone and called my domain hosting company GoDaddy.com to see if there was something wrong with their servers or something. After digging around for a couple of minutes, I got a customer associate on the line and was told coldly "you don't own that domain anymore. A gentleman by the name of ________ in Texas bought it today."
I was confused and began to panic. I asked about my account, how that could have happened and all of the relevant details regarding this transaction. I was told essentially that my domain name expired on Christmas Day and was bought immediately by a person who buys up domain names. I was confused because I had renewed all of my other domains that were expiring around that time of year and got no notice that notsoliteral.com was expiring.
My panic turned into sharp sadness in knowing that something went wrong and it was more or less my fault that I didn't handle my business of keeping my domains active. I swallowed my feelings and commenced with the rest of my holiday festivities as best I could however, I knew that a major part of my life was missing, or maybe changing.
As 2012 began, I was starting my new consulting business and generally focusing my attention on financial matters. I kept getting told that I should make a new blog for myself and just start over. But, I didn't want to start over. I've listened to my gut and I know, deep in my heart, that I don't want to start all over again and try to create some linear continuation of what has existed for over 10 years. Basically, I want to feel like even though my blog doesn't exist anymore for me to go back and look over it in retrospect, it still existed and at many points, created incredible opportunity for me. At the most, I met my current girlfriend through this blog and have gotten job offers that took me across the country to places I'd never seen before. At the very least, it was an outlet for me during the hardest times of my late teenage and early adult life. I've come to terms with the period of time that I spent sharing my feelings in that format.
Still, that doesn't feel like a justified ending for me as a writer. I was born a writer at my core and will probably die that way. I may write blog posts for businesses I work for or as a guest columnist for publications, however, I want to channel my creative energy into another form. I was to write books, short stories and essays. There… I said it. I just placed a huge fucking boulder's weight on my shoulder by saying that out loud.
I'm hoping all of the creative flexing I've done has benefited me in some ways. I hope it hasn't given me incurable ADHD due to writing in short form most of the time too. Either way, this is the road I'm going down and only I can see where it leads and if I've got this ultimate vision's execution in my DNA. I hope I have it in me.
I'll be staying on my social networks for the most part. I'm not sure I could professionally pull off cutting out social media from my life (actually, I know it would be career suicide), so while I may pull back from some outlets, I'll be interacting and networking still for the foreseeable future.
Okay, so now that I've gotten that off my chest, I've got some work to do. Thanks for listening now and in the past! Hopefully I'll have something good to share with you again some time in the future!
The only thing I know how to do consistently (well, even consistency could use some work) is write to express myself, so I wanted to create a page that would represent my personal life and creative ideas. I am not sure if this will look like a typical blog such as the Not So Literal series I've held in the past, but time will tell. I will update everyone on that outcome as soon as I know.
Anyways, happy 2012 to you all. I hope you're finding love and good fortune!
It can be hard to distinguish one urban shopping center from another. Am I on the 16th Street Mall in Denver, Madison Ave in New York or State Street in Boston? I've spent the day shuffling around the 16th Street Mall in downtown Denver with a friend from back home. It is funny because we are doing all the things he really likes to do like take pictures in front of monuments, buy trinkets and eat pub food at the Tilted Kilt (think Hooters except with school girl outfits). While I am more than happy to bring him around to do the things he likes, I can't help but think about how souless downtown Denver feels. I felt that was the very firsf time I came here years back. The neighborhoods outside of downtown are where the real heart and soul of this city are. Is it like that pretty much everywhere?


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Gas leak causes evacuations
Power shut off in Clintonville neighborhood
By Bert Lehman
A natural gas leak caused the evacuation of part of Clintonville Thursday, June 2.
Shane Krueger, fire chief for the Clintonville Fire Department, told the Clintonville Tribune-Gazette that the gas leak occurred around noon when a private contractor struck a gas line at a residence.
"There was some work being done at a residence and the contractor struck a gas line at the residence that caused a need for an evacuation," Krueger said. "Approximately 24 homes and two apartments [were evacuated] as a safety precaution because of the wind conditions until the gas line could be shut off by WE Energies."
Power to the affected area was shut off as a precaution. Krueger said the evacuations took place from Greentree Road to Sunset Road and from Lakeside Drive to Pine Street.
Krueger said it is standard procedure for evacuations to occur when a gas leak is discovered.
"Anytime there's a gas leak we have the potential for that gas pocketing in a home or in an area causing an explosion," he said. "You have to make sure you have everybody away once you have the gas shut off and let it dissipate. Then you check the levels with monitors to make sure it is safe before people can return home."


text: Congratulations to Mr. and Mrs. Boyd!! Emily and Chad got married 2 weeks ago and are hopefully settling into newlywed life! This was a fun wedding with a very fun wedding party! I usually meet the groom before the wedding but in this case since I didn't do any engagement pictures, I met Chad just moments before he said I DO. What a nice couple. Emily and Chad are so cute! Obviously all my grooms love their brides – but this guy couldn't stop staring at her long enough to smile for a picture! Literally, I have more pictures of him kissing her forehead or just holding her close than I do of his face! Hey, those are the BEST kinds of pictures. You can take an average picture everyday, but having natural and romantic wedding pictures is the way to go! Enjoy these from this fabulous wedding at the Westin Poinsett hotel downtown Greenville. It was a fun shoot since we got to go on the roof and take pictures near the famous "Poinsett Hotel" sign!


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Author: Courtney Massengale
FAYETTEVILLE, NC — A herd of dependents were found in the Fayetteville Harris Teeter early Sunday morning, having escaped from the confines of Fort Bragg. "It's a combination of two things," s
WASHINGTON, DC — President Obama's pick for the next Homeland Security chief replacing Janet Napolitano has alleged ties to right-ring radicals that the agency sees as potential terror threats
WASHINGTON, D.C. – First Lady Michelle Obama has challenged Asma al-Assad, wife of Syrian President Bashir al-Assad, to a sanctioned one night Pay-Per-View match for control of Syria's Weapons of
FORT MEADE, Md. – Private First Class Bradley Manning was sentenced to 35 years confinement, which is to be served under his biological sex, which is male. "We are grateful he did not receive the
THE PENTAGON — The U.S. Army announced it had filed for Chapter 9 bankruptcy protection in federal court Friday, sources confirmed. This long anticipated move follows a decade of borrowing against
HAZZARD COUNTY, GA — Gen. James "Hoss" Cartwright took to the Hazzard County courthouse steps to declare his innocence this morning amidst an ongoing Justice Dept. investigation into his alleged
WEST POINT, NY — In light of a massive scandal, the superintendent of the U.S. Military Academy has been allowed to stay on until the end of the academic year due to a key feline witness crumbling u
DOHA, QATAR — The recently opened office of the Taliban has come under attack by American insurgents, sources confirmed Tuesday. The complex attack on the facility included a vehicle-borne IED from


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A personal peek into designer Katy Briscoe's life quickly reveals her love of good health and good food- even better is healthy food! Katy considers herself a conduit for creative energy which she channels into jewelry designs. In order to receive the divine messages she needs to keep her spirit and her system clean and clear. She's been a raw food vegetarian, and although that phase has passed, she maintains that the foods she feeds herself and her family is quality and delicious. She's been known to indulge. One of her favorite dishes to make is a roasted chicken.
Katy's Chicken Paprika
Step 1. Let one whole, organic chicken come to room temperature before putting it in the oven. Can take about 2 hours.
Step 2. Rinse chicken and pat dry with a paper towel. Patting the skin dry will help the skin to roast to a beautiful golden brown.
Step 3. Place inside the cavity and stuff until the chicken can hold no more.
1T. Celtic sea salt
4-5 large cloves of Garlic, split each clove in half
Celery and Carrots sticks
Yellow Onion peeled and quartered
1/2 C fresh squeezed lemon juice
Step 4. Add bite size carrots and onion to roasting pan. Add at least 2 to 3 whole onions and carrots according to taste.
Step 5. Sprinkle chicken skin with Garlic salt, lemon pepper, and Paprika.
Step 6. Cover with foil and bake at 350 degrees for an hour.
Step 6. Remove foil, cook another 30 minutes.
Step 7. Let sit 15 min before carving.
Step 8. Pour pan juice over rice.
Step 9. Serve for applause.
Bon appetite!


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First Safety Fest starts Sept. 11 at New Hope Center
The first Oak Ridge Safety Fest will be held Sept. 11-14 at the New Hope Center and other venues.
The purpose of Safety Fest is to offer free training to promote safety and good health at work and home, a press release said. It is sponsored by the Oak Ridge Business Safety Partnership.
At least 30 courses, all taught by experienced volunteer trainers, will be offered for free to anyone who registers at www.safetyfest-oakridge.org, the release said.
Among the courses offered are:
- CPR and First Aid Certification and Refresher,
- OSHA Construction 10-hour,
- Electrical Safety,
- Emergency Response Plans,
- Hazard Recognition and Mapping,
- Hearing Conservation,
- Welding Safety,
- Overhead Crane Operational Safety,
- Combustible Dust,
- Confined Space,
- Office Safety,
- Scaffolding,
- Forklift Operation,
- Trenching Competent Person, and
- Job Hazard Analysis.
"We are very excited about our first Safety Fest, and we appreciate the support of the safety community as we plan this very extensive event," said Jenny Freeman, ORBSP chair.
Safety Fest will kick off on Tuesday, Sept. 11, with an event at the New Hope Center featuring speakers from the U.S. Department of Energy, the National Nuclear Security Administration, Tennessee Occupational Health and Safety Administration, and local community leaders. The kick-off event is an opportunity for the community to reflect on the events of 9/11 and to learn about workplace fatalities in Tennessee in 2011 and what TOSHA is doing to prevent such accidents, according to event planners.
Training will take place Tuesday, Sept. 11, through Friday, Sept. 14, and will be held, in addition to the New Hope Center, at the EnergX Training Center, Roane State Community College, and the Tennessee Technology Center in Harriman.
"We're trying to provide as much hands-on training as possible," said Michelle Register, one of the event coordinators, "so we're holding classes where we can use cranes and forklifts and whatever we need to deliver the most effective training to as many people as possible."
Freeman praised the work of companies and organizations that helped set up the Safety Fest or sponsored it.
"We're trying to make the region around Oak Ridge the safest place to work in the Southeast, so we'd like to attract those companies that perhaps don't have the revenue to pay for extensive training for their employees," she said.
The press release said a safety fair will be held in conjunction with Safety Fest, where safety-related vendors can purchase a booth or exhibit for $200. Exhibits will be set up in the lobby of the New Hope Center.
"We want to stress that this training is free of charge and participants will receive a certificate at the end of the courses," Register said. "Oak Ridge is a great place to hold Safety Fest because of all the work on the Oak Ridge Reservation and other industrial sites throughout the region. We hope to raise the bar of safety for everyone by training as many people as possible in as many courses as we could offer."
More Safety Info:
- First Safety Fest coming to Events Center Saturday
- Safe Place program gives kids a home and hope
- National Building Safety Month: IBHS Research Center Teaching Consumers Value …
- Business owner: Safety 1st: JDM Safety Training Services opens in downtown …
- Business Training Media Tops 3300 Safety Training Videos
Tags: New Hope Center, Oak Ridge Safety Fest, Safety Fest, Tennessee Occupational Health and Safety Administration, Tennessee Technology CenterPosted in Business Safety News. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.


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I am super excited to be joining my second craft fair in season. It may not seem like a lot but it is super hard to find the right weekend to go as a single mom with little one. Between the little one and all my craft fair stuff we all can't fit in one car, so I need someone else to go with me. Not only to help with the kids but to help set up, I can't get the tent up alone. Not only that but I have found it difficult to find craft fairs to join that are not expensive, yes we live in an area where they cost up to $1000 for a booth. So that is way to much for our small business, right now, I am hoping someday to get there.
I am preparing for this craft fair in a total different town (Granby, MA), with more money and more kids. I am hoping this time I will get more leads and sales, of course. For this town I am told they are richer and love to spoil their children, sounds good to me. So I have made 4 mermaid tale blankets so far (I didn't sale them last time), Pattern link here. I want to make 2 more blankets and some more hair bows (so I can have a buy 2 get 1 free sale) and maybe 2 more dolls (a unisex doll and a boy). Now my problem is time management, I spend way too much time promoting my blog than anything else right. So I need to remind my self to get off the computer and get to work.
Believe or not, there is a lot of prep that go in a craft fair, there is a great deal of stuff needed besides your product. You can see from my previous post with a check list – HERE. Thank goodness I don't have to do all that because I still have it from the last time. But there are still a few more things to do such as make a QR codes, sales signs, and get everything ready and packed up. So I am going to make sure I eat lots of protein for the next 2 week, LOL. I also need to figure out a thing to display at least on mermaid tale blanket, they a huge so I don't want to take up a lot of room. Maybe a photo of Nana is hers, like on my blog post and hang one up.
Wish me luck!! and any advice is welcome.


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As anyone who has ever ridden a bike with me knows, I am a damn good eater. I eat, often and a lot. It took a while to train my body to eat enough (this much?) on the bike but once I did, nearly all of the GI issues of my earlier ironman days disappeared Since then, my nutrition plan for ironman hasn't changed. It means that by the time the race rolls around I am really fucking tired of Bobo's bars but they work and it's not supposed to be a gourmet buffet anyway, it's a race.
On that note, I got rolling and noticed that I was starving so I put a bar down right away. There were some little punchy crosswinds as we rode by the lake but I knew it was going to turn into a killer tailwind once we got out of town. Traffic was pretty light so I chewed and ate and drank and made my way out to the long out-and-back road that is about 90% of the bike course.
I had power goals for the ride, as we do, and I settled into what felt like the right effort and was happy to see exactly the numbers I expected showing up. It was cool and overcast on the way out; the tailwind meant we were fucking flying which was awesome, it was so much fun to ride that fast. As I got closer to the turn-around I could see how miserable everyone was heading back in so I was prepared for it. I got stung by a wasp somewhere in there, I felt something hit me and thought I had a piece of glass stuck in my thigh until I looked down and saw that he was still attached to me. I actually got stung several times on the ride, once down the sports bra, once stuck in the helmet in what was probably fascinating to watch as I tried to shake him out without crashing. That's two.
I had only ridden about forty minutes when I felt hungry again. I put down some fluid as I hadn't been drinking much with the cool conditions of the morning (and I had peed about sixteen times during the swim so I knew I was hydrated) but it didn't help so I went through my second bar. That perked me up but I blew through it fast, and just after an hour on the bike I was starving again. I had packed over 1300 calories to tide me over until special needs but I started to get concerned because I knew I'd be burning through fuel faster on the way back in.
I'll try not to say either of these thing again but I get to say them once: the wind was ridiculous, as was the drafting on the return trip into town. I didn't get irritated by the wind as I know I can't do anything about it, but every time a pack flew by me, especially with a woman wedged in there, I just thought, oh come on. A few times I tried to - legally - pace off of them but that's obviously a useless exercise as they were moving far more rapidly than I was. I ate my last bar about forty miles in and pretty soon after that, I started to lose power and heart rate. That's a bonk, I know it's a bonk, I knew it then, clear as day, but I was out of calories so I tried to make myself as small as possible in the bars and get to my special needs bag as quickly as I could. I saw my athlete that was racing and that was a relief; she had a bad bike crash earlier in the week and I was pretty worried about her getting through the swim. I tried to grab a few things from aid stations but it must be said that aid stations on the left side of the road were, hysterically, possibly the most challenging thing about this race. My right hand isn't used to weight plus steering and my left hand isn't use to snatching at high speeds and it made me laugh about how not-coordinated I am, or maybe just how unaccustomed my reflexes are.
I came through town, it went by fast, it was awesome to see my rockstar sherpa Emma & Lauren's husband Bill and then finally I made it to my special needs bag. Even though I was starving I knew better than to shove down a thousand calories at once so I ate a bar, peed, and headed back out, maybe 3-4 minutes here. I gave myself a little talking-to as I went, yup, that was a bonk, but the calories are getting in there so let's soak up this glorious tailwind while it's here and get that power back up, suck it up sunshine, here we go (I use too many commas when I talk to myself, not just here). And it mostly worked, I didn't really feel like I came around until I hit the turn-around but my power wasn't abysmal, just running that little bit low. The second trip back into town actually felt better than the first, or maybe that was just all those glorious calories finally kicking in. Someone rolled up from behind me and passed me and said, Are you Katie? I think I read your blog, as he went by (Hi! Sorry I couldn't hang on the run, nice man in the orange kit) and then I leapfrogged with him and a few other riders most of the way back into town, it kept me focused and trying to maintain steady power output.
The ride felt like it went by quickly although just like the swim, I knew the conditions would slow it down a bit. The last hour or so I started to feel a bit off, I couldn't place it but glassy, detached somehow. I figured it was just still being low on calories even though power and heart rate had come back to normal, so I continued to steadily push bars and fluid and hope that would fix it. I was certainly ready to be off by the time I got back into town but it wasn't the horrific take this fucking bike away from me now that I have felt before in ironman, more like, okay, cool, what's next?
In the past, I have run really well off of stupid windy conditions on the bike, and I was hoping to find that again. My legs didn't feel bad at all, no niggles or pain in any of my normal spots. And in hindsight, this is one of the better rides I've had at this distance. I held more than ten watts higher than I ever have held in ironman but not at the expense of more heart rate, and I'm proud of that. Even though I bonked a bit, I didn't drop that much and most of the time I was still riding higher than I've ridden in the past. I'm working to troubleshoot where the bonk came from, because I'm confident it happened well before I got on the bike, but other than that I'm pleased with this effort, especially with all the considerations of how early it is in the year and in my general return to training. There was never a real low in the ride, it felt like my mind and my body worked together to keep me stable, steady, unemotional except for calm, and there was a lot of good in this ride despite the actual on-paper result.
Bike: 112 miles, 6:29:16, 7th AG
Nutrition: 6 Bobo's bars, 2 Stinger Waffles & 1 pack of Skratch chews for 2520 calories which is ~386/hour & 6 bottles of NBS Hydration + some water at aid stations for 140 ounces which is ~21 oz/hour.
I sat down in T2. I still felt off, I couldn't quite place it but calories and hydration are always a good start. I ate a banana and a pack of chews, I drank most of a bottle of water, filled up my little handheld and drank about a third of that and then finally got going. It felt like I was in there forever but I knew that I needed to figure out whatever was going on.
And as soon as I started to run, I could feel it. My legs felt like a million bucks. That gave me hope, I just needed to get whatever the fuck was going on with my body sorted out and then I could run. I saw my amazing friend Emma again and I gave her the hugest happiest smile even though I felt a bit weird because it was in there, the marathon I wanted. It was in there, I could feel it, I knew it, and I was coming for it.


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In just the second quarter of 2009, money spent in shopping on the internet in the US alone totaled $30 billion. After you accept that, you have a greater shot at both on the internet dating and staying with someone you meet. I've only just signed up to Pinterest, but some of these sites look fairly great as properly. I do not locate as several wonderful labels as Shopbop and Revolve, pointed out above, but it is nevertheless one particular of the most well-liked internet sites for on-line shopping. There are also a variety of web sites where you can locate on-line codes to use at check out if you have decided to buy your appliances on the web. Some on-line websites do not have reliable information about goods that are out of date and how extended it will take to fill the order.
Agar aap bhi style ke daur me apne aapko mantain rakhna pasand karte hain ya new new clothing kharidna achcha lagta hain toh aapke liye jabong website kisi sapne se kam nahi hain. Ideal Things On Jabong – shopping web site for branded clothes and footwear on lowest cost with 15 day return policy. But in these days, you do not require to go to the nearby retailers for attaining the many On-line Purchasing for clothing in the most current styles and brands. I put in my vote for dealdump and slickdeals along with – Fantastic coupons that often save me on my on-line orders.
As one particular would purchase in the offline planet from a known or established outlet, a related method should be taken although shopping on the web by picking a recognized or a reputed purchasing internet site. Booming with IT, diverse culture, and purchasing spots, Chennai delivers goods from the northernmost Kashmir to the southernmost tip of Kanyakumari. There are some wonderful and worthy individuals on the websites, but given that those websites are 1 of the main venues for predators, it's essential to take care.
Of course, If your favourite things ran outta stock in your nearby uniqlo retail retailer, there might be some left on the internet direcly from their warehouse. Christmas is knocking on my Shop On the internet Door" and I am prepared to look for the ideal buys on the web while saving gas as properly as my last nerve. Try bloggers for on the web products: If you have to shop on the web, try to discover bloggers who list items they uncover at thrift retailers in their region on a private blog. This network of websites now attracts a new ad every few seconds, making it a wonderful destination to uncover opportunities to get and sell locally.
Sadly I in no way got to encounter on the web dating, but it sounds like you have covered each and every sort of guy out there. Basically how it operates is these sites get paid and then they give you a percentage of it back when you click by means of to the store you want from their internet site. At some point, i fronted him about it and first he denied it, then admitted it. I was in fact attempting to get particulars from him about who the guy he was posing as, who the photographs have been of, have attempted numerous web sites to reverse search the pics myself and can't locate him, only a single web site in oregon may possibly have one particular pic.