text:
For those that traded in cars, where did you trade them into?
For those that traded in cars, where did you trade them into?
I went to CarMax, got a decent appraisal, then took it to the local dealer that promises to beat any CarMax offer by $500 (which they did). I could have gotten more via private party sale, but I wanted hassle free and easy!
Oh, and that was because Tesla can't do trade-ins in Texas, and even if they could their national partner was WAY low on the appraisal!
AutoTrader, CarMax does not do business in NY. Would of had to travel to CT. to use them. Process was easy. Sent a Rep to the house to appraise the car. Cash value was OK but usually they lowball.
I got a bid from Carmax that was about 50% of the amount I ended up getting in a private sale. Perhaps it was because I had a reasonably unusual car: a 2000 Acura NSX with about 40,000 miles, but I found the bid from Carmax to be laughable.
Carmax. I got exactly what I expected.
I took my car back to the dealer and negotiated with them to buy the car back. They then gave me a wholesaler agreement with our agreed price. I took that to Tesla, and they handled the transaction from there. Save a ton of money in taxes that way.
CarMax. I tried to sell it on my own with no luck. I went to AutoTrader and got a decent offer but didn't go. When I tried again about 2 weeks later offer was much less. So I didn't bring car in....but then tried again a week after that to see if offer would go back up, but now even LOWER. Every time I did it (fill out info online) I got an offer about $1000 less. So I went to CarMax (which isn't near me but was close to my sons house) and they gave me fair appraisal and check on the spot.
Tesla will shop around, they got me an offer from auto nation that was more than what the dealer would give me. since i have some time before i fully order, i decided to trade on my own. My thought being if i get more than trade in + tax credit its worth it and if it doesn't work out i can always have Tesla handle it.
the bottom line was if your trade in is worth alot, the tax credit that you will get makes it more attractive just to have them do it
Tesla had me fill out an online appraisal form, the local sales person looked it over, and they gave me an offer. It was very reasonable. I dropped it off at the service center when I took delivery of my P85
CarMax. Best non-TM auto business in existence.
The bottom of the "My Dashboard" page for my order has a tie-in to AutoNation. When my Model S is delivered I plan to get purchase quotes from CarMax, AutoNation and the M-B dealer which sold us the car being replaced.
My jag was appraised at Car Max and Auto Nation - both low balled, or so I thought. I went to the dealer who sold me the car and it offered $2000 less. I sold it privately for $2k more than the highest bid. Craig's list. TESLA said it doesn't do trade ins at all and referred me to the above listed possible buyer groups.
Tesla outsources trade-ins to other organizations depending on the location of the customer (to the best of my knowledge). I traded mine into AutoNation (slightly low offer, but hassle-free). Trade-ins aren't Tesla's cup 'o tea, but they're all about making things easy for prospective customers by putting them in touch with others.
Jordan, yes, CarMax gives you a bank draft (like a post-dated check so they have 3 days to make sure the title is clear), no hassle at all. In fact, bring your car in, they give you a written appraisal in an hour, then you have I believe it is 7 days or 300 miles to bring it back for that guaranteed amount so you can shop and compare. Super fair.
@crazybrit, Tesla gave you a trade-in offer directly? My Tesla rep told autonation the condition of my car, and autonation emailed him a trade-in value offer, which they would determine when they saw my car in person. Offer was good for 30 days, which didn't help because I am waiting 2 months for my MS, so I will have to have my car re-evaluated.
In Toronto I traded a 2003 Jag XKR Coupe for $12,000 (Canadian black book $16,650.00) and a 2008 Buick Enclave CXL AWD for $16,000 (Canadian black book $22,304) Both vehicles were absolutely loaded and in immaculate condition. Mileage was 70,000 and 80,000 ks respectively. The Buick was still under full factory. Warrantee for another 12 months. What happened? Tesla stated that I would get the Canadian Black Book values depending on condition, so I went ahead with the paper work knowing that I would get aprox $38,000.
When I became aware of what was being offered an given that I needed the trade to consumate the deal , no time to shop around, and as you can all understand I did not want to give up the car I let it go and decided that I would discuss this further with Tesla. I am about to do this and incidentally delivery was June 1,2013.
Carmax. Significantly higher offer than three local dealers and exactly what I was expecting. Easy, pleasant transaction. Enterprise is 5 minutes away in Connecticut. They picked me up from Carmax, I drove home to NY and dropped off the rental locally.
Tesla had AutoNation give me a quote, which was 20% above Bluebook. Took it. Left trade-in at Tesla, AutoNation picked up.
Just ride the auto nation route and they offered about 3k less than carmax, when I called them they said that their offer was "firm" and based of the best available offer allowed. Needless to say I am going to be selling my car to carmax.
With Tesla, only AutoNation Direct is considered a trade-in, all others are just buying your vehicle.
I used AutoNation Direct because it is the only recognized trade-in I got to exclude the trade-in value from the sales tax.
I got several prices AutoNation wasn't the lowest or the highest but was by far the easiest and beside the sales tax savings I also was allowed to continue driving my car after AutoNation Direct paid off my loan as a free loaner car until my Model S was delivered.
I guess the difference in sales tax is something to consider but I'm not sure if it would be enough to offset the lower offer. For example the sales tax on my 85 is around $3600 so if the trade in dropped my overall cost enough for it to even out then i would probably do it for the sheer convenience of being able to drive my car up until the last minute. After I rerun the numbers I will let you know!
So I just did the numbers and it looks like if I went with auto nation for the trade i would only save about $700 i n taxes. So for me there is no real incentive to go with them, after the additional 700 I would still get about $2300 more from carmax to sell it to them.
Carmax was my lowest offer. $1300 lower than AutoNation Direct. Also AutoNation is not the same as AutoNation Direct with Tesla. AutoNation not AutoNation Direct with Tesla was even lower than CarMax. CarMax even pointed out that other offers already include the sales tax savings so their offer is more accurate however the AutoNation Direct offer didn't already include the tax savings. So there was over a $2000 difference once you add the sales tax savings. Yes the savings is only around $700 but on top of $1300 lower offer it was by far the better deal for me. The not paying for a week of rental car while waiting to take delivery from Tesla was gravy. I didn't know they were going to let me keep driving my car after they took title of it.
My S85 6.25% is over $5000. Either your S85 is stripped or your sales tax is much lower than 6.25%.
Virginia sales tax is only 4% on new vehicle purchases :)
Carmax's offer was low, but AutoNation's was ridiculously low. In fact, it was for less than I still owed on the car. I ended up selling it on Craigslist the second day after placing the ad for about $3000 more than AN's offer.


text:
As Drag U gets under way, how perfect that last season's winner of RuPaul's Drag Race would have her debut video premiere. Raja (Sutan Amrull) debuted the video for her new single "Diamond Crowned Queen" on Friday. Even though the video is rather simple, it's not shy on racy and sexy. In a myriad of outfits, Raja runs with the edgy drag shtick and even shows up without it. Although that I didn't like. It kinda took me out of the illusion and Raja creates striking looks that are easy to stare at.
The song itself reminds me of a cross between early Nine Inch Nails and Jeffree Star. I think the song lacks some hook, but she's definitely not delivering the obvious, which I can appreciate.

subset: commoncrawl


text: Movies Seen in 2009 Movies Seen in 2010 1. Morning Glory (2010) ✭✭✭ 1/2 First of all, I'm a fan of all the actors in this movie. Patrick Wilson has a good supporting role and even Ty Burrell has a nice cameo at the beginning of the movie. It's actually very consistently funny in my opinion, despite the middling reviews it got from critics. I laughed out loud out this way more than I did at Bridesmaids. I used the Random Movie Genre Generator and it told me I should watch a Sci-fi disaster movie next. I'm tempted.


text:
Day or night, Phillies primed for Game 6
By Tim Britton / MLB.com
"I don't think that's going to hurt us," manager Charlie Manuel said. "Our guys are ready. I'm sure the Giants are ready, too."
Roy Oswalt, who will make the start in Game 6, said it won't be an issue.
"You don't really start getting ready until two hours before the game," Oswalt said. "So if it's 4 or 8, it doesn't really matter."
Neither the Phillies nor the Giants worked out on Friday. Philadelphia arrived back home overnight, while San Francisco didn't fly in until the afternoon.
Asked if the uncertainty in the schedule was unfair in any way to the fans, Manuel laughed it off.
"If you want to know the truth, the way our fans have been for the last few years around here, I think that they definitely have an idea exactly when we're going to play the game," Manuel said with a smile. "I think for them to come in and know what time to get here, I think that's going to be fine."
Should Phils advance, Doc wants the ball
PHILADELPHIA -- Roy Halladay assured manager Charlie Manuel that he would be ready for the World Series should the Phillies advance, despite the right groin injury he pitched through in Game 5 in the National League Championship Series against the Giants.
"Oh yeah, he made it clear to me [he could pitch]," Manuel said. "He said, on his regular time, he said he'll be ready to go."
General manager Ruben Amaro, Jr. classified the injury as a "mild to moderate strain" of Halladay's right groin. The right-hander labored in Game 5 through his injury, suffered sometime in the game's second inning. Despite the impairment and with his team facing elimination, the ace delivered six solid innings, limiting the Giants to two runs on six hits.
"It tells a whole lot about who he is," Manuel said of Halladay's performance. "He fought and he battled and he got us right to a pretty good place in the game, where we could use our bullpen and things worked out for us. But that definitely shows what type of person he is. He came here to win."
"I thought he pitched great," Game 6 starter Roy Oswalt said. "I've had groin injuries before in the past. They're tough to pitch with. Especially because you don't get to use your lower half and you have to throw mostly upper body."
Manuel and the Phillies did not know, however, whether Halladay would be available in his bullpen for a potential Game 7 on Sunday night. The team doctors would continue to monitor the right-hander, who threw 108 pitches in Thursday's win.
"I think we'll have to wait and see a little bit, see where he's at and how he feels," Manuel said about using Halladay in Game 7. "That would be hard for me to answer right now."
Utley may remain in three-hole for Game 6
PHILADELPHIA -- Manager Charlie Manuel said he is leaning toward keeping Raul Ibanez in the lineup and Chase Utley in the third spot in the order for Saturday's Game 6.
Manuel had flipped Utley with Placido Polanco for Games 2, 3 and 4 to avoid stacking Utley with fellow left-hander Ryan Howard. He put his second baseman back in his customary third spot in Thursday's Game 5, and Utley responded with a 1-for-4 night.
Manuel knows having his best lefties hitting back-to-back may not be ideal since it allows San Francisco to use specialists Javier Lopez and Jeremy Affeldt without exposing them to a right-handed bat. At the same time, it's the lineup the Phillies have used most of the season, even against left-handed starters.
"I don't see where that makes a whole lot of difference at times," said Manuel, mentioning that Polanco and Utley hit lefties at similar rates. "Another thing, too -- a lot of times when you've got regular players like we've got, you start moving guys in the lineup and things, too, that's kind of like whether you realize it or not, they get prepared and they're ready and they usually think they're going to hit, like Polanco thinks he's the No. 2 hitter. Utley looks at it as the No. 3 hitter, things like that."
Utley hit third 102 times this season, compared to just five games in the two-spot. Polanco hit second 106 times.
Ibanez, meanwhile, was benched in favor of Ben Francisco in Game 4 against left-hander Madison Bumgarner. Manuel, though, liked the veteran's swings in Game 5 enough to feel confident he'd be back in the lineup against southpaw Jonathan Sanchez on Saturday.
"I think Raul swung better yesterday. Of course, he stayed on the ball," Manuel said. "The swing was not real long and out of control. Those are things that will go through my mind and everything like that when I'm sitting there thinking about the game."
Ibanez was 0-for-3 with two strikeouts against Sanchez in Game 2, and he's just 2-for-15 in the series.
Manuel finds Giants reminiscent of 2008 Phils
PHILADELPHIA -- Looking across the diamond and into the opposing dugout, manager Charlie Manuel sees a lot of similarities between the Giants and the 2008 World Series champion Phillies.
Manuel said he was impressed by how deep the San Francisco roster is and how readily the Giants' players have accepted their roles. Indeed, 11 different players have started for San Francisco in the series, and manager Bruce Bochy has shown a willingness to double-switch as early as the fifth inning.
"They're a lot like us the first year we won," Manuel said. "[Bochy] interchanges players and they stay real up and they stay after it and they accept all that, and that tells how much they want to win by just watching them."
When they won the World Series in 2008, the Phillies had won 92 games in the regular season -- the same the Giants won this year. Philadelphia didn't establish its typical lineup until later in the season, with Jayson Werth eventually earning the starting spot in right field from Geoff Jenkins. Even then, Manuel effectively platooned Pedro Feliz and Greg Dobbs at third base.
This season, San Francisco's Opening Day lineup barely resembles the one it has now, with midseason additions such as Cody Ross and Pat Burrell taking on prominent roles. Rookie catcher Buster Posey and center fielder Andres Torres have each had breakout seasons.
Manuel remembers his team hitting its stride at the right time in 2008, with the bullpen coming around and Cole Hamels pitching the best ball of his career.
"You can overachieve and you can play hard and things like that for a series or for a month even," he said. "They're hot right now, and they got a lot of fire and they've got a lot of get up."
Tim Britton is an associate reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


text:
Some good news about domestic lithium supply
Some good news about domestic lithium supply
Thanks for the link. Don't forget to read the original document of the Univerity of Wyoming, very interesting. It seems they stumbled upon this reserve looking for a suitable location for CO2 sequestration.
I find it ironic that the research that was set up to allow continued use of fossil fuels without climate change, yielded the discovery of the key ingredient necessary for the transition away from fossil fuels. In a sense, the fossil fuel companies are digging their own grave with this research.
this is really exciting news for the future of electric transport!
I was under the impression that Lithium mining was such a nasty task that even though we had some Lithium reserves in the US we preferred to outsource it to China?
I think it's the refining. Or maybe I'm thinking of rare earth metals.
All mining and refining in China is conducted in a nasty way that would never be allowed in the US. There is no reason it has to be done that way it is just a little cheaper.
And if I understand correctly, this resource doesn't have to be mined in the classical sense of the word. You can just pump it up from under ground, while leaving the surface mostly undisturbed.
To think that just the water below such a tiny speck of this planet could possibly yield enough lithium to provide for an electric car for every family on the planet. Once that lithium is out of the ground and into the 'loop', you can use it almost indefinitely. Just make sure you recycle all batteries.
Btw on the subject of pumping up lithium: http://www.technologyreview.com/news/426131/startup-to-capture-lithium-f...


text:
This study is provided by ICPSR. ICPSR provides leadership and training in data access, curation, and methods of analysis for a diverse and expanding social science research community.
Internal Colonialism Study: National Integration in the British Isles, 1851-1966 (ICPSR 7533)
Principal Investigator(s): Hechter, Michael
This dataset contains census, election, and vital statistics data for 118 British and Irish counties for the period 1851 to 1966. The information was collected for use in a study of regional integration and development in Great Britain in the 19th and 20th centuries. Included are population indicators for each of the counties recorded at 11 points in time during the 115-year span (i.e., 1851, 1861, 1871, 1881, 1891, 1901, 1911, 1921, 1931, 1951, and 1961). Specific information includes indicators of population density and change, ethnic composition, proportion of election votes for Labour, Conservative, Liberal, and various nationalist parties, and proportion of population employed in areas such as agriculture, manufacturing, civil service, and (female) domestic work. Other data include number of Celtic speakers, literacy, religiosity, nativity (i.e., English-, Welsh-, Scottish-, Irish-, and French-born), sex ratio (female to male), birth rates, infant mortality rates, marriage rates, per capita income, and proportion of middle class.
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Data in this collection are available only to users at ICPSR member institutions. Please log in so we can determine if you are with a member institution and have access to these data files.
Study Description
Hechter, Michael. Internal Colonialism Study: National Integration in the British Isles, 1851-1966. ICPSR07533-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2001. https://doi.org/10.3886/ICPSR07533.v1
Persistent URL: https://doi.org/10.3886/ICPSR07533.v1
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Subject Terms: census data, colonialism, counties, culture change, demographic characteristics, election returns, employment, ethnicity, literacy, nineteenth century, occupational status, political partisanship, population characteristics, population trends, social history, social integration, twentieth century, vital statistics
Geographic Coverage: England, Global, Great Britain, Ireland, Northern Ireland, Scotland, United Kingdom, Wales
- 1851--1966
- 1969--1970
Sample: Data were collected for all 118 counties at 11 points in time between 1851 and 1966.
census data, election returns, and Registrar General's reports on births, deaths, and marriages
Original ICPSR Release: 1984-06-28
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text:
Heading out in about 30 minutes...breakfast with my sister and then we will go from there for a bit...
Winds are suppose to pick up after noon...I just hate riding in high winds...
Heading out in about 30 minutes...breakfast with my sister and then we will go from there for a bit...
Winds are suppose to pick up after noon...I just hate riding in high winds...
Did 350 miles yesterday,just to see if i could after being sickly most of the winter.Was pretty tired when i got home,but not any worse than the first ride usually brings..Ed
Ed Baker
Good ride. Down to the Little Red Schoolhouse area. Run around the Saganashkee, over to Lemont and home again.
All bikes up and running. Will need to visit a dealer and get the periodic maintenance done. Then good to go!
Did well over 150 miles yesterday and at some points could really feel the wind gusts moving my bike around.
Out the door at 5:30am, down the Eisenhower to Lake Shore Drive and that is where I could really feel the wind. On and off LSD up to Hollywood for breakfast and the Shuffle and then back on expressways out to DeKalb and finally back to Downers Grove.
Nice ride but at some points the wind was pretty bad.
Secretary--Chicago Region BMW Owners Association.
The F8ST did quite well in the wind, I was surprised. I guess it presents a smaller profile than my RT. In a crosswind it was quite stable. Surprisingly the most bouncing I got was when I was headed into the wind.
Sure did feel good to be riding again.
I managed 385 miles Sat. Worked Sunday....
HoneyDo list killed me on Sunday. Rolled the tanker out on the driveway and had a few people stop and talk.
I got a no time to ride at the moment but i will try to get out on the bike this weekend.
To many bikes to get ready and everyone wants it "now".
I am out till 5/4. Hope I don't miss anything REALLY good!
So,who pissed off the weather man this morning?????


text:
HORNADY MFG CO Rifle Bullets
Hornady Rifle Bullet 22 Cal. 53 Grain Hollow Point 100/Box
AMP Bullet Jackets (Advanced Manufacturing Process). Best ballistic coefficient possible. Profile delivers low drag and flat trajectories. Swaged lead core provides uniformity and consistency. Unmatched accuracy at long distances.
SPECIFICATIONS:Mfg Item Num: 2250 Category: RELOADING BULLETS & COMPONENTSBullet Type :Hollow PointCaliber :22Weight :53 grQuantity :100 Per BoxBullet Material :Copper LeadBullet Coating :CopperBullet Tip Material :LeadCannelure :Core Type :


text:
How To Achieve Improved Results With The Chopart Amputation
When it becomes apparent that the current treatment is not proving effective for a debilitating disease or a trauma induced by accident or warfare, amputation is generally considered the medical intervention of last resort. Indeed, one would exhaustively consider any and all other medical alternatives to save a limb before deeming it necessary to amputate. However, once the physician has made the decision to amputate, then one has to decide on the level of the amputation. Recent advances such as newer generation antibiotics and endovascular approaches to revascularization have aided in the ability to preserve as much of the affected limb as possible from the effects of disease or trauma. The effort to preserve the foot, arguably, best illustrates that premise. Beginning from the most distal to the most proximal, amputation levels of the foot include: toe(s), ray and transmetatarsal (TMA) to preserve all or part of the forefoot and structures proximal to it; the Lisfranc procedure to preserve the midfoot and structures proximal to it; the Chopart to preserve the hindfoot; and the Symes amputation level that preserves the lower leg. The benefits of foot preservation include but are not limited to the ability to stand and to walk for short distances without any orthotic or prosthetic device and, for those who have already lost the contralateral lower limb, the ability to transfer with less effort from one place to another. Let us take a closer look at the Chopart disarticulation at the midtarsal joint between the proximal talus and calcaneus, and the distal navicular and cuboid bones. Historically, research about this level of foot amputation and viable prosthetic devices for the partial foot amputee in general have proved to be indiscriminate and controversial. As in some areas of prosthetics, such as the effective suspension of below-knee prostheses to stay on the amputee's limb throughout all phases of the gait cycle, overlaps and redundancies exist. At the Chopart amputation level, some fitting and fabrication strategies merged concepts of orthotic and prosthetic disciplines into a hybrid "prosthosis" device.
What Advantages Does The Chopart Amputation Offer?
The Chopart disarticulation was first described by Francois Chopart (1743-1795), a French surgeon. Although the procedure was initially successful, it fell into disrepute because of the equinovarus deformity that developed as a result of unopposed action of the soleus-gastrocnemius muscles and the Achilles tendon on the calcaneus and the anterior tibial tendon medially. More recently, some have advocated the Chopart disarticulation with appropriate tendon balancing over that of more distal levels such as the Lisfranc or short transmetatarsal. The rationale is that surgeons may obviate the potential equinovarus deformity via the surgical removal of the cuboid bone during the procedure.1 Accordingly, one may entertain this level as a more definitive level of choice over questionable healing or success in comparison to a more distal level. Surgical interventions have included transferring the anterior tibial tendon to the talus, and ankle and subtalar fusion using an intramedullary nail. This method affords rigid control to the rearfoot to prohibit posterior calcaneal extension.2 Other surgeons have attempted to limit the risk of plantarflexion contractures and skin breakdown by contouring the anterior talus and calcaneus bones, resecting several tendons to the neck of the talus and sustentaculum tali bones, closing the wound with an anterior placement of the plantar flap, and performing lengthening of the Achilles tendon.3 These are just a few examples of how bone fusions, tendon transfers and tenotomies have progressed over the decades to preserve and balance all or part of a complex foot structure consisting of 28 bones (about 13 percent of the bones in the body), 33 joints, more than 100 muscles, ligaments and tendons, and a network of nerves, blood vessels, skin and soft tissue. While each patient and circumstance for amputation is unique, the Chopart level amputation also has its advantages over more proximal levels. It has been well documented that cardiac demand is increased in the patient with any level lower extremity amputation. In fact, this is often directly related to increased morbidity and mortality after amputation. Accordingly, we recognize that the more distal level amputation may ultimately increase longevity. Additionally, as with any level foot or leg amputation, the psychological aspect of preserving as much foot as possible cannot be understated. The surgeon will generally know within a few weeks post-op if the surgical wound will heal successfully. However, the long-term success will clearly be dependent upon the postoperative prosthetic department fitting and patient compliance with the device.
Keys To Addressing Post-Op Complications
The difficulties with the longevity of a fully successful, rather than acceptable, outcome of the surgical procedure itself include the progressive development of equinovarus. We have seen that development despite the lengthening of the Achilles and routing the anterior tibial tendon through the talar neck. In an effort to counterbalance the varus pull of the transferred anterior tibial tendon, the podiatry department of the Miami Veterans Affairs Medical Center (VAMC) instructs its providers to transfer the peroneal tendons to the lateral wall of the calcaneus instead of just "letting them fly." When the patient presents at the amputee clinic, the talus and calcaneus remain after the Chopart amputation. The talus receives lateral and medial support from the fibula and tibia bones of the lower leg respectively, and allows dorsiflexion and plantarflexion movement as an ideal outcome. The subtalar joint joins the talus with the calcaneus permitting, ideally, medial and lateral movement of the lower leg over the heel and inversion and eversion moments of the residual foot. In short, the remaining hindfoot affords the amputee multiaxial movement and moments when it is fitted and aligned with a prosthetic, orthotic or hybrid "prosthosis" best suited to the need. That multiaxial movement is what separates the more sophisticated and costly prosthetic feet from those that are more suitable for lower activity level, below or above the knee amputees.
What You Should Know About Above Ankle Prostheses
The most important characteristics of the clinical evaluation are the activity, compliance and motivational level of the patient. It may or may not be related to the surgical outcome but the choice of the prosthetic device depends upon the patient's ability to bear weight, ambulate and perhaps even to vary cadence. However, there are two basic types of Chopart prostheses: above ankle and below ankle. Some of the above ankle designs will encase the affected limb and support the body's weight through the patella tendon and the medial flare of the tibia. Another variation of that design includes the patella tendon bearing ankle-foot orthosis (PTB-AFO), which uses a patent bottom to substitute for the foot. The former Chopart prosthesis, weighing 5 pounds or more but rarely less, uses a very rigid footplate. Both may require a shoe lift on the contralateral side to keep the limbs equal in length, and both are indicated for level 0 to 1 ambulators who cannot bear weight on the affected foot. Also keep in mind that normal gait may be compromised with either selection. Additional hip and knee flexion is not uncommon during the swing phase of the gait cycle to compensate for a partial foot restricted from total, if not partial, weightbearing and an ankle restricted or bypassed from its function in any and all spatial planes. Some practitioners have used a solid ankle orthotic in the form of a Charcot Restraint Orthotic Walker (CROW) for the Chopart amputation level. It allows for a variable amount of partial foot weightbearing since one may fabricate this device to capture the load at the patella tendon or fabricate it to bear weight within the walls of the orthotic and throughout the affected limb by using a total contact socket compression technique or a combination of the two. A rocker bottom sole allows the device to further reduce pressure to the distal, anterior aspect of the foot. However, the ankle is restricted from its function in all spatial planes. Another variation of the above ankle Chopart device is the use of a semi-rigid ankle AFO with a toe filler. The ability to bear weight completely and ambulate, as one may do with a semi-rigid AFO and toe filler, is a critical factor in selecting it over the Chopart prosthesis. One research study has shown there is an extra irregularity of weight progression during the gait cycle with the fixed ankle of the Chopart prosthesis over that of the AFO.4 Other research has shown that the Chopart clamshell prostheses with a rigid toe lever is able to restore the effective foot length and comfortably support the generation of substantial external moments during the terminal stance phase of the gait cycle to a greater degree than the below ankle, Chopart prosthetic device utilizing toe fillers and slipper sockets.5 The distinction between each study contrasts the rigid ankle, toe and foot of the Chopart clamshell prostheses with that of a semi-rigid AFO with toe filler and that of a below the ankle Chopart slipper socket with a toe filler.
Below Ankle Prostheses: Can They Have An Impact?
The second type of Chopart prostheses, orthoses or "prosthoses" involve the below ankle types. Some are characterized by a total contact, below ankle partial foot socket and a soft interface capable of providing total weightbearing. Other designs use silicone or urethane elastomer materials to combine both the socket and interface for the same purpose. Both are fabricated over a modified, positive plaster or CAD-CAM mold of the partial foot. The mold modification process accommodates pressure sensitive and loading areas of the foot. The "prosthosis" will usually include a toe filler and may include a footplate extending from heel to toe. While the effectiveness of the below ankle socket and its full length footplate is questionable at the more proximal, Chopart amputation level, they are of great benefit at more distal amputation levels (i.e. transmetatarsal).6 The below ankle prosthosis (with some variants known as slipper sockets with a toe filler) is more effective when one couples it with a running shoe or a modified shoe with a rocker bottom sole to allow easier rollover and shorter steps to effectively decrease pressures on the plantar and distal plantar surface of the foot when indicated.7 A high top shoe becomes a practical necessity for the more proximal, Chopart amputation level since it can provide very limited suspension when one solely uses it to keep the prosthosis on the partial foot of the higher activity level amputee. The major flaws of the below ankle design is that it lacks: an effective lever arm that would help to lift the partial foot; all the components used in the fabrication of the below ankle device itself; and the shoe during the swing phase of the gait cycle for level 1 to level 2 ambulators. The lack of an effective lever arm on the below ankle prosthosis, especially the slipper socket with toe filler type, compromises any benefit an energy restoring, carbon fiber foot plate would provide at toe off stance phase. It places an additional burden on the higher activity, level 2 ambulator and the result is usually additional gait deviations.
A Closer Look At The Chopart AFO 'Prosthosis'
The prosthetic department of the Miami Veterans Affairs Medical Center has designed a Chopart AFO prosthosis that combines the most functional aspects of above and below ankle Chopart devices. It is indicated for level 1 and level 2 ambulators. Research is planned to determine its suitability for level 3 ambulators who have the ability to vary their cadence during the gait cycle. Its chief distinction with other models is that it combines a posterior leaf spring AFO, an energy restoring carbon fiber footplate, which is utilized during the toe off segment of stance phase, and a custom fabricated, total contact, flexible (pelite) liner for the partial foot. The liner is contained within a partial contact carbon fiber socket. It weighs 16 oz. This "prosthosis" offers a few key features. Between heel strike and mid-stance of the gait cycle, the ground reaction force permits a plantarflexion moment between the anatomic (partial) foot and ankle. That reaction force carries over to the posterior leaf spring, the total contact flexible (pelite) interface and the partial contact, carbon fiber socket of the prosthosis. All three components work in concert to allow a plantarflexion moment that smoothes the transition between heel strike and mid-stance. The Miami VAMC Chopart-AFO prosthosis does not work against a viable, total weightbearing partial foot and ankle, and all its functions. A small amount of inversion and eversion is contained within the total contact flexible interface but that movement is mitigated with the use of a silicone, partial foot sock or similar accessory. Additionally, its design allows for axial rotation of the lower limb. However, the rigid, solid, above ankle Chopart model does not permit the patient's use of the ankle during any phase of the gait cycle, stance or swing. The posterior leaf spring of the Miami VAMC Chopart-AFO also provides the wearer with dorsiflexion assist from toe off at the end of stance phase through the swing phase of the gait cycle. The longer lever of the PLS is a great help in lifting and keeping the partial foot, the shoe and all the components of the 16-oz. prosthosis on the patient's limb through swing phase. The attributes of the energy storing, carbon fiber foot of the prosthosis are much more effective when one combines them with the longer lever arm of the PLS during the toe off phase of the stance cycle as well. The below ankle Chopart variants do not have such capabilities.
In Summary
The success of the Chopart amputation will vary widely. Orthotists and prosthetists are frequently challenged to provide an effective, functional and comfortable device to accommodate the patient's need and activity level. That need is often determined by degrees (i.e. range of motion, weightbearing tolerance, the absence of complications such as equinovarus, plantarflexion contracture, ability to walk short distances on the residual limb, etc.). A variety of orthotic, prosthetic and hybrid "prosthoses" have been designed, modified and improvised to meet that need. With so many options available and the number of partial foot amputations/ preservations rising, those in physical medicine, rehabilitation and podiatry continue their work to exploit any and every physical advantage the patient may present during the process. Mr. Zernich is a certified prosthetist (CP) working at the Veterans Affairs Medical Center in Miami. He frequently writes on orthotic, prosthetic and rehabilitative medicine subjects. Mr. Dowell is a certified, licensed orthotist-prosthetist (CPO/LPO) and laboratory supervisor at the Veterans Affairs Medical Center in Miami. Dr. Rothenberg is a Fellow of the American College of Foot and Ankle Surgeons. He is the Assistant Chief of the Podiatry Section/Surgical Services at the Veterans Affairs Medical Center in Miami. Dr. Cohen is a Fellow of the American College of Foot and Ankle Surgeons. He is the Chief of the Podiatry Section/Surgical Services and the Director of Podiatric Residency at the Veterans Affairs Medical Center in Miami.
References 1. Reyzelman AM, Hadi S, Armstrong DG. Limb salvage with Chopart amputation and tendon balancing. J Am Podiatr Med Assoc 89(2):100-103, 1999. 2. DeGere MW, Grady JF. A modification of Chopart's amputation with ankle and subtalar arthodesis by using an intramedullary nail. Foot Ankle Surgery 2005 Jul-Aug: 44(4):281-6 9, Issue 2, 100-103, 1999 3. Letts M, Pyper A. The modified Chopart's amputation, Clin Orthop Relat Res. 1990 Jul;(256):44-9. 4. Hirsch G, McBride ME, Murray DD, Sanderson DJ, Dukes I, Menard, MR. Chopart Prosthesis and Semirigid Foot Orthosis in Traumatic Forefoot Amputation: Comparative Gait Analysis 1, American J Phys Med Rehab. 75(4):283-291 5. Dillon MP, Barker TM. Can partial foot prostheses effectively restore foot length? Prosthet Orthot Int. 2006 Apr; 30(1):17-23 6. Tang SF, Chen CP, Chen MJ, Chen WP, Leong CP, Chu NK. Transmetatarsal amputation prosthesis with carbon-fiber plate: enhanced gait function. Am J Phys Med Rehabil. 2004 Feb;83(2):124-30 7. Mueller MJ, Strube MJ, Allen BT, Therapeutic footwear can reduce plantar pressures in patients with diabetes and transmetatarsal amputation, Diabetes Care. 1997 Apr; 20(4):637-41.


text:
The Psychology major offers students a chance to study why people act, think, and feel as they do. This comprehensive undergraduate program, developed in accordance with the guidelines of the American Psychological Association, is designed both for students who plan to go directly into employment upon graduation, and for those students who intend to pursue graduate studies. While many of our students pursue careers in the field of psychology, the skills and knowledge gained from the Psychology major are applicable to many different careers as well. Students have considerable flexibility in choosing courses that are most compatible with their interests and career goals.
The mission of the Psychology Program at Neumann University is to educate our students to be able to contribute to society by thinking clearly, understanding and valuing diversity, applying knowledge in service to others, and respecting the life-long search for understanding. To these ends, we teach our students to think critically, value objectivity, and communicate clearly whether speaking or writing.
For additional program information, please click here.
For additional information, please call the Office
of Admissions and Financial Aid, which coordinates the admission of
all students, at (610) 558-5616 or
(800) 9-NEUMANN or feel free to e-mail us at firstname.lastname@example.com.


text:
Alps - Western Part > Pennine Alps > Mettelhorn > Climber's Log
Mettelhorn Climber's Log
[ Sign the Climber's Log ]
|Long day
Date Climbed: Jul 5, 2008
|A long but good day up from Zermatt and back in one go.
|Posted May 30, 2017 12:43 pm
|Standard Route
Date Climbed: Jun 30, 1989
|Very nice snow hike with excellent views of the Pennine Alps from the summit.
|Posted Nov 13, 2012 6:57 pm
|Normal route
Date Climbed: Jul 13, 2005
|It was a nice training climb to get acclimatized
|Posted Aug 21, 2012 8:52 am
|Normal route Mettelhorn
Date Climbed: Sep 11, 2010
|A very long and quiet heavy hike, but very rewarding, with some amazing views to most of the highest peaks in Wallis!
|Posted Sep 16, 2010 5:23 am
|Peter K
|Route Climbed: Normal Route
Date Climbed: Jul 26, 2010
|Second acclimatization hike in Zermatt. Scottish atmosphere with fog and sheeps in the lonely Triftchumme valley. Continued to Platthorn und Wisshorn - 2200 meters altitude gain all told.
|Posted Aug 30, 2010 9:49 am
|Mettelhorn and Platthorn
Date Climbed: Aug 12, 1987
|I'm not sure any more whether it was really on the 12th of August or one or two days after, after all, this was in 1987...But I'll never forget the fantastic weather and the incredible view I had from the Mettelhorn and it's neighboring summit, the Platthorn! I actually climbed it two times, once towards the evening after arriving at the Hôtel du Trift, and then early next morning.
|Posted Dec 16, 2009 3:29 am
Date Climbed: Jul 10, 2008
|Together with Sandra! All alone on the pretty small summit. Wonderful ascent with breathtaking panorama, especially from the top of course!
Again on top on September 20, 2008 with Sascha and Johannes. Descent over Schweifinen.
|Posted Jul 11, 2008 2:52 pm
|Loong hike
Date Climbed: Jun 30, 2008
|Started at Zermatt, and about 4 hours later I was at the top of Platthorn, the neighbour peak of Mettelhorn. 1700 heightmeters from Zermatt. I felt tired and did not bother to visit both peaks as planned. Mettelhorn would be another 45-50 minutes up and down. Great views from both of these peaks of the bigger mountains in the area, especially Weisshorn.
|Posted Jul 2, 2008 2:02 pm
|Mettelhorn 3406m & Platthorn 3345m
Date Climbed: Oct 21, 2007
|Nice tour to Mettelhorn 3406m & Platthorn 3345m
my picture are here: Link to Mettelhorn 3406m
|Posted Dec 9, 2007 4:31 pm
|Normal Route
Date Climbed: Jul 11, 2006
|Great training hike. Puts you in the midst of some serious peaks, and 1800m+ will strengthen the legs (can't say the same for the knees).
|Posted Mar 11, 2007 3:25 am
|Route Climbed: Hike up from Trift Date Climbed: 23-07-2005
|Nice walk up from Trift with a great view around.
Did it in good weather.
|Posted Jul 31, 2005 11:13 am
|Route Climbed: Normal route Date Climbed: September 2001
|Stunning views of the Weisshorn and Matterhorn. Nice day hike from Zermatt.
|Posted Jan 9, 2004 5:58 pm
|andre hangaard
|Route Climbed: Normal Date Climbed: Aug 1995
|Very scenic and easy summit just above Zermatt. Great view of Matterhorn, Weisshorn and Mischabel.
|Posted Jun 30, 2003 7:33 am
|Tom Fralich
|Route Climbed: Normal Route Date Climbed: September 1, 2002
|Hiked up from Zermatt in about 3 1/2 hours. The 1800m of uphill actually goes pretty quickly. No view from the summit though, thanks to the bad weather that had been hanging over Zermatt for more than a week. Nice way to end the trip.
|Posted Sep 5, 2002 2:59 pm
|Oyvind Lind Petersen
|Route Climbed: The path from Zermatt Date Climbed: 28.July 1997.
|Summited 11 AM in a weather that allowed me to see a fair part of the 32 mountains above 4.000 meter in this area. Lot of pasta and redwine in the restaurants on the way down to Zermatt.
|Posted Oct 1, 2001 1:43 pm


text:
Letter Box
On Congress and supporting the president
Editor of the Reformer:
Senate Republican leader Mitch McConnell objects to confirming Republican Chuck Hagel as President Obama's defense secretary on the basis that Mr. Hagel agrees with the president. Have the Republicans grown so out of touch with reality that the only criteria for any job in our government is to oppose Obama? Many Republicans have achieved nothing but opposing Obama for years. That seems to be all that is in their job description.
After an election, isn't everyone supposed to get behind the president and do the work of the people? Even when it came to taking care of our war veterans, keeping our economy going, caring for the first responders of 9/11, making sure our food is safe, providing health care for all, or keeping children safe -- nothing seems important to them but opposing Obama. They've held our country hostage more than once to that aim. They've given us so many reasons to push for term limits for Congress. Its members cannot be allowed to build such name recognition and power base that they no longer earn their wages yet are endlessly re-elected.
It's way past time for our Congressional "leaders" to understand that America has spoken, twice. The people must lead, and the Congress must follow. It's time for them to start acting like adults, or retire and stop embarrassing themselves and their country.
Devin J. Starlanyl,
Chesterfield, N.H., Feb. 5
Kudos to girls hockey team
Editor of the Reformer:
Recently, I had the pleasure of watching the BUHS Varsity Girls hockey team defeat the top-ranked team in their division. One might refer to it as a "miracle" game on a local level, but this would belie both the experience and talent of some of these young women, and the power of sheer tenacity on the part of the "newbies." It was, in fact, pure sport. A sincere thank you to those in the Brattleboro area community who have contributed to the girls' fundraising efforts this past weekend, including Burrows and both local food co-ops, for allowing them to set up. If you see these young women in the coming weeks, please consider a small donation. More importantly, if you love sports, come out and watch a game at the rink. You won't be disappointed.
Lynne Shea,
For the Friends of BUHS Girls Hockey,
Brattleboro, Feb. 6
Historical Society's letter a hit
Editor of the Reformer:
It would seem that the Reformer is getting some competition from the 16-page winter issue of the Brattleboro Historical Society's letter. It may not be current news but it is full of excellent information such as the history of the Harmony Parking Lot, where if you close your eyes and think back you may see a shay at the livery stable with eisenglass curtains you can pull right down in case there's a change in the weather. It tells how to find out who drove the first nail in building your house. Or visit them and ask about it when paying your dues. A numbered airplane photo view of the downtown area helps keep readers oriented in locating landmarks mentioned in the text. Hundreds of matchcovers and post cards with thousands of photos are worth a trip to see. And we are all delighted the Reformer takes a little space to tell all about it.
George Whitney,
Brattleboro, Feb. 1
If you'd like to leave a comment (or a tip or a question) about this story with the editors, please email us. We also welcome letters to the editor for publication; you can do that by filling out our letters form and submitting it to the newsroom.


text: He wouldn't let anybody or anything stand in his way. He'd have tied Sampras, then looked to break Sampras' 14 Slams and then go gunning hard after Federer's slam tally. Djokovic RUINED everything for Nadal off clay! Everybody can see it! Basically Federer should put a flag of Djokovic up on his rooftop because Djokovic is the man who ended Nadal's dream of surpassing Federer's Slam count. You think if Nadal was at 14 Slams, he'd be taking half the year off and playing golf in Mallorca and playing poker? He'd be heavily training, going into the AO in supreme shape and ready to wage war to bag Slam #15!!!


text:
Hemsworth set to be dad to twins
Chris Hemsworth and his Spanish actress wife Elsa Pataky are expecting twins.
The couple are already parents to 19-month-old daughter India Rose.
The Thor star's rep confirmed to Us Weekly that the babies were due in the spring after Hola! first reported the news.
Fast & Furious 6 actress Elsa recently showed off her bump when she and her husband, who she married in 2010, attended Sunday's Golden Globes.
Chris, 30, and Elsa, 37, announced the pregnancy in November .
Aussie star Chris, who is due to shoot The Avengers: Age of Ultron and Snow White And The Huntsman 2, has called parenthood the "greatest thing I've ever been a part of".
"When I am at work, she's (India) what I'm thinking about, and when I'm not at work, she's who I'm hanging out with."


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Enchantments > Colchuck Peak > Colchuck Glacier > Climber's Log
Colchuck Glacier Climber's Log
[ Sign the Climber's Log ]
Date Climbed: Jul 4, 2013
|What a great day. The lake is spectacular and the views from the summit were amazing. Did it in a day and it really wore me out, but totally worth it. The talus field above the lake was brutal, but the glacier was in fine condition. Cascade peaks are hard.
|Posted Jul 6, 2013 3:26 am
|Josh Lewis
|Fun Route
Date Climbed: Jun 11, 2012
|Great for glissading too!
|Posted Mar 11, 2012 5:34 pm
|Enchantments Slam!
Date Climbed: Jun 11, 2011
|In a two-day span with great weather and great snow conditions, Gimpilator, Josh Lewis, and I summited Colchuck Peak, then Dragontail Peak, then Little Annapurna, and finally Enchantment Peak. Over 10000' of cumulative elevation gain!
Colchuck Peak was the first of what would become four Top 100 (Bulger List) Washington peaks summited in two days.
|Posted Jun 14, 2011 5:12 pm
|Multiple ascents
|Casual climb but the glacier can be dangerously icy late in season.
|Posted Jan 5, 2011 12:02 pm
|Mike Lewis
|I wish I had a camera!
Date Climbed: Mar 22, 2010
|I want to come back for Dragontail soooo bad!!! Heavy snows earlier in winter had consolidated to make for a wonderful snowclimb and great glissade. I often dream of this place.
|Posted Nov 16, 2010 3:18 am
|Fun trip
Date Climbed: Mar 20, 2010
|This one took everything, but it was well worth it!! One of my favorites!
|Posted Mar 22, 2010 8:18 am
|Colchuck Glacier
Date Climbed: Mar 2, 2010
|Was invited on this trip with EastKing. Summited in the evening with a quick glissade down.
|Posted Mar 22, 2010 1:51 am
|Cascade Scrambler
Date Climbed: Aug 30, 2009
|Had every intention of bagging Colchuck and Dragontail. Turned around less than 100 feet from the saddle between the two peaks, due to rockfall. Small stuff is bad enough, but when a microwave sized rock comes barreling down at you and you still have to downclimb it later- that's just not a game I'm playing.
|Posted Aug 31, 2009 1:05 am


text:
James "Jim" Edward Allchin (born in Grand Rapids, Michigan in 1951) is a former executive at Microsoft, where he was responsible for many of the platform components from Microsoft including Microsoft Windows, Windows Server, server products such as SQL Server, and developer technologies. He may be most known for building Microsoft's server business. After sixteen years at Microsoft, Allchin retired in early 2007 - on the day that Microsoft officially released the Windows Vista operating system to consumers. He is also known for his leading role in the architecture and development of the directory services technology Banyan VINES. He has won numerous awards through the years such as Technical Excellence Person of Year in 2001.
Allchin was born to a poor family in Grand Rapids, Michigan, in 1951. While he was still an infant, the family moved to Keysville, Florida, where his parents worked on a farm. Later Allchin and his older brother Keith also worked on the farm to help the family's finances.
While fixing equipment on the farm, Allchin developed an interest in engineering. He briefly studied electrical engineering at the University of Florida but dropped out to play in a number of bands. However he returned to the university and graduated with a B.S. in Computer Science in 1973.


text:
If first impressions are important, good real estate is a real asset for a restaurant. And Aqua, located in Bellagio Harbor Village on Little Sarasota Bay, enjoys that advantage. From the outside, it is unprepossessing — to say the least. Things get worse before they get better, because you enter through a small, dark bar — a great boaters' hangout, no doubt, but a bit of a dive. Take the elevator to the second floor, however, and you are suddenly in a handsome, glass-walled space that hints of delights to come.
At suppertime, it begins with an intriguing selection of appetizers. It is our policy to try calamari in virtually every restaurant we visit. Like crabcakes, it is widely available; it's a decent test of provision quality, cooking skill and creativity and, thus, a useful tool for comparing one place to the next. Our first experience of Aqua's crispy cornmeal-coated calamari ($8.95) was not great; the seafood was a bit tough, the coating a bit dense. Then, we tried the pico de gallo salsa and fell in love. It is a perfect balance of cool and hot, and it is not watery.
Our experience with Aqua's chopped salad ($7.95) was especially sprightly. It contains romaine, avocado, sweet corn, bell pepper, black beans, grape tomatoes and hearts of palm coated in a cilantro-lime vinaigrette. All the ingredients are chopped to a similar size, the beans are tiny and crunchy, and the dressing prompted one reviewer to purchase a cilantro plant and try it at home with limes from a neighbor's tree. The Caesar salad ($7.95) came with homemade croutons and a garnish of Sweet 100s grape tomatoes.
The server brought a steak knife with the entrée serving of short ribs ($22.95), but the meat was literally fork tender and needed no knife. The boneless ribs were blessedly not stringy, as this cut can sometimes be.
The meat was rich from its long, slow cooking and accompanied by a Cabernet mushroom ragout, which nicely balanced its abundant flavor. It's risky business ordering a Thai curry outside of a Thai restaurant, but Aqua's yellow shrimp curry ($26.96) did not disappoint. It was an off-menu special with jumbo tiger shrimp, jasmine rice and baby bok choy.
Other entrée options on the evening menu included macadamia nut-crusted mahi mahi ($23.95); grilled chicken and penne paste ($20.95); and crispy roast half duck with sundried Bing cherry glaze ($23.95). The vegetable mélange accompanying the entrées consisted of baby zucchini, carrots and a generous proportion of spinach — it was notable.
Most of Aqua's desserts are outsourced. The crème brulée ($5.95) is made in house, however, with a good-quality vanilla. It comes to table with the appropriately crisp top and an abundant garnish of blueberries, raspberries and strawberries. Aqua's Key lime pie ($5.95) comes from an outside kitchen — but a perfectly respectable one. Yes, there is a chocolate option: layered chocolate-mousse cake ($5.95).
Service is professional and friendly; additional staff deliver the food orders, assuring that they get to the table hot, and special requests are cheerfully acknowledged and fulfilled.
Aqua's chef is Matthew Passalacqua, whose local experience includes Ophelia and Mattison's City Grille. He speaks a lot of culinary languages: Italian, classic French, Thai, Mexican and more. The dishes we sampled suggest impressive fluency in all of them.


text:
The Naval Supply Systems Command's (NAVSUP) Postal Policy Division mail-by dates for pre-Dec. 25, delivery of holiday cards, letters and packages have been announced.
The dates are as follows:
Shore APO/FPO/DPO AE zips 090-098 (except 093); AA zips 340; AP zips 962-966:
• Express Mail: Dec. 17.
• First-Class Mail (letters/cards and priority mail): Dec. 10.
• Parcel Airlift Mail: Dec. 3.
• Space Available Mail: Nov 26.
• Parcel Post: Nov. 13.
Shore APO/FPO/DPO AE ZIP 093:
• Express mail Military Service: N/A.
• First-Class Letters/Cards/Priority Mail: Dec. 3.
• Parcel Airlift Mail: Dec. 1
• Space Available Mail: Nov. 26
For mail addressed from all shore FPOs (except 093):
• Express Mail Military Service: Dec. 17.
• First-Class Mail (Letters/cards, priority mail): Dec. 10.
• Space Available Mail: Nov. 26.
Express Mail Military Service (EMMS) is available from selected military post offices. If mailing to an APO/FPO address, check with your local post office to determine if this service is available.
Parcel Airlift Mail (PAL) is a service that provides air transportation for parcels on a space-available basis. It is available for Parcel Post items not exceeding 30 pounds in weight or 60 inches in length and girth combined. The applicable PAL fee must be paid in addition to the regular surface rate of postage for each addressed piece sent by PAL service.
Space Available Mail (SAM) refers to parcels mailed to APO/FPO addresses at parcel post rates that are first transported domestically by surface and then to overseas destinations by air on a space available basis. The maximum weight and size limits are 15 pounds and 60 inches in length and girth combined. From overseas locations, items mailed at Parcel Post rates are sent to CONUS by air on a space available basis. The maximum weight and size limit are 70 pounds and 130 inches in length and girth combined.
It is also recommended that customers check with their local civilian or military post office for information on size restrictions and possible need for customs declaration forms. Additionally, customers are advised that certain mail restrictions apply and some items cannot be mailed. Examples are: switchblade knives, pornography, controlled substances and explosive or incendiary devices. If in doubt as to what can or cannot be sent through the mail, contact your local civilian or military postal authorities. As a final note, customers are cautioned that packages must not be mailed in boxes that have markings related to any type of hazardous material, such as bleach, alcohol or cleaning fluids. Parcels found by the U.S. Postal Service with such markings or labels on the outside of the box will not be processed.
The NAVSUP and Navy Supply Corps team share one mission—to deliver sustained global logistics capabilities to the Navy and Joint warfighter. NAVSUP/Navy Supply Corps' diverse team of more than 25,000 civilian and military personnel oversee a diverse portfolio including supply chain management for material support to Navy, Marine Corps, joint and coalition partners, supply operations, conventional ordnance, contracting, resale, fuel, transportation, security assistance and quality of life issues for the naval forces, including food service, postal services, Navy Exchanges and movement of household goods. The NAVSUP/Navy Supply Corps team forms a vast network of professionals who deliver unparalleled products and services to customers in the fleet and across the world.
For more information, visit www.navy.mil, www.facebook.com/usnavy, or www.twitter.com/usnavy.
For information on VA benefits, call or stop by the Archuleta County Veterans Service Office, located at the Senior Center in the Ross Aragon Community Center.
The office number is 264-4013, fax number is 264-4014, cell number is 946-3590, and e-mail is firstname.lastname@example.com. The office is open from 8 a.m. to 4 p.m., Monday through Friday. Bring your DD Form 214 (Discharge) for applications to VA programs or benefits for which the veteran may be entitled to enroll, and for filing in the Archuleta County VSO office.
The following veterans groups meet in Pagosa Springs:
American Legion Post 108: second Wednesday of the month, 7 p.m., 287 Hermosa Street.
Veterans for Veterans: every Tuesday, 10 a.m., Quality Inn.
Women's Group of Spouses of Veterans: every other Monday, 6 p.m., St. Patrick's Episcopal Parish Hall, 225 S. Pagosa Blvd. Contact Charlotte, 731-1025.
Point Man Ministry (veterans): every Thursday, 9 a.m., Buffalo Inn.
Durango VA Outpatient Clinic: 247-2214.
Farmington VA Center: (505) 327-9684.
The Veterans Crisis Line offers free, confidential support to veterans in crisis, as well as their family and friends 24/7, 365 days a year. Call (800) 273-8255, chat online, or text 838255.


text:
Should Upton Start Shopping for Luggage?
Coming into the 2011 Tampa Bay Rays
season, I knew it was a make or break season for the future of Rays
CF B J Upton. The way he performed in the field and at the plate
early on in this 2011 season could ultimately decide if he stayed or
left the Rays via a trade either at the Trade Deadline, or if the
Rays fell out of post season contention.
Ultimately the Rays did not feel
overwhelmed coming into Spring Training by Upton's salary of $ 4.825
million while also subtracting the high salaries of SP Matt Garza and
SS Jason Bartlett instead of the wishy-washy tendencies both at the
plate and on base of Upton.
Some say the Rays were holding onto
Upton for 2011 hoping his trade stock would rise so they could
package him in the same way they did Garza with the Cubs this Spring,
or for additional possible Bullpen pieces for 2012. With Upton
entering his last and final arbitration this off season.
If Upton does hit his stride finally
providing ample hitting and smarter base running to go with his solid
defense, it could solidify his sport on the Rays 2012 roster. But
then again, who would have thought Bartlett and Garza would be
wearing National League jerseys in 2011 when the 2010 post season
You have to also wonder what the Rays
brass is thinking right now with LF Sam Fuld, who has been a career
CF in the minors leading the AL in stolen bases ( 10 )and 4th
in hitting ( .365) heading into Sunday's finale in Toronto. The
emergence of Fuld could hasten the potential of an Upton deal knowing
Fuld would makes only $ 418,300 for the 2011 season compared to
Upton's escalating salary.
Do not forget the Rays have another
budding OF star currently hidden down in Triple-A Durham in Desmond
Jennings who most thought had a more than moderate chance to crack
the Rays roster this Spring before Fuld began his legendary run.
Jennings is currently hitting .241 with the Bulls with 5 SB and 2
Home Runs.
Having spare parts in their farm system
to interchange with Upton if the Rays want to unload another possible
$5 million plus salary for 2012 is just another intriguing part of
the whole Upton equation. With Fuld and Jennings showing they can
play CF, it has to put a bit of pressure on the organization to
possibly make some sort of " fishing expedition" to see what
Upton could net the Rays in terms of players or prospects.
With the Washington Nationals currently
scouting Upton, they are one of a few teams sending team officials
out watching Upton on the road or at home. As the season unfolds,
Upton will either show his value, or the Rays might finally cut their
ties with their former First Round pick. But people fail to remember
Upton is still only in his mid-20's, even younger than Fuld.
Upton is currently sitting about normal
for him at a .219 average with 2 HR and 7 RBI, but his base running
in the early games of the season tended to push the needle closer to
a trade than the Rays retaining Upton for the full season.
But Upton is one of the Rays leaders in
the clubhouse even if he is not currently a intimate part of the Rays
marketing plan for this season. If you take the Rays marketing
direction in consideration, besides the Sunday, June 19th
bobblehead promotion, Upton's name has seen limited exposure. The
fact the promotion is just a couple of weeks before the Trade
Deadline has it's own interesting twist.
All in all you are either a Upton
supporter or a critical vocal partner. Sure the guy has not been the
most model MLB outfielder in respect to power and hitting potential
for the Rays, but people forget he has also been more than willing to
change from his original SS position to wander around the Rays
infield before finally landing at home in CF.
You either believe Upton still has
further MLB potential, or that he has peaked as a player. With Carl
Crawford heading to the confines of Fenway Park for 2011 you had the
realization that this might be Upton's year to shine and show he has
matured and taken the next step in his development.
But Fuld's sudden cult following has
overshadowed Upton and possible given him another chance to lay low
and not be held totally accountable at times at the plate. For this
Rays team to get another chance to hit the post season party, Upton
has to be a vital part of the team, a contributor of the highest
order and a bright light in the clubhouse.
If not, the decision is made easier by
the Rays brass and Upton possibly could be wearing something other
than a Rays jersey by August 1st. I have posted before
that it is Upton's time to "put up or shut up", now it is time
for Upton to sprint out from under the Fuld media umbrella and show
again he is the veteran here. Either that or Upton has better buy
some good luggage for his journey somewhere else.


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Took my bike in for a warranty problem (clock not working) and it was supposed to be a quick fix and I had some errands to run, so I asked for something to test drive to my errands.
They had an X-Moto on the floor and since I am 6'3" and my feet could touch the ground (it is a tall bike) I asked to take it for a spin. It was interesting, but not to my liking. I really felt that I was sitting ON the bike, not IN the bike like when I am on the Rockster. I felt disconnected from it if you know what I mean.
Speaking of sitting - ouch - the seat busted my butt for sure. (It is worth noting that I ride on a stock seat and have for 28k, so it is not like I am used to some uber luxury seat-wise.) I probably put on 40-50 miles or so, but I was happy to get off that saddle.
All in all, the bike is cool looking and kind of a fun ride, but I prolly would not buy one anytime soon. There was plenty of power to be had and the view was great (the seat is something like 35 inches or more in the air.) It would be good as an urban street warrior - real narrow so you could split lanes and all.
Anyone else ridden one of these?


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News from ILEETA 2010: Yesterday, today, and tomorrow
Afternoon sessions included an examination of off duty safety for officers and their families and a comparison of the Columbine and Virginia Tech incidents
After attendees had raided the neighboring room for a sufficient number of chairs to accommodate the packed conference room, PoliceOne Columnist and Street Survival Seminar Instructor Betsy Brantner Smith began her excellent session on training for off duty survival for officers and their families. Drawing from the philosophy of teaching by storytelling, and using numerous real world stories to drive home her points, the discussion centered on seven fundamental elements:
• Preparedness & Mindset
• Revenge Threats
• Off Duty Attire
• Off Duty Weapons
• Responding to Uniforms
• Values Resolutions
• What About My Family?
"Most law enforcement training focuses on getting you home in one piece at the end of you shift, and yet sixteen percent of police officer murders occur off duty," She began. "Our families really don't get us, and we really don't get our families and one of the reasons is we don't bring our families into our world. We don't teach them about off duty survival — we don't talk to them about what we're thinking and what we're trying to do when we're off duty. How we're trying to keep them safe and trying to keep ourselves safe. This class grew out of that fact, and that's what I want to share with you here at ILEETA."
For the next 120 minutes, Smith displayed dozens of images of cops who were murdered while off duty — from an incident in Baltimore in the 19th century to cases in which many of the people in attendance personally knew the police officers killed. Two hours could not have passed more quickly, as heartbreaking stories of tragedy were carefully balanced against inspiring tales of trimph, and peppered with occasional uproarious laughter. Familiar videos from Buck Savage and Calibre Press the Street Survival Seminar were intertwined with clips from South Park and advertisements from "the Trunk Monkey" campaign and other Internet video sensations.
At the of her talk, Brantner Smith focused in on the final, and in some ways, most important of the seven elements she introduced at the top of her talk: "What about my family?'
Among the many hard-hitting lessons in this segment, she said that officers should help ensure that their family members:
• never reveal or alert others to your police status
• know to always walk on your non-gun side
• understand your body language and commands
• be able to distinguish between cover and concealment
• understand and be prepared to use calming techniques
• and know how to alert you to danger when they see it
Suffice it to say that if you've ever got the opportunity to talk with her about the topic, be prepared to spend some significant time listening and learning.
Following the session, the tide of attendees ebbed into the hallway overlooking the south parking lot, where many of us were delighted to discover that a demonstration the Safariland Wallbanger was about to get underway outside.
Sandy Wall, a 28-year veteran of the Houston Police Department and the inventor of the innovative breaching device, had set up a door to demonstrate the capabilities his tool gives to SWAT teams.
"I look at it the same as you would the game of golf. You would not take just one club along to play a round of golf—you've got different clubs for different shots you'll need to take. This device does not replace explosive breaching, nor does it eliminate the need for manual ram or shotgun breaching. This is just another tool in your bag you can choose from, depending on the situation," Wall said.
With a "Fire in the hole!" one Safariland colleague alerted attendees in the conference hall all about twenty yards away while another shouted the same warning to anyone unaware in the parking lot, Sandy readied the Defense Technology flash-bang in the "door key" attachment at the end of the 22-pound device.
Then, boom — door no longer closed or locked.
I then visited the wonderful folks at VirTra Systems, who had set up their high-definition training simulation equipment in a small conference room.
VirTra's Brian Wardell set the simulator system up with a scenario, and proceeded to watch me fall almost immediately into the trap of auditory exclusion and tunnel vision. The system, which can offer a nearly countless variety of scenarios, put me at an unknown trouble call atop a parking structure. The discomfort of the Threat-fire safe return fire system was just enough negative reinforcement to know I had quickly failed that exercise. By the third scenario, which was admittedly less complex, I had dropped all three gunmen with multiple hits each.
With a price tag of just more than $150,000 — far less than what I had expected it to be — it's unsurprising that the system has already been adopted by dozens of police agencies in the United States.
Yesterday after the opening ceremonies, I had the opportunity to listen to an excellent presentation by James Burke on the similarities between the Columbine and Virginia Tech school active shooter incidents, and what those similarities mean for educators, school administrators, and law enforcement. Burke referenced PoliceOne Columnist Dan Marcou and his Five Phases of the Active Shooter.
1. Fantasy Phase
2. Planning Phase
3. Preparation Phase
4. Approach Phase
5. Implementation Phase
A future feature will further detail Burke's presentation, but meanwhile, here is some food for thought: Among the 900 pages of writings and drawings created by Eric Harris and Dylan Kleibold during the Fantasy Phase of their attack, were reports written for school about Charles Manson and Nazism. There was even a short story written by Kleibold about a man in a black trench coat who is taunted by and kills people he identified as "preps," which was likely to be code for the students he and Harris targeted on that day 15 years ago this week.
In the case of Seung-hui Cho at Virginia Tech, suicidal and homicidal ideations had been identified by Cho's middle school teachers, and writings connected to the Columbine shootings during his 8th grade year of school. Cho had even written a paper for one of his Virginia Tech creative writing classes that centered on a young man who hates the students at his school and plans to kill them and himself. The writing contained numerous parallels to the events of April 16, 2007 as well as the recorded messages later sent to NBC News.
At the core of his talk, Burke urged attendees to bring back to their PDs the understanding that a greater level of dialog between police and the teachers and administrators at Cho's, Kleibold's and Harris' schools.
Tomorrow, Burke will be one of several video interviews I will conduct with PoliceOne video crew. I'll also speak with Firearms Columnist Dick Fairburn, Driving Columnist Travis Yates, Contributor John Bennett, and noted police psychology expert Alexis Artwohl. Watch out for those segments in coming weeks on PoliceOne.
It's about time for me to head out to the Hospitality Suite. See you online next time...


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DETROIT - It is Daylight Saving Time! We "Fall Back" one our Saturday night/early Sunday morning. Also, now is an excellent time to change the batteries in smoke detectors and carbon monoxide detectors.
After midnight, it becomes drier but colder by Sunday morning. Skies will be mostly cloudy as the mercury falls to the freezing mark.
Sunday will be colder with morning lows in the low 30s and afternoon highs in the low 40s.
Blue skies continue to reign Monday, but it remains chilly. Morning lows will be in the low 30s for students going back to school and workers returning to the office. Afternoon highs will be near 50 degrees.
Election Day, Tuesday will be mostly drier and not as cold for voters. Mother Nature is helping all registered voters to get out and do their duty. Skies will be mostly to partly sunny with temps near 40 degrees by daybreak and near 55 degrees in the afternoon.
Your latest weather forecast is always on Local 4?s new, FREE ClickOnDetroit app . Check your app store.
Weather links:
Copyright 2013 by ClickOnDetroit.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text: Re: Is is wrong... For one birthday, I stopped by a bar/restaurant chain (Chili's, I think). The bartender said, "What'll you have?" I said, "It's my birthday, I just hit 40, give me an old fashioned." I guess he liked the comeback, or maybe it was policy, but the drink was free. He got twice the regular cost of the drink as a tip.


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Recipe revealed - Pistachio Cream Cake from The Cottage Cafe, Bakery & Tea Room
Ever since The Cottage Cafe, Bakery & Tea Room 's five-star review appeared in Bluffton Today's Table Scraps' restaurant review column, you've been pleading with me to try and get The Cottage's recipe for their Pistachio Cream Cake -- called "stellar" by the newspaper's Undercover Eater. So, I asked owner, chef and baker Leslie Rohland if she'd be willing to share her recipe with readers and guess what? Leslie said, "Yes, I'll share my recipe!" Besides typical cake ingredients like flour, butter, sugar and eggs, Leslie's recipe calls for sour cream, chopped pistachio nuts and pistachio paste -- an ingredient that can be difficult to locate if you don't know where to look. King Arthur Flour (www.kingarthurflour.com; 1-800-827-6836) carries Love 'n Bake Pistachio Nut Paste $9.95 for 11 ounces -- and worth every penny, I promise, or you can purchase it directly from the manufacturer, American Almond Products Company (www.americanalmond.com).
Look for The Cottage's five-star recipe on Wednesday (9/12) and don't wait for a special occasion to make it. The Cottage is located at 38 Calhoun Street, Old Town. For hours, call 757-0508.


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you totally made my night, those interviews.
the french one, I LOVED IT!
that first laugh, haha omg, I want to jump on him.
and after he starts talking and then cracks up. So cuteee.
I think I viewed it like 10 times.
Oh, and that sex stare at the end.. Dear lord.
WTF got into the boy's hair in that second interview?
OH MY GOD. It's like a bird's nest. Hahahahaha.
After seeing that one, I totally believe he said that thing
to the girl in the NY Daily News Article. Hahaha.


text:
New Non-Surgical Breast Lump Treatment
Offering Women an Excellent AlternativeBy: Roxanne Jones
Right before she relocated from North Carolina to Palm Desert earlier this year, Jennifer Elliott, 47, underwent a routine mammogram that detected a mass in her breast. Her doctor was confident that it was a benign breast tumor called a fibroadenoma — the most common type of breast lump. In fact, 1.5 million women are diagnosed with breast fibroadenomas every year.
"I decided to have it taken care of after I moved," says Elliott. "So once I got here, I scheduled an appointment with a surgeon who was going to biopsy the tumor [to confirm it was benign] and remove it. However, my appointment was cancelled because the surgeon left the practice and I was referred to the Eisenhower Schnitzer/Novack Breast Center.
"It's amazing how things work out," she adds, "because at the Breast Center, I learned about a procedure called cryoablation for which I might be a candidate instead of having surgery to remove the lump."
Cryoablation is a non-surgical procedure during which the physician uses ultrasound imaging to guide a small hollow needle (also called a probe) into the fibroadenoma, under local anesthesia. Liquid nitrogen is injected through the needle, freezing the tumor to minus 160 degrees Centigrade, which destroys the tissue. The procedure — which takes just 10 to 15 minutes — is virtually painless.
"After the needle is removed, the tumor decreases in size during the next three to six months and eventually disappears as it is absorbed naturally by the body," explains John Cutrone, MD, a Board Certified Radiologist specializing in breast imaging and Medical Director of the Eisenhower Schnitzer/Novak Breast Center. "The patient doesn't need general anesthesia, and the scar from the needle is tiny — about one quarter of an inch — versus one-to-two inches with surgery."
Fortunately, a needle biopsy confirmed that Elliott's tumor was a benign fibroadenoma, and she was a candidate for cyroablation. In fact, she became the very first patient to undergo the procedure at Eisenhower, which earlier this year became the first hospital in the desert to acquire a state-of-the-art cryoablation system called IceSense3™.To schedule a mammogram at Eisenhower Schnitzer/Novak Breast Center, call 760-773-2038.


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A former Durango resident sought for child molestation was arrested Wednesday in Oklahoma on a similar charge.
The local cases came to light while Christopher Alan Jones, 37, was on the run after escaping from Durangos Hilltop House correctional facility early last year, La Plata County Sheriffs investigator Tom Cowing said Friday.
Jones, who lived in Durango from 2004 to 2011, was at Hilltop for vehicular assault in 2010, Cowing said.
While Jones was eluding authorities, two sisters, now 20 and 16 years old, told investigators that Jones molested them starting when they were 7 years old, Cowing said. The molestation lasted into their early teens, the victims said.
The alleged molestation occurred in both in La Plata and Pottawatomie (Okla.) counties, Cowing said.
Jones was arrested in Pottawatomie County on suspicion of molesting a girl there and for the La Plata County escape.
Cowing would like to talk to anyone with information about Jones, particularly if it involves sexual contact with children. He can be reached at 382-7045.
Jones probably will face charges in Oklahoma and then be extradited to La Plata County to face two counts of sexual assault on a child and escape from a correctional faility, Cowing said.
It would be determined later how and where he would serve time, Cowing said.


text:
Shop oil painting and other arts on DHgate.com
Tag Search: urators
Posted on : August 12, 2013
Jurors: Jeremy Adams, CUE Art Foundation, New York; Janet Dees, SITE Santa Fe; David S. Rubin, San Antonio Museum of Art.rnrnPrizes: $10,000 USD (1 artist will receive $5,000 USD and 5 artists will each receive $1,000 USD). Dave Bown Projects will be buying works of art from artists as submissions are received.rnrnSelection Process: Early entries are encouraged. Previewing will occur on a daily and weekly basis by Dave Bown Projects as submissions are received.


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Effective Date: September 23, 2013
We are required by law to protect the privacy of your health information, and to provide you with a copy of this Notice. If you have any questions about this Notice or would like further information, please contact our Privacy Officer's Designee in the Patient Relations Department at 718 283-7212.
This Notice describes the health information privacy practices of Maimonides Medical Center, its medical staff, and affiliated health care providers that jointly provide health care services with our hospital. The privacy practices described in this Notice will be followed by: (1) any health care professional who treats you at any of our locations, including our Ambulatory Health Services Network; (2) any employee, student, trainee or volunteer, at any of our locations, including our Ambulatory Health Services Network; (3) any employee, medical staff, trainee, student or volunteer at MMC Pharmacy, Inc. or Infusion Options, Inc.; and (4) any business associates of our hospital, of MMC Pharmacy, Inc. or Infusion Options, Inc. Your private physician may have different privacy practices regarding the use and disclosure of your health information related to care provided at his/her office.
We are committed to protecting the privacy of information we gather about you while providing health-related services. Some examples of protected health information are:
When combined with:
We explain below how we may use and disclose your health information without your written authorization.
Treatment. We may share your health information with doctors, nurses, technicians or other health care providers at the hospital and its affiliated faculty practices who are involved in taking care of you, and they may in turn use that information to diagnose or treat you. A doctor at our hospital may share your health information with another doctor inside our hospital, or with a doctor at another hospital, to determine how to diagnose or treat you. Your doctor may also share your health information with another doctor to whom you have been referred for further health care. Our different departments and health care practitioners may share your health information in order to provide and coordinate services such as prescriptions, lab work and x-rays. Our faculty, students, volunteers and trainees will have access to your health information for training and treatment purposes as they participate in continuing education training, internships and residency programs. We also may disclose health information about you to people outside the Medical Center who may be involved in your medical care after you leave the Medical Center, such as physicians who will provide follow-up care, physical therapy organizations, medical equipment suppliers, home care agencies, health homes and skilled nursing facilities.
Payment. We may use your health information or share it with others so that we may obtain payment for your health care services. For example, we may share information about you with your health insurance company in order to obtain reimbursement after we have treated you, or to determine whether it will cover your treatment. We may share your information with other providers and payors for their payment activities, such as an ambulance company.
Business Operations. We may use your health information or share it with others in order to conduct our business operations which include internal administration, planning, and various activities that improve the quality and cost-effectiveness of the care that we deliver to you, such as performance improvement, utilization review, internal auditing, accreditation, certification, licensing, educational and credentialing activities. For example, we may use your health information to conduct patient satisfaction surveys, to evaluate the performance of our staff in caring for you, or to educate our staff on how to improve the care they provide for you. We may disclose your health information to our patient representatives and other staff in order to resolve any complaints you may have and ensure that you have a comfortable visit with us. Finally, we may share your health information with other health care providers and payors for certain of their business operations if the information is related to a relationship the provider or payor currently has or previously had with you, and if the provider or payor is required by federal law to protect the privacy of your health information.
Appointment Reminders, Treatment Alternatives, Benefits And Services. In the course of providing treatment to you, we may use your health information to contact you with a reminder that you have an appointment for treatment or services. We may also use your health information in order to recommend possible treatment alternatives or health-related benefits and services that may be of interest to you.
Fundraising. To support our business operations, we may use demographic information about you, including information about your age and gender, where you live or work as well as the dates that you received treatment, the department of service, your treating physician, outcome information and your health insurance status in order to contact you to raise money to help us operate. We may also share this information with a charitable foundation that will contact you to raise money on our behalf. If you do not want us to contact you for fundraising efforts, you may contact the Development Office at 718 283-8200.
Business Associates. We may disclose your health information to contractors, agents and other business associates who need the information in order to assist us with providing treatment or obtaining payment or carrying out our business operations. For example, we may share your health information with a billing company that helps us to obtain payment from your insurance company. We may share your health information with medical transcriptionists and copy services which assist us with copying your medical records. If we do disclose your health information to a business associate, we will have a written contract requiring that our business associate protect the privacy of your health information.
2. Patient Directory/Disaster Relief Organizations/Family and Friends
Patient Directory. If you do not object, we will include your
name, your location in our facility, your general condition (e.g., fair,
stable, critical, etc.) and your religious affiliation in our Patient
Directory while you are a patient in the hospital or at any of our
facilities. This directory information, except for your religious
affiliation, may be released to people who ask for you by name. Your
religious affiliation may be given to a member of the clergy, such as a
priest or rabbi, even if he or she doesn't ask for you by name.
Disaster Relief Organizations. We may disclose your health
information to disaster relief organizations such as the Red Cross to
assist your family members or friends in locating you or learning about
your general condition in the event of a disaster.
Family and Friends Involved In Your Care. If you do not object,
we may share your health information with a family member, relative, or
close personal friend who is involved in your care or payment for that
care. We may assume you agree to our disclosure of your health
information to your spouse when you bring your spouse with you into the
exam room or the hospital during treatment or while treatment is
discussed. We may also notify a family member, personal representative
or another person responsible for your care about your location and
general condition here at the hospital, or about the unfortunate event
of your death. In some cases, we may need to share your information with
a disaster relief organization that will help us notify these persons.
3. Public Need
We may use your health information, and share it with others, to comply
with the law or to meet important public needs that are described below.
As Required By Law. We may use or disclose your health information if we are required by law to do so. We also will notify you of these uses and disclosures if notice is required by law.
Public Health Activities. We may disclose your health information to authorized public health officials (or a foreign government agency collaborating with such officials) so they may carry out their public health activities. For example, we may share your health information with government officials that are responsible for controlling disease, injury or disability.
Victims Of Abuse, Neglect Or Domestic Violence. We may release your health information to a public health authority that is authorized to receive reports of abuse, neglect or domestic violence. For example, we may report your information to government officials if we reasonably believe that you have been a victim of such abuse, neglect or domestic violence. We will make every effort to obtain your permission before releasing this information, but in some cases we may be required or authorized to act without your permission.
Health Oversight Activities. We may release your health information to government agencies authorized to conduct audits, investigations, inspections and licensure of our facilities. These government agencies monitor the operation of the health care system, government benefit programs such as Medicare and Medicaid, and compliance with government regulatory programs and civil rights laws.
Product Monitoring, Repair And Recall. We may disclose your health information to a person or company that is regulated by the Food and Drug Administration for the purpose of reporting about problems with products.
Lawsuits And Disputes. We may disclose your health information if we are ordered to by a court or administrative tribunal that is handling a lawsuit or other dispute.
National Security And Intelligence Activities Or Protective Services. We may disclose your health information to authorized federal officials who are conducting national security and intelligence activities or providing protective services to the President or other important officials.
Military And Veterans. If you are in the Armed Forces, we may disclose health information about you to appropriate military command authorities for activities they deem necessary to carry out their military mission. We may also release health information about foreign military personnel to the appropriate foreign military authority.
Inmates And Correctional Institutions. If you are an inmate or you are detained by a law enforcement officer, we may disclose your health information to the prison officers or law enforcement officers if necessary to provide you with health care, or to maintain safety, security and good order at the place where you are confined. This includes sharing information that is necessary to protect the health and safety of other inmates or persons involved in supervising or transporting inmates.
Workers' Compensation. We may disclose your health information for workers' compensation or similar programs that provide benefits for work-related injuries.
Coroners, Medical Examiners And Funeral Directors. We may disclose your health information to a coroner or medical examiner. This may be necessary, for example, to determine the cause of death. We may also release this information to funeral directors as necessary to carry out their duties.
Organ And Tissue Donation. We may disclose your health information to organizations that procure or store organs, eyes or other tissues.
Research. We may use and disclose your health information without your written authorization if we obtain approval through a special process to ensure that research without your written authorization poses minimal risk to your privacy. Under no circumstances, however, would we allow researchers to use your name or identity publicly. We may also release your health information without your written authorization to people who are preparing a future research project, so long as any information identifying you does not leave our facility. We may share your health information with people who are conducting research using the information of deceased persons, as long as they agree not to remove from our facility any information that identifies you.
To Avert A Serious And Imminent Threat To Health Or Safety. We may use your health information or share it with others when necessary to prevent a serious and imminent threat to your health or safety, or the health or safety of another person or the public. In such cases, we will only share your information with someone able to help prevent the threat. We may also disclose your health information to law enforcement officers if you tell us that you participated in a violent crime that may have caused serious physical harm to another person (unless you admitted that fact while in counseling), or if we determine that you escaped from lawful custody (such as a prison or mental health institution).
Law Enforcement. We may disclose your health information to law enforcement officials for the following reasons:
To comply with court orders or laws that we are required to follow;
To assist law enforcement officers with identifying or locating a suspect, fugitive, witness, or missing person;
If you have been the victim of a crime and we determine that: (1) we have been unable to obtain your agreement because of an emergency or your incapacity; (2) law enforcement officials need this information immediately to carry out their law enforcement duties; and (3) in our professional judgment disclosure to these officers is in your best interests;
If we suspect that your death resulted from criminal conduct;
If necessary to report a crime that occurred on our property; or
If necessary to report a crime discovered during an offsite medical emergency (for example, by emergency medical technicians at the scene of a crime).
While we will take reasonable steps to safeguard the privacy of your health information, certain disclosures of your health information may occur during or as an unavoidable result of our otherwise permissible uses or disclosures of your health information. For example, during the course of a treatment session, other patients in the treatment area may see, or overhear discussion of, your health information.
Uses or disclosures of your health information for other purposes or activities, not listed above, will be made only with your written authorization. If you provide us authorization to use or disclose health information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose health information about you for the reasons covered by your written authorization. However, we are unable to take back any disclosures we have already made with your authorization.
Most uses and disclosures of psychotherapy notes, uses and disclosures of health information for marketing purposes, and disclosures that constitute a sale of health information will be made only with your written authorization.
You have the following rights regarding health information we maintain about you:
The privacy and confidentiality of HIV-related information maintained by
Maimonides Medical Center is protected by Federal and State law and
regulations. These protections are more extensive than the protections
for your other health care information described above.
HIV-related information is any information indicating that you had an
HIV-related test, have HIV-related illness or AIDS, or have an
HIV-related infection, as well as any information which could reasonably
identify you as a person who has had a test or has HIV infection.
New York State law, confidential HIV-related information can only be
given to persons allowed to have it by law, or persons you have allowed
to have it by signing a written authorization form.
In general,
confidential HIV-related information about you may be used by personnel
within the hospital who need the information to provide you with direct
care or treatment, to process billing or reimbursement records, or to
monitor or evaluate the quality of care provided at the hospital.
Generally the hospital may not reveal to a person outside of the
hospital any confidential HIV-related information that the hospital
obtains in the course of treating you, unless: