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March 29, 2017
Physical Therapist Matthew Reynolds demonstrates the Anti-Gravity Treadmill at the Bone and Joint Institute's Center for Musculoskeletal Health open house.
Special announcement:
April 5 Make your voice heard on Hospital Day 9 a.m. to 2 p.m. Legislative Office Building in Harford We are counting on you to demonstrate the strength of our commitment to our patients and the communities we serve. State leaders are considering a budget that could be detrimental to Connecticut's hospitals and health care systems – organizations that save lives, provide stable jobs and support our towns and cities in everything they do. On Hospital Day, you can help ensure that the voice of our patients and caregivers is heard. We invite you to join us at the Legislative Office Building in Harford (next to the State Capitol) to explain the gravity of this proposal to lawmakers. The event, sponsored by the Connecticut Hospital Association, runs from 9 a.m. to 2 p.m. Even if you can only come for part of the day, you still can make a difference. We need to ensure that Hartford HealthCare is well represented. The proposed budget would weaken Connecticut's safety net and make it harder to care for our most vulnerable friends, neighbors and family members. Help send a clear message, standing up together for the people we are privileged to serve. If you can participate, please contact Kim Harrison, our vice president for government relations, at email@example.com.
Classes & Events Community Events Education, Training and Research Employee Discounts Employee Services Giving Back/Volunteer Opportunities Grand Rounds Health Professionals Human Resources Information Technology Recognition Retirements Respirator FIT Testing Program Spirituality Support Groups
Classes & Events
For a complete list of classes offered at Hartford Hospital visit the Classes & Events page here.
April 19 Care for the Caregiver: The Special Needs of Special Parents 6-8 p.m. Institute of Living Open discussion about self-care challenges, ideas, suggestions and some laughs! Light refreshments and hors d'oeuvres provided. For more information or to RSVP, contact Goviana at 860.560.1711 or email email@example.com.
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Community Events
Patient Access Personnel Week April 2-8
Celebrating Patient Access –Making Our Mark on the Patient Experience
Patient Access Week acknowledges the unique contribution Patient Access Associates have on the patient experience. Patient Access Associates are the first person patients and visitors encounter in a healthcare organization. These dedicated staff members fill the roles of receptionists, registration, insurance verification, financial counseling, and scheduling in the health care organization.
May 7-12 Hartford Hospital Nurse's Week Basket Raffle Please let us know if your unit or department (all departments are welcome to participate) will be making a basket so we can accommodate basket storage Please do your best to make the baskets compact, lightweight and provide a list of items that are in your basket Basket raffle times will be held every day and listed on the Nurses Week Calendar of Events Please ask your staff to volunteer to help with sales, set-up and clean up Baskets are due by Friday, May 5. Contact email@example.com 860.250.2198 firstname.lastname@example.com Ext. 2-4921 / 860.384.8037 or email@example.com / 860.462.7490 to schedule a drop off time.
April 6 Free Head and Neck Cancer Screenings 1 p.m. to 4 p.m. Suite 318, Hartford Hospital Medical Office Building, 85 Seymour Street Head and neck cancer is treatable when detected early, so take advantage of a free screening with experts from the Hartford HealthCare Cancer Institute. Ear, nose and throat specialist Clinton Akira Kuwada, MD, director of the head and neck program at Hartford Hospital, will conduct the screenings. Registration is not required. For questions, call our Cancer Connect Line 855.255.6181 or visit hartfordhealthcare.org/events.
March 24-April 30 "Next to Normal" at TheaterWorks
The Hartford HealthCare Behavioral Health Network is a sponsor for the TheaterWorks show, "Next to Normal," a Pulitzer Prize and Tony award-winning musical about a mother who struggles with worsening bipolar disorder and the effects that her illness have on her family.
All Hartford HealthCare employees will receive a 15 percent discount on tickets for the show, which runs Tuesdays through Sundays starting Friday, March 24 and ending Sunday, April 30.
HHC will also partner with TheaterWorks to host community dialogues highlighting mental health and addiction. TalkBack Tuesdays feature an intimate, post-show chat with cast and special guests, including BHN experts such as BHN President Pat Rehmer, Rushford Medical Director Craig Allen, MD, and Institute of Living Psychiatrist-in-Chief Hank Schwartz, MD. HHC and Theaterworks will also host a forum during April focused on mental health parity. See the website for the TalkBack Tuesday dates.
For more information on "Next to Normal," visit www.theaterworkshartford.org. Tickets can be purchased by calling the TheaterWorks box office at 860.527.7838, Monday to Friday from 10 a.m. to 5 p.m. When calling, mention that you are an HHC employee in order to receive your 15 percent discount.
There will be (4) TalkBack Tuesday's that will take place during the Next To Normal Production. These TalkBack Tuesday's take place immediately following the show.
April 4 - Creative Team Talkbacks (Cast): Post-show chat with the cast and the creative team as they discuss the process of bringing NEXT TO NORMAL to the TheaterWorks stage.
April 11- "Where's the Casserole?" Stigma and Discrimination in Mental Health featuring Pat Rehmer MSN, ACHE, SVP, Behavioral Health Hartford HealthCare and Kathy Flaherty, Executive Director of Connecticut Legal Rights Project
April 18: "A Dose of Reality" Facing the opioid crisis in America featuring Craig Allen, MD and family member
Health and Human services has declared that we as a country are in the midst of an opioid overdose epidemic. In 2014, more than 28,000 people died from opioid overdose, and at least half of those deaths involved a prescription opioid (hhs.gov). In "Next to Normal" daughter Natalie reaches into her mother's medicine cabinet to cope. Listen in as experts connect the play to this pressing current event.
April 25: "There Will Be Light" Journey to Wellness and Recovery featuring Harold Schwartz, MD, Psychiatrist-in-Chief, Vice President, Behavioral Health, Hartford Hospital and Karen Kangas, Director of Recovery and Family Affairs, Hartford HealthCare Behavioral Health Network. Next to Normal explores many paths to wellness and recovery ending with the hope that "There Will Be Light." This talkback conversation will delve into all the ways Diana ventures to find recovery.
March 31 Donate Life Rose Ceremony 2 p.m. to 4 p.m. Flag raising at 2 p.m. Rose ceremony at 2:30 p.m. in the Gilman Auditorium Registration will be held at 1:30 p.m. in the Conklin Building.
April 5 Walk to Wellness: National Walking Day 8:30 a.m. to 9:30 a.m. Westfarms Mall Join us at the Hartford HealthCare Wellness at Westfarms Rest and Relaxation Lounge (Lower Level of Westfarms near Nordstrom). Wendy Nichols, Physical Therapist, Hartford HealthCare Bone & Joint Institute at Hartford Hospital will lead a discussion. Registration is required. Please call 1.855.HHC.HERE (1.855.442.4373) to register. A complimentary breakfast will be held at California Pizza Kitchen after the walk.
April 27, 2017 (Submission deadline February 1, 2017)
14th Annual BrainDance Awards Braindance Awards for Student Projects on Mental Illness The Institute of Living/Hartford Hospital is sponsoring an academic and art competition designed to decrease the stigma of mental illness. The BrainDance Awards encourage high school students to gain knowledge about psychiatric diseases and develop a more tolerant and realistic perspective toward people with severe psychiatric problems. The competition also aims to promote students' interest in careers in mental health care. To receive a BrainDance Award, a student must submit an academic project or an art project on themes related to severe mental illness. Projects must be submitted using a flash drive or dropbox format only (WLMP files or project files are not accepted). Acceptable video formats are .WMV or MPEG 4. Awards up to $1,000 will be given to the best submissions. The projects will be judged by expert clinicians and researchers in the field, based on: • Relevance to the issue of stigma • Creativity • Accuracy of information • Scientific rigor Projects on any theme related to severe mental illness will be considered for an award. The categories are: Scientific, Creative Expression (written or visual), and Mixed Media. All applicants, their teachers, families and classmates will be invited to an awards day celebration hosted by the Institute of Living on April 27th, 2017. This day is designed to be an educational extension opportunity and will include a lecture by a national expert on mental illness, an awards presentation, a visit to our Myths, Minds & Medicine museum on the history of mental health care and a tour of our neuro-imaging research center. Winners can present a brief synopsis summarizing their projects. All applicants are encouraged to present a poster describing their project. The student lecture and poster presentations are designed so all participants can cite their BrainDance projects on future school or job applications. To apply for the awards: please log on to: www.nrc-iol.org and follow the link to BrainDance for application forms, information and procedures. Submission deadline is February 1, 2017. The awards are coordinated by: Godfrey Pearlson, MD, Director, Olin Neuro-psychiatry Research Center and Nancy Hubbard, LCSW, Director of Outpatient and Ancillary Services. For more information: contact Nancy Hubbard at 860.545.7665 or email@example.com
May 7 Matthew Phillips 17th Annual Cut-a-Thon 9 a.m to 3 p.m. Hartford HealthCare Cancer Institute at Hartford Hospital Haircuts: $25. Walk-ins welcome. All proceeds go to Breast Cancer Research at the Hartford HealthCare Cancer Institute at Hartford Hospital.
Education, Training & Research
Clinical Trials To view the current list of Cancer Clinical Research Open studies, click here.
Cancer Clinical Research Office
View the latest open studies being conducted by the Cancer Clinical Research Office here.
Certification Courses for Healthcare Providers (BLS, ACLS, PALS, EMT, EMT-P)
CESI offers a variety of courses designed to meet the needs and schedules of busy healthcare providers. All our courses are available in a traditional classroom style format, while our BLS and ACLS courses have the additional option of using online learning through the HeartCode platform. HeartCode allows students to complete the training online at their own pace, on their own schedule, followed by a one to one and half hour skills check. We can also provide customized courses for groups of people so we can meet their specialized needs.
· HeartCode BLS through HealthStream
· HeartCode ACLS through HealthStream
· HeartCode PALS through HealthStream
· Healthcare Provider CPR Course
· BLS Instructor Course
· EMT Course
· EMT Refresher Course
· EMR Course
· ACLS Instructor Course
· ACLS Provider Course
· ACLS Refresher Course
· PALS Instructor Course
· PALS Provider Course
· PALS Refresher Course
· Paramedic Training Course
To register for any of these classes please click the following link:
For more information please visit the CESI website or contact us at 860.972.9564.
Healthcare Provider BLS Class
BLS for healthcare providers course is designed to review, organize, and prioritize information and skills needed to manage a cardiac arrest and other life treating emergencies such as airway obstructions, heart attacks and stroke and basic life support level. For more information, call 860.972.4686.
Healthcare Provider CPR Class
EMS Education offers HCP CPR training as well as ACLS training through HealthStream using HeartCode BLS or ACLS.
HeartCode allows students to complete the training online at their own pace, on their own schedule, followed by a brief skills check.
Please call EMS Education to register at 860.972.9564.
If you prefer to attend a classroom course, there are Healthcare Provider CPR Classes are held in ERD 4th Floor.
You can register for HCP CPR Classes by calling 860.545.1888.
Ongoing Research Studies
For more information on these studies, as well as other ongoing research, visit the Research Department Website at harthosp.org/research.
Employee Discounts
Discounts are set up by the recreation and discounts committee of the Employees' Council. Go to the Employee Recreation/Discounts page on the intranet for more information: http://intranet.harthosp.org/hh/docs/378?route=2
BJ's Wholesale Club What you will receive with this offer: 1. $15 off our $50 Annual Membership Fee or ($35) $25 off our $100 Annual Rewards Membership Fee ($75) 2. FREE Additional Month of Membership (total 13 months) 3. FREE Second Membership Card for a household member
Discounts on Infinity Hall Shows
HHC Employees can get an exclusive 15% discount on most shows to Infinity Hall Hartford and Infinity Hall Norfolk. Visit www.infinityhall.com for a list of the shows and to order tickets. Enter the code HHCMUSIC to receive the discount. If you prefer to go to the box office to purchase your tickets you can show your Hartford HealthCare badge to obtain the discount.
DELL Computer Discounts
Visit: www.Dell.com/mpp/hhchealth
Online Ordering and Discounts on Events at the Bushnell
HHC employees have access to a special Online Ticket Ordering Program for events at the Bushnell. This program provides the benefit of ordering individual tickets online and, if applicable, at a discounted price
Not all show dates or performances are available through this program. Tickets available up to 2 weeks prior to curtain. There is a $6 per order handling fee and $3 per ticket surcharge will be applied. All sales are final. No refunds or exchanges will be granted. Discount not applicable to previously purchased ticket. Not available in person. For questions, contact email@example.com or 860.987.5959.
Discounts on XL Center Events
HHC Employees can get a discount on most XL Center events. We will list them as they become available. Discounts vary by event. You can order tickets:
Discount at Sher's Automotive Center
HHC Employees can get a discount at Sher's Automotive Center in Hartford. Choose either 10% off all parts and labor in excess of $150, or a $50 discount towards the purchase of four tires. Shuttle service from Sher's to Hartford Hospital is available beginning at 6:30 a.m. For more information call Mike at 860.527.0185.
Discounts at Central Rock Climbing Center in Glastonbury
Hartford HealthCare employees can save 50% at Central Rock Climbing Center, 259 Eastern Boulevard, in Glastonbury. For $40 you can get an unlimited month pass, with gear and a beginner class included,normally $79. For more information, call Alex Taylor at 860.659.8260.
Discount at Sprint
For more information, call Sprint Sales at 866.639.8354 or contact Jennifer MacDonald at 203.410.2044 or email firstname.lastname@example.com
Free Entrance to Connecticut Science Center
All Hartford HealthCare staff members can get free admission into the Connecticut Science Center (a $19 value) with their employee badge.
Discounts on select events at the Mullins Center
How to Order Online: 1. Go to www.mullinscenter.com & Click on Event 2. Click "Buy Tickets Now" 3 .Enter Offer Code and Select Your Seats
By Phone: 1. Call (800) 745-3000 2. Mention Offer Code
Employee Services
Barney Employee Fitness Center Open 24/7 The center offers state-of-the-art exercise equipment and free weights, functional movement screenings and exercise programs to help you prevent injuries, weight-loss exercise programs, diet and nutrition counseling. The staff is all nationally certified. For more information, call the Fitness Center at 860.972.3077.
Special Event: Boot Camp Challenge 12 Weeks Cost $200 24 one-on-one half hour sessions Work on muscle endurance, strength, flexibility, stability, balance and core. Registration open through April 30. To register, call 860.972.3077 or email, email@example.com
Relax...It's Just Yoga Wednesdays 5:45 p.m. to 7 p.m Cost: $5 Instructor: Susan Malo, RN, MPH, RYT
Employees Council All employees are invited to attend meetings, which are held once a month. Date for general council meetings listed on the Employees Council intranet page. You can also call 860.545.3904 or email firstname.lastname@example.com to arrange a convenient date and time to meet with the chairperson of the council.
Hartford HealthCare in partnership with Iora Health provides an innovative, new primary care practice designed specifically for Hartford HealthCare employees and family members. Conveniently located at the Medical Office Building at Hartford Hospital. Stop by or click here to learn more.
Have your annual mammogram at Hartford Hospital!
Employees can get a screening mammogram as a walk-in or call 860.972.2813 to make an appointment.
What Are People Asking Stu? Stu and You email box, and he has answered all of them! To see questions and answers, go to the Stu and You page on the Intranet. No employee names are used. Got a question? Ask it. Email your question to email@example.com or use the button on the Stu and You Intranet page. You will get a response from Stu within 10 working days.
Trading Post
Swap supplies or advertise your items for sale on the Hartford Hospital Trading Post, a free online classified ad site developed for employees. You can find the Trading Post under Employee Services on the Intranet home page: http://hhblogs.hhcsystem.org/tradingpost/
Weight Watchers
Hartford Hospital Tuesdays, 11:30 a.m. to 1 p.m. Meetings will be in Dining Room B, Except on October 18, November 15 and December 20. Wednesdays 11:45 a.m. to 12:40 p.m. in Medical Office Building 85 Seymour St Suite 300. Contact Barbara Gaughan at 860 972-5807.
Giving Back/Volunteer Opportunities
Financial Assistance for Patients
Do you know a patient who is in need of financial assistance? Hartford HealthCare can provide help to patients in need. Learn more about the program and how to assist patients on HHC Connect: https://intranet.hartfordhealthcare.org/inside-hhc/patient-support)
New Donation Bin for Magazines, Books, Puzzles, and More
Bring recent magazines to the department of Volunteer Services (Bliss 109A) who will distribute them to patients and families through the book cart and waiting room areas. Decks of cards, books of crossword puzzles/word search/Sudoku are also need. Donation bins are located near the Bliss Wing elevators.
For more information, visit the United Way website.
Need some extra help this summer? Claim a student volunteer Hartford Hospital has high school and college volunteers available for the summer. Does your department need assistance? Have extra projects you would like to get done? Please email email@example.com for more information.
Grand Rounds
Grand rounds lectures take place on Thursdays from Noon-1 p.m. followed by a 15-minute Q&A session, in the Hartford Room, IOL Commons Building. (Case Conferences and resident presentations may have a slightly different schedule.) Check our website for updated information regarding these lectures. For more information about Professional Education at the IOL contact John Goethe, MD, or visit the IOL's website.
IOL Psychiatric Grand Rounds
To view information about IOL Psychiatric Grand Rounds, click here. Department of Surgery Grand Rounds April 24 "Twenty-five Years of Craniofacial Trauma at Hartford Hospital" 6:45 a.m. to 7:45 a.m. Jefferson Building 118 Speaker: Norman Cavanagh, DMD, MD, Chief, Craniofacial Trauma Service, Department of Surgery Hartford Hospital, Assistant Clinical Professor, UConn Health Contact: email@example.com
Health Professionals
Nursing Scholarships from HHSN Alumnae Association The Alumnae Association of the Hartford Hospital School of Nursing is again offering nursing scholarships to HHSN alumnae, their families and employees at HH, IOL and Jefferson House. Applicants must be matriculated in an accredited nursing program. Employee applicants must have worked at one of the eligible facilities for at least six months. Further eligibility requirements, information and applications can be found online at www.hhsnalumnae.org. Completed applications must be received by April 15, 2017.
2nd Annual Advanced Practitioner Symposium 7 a.m. to 1 p.m. Heublin Hall, Hartford Hospital Hartford Hospital's Department of Medicine will host a symposium for advanced practitioners, whose contributions to the care of patients are significant and continue to grow. Those contributions are valued at Hartford Hospital with a commitment to promote education and professional growth. For nurses, advanced practitioners, AP students, nursing students and other staff. This year, there will be a poster session. Staff is invited to present a poster highlighting innovation, research, quality or role projects. For questions, contact Erica Thompson at 860.972.5766 or firstname.lastname@example.com.
April 18, April 25, May 16, May 23, June 6, June 13, September 19, September 26, October 17, October 24, November 7, November 14 Trauma Nurse Core Course: Two Day Course 8 a.m. to 5 p.m. each day Hartford Hospital: Education & Resource Center Sponsored by Nursing Education & Research To register, call Samantha Fickett at 860.972.4921. Fee $400 or $325 for Hartford HealthCare Employees & CCMC Employees Contact hours: $17.65. Trauma Nurse Course Course Certification.
Human Resources
The Solutions Employee Assistance Program (EAP) provided free of charge by Hartford HealthCare and available to all Hartford HealthCare Employees and their families. EAP provides help for any kind of concern such as: · stress · anxiety and depression · marital issues and divorce · family and parenting concerns · alcohol and other drug dependencies · budget and debt problems · bereavement and other losses · change in the workplace · child and elder care · compulsive gambling · traumatic incidents · family violence EAP offers up to 3 sessions of CONFIDENTIAL, free of charge sessions and help with referrals for treatment resources beyond the EAP. EAP has an office in the Education and Resource Center (ERC) as well as a statewide and national network of professional EAP counselors where employees and their family members can be seen. All EAP providers are Master's or Doctoral level counselors. This important resource is available 24/7 by calling toll free at 1.800.526.3485. You will be set up with a face-to-face appointment session at a time and location that is convenient to you. Or if you or your family member prefers, telephone counseling can also be arranged. Persons with a hearing or speech disability may call 800.842.9710 or 711 to reach Relay CT--ask to be connected to Solutions at 800.526.3485. This is a free service. You may also access the EAP website at www.solutions-eap.com for further information.
Do you have a Gold Medal Manager?
Great managers inspire us to do our best. Let's recognize them and tell their stories so that we all can learn and grow.
Every three months, we ask employees across Hartford HealthCare to nominate what we're calling "Gold Medal Managers" – individuals who exemplify our H3W Leadership Behaviors every day.
Managers or supervisors who have one or more people reporting to them are eligible for recognition. An employee or group of employees may nominate their manager for recognition.
Information on the Gold Medal Manager program is available here.
Policy and Procedure Manual Update
Throughout the year, changes and revisions to the Human Resources Policy and Procedure Manual are communicated and distributed. The following policy has been revised and updated. A brief overview of the changes is provided.
If you are a holder of a hard copy manual, please print out the policy listed below and add or replace the policy in your manual. Please be reminded the hard copy manual must be located in an area that allows free access to departmental employees, particularly those who do not have access to the Hospital intranet. Please post this notice for employees in your organization without access to Outlook.
HUMAN RESOURCES POLICY AND PROCEDURE MANUAL REVISED POLICIES November 2016 Throughout the year, changes and revisions to the Human Resources Policy and Procedure Manual are communicated and distributed. The following policy has been revised and updated. A brief overview of the changes is provided. If you are a holder of a hard copy manual, please print out the policy listed below and add or replace the policy in your manual. Please be reminded the hard copy manual must be located in an area that allows free access to departmental employees, particularly those who do not have access to the Hospital intranet. Please post this notice for employees in your organization without access to Outlook. Policy 111 - Workplace Violence Prevention Policy: This policy is being revised for formatting and change in terminology. The name "Security" Department is changed to reflect the new name of "Public Safety" and the term "staff member" has been changed to "employee". Policy 111.1 - Workplace Violence Prevention Policy: This policy is being revised for formatting and for change in terminology. The name "Security" Department is changed to reflect the new name of "Public Safety" and the term "staff member" has been changed to "employee". Policy 119 – Fitness for Duty Policy: This policy is being revised for formatting and change in terminology. The term "employed staff member" has been changed to "employee". Policy 208 – Recruiting and Selection Policy: This policy is being removed from the Policy manual. Policy 216 Transfer Policy – HH/HHC: This policy has been revised to add Hartford Hospital procedural language on Page 5. Policy 508 – Cash Balance Retirement Plan Policy: This policy is being removed from the Policy manual. Policy 701 – Career Opportunities Policy: This policy is being removed from the Policy manual.
Referral Bonus Program
A bonus will be paid to any Hartford Region employee who refers an experienced candidate who is hired for the following openings:
The bonus will be $3,000 for full-time employees and $1,500 for part-time employees (working more than 24 hours per week), with half being paid at the candidate's start date and the other half at the candidate's six-month anniversary.
To qualify for the referral bonus, the referring employee's name must be listed as a referral source on the application when submitted. The referring employee must not be in step 2 or higher of the performance improvement process.
Directors, assistant directors, employees in any role that has managerial or supervisory responsibilities and the staff of Human Resources will not be eligible for the program. Please allow up to 30 days for receipt of each portion of the referral bonus.
Please Note: Hartford HealthCare Rehab Network will pay a $750 referral bonus for per diem therapists/ATCs that average 24-hours per week and pay-per-visit therapists who average 12 visits per week.
Information Technology
In an effort to foster better communications and to put "a face to the name," the ITS and Planning and Marketing Departments have created a process to allow staff to add their photograph to the Outlook Email profile via our HHC Intranet portal. If you would like to have your photo become part of your Outlook email you simply visit your profile page on the Intranet, located at: https://intranet.hartfordhealthcare.org/my-profile Then you upload your photograph using the instructions on the Intranet and the next day your photograph will be part of your Outlook Email profile.
This is the first in many data integration projects that are underway. ITS is currently working on a solution to synchronize other Intranet data to your Outlook email profile. Stay tuned there is lots more to come! If you have problems uploading a photo to the Intranet, there is a Help and Feedback section here: https://intranet.hartfordhealthcare.org/help-feedback And a bug submission form here: https://intranet.hartfordhealthcare.org/help-feedback/feedback-suggestions
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Recognition What's Your Best Practice
As Hartford HealthCare mobilizes to improve our patient/customer experience, we know that great things are already happening in our offices, on our units and in our patient rooms every day. The next step is to make sure that these "best practices" are shared across the system so that we can create one exceptional experience at every location that displays the HHC logo. The HHC Patient Experience Council would like to hear about what you are already doing and what new ideas you have to improve patient experience. Please help us to spread our best practices by submitting yours for review. Your submission should explain what you are doing and how it has had a measurable impact on improving patient experience. All submissions should explain how the practice relates to least one of the HHC 2016 Experience focus areas — Service, Communication and Environment. The council, comprised of leaders across the system, will evaluate every entry. The best of the best will be celebrated at our next patient experience event and the implementation of the practice will be encouraged system-wide. If you would like to submit a best practice for consideration, please visit our Patient & Customer Experience page on HHC Connect to find answers to your frequently asked questions (FAQs) and an electronic submission form. If you have questions, please contact one of HHC's Strategic Experience Advisors.
March is National Social Work Month
Each year the National Association of Social Workers chooses a theme to help communicate the value of social workers in our communities. This year's theme is "Social Workers Stand Up!," a campaign aimed at educating the public about the contributions of social workers and give social workers and their allies tools they can use to elevate the profession.
Social Workers at Hartford Hospital stand up for their patients and their families by comforting those experiencing illness, homelessness, addiction, mental health crises and as well as other issues.
In November of 2016, in honor of Veteran's Day, donations were collected from HHC employees at Hartford Hospital, Newington, Hospital of Central Connecticut, and Backus Hospital. Baskets were created and distributed to veterans throughout the state by the Newington VA and the West Haven VA. These donations support Veterans who are transitioning from being homeless to moving into a place of their own. More than 90 'Welcome Home Baskets' were donated across Connecticut thanks to the generosity of HHC social workers and employees.
Happy National Social Work month to all the social workers at Hartford Hospital and at HHC!
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Retirement Teas
May 31 Retirement tea for Sue Podolski 2-4 p.m. Dining Rooms A&B Sue Podolski is retiring from Hartford Hospital after 36 years.
June 30 Retirement Tea for Lisa Joslyn from perioperative services SB 4th floor, staff lounge Lisa is retiring from HH after 38 years.
March 30 Living On a Prayer: Responding to Families who are Waiting for a Miracle Noon to 1 p.m. in Gilman Auditorium. Lunch Provided at 11:30 p.m. Presenter: Rev. Erica Richmond, M.Div., M.A. is the Palliative Chaplain at Hartford Hospital and a member of the Ethics Committee at Hartford Hospital. The lecture is part of Hartford Hospital's ongoing Spiritual Care Grand Rounds series and is co-sponsored by the Hartford Hospital Ethics Committee and Hartford Hospital's Office of Advanced Practice. To receive more information about this and/or other upcoming Spiritual Care grand rounds, please contact firstname.lastname@example.com
Research Studies
Recruiting for exercise training study The Department of Preventive Cardiology is seeking individuals with high blood pressure for an exercise training study. You may qualify if you have (or think you have) high blood pressure; 18 years or older; non-smoker; and currently exercise less than two days per week. For your participation in this study you will receive: 1) Exercise Stress Test 2) Aerobic Exercise Training 3) Regular Blood Pressure Measurements 4) Financial Compensation ($120.00) For more information, call Amanda Zaleski at 86-972-3454 or email email@example.com. This study is being conducted by Hartford Hospital Department of Preventive Cardiology and the University of Connecticut Department of Kinesiology.
Healthy Volunteers Needed for Research Study
The Anxiety Disorders Center at the Institute of Living/Hartford Hospital is recruiting participants with no current or lifetime history of psychiatric problems for a research study.
Participants will be required to complete 2 MRIs within 16 weeks to evaluate how the brain responds to different tasks. Enrolled participants will be compensated up to $125 for their time.
This study is open to adults ages 40 – 65 years old that meet the study criteria. For more information, please call 860.545.7039 or e-mail firstname.lastname@example.com
Health Volunteers Needed for Antibiotic Research Study Must be a healthy male or female, age 18 or older and meet requirements of the study. Females must be non-pregnant and non-lactating. Parking and monetary compensation will be provided. If you are interested, contact Arlinda Carr at 860.972.6724.
Volunteers are needed for a research study aiming to detect cancer earlier HHC is conducting a research study to determine if a new blood test can be used to detect cancer earlier than standard screening tests. Participants are needed to make a study-related blood donation for laboratory analysis. You may qualify if: · You are at least 20 years of age · You are not pregnant · You do not feel feverish or have an inflammatory disease · You have never had cancer before (skin cancer other than melanoma is acceptable) OR · You have recently been diagnosed with cancer but have not yet started treatment Qualified participants will receive a $25 check card after their blood donation. To participate please contact 860.972.1588
Respirator FIT Testing Schedule
All testing is conducted in the ERD on the 4th floor, except on competency days, where it will be held on the 1st floor of the ERC in the Informal Lounge. Staff is encouraged to enroll through HealthStream.
April 2017 schedule:
Monday, April 3, 7 a.m. – 11 a.m. Thursday, April 6, 7 a.m. – 4 p.m., Informal Lounge Tuesday, April 11, 1 p.m. – 5 p.m. Wednesday, April 12, 10 a.m. – 2 p.m.
FIT Testing is an annual requirement. Employees who are required to do a yearly N95 Respirator Fit test will see their due date in HealthStream as their anniversary date of starting at the hospital. When you have completed all three steps, the assignment will automatically reset to the same month next year. Complete your HealthStream module prior to getting the Fit Test portion.
If there are any changes to your cardiac or pulmonary health, or if you are a new employee, you must be medically cleared by Occupational Health prior to being Fit Tested.
Also, Federal Law prohibits testing of anyone with facial hair that interferes with the mask seal. Please ensure you meet all of these requirements before getting Fit Tested.
Support Groups
For information about Support Groups for cancer, cardiology, diabetes, mental health, neurology, pulmonary, surgical weight loss and urology visit, https://hartfordhealthcare.org/health-wellness/classes-events/support-groups
Offerings from the Institute of Living (IOL) Family Resource Center For more information about support groups or events call, 860.545.7665 or 860.545.1888 or visit the Family Resource Center website.
April 11 CBT for Insomnia: An introduction 6:30 pm to 7:45 pm Massachusetts Cottage, First Floor Group Room IOL Come join us for our regularly scheduled Anxiety Disorders lecture to learn about Cognitive Behavioral Therapy for Insomnia, a new group being offered through the Anxiety Disorders Center. See how you can gain the tools you need to improve sleep and your overall quality of life! To RSVP or make an inquiry, please contact Laura at 860.545.7324 or email firstname.lastname@example.com.
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This is it, HP's new Mini 311
We've seen HD Netbooks from Sony and others, usually with prices closer to $599, so we're excited to see HP's new Mini 311 packing in an 11.6-inch, 1,366×768 screen, as well as Nvidia's Ion graphics chip, all starting at $399. You're still stuck with the same Intel Atom N270 CPU, 1GB of RAM, and Windows XP, but that's typical for a $399 Netbook. Our review unit added the slightly faster

subset: commoncrawl


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Saturday December 2, 2017
Mohammed Abdi Affey's role as the United Nations High Commissioner for Refugees (UNHCR) Special Envoy on the Somali Refugee Situation was specially created 11 months ago to address the refugee crisis.He said the High Commissioner felt it prudent to have a special envoy who would work to refocus attention to the displaced Somali population that require continued protection, attention and support."The position was created because there was a feeling that now a role like this one will generate interest," he said. "We didn't expect the world to forget but the world forgot. We have to get this matter on the international radar."The UN member states decided on a new approach towards the protection of refugees through the Comprehensive Refugee Response Framework.
From March 2008 to February 2013, as a Member of Parliament in the Kenya National Assembly, Mr Affey moved several assembly resolutions supporting the stabilisation of Somalia by the African Union at the African, Caribbean, Pacific/European Union joint parliamentary assembly. In 2007, he was awarded the Moran of Burning Spear (MBS) by the president of Kenya, Mwai Kibaki.Born in 1968 in Kenya, Mr Affey graduated from the University of Nairobi in 2010 with a master's degree in International Relations and a major in International Conflict Management.


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Welcome from the Principal
Thank you for visiting our website.
As you read more about us, you will see that we use the term "My Place To Learn" when describing our school. This is not just a marketing tag. We want every child to feel safe, happy and respected as they learn and grow, and consequently feel that St Paul's is indeed "their place".
Our focus is on effort and growth in learning and bringing out the best in every student. As you will see from our NAPLAN results, (available from the My School's website) regardless of a child's academic level when he or she joins us, we do make a difference well beyond what would usually be expected.
We also understand that not all learning can be measured through testing and that there is so much more to be considered when choosing a school. Our students are recognised as confident, reliable and contributing members of their community. Employers will often seek out a St Paul's student for employment because of this reputation. As one local business owner said, "I haven't met a bad one yet!"
Having graduates who are such fabulous young people does not happen by accident. We are blessed to have a strong and supportive parent body, high-quality and committed teachers as well as students who are fresh and eager to learn. Teachers who are new to our school often comment that they can "get on with teaching" rather than having to focus on behaviour management and addressing students who are disengaged.
As a school that seeks to bring out the best in every child, we also offer a wide range of opportunities both inside and outside the classroom. We have an enormous range of co-curricular activities available across the School and we offer opportunities for academic enrichment and support as necessary. The School's documented history is aptly titled "No Ordinary Days" which reflects the reality that there is always something new and exciting happening at St Paul's.
You may also be interested to know that we are an accredited eSmart school, have been officially recognised by the Victorian Government for our commitment to creating a "health-promoting school" and we are working towards accreditation for our commitment to sustainability.
In addition, of course we approach all that we do with a Growth Mindset. There is nothing that any of us can't do. A setback simply means that we may not be able to do it – yet!
We would love to show you our school! Please feel free to make an appointment to come and have a look around.
Cameron Herbert, Principal


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BY the time I made it to Kansas City's Nelson-Atkins Museum of Art, I felt like I already knew it. A friend of mine had been one of the architects working on the addition that would transform the 75-year-old institution into the talk of the town.
For two years, every month or so, we'd get together in Brooklyn for dinner. I'd hear about the project's latest triumphs or setbacks, how the KC community was supporting — or condemning — it, even the minutia, like the hurricane-force wind tests that were conducted on the glass façade. Because there are so many hurricanes in Missouri.
As the completion date drew closer, my friend was jetting off nearly every weekend to Kansas City for cocktail parties and galas being tossed in anticipation of the opening.
When that finally happened, in June 2007, the project was an undeniable triumph. Named the Bloch Building (after native son Henry Bloch, of H&R Block fame) and designed by Stephen Holl Architects, it started racking up accolades almost immediately. Time magazine ranked it No. 1 on its "10 Best (New and Upcoming) Architectural Marvels" list and The New Yorker hailed it as "one of the best museums of the last generation."
But what did the average person in Kansas City think? In a town better known for barbecue and jazz, did anyone still care — more than two years later — about this modern architectural masterpiece?
In fact, they do care. Very much. On a recent visit to KC, I found that not only do locals rave about the building — "Have you seen it at night? You must see it at night," was a common refrain — they actually visit it.
During the day, a steady stream of people make their way through the underground galleries of the new wing, admiring the Rothkos, Warhols and Pollocks. Some camp out with a picnic among the outdoor sculptures; kids especially love the huge shuttlecocks by Claes Oldenburg. Others find the 22 acres of terraced grounds an excellent place to walk their dogs.
Come evening, people flock to the soft grass lawns between the glowing glass structures (there are five of them, jutting up from the earth like huge, translucent boulders). One group throws a Frisbee, another has set up a makeshift croquet court. Couples holding hands wander along the illuminated paths.
In fact, this heartland metropolis of 2 million has a surprising wealth of contemporary art — along with some rather progressive architecture to showcase it. A short walk from the Nelson-Atkins is the Kemper Museum of Contemporary Art, a stainless-steel-clad, wing-like structure with a sky-lit roof, under which is an impressive collection of modern to present-day works. (Like the Bloch building, the Kemper was also funded by a wealthy local businessman, Crosby "Mr. Kansas City" Kemper.)
Several of sculptor Louise Bourgeois' spindly bronze spiders flank the entrance. Inside, the 8,000-square-foot exhibition space displays works by the likes of Josef Albers, Jim Hodges, Francis Bacon and the ubiquitous Dale Chihuly. But it's the restaurant, Café Sebastienne, that generates the most buzz. At lunch, a well-dressed crowd occupied every table, dining on contemporary American cuisine and surrounded by contemporary art. It stays this way through dinner, offered on Friday and Saturday nights, until the museum closes at 9:30 p.m. And Sunday brunch? Good luck.
Since we had no reservation — an absolute must here — we headed to the gallery district for "First Friday in the Crossroads." The Crossroads Arts District is usually a bustling area anyway, but on the first Friday of every month, galleries and shops stay open until 9 p.m., and what seems like the whole town turns out to take advantage.
The Crossroads was once a neglected commercial sector bordered on three sides by highways and on the fourth, by railroad tracks; in the last 10 years it's developed into a hotbed of artsiness. About 40 galleries — including an outpost of the Kemper — have been carved out of old warehouses, mostly around 19th Street and Baltimore and along 18th Street from McGee to Holmes streets. Sleek restaurants, nightclubs, boutiques and residential lofts have also sprung up in the rapidly gentrifying area. (In a true nod to hipsterdom, there's even a Vespa dealership.)
Trying to navigate the 20 or so blocks that comprise the Crossroads was a challenge, given the hundreds who clogged the streets on this warm summer First Friday. Crowds filtered in and out of the galleries and stores; street performers — buskers, jugglers, mimes and those motionless people painted to look like statues — were on every corner; throngs queued up at the food and beer carts; restaurant and bar patrons overflowed onto the sidewalks.
But were people actually buying art? Who knows, but it was definitely a party.
That was why, when we stuck up a conversation with a local ceramics artist and his girlfriend at a nearby bar, The Cashew, he was having a cocktail instead of manning his gallery. "I'm not convinced there's a lot of buying going on right now," he said.
And like many disgruntled pioneers, he seemed a bit out of sorts with the district's transformation.
"I was here at the beginning, when this place was all artists and all about art." Still, he acknowledged a city program that allowed tax abatements for art-related businesses so they could afford to stay in the neighborhood. "At least it hasn't become SoHo," he quipped.
The next day, we opted for a less frenetic contemporary art experience, venturing to the suburb of Overland Park — 20 minutes away, and actually in Kansas — to check out the Nerman Museum of Contemporary Art. After many wrong turns, we finally arrived at the minimalist building, constructed of Kansas limestone and glass that, somewhat oddly, sits on the campus of the Johnson County Community College.
How, we wondered, does a place like Kansas City support not one, but two, museums devoted solely to contemporary art?
"We've had a very dedicated group of collectors for many years who were interested in contemporary art," notes the Nerman Museum's executive director, Bruce Hartman.
"The former director at the Nelson-Atkins, Ted Coe, was very active in promoting contemporary art in this city. People got excited and as a result, they developed a great interest in pop art and going forward to emerging artists."
The Nerman was nearly empty that July 4 morning (it normally attracts around 100,000 visitors annually). And so we had the 41,000 square feet of galleries mostly to ourselves to admire works by Do Ho Suh (whose sculpture has exhibited at the Brooklyn Museum) and Kehinde Wiley (a Brooklynite who paints iconic portraits of young, black men).
Like the new wing at the Nelson-Atkins, the Kyu Sung Woo-designed building threatens to eclipse its own collection by virtue of its cutting-edge architecture, especially the cantilevered entrance, graced with an LED installation by artist Leo Villareal.
A final architectural stop — or rather, pilgrimage — was in order: the Community Christian Church, one of Kansas City's three Frank Lloyd Wright buildings. You could be forgiven for overlooking this rather bland, white concrete structure, whose design was supposedly based on a parallelogram shape (it looked to me like an '80s bank drive-thru).
However, as we settled at an outdoor steak joint across the street from the church, and evening fell, the building took on a whole new aura. Shafts of light shot up from its dome high into the night sky. Called the Spire of Light, the beams converge into a single illuminated column that can apparently be seen for miles around.
Maybe in Kansas City, heaven is just a little bit closer.
For more information, check out visitkc.com
1) Country Club Plaza What you wish every mall in America would be, this 15-block outdoor shopping and dining district, built in 1923 in the Spanish style, is punctuated with fountains big and small, charming courtyards, murals, tiled mosaics and statues. Once you've tired of the upscale stores, stroll along neighboring Brush Creek, then cross the Sister City Bridge to admire the surrounding historic apartment buildings and the baroque Giralda Tower, inspired by the original at the Cathedral of Seville. The Plaza is open year-round, and thousands make the annual winter pilgrimage to see the holiday lights (a tradition since 1925). The lighting ceremony is held on Thanksgiving night.
2) Hilton President Kansas City Even if you don't wind up staying at this historic, fully renovated hotel, at least pop into the lobby and see what they've done with the place. The 1940s-style décor has been maintained throughout, with gilded columns, high, ornate plaster ceilings, chandeliers and plush seating. It's also home to the colorful Drum Room, which opened in 1941 and hosted legends like Frank Sinatra, Patsy Cline and Tommy Dorsey. The hotel's rooms offer great views of the surrounding Power & Light District, an eight-block zone of shopping, dining and nightlife that somehow feels like you've seen it all before, mostly because you have (rates from $160; hilton.com).
3) The River Market Yes, there's an open-air market here (operating since the mid-1800s), but this enclave on the Missouri River is also part of the city's push to repurpose historic areas. In this case (unlike the Power & Light District), the neighborhood feels like it's evolved organically, with red-brick buildings and warehouses morphing into restaurants, antique stores, offices and residential lofts. At the foot of Main Street, head out along the Town of Kansas Pedestrian Bridge for spectacular views overlooking the river. Stop by on weekends for the excellent farmers market.
4) Liberty Memorial and National WWI Museum History buffs will appreciate the recently expanded museum, which houses around 55,000 artifacts from the era, including uniforms, cannons, guns, medals and thousands of photos as well as interactive displays. You can buy a separate ticket to take the elevator to the top of the 217-foot-high monument for 360-degree, open-air views of the entire city (at night, a flame burns atop it). Two huge sphinx sculptures sit at the base of the memorial, shrouding their faces with their wings. The impressive, austere complex sits on a high bluff overlooking the city (www.theworldwar.org).
5) Union Station This 850,000-square-foot train station was one of the most majestic in the country when it opened in 1914, with a 95-foot ceiling in the Grand Hall, three enormous chandeliers and a clock face measuring six feet across. Fast-forward to the 1980s, and it sat empty and abandoned, with demolition its likely fate. In 1996, Missouri and Kansas raised funds to restore the station, and it opened in 1999 with a new purpose: as a tourist destination. Today it houses a museum, planetarium, science center, playhouse, movie theater and the KC Rail Experience as well as restaurants and shops (www.unionstation.org).
6) Freight House This 1887 former railroad building on West 22nd Street, located near the Crossroads Arts District and connected to Union Station by a pedestrian bridge, was also once destined for the wrecking ball. In the mid-1990s, it was rescued and in 1998, Lidia Bastianich's first US restaurant outside of New York City opened here, designed by David Rockwell. Two more restaurants followed — City Tavern and Fiorella's Jack Stack Barbecue. On any given day, all three places are packed, but if you can score an outdoor table at Jack Stack's on a nice evening, there's no better place to enjoy burnt ends and a beer.
7) Kauffman Stadium Home to the Kansas City Royals, arguably one of the worst teams in baseball, the outdoor stadium, known as "The K," has been around since 1973. A renovation in 2009 made it much more family friendly; they also added more concessions — get a "concrete" at local favorite Sheridan's Frozen Custard — and flat-screen TVs all around the grounds so you won't miss a single error. The new "Outfield Experience" offer kiddies the chance to practice hitting, pitching and base running. There's also mini-golf, a carousel and live bands. When the Royals score or make a particularly good play, a 322-foot-wide "water spectacular" in right field erupts (in honor of KC's moniker, "City of Fountains").
8) Thomas Hart Benton House and Studio Tucked away among the tree-lined streets and gracious old mansions in the Roanoke neighborhood is the Victorian home where the Missouri-born painter lived most of his life after leaving New York City. Benton is most famous for his representational murals — several once decorated the New School — and he also taught (Jackson Pollock was a student). He turned the carriage house behind his home into a studio; it's preserved just as it was when he died (in 1975, fittingly, while painting a mural). Inside the home, you can see many original Benton paintings, lithographs and sculpture, along with everyday furniture and his virtually untouched 1950s-style kitchen (mostateparks.com/benton.htm).


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Sunday, February 12, 2017
News from the Beach from our new Research Assistant Neha!
7 comments:
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Working at Biolife has certain benefits. Included in the benefits is three weeks paid vacation and eight personal days. I decided to take my first paid vacation this past week. I was going to take it sooner, but my mom's surgery and recovery prevented that from being a good idea. Because it would have been too expensive to fly, I elected to drive down to Maryland which is also costly, but in this case still cheaper to flying when you add in gas to get to Detroit, parking for a week, the plane tickets and then the drive back to Grand Rapids. More on the truck later. My mom is doing better, though I've found out that she's going to have to have yet more surgery due to the kind of medication she's going to need to be on to help reduce the chance of the cancer coming back, which is something she's really not looking foreward to having. In the past she's always come back from surgery must faster than the normal person, and this time its taking longer for her, which is frustrating. Other members of my family are doing well, though my younger brother and sister can't seem to understand that mom isn't able to take as much right now.
As I've recently become interested in studying the Civil War, yesterday my father and I went out to Gettysburg and toured the Battlefield, or atleast, the Museum located at the battlefield. The battlefield was closed due to a bad snow storm. A couple days previously the weather had been in the 80's. The museum was nice, and they have an electronic map which shows with lights the progress of the battle at Gettysburg, its interesting how close the CSA came to winning that battle.
After the Museum visit, we walked around downtown a looked in some of the shops, I bought a CSA bowie knife, which features R.E. Lee astride his horse on the handle, and on the blade lists the states of the Confederacy.
I found out that my truck shouldn't have been able to make a 9hr drive to Maryland. Part of the engine is self destructing by rubbing against something else, the water pump was barely hanging on, the muffler wasn't muffling . . . I was unaware of all of this. The only thing I knew was that the truck didn't sound right, the cure for which was turning the radio up and placing tape over the warning lights. Before you go into a panic, no I didn't really place tape over the warning lights, although I did turn the radio up (Engines are much louder without the muffler).
So now my truck is being fixed before I can drive it back to Michigan, luckily that shouldn't take too long.


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On a day when the Richmond Tigers roared louder than the Adelaide Crows crowed, some tiny voices spoke loudest of all.
For some years now, the AFL has had the delightful tradition of young Auskickers (junior AFL players) presenting the premiership medals to the winning grand final players.
Normally the kids don't say too much. Or if they do, nobody hears it but the players. But this year, extreme cuteness ensued as some of the kids offered audible words of encouragement to the jubilant Richmond players.
Watch and enjoy. And just wait'll you see the little girl give Richmond captain Trent Cotchin a great big hug.
Wowee. @Richmond_fc are premiers!— AFL on 7 (@7AFL) 30 de setembro de 2017
Watch as each 🐯 is presented with his 🥇 #AFLGFpic.twitter.com/jGLzTny5oM
Probably the best one was when a kid with a surprisingly deep voice and a beautiful rich Aussie accent said "congratulations, you're a legend" to Jack Riewoldt, who kicked two goals in the grand final.
This kids voice broke when he was 6. Legend pic.twitter.com/f8IznM4fRH— Gavin Costello (@Gav_Costy) 30 de setembro de 2017
Then there was the kid who told star Richmond defender Alex Rance "great game, you're a champion".
How good are these kids #aflgrandfinal2017#RichmondFC#crowstigers@Richmond_FCpic.twitter.com/AEvFi8YZbM— Gavin Costello (@Gav_Costy) 30 de setembro de 2017
No kid, Rance is a premiership winner. The real champion is you.


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> Emphysema-like disease and HIV
Emphysema-like disease and HIV
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Acquired immune deficiency syndrome, acquired immunodeficiency syndrome, AIDS, antimicrobials, BAL, bronchoalveolar lavage, bronchoscope, drug use, emphysema, HAART, highly active antiretroviral therapy, HIV, human immunodeficiency virus, IDU, immune, immune defense system, immune system, immunocompromised, immunodeficiency, injection drug use, lung biopsy, lung infection, lung transplant, lungs, open lung biopsy, pulmonary infection, supplemental oxygen, transbronchial biopsy, viral infection, virus, weakened immune system.
Emphysema is an incurable condition that occurs when the walls between the air sacs in the lung lose their ability to stretch and recoil, causing shortness of breath. Some HIV patients develop a condition called emphysema-like disease, which causes similar symptoms. The main difference between these two conditions is that abnormal masses in the lungs, called cystic lesions, cause symptoms of emphysema-like disease.
The exact cause of these lesions in the lungs remains unknown. However, researchers believe injection-drug use (IDU), recurrent infections, and the HIV itself may contribute to the development of lesions.
Emphysema-like disease can be successfully treated. Patients who use injection drugs should discontinue using drugs in order to prevent the development of new lesions. If an infection is causing the condition, the patient will receive antimicrobials that destroy the disease-causing microorganism and prevent the development of new lesions. If it is suspected that HIV is causing the condition, patients will receive aggressive HIV treatment called highly active antiretroviral therapy (HAART).
Steroids and supplemental oxygen may help alleviate symptoms. If symptoms are severe, patients may require surgery to remove damaged lung tissue. If the lung cannot be repaired, a lung transplant may be necessary.
Author information
This information has been edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).
American Lung Association. .
Diaz PT, Clanton TL, Pacht ER. Emphysema-like pulmonary disease associated with human immunodeficiency virus infection. Ann Intern Med. 1992 Jan 15;116(2):124-8.
Natural Standard: The Authority on Integrative Medicine. .
Sahebjami H. Emphysema-like changes in HIV. Ann Intern Med. 1992 May 15;116(10):876.
Tasaka S, Takagi H, Oguma T, et al. Pulmonary emphysematous changes associated with Pneumocystis carinii pneumonia in an AIDS patient. Nihon Kokyuki Gakkai Zasshi. 1998 Mar;36(3):283-7.
The Body: The Complete HIV/AIDS Resource. .
Yearsley MM, Diaz PT, Knoell D, et al. Correlation of HIV-1 detection and histology in AIDS-associated emphysema. Diagn Mol Pathol. 2005 Mar;14(1):48-52.
: The cause of emphysema-like disease is not well understood. However, there is evidence that injection drug use (IDU), HIV itself, and/or lung infections may lead to the development of the condition.
Drug use
: Several studies have suggested that injection-drug use (IDU), especially with intravenous use of methadone or methylphenidate (Ritalin®), may lead to the development of emphysema-like disease. Researchers believe the lung injury occurs when insoluble fillers, such as cornstarch, cotton fibers, cellulose, or talc, are injected into the blood. These fillers, which may be present in drugs that are supposed to be taken by mouth (e.g. Ritalin®), are filtered through the lungs and cause damage.
: If HIV infects cells in the lungs, the virus may cause lesions that produce emphysema-like symptoms.
Lung infections
: Because HIV infects and destroys the body's immune cells, HIV patients have an increased risk of developing infections, including lung infections. Lung infections, such as
Pneumonitis jiroveci
pneumonia (formerly called
Pneumonitis carinii
pneumonia or PCP), tuberculosis, and mycobacterium avium complex (MAC), may cause lesions in the lungs. These lesions may lead to symptoms similar to emphysema.
Common symptoms of emphysema-like disease include shortness of breath and fatigue. Other symptoms may include distress resulting from the inability to get enough air, wheezing, chronic mucus production, weight loss, exhaling through pursed (puckered) lips or grunting before exhaling, needing to lean forward to breathe while sitting, anxiety (nervousness), and/or depression. If left untreated, severe shortness of breath may limit the person's ability to perform normal daily activities.
If a lung infection is causing symptoms, other symptoms such as cough, pleurisy (pain with breathing or coughing), fever, weight loss, night sweats, enlarged lymph nodes, chills, and loss of appetite may occur.
: If patients have emphysema-like symptoms, a chest X-ray is performed. If lesions are detected, additional tests will be performed to determine the cause. If the patient injects illegal drugs and no bacteria or viruses (including HIV) were found in the lungs, drug use may be the cause.
Bronchoalveolar lavage
: A bronchoalveolar lavage (BAL) is commonly performed to determine whether patients have lung infections. During the procedure, a thin, flexible tube called a bronchoscope is passed through the mouth or nose into the lungs. Saline (salt water solution) is then squirted into a small part of the lung and collected for analysis. If the sample contains microorganism known to cause infection, a positive diagnosis is made.
Chest X-ray
: A chest x-ray can be used to detect the presence of lesions in the lung.
Open lung biopsy
: An open lung biopsy is the most invasive diagnostic procedure, and it has 100% sensitivity and specificity because it provides the greatest amount of tissue for diagnosis. However, since a lung biopsy is the most invasive test, it should only be performed when all other diagnostic tests are inconclusive. The procedure is performed in a hospital while the patient is under general anesthesia. A tube will be placed through the mouth and into the airway that leads to the lungs. After cleaning the skin, the surgeon makes a cut in the chest area and removes a small piece of lung tissue. The wound is closed with stitches. A chest tube may be left in place for one to two days to prevent the lung from collapsing. The tissue sample is taken to a laboratory for analysis.
Complications are more likely to occur in patients who have lung diseases or severe breathing problems. Complications associated with open lung biopsies include infection, bleeding, collapsed lung (pneumothorax), spasms of the bronchial tubes, and irregular heartbeat.
Transbronchial biopsy
: During a transbronchial biopsy, a bronchoscope is inserted through the patient's mouth or nose and into the lungs. Then, tiny forceps are inserted into the hollow tube of the bronchoscope. A small amount of lung tissue is then removed for analysis. If the sample contains microorganisms known to cause infection, a positive diagnosis is made. Patients may need to stay overnight at the hospital after the procedure is performed.
Pneumothorax, an accumulation of air between the outer lining of the lung and the chest wall that causes the lung to collapse, occurs in about two percent of transbronchial biopsies. There is also a risk of bleeding and infection after the procedure.
: Patients who use injection drugs should discontinue using drugs in order to prevent the development of new lesions. If an infection is causing the condition, the patient will receive antimicrobials that prevent the development of new lesions. If it is suspected that HIV is causing the condition, patients will receive aggressive HIV drug treatment called highly active antiretroviral therapy (HAART). Steroids and supplemental oxygen may also help alleviate symptoms. If symptoms are severe, patients may require surgery to remove damaged lung tissue.
Patients should tell their healthcare providers if they are taking any other drugs (prescription or over-the-counter), herbs, or supplements because they may interact with treatment.
Discontinuing drug use
: Because injection drug use (IDU), especially with methadone or methylphenidate, has been associated with emphysema-like disease, individuals should discontinue drug use.
Addiction can be difficult to overcome without help. Rehabilitation treatment programs are available to help patients recover from addiction. Programs are tailored to specific individuals. Treatment may include group therapy, motivational interviewing, family therapy, and one-on-one counseling. Medication, such as buprenorphine (Suboxone®), may be prescribed to overcome withdrawal symptoms of opiate addictions. The duration of rehabilitation treatment usually lasts several months. However, treatment varies among individuals.
: HIV patients who have lung infections receive antimicrobials, which are drugs that kill disease-causing microorganisms. Antibiotics are used to treat bacterial infections, antifungals are used to treat fungal infections, and antivirals are used to treat viral infections. The specific drug, dose, and duration of treatment vary depending on the type and severity of the infection.
Highly active antiretroviral therapy (HAART)
: If it is suspected that HIV itself is causing lesions in the lungs, patients should receive aggressive treatment with highly active antiretroviral therapy (HAART). This therapy is a combination of anti-HIV drugs called antiretrovirals. Medications from at least two different drug classes are combined. There are currently four classes of antiretrovirals: protease inhibitors (PIs), nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), and fusion inhibitors. Each of these medications disrupts a different cycle of HIV's replication.
Lung transplant
: If the patient has developed severe lesions that do not respond to treatment and cannot be surgically removed, a lung transplant may be needed. Usually just one lung is transplanted because the survival rate has been proven to be higher for individuals with single-lung transplants than for individuals with double-lung transplants.
Smoking cessation
: Smoking cigarettes may worsen symptoms of emphysema-like disease. Therefore, patients are encouraged to stop smoking. Nicotine replacement products, including the patch (Habitrol®, Nicoderm CQ®, Nicotrol®), chewing gum (Nicorette®), lozenges (Commit®), inhalers (Nicotrol Inhaler®), nasal sprays (Nicotrol NS®), and the antidepressant bupropion (Zyban®), may help patients quit smoking. These drugs work in part by continuing to release low levels of a brain chemical called dopamine. In this way, these smoking cessation medications decrease the craving for nicotine and reduce the signs and symptoms of withdrawal.
Varenicline (Chantix®) is a new drug that works in a similar way. Chantix® stimulates the release of low levels of dopamine in the brain to help reduce the signs and symptoms of withdrawal. In addition, Chantix® blocks nicotine receptors in the brain. The U.S. Food and Drug Administration (FDA) has approved the course of Chantix® treatment for 12 weeks. Individuals who successfully quit smoking during Chantix® treatment may continue to use Chantix® for an additional 12 weeks to further increase the likelihood of long-term smoking cessation. Side effects of Chantix® include changes in taste, nausea, vomiting, gas, and insomnia (inability to sleep).
: Steroids are used to prevent and reduce airway swelling, as well as decrease the amount of mucus in the lungs. Steroids may either be inhaled with an inhaler or taken by mouth. Inhaled steroids include beclomethasone (Beclovent® and Vanceril®), budesonide (Pulmicort Respules®), flunisolide (Aerobid®), fluticasone (Flovent®), and triamcinolone (Azmacort®). Inhaled steroids seem to have fewer side effects than oral steroids. Prolonged use may weaken the bones and increase the risk of cataracts, diabetes, and heart disease, including high blood pressure, high cholesterol levels, chest pain, and heart attack.
Oral corticosteroids commonly prescribed include prednisone (Prednisone Intensol®, Sterapred®, and Sterapred® DS) and triamcinolone (Aristocort®). Liquid corticosteroids (such as Pediapred® or Prelone®) are available for children. These medications can be used short-term for severe symptoms such as extreme shortness of breath. However, these drugs are generally not recommended for long-term use because they weaken the immune system, making HIV patients even more vulnerable to diseases and infections.
Supplemental oxygen
: Patients who have extreme difficulty breathing may benefit from supplement oxygen. Various forms of oxygen are available, as well as different devices to deliver them to the lungs. A healthcare provider will help the patient set up oxygen for home use.
: In a procedure called lung volume reduction surgery (LVRS), surgeons remove small pieces of damaged lung tissue. The extra space that is created in the lungs after surgery appears to help the remaining lung tissue work more efficiently.
Integrative therapies
Unclear or conflicting scientific evidence
Acupressure, shiatsu
: During acupressure, finger pressure is applied to specific acupoints on the body. A combination of acupressure and massage may reduce symptoms of labored breathing and anxiety in patients with chronic obstructive pulmonary disease who use prolonged mechanical breathing support. Further study of acupressure alone is needed before a firm conclusion can be made.
A small study of patients undergoing pulmonary (lung) rehabilitation reported acupressure to be a beneficial treatment for shortness of breath. Larger, well-designed studies are needed before clear conclusions can be drawn.
With proper training, acupressure appears to be safe if self-administered or performed by an experienced therapist. No serious long-term complications have been reported, according to scientific data. Hand nerve injury and herpes zoster ("shingles") cases have been reported after shiatsu massage. Forceful acupressure may cause bruising.
Alexander technique
: The Alexander technique is an educational program that teaches movement patterns and postures. The technique is used to improve coordination and balance, reduce tension, relieve pain, alleviate fatigue, improve medical conditions, and promote well-being. There is a small amount of research on the effects of the Alexander technique on lung function in healthy people and musicians who play wind instruments. These studies are small, poorly designed, and report mixed results. Until better evidence is available, it remains unclear if the Alexander technique improves lung capacity
No serious side effects have been reported with the Alexander technique. It has been suggested that the technique may be less effective in patients with learning disabilities or mental illnesses. The Alexander technique has been used safely in pregnant women.
: Belladonna has been used for centuries to treat many medical conditions. Belladonna may cause relaxation of the airway and reduce the amount of mucus produced. However, due to a lack of high-quality human research in this area, there is not enough evidence to form a clear conclusion.
Avoid if allergic to belladonna or plants of the Solanaceae
(nightshade) family (such as bell peppers, potatoes, eggplants). Avoid with a history of heart disease, high blood pressure, heart attack, abnormal heartbeat (arrhythmia), congestive heart failure, stomach ulcer, constipation, stomach acid reflux (serious heartburn), hiatal hernia, gastrointestinal disease, ileostomy, colostomy, fever, bowel obstruction, benign prostatic hypertrophy, urinary retention, glaucoma (narrow angle), psychotic illness, Sjögren's syndrome, dry mouth (xerostomia or salivary gland disorders), neuromuscular disorders (such as myasthenia gravis), or Down's syndrome. Avoid if pregnant or breastfeeding.
Chiropractic therapy
: Chiropractic care focuses on how the relationship between musculoskeletal structure (mainly the spine) and bodily function (mainly the nervous system) affects health. There is not enough reliable scientific evidence to make a conclusion on the effects of chiropractic techniques for respiratory tract infections that cause difficulty breathing.
Use extra caution during cervical adjustments. Use cautiously with acute arthritis, conditions that cause decreased bone mineralization, brittle bone disease, bone softening conditions, bleeding disorders, or migraines. Use cautiously with the risk of tumors or cancers. Avoid with symptoms of vertebrobasilar vascular insufficiency, aneurysms, unstable spondylolisthesis, or arthritis. Avoid with agents that increase the risk of bleeding. Avoid in areas of para-spinal tissue after surgery. Avoid if pregnant or breastfeeding due to a lack of scientific data.
: The root extract of coleus is known as forskolin. Coleus may be a beneficial treatment before intubation for patients with breathing disorders. However, more research is needed before a firm recommendation can be made.
Avoid if allergic or hypersensitive to coleus. Avoid with bleeding disorders or heart problems. Use cautiously with thyroid disorders, seizures disorders, or with a history of ulcers. Avoid if pregnant or breastfeeding.
English ivy
: English ivy (
Hedera helix
) is native to most of Europe and southwest Asia. Although it is often used as a landscaping groundcover in the United States, it is also an invasive species that is considered a noxious weed in some areas. Currently, there is insufficient available information to determine whether or not English ivy is an effective treatment for chronic obstructive pulmonary disease, such as emphysema. Additional study is needed in this area.
Avoid if allergic or hypersensitive to English ivy (
Hedera helix
), its constituents, or members of the Araliaceae family. In addition, cross-sensitivity has been noted between
Hedera helix
Dendropanax trifidus
Schefflera arboricola
, dandelion (
Taraxacum officinale
), false ragweed (
Ambrosia acanthicarpa
), giant ragweed (
Ambrosia trifida
), short ragweed (
Ambrosia artemisifolia
), sagebrush (
Artemisia tridentata
), wild feverfew (
Parthenium hysterophorus
), yarrow (
Achillea millifolium
), tansy (
Tanacetum vulgare
), and some
species. Use cautiously with cancer or if taking antineoplastic (anti-cancer) agents. Avoid if pregnant or breastfeeding.
: For more than 2,000 years, the roots of this slow-growing plant have been valued in Chinese medicine. In one study, ginseng was reported to improve lung function and exercise capacity in patients with chronic obstructive pulmonary diseases, such as emphysema. Further research is needed to confirm these results.
Avoid ginseng with a known allergy to plants in the Araliaceae family. There has been a report of a serious life-threatening skin reaction, possibly caused by contaminants in the ginseng formulation.
: Hydrotherapy is broadly defined as the external application of water in any form or temperature (hot, cold, steam, liquid, ice) for healing purposes. There is preliminary evidence that daily breathing exercises in a warm pool may improve lung function measurements in patients with chronic obstructive pulmonary diseases, such as emphysema. It is not clear if this technique is superior to breathing exercises alone. Evidence from controlled trials is necessary before a clear conclusion can be drawn.
Avoid sudden or prolonged exposure to extreme temperatures in baths, wraps, saunas, or other forms of hydrotherapy, particularly with heart disease, lung disease, or if pregnant. Avoid with implanted medical devices, such as pacemakers, defibrillators, or liver infusion pumps. Vigorous use of water jets should be avoided with fractures, known blood clots, bleeding disorders, severe osteoporosis, open wounds, or during pregnancy. Use cautiously with Raynaud's disease, chilblains, acrocyanosis, erythrocyanosis, and impaired temperature sensitivity, such as neuropathy. Use cautiously if pregnant or breastfeeding. Hydrotherapy should not delay the time to diagnosis or treatment with more proven techniques or therapies, and it should not be used as the sole approach to illnesses. Patients with known illnesses should consult their physicians before starting hydrotherapy.
: Currently there is insufficient evidence to support the use of carnitine for respiratory distress in adults.
Avoid with a known allergy or hypersensitivity to carnitine. Use cautiously with peripheral vascular disease, high blood pressure, alcohol-induced liver cirrhosis, and diabetes. Use cautiously in low birth weight infants and individuals on hemodialysis. Use cautiously if taking anticoagulants (blood thinners), beta-blockers, or calcium channel blockers. Avoid if pregnant or breastfeeding.
: Carotenoids such as lutein and zeaxanthin are found in high levels in foods such as green vegetables, egg yolk, kiwi fruit, grapes, orange juice, zucchini, squash, and corn. Lutein has been suggested as a possible treatment to enhance lung function in patients with lung infections. However, further research is needed to determine the safety and efficacy of this treatment.
Avoid if allergic or hypersensitive to lutein or zeaxanthin. Use cautiously if at risk for heart disease or cancer. Avoid if pregnant or breastfeeding.
Nasal irrigation
: Nasal irrigation is used to clear the sinuses. There are three forms of nasal irrigation therapies. Saline lavage uses a warm liquid solution (such as Rhinomer®), while large-particle nebulized aerosol therapy uses aerosolized saline solution. A humidified warm air lavage (hyperthermia) is also used. Occasionally, antibiotics are added to the solution. Nasal irrigation can be performed by the patient at home or by a professional up to twice daily. Preliminary evidence suggests that nasal irrigation may help remove mucus from the lungs, which may make it easier for the patient to breathe. Further research is warranted in this area.
Nasal irrigation is generally well tolerated. Use cautiously with a history of frequent nosebleeds. If the irrigation liquid is hot, the nose may become irritated.
Physical therapy
: According to the American Physical Therapy Association, the goal of physical therapy, or physiotherapy, is to improve mobility, restore function, reduce pain, and prevent further injury. Many techniques, including exercises, stretches, traction, electrical stimulation, and massage are used. There may be a beneficial effect of respiratory rehabilitation in terms of improved tolerance to exercise and improved quality of life for patients with chronic obstructive pulmonary diseases, such as emphysema. Studies have investigated the use of physical therapy with drugs, as well as the difference between manual and mechanical techniques. Few studies have compared respiratory physiotherapy to control groups. Examples of manual respiratory physical therapy techniques include postural drainage, chest percussion, vibration, chest shaking, directed coughing, and forced exhalation technique. Higher-quality trials are needed to make a firm recommendation.
Preliminary research suggests that physical therapy may also improve lung function. However, further research is needed.
Not all physical therapy programs are suited for everyone, and patients should discuss their medical history with their qualified healthcare providers before beginning any treatments. Based on the available literature, physical therapy appears generally safe when practiced by a qualified physical therapist. Physical therapy may aggravate pre-existing conditions. Persistent pain and fractures of unknown origin have been reported. Physical therapy may increase the duration of pain or cause limitation of motion. Pain and anxiety may occur during the rehabilitation of patients with burns. Both morning stiffness and bone erosion have been reported in the physical therapy literature, although causality is unclear. Erectile dysfunction has also been reported. All therapies during pregnancy and breastfeeding should be discussed with a licensed obstetrician/gynecologist before initiation.
Thymus extract
: Thymus extracts for nutritional supplements are usually derived from young calves (bovine). Preliminary evidence suggests that both intramuscular and oral thymus extract may be useful for reducing the presence of respiratory tract symptoms. Additional study is need in this area.
Avoid if allergic or hypersensitive to thymus extracts. Use bovine thymus extract supplements cautiously due to potential for exposure to the virus that causes "mad cow disease." Avoid use with an organ transplant or other forms of allografts or xenografts. Avoid with thymic tumors, myasthenia gravis (neuromuscular disorder), or untreated hypothyroidism. Avoid if receiving immunosuppressants or hormonal therapy. Avoid if pregnant or breastfeeding. Thymic extract increases human sperm motility and progression.
Traditional Chinese medicine
: Traditional Chinese medicine (TCM) is a broad term that refers to many different treatments and traditions of healing. They share a common heritage of technique, or theory, rooted in ancient Chinese philosophy (Taoism) that dates back over 5,000 years. TCM herbs have been reported to improve symptoms and improve immune function in patients with chronic obstructive pulmonary disease, such as emphysema. However, research designs have been weak, and more studies of better design are needed before conclusions can be made.
Chinese herbs can be potent and may interact with other herbs, foods, or drugs. Consult a qualified healthcare professional before taking. There have been reports of manufactured or processed Chinese herbal products being tainted with toxins or heavy metal or not containing the listed ingredients. Herbal products should be purchased from reliable sources. Avoid ma huang, which is the active ingredient in ephedra. Avoid ginseng if pregnant or breastfeeding.
: Yoga is an ancient system of relaxation, exercise, and healing with origins in Indian philosophy. Yoga has been described as "the union of mind, body, and spirit," which addresses physical, mental, intellectual, emotional, and spiritual dimensions towards an overall harmonious state of being. Limited adult human study exists for the treatment of lung conditions. Better-designed research is necessary before any firm conclusions can be made.
Yoga is generally considered to be safe in healthy individuals when practiced appropriately. Avoid some inverted poses with disc disease of the spine, fragile or atherosclerotic neck arteries, risk for blood clots, extremely high or low blood pressure, glaucoma, detachment of the retina, ear problems, severe osteoporosis, or cervical spondylitis. Certain yoga breathing techniques should be avoided in people with heart or lung disease. Use cautiously with a history of severe mental illness (psychotic disorders). Yoga techniques are believed to be safe during pregnancy and breastfeeding when practiced under the guidance of expert instruction (the popular Lamaze techniques are based on yogic breathing). However, poses that put pressure on the uterus, such as abdominal twists, should be avoided in pregnancy.
Avoidance of respiratory infections
: Avoid being around crowds during the cold and flu season (colder months). Washing the hands frequently along with carrying a small bottle of hand sanitizer helps keep viruses and bacteria away. Touching the nose or rubbing the eyes increases a patient's risk of developing viral or bacterial infections. Patients should talk to their healthcare providers about recommended vaccines.
Discontinuing drug use
: Because injection drug use (IDU), especially with methadone or methylphenidate (Ritalin®), has been associated with emphysema-like disease, illicit drugs should be avoided. Patients who are taking drugs and want to stop may benefit from a rehabilitation program.
Highly active antiretroviral therapy (HAART)
: Since HIV may infect lung cells and lead to emphysema-like disease, patients should receive highly active antiretroviral therapy (HAART), which suppresses HIV's ability to replicate. This therapy involves combinations of different anti-HIV drugs, which are called antiretrovirals. HAART suppresses HIV, which boosts the immune system and reduces the risk of infections.
Smoking cessation
: Smoking cigarettes may worsen symptoms of emphysema-like disease. Therefore, patients are encouraged to stop smoking.
Copyright © 2011 Natural Standard (
The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.
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Four hundred and forty one workers at the Vinh Nghia Company, a shoe maker, were taken to hospitals in southern Binh Duong province presenting signs of food poisoning at 3pm on the afternoon of October 21, according to the provincial Department of Health.
Fifty-two workers were taken to My Phuoc hospital, 96 to Nhan Nghia Polyclinic, 36 to Ben Cat Hospital, 107 to Van Phuc Hospital, and 150 to Binh Duong General Hospital.
Inspectors from the Binh Duong Food Safety Agency determined at 9pm on October 21 that all workers were in a good condition and could be discharged from hospital. After investigating the company's kitchen the inspectors assessed it as being hygienic. The company also provided evidence on the origin and expiration date of the food served.
The Department of Health made initial comments on the cause of the food poisoning. "The case is related to food safety in the company's kitchen, and may be linked to a dispute between workers and the company over the price of meals, as workers did not eat at the company on October 19 and 20," it stated.
The Food Safety Agency is still working with related authorities in its investigation and will then make a final conclusion on the case.


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text:
Source: Wrestling Observer Newsletter
- The TNA live event on January 29th in Poughkeepsie, New York drew 1,200 fans. This is a high number for TNA but local indies in the area often draw better crowds. The December 30th show in Albany, New York drew 650 fans.
- Tonight's episode of Impact Wrestling will feature the return of Sting, Kurt Angle and Samoa Joe vs. Aces & 8s in a steel cage match, the 2012 TNA Wrestler of The Year and more.
Subscribe to The Wrestling Observer by clicking here. Each issue has coverage and analysis of all the major news, plus history pieces. New subscribers can also receive free classic issues.
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text:
Welcome to Age UK Wirral
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Keep up to date with all the details on what we've been up to recently.
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Read the latest guide to all the services we offer at Age UK Wirral
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Joe Benigno thinks the homophobic Murphy may have said something about the Jews.
Joe Benigno doesn't get that the Mets wouldn't have Neil Walker and 'Murphy playing 1st and 3rd' if Daniel had accepted the 1 year offer.
Joe Beningo is ok with Matt Reynolds being called up. He really doesn't know anything about Matt Reynolds but, he's ok. But what he really wants is Dilson Herrera to be called up. But only after he gets going on another dumb guy rant. See, he doesn't really know what Matt Reynolds is yet. Dilson? That's the ticket.
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AlgomaTM 11' Fabric Hammock, Pillow and Stand Combination won't tilt or flip over!
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