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1. tranquillize - verb
· make calm or still; "quiet the dragons of worry and fear"
Synonym(s): calm, calm_down, quiet, tranquilize, tranquillise, quieten, lull, still
Hypernym(s): comfort, soothe, console, solace
2. tranquillize - verb
· cause to be calm or quiet as by administering a sedative to; "The patient must be sedated before the operation"
Synonym(s): sedate, calm, tranquilize, tranquillise
Hypernym(s): affect
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Women's Health and
Cancer Rights Act
The Federal law
The Women's Health and Cancer Rights Act (WHCRA) helps protect many women with breast cancer who choose to have their breasts rebuilt (reconstructed) after a mastectomy. Mastectomy is surgery to remove all or part of the breast. This federal law requires most group insurance plans that cover mastectomies to also cover breast reconstruction. It was signed into law on October 21, 1998. The United States Departments of Labor and Health and Human Services oversee this law.
The WHCRA:
- Applies to group health plans for plan years starting on or after October 1, 1998
- Applies to group health plans, health insurance companies, and HMOs, as long as the plan covers medical and surgical costs for mastectomy
Under the WHCRA, mastectomy benefits must cover:
- Reconstruction of the breast that was removed by mastectomy
- Surgery and reconstruction of the other breast to make the breasts look symmetrical or balanced after mastectomy
- Any external breast prostheses (breast forms that fit into your bra) that are needed before or during the reconstruction
- Any physical complications at all stages of mastectomy, including lymphedema (fluid build-up in the arm and chest on the side of the surgery)
Mastectomy benefits may have a yearly deductible and may require that you pay co-insurance. Co-insurance is when less than the full amount of the bill is paid by the insurance company and the patient must pay the difference.
For instance, the company may cover 80% of your expenses after you pay the deductible, leaving you to pay the other 20%. This 20% is also called a co-payment or co-pay. But any required deductible and co-insurance must be like those the plan uses for other conditions it covers. So, if a plan pays 80% for hospital and surgery fees for an appendectomy (removal of the appendix), but only 70% of hospital and surgery fees for breast reconstruction, that would violate the WHCRA.
Questions and answers about the WHCRA
Does the WHCRA allow insurers to take people off their plans so that they don't have to pay breast reconstruction benefits?
No. The WHCRA does not allow insurance plans and insurance companies to kick people out of the plan or keep them from enrolling or renewing their coverage under the plan to avoid WHCRA requirements.
Does the WHCRA let insurance plans give doctors incentives to discourage women from having breast reconstruction after mastectomy?
No. The WHCRA does not allow insurance plans and insurance issuers to penalize doctors or lead them to provide care in a way that does not support the WHCRA. Nor does it allow insurance plans to reward doctors who do not encourage their patients to look into breast reconstruction.
Does my insurance provider have to tell me that I'm covered for breast reconstruction under the WHRCA?
Yes. The law also requires that insurance providers notify you of this coverage when you enroll in their plan, and every year after that.
What if my state has laws that require insurers to cover breast reconstruction?
Several states have their own laws requiring health plans that cover mastectomies to provide coverage for reconstructive surgery after a mastectomy. These state laws only apply to those health plans purchased by an employer from a commercial insurance company. If an employer is self-insured, state laws do not apply but federal laws do.
A self-insured (or self-funded) plan is one in which the employer, rather than a commercial insurance company, pays for the insured person's health expenses. Some employers that self-insure will hire a commercial insurance company to write the checks and track the paperwork, even though the money for the payments still comes from the employer. So it can be hard to tell whether you are in a self-insured or a commercially insured plan unless you ask.
If you are unsure of your plan's status, ask your employer's benefits manager. If you're not in a self-insured plan, you can contact your state's insurance department to find out if your state provides extra protection that will apply to your coverage. The WHCRA applies to self-insured plans that aren't covered by state law and sets a minimum standard to be sure this service is available for all women in every state. This includes states with weaker or no laws covering breast reconstruction.
I have been diagnosed with breast cancer and plan to have a mastectomy. How will the WHCRA affect my benefits?
Under the WHCRA, group health plans, insurance companies, and HMOs that offer mastectomy coverage must also provide coverage for reconstructive surgery after mastectomy. This coverage includes reconstruction of the breast removed by mastectomy, reconstruction of the other breast to give a more balanced look, breast prostheses, and treatment of physical complications at all stages of the mastectomy, including lymphedema.
This federal law sets a minimum requirement so that women can have breast reconstruction after mastectomy, even if they live in states that do not make insurance companies provide this coverage.
Does the WHCRA require all group plans, insurance companies, and HMOs to provide reconstructive surgery benefits?
In most cases, yes, as long as the insurance plan also covers medical and surgical benefits for mastectomies. But certain church plans and government plans may not be required to pay for reconstructive surgery.
If you are insured under a health plan sponsored by a church or local government plan, check with your plan administrator about it.
Under the WHCRA, can insurance providers impose deductibles or co-insurance requirements for reconstructive surgery in connection with a mastectomy?
Yes. But the deductibles and co-insurance must be like those that are used for other benefits under the plan or coverage. The company can't have you paying a higher deductible or co-pay for breast rebuilding than you would pay for other types of surgery.
My state requires the coverage for breast reconstruction that's required by the WHCRA and also requires a minimum hospital stay for my mastectomy. If I have a mastectomy and breast reconstruction, am I also entitled to the minimum hospital stay?
It depends. If you have coverage through your employer and your employer is insured, you would be entitled to the minimum hospital stay required by the state law. If you have coverage through your employer but your coverage is not provided by an insurance company or HMO (that is, your employer "self-insures" your coverage), then state law does not apply. In that case, only the federal WHCRA applies and it does not require minimum hospital stays. To find out if your group health plan is insured or self-insured, contact your plan administrator.
If you have coverage under a private health insurance policy (not through your employer), check with your State Insurance Commissioner's office to learn if state law applies.
Are health plans required to give me notice of the WHCRA benefits?
Yes. Both health plans and health insurance issuers are required to tell you about WHCRA benefits. They must do this when you enroll and every year after that. The annual notice may be sent by itself or it may be included in almost any written communication by the plan or insurer, such as newsletters, annual reports, policy renewal letters, enrollment notices, and others. Enrollment notices may even be a phone number or web address from which to get more information about coverage.
Does the WHCRA affect the amount that my health plan will pay my doctors?
No. The WHCRA does not keep a plan or health insurance issuer from bargaining about amounts and types of payment with doctors. But the law does forbid insurance plans and issuers from penalizing doctors or providing incentives that would cause a doctor to give care that's not consistent with WHCRA.
Does the new health care law affect the WHCRA?
No. The WHCRA was not changed by the Affordable Care Act and there are no provisions or regulations that affect it. Health insurance plans that offer mastectomy must continue to offer breast reconstruction.
Do the WHCRA requirements apply to Medicare or Medicaid?
No. The law does not apply to Medicare and Medicaid.
Still, Medicare covers breast reconstruction if you had a mastectomy because of breast cancer.
Medicaid coverage varies in each state, so you will have to get this information for your state.
Where can I get more information about my rights under the WHCRA?
If you have more questions or concerns, you can contact:
- The US Department of Labor, which has the WHCRA information on its website at dol.gov/agencies/ebsa/laws-and-regulations/laws/whcra, or you can call their toll-free number, 1-866-487-2365
- The Employee Benefits Security Administration, a special office of the Department of Labor, at 1-866-444-3272 for information about employer-based health insurance
- Your health plan administrator (a number should be listed on your insurance card)
- Your State Insurance Commissioner's office (The number should be listed in your local phone book in the state government section, or you can find it at the National Association of Insurance Commissioners online at www.naic.org/state_web_map.htm. If you can't find the number elsewhere, call 1-866-470-NAIC (1-866-470-6242.)
You may also want to check the "Additional resources" section for other sources of help.
Along with the American Cancer Society, other sources of information and support include:
Cancer Legal Resource Center (CLRC)
Toll-free number: 1-866-843-2572 (1-866-THE-CLRC) (leave a number for a call back)
Website: www.disabilityrightslegalcenter.org (choose "About DLRC" to get to the CLRC page)
Offers information on disabilities and your legal rights with a special focus on cancer
Website: www.healthcare.gov
Has the most up-to-date information on health insurance and the new health care law
National Association of Insurance Commissioners (NAIC)
Telephone: 1-866-470-6242 (1-866-470-NAIC)
Website: www.naic.org
Website for state insurance department information: www.naic.org/state_web_map.htm
To contact your state insurance commission, which regulates insurance in your state
US Department of Health and Human Services Center for Medicare & Medicaid Services
Toll-free number: 1-877-267-2323
Website: www.cms.hhs.gov
Information on what's covered by Medicare and Medicaid
US Department of Labor, Employee Benefits Security Administration
Toll-free number: 1-866-444-3272 (1-866-444-EBSA)
Website: www.dol.gov/ebsa
Has information on employee benefits and health insurance requirements
*Inclusion on this list does not imply endorsement by the American Cancer Society.
US Department of Health and Human Services. Centers for Medicare and Medicaid Services. The Women's Health & Cancer Rights Act. Accessed at www.cms.hhs.gov/HealthInsReformforConsume/06_TheWomen'sHealthandCancerRightsAct.asp July 2, 2008. Content no longer available.
US Department of Health and Human Services, Centers for Medicare and Medicaid Services. Health Insurance Reform for Consumers. Accessed at www.cms.gov/Regulations-and-Guidance/Health-Insurance-Reform/HealthInsReformforConsume/index.html?redirect=/HealthInsReformforConsume/ on January 16, 2014.
US Department of Health and Human Services, Centers for Medicare and Medicaid Services. Your Medicare Benefits. March 2013. Accessed at www.medicare.gov/Pubs/pdf/10116.pdf on January 16, 2014.
US Department of Health and Human Services, Centers for Medicare and Medicaid Services. The Women's Health and Cancer Rights Act (WHCRA) of 1998—Helpful Tips As of 06/27/2008. Accessed at www.cms.hhs.gov/HealthInsReformforConsume/Downloads/WHCRA_Helpful_Tips.pdf on January 16, 2014.
US Department of Labor, Employee Benefits Security Administration. Your Rights After A Mastectomy: Women's Health & Cancer Rights Act of 1998. Accessed at www.dol.gov/ebsa/Publications/whcra.html on January 16, 2014.
Last Medical Review: May 20, 2016 Last Revised: January 16, 2014
American Cancer Society medical information is copyrighted material. For reprint requests, please see our Content Usage Policy.

subset: commoncrawl


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The Miami Heat continue to inch closer to the NBA record of 33 straight victories set by the Los Angeles Lakers.
Miami hit the court Sunday to play Charlotte and moved the winning streak to 26 games.
From basketball to badminton, there are plenty of winning streaks that have set high — and likely untouchable — standards.
Whether it's at the high school or professional level, or anywhere in between, these winning streaks span a variety of lengeths and an array of sports. Among some of the most impressive is a Utah connection: Wasatch High School's Cael Sanderson set a standard in college wrestling during his time at Iowa State.
Here's a look at some of the best winning streaks in sports history, as compiled by the Associated Press:
The Galaxy have twice gone on 15-match regular season unbeaten streaks, in 1997-98 and again in 2009-10.
The MLS Los Angeles team won the final six games of its 1997 regular season, then was victorious in its first nine games of the 1998 season. The streak included a penalty-kick victory over San Jose in the 1998 season opener, as well as three victories where the Galaxy scored five or more goals.
The 2009-10 streak included 12 wins and three ties, and began with the final three games of the 2009 regular season. Real Salt Lake broke the streak with a 1-0 victory over the Galaxy on June 9, 2010.
The Penguins laid claim to the best regular-season record in the 1992-93 NHL season after the team won 17 straight games near the end of the year. This came after Pittsburgh won or tied its first 10 games of the season.
The streak, which spanned from March 9 to April 10 in 1993, is the longest winning streak in NHL history. Twice, the Penguins won in overtime (4-3 vs. Los Angeles on March 11 and 4-3 vs. Montreal on April 7) and Pittsburgh won a pair by scoring 10 goals (10-2 vs. Hartford on April 1 and 10-4 vs. New York Rangers on April 9).
The Patriots went undefeated from October 2003 to October 2004, making for the longest winning streak consisting of regular season and playoff games in NFL history.
During this stretch, New England won three postseason games during the 2003 season, beating Carolina 32-29 in Super Bowl XXXVIII. New England then won its first six games of the 2004 season. The Patriots went on to finish 14-2 that year and win their second straight Super Bowl, and third in four years.
The Giants went from a sub-.500 team to a squad who finished 20 games above .500 by going on a 27-game unbeaten streak in September 1916. Beginning on Sept. 7 and stretching through the first game of a doubleheader on Sept. 30, the MLB New York team did not lose, winning 26 times and tying once. The 26 straight wins is the longest streak in MLB history.
When the streak began, New York had a 59-62-2 record. By the end of the year, the Giants were 86-66-3. Earlier in the season, the Giants also won 19 of 20 during one stretch, after the team started the season 2-13.
The Lakers currently own the NBA's longest winning streak, as they won 33 straight during the 1971-72 season, though the Heat are closing in after they beat Cleveland for their 24th straight victory on Wednesday.
Los Angeles' streak lasted just more than two months, as the Lakers went 30-0 in November and December in 1971. At the time the streak ended, Los Angeles' record was 39-3, and the Lakers went on to win the NBA title that season.
Guillermo Vilas holds the longest match winning streak in the men's tennis Open era, going undefeated in 46 straight matches during the 1977 season. His streak began in July and lasted through the U.S. Open.
Vilas, who won all his matches during the streak on clay, edges out Ivan Lendl's streak. Lendl won 44 consecutive matches spanning the 1981-82 seasons. Vilas also owns a 53-match winning streak on clay courts.
Kincesm, born in 1874, owns the title of most successful thoroughbred racehorse ever. In 54 starts, the racehorse won 54 times.
Kincesm's streak, which includes victories all around Europe, began in June of 1876 and ran through August of 1879.
The Mount Union football team, which competes in Division III, owns the NCAA record with a 55-game winning streak, established from 2000-03. The Purple Raiders also held the previous record, winning 54 games in a row.
Among the highlights of Mount Union's 55-game streak was winning three national championships, 15 Division III playoff games and holding 11 opponents scoreless. The Purple Raiders won by an average score of 46.4 to 11.7 during that stretch.
The U.S. men's basketball team enjoyed a 64-game, 36-year stretch where it did not lose, from 1936-72. The streak began with a forfeit from the Spanish National Team and ended when the Soviet Union National Team edged the Americans 51-50 in September 1972.
During that stretch, the U.S. men won seven consecutive titles at the Olympic Games.
Jesse Renick, left, captain of the U.S. men's Olympic basketball team, is congratulated by Swiss team captain Maurice Chollet in Harringay Arena in London, England, July 30, 1948, during one of the Americans' victories during the streak. The U.S. team beat the Swiss team, 86-21.
Martina Navratilova had a near-perfect 1984 season, winning 74 straight matches, the longest winning streak in tennis history. The streak began in the U.S. Indoor Championships and ended in the Australian Open semifinals. She finished the season with 78 victories in 80 matches that year.
That isn't the only streak Navratilova had going on during that stretch. From 1983 to 1985, she teamed with Pam Shriver to go on a 109-match winning streak.
Over a 13-year span, Julio Cesar Chavez's won the first 87 matches of his boxing career. Following a draw with Pernell Whitaker in Sept. 1993, Chavez won his next two matches before suffering his first career defeat, making him undefeated in his first 90 career matches.
Chavez began his career at the age of 17. Four and a half years in, he won his first title, the WBC super featherweight title, by defeating Mario Martinez on Sept. 13, 1984.
At left, Chavez raises his arm in triumph after knocking out Refugio Rojas in the seventh round of the WBC super featherweight fight at Madison Square Garden in New York City, June 14, 1986.
In the early 1970s, the UCLA men's basketball team set the NCAA mark for consecutive wins when it went undefeated for 88 straight games. That streak is 28 more than the previous best of 60, set by San Francisco in the 1950s. Twice, the Dons had the opportunity to end the Bruins' streak, but UCLA came out on top both times.
The Bruins won three national titles during this stretch — players and coach John Wooden celebrate after winning the 1971 title at left — with the final one extending UCLA's consecutive titles at the time to seven.
Notre Dame ended the streak on Jan. 19, 1974, overcoming a 70-59 deficit to UCLA with fewer than four minutes to play by going on a 12-0 run to snap the Bruins' streak.
For nearly two and a half seasons, the Connecticut women's basketball did not suffer a defeat from 2008-10. Beginning with the opener in the 2008-09 season, the Huskies won 90 straight games, finally losing to Stanford on Dec. 30, 2010.
The winning streak set the mark for the longest in NCAA basketball history. The 89th win, over Florida State on Dec. 21, 2010, pushed Connecticut's streak past that of the UCLA men's record of 88 set in the 1970s.
The Huskies won two national titles during that stretch — including the 2009 title pictured at left — and finished in the final four during the 2010-11 season.
Penn State's women's volleyball program set the second-longest winning streak by a Division I sports team when it won 109 straight matches from Sept. 15, 2007, to Sept. 11, 2010. During that time, the Nittany Lions won three national titles.
Another impressive mark during that streak was that Penn State won 111 straight sets. This streak spanned from the final set of the 2007 national championship game to the third set of a 2008 national semifinal against Stanford.
Miami's men's tennis program set the top NCAA mark by winning 137 straight matches.
Olympic champion Edwin Moses began a 10-year run of dominance in the 400-meter hurdles in August 1977. Nearly 10 years later, Moses had won 122 races in the event, including 107 in the finals of track meets. The streak came to an end in May 1987.
According to edwinmoses.com, the streak — which spanned nine years, nine months and nine days — stands in the Guinness Book of World Records.
For more than a decade — from its first game in 1992 through its final game in 2003 — the De La Salle High School football team did not suffer a defeat. According to the National Federation of State High School Associations, the school's record of 151 straight wins nearly doubled the previous mark of 72 by Hudson (Michigan) High School.
Seven of the years, De La Salle went 13-0; five other seasons ended with a 12-0 record. Seven times during the stretch, the De La Salle team was named national champions by either ESPN, USA Today or the National Sports News Service.
Utah native Cael Sanderson lived perfection during his wrestling career at Iowa State, going 159-0. During that time, Sanderson, who wrestled at Wasatch High School, collected four NCAA titles in the 184-pound weight class.
Sanderson's 159 straight victories set an NCAA record, and he became just the second wrestler to win an NCAA Division title four times, joining Pat Smith.
Sanderson, shown after his 2002 NCAA Division I victory, went on to win gold in the 184-pound class in the 2004 Olympics and is now the wrestling coach at Penn State.
Last year, the longest winning streak in college sports history came to an end when Yale beat Trinity College 5-4 on Jan. 19, 2012. That ended a nearly 14-year undefeated streak for Trinity, which included 13 national titles and 252 straight match victories.
Yale had lost to Trinity in the national championship matches the previous two years before pulling the upset, according to the Associated Press.
For more than three decades, the Brandon (Fla.) High School never lost a dual match, a streak that went from 1974 to 2008. The streak ultimately reached 459 dual-match victories in a row.
The streak was the longest in American high school history. It came to an end when Brandon High lost to South Dade High School 32-28 on Jan. 6, 2008.
Unlike the others on this list, this streak did not end with a loss. In February, 31-year-old Esther Vergeer, at right, retired from wheelchair tennis with her 470 consecutive victories streak intact.
According to CNN, her career included seven Paralympics gold medals, 13 world titles and 169 singles titles overall. She also helped her Netherlands team win 12 times in the World Team Cup.
Under coach Pat McCarrick, the Miller Place (N.Y.) High School badminton team never lost a game in her 25 years as coach, which began in 1973. The first loss for the school's badminton team came nearly eight years after her retirement, in 2005.
Currently, the school has a record of 534 victories and nine losses, a 98.3 winning percentage.
Jahangir Khan of Pakistan owns the longest streak on this list, winning 555 straight squash matches from 1981-86. His unbeaten streak lasted five years and eight months and won him a place in the book of Guinness World Records.
Khan's winning streak began when he was 17; he won the squash World Open five times during that stretch, from 1981-85, and added another title in 1988.


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Dalby's grand tribute to its local WWI soldiers represents a joint venture of local and international talent.
Governor Sir Matthew Nathan unveiled the Dalby War Memorial on 26 July 1922. The memorial and wrought iron gates flanked by carved sandstone pillars were designed by local monumental mason, J Shill. British sculptors John Whitehead and Sons modelled the Dalby soldier statue, based on a sergeant-major of the Grenadier Guards. The statue was cast at a London foundry.
Only two known examples of Whitehead's work exist in Queensland. Dalby's digger is one of only two bronze diggers in the state. The memorial, set in a park, honours 360 local men who served in WWI. Of them, 64 died. Bronze plates, created by Norwegian immigrant Ernest Gunderson, bear the soldiers' names.
Sandstone gate pillars bear the AIF badge and the dates 1914 and 1919. Torch shaped light are installed atop the pillars.


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Griz – Lady Griz Lose Road Openers
Both the Griz and Lady Griz dropped their opening games on the road last night.
The Montana men fell to Colorado State 72-65, while the Lady Griz lost to Temple 55-41.
The Grizzlies forged ahead at the half, leading CSU 34-27, but the Rams closed the gap and went ahead to stay and won by a 7-point margin. Guard Keron DeShields led the Griz in scoring with 17 points, followed by Jordan Gregory with 10. Starting guard Will Cherry will be out of the line-up for at least a month with a broken foot.
After jumping out to a 16 to 6 lead to start the game, the Lady Griz faced their old nemesis...ice-cold shooting in their first game of the season, playing the Lady Owls of Temple in Philadelphia, Bib Cosby's alma mater. But shooting just 26.3% was no laughing matter for coach Robin Selvig, who has seen his team lose their opening games for the last three seasons.
Up next for the Griz, they will host Minot State on November 14th, while the Lady Griz will host MSU Northern Tuesday at 7 p.m.


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Gayle Anderson was live in Studio City for Pizza With A Purpose. California Pizza Kitchen (CPK) invites guests to participate in its latest fundraiser to support the families of Los Angeles Police Department officers, Christopher "Chris" Cortijo and Nicholas Choung Lee.
This segment aired on the KTLA 5 Morning News on April 21, 2014.


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Complicated Pregnancies
We all hope to have a healthy pregnancy, but for some expectant moms pregnancy can be a time of unexpected health problems or concerns. Approximately 15 percent have or develop medical problems that require maternal-fetal specialists to care for them. Others may need to be monitored closely in the hospital to prevent complications.
The Perinatal Center of Sarasota Memorial offers the latest in prenatal testing, genetic counseling and management of high-risk pregnancies. Our board-certified perinatologists – doctors who specialize in high-risk pregnancies – are nationally recognized for emergency obstetric care, managing pregnancy complications and delivering multiples.
• Experienced labor & delivery and neonatal nurses, certified in neonatal resuscitation and specially trained in the stabilization and care of critically ill newborns and premature babies. • Level III Antepartum units, which provide specialized care for women with high risk pregnancies, before and following delivery. Mothers may be admitted by their primary care physician or specialist for extra monitoring or treatment, or they may be transferred here from a community hospital that lacks the specialists or technology to treat them.
• Our highly equipped Maternal-Neonatal ambulance serves as a mobile intensive care unit transporting women with high-risk pregnancies and at-risk newborns to Sarasota Memorial from outlying hospitals.
• Our Level III Neonatal Intensive Care Unit (the most advanced in Sarasota, Manatee, Charlotte and DeSoto counties) is equipped to care for even the most fragile of premature and critically ill newborns. It is staffed around-the-clock by board-certified neonatalogists – doctors who specialize in intensive care for at-risk newborns.
Women with high-risk pregnancies are welcome to tour our NICU to learn more about the services offered in our intensive care nursery.
Information: (941) 917-6530.