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External Hard Drive Enclosures,USB External Enclosure Hard Drive,Usb Drive Enclosure
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Nurse Cross Made Of Solid Wood
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The perfect gift to show honor and respect for the care giver. My wife is a nurse so I have utmost respect for what they do. Perfect gift for a new graduate, promotion or retirement gift.
.It measures 17" L x 10 " W. Made of solid maple and engraved/carved details. The background is painted a rich brown.
Each one is handmade just for you, one at a time. Please allow 2 weeks production time.

subset: commoncrawl


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Perfect for wading through puddles and pottering about the garden, these 100% waterproof Wellingtons by Muck® Boots will keep you dry outdoors. They're lovingly crafted with a stretchy thermal neoprene upper and breathable EVA footbed to keep you warm. Your feet are protected by a durable 2mm rubber overlay while the extra 2mm thermal foam instep keeps you extra cosy and comfy. You won't get stuck in the mud thanks to their rugged MS-1 molded outsole, making these perfect for work or leisure.
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NIH to Extend Deadline for Public Comment on Pain Management Task Force
By Ed Coghlan.
The Pain Management Best Practices Inter-Agency Task Force is a new, high-level federal think-tank consisting of 28 appointees, including Cindy Steinberg, National Director of Policy and Advocacy for U.S. Pain Foundation.
We ran this story on May 23—and asked you to get your comments in because the deadline was on May 25th, which wasn't a lot of time. Now it's going to be June 15th.
The National Institute of Health has decided, at the suggestion of Ms. Steinberg, to extend the deadline for public comment.
For Steinberg, who is the only chronic pain patient advocate on the task force, this is an opportunity for more chronic pain patients to be heard.
"Please encourage people with pain to write in," she said. "This Task Force is charged with determining best practices in pain management for the nation and ensuring consistency across agencies so CDC Guidelines, FDA Opioid Policy, CMS coverage, VA/DoD Pain Management Guidelines are all fair game to comment on. It is an important opportunity to be heard!"
Overseen by the U.S. Department of Health and Human Services, the task force has been charged with the following:
- Propose updates to pain management best practices
- Issue recommendations that address gaps or inconsistencies for managing chronic and acute pain
- Provide the public with an opportunity to comment on any proposed updates and recommendations
- Develop a strategy for disseminating such proposed updates and recommendations to relevant Federal agencies and general public
- Provide expert advice and recommendations for pain management and prescribing pain medication
Let us give you a tip. In our comments section, some of you expressed frustration and concern whether your comments were being acknowledged. We received a number of comments from folks who wonder if they are being heard.
The NIH comment software will look like it runs off the page. As you write your comment, it goes in a straight line. If you start to think, "wait where did my words go?", don't worry. It is accepting your statement.
Now please do (as many of you already have) – it's important for the voices of provider, patient and loved one are heard.
You might ask, how do I comment? (Click here) and go to the blue bar that says "comment now".
Let us know in our comments section what you told the NIH.
Good information.There are some Conferences happening in which medical specialty would be Pain Management and here is one of those conferences.
2019 UVA Anesthesiology Point-of-Care (PoCUS) Course is organized by University of Virginia (UVA) and will be held from Jan 23 – 24, 2019 at The Village at Breckenridge, Breckenridge, Colorado, United States of America.
For more information please follow the below link:
Thank You,
I had 3 brain tumors, a very large tumor thay lay vertically between my 2nd, 3rd, and 4th cervical vertebrate & my spinal cord & about a dozen smaller ones inside my spinal column that left me paralyzed from the shoulders down for over a year. When the cervical tumor was removed the surgery caused a syringomyelia – basically, a large tear in my spinal cord that caused me to have a condition called Reflexive Sympathetic Dystrophy or RSD for short. It's a neurological disorder that turns on all the pain receptors in the area affected which was my whole right side, right down the middle of my back all the way around to the front on the right side, and there's about 1200 or 1300 receptors per square inch of human tissue. Imagine your foot asleep & multiply that feeling by 5 and that's what I deal with every day on my whole right side from front to back. If I didn't have my pain meds I'd probably be very motivated to step in front of a train or go from the top floor of a very tall building to the very bottom floor without using the elevator or the stairs.
There's always going to be someone to misuse something that people use responsibly everyday and it's wrong to punish those with a clear need who play by the rules. Just like a firearm or a car, there's the vast majority of those who use them responsibly and then there's always the morons who make it hard on everybody else. Every single person should be judged by their own conduct and not by what it seems like the whole herd may or may not be doing. It's easy to judge a group by the smaller number of idiots than the larger group who behave. Withholding medicine from law abiding patients is akin to banning all cars because of a few drunk drivers. Wake up, lawmakers!!! People are regularly suffering and dying because of the foolishly shortsighted means being used to try to stop a few bad actors. The truly suffering people don't deserve it!!!
Tired of the government putting there nose were it dont belong,go after the herion dealers who there helping by there punishment of the chronic pain patient. This drug epidemic is from the junkies not us,my quality of life means nothing to them.im on disability from 36plus years of busting my ass,in a mill to give my 5 kids a good life and were did it get me? At 62 and 30mg. a day im lucky to get off the couch.owell thanks Trump bet u never broke a sweat let alone your body.hope someone cares about us.
T.y. for letting me vent.
At the tender age of 16 I said "No" to drugs and sex. As a result I was beaten up and rendered a quadriplegic with a spinal cord injury. the assailant pled guilty receiving only 28 days in a work farm, I got life confined to a wheelchair. During the Ronald Reagan Administration, Nancy Reagan, was very out spoken to tell my generation to "Just Say No To Drugs." That wasn't enough to save me. During my hospitalization in Rehab hospital to learn how to feed myself and generally try to do daily tasks most people take for granted, I tried to take the medications but I didn't like how they made me feel. Given the golden exit award for not "participating" in the drug program at the hospital. For the first 18 years of my spinal cord injury the only medication I took for pain was Tylenol. After my husband passed away in 2002 I had to take on more physical tasks at home to care for our 2 teenage children. After a serious fall and crushing my left elbow and having an Ulnar Nerve Transposition in 1991 added to my already worn out shoulders by that time. after getting hit in a head on collision by a man strung out on Meth, my body was in a great amount of pain. MRI showed bulging discs in my cervical area with pain in my body. Being diagnosed with Horner"s Syndrome Frankel Class C, is hypersensitivity with acute sensation. My doctor knew my history and understood my reluctancy to take pain medication. My doctor explained to me about "quality of life." I first tried other medications such as Cymbalta, Lyrica, before trying Opioids to help manage my pain. It took me over a year to wean off Cymbalta which didn't do anything for my pain. I suffer from Nerve, bone and muscle pain. I have been a responsible chronic pain patient and only take my medication on time and have never been in early to pain management. Pain causes my body to go into Autonomic Dysroflexia a life threatening condition that risks heart attack, stroke or death, because the spine can not communicate with the brain telling the brain something is wrong. Its a very frightening condition that comes on with a pounding headache. A pinched indwelling foley catheter can set off Autonomic Dysroflexia. It's vital that I remain vigilant to my physical health and care. I take my pain medication to be able to get up and shower without screaming out in agony. Lumping Chronic Pain Patients as a whole with only 90 MME per CDC Guideline is cruel, inhumane. I've been wheelchair bound for 41 years.
I am a 58 year old woman and I have suffered from severe symptoms of Rheumatoid Disease for 28 years. My spine has been very severely affected and has developed a horrific case of adult onset scoliosis from this disease. I have had 35 surgeries to repair and replace joints throughout my body. Until 2004, I was an active professor of Education at the University of Northern Iowa. Unfortunately, the Rheumatoid caused so much physical destruction that I have had to take medical disability at that time. I use a small electric scooter because I am unable to walk very far. But the worst part of my situation is not the physical limitations that I encounter daily. THE WORST COMPONENT OF MY DISEASE IS THE HIGH LEVEL OF CHRONIC PAIN! In order to function at even a minimal level, my doctor prescribed fentenyl patches and hydrocodone for me. I was still in pain. I have tried acupuncture, massage, Rolfing, Structural Body Integration, relaxation therapy, reflexology, yoga, meditation, prayer, hypnosis….nothing has helped much with my extreme pain. The current "opioid crisis" in our country has victimized those of us who are in legitimate chronic pain. I have been carefully monitored by my licensed medical physician, as well as by my pharmacy. I have NO desire to feel "high" or to take too many opioids. Those who have abused the system with opioids are the same people who will also abuse alcohol or other chemicals. It is NOT RIGHT to punish those of us in chronic pain by making it almost impossible to acquire the medication that allows us to function minimally.Until other pain relief chemicals are available, it is only humane to allow access to patients in need of opioids. If medical cannabis or marijuana comes available on a federal level, I also believe that chronic patients should have the option to take both forms of relief. Research has shown that the use of medical marijuana has allowed chronic pain patients to take fewer opioids. However, current laws do not even allow us this option. If I test positive for even trying medical marijuana – and I do hold a state of Iowa card for it – I would violate my pain contract and my ability to get any opioids – the only thing that gives me any relief from my constant level 8 pain.Please listen to those of us who are hurting. We are not abusers or drug seekers. We do not want to feel "high". I would just like to walk through my own house without doubling over in stabbing pain from the destruction of the
One more thought —
about the CDC, FDA and other's regulating pain medicine prescribing for patients in Chronic Pain, and the Quality of Health Care in United States
— all I could think of was the Atlanta Civil War Hospital Scene in "Gone With The Wind":
"Don't cut! Don't CUT! DON'T CUT!"
Say the victims of the new war on drugs.
My comments were:
"Please look into the frequency of clinics, pain management, or other providers using narcotic pain medication as a way to establish client base and then later exploiting/extorting patients through reductions in dosages. Are clinics over prescribing and then arbitrarily reducing daily MMEs of pain medication to force patients into decisions about having medical device implants (spinal cord stimulators or pain pumps) as the "only remaining option"?
Have you done enough to ensure doctors are not getting kick-backs from medical device companies? I suggest starting there (ensure patient-centered health care among all providers) for improving patient outcomes rather than stigmatizing chronic pain patients as "drug addicts" and forcing them into having hardware implanted on the off chance it might help. These technologies carry risks, make magnetic imaging difficult if not impossible to get later, and only guarantee one thing: Big money for manufacturers and doctors. These technologies do NOT have a good track record for addressing chronic pain long term yet they are being pushed as more effective than pharmaceutical therapies that historically helped patients remain independent and in reduced pain.
Draft regulations that prevent any person or entity from profiting off the suffering of others."
To make sure all stories are read by the task force. Please use the, click here link, back up in the article. We only have 5 days left to get all of these important comments to them! Thanks!
My pain fortunately has been under control due to surgery and tramadol. I Was diagnosed with degenerative disc disease at 30 years old. I also suffer from migraines and severe menstral cramping each month. If I did not have access to tramadol everyday I would be in severe pain. My doctor fortunately has stood by me and understands my need. However, I know many people who are facing extreme chronic pain, and are getting no relief because of this "opioid chrisis" it's not right that we are being looked at like addicts. Believe me I have tried everything from injections to acupuncture (which I paid out of pocket because insurance doesn't cover it) and nothing has touched my pain except for pain medication. When you suffer from pain…..chronic pain..it's debilitating. It's hard to live a normal life.
The worse part of all of this is I see sucide numbers increasing around me. In fact I lost someone this Tuesday from suicide , due to his chronic pain not being treated anymore. Is this what we really want? When did America become so cruel? We don't do this to animals. What makes it okay to tell someone they don't have the pain they have. Until you walk in the shoes of someone with chronic pain, you have no right, to judge.
I was told almost 20 years ago that I had fibro, about 5 years later I learned I have degenerative disk disease, chronic migraine disorder and both of my hips point the wrong way. I was basically told I was an addict by a pain management Doctor after I had asked my former doctor to lower my dose of opioids. I have since been completely been removed and can no longer work because of the pain I'm in. I have 3 kids and it is hard just to be able to do anything for them. I have tried every legal natural pain relief there is. My husband and family that knows about my problems are just as frustrated as I am. They have all had to take time off work to help me at some point because I needed to go to this doctor or that one. I never was over my limit for my meds when I was tested l, I was always under. And in 6 months I have not been able to get into another pain management team. Its ridiculous, I went off all medications that would stop me from getting into one and after 4 months and I have given up on doctors.
Is suicide my only choice at this point?! Chronic back pain because my discs are blown out on the nerve. I can't take insaids and pain meds are not prescribed anymore. I bet laws would change if the lawmakers had chronic pain!
I too am a Chronic Pain Paitent and have read countless comments and stories and they all break my heart. I empathize with you and feel your pain. And it also makes me seething mad. That so many feel their only recourse is suicide. That our doctors, in whom we placed our trust and care has thrown us under the bus to save their own cowardly hides instead of fighting with us. And fighting is what we should do.
We should be a collective voice of firm, unshakeable, steadfast resolve that we will NOT stand for this! There are many of us that are unable to physically protest but we can write letters! We should write weekly letters to our respective representatives, the CDC, the NIH, the AMA and anyone and everone else that has an MD at the end of their name the took the Hyppocratic Oath to stand by their responsible Chronic Pain Paitents instead of throwing us under the bus and leaving many of us with no recourse but to commit suicide. This has gone on far enough and for too long. Many cities offer (illegal)drug addicts the needle exchange program. When a drug addict commits a crime in support of their habit and they are sent to jail/prison, what do they receive in return for their crime? They receive medication to relieve their drug withdrawal amd now many jails offer drug rehab programs and of course it is there in prison.
When Chronic Pain Paitents take their medication responsibly. Never dreaming of selling it, abusing it or giving it away because every dose counts. Every dose lengthens their quality of life. Not to mention many of use who go to pain management offices subject ourselves to drug contracts, random urine tests, monthly pill counts….Our good stewardship is rewarded by having our lifeline, our quality of life reduced or taken from us. And we never did anything wrong.
Protest…however you can. Let our voices be heard. I urge you to write your weekly letters with me. Not another one of us has to take their own life…
To whom ever this is going to let me make a comment I am a lady and I have been on opiates for a long time now we had a long wait but when we finally found the dose that work I was forced off of them they gave me some of my life back please don't keep hurting us because of people don't know how many suffer with this disease it will cause people to die and they will go looking for something that might hurt them instead of helping please if you care about people please don't cut our meds you don't know what I families go through get to find help and then they want to help but it is all they can do please
I have AS and small fiber neurapathy, I also work full time, have a college degree and a life. I am not an addict but I feel like it when I need pain meds to function and live my life. Three years ago I jogged three miles a day and then I got sick. Within six months I could barely walk. Now I'm a prisioner in my own body who needs pain meds to get any sleep or not be in constant pain. My life without even some relief will be a nightmare. Why are the laws hurting real patients.
I was born with a birthdeft that after years of good doctors trying to fix has left me in coding pain that never stops day after day year after year then I got a pain doctor and for the last 20 years I lived I razed five super great children . my pain went from 8 to a 5 …but all hell felled on me when my pain Dr had to dump me I had for amose 20 years been on 100 morph one 3 times a day and 1600 actiq 4 times a day and then nothing I after a year its not the Madison I am asking for just something for this never ending pain of 8 to 9 it s not right to make anyone suffered ..I try to his my pain but I can't stop the years from falling . I've been all over sanantonio trying to find someone who can care for me but over and over I am told by good doctors there is nothing that can be done that I should move to a state that can get me back on pain meds. I can't move I pray to god to call me home everything seems so helpless . no I don't do street drugs more do I drink .I am an alasken I won't kill my self . but if a bear was to want to eat me it would hurt a lot but it would end . I don't have a lot of schooling so I aplized if I come off strange to you what I am trying to say is we don't let animals suffered why is it OK to let people …yes I am crying in zgreat pain that I know there is medison that a pain doctor use to use that helped. I only took what my doctor gave me I dent sail or give my Madison away I think this war on pain doctors is wrong I pray you never fell pain like so many of us do.
Why are the chronic pain sufferers paying for the drug abuse of street users and those who became addicted thru bad physicians sins?
I have severe spinal stenosis. I am a 70 years old female and have had previous back surgery on my lumbar spine decades ago. It was the worst experience of my entire life.
I was employed 4 years ago when I first experienced the problem of pain when walking and my leg and foot going numb. I went to a neurologist and had tests done. I didn't want to have surgery but needed something for the pain in order to keep working before my employment would end. The company I worked for was eliminating my job within a year or two. I needed to keep working as long as possible.
As it happened my employment ended about a year after my back and leg pain began. I was not in a position to get another job as I couldn't sit, stand or walk for more than 10-15 minutes at a time. I couldn't find a job that was going to accommodate my pain issues. I went to a few surgeons to see what my options were and they weren't good. Surgery with at least a year for recovery. I have no one to help me at home and now on social security with a small pension I am only a little above the poverty line. I can't afford to go to rehab and still pay my house mortgage and pay medical bills and medications.
I opted to try Pain Management clinics. The medication prescribed took months before the right dose was given to relieve my pain and allow me to function. Now I have been advised that due to the government rules I now have to be given less medication and eventually none of one of the opioids. I cannot function with less medication. It just doesn't work that way. Nothing changed to warrant less medication other than the government rules. Having surgery won't guarantee that I won't still be in pain.
I am prepared to kill myself if I have to live in this pain as it is utterly unbearable without relief. I am not an addict. I am a chronic pain patient.
So in conclusion, the TASK FORCE MEETING is going to be writing their own GUIDELINES for prescribing opioid pain medication in addition to the CDC GUIDELINES and now according to Mr. Gottlieb's statement at yesterday's meeting, the FDA will also be drafting their own GUIDELINES! This is going to be a complete NIGHTMARE for doctors and pain patients! JUST what we need…..MORE RIDICULOUS UNSUBSTANTIATED GUIDELINES TELLING OUR DOCTORS HOW TO PRACTICE MEDICINE!
I have read every comment posted since posting my own some time back. It sickens me to death to hear and feel the pain from people suffering not from physical pain but the emotional pain this imagined "crisis" is causing the chronic & terminally ill.
Not one pain patient would voluntarily sell or give away their meds. They need each pill or injection for day to day survival. My own doctors as well as the AMA are raising concerns over what is about to happen and happening now at excessive rates….the limit on opiod medicines.
The politicians are throwing numbers around that have nothing to do with those of us being treated by legally licensed physicians & pharmacist. These numbers of people dying from overdoses etc are mostly those taking illegal drugs, or from stealing legal drugs. Whenever they decide to separate the two then we should listen, but this is a total humanitarian crisis made up by ignorant politicians trying to make a name for themselves without knowing the facts.
Those people that buy street drugs and those kids stealing from medicine cabinets all have a choice, they also have the ability should they so choose to go to any drug rehab clinic to get "clean"…those of us that are terminally or chronically ill have no such choice.
I find it beneath contempt that I am grouped in with those people that CHOOSE to take illegal drugs from whatever source
I've yet to speak with any person taking prescription narcotics that would choose otherwise if there were another source to subdue their pain or help them get from one day to the next…this entire TRUMPIAN & REPUBLICAN mess is totally absurd and others should come to the rescue not only of patients but physicians as well…get the DEA & the POLITICIANS the hell out of our health care…they are killing us…!
I have peripheral nephropathy, fibromyalgia, avascular necrosis in both hips and osteoarthritis in my back, as well as pinched nerves and compressed discs. My doctor prescribes hydrocodone at 4 times a day. I usually only take them 2 or 3 times a day. Without at least 2 per day, I cannot function. It's not like I can do anything about any of these conditions surgically. Please don't punish those of us who use our prescription drugs wisely because of the people who don't. I think my doctor should be able to decide whether or not I have a problem and prescribe what she sees best to manage my pain.
after 38 years of living w pain secondary to spinal cord injury I recently rewired pleasure pathways where there used to be pain pathways w/ an 8 week neuroplasticity educational/support group. If I can do it, anyone can!
Stop taking prescription drugs for chronic pain! Rewire your brain. Learn the principals and tools of neuroplasticity!
I have been a pain patient for about 9 years without pain management I cannot get out of bed with my back and knees as bad as they are pain management helps me get through the day and without pain management I could not work I cannot do a lot of things I would be forced to draw disability I don't understand why the government is punishing the people who need it I understand there are bad everywhere but not every pain patients should be punished for these people what are we supposed to do without being able to manage our pain on some days the pain is as bad as wanting to commit a suicide
I am a 60-year-old working professional who has low back degeneration that is non-operable. I have undergone five radio frequency ablation's and multiple epidural procedures as well as multiple physical therapy sessions and acupuncture and I barely have manageable quality of life with the current opioids that I take every day – prescribed and monitored by a board-certified pain specialist. I have had to give up golf with my son because I no longer can swing a golf club without excruciating pain. The doctor has reduced the amount of medicine that I take due to the pressures of the current opioid mandates being pushed down from federal and state governments. This has decreased my daily functional levels. My current pain management doctor, who is the only one in a town of about 200,000, is thinking about closing down shop because of the current pressures. He is a very caring physician who has several thousand patients who will be without any options for management of pain should he closed his practice. I will have to go on disability and no longer being a tax paying citizen. There are no other options for my condition. I have been to the finest back surgeons in the United States who have determined my condition to be non-operable. Please consider people like me, a churchgoing non-drinking non-smoking rules following person with chronic pain. If you take away the opiates I will have minimal quality of life. I am currently fortunate to sleep more than 3 to 4 hours at a time without excruciating back pain on my reduced doses. I beg of you, use common sense and realize the problem is heroin and non-prescription medications that are causing the desk in the United States. Chronic pain patients like me take their medications from their doctor and follow all the rules with urine drug testing, drug contracts, and regular office visits. Please, let commonsense prevail.
This was an amazing opportunity to listen to not only pain patients but the doctors, nurses but those who attended and spoke up regarding the way pain patients are handled in everyday scenarios. Emergency room physicians, surgeons and physiatrists all participating for one goal…to better the treatment for pain weather acute or chronic they all made comments and suggestions that I personally hope will change what the CDC and DEA guidelines put into place will ultimately change with this conference.
I guess there is no sense in commenting. 1,403 comments were received. 1,008 comments are viewable. Another dog and pony show. They don't give a rats behind!!!
How do us pain patients find out how much is the maximum dosage each state requires pain doctors to adhere by?
For instance, I am told the state in which I reside, has a maximum of 120mg's of morphine equivalent, daily. But the next state over, within a clinic I had started 10 yrs ago, has not been specific with their guidelines and I have had a regimen of twice the aforementioned amount, for 3 years.
I had to move on account of my husband's job.
I'm trying to decipher my rights as a patient from doc's who don't want high dose prescriptions associated with their D.E.A. licensure.
Any input would be helpful.
Doctors are running scared, pharmacists & insurance companies are being doctors without degree's, the government is controlling lives from behind emotional outpouring from the public who have lost loved ones from overdose. Here I sit in so much pain because none of the listed are me, the individual, with pain but they have made the choice to systematically kill me. 25 years of treatments, shots, ice, heat, rest, meditation and so to no avail. What works? Opiates! What can I no longer get in doses that actually work? Because people that are not me and my Doctor, who has reams of documentation, made the choice to give me a useless, painful quantity of life rather than quality of life! I would rather live only a short period of time as pain free as possible as opposed to a long miserable existence mired in pain. So congratulations you have gotten your results, you have gotten your way. You have gotten my death!
The gov't becoming involved in this issue created the devasting rate of deaths due to opiod overdoses. They use a data driven method instead of common sense to combat the "epidemic". More people are turning to illegal opiods now to treat their pain. More often than not, these are laced with stronger narcotics resulting in overdoses. The increase of citizens obtaining theses killer street meds is due to the new restrictions in legitimate pain treatment. You cut people off their meds without any substitute and the pain is still there only it is all amplified with the additonal dependence withdrawal. Of course they will either put a bullet in their head or go look for relief on the streets. Take a look at the rate of opiod deaths. If you categorized them, how many are from pain patients who are following the rules and how many due to illegal use?Also if compare deaths from before 2014 when opiods were made to be more regulated, and now, there is a jump. I have pain every single minute of my life. And there is not a thing left to do to "fix" my bones. I have taken opiods for 6 years now, with meds, I can get out of bed and care for my kids, the pain is still there but it is tolerable enough with meds for me to actually function. That means cooking, cleaning and even bathing. Without meds? I would be worthless. Who wants to live that way? I jave exhausted all other treatment options…and even now, it is a struggle every month to even get my meds. I am made to wait until all meds are gone, then go to my doctor, then drive to the pharmacy which now has to be within 5 miles of my house, fight with my insurance company then pray the meds are in stuck because they are now being rationed. The government should not be treating patients. They are not experienced enough to do so and they have never examined any of the patients. It needs to be kept souly on the shoulders of physician and patient…not rest on the unqualified gov't
In response to the comment below by "A concerned clinician", these statements are why patients with chronic intractable pain avoid your practices, because your ideas about non-opioid treatments don't work.
I hope all the people telling there stories here about their pain and need for pain medications realize that this is NOT the place to leave your official comment for the government to read. You have to actually follow the instructions in the article posted above if you want to be heard by the right people.
Experts on pain arent the cavalry coming to fix our pain care system. Theyre stuck inside a systemof poor diempathetic pain care they most certainly helped to create. Their blaming government for their own deficiencies and excesses. And news flash they havent been willing to make deep improvements to pain care. Frankly they dont care much and dont like the facts about themselves to be told by advocates.
Government uses experts for their own agenda like a swiss army knkife and a big golden hammer to imprecisely bludgeon problems like opioids. Government is not the prime mover of poor pain care.
People in pain meed to realize that neither government nor experts are their friends
Theyre way to self centered for that.
Its time to trouble the sleep of experts and govt. Theyve been stone cold careless self promoters who havecrefused to bevresponsive tobthe suffering of pain. Which expert would like to debate me on this issue. They all run out of syeam after a few rounds cause they dont knowvenough to have a real argument
Really we shouldn't even be having this conversation. It has gotten out of control. The government believes they can lump us all into one category. They are always saying the opiod crisis, what they are failing to mention is that it is the herion and fentanyl on the streets are what is causing most of the overdoses. Essentially they are causing people in chronic pain to turn to these deadly options. I was in a life changing car wreck almost 12 years ago. A young teen text messaging ran a stop sign and hit me three times. She couldn't control her car after the initial hit. I now have no discs at my L 4 & L5 it is bone on bone, L3 is bulging and herniated, my spinal stenosis has progressed down from the T3 and T4 into my L3. I have tried decompression, chiropractor, epidurals and finally a nerve block. I did the nerve block knowing that I am allergic to oral steriods, I cannot have anymore because I ended up having a reaction to these as well. The only way I have any quality of life is with my medications, otherwise I would not be able to move. I can guarantee if members of Congress had to live the way people in chronic pain had to live they would never make it. Oh wait I forgot the law applies to everyone but them. They would still receive their medication. People in true chronic pain do not get high off of their medication, it just masks the pain so they can somewhat function. Let's face it this is not a one size fits all.
It is time decisions made based on the actions of a few be stopped. Some abuse medication and denying it to those who need it is not only unfair – it is wrong. A famous person overdoses or is addicted and everyone else has to be penalized. There are real people in real pain and unless the medical profession comes up with viable means to decrease or stop real pain – then pain medication is needed.
I am from Arizona and we need proper representation.
I feel the NIH guidelines and pain management task force should not be politicians. They should be pain management patients, providers from pain management anesthesiologists, nurse practitioners, educators on pain management, and pain patients. Experts of pathophisiology of pain, and how the medications act in the body of the pain patient. Not politicians and legislators. They should only be on a subcommittee, so pain patients are not discriminated against. Medical providers of pain patients need protection from medical boards, false accusations, DEA, and witch hunters, and fake news. We have a government in support of marijana that is not effective for many pain patients. Pain medications are effective, and they should be made available without stigma, to all pain patients with proper counseling, education, and relationships with their team of providers that manage their pain.
By CDC guidelines we were supposed to manage patients as a team, pharmacists, and providers, but that has failed, with pharmacists acting as patient policing medical providers and discriminating against pain patients. I know. I was a provider and a patient! See our talk of our Congressional briefing American Pain Institute, 4/25/18 Washington DC, and CAWNATION internet talk show..Jonelle Elgway…You tube..we clearly explain what has happened in this opiate hysteria on my talk.
See Dr. Klein North Carolina talks, and you will get a professional education on what is really happening in the real world of practicing providers, and pain patients. All the rest…you make your own conclusions. Let the truth prevail. We are all praying for new educated guidelines for providers and patients. Let us get the medical profession back to caring for the patients, without being fearful of witch hunts, and office raids, and patients killing themselves, for stopping their prescriptions, must stop!
Thank you for your time. Please listen to us on You tube … internet talk show of doctors and patients in the pain community… CAWNATION. This is important, for your educated conclusions.
Those of us with irretractable pain ate suffering greqtly. Addicts should have no effect in us!
Here is slightly edited and shorter version of the comment I just posted on their site:
Dr Myles Gart wrote a piece entitled "Pain is not the fifth vital sign" Medical Economics on May 20th, 2017. http://medicaleconomics.modernmedicine.com/medical-economics/news/pain-not-fifth-vital-sign
I do not believe Dr Gart has any experiance with Chronic Pain. This is my Letter to the Editor response to Dr Gart:
"… First and foremost, we must bury the claim of pain being the fifth vital sign and replace it with a 21st Century pain assessment tool that incorporates objective evidence and measures of pain. …"
Dr Gart, at this moment are you hungry? In your lifetime have you ever been hungry? Hunger is a type of pain. Did you treat that pain by consuming a substance?
Please correct me if I am wrong. To my knowledge there is no objective test, no simple Pain Meter, that will show me that you are hungry. Yes we could look at enzymes and such. Will that truly tell me just how hungry you are objectively?
If there is no objective test for a pain as simple as hunger, that each of us experience most every day, what hope does a person in Chronic Pain have?
In Ohio the Governor is now practicing medicine by decreeing that there can be no more than seven days of opiate pain medication. Perhaps he should discuss that with the person that was hit by a train and survived with most every bone broken.
My wife Karen died of suicide to stop the pain she experienced for over 20 years, due to the failure of the Medical Establishment as a whole. THIS IS THE REALITY OF Chronic Pain.
"Karen's Journal of CSF Leak Headaches and Chronic Pain: How Intracranial Hypotension and Levaquin (Levofloxacin) Killed Me"
is now required reading at Duke School of Medicine to educate future Neurologists about the realities of Chronic Pain.
A local reporter wrote in a Cover Story:
"Karen's first-hand account of her illness gave an honest, heart-wrenching depiction of what it is like to live with debilitating pain day-to-day." — kpaddock DOT org [I don't know if this site allows links in the comments.]
May I humbly suggest you read it.
kpaddock DOT com/book
kpaddock DOT com/fq for FDA links on the antibiotic issue.
In book form it has been edited by a medical doctor that has the same condition has Karen had. When bought through the Spinal CSF Leak Foundation 100% of the royalties go to them…
I am one of those chronic pain sufferers that had multiple injuries from 28 years in an auto plant and now that I am disabled from it the only relief I ever got was from opiates. I tried injections of all sorts, physical therapy for months on end, tens units, ice packs, heat packs and all of them only gave me temporary minimal relief. The thing that let me have a life was Percocet. That alone was months of trying this narcotic, then that one since many didn't work for me either. Once my pain management doctor found that right combination of medications to let me function with as little pain as possible I was finally relieved. Now the government has all the doctors running scared because the addicts of the world can't be screened out well enough. Really?
I can pretty tell which ones are looking for fix, why can't the doctors?
Nevermind. My mistake. It says "CommentS Not Accepted" which I believe means that someone cannot comment on the comment. Is that correct? No need to publish this comment & my last comment asking about this. Thanks.
Why does it say "Comment Not Accepted" on some on the site of HHS/NIH? One is including Steve Ariens. What are they pulling? Am I reading it wrong?
I have severe osteoarthritis and osteoporosis as well as 2 compression fractures. I only have VA medical care and they've cut me down on my hydrocodone. I can't even sleep all night through due to pain. I've never abused them. Please don't take pain killers away from those pf us that actually need them.
I was in a Glider/sailplane accident when I was 17yrs old. Virtually every bone in body was broken and or crushed as well as internal and head injuries.
I've lived a productive life with the help of medication. Have had many corrective surgerys and procedures, epidurals, stimulus programs and more. Nothing helped, sadly if anything it was the opposite. Medications are what enabled me to live life.
With all the restrictions put on Drs trying to help. I stopped for a while which put me in agony doing nothing with my life. Recently I have gone back to see Dr for help to regain my life.
I understand that there is abuse. However, chronic pain patients as myself with no other solutions should not be condemned to spending the rest of life not being able to think and function in society. Which is what these government restrictions are destined to do to me and others. Perhaps those who are making these desitions should be put in a situations where pain is induced and I don't mean for a minute or two, or even a day or two. Long enough for then to scream uncle. But, guess what there is no relief for those of us who can not turn off a pain inducing device. We live with this 24/7. Hard to do anything, when you are unable to think, sleep, walk or even get up!
Drs should not be afraid to lose there licences or even to be put in jail for trying to help those who are in need of help. Recently I was in the hospital and speaking with Drs who no longer want to be a Dr. Well these regulations will change the caliber of those who want to be Drs in the future effecting our
level of medical care. And for those law makers who don't care about the wellbeing of those with severe chronic pain.
Think about it that way.
I'm a chronic pain patient. There are several different issues I have been diagnosed.
My concern is, this whole epidemic of opiods. I've been on a program for over 3 years. Never abused them as you see i need them in order to at least 1/2 way function. In my opinion you are punishing those of us who need them. Iv'e already been cut back on my doses. I think your going about the whole process wrong. If the heroin addicts and drug abusers choose to overdose it's their choice. Us that need them to function aren't doing anything wrong. Let the people die who want to abuse. You can't help them. Unless they are ready to admit they have a problem and actually want to do something about it. Please don't punish us.
One size fits all does not work with pain medication. My husband has been taking opioid for 30 years with few side affects. This change will lead to increased suicides among chronic pain patients. and people dying from street drugs seeking pain relief.
I had heart sugery on 1/31/14. I had my aorta valve replaced and after the surgery, when I woke up, I couldn't move my left arm. To make a long story short, I suffered a brachial plexus INJURY during the surgery. It took me years and lots of rehab to try to figure out what was going on. They tried several non-narcotics then gave me percocets. They worked. Period. Its the only thing that did. I get discharged from re-hab and now they treat me like a drug addicted criminal. I haven't had my medication since Dec. I can't do dishes. I can't take a shower with both arms. I can't have sex. A neurologist diagnosed me with Parsonage-Turner Syndrome. Its very painful. They keep sending me to pain clinics where they treat everyone like trash. Those people get paid to say no. Iam physically dependant, not an addict. I am injured, not hurt….there is a difference, but noooooo. So, what am I supposed to do?
My name is Shar and I have been in Chronic Pain for 12 years. I have degenerative disc disease, fibromyalgia and other painful problems, like knee replacements etc.. Just my DAD has taken my quality of life away. Being able to walk is an effort, therefore I am disabled. I have had 21 surgeries in my lifetime and I'm only 56. I raised 4 kids that I would like to enjoy. Not to mention the grandchildren that I live for. No thanks to all the opioid users, just for a high, my world is destroyed. I don't want to live on narcotics, but if I want to be able to get out of bed everyday, I have no choice. I feel horrible for all the suffering people out there that have a story like mine. When the Pain Mgmt Dr tells you 90 mg is your max, they are not doing their jobs…..they are listening to governed agencies. Now, I bet those people are at family bbq, birthdays and other events with their loved ones. While some of us have to lay flat on our back and try to have fun by phone. PLEASE, PLEASE, PLEASE GIVE US OUR MEDICATION BACK SO WE CAN HAVE THE BEST LIFE POSSIBLE, UNDER OUR INDIVIDUAL CIRCUMSTANCES. WE HAVE A HEART TOO, BUT YOU ARE CRUSHING IT!!!
I'm going to have to drive In pain to a methadone clinic everyday in order to care for myself the rest of the day thanx to this DRACONIAN legislation. Mr. Trump putting forth legislation isn't a business gaggle of starting high or low and meeting in the middle..its putting forth a bill that is doable for our citizens, is researched and makes sense. That's what they're looking for. I voted for you and I like the fact that your draining the swamp but please don't put forth legislation that physically hurts it's citizens and veterens.
This legislation should be focused on fentanyl. That's where almost all the deaths came from. It seems that the government want people to be in pain and incapacitated. There's no other rational. It's fentanyl that caused this whole problem.
In 2013 I was runnover at work on pavement by an 11,000 pound piece of heavy equipment with a tank like track from behind. The machine was moving forward. My toes where touching my shins while this machine was on top of my left leg leaving track marks right up to under my knee. It broke 3 foot bones and ripped all the soft tissue apart and stretched and tore my majors lateral nerve in 3 – 4 places also broke my fibula. . After the 1st operation my orthopedic surgeon installed 3 screws and put in a 6 inch titanium rod above my ankle. It got infected and had a 103 degree temp. After removing all the hardware but the titanium rod I was brought off my 200 mgs of oxycodone. After a couple of months I was still in horrible pain and my foot was discolored red. Finally after 6 months I was referred to pain care where after some texts I was diagnosed with CRPS/RSD. I immediately went home and googled what this was and was horrified. No cure, spreads eventually to your while body and if it has killed at least 2 people who had it spread to vital organs. After trying many different drugs that did not help, I suggested what they had given me in the hospital recently during a bad flair..a shot of a powerful opiate and some valium. Not only did the pain go away but within a couple of hours my skin color and temperature went back to normal. We titrated me up on a long acting opiod methadone and combined it with diazapam (valium). I started to feel relief around 50 mgs of methadone and 20 mgs of valium plus 1200 mgs of gabapentin a day(all I can tolorate). After a year I titrated up to 100mgs of methadone a day, 120 mgs of oxycodone, 30mgs of valium , and 1200 mgs of gabapentin. After 8 months of physical therapy it was decide to do exercises on my own since the hour of the therapy caused a weekly flair of my pain symptoms. I rode my bike and did exercises carefully for the next 5 years. I still couldn't sit or stand for more than two hour or so but at least I could sleep and do errand and cars for myself. Often I didn't even need my cane to walk. I did a week trial of a tens device and I felt horrible, no pain relief and also felt cold. The only relief I had was from my medication. I noticed marajuauna would stop the pain and give me energy..but there is no federal money to cover marajuauna therapy for pain since it is federally illegal to use or posses it. Now, I am being brought down off my medication and after a month and a half and 40mgs lower and can barely walk.
I hope everyone who commented here "copies and pastes" their story at the link provided so the NIH sees these stories and not just those here at the National Pain Report.
I am a 29 year old woman. I have degenerative disc disease and scoliosis as well as multiple herniated discs and torn ligaments in my ankle. I have a 3 year old son and a husband who has RA and AS plus many herniated discs him self. We are a very happy and healthy family! We do physical therapy as prescribed on top of taking pain medication. We are both chronic pain patients. With out the use of pain medication me and my husband will not be able to be a happy mother and father that our son deserves to see everyday. Nor provide him the type of life he deserves. Considering we couldnt work with out the relief of our pain. We never use our medications out of tern and or not as prescribed. If we weren't able to have these medications me and my husband would be bed ridden and possibly need hospice. As well as child care for our son. Because his mommy and daddy wouldn't be able to take him to the park yet alone pick him up and give him hugs. I'm afraid my husband would be in a wheel chair with out his medication. I my self would have to quit my career and no longer do what I do to provide for my family. Reading this article has me and my family terrified for our future and what is in store… I plead with the people who have control of this situation and see this for what it truly is. The people who are abusing opiates are not in the same category as the typical chronic pain patient as well as each chronic pain patient are different and schould be treated different medically according to there diagnosis. I know many people who want to go on with every day life just like a normal person with chronic pain and will not be able to do so with out pain medication. I see each side every time I go to my pain clinic. It's easy to spot the addicts from the people who just want to live a quality of life. I believe that the doctors know there patients and can decide what's best to prescribe according to there diagnosis! I feel like there is so much more I could say on this topic. I have seen many sides of pain medication and I see more benefits as well as negatives but the positive weigh out negatives. Please do not take away our quality of life. Let my son grow up remembering his mom and dad by his side instead of in pain and sick in bed. I would also like this article to be made more aware to the public. I believe if more people saw this article then they would also have there opinion, knowledge, and experiances! I hope the NIH does what they can do to get the word out.


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The Difference Between Millennials and Generation ZMarch 21st, 2019 Posted by Yuvia Morales Strategy No Comment yet
When we think of the future of marketing, what comes to mind? Social media, technology, and millennials. Many companies, especially those dipping their toe into the pool of online media, are studying everything "millennial" – what they like, care about, and want to put their money in.
Much research has been done to study this generation to determine how to target them and get their attention. We have found that they value experiences more than products, which is why companies like GoPro, Uber, and Coachella are on the rise in this experience economy. But while we know what this generation wants, are we sure we know who they are? True millennials as those born between 1981-1996, making them adults under 40. So why are they so often looked at as "kids"? If millennials are all adults, then who is the next generation we should have on our radar? (more…)
Yuvia is an intern at RDW Group with a deep interest for all things business! She is currently working towards her Bachelor's degree in marketing at Johnson & Wales University. When she is not working hard at homework, scholarships, or her part-time florist job, you can find her listening to music, binge-watching Netflix, or researching the latest fashion trends.


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After postponing the departure for another day or two, me and Alkım left Nevşehir together. We camped some days at a lake near Kayseri, where I learned how to fish in Turkey. I've made a small tutorial:
- Find a good spot where you are visible, this is very important.
- Start fishing. Do not focus on catching the fish, you are probably not qualified to do that. Instead, focus on catching the eye of the villagers. Do this by exaggerating your movements while throwing out your line, making big gestures of disappointment when taking in your line, etc.
- Wait till one of the villagers brings you an overload of fish
- Afiyet olsun!
The euphoria of being on the road again quickly got bombed by another broken axle, for which I found a replacement in Kayseri. This happened during the last week of Ramadan, and I really thought the mechanic was going to collapse while he was replacing the part. The axle itself took his example and snapped the very next day. Apparently my hub was deformed. Apart from that, cycling during the Ramadan was not that much different. People still offered me food, although I didn't really feel comfortable eating, while a bunch of hungry wolves were watching every movement I made.
The road itself was very nice. I'd planned to avoid the main road, but when I noticed it was paved with the smoothest asphalt I'd rode on since Cyprus, I got hooked to it. In Turkey the roads, even the newly constructed ones, normally have a rough surface, which slows you down a lot. It looks like they've finally learned it. Only when the mountains began to rise, I started looking for alternatives. These small roads served me a daily 2000m pass. I hadn't climbed for some months, and it took me some days to find my rhythm again. It was nice to see the landscapes changing very suddenly, from the dry Anatolian plateau, to the Black Sea coast, where the grass is green and there's a small current behind every corner, which I'd really missed.
Sleeping was another thing. My first evening in the mountains several people stopped me to ask what I was doing. They told me not to sleep in the mountains due to the high bear population. People often warned me for animals before, and I'd never had a big problem, so I ignored the advice. This time it was not different, but during the night I started to get paranoid, I made a big fire, and whenever I heard a sound, I was sure it was a bear. Needless to say I didn't catch a lot of sleep that night, so from then on I stayed in villages. A good choice, daily bed and breakfast.
A few days later days, after a quick visit to the Sümela Monastery, I finally arrived in Trabzon. Some minutes later I was already drinking çay with some other Iran-visa hunters, and Cüneyt, my couchsurf host, who owns a tattoo shop in the hearth of the city. Cüneyt is an excellent host, and opens his house to everyone, making it a very lively place. Then I thought back about the winter, when me and Sylvain flipped a coin on whether we would put a specific tattoo or not. The time had come to listen to the outcome of that event, and it was there before I realised it…


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THE SON OF one well-known Sheridan attorney (Ellsworth Eugene Lonabaugh) and the brother of another (Harvey Ellsworth Lonabaugh), Alger Wellman Lonabaugh graduated from Sheridan High School and went on to pursue a law degree of his own. Before he could complete his studies, America entered the war and everything changed. In June 1917, Alger signed up with the Wyoming National Guard. He soon transferred to the 4th Trench Mortar Battery where he quickly attained the rank of 1st Lieutenant..
After the war, Lonabaugh finished up his schooling (Stanford University, Class of 1919), became an attorney, got married, had several children, and lived in Sheridan for the rest of his life.
In a letter dated September 14 and printed in The Sheridan Daily Enterprise on October 12, Lonabaugh gives an unusually detailed account of a unnamed battle in which the 4th Trench Mortar Battery played a significant role. In a second letter, he tells of another artillery attack.
(From "In the World War")
Trail End
State Historic Site
Sent from Verdun, France, September 1918
Dear Dad - Well, yours truly has survived another offensive, but several times I wasn't quite sure whether I was all there or not. I know you will be interested, so will write you how it happened. ...
We left the rest camp ten days ago and traveled by night through rain, mostly on open trucks, and camped in the timber during the day. From the morning of the 9th to the night of the 13th, I was on the go most of the time. I got little food, little sleep, and didn't wash during that time.
The afternoon of the 8th, the captain sent three lieutenants up to make a reconnaissance of our position. We went up as far as possible in a truck and then walked the rest of the way along a road which the Boche could see, but never a shot from them. We found an old French emplacement which was fine. We returned late at night and learned we had to go into position the next night.
Traveled all that night, arriving about 3 a.m. at a small town in rear of the position. Had few hours' sleep and woke up to learn that a French battery had taken part of our position and that another reconnaissance would have to be made. The captain and I went on ahead, leaving orders for the battery to move on up. The guns were all in place by 6 a.m., but we had no ammunition. In the meantime, the Boches were waking up a little, but had no idea of what was coming.
There was a small narrow gauge railroad that ran by our position. We had secured five small wagonettes which the men pushed. The rations and everything we got came by these wagonettes. We worked all day getting the positions fixed up. The rations came about 11 o'clock the night of the 10th with orders that I return with half of the battery to get a good sleep, as there were no blankets and not enough bunks for all in the shelters. In the meantime, the Boches were getting nervous as the devil. About every 15 minutes, he would throw over a dozen shells into the crossroads where everything was coming down.
When we got to the crossroads, he evidently heard us, as he threw about twenty shells in there. The first three were quite short, about a hundred yards or so, but I cannot say how close the rest of them were, except that none hit closer than ten yards from me. Up the road a short distance they killed a field battery lieutenant and his striker. I think I went flat in the mud of the road about five times.
... There certainly was confusion on that road - Frenchmen yelling, Americans swearing, and in the melee a French ammunition train got across the track, so we had to abandon our wagonettes til morning. Got back to camp at 5 p.m. and got a few hours' sleep.
... When I awoke, the captain and I figured the firing data. ... We discovered some of our ammunition and made arrangements to get it up that night. Just got asleep when the commander of the French battery in whose dugout I was, came in with the message that the zero hour was one o'clock. As we had expected it at five, we had a lot of work to do. Later we received message fixing the hour for artillery at 5:30. However, no one wanted to sleep.
About 1:05 she started and, believe me, she was sure some proposition. I had charge of our mortars, and we opened up at 5:30 promptly. We sure did drop them over. I went over afterwards and saw two direct hits on machine gun nests and one on a minie-werfer emplacement. We stopped firing at 8:25, and the doughboys went over the top at 8:30. ... There were just a few of them who walked over to the Boche trenches, but none of them seemed to fall. Ten minutes later the prisoners began to arrive.
The barrage sure was fierce. If you can imagine a machine gun firing point blank at a bank, that is just the way the big shells were dropping into the german positions.
The closest call I had was about nine o'clock. I was standing at the entrance to the kitchen when a Boche shell hit about a yard and a half from me in the mud. I went flat, of course, and got up shaking the mud off, looking to see who had been injured. All it did was to blow the chimney off the kitchen stove.
One Month Later, October 1918
Dear Dad - I have been in this drive since it started and am still going strong. ... I have really been seeing some of the hardships of war. I slept on top of the famous Hill 304 the first night with two blankets that I swiped from a pile of doughboys' packs. Had a whiz-bang light fifteen feet from me about a week ago, and all it did was to clout me on the shoulder with a brick. However, I had shell shock all that afternoon and jumped about a mile when a mule brayed "hee-haw."
Was in an attack with an infantry brigade about a week ago and had a hell of a time - men blown all to hell on three sides of me.
It looks as if the war would soon be over. I hope so, because I'm frank to admit I've had all I want.


text: How To Software emaze Review Why should you make an emaze presentation? Share Pin Email Print An emaze Presentation. Software Presentations Documents Spreadsheets Desktop Publishing Graphic Design Databases Animation & Video by Stacy Fisher Updated June 24, 2019 emaze isn't like most presentation makers because while it lacks many of the common features similar software includes, it provides an entirely unique way to display the slides of a presentation. Among many other features we'll go over below, emaze supports regular text editing capabilities and spelling errors are caught automatically as you type. Visit emaze Pros and Cons As great as some of the features are, you should be aware of the many ways emaze falls short: Pros Unique presentation stylesSupports rich text editingIncludes themes to choose fromBasic presentation featuresAutomatic spell checkCan share the presentation with others through a unique link Cons Lots of features only work if you upgrade to a paid subscriptionAll presentations are made publicly accessibleDoesn't save your work automaticallyNot everything on a slide is editableCan't save the presentation for offline useCan't change the font type of textLacking common presentation features More Information on emaze Dozens of slide templates are availableLocal and internet (via a URL) images can be added to an emaze presentation, as well as shapes, audio, charts, Google Map locations, and videos (local and internet)Several chart types are supported, like a line, column, table, and organization chart. They work by pasting data into the chart from the clipboardemaze allows some rich text editing as well as 3D effects, opacity adjustments, and shadows to be applied to textCustom HTML and JavaScript code can be added to the head and body of the presentation, and SEO information can be customized to target internet searchesHyperlinks can be set up to not only link to a URL but also to another slide or object in the presentationScrolling between slides can be vertical or horizontal, and they can be unique for each slide transition Shared presentations can be modified to disallow downloading, printing, and/or duplicationemaze supports voice commands so you can start, stop, and move through a presentation with nothing but a microphone My Thoughts on emaze emaze can create some pretty awesome presentations. You have to try it out to understand exactly what I mean by this, but the idea is that a canvas that resembles a newspaper is used to show the slides, zooming in and out to move through the paper as you move through the slides. That template type isn't the only one available, though. You can also edit a template that resembles a PowerPoint one, where you click through the slides from left to right. Choosing which template to use is actually really easy with emaze because you can watch a short video before you select it. The way emaze looks is way more impressive than its functionality. You can't customize very many things at all when you compare it to other online presentation makers like Google Slides. This makes emaze pretty much useless if you're in need of the deep customization abilities that you'd find in traditional presentation software. However, emaze is great if you need to quickly put together a really neat presentation with some basic items like images, video, and text to share with others. Another feature included in emaze is the option to import slides from an offline PPTX file, but I was unable to get it working correctly. Visit emaze Continue Reading


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Effects of Parental Notification and Consent Laws on Teenage Births and Abortions in Texas
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Teen pregnancy and teen abortions are major public health concerns in the United States. The more than 300,000 births to teens each year often involve increased risk to the health of the mother and the baby. Teenage pregnancy and births also raise a variety of related political, clinical, social, and economic concerns. To make effective recommendations regarding contraception, teenage pregnancy, abortion, and sexual education programs, researchers must produce empirical evidence, which accurately evaluates policy options for persons involved in public health policy and legislation. This study investigated the effect of parental notification and consent laws on teen births and abortions in Texas. This research examined health data of females aged 13 - 21 from Texas for 1995 through 2009. In January 2000, Texas enacted a law requiring a medical provider to notify the parents of a minor female seeking an abortion, before performing the abortion. In 2005, the law changed, requiring notarized parental consent in addition to notification for an unemancipated minor to receive an abortion. Teenage birth and abortion rates, as well as other health outcomes related to pregnancy were analyzed. The data included years before notification laws (1995 – 1999), the years following enactment of the notification law (2000 – 2004), and the most current data following the more rigid consent law (2005 – 2009). The analysis used a time-series approach, specifically Auto Regressive Integrated Moving Average (ARIMA) model-fitting processes, to identify any changes in the patterns of the dependent variables resulting from this legislation. Overall, parental notification and consent laws did seem to have an effect on birth and abortion rates for minors in Texas. Specifically, notification laws seemed to have the greatest impact on 16 – 17 year old females, reducing birth and abortion rates. Results were mixed in terms of the effect of the more stringent consent laws and the overall impact of both laws on health outcomes. Findings did differ by race/ethnicity category.
Wills, Laura Jean (2014). Effects of Parental Notification and Consent Laws on Teenage Births and Abortions in Texas. Doctoral dissertation, Texas A & M University. Available electronically from http : / /hdl .handle .net /1969 .1 /153672.


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Miranda SS19 - Navy & Cream Skirt & Blouse Set 242-2-F
Regular price £25.00 Sale price
Tax included. Shipping calculated at checkout.
Gorgeous cream and navy print skirt set by Miranda for Summer 19.
Available in sizes 4yrs to 10yrs.
Spanish sizing runs small so we advise to go up a size.


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Cocaine, marijuana, 50 bags of heroin found in car near Middletown school, police say
MIDDLETOWN >> A city man is being held in jail on charges he was carrying hundreds of dollars' worth of drugs in his car Wednesday night.
Curtis K. Jones, 39, was taken into custody after pulling into the driveway of an apartment where police believe he has been selling drugs.
Detectives had a search warrant for the apartment on Mill Street and went there at about 10 p.m. Wednesday to serve it. Shortly before 11 p.m., they saw Jones pull into the driveway so they followed him then detained him. Once Jones was in cuffs, police burst into the apartment and found another man inside who they detained without incident.
Investigators searched Jones and found $919 cash in his possession but no illegal substances. Jones also reportedly said he had nothing illegal in his vehicle and told police to search it. Detectives say they noticed a strong odor of marijuana emanating from the car and searched it.
Inside the car, police allegedly found two burnt marijuana cigars, a container of razor blades commonly used to divide drugs for sale and four cell phones. They also allegedly found a white plastic "ice cube" in the front center console that contained cocaine, marijuana, crack cocaine and 50 bags of heroin.
Police said the marijuana weighed 5.3 grams and had potential street value of $106. They said the crack cocaine was 7 grams and would be worth $700. The powder cocaine weighed 2.8 grams and would be worth $280 and the 50 bags of heroin would be worth $500, authorities say.
Those drugs, along with the cash and packaging materials, indicated Jones is a drug dealer, police said. They also said the house where the car was found is within 1,500 feet of St. John Paul II School.
Police seized Jones' cash and the car he was driving as ill-gotten gains of drug sales.
Jones was charged with possession of narcotics with the intent to sell, possession of narcotics within 1,500 feet of a school, possession of drug paraphernalia, possession of a controlled substance and possession of less than one-half ounce of marijuana. Jones, who lives on Oakland Terrace, is being held in lieu of $5,000 bail and is due back in court on Jan. 26.
Police, who said Jones is on parole and has a criminal that includes several felony convictions, notified his parole officer of his arrest. State records show Jones was to be on special parole until December 2018 after he pleaded guilty in November 2012 to possession of narcotics in Wethersfield.


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Get your online invoices from Vodafone
Pick up your incoming online invoices from Vodafone regularly and automatically.
You can manage all your incoming invoices from hundreds of web portals in one place with invoicefetcher®. Our cloud software saves you time, money and nerves.
Vodafone is one of the biggest mobile and home phone providers in Germany. The company's homepage, clear and intuitive, offers different plans for tablet PCs and smartphones. Furthermore, private as well as business customers can book landline and/or DSL connection. There are different plans (for different prices) for individual customer needs. The menu point My Vodafone enables the customer to access a clear overview of the plans booked and the possibility to change them. Invoices are also displayed, overview and /or pdf download.


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Get Financing
We work exclusively with Close Brothers Motor Finance and are thrilled to receive the dealer of the month award (June 2016).
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Merit Motor Company 5 Star Service/Rating
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Please call to arrange a viewing as our opening times are very flexible.


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Gruffalo arrives in MK for 1st BirthdayStuart | YLF
The Gruffalo and Pre-School Children celebrate The Childcare Hub's First Birthday
On Saturday 14th July at 10:30 am, The Gruffalo will host an exciting birthday party for the 1st birthday of The Childcare Hub in Knowlhill, the home of nature-based play.
With over 100 Pre-Schoolers on the Guest List, the event will be packed full of giant sized Gruffalo fun. After meeting The Gruffalo, children will be able to join in special Forest school activities, listen to Gruffalo stories, and have their faces painted. With the finale, being a Tea Party with themed birthday cake and special guest, The Gruffalo.
Said Sharon Elliott, Childcare Director "The Childcare Hub has been a fantastic venue over the last year, giving children a great opportunity to learn more about our natural world. The Gruffalo seems the perfect special guest to host our children's birthday party."
The Childcare Hub is the home of nature-based play and opened to the public in July 2017. The newest venue for Kids Play Childcare, this site really is the beacon for their ethos of nature-based play. The Childcare Hub plays host to Forest School sessions for all MK nurseries, has natural resources for all ages of learning and a rooftop garden! At the event, the children will also have the opportunity to wear their best Gruffalo fancy dress costumes.


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Computer - Multimedia Classes1 - 4 of 4 listings
computer science and ict o/l a/l classComputer - Multimedia Classes - Colombo (Western Province) - August 14, 2017 Check with seller
Computer Science O/L A/L, Edexcel,London,Local Syllabus ) conducts by experienced and International School Teacher. BS.c in ICT Graduate Teacher. and MCSA Qualified TeacherHome visiting any Area ,Group and individual class Advanced Level ICT / O/L IC...
computer classComputer - Multimedia Classes - Colombo (Western Province) - August 14, 2017 1000.00 Rs
Computer Classes for all grades (1-11) and Office Workers. MS. Office, Hardware & Software, Web Designing, Database and programming, and all the software needs for office workers. 4 days for a month (Or you can decide) 1000/= Per Day.
Android CourseComputer - Multimedia Classes - Colombo (Western Province) - August 11, 2017 29500.00 Rs
Course Duration: 3 Months (48h) COME & SEE THE DIFFERENCE Java for Android Java Fundamentals OOP Concepts Exception Handling Collection Framework JSON for Java RESTFull Web service Development Foundation Android Studio Overview An...
IT (Computer Technology) ClassesComputer - Multimedia Classes - Kandy (Central Province) - August 11, 2017 1500.00 Rs
I teach Computer studies(IT) which are very important for the school children, adults, and current employees. Also modern Multimedia subjects such as Graphic Design, Visual arts, Photo editing and Video editing. To gain the knowledge of modern IT ski...
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30% off all PBI LIVE IN-PERSON, SIMULCAST & VIDEO REPLAY CLE, Dec 9-15! Use code CYBER30 at checkout. Browse now »
The "Job Title" information you enter in your Profile determines your price.
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Lawyers generate tons of paper. Receiving, reviewing, producing, sharing, filing and retrieving paper documents has a huge cost to a practice, whether it is a solo or small firm, a large firm, a corporate legal department or a government or public interest office. Fortunately, lawyers can save time and money by transitioning to a paperless office.
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You've put it off for years. It's time to learn how reducing the amount of paper in your practice will increase your productivity.


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Tough Mudder X Open, presented by Kill Cliff, is a badass one-mile course with 6 obstacles and 8 workout zones along the route. Obstacles and workouts vary by venue, but you can expect iconic obstacles like Kong, Everest 2.0, and heart-pumping workout zones with sandbag cleans, box jumps, and pull ups. Athletes will be competing for up to $4,000 in prize money, bragging rights, and Top 10 Male and Female participants will qualify for the ultimate test of wills at Tough Mudder X World Championship in Virginia on June 8, 2018.
Sandbag Cleans
- Each rep must begin with the sandbag resting on the ground
- Each rep must conclude with the sandbag in a front rack position, resting across shoulders
- A rep will be counted as complete when athlete is locked out at hips and knees, and elbows have crossed torso line
- Knees and hips must be fully extended at the conclusion of each rep
Sled Drag
- The sled drag can be completed from a seated or standing position
- The sled drag must be completed using the long rope from a stationary position
- The sled may not be advanced by running or walking with the rope during the sled drag
- The sled drag is complete when the leading edge of the sled crosses the line
- Athlete must return the sled to the starting position at the far end using the short rope during the sled pull
- Leading edge of sled must cross line at far end during sled pull for the rep to be complete
Box Jump-Overs
- All jumps must begin with a two-foot takeoff
- Both feet must touch the ground on the opposite side of the box for the rep to count
- Lateral or box-facing jumps allowed
- Step-ups are not allowed. Step-downs are allowed
- If an athlete contacts the box with their hand(s) at any time, it will be judged a no-rep
Pull Ups
- All reps must begin with arms fully extended
- All reps must conclude with chin fully over the bar
- Kipping is allowed
- Overhand, underhand, or mixed grip are all allowed
Weighted Overhead Lunges
- Athlete must start in a standing position, with the weight carried overhead. Arms do not have to be locked out but weight must remain overhead while lunging
- Athlete may drop the weight or rest the weight on shoulders or back, but cannot make any forward progress while doing so. Forward progress can only be made by completing lunges with weight supported overhead
- Athlete must lunge all the way across both midway line and finish line
- Rear knee must make contact with the ground each time
Bear Crawl
- Athlete's knees and elbows may not touch the ground
- Athlete must move head first and remain on "all fours", progressing forward using only hands and feet in contact with the ground
- Athlete must do unbroken bear crawl from start line to finish line
- Any failure during the bear crawl will results in a no-rep and athlete must return to the start line and restart attempt
- Each rep must begin from a standing position with legs straight, knees and hips locked out
- Athlete must squat down until their butt makes contact with the medicine ball below
- Each rep must conclude with the athlete returning to a standing position with legs straight, knees and hips locked out
- Failure to touch the medicine ball with the butt will result in a no-rep
- At no point may the athlete contact their legs with hands or arms
Bag-Facing Burpees
- Athlete must begin in a standing position with knees and hips locked out
- At the bottom of the burpee, athlete must make contact with chest to ground with legs fully extended
- The rep must complete with a jump over the sand bag to the opposite side. Stepping on the bag or contacting the bag with feet will count as a no-rep
- For each rep to count, athlete must be facing the bag before dropping to the ground


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Cathay Pacific/HSBC Hong Kong Sevens 2019
Pre-Register Today
Pre-register now for 2019 Hong Kong 7's - due to be released October 2018!
Join us at one of the most popular Sevens tournaments on the planet, the 2019 Hong Kong 7s!
Hong Kong is the ultimate destination for all Sevens fans, providing partying, shopping and of course 3 massive days of action at Hong Kong Stadium. Break out your best dress up costume and join tens of thousands of fans from all over the world enjoy this great event.
2018 was the 43rd edition of the Hong Kong 7's and saw Fiji romp to their 4th successive Hong Kong Sevens title. The dominant Fijians proved way to powerful on Finals day romping to victory over Kenya 24-12 in the Cup final. Fiji were dominant throughout the tournament, including a 50–7 thrashing of New Zealand during pool play.
Our PackagesPackages to the Cathay Pacific/HSBC Hong Kong Sevens 2019 include a minimum of four nights accommodation at a range of hotels located on Hong Kong Island, with a three day match ticket to the event and return airfares flying Cathay Pacific.
Packages & package prices are due to be released in October 2018.
Match TicketsMatch tickets are guaranteed and sourced from Cathay Pacific Airways through the 'Fly and See' packages.
Getting TherePackage prices include flights to Hong Kong from Melbourne, Sydney, Brisbane, Perth and Adelaide.
Getting to the Hong Kong Stadium is quite easy from our hotels with the MTR (Rail System) running to the Stadium from many locations throughout Kowloon and on Hong Kong Island.
Hotel Locations
Hong Kong is divided in 2 areas - Hong Kong Island (where the stadium is) or the mainland Kowloon. Our hotels are located on Hong Kong Island for easy access to the rugby. They are as follows:
iClub Fortress Hill - these hotels are located on Hong Kong Island in the district of Fortress Hill. Fortress Hill MTR station is 2 stops from Causeway Bay which is the station closest to Hong Kong Stadium (Island Line).
Novotel Century & Grand Hyatt Wan Chai - this hotel is located on Hong Kong Island in the district of Wan Chai. Wan Chai MTR station is 1 stop from Causeway Bay which is the station closest to Hong Kong Stadium (Island Line).
Regal Causeway Bay - this hotel is located on Hong Kong Island in the district of Causeway Bay. This hotel is within walking distance to Hong Kong Stadium.
View our 2018 Hong Kong 7's hotel locations & MTR metro stations here.
AboutThe Cathay Pacific/HSBC Hong Kong Sevens tournament commenced in 1976 and this year is celebrating its 43rd anniversary with a new date this time in April. From 1982, this event turned into a national representative competition and has grown into the biggest event on the IRB Sevens calendar. Due to the fact it is one of Hong Kong's biggest sporting events, there is a tremendous party atmosphere that surrounds the weekend and fans from all over the world get into the spirit by dressing up
Pack your bags and get ready to travel to one of the hottest events of 2019 for a weekend you wont forget!
'Fly and See' 2019 Rugby 7's packages have been sourced by Cathay Pacific.
Register your interest in this tourThe following questions have been uploaded to assist us with planning which packages our customers prefer. Please note that this is not binding & only an indication of what you would be interested in.
To register your interest for this tour & upload your preferences you must be registered as a member of this website.If you are a member & not logged in yet, click here to Login.
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WordPress is designed to run like a well-oiled machine most of the time. In certain cases, you encounter baffling problems that have nothing to do with the platform itself. Take plugin updates for instance: WordPress usually shows you when plugins you have installed have an update available. Unfortunately, certain plugins or scripts can break that functionality.
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