text:
Temper Tantrums In The DSM
From BoingBoing, only slightly more valid than any of the journals I read:
The American Psychiatric Association is set to add "disruptive mood dysregulation disorder" to the Diagnostic Statistical Manual (DSM), the bible of psychiatric disorders. A kid has "DMDD" if she or he has "severe recurrent temper outbursts that are grossly out of proportion in intensity or duration to the situation... at least three times a week."
Easy, everybody, if you're enraged about the wussification of America you can assume you watch too much TV and like Blue Pills.
1. Diagnosis is not the same as disease. This just coordinates the language, "from now on we're going to call this this." "Then why is it called a disorder?" Ah, you must have no insurance or the best insurance. Healthcare policy is set by Medicaid/Medicare, you Blue Cross suckers are merely collateral damage.
In Medicaid America, i.e. America, if you come through the door and I ask you all the questions and I determine there is absolutely nothing wrong with you, two things will happen at the exact same time: 1. You will punch me. 2. I won't get paid, can't get paid for no diagnosis, no matter how hard I work.
Can't order any tests without a diagnosis code, either.
Someone stupid will ask me this: "then why doesn't Medicaid just offer a billing code for "need three evaluations, but likely no diagnosis?" Because if Fox News got wind that Obama was paying for black people to get "no diagnosis" they'd blow up an abortion clinic. Paying for "temper tantrums" is just the right amount of enraging, TV and internet enraging, no violence will occur. "Isn't this why we need universal healthcare?" Well, lieutenant, pronounced like I'm a British naval commander, if we had a system of healthcare in which doctors were paid the exact same regardless of diagnosis or severity, then there'd be little attention paid to "correct" diagnosis, all of our epidemiological data would be totally invalid, and the number one drug in America would be Xanax. "Wait, isn't that the situation now?" Huh, nailed it.
2. "Is this is an attempt at preventing the erroneous diagnosis of "pediatric bipolar disorder?" No. Come on, stop it. Not to go full Popper, but how can diagnoses be "wrong" while simultaneously "not exist?" You guys have to decide whether you're materialists or idealists, then we can cross blades.
In other words, regardless of what you call it, assuming the MD thinks it is "a problem fit for a pill," will the pills offered be any different in either diagnosis? I'm closing my eyes, don't tell me which diagnosis it is... I'm sensing something, a presence.... is it Concerta? Concerta, is that you? And.... Depakote? Are you here too?
3. "DMDD is "severe recurrent temper outbursts that are grossly out of proportion in intensity or duration to the situation." I'd like someone to explain what behavior is "grossly out of proportion" for a situation characterized by physical/sexual abuse, parental drug abuse, and visibly swarming roaches, every day, while you sleep, while you eat....
"But not all kids are raised in poverty." True, many are raised by nannies who alive in poverty. So what kind of temper tantrum is out of proportion for a situation characterized by marital infidelity/swinging, overparenting, spoiling them materially and depriving them emotionally? "I love my kid, I got him a Wii." You should get them some weed, they'll get it eventually.
"So then it's not really a disorder, it's just caused a response to the social environment?" Isn't that what a psychiatric disorder is? "No, a real disease." Like diabetes?
4. It's all very simple, you have it mostly right but the direction of the force vector is wrong. In order to create a living wage, the system deploys its social services through the least offensive department, healthcare. e.g. people are furious about Social Security, but not as furious about Medicare. As long as it can pretend it's about "health" or "compassion" or "disability" it doesn't have to worry about politics or race or "need".
But in order for this to work, the doctor has to get paid. Not much, but paid. If he is to get paid, the patient must have insurance, i.e Medicaid. In order to get Medicaid, the patient must be temporarily disabled, for which he needs to have a diagnosis, so he must see a doctor, who will need to get paid, so the patient needs to have Medicaid. Ouroboros. The system has won.
November 20, 2012 12:08 PM | Posted by : | Reply
BoingBoing should be in DSM; it causes unbearable smugness and obsession with the most pointless annoying shit ever. And faux-activism.
November 20, 2012 1:05 PM | Posted by : | Reply
November 20, 2012 1:14 PM | Posted by : | Reply
Aww, what's wrong with swinging?
November 20, 2012 1:29 PM | Posted by : | Reply
Someone stupid will ask me this: "then why doesn't Medicaid just offer a billing code for "need three evaluations, but likely no diagnosis?" Because if Fox News got wind that Obama was paying for black people to get "no diagnosis" they'd blow up an abortion clinic.
This seems backwards to me. The fear of Fox News exists to keep the "no diagnosis payments" option off the table, maintaining the system and selling a lot more drugs. But both options are wrong. Doctors should only be paid when they make the correct diagnosis, not when they either find or don't find something.
November 20, 2012 1:31 PM | Posted by : | Reply
104 severe temper outbursts per year is not sufficient for the diagnosis. "104 severe temper outbursts per year is normal, doc." 156 per year=brain disease.
November 20, 2012 1:45 PM | Posted, in reply to , by : | Reply
The "correct" psychiatric diagnosis? LOL.
November 20, 2012 2:04 PM | Posted by : | Reply
> "Isn't this why we need universal healthcare?" Well, lieutenant, pronounced like I'm a British naval commander...
Ba-dum tish!
November 20, 2012 8:51 PM | Posted by : | Reply
... all the readers googled 'ouroboros' and wondered what the fuck a dragon has to do with pills.
November 20, 2012 10:49 PM | Posted by : | Reply
The so-called UHC that Medicaid (not medicare) provides doesn't really extend past the mental health racket. Prove me wrong.
November 20, 2012 11:09 PM | Posted, in reply to , by : | Reply
Pretty sure it's a fairly obvious metaphor.
Anyway... this isn't just Medicaid. In general unless you just self-pay everything (which actually I would recommend if you are a middle class salaried worker as you don't want a stigma on you) you'll need a diagnosis.
I had a conversation with my doctor that went like this "If you claim this on your insurance we'll need a diagnostic code. Let's pick something that isn't embarrassing...."
Mind you this is not for any kind of massive drugging, basically for your run of the mill shrink talk. Frankly, I found it kind of useless, but whatever. My decision was just to pay out of pocket. Why get "add" or "generalized anxiety disorder" on your next insurance's "reasons why we can screw this person" list.
Pfft... in the long run it probably is cheaper to pay the doctor out of pocket. I can't help but imagine it is the same way for psychiatrists.
But the few times I've seen those they have been so useless it makes more sense just to tell an MD what drugs I want.
November 20, 2012 11:16 PM | Posted by : | Reply
Oh yeah, and don't forget you need to show that you are completely healed for your life insurance policy, except of course for any meds that might be found in your corpse in the case of an accident :)
Ah bureaucracy... we have such a sick but loving relationship.
November 20, 2012 11:32 PM | Posted by : | Reply
I get sick of, and Boingboing is a bit guilty of being a part of the hysteria here, this whole "OMG this drug is over-prescribed" hype. Fucking idealists ruin everything.
I got kicked off of benzos because of fear over how people might drink too much and then choke on their vomit while using them. Ok, I've been drinking and taking benzos most of my life now. No, I'm not a bored housewife junkie. Believe it or not if it weren't for my amazing privilege I'd probably (probably? No definitely) be dead.
It's not a perfect solution, but it's something. For a while though, the media feared all who use these drugs would flame out brilliantly in a pool of vomit or beneath the suds in their bathtub.
Then it was gabapentin/neurontin the new drug of choice, which actually was ok so long as you don't actually use it every day because it seems to work a lot like extacy (or not-work that is). To me, it is a nice "jump the deep gap" aid.
You realize you're hitting one of those points... so you take something to alter your state for long enough to keep you from fucking your life up, committing suicide, doing something equally stupid. You have these risks because you really do have something wrong with you, but so long as you jump the gaps you can have this great life with almost none of the "go to prison" or "die" or "lose everyone you love" kind of consequences. Wow... how great!
The hysteria about drugs just leaves you with fewer drug options. So like all my genetic ancestry you can start turning to alcohol or heroin or whatever you can get your hands on. Yay! Great! So glad we got rid of those nasty Big Pharma shills!!!!
Like I said, fucking idealists ruin everything.
Now the pendulum has swung. Benzos are back in, anti-psychotics are out, and neurontin is disgraced.
Really this is all idiocy. Whatever works works until it doesn't work.
Honestly, is there anything more than that? I don't think so.
November 21, 2012 12:19 AM | Posted, in reply to , by : | Reply
"BoingBoing should be in DSM"
Let the hate flow through you
November 21, 2012 3:00 AM | Posted by : | Reply
Alone: When we hear that America spends $X billion a year on healthcare with outcomes no better than other countries that spend half as much, how much of that $X billion is the psychiatric-social-policy complex?
November 21, 2012 3:26 AM | Posted by : | Reply
November 21, 2012 3:33 AM | Posted by : | Reply
Can you please comment?
November 21, 2012 6:38 AM | Posted by : | Reply
Shame on you for talking about boingboing. Shame on you.
November 21, 2012 8:18 AM | Posted, in reply to , by : | Reply
The NYT is just upset that every time they declare irony dead the world gets more ironic so now they're being ironic about it.
Add me to the list of people who'd love to see TLP write about it though.
November 21, 2012 9:02 AM | Posted by : | Reply
OK, I gotta take a whack at that article. Quote:
"Where can we find other examples of nonironic living? What does it look like? Nonironic models include very young children, elderly people, deeply religious people, people with severe mental or physical disabilities, people who have suffered, and those from economically or politically challenged places where seriousness is the governing state of mind."
So "being sincere" involves aping children, the demented, the retarded, the religious, and... Africans? Because all those people exist only as cutesy models for your lifestyle choices, of course. Ugh, no wonder people spout Star Wars quotes if this is the alternative.
November 21, 2012 10:04 AM | Posted by : | Reply
I'm a child psychologist in Canada (no medicair/medicare) in private practice and I receive every year at least 50 kids from 3 to 15 from middle class families (no poor, no nannies) that fulfill the criterion of DMDD. I totally believe in the constructivist nature of the DSM (and social influence it has and at the same time structures it).
But: those families are in pain and kids get a terrible picture of themselves because they're not able to regulate their own emotions. The first advice all those parents will have received his set clear and constant limits. They've tried and they got more tantrums, not less.
Strangely, some of those tantrums happened after a positive event. There exists a real problem for real people having real consequences. Saying it doesn't exist is futile, blaming the parents is counterproductive and labeling it could be useful (to get help) but as long as you remain very humble about the validity of any psychopathology. Distress is the ultimate criterion and DMDD families clearly feel it.
I prefer to say that those kids have a DMDD than a bipolar disorder (I tend to use the ODD tag but I think that DMDD is closer to what I observe).
Indignation (against DMDD, DSM, parents, society,... pick the one you hate the most) is easy, helps define oneself but doesn't help.
November 21, 2012 12:52 PM | Posted, in reply to , by : | Reply
First, 50 a year would put your numbers surprisingly low from what I've come to expect from psychiatrists here in Brazil. How many of your patients come out undiagnosed?
Second, distress is the criterion for what? Lack of neuropharma in the system? Are you treating the disease or the symptoms? Any other field of medicine pays attention to this difference, you treat Dengue fever with AAS, your patient's gonna die.
Not getting into it's merits, TLP's theory is clear, we're treating the symptoms because society needs a way to perpetuate the disease. The Matrix [i]is[/i] the disease, pharmacology is just the tool-de-jour for covering it's ass.
Now, you can either agree with him, and with the sad fact that you're being told it's up to you to help these people or they're fucked (which wouldn't be wrong, but not in the way you seem to think), or you can disagree with the whole idea that your treatment of their distress also camouflages the underlying cause, but then you need to explain what you think the cause is. (If you say it's neurochemical, I beg you to explain what kind of sick mutation happened in the last 30 years that 10% of Americans' brains stopped knowing how to balance their shit out).
November 21, 2012 1:15 PM | Posted, in reply to , by : | Reply
Humble, no one can doubt the frustration and agony of the families you see, but what is the yardstick? Show me 50 adults, and 3 of them will have some kind of addiction about which they're in denial and 5 will be downright abusive routinely. 7 will be really good at math and 6 really artistic, and 39 will consider themselves to be above average cooks.
With kids, parents are going to be a huge influence, but any sample will have kids who are peculiarly quiet and withdrawn, others will be hams (I refuse to call kids attention whores, call me old fashioned), some will walk around implicitly screaming 'Kick me!' and others will have short tempers that they can't (yet) control. Sure, that's gonna be trying for the families, but who ever promised everyone temperate and placid children? Just because media represent children as some kind of fantasy accessory, who are good as gold except when they're not and even then it's cute, doesn't mean anyone should believe that, least of all a child psychologist.
Consider the child. What will do that kid more harm? Setting the limits, gritting your teeth and counting down the months until the kid learns to control himself when s/he learns there are better/more agreeable forms of attention, or telling the kid s/he's sick, that there's probably a problem with his brain, and that the attention it needs is going to come from strangers who are paid to be patient and explain things, because the parents have admitted defeat or are too absorbed with their lives' other problems?
November 21, 2012 2:38 PM | Posted by : | Reply
I love these posts. They read like you're ranting at me. (And no, that wasn't sarcasm)
November 21, 2012 4:01 PM | Posted by : | Reply
You know, your blog just makes the horror produced by a energy supply shock bigger. The last series about those hipsters and the mother complaining about how others should suffer like she does? Well, she may be vindicated when the grid falters. Or this stuff about how the masses are now drugged (in the US at least and some parts of Europe, especially the richer countries) with drugs dependent on a well lubricated (in any sense) machine and supply logistics. Meanwhile, the rest of the world, just has its own problems, but also: weed, shrooms and alcohol.
November 21, 2012 5:35 PM | Posted, in reply to , by : | Reply
This gave me pause for a moment, since I'm in an open relationship, but then I recalled my mother and stepfather's penchant for running off to Jamaica several times a year and going out of town at least once per month in order to meet strangers for a good time. Where was I, and where were my brothers, while they were enjoying themselves? At home, alone, gradually realizing that workdays extending 10 hours plus were not the main barrier to spending time with our parents and getting resigned to the idea that our extended family knew us better than our mother (who chose to buy extensive plastic surgery for herself instead of putting me through college).
November 22, 2012 8:47 AM | Posted by : | Reply
Do you write your blogs using an iPad?
November 22, 2012 10:27 PM | Posted by : | Reply
"(If you say it's neurochemical, I beg you to explain what kind of sick mutation happened in the last 30 years that 10% of Americans' brains stopped knowing how to balance their shit out)."
How about a vitamin D deficiency? Or a reaction to the huge amount of gluten now in our food that wasn't there 50 or 100 years ago? Or the deficiencies and insufficiencies of nutrients in soil. Or our food choices.
Anyone care to look at nutrition? Its always completely ignored. I can speak from personal experience about the tremendous impact of the right nutrients on mental and physical health, and there are scientists on to this but they just aren't good at marketing their findings. And there's no money to be made like with new drugs.
Please, please, please all you clinicians...get on to it!
November 22, 2012 10:33 PM | Posted by : | Reply
Oh yeah, and don't forget magnesium....
Deficiencies cause:
irritability or anxiety
muscle cramps/twitching
November 23, 2012 11:46 AM | Posted by : | Reply
Tornpaper napkin said: "I had a conversation with my doctor that went like this "If you claim this on your insurance we'll need a diagnostic code. Let's pick something that isn't embarrassing...."
Mind you this is not for any kind of massive drugging, basically for your run of the mill shrink talk. Frankly, I found it kind of useless, but whatever. My decision was just to pay out of pocket. Why get "add" or "generalized anxiety disorder" on your next insurance's "reasons why we can screw this person" list.
Pfft... in the long run it probably is cheaper to pay the doctor out of pocket. I can't help but imagine it is the same way for psychiatrists."
If you come to me for care, this is exactly what I will do.
One of my interests is identifying what we smart people should really be researching - instead of, as Alone notes, running studies to find out that some patented medication has marginal efficacy versus placebo for yet another syndrome.
Here is what researchers need to be studying: what diagnosis could a person be tagged with that will maximize billability and minimize the unintended consequences, whether they be: getting dropped by insurance; having a higher health ins premium; losing your job because your health ins has become too expensive; or
suffering prejudice (not getting job promotion, etc. - real things, not hurt feelings) because it is known you have some diagnosis.
I would suggest a couple but then I would feel bad if this failed to work as Obamacare gets rolled out.
In my field, psychotherapy and counseling, I don't care about "diagnosis" a whole lot. I do care to know if a few things are going on. I care about intellectual level when a client gets down around IQ = 70. Then, I have to start being more creative than usual.
I do care if someone has bona fide panic attacks, obsessions, or compulsions. The impact of those are significant, and will not get better unless you do direct, specific things. Medication is not one of those things. Curiously, DSM has treated these things in an odd way that do not align with the model of "dignosis indicates treatment." Obsessions require differnt interventions from compulsions, yet the two conditions are lumped together. And trichotillamania is in the same vein, but has its own diagnosis/code. Treating a perrson with trichotillamania is more like treating a peson with a compulsion, versus an obsession, but obsessions are paired with compulsions, and trich is separate. Go figure.
Panic attacks require "agoraphobia" to tag along, either as with or without. Why? If someone has agoraphobia, you treat them one way. If they have fear of enclosed spaces, you treat them another way. Why not Panic attack with or without any of the following features: agoraphobia, fear of a heart attack, fear of social embarrassment, fear of wetting your pants, fear of begin trapped, or fear of suffocating?"
If I think down the list of things I might treat people for, it seems that the DSM rarely lines up with my treatment-based discriminations.
But I am off-topic; I am talking abt actual psychological problems of which people are actually aware they have, and for which peopleactually want treatment. I am not discussing the sciency-sounding social-salve being sold to the otherwise-dissgruntled.
November 23, 2012 4:05 PM | Posted, in reply to , by : | Reply
I think it's a blackberry.
November 24, 2012 12:58 AM | Posted, in reply to , by : | Reply
Just a correction: "We're treating the symptoms because society needs a way to perpetuate the disease." - and so you guys make money to buy iPad apps. Yeah, don't know why every psychiatrist I've met (I'm Brazilian too), have an iPhone/iPad. Crazy...
Like Morpheus said in that comedy movie: "If you are not one of us, you're one of them". Could be forgettable if you really think that help people being a psychic. Dumbness it's really sublime..
November 24, 2012 2:22 PM | Posted by : | Reply
This is a GREAT blog entry. The comments are mostly stupid: plaintive, preachy, lecturing. Embarrassing, actually.
November 24, 2012 2:28 PM | Posted, in reply to , by : | Reply
"Where can we find other examples of nonironic living? What does it look like? Nonironic models include very young children, elderly people, deeply religious people, people with severe mental or physical disabilities, people who have suffered, and those from economically or politically challenged places where seriousness is the governing state of mind."
this reminds me of an anne sexton poem "one eye, two eyes, three eyes" except the anne sexton poen is so much better.
November 24, 2012 2:41 PM | Posted, in reply to , by : | Reply
Are you saying you seriously believe the problem is primarily the child and not the family or the family system?
November 24, 2012 2:43 PM | Posted, in reply to , by : | Reply
"First, 50 a year would put your numbers surprisingly low from what I've come to expect from psychiatrists here in Brazil."
Oh no!
November 24, 2012 2:54 PM | Posted by : | Reply
I'm not disagreeing with the idea that a kid might have the DmDD issues, but I think it's mostly a culture thing. A kid today is raised with pretty much instant and complete gratification. Consumer electronics (looking at you, XBOX and iPad) mean that a kid never grows up knowing how to deal with things like boredom. Having food pretty much everywhere means much the same -- never having to wait until they get home to get a sandwich. Having Amazon.com on the computer means that they never have to go without anything. Everything is instant, and a kid gets the idea that that's the way everything is. So when it's not, when he has to wait his turn or sand in line at Walmart, he's not happy, and he's never had to deal with something that isn't instantly the way he wants it. So he can't. He melts down because he literally has never learned to wait, to make do, or to do without, so when he's confronted with having to do those kinds of things, he's in meltdown mode. So now not knowing how to deal with things that the child has never actually had to deal with, it's a disorder, and of course, we drug the kids.
November 25, 2012 12:00 PM | Posted, in reply to , by : | Reply
50% of drugs are derived from natural sources. Look at byetta- that is a fantastic story about discovering a new drugs through incredibly resourcefulness (synthetic Gila monster spit). Look it up- it's pretty cool. Scientists- well, at least all scientists- aren't responsible for what food manufacturers do or what we're willing to buy.
November 25, 2012 12:20 PM | Posted by : | Reply
Kids have tempter tantrums sometimes simply because they are overwhelmed. they don't often have the language to say it, you have to figure it out for them. probably pitching a fit offers some relief and clears things the fuck out, not to mention hopefully stopping activity around them so they can re-group. I shudder at the thought of parents or others interpreting it as more than that because whatever the kid gets told as far as interpretation will probably be believed.
American parents tend to get threatened by every little thing- that may be why they are so prone to need to listen to experts so often, so they don't have to deal with their own uncertainty or nascent guilt. They also tend to think they must have the answer to everything as a Parent and that they are responsible for filling their kid's head with the right 'things' as opposed to facilitating the kid doing that for his or her's own self. So- control freaks. For this reason i think treating a kid with tantrums (threatening to a control freak) without treating the family is kind of silly. But teaching a parent to set limits and give appropriate consequences for behavior, difficult enough on it's own, still can't begin to compare with teaching a parent how to love, have a sense of humor, and relax and enjoy their kids even when this is not quite what they had in mind. At least in theory psychotherapy for the parent should be able to do this- and I think it can- if insurance will pay for it and shrinks are willing.
To be perfectly fair, I struggle with these same issues as a parent of a teenager. Just so i don't sound too smug or judgmental here.
November 25, 2012 12:47 PM | Posted, in reply to , by : | Reply
*Even instilling a sense of the continuity of their own kid's development or family's development would be a good idea.
November 25, 2012 2:08 PM | Posted by : | Reply
Isn't the reason other countries might get a more positive outcome while spending less money often thought to be because the family participates more in the care of it's members, including the mentally ill and the elderly, and also because society's or the family's attitude towards (those) people is thought to be far kinder and more accepting, and willing to find value in their experience? But i wouldn't be surprised if willingness to try other forms of care than just allopathic medicine had something to do with it- like for example if allopathic medicine is not affordable in their country.
November 25, 2012 5:35 PM | Posted, in reply to , by : | Reply
By your own argument, (treatment follows diagnosis- although i had no idea the DSM-IV was thought to be organized that way). shouldn't the 'merely' disgruntled be able to seek treatment? nobody's pointing a gun at your face to make you diagnose them any which way. I mean, treatment for the merely disgruntled could easily follow some of the basic guidelines any other form of treatment might follow. And anyway, would that not qualify as Adjustment Disorder?
I thought the reason panic attacks were often followed by agoraphobia is that people get afraid to leave the house because they are (more) afraid of a panic attack in public, making agoraphobia a serious additional impediment to an already-complicated situation, including an impediment to seeking or being consistent with treatment. Why is this so unreasonable?
And why can't impulse disorders be separate from OCD? I thought impulse disorders were significantly easier to treat- resist the impulse and the impulse will diminish. this has certainly been the case with my own impulse disorder (diagnosed, and of significant enough duration and intensity, but still, surprisingly easy to treat once i formulated a plan that would enable me to simply resist the impulse).
I thought the whole reason for OCD grouping obsessions and compulsions together was perhaps that they play off each other and lead to each other so well. Is this wrong? If the obsession leads to a need to have a neutralizing compulsion I don't actually see- although i have never heard of it, but- i certainly don't see why a compulsion can't lead to an equally nutty obsession or explanation, either. But I'd love to hear you elaborate.
I also thought OCD was just much much harder to treat than an impulse disorder.
November 25, 2012 9:30 PM | Posted, in reply to , by : | Reply
Kids do have some language skills, I think the issue that's different from say when I was a kid in the 1980's is that kids are living in a different world. The world around them caters to them to a larger degree than it ever has before.
Trivial example, but remember when you were a kid and you wanted to watch TV? You couldn't watch whatever whenever -- there was no DVR to store the show, so you'd wait for it to come on, and if you weren't home when it was on, you missed it. So you'd learn to deal with that minor disappointment, which means that you know what to do when you don't get your way, or you have to wait for something you want. A lot of kids are only children as well -- which means that you don't learn to negotiate or talk or deal with not being the center of attention all the time.
This is what a lot of modern kids are missing those kinds of experiences. Which has nothing to do with language skills. It's not a language problem, it's a dealing with delayed or denied gratification problem. People aren't learning how to delay or deny themselves or deal with a universe that doesn't cater to them.
Kids are not biologically different than they were 20 years ago when DMDD didn't exist yet. They don't have fewer language skills either. Its not the kids even. I doubt that the parents have really changed styles all that much. The modern world simply does a bad job of preparing kids for a world in which not everything is what they want when they want it. Which makes instances in which the kid isn't in conrol much harder to deal with.
November 25, 2012 10:54 PM | Posted, in reply to , by : | Reply
Not getting into it's merits, TLP's theory is clear, we're treating the symptoms because society needs a way to perpetuate the disease. The Matrix is the disease, pharmacology is just the tool-de-jour for covering it's ass.
Since you're not telling us how to cure the disease, let alone how to unplug from the Matrix, I'll settle for the ass-covering.
What does it say about us that, in our fiction, the way to disconnect from the Matrix is to take a pill? And that this metaphor is so good, so appealing, that we sometimes use it even here, on a pharmaco-skeptic blog?
I further suggest that if it were possible to unplug from the Matrix, we would quickly construct another Matrix to replace it.
A famous painting by René Magritte illustrates this point, and narcissism in general.
The painting appears to be "only" surrealistic, until you notice the title: "The Human Condition".
When I saw it for the first time, I laughed out loud, and then stopped to think. Now, 30 years later, I have a different take.
What a healthy person the painting illustrates! Only one easel! Not ten, one in front of another, with who knows how many identical paintings, and what terrors on some of the obscured canvases.
November 26, 2012 12:20 AM | Posted, in reply to , by : | Reply
I disagree. Would you be happy with, as in your example, watching whatever you wanted when you wanted? would that be a significant form of gratification for you? probably not, right?
Kids may be different in some ways these days, because of the times they live in, but the basic needs of a young human soul don't change and it has nothing to do with television or delayed or instant gratification. In fact, if all this "instant gratification" does anything, it probably just takes kids away from the needs of a normal young soul, and some part of them has got to know that. i mean, kids can't even hardly play outside anymore. It's not safe. they're not having anything resembling a normal or healthy upbringing for this reason alone. Sure, they have a ton of digital shit as paltry compensation. Actually, the lack of running around outside being resourceful and learning to trust their impulses and imaginations might go a long way toward reducing the temper tantrums. I can't see how digital media could do anything but make it worse, but it isn't because their worlds are all that gratifying. i will say that all these substitutes for real life and real play probably do a lot for making kids strangers to themselves because of what it places into the child's mind as a substitute for health.
November 26, 2012 12:38 AM | Posted, in reply to , by : | Reply
And also, as far as the idea that it is instant gratification that is destroying them, a lot of kids these days start out in daycare, sometimes when they're babies, but at least by age 2 or 3. Day care is nothing *but* delayed gratification because the needs of the individual are second always to the needs of the group. and you can't tell me that all this daycare is doing anything good for children except possibly, for some kids, teaching them social skills that they could learn in gentler ways, anyway. But as individuals, no way. And daycare isn't--- i worked in montessori and I would still say that daycare pretty much caters to the greatest numbers of kids in 'the middle'. Every other kid suffers through it. there's plenty of delayed gratification to go around, believe me. Nobody's better off for it.
Personally, i think the only real requirements for the most part as far as learning to tolerate distress are still mostly taken care of by simply expecting your kid to deal with the natural distress of living. It doesn't need to be taught or facilitated because it simply happens.
November 27, 2012 12:02 AM | Posted, in reply to , by : | Reply
There is a lot here, and I don't exactly know what the leading concern might be. I'll take a stab at it, though.
The DSM is not organized by treatment-follows-diagnosis. Officially, the DSM is supposed to have little connection with etiology or treatment. It is supposed to be descriptive. The logic is that any diagnostician anywhere, with the modicum of training, would be able to assess for the presence/absence and severity of symptoms, from profound mental impairment or psychoticism, to "disgrntled," and pin the same label on the patient as the next diagnostician.
This was intended to cut theoretically-based disagreements out of the process. If I was biologically-minded, and you were psychodynamically-minded, we would still both have high diagnostic reliability. The big switch was from DSM II to III; if you can locate DSM II (dark hardcover barely paperback size, and pull DSM III green-and-yellow 8x11), you will note the absence of "neuroses," etc. So etiology was removed for the most part (organic brain disorder lingered, etc.).
The original post concerned the manipulative use of a "temper tantrum disorder" to justify psychopharmacological treatment.
The Last Psychiatrist thesis goes like this: develop a diagnosis that hold the concept that an individual has a recognized disease entity; this allows you to bring the "problem" into the domain of individual-level medical model; this individual-based, psychaitrically based model allows the psychaitrist to be deemed as the approriate authority to call the shots; gerat portions of society want to get out of such things as responsibility, and this "psychiatry" route "legitimizes" pawning the problem off on the relatively powerless; the psychiatrist can make a good living as long as he or she plays along - but he or she must match a medical-seeming treatment to fit the medical-seeming "diagnosis."
That is where I get the diagnosis > treatment model.
I hope that helps.
Now, never mind that most of the time, the patient does not get "cured," or "healed," and does not get much better, and may ac tually get worse, once side effects and self-fulfilling prophecy effects are factored in. We have bought into this like cult-members, and we cannot question the prevaling oligarchy.
To question the status quo means that me, a parent, has to face the terrible truth that I have failed to do what I am tasked by God to do: raise an adult, including morals.
Raising a child to be a mral person requires an acknowledgemant of morality and some achnowedgement of myself as a parent being generally moral and endorsing the conect of morals and endorsing some specific moral sentiments, and doing some effort to live accordingly.
This is a lot. An awful lot.
As psychiatry excuses our self-centerdness, "spirituality" excuses our lack of this moral approach to life.
If you have a moral approach to life, it does not bother you to see someone else attempting to follow the same, and so a bracelt with WWJD should not rally bother you.
You have already declared that the WWJD crowd is disreputable; you are on the side of not-moral apporach to life, but on the side of "spirituality." Praying five times a day? Go aheand and try that for 3 days in a row, to the not-God you acknowledge in your "spiritual" approach to THhnksgiving.
This is what the medica lmodel buys us. We are excused from having to be responsible, moral parents. When the eventual happens - when our kids behave baly, like an untended garden gets uverrun by weeds, we don't have ourselves to blame.
We have our morality.
We have our parenting philosophy.
And we have psychiatry to provide an explanation and cure for the unruly, weed-run garden of our child's behavior.
To achieve this, we have to dress up the natural history of feral children as recognized, legitiamte "disorders."
BTW: you will have to look far and wide to find a mental health professional of any stripe that is aware that there actually is an "undersocialized" diagnosis.
No one knows, yet it fits about 20% of the kids wlking around today. Go figure.
Should you be able to seek treatment merely for being "disgruntled?"
Health insurance is for the diagnosis and tretment of medical disorders.
Should you be entitled to receive care for "disgruntled" via health insurance?
When my car loses that new-car smell, should auto ins pay for the new-car smell to be repaired?
Pull $60 out of your wallet each week, and go get treatment for "disgruntled." Somewhere in your locale, there is a mental health professional willing to take self-pay $60/session to help you.
Now that you have to put your money where your mouth is, you suddenly care about: how many sessions will this take? What are my alternatives for treatment? What evidence base can you point ot that your plan has a good likelihood of succeeding, and - get this - succeeding relative to other interventions?
(In 20 yrs, the profundity will be obvious. until then, enjoy health care reform.)
This drug has caused me to lose my sex drive, to lose the firmness of my you-know-what, has caused dry mouth and jitters, and super-realistic bad dreams; and when I tried to quit it, I felt like killing myself or someone else. Is tis really the treatment for "disgruntled?"
Things look really different when you have skin in the game.
You will eventually wish for your "disgruntled" to return if you buy the psychaitrist's cure.
Unless they convince you that you are the problem. Which is how many cullts work: hang on, pay the next payment and perform the next round of ritual, and may be just maybe that what seems like pee on your leg will be manna from heaven. But don't doubt us, we are the authorities, and as we predicted, you have lost your family and friends and that just shows how worthless you are - so hand over the dues, and your pubescent cildren.
I do not know, Anonymous, what you men by an impulse disorder.
If someone is hesitant to leve the home because they worry about having a panic attack where others can see them, that is not agroaphobia.
We all have social-judgment reasons for fearing leaving the house because of certian expected negative events.
There are many people with PTSD who stay close to home because they want to stay in familiar territory. Why is there no PTSD-with-or-without-agoraphobia?
"Agoraphobia" must be orted out as a secondary symptom, or a leading symptom.
That idea is the idea of my erlrier post: figure out what is going on. Figure out where to start. Start there.
As "moral" and Christian as I mght be, I had no problem telling a minister and his wife that they had to spend more time with kids and less with congregation. One of two children qualified for a diagnosis - that disappeared once the parents moved their focus - and I predcited that the other would be in the clinic unless they did the same with both; sure enough, I see them in the waiting room one year later.
Based on my knowledge of parenting by those loving, earnest, but under-involved parents, and having little to no info on the other kid, I predicted the other kid's "pathology."
I could have played the game.
I can guarantee that if they went to a psychaitrist rather than a psychological clinic, they would have gotten a tem,per-tantrum dx and a medication Rx. Guarantee.
And the parents would have continued feeling moral, feeling like good parents, with the complicity of modern psychiatry.
Obsessions and compulsions: why not have separate diagnoses? We have two words. If they are joined at the hip, just use one word. Why is trichotillomania separate?
The treatment of an obsessive thought is a great deal trickier than the treatment of a compulsive behavior.
November 27, 2012 2:10 AM | Posted by : | Reply
A general comment for this blog:
People tend to have personalities resistive to change for the same reason life tends to reproduce. If a species fails to reproduce, it dies out. If a personality changes, it dies too.
In practice a child will have a malleable personality that adapts and learns according to reason, experience and everything else. Eventually aspects of that personality will, in part by chance, become those that strongly resist change and by that nature they will survive until the entire personality is built around resistance to change.
Adult personalities' are governed by the law of the Survival of the Most Resistant to Change. I am not sure it can be any other way.
November 27, 2012 7:37 AM | Posted, in reply to , by : | Reply
Thank you for clarifying.
November 27, 2012 7:56 AM | Posted, in reply to , by : | Reply
Huh. It is weird, and kind of sad, if an obsessive thought is harder to treat than a compulsion. I mean, the brain is an idiot monkey that likes to play the same tapes over and over. Big whoop. But a compulsion- with no corresponding thought- is, at least to me, at least in theory, a powerful thing. With no language but a boundless compulsion to repeat, it is irrational, yet powerful. How do you even begin to tackle it? Rituls- at least in theory- are always more than the theories and teh language we use to try to support or explain them.
If someone is really attached to their idiot monkey mind, and they have to admit how fallible and fragile and not even self-serving it can be, then i suppose i can see how that could be really painful; it's like admitting you are crazy, that something about you just is not sound, and never will be, perhaps. If you are a pretty typical human being who way overvalues their own brain, considers everything they are to be a reflection of the soundness of their own mind, proof of their sanity, then yeah, i can see how that could be hard. Especially if your family or society or what have you appears to be in judgment.
In theory, it would help to have a few rituals, to find something that made you feel teh soundness of your soul, so you could let go of some little tick that your head just won't stop doing.
November 28, 2012 3:33 PM | Posted by : | Reply
Determining one's disorder based on one's environment when the environment may be horrifying is unreasonable. I think this part of the argument(3) alone is a pretty reliable case. Well done on explaining, I especially like to hear these types of examples.
November 28, 2012 4:20 PM | Posted by : | Reply
There was an excellent article in the the Journal of the World Psychiatric Association (WPA) by Heinz Katschnig that covered internal and external challenges to the profession of psychiatry (2010).
I'm unsure if the author of this blog allows links, but this is one enlightening read. I would highly recommend it.
November 29, 2012 9:10 AM | Posted, in reply to , by : | Reply
There is a requirement, i believe, that when diagnosing ADHD n children you want to observe the behaviors at school, at home, and I believe at play (not sure about the third location). the problem is, at least according to my psychology text, they accept accounts from teachers and parents and the like instead of direct observation. It is too easy to see how this could go wrong. In theory, to treat the parents, it would help anyway to at least occasionally observe them at home anyway, so you'd think it could somehow be arranged. But i don't think the money is there. I wish it was. the parents, again in my psychology text, are supposed to get treated-whether it is the parents or the kids fault, the parents still need new skills to deal with it. My book only gives statistics on kids and what kinds of treatment they get for the diagnosis- there is no information about parents and if they are compliant with treatment.
I'm climbing up on my soapbox.... 90% of ADHD-diagnosed kids are boys. the criteria is stuff like "squirms in chair" and "difficulty awaiting turn." I think it is gender bias, against boys, and i think it is the desire to quickly, too quickly, make children fit into society's box, that is behind this diagnosis. Restlessness and independence in boys needs to be dealt with another way than medicating them and stuffing them back into the box. And statistically, this is what happens: medication. Not therapy or innovative school programs. Apparently the only gender bias worth studying (according to my text) is all for women, mostly for BPD. It makes me sick.
November 29, 2012 11:28 PM | Posted, in reply to , by : | Reply
No, when you hear American spends $x billion on healthcare without better outcomes than country $y, you should ask yourself why the same people think the obvious reason our public-school graduates rank 105th (or whatever) among Western nations in math is because...we don't spend enough money on education.
December 2, 2012 11:17 AM | Posted by : | Reply
I can't see where the children's age is referenced.
A 13-yr-old who has uncontrollable meltdowns 3X per week is at least desperately unhappy, if not actually disordered. A 2-yr-old who doesn't probably has something wrong with her.
Before I ever approached wondering if a tantrum-throwing kid had a disorder I'd ask these question:
Can the kid verbally express her wishes?
Does the kid have any meaningful age-appropriate control over her environment?
Is there any adult in authority over the kid who cares about her happiness?
If the answer to any of those questions is "no" then I would stop there. It's not the kid.


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Hall addresses bring memorable moments
Ken Griffey Jr. placed a National Baseball Hall of Fame cap with the brim facing backward upon his head and tried to hold back the tears as he looked beyond the podium, the tens of thousands in attendance roaring in applause.He was enshrined amongst the greatest players to play the
Ken Griffey Jr. placed a National Baseball Hall of Fame cap with the brim facing backward upon his head and tried to hold back the tears as he looked beyond the podium, the tens of thousands in attendance roaring in applause.
He was enshrined amongst the greatest players to play the game. It was his moment. His dream had come true.
It's time for the newest class of Hall of Famers -- Ivan Rodriguez, Jeff Bagwell and Tim Raines -- to take their place at the podium, the same one "The Kid" stood behind this time last year, and tell the story of their remarkable baseball journeys.
:: 2017 Hall of Fame induction coverage ::
MLB Network's exclusive live coverage of the 2017 Hall of Fame Induction Ceremony -- simulcast live on MLB.com -- will begin with MLB Tonight on Sunday at noon ET, followed by the ceremony at 1:30 p.m. Prior to Sunday's live coverage, MLB Network will televise the 2017 Hall of Fame Awards Presentation at 11 a.m., featuring Rachel Robinson (Buck O'Neil Lifetime Achievement Award), Claire Smith (the J.G. Taylor Spink Award for writers) and the posthumous honoring of Bill King (Ford C. Frick Award for broadcasters). The presentation will also commemorate the 25th anniversary of the release of the film "A League of Their Own."
Both Griffey Jr. and Mike Piazza, baseball's two Hall of Fame inductees in 2016, touched the souls of baseball fans across the nation with heartfelt speeches that rivaled some of the best in induction history.
Griffey, the first overall pick by the Mariners in 1987, and Piazza, a 62nd-round selection by the Dodgers in 1988, could not have had their careers start on more different ends of the spectrum. And yet, 30-plus years later, both men shared that same stage, having achieved baseball immortality.
"The only thing [Griffey and I] have in common is two arms and two legs," Piazza quipped. But there was one other thing: the role their fathers played in helping them become great.
"My father's faith in me, often greater than my own, is the single most important factor of me being inducted into this Hall of Fame," Piazza said.
"My dad taught me how to play the game," said Griffey, struggling to utter the words as he choked up. "But more importantly, he taught me to be a man."
From Griffey and Piazza's tributes to Kirby Puckett's inspirational address and Ted Williams' admiration for the stars of the Negro Leagues, there have been countless memorable Hall of Fame speeches delivered over the years.
"I want you to remember the guiding principles of my life," Puckett said. "You can be what you want to be if you believe in yourself and you work hard because anything, and I'm telling you anything, is possible."
Rodriguez, Bagwell and Raines now take their turns on the stage in Cooperstown, shedding light on their voyage to achieving baseball's highest personal honor.
Oliver Macklin is a reporter for MLB.com based in Washington, D.C. Follow him on Twitter at @OMacklinMLB.

subset: commoncrawl


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I am grounded Crystal Soap
This soap not only smells divine but it is beautiful to look at.
Handmade by Natalie, a yogini and crystal healer. Infused with Patchouli, Orange, Bloodstone and Red Sea Salt for detoxifying, grounding and creativity.
Made with: Vegetable Glycerin, Cocos Nucifera (Coconut) Oil, Carthamus Tinctorius (Safflower) Seed Oil, Aqua, Sodium Hydroxide, Sorbitol, Essential Oils, Red Sea Salt, Bloodstone


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Why Choose Zeller Kern?
Zeller Kern is an independent, credentialed, fee-for-service wealth advisory that provides comprehensive planning, investment management and wealth preservation solutions for high net worth business owners and physicians, individuals and families.
Fee-for-service – Our planning and investment management services are based strictly on a fee-for-service basis, providing an environment for maximum transparency and an objective relationship. We receive no commissions as compensation, so there is no conflict of interest.
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Ongoing monitoring of your progress – A successful financial plan is approximately 20 percent planning and 80 percent action and follow-through. Your plan is backed by our thorough, one-on-one progress reviews. Our planning service includes our state-of-the-art Wealth Vault® technology that helps monitor your goals and wealth and safely stores all of your important documents. You can access this information anywhere in the world through any mobile device.
Frequent communication – When we ask our clients why they enjoy having us as their chosen advisor, the two words we hear most often are "trust" and "communication." One of our pillars for providing exceptional service is to thoroughly educate and communicate with our clients. In one way or another, we are in touch with and/or communicate with our clients over 80 times a year.
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Experienced and credentialed advisors – The wealth advisors at Zeller Kern have over 38 years in combined experience. We are equipped with well-rounded degrees and credentials that include CFP®, AIF, AAMS, MBA and CExP.


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From the desk of Steve Cabot: These are challenging times for optimists. I remember writing a year ago that as disruptive as 2010 had been for millions of American workers and their employers, 2011 could well be even more difficult. I take no joy in the accuracy of that prediction.
But as much as we may feel like frogs swimming in that famous pot on the stove as Washington continues to turn up the heat, I do believe in the core strength and wisdom of the American people. My hope is that when it's time to write an assessment a year from now, we will have righted this ship of state, setting the stage for real recovery, and reversing the policies that have discouraged and divided us.
In this moment, however, I prefer to set aside those concerns and reflect on those aspects of life that transcend the sorts of struggles we all face from time to time. I'm grateful for my clients – for their confidence and constancy – and for my family and friends who deepen my experience of living and bring joy in so many ways.
Yes, there will be opportunities soon enough to address the issues that confront us as employers, and I will be returning in a month to write on those important matters. Until then, I hope you will find ways to offer and receive the love and support that is central to the significance of this season.
As always, for assistance with any labor relations issues, I encourage you to call me directly on my cell phone (215-990-3423) or contact Georgetta McCabe, my administrative assistant, on her direct line: 800-655-2042.


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Saturday, November 21, 2009
Pink Door Paper
The love of patterns and paper and pretty things and personal expression. They're about the joy of receiving special thoughts in the mail. About giving you a place to scribe your passions and loves and desires and brilliant ideas. They're about designing products that make a statement about who you are and what makes you tick. About creating scents to melt your tensions and raise your spirit.
The Pink Door Paper Company is a Vancouver based studio that was created by Sean & Renuka Carter as an outlet to merge his passion for design with her love of personal expression.
Every product is designed, produced, printed, and hand packaged locally. They make every effort to source all of the product's materials locally or regionally. They do not print or import any part of product or packaging from overseas.
For more info, check out an artice in this month's Canadian House and Home Magazine.
Posted by Isabelle Lafleche at 7:36 AM
Labels: canadian house and home, pink door paper, vancouver
3 comments:
- Gerri Ward said...
Solely Pretty! Thank YOU for introducing PINK DOOR PAPER!:))
- November 21, 2009 at 11:04 AM
love those cards! they ll be great for a girl baby shower! cuuuttteeee!!!!
- November 22, 2009 at 12:27 PM
- Lisa Murphy said...
So glad that you enjoyed our profile on the Pink Door Paper Company in the December 2009 issue! Please feel free to hyperlink to us at http://www.houseandhome.com/magazine/latest for lots of other great product suggestions! Lis.
- November 23, 2009 at 12:45 PM
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Davidian Ambitions (Regd)
Davidian Ambitions : deals in Manpower & Recruitment in six states of India for a corporate profile, like IT, HR & Admin, Accounts, Insurance, FMCG, Real Estate, Finance, BPO's / KPO's, NGO's & Marketing. Specialist in: Hospitality Industries. We offer well qualified and suitable candidates who compliments the designation in the best of their abilities. We adopt a well defined and exclusive process instrumented by priority, precision pragmatism and expediency. We follow highly competitive and standardized methodology for the process of selecting the best from amongst the best after filtering genuine and motivated aspirants from the thousands.


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Our Services
"Healing Medicine comes to you in many forms as Science and Spirit dance together." -Trisha Schmalhofer
To Book An Appointment
A light touch approach for adults, children, and infants to release tension and pain deep in the body.
Gentle hands-on technique used to sense imbalances of energy flow and promote health.
A therapeutic release and re-programming of your muscles
to reduce pain and discomfort and put you in a relaxed state.
Safe and effective hands-on technique that involves gentle, sustained pressure to eliminate pain and restore motion by releasing fascia.
Types of Clients
Have you been to every specialist and medical facility with no definitive answers? Pain meds are NOT the answer! Chronic Conditions include: headaches, back pain, vertigo, tinnitus, autism, seizures, panic attacks, just to name a few.
Have this nagging pain and want to avoid surgery ? We can help : knee tightness, carpal tunnel problems, hip soreness, muscle cramping, neck spasms, back "goes out", old injury that didn't heal properly, and more!.
Someone with a recent physical injury or surgery that needs rehabilitative treatment to get back into balance. This category also includes PTSD from mental or emotionally charged life events. Injuries including: back surgery, rotator cuff tear, knee replacement, car accident injuries, abusive relationships and more…
Body and Spirit "tune-ups", stress level reduction, work and fitness related tension relief, immune system strengthening, DNA reprogramming, Ancestrial re-patterning, kundalini awakening support, quantum healing, 5D shift assistance, Intuitive Coaching and more!
Essential Oils
We treat the WHOLE person with a unique approach to pain relief and body balancing.
Types of Clients
Wherever you fall on the spectrum, or if you have a unique case, we will do our best to help you. At MedHealers, when you become our client, we become a part of your health care team with you in the driver's seat. Our goal is to facilitate your healing to get you to the point of self correction, which is the body's God-given natural state. Here at MedHealers in Melbourne, FL,we look forward to working with you!


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Last year, we decided to take our love for that most delicious, transcendental of summer vegetables to new heights. We built a 100 square foot, raised redwood garden bed to be the incubator and home for our tomato seedlings. If you've ever grown a tomato yourself, watching it's transformation from a tiny seedling to a jungle of branches and fruits and waited with near-indecent anticipation for that first succulent, juicy fruit to be ready; and then taken the first bite of a fresh-off-the-vine tomato (washing optional)), you can understand our passion (and perhaps financially irrational act. After all, financially speaking, the breakeven point for that garden bed will be about 20 years, but it will be twenty years of tomato indulgence. I think eating a home-grown tomato under the summer sun, it's juice and seeds running down your face, should be a pleasure enjoyed by everyone. It is the simplest and most sublime of culinary pleasures and puts to shame those red imposters to tomato-ness that you find in your local grocery store. I'm not saying I hear the Hallelujah Chorus when I take that first bite, but I have heard faint strains of Puccini (I swear)
Our extravagant expression of tomato love was rewarded with a crop of tomatoes that exceeded even our own most optimistic hopes. Simply put: we loved and were loved back. Black Krims (my gangsta tomato), Sun Gold, Lemon Boy, Japanese Black Truffle, Brandywine -varieties that had before given us rich taste but lackluster growth, all ran rampant in that bed. Halfway through the season, we were forced to add extra supports to the Sun Gold whose runaway growth, practically screamed "Give me land, lots of land… Don't fence me in". Now, I know the tomato experts are be scoffing, thinking that we must have been using those ridiculously tiny tomato cages you see in your local big box garden store. Bah.. we scoff at those. Did I mention that we were not tomato virgins? We were intrepid travelers into the land of tomato rearing. We had travelled this path before so we knew that those tiny seedlings you buy at the garden store are very deceptive, and would eventually demolish and almost eat those tomato cages. So, much research over the years, we had arrived on a wonderful solution: cattle panels reinforced by t-posts. This stuff is ¼ in of steel. It keeps cattle in. When those panels began to bend under the weight of tomatoes, we knew we had done good. Sure, it would take another 15 years to reach breakeven point, but who cared? Not us. We were drowning in tomatoes.
And that wall of tomatoes provided a source of shade and picturesque backdrop for al fresco dining all summer long.
And our tomato-worthy friends and neighbors were only to happy to relieve us of those that we were willing to share.


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Two recent 2016 studies on sleep, showing
- the loss of 1-2 hours sleep increases the crash risk and
- a link between loss of REM sleep and increased desire for sugary and fatty foods.
Again, of concern for those on night-shifts, varying shifts and emergency on-call workers.
A January 2017 study concludes that chronic sleep deprivation suppresses the immune system.
Our Scholars
It can be noted that, on the other hand, as regards excessive sleep, Ibn Sina is quoted as saying, in Avicenna's Medicine that it "...causes dullness of psychological faculty, heaviness of brain, and cold diseases..."


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At the end of each year, Honi, Clay and I sit down to discuss ways to improve our agricultural practices at the farm. We have two capital projects this year which are being implemented as we speak, both of which enhance our utilization of the farm's natural fertilizer - our animal by-product, manure. In natural-sustainable-no-industrial-product farming, it's all about the free poop, folks. How about that!
In our beef finishing pastures, we make alfalfa hay available to our beeves, free choice. Wherever that hay is located - we move it around - tends to accumulate excess manure. Same thing happens at the watering trough. We have dealt with it manually to this point, a time consuming and back-breaking chore. So we await our new front-end loader ("fel") attachment for our tractor, an expensive but very helpful piece of equipment that will enable us to conserve this valuable resource 100%.
Here's the plan: with the fel, we will first use it to roll out round bales of hay to a 12 inch thickness where the most intense manuring occurs. The hay will not only keep these areas more sanitary but will capture those valuable carbons and soil nutrients for later use. When the absorption level has been reached we will use the fel to haul it out and store it at the compost pile where it will mature into a fine, crumbly compost, bound eventually for our expanding orchard and garden.
Having seen the miracle of pig poop and its effect on the soil and things that grow there, we are adding gates at our forestal pig paddocks so that the porkers can be cut loose into larger pastures than they currently occupy. This will allow for more "layering" in our operation - that is, we will graze more than one type of animal over the same ground, adding that diversity to enrich the soil from 2 rather than just one animal.


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Welcome to the commercial department at Barrow AFC.
We have some big changes ahead for the new season and we will be revamping our hospitality and event packages. I'm personally very excited to share the Barrow AFC experience with our local community and businesses.
The links below outline the great opportunities on how we can create exposure for your business as well as other useful business offerings for the new season.
I would be delighted to come out and meet our current sponsors and anyone that would like to express an interest in getting involved with the club. On top of the brilliant offerings we currently have I look forward to working alongside local businesses to see how we can thrive together. I would like to wish our existing partners and sponsors the very best for the new season and am excited to begin some new partnerships in the upcoming months.
Samantha Sharp
Commercial Manager


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Sanctuary Retreats has introduced its latest offering to the Masai Mara, the luxurious Geoffrey Kent Suite at Sanctuary Olonana.
The Mara River, which runs past the forest setting of The Geoffrey Kent Suite, boasts an abundance of wildlife. This enclave will be an environment that connects guests to the Kenyan landscape, with its sophisticated free-flowing space, containing a private lounge and dining area, two private en-suite bedrooms, and accessed by a private road.
The suites are fitted with floor-to-ceiling windows that open up completely, providing indoor-outdoor living. Floaty beds and midcentury modern-feel furniture blend form with function. The rooms open out on to wraparound decking, featuring a raised infinity pool with a grandstand look-out over the river. There is one additional connecting bedroom for children at the suite.
In addition bathrooms feature freestanding bathtubs, and boast locally quarried stone, Kenyan cedarwood, and all-natural toiletries. Soft, intelligent lighting evokes the 'golden hour', with elegant lights gently illuminating the outside terrace.
All meals are prepared by a private chef in the suite's own kitchen and served in the dining room, with a fully stocked bar where guests can enjoy first-class cocktails.
Guests will also have their own dedicated safari guide and vehicle.
Bookings for the Geoffrey Kent Suite are now open and the first guests will be welcomed on March 18, 2019.
Source: TU
Wednesday, 17 October 2018 12:42
Sanctuary Retreats launches ultra-luxury Geoffrey Kent SuiteWritten by SATOA
Published in News


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Random sketches of armored robot thingys. I'm addressing a bit of a slump (again) and I fight it by letting the pencil run with a minimum of direction. A step up from doodling, obviously, since I'm a trained professional, but you get the idea. The helmet in the foreground has eye sockets stolen from some Jack Kirby panel, probably from Thor.
Thursday, June 9, 2011
A Pencilled Armory
Posted by Scott Quick at 6:00 PM
Labels: Jack Kirby
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Welcome to my 365 day Low Carb Challenge
Low Carb Blog | Low Carb Recipes | Low Carb Tips and Info
2012 © Ilovelowcarb.com Riverside, CA 92503
RECIPE: Guac-Lovers Guacamole
5 medium Hass avacados (must be Hass)
1 C chopped roma tomatoes
Jalapenos, deveined and seeded, small dice (1 or 10, depends how hot you want it)
1 C lightly packed cilantro leaves, chopped
1 small red onion, chopped
4 cloves garlic, minced
2 T lime juice
1 T lemon juice
1 t lime zest
2 t ground cumin
2 t ground corriander
2 t onion powder
2 t garlic powder
1 T chili powder
Chili sauce or Tabasco to taste (optional)
Salt & pepper to taste
Lightly mash avacados or, puree half and leave the rest of it chunky.
Mix with all the ingredients and chill.
A great treat with fajitas or used as a dip for cheese chips, pork rind, quesadilla, etc. Also nice served next to a grilled chicken breast with extra lime wedges.


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Hey, guys
We know a lot of people have bought the 6050mAh Ulefone Power for long-time use during trip. For such users, GPS accuracy and energy efficiency during navigation are top concerns. And we have made a test to show you how the Power performs here.
Yesterday, my colleague Jerry drived us for 30 minutes in Shenzhen City. Though it was quite cloudy, Ulefone Power showed it self correctly on Google Map without deviation. After the test, the 6050mAh battery only drained from xx% to xx%. Since 4G and VPN App (Google service is banned in China) was always on during the whole trip, we can say energy efficiency is quite impressive.
We have also tested some popular navigation in Spain, Russia, and other Europen countries, without compatibility problems. So have a nice journey with Ulefone Power.


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Mahendraguru.com provides you 'Let's Recap' on the daily basis. Let's Recap is the compilation of all the content that has been published throughout the day on www.mahendraguru.com. You can easily find all content posts in the single page and save your time. You can directly read the topic by just a single click. So, let us go through the posts today:
Hindi PDF For UP Police and State Level Exam PDF Part - 5
50 Important Direction Questions For SBI Clerk Prelims : 06.03.1850
Current Affairs Quiz For SBI Clerk Exam : 06.03.2018


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CDI systems or Capacitive Discharge Ignition (CDI) systems store, or accumulate voltage, until a point at which a signal allows release discharge of the stored voltage to the spark plug. An after market CDI ignition system greatly increases the voltage available to the spark plug allowing for a longer, more intense spark.
The principal advantage of a capacitive discharge ignition is the ability to present a superior spark to the air/fuel mixture inside the combustion chamber thus maximizing burn efficiency. As most experienced tuners know the easiest way to get a bigger spark is to increase the spark plug gap size. However, increasing the gap distance has a direct proportional relationship to the voltage necessary to ionize the air/fuel mixture.
Engine modifications such as Larger Turbos, bigger Cams, larger
intercoolers and INCREASED BOOST PRESSURE further stress an ignition systems ability to provide ample spark energy to EVENLY BURN THE MIXTURE.
Although it may sound strange, the air we breathe has electrical resistance that the ignition system must over come in order to ionize or spark across a plug. As pressure increases, the air becomes denser and provides even more resistance.


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There's only two tracks currently available from Patzy but there's an enchanting allure to both. "Black Bangs" slowly rolls along with a very subtle tension mounting throughout the verse until the track finally releases into a full wall-of-sound of guitars and layered vocals.
The lyrical content seems to be about a lost love but since there's a darkness to the presentation that undercuts the entire thing, you can't help but wonder if something more sinister is going on.
Two tracks isn't a lot to go on but it's looking good for Patzy. I'm ready for more.


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The latest innovations from watchmaker Timex took centre stage on London's Carnaby Street this week.
The brand, which is currently looking to introduce its newly launched contactless payment feature across its bevvy of timepieces, was displayed at Cowshed on Wednesday alongside jewellery from Karl Largerfield and Adore Jewellery.
Images from the event, which was organised by Grove Communications, can be found below.


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RSI Alerts MT5
Addition to the standard indicator Relative Strength Index (RSI), which allows you to configure different types of notifications about events related to this indicator. For those who do not know what this indicator is useful, read here. This version is for Metatrader 5 version for Metatrader 4 here.
Currently no events are implemented:
- The intersection downwards - upper signal level (default 70), - a signal to sell.
- The intersection of the bottom up - upper signal level (default 70), - a signal to sell.
- Top-down - the lower the signal level (the default is 30) - the signal to buy.
- The intersection of the bottom up - the lower signal level (default 30), - a buy signal.
- Top-down - level 50 - a signal to sell.
- The intersection of the bottom up - level 50 - buy signal.
It is possible to change the text in messages. The variables and messageUp messageDown, icons% level% will be replaced with the level that crossed the bar.
If necessary, the value of these signal levels is edited in variable settings - MaxLevel and MinLevel.
What types of notifications can be configured:
- Audio signal with a window popping up messages - Alert.
- Sending a notification to the mobile terminal (smartphones and tablets)
In order to enable the audio signal from popping up a message on the indicator RSI Alerts - you just have to include in the settings Alerts = true , that would turn off Alerts = false.
For what would you have come to your notice mobile terminal of the RSI signals including variable SendNotifications = true, pre-setting in the terminal settings MetaQuotes ID (If you do not know where).
Beep and notifications can be operated either simultaneously or separately.
There is also a parameter called alertShift - This candle number by which the signal is sought.
For example, if alertShift = 1, then the signals are supplied only to fully formed candlelight by the last of them.
And if you put alertShift = 0, then the signals will be received by the spark current - zero, note that in this case can be a false signal.
If you need is any additional functionality to the indicator, please.
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kate spade new york
Sale kate spade new york silver-tone monterey watch
Online Price $225.00 $112.49
Style #:KSW1108
The kate spade monterey watch showcases a five-link silver-tone bracelet against a luminous mother-of-pearl dial with classic numerals. A whimsical "I need a vacation" message in the date window at the three o'clock index reminds you not to take life too seriously.
Case Size
Case Thickness
Band Width
Water Resistant
Case Size ToolTip Placeholder38 mm
Case Thickness
Case Thickness ToolTip Placeholder8 mm
Band Width
Band Width ToolTip Placeholder16 mm
Water Resistant
Water Resistant ToolTip Placeholder3 ATM
Warranty ToolTip Placeholder2 Year International
Origin ToolTip PlaceholderImported


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Birthday Bliss
There is simply nothing quite like the morning of ones birthday. It's the essential motivation; forcing us to think about where and why we are, and how we feel we are doing. I read an interesting editorial recently about "happy moments", and while I've thought about compiling a list of my own before, I know if I don't document them when they are still fresh some of the feeling fades (though I still plan to write past moments with as much detail as I can remember). The idea of being able to read and revisit some of your happiest times is really, to me, the resolution to that introspective birthday feeling we all get...
There is nothing on earth like waking up to this (on my brithday!):
I'm lying in bed sleepy and dreamy, and while I don't know what time it is, the sunshine filtering through the shades says it's morning. I'm suddenly aware that my baby is nuzzled next to me - feeding. I don't know how long she's been latched on for, or when I un-swaddled her, but she looks wide awake and content. I look down at her, smiling directly into her deep blue eyes. She looks up, gazes for a moment, and returns my love with a big toothless, milk-drunk grin. As she smiles, my nipple falls from her mouth, and milk dribbles out her mouth down the side of her cheek and onto the bed. It is instantly one of my favorite moments ever. When I look over at the bed next to me, I see my husband, sound asleep, and next to him a little pair of feet peeking out of light pink pajamas. I lift my head and see my 3 year old daughter, snuggled in tightly next to the love of my life. At that moment, I am the happiest and most content girl alive.
So! Here's to birthdays - causing us to take account of our lives, and thanking God for the goodness in them!!


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The southeast tower of the citadel from NW inside the citadel.
|Mandra-Eidyllia, Attica, Greece
|38°8′51″N 23°13′43″E / 38.14750°N 23.22861°ECoordinates: 38°8′51″N 23°13′43″E / 38.14750°N 23.22861°E
|Classical Greek to Hellenistic
|Satellite of
|Site notes
|3rd Ephorate of Prehistoric and Classical Antiquities
|Public access
Aigosthena (Ancient Greek: Αἰγόσθενα) was an ancient Greek fortified port city of Megaris, 19 km (12 mi) northwest of the ancient city of Megara to which it belonged. It is also the name of the coastal settlement at the foot of the ancient city walls, also known as Porto Germeno. The ancient citadel retains several of the tallest surviving towers of ancient Greece.
Aigosthena is situated on the Alkyonides Gulf, a bay of the Gulf of Corinth. It is surrounded by forested mountains: the Cithaeron to the north and the Pateras to the south. Aigosthena was historically the northernmost city of the Megaris (Megarida). It is 10 km west of Vilia, 20 km southwest of Thebes 48 km (30 mi) northwest of Athens.
Ancient Aigosthena[edit]
The ancient site of Aigosthena consisted of a fortified citadel connected to the sea by two fortification walls. Measuring roughly 90 by 187 m (~575 Doric feet), the citadel was roughly trapezoidal in plan, with the narrower side (113m) facing west toward the sea. The citadel was constructed along the contours of a 55 m hill, and was defended by eight artillery towers incorporated into its perimeter wall. There was a primary gate on the west side into the area between the north and south walls to the sea. A small postern (auxiliary) gate was located immediately north of the second tower on the eastern side. The northern of the two walls to the sea is well preserved, stretching 370 m to a final tower of which the foundations and fallen blocks are now underwater. The northern wall consisted of six towers and a fortified gate running in a nearly straight line from the northwest corner of the citadel to the sea. The bed of a river runs along the probably line of the south wall, which is not evident.
The walls were built in a variety of masonry styles, which may be evidence of different phases of construction. Masonry styles in use include isodomic (ashlars with hammered faces and drafted corners), pseudo-isodomic, and - in sections – a style approaching polygonal. In general terms, these walls are among the best preserved of any of the Hellenistic period and show a high level of skill and finish. There is clear evidence of quarrying immediately south of the southeast tower of the citadel.
Based on the design of the defense towers, Ober proposes that the site was fortified after 370 BCE. Lawrence opts for a date in the late 4th century BCE, on the assumption that Demetrios Poliorcetes built the fortress rather than simply occupying it. The site was under the control of the Achaean League in 243-224 BCE, and in 224 - 146 BCE it joined the Boeotian League. Shrines of Melampos and Heracles are known to have existed by inscriptions recovered on the site. The town and its warehouses operated down into Roman times. An inscription of c. 420 CE listed Aigosthena as a free city. A five-aisled Christian basilica was erected in the lower fortified area in the medieval period, and there was a monastery complex within the citadel.
Modern Aigosthena[edit]
The modern village Aigosthena, also known as Porto Germeno, is part of the municipal unit of Vilia. Its permanent population was 80 at the 2011 census.[1] It is a popular beach resort with a small port.
Ancient sources[edit]
- Xenophon, Hellenica - 5.4.18; 6.4.26
- Pliny the elder, Natural History – 4.23
- ^ Detailed census results 2011 Archived 2013-12-25 at the Wayback Machine
- Lawrence, A. W. 1979. Greek Aims in Fortification. Oxford.
- Ober, J. 1987. Early Artillery Towers: Messinia, Boiotia, Attica, Megarid. AJA 91 569-604.
- Smith, Philip J. The archaeology and epigraphy of Hellenistic and Roman Megaris, Greece. Oxford: John and Erica Hedges Ltd, 2008.
External links[edit]
|Wikimedia Commons has media related to Archaeological site of Aigosthena.
- "Aigosthena". Classical Backpacking in Greece.
- "Egosthena (POG), Ancient fortress, Attica, West". Greek Travel Pages.


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A Community-Based Continuing Care (CBCC) is a program that provides a range of services in the individual's private residence as long as medically feasible and the provision of facility-based long-term care services when required, either directly or indirectly through affiliated services or through contractual arrangements. Residents sign an agreement with the community-based continuing care provider and pay an entrance fee.
A Continuing Care Retirement Community (CCRC) is a facility that provides board, lodging and nursing services to individuals. Residents sign an agreement with the continuing care provider and pay an entrance fee.
CBCC Disclosure Statements*
CCRC Disclosure Statements*
Company Lookup
Guide to the Regulation of Continuing Care Retirement Communities in Virginia
*Note: Some file sizes are excessive. For best performance, you may need to download files to your hard drive to access. This allows full use of resources allocated to the software application, rather than limited resources allocated to the browser.


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Perfection still creeps its way into my life. Especially in parenting where the pull to control all.the.things is real.
And, for the past four years, I've been hard at work - learning to find beauty and balance in the chaos that is my life. Learning to embrace the unexpected. Giving myself and my family permission to make mistakes - to be fully human.
Nothing could have prepared me for what happened on Sunday morning at the Christmas tree farm.
With their bellies full of homemade French toast for breakfast, and sunshine in the sky - all four girls were bouncing with excitement for our annual trip to the tree farm.
With fresh coffees in hand - Storks soundtrack on full blast, we made the twenty-five minute trek up to Vermont. The six of us relaxed, feeling grounded and free. Feeling deep joy.
We pulled into the lot closest to the barn and unpacked the girls - and then spent the next 15 minutes bundling, zipping, tying and preparing for our hike down the hill. As we were getting littlest settled into the carrier, the owner started walking toward us.
I felt his eyes searing through me. I looked behind me to see if there was something I was missing.
The anger on his face and the toxic energy swirling around his every step confused me.
When he approached our crew - girls standing nearby {calm + excited} - he started lecturing us about the tiny, 18"ish, tree by the back of our car. It wasn't a Christmas tree that we could cut down, he said.
I am sure my face said it all - no shit, I thought. And wondered, why are you tell us this - and why are you so angry?
Most of his words were lost on me - especially after he accused my daughter of attempting to cut down the tree - twice, he said.
She stood near the tree, yes. She was holding the hand saw, yes. Attempting to cut down the tree?
Absolutely not.
After he stormed off, we turned to our girls and tried to make sense of the conversation.
There was no making sense of that level of accusatory righteousness. It was beyond bizarre. And it wasn't the truth.
I took a deep breath. Or two or five. Saw my daughter's face - who's been dealing with a bully at school all fall - and knew.
We needed to go back over and have a Brave conversation with that man.
Last week, I shared this picture of mantras, written by Bigs, while playing 'school' with her little sister. Inspired by her words + challenged by my therapist, I opened the I AM CHALLENGE this past Friday.
The irony is not lost on me.
The strength of the I AM CHALLENGE community was with me in that moment, as I silently repeated the words:
Rob and I believe in accountability. And are fully up for the hard in parenting.
Bigs didn't do what the man was accusing her of doing. And both of us felt compelled to stand in the truth.
When Rob approached the owner - who had resumed his position 50+ yards away {still glaring at us} - to have a conversation, he was met with even more anger and outrage. Screaming that drowned out the sound of the tree-wrapping machine.
I thought the man was screaming because he was trying to be heard over the machine.
Not the case.
Rob walked away while the man was still ranting on. Calmly. And, appalled.
After loading four very confused, uncomfortable and disappointed girls back into the van - we were handed another opportunity.
A powerful, teachable moment.
J asked why we left.
We can't control what happens to us - we told her - or what challenges are thrown our way.
We can always control how we respond.
We talked about our intolerance for that level of disrespect. And, explained that we will never support a business owned + led by someone who treats his customers this way - or any human being for that matter.
M asked what would happen if the man followed us.
We'd call the police and ask for help, we said. Her question validated the dark energy I felt swirling around him.
Anger is a manifestation of pain. I silently wondered why he's is in so much pain.
And then K opened up in a new way about the boy who bullies her at school. He's a lot like that man, she said.
I'm not sure how much of this day they'll remember. All I know is that for the next fifteen minutes, we had the most amazing conversation about using our Brave Voice to stand up for what's right - owning what's ours to own - and staying in our power around those who try to steal it from us.
We talked about choosing COURAGE over comfort.
We talked about choosing what's RIGHT over the fun, fast or easy.
We talked about choosing to PRACTICE our values rather than simply professing them.
Words by Brene Brown. Words that took on new life today. The definition of integrity.
Parenting is tough territory for a recovering perfectionist. I catch myself expecting perfection and focusing on all the things they aren't doing. I know my tendency is to be hard on them.
There was no space for that today.
We ALWAYS have a choice to show up in a way that's aligned with our values.
Even when it's hard. Even when it's uncomfortable. Even when it means dealing with someone who is fuming and irrational. And has lost sight of the meaning of Christmas.
I don't know that man's story. And, I probably never will. I'm sorry he feels so much pain.
I'm not sorry for something my daughter didn't do.
We can feel compassion AND hold people accountable. Both can be true.
His pain does not excuse his behavior.
Today, I chose INTEGRITY.
Not the swallowed up feeling of embarrassment that use to rip through me when confronted.
Not the fear of 'getting in trouble' that used to leave me frozen and send me out of my body.
Not the unsubstantiated snaps at my daughter as a way to deflect the pain of the situation.
Today, I chose integrity, not perfection.
Despite my shaking hands and surging adrenaline, I stayed grounded.
Three simple words - I AM INTEGRITY - changed our day. The ripple effect far reaching.
I am grateful for growth.
And, I AM PROUD.
We ended up at the most beautiful, family-owned farm a few miles away. Laughing. Smiling.
And back in deep joy.
In January of 2018, I will be weaving together my passion and skill set to offer my first online course via The Compassion Project - bringing together a community of women and men who value growth and authenticity. Together we will cultivate the courage, compassion and connection we need to live our dreams. To bring meaning to our life in a way that sets our soul on fire. To live unapologetically free.
To be in the know - and to receive a free gift from me {because I'm too excited to wait!}, head over here to stay connected!
Creating this platform has been on my heart for years. It's time. I hope you join me.
For now, join me in the THE I AM CHALLENGE community space. {It's free.}
Samantha Livingstone is an Olympic Gold Medalist, transformational speaker, high performance coach and mama of four. She inspires and empowers others to cultivate the courage, resilience and perseverance needed to let go of perfection and other limiting beliefs so they can live their dream. Samantha candidly shares her battles with her inner critic, depression, perfection, PTSD and parenting as a working mother because she believes in the transformative power of story – and the strength that comes from knowing we are not alone. She is on a mission to pay forward all that she's learned to help others find joy and live free.
A mama of heart warrior and mama of twins, Samantha and her husband, Rob, live in the Berkshires with their four girls.
You can learn more about Samantha at www.samanthalivingstone.com.


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Live Solo/Acoustic tunes with MILES, Monday 5/15 at the 1846 Tavern from 6:00-9:00pm! You'll hear music by Jethro Tull and Jack Johnson, Cat Stevens, ColdPlay and more. Miles plays original songs as well!
Back to All Events
Earlier Event: May 10Live Music Wednesdays @ West Dover Joe's
Later Event: May 19The MILES Band @ Dover Forge/OMT Billiard Bar


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Grey Day/
It is really grey outside and it looks like it might storm soon. Grey or gray? I know that both are acceptable...I am just wondering if you all have preferences. In my youth, I always used gray. Now, I am more partial to grey. I'm sure that is fascinating to, well, no one. I am home today with a sick kid. I'm tired...if it isn't one kid waking at night, it is the other. Do they conspire to deprive us of sleep? When they are drawing pictures together, are they really writing out a schedule for their sleepless nights? I'm growing suspicious. My mother-in-law arrives in about 10 hours and the house is not yet clean. She doesn't care about that sort of thing, doesn't break out the white gloves to inspect every surface like my mother does. Still, I want the house clean. I've realized, though, that lack of sleep makes me rather inert. It also, apparently, makes me write about incredibly obvious revelations. I've spent the morning reading blogs and browsing iTunes which was probably not the best use of my time given the circumstances. It's the perfect day for doing nothing but there is much to be done. I have to clean the stove. I really hate cleaning the stove. Actually, I hate cleaning in general. Now, organizing? I love that. I just wish that I could do the organizing and someone else would do the cleaning. I've always wanted a House Boy for this very reason. He could come every day to clean, do the grocery shopping, mow the lawn, weed the flower beds and maybe clean the pool on occasion. Of course, we don't have a pool. There is no point in having a pool in Minnesota when it is only warm enough to swim about two months out of every year. I guess you could skate on it the rest of the time but no one really does that. Well, we don't have a House Boy anyway. So, no one will be coming today to clean the stove and mop the floors. I'll have to do it...I should probably get started. Damn. One last thing...Blogging for LGBT Families Day is coming up. I'll be participating again this year and will post on Monday. Have a great weekend.


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As a writer, I tend to ask a lot of questions. I constantly study the behavior of others to really "Understand" what makes people the way they are. A few nights ago, I went out with some of my girlfriends. We laughed, drank and thoroughly enjoyed ourselves. It wasn't until the men showed up that […]Read More
It's hard to do makeup as is, but imagine if you had no mirror! We've all been there, and later, when we see ourselves in the mirror; we're not happy with the results. To prove makeup can be done without a reflective tool, we found one of Youtube's best makeup artists to do exactly that! No Mirror […]Read More
With the yummy heat sizzling up our summer days, it's time to feel young again by having a summer romance and trust me… your age doesn't matter. No… I'm not talking about a new person, but the love of your life. Here are several things you can do with your mate to make those summertime […]Read More
We are not defined by how much money we have in our bank accounts, what jobs we perform, or the people we hang out with. A true person's character, and what really defines us as a human being— is what we dedicate our free time to. It's where our passions lie, and our dreams come […]Read More
This loooooks sooooo good! What a great idea! Another wonderful recipe from Glücksgeist. In the article listed below, you'll learn how easy it is to make this yummy spider-web cake. It's the perfect spooky-treat to feed our inner dark-places that we never like talking about? Well… at least not with our gym coach! 🙂 Enjoy! I hate spiders, but I love the […]Read more »
Wow! Wow! Wow! Kudos to Flavour With Flair for putting these wonderful Halloween treasure-treats together. Bravo! All 10 of their great edible-goodies look aaaammaaazing!!! Cute, spooky and sassy. A win for us DIY'ers. If you want to recreate these BOO'licious treats, all you have to do is click on the link below to get the "how […]Read more »
Don't we all want to host the perfect party? You know, be the "Thing" people are talking about long after the festivities are over. If you want to acquire that level of professionalism; this is the place to get those creative juices flowing. Click below to learn more… "Memories are made when gathered around a table." […]Read more »


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by LumiSource
FREE SHIPPING within Contiguous U.S.
Item #: LUM-OFD-TM-2TIER-CL
Ship Weight: 33.9997 lb
traighten out your workspace while remaining stylish. The 2-Tier Desk is the perfect solution to a clutter-free workspace, with an additional shelf for storage and stylish metal legs supporting a chic glass top. This piece is sure to impress in either of its two color choices.
- Material: Steel / Glass
- Color: black/clear
- 23.5Ó L x 31Ó W x 29.75Ó/35.5Ó H
Manufacturer Detail
|LumiSource takes their creative and contemporary approach to occasional furniture. See array of occasional furniture, lighting, and decorative accents that add contemporary flair and style to any room. LumiSource is now your one-stop shop for home decor!
|Manufacturer's Warranty: 90 Day Warranty
DimensionsL 38.25 x W 26.75 x H 5 in.
Item Weight30.6 lbs
Bar Stool Guide
If you have the below table, bar, or counter height, please get the chairs or stools with the following height:
Table 28" to 30" H --------- Chair 17" to 19" H
Counter 35" to 37" H ----- Stool 23" to 28" H (Counter Height Stools)
Bar 41" to 43" H ----------- Stool 29" to 32" H (Bar Height Stools)
Bar 44" to 47" H ------------Stool 33" to 36" H (Extra Tall Bar Stools)
There should be an 11" to 13" space between the seat of the stool or chair and the table surface.
To determine how many stools you need to fit your bar or counter, measure the length of the bar in inches and divide by 24. You should allow 24" of counter length per stool, with or without a back. Example: You would need four stools for an 8' counter.
Questions & Answers
Have a Question?
Be the first to ask a question about this.


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A young boy scatters golden kernels of corn to feed the birds of the barnyard, and watches in delight as the birds of the farm parade before him to get to their meal. From fat speckled hens, to drakes with black velvet heads, even his runaway white rabbits, they all join the feasting throng. The little calico cat watches the birds with hunger and fierce longing, but she knows the birds are off limits. The shifty brown rats she spies, however, are fair game!
Imprint: Down East Books


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First take from the film scans of a shoot with Brooke Eva in early January. You can see more of Brooke's work at http://www.brookeva.net/
Found a great new space to shoot in... beautiful old hardwood floors and great big shop windows with amazing natural light. Got a couple more shoots on the books already for February, looking to use those South facing widows...
New years resolution of shooting more is so far working out. If you're down to shoot, drop me a line, always looking for new people to work with.
All images shot with a DigiBee 400 mono light, Leica M2 /M3 - on Ilford FP4 125 film, developed in Rodinal.


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Check out the great selection of Artesian Spas and hot tubs that we have to offer at Leisure Aquatic Products. Platinum Elite Spas are built with premium quality and engineering to give you a relaxing spa with stronger pumps and other additional features.
Note – Call for shipping quote on large items such as hot tubs, pergolas, fire tables, grills, saunas and pools 507-288-6289