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One hundred designers presented their interpretations of the terno and barong Tagalog in a Philippine Fashion event last Thursday night June 30, 2011. Participating in "Metrowear Filipiniana" are designers from all major design groups. The event, organized by Metro magazine, aims to commemorate the Philippines' 113th year of independence.
Different interpretations of the traditional Filipino dress are expected to be seen during the event. The Young Designers' Guild will present avant-garde, while the Fashion and Design Council of the Philippines and the Fashion Designers Association of the Philippines will take on red carpet gowns and cocktail dresses, respectively.
International Filipino designers Albert Andrada, Cary Santiago and Ezra will showcase theatrical creations. Those from Cebu will present bridal interpretations, while independent designers will do modern pieces. The show will also have a men's wear collection, featuring designs by Anthony Nocom, Gerry Katigbak, Aries Lagat, Joey Samson, Jerome Lorico, Jeffrey Rogador and Barge Ramos, among many others.
A segment during the show will also showcase the works of Filipiniana masters Mike dela Rosa, Loreto, Patis Tesoro, Danilo Franco, Efren Ocampo, Greg Centeno and Nolie Hans. Other well-known designers who will take part in "Metrowear Filipiniana" include Rajo Laurel, John Herrera, Randy Ortiz, JC Buendia, Fanny Serrano, Avel Bacudio and Francis Libiran.
On top of these is an exhibit featuring jewelry, bags, accessories and shoe designs by Amina Aranaz-Alunan, Rocio, Ana Rocha, Nicole Whisenhunt, Michelline Syjuco, Cesar Gaupo and Mich Dulce. The terno is primarily composed of a baro (blouse), saya (long skirt) and panuelo (a cloth placed over the shoulders and back, just like a shawl) of the same pattern.
Initially considered as daily wear, it has become the attire for formal events and state occasions in the Philippines. The barong Tagalog, meanwhile, is an embroidered formal garment usually made of piña, jusi or banana fabric.
Disclaimer: if you are reading this article on one of the following sites, designandfashion.info , you are reading stolen content. To view this article from its original source visit swedes-love-fashion.blogspot.com


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Today I would like to share a song called Should've Been Me by Citizen Way.
For He made Him who knew no sin to be sin for us, that we might become the righteousness of God in Him.
2 Corinthians 5:21
The way we can be free of our sins and have everlasting life in Heaven is if we ask Jesus to forgive us of our sins and become a part of our life.

subset: commoncrawl


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This post is two days late since I spent the weekend enjoying an internetless reunion with some college friends. However, I wanted to mark this occasion even if it isn't exactly timely.
Friday was my one year anniversary of substitute teaching. That's right, February 24, 2011 I walked into a school for the first time, pored over the sub plans for some kindergarteners... and then failed miserably. Note to aspiring substitute teachers: I really recommend not starting with kindergarten. I had zero classroom management, minimal understanding of what five-year-olds are really capable of (don't be fooled by those tiny grins!), and no concept of what a kindergarten routine actually looks like these days. I think it was the first time in my life I ever identified with Arnold Schwarzenegger. Whenever I think back to that day, one conversation sticks out. We were doing the morning meeting, which consists of the calendar, weather, days of school, etc.:
Entire class: Noooooo. Now we're supposed to do (insert some routine here)!
Me: Guys, I'm not your teacher. Some things will be a bit different today. It's okay, it might be fun. We can go crazy a little!
Little boy: Really?!?!?!
Me: No, not what I meant!
Yup. I was that clueless. Not surprisingly, I did not wind up on that school's preferred list.
I like to think back to that class, particularly on rough days. In one year, I really had a crash course in education. I still have weekly internal debates about decisions I make in the classroom, I still wonder if I should have explained a concept differently, I still daydream about how a kid would have reacted if I had responded to him/her another way... Knowing my neurotic tendencies, that will never change. But every once in a while I take time to appreciate my teaching "growth spurt." I can't really say when it happened or how, but somewhere along the way I became significantly less of an idiot. So thanks to the teachers who I observed, the kids who unwittingly acted as guinea pigs, and the actors whose cheesy movies gave me hope. I appreciate all of you. (But mostly this guy.)
Armed with my Mary Poppins bag, I educate the masses. And remind them to stay in their assigned seats.
Sunday, February 26, 2012
Saturday, February 18, 2012
Historical Fiction
By now I truly hope that everyone on the planet has seen Drunk History, a delightful series in which an intoxicated individual narrates a historical event while actual famous actors reenact the intoxicated's version of events. Yes, it is as amazing as it sounds.
Yesterday as I was teaching some 1st graders about Abraham Lincoln (going into waaaay more detail than necessary, thanks to the infectious knowledge shared by my nonsexual life partner), I realized that someone really needs to do a series called "Grade School History." One child made the mistake of asking how Lincoln died, which led to a long discussion about bullets to the head, John Wilkes Booth, and pennies on graves. A little girl raised her hand to share the following historical anecdote:
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In case you haven't kept up with Madison news, the protests are still running strong. Saturday saw the largest numbers yet turn out with some estimating close to 100,000 people in attendance. Yesterday there was a bit of grumbling as the governor's office supposedly wanted the building cleared out of protesters so cleaning could occur. Well, apparently he is capable of playing some cards close to his chest, because today they blocked anyone from coming back into the building. Even one of the elected representatives to the State Assembly had problems getting into the building.
In other sneaky moves, the head of the senate has now declared that all staff for the 'missing' senators must now go through him for time card approval. And no one can freely make photo copies. Seriously? Is this what this shit is coming to? I hope those people rot in hell (and get recalled and called up on corruption charges, which just might happen to Walker based on some of the stuff he's said and done).
In more pleasant news, a restaurant review.
Last week I have the pleasure of dining at Nostrano here in Madison. They pride themselves with serving local seasonal foods, something that I'm sure is a bit more challenging, it being winter and all here in Wisconsin.
I was a bit early (and most of the rest of my dining party, late) so I joined a coworker at the bar, which had some interesting drinks to offer. As I was pumped full of sudafed due to a sinus infection, I chose to stick with water. But if I'm ever back (on someone else's tab) I'll be sure to try at least a few of their creative concoctions.
Once we were seated, our waitress did a great job making sure we were well taken care of. She did a great job answering my questions as to what was gluten free (the vast majority of the menu). Unfortunately they were out of the rabbit that night, which is what I would likely have ordered had they had it. If you're looking for a place with a large offering, this isn't your kind of place. They only had one vegetarian option, not that the rest of the menu was extensive either.
I ended up with the: Grilled Sturgeon
Chickpea Aioli | Roasted Artichoke | Nocellara Olives | Salsa Verde
which the waitress seemed to think was one of their best items. Quite a few in my dining party opted for the pork shoulder. No one complained on any level about the food, though a few of us commented on quantity. My dish was quite tasty and well presented. And small. While I don't consider $19 a lot for a dish, I did leave still hungry (no one else was ordering dessert, but they weren't exactly large enough to be filling either). But perhaps more important here, I didn't get glutened.
My impression of Nostrano is that if you want to eat well, you're going to need to shell out quite a bit of money. You'll want an appetizer, and you'll likely still have room for dessert. It could add up fast.
But the atmosphere was great, the waitstaff all were friendly and helpful. The food was well prepared. This is a place I'd happily let someone else pay for to have me eat at, but as I told the ManBeast, there is no need for it to be on our 'to eat at' list. The food wasn't so amazing that I think he needs to try it, and for the price and size of the dishes, I'd rather try another place neither of us have been to.
Filed under: gluten free, restaurant review |


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Video Script
Lasers are one of the preferred options for benign skin lesions removal in many cosmetic clinics. This is due to the high dregree of accuracy of most modern cosmetic lasers, and because of this high accuracy and precision the risks of scarring are very low. By looking as these easy procedures, while usingg lasers for mole removal, you can appreciate how good the results usualy are for benign skin lesions removal and consequently for Syringoma removal.
Lasers for Syringoma Removal
Welcome to the state of the art technology for Cosmetic treatmnets. Lasers are often associated with high technology and safety in cosmetic treatment for mole and benign skin lesions removal in general. The perception is not mistakenly placed. Lasers are very effective in removing little moles and birthmarks with a high degree of accuracy. This means that if used porperly laser Syringoma removal can have excellent results in one session only.
The type of lasers used for cosmetic procedures is called CO2 fractinated Laser of CO2 laser.
If used for common eruptive syringoma, usualy one ablative session per Syringoma will suffice to remove these benign lesions by using the Co2 laser.
On the other hand when removing/treating periorbital syringoma it is usually remmomended a minimum two course of cosmetic treatment:
- First ablation of the small benign esions with the use of the CO2 lasers as seen in the vidoes above for mole removal. The client usualy requires two to three weeks to recover form the treatment fully
- after the recovery porces the client can undergo a deep peel at the clinic of the area teated by the CO2 laser or be prescrivbed a course of daily peels to smooth the area where the treatment was carried out.
Therefore the first line of cosmetic treatment is usually to destroy these sweat duct tumors by using the CO2 laser. Topical anaesthetic is usualy required to be applied on the area to be treated with the laser for maximum comfort for the client. However, these unsightly benign skin lesions don't go away without a fight, sometime they are quite difficult to eradicate in just one session because they tend to regrow quite quickly. Becasue of this tendency of regrowing after the CO2 session there may still be small flat bumps which can be levelled off with cosmetic peels.
The cosmetic peels that can be used can either be for home use (ie Glycolic acid at 10%-20% concentration or mandelic acid 20 to 30%). If the cosmetic practitioner prefers one or two sessions of high contrated peel can be appplied as approctriate on the patches where the syringoma are still slightly raised.
Numbing Creams and Anaestetics
Although lasers are considered to be high tech even a mild superficial ablation can be uncomfortable or even painful. Even with the use of lasers it is always advisable to numb the area before treatment.
In cosmetic or beauty clinics the preferred options are topical anaesthics contaiing a 5% emulsion preparation, containing 2.5% lidocaine/prilocaine respectively (i.e. numbing creams like Emla). These preparations are usualy available without prescriptions from the local Chemists. These type of topical anaestetics are normally used also by tattoo artits to numb the area before tattoing. Since tattoo artists are normaly not medicaly qualified there is usualy a mild topical anaesthetic available without prescription (deppendant on local legislation).
At dermatologists' clinics usualy up to 20% concentrations are used in topical anaesthetic creams. Normally local anaesthetic injections are not required for this simple procedure however some doctors, accustomed to administer injectable lidocain, can opt for local anaesthetic. The advantage of local anaestetic it the fact that the area will be numb within a few minutes following the injection.
After care
The after care is minimal after this type of procedure. Although the risks of infections are very low after a superficial cosmetic procedure it is advisable to instruct the client to apply the appropriate antiseptic (cream) twice a day. This will drastically reduce even further the risks of mild infections. In oder to reduce the risks of hyperpigmentation sun screen must be worn daily for at least 3 months after the last treatment.


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Our mission is to grow the micro, small, and medium companies, providing FREE business tools that enable them to gain knowledge, have access to a trusted business network, and have easy access to financing.
Your supply chain is built on Trusted Connections within the business compliance environment you establish; our solutions support you in maintaining these connections and this environment efficiently.
Applying our solutions through the internet, we improve performance and sustainability of local micro, small, and medium entrepreneurs and quickly elevate them to think globally.
Applying our solutions through the internet, we improve performance and sustainability of local micro, small, and medium entrepreneurs and quickly elevate them to think globally.
Providing a unified business network platform allows acceleration of local growth through collaboration between companies and government bodies, but above all collaboration among entrepreneurs.
We help achieve your green business objectives simply by eliminating paper documents, along with energy required for their production, reducing burdens on Mother Earth as well as on your time and energy. Over the years our e-solutions have already saved trees by the millions-and still counting.
Our solutions achieve business excellence by adopting world class supply chain management, eliminating the possibility that forced labour and environmental damage are associated with your product or service.
Simply and securely extend your existing trusted business connections.
Powering Green Commerce
"E-trade does not require paper documentation we are committed to reduce tons of carbon dioxide gas from the air annually….be a part of the solution….protect nature"
How do we differentiate in a "crowded" e-procurement and finance supply chain management market?
TERBIT is a global player in providing e-business-to-business transaction solutions from requistion-to-pay, e-invoicing and finance supply chain management solutions. We empower companies of all sizes to unlock value across their supply chain collaboration and providing easy access to financing.
More than 140,000 e-invoicing and more than 1.2 million per month e-documents Lottemart Indonesia are inline with Lotte Group Vison and Goal on Environment Management. Read more…
Thousands of e-invoicing and and e-documents per month Unilever use TBXONE to speed up their order-to-cash collection to their modern trade channels. Read more…
Thousands of companies are using TBXONE to optimize their internal and collaborative business process. Optimizing their order-to-pay, order-to-cash, capture cash discounting, providing supply chain finance for easy access to finance. Read more…


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Vineyard Painting Class & Landscape Exploration
- Duração: 6 Horas (Aproximadamente)
- Localização: Penticton, British Columbia
- Código de produto: VPCLE001
Start your day with an all-inclusive wine and art in the vineyard experience at Evolve Cellars. Enjoy award winning wines while artist and instructor Chelsea Mae helps you paint your very own masterpiece to take home with you. No painting experience is necessary.
After the class, you will have the opportunity to purchase lunch at the Winery or other locations. Enjoy a delicious meal with wine, while overlooking the amazing views of the Okanagan Valley.
After lunch, Frank Fraser, an experienced Naturalist joins the group for the landscape exploration tour. Head up to Munson Mountain or Vaseux Lake and soak in the views along with an educational experience of the ecosystem and terrain. Frank will provide you with an afternoon of nature exploration and discovery programs showcasing the incredible biodiversity of the Okanagan valley. Get an immersive experience in nature that will rejuvenate your body and nourish the spirit.
The amazing art and nature-filled tour concludes around 4pm and the shuttle heads back to the various pick-up locations.
What's Included:
- Art Class
- Wine tasting
- Beverages (two 4 oz glasses of wine)
- All art supplies included
- Nature-Filled landscape tour
- Transportation at various pick-up location
- An experience like no other


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Get a card
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Proof of resident is required to obtain a PINES card
Acceptable identification includes: valid driver's license, valid voter registration card, checks with print address, a utility bill, a tax receipt, or other piece of mail showing current address.


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Relax, unwind and put your feet up - you've earned it.
We know your time off is valuable, and that's why we want to help you enjoy it. We're offering exclusive savings of 15% off the Bed N Breakfast package for active & retired military and their families. So relax, unwind, and put your feet up - you've earned it.
Valid only for guests with valid military ID including active duty, reserve, and retired service members and their spouses and families. Rate valid for leisure stays only and not official government or military travel. Must present your current and valid military identification card at check-in. Additional restrictions may apply.


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Multi-sector partnerships play an increasingly significant role in the movement to improve heath, equity, and economic prosperity. These partnerships recognize that many of our most pressing challenges defy sector boundaries, and cannot be effectively addressed by any one institution alone. Progress Along the Pathway to Health System Transformation: A Pulse Check on Multi-Sector Partnerships is the only survey of its kind to ask leaders across the U.S. what their partnerships do, how they finance their work, and how their groups have been developing over time.
The 2016 Pulse Check report provides a snapshot of 237 multi-sector partnerships throughout the country as well as rich detail around what contributes to—or gets in the way of—moving their important work forward. The survey revealed two sets of findings that are distinct, but closely related. These include characteristics of the partnerships and their efforts, such as composition, portfolio priorities, and financing; as well as developmental phases and the distinctive patterns of momentum builders and pitfalls that groups experience as they evolve.
Further, ReThink Health has found that partnerships often face predictable challenges and can catalyze momentum in particularly powerful ways. The Pulse Check explored these barriers and drivers with a view toward understanding how partnerships may evolve along their journey. Pulse Check findings indicate that certain partnership characteristics do indeed show progressive differences across developmental phases (see graphic below). For instance, when compared to respondents in the Earlier and Middle phases, those in the Later phase tend to have partnerships that are more established, with larger staffs, a larger number active sectors, more expansive action portfolios, and longer-term financial plans.
Published By
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Document Type
This web page is marked up with Schema.org microdata and formatted for machine-reading. Here's why that matters. Have a peek at what a machine sees here .Title: Progress Along the Pathway for Transforming Regional Health: A Pulse Check on Multi-Sector Partnerships
Publication date 2017-03-15
Publication Year 2017
Authors Jane Erickson
Copyright holder(s) ReThink Health
Keywords multi sector , sector partnerships , health , phase , middle phase
Document type Report/Whitepaper , Survey
Language English
URL: https://www.issuelab.org/resource/progress-along-the-pathway-for-transforming-regional-health-a-pulse-check-on-multi-sector-partnerships.html
Resource provided by IssueLab


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Wal-Mart has signed on as the retail sponsor of Nickelodeon's 20th Annual Kids' Choice Awards, scheduled to take place on March 31 in L.A. As part of the broad ad/sponsorship deal, Wal-Mart will have a presence on/in several Nick platforms, including the network proper, broadband and Nickelodeon Magazine.
The first spots to come out of the partnership began running on Nick airwaves this month, featuring Wal-Mart spokes-elves Wally and Marty hyping the big awards show. The chain will also sponsor the Favorite DVD awards category through in-store displays and an online voting destination at www.nick.com/walmart, where kids can cast their ballots and help choose a winner.
A slew of exclusive awards-related products will be available at all Wal-Mart stores, including a Kids' Choice CD (US$13.88) and Winner's Collection DVD 2-packs featuring such titles as Drake & Josh Go Hollywood and The SpongeBob SquarePants Movie. The DVD packs, priced at US$9.44, are also pegged to play into planned in-store promo displays that will feature other Nick merch including video games, music and toys.


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Below is what happened in search today, as reported on Search Engine Land and from other places across the web. The post SearchCap: Google Shopping, Google's HTTPS algorithm & Google Assistant appeared first on Search Engine Land.
Please visit Search Engine Land for the full article.
from Search Engine Land: News & Info About SEO, PPC, SEM, Search Engines & Search Marketing http://ift.tt/2eeXLYJ


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This edition of OECD's periodic survey of Spain's economy examines the key policy challenges Spain will be facing. In particular, it examines the chellenges of returning to more sustainable growth, of managing fiscal policy, of strengthening innovation and of improving goods and services markets.
This site is powered by Keepeek 360, Digital Asset Management Software for business.
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Friday, October 29, 2010
My weekend project
14 comments:
I know we must be related.... I remember odd ball birthdays, old phone numbers, (even people that I haven't called in 10 years!) addresses - but ask me to add anything and my brain goes into total dyslexic mode.ReplyDelete
You have me intrigued :) I have my little fundraiser morning tea for Breast Cancer tomorrow morning so I am hoping it will be a nice sunny day here in Perth. Enjoy your weekend Kerri xReplyDelete
Really bits & pieces weekend planned, with sport, parties, trip to the Snowy Mountains with only 1 child, ahhhh, car craft & dreaming of our Queenslander. All good family fun!!ReplyDelete
I love maths, did pure maths at Uni, patchwork & small business keeps me mathematical, i love it. Now my children are doing higher levels of maths, i've found my calling. Good luck, sending good equation vibes. Love Posie
This is such a beautiful blog! I love photo walls like you've shown here. I wanted one in the Fibro, but maths is definitely not my strong point. Fortunately for me, I live with a builder of Dutch extract (anyone say perfectionist?). I handed the whole project over to him and voila!ReplyDelete
Dreaded teaser!! Painting flooring with intricate patterns like above? Measuring hurts my head and I am not good at it! I can't wait to see what you are up to!!ReplyDelete
Hmmm what are you up too??? Can't wait to see...I'm afraid maths is not my strong point but I can keep focused...wishing you well on your project ...sure it will be fab! Kym XReplyDelete
I'm reading huge determination in this post my friend :) If you're doing what I think you're doing I look forward to the 'how to'! Have a fabulous weekend full of productivity. It's going to be a wet one here so perfect for stitching!!ReplyDelete
I'm loving that huge fabulous mirror! Have a gorgeous weekend, Kellie xxReplyDelete
As I read your post I can hear the words of my dear mother ringing in my ears - "Patience is a virtue - possess it if you can. Always in a woman - never in a man!"ReplyDelete
Can't fathom the "teaser"? Will just have to wait for the reveal.... Don't work too hard! ;)Sharyne
... do tell please..!!ReplyDelete
Hoping you have a fab weekend.
Thanks for this lovely inspiration parade. Gorgeous as usual!
xx Charlotta
Are you about to paint zig-zags on your floor Kerri?!ReplyDelete
Millie ^_^
Maths??? No not my strong point.... I do all the finances at home so that could be a worry? lol. I wonder what you are up to and look forward to some more clues... Have fun! ;-)ReplyDelete
Ooh, I am sensing a stencilled rug or floor???? You are naughty teasing us like this Miss Kerri!! Cannot wait to see what you come up with my dear:) Hope you are having a wonderful weekend so far ~ TxxReplyDelete
Hi Kerri, Loving your blog, you are being very brave with the zig zags they have taken many a brave girl down :)ReplyDelete


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With summer really starting to kick off and insects coming out in full force, it's no wonder our mosquito net sales have gone through the roof! Everything from netting by the roll, to head nets and canopies are selling like hotcakes right now, but we've got one more little gem for those of you still looking to keep those unwanted pests away.
Now available on our website and in our store, we have just gotten in a number of Military Surplus Mosquito Net Canopies ready to ship and at a great price. Each of these new condition, surplus nets is made from fine mosquito netting in an olive drab color and features ties that allow it to be hung over a standard, single person bed or a small area. Measuring in a 174 inches wide and 64 inches long, these canopies are a must have with excellent quality and an unbeatable price.


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Robert Pattinson has reportedly moved out of the home he shared with Kristen Stewart.
The 26-year-old packed his bags and left the Los Angeles home in the wake of Stewart's admission to cheating on him with Snow White and the Huntsman director Rupert Sanders, according to People.
"I'm not sure they'll be able to recover from this," a source told the website.
The insider added that Pattinson "is heartbroken and angry" and has retreated into seclusion following the revelation.
Another source told the website: "Kristen really loves Rob more than anything. He's all that matters to her right now."
Stewart allegedly broke the news of the indiscretion to Pattinson at the Teen Choice Awards on July 22.
Photo gallery - Robert Pattinson and Kristen Stewart's relationship in pictures:
Showbiz: Kristen Stewart and Robert Pattinson relationship - in pictures


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Joseph L. Watkins - TFT President 1987 - 2002
Joseph (Joe) L. Watkins, 88, of Lafayette, passed away at 7:50 pm, Wednesday, July 20, 2016 at Creasy Springs Health Campus.
Joe is asleep in Christ, awaiting resurrection. We look forward to our time together with him again, in the heavens far above all heavens.
Born August 25, 1927 in Lafayette, he was the son of the late Lewis and Ethel (Downs) Watkins. Joe also honorably served in the United States Army.
His first marriage was to Betty L. Davis on June 23, 1943 in Lafayette and she preceded him in death. He later married Marjorie Ruth Kayser on May 24, 1987 in California and she survives.
Joe was self-employed as a developer and builder, retiring in 2001. He developed Watkins Glen Subdivision and was past President of Truth for Today Ministries from 1986 - 2002. Joe enjoyed golfing and traveling, especially enjoying his trips to Israel, Hawaii, France, and Switzerland.
Surviving with his wife, Marjorie Watkins, are his children, Roger A. Watkins (wife: Jean) and Adina Dyer (husband: Grant), both of Lafayette; siblings, Minnie Spurgeon of Lafayette and Myrtle Garrison of Watseka, IL; four grandchildren; and several great grandchildren.
Preceding him in death with his parents and first wife is a son, Terry Watkins, and nine siblings.
Joe was dedicated to the Word of Truth Rightly Divided as set forth in Scripture:
2 Timothy 2:15 "Study to shew thyself approved unto God, a workman that needeth not to be ashamed, rightly dividing the word of truth."
2 Timothy 3:16 "All scripture is given by inspiration of God, and is profitable for doctrine, for reproof, for correction, for instruction in righteousness:"
Philippians 1:10 "That ye may approve things that are excellent; that ye may be sincere and without offence till the day of Christ."


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HOMEDALE - For the black specks on the skin of which you complain, we can only give the same advice that we have given to our correspondent "Kitty". Should you have any particular spot more conspicuous than the rest, take a small key and press the little round hole firmly down round it, and it will be thus removed. But the only way of preventing their recurrence is to wash the face well daily with soap which does not contain alkali, and this will cleanse the pores, which are simply choked with perspiration and dust. There are also two degrees of strength in carbolic soap, sold at all chemists, and ordered by doctors for affections of the skin. You may try one of these, and if none of the suggestions given prove successful, you had better consult a skin doctor.
EDINBURGH - If your health be good, and you neither suffer from head aches, nor any mental distress, we suppose that the premature greyness of your hair must be hereditary and for this there is no remedy, However, you may try the tonic for the hair which is recommended by Dr Erasmus Wilson. There is a lack of nutriment perhaps, which might be supplied by this home-made tonic. Eau do Cologne, 8 fluid ounces. Tincture of cantharides, 1 fluid ounce. Oil of lavender, and of rosemary, 1/2 fluid drachm each. (If too strong, dilute with rosewater.) Apply with a sponge.
MISS W___MAN___ - The hair is dressed higher than it was, in much the same sort of coil, but with a comb. To wear short hair curled across a low forehead is certainly not becoming. It gives a low type of expression to the countenance, and spoils the proportions of the face.
"N.E.C." - The tradition of throwing shoes after a newly-wedded pair is of a very ancient origin. Amongst the Jews the delivering of a shoe denoted a renunciation of any right or title in any person of possession. The family of Ruth gave one to Boaz, when he entered into possession of his brother's lot. The custom in reference to marriage descends to us from our Anglo-Saxon ancestors, when the father presented the bride's shoe to her husband, who touched her with it on the head, in token of his authority. In Turkey, on the contrary, it is the bridegroom who is to receive due admonition by means of shoes, for he is chased by the wedding guests and beaten or pelted with slippers. But whatever custom may obtain in different countries at weddings, this giving or throwing down of a shoe is a relic of the ancient law of exchange; and when now thrown by the parents after a newly-married daughter, it means that they resign all authority and all right to her. The throwing of rice after her is derived from an ancient Roman ceremony, and is a relic of the Panis Jarrens, in the most honourable form of Roman marriage, called confarreatio.
KITTY - Eruptions on the face arise from various causes. A bad digestion, unwholesome food, swallowing food too quickly before half masticated, employing the brain too soon after meals (which should never be set at work while the stomach is engaged), stooping the head at any employment after meals, poorness of blood from insufficient or low diet, eating too many sweet things (causing acidity), intemperance, or, lastly, not using good soap, once a day, in washing the face. This neglect is the cause of much of the eruption prevalent amongst young people. The pores become choked with perspiration and dust, and little pustules are forced in consequence. Besides which the pores become as with the use of powder, permanently distended, like the holes in orange-peel. A soap having as little alkali in possible is the best for cleansing the face.
The Editor begs his readers' kind acceptance of a Valentine, which, with his compliments, he offers to every subscriber to this number. The drawing of the SPECIAL VALENTINE PLATE is by the talented pencil of Monsieur Giacomelli.


text: Whether you're a stay-at-home parent, a working professional or a college student, sometimes it's not only exhausting cooking a meal, but it's exhausting trying to plan a meal too. Enter these easy slow-cooker roasted beef tacos — they're quick, they're easy and they're delicious, no matter what stage of life you're in. First, season both sides of the chuck roast with salt and pepper and place it in your slow cooker on low heat. Pour in the can of beef broth and let it cook for six hours. After the beef has thoroughly cooked, remove it from the slow cooker and place it on a carving board to rest for 15 minutes. Using two forks, shred and separate the meat (so it looks like pulled beef) and return it to the slow cooker. Pour the roasted tomato sauce over the meat and allow it to simmer for another 15-20 minutes. Finally, to serve, fill each tortilla boat with some beef. Then top with lettuce, cheese and salsa to taste.


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Former "American Idol" star Adam Lambert seemed determined to outdo American Music Awards opener Janet Jackson. Apparently, though, acting like a boob doesn't compare to baring one.
Despite a closing performance that featured man-on-man smooching, a simulated sex act and one unplanned tumble, ABC tells USA Today the network only received around 1,500 complaints. CBS, meanwhile, reportedly received more than half a million complaints when Janet's breast was accidentally revealed during a Super Bowl halftime performance a.k.a. "Nipplegate."
Lambert has said his same-sex kiss wasn't planned, and that his, uh, exuberant performance was the result of an adrenaline surge.
Watch his performance and decide for yourself:
Follow Zap2it on Twitter for the latest TV, movie and celebrity news updates.
'American Idol' Adam Lambert's AMA performance: Zap2it readers weigh in
Adam Lambert falls for the American Music Awards
2009 American Music Awards minute by minute
Photo: Getty Images


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About Us
This is a multimedia academic online website that publish articles from various authors on the topic – journalism cultures, with emphasis on the African continent. The site was established to create a platform for established and emerging scholars in the communication field to publish their researched articles, comments and reviews. Scholars and writers interested in the study of journalism cultures in Africa send in their contributions which is peer reviewed and edited before posting.
The administrators encourage every scholar interested in research on the current trends in journalism on the African continent to participate. Contributors are to write their articles on a voluntary basis, and will be hosted here, as a means to help students, academic staff and other people to benefit from their work.
We encourage debates, exchange of ideas, research cooperations and sharing of materials among people. This project is currently supported by the "Worlds of Journalism Study (WJS)" founded to regularly assess the state of journalism throughout the world.
Please inquiries can be made through our Contact Form or can as well email the Editor at:


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A few years ago, I interviewed a local high school graduate who enlisted in the Marines after 9/11. He and I met in front of his alma mater, and as he posed for a picture by the school sign, a woman pulled up to the curb, handed our photographer $100 in cash and told him to give it to the serviceman.
That's the effect a military uniform can have in this day and age — and rightly so, considering that our servicemen and women take risks that few others could even fathom.
Still, anyone who was alive 40 years ago can attest that America's troops didn't always get that kind of esteem. Take Bill Siddall, for example.
Siddall, who lives in Fountain Valley, is a member of American Legion Huntington Beach Post 133. During the Vietnam War, he was stationed in Europe, and a few years ago, he found himself fighting tears when he walked by a cheering crowd for the first time in Surf City's Fourth of July Parade.


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The Dominican Republic's accommodations
For my wedding, I experienced a visit towards the Dominican Republic. Before this trip I happened to be (but still am) wary of all-inclusive hotels what your location is shuttled in hermetically sealed cars from airport to resort and rear; where tourists are waited on hand and base while just a couple of steps off the resort complex you see impoverishment, shacks, and rampant criminal activity. We repeat: I happened to be wary, however am, but guiltily liked my 3 days in "paradise" during the Paradisus Punta Cana resort. Everything is recognized as whenever ensuring the visitors' convenience and leisure. Raising a finger is certainly not permitted and broadening your belly on substantial restaurants and "treat pubs" is encouraged.
I appeared on a Saturday night and, becoming the paranoid tourist that I am, had to wrestle aided by the bellman as he told me to go out of my bag with him while We examined in. Clutching my other bag to my side as I ended up being greeted by yet another employee, we checked in and was served my to begin many free drinks. After the relief we felt when I realized your bellman had not been a person who ran off with stupid tourists' bags, I became driven in a golf cart to my package, that I ended up being sharing with a buddy.
The room had been about as large as my hubby's and my very first apartment. It was demonstrably setup for an enchanting partners getaway, utilizing the luxurious bed, see-through shower and lavatory doors, and a Jacuzzi with area for two, but we scarcely invested enough time with it to note. The courtyard ended up being a recreation of a tropical forest, filled with birds chirping and monkeys yelping (by the time we left we nevertheless had not identified should they were genuine or a recording to increase the ambience).
I came across the gross luxury item i would like when I are a millionaire: a share with tile lounge seats built-in. My sunshine threshold is a lot lower than normal, therefore to sit in the water and soak up the rays was a complete relief and I may have also slept here basically was indeed allowed. This share was at "The Reserve" location, an increased class of the resort, although "regular share" had the swim-up club and tasks coordinators, attempting to corral the friends to participate in liquid polo or salsa lessons. The Group Activities I skipped; the club I used.
I am not a beach person, but i possibly could be a Paradisus beach person using its flawless sand, thatched umbrella bungalows, padded lounge chairs, and locals wanting to educate you on to Segway. Water sports galore, if you should be into that particular thing (that we am maybe not) can keep the avid thrill-seeker occupied whilst little shops that range the trail over the beach are another types of diversion. I did not water sport or shopjust beached.
My general writeup on the meals and restaurants would be "OK." There was clearly loads of it nonetheless it lacked that top-notch taste and presentation that you would get in a restaurant that had absolutely nothing to worry about nevertheless the meals. Because the resort needed to produce size quantities of every meal and dinner, there was one thing with a lack of each dining experiencelove, perhaps? The variety had been impressive: grilled seafood, regional items (countless fritters and rice and beans), cheeses, olives, salads, spaghetti channels, omelet programs, plantains (fried and mashed), grilled tomatoes, mushroom salads, crab feet, smoothies, 7 types of sausagesand which is what we consumed. Some individual food reviews will soon be published later.
As an all-inclusive resort, the overall opinion among the list of 30 marriage guests was that the Paradisus is first class. Five-star. Paradise. It had been, while I became less of a travel snob, i'd get back.


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|I used pictures of students with my 4K kiddos!
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|Have to share his precious smile again....Cayden on his first day to 4K!
ThANkS fOr ReAdINg! Amber


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Multi Site Scraper
Budżet $10-30 USD
This data scrapper will target Quarterly and Annual stock data history data. The script will scrape data from 18 sites and place them in a csv formatted.
A lot of navigation is required on the sites to get to the actual data.
Will provide more information via inbox.
20 freelancerów złożyło ofertę na kwotę $116 do tego projektu
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Hello, could you please send me the details? -- Andris Please ignore the bid and delivery time, I'll adjust them as soon as I have an estimate.
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text: SAULT STE. MARIE, ONTARIO — The finding: Tumors in fish in all five Great Lakes and connecting waterways. This needs more study, says the Great Lakes Water Quality Board. The board, in a 212-page report prepared for a meeting of the International Joint Commission, says Great Lakes water quality generally has improved since the 1960s. This has permitted fish to move into once seriously polluted areas only to become contaminated with chemicals from sediments.


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Yesterday I took the Greyhound–our neglected stepchild of long-distance transportation–from Burlington, VT back to Boston. The bus was packed, smelled of blue toilet water, and my seat neighbor and I chuckled about how our row rocked back and forth as much as a foot with every start and stop. It was a six-hour ride; I was stuck in a cramped, smelly limbo. The one redeeming aspect of the ride was that I had the perfect Dylan album for the occasion: Time Out of Mind.
We've come a long way since Dylan's twenties and the furious start to his career, his throttled-back Americana early thirties, the arena rock that ushered in his forties. Even the utter artistic and commercial flops like Down in the Groove and Under the Red Sky of Dylan's late forties seem erased from memory now as Dylan recasts his original material through that mystified, aging rambler intimated on World Gone Wrong.
Time Out of Mind is, to be sure, a comeback album, a return to form unseen since Blood on the Tracks. It constitutes another reinvention of our protean folk-rock hero. Right from the opening staccato organ bleats of "Lovesick," soon paired with Dylan's crisp, filtered rasp, it's clear this album means to take its time layering keyboard riffs and guitar counterpoints. The second track, then–"Dirt Road Blues"–sets those instruments in motion as they twist and twang over a country beat. Again on track three, "Standing in the Doorway," the arrangement glides the listener slowly into a meditation on the progress of love lost–"Yesterday everything was going too fast / Today it's moving too slow"–while time, which has deepened over the decades, comes rife with forsaken love. These soundscapes, created by producer Daniel Lanois, along with these themes Dylan explores persist through these 11 tracks. The unity of sound and sense coheres the tracks with a strength essential to a complete, vital album. And that's what Time Out of Mind is–a masterwork.
Time Out Mind also constitutes the first celebrated Dylan album release I was conscious of in the moment. I remember standing in the checkout line at Publix in 1997 with my father, born two years after Dylan, who was featured that day on a magazine cover by the register. "I heard Dylan's latest album is really good," Dad said, which was a surprise even to me, a 13 year old, because everybody—everybody!—knew Dylan's beat years were behind him. But the critics agreed. Rolling Stones' four-star review called it "a more fully realized version of Oh Mercy," also produced by Lanois. "The rumor is true," wrote the A.V. Club: "Bob Dylan, an artist for whom many fans had simply given up hope, has made an excellent album." For its part, Entertainment Weekly compared Time Out Mind to the Rolling Stones' more "frantic" Bridges to Babylon, released at the same time (and, fun fact, launching the tour that served as my first concert (Santana opened)). Dylan's effort, according to EW, proved Dylan "a man out of time, in self-imposed exile from rock trends, and all the wiser and stronger for keeping his distance from their energy-sapping fickleness."
The consensus: by coming to terms with loss (of love, vivacity, and, perhaps, his audience) and mortality, Dylan had turned his career around. Hell, it won him the Grammy for Album of the Year.
"Million Miles" evokes a smoky jazz club where the instruments don't as much play as lounge and moan. "Maybe in the next life I'll be able to hear myself think," Dylan grows before observing, "I'm trying to get closer but I'm still a million miles from you." The conflict seems disembodied, removed from the speaker. Love unattainable is a constant, but one questions if a subject even exists behind the words, or if the album-wide laments serve as scaffolding for metaphysical contemplations. For example, "Trying to Get to Heaven" ("before they close the door") expresses the futility of existence when non-existing could bring such bliss; yet our deliverance to that great hereafter is wholly beyond our control. The same idea applies to "Not Dark Yet," which couples a dirge procession with lilting, redemptive guitar licks. "It's not dark yet," Dylan maintains, before dropping the tone, "but it's getting there." Beyond time, space collapses here too, as Dylan mutters, "There isn't even room to be anywhere." These two songs combine with "Standing in the Doorway" to form an exquisite triad of late-life ballads, slow and atmospheric, that recast the Dylan persona, typically caustic and accusatory, as a patient, toothless wanderer resigned to perplexity over the inscrutable trappings of our spectral world. There's "nowhere left to turn"; "nothing left to burn." The whole album feels theatrical, like an avante garde stage play. This is Godot in stereo, with Dylan the guitar-slinging tramp. His overriding could be summed as, Heartbroken again, but there's still time–wait, still time? What is time, anyway, and after all I've been through, how could I possibly have more of it? Life is strange.
And so the album's static mood, its overarching suspension of time and space and scarred hearts, had me forgetting about the time spent in that Greyhound seat–had me doubting the progress of time at all. "Cold Irons Bound," which won a freaking Grammy for Best Male Rock Vocal Performance, kept me a constant "twenty miles out of town." A standard love ballad, "Make You Feel My Love," proved again Dylan's straight-up songwriting prowess. "Can't Wait," which declares, "I don't know how much longer I can wait," reminded me of my cabin fever, my anxiety to get off that bus. But the final track, the 16-minute "Highlands" featuring Dylan swirling between stage sets, including a restaurant in "Bostontown," sounded utterly displaced, beyond the laws of spacetime altogether. All the while I thought of my father, who seemed to understand this stage of life where experiences circle so fast they leave their experiencers in a vacuum bemused.
Do I get "Time Out of Mind?" I get it, yeah, down deep. Do I need the previous albums to get it? To comprehend the velocity of this comeback, absolutely. Do I like it? More than that, I've internalized it–I've integrated it into the stasis of my life.


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Vaja Ivolution Top Case for iPad Review/
The Ivolution Top is one of Vaja's top cases that they have released. It is made out of smooth leather available in almost every color imaginable. It is handcrafted in Argentina to ensure best quality and fine craftsmanship. The Ivolution costs $150 USD, but is well worth its value. No leather case is as comfortable in your hands or on your lap as the Ivolution.
The Ivolution has a back piece that covers and protects the back of the iPad and comes up to the iPad's bezel. Then there is the front piece which attaches onto the front of the iPad to protect the iPad's screen while it is not in use. The front piece is also embellished with Vaja's silver logo, which adds a nice sleek look that catches the eye.
The Ivolution is great and seems flawless, but not quite. The only minor flaw found in the Ivolution is that from being handmade, so it has a snug fit, which can cause some trouble when taking it in and off. Other than when the case is being applied, the Ivolution is the best case imaginable for its job.
Vaja demonstrates true dedication by using only the best leather made by real craftspeople. They have great service and make high quality cases. But all this takes time, so you must wait 45 days for the made-to-order handicraft process to take place. The wait is well worth it though. And sure, it is expensive, but the leather serves as a luxurious cushion for the more expensive iPad. If you really have the money to spend and want an individual accessory to personalize and protect your iPad, Vaja even offers customization, which allows you to select a color(s), pick a style, add an image, and have your name stitched onto the case.
The Ivolution crushes competition with its hand-crafted fine leather and protective fit. But with its snug fit, this case may not be for all people though. It may be for more dedicated users who carry their iPad around -- to, from, and at the office or the classroom -- or even for somebody who loves to spend their time reading e-books at the beach or at home.


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Archive for the 'psa' Category
Christmas Greetings for 2015
Hello again to anyone out there who still visits this site and my very heartfelt best wishes to the world in general. MERRY CHRISTMAS to everyone and my wishes for a HAPPY FESTIVE SEASON to all people regardless of religious persuasions. May the politicians and the people of the world find some sanity and peace in 2016.
As I grow older I have come to embrace this time of year emotionally. I use this sense of time and place to slow right down and do a stock-take of past life events. I give thanks to the universe and or my creator for the people close to me and those that have sadly left me behind. I give thanks for my home, the area where I live and the peace that I enjoy here. I give thanks for the skill of the surgeons, doctors and nurses that have given me extra time and an improvement in my quality of life. I am constantly amazed at the diversity of skills and capacities of mankind that surrounds us. I give thanks for the love, respect, understanding and respect of my wife, my companion and carer
I have not contributed an article here since May this year and the reason has simply been that I had nothing to report, I am doing OK for the moment. I am not a doctor and lack certain mental understanding of things medical, to gather technical stuff together to present here on this site. Besides there is a ton of technical information available on cancer, treatments and drugs that are presented by others more qualified than I.
At the very beginning of my illness I went seeking articles on the human personal side of cancer diagnosis and treatment. I found this site established by Greg and eventually was able to contribute articles myself. Greg wrote about his illness, treatments, mental anguish, treatment discoveries, general ups and downs from week to week. He also unveiled his personal life, family history and his private philosophy on life in general. The information Greg presented is still relevant today for those seeking a personal perspective on the effects of chronic illness. Like Greg, I also tried to write on a personal level describing my personal experiences with dealing with this cancer, however I did try to include other areas of interest that I thought might appeal to readers.
Together Greg and I have attempted to bring a personal touch to such subjects as:
Cancer diagnosis and grading….. Treatment and decision making…….Cancer screening and primary treatments…….Effects of surgery, Radiation, Androgen Deprivation Therapy, Chemotherapy….Other alternative treatments…. Advances in treatments and research… Cancer progression……. The carers role….End of life preparations…….Palliative and Hospice Care….Cancer statistics…… Depression, suicide and Euthanasia…….Personal experiences with treatments when a primary treatment goes wrong…..A personal view of the meaning of life, the creator or god.
Since my life saving surgery in November 2014 there has not been too much else happening in my cancer world. I remain in remission for the moment, although my last PSA results showed a small increase. This increase in PSA was not significant enough to draw a conclusion, so my doctor and I are awaiting my next PSA result due in a couple of weeks. The result from this will determine if my cancer is still active somewhere or if I remain in remission. If the cancer has begun to progress my only option in that case will be to return to ADT treatment and then continue to monitor the PSA with further treatment decisions to be made along the path.
So until things become clearer for me or change dramatically, or I find an interesting subject to report here for readers, I will bid every-one goodbye for now and hope to return sometime in 2016.
Lee aka Popeye.
Written by Lee
22 December 2015 at 11:02 pm
Posted in ALTERNATE TREATMENTS, carer, Health, Lee's Page, MEDICAL, MEDICATION, Metastasis, my fight, PERSONAL, PROSTATE CANCER, psa, quality of life, social comment, spirituality, TREATMENTS
Tagged with ADT, Androgen deprivation therapy, cancer, Health, Hormone therapy, prostate, PSA, Radiation therapy
Cancer And The Domino Health Effects Of Treatment
I have been mentally calculating an audit lately of the personal health effects as a result from my prostate cancer and its treatments. It has become apparent to me, that the results of this audit may make for an interesting article for some readers. What follows is not intended as a "Poor Me" sympathetic seeking diatribe, but rather as a personal example of the domino effect that a cancer diagnosis can have on the health of a patient. I am sure that many long-term cancer patients would also see themselves, and their journey in the same way. My intention in this article is to highlight this issue so that fellow cancer patients, recognise that they are not alone, and to advise new cancer patients of the pitfalls that may await them on their path.
Before I begin, I should point out that prior to the time of my cancer diagnosis, I thought I was a pretty fit soul. I visited and walked Kokoda in 2008 and 2009. I was an avid sailor, diver and fossicker up to my diagnosis, and my previous health apart from skin cancers had been marvellous. In July 2011 I was about to turn a fit and active 64 years of age in September, and I felt bullet proof…….Until late August.
My cancer adventure began in late August 2011 when I experienced urinary problems that lead to my visit to the GP, and then for a PSA test and ultrasound. The results showed a PSA of 4.5 and an enlarged prostate that led to a diagnosis of BPH. (benign prostatic hypoplasia) I was given a prescription for pills to alleviate the urinary pain, and a future date in six months to repeat the tests. I didn't quite make the six month period as the symptoms became much worse in January and February of 2012. In early March I had my first visit to the urologist, whose examination led to a biopsy; With the results confirming advanced aggressive prostate cancer that threw me into a spin mentally.
I needed to make a choice of treatments available, and through some early research and medical advice decided on, Radiation and Androgen Deprivation Therapy as my primary treatments. I immediately received my first injection of the drug Eligard, that I was to receive every four months for the next two years, plus an oral anti androgen drug taken daily. On the other hand in order to begin my radiation treatments, I first had to attend to my urinary symptoms which involved a surgical procedure carried out in May called a TURP (rebore.) The TURP procedure alleviated the urinary restrictions, but also introduced a series of urinary tract infections that persisted until September 2012. Finally in October I was able to begin the radiation treatment.
So there I was at the end of 2012, having had to cease work with the following health audit results of:
- Various urinary symptoms, including some incontinence, and infection causing increased frequency, pain, chills and fever.
- Erectile dysfunction and loss of any sexual libido.
- Hot and cold flushes, constant mental and physical fatigue.
- Sleep disturbances and increasing joint stiffness and joint pain.
The following year 2013 found me dealing with the above side effects, and attending to all the medical visits to doctors for blood tests and scans. The year finished with the following health audit:
- All of the previous years health issues.
- A new diagnosis of Diabetes type II, which may or may not be attributed to the Androgen Deprivation Therapy but included diet modification and blood monitoring daily.
- A diagnosis of osteopenia, which is a precursor to osteoporosis or thinning of bone density. This may or may not be attributed to the Androgen Deprivation Therapy.
- Intermittent urinary bleeding had started late in the year.
- An instance of mental depression led to mental breakdown with considerations of suicide. This led to several sessions with a counsellor.
Early in 2014 the urinary bleeding events began to worsen, and become more frequent. I had a cystoscopy examination that concluded I had radiation damage to the bladder. In May I began hyperbaric oxygen treatment to treat the radiation cystitis in Townsville General Hospital for two months. Unfortunately this treatment failed, when I was admitted as an emergency with urinary retention, twice during the hyperbaric treatment. The frequency of hospitalisations due to urinary blockages and bleeding increased throughout the year, including several medical procedures to attempt to solve the issue. Finally in November, surgery removed the remains of my prostate gland, lymph nodes and the bladder. Pathology confirmed active cancer cells and tumour were evident in the samples. These had been previously undetected by PSA monitoring. Pathology also confirmed the bladder tissue was quite neucrotic and fragmented. The health audit for 2014 brings us up to date with:
- Most of the previous two years issues still current.
- The ill-health and the effects from pain, and mental anguish from instances of urinary bleeding and blockages that required hospitalisations.
- Uncontrolled urinary incontinence from time to time.
- The immediate effects of the surgical procedures, and rehabilitation needed.
- The care and maintenance of the stoma, that was surgically created to replace the bladder function.
Looking back over what I have presented here, seems to be pretty much just a summary of events that I have written about in other published articles. That may be the case, but I think it still represents a good example of cancer and the domino effect that cancer causes in a person's life. When I think about the domino effect, I wonder just how accurate are the mortality rates given for cancer by the statisticians. Could it be that the cause of death in some instances, attributed to conditions other than cancer, be actually a bi-product of the cancer domino effect????? As an example, prior to my surgery in November 2014, I was critically ill with blood loss and urine retention. My doctor at the time, agrees that without surgical intervention I would have died from blood loss by Christmas 2014. If that had been the case, would my death have been registered in statistics as being from my prostate cancer, or from blood loss and urinary retention?????
Lee aka Popeye
Written by Lee
19 April 2015 at 10:01 am
Posted in ambulance, androgen, antiandrogen., brachytherapy, chemotherapy, DEATH, deprivation, erectile dysfunction, external beam, Health, hormone therapy, hospital, incontinence, Lee's Page, MEDICAL, MEDICATION, my fight, oncology, PERSONAL, PROSTATE CANCER, psa, quality of life, radiation, radical prostatectomy, robotic prostatectomy, social comment, surgery, TREATMENTS, TURP, Urology
Tagged with cancer, cancer management, cancer mortality statistics, Cancer-related fatigue
Radiation Treatment Damage and Blood in the Urine……….Another Update
It seems nearly a lifetime ago that I put pen to paper and in some ways it has been a lifetime. In my previous posts I have set about describing a new cancer path that has appeared for me that is still evolving as I write. Radiation damage to my bladder and pelvic area has progressed at a remarkable rate and seems to have begun a life of its own. When I first went looking for information on this subject I discovered mainly technical references to this issue with very little personal information from a patients point of view available. Because of this I decided to concentrate my efforts to describe in a personal way the effects of this condition for other patients who may be heading in the same direction. I cannot offer statistics on the prevalence of severe radiation damage suffered by patients but my first hand experience allows me the opinion that the condition is a serious debilitating and life threatening experience for those afflicted. There appears to be no easy fix for the problem and no prognosis available as the issue evolves and grows in severity and patients move from procedure to procedure.
From where I now stand I view this condition as one that should be more seriously openly, considered, discussed and understood when choosing a primary treatment involving radiation treatment to the pelvic area. Complications for this condition, if it occurs will be hindered by the constraints of limited surgical procedures available and the unavailability of further radiation treatment post the initial treatment. Chronic radiation damage to the urinary tract or bladder can be a life threatening event no less than the cancer can be. The symptoms of bleeding, clot blockage and urinary retention leads to organ spasms and toxic shock with the whole body in seizure. This is only relieved by heavy pain killing injections and the insertion of a catheter. Even the catheter itself can clot off or slip and block the bladder neck causing the same symptoms ( I have experienced this multiple times over the past two months, including once when I expelled the catheter by the force of the spasms.) The following is a time line of my treatment and hospitalisations over the past few months.
The progress of blood in the urine to full-blown urine retention due to blood clots started slowly some twelve months ago and then rapidly accelerating to how it has been for me over the past few months. My treatment began in the hyperbaric chamber undergoing a 50 daily treatment plan. This eventually failed me when in June this year I was admitted twice to the Townsville hospital emergency department and hospitalised for a week on each visit. I then attended a recommended urologist who performed multiple procedures during August and September using a cystoscope applying a green light laser vaporisation and cauterisation of the friable blood vessels that had been damaged by the radiation treatment I received nearly two years ago. The largest procedure I had recently was another TURP where the remains of the prostate gland was completely vaporised and the remaining blood vessels cauterised.
In between these procedures I have been hospitalised in August in the Emerald general hospital and in September three admissions to the Mackay general hospital was followed recently by an emergency air flight to Townsville by the Royal Flying Doctor Service. This last episode delivered me back to the urologist who performed some more diathermy to my bladder wall to stop the bleeding and clotting. In fact I am writing this article as I recuperate from this latest adventure in Townsville before travelling home to Mackay.
At a meeting with the Townsville oncologist last Friday, I learned that tissue samples the urologist sent to the pathology laboratory from my latest TURP has revealed active cancer cells still in the remains of the prostate bed. What this means is that the previous radiation treatment has failed and the cancer is still in situ. I ceased using ADT (Eligard) last March as my PSA had remained stable at 0.02 over the past two years. My oncologist has now suggested that I consider keeping a close watch on my PSA for any increase and doubling time with the view to restarting the ADT when this occurs.
As I write this I feel like I have been run over by a bus, dealing with the after effects of the procedures including some serious incontinence issues which I have not described within this article but they deserve an article some time in the future. The good news is, that for now the bleeding and passing of clots has finally stopped for the first time in months. I am not as concerned about the return of the cancer as I am about the possibility of further bleeds and urinary retention in the future. To undergo the uncontrolled body spasms, pain and despair associated with full-blown urinary retention is a major….. major……., major fear for me and I dread the next episode if there is more to come …………………….. and unfortunately there is no-one who can guarantee there will not be future episodes.
Lee aka Popeye
Written by Lee
6 October 2014 at 1:55 am
Posted in ambulance, DEATH, deprivation, external beam, Health, hospital, incontinence, information, Lee's Page, MEDICAL, my fight, palliative, PERSONAL, PROSTATE CANCER, psa, quality of life, radiation, TREATMENTS, TURP, Urology, watchful waiting
Blood In The Urine, Radiation Cystitus And My Prostate Cancer Management.
I feel compelled to write this article to summarise all the major medical events that have led me to where I stand today. I write exposing my experiences with this disease and the medical to-ing and fro-ing from the medical side of my disease management. I feel that some of these medical decisions and procedures I have personally experienced have left me puzzled. Perhaps my story may be of assistance or support to those who may be experiencing the same issues or for those who may yet come down the same paths. Before I begin I would like to state the following:
"I am not a doctor and the views I present here are purely personal and are private opinions only".
I have deliberately refrained from specifically mentioning doctors names in this or any of my past articles to maintain anonymity for those medical professionals I have encountered. Medical personnel, be they doctors, specialists, nurses or assistants are human just like everyone else. There are many stages of competence within the profession. Sometimes mistakes are made and sometimes an inspired insight may provide a miraculous cure. In almost all of these professionals there is a desire to be as good as they can be. However natural abilities will vary enormously just as in any other profession. The trick for patients to learn is being able to recognise the variations in those treating the illness.
I remember, way back in 1993 I had an operation on my back and while recuperating I received one of those spooky insights that happen from time to time. It was in the form of a remark from a disgruntled fellow patient in the bed opposite me and was spoken to me as I was about to leave the hospital. He called me over and said the following: " Just remember lad, when you get back home that they don't call a doctor's office a medical practice for no reason". He motioned me closer to him then said "the emphasis is on the word practice". In a way I guess you could say his remark supports the cliché of getting a second opinion on medical matters.
I live in the regional area of Mackay Queensland Australia, Ah! such a beautiful area. It seems like such a long time ago in March 2012 when I was diagnosed with prostate cancer. My PSA at the time of diagnosis was only 6.5 having risen from 4.4 a couple of months previously. The pathology identified a Gleason 9 (4+5) in all 18 core samples with tumour volume of between 80% and 100% , the grading was a T3a. That diagnosis led to two alternatives. The first urologist advised surgery and a second opinion from a different urologist advised it was inoperable and this was supported by opinions from two further specialists in Brisbane. These specialists all recommended Androgen Deprivation Therapy plus HD brachytherapy followed by external beam radiation. I then accepted this advice as the way I should choose.
The urologist then referred me to the two specialists in Brisbane to begin the brachytherapy in May. When I finally consulted with these specialists they were annoyed as they had not been advised that I was symptomatic with urinary problems (the reason my cancer was discovered in the first place was because I had urinary symptoms.) They sent me straight back to Mackay to get this sorted out prior to having further treatment. I underwent a TURP procedure in May where the urologist removed a third of my prostate tissue during the rebore to alleviate my symptoms. After my discharge from hospital I contracted an infection that took months to resolve.
Finally in September my urologist referred me back to the specialists in Brisbane to undergo the HD brachytherapy. It was at this meeting in Brisbane that I discovered that because I had undergone the TURP procedure with so much tissue removed I was no longer a candidate for HD brachytherapy. I was then offered a full course of external beam IMRT radiation with the continuation of the ADT medication.
I eventually received a full course of IMRT at the Sunshine Coast in Queensland, 38 days of radiation for a total of 78 Gy. My PSA dropped to a nadir of 0.02 over the ensuing months and I also continued my ADT medication. In March 2014 I had been diagnosed for two years and as my PSA had remained stable I was given the OK to stop the ADT medication. My latest PSA result in June 2014 remains at 0.02.
Back in March 2013 My urologist and I had a disagreement when he offered to perform an orchidectomy procedure (surgical castration) prior to me leaving the private health system. As a result I discontinued our medical relationship. In August 2013 I began having visible minor bleeding in the urine from time to time. This steadily became more frequent and was identified in pathology when I presented to my GP with this issue.
I eventually had a cystoscopy as a public patient that was performed by the original urologist I consulted way back on diagnosis day. He also undertook consultation work at the Mackay public hospital. After the procedure he diagnosed radiation cystitis to the bladder wall and referred me to the radiation oncologist based in Townsville. The radiation oncologist then referred me to the hyperbaric medical unit in Townsville general hospital where I underwent treatment (This has been outlined in detail in a previous post.)
During my hyperbaric treatment I experienced severe bleeding and urinary retention on two separate occasions requiring admission to the hospital emergency department in the middle of the night. The emergency department personnel were great, admitting me immediately and were able to catheterise me on both occasions, however my time there was painful and distressing. (A full coverage of this can be read on my two previous posts.) The only treatment I received, was the bladder irrigation via the catheter and at no time was it suggested to me, that they might try a further investigation to confirm the cause of the bleeding, nor carry out any cauterisation. I managed to see the medical registrar on four occasions for a total time of approx 4 minutes but never saw a urologist. Both times I was discharged when the urine finally cleared of blood.
interestingly I recently received copies of blood tests that were done when I was receiving treatment at the hospital and all my blood counts were below normal. I now wonder if these low blood counts were serious enough at the time to have warranted further treatment.
It was during my hospitalisation that I was approached by a fellow patient with similar issues. He recommended I see his personal urologist in Townsville who he valued highly for an opinion. I was able to organised a referral and saw the urologist as a private patient and was immediately impressed. This has also been covered in a previous post but it is worth repeating here. He performed a cystoscopy and found the following (This is from his report):
There was a small submeatal stenosis which was passable ( a stricture–narrowing of the opening of the urethra ( this can be caused by catheter use) The prostatic fossa (the prostate capsule or prostate bed) was quite open and there were quite a lot of radiation affected vessels which were very friable. These were diathermied (cauterised) Both uretic orifices were normal and there were no calculi (stones) There was no radiation cystitis in the bladder or any papillary lesions. Sooooo there you go, a different diagnosis from a second opinion. Seems like the bleeding was from the remains of the prostate gland and not the bladder.
It has taken me quite a few weeks to get over this procedure and I am still battling with urinary issues including pain and incontinence. It is steadily improving and I am hopeful that I will return to normal at some stage. The important thing is that the bleeding has settled down. I did have some slight bleeding from time to time and I did pass a few clots but the incidence of this is fading fast as the weeks go by. I am scheduled to have a tele conference with the urologist in two weeks where I will get a chance to ask him further questions on my prognosis with the bleeding.
Here then is my summary of discord:
While I know that I had no alternative but to have the TURP procedure and I am grateful to the urologist that it resolved my urinary problems. However, I am left wondering how he was unaware it would rule me out for the brachytherapy treatment before he shunted me to Brisbane. Later, his offer to perform the orchidectomy was put to me in a way that offended me and as far as I could see had no basis of offering me any cure.
The first diagnosis of radiation cystitis in the bladder wall is at odds with my second cystoscopy diagnoses. I still wonder, why???
I have searched for information regarding the issue of bleeding from the prostate gland after radiation with little results. If this is indeed a possible side effect as it appears to be with me, would it have been advisable to have had the prostate surgically removed in the first place??
During my hospitalisation, should the hospital have carried out further investigative measures, particularly when I turned up two weeks after the first visit for the second admission???
I have now been treated both as a private and a public patient and it offends me that private patients are given general anaesthetic for procedures such as a biopsy or a cystoscopy, but not if you are a public patient. Both these procedures are distressing to endure without general anaesthetic. In the public system you will receive an anaesthetic gel which is next to useless.
The medical management road for patients with chronic illness is a mine field of pitfalls with choices offered by medical opinions. Patients should endeavour to research and learn as much as they can about their condition. Please be aware however, that knowledge is a two edge sword and being able to rationally dissect the good from the bad and remain as objective as you can is the best advice I can offer. I keep copies of all my medical records and I try to keep a diary. Lastly never be afraid to seek a second, third or fourth opinion. After two and a half years of my illness I am still seeking information and knowledge regarding my prognosis.
Lee aka Popeye
Written by Lee
17 August 2014 at 11:24 pm
Posted in brachytherapy, external beam, Health, hormone therapy, hospital, humour, incontinence, information, Lee's Page, MEDICAL, my fight, oncology, PERSONAL, PROSTATE CANCER, psa, quality of life, radiation, radical prostatectomy, robotic prostatectomy, social comment, surgery, TREATMENTS, TURP, Urology, watchful waiting
A Cancer Patient Caregiver Perspective
In my course of seeking information on all aspects of prostate cancer and cancer in general, I have a list of favourite sites I visit daily to keep me up to date with the latest issues. I have just come away from one of these sites nearly in tears with one of the articles offered regarding a brief compendium from a spouse of a man. This article is one of the most powerful and revealing insights into what it means to be a loving partner and care giver to a spouse who has been diagnosed with this horrible disease.
I do not care if I am infringing on any copy write prohibitions by posting this article here on this site, as I think this information deserves a wider appreciation by readers. I apologise in advance if anyone may be offended, but I believe this is an important disclosure that uplifts the spirit on what it means to love someone and confirms the vows of: "In sickness and health, for better or worse, until death do we part". To often the role of the care giver in these situations is overlooked and they are left to battle their own demons in often miserable circumstances. So here is the letter that appeared on the web site "malecare advanced prostate cancer."
"As I have said before, the true unsung heroes of our fight against advanced prostate cancer are our caretakers. Our caretakers are our saints, they help educate us, they advocate for us, they shield us and they make us as complete as we can possibly be. They improve our lives and help us get through the day with love and enjoyment.
Sadly, they do this for us at great personal costs. A caretaker posted the following on the advanced prostate cancer online support group. I thought that it was important for all of us, both prostate cancer survivor and caretaker. It talks of her frustrations, pain, her reality.
I attempted to read the link but the uro site wasn't very friendly. That said, I could say that as a spouse I know more about prostate cancer than I ever wanted to know.
My husband is so overwhelmed by the medical jargon, poor explanations by previous oncologists (yes, we fired him) the confusing sounding names of medications, treatments and just about everything to do with his cancer. I do the research, find layman friendly articles and generally find myself explaining to him what is going on with his disease progression.
I have an advantage by being a nurse but yet to understand some of the information I too need a medical dictionary. It is overwhelming. I am not just the wife and support, but his advocate in wading through a confusing and scary disease that has no cure at this stage.
My husband doesn't avoid his diagnosis, disease, treatment and projected outcomes but doesn't want any doctor to give him time frames. He tells them to tell me. Luckily, we haven't come to that. He talks openly about how he feels, what side effects he thinks he might be experiencing and he does read the brochures or booklets provided by the pharmaceutical companies. He is better about discussing his feelings, side effects and does ask questions when we see his oncologists.
We have been dealing with prostate cancer for 10 years. This month is the anniversary of his prostatectomy and he was clear for two years after that. His rising PSA began in 2006 and become hormone resistance in 2011. He had soft tissue mets initially followed by bone mets. He has taken Provenge, Zytiga and Xtandi
He depends on me, each step of the way, to explain the treatments, CT scans, lab reports and what it all means. I have been understanding of him, frustrated, sad and grieve for the loss of his energy and his sexuality.
I tell him when he needs to go talk to someone because he's being an angry jerk. He tells me when he doesn't want to know what I know medically or see on CT reports. I never explained the last one to him, only that his bone mets had progressed. He didn't ask, I don't volunteer.
I have never pushed or asked for our sexual relationship to resume because I am educated and know it won't. Period. Hormones to suppress testosterone suppress libido and women need to know that. We have talked about it but it isn't important. He is alive. There's more to a relationship than sex.
I have this wonderful group for support and encouraged him to get involved but after years of a government job he swore after he retired at 60 to never have to log onto a computer daily again! He likes when I read him your posts.
I also have a group of women I am close with at the touch of a keyboard or phone and they provide a tremendous amount of support and we all stay on top of the new drugs and treatments available for our guys! We support each other when we are frustrated.
Maybe a study on how patients and their caregivers find and are given information so that they could understand would be a good one as well as how they cope day-to-day.
I admit I am stressed, anxious and recently I have been diagnosed with stress related hypertension, but I find my own outlets of talking to my "blue sisters" emailing them, Face Booking them, reading and responding to group posts and by Humor. Humor has always been my shield and I joke with my own doctor that I am fine and she will know when I'm not when they call her and tell her I have been picked up for marching in my own parade nude down Main Street!
Am I worried I won't do a good job taking care of my husband when he can no longer care for himself? Absolutely, but I will do the best I can. I try to take care of myself and not think of the possibility that I will be alone, I have been alone before and I will survive. We all will be with each other.
I read, walk, paint and still work part-time and have a network of family and friends who are a great support.
I would like to read further studies if I could ever get the uro website to function!
I give virtual hugs, bright blessings and heartfelt thanks to all who post on this group, who live with the stress of this disease, the uncertainty and the pain. Pain both emotionally and physically. As a spouse, caregiver and advocate all I can say is Keep Up The Fight! Support PC research! Love each other! "
AMEN and
Thank you God
Lee aka Popeye
Written by Lee
19 February 2014 at 11:25 pm
A bit of this and a bit of that
A Personal Update
I have deliberately delayed writing an article until now, as a lot of things are still up in the air for me at the moment. I was trying to wait things out so I could have something definite to report on my progress or regression whichever it may happen to be. The past two weeks have also brought a week of gales, storm surges, beach erosion and a cyclone crossing just north of my place. I also had a nasty fall over a week ago and apart from some skin missing, I fear I have damaged a rib or two. This has caused me a fair bit of pain and slowed me down quite a bit.
So to fill in a bit of a gap I decided I had best produce this little filler as an update for my readers until the following test results have returned. I have had a bowel screen test and I will be having a PSA test done tomorrow. I am scheduled to have a cystoscopy on the 26th February.(camera inserted into the urethra and bladder area) This is to investigate the blood in the urine issue, which continues to persist. I should have all the results to hand at the end of this month and should be an indication of where I am heading.
The past few weeks have been a little concerning as I had a bout of prostatitis and this has led to a fair bit of groin and loin pain along with increased tiredness and leg weakness. Then along comes the fall and the rib and chest pains are now added to the load. Sounds pretty bleak as I re-read what I have written here but I am still upbeat, happy and look forward to each day.
Some interesting Cancer News
A recent news article caught my attention regarding the fact that cancer death has now overtaken heart disease as the major killer of Australians. Here are a couple of extracts for my readers
The Heart Foundation says while cancer may have overtaken heart disease as Australia's biggest killer, when cardiovascular disease is looked at as a whole, it adds up to be the most common cause of death.
Heart Foundation national director Dr Rob Grenfell says cardiovascular disease, which includes strokes as well as heart and vascular diseases, killed 45,622 people in 2011.
It was closely followed by cancer, which claimed the lives of 43,721 Australians.
Heart disease alone killed 21,500.
Dr Grenfell says cancer and cardiovascular disease have common risk factors such as smoking, obesity and inactivity and could be tackled together.
"As a group of diseases, cancers and cardiovascular diseases are attributable to 60 per cent of the country's deaths and both are largely preventable," he said.
"If we were to have a coordinated approach to the management of these risk factors we would reduce the prevalence of preventable deaths."
In Other Reports
World wide there were 8.2 million deaths from cancer in 2012 and doctors predict global cancer rates will increase by three-quarters over the next two decades and they expect 20 million new diagnosed cases by 2025.
Tobacco use is biggest risk factor, accounting for 70 per cent of lung cancer deaths.
Africa, Asia, Central and South America account for 70 per cent of world's cancer deaths.
In Australia and other Western countries, the rise in cancer cases has been attributed to ageing populations and increased screening.
Lifestyle has also been highlighted as a major factor, with cancer particularly prevalent in countries where people have a poor diet and inactive lifestyles, and countries with high smoking rates.
Alcohol is a class one known carcinogen, it's listed by the World Health Organisation as such."
Research shows women's risk of breast cancer can increase by having as little as one alcoholic drink a day. For men, the risk of tumours increases with two to three drinks a day.
Prostate cancer is the most commonly diagnosed form of cancer in Australia, with the Cancer Council putting the number of diagnoses in 2009 at 21,800.
Prostate Cancer Foundation of Australia chief executive Anthony Lowe says more than 3,300 Australian men die from the disease each year and one in four men over 85 will develop it.
I could not resist including the following comment by a reader of these news releases as a matter of interest for my readers.
"Neither of them are our biggest killer, alcohol is. It is not only related to heart disease and many forms of cancer, but strokes, diabetes, liver damage, depression driven suicide, obesity, plus many other diseases. Add to that 1 in 3 car deaths, drownings, pure and simple alcohol poisoning, violent deaths, poisoned unborn babies and so on. It fills up our prisons, courts, and hospitals. It takes up to 80% of all police time, the cost is astronomical. The worst of it is you can be killed in your own bed whilst being hit by a drunk driver. Unlike smoking which does little of these things, it is still advertised, still sponsors sporting events where it is sold, (And people drive home drunk) and still sold at 3 am where much of the problems occur.
Ban the advertising and sponsorship, shut the shop early. Then there is the connection between alcohol and drugs, another story for another day."
Lee aka Popeye.
Written by Lee
5 February 2014 at 9:54 pm
Posted in Health, Lee's Page, PERSONAL, PROSTATE CANCER, psa, quality of life, social comment
Welcome back for 2014
Hello to all my readers for 2014. I hope you all had a wonderful festive season as I did and are looking as optimistic as I am for the coming year. My wife and I spent a magical three days over Christmas with both our son's and daughter's families at beautiful Fitzroy Island near Cairns, I have purposely not submitted an article until now, as I was hoping to report on much more than I can do in this issue, however a much fuller report must wait for now, until things become a little clearer during February.
Back in November 2013 my pathology reports were very good apart from the discovery of blood in my urine. At the time I was told that I could look forward to a procedure called a cystoscopy that involves a camera being inserted into my urethra to investigate the problem. This procedure would likely take place within a three-month period. So I figured my blood in the urine symptom was not as urgent as I had imagined due to the long wait for the procedure to take place. I was aware that this symptom could be caused by the radiation treatment I received twelve months previously and or many other reasons from a dire prognosis of other cancer problems or to every day mild infections. I was also feeling extremely healthy at the time with good energy reserves and normal mental functioning so I have not been overly concerned with the wait.
I have now been told the procedure will take place on the 19th February so I should have further news on this issue around the middle to late February to report back on this website. The blood in the urine discovered in the pathology confirmed what is known as microscopic hematuria, however I was aware of the problem for some time previously as I had periods of gross hematuria where the blood was extremely visible from time to time. Over the previous two months I have experienced periodic episodes of gross bleeding with the passing of clots from time to time. Now this may sound like it should be a bit of a worry but I have been feeling so much better within myself otherwise, that I am not overly concerned for the moment until the results of this procedure are known.
I guess you could say, that because of my overall other health benefits at the moment, it is my belief that this problem is the result of my own bodies immune system, repairing itself and ridding the crud out of my system from all the horrible things that have taken place in my pelvis since I was diagnosed back in March 2012. I have no way of knowing if my hunch is right until hopefully by the end of February when I will know for sure if my optimism will be justified.
In all other health areas my pathology tests and body scans have confirmed that I am in better shape than I have been for the past two years. None of the scans show any spread to the bones or organs, my PSA remains almost undetectable. My blood pressure is the best it has ever been, my sugar levels are now back to normal, my cholesterol levels are also normal and my liver function tests are also OK. The best part is, I actually feel healthier than I have for a long time. The doctors have agreed that if my PSA remains undetectable at my next test due in February that I will be able to come off the hormone implant therapy (ADT ) in March and that is great news for me.
So that brings me to the end of this article for the time being and I look forward to be able to present a favourable report on the cystoscopy procedure in due course. In the meantime I will continue to enjoy my new-found sense of wellbeing.
Lee aka Popeye
Written by Lee
20 January 2014 at 12:11 am
Posted in Health, hormone therapy, information, Lee's Page, MEDICAL, Metastasis, PERSONAL, PROSTATE CANCER, psa, quality of life, radiation, social comment, Urology