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Movies: <none>
TV: Arrow [1x01-1x06]
Books: <none>
Other: Uncle Vanya [audiodrama, L. A. Theaterworks]
Arrow [1x01-1x06]
This is the CW comic-book adaptation about Oliver Queen, a pampered, über-rich playboy who returns from a mysterious shipwreck intent on saving his city by moonlighting as a masked vigilante.
This is surprisingly not-bad.
I was expecting badness. I often don't like comic-book adaptations. I am not the target audience of the CW. And with Arrow in particular, everyone warned me that the first half-dozen episodes were crap.
But it wasn't that bad. I mean, sure, these episodes are limited in a lot of ways. It's kind of hilarious that Queen has a list of names of the villains keeping Starling City down, both because it's a transparent mechanism to create a villain-of-the-week for the show, and because the very notion of fixing a city by putting a few Snidely Whiplashes out of commission is sadly hilarious. (Yes, that is the hollow laughter of David Simon that you hear.)
And yes, Arrow is very much a CW show. If the actors' faces were any smoother or shinier, the whole thing would fall into an uncanny valley of weirdly-plasticine CGI. The actors deliberately go for the stilted intensity of teen soap operas, which goes well with the soundtrack that constantly blares at you how you're supposed to be feeling. Anyone above the age of thirty gets efficiently pushed to the periphery of the story. Every episode delivers hilarious levels of exposition -- at one point someone sees a photo of a character we have seen literally six minutes ago, and they patiently flash back to show us that footage again, in case we've suffered some sort of blunt head trauma.
But I honestly don't mind all of that. The key word in the above paragraph is 'deliberately' -- Arrow builds a neat, fake world, which has neat, fake solutions to its neat, fake problems, and that's *fine*. The characters rarely hang a lantern on the ridiculousness of that world, so I can pony up my suspension-of-disbelief and go along for the ride. At this point, Arrow has no pretenses to being anything *more* than a CW superhero show, and so I get a show that's fun the way, say, Xena: Warrior Princess was fun or The Adventures of Brisco County, Jr. was fun.
And there's a lot to like here. The structure of periodically showing us flashbacks to Oliver's time on the island is a neat crib from LOST[1] The mystery surrounding Oliver's shipwreck and Island Fun Times is engaging, and I appreciate that these mysteries are presented much more like "Huh. That's odd. Wonder why that happened." and much less like "THIS IS AN UNSOLVED MYSTERY OMG HOW IS THIS POSSIBLE". They have done a nice job of slowly exploring that mystery, and keeping those tidbits relevant to the current story.
The acting is just fine. It's not great; it's not awful. Everyone warned me that Stephen Amell takes some time to get into the role, but he's already leagues better than Agent Ward on Agents of S.H.I.E.L.D.. Thea and Tommy are already pretty winning side characters, and the actress who plays Felicity is great at portraying very natural awkwardness.[2]
But the real highlight is the directing. They direct the hell out of this show. They pace their shots beautifully in the action sequences -- fast enough to stay interesting, measured enough to avoid Bayhem. And there are little things, too -- they let the camera move, often in a way that has elements moving in the foreground and background, helpfully conveying the three-dimensionality of the space.[3] And there are well-constructed static shots:
That's an attorney-client meeting in a prison that, with a lesser director, might stick to a balanced two-shot -- or worse, the usual alternation of close-ups and over-the-shoulder shots. Instead, the director breaks free of that with a clever shot from a low corner of the room, putting a passing guard in the foreground, the prisoner in the background, and the attorney in the middle.
Choices like this don't cost them tons and tons of money. They don't require clever and expensive CGI. They don't require tons of extras or carefully-constructed sets. But they make the show fun and refreshing to watch even when the story feels a bit rote or the soundtrack isn't letting the actors put in a good performance.
So I'll be happy to see how the rest of this comes out.
Uncle Vanya [audiodrama, L. A. Theaterworks]
This is an audio recording of an L. A. production of the classic Chekhov play. It is listed as "an adaptation by David Mamet," which somewhat puzzles me. How much adapting does the original play need? And is Mamet your immediate go-to for Chekhovian drama?
I suspect I would have gotten more out of this if I were very, very familiar with Uncle Vanya. As it is, I only know the vague outline of the play. And the thing is, this audio recording is just that -- not an audiodrama, but just a recording of the stage production. So it doesn't do any hand-holding at all -- you're essentially watching the play with your eyes closed, and if two voices sound similar, well, good luck sorting it out. The best I could manage was to enjoy it moment-to-moment, sort of like, "I like this scene. This is a great scene. There's some good acting in this scene. I have no earthly idea how this scene relates to the rest of the story. Ah well."
All that said, this is part of my continuing preparations for the Chekhov auditions in a week and a half, and for that, it's worked well. Sometimes it's just good to get the language rattling around in your head, and let the tone kind of wash over you. Now, if I can just pick out a monolog....
For next week: more reform-school movies, as I prepare for the Wayward Girls show, more of Arrow, and maybe another Tufte book. Hopefully I'll start reading Tapworthy (it's about iPhone app design, not dancing). Meanwhile, I've started listening to the excellent audiobook production of The Final Command, the last Star Wars novel in Timothy Zahn's "Thrawn Trilogy".
[1] ... though I could easily see the flashbacks showing diminishing returns after a while. Fortunately, I think they could phase out the flashbacks without breaking the show.
[2] Oops, that's a paradox. Perhaps a better way to phrase it is that she doesn't strain to *signify* "I AM BEING AWKWARD"; she just lets the clumsy conversation play out like it would in real life.
[3] This is used to great effect in, of all things, the establishing shots in The Wire, which all track just a little bit, in a way that's visually engaging and conveys three-dimensional space.
Mood: contemplative · Music: none


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"Things don't happen when you want them to happen, they happen when they're meant to happen." And boy, was this love story meant to happen.
Between this couple's imagination, amazing styling by Vintage Alley, and stunning settings like Bell's Banquets and Greendance Winery, this wedding video is pure vintage eye candy. And full of so much love.
Pamela and Marvin are two of the sweetest people, and their love for each other was so palpable throughout their wedding day. They both tried not to tear up while reading their exchanged love notes, and they both turned to their large turnout of friends and family to support them as they eagerly awaited the ceremony that would make them husband and wife.
Pamela and Marvin did an amazing job styling their wedding. Pamela walked down the aisle through candle-lit lanterns and they said I do in front of the coolest vintage door and colorful spring floral display.
After one of the most heartfelt and joyous wedding ceremonies we've had the privilege of filming, the party and the dancing started! And it wasn't just the ceremony that was so brilliantly styled. Bell's Banquets was transformed into a vintage chic barn, complete with mason jar glasses, antiques, chandeliers, and a caricature artist, and their final farewell was a sparkler exit through friends and family.
With five toasts and a blessing by Pamela's father, it was obvious that everyone there thought this love story was meant to be as well.
Congratulations Pamela and Marvin!
Ceremony: Wooddale Bible Brethren Church
Reception: Bell's Banquets
Cake: Oakmont Bakery
Décor and styling: Vintage Alley
Florist: Geary from Bidwell Training Center Horticulture program
Hair: S-Spa of PGH
Coordinator: K-Flowers Designs
Photographers: Bona fide Photography and Leah Loves That Photography
Cinebard Films, LLC. is a Pittsburgh-based videography company that loves to tell stories: big stories, small stories, funny stories, and love stories, like the one you've just watched. We're passionate and dedicated to our craft, and no matter what story you want to tell, we can help you bring it to life. Contact us to tell your story!

subset: commoncrawl


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Bountiful Acres has been a Bucks County landmark in Buckingham, PA since 1955. Starting as a roadside produce market and originally owned by the Jamison family who also built Peddler's Village. Bountiful Acres changed hands in 1983 to the Flack family who gradually evolved Bountiful Acres into a premier garden center and nursery covering six beautiful acres.
Many of the staff have also become part of the "family" with some staff have worked here for over 20 years. Additionally, we have multiple generations of staff members, so to them Bountiful Acres is truly family!
Paul and Rita Flack continued to operate Bountiful Acres with their family and after retirement turned over the operation to their son Dave.
As we have expanded, including now growing our own trees locally, we have kept true to our Bucks County roots, provide excellent service to our customers and the community.


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The books listed are mainly suitable for mid to upper primary to early secondary levels.
Lennie's Ride.
TEXT TYPE: Historical recount
THEME: Australian History; The Great Depression; Sydney Harbour Bridge.
Links to CBCA Book Week 2010 Theme: across the story bridge.
Ipswich District Teacher Librarians Blackline master book 2010.
This website shows actual footage of the parade across the bridge with Lennie riding his horse. Plus other film clips and teaching notes about the opening of the bridge.
Country Cousin.
Theme. Australian History. Living in the Past.
The Unknown Australian Soldier. (See ANZAC page)
Theme. World War 1/Remembrance Day. Australian War Memorial, Canberra.
Simpson and Duffy. (See ANZAC page)
Theme. Heroism in the time of danger on Gallipoli during WW1.
Package includes 32 page big book, 1 shelf book, teachers' manual on CD-Rom, narrated story and a set of 4 colour posters.
Feathered Soldiers. (See ANZAC page)
Theme. History.. Messenger pigeons used by the Australian soldiers during WW2 in New Guinea.
Package includes 32 page big book, 6 shelf books, classroom activities on CD-Rom.
seek! (See ANZAC page)
Theme. The role of specially trained 'tracker dogs' that served with the Australian army during the war in Vietnam. A valuable and informative book for both primary and secondary schools.
Catastrophe Cat.
Theme. Natural Disaster and loss. Cyclone Tracy hits Darwin 25th Dec. 1974.
Broome Dog.
Theme. Loss and Survival. Australian Outback... Kimberley region.
Grandfather's Tiger.
Theme. Coping with personal loss and presumed loss of the Thylacine (Tasmanian Tiger)
Night of the Muttonbirds
Theme. Coping with life changes and responsibilities.
Tracey McBean and the Stretching Machine.
Theme. Creative thinking. Inventions. Links with Leonardo da Vinci.
The Monster Hole.
Theme. Imaginations running wild!


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Dr. Kurt Barrett's GERD Blog http://drkurtbarrett.com/serendipity/ GERD en http://drkurtbarrett.com/serendipity/templates/competition/img/s9y_banner_small.png RSS: Dr. Kurt Barrett's GERD Blog - GERD http://drkurtbarrett.com/serendipity/ 100 21 "A Mothers Ten Year Search for Childs Sinus Relief" http://drkurtbarrett.com/serendipity/index.php?/archives/61-A-Mothers-Ten-Year-Search-for-Childs-Sinus-Relief.html This mother's letter is self explanatory. She is a Registered Nurse and had rigorously adhered to recommended therapies and life style changes. They had been to numerous evaluations/specialists but had NEVER tried a "therapeutic challenge" with "high dose" medicine for gastroesophageal reflux disease (GERD). In June therapy commenced. Days after starting twice daily proton pump inhibitor (PPI) therapy improvement was clearly evident. By two weeks dramatic improvement was observed. They shortly thereafter began dropping off allergy therapies.

 September, 2013
 Dear Dr. Barrett,
 In May 2013,1 was desperately searching the internet for a solution to my daughter's health problems. She was
 an 11 years old who had been suffering from allergy symptoms for all of her life. She has had sinus infections
 since she was 18 months old. She was on allergy shots (2nd round), Xyzal, Sinulair, Nasonex, and daily sinus
 flushings with no relief. We were told she was allergic to dog, cats, dust, and mold. We had wood floors, leather
 furniture, never opened windows, and allergy covers to all bedding. We did have a miniature poodle that was
 not allowed in her room. Last year, she had her first complaint of heartburn with regurg. She also had numerous
 complaints of dizziness, nausea, and an overall unwell feeling. We started her on Prevacid 15 mg and saw some
 relief in her heartburn, but she continued to have sinus infections, cough, sinus drainage, and felt unwell. I came
 across your website in May and started reading about patients that seemed very similar to my daughter. I called
 your office and a week later we had an appointment. Amazing! We had an appointment with a Pediatric
 Gastroenterologist but it wasn't for another month or so.
 You started her on a more aggressive regimen. She now is on Prevacid 30 mg bid (twice a day) and 1 Gaviscon at night. We
 added back the Gaviscon with the start of school due to increased stress level (first time to middle school). She
 has not been on any allergy medication for the last 2 months and she is off allergy shots. She has been on allergy
 medicine year round all her life. Our windows have been open in our house and the dog is sleeping in her room.
 She has not had a sinus infection; her cough and runny nose are gone. You never said that she didn't have
 allergies, but you did feel she had GERD. It looks like most of her symptoms were coming from her GERD and not
 from her allergies. She has found that her diet can exacerbate symptoms and tries to stay away from
 carbonation, caffeine, and large fatty meals. The whole family feels like life has changed dramatically. Her health
 impacted the whole family and what activities she before could tolerate.
 We kept our appointment with the Pediatric Gastroenterologist in July. She couldn't argue with the results. I am
 confident that she would not have started her on this regimen without an upper scope. I am not sure she would
 have increased the dose very quickly and at best it probably would have taken much longer for her to get relief.
 Because of the great results, there was no need for any diagnostic tests.
 My daughter wanted me to share with you how well she was feeling. We are forever grateful. We drove 2 hours
 to see you and it was the best decision we ever made.
 Sincerely,
 Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) 2013-11-03T13:13:51Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=61 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=61 "All My Symptoms are Gone"...a case of SNERD http://drkurtbarrett.com/serendipity/index.php?/archives/60-All-My-Symptoms-are-Gone...a-case-of-SNERD.html A fit, 6 foot, 165 pound, forty year old male professional has struggled with numerous "problems". He eats very healthy: Gluten free; low red meat; no soda, coffee or fried foods; few sweets. He consumes a lot of fish and vegetables, drinks red wine only on weekends and uses mildly caffeinated green tea. He reports: "I don't get acid in my throat much at all, maybe 3-4 times a year and I rarely get heartburn or indigestion".
 During years gone by he reports having twice had mastoid surgery in his youth (these are invariably the result of chronic middle ear infections). Then at age 25 he started having tightness inside the left neck, near the Adam's Apple. He felt a squeezing sensation along with pain in the left shoulder blade and around the breast bone. He also reports multiple occasions of irregular heartbeat, palpitations and several cardiology visits with testing that included echocardiogram and Holter monitoring. All testing was described as "normal". He had trouble taking deep breathes "into my left lung" and despite being in superior condition "running out of breath" before friends in pick-up basketball. He went to the doctor and they suggested he had anxiety and asthma but he deferred taking the Prozac his provider ordered and after two weeks abandoned the asthma inhaler because it did not relieve symptoms. The only thing that made him "feel better" was exercise. Having had sinus surgery his ENT suggested Prevacid which seemed to help but never really resolved the feeling of "not quite able to get a full breath". He continued to have sinus infections and had been told to take allergy medicine and Flonase all year round.
 Fast forward 10 years to current issues. He was suspicious of acid reflux. He started Prilosec OTC "which seemed to work for a period of time". As symptoms recurred he discontinued Prilosec OTC and tried organic apple cider vinegar and Aloe juice with fairly good results until "my symptoms came roaring back". He reports, "Last summer I had EGD (scoping) by my gastroenterologist. I was given a clean bill of health with the exception of possible minor redness in the esophagus. I was given Dexilant which never helped. I continued to worsen. In February the ENT "scoped" me and found "nothing". I went back to the cardiologist for stress testing, etc. and I passed all tests with flying colors. Soon after these heart tests I awoke in severe discomfort, the pain down the front left side of my neck was really bad and sore to the touch. Later at lunch time I felt like I was having a heart attack with heavy pain and palpitations. Again the heart specialist found nothing. I stopped Dexilant. A new ENT doctor told me the symptoms were not typical of acid reflux, because the neck is not where symptoms show up and I should see a neurologist. Recently the pain was just at the collar bone all day and it felt awkward to swallow. I am pretty convinced this is all acid reflux related. I have not been back to the gastroenterologist because I feel he doesn't believe or listen to me regarding these symptoms.
 He goes on to describe the following symptoms both currently and "over the years":
 1)Palpitations feeling of irregular heartbeat from to time to time, chest pains on the left side
 2)Irritation/pain in ear, behind ear and down left side and down front left side of neck along carotid area down to collar bone....can sometimes feel palpitations in this area.....pain so great it was difficult to touch and couldn't let hot water hit it in shower...whole face can flush
 3)Uncomfortable when swallowing near lower throat on left at collar bone
 4)Pain in left shoulder blade down left arm into fingers
 5)Asthma-hard to take deep breaths mainly on left side.....improved a lot since quitting coffee 3 months ago
 6)Nasal drip on and off all the time-completely erratic
 7)Sometimes get flush in the head and blood pressure feels elevated
 8)Ear clogged, can last a long time with ear pain (go to ENT and all is good)
 9)Fatigue
 10)Metallic taste in mouth, erratic
 11)Chest tightness
 12)A feeling like I had to cough to clear my chest, comes on fairly quickly, like a suffocation feeling and a quick cough gives relief
 13)Burp often
 After reviewing his history we talked on the phone for the better part of an hour. This was this Spring, 2013. I received the following correspondence 33 days later:
 I just wanted to get back to you and let you know that all my symptoms are gone. I take 2 OTC 15 mg Prevacid's in morning and 2 at night and that seems to do the trick. I don't even have the asthma symptoms any more.

 Thanks again!

 He has silent or atypical gastroesophageal reflux (GERD). This is sometimes called LTR (laryngotracheal reflux), ENR (endoscopy negative reflux) or EER (extra esophageal reflux). This was a matter of recognition then applying basic principles: little or no heartburn along with normal endoscopy requires larger doses of medicine for longer periods of time to resolve symptoms. In his case it was simply a matter of twice daily dosing of meds instead of once a day....remember he had used Prevacid in the past.
 My mentor, the late Dr. Allan Jacobs, Dean of Michigan State University College of Osteopathic Medicine suggested this condition be referred to as SNERD, silent nonerosive esophageal reflux disorder. Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) I have never had heartburn, 2013-05-11T10:16:58Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=60 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=60 Non-allergic Rhinitis....When Antihistamines Don't Work http://drkurtbarrett.com/serendipity/index.php?/archives/59-Non-allergic-Rhinitis....When-Antihistamines-Dont-Work.html Coined 100 years ago the aphorism "all that wheezes is not asthma" remains true today. Similarly, "all noses that sneeze, run, congest and itch are not caused by allergy". It's rarely mentioned but nationwide 67% of patients taking antihistamines get minimal or no relief since their symptoms are NOT CAUSED BY ALLERGY. They often have exactly the same symptoms as those caused by allergic reactions but allergy is caused by a protein manufactured by white blood cells called Immunoglobulin E (IgE). The IgE messenger chemicals go to susceptible tissues and create an exaggerated response to what would otherwise be a normal stimulus in non-allergic individuals. Careful analysis reveals only 1/3rd of patient's taking antihistamines have IgE to block.
 Meanwhile the other 2/3rd's (67% non-allergic rhinitis) are not associated with IgE. They are mediated by neurogenic inflammation, a totally different mechanism; no IgE therefore nothing for the antihistamine to block. Symptoms of non-allergic rhinitis, including seasonal occurrences, are indistinguishable from allergic rhinitis. By careful history and clinical scrutiny an enlightened provider can confirm that antihistamines have done little or nothing to help long suffering, hard to treat non-allergic patients.
 It is frustrating that two of three "allergy patients" are wasting time and resources on treatment (antihistamines) which cannot possibly help. They need another approach to control their "allergy/sinus" symptoms. The patients that fail response to antihistamines represent another aphorism: "They walk like a duck; they quack like a duck; BUT THEY DON'T HAVE WEBBED FEET!" Maybe it's NOT "just my allergies".
 Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) GERD and Respiratory Problems, 2013-04-20T21:27:06Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=59 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=59 Doctors/Patients Often DO NOT Recognize GERD Without Heartburn http://drkurtbarrett.com/serendipity/index.php?/archives/58-DoctorsPatients-Often-DO-NOT-Recognize-GERD-Without-Heartburn.html Gastroesophageal reflux disease (GERD) is a multi-system disease. The most heralded symptoms are heartburn, indigestion and/or taste of acid. Unenlightened providers are still enslaved to the "old school" paradigm....no heartburn no GERD. NOTHING in medicine could be further from the truth. They and the public seem to believe that as long as they aren't virtually disabled by heartburn, no worries. They seem to believe nothing more can or should be done IF they "control" their heartburn OR "I only get it when I eat wrong, then I just take something". Knowledgeable professionals (a distinct minority) know that GERD can occur with very serious complications like stricture (ring like scar tissue in the esophagus), Barrett's Esophagus (pre-cancerous specialized intestinal metaplasia of the lower esophagus) and even adenocarcinoma (cancer of the esophagus) WITHOUT HEARTBURN.
 Medical professionals lack understanding of GERD when they politely ignore complaints of "I have the feeling of a lump in my throat", my nose runs "when it wants to", my throat tickles and makes me cough. I recently saw a man who had these complaints plus abdominal pain and retching, almost daily, for over two years. Since these problems continued, he decided to come for an opinion. He was using one Prilosec OTC only when necessary to control indigestion.
 We both suspected GERD; I educated him about silent/atypical GERD. I recommended life-style measures, prescription strength omeprazole increased to twice daily , adding Gaviscon and Pepcid. Believe it or not, two years of impaired quality-of-life resolved in two weeks. At follow-up he was "absolutely wonderful". As his esophagus heals he continues to experience even more improvements in bowel function, hoarseness, sinus pressure and more.
 Dr. Kurt Barrett's GERD Blog firstname.lastname@example.com (Kurt Barrett, D.O.) I have never had heartburn, 2013-03-30T03:06:15Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=58 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=58 Neck Pain/Chest Pain/Ear Pain and GERD (gastresophageal reflux disease)? http://drkurtbarrett.com/serendipity/index.php?/archives/57-Neck-PainChest-PainEar-Pain-and-GERD-gastresophageal-reflux-disease.html "Is GERD a factor in your patient's asthma?" an article published in The Journal of Respiratory Disease, vol. 21.no 4=April 2000 by Drs. Theodoropoulos and associates revealed to me an amazing situation:
 On page 240, Table-Symptoms and findings of GERD..."pain in the chest, epigastric, and cervical (neck) areas.... Pharyngeal: Morning soreness and throat pain.....Headache, (sinus) pressure.....Otalagia (ear pain)"...
 This article helped me realize that a dangerous situation in the esophagus (reflux of hydrochloric acid and digestive contents) triggers the person's defense mechanisms with increasingly intense activation and the "protective" reflexes that can spill over BEYOND the esophagus. It appears the ongoing crescendo/cascade of protection loses its focus thus stimulating other tissues. The body is trying to protect AND warn all at the same time. Thus GERD "unconscious/automatic alarms" are sounded causing PAIN and in these cases MUSCLE SPASM from something remote to the site of the origin of the problem. In a way of thinking these manifestations are equivalent to heartburn. That is they are most successfully treated by treating the cause (GERD) not the pain itself. Treat the GERD and the neck pain/stiffness, headache, chest pain and sinus pressure GO AWAY IF the cause was GERD. If not then nothing lost, you are no worse off that you were before....nothing ventured, nothing gained!
 It is important to acknowledge that successful treatment of these "away from the esophagus, not heartburn symptoms", require HIGHER doses of GERD meds for LONGER periods of time. Ordinary once a day treatment can help heartburn....that's the easy part....you need to have insight and understanding and intense therapy for success. If this doesn't make sense then I've not done my job to help you understand.
 Dr. Barrett
 Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) Complications (GERD), 2013-03-20T13:14:17Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=57 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=57 GERD, The Bigger Picture.....Why do You Know About GERD Dr. Barrett? http://drkurtbarrett.com/serendipity/index.php?/archives/56-GERD,-The-Bigger-Picture.....Why-do-You-Know-About-GERD-Dr.-Barrett.html Gastroesophageal reflux disease/disorder (GERD) is a VERY common relatively new disease first identified in the 1930's. Aside from heartburn, indigestion and the taste of acid most provider's (formerly called physicians) know little of GERD and perhaps understand even less. It really is quite a profound phenomenon as I find few medical professionals, even today, have more than the most superficial understanding of the pathological principles involved. They just have not been taught about GERD in medical school or in continuing medical education beyond the association with heartburn, swallowing problems and/or indigestion. This problem continues in 2013. NO INSIGHT. I was the same until I underwent an epiphany went my 30 year old daughter called to complain of heartburn(48 hour duration) for the first time in her life. I had concerns about her sinus/allergy issues since 5th grade but found no measureable relief in any of many attempted remedies.
 By college age she choked and turned blue (cyanosis) on a neighborhood walk in cool Michigan Thanksgiving air. I was shocked to say the least! People do not turn blue for no reason. This "upped the ante". What could possibly be wrong in such an otherwise fit, healthy, young lady? Exercise induced asthma seemed the most likely culprit but her lung function testing was pristine, so far above normal it could be classified as super-normal. Realizing that it WAS NOT a pulmonary disease, it certainly was SOMETHING, but what could it be? I intuitively believed something was "not right" about her esophagus but I found NO assistance consulting gastroenterologists. When I posed the question what might be wrong with her esophagus their first question was invariably, "Does she have heartburn?" They would then expound by saying, "No heartburn, no problem". That was THE END of any discussion.
 The telephone call in early 2000 caused the "light bulb" in my brain to scream, "This is silent-GERD".
 I explained to her I'd heard of a poorly understood condition called silent or atypical GERD where patients had sinus trouble or asthma but had little or no heartburn. Since we had no help from anyone else, I had her start medication while I commenced researching and reading about why her esophagus might cause her oxygen level to drop to the point of cyanosis (skin turning blue). I'm still learning about GERD. Mostly I've had to teach myself by reading, asking questions and relying on my 35 years of medical experience as to what doesn't get people better to realize how profound, widespread and pervasive the epidemic of GERD is in today's Western, industrialized society. Specialty and general providers VERY RARELY understand GERD beyond the classic presentation and fail to recognize any associated symptoms. Treatment is routinely inadequate by almost any standard and is almost exclusively focused on the patient's ability to perceive heartburn. If the patient doesn't complain fervently about heartburn then they must be doing okay.
 GERD is routinely caused by a lax, incompetent check valve situated critically where the esophagus enters the stomach. It is named the lower esophageal sphincter and in its simplest description is a doughnut shaped valve (similar to the rectal sphincter) intended to stay "closed" to prevent regurgitation of harsh gastric contents except when we swallow, belch or vomit. No one seems to know why or what causes the very common phenomenon of inappropriate transient lower esophageal sphincter relaxation (TLESR).
 Some facts: 1) pressure of the lower esophageal sphincter (LES) is lower while sitting 2) obesity increases hydraulic pressure on the LES 3) mints, caffeine, alcohol and certain prescription medications CAUSE/ENHANCE inappropriate (TLESR). 4) certain medications (i.e. baclofen, skeletal muscle relaxant) REDUCE/IMPROVE inappropriate (TLESR).
 I suspect that obesity, sitting, medications and other unknown factors result in inappropriate TLESR thus leading to GERD. Our western dietary habits like fat content, volume of meals, speed of meal consumption and quite possibly some type of nutritional deficiency , possibly chelating of an essential nutrient ,also contributes to our GERD epidemic.
 Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) I have never had heartburn, 2013-03-17T19:51:51Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=56 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=56 "Passing Out"-"Seizure Like Spells"...RESOLVED (Lilly's Story) http://drkurtbarrett.com/serendipity/index.php?/archives/55-Passing-Out-Seizure-Like-Spells...RESOLVED-Lillys-Story.html This 35 year old lady struggled for the last few years. An allergist several years ago suggested that gastroesophageal reflux disease (GERD) might be causing her sinus problems. He advised "surgery" and thus not contemplating a major surgical procedure she disregarded his recommendations. When a thoughtful cardiologist commented that her vagus nerve seemed somehow involved she started her own internet search. She found my website and the rest is history. Her recent correspondence follows:
 Dr. Barrett,
 Hi, this is Lilly from Washington state. I contacted you with a case of atypical GERD 3 months ago.
 At that time I was suffering from daily, "seizure-like" episodes which left me exhausted and confined to bed for a majority of the time. Quite some time has passed since our phone conversation in December and I wanted to write with an update.

 After we talked, I followed your instructions to gradually increase my PPI dose (I think I was taking only 1-2 a day). In addition I began taking the Zantac and Gaviscon nightly. In a matter of a few weeks I was able to increase to six a day (3 Omeprazole @ 20 mg, 3 Lansoprazole@ 15 mg). I take one every two hours because I found that when I doubled them up or took them too close together they made me drowsy. I find also, that if I go beyond two hours, (even 15 mins) I have chest pain and dizziness. I have definitely found that I do much better if I respond immediately to any chest discomfort or dizziness. I have begun taking Gaviscon during the day to supplement the PPIs. I have found that most days I don't need to, but if I have discomfort or heart trouble I take it (occurs a few times a week).

 I am excited to report at this time, that I have not had a serious, "seizure-like" episode since December. And I have had a dramatic increase in energy. I am no longer confined to bed. Clearly it will take time for my body to regain strength (it had been nearly three years that I spent most of my time confined to bed), but I am thrilled to regain the health and freedom that I have thus far! I am not yet able to do the more strenuous household duties ie lifting laundry baskets, vacuuming etc., but I have now been able to prepare meals for my family a few nights a week without serious repercussions, which has been one of the most significant improvements.

 .

 So, that's where things are at this point. Overall I am very thankful for my improvements! I would be grateful to hear from you and know what your thoughts are as to how I should proceed from here. I feel that I am in a much more stabilized state ie the "attacks" have abated. At the same time, I'd like to see more improvement.
 I still seem so incredibly fragile ie if I am late on one PPI dosage, I am a wreck (heart trouble, dizziness, confusion, fatigue etc). Would you expect continued improvement if I proceed at current dosages? Would you suggest I increase? I am not a large person (119 lbs).

 Thanks for listening,

 Lilly
 Dr. Kurt Barrett's GERD Blog firstname.lastname@example.com (Kurt Barrett, D.O.) Activated Vagal Reflexes, 2013-03-17T12:03:44Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=55 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=55 Acid Sensitization of Esophageal Mucosa http://drkurtbarrett.com/serendipity/index.php?/archives/54-Acid-Sensitization-of-Esophageal-Mucosa.html Afferents: Implication for Symptom Perception in Patients Across the Gastroesophageal Reflux Disease Spectrum
 The Clinical Journal of Pain, 01/25/2013
 Szczesniak MM et al. – Esophageal acid infusion sensitizes it to subsequent electrical and chemical stimulation. The acid–related sensitization is greater in gastroesophageal reflux disease than in controls and may influence in part symptom perception in this population. Acid–related sensitization within the gastroesophageal reflux disease population is not dependant on mucosal inflammation.

 The implication of the above abstract goes beyond local mucosal "sensitivity" changes since it has previously been shown that "central sensitization" occurs in gastroesophageal reflux disease (GERD). This means that injury (without obvious damage to esophageal tissue) to one area of the body (the esophagus) can cause alteration of pain perception in another part of the body. The example I routinely encounter is a painful response to inflation of the blood pressure cuff due to central sensitization from GERD and then after symptom remission from successful treatment for GERD, the same individual no longer experiences pain with the same blood pressure determination technique.
 Dr. Kurt Barrett's GERD Blog firstname.lastname@example.com (Kurt Barrett, D.O.) Activated Vagal Reflexes, 2013-03-11T01:50:39Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=54 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=54 Leaky Gut Syndrome...What About Reilly's Syndrome? http://drkurtbarrett.com/serendipity/index.php?/archives/52-Leaky-Gut-Syndrome...What-About-Reillys-Syndrome.html Reilly's syndrome (page 258) Illustrated Dictionary of Eponymic Syndromes and Diseases and their Synonyms by Stanley Jablonski (National Library of Medicine)
 Synonyms: Reilly's phenomenon, splanchnic vasoplegia, sympathetic irritation syndrome
 A syndrome in which experimental irritation of the sympathetic nervous system with various agents, such as allergens, bacterial toxins, and physical irritants, produces vasomotor disorders, increased capillary permeability, edema, and lesions of the reticuloendothelial system.
 "In addition to bloating and digestive distress, a lot of the patients I see with leaky gut have a combination of other symptoms like food allergies, chronic sinus infections, achy joints, fatigue, brain fog or unexplained rashes. Typically they've been to multiple doctors trying to make sense of their symptoms, and conventional tests and imaging studies have been unrevealing. There can be a feeling of hopelessness and despair because the symptoms seem so unrelated." Robynne K. Chutkan, MD, FASGE
 Assistant Professor of Medicine, Georgetown University Hospital
 Founder and Medical Director, Digestive Center for Women (used as a reference at the web site of Dr. Oz)

 I too frequently see patients that suffer with multisystem disease that have seen numerous providers and either had "normal" test results or were simply dismissed. There are strikingly similar complaints in many of my patients.
 I look for a preexisting diagnosis of gastroesophageal reflux (GERD) that has not been treated "aggressively" or physical signs suggesting GERD. This may include excessive nasal mucus, post nasal/pharyngeal "stream" of mucus, hoarseness, nasal turbinate hypertrophy, mucus clouded ear drums, tenderness to palpation of the sternum (breast bone), unexplained cough and/or wheezing. Patients may or may not complain of excessive daytime fatigue, insomnia, frequent night time awakenings, recurrent sore throats, sinus infections, persistent relapsing bronchitis/pneumonia and unusual skin rashes including hives (idiopathic urticaria). Harder to understand but often resolved with sucessful treatment are pain syndromes (made worse by central sensitization), unexplained joint pain, neck pain, non-cardiac chest pain, interscapular (dorsal) pain, low back pain/stiffness, recurrent greater trochanteric (hip) bursitis with unexplained radicular "siatic like" leg pain.
 Dr. Kurt Barrett's GERD Blog firstname.lastname@example.com (Kurt Barrett, D.O.) 2013-03-10T18:21:13Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=52 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=52 GERD: Heatburn is Only Part of the Problem (Can PPI's Help REVERSE Osteoporosis?)) http://drkurtbarrett.com/serendipity/index.php?/archives/51-GERD-Heatburn-is-Only-Part-of-the-Problem-Can-PPIs-Help-REVERSE-Osteoporosis.html Heartburn is only part of the problem in gastroesophageal reflux disease (GERD). You can have sore throat, hoarseness, coughing, asthma, sinus problems, chest pain, poor sleep and more from acid reflux with or without heartburn. The monikers atypical GERD and silent GERD emerge when heartburn is infrequent or absent. The vagus nerve serves as the body's automatic pilot in the esophagus (and beyond). It attempts to prevent the disastrous passage of harsh digestive contents toward delicate lung tissues. This protection may eliminate conscious feelings of regurgitation, i.e. heartburn/indigestion. Daily medicine may also alleviate only heartburn whereas more intensive therapy may further reduce regurgitation. Less regurgitation lessens noxious symptoms as the body no longer needs to produce adrenalin, mucus and muscular/bowel spasms for protection.
 The single most effective therapy for GERD is proton pump inhibitors (PPI's). PPI's can provide dramatic symptom relief while proving whatever symptom resolved was caused by GERD. Despite persistent scrutiny theoretical concerns about PPI associated osteoporosis have NOT materialized. On the contrary, a very recent study (2012) in Japan revealed osteoporosis was significantly reversed when PPI's were added to standard (Fosamax-type) therapy. Furthermore, PPI therapy can reduce/eliminate repeated, lingering respiratory infections as opposed to theoretically causing pneumonia by failing to sterilize the gut. Many of my GERD patients have successfully eliminated decades of previous repeated courses of antibiotics. GERD is surprisingly common and patients from infants to 101 years have been successfully treated. The National Institute of Health (NIH) suggests GERD is the most likely reason to visit a doctor.
 A 52 y/o lady spent 9 months of postprandial bloating with concurrent shortness of breath so severe it necessitated asthma rescue inhaler (albuterol) after every meal. All the while she was on lansoprazole (Prevacid) 30 mg daily for relief of heartburn. This lady was not lacking in ongoing professional care. Prior to my therapy recommendations she was told by her pulmonologist to use the use the rescue inhaler "because it works"; the allergist reported, "I have nothing more to offer you"; the GI confirmed her heartburn was "controlled". Education and titration of antisecretory therapy resulted in rapid resolution of symptoms. At 6 month follow up she reported, "I have not used nor have I needed my inhaler since I was here last". Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) GERD and Respiratory Problems, 2012-12-09T14:45:23Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=51 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=51 Thirty years and finally an answer! http://drkurtbarrett.com/serendipity/index.php?/archives/50-Thirty-years-and-finally-an-answer!.html Thirty years of unexplained problems in a letter from a 50 year old man:
 "Going back to my high school days, I've always needed to burp.......In the early nineties other things really seemed to start: the back pain, bloating, chest pains, numbness and tingling on my left side, joint pain in my hands, spine.....a balloon in your rib cage and start filling it with air.....When I can't relieve the pressure is when the heart beats real fast and hard...the pain goes to a ten. There is no functioning.
 (I had been tested in the nineties)....x-rays, blood tests, heart tests.... I spent 2 ½ days in the hospital....released with no idea what or why.....in 2009 I needed air and felt faint... I went to the emergency room ....in an ambulance...I again left with no idea...My wife stayed on me to go to the doctor .... (they) ordered up about 30,000 dollars ....all the tests showed nothing.
 I can remember being mad at the wife while sitting in your office (2011) because we were still trying to pay the hospital and doctor bills from before. And for thirty years I never did any good at a doctor's office from the aspect of getting any answers. We filled out the forms... then went through the most thorough exam I think I have had in my life. After the questions you asked , at the end of it you told me you believe I have GERD. In the back of my mind I was thinking you were nuts. How could this be after all the years and thousands of dollars in test(ing) that stomach gas could do all this to someone and no one else ever picked up on this?
 ....by two weeks weeks along ....such a change in me I could not believe it. Now after approximately one year I feel better than I have in thirty years.{I now think you are a genius}...and I continue to improve.
 Thanks to you and your staff.
 K.E.

 All these years K.E. was suffering from silent/atypical GERD (gastroesophageal reflux disease). This is why it is referred to as "silent"...no heartburn, and /or "atypical" because the symptoms are so diverse and non digestive in nature. It appears that he was experiencing esophageal spam as the result of uncontrolled acid reflux. The sensitization, irritation of the esophageal mucosal nerve endings was SCREAMING for help. The activation of the vagus nerve led to intense, unopposed neuroendocrine stimulation. The body responded to the increasing intensity of the autonomic activity with chest pain likely due to esophageal spasm. The intensity of the pain triggered even further "protective reflexes" that could cause cardiac arrhythmias, blood pressure changes, brain activity alterations. Since all this activity is dynamic, protective in the form of a PROTECTIVE REFLEX parameters that are evaluated and monitored turn out to be "non-pathologic" and thus do NOT appear as abnormal blood studies, EKG, x-ray or scan results.
 I'm guessing the discharge from the emergency department went something like this:
 "Nope Mr. K.E. all your tests are just fine....it wasn't a heart attack, a blood clot, an atypical brain seizure, diabetes, anemia, underactive thyroid, etc., etc., etc. (The best we can tell you is what you don't have). Here are some pain pills and you better start taking some of these nerve pills so you don't get so stressed out. "
 I say, "The eyes only see what the mind aready knows".
 Dr. Barrett
 Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) I have never had heartburn, 2012-11-19T14:45:30Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=50 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=50 Osteoporosis, GERD and Proton Pump Inhibitor's http://drkurtbarrett.com/serendipity/index.php?/archives/49-Osteoporosis,-GERD-and-Proton-Pump-Inhibitors.html (bold print from the FDA web site)
 Proton Pump Inhibitors (PPI): Class Labeling Change
 including Nexium, Dexilant, Prilosec, Zegerid, Prevacid, Protonix, Aciphex, Vimovo, Prilosec OTC, Zegerid OTC, and Prevacid 24HR
 [UPDATED 3/22/2011] FDA has determined an osteoporosis and fracture warning on the over-the-counter (OTC) proton pump inhibitor (PPI) medication "Drug Facts" label is not indicated at this time. Following a thorough review of available safety data, FDA has concluded that fracture risk with short-term, low dose PPI use is unlikely.

 The National Institute of Health (NIH) argues gastroesophageal reflux disease (GERD) is the most common reason for doctor visits. Besides heartburn and indigestion, many unknowingly suffer from atypical GERD masquerading as mucus problems, loss of dental enamel, headache, stiff neck, insomnia, cough, asthma, etc. Relief is generally from commonly used stomach acid reducers, the proton pump inhibitors (PPI's): Prilosec*, Zegerid*, Prevacid*, AcipHex, Protonix, Nexium and Dexilant (*available over-the-counter [OTC]). The Food and Drug Administration (FDA) allows medicines OTC only after addressing safety concerns. When PPI's became available (1980's), time limits (long since rescinded) were placed on continuous patient use while concerns with pneumonia, impaired protein, iron or B12 absorption, interference with Plavix, and other affects have also been alleviated. Relationships with infectious diarrhea and low magnesium levels remain unconfirmed. About 3% of patients can experience headache, upset stomach or diarrhea. See tbe bold print above revealing short term PPI use has very recently been "cleared", so currently (FDA) has an alert concerning osteoporosis with long term PPI use. However the American Journal of Gastroenterology recently reported analysis of 1,600 studies and found no significant bone risk identified with ongoing PPI use. Medication benefits need to exceed (or "match") the risk. Extensively studied, PPI's have exceeded safety expectations. The goal of therapy is to control symptoms, prevent serious complications of GERD (like bleeding, ulceration, scar tissue, Barrett's esophagus, cancer of the esophagus) and improve quality-of-life. PPI's are available for long term use when significant benefits exceed potential risks. Other medications and surgical procedures could be options. Dr. Kurt Barrett's GERD Blog firstname.lastname@example.com (Kurt Barrett, D.O.) Treatment Side Effects, 2012-03-31T15:25:58Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=49 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=49 Vagus Nerve and Neurogenic Inflammation: Their Role in GERD http://drkurtbarrett.com/serendipity/index.php?/archives/48-Vagus-Nerve-and-Neurogenic-Inflammation-Their-Role-in-GERD.html The autonomic nervous system (ANS or visceral nervous system) is part of the peripheral nervous system that acts as a control system functioning largely below the level of consciousness while it controls visceral (the "inner parts" of the body) functions. The ANS affects heart rate, digestion, respiration rate, salivation, perspiration, diameter of the pupils, urination and sexual arousal. Whereas most of its actions are involuntary, some, such as breathing, work in tandem with the conscious mind.
 It is classically divided into two subsystems: the parasympathetic nervous system (PSNS) and the sympathetic nervous system (SNS). Relatively recently, a third subset of neurons have been named 'non-adrenergic and non-cholinergic' neurons (because they use nitric oxide as a neurotransmitter) have been described and found to be integral in autonomic function, particularly in the gut and the lungs. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system. Besides output to the various organs of the body, the vagus nerve conveys sensory information about the state of the body's organs to the central nervous system. Up to 80-90% of the nerve fibers in the vagus nerve are sensory nerves communicating the state of the viscera to the brain. The vagus nerve is also called the pneumogastric nerve because it innervates both the lungs and the stomach.
 The lower esophagus is richly invested with vagal nerve endings and failure/relaxation of the lower esophageal sphincter allows digestive contents to leak in a retrograde fashion from the intestine and stomach. This allows corrosive digestive juices including acid and proteolytic enzymes to encounter, irritate and stimulate vagal nerve endings which over time become eroded and sensitized.Our brain receives the information via this communication network and, rightly so, becomes alarmed thus triggering involuntary protective reflex responses. Reilly's syndrome confirms that changes in vascular tone, and reticuloendothelial system via neurogenic inflammatory response produces protection in vulnerable tissues. This is where it gets really interesting. Either the severity of the reflux or the intensity of the body's response to this dangerous insult can result in a clinical syndrome that has manifestations far-reaching beyond the origin of the endangered tissues. Thus regurgitation of digestive/intestinal contents into the lower esophagus can trigger vagal nerve response that results in tissues swelling, injury, scarring and mucus production in the paranasal sinuses as well as the larynx and pharynx without the affected tissues ever having come in direct contact with regurgitated digestive secretions. Artificial placement of acid into the lower esophagus is proven to result in inflammatory reaction of the paranasal sinuses. This is but one example of a myriad of potential effects that can occur anywhere in the distribution of the vagus nerve, or even the entire craniosacral nervous system. This phenomenon of vagal activation in the presence of regurgitated digestive contents explains the resolution of cardiac palpitations with successful therapy for gastroesophageal reflux disorder (GERD).
 Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) Activated Vagal Reflexes, 2012-02-19T02:36:02Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=48 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=48 Back Pain and GERD...Are They Connected? http://drkurtbarrett.com/serendipity/index.php?/archives/47-Back-Pain-and-GERD...Are-They-Connected.html This is an intriguing, mystifying subject but I have found numerous examples of back pain resolution concurrent with eradication of gastroesophageal reflux symptoms. Ten years ago I encountered the first example of dramatic back pain relief in a patient in his early 60s, disabled as a result of persistent pain following lumbar laminectomy. He realized subsequent to the surgery that he had limitations which, if exceeded, brought on significant worsening of his back pain condition. After the process of adjusting the dosage of his medication to successfully control atypical GERD symptoms he came to the office with pain in his forearms. He reported he had been using a "weed whip" in preparation for a visit from an out-of-state relative and had used the apparatus for several hours breaking only for lunch and then resuming activities after lunch for another several hours. He awoke next morning with severe pain in both of his forearms, and thus presented to the office. I was shocked when I heard the history considering the fact that he had previously reported limitations of 15 to 20 min. doing this particular behavior; if he exceeded these arbitrary limits his back pain progressed to the point of being insufferable. He stated, "My back doesn't bother me anymore. I can do almost anything I want to, it doesn't hurt anymore". Needless to say I was shocked. I cautioned him about being too physically aggressive, due to the danger of aggravating his pre-existing back pain. He continued to have dramatic relief and increased exercise tolerance as he reported shoveling gravel and in the winter months shoveling snow. After discussions with the late Dean of the College of Osteopathic Medicine at Michigan State University, Dr. Allan Jacobs, the conclusion was he no longer suffered from piriformis muscle spasm mediated through sacral segments 2,3,4. I have seen, on numerous occasions, individuals discontinue muscle relaxants and other pain relieving medications, including narcotics, since they were no longer needed. Generally, pain relief has been an anecdotal finding since people come to me with with problems such as rhinitis, sinus issues, headache, chest pain, coughing, throat clearing, and asthma. If they have pain, it often improves concurrently with resolution of atypical GERD symptoms. Remember, GERD is caused when digestive secretions migrate from the stomach and intestine back into the esophagus.The vagus nerve is richly invested in the lower esophagus and goes into "alarm mode". The vagus nerve communicates with the brain and the spinal cord to coordinate bodily functions and contributes to your automatic pilot (autonomic nervous system). This information thus continues on through the spinal cord as the craniosacral nervous system. Data departs from the spinal cord at sacral cord levels 2,3,4. As unusual as it seems or sounds, it appears that many people with back pain are experiencing muscle spasm as a result of regurgitation and reflux of digestive contents into the esophagus stimulating the vagus nerve. The vagus nerve commands tissues to produce mucus, vasodilate, extravasate and cause smooth muscle contraction. It thus appears that the piriformis muscle, innervated by sacral segments 2,3,4, can be influenced (adversely) into chronic spasm and pain as a result of regurgitation of digestive contents. On several occasions I have seen measureable, in some cases dramatic, eradication of pain, (including back pain) with successful treatment for extra esophageal manifestations of atypical GERD. Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) Patient Outcomes, 2012-02-16T19:35:07Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=47 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=47 Unrecognized Symptoms of GERD http://drkurtbarrett.com/serendipity/index.php?/archives/46-Unrecognized-Symptoms-of-GERD.html A man in his 60s came when his dentist discovered dental enamel was being eroded by acid. He neither tasted nor felt the acid. He denies ever having had heartburn or indigestion. Questioning revealed long-standing neck pain, belching, and discomfort in the sternum area of his chest. He also reported "irregular heart beat". His primary care provider had recently performed 24-hour Holter monitor EKG to evaluate the cardiac palpitations. He reported being particularly annoyed by "runny nose" when he eats. I'm not sure which of these bothersome symptoms had been reported to his internist but I find each of them to be very significant.
 (1)-GERD without heartburn is called atypical or silent GERD; when respiratory problems predominate the moniker is laryngopharyngeal reflux (LPR).
 (2)-Erosion of dental enamel is clearly associated with gastroesophageal reflux disease (GERD).
 (3)-Neck pain (pain in the cervical region, torticollis) is commonly encountered in GERD patients and in my experience nearly always resolves with successful treatment.
 (4)-Irregular pulse beat or cardiac palpitation is commonly associated with GERD. A large study at the Veterans Administration Hospital found a very strong correlation between GERD and atrial fibrillation.... eight times more common than would've been expected by chance alone.
 (5)-Runny nose at mealtime, in medical terminology gustatory rhinitis, is common in reflux patients and it can be very difficult to eradicate but often improves with successful treatment.
 (6)-belching (eructation) is commonly associated with GERD; so are hiccups (singultus).
 Dr. Kurt Barrett's GERD Blog email@example.com (Kurt Barrett, D.O.) I have never had heartburn, 2012-02-09T11:47:42Z http://drkurtbarrett.com/serendipity/wfwcomment.php?cid=46 0 http://drkurtbarrett.com/serendipity/rss.php?version=1.0&type=comments&cid=46


text: Ketchup Post! [04/26/2007] Resolutions for the New Year [01/01/2007] Extra Thick Ketchup Post! [12/07/2006] Ah cruel death, too soon, too soon was this divorce [10/09/2006] Get Well "Mooch" [10/07/2006] Taking the Browns to the Super Bowl [07/25/2006] Black and Red All Over [07/11/2006] We Can Dance [06/02/2006] "Czech" Please? Not this reporter. [05/26/2006] Always Wear Your World Cup [05/01/2006]


text:
"Thank you, Lord," I whispered as I drove into Avonlea Acres for Bible study one rainy evening. "You had all this planned! You called and equipped these dear friends, and then you supplied them with the perfect home to care for single mothers and their babies." A cold rain pelted down furiously, but thankfulness warmed my heart as I continued my conversation with God.
"How did you ever inspire the former owners to design and remodel the house to fit so perfectly?" My prayerful thoughts turned to the unique design of the red brick house God had led Tom and Rhoda to lease for Avonlea Acres. Partitioned into three separate living areas, it beautifully and comfortably fits every need. The first time Rhoda gave me a tour I must've commented a dozen times, "God planned every detail of this house for Avonlea!" Why would anyone put a spacious eight foot counter in the main bathroom, in addition to the sink counter? For changing babies, of course! It's ideal!
Pulling into the wide driveway, I was filled with warm anticipation. Rhoda's warm welcome greets you at the door, and God's refreshing peace soaks into your soul. "You love it here, don't You, Lord?"
That's when God whispered to my heart, "It's not about the house, my dear daughter." I sat very still as the Lord instructed me, "It's all about the girls who are cared for here."
Tears flooded my eyes as the warmth of that thought flooded my soul. Of course it was! I was caught up in the wonder of God's provision, but God was looking at only one thing: tenderly healing His wounded daughters.
The Healer of Hearts has found a home at Avonlea Acres.
-by Becky Matson, Avonlea Acres Board of Directors, 2009
What is Avonlea Acres?
Avonlea Acres is a safe place for unwed mothers to live and learn about love and life skills. It is a long term maternity/shepherding home where residents can stay up to two years or until their child is 3 years old. Our motto is "futures are more important than pasts." We are supported 100% by private donation. We do not require residents to be Christian but we operate with Christian morals and guidelines, and each resident must agree to this prior to moving into the home. We believe that everybody was created for a purpose and Avonlea offers that safe place where these moms can quit surviving and begin thriving.
What is the Avonlea Acres vision and mission?
Our mission is to "Love because He first loved us" and to show that love by providing a home for women in crisis while upholding Christian principles and Biblical truths. Our vision for Avonlea Acres is to be a Christ-centered family home which upholds the sanctity of life and meets the very real needs of the residents, providing an atmosphere where women can break the bondages of their past and be transformed by the renewing of their minds (Rom. 12:2). We equip them to go out and change lives by sharing the Good News of Jesus Christ, giving testimony of the grace that has been shown them. By adopting the essence of Isaiah 61:1-3, we aim to help the women realize a "crown of beauty instead of ashes, the oil of gladness instead of mourning, and a garment of praise instead of a spirit of despair."
What can a single mother expect throughout her stay at Avonlea Acres?
In order to be accepted at Avonlea Acres, each candidate of 18-28 years old goes through an interview to determine how best to help them. If they are approved to stay, they will be participating in a challenging but worthwhile program wherein they will learn many essential skills. These skills will include housekeeping and cooking meals as well as practicing money management, polite behavior, and accomplishing personal goals in seven categories: personal, physical, emotional, spiritual, social, career, and financial.
How does your ministry show love to those in need or suffering?
James 1:27 "Religion that is pure and undefiled before God, the Father, is this: to visit orphans and widows in their affliction." We love our residents by offering them a safe place to live, and provide for their most basic needs where God's ways and truths are modeled for them. We plant seeds, water seeds, and watch God give the increase, which He always does.
In what ways have you seen your ministry help in an individual's spiritual development?
We are often asked what our success rate is. We can honestly answer 100% success because each resident that has come into Avonlea has left knowing a little more of Jesus, a little more truth, and how much God loves them and has a plan for them.
What seeds did God cultivate in you to start the ministry?
The seed was planted the first year we were married. We didn't have any definite directions, just a sense that we would one day be operating a shepherding home of some type. In the beginning we thought it would probably be a ranch somewhere for troubled teens. We realized that we had something rare – a husband and wife team with the same calling, the same passion of helping people. Through 27 years of marriage the idea just never really left, and we often wondered when would be the right time. God taught us so many things in so many ways that we now employ here at Avonlea Acres.
We endured a major move, a business close, and a home foreclosure which led us to near homelessness a couple of times. We also suffered with family through eight deaths in only a few years' time, marriage breakups, mental illnesses, suicides, and drug/alcohol addictions. He has reminded us so often of what is really important in life: relationships, not materialism. We have learned what is necessary to live and what we can live without. He has always been sovereign and faithful.
How did God call you into this ministry?
When we became empty nesters, I started asking the Lord what He wanted me to do with the rest of my life. In a very profound way I heard His still small voice say that He wanted me working with unwed mothers. Feeling completely unqualified, I argued for three days before I finally surrendered telling God that if HE wanted me to do this HE would have to show me how and make the way very clear because I didn't know where to start. Then my phone began ringing. When I answered, it was an acquaintance of mine and she said "Rhoda, this is going to sound really weird, but, do you know what the Legacy of Life maternity home is?" She proceeded to ask me if I'd be interested in teaching a weekly bible study there. I started teaching there that week and continued for about two years until the home closed.
This was not the limit of God's preparations. About three months later I got that dreaded 3 a.m. phone call from our only unmarried daughter. "Mom, I think I'm pregnant." I told her to pack a bag and come home. By the time she got there, God had spoken to me again. This wasn't just her life challenge, it was also ours. We were going to learn firsthand about unwed mothers.
A couple of days passed and her boyfriend, now her husband, asked to meet with us. He came and asked for our forgiveness for dishonoring our family name – it was then we knew he was a keeper! They chose not to marry until after Lilly was born and through it all we gained much insight into what single moms experience.
During my time at Legacy of Life, typical protocol was that the mothers had two weeks after the baby was born before they had to move out. That broke our hearts because just when they needed help most, they were out on their own. Tom and I discussed this and we realized God was prompting us to start the shepherding home ministry. With longtime friends Greg & Carmelle Helmes and Stephanie Lang, who were also led into this ministry, we began drafting legal documents, writing manuals, and putting together a board of directors. Avonlea was on its way.
We were about three weeks from finishing our manuals when a vacant home was brought to our attention. We approached the owner, who astonishingly donated it to us. With the help of dozens of volunteers and a miraculous amount of donations, within three weeks Avonlea Acres was in operation. Within another six weeks, we were at full capacity! Only our God could do something like that.
Where do you see the Lord leading this ministry in the next 5 years?
In the last year Avonlea has evolved from a grass roots ministry to a faith-based community organization. Interest and support is growing, volunteers are coming forward, and God keeps sustaining us month by month. He has given us a vision of more homes across the U.S. and Canada. For now, we have committed to keep Avonlea Acres operating as long as God sustains it. Our program works and we have wonderful success stories, but God alone must get the glory and He alone must provide the way.
Contact Information:
Avonlea Acres PO Box 1026 Battle Ground, WA 98604 Directors phone: 360-600-5929 E-Mail: firstname.lastname@example.com Website: www.avonleaacres.com
Tom and Rhoda Hilman are the founders of Avonlea Acres. They have been married 31 years and have three girls married to three wonderful men of God, two grandsons, three granddaughters, and two granddogs. "As for us and our house, we will serve the Lord."
Excerpt from Signet Ring Magazine Suffering Issue.


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Here is the full list of trios competing in the 2015 CHIKARA King of Trios tournament. The 2015 King of Trios takes place September 4th, 5th and 6th at the Palmer Center in Easton, PA. Ticket information is available here…
* Arcane Horde (Kodama, Obariyon and Oleg the Usurper)
* Battleborn (Kevin Condron, Lucas Calhoun and Missile Assault Man)
* Battle Hive (Amasis, Fire Ant and Worker Ant)
* Bruderschaft des Kreuzes (Jakob Hammermeier, Nøkken and Soldier Ant)
* Bullet Club (A.J. Styles, Matt Jackson and Nick Jackson)
* Crown & Court (El Hijo del Ice Cream, Ice Cream Jr. and Princess KimberLee)
* Dasher's Dugout (Dasher Hatfield, Icarus and Mark Angelosetti)
* The Devastation Corporation (Blaster McMassive, Flex Rumblecrunch and Max Smashmaster)
* The Gentleman's Club (Chuck Taylor, Drew Gulak and the Swamp Monster)
* Nightmare Warriors (Frightmare, Hallowicked and Silver Ant)
* The Snake Pit (Eddie Kingston, Ophidian and Shynron)
* Team AAA (Aero Star, Drago and Fénix)
* Team Attack! (Mark Andrews, Morgan Webster and Pete Dunne)
* Team bWo (Big Stevie Cool, Da Blue Guy and Hollywood Nova)
* Team Fight Club: Pro (MK McKinnan, Trent Seven and Tyler Bate)
* United Nations (Juan Francisco de Coronado, Mr. Azerbaijan and The Proletariat Boar of Moldova)
100% DIRECT LINK (PHOTOS): Ric Flair Partying With Divas On A Plane! **WHOA** – NEW & MUST-SEE-NOW!!!


text:
Awakening: Welcome to the World's First Hotel Dedicated to Happiness
With a stunning location on the banks of the Nopalitos Lagoon on Mexico's Caribbean coast, Awakening is set to be the world's first happiness-themed boutique hotel.
The project began in 2015 when Adriana Chardí and her partner Martin Loeffler decided to create a hotel that blends spectacular architectural design, impeccable sustainability standards and maximum contact with nature.
By the end of last year, the couple had settled on a final location – in the Riviera Maya in the state of Quintana Roo, right next to the Biosphere Reserve of Sian Ka'an, an area of pristine natural beauty that was named a World Heritage Site by UNESCO in 1987.
Guests at the high-end hotel will stay in the hotel's "human cocoons," which combine elements of a beach cabin and a treehouse. These innovative structures mimic nature's shapes and forms, with comforting soft lines that blend seamlessly with the Mayan jungle surroundings.
Chardí, the Mexican co-founder and CEO of Awakening, has more than 15 years of hotel experience in the Riviera Maya. Her partner, Martin Loeffler, is a German entrepreneur who has long dreamed of creating a hotel experience dedicated to personal development.
Awakening is located in one of Mexico's fastest growing high-end tourist destinations, a short distance from the extraordinary archaeological sites of Tulum and Muyil.
The Nopalitos Lagoon looks much like a Caribbean beach but is in fact a cenote, or sinkhole, created by an asteroid fracturing the Earth's surface. The pristine freshwater body is connected to the sea via underground rivers.
The hotel is based around a vision of "barefoot luxury," that bolsters happiness by maximizing contact with the natural world. The goal, according to Awakening's website is to provide the opportunity for "experiences that promote physical, emotional and spiritual well-being."
Sustainability is also an essential element of this vision, and the hotel is aiming to minimize environmental impact through the use of high-end water treatment, clean energy and waste-reduction strategies.
The hotel's co-founders have had several offers from external investors. Yet in order to avoid compromising their vision, they are determined to finance the project through a combination of their own money and crowdfunding investments.
"Awakening is going to have a soul," said Loeffler. "It's going to have its own personality. And we want to protect this."
Edited by Ariasun editorial board
for ariasun products online shopping ,click here.
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text:
Onions are not ordinary eating stuff. It can create or destroy political parties power holding. Historically onions have played a pivotal role in the political makeup and governance structure of India. In 2011 too onions will play its role fully well to the sadness of ruling coalition.
Manreet Sodhi writes in The Deccan Chronicle on 21st January 2011
In 16th century India a cook in the kitchen of the Mughal emperor Akbar accidentally added two portions of onion to a dish which went on to become a great hit. Thus was born dopiaza, literally onion twice over, a dish cooked in onion sauce that remains immensely popular to this day and has been successfully transplanted to Britain as well.
Except, if you wanted to cook it in India today, you might once again wish to seek royal patronage (or settle for a recipe that required no onion). With the vegetable selling at `85 (about $2) a kilo, up from `10 six months back, the staple of the average Indian household has gone extortionate.
The onion is rather ubiquitous in Indian food. Roughly chopped, it is an essential accompaniment to the sparse meal of the poor, while its braised, pureed, sauteed and garnished avatars surface in the meals of all others.
Muthi piaz — onion smashed with a fist — is de rigueur at roadside eateries throughout the country, and sirkawala piaz — onions in vinegar — are as essential to any table as salt and pepper.
So integral is the onion to the Indian way of life that it has its own mythology. Ayurveda, traditional medicine native to India, claims onion is diuretic, antiseptic, anti-inflammatory and anti-pigmentationary. Highly regarded as an aphrodisiac in ancient India, it was banned to Hindu widows.
In the sizzling heat of the subcontinent, the onion is called upon for its cooling properties. This was brought to me forcefully when I began my sales training in the plains of Central India in summer when the average day temperature is 45 degree centigrade, fuelled by a hot tropical wind called Loo. Since my work required me to visit 40 grocery stores in one day, I was advised to keep an onion with me, preferably on my person, or in my sales satchel.
By way of explanation, my supervisor showed me his bag, where an onion sat shrivelling in one corner. He made his point further by requesting a labourer to allow me a peek at the folds of his turban — sure enough, tucked within was a red onion.
Legends have grown around the pungent bulb. Shivaji, the fearsome Maratha warrior who took on the might of the Mughals, was reputed to eat a lean diet of unleavened bread with raw onions, as opposed to the effete Mughals, who gorged on twice-cooked onion dishes.
To add to the woes of the Mughals, a holy man, Baba Buddha, when served a simple meal by the wife of a Sikh guru, smashed the onion and predicted that her son would one day similarly crush the tyranny of the empire. Obviously, the humble vegetable is an underdog's ally.
For the runaway price of onions today, the government has blamed heavy unseasonal rains, but poor agricultural productivity, lack of adequate infrastructure for storage and transport, and deficient government investment are equally to blame.
So what is the average Indian to do? Use cabbage and radish as substitute. And protest. Effigies of the agriculture minister have been burnt. Opposition leaders adorned with onion garlands have held rallies.
A novel protest had Santa Claus handing out onions on Christmas Eve. Meanwhile, enterprising businessmen are giving free onions with the purchase of televisions, cars, motorcycles and tires.
Rising onion prices have historically felled governments. In 1980, Indira Gandhi ousted the ruling government by appearing at election rallies with strings of onions. The message was clear: If you can't manage the price of onions, how do you manage the country? A recent poll showed that the Congress Party would lose its parliamentary majority were an election to be held now.
The government is scrambling to bring the price of onions down. It has banned export of onions, turned to Pakistan for imports, and the prime minister has held cabinet meetings on the issue. Pakistan complied briefly before turning hostile, and now India is threatening in turn to halt cement exports.
It was always understood that you could knock next door for a bowl of sugar, some salt, an onion. With the current price of the vegetable, that would be akin to asking the neighbour for their family jewels. No wonder Pakistan is not responding.
We need to keep the peace in our neighbourhoods. In the interest of social cohesiveness, and its own survival, the government needs to fix the onion price pronto.


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There are more than 11 million undocumented immigrants in the U.S right now. 185 Democrats and two Republicans: House members who are currently supporting comprehensive immigration reform — including a pathway to citizenship.
Rep. Jeff Denham (CA) and Rep. Ileana Ros-Lehtinen (FL) became the first GOP members earlier this week to support broad reform. The bill — The Border Security, Economic Opportunity and Immigration Modernization Act — was introduced Oct. 2 by Joe Garcia (D-FL).
The major thrust of the legislation is a pathway to citizenship for undocumented immigrants. The Congressional Budget Office (CBO) estimates that around 7.7 million undocumented immigrants would qualify for legal status in the U.S.
The bill is largely based on the Senate's immigration bill, which easily passed 68-32 this summer. One of the "Gang of Eight" senators who drafted the bill, Marco Rubio (R-FL), has changed his position. He, alongside many House Republicans, wants the legislation done issue-by-issue rather than a comprehensive package. Rubio feels that a piecemeal approach would be more realistic to pass.
"I think that there are many things on immigration that we can agree on and I think that we should move on those and make progress on those issues," Rubio told CNN. "And there are a handful that we have no consensus on in this country yet, and those issues may have to be delayed at some point until we can reach a consensus on how to approach them."
This would mean a pathway to citizenship — a contentious issue — would have to wait.
President Obama called upon Congress to pass immigration reform last week. "It doesn't make sense to have 11 million people who are in this country illegally without any incentive or any way for them to come out of the shadows, get right with the law, meet their responsibilities and permit their families then to move ahead," said the president. "It's not smart; it's not fair; it doesn't make sense. We have kicked this particular can down the road for too long."
Americans overwhelmingly support a pathway to citizenship.
In June 2013, Gallup asked the question, "Would you vote for or against a law that would allow illegal immigrants living in the U.S. the opportunity to become citizens after a long waiting period if they paid taxes and a penalty, pass a criminal background check, and learn English?"
87 percent of respondents said yes, while only 12 percent said no.
While support of immigration reform remains widespread, there is plenty of skepticism. For one, both parties have had trouble agreeing on anything. This culminated in the government shutdown just two weeks ago.
They are also running out of time. As of Nov. 1, there will be 16 legislative days left in the House to pass a bill.
At the current tally, Democrats and the two GOP members are 30 votes shy of a majority.


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Recessed Wood Framed Medicine Cabinets
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As noun
temporary withdrawal or cessation from the usual work or activity
a period of such withdrawal
a receding part or space, as a bay or alcove in a room
an indentation in a line or extent of coast, hills, forest, etc
recesses, a secluded or inner area or part:in the recesses of the palace
As verb (used with object)
to place or set in a recess
to set or form as or like a recess; make a recess or recesses in:to recess a wall
to suspend or defer for a recess:to recess the Senate
As verb (used without object)
to take a recess
As noun
the hard, fibrous substance composing most of the stem and branches of a tree or shrub, and lying beneath the bark; the xylem
the trunks or main stems of trees as suitable for architectural and other purposes; timber or lumber
the cask, barrel, or keg, as distinguished from the bottle:aged in the wood
woodblock (def )
a woodwind instrument
the section of a band or orchestra composed of woodwinds
Often, woods
(used with a singular or plural verb) a large and thick collection of growing trees; a grove or forest:They picnicked in the woods
a club with a wooden head, as a driver, brassie, spoon, or baffy for hitting long shots
Compare iron (def )
As adjective
made of wood; wooden
used to store, work, or carry wood:a wood chisel
dwelling or growing in woods:wood bird
As verb (used with object)
to cover or plant with trees
to supply with wood; get supplies of wood for
As verb (used without object)
to take in or get supplies of wood (often followed by up):to wood up before the approach of winter
As Idioms
have the wood on, Australian Slang
to have an advantage over or have information that can be used against
knock on wood, (used when knocking on something wooden to assure continued good luck):The car's still in good shape, knock on wood
Also, especially British, touch wood
out of the woods, out of a dangerous, perplexing, or difficult situation; secure; safe
no longer in precarious health or critical condition; out of danger and recovering
As noun
a border or case for enclosing a picture, mirror, etc
a rigid structure formed of relatively slender pieces, joined so as to surround sizable empty spaces or nonstructural panels, and generally used as a major support in building or engineering works, machinery, furniture, etc
a body, especially a human body, with reference to its size or build; physique:He has a large frame
a structure for admitting or enclosing something:a window frame
Usually, frames
(used with a plural verb) the framework for a pair of eyeglasses
form, constitution, or structure in general; system; order
a particular state, as of the mind:an unhappy frame of mind
one of the successive pictures on a strip of film
a single traversal by the electron beam of all the scanning lines on a television screen
In the U
this is a total of lines traversed in / (
) second
Compare field (def )
the information or image on a screen or monitor at any one time
one of the ten divisions of a game
one of the squares on the scorecard, in which the score for a given frame is recorded
rack (def )
an inning
a frame-up
enclosing lines, usually forming a square or rectangle, to set off printed matter in a newspaper, magazine, or the like; a box
the structural unit that supports the chassis of an automobile
any of a number of transverse, riblike members for supporting and stiffening the shell of each side of a hull
any of a number of longitudinal members running between web frames to support and stiffen the shell plating of a metal hull
a machine or part of a machine supported by a framework, especially as used in textile production:drawing frame; spinning frame
the workbench of a compositor, consisting of a cabinet, cupboards, bins, and drawers, and having flat and sloping work surfaces on top
an ornamental border, similar to a picture frame, stamped on the front cover of some books
in frame, Shipbuilding
(of a hull) with all frames erected and ready for planking or plating
As verb (used with object), framed, framing
to form or make, as by fitting and uniting parts together; construct
to contrive, devise, or compose, as a plan, law, or poem:to frame a new constitution
to conceive or imagine, as an idea
to incriminate (an innocent person) through the use of false evidence, information, etc
to provide with or put into a frame, as a picture
to give utterance to:Astonished, I attempted to frame adequate words of protest
to form or seem to form (speech) with the lips, as if enunciating carefully
to fashion or shape:to frame a bust from marble
to shape or adapt to a particular purpose:to frame a reading list for ninth graders
to contrive or prearrange fraudulently or falsely, as in a scheme or contest
to adjust (film) in a motion-picture projector so as to secure exact correspondence of the outlines of the frame and aperture
to line up visually in a viewfinder or sight
to direct, as one's steps
As verb (used without object), framed, framing
to betake oneself; resort
to prepare, attempt, give promise, or manage to do something
As noun
any substance or substances used in treating disease or illness; medicament; remedy
the art or science of restoring or preserving health or due physical condition, as by means of drugs, surgical operations or appliances, or manipulations: often divided into medicine proper, surgery, and obstetrics
the art or science of treating disease with drugs or curative substances, as distinguished from surgery and obstetrics
the medical profession
(among North American Indians) any object or practice regarded as having magical powers
As verb (used with object), medicined, medicining
to administer medicine to
As Idioms
give someone a dose / taste of his / her own medicine, to repay or punish a person for an injury by use of the offender's own methods
take one's medicine, to undergo or accept punishment, especially deserved punishment:He took his medicine like a man
As noun
a piece of furniture with shelves, drawers, etc
, for holding or displaying items:a curio cabinet; a file cabinet
a wall cupboard used for storage, as of kitchen utensils or toilet articles:a kitchen cabinet; a medicine cabinet
a piece of furniture containing a radio or television set, usually standing on the floor and often having a record player or a place for phonograph records
(often initial capital letter) a council advising a president, sovereign, etc
, especially the group of ministers or executives responsible for the government of a nation
(often initial capital letter) (in the U
) an advisory body to the president, consisting of the heads of the executive departments of the federal government
a small case with compartments for valuables or other small objects
a small chamber or booth for special use, especially a shower stall
a private room
a room set aside for the exhibition of small works of art or objets d'art
Also called cabinet wine
a dry white wine produced in Germany from fully matured grapes without the addition of extra sugar
New England (chiefly Rhode Island and Southern Massachusetts)
a milk shake made with ice cream
a small room
a small cabin
As adjective
pertaining to a political cabinet:a cabinet meeting
private; confidential; secret
pertaining to a private room
of suitable value, beauty, or size for a private room, small display case, etc
:a cabinet edition of Milton
of, relating to, or used by a cabinetmaker or in cabinetmaking
designating a method of projection (cabinet projection) in which a three-dimensional object is represented by a drawing (cabinet drawing) having all vertical and horizontal lines drawn to exact scale, with oblique lines reduced to about half scale so as to offset the appearance of distortion
Compare axonometric, isometric (def ), oblique (def )
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text:
As Florida State's football team weaved its way to the locker room through a sea of students who stormed the field at Memorial Stadium on Saturday, many must have been wondering what is next.
Suddenly, the Seminoles are in a position unfamiliar to most players on this team. But with an Atlantic Coast Conference title (not to mention a playoff spot) out of reach following a hard-fought 23-13 loss to No. 3 Clemson (9-0, 6-0), coach Jimbo Fisher had a strong message for his team.
"I saw some guys out there who can compete with anybody, and I saw the hurt in their eyes," Fisher said. "They have a chance to be champions in the future.
"What I saw has me extremely excited [about] the future of that football team."
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The truth is Florida State (7-2, 5-2, No. 16 College Football Playoff) is about where it was expected to be this season after coming within a missed fourth-and-inches of possibly upsetting the No. 1 CFP team in the country. The Seminoles will be at home for the ACC Championship Game, and they will not be playing in a major bowl or championship for the first time since 2011.
"The older guys got to keep the younger guys up and realize there is a lot to play for," quarterback Sean Maguire said.
FSU received another determined effort from its defense, but it was the continued offensive struggles that was the difference.
Dalvin Cook scored on a 75-yard run on the game's second play, but the Seminoles managed just two Roberto Aguayo field goals the rest of the game, the second time in three weeks they could not stick the ball in the end zone on the second half, both resulting in losses.
"Too many missed a few opportunities," Maguire said. "But I thought this team fought until it had nothing left."
Maguire, who received the start over Everett Golson, wasn't the machine that shredded Syracuse the previous week for 348 yards and three touchdowns. He was 16 of 29 for 164 yards and threw a costly interception at the Clemson 5-yard line on the Seminoles' second series of the game that he should have thrown away.
Fisher, who said he decided to go with Maguire "later in the week," hinted that he will stick with Maguire, a fourth-year junior, over Golson, a senior who transferred to FSU from Notre Dame for his final season.
"We'll evaluate and go on," Fisher said. "This was a tough game against a tough team. [I'm not] down on Sean in any way, shape or form."
But Cook the former Miami Central star, was the workhorse. He ran for 194 yards on 21 carries and now is 12 yards shy of breaking Warrick Dunn's school single-season record of 1,242 yards. Cook, though, had just 37 yards in the second half.
Following Cook's touchdown, Florida State crossed midfield six times and scored just six points.
Still, Florida State was trailing just 16-13 midway through the fourth quarter when Kermit Whitfield returned a kickoff 44 yards to the Clemson 49-yard line. After a 9-yard pass to Jesus Wilson, FSU needed 1 yard to keep the drive alive for a possible game-winning score.
But Cook was stopped twice for no gain. Seven plays later, Wayne Gallman broke through the middle for a 25-yard touchdown with 3:43 remaining to seal Clemson's first ACC Atlantic Division title since 2011 and move one step closer to the CFP final four.
The Tigers likely will have to win out to make the playoff, and their remaining schedule includes three sub-.500 teams (Syracuse, Wake Forest and South Carolina) before the Dec. 5 ACC title game in Charlotte, North Carolina.
The Seminoles streak of three consecutive ACC titles is over. Fisher was asked if he looked at this as the end of a run.
"I think this is just the beginning," he said. "We have guys that want to win, know how to win and have talent.
"Our guys will grow from this and mature. It's been a heck of a run, and now it's time to start another one."


text:
Forty-nine today! Other than celebrating by doing all the nationalistic things like eating, shopping, and movie-watching, brainstorming for 50th celebration ideas, indulging in a staycation, it's also a good time to think about the ways in which you can rebalance your work and life.
Here are 4 ideas to get you started:
1. Make use of technology
Smart phones and tablets aren't just for surfing the net, checking email and facebook, messaging, reading, and playing games. They're also good platforms for helping us keep diaries about how much we sleep, whether we're getting our daily recommended allowance of vitamins and fruits and veggies, and for tracking our thoughts and emotions. Apple recommends these apps to help us stay fit and maintain healthy eating, while Google has a list of 10 free health and fitness apps. And these mental health apps (mostly free) come highly recommended by PsychCentral.
2. Use household shortcuts
There are ways to get the house cleaned without spending the whole weekend on it. Unless you enjoy it, that is. If not, these life hack websites have good solutions for tidying, cooking, and other household chores. And here's a few more.
3. Get a hobby
One way to ensure guarantee that you get off work on time is to have a hobby. There is research evidence to support it: Employees with a creative hobby are more productive at work than peers without one. Try light painting (night photography) with the fireworks on display this Saturday at the Esplanade or Clifford Pier: Nat Geo has useful tips. Here's a list of useful websites for those relocating to Singapore, and some recreation resources for those looking for something different. Secret Singapore also has ideas for those wanting to try something really new.
4. Spend time with family and friends
Out of ideas of what to do on the weekend? Tired of meeting friends over brunch and high tea? Try an activity instead. There's lots going on in the coming months!
- Creative horticulture is on display this month at the Singapore Garden Festival.
- Be a culture vulture and roam the streets during the Singapore Night Festival.
- Join in the mid-autumn festivities in Chinatown (there's a late night walk too).
- Pack your picnic for the International Kite Festival at the end of the month.
- Tackle your claustrophobia at Comex (anything for a good laptop deal!).
- Sentosa showcases an international buskers festival in early September.
- while F1 races light up the city area over a mid-September weekend.
- Marina Bay Sands plays host to the World Architecture Festival in early October.
- The mid-October da:ns festival celebrates traditional and contemporary dance.
- Walk off your food tasting at the Asia Pacific Food Expo in late November.
- And technies can get ready to jostle for good deals at SITEX in November.