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Manataka® American Indian Council
Health Watch
Indian Health Care's Victims
by Mary Clare Jalonick, Associated Press Writer
An occasional look at government promises and how well they are kept.
CROW AGENCY, Mont. (AP) - Ta'Shon Rain Little Light, a happy little girl who loved to dance and dress up in traditional American Indian clothes, had stopped eating and walking. She complained constantly to her mother that her stomach hurt.
When Stephanie Little Light took her daughter to the Indian Health Service clinic in this wind-swept and remote corner of Montana, they told her the 5-year-old was depressed.
Ta'Shon's pain rapidly worsened and she visited the clinic about 10 more times over several months before her lung collapsed and she was airlifted to a children's hospital in Denver. There she was diagnosed with terminal cancer, confirming the suspicions of family members.
A few weeks later, a charity sent the whole family to Disney World so Ta'Shon could see Cinderella's Castle, her biggest dream. She never got to see the castle, though. She died in her hotel bed soon after the family arrived in Florida.
"Maybe it would have been treatable," says her great-aunt, Ada White, as she stoically recounts the last few months of Ta'Shon's short life. Stephanie Little Light cries as she recalls how she once forced her daughter to walk when she was in pain because the doctors told her it was all in the little girl's head.
Ta'Shon's story is not unique in the Indian Health Service system, which serves almost 2 million American Indians in 35 states.
On some reservations, the oft-quoted refrain is "don't get sick after June," when the federal dollars run out. It's a sick joke, and a sad one, because it's sometimes true, especially on the poorest reservations where residents cannot afford health insurance. Officials say they have about half of what they need to operate, and patients know they must be dying or about to lose a limb to get serious care.
Wealthier tribes can supplement the federal health service budget with their own money. But poorer tribes, often those on the most remote reservations, far away from city hospitals, are stuck with grossly substandard care. The agency itself describes a "rationed health care system."
The sad fact is an old fact, too.
The U.S. has an obligation, based on a 1787 agreement between tribes and the government, to provide American Indians with free health care on reservations. But that promise has not been kept. About one-third more is spent per capita on health care for felons in federal prison, according to 2005 data from the health service.
In Washington, a few lawmakers have tried to bring attention to the broken system as Congress attempts to improve health care for millions of other Americans. But tightening budgets and the relatively small size of the American Indian population have worked against them.
"It is heartbreaking to imagine that our leaders in Washington do not care, so I must believe that they do not know," Joe Garcia, president of the National Congress of American Indians, said in his annual state of Indian nations' address in February.
Indian Country Health and Disease Statistics are Staggering
American Indians have an infant death rate that is 40 percent higher than the rate for whites. They are twice as likely to die from diabetes, 60 percent more likely to have a stroke, 30 percent more likely to have high blood pressure and 20 percent more likely to have heart disease.
American Indians have disproportionately high death rates from unintentional injuries and suicide, and a high prevalence of risk factors for obesity, substance abuse, sudden infant death syndrome, teenage pregnancy, liver disease and hepatitis.
While campaigning on Indian reservations, presidential candidate Barack Obama cited this statistic: After Haiti, men on the impoverished Pine Ridge and Rosebud Reservations in South Dakota have the lowest life expectancy in the Western Hemisphere.
Those on reservations qualify for Medicare and Medicaid coverage. But a report by the Government Accountability Office last year found that many American Indians have not applied for those programs because of lack of access to the sign-up process; they often live far away or lack computers. The report said that some do not sign up because they believe the government already has a duty to provide them with health care.
The office of minority health at the U.S. Department of Health and Human Services, which oversees the Indian Health Service, notes on its Web site that American Indians "frequently contend with issues that prevent them from receiving quality medical care. These issues include cultural barriers, geographic isolation, inadequate sewage disposal and low income."
Indeed, Indian health clinics often are ill-equipped to deal with such high rates of disease, and poor clinics do not have enough money to focus on preventive care. The main problem is a lack of federal money. American Indian programs are not a priority for Congress, which provided the health service with $3.6 billion this budget year.
Officials at the health service say they can't legally comment on specific cases such as Ta'Shon's. But they say they are doing the best they can with the money they have - about 54 cents on the dollar they need.
One of the main problems is that many clinics must "buy" health care from larger medical facilities outside the health service because the clinics are not equipped to handle more serious medical conditions. The money that Congress provides for those contract health care services is rarely sufficient, forcing many clinics to make "life or limb" decisions that leave lower-priority patients out in the cold.
"The picture is much bigger than what the Indian Health Service can do," says Doni Wilder, an official at the agency's headquarters in Rockville, Md., and the former director of the agency's Northwestern region. "Doctors every day in our organization are making decisions about people not getting cataracts removed, gall bladders fixed."
On the Standing Rock Reservation in North Dakota, Indian Health Service staff say they are trying to improve conditions. They point out recent improvements to their clinic, including a new ambulance bay. But in interviews on the reservation, residents were eager to share stories about substandard care.
Rhonda Sandland says she couldn't get help for her advanced frostbite until she threatened to kill herself because of the pain - several months after her first appointment. She says she was exposed to temperatures at more than 50 below, and her hands turned purple. She eventually couldn't dress herself, she says, and she visited the clinic over and over again, sometimes in tears.
"They still wouldn't help with the pain so I just told them that I had a plan," she said. "I was going to sleep in my car in the garage."
She says the clinic then decided to remove five of her fingers, but a visiting doctor from Bismarck, N.D., intervened, giving her drugs instead. She says she eventually lost the tops of her fingers and the top layer of skin.
The same clinic failed to diagnose Victor Brave Thunder with congestive heart failure, giving him Tylenol and cough syrup when he told a doctor he was uncomfortable and had not slept for several days. He eventually went to a hospital in Bismarck, which immediately admitted him. But he had permanent damage to his heart, which he attributed to delays in treatment. Brave Thunder, 54, died in April while waiting for a heart transplant.
"You can talk to anyone on the reservation and they all have a story," says Tracey Castaway, whose sister, Marcella Buckley, said she was in $40,000 of debt because of treatment for stomach cancer.
Buckley says she visited the clinic for four years with stomach pains and was given a variety of diagnoses, including the possibility of a tapeworm and stress-related stomachaches. She was eventually told she had Stage 4 cancer that had spread throughout her body.
Ron His Horse is Thunder, chairman of the Standing Rock tribe, says his remote reservation on the border between North Dakota and South Dakota can't attract or maintain doctors who know what they are doing. Instead, he says, "We get old doctors that no one else wants or new doctors who need to be trained."
His Horse is Thunder often travels to Washington to lobby for more money and attention, but he acknowledges that improvements are tough to come by.
"We are not one congruent voting bloc in any one state or area," he said. "So we don't have the political clout."
On another reservation 200 miles north of Standing Rock, Ardel Baker, a member of North Dakota's Three Affiliated Tribes, knows all too well the truth behind the joke about money running out.
Baker went to her local clinic with severe chest pains and was sent by ambulance to a hospital more than an hour away. It wasn't until she got there that she noticed she had a note attached to her, written on U.S. Department of Health and Human Services letterhead.
"Understand that Priority 1 care cannot be paid for at this time due to funding issues," the letter read. "A formal denial letter has been issued."
She lived, but she says she later received a bill for more than $5,000.
"That really epitomizes the conflict that we have," says Robert McSwain, deputy director of the Indian Health Service. "We have to move the patient out, it's an emergency. We need to get them care."
It was too late for Harriet Archambault, according to the chairman of the Senate Indian Affairs Committee, Democratic Sen. Byron Dorgan of North Dakota, who has told her story more than once in the Senate.
Dorgan says Archambault died in 2007 after her medicine for hypertension ran out and she couldn't get an appointment to refill it at the nearest clinic, 18 miles away. She drove to the clinic five times and failed to get an appointment before she died.
Dorgan's swath of the country is the hardest hit in terms of Indian health care. Many reservations there are poor, isolated, devoid of economic development opportunities and subject to long, harsh winters - making it harder for the health service to recruit doctors to practice there.
While the agency overall has an 18 percent vacancy rate for doctors, that rate jumps to 38 percent for the region that includes the Dakotas. That region also has a 29 percent vacancy rate for dentists, and officials and patients report there is almost no preventive dental care. Routine procedures such as root canals are rarely seen here. If there's a problem with a tooth, it is simply pulled.
Dorgan has led efforts in Congress to bring attention to the issue. After many years of talking to frustrated patients at home in North Dakota, he says he believes the problems are systemic within the embattled agency: incompetent staffers are transferred instead of fired; there are few staff to handle complaints; and, in some cases, he says, there is a culture of intimidation within field offices charged with overseeing individual clinics.
The senator has also probed waste at the agency.
A 2008 GAO report, along with a follow-up report this year, accused the Indian Health Service of losing almost $20 million in equipment, including vehicles, X-ray and ultrasound equipment and numerous laptops. The agency says some of the items were later found.
Dorgan persuaded Senate Majority Leader Harry Reid, D-Nev., to consider an American Indian health improvement bill last year, and the bill passed in the Senate. It would have directed Congress to provide about $35 billion for health programs over the next 10 years, including better access to health care services, screening and mental health programs. A similar bill died in the House, though, after it became entangled in an abortion dispute.
The growing political clout of some remote reservations may bring some attention to health care woes. Last year's Democratic presidential primary played out in part in the Dakotas and Montana, where both Obama and Democrat Hillary Rodham Clinton became the first presidential candidates to aggressively campaign on American Indian reservations there. Both politicians promised better health care.
Obama's budget for 2010 includes an increase of $454 million, or about 13 percent, over this year. Also, the stimulus bill he signed this year provided for construction and improvements to clinics.
Back in Montana, Ta'Shon's parents are doing what they can to bring awareness to the issue. They have prepared a slideshow with pictures of her brief life; she is seen dressed up in traditional regalia she wore for dance competitions with a bright smile on her face. Family members approached Dorgan at a Senate field hearing on American Indian health care after her death in 2006, hoping to get the little girl's story out.
"She was a gift, so bright and comforting," says Ada White of her niece, whom she calls her granddaughter according to Crow tradition. "I figure she was brought here for a reason."
Nearby, the clinic on the Crow reservation seems mostly empty, aside from the crowded waiting room. The hospital is down several doctors, a shortage that management attributes recruitment difficulties and the remote location.
Diane Wetsit, a clinical coordinator, said she finds it difficult to think about the congressional bailout for Wall Street.
"I have a hard time with that when I walk down the hallway and see what happens here," she says.
On the Net:
Indian Health Service: http://www.ihs.gov/
U.S. Department of Health and Human Services Department's office of minority health: http://tinyurl.com/l9qzuq
National Congress of American Indians' health care issues: http://tinyurl.com/krs986
Senate Indian Affairs Committee: http://indian.senate.gov
GAO reports: http://tinyurl.com/ljq6fb , http://tinyurl.com/n7kdpa
© 2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Submitted by Christina Hayes, PhD, Department of Mathematics, Montana State University, Bozeman, MT 59717, firstname.lastname@example.com


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"Beijing's Empty Bullet Trains"
"Dr. Doom", professor Nouriel Roubini, is joining the group of economists, who think the China bubble will burst:
The problem, of course, is that no country can be productive enough to reinvest 50 percent of GDP in new capital stock without eventually facing immense overcapacity and a staggering nonperforming loan problem. China is rife with overinvestment in physical capital, infrastructure, and property. To a visitor, this is evident in sleek but empty airports and bullet trains (which will reduce the need for the 45 planned airports), highways to nowhere, thousands of colossal new central and provincial government buildings, ghost towns, and brand-new aluminum smelters kept closed to prevent global prices from plunging.
Commercial and high-end residential investment has been excessive, automobile capacity has outstripped even the recent surge in sales, and overcapacity in steel, cement, and other manufacturing sectors is increasing further. In the short run, the investment boom will fuel inflation, owing to the highly resource-intensive character of growth. But overcapacity will lead inevitably to serious deflationary pressures, starting with the manufacturing and real-estate sectors.
Eventually, most likely after 2013, China will suffer a hard landing. All historical episodes of excessive investment—including East Asia in the 1990s—have ended with a financial crisis and/or a long period of slow growth. To avoid this fate, China needs to save less, reduce fixed investment, cut net exports as a share of GDP, and boost the share of consumption.
The trouble is that the reasons the Chinese save so much and consume so little are structural. It will take two decades of reforms to change the incentive to overinvest.
Read the entire article here

subset: commoncrawl


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ESI report: Vladimir and Estragon in Skopje. A fictional conversation on trust and standards and a plea on how to break a vicious circle (17 July 2014)
Macedonia is stuck. Few, if any, disagree. Macedonia is poor. There are very few jobs. It is isolated internationally. Its EU accession process has lost all credibility.
The important question, for EU ministers and Macedonian leaders, for civil society and Macedonian citizens, is: what is to be done?
ESI has been investigating different aspects of the Macedonian crisis for more than a decade. We studied the effects of deindustrialisation, from Kumanovo to Kicevo. We looked at the crisis of the countryside, from Zajas to Klechovce. We interviewed entrepreneurs, from Tetovo to Stip.
We studied Macedonia's efforts to reform. We interviewed politicians, presidents, prime ministers, mayors as well as civil servants. We studied how Macedonia implemented the Ohrid Peace Agreement, put together a credible EU accession application, and overcame European scepticism to obtain visa-free travel.
We also looked at Macedonia's fraught relations with Greece. We worked with Greek and Macedonian officials when Macedonia submitted an application for EU membership. We made concrete proposals on how to overcome the name dispute.
One decade later, we arrive at a sobering conclusion. At different times since 2000, Macedonia has surpassed expectations: in 2001, when political leaders – aided by the EU and NATO – pulled the country back from the brink of civil war; in the subsequent years, when the country's leaders accepted difficult compromises in order to maintain the implementation of the Ohrid Agreement; and again in 2009, when Macedonia emerged as the regional front-runner in implementing reforms required to achieve visa free travel to the Schengen area.
And yet, any successes or breakthroughs were never enough to put the country on a clear reform path that would overcome its poverty, isolation, polarised politics and lack of perspective. Today, in 2014, all roads appear cut off. The one thing most Macedonians (and outside observers) can agree on is that the situation is bad, that it is unlikely to get better soon, and that very little depends on what is being done by Macedonians themselves.
And so, in the past year, we decided to take another look. We returned to Kicevo and Kumanovo, Tetovo and Stip. We talked again to government and opposition, Albanians and Macedonians, journalists and think tankers, entrepreneurs and diplomats. And we drafted a paper that suggests a way forward.
Background information


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Using the Automation Integrator Guide
At www.controleng.com/integrators, the Automation Integrator Guide, a global online guide to automation system integrator talent, has more than 2300 automation system integrator listings and profiles, with information about their size by annual revenue, industries served, geographic areas served (with a record number of firms offering international service, more than 535), engineering specialties, product experience, corporate affiliations, and professional affiliations. While many system integrator expanded listings and profiles, with related expertise, appear here in print, all the listings appear online. Use the multiparameter search engine to quickly progress from "searching" to "finding" the right set of talent for the next automation project.
At www.controleng.com/SIY, the Control Engineering System Integrator Hall of Fame links to prior winners of the System Integrator of the Year Awards, including expanded information about the winners highlighted in this issue. Congratulations to Mangan Inc., Superior Controls, and Matrix Technologies, the 2012 winners. Thanks also to all the 2012 finalists for entering.
Also see article and video clips that highlight practical automation system integration advice from the winners.
At www.controleng.com/integration, the System Integration Channel, find the articles included in this Automation Integrator Guide, along with additional products and tutorials that can help with your next system integration project.
At www.controleng.com/newsletters, the System Integration newsletter is available to push system integration articles and tutorials monthly. There's no cost to sign up.
Not listed? Any automation system integrator without a listing may create one using the link at www.controleng.com/integrators. Vance VanDoren will help you with that.
Take advantage of the Control System Integrator resources and educational opportunities in this issue and through the CSIA at www.controlsys.org.
Longer version of case studies and tutorials from this issue and many others are available online, often with more images and related links. Find tutorials at www.controleng.com/tutorials and case studies under Media Library at www.controleng.com and www.plantengineering.com.
Finally, see additional online training resources at www.controleng.com/webcast and www.plantengineering.com/webcasts.
CSIA education AIG4
System Integrator of the Year Winners AIG6
2012 System Integrator of the Year Award Winners
7 steps to automation project success AIG12
7 Steps of Automation Project Success
Dancing robotic cranes AIG14
System Integration Case Study: 5,000 hp Robotic Birds
Icebreaking motion control AIG16
New Controls Help Old Icebreakers
Integrating process systems AIG19
Integrating process control systems
Front-end loading for projects AIG20
System Integration tutorial: Measure Twice, Cut Once
Networking integration for tunnel boring AIG22
Directory, profiles of Automation System Integrators AIG25 [Online, see www.controleng.com/integrators.]
Indexes begin AIG59 [Online, see www.controleng.com/integrators.]
-Mark T. Hoske, Content Manager, CFE Media, can be reached at email@example.com.
ONLINE extras
Help with U.S. FDA food regulations
New FDA regulations impact food and beverage companies
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Tuesday, December 29, 2009
Just Add Chocolate
There are no prizes for guessing this photo was taken in Hershey, Pennsylvania where the streetlamps are made in the shape of Hershey's chocolate kisses. So even my theme (illumination) comes into play! Most things are usually better with chocolate...
Monday, December 28, 2009
Black and White and Blue all over
Wednesday, December 16, 2009
Changing Palettes
Sunday, December 13, 2009
Into the pink
Saturday, December 12, 2009
Blue and white, with a dash of black
Winter has arrived here now, and snow is expected for this week.
I was inspired by this picture I took last January.
This seems to have been The Little Quilt That Didn't Want to Happen!!
You may notice that the photo has a (badly) photoshopped edge simulating a facing? Yes, well, late last night I heard my father's voice saying "Measure twice, cut once". "Yeah, yeah," I replied, "I do know how to use a rotary cutter and ruler, you know". And cut off the seam allowance. My due-to-be-faced quilt will now sport a jaunty binding when I regain my composure. In the meantime it is having to settle for a clean-up in photoshop.
I decided at the beginning of this round that I would learn from my lessons of last round.
Point 1 : no last minute rush jobs. Time to stop kidding myself that I work best under pressure. No, I don't. I just settle for less.
Point 2: no trying to be clever, fraught with meaning and significance. Just have fun.
How did I go with the Pink quilt? Point 1. FAIL FAIL FAIL. Point 2. MASSIVE SUCCESS!!!
It means NOTHING! There is NO significance!! I'm so proud.
Seriously, I did make a personal commitment that this time I would continue with my original Twelve by Twelve plan to just have fun. I intend to relish this experience a whole lot more than I perhaps did last time and to use it as a bit of relaxation time. Life has managed to become even busier this year and a regular reason to quieten things down is a very good thing.
I should probably talk about the quilt? I have a strong love of contrast in all forms but especially in colour and I immediately knew that my quilt would feature the use of pink and her complement, green. As you can see, I'm not ready to leave circles behind, either. I started with circles of pink that I appliqued to the green background fabrics, then I cut them up and sewed them together in a piecemeal fashion. The hand embroidery was especially enjoyable (partly because it made me sit on the sofa for a while!!) and I thought of Jude Hill and her wonderful spontaneous stitching as I wandered my needle hither and yon.
The placement of the circles was a bug bear from very early on in the piece because my chosen construction technique limited their positioning and I still don't like where they ended up. I tried to redress things a bit with the darker pieces of teal, but they definitely don't work for me. If I had my act together and this was a Study instead of my final piece (which it truthfully should be) I would reposition those circles. But, in the Spirit of Fun and Relaxation and Letting Go, I smattered some buttons and knots and said to myself, "Live with it, kid. Do better next time."
This quilt has genuinely taught me a lot. I feel a series coming on... or at the very least, more small abstract quilts. I'm happy to keep making quilts that, even if they don't quite work, teach me something and make my heart beat faster.
AIDS is not just a Pink issue
So, I thought and pondered and drew spider charts and wrote lists and still had too many ideas/projects and too little time. And I still, if the truth be known, was a little under-stimulated with the simple idea of one colour as a theme compared to the concept themes we had been working on. So I decided to combine three goals of mine into one:
1. To participate in Twelve by Twelve
2. To focus more on translating inspirations from other cultures, particularly African into my own work and
3. To continue to develop the social issue commentary that surprised me by coming out naturally in my earlier Twelve by Twelve work.
So, for pink, I started to look for inspiration by googling 'pink Africa'. I very soon found this fabulous bamileke headdress. ( Thanks to Africa Direct for permission to re-post the photo from their shop). I was instantly inspired which is just as well as I had only a few days to create this before we left the country.
I combined this African inspiration source with the initial musings I had with the association of pink with gay issues and of gay issues with the AIDS epidemic, particularly in the 1980's. Of course, AIDS is no longer a gay only issue ( if indeed it ever was).
At the end of 2008 22.4 million adults were living with AIDS in sub-Saharan Africa. Around 14.1 million children are AIDS orphans. Anti-retro viral drugs are not always readily available. there are issues of pricing, of distribution, of concepts of time and lack of wrist watches ( the drugs need to be taken at regular intervals), of the regular nutritious meals that need to accompany the medication and of a shortage of health care workers caused by the disease itself and the temptations of emigration.
This quilt is made with pink striped fabric sources from The African Fabric shop and originating from West Africa. I have used the pink triangle symbol often associated with the gay rights movement but inverted to its original orientation when used as a marker for homosexuals in Nazi Concentration camps. Its original symbol of potential death is further alluded to by the addition of a black triangle. I hope that the whole looks like a version of an African shield, which is what the drugs would provide against the devastating physical and societal effects of this disease.
The embellishments are not beads but pink pills as a comment on the fact that medication in Europe is so cheap it can be used as a play thing - but in Africa only 42% of people who need anti-retro virals get them. They are slippy little beggars and so they are glued on and then a cradle of stitches added. The green silk background, which is seed stitch quilted, symbolises the new lease of life drugs can give. Although the photo may not reveal it well, the black triangle is textured to mimic the inspiration piece by machining diagonal strips of black knitting tape onto black fabric.
If this topic interests you you may want to look at the quilts and website of Mary Fisher who is a UN AIDS ambassador. She has quilts also with messages on this topic but done so much better than I achieved in a hurried few days - I do not think this is my best Twelve quilt.
Petal Pink
Flowers! One of my most favorite things. I love including flowers in my art. Since pink is a common flower color, I decided to create a flower quilt. I've seen other quilts made in a similar fashion where the blocks are created, cut up and then the block parts are swapped around to create new blocks. I wanted to do that with my pink flowers.
When we first decided to create a round of quilts with colors for the theme, I entertained thoughts of creating abstract quilts. I seem to struggle with abstract designs more than figurative quilts. But for some reason I couldn't bring myself to create a pink abstract quilt. I have no idea why.
I'm not afraid of pink or find it a color that I don't like, so I don't have any problems with using this color in my work. The first image I envisioned for a pink quilt was a big eyeball all in pink, to represent pink eye. The day that Diane announced the color for our first round, was the day after my husband came home from work and said a worker on the job has pink eye. Eeeek! I like flowers much more!
Whimsy in Pink
I hope you've all enjoyed this Pink challenge as much as I have. I'm excited that we're launching a whole new set of "Colorplay" challenges -- I wonder if it was easier or harder that the theme this time was stated in one simple word? I know the color pink proved difficult (and even unpleasant) for a few of you, and I appreciate your moving forward and working with the theme anyway. That's why they call these "challenges," right?! (Hmm, just gets me thinking -- I wonder if there's a way to "illustrate" a color without using that color?)
Anyway. My personal challenge to myself is to try to stay away from literal or representational
responses in these challenges -- that's the first place my mind goes and it's hard for me to go anywhere abstract. I'm thinking that these color challenges will be a good exercise for me and I plan to force myself to do abstract responses. We'll see how that goes.
With that in mind, I set out to create something that illustrated the feelings I think pink evokes for me. I thought about softness -- no straight lines, no angles, just curves and flow. I wanted to try to convey a sense of happy whimsy, something that made me smile without thinking about why. I sketched lots of lines, and ended up with this. I never specifically thought about "ribbons" and once I got this together, it reminded me of strands of girls' hair. So there is a sense of femininity about this, which seems fitting.
My original plan was to applique the two curls (in commercial fabrics) and have the others just indicated by stitching lines. I actually did a bit of trapunto by putting double layers of batting behind the strands but not the backgrounds -- it's not really evidence in the photo but adds some slight dimension in person. However (maybe because of the mottled background?) the curls that were only defined by stitching just didn't stand out very well. Out came my trusty Neocolor crayons, and I gave them more definition.
I auditioned lots of quilting lines, and ultimately went for the overall curly look.
I am exercising great restraint, writing this up before looking at the pieces that have already been posted. I can't wait to see what you all have done!
Pretty In Pink
When Diane first picked this color to play with, I groaned a little at the thought as I don't tend to use pink much in my work. I was, however, able to overcome my despair, and turn it into an opportunity to explore something I wouldn't ordinarily have done. I rarely wear pink, I do however sometimes choose pink for my nail polish color. Last time I had a pedicure I started looking at the bottles of polish and saw all the cute names they give these colors. I wanted to use these names as a background to highlight some pink polishes, so I typed them up in the computer using different fonts, and printed it out on white background fabric on my husband's extra wide printer. I had my background, and I knew I wanted to show polish dripping down, but wasn't sure how to go about this. I ended up setting up a little stage with a white sheet background and taking several photos of spilling nail polish.
I do think that using color as our "theme" is going to be interesting and I'm looking forward to the next challange
Pink Refractions
Big Pink
Big Pink is the nickname given to the second tallest building in downtown Portland seen in this photo. The US Bancorp Tower is the second tallest skyscraper in Portland, Oregon. The windows can absorb or reflect light depending upon how much light is upon them, while the surrounding granite may appear darker or lighter than the window pieces depending upon the time of day. The building can be described as being pink, orange, purple, or even gray all in the same day. Pietro Belushi was a consulting architect and chose the windows and granite surface for their reflective properties.
This was my second attempt at portraying this. My first attempt did not have enough detail of the interesting grid that you see from the eastern side of the building. Because Big Pink is the US Bancorp building, I decided to use the money/credit card business in the details of the building. I created a thermofax screen with dollar signs and a Bancorp stock graph which I screened onto pink fabric that I had painted with metallic paints.
For the windows, I found some free clip art of a fake credit card which I changed to hot pink. I printed different sizes of the card on Lutradur that was treated with Golden's digital ground. After the Lutradur dried, I painted the cards with Golden glossy gel medium, to give them a shine.
As you can see from the photo of Big Pink, it dominates the skyline and I wanted to show that in this piece so the other buildings are done very simply in neutral colors. I also decided to make Big Pink go off the edges of the 12 inch square.
I am not thrilled and ecstatic with this piece. It is somewhat of a departure for me. I must admit that when I hung it on the wall to photograph and stood back, I actually saw Big Pink so on some level, it is successful. Attaching all those credit cards was the most difficult task of this piece. I guess it bothers me that they are not perfectly gridded, but it is what it is. Right?
St. Rose and her Pinking Shears
OK, let me explain.
I was having a hard time with the pink theme. Don't like pink. I started working on a design for a little pink house, but I did not like the design. I went to bed one night feeling anxious about my pink quilt, feeling feverish and sniffly and I didn't sleep well, but when I did sleep I had some pretty strange dreams. In one of my more vivid dreams a face from a quilt I made several years ago appeared. It was a quilt called "Patron Saint" and it was a saintly figure holding a pair of scissors. Since I love scissors, collect old scissors and think they are the best tool ever invented, I have adopted my little saint and she hangs on the wall and watches over me as I sew.
In my dream the scissor saint had come to life. She held up her scissors and said, "you know, I have pinking shears too." And, indeed, the shears in her hand were not regular scissors but pinking shears. PINKing shears—get it?? Doesn't the brain go to interesting places when we are asleep? It was, of course, my devious subconscious attempting to skirt the actual color pink and come up with a tricky device. But, once awake, my rational brain said, "No. This is a color challenge, not a word challenge." Still, having gone to all the trouble of informing my dream, I decided St. Rose (as I was now calling her) and her pinking shears deserved a place on the final piece and she would just have to be dressed in pink to make it all work. So here she is. She does look a bit pained by her pink attire, don't you think?
And just to further explain—I am not Catholic, but I have a small fascination with saints. I think it may have started when I had my tonsils out in a Catholic hospital at age 5. The nun who took care of me told me that my name was the name of her favorite saint, St. Teresa of the Roses, and that was quite a special name to possess. As an avid childhood reader I went through of phase of reading biographies of saints and sobbing through The Song of Bernadette. I love the Byzantine icon images of saints and have emulated that stylized, flat style for a lot of my work. I started calling my piece St. Rose simply because of the pink color connection. Then I Googled to discover the real St. Rose of Lima, the first saint in the new world, and was quite surprised to find that she is a patroness of embroiderers and lacemakers and supported her family as a teenager with her exquisite needlework.
Owning Pink
I take a women's kickboxing class twice a week for the fantastic workout if provides. At least half the women in class have pink boxing gloves and wrist wraps. It's not unusual to see pink T-shirts either. These are not prissy woman-girls who glow rather than sweat. They are regular women with regular jobs and they (we) pack a mean punch (and sweat a lot).
So with this piece I celebrate both the inner and outer strength of women. It's made of (pink!) leather like my kickboxing gloves, and black velvet like that other symbol of classic femininity, the little black dress. For a little added oomph, it's embellished with crystal beads, sequins and french knots ('cause I think deep down we all like a little sparkle). Pow!
Dripping in Diamonds
This quilt wanted to be a diamond, not square, but eventually I coaxed it into shape.
A rose in autumn
But almost as soon as Diane said "pink", I thought "rose", (pink in French). And an epicurean poem by Pierre de Ronsard kept coming to my mind... "Mignonne, allons voir si la rose...", where he compares the brevity of youth to the fragility of a rose.
In the meantime, I stuck to my idea of simply experimenting with colours and surface design, not willing to embark on philosophical and complicated thoughts about my age, my growing children, my wrinkles, my cute granddaughter, my emptying nest...
I held on and I started to screenprint fabric with pink and turquoise dyes. I experimented and played on the design wall with the resulting fabrics ... One of the pieces I got made me think of fading rose petals...
Then, one day I found a tiny pink rosebud in the garden. I took a few pictures, burned two screens, and decided to incorporate it into my quilt.
But you know, I just made a pink quilt. And I like it.
More detail pictures on my blog.
Pink Pencil Experiment
I found a scrap of the exact same pink fabric to which I had added handwriting and used in my Chair quilt. I loved the sheer piece with the velvet floral motif. My friend Hannah let me glean from her stash on my trip to Maine, including the pink and white floral print I used on each side. The pink pencil seemed a fun embellishment. Plus, it's linear and conveys a message of creativity.Pink is very peppy and fun. Seeing that pile of fuchsia, magenta, blush and rose on the table in my studio, I just couldn't help but get a bright, enthusiastic feeling. Don't you think? I thought I didn't really like pink. Of course, I also thought I didn't like asparagus, until I had a few spears that were grilled to perfection at Jasper's.
It's good to experiment.
Thursday, December 10, 2009
Since a lot of my work is abstract, it may have been easier for me to just yank out a bunch of my pink fabrics and put together a composition. (Ahem. That's exactly what I did.)But, I have a prediction...
I imagine that some of the other twelves will reveal quilts that are inspired by the meanings, implications and symbols associated with the color pink. I know Gerrie was working on a quilt inspired by a building known as "Big Pink." So, is that an embrace of the color or the meaning? Or both? It doesn't really matter since I think she's revised since then.
Will we see quilts about breasts or breast cancer? Will there be quilts commenting on femininity? Is someone getting a pink slip? (I hope not.) Are there some cute baby girl items being sewn on quilts? Does pink still make people ponder homosexuality?
Obviously, these ideas all run together. It's impossible to say exactly where inspiration comes from and what it means. Diane wrote a post asking about our aversions to pink and why it seems many of the Twelves grumbled a bit at the color (including me). After pondering a bit, I concluded that there are not too many colors that carry so much symbolism. (I think black is heavy also -- evil, darkness, grief, etc. And green certainly has gained a lot of symbolism lately.) Considering all the "baggage" that comes up with pink, I am so eager to see how it's represented -- or nor -- in our first reveal of the ColorPlay Series!
See you tomorrow! I'll be the one with the pink quilt.
**That picture above is my very small collection of pink fabrics. It's squeezed in with the oranges and the purples. Luckily it doesn't take much yardage to create a 12x12" art quilt.
Monday, December 7, 2009
Feeling festive AND pink
Sunday, December 6, 2009
Sing Along with the Twelves
On the 12th day of Christmas, my quilting friend gave to me:
Twelve yards of cotton...
Eleven bags of batting...
Ten Shiva paintstiks...
Nine tins of straight pins...
Eight balls of roving...
Seven pre-wound bobbins...
Six needle threaders...
Five Olfa blades!
Four spools of thread,
Three Ott lights,
Two teflon sheets,
And an idea for Twelve by Twelve!
Sing it loud and sing it proud, sisters!
The Value of Pink(s)
In the meantime, here are some photos taken in Golden Gate park before the fog rolled in.
Rose prints
I made two screens from the picture, and used them to print some of my pink fabric...
Now, I'm almost finished wih my pink quilt.
Friday, December 4, 2009
Happy in Healdsburg
Tuesday, December 1, 2009
About this pink thing...
I've been working on my "Pink" challenge piece, and reading everyone's comments about how you've been working on yours... and I can't help but notice the strong sentiments this color seems to provoke.
I selected "pink" for a couple of reasons. For one thing, I notice that it's a color a lot of people avoid and I'm not sure why. As someone said early on, it's just "light red!" So it makes me wonder -- is it that it's a pastel color, and we're bold women who tend to use bold colors? Is it that it is the stereotypical color of girlie femininity and our feminist tendencies cause us to avoid that association? Maybe it's that "pink" can be associated with cutsie and sweet, and that's not an arena we want to find ourselves in? Maybe as girls (or "women formerly known as girls") we were so over-exposed to pink in our childhoods that we avoid it now? For those of you who dislike the color pink, do you have an understanding about why? I'd be interested to know if you can articulate the reasons for your reactions.
In any event, the main factor in my choosing this was that I knew it would push almost everyone out of their comfort zones. One of the aspects I've loved about our challenges is seeing the directions people choose, and especially being surprised by someone's piece just when I think I'll be able to predict something. So I'm sorry if this challenge topic has been stressful for some -- think of it as a little bit of a tug on your comfort zone boundaries. And I know that I will encounter the same feeling as we move forward!
Speaking of comfort zones, I've decide to try to push mine in this new Colorplay circuit. You've seen how I tend to go straight for a direct and literal interpretation. I've decided to push myself this time around to work more abstractly -- no representational images allowed. (Feel free to call me on that later when I forget my little self-imposed personal challenge!) So I'm headed in a very different direction and I know it will keep me especially challenged as we move forward.
I'm looking forward to December 12!


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SAINT-PAUL (Small) - Noir
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Adjustable shoulder straps
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Moore, McKibben, Goodman, & Lorenz, LLP. was founded in 1885 by B.F. Cummings. He was joined in the practice in 1896 by Gilbert Mote. The office obtained its first telephone in the year 1900. Over the years, the firm has been known as Cummings & Mote; Mote & Wilson; Mote, Wilson & Welp; Welp, Harrison, Brennecke & Moore; and its current name Moore, McKibben, Goodman, Lorenz...
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A man and woman were arrested Monday evening on charges they were having sex in public.
Deputy Gary Denham was dispatched to the DMV office just after 5 p.m. where the reporting party pointed out a man on top of a woman in the grassy area between DMV and Office Depot.
According to Denham's arrest report: "I walked to where the two subjects were having sex and stood behind them … before announcing, 'Is this the best place for you two to have sex?'"
The 28-year-old Carson City man and 44-year-old Carson City woman share an address on Desatoya Drive in Carson City.
The woman, according to the police report, told the deputy simply, "A man has needs."
The two were charged with sex acts in public, a felony under Nevada law, and ordered held in lieu of $7,500 apiece.


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Can anyone point me to supplier(s) of rebated steel swords for the period (European/North American 1710-1810), I'm looking for off the shelf and ideally inexpensive.
Come from a vike/medieval background, and I'm not even certain what I should be looking for to get us started. We are aiming for military edged combat rather than dueling in and around the period (specifics are French colonial marine 1720's & locally raised irregular militia 1815) we can live with a bit of plausible anachronism and lower-end reproductions (a plausible earlier re-used sword or a job lot of plain naval surplus will do for starters). Start-up costs are a bit of a concern (or I would just go custom from Armour Class or Paul Binns) as this is the first foray into this kind of thing for a lot of the participants.
Rebated swords
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Rebated swords
Beware of dragons, for you are crunchy and good with ketchup.
Beware of dragons, for you are crunchy and good with ketchup.
Re: Rebated swords
AC do a nice generic 'dragoon sword' and a Brit RN Cutlass with a plain guard (dragoon sword is on their website..the cutlass isn't).
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Shares in Indian outsourcer Infosys soar on outlook
Indian IT outsourcer Infosys on Friday reported a stronger-than-expected quarterly profit and gave an improved outlook for annual revenues, sending its shares soaring.
Consolidated net profit for the Nasdaq-listed firm was flat at 23.69 billion rupees ($430 million) in the October-to-December quarter, against 23.7 billion rupees a year earlier.
Analysts had expected Infosys to post a lower 21 billion rupee profit.
The firm's shares jumped 13.88 percent to 2,642.4 rupees after the firm raised its forecast for full-year revenues in the fiscal year to March 2013, to at least $7.45 billion.
Rivals Tata Consultancy Services (TCS), Wipro and Mahindra Satyam also rose about three percent each on optimism over earnings growth.
Analysts were surprised by the positive data from Infosys, which has been struggling to expand its business and has missed sales targets, lost market share and seen stocks slide as revenues from the United States lag.
"Infosys' results signal a turn in trajectory in revenue growth," said Bhuvnesh Singh of Barclays Capital.
He said the December figure and the full-year outlook "now implies a narrowing of the growth gap versus TCS," Singh said.
Infosys top brass also expressed confidence. "We have done well in the quarter despite an uncertain environment," said chief executive S.D. Shibulal in a company statement.
"We continue to gain confidence from a strong pipeline of large deals. However, the broader economic environment remains difficult."
Revenues rose 12 percent to 104.2 billion rupees for the third quarter.
Infosys said it has completed the $350 million acquisition of Zurich-based consulting firm Lodestone, which it announced in September.
Lodestone is likely to contribute $104 million to its full-year revenues, Infosys said Friday. The Swiss firm would add more than 200 clients across industries to Infosys' client base.
In the last quarter, Infosys said it bagged eight new outsourcing deals, added 53 news clients and a net 977 employees to its staff.
Infosys, which last week denied a newspaper report that it was planning to sack nearly 5,000 "non-performing" employees, now has a total staff strength of 155,629.
Most of India's IT outsourcing firms have said the outlook for the industry remains difficult because of uncertainty in the key US and European markets.
Explore further
(c) 2013 AFP


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Friday Roundup: Legend, Regis Jesuit clinch top Continental baseball spots
The 2012 Class 5A Continental League baseball champion will be either Legend or Regis Jesuit.
The two continued to set the pace on Friday with victories as Colorado heads into its final week of regular season play after today.
Legend beat Rock Canyon 4-0 and Regis Jesuit slipped past Mountain Vista 4-3.


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During the 2013 Bridgestone World Solar Challenge in Australia, 38 solar-powered vehicles from 22 countries participated in a grueling 3,000-kilometer timed race. The technical and logistical challenges for this student competition are almost insurmountable; they require a truly dedicated team of individuals to make it a reality.
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This year I hit upon the Farmer's Market and started the Farmer's Market series. I made my own applesauce, jams and jellies and even canned sauces for the dreary winter. I am yet to post them... will do as I open them one by one.
For the new year it is our hope to do more of the same. Hopefully we will continue to make simple and quick dinners and lunches, indulging our tastes, learning new recipes and making healthy food. We also hope to do more with off-the-beaten-path recipes and themes (like the Thanjavur marathi series).
Thank you everyone for your encouragement and continued support.
Wishing everyone - family, friends, fellow bloggers, and readers - a
safe, healthy, auspicious and happy new year.
safe, healthy, auspicious and happy new year.


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Invented by Otto Bayer in 1937, Polyurethane (PUR) foam is an extremely common material, especially in our cars (bumpers, dashboards, seats, etc.) and in our homes (as insulating material for walls, pipes and refrigerators). PUR is produced by mixing alcohol and isocyanates. The resulting reaction generates gas bubbles which become trapped in the curing compound.
Pre-formed foam plastics are produced by casting processes, where the reactants are mixed just before they enter the mould. When foaming large structures, the curing process may start while the reactants are still being fed into the form, which can result in poor product quality with undesirable voids. To ensure successful filling, both the filling and foaming processes must therefore be optimized together.
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Tulsa University AD Under Gambling Investigation (Nov 27, 2012)
TULSA, Okla. (AP) - Tulsa athletic director Ross Parmley has been placed on leave as the school investigates gambling allegations.
University President Steadman Upham issued a brief statement Tuesday saying Parmley will be on paid administrative leave during the investigation. Upham didn't offer details about whether the allegations involved sports betting or other forms of gambling.
Upham says the university's executive vice president, Kevan Buck, will be the acting athletic director while Parmley is on leave.
The 39-year-old Parmley was hired at Tulsa in January after serving three months as interim AD. He previously served as Tulsa's director of football operations and assistant athletic director for football, according to the school's athletic department website.
His attorney says Parmley is cooperating with investigators.
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Elegant, slender duck with long neck and tail. Males have a chocolate brown head with a white slash coming up the neck, white breast, and mostly gray body. Females are patterned light brown. Forages in wetlands and in fields on agricultural waste grains.
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Maine bill would allow net fishermen to keep lobsters
AUGUSTA, Maine (AP) � A large turnout is likely Monday when a legislative committee holds a public hearing on a proposed law to allow fishermen to keep lobsters they inadvertently snag in their nets in offshore waters and bring them to Portland.
It's now illegal for boats that go after cod, haddock and other groundfish to bring their lobster by-catch to shore in Maine, although it's legal to do so in Massachusetts.
Bill supporters say allowing fishermen to keep lobsters would bring more fishing boats to Portland and help maintain port businesses that serve the fishing industry.
Similar bills in past years have been defeated in the face of strong opposition from lobstermen. Lobstermen say giving net fishermen a few lobsters isn't going to save Maine's fishing fleet.


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The attorney for Chris Brown talked Friday about the assault with a deadly weapon investigation that led to the singer's arrest and witness accounts that he said do not corroborate the accusations against his client.
The 15-minute news conference with attorney Mark Geragos marked the first time he spoke publicly about the accusations.
Brown was arrested Tuesday afternoon following a standoff with police at his Southern California mansion that began when officers responded to a 911 call for help from the woman. Officers first responded to Brown's property around 3 a.m.
Local news from across Southern California
The "Deuces" and "Look At Me Now" singer was released from jail after posting $250,000 bail.
Police did not identify the woman who called, provide details on the assistance she needed or say whether she was injured. Model Baylee Curran told "Extra" that she called 911 after Brown pulled a gun on her when she was visiting his Tarzana home.
Curran told "Extra" she was admiring some jewelry when Brown confronted her and brandished the gun. She then left the home, hid under a nearby vehicle and called police, Curran told "Extra."
Several people were at the home during the night of the 911 report, police said. Geragos said none of the witnesses his team has interviewed supported the account of the accuser.
"I know that some people find it hard to believe, that in this day and age people may lie for certain ulterior motives," Geragos said. "But it is interesting to me that when somebody has a incident that supposedly you are frightened to death and you're scared, that the first place you go is to TMZ, as opposed to the hospital, your psychiatrist or maybe even your lawyer. So I think that speaks volumes."
He said Los Angeles police made a thorough search of Brown's home, and no guns or drugs were found. He also said police did not find any jewelry matching the description of a bauble that Curran claimed she was admiring when she was ordered out of the house.
"She described with great detail what this piece of jewelry was," he said. "... Nothing was found that corroborated her statement."
Geragos also said he is working to authenticate a purported text message the woman allegedly sent, in which she admits she wanted to set the singer up.
Before Geragos arrived at the Tarzana home, Brown stayed inside his house as police waited outside for a search warrant. He posted messages on social media proclaiming his innocence and denying he barricaded himself in his "palace."
"Y'all gonna stop playing with me like I'm the villain out here, like I'm going crazy," he said in one Instagram video, waving a cigarette and looking at the camera. "When you get the warrant or whatever you need to do, you're going to walk right up in here and you're going to see nothing. You idiots."
Geragos, who has represented other famous clients, including pop star Michael Jackson and actress Winona Ryder, arrived before police served the warrant and stayed on the property until Brown was transported for booking.
"Thanks to everyone for their support and well wishes. Chris is out and well. The allegations against him are demonstrably false," Geragos posted on Twitter after the singer posted bail.
The standoff and media attention it received produced a chaotic scene in a typically quiet neighborhood as police closed off streets and rerouted traffic.
His arraignment was tentatively set for Sept. 20.
It was the latest run-in with the law for the Grammy-winning Brown, who has been in repeated legal trouble since his felony conviction in the 2009 assault of his then-girlfriend, Rihanna, ahead of the Grammys. He completed his probation last year in that case.
Besides the assault case involving Rihanna, Brown was charged with misdemeanor assault for striking a man outside a Washington, D.C., hotel in 2013. The singer was ordered into rehab then dismissed from the facility for violating its rules.
Brown spent 2 1/2 months in custody, with U.S. marshals shuttling him between Los Angeles and the nation's capital for court hearings.
The entertainer also was accused of throwing a brick at his mother's car following a counseling session. It came after Brown completed court-ordered anger management classes.
Brown's first single "Run It!" topped the charts in 2005. Since then, the singer and rapper has had a number of hit songs, including "Loyal" and "Kiss Kiss." He has also been a featured performer on several hits, such as Jordin Sparks' "No Air."
Brown released a new song a day after he was arrested called "What Would You Do?" on his Soundcloud page. It was not clear when Brown recorded the song. It includes the lyrics, "What do you do, fighting for your life when no one's on your side? I can't stand to lose you, see you're in too deep with nowhere to hide."


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Happy New Year!
There's no doubt that FinFET technologies have been very appealing. With FinFETs being up to 37% faster while using less than half the dynamic power than planar transistors, they have been a 'no brainer' to adopt and the industry has embraced them. To that extent, in a recent survey of Synopsys users, more than a third of those who responded plan to use FinFET technologies on their next chip.
Since its introduction, the technology has been rapidly evolving. Take TSMC, for example.
TSMC's 16FF+ (FinFET Plus) technology features FinFET transistors with a third-generation High-k/Metal Gate process, a fifth generation of transistor strain process, and advanced 193nm lithography.
As a result, this latest 16nm technology offers substantial power reduction for the same chip performance. Now foundries are pushing even lower into 10nm and even 7nm process geometries.
In previous blog posts I outlined some of the many challenges that the first generation of FinFET technologies introduced into the custom layout flow. Many of you will be hitting these issues for the first time as 16nm and 14nm technologies move into the mainstream. For those moving beyond the 16/14nm generation, there is trouble ahead as a whole new set of issues must be overcome.
For nodes below 16/14nm we see new challenges related to design rules, layout effort, variation and analog/digital co-design. So over the next few weeks I will unfold the gory details of these emerging challenges.
Here's hoping 2017 is a productive year for us all as we meet our challenges head-on!


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Electric drag racing has advanced far enough for battery-powered vehicles to put serious times on the boards, but it's been much rarer to hear what one sounds like on a dyno. This one, being built for a record run, is twisting 2,000 ft-lb of torque at its wheels.
Caught by a dnyo shop worker who was amazed at the live wires and strange noise from the run, the Camaro-based dragster only made a couple of dyno attempts before its batteries malfunctioned, one of the side dangers of using electrons for speed. We can see from the video that this is the same Camaro shown in another clip below crashing at a drag strip after some apparent trouble managing all that rotational motion.
Pioneers, O pioneers.


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Cedar City's Best Lodging Choice
Abbey Inn of Cedar City, Utah is the ideal headquarters for your visit to Utah's Color Country. Six national parks and some of the world's most beautiful scenery are accessible by the major highways that intersect Cedar City. With a short drive you can visit Zion, Bryce Canyon, Grand Canyon North Rim, Capitol Reef, Great Basin National Parks, Cedar Breaks National Monument and Lake Powell.
The Abbey Inn of Cedar City is a vacation in itself with elegant and comfortable rooms, wonderful amenities and a FREE FULL HOT BREAKFAST. You can relax in your tastefully decorated room with Luxurious Euro Top King or Queen Beds. Your room will have its own refrigerator, microwave, 42 inch Flat Screen TV and access to free high speed wireless internet.
The Abbey Inn is easily accessible from Interstate 15, one block east at exit #59. Nearby attractions such as the Utah Shakespeare Festival and Southern Utah University are just a leisurely stroll away. You are only 35 miles from excellent skiing or mountain biking at Brian Head Ski & Summer Resort with a restaurant on premises and eight others close by, it's easy to find just the right dining experience.
Abbey Inn hotel located in Cedar City, Utah proudly offers 83 new luxurious rooms & suites each complete with cable satellite television and free high-speed Internet access. Luxury suites with spa are also available. Guests will wake each morning to a complimentary full hot breakfast buffet. Additional amenities include an indoor swimming pool, jacuzzi and fully equipped exercise facility.
Abbey Inn of Cedar City is close to a variety of Summer and Winter activities including golfing, hiking, mountain biking and fishing. Home to the world renowned Utah Shakespeare Festival, the Utah Summer Games and the American Folk Ballet, Cedar City is truly a "Festival City." These events and dozens more like them throughout the year offer a metropolitan lifestyle in this small town setting.
For superior customer service and a convenient location in Cedar City, make a reservation at this Utah hotel today. The Cedar City Tourism provides information about all the things you can do in Cedar City, Utah!


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Posted to MedZilla on 2/11/2020
US-VA, Sales Specialist- Dermatology- Richmond, VA (West)
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Job ID
Posting Title
Sales Specialist- Dermatology- Richmond, VA (West)
Business Unit
Work Location
Richmond, VA
Company/Legal Entity
Novartis Pharmaceuticals
Functional Area
Therapeutic/Disease Area
Immunology & Dermatology
Job Type
Full Time
Employment Type
Job Description
Position is located in the Richmond (West), VA area including:
Charlottesville, Lynchburg, Harrisonburg, Staunton and Petersburg, VA.
To drive disease awareness, initiation and usage of Novartis dermatology products; to achieve targets for sales performance and market share.
To develop effective business relationships with customers (physicians, treating staff and other stakeholders) that support delivery of business results.
To initiate or support programs that make a difference to the life of the psoriasis patient.
The Dermatology Sales Specialist will represent and promote Novartis as a leader in the Dermatology community and marketplace.
Assure access and distribution available to healthcare providers and patients within all compliance guidelines. Also will provide disease state awareness education.
Incumbents will be responsible for covering a large territory and will focus on a defined target list of physicians/practitioner within the territory.
Focus on the total office call, to assure the needs of all stakeholders are met within compliance guidelines including: Nurses and Office Managers, among others. Another component of this role includes activities such as opinion leader development within territory.
The Sales Specialist must be able to develop relationships and maintain an active presence in the Dermatology community and associated organizations.
Business ownership: Disease awareness with key customers Strong selling skills to support paradigm shift & biologic use Partner with office staff to set up protocol to identify appropriate patients Supports treatment initiation logistics (TB testing, pre-certification, etc.)
Educate on Prior Authorization process and payor restrictions Work with office manager to begin administration process and coordinate with BRMs.
Assists development of local sites of care Collaborates with Nurse Educators, Reimbursement Specialists and other commercial roles.
Facilitate referral networks to support patient access, consistent with company policies and guidelines.
Account Selling: Identifies key influencers within a group practice and sphere of influence heavy focus on total office call to assure key stakeholder engagement Must develop strong knowledge of treatment algorithm and business dynamics within accounts to address customer needs .
Create business opportunities in a competitive environment, consistent with company policies and guidelines.
Key Performance Indicators:
Consistent with company policies and guidelines: Development of high quality and impactful territory business plan Territory sales performance vs. expectations outlined in plan
Successfully complete all training and pre-certification requirements .
Successful implementation of compliant and medically-relevant programs with positive customer response.
EEO Statement
The Novartis Group of Companies are Equal Opportunity Employers and take pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.
Minimum requirements
Bachelor s degree Preferred Qualifications Study in Life Sciences, Pharmacy or Business related discipline.
Three (3) years of successful pharmaceutical sales experience or two (2) years successful experience selling Dermatology pharmaceutical products
Previous dermatology selling experience or experience selling biologic/specialty product(s) with a complex distribution pathway (specialty pharmacy, reimbursement specialists, buy and bill etc.)
Strong business background including Integrity with a will to win ability to manage complexity interpersonal communication organization & prioritization presentation skills decision making tactical execution computer literacy
Comply with all credentialing requirements for any healthcare institution (e.g., hospital) which is part of the field associate s call plan, including, among other things, routine background checks, medical testing (i.e., Tuberculosis test) or proof of immunizations, training on facility policies, and adherence to confidentiality and/or HIPAA agreements.
Preferred Qualifications Previous biologic sales experience
Budget Management and Sales responsibilities are a component of this position Financial Responsibility
Position will be main contact with targeted customers and will be an integral part in driving the success of the franchise.
Position will be filled commensurate with experience.
Please visit our website at www.novartis.com
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As recession deepens, IT transformation best tackled in chunks
Transformative IT will enable companies to emerge from the recession ready to compete, gurus say. But big projects, it seems, are best taken in chunks these days.
In 2005, CUNA Mutual Group began a massive effort to transform business processes to boost profitability. The Madison, Wis.-based organization provides insurance and other financial services to credit unions and their members. The move was not wildly popular with many of the organization's 4,700 employees. CUNA, after all, was a giant in the credit union insurance industry, with 95% market share.
"I had a lot of people say, 'Why -- and why don't you go back to California?'" said CEO Jeff Post, who with CUNA CIO Rick Roy spoke about the IT transformation project at the recent Fusion 2009 CEO-CIO Symposium in Madison, Wis.
In fact, change was a four-letter word at the 75-year-old provider, known locally as the country club of Madison, said Post, former CEO of the Novato, Calif.-based Fireman's Fund and a Wisconsin native brought in to lead the transformation. But change was needed. CUNA's approximately $3 billion in annual revenue was spread across 52 product lines. Return on equity was about half what it needed to be, and CUNA's vaunted market share was slipping at the largest credit unions. The provider needed to reduce the cost of how it did business, Post said, a transformation that "at the end of the day [was] about technology." He pulled Roy out of IT to oversee operations and services for the duration of the project.
Three years later -- and light years from the smug corporate culture of 2005 -- CUNA Mutual has doubled profitability, driven an additional $700 million in benefits to customers and made the insurance provider, formed in the Great Depression to persuade Americans to save again, a more agile enterprise. As it turned out, the IT transformation came just in time.
"If we hadn't done it, CUNA probably wouldn't be here," Post said. In the current economic climate, "capital is king."
Think short-term IT projects with quick cash returns
In tough times, tough-minded CIOs and their bosses should be thinking about transformative information technology. Not newfangled technology, mind you, or nice-to-have gadgets, but IT architecture and governance that will prepare your organization to emerge as a lean, clean, well-oiled IT business machine when the recession ends. That was one of the themes of the Fusion 2009 conference, where CIOs and CEOs meet annually for serious discussions about the challenges of making IT a partner of the business.
But the coda of the two IT-enabled corporate transformations featured at the conference -- CUNA's marathon effort to boost profitability and a massive business process and IT re-engineering project at Rockwell Automation Inc. -- suggest that if you didn't start transforming a few years ago, you're probably not going to start now.
In this climate, it seems big multiyear, IT-driven changes (of your own making, anyway) might best be tackled in chunks, one short-term project at a time.
CUNA IT has a new rule, said CIO Roy: "If you have a project of more than six months, you've got a lot of explaining to do."
Rather than talk about ROI -- year-five benefits ring hollow in an economy this volatile -- you're better off focusing on projects that can add cash.
That advice was underscored by data presented at the conference by Jorge Lopez, vice president and distinguished analyst at Stamford, Conn.-based consultancy Gartner Inc. Lopez spoke about the top concerns for CEOs in 2009.
According to Gartner's latest survey of more than 1,000 CEOs, cutting operating costs was cited by 68% of respondents as their top concern. The survey also showed that CEOs harbor a love/hate view of IT's value in the economic crash: IT ties with product enhancement as the company function "most prized" by 48% of CEOs for surviving this recession.
But 60% of CEOs also said that IT is one of the top constraints of change, after corporate culture. Any IT projects should be cast in terms of how much money will accrue to the top or bottom line. And if IT has any notions about working on innovative stuff, Lopez's advice was to "hide it" -- "move it to skunkworks and keep it secret."
IT transformation includes embracing global processes -- and skills of IT staff
Indeed, it is hard to imagine taking on (or financing) the kind of fundamental organizational change still under way at Rockwell Automation, an industrial automation company that makes products like motor starters, signaling devices and factory management software. With annual sales of $5 billion, 20,000 employees and business in 80 countries, Rockwell aims to be a low-cost, quality supplier and needed to move away from regional- and country-centric business processes.
If you have a project of more than six months, you've got a lot of explaining to do.
Rick Roy, CIO, CUNA Mutual Group
As narrated by CIO Mike Jackson, the five-year IT transformation project now nearing completion is ambitious, both in scope -- the replacement of 700 legacy systems to create global processes -- and the employment conditions set by Jackson: to minimize outside consultants and maximize the IT skills of its 600 staffers.
"We wanted to be in on the project," Jackson said, "and we wanted to embed the transformation in the company."
The staffing strategy included forming an internal IT and business group selected to launch the project. Another IT group is keeping the legacy systems going during the transition; as the project progresses, more IT staffers are transitioning to the new systems.
Moreover, Jackson made good on a promise to find jobs for the 20 or so qualified people on the 35-year-old systems who opted not to be retrained on the new systems. Jackson found a partner company in the Milwaukee area with other customers for these systems, who agreed to take on these IT people at their current salaries and commensurate benefits, assuming good performance.
"It's been a great success story: They're here, and when those systems die, they'll move on and be working on other projects."
The hidden potholes of the IT transformation effort
Whether that kind of accommodation could be baked into a big project today is doubtful. But one aspect of Jackson's journey might help CIOs as their IT departments strive to do more with less.
As Rockwell moved aggressively to cut costs as the implementation progressed, IT morale eroded. "We had a real wake-up call," he said. Enthusiasm for the project was going down fast, faster than at the company at large.
"It was a lot of fear -- fear about the future of IT, fear about their own futures. There was also a lot of change fatigue. Three years grinding away, taking resources away, the legacy systems are still here, and the nature of the work -- there was no development anymore, no innovative work."
Jackson's response was to "go back to basics."
"Lo and behold, it was about managing people well," he said. The department started doing more career planning; Jackson himself serves as a mentor. There are lunches every week. He also looked into workload balancing, and demand and service levels. And most important, he made sure employees were in the loop.
"We clarified the future of IT and communicated where we are and where we are going," he said.
Let us know what you think about the story; email Linda Tucci, Senior News Writer.


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Based on last week's, 'A Quick Nine,' feature, we know what it is that you want to receive this holiday season on the golf front. Hopefully, your loved ones and Santa took notice as well.
This week, we'd like to put the shoe on the other foot - it is, after all, the season of giving. Here's the question we posed to our PGA.com Facebook fans: What gift would you give your favorite golfer (can be family, friend or Tour pro)?
Let's see what you had to say:
1. A way to pick up the pace. Everyone gets frustrated by slow play, right? Here's a suggestion to help you play a little faster.
Facebook fan quote:
"I'm getting my golf buddy (my wife) an electric cart... so she can play a little faster!!!" -- Brad Peterson
2. A variety of gifts for some pros. Many of you, kindly, had well wishes for the best players in the world. There are more to come, but this was a nice start.
Facebook fan quotes:
"I would love to give Christina Kim a big hug and then ask her for a round of golf." -- Alvin LaMarr Forte
"I would give Tommy 'Two Gloves' Gainey his first PGA Tour Victory in 2011 -- any venue would do -- love the home-grown swing and down home attitude." -- Chuck Hilliard
"I'd give Alexi Thompson the LPGA Tour card she more than deserves." -- Marcii Burde
"I would give Phil the ability to become No. 1." -- Brenda Bonner Manning
3. A golf trip or membership. I must say, I wish I was on the holiday gift list for the first two entries below. That's a trip of a lifetime.
Facebook fan quotes:
"Give my son (16) a trip to St. Andrews ... His dream." -- Bruce Olson
"Well, one week Scotland golf vacation." -- Mina Wüthrichm
"A week at First Tee, to share with our kids. Great experience for any golfer." -- Jamie Rock
"I would give my kids memberships at the local course! Green fees for kids that love to play and are getting good become a burden for those that play all the time." -- Anthony Prohaska
4. New equipment, tool or gadget. You can't really go wrong here. Nothing makes an adult who loves golf happier than receiving a beautiful, shiny, new golf anything that gives them hope of improving.
Facebook fan quotes:
"I drew my brother for secret Santa. When he's not working he plays golf so I'll be giving him golf-related items. Not sure what yet. Have to head over to Golf Galaxy and see what they have. But Titleist ProV's are always welcome." -- Dawn O'Day Foster
"I am giving a bunch of Callaway golf balls!" -- John Steinberg
"Callaway Tour balls. PLUS lessons from a pro-a series of them to improve all aspects of the game." -- Jon Stadler
"Well since my daughter plays golf on her High School Team I would say new clubs, balls or golf shoes." -- Jennifer Keep-Cortright
"Would give my son some metal woods before he kills someone with those old persimmons!" -- Tom Wells
"Um, the tour pros already get enough stuff free, they really do not need me to give them a gift. But i would like to set my kids and parents up with new gear." -- Adam King
"I'd give most of the people I play with, the gift of lessons to improve their games." -- Howard P. Curtis
"Found a great deal on a lavender (colored) accented stand bag for my wife, which she's been pining for for the entire season. She can't walk even nine, but hates it when the bag falls over while transferring from the trunk to the cart." -- Charles Williams
5. The gift of hope… as it relates to one's game. Hey, it's not just equipment and spanking new technology that improves your game.
Facebook fan quotes:
"I would like to give my father a short game! And my brother a better attitude!" -- Evett Pat
"I would like to give my son, the PGA golf pro, an opportunity to play a round of golf with his family on Christmas Day!" -- Donna Sorrentino Smith
6. A major championship. Whether it's a win for your favorite player in a specific major championship, or tickets to watch a major (or all four of them), our Facebook fans are feeling awfully generous.
Facebook fan quotes:
"A U.S. Open for Lefty!" -- Alan Larson
"I have two wishes for my two favorite golfers, Bernhard Langer and Seve Ballesteros. My wish for Mr. Langer is for him to win The Masters once more and for me to be able to be there. My wish for Mr. Ballesteros is for him to keep getting better everyday and one day will be able to come to Georgia for The Masters just to watch, relax, and have fun with all the players. Merry Christmas to Mr.Langer and Mr. Ballesteros and their Families." -- Holly R. Buckles
"Tickets to all four majors." -- Bryan Hillman
"I'd give my good friend Billy Mayfair his first major... Congrats on Q School, now get that major we always talked about!" -- Gary Gentile
7. Health. If only it were as easy to give it as it is to say that one-syllable word. Nevertheless, "health," is on the mind of many of you this holiday season and who could possibly argue with that?
Facebook fan quotes:
"I'd give my friend Eddie a new leg. He's the biggest golf nut I know, and plays year round, even in sub-freezing temps, as long as the course is open. But his leg was badly crushed in a construction accident (he's an iron worker) and they told him it could be 18-24 months before he'll be back to "almost normal." I know not being able to play, even though it's December, is killing him." -- Howard P. Curtis
"To Fred Couples, I would give a healthy back and four more majors." -- Blaine Meller
"If I could, I'd give Phil a family full of 100 percent health! No more issues with his health, his wife's, or mom's. God bless them all." -- Larry Vickrey
"A body that works so he could golf again." -- Bonnie Hord Airhart
"I'd wish for my husband's back to get better so he can enjoy golf again, along with the other sports he loves." -- Dana Mullady McKinney
8. Quit you're complaining! Below, Sandy Abbott offers up arguably the greatest gift of all for your favorite golf buddy.
Facebook fan quotes:
"I'd give my husband an eye exam so every time he tees off he doesn't say, 'Did you see where that one went?'" -- Sandy Abbott
9. Need a caddie? This is the simplest, arguably most special gift of all. How about caddying for your favorite golf buddy. It will cost you nothing, they'll feel like a pro and you'll spend some invaluable time together.
Facebook fan quote:
"I would caddie for them." -- Jake Brown
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This Professor Can Write!
With New England White, another whodunit among the copper-toned rich and famous, he has really hit his stride as a novelist, having excised the excess verbiage which some say marked The Emperor of Ocean Park.
Book Review
When Lawrence Otis Graham published "Our Kind of People: Inside
America's Black Upper Class" in 2000, many folks, for the first time,
became aware of the existence of a long-established Black elite in this
Graham found himself ostensibly ostracized by fellow members of that
snobbish set for not only having outed them by name, but for having
shared such family secrets such as where they live and vacation, what
exclusive organizations they belong to, and where they send their kids
to school and summer camp.
While that encyclopedic expose' was certainly an informative Who's Who,
it failed to give you much of a feeling for the mindset of the Black
bourgeoisie. Fortunately, Stephen L. Carter filled that void a few
years later, when he wrote The Emperor of Ocean Park, a murder mystery
which unfolded on Martha's Vineyard, one of the aforementioned oases
frequented by the African-American aristocracy.
Carter, a Professor of Law at Yale University, is also the author of
seven nonfiction books, including the very thought-provoking
Reflections of an Affirmative Action Baby, The Culture of Disbelief,
and God's Name in Vain.
With New England White, another whodunit among the copper-toned rich
and famous, he has really hit his stride as a novelist, having excised
the excess verbiage which some say marked The Emperor of Ocean Park.
That doesn't mean he won't still occasionally slip in some SAT
vocabulary (such as "abstemiousness," "sinecure," "dandling,"
"soteriology," and "garrulous") likely to have you reaching for the
dictionary, but simply that this crime caper is definitely more of an
absorbing page-turner. Of far more significance, however, is the
plausible picture Professor Carter paints of the Black upper class, a
group which the mainstream culture has historically demeaned as boorish
buffoons, from Kingfish "Holy mackerel!" Stevens to Judge Pigmeat
"Order in the court!" Markham to George "Movin' on up!" Jefferson to
just about the entire cast of Soul Plane, a despicable movie about a
mythical Black airline company.
You won't find any such insulting throwbacks in New England White, but
rather sophisticated and intelligent collection of accomplished
individuals. The tawdry tale takes place at an Ivy League school and
revolves around administrators Julia and Lemaster Carlyle, a very
powerful couple who were merely minor characters in The Emperor of
Ocean Park .
Needless to say, the plot thickens early on, soon after the Carlyles
stumble upon the body of an economics professor who just happens to be
an ex-lover of Julia's. I'll have to leave it here, since I would be
doing my
readers a disservice to divulge a word more of this delectable yarn best savored slowly over the summer.
Suffice to say that New England White is heartily recommended,
especially for avid fans of the mystery genre or for anyone curious
about how that other half of African-Americana lives.
Book Details: New England White. by Stephen L. Carter. Alfred A. Knopf
Hardcover, $26.95. 572 pages. ISBN: 978-0-375-41362-9
To subscribe to or advertise in New
York's leading Pan African weekly investigative newspaper, please call
(212) 481-7745 or send a note to firstname.lastname@example.com
"Speaking Truth To Empower.
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As a freshman attending Addanac City University, Audrey has grown to become a close friend of fellow student, Travis.
So far, she's been a good sounding board and source of advice for him whenever he's concocting one of his hopeless plans. Will they ever be more than friends? Hey, ya never know.
Comics: 28Recent Appearance: Relation-Shipped OutFirst Appearance: Daily Double~ Teachin' & Tweetin'
As a transfer student at Addanac City University, Travis gets to observe many of the citizens of Addanac City from an outsider's perspective. His hometown is certainly nothing like this place. Travis' favorite pastime is searching for his perfect soulmate, but so far, his luck has been less than great. Will Travis ever graduate and meet the woman of his dreams? Well, that remains to be seen....
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Fiat names SKF best quality supplier with Fiat Qualitas Award
2013 November 21, 13:00 CET
Gothenburg, Sweden, 21 November, 2013: SKF received the prestigious Fiat Qualitas Award as the best quality supplier. The Fiat Qualitas Award is given to Fiat's best suppliers and recognizes companies for their outstanding contribution to improved vehicle value.
Tryggve Sthen, President SKF Automotive says, "This is a highly prestigious award. It is truly inspiring and proves that we deliver the right value. Our cooperation goes back over 100 years and is based on trust and shared experiences. In addition to this award, another proof of our strong partnership is the recent agreement to supply products for Fiats new X-UV platform."
SKF was recently nominated to supply the SKF wheel hub bearing units (HBU) for the front and rear wheels for four different models of Fiat and Jeep on the new X-UV platform. The agreements combined are expected to amount to approximately SEK 1 billion.
With the quality award and business agreements, Fiat recognizes SKF's expertise to develop solutions with the optimized performance and quality needed for each vehicle model. Another appreciated key factor is SKF's local presence and support in both engineering and manufacturing with a strong global footprint. These characteristics are the basis for this cooperation's continued growth and to develop both innovative and energy efficient solutions.
Production of the HBUs will start end of 2014 from SKF's factory in Airasca, Italy, and in 2016 extended to also include SKF's factory in Cajamar, Brazil.
Aktiebolaget SKF
SKF is a leading global supplier of bearings, seals, mechatronics, lubrication systems, and services which include technical support, maintenance and reliability services, engineering consulting and training. SKF is represented in more than 130 countries and has around 15,000 distributor locations worldwide. Annual sales in 2012 were SEK 64,575 million and the number of employees was 46,775. www.skf.com
® SKF is a registered trademark of the SKF Group.
™ BeyondZero is a trademark of the SKF Group.