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30 juni, 2009
Zodra ik op internet mijzelf bekend maak bij bijvoorbeeld Delta Airlines, KLM, filmshops, boekensites of een hotelketen krijg ik ongevraagd nieuwsbrieven.
Ik denk dat ik inmiddels vijftig gebruikersnamen en wachtwoorden heb opgeslagen op een USB'tje. Een noodzakelijk kwaad.
Hetzelfde geldt voor pasjes, spaarkaarten en pincodes.
Niet dat ik seniel ben, maar zo nu en dan word ik er daas van.
Terug naar de hinderlijke nieuwsbrieven.
Als voorbeeld geef ik de - door mij al eerder verfoeide - KLM.
De Flying Blue-site verwelkomt me hartelijk. Daarna ga ik naar mijn eigen profiel en geef daarin aan dat ik GEEN nieuwsbrief wens te ontvangen.
Vervolgens log ik uit en verlaat de KLM website.
Daarna zoek ik de site weer op en log in met de gegevens van manlief. Want ook hij wordt belaagd door ongewenste blauwe post (komt op mijn adres aan).
Ik herhaal de procedure.
Een maand later.
Ja hoor, daar is ie weer.......................de nieuwsbrief.
Tot mijn boze verbazing zie ik dat het 'wel nieuwsbrieven ontvangen' staat aangevinkt. Dus probeer ik het weer te veranderen.
Natuurlijk krijg ik een foutmelding. En nog een, en nog een.
De Zwaan, ik kan z'n nek wel omdraaien.
Het nieuws dat ons zonnige weekend in het Ahrgebied enigszins overschaduwde was de mysterieuze verdwijning van Huibert Boumeester.
Dat zijn dode lichaam gevonden is mag aan de ene kant een geruststelling zijn, aan de andere kant roept het vragen op. Vragen die wellicht nooit beantwoord kunnen/zullen worden.
Elsevier wist meteen te melden dat het om zelfmoord ging. Daar lijkt het inderdaad op, maar dat Boumeester zichzelf naar de eeuwige jachtvelden heeft geschoten is vooralsnog niet door de politie bevestigd.
Ik ben goed in thrillerscenario's, doch laat me daar niet toe verleiden.
Huibert Boumeester heb ik één keer meegemaakt bij een aandeelhoudersvergadering van AAB. Die stond geheel in het teken van de overname door Fortis. Hij kwam als een serieuze, rustige man over.
Dat de economische crisis - waar ik het ABN*Amro/Fortis-echec ook onder schik - tot dodelijke slachtoffers zou leiden leek en lijkt mij onvermijdelijk.
De speculaties lopen uiteen. Hij zou depressief zijn, tegen een burn out aan zitten.
Nee, hij was helemaal niet somber zeggen naasten.
Hij zou tevergeefs status hebben nagestreefd.
Naar wat er in Boumeesters hoofd is omgegaan kan ik alleen maar gissen.
Miljardendief Bernard Madoff, die waarschijnlijk cliënten tot wanhoopsdaden heeft gedreven, zal sowieso in gevangenschap sterven. Die zekerheid heeft hij.
Het jaar 2159, dat is zo'n drie generaties verder.
Is er dan nog wel leven op aarde?
28 juni, 2009
27 juni, 2009
La Vilette is v.v.t
Opnieuw sluit een toprestaurant
ROTTERDAM - Rijnmond is opnieuw een topzaak kwijt. Na Yokoo en Bernisse Molen heeft La Vilette de handdoek in de ring moeten gooien.
De regionale gastronomie is geschokt na de gedwongen sluiting van het vooraanstaande etablissement in hartje Rotterdam. ,,Van dit bericht krijg ik acuut buikpijn,'' zegt patron cuisinier Erik van Loo van tweesterrenrestaurant Parkheuvel.
Per mail liet Ingrid Hörster (43), eigenares van La Vilette, gisteren weten dat persoonlijke omstandigheden en de kredietcrisis haar de das hebben omgedaan. Ze is niet bereikbaar voor een nadere toelichting.
,,Ze zit er volledig doorheen,'' weet Gert Blom, mede-eigenaar van restaurant Amarone (1 ster), oud-werknemer van La Vilette en goede vriend van Ingrid Hörster.
In het circuit gaat het gerucht dat de wegen van Gert Blom en Harrie Baas (eveneens eigenaar van Amarone) scheiden en dat eerstgenoemde het opgedoekte La Vilette overneemt. ,,Harrie en ik staan aan de vooravond van een verbouwing. Je investeert niet in een zaak als je van plan bent op te stappen.''
In mei 1995 namen Ingrid Hörster en haar partner Fred Mustert La Vilette over van Carl Schuurs en Yvonne Savert, die in Frankrijk een andere draai aan hun leven wilden geven. Na acht jaar beloonden de veeleisende inspecteurs van Michelin de gedrevenheid van Mustert en Hörster met een ster.
Na de breuk met Fred Mustert, begin 2007, ging Ingrid Hörster als enig aandeelhouder door met La Vilette. De scheiding maakte haar portemonnee een heel stuk dunner.
,,Ik heb hem voor de hoofdprijs uitgekocht,'' liet ze zich ooit ontvallen.
Nicolas Belot, sous-chef onder Mustert, nam de leiding in de keuken van La Vilette over.
In de zomer van 2008 vertrok hij geheel onverwacht naar Rijswijk. In Marc Muzerie, algemeen beschouwd als een grote belofte, vond Ingrid Hörster de ideale opvolger.
Drie chefwissels in korte tijd, daarmee kon Michelin niet uit de voeten; in november 2008 raakte La Vilette zijn ster kwijt. Zeven maanden later heeft het restaurant de stekker eruit moeten trekken. bron
Het nieuws was al eerder per e-mail tot mij gekomen, maar dit artikel in het AD - voorzien van smeuïge details (die feitelijk nog veel smeuïger zijn) zegt het allemaal.
Lees onze ervaring van twee jaar geleden.
Het is jammer, maar onvermijdelijk.
De fuik 2
84 uur durende alcoholcontrole
ROTTERDAM - In het Rotterdamse centrum is de politie donderdagavond een 84-uur-durende alcoholcontrole gestart.
De ongekend lange actie is geen poging om in het Guiness Book of Records te komen, maar is vooral bedoeld als signaal aan alle automobilisten: Het is nog altijd niet in orde om aangeschoten of dronken achter het stuur te zitten.
Hoewel bij standaardcontroles steeds minder dronken rijders worden gesnapt, ziet de politie nog altijd 'figuren die drinken en rijden'.
Op verschillende plekken lopen automobilisten de komende dagen de kans om de fuik in te rijden en te moeten blazen. Ook als er nergens een grootscheepse controle is, dan is er nog een wagen van de noodhulp vrijgemaakt om doorlopend te controleren of mensen met een glaasje te veel op rondrijden. Diverse eenheden van zowel de wijkpolitie als de noodhulp doen mee aan de grote actie, die toevallig valt op dagen dat vele mensen op het terras onder het genot van een alcoholische versnapering van de zon genieten. Bron
26 juni, 2009
25 juni, 2009
De fuik
Ideaal van middenin de stad wonen is dat je nooit de auto pakt wanneer je 'around town' blijft. Tram en metro zijn om de hoek.
Wij hadden een BBQ van kantoor.
Het bier smaakte goed, maar de grote vette worsten lagen er niet appetijtelijk bij. Iedereen liep te jongleren met plastic bordjes en bekertjes. Er stonden welgeteld twee tafels voor zo'n zestig mensen.
Verder was het erg gezellig.
Terug in the city besloten we maar even een snelle, lekkere en betaalbare hap te gaan eten bij de Satébar, onze favoriet. We zijn vaste klanten.
Ze hebben er een nieuwe locatie bij, namelijk op de Karel Doormanstraat. Geweldig, met terras.
Om een lang verhaal...............................
Ik had mijn bord met heerlijk bami -en saté bijna leeg toen ik op een pikzwarte haar stuitte.
Het bord bijna leeg, mijn maag bijna vol. U voelt hem al.......................
De anders zo aardige ober had direct een excuus klaar waarmee hij echtgenoot en ook mij boos maakte.
'Het is een risico wat je als gast loopt als je buiten wilt eten. Dan kan er zomaar een haar in je eten terecht komen.'
'En kruipt die haar dan naar de bodem om zich daar lekker tussen de mie te nestelen? Zo van sliert zoekt sliert,' vroeg ik.
De ober was standvastig. 'Ja, dat is mogelijk.'
P. werd driftig en eiste excuses.
Het obertje bleef pruttelen.
Ik duwde mijn bord in zijn handen en vroeg om de rekening.
Die kwam. Mijn maaltijd was niet berekend.
Ik vond het niet eens een genoegdoening. Ik was boos, maar vooral teleurgesteld.
Teleurgesteld in ons zaakje. Teleurgesteld in ons obertje.
En ons obertje was waarschijnlijk teleurgesteld in ons.
Vanwege de fooi die hij misliep.
South Carolina Gov. Mark Sanford chokes up on Wednesday as he admits to having an affair.
"I've been unfaithful to my wife," Sanford told a news conference in Columbia, South Carolina. "I developed a relationship with what started as a dear, dear friend from Argentina."
His voice choking at times, Sanford apologized to his wife and four sons, his staff and supporters, and said he would resign immediately as head of the Republican Governors Association.
The affair began in the last year and was discovered five months ago, Sanford said without elaborating. He added that he and his wife were trying to work through it.
In a statement issued later Wednesday, Sanford's wife, Jenny, said she asked him to move out two weeks earlier but was still open to a reconciliation for the benefit of their children. lees verder
24 juni, 2009
Hoog-en laagvliegers
All the presidents wives 41
23 juni, 2009
Tuesday - FUNday
Ieder commentaar van mij doet afbreuk aan dit briljante filmpje.
David Letterman (Late Show) in optima forma.
'Sarah Palin: What is worse - this or the jokes?'
22 juni, 2009
Waar rook is...................
21 juni, 2009
Vuile gasten
20 juni, 2009
Ze bestaan echt.
Er zal maar plotseling een pikzwarte zwerfkip je oprijlaan opwaggelen.
Het overkwam mijn vriendin M. te S. allemaal.
Terwijl zij de spruitjes stond af te halen tippelde er een lopende legbatterij haar keuken binnen.
Het dier vertederde mijn vriendin onmiddellijk.
Haar man zag de bui = stok al (in zijn slaapkamer) hangen en timmerde dit riante onderkomen voor Madame Tokkie.
Sindsdien is ze niet meer weg te slaan. De kippenvilla biedt onderdak aan veel meer kakelvrienden, maar tot nu toe is zij single.
19 juni, 2009
Post van L.
"Mevrouw, wij kunnen hier niets acuuts vinden, uw bloed is uitstekend, het enige wat afwijkt in het medisch onderzoek is een klein wondje in uw mond, en neurologische tests wijzen niet op een beroerte of een vergiftiging of een hersenvliesontsteking... Wij zullen een rapportje naar uw huisarts sturen."
De huisarts, de volgende ochtend: "Goed nieuws dus... duizeligheidsstoornissen verdwijnen vaak vanzelf weer, wacht daarom nog even af. Over een paar weken maakt u een afspraak met de neuroloog. Het zou Menière kunnen zijn of een beschadiging in het evenwichtsorgaan, maar de tests om dat uit te wijzen zijn complex en grote kans dat het na een week of vijf vanzelf verdwijnt."
"En mijn werk dan, in 'een week of vijf'?"
"U voelt zelf wel wat u aankunt."
"Maar dat is het nou juist, dat voel ik niet! Omdat de aanvallen plotseling en onverwacht komen, snapt u. Ik kan moeilijk de hele dag thuisblijven voor een aanval van misschien een half uur die zich misschien niet eens zal voordoen. Maar anderzijds, op mijn werk ineens niet meer uit mijn woorden komen, terwijl ik eindredacteur ben, is tamelijk beschamend."
"Hoe u daarmee kunt omgaan, kunt u misschien met uw bedrijfsarts bespreken."
De assistente van de bedrijfsarts, een uur later: "Sorry, wij hebben uw dossier al teruggestuurd naar uw werkgever met de mededeling dat u vanmorgen niet bent komen opdagen op het spreekuur."
"Ik had u gisteren gebeld om te zeggen dat ik het misschien niet zou halen omdat ik naar het ziekenhuis moest. Daar hebben ze me tot half drie vannacht onderzocht en daarna was ik nogal moe... Ziet u, ik voel me namelijk niet zo lekker... Kan ik een nieuwe afspraak maken?"
"Zo gaat dat niet mevrouw. U bent niet komen opdagen vanmorgen en dat heet weigering. Uw werkgever kan u daarvoor op het matje roepen, weet u dat u bij ziekte verplicht bent mee te werken aan medisch onderzoek?"
Grrrrr. Het goede nieuws is dat er geen beroerte op de loer ligt. Het slechte nieuws is dat niemand zegt hoe dat dan moet: "afwachten". Waar bestaat in godsnaam "afwachten" uit? Gelukkig heb ik de liefste vriendinnen ter wereld.
Dank je El, voor je snelle actie.
Dit stukje even printen en direct naar de directie van de ARBO Amsterdam sturen.
18 juni, 2009
Twee weken geleden viel zij tijdens haar werk plotseling om. Sindsdien draait de wereld voor haar ogen en functioneert er van alles niet meer goed in haar hoofd.
Haar huisarts dacht aan een ontsteking in het middenoor, waar in feite niets aan te doen is. De andere huisarts (het is een collectief) kwam tot een veel ernstiger diagnose.
Maar er werd geen actie ondernomen.
Vanuit Rotterdam heb ik dagelijks contact met L. gehad. Ze wist, ondanks dat ze zich hondsberoerd voelde, toch de proefdruk van mijn boek te corrigeren. Daar ben ik haar ongelooflijk dankbaar voor.
Vanmorgen had ik haar weer aan de telefoon en ik schrok me te pletter. L. kon niet uit haar woorden komen. Ze kon geen zinnen meer formuleren.
Met heel veel moeite kon ik telefoonnummers bij haar loskrijgen. Ik heb aan de noodrem getrokken en de noodklok geluid.
Ze was, geloof ik, blij dat ik ingreep.
Kortom, L. wacht nu (23.47 uur) in het ziekenhuis, met een pijnlijke infuusnaald in haar te magere polsje, op de uitslag van onderzoeken en testjes.
Ik ben opgelucht dat ze is waar ze hoort te zijn.
Voor de rest overheerst alleen maar angst.
*** (update 9.50 uur)
Vannacht om 2 uur belt ze. Oververmoeid en lichtelijk geagiteerd, het ziekenhuis verlatend.
Er is niets gevonden.
Dus is er ook geen diagnose gesteld.
De angst ebt weg, maar de bezorgdheid blijft.
En een stuk of wat vraagtekens.
Wie een kick krijgt van klachten, onder andere over onze radio/televisie/telefoon/internetprovider, moet het desbetreffende label aanklikken. Ik heb mijn hart meerdere keren gelucht: te weten op 21-4-2008, 6-11-2008 en 16-5-2009.
Inmiddels drie weken geleden heb ik weer energie en geduld verzameld om Tele 2 te bellen. Zowel televisie en internet vielen avond na avond uit.
P. had in januari een goedwillende medewerkster van de technische dienst gesproken, die hem een referentienummer had gegeven.
Toen ik de - slecht functionerende - helpdesk/ klantenservice voor de honderd-zoveelste-keer aan de telefoon had, zette ik deze troef (het referentienummer) in.
Het werkte. Ik werd vrijwel direct doorgeschakeld naar de technische dienst.
Daar zitten mensen die weten hoe een televisie, telefoon en computer eruitzien.
Een bereidwillige dame onderkende ons probleem direct.
'Het is absoluut niet goed. We krijgen hier verkeerde signalen binnen. Er moet echt een technische man aan te pas komen.'
'Ja, maar daar gaat weer twee weken overheen,' jammerde ik.
'Nee, daar ga ik direct werk van maken,' was haar antwoord.
En ze voegde de daad bij het woord.
Twee dagen later, om half negen 's ochtends, stond de technische man voor mijn deur. Ik trakteerde hem op koffie. Hij constateerde dat wij nauwelijks signalen ontvingen.
Dat beaamde ik.
De fout zou door de installateur gemaakt zijn en was makkelijk te verhelpen. De splitter werd verwijderd en kabeltjes aan elkaar verbonden.
Mijn cynische opmerking dat de klantenservice van Tele 2 ook heel traag mijn signalen oppikte, begreep hij direct.
Tele 2 draagt de kosten en daar is geen discussie over mogelijk.
Alles functioneerde en functioneert nog steeds.
Snel afkloppen...........
17 juni, 2009
Van beenham snijdt men plakken
Vervolgens deed ik, zoals gezegd, mijn boodschappen in de Lusthofstraat. Bij slagerij van Linschoten werd ik in mijn nek gesprongen door mevrouw Franny.
"U had beloofd een stukje te schrijven over onze slagerij. Ik heb het nooit gevonden op Vertelsels."
Franny had helemaal gelijk. Enkele jaren geleden had ik het plan opgevat een serie te maken over de 'kleine' middenstand in dit lommerrijke Rotterdamse stadsdeel.
Het is echter nooit verder gekomen dan banketbakkerij Carlier. Kort daarop verhuisden wij naar het centrum.
Maar daar had Franny van Linschoten geen boodschap aan. Juist omdat zij een prijzenswaardig bedrijf runnen.
De trouwe, vriendelijke, vakkundige bediening geeft deze winkel een extra dimensie.
Hubert van Linschoten gaat met zijn tijd mee, maar blijft een ambachtelijke slager.
Zo, en ik ben mijn belofte nagekomen. Beter laat dan nooit.
Krijg ik de volgende keer een plakje worst bij het afrekenen?
All the presidents wives 40
Place: New York City, New York
Date: 8 June, 1925
Marvin Pierce, born 17 June, 1893, Sharpsville, Pennsylvania; President of McCall [Publishing] Corporation; died 17 July, 1969
Pauline Robinson Pierce, born 1896, Richwood, Ohio; Pauline Pierce served as the Garden Club of America conservation chairman. Her father had served on the Ohio Supreme Court; died, 23 September, 1949, Harrison County, New York in car accident.
*Marvin Pierce married a second time in June 1952, to artist and Associated Press reporter Willa Martin.
English, German, Scottish, French; Kate Pritzel, the mother of Barbara Bush's paternal grandfather, was born on December 19, 1841 in Sweizel, Germany, eventually immigrating to Pennsylvania, where she married Jonas James Pierce. She is also a direct descendant of Henry Sampson, an English immigrant who arrived in the colonies on the Mayflower. Some twenty generations back, Barbara Bush had an ancestor, Thomas De Saluzza, who was born in Saluzza-Cuneo, Italy, in 1286; he and his wife Leugia De Eva moved to England. She also shares several family lines with Abigail Adams, the only other woman who was both wife and mother to U.S. Presidents. One chart claims that some thirty generations back into her genealogy that Lady Godiva was an ancestor. Barbara Pierce Bush is also a fourth cousin four times removed of President Franklin Pierce, and not a third great grandniece as was previously understood. They share an early New England ancestor named Thomas Pierce, and she has admitted her disappointment at the 14th president's low rating among historians.
Birth Order and Siblings:
Third of four children; one sister, two brothers: Martha Pierce Rafferty (born 1920), James Pierce (1921-1993), Scott Pierce (born 1930)
Physical Appearance:
Grey eyes, brown hair that turned grey and eventually her signature snowy white color
Religious Affiliation:
Milton Public School , 1931-1937; Rye, New York;
Rye Country Day School, 1937-1940, Rye, New York;
Ashley Hall, boarding high school, 1940-1943, Charleston, South Carolina;
Smith College, 1943-1944, dropped out after freshman year
Occupation before Marriage:
With a father whose professional career was in magazine publishing, Barbara Bush's love of reading was encouraged early. She recalled that her childhood evenings were spent with her family members gathered together, each of them engrossed in their reading material. Although the Pierce family had servants and enjoyed a more privileged life than most families during the Depression, they were not among the wealthiest set of Rye, New York. Barbara Bush had a sense of mischief and wit even as a child. She was also athletic, especially enjoying swimming, tennis and bike riding. At a 1941 Christmas dance, when she was only 16 years old, she met George Herbert Walker Bush, her future husband, who was then a senior at the boarding school Phillips Academy Andover. There was an immediate mutual attraction and they began writing to each other. She went as his date to his senior prom. Bush completed pilot training by 1943, becoming the youngest pilot then in the navy. The same year Barbara Bush graduated from Ashley Hall and entered Smith College. Bush named his bomber plane "Barbara" after her. The early forties were lively and active years for Barbara Bush. She went to work during the summers, first at a Lord & Taylor department store in Greenwich, Connecticut, then a nuts and bolts factory that provided supplies for the U.S. war effort. She made a cross-country train trip with the German nurse of her baby niece because the woman feared being assumed as a Nazi spy. In California, she tried surfing. When she began Smith College, Barbara Bush wrote that it opened her perceptions about the world: it was the first racially integrated school she attended. She also made the freshman soccer team and served as captain.
One and a half years after their meeting, Barbara Pierce and George Bush became engaged, just before Bush went off to war during World War II as a Navy torpedo bomber pilot, in which capacity he would fly 58 combat missions. She later admitted that her attention was not on academics but on her fiancé: he was nearly killed after being shot down on September 2, 1944. When he returned on leave, Barbara dropped out of college in Northampton, Massachusetts. Two weeks later, on January 6, 1945, they married.
19 years old to George Herbert Walker Bush (born 12 June, 1924) Navy Lieutenant Pilot (junior grade), Yale freshman student, on 6 January, 1945 at First Presbyterian Church, Rye, New York; after a honeymoon in New York City where they saw Meet Me in St. Louis at Radio city Music Hall and then Sea Island, Georgia. For the first eight months of their marriage, Barbara Bush moved from Michigan to Maine to Virginia as her husband's new squadron training and formation required his presence at different naval bases in those states.
Five children, four sons, two daughters;
George Walker Bush (born 6 July, 1946),
Pauline Robinson "Robin" Bush (20, December 20, 1949 - 11 October, 1953),
John Ellis "Jeb" Bush (born 11 February, 1953),
Neil Mallon Bush (born 22 January, 1955),
Marvin Pierce Bush (born 22 December, 1956),
Dorothy "Doro" Bush Koch (born 18 August, 1959)
George W. Bush became the 43rd President of the United States in 2000, making him the second presidential son to attain the nation's highest office. Jeb Bush was elected governor of Florida in 1998.
In May, 2000, Robin Bush was re-interred at a gravesite on the grounds of the George Bush Presidential Library and Museum.
Occupation after Marriage:
As a newlywed, Barbara Bush moved with her husband as he continued to train as a navy pilot with his squadron during World War II at three bases around the country (see above). He was assigned to the VT-153 torpedo bomber squadron at the Oceana Naval Air Station in Virginia Beach as the final World War II air assault on Japan was being prepared. That mission never took place because President Truman dropped the atomic bomb on Japan, ending the war. Newlyweds George and Barbara Bush participated in the public celebration of V-J Day ("Victory Over Japan") in the streets of Virginia Beach.
World War II ended while Bush was training with his new squadron; accepted at Yale, Barbara Bush moved with him to New Haven, Connecticut where she worked at the college campus store until giving birth to George W. Bush, her first child, in July of 1946. Upon Bush's graduation, he decided to relocate to Odessa, Texas and enter the oil business, starting as an equipment clerk for the large Dresser Industries, a holding company with oil drilling subsidiaries that was owned by a close friend and classmate of his father. They then moved to Los Angeles, where he became a drilling-bit salesman and moved to numerous locations in the southern California area, including Whittier, a town then represented in Congress by Richard Nixon. The Bushes would move some twenty-nine times during their marriage. They returned to Texas, settling in Midland in 1950 and shortly thereafter Bush co-founded his own oil development company that merged three years later with another company to form Zapata Oil.
While her husband was often away on business, Barbara Bush's life was strictly confined to the traditional responsibilities of motherhood and housekeeping, as well as some civic activities including teaching Sunday school and volunteering for the local theater company, YMCA, United Way and hospital. Nevertheless, even her role as mother would have later public impact. The death of their two-year old daughter Robin, from leukemia in October 1953 was a tragedy for the family, the stress from which has been stated as the reason for Barbara Bush's brown hair starting to turn white) but it would lead her to support numerous leukemia and cancer research and treatment programs. Her son Neil's diagnosis as dyslexic, she began a lifelong interest in reading and literacy issues. When Barbara Bush had to drive her children across the country and up to her husband's family summer home in Kennebunkport, Maine, she was accompanied by two African-American women, Julia May Cooper and Otha Fitzgerald and witnessed for herself for the first time, the reality of racial bigotry as the black women were not permitted to stay in hotels or motels or eat in restaurants in the South along with Barbara Bush and her children. Barbara Bush was appalled at segregation, and refused to dine or sleep where the other women were not permitted. She and her husband had already become members and supporters of the United Negro College Fund, an association that would continue into the White House years and beyond.
In 1959, the family moved to Houston, Texas where Bush was elected Republican Party chairman of Harris County three years later. In 1964, Barbara Bush participated in the first of a lifetime of political campaigns, an effort to elect her husband U.S. Senator from Texas. Although he lost, it put the Bushes into the national spotlight. He was elected to Congress in 1966, and again two years later, giving Barbara Bush her first introduction to the life of a political spouse in Washington. She became active in various charities and Republican women's activities. Bush lost a second bid for the Senate in 1970, but President Richard Nixon named him Ambassador to United Nation, giving Barbara Bush the opportunity to begin a lifetime of friendships and acquaintances among international political leaders. She had advised her husband against accepting Nixon's offer to serve as chairman of the Republican National Committee because of the inevitable damage he would suffer by association as the Watergate scandal was burgeoning.
In appreciation of Bush's party loyalty in having taken the chairmanship, Nixon's successor Gerald Ford named Bush as head of the U.S. Liaison Office in Beijing, China in 1974. It was a brief period of time when Barbara Bush could enjoy time with her husband while he was on assignment, the couple often bicycling to explore the city. It was in marked contrast to his next assignment, head of the Central Intelligence Agency, a post he held until 1977. During that time, when they returned to live in Washington, Barbara Bush was unable to participate in any conversations with her husband about his work, since he was dealing with top secret issues. This sense of isolation, as well as a sudden perception that her life had less value than those of younger women who were now increasingly achieving their goals rather than helping their husband's achieve theirs led to a brief period when she suffered from depression. Although Barbara Bush later regretted that she did not seek professional help, she found understanding in her husband. She also determined to strike out more on her own, delivering speeches with a slide show about her life in China, and volunteering at a hospice, the Washington Home, where she undertook many humbling duties that served the dying, including bathing and feeding them, and cleaning.
No member of George Bush's staff or supporters could equal the fervor with which his wife would in her defense of his public service record and praise for his personal qualities when he ran in the presidential primaries for the Republican nomination in 1980. Barbara Bush disclosed at that time her support for continuing the effort to have the Equal Rights Amendment ratified and her belief that the Supreme Court decision on the rights of women to terminate their pregnancies was a correct one, views also expressed by her husband. This put them somewhat at odds with the conservative wing of the party led by former California governor Ronald Reagan that was then eclipsing the moderate wing with which the Bushes had been identified. Thus, when Bush accepted Reagan's offer to run as his vice president, he and Barbara Bush had to sublimate their different views. During her eight years as the wife of the Vice President (20 January, 1981 - 20, January, 1989), Barbara Bush determined to make no news that could potentially detract attention from the First Lady Nancy Reagan. The two women were not personally close. Barbara Bush did, however, begin to take an active role in several literacy organizations and familiarized herself with many of the statistics, solutions and efforts being made to confront both child and adult illiteracy. Barbara Bush also traveled the world extensively with her husband on his official trips. Now comfortable with speaking to groups, her public addresses took on a quality of self-deprecating wit. When, however, she made sharp offhand remarks about the 1984 Democratic vice presidential candidate, Geraldine Ferraro, they were widely reported in the media and she publicly apologized and also telephoned Ferraro.
Presidential Campaign and Inauguration:
Barbara Bush had the knowledge and experience of two presidential campaigns as a vice presidential candidate's wife by the time her husband was nominated for the presidency at the 1988 Republican Convention. She broke precedent by becoming the first candidate's spouse to address the convention that nominated her husband, focusing on the candidate as a family man. The Bush campaign made generous use of the large Bush clan, including television commercials that showed George and Barbara Bush with some of their twelve grandchildren. The message underscored an unspoken difference with the Reagans, whose family members were sometimes in discord with them. Also contrasting with Nancy Reagan was the image of Barbara Bush that only emphasized her domestic interests in gardening, family life and church. She herself became adept at drawing attention to unthreatening full head of white hair, matronly figure and disinterest in wearing designer clothing. She also avoided discussion of political issues and controversy throughout the campaign, claiming she did not know enough to discuss anything except to repeat and defend her husband's views. She would express her views on some issues, such as support of the death penalty for hardened criminals, if they concurred with those of the candidate. There has been ample evidence from those who interacted with her during the campaign, however, to suggest that she was actively involved in the practical political moves, responses and directives of the campaign strategy. Publicly, she would either joke about or vigorously deny the printed but unproven rumors that her husband had once had a relationship with a woman member of his staff.
Following his 1989 swearing-in ceremony, George and Barbara Bush revived the Inauguration Day tradition begun by Jimmy and Rosalynn Carter of walking part of the parade route back to the White House. She and President Bush revived a second, more ancient Inaugural tradition - the first open house Inaugural reception since Taft. On the morning following the swearing-in ceremony, once the Bushes were installed in their new home, a stream of citizens that had waited through the night, were greeted by the new President and First Lady and toured through the mansion. There is also some suggestion that Barbara Bush may have influenced a portion of her husband's Inaugural Address, specifically addressing social issues that she would admit were "important to me" but would only say her influence was one of "osmosis."
At the 1992 Republican Convention which renominated her husband for a second term, Barbara Bush was a popular speaker who seemed to be one of the few prominent figures there who were able to bring the gap between the two wings of the party, moderates and conservatives, remarking that "however you define family, that's what we mean by family values." Just prior to the convention, she had also stated empathically that she did not believe the issue of abortion should be addressed in its platform and that it was "a private matter," suggesting she was "pro-choice" and against the overturning of Roe vs. Wade, a fact she confirmed afterwards in her post-White House memoirs. She also criticized the Republican National Committee chairman Rich Bond for permitting campaign attacks on the views of the spouse of the Democratic candidate Hillary Clinton. On the campaign trail, she was a vigorous and personal defender of George Bush's personal qualities, presidential record and professional qualifications. Despite her own enormous appeal to many citizens, it was not enough to affect a re-election for her husband.
First Lady:
63 years old
20 January 1989 - 20 January, 1993
The hallmark of Barbara Bush's tenure as First Lady was her focused campaign to bring national attention to, and help eradicate illiteracy in America. Having been involved in the issue for eight previous years as the Vice President's wife, she was not only able to immediately begin her efforts following the Inauguration, but had already a national network of support in place, consisting of experts, publishers, financial supporters, volunteers, school administrators, and national, state and local civic leaders. Early in the administration, Barbara founded the Barbara Bush Foundation for Family Literacy, a private organization that solicited grants from public and private institutions to support literacy programs. "I'm talking about the big, bouncy kind [of family], the single parent, extended families, divorced, homeless and migrant," she clarified. At the time of her tenure, statistics showed that 35 million adults could not read above the eight-grade level and that 23 million were not beyond a fourth-grade level. She appeared on the Oprah Winfrey Show addressing the issue, and made regular broadcasts on Mrs. Bush's Story Time, a national radio program that stressed the importance of reading aloud to children. One aspect of adopting literacy as an issue that provided Barbara Bush with an opportunity to address a wide variety of topical issues was, as she pointed out, that a person's inability to read or fully comprehend what they might be able to partially read could have a devastating impact on all elements of their lives: education, employment, housing, safety, health, parenthood, crime, travel. She did go on record as stating that she did not believe there should be a law that established English as the official language of the United States because she felt it had "racial overtones." Thus she was able to address many social problems that were unique to the era of her husband's presidency of the early 1990's like homelessness, AIDS, and teenage pregnancy.
During her first week in the White House, Barbara Bush brought national attention to the needs of indigent and homeless families by making a visit to "Martha's Table" an inner-city center providing meals for poor families and daytime and after-school activities for homeless children, and also running a mobile soup-and-sandwich kitchen through the streets of Washington. She donated her family's used clothing to thrift stores which raised money for charitable organizations and also offered low-cost resale to the needy. Often visiting homeless family shelters, Barbara Bush also publicly raised an issue that was rarely considered in coping with the problem - abandoned, single, unmarried mothers, many of them teenagers, who were receiving no help from the fathers of the children. Although she assumed the traditional view of the Republican Party that social programs were best funded and administered by private charities and organizations rather than by the government, she was not averse to claiming government responsibility in some cases, once remarking at a center for homeless children, "forget about government cutbacks."
Barbara Bush made the front page of many global newspapers when, during a visit to "Grandma's House," a pediatric AIDS care center, she held a baby infected with the virus and posed for photographers to record what was then an act that was often misunderstood as making one susceptible to contracting it. She then went to hug an adult with AIDS as well. She took the President to the National Institute of Health to meet with male patients who had AIDS, and attended the funeral of the heroic teenager Ryan White who succumbed to AIDS after leading a long public education campaign on the issue. When there was an AIDS memorial vigil where gatherers held candles, she placed candles in all the White House windows and asked several family members of those who had died of the illness to bring to her in the White House parts of a national AIDS quilt that was then on display on the national mall. Although she told the press that because of the federal deficit, increased funding was an issue the President would have to decide, Time magazine credited Barbara Bush's concern for those with AIDS for influencing the President to propose increased research and treatment funding. She was further credited as being the inside advocate for the President's signing of the Hate Crimes Statistics Act and invited the first openly gay and lesbian citizens to the presidential signing ceremony. She wrote to the president of the Federation of Parents and Friends of Lesbians and Gays, "I firmly believe we cannot tolerate discrimination against any individuals or groups… [it] always brings with it pain and perpetuates hate and intolerance."
The first First Lady to hire an African-American as her press secretary, Barbara Bush made numerous gestures to illustrate the long personal commitment that she and her husband held regarding civil rights of African Americans. Throughout her four years in the White House, she headlined numerous Martin Luther King Day programs in local grammar schools. She also gave particular attention to traditionally black colleges, having once served on the board of Morehouse College, a medical school largely attended by African-Americans. Washington Post reporter David Broder credited Barbara Bush with being behind the appointment of Louis Sullivan as the Secretary of Health and Human Services, the only African-American member of the Bush Cabinet. Among those she listed as heroines were the liberal Democratic Texas Congresswoman Barbara Jordan and Dorothy Height, the civil rights leaders and friend of Eleanor Roosevelt, and named Frederick Douglass as the historic figure who most inspired her. Among the thousands of graduation ceremonies she was invited to address in the spring of 1989, Barbara Bush chose a relatively obscure black woman's college, Bennett College. She encouraged a group of black Muslims to patrol an inner-city neighborhood plagued by drug crime. In an extensive interview with a leading African-American publication, Ebony, Barbara Bush bluntly addressed the realities of racial bigotry as she witnessed it from her unique perspective. She also emphasized that her influence as a "white-haired white lady" was limited within minority communities and that the primary role she could play was to speak out on prejudice.
In 1990, Barbara Bush was asked to speak at Wellesley College, sparking an unexpected reaction from the women students. Many didn't want her to speak because they felt she defined herself solely through the person she married, rather than as an individual with her own life and interests. Barbara Bush understood their reaction, quipping "I was twenty myself." She nevertheless considered the invitation a serious opportunity to address what she believed was both an opportunity and conflict that was unique to women coming of age at that time, the desire to have both a family and a career. Bringing Raisa Gorbachev, the wife of Soviet President, with her, Barbara Bush's speech was well received by the students; it was a gracious, serious but humorous look at diversity, a changing world and a woman's role in that world. She said that perhaps some one in the audience might one day follow in her footsteps as an aide, supporter and helpmate to a President, ". . . and I wish him well!"
Within the first 100 days of the Bush Administration, the First Lady polled higher approval ratings than did the President or Vice President and a "fan club" even formed in San Francisco for her. Her clothing style generated interest with the creation of "Barbara Blue" by the Color Association of the U.S. and many commercial copies of her signature three-strand pearls. When her springer spaniel dog "Millie" gave birth to puppies, it made the cover of Life magazine and attracted overwhelming feature news coverage. In her slippers and housecoat, she walked her dog around the White House lawn, and in sneakers and jeans, she walked him at the presidential summer retreat in Kennebunkport, Maine. The dog and puppies became closely associated with the First Lady. When she was diagnosed with Graves' disease, she publicly disclosed all details about her coping with the thyroid condition. At the first game played by the newly-created Texas Rangers baseball team that was partially owned by her son, George W., Barbara Bush became the first First Lady to throw out a ball to open the baseball season. She attributed her great popularity to her matronly figure and white hair because it was a benign identity and one which many middle-aged and older American women could relate. She was, she said, "Everybody's mother."
As a Vice President's wife, Barbara Bush was able to observe the often difficult relationship between her predecessor Nancy Reagan and the press with relative ease. She learned much about the importance of political figures to cultivate their public images by emphasizing some aspects of their real selves over other aspects that might make them appear less accessible or able to relate to the general population. Thus, she was cautious to avoid all political controversy and refrain from sharing her insight into the state of politics. Her son George W. called Barbara Bush a "genius with the media" and "better with the press" than the President. By teasing or joking with reporters, Barbara Bush was often able to avoid some of their questions that might lead into political controversy. She held monthly luncheons with various reporters who were supposed to keep the remarks off-the-record and her media coverage was generally complimentary. Few reporters covering the White House, however, believed that she was benignly removed from the best interests of her husband's Administration. Certainly, Barbara Bush was more comfortable making a public appearance to symbolize the personal support of herself and the President without having to address what sometimes seemed to critics to be a conflicting view in policy. Indeed she was known to be extremely defensive of the President. Reporter Daniel Weinraub described her as "blunt and opinionated… formidable and powerful." As President George W. Bush remarked about his mother's private demeanor, "Every mother has her own style. Mine was a little like an army drill sergeant's... my mother's always been a very outspoken person who vents very well - she'll just let rip if she's got something on her mind."
Republican Iowa Congressman Jim Leach believed that Barbara Bush was a "key element of the Administration." Many ascribed her policy influence as being a matter of raising general issues and concerns regarding different constituencies or considering pending legislation that the President had to sign or veto in frank discussions with him. If she spurred him to support some legislation, Barbara Bush was not known to have lobbied the President to initiate any specific legislation. While, like Nancy Reagan, Barbara Bush adamantly refused to testify before Congress on behalf of her special project work, she did privately push the President to support the National Literacy Act, which permitted the use of libraries and other municipal property as evening literacy centers for adults. She was also part of an Oval Office briefing with the White House Counsel, the President and Vice President on the 25th Amendment, which regulated the definition of presidential illness and competence. She was credited with successfully urging the appointment of Jack Kemp as Secretary of Housing and Urban Development.
Barbara Bush did not deny her potential influence on her husband or that they sometimes disagreed, but she insisted on keeping some details strictly a private matter between the two of them. She cultivated a wide network of various experts in different public policy-related work and would sometimes recommend that the President meet with them to deeply explore the particular issues. An avid campaigner, she was the Republican Party's most popular speaker on behalf of candidates running for national office.
On occasion, Barbara Bush let her real opinions known, such as calling for the Panama general Manuel Noriega to stand trial for his crimes against his people. She further offered the view that the President should negotiate with Iraqi President Saddam Hussein once he had released American prisoners held in bordering Kuwait. When she spoke out strongly in favor of gun control after a violent shootout in the capital and thus defied her husband's stance, there was a strong reaction from his base supporters in the National Rifle Association. Barbara Bush decided to halt any further comments on issues that might draw her into public debate. Thus, although she had stated her pro-choice views on abortion during the 1980 campaign, she refused to repeat her view. Only after she was out of the White House did she re-confirm this view in her memoirs.
During the Bush Administration, the fall of communism came to the Soviet Union and there were global repercussions, often prompting the Bushes to travel overseas and entertain many foreign heads of state. Humorously, when she met the spouse of British Prime Minister Margaret Thatcher and he kissed her hand, Barbara Bush responded by kissing the hand of Denis Thatcher. A strong supporter of the Gulf War waged by her husband, Barbara Bush spent a Thanksgiving holiday with him among U.S. troops stationed in Saudi Arabia.
Her time in the White House was also marked by personal challenges. She believed that her son Neil became a target of investigators looking into the demise of the Silverado Savings and Loan during the Savings & Loan Crisis because he was the President's son. Her daughter Doro divorced at the beginning of the Administration and moved to be near her parents, in Washington; towards the end of their term, she remarried at Camp David, to Robert Koch, former aide to House Democratic leader Richard Gephardt. In the closing days of the President's failed re-election campaign, Barbara Bush's mother-in-law Dorothy Bush died at her Florida home.
Post-Presidential Life:
Although she took her husband's loss of the White House in 1992 as a personal blow, Barbara Bush immediately involved herself in a new life of public service activity, helping to plan her husband's presidential library and staying in close touch with her large family. Today, she continues her service as AmeriCares ambassador-at-large; Mayo Clinic Foundation board member; and supporter of organizations including the Leukemia Society of America, the Ronald McDonald House, and the Boys & Girls Club of America. Through her foundation for family literacy, she has sought to help establish and fund family literacy programs. She serves as honorary chair of the Foundation and hosts its annual fundraiser, "A Celebration of Reading," and regularly donates a portion of her proceeds to the foundation's causes. She maintains a public schedule designed to emphasize reading as a part of daily family life and visits literacy programs across the country -- in schools, housing projects, organizations and businesses.
Among her greatest points of pride have been the elections of her son George W. Bush as President of the United States in 2000 and 2004. One of the current President's twin daughters is named after her and the former First Lady is a frequent overnight guest of her son's at the White House. Barbara Bush also addressed both the 2000 and the 2004 Republican National Conventions that nominated her son and actively campaigned for him. As the only other woman besides Abigail Adams to be both the wife and mother of U.S. Presidents, Barbara Bush did not hesitate to defend the record of her son as chief executive. Sometimes her remarks generated controversy. On March 18, 2003, in response to a question about the deaths of American serviceman in the Iraqi War declared by President George W. Bush, Barbara Bush stated on ABC's Good Morning America, "Why should we hear about body bags and deaths? Oh, I mean, it's not relevant. So why should I waste my beautiful mind on something like that?" Supporters said that she was dismissing speculation of deaths. In the spring of 2004, she joined the President in national appearances before senior citizen groups to promote his vision of Social Security reform. In 2000, Barbara Bush predicted that her successor Hillary Clinton would not be elected in her race for the U.S. Senate that year. She predicted to television interviewer Larry King in March of 2005 that Hillary Clinton, by then a current Senator, "will be the Democratic candidate for president in 2008," but would lose the national election.
Several schools have been named for her:
Barbara Bush Middle School in San Antonio, Texas,
Barbara Bush Middle School in Irving, Texas,
Barbara Bush Elementary School in the Houston Independent School District,
Barbara Bush Elementary School in the Dallas suburb of Grand Prairie, Texas,
Barbara Bush Elementary School in Mesa, Arizona.
The Barbara Bush Children's Hospital at Maine Medical Center is also named for her, located in Portland, Maine.
Barbara Bush serves on the boards of AmeriCares and the Mayo Clinic, and heads her Barbara Bush Foundation for Family Literacy. She has authored four books. They include C. Fred's Story (1987) and Millie's Book (1990), stories about two of her beloved dogs, the profits from which benefited literacy, and her autobiographies, Barbara Bush: A Memoir (1994) and Reflections (2004). Barbara Bush lives with her husband in Houston, Texas, and at their estate in Kennebunkport, Maine.
Bron: http://www.firstladies.org/biographies


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Its aromatic taste lifts food and is a quintessential part of many Asian cuisines. It is especially interesting because its seeds, stalk and leaves offer three different flavour profiles and have drastically different culinary uses.
If you aren't already converted, try it in this recipe to see the wonderful effect it has. Be sparing – it should be a background scent, a whiff and no more.
Thai chicken burgers with an Asian salad and a hot and sour dipping sauce
Ingredients (serves 2)
For the burgers
- 2
chicken breasts
- 1 stalk lemon grass
- 1 red chilli
- 1 tbsp fish sauce
- Juice of 1 lime
- 2 tbsp chopped coriander (to your own personal taste)
- 1 egg
- handful breadcrumbs
- optional 2 lime leaves
For salad
- few handfuls mixed leaves
- ¼ cucumber
- 4 spring onions
- small bunch coriander
- handful cashew nuts
For dressing
- juice 1 lime
- 1 tbsp soy
- 1 tbsp honey
- pinch chilli flakes
- 2 tbsp olive oil
For dipping sauce
- 5 tbsp rice wine vinegar
- 5 tbsp palm or caster sugar
- 1 tbsp dark soy sauce
- 1 red chilli
- 1 tbsp chopped coriander
- 2 flat bread or wrap to serve
Start by making the dipping sauce. Heat together rice wine vinegar and palm sugar for a few minutes until mixture thickens. Take off heat, add soy sauce and chopped chilli and set aside. Just before serving add coriander.
For the burgers, finely chop chilli and the lemon grass. Place these and all other burger ingredients in the bowl of a food processor, and pulse a few times until you have a mush – something like mince. Divide mixture into four and shape into patties. Place these in fridge to firm up slightly.
Make dressing by whisking together the ingredients.
Cut cucumber in half and scrape out the seeds using a teaspoon. Slice it up about the width of a 50p piece. Finely slice spring onion, and mix these with leaves, nuts, and cucumber. Dress salad when you are ready to serve.
Place frying pan over medium heat, pour a couple of tablespoons of groundnut or similar flavourless oil into pan and fry chicken burgers for about 6-8 minutes on each side, until golden brown.
Warm flatbreads by wrapping in tinfoil, and place in a low oven for about five minutes.
Once warmed through, wrap burgers with a little salad and enjoy.

subset: commoncrawl


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Delhi, the capital of India, is filled with multi-colours, of the past and present. While the Old Delhi is dotted with spellbinding monuments, evocative bylanes & flavours of classic Puraani Dilli, our very own New Delhi is a lot well-planned and commercialised. This contrast between rambling two faces of the city is immense, and it's interesting to spend time exploring both. If you feel the need to revive the rich spirit of the place again, just avail RailYatri's Outstation Cab service and conveniently head onto the 'Dilli Darshan'!
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Online Outstation cab booking from Delhi to Modinagar has never been so simple! At RailYatri, we provide travelers with a convenient way to book or rent outstation cab one way or round trip journeys through our travel app and website.
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Delhi to Modinagar cabs cover a distance of 53 kms km during their end-to-end journey. Prices of hiring cabs from Delhi to Modinagar varies from INR 2225 to 1449. Other popular cab routes from Delhi includes Delhi to Chandigarh Cabs, Delhi to Agra Cabs, Delhi to Jaipur Cabs, Delhi to Manali Cabs, . One can book different types of Delhi to Modinagar cabs such as Compact, Sedan and SUV.


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This year's World Water Day marks the launch of the 5th United Nations World Water Development Report (WWDR) on the theme of water and energy. Coal remains a top energy producer world-wide. Its connection to water is a parasitic one. It drains our precious water supplies and spits back polluted skies, lakes, streams and rivers, both in its processing and production. The following pictures are a journey through the lives of people (their homes and their lands) who have been directly affected by coal power production. These are people and places which already suffer from water-scarcity but now see their livelihoods and health hung in the balance of an outmoded means of energy production.
A worker at the MNS Informal Settlement coal washing station in Mpumalanga, Emalahleni, South Africa, stands alongside water that has already being used. Water pollution from coal is a serious problem in South Africa and deepening a water scarcity crisis. A million households currently live without access to the minimum 25 liters of water per person per day; a further 2 million people's water supply is below basic service standard. This has in turn threatened social stability - the number of service delivery protests driven by water scarcity has increased sharply in recent years.
© Mujahid Safodien / Greenpeace
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More Information at www.SanDiegoMiramarEMT.com
The EMT Program is designed to offer comprehensive education and skills-training in the provision of prehospital emergency care. Courses cover anatomy, physiology, pathophysiology, lifting and moving techniques, documentation, communication, lifespan development, obstetrics, disease processes, pharmacology, trauma, hazardous materials, disaster triage, basic life support and advanced airway management in accordance with National EMS Education Standards. Students must successfully complete EMGM 105A and EMGM 106 with a minimum final grade of 80% (B), complete 24-hours of clinical training, and pass the NREMT practical skills exam, to earn a course completion certificate. The course completion certificate is a requirement of eligibility to complete the NREMT Cognitive Examination for EMTs (certifying exam for EMTs in the State of California). San Diego Miramar College EMT Program is accredited though San Diego County Emergency Medical Services Agency.
- A current BLS for Healthcare Providers level CPR card is a prerequisite and may be fulfilled in EMGM 050 (CPR).
- Students must present proof of immunity to hepatitis B, measles, mumps, rubella, and varicella.
- Seasonal flu immunizations may be required.
- Must have a TB test within one-month of course start.
- Uniforms are required.
Student Learning Outcomes
Students who complete the Emergency Medical Technician program will be able to:
- Explain the roles, responsibilities, and legal aspects of the EMT practice.
- Apply knowledge of physical, psychosocial, and developmental characteristics of individuals throughout the life span to the provision of emergency medical care.
- Perform cardiopulmonary resuscitation (CPR), airway management, and defibrillation.
- Identify various types of medical emergencies, assess the body systems involved, and cite the appropriate emergency medical intervention and rationale.


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by Tara
Three Blind Mice Costume Photo 8 of 10
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This homemade costume for groups entered our 2012 Halloween Costume Contest.
A word from Ashley, the 'Three Blind Mice' costume creator:
Three of us friends were talking about what to be for halloween that was creative and unique from what most people do. We are all college students so we know what the typical costumes are... Read more »
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Welcome to the Concordia University Center for Public Policy. A program of the School of Business and Economics, the Center brings together diverse points of view within Orange County to focus on critical issues confronting our future. These issues include fiscal sustainability, pension reform, workforce development, government efficiency, social services, public safety, environmental policy, and economic development.
Through the Center, Concordia University works with elected officials, labor, business groups, public sector managers and local residents to find solutions to difficult problems and serve as a forum for discussion and dialogue.
"Concordia is well-suited to contribute to the dialogue regarding solutions facing Orange County cities and other southern California local governments. I appreciate the "real world" approach and the broad range of viewpoints assembled by the Center."
- Robert Ming, Council Member, City of Laguna Niguel & Center for Public Policy Board Member
Meet our distinguished bi-partisan Board of Directors representing local government elected officials, public managers, business and labor leaders, party chairmen, financial and media executives and educators.
For more information contact the Center for Public Policy at (949) 214-3200 or email@example.com.
Nov. 29
Orange County Year End Report
More Info »


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RICHMOND, Va. (AP) — Prosecutors say a former University of Virginia lacrosse player convicted in the beating death of his ex-girlfriend shouldn't be given a new trial.
Lawyers for George W. Huguely V in January filed a petition with the Virginia Court of Appeals, arguing that constitutional and procedural errors entitle him to a new trial.
But WVIR-TV reports that in a response filed Friday, prosecutors rebuffed claims that Huguely was denied the right to his chosen lawyer, the right to a fair and impartial jury, and other violations.
The Maryland man is serving 23 years in prison after being convicted of second-degree murder in the May 2010 slaying of 22-year-old Yeardley Love. She was found dead in her Charlottesville bedroom after Huguely confronted Love after a day of heavy drinking.
(Copyright 2013 by The Associated Press. All Rights Reserved.)


text:
Street Address:
« Back | Forward »
BRUSSELS (AP) — The Issue: Europe's leaders will gather in Brussels on Thursday to decide on how much the European Union, the political and economic partnership between 27 of the region's countries, will spend in the next seven years.
Compared to the size of the governments of its member states, the EU is very small. Yet it wields broad power, and that's why this week's fight over its spending is important.
The current budget proposal from the European Union's executive arm, the Commission, calls for a €1.03 trillion ($1.31 trillion) spending ceiling for 2014-2020. This will mean each member of the EU contributing the equivalent of about 1 percent of its annual gross domestic product to the budget. Some of the money is then invested across Europe on various projects designed to bolster the region's economy: On subsidies for essential industries such as agriculture or fishing or on other joint projects such as border control and diplomacy. About 80 percent of the budget is redistributed back to the member states for spending, with the rest going to the Commission.
All 27 countries have to agree on the spending limit before the budget is approved.
Where The Leaders Stand:
The amount of money given to the EU is the subject of fierce debate in several member countries. At these talks, national interests will be paramount — voters back home will judge how well their politicians fought for their interests.
On one side of the argument are the region's poorer countries such as Portugal and Poland. These governments are relying on a larger EU budget to get them back on track for economic growth and are worried that any cut would hit programs and funding they are counting on.
On the other side are the countries who argue that the EU shouldn't expect any more money while governments across the region are drastically cutting their budgets to control their debts. The U.K., for example, has a long-held hostility to the European project and is demanding a real-term freeze in spending — threatening to veto the budget until it gets its way.
Thursday's meeting is expected to run into Saturday — with any agreement a very remote possibility. The talks are almost certain to drag on into next year.
Why It Matters:
At 1 percent of a member country's GDP, this week's debate is relatively small potatoes — the EU's budget for 2012, for example, is less than one-sixth that of the U.K.'s. Yet, the EU plays a crucial role in the lives of every European. Here are some of the areas in which it has made a difference:
Economic Development:
The EU says it has funded hundreds of thousands of infrastructure and capital projects over the years, from the installation of a broadband network designed to transform the economy of the north of the UK to upgrading parts of the road network on the islands of Malta and Gozo.
Competition and Trade:
When Europeans log onto their Windows-driven computers for the first time and see a screen giving them a choice of browsers, it's because the EU stopped Microsoft from foisting its Internet Explorer browser on users. The EU could also stop budget airline Ryanair from taking over rival Aer Lingus if it decides the lack of competition in Ireland's airline market might harm consumers. And when companies in the same business sector have skewed the market by artificially setting high prices, the EU has imposed fines running into the hundreds of millions of euros.
EU officials pay close attention to the state of democracy in member countries - and threaten to cut off vital aid if they think people's basic rights are threatened. For example, over the past year the EU has been concerned that Hungary, which joined in 2004, was slipping toward authoritarianism as press freedom and judicial independence came under strict controls. The EU launched legal action against Hungary, threatened to withhold development money, and summoned Prime Minister Viktor Orban to Brussels to discuss the error of his ways. The same holds true for EU candidate countries: They need to adhere to democratic principles if they want to join the club.
War and Peace:
The EU's original purpose — to make another European war unthinkable by increasing economic ties between countries — remains valid today. Europe-watchers worry that, if the EU broke up, rising nationalism could provoke new conflict. Impossible? Look at the collapse of the former Yugoslavia in the 1990s — more than 100,000 people died. Today both Serbia and its former province, Kosovo — whose independence Serbia does not recognize — want to join the EU. The EU has told them that if they are to sign up, they need to normalize relations with each other. Last month, the prime ministers of Serbia and Kosovo started face-to-face talks for the first time. The talks were held in Brussels — under the guidance of the EU.
The EU sees itself as an enforcer of values within its borders. It is illegal anywhere in the EU to discriminate on the basis of religion, disability, age or sexual orientation, and countries wanting to join must also enact anti-discrimination laws — which, for some would-be members, is quite a leap.
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Tijuana is everything you want in a Mexican vacation getaway, whether for a day trip, a weekend escape or as your gateway to the amazing Baja peninsula.
Famous Revolution Avenue (or Avenida Revolucion as it is called by locals) offers the best shopping in North America for Mexican arts and crafts, silver and leather, jewelry, curios, as well as significant savings on upscale imports, European designer items, collectibles, fine perfumes and cosmetics. Tequila, Kahlua, vanilla and prescription drugs are bargains here, too.
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From bullfights to winery tours to some of the most exotic gourmet food in North America, Tijuana has something for everyone and is unquestionably the most exciting and diverse border city in the world. Our new Guided Walking Tours give you a glimpse into the real Mexico—both culturally and historically—without taking you far from the beaten path. See a fascinating side of Tijuana most visitors miss.
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I want 1-2 of the new lion knight breastplate and platelegs leg design.
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Dragonflight Casting Dec 8, 2013 20:26:49 GMT -5 madb likes this
Dragonflight Casting
Current Date:
Turn 2761, Month 4 (Spring)
6th Turn of the 10th Pass
Welcome to Mavros: a weyr on its own.
Citing complacent hierarchies and threat of an early Pass, a group of riders and supporters left their weyrs and holds to found a new life based on the honor of dragonriders and the desire to protect their beholden.
Unfortunately, things would not go as easily as hoped. Caught in the midst of a massive threadstorm while moving to their new location, the new Weyr was burned before it could be built.
But Dragonriders do not fall to challenges; they rise up. The survivors salvaged their plans as best they could, and so Mavros Weyrhold rose from the ashes of its destruction.
Scorned by the existing weyrs for their foolish exodus, supplies run thin and aid is not easily come by. Will you risk it all for an uncertain future?
A risky plan is executed, and a slew of Mavros's dragons are sent back in time with the hope they will return with two new wings at their backs! Good luck timers!
Spring )
As the Pass goes on, Threadfall happens more and more frequently, and Mavros only has the bare minimum amount of dragonriders to fight it NOW, much less more frequently. With 5 golds, the future is promising, but they could use a boost in numbers NOW, to at least help them get one more Wing together for relief. An unusual idea is put up for debate among the council, and risks are considered.
Winter )
Winter is rolling into full swing, and with the complete onset of the season comes Mavros' Turnover Celebration!
Winter )
This year's Turnover Gather is a particularly big bash, as the Spring Storms Weyrlings' Graduation Ceremony is being rolled into it! Congratulations Spring Storms, bet you all are glad to be free of K'ton, and I bet everyone else is looking forward to a bright and exciting new turn!
Gold Aerroth's Worlds Apart clutch has hatched into a sea of drama, stirring up a storm of new rumors and gossip. It wasn't a fluke; two new female brownweyrlings have left the sands, shortly followed by the much anticipated new goldweyrling - whom has been publicly accused of brainwashing her dragon into impressing a boy!
Winter )
Mavros has already had a difficult time procuring candidates, and with all this new drama it is likely to become even more difficult. The Weyr may be forced to resort to drastic measures as the twin golds Danovelith and Sularenth are due to rise in only 6 months time.
This site is a continuation and a slightly edited take on the future of Mavros Weyrhold, originally created by Weyrsparrow and continued here with permission. Previous site, for any interested in viewing the original, is located here: LINK.
The world of Pern and all that comes with it is © to Anne McCaffrey. All characters are original and are © to their respective owners. Dragon templates used are made by Mistywren and Peregyr of deviantart and used with permission, colored by Zen. Board, thread, and miniprofile remodels © Pharaoh Leap of GANGNAM-STYLE and edited by Rhush.
This site exists purely for entertainment purposes and never for any monetary gain.


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Items where Subject is "EU policies and themes > External relations > EU-ASEAN"
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Weber, Katja (2009) The ASEAN Regional Forum and Security Governance in Asia-Pacific. In: UNSPECIFIED. (Unpublished)
Cardiff EDC, . (2013) Information Guide: European Union information from Malaysian sources. UNSPECIFIED.
Cardiff EDC, . (2013) Information Guide: European Union information from Philippines sources. UNSPECIFIED.
Duina, Francesco (2011) The EU as Provider of Frames and Scripts: Evidence on Law and Courts from Europe, Africa, Asia, and the Americas. UNSPECIFIED. (Submitted)
Yeoh, Brenda S.A. and Iguchi, Yasushi and Ee, Miriam and Chan-Hoong, Leong and Rueppel, Patrick and Hong, Danielle and Seol, Dong-Hoon and Pastore, Ferruccio. and Salis, Ester and Finotelli, Claudia and Quirico, Monica and Devitt, Camilla and Pascouau, Yves and Steller, Birte and Campani, Giovanna and Strik, Tineke (2014) Migration and Integration. Common Challenges and Responses from Europe and Asia. UNSPECIFIED.
Policy Paper
Garelli, Serena (2012) The European Union's promotion of regional economic integration in Southeast Asia: Norms, markets or both? Bruges Political Research Paper No. 25/May 2012. [Policy Paper]
Guerin, Selen Sarisoy. (2008) Prospects for the EU's New Generation of FTAs. CEPS Commentaries, 29 April 2008. [Policy Paper]
Hwee, Yeo Lay (2019) Asia-Europe Meeting: Contemporary Challenges and the Way Forward. Avia Policy Brief Issue 2019 No. 12 August 2019. [Policy Paper]
Hwee, Yeo Lay (2014) In Pursuit of Peace, Prosperity and Power – What ASEAN and EU can learn from each other? EU Centre Singapore Policy Brief No. 7, May 2014. [Policy Paper]
Jing Yi, Pung and Tey, Jason and Tung, Mayer (2015) Spread the Warmth. EUC Policy Challenge. EU-ASEAN Tourism Policy Brief. [Policy Paper]
Lamy, Marie and Hong, Phua Kai (2012) Regional health governance: a comparative perspective on EU and ASEAN. EU Centre in Singapore Policy Brief No. 4, June 2012. [Policy Paper]
Lay Hwee, Yeo (2015) Can ASEM remain relevant in the 21st Century World? EU Centre Policy Brief, No. 9/September 2015. [Policy Paper]
Lay Hwee, Yeo (2017) EU's Strategic Autonomy and ASEAN's Centrality – Pathways towards EU-ASEAN partnership with a strategic purpose. EU Centre Policy Brief. [Policy Paper]
Lay Hwee, Yeo and Gaens, Bart and Islam, Shada (2016) Asia-Europe Meeting (ASEM) in the Age of Connectivity. EUC Asia-Europe Meeting 11, 1916. [Policy Paper]
Lee, Dexter (2015) The European and Southeast Asian Single Aviation Markets. EU Centre, Background Brief No. 15, July 2015. [Policy Paper]
Pollet-Fort, Anne (2011) The EU-Korea FTA and its implications for the future EU-Singapore FTA. EU Centre Background Brief No. 4, June 2011. [Policy Paper]
Staeger, Ueli (2016) Conditionality in context - scenarios for EU relations with the Eurasian Economic Union. College of Europe Policy Brief #11.16, June 2016. [Policy Paper]
Tan, Bryan and Hwee, Yeo Lay (2019) Engaging China – Reflections from the EU's and ASEAN's Responses. EU Centre Background Brief, 3rd January 2019. [Policy Paper]
Ujvari, Balazs (2018) ASEAN UNDER SINGAPORE'S CHAIRMANSHIP. Egmont Report, 9 February 2018. [Policy Paper]
Ujvari , Balazs (2018) ASEAN under Singapore's chairmanship. Egmont Commentary, 9 February 2018. [Policy Paper]
Weber, Katja. (2009) ASEAN: a prime example of regionalism in Southeast Asia. EUMA Papers Vol. 6, No. 5, April 2009. [Policy Paper]
Working Paper
Blizkovsky, Petr (2012) Student's cross-perception of the economic crises in the European Union and in Southeast Asia. EU Centre in Singapore Working Paper No. 11, December 2012. [Working Paper]
Boëthius, Gustav (2012) Forging the ties that bind: Comparing the factors behind electricity market integration in the EU and ASEAN. EU Centre Working Paper No. 6, May 2012. [Working Paper]
Frank, Tobias Felix (2010) Nosce Te Ipsum: Positioning the EU's CSDP as a Regional Ordnungsmach. Bruges Regional Integration & Global Governance Paper 2/2010. [Working Paper]
Hwee, Yeo Lay (2013) The EU and ASEAN – In Search of a New Regional Paradigm? EU Centre Singapore Working Paper No. 15, August 2013. [Working Paper]
Hwee , Yeo Lay (2013) How should ASEAN engage the EU? – Reflections on ASEAN's external relations. EU Centre Singapore Working Paper No. 13, April 2013. [Working Paper]
Mun, Hong Wai (2013) The EU's Group-to-Group Dialogue with the Southern Mediterranean and ASEAN – How much have they achieved? A Comparative Analysis. EU Centre Singapore Working Paper No, 18, December 2013. [Working Paper]
Valockova, Barbora (2015) EU Competition Law: A Roadmap for ASEAN? EU Centre Working Paper No. 25, November 2015. [Working Paper]
de Flers, Nicole Alecu. (2010) EU-ASEAN Relations: The Importance of Values, Norms and Culture. EU Centre, Singapore Working Paper No. 1, June 2010. [Working Paper]


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Tuesday, October 09, 2007
Blaming It All on Mitral Valve Prolapse
The coroner's report that described "mitral valve prolapse" as the cause. But for those of us in the cardiac field, we wonder, how the heck can the presence of mitral valve prolapse cause death?
Mitral valve prolapse is caused by a redundancy of the mitral valve that causes the mitral valve (which separates the left atrium from the main pumping chamber of the heart, the left ventricle) to bow, or prolapse, into the left atrium. The leaflets are prevented from bowing too far back into the left atrium during systole by strong strands of tissue (called chordae) that act to tether the leaflets to the left ventricular chamber (think of the lines attached to a parachute that serve to hold air inside the parachute). Some patients have some leakage of the valve from the left ventricle backward into the left atrium caused by the bowing leaflets. Tons of folks live just fine with a minor leakage. But if the leakage gets too severe, or if one of the chordae ruptures, the flow of blood backward into the lungs can be so severe that the lungs fill abruptly with fluid, and respiratory collapse and perhaps death, occurs.
We are given limited information in the coroner's report if a chordal rupture occurred in Mr. Stokes, only that he had "mitral valve prolapse." So if he did NOT have chordal rupture, then we are left to wonder, would the mitral valve prolapse in and of itself, have killed him? Likely not. So if not, what other causes might explain his untimely demise?
First, let me say, I doubt we will ever know. But much more common in marathoners running on a hot day is the presence of heat stroke and electrolyte abnormalities. Given the hype about the need for water and the experience of this runner, it's hard to imagine that heat stroke would be the most likely cause here, but it can't be excluded. Electrolyte abnormalities, on the other hand, may have played a significant role.
There are two main "electrolytes of life," as I like to call them: sodium and potassium. Sodium is the major electrolyte outside of cells, and potassium is the main electrolyte inside of cells. Sweat is important cooling mechanism for the body, since evaporative heat loss is a very effective way to lose heat. But with sweat goes sodium and a small amount of potassium, too. And so the marathoner drinks water – lots of water – but often, does not replace any of the sodium lost with sweating.
And the results for the heart can be catastrophic. An important study was recently reported in the New England Journal of Medicine regarding hyponatremia (low sodium levels) in marathon runners in the Boston Marathon. This weekend, I had a chance to see this first-hand on Sunday when a marathon runner presented to our ER with hyperventilation, confusion and muscle fasciculations (diffuse fine twitching) and positive cardiac markers. Here were his lab studies:
Sodium 125 (ref: 133-145 meq/L)
Potassium 3.4 (ref: 3.5-5.3meq/L)
Chloride: 90 (ref:98-108 meq/L)
CO2 17 (ref: 23-32 meq/L)
Myoglobin: 1453 (ref: 21-98)
CK-MB 62.5 (ref:0.6-6.3)
Troponin-I 0.31 (ref: 0.0-0.06)
His EKG was normal.
What was striking were his confusion and muscle fasciculations. If effect, his sodium was so low that it was affecting all of the excitable tissues: his neurons and muscles. Fortunately for this individual, he did not have any skipped heart beats.
But throw a few extra heart beats into a heart exposed to that low sodium (which certainly could happen in the setting of mitral valve prolapse) and fatal cardiac arrhythmias can occur abruptly and irreversibly, resulting in sudden death.
So could this have been the real cause of death for this young man? Perhaps. Perhaps not. But blaming it all on mitral valve prolapse sends the wrong message to the thousands of patients living with this common heart valve anomaly.
9 comments:
- Gary said...
I think it's bad enough that MVP is so overdiagnosed... now everyone is going to start thinking that it's going to kill them!
- Tue Oct 09, 03:08:00 PM CDT
- Richard A Schoor MD FACS said...
I certainly am suspicious of the report and believe that the coroner had motives to state that the cause of death was the MVP, not the heat or the conditions in which the marathon took place. One has to wonder whether any political pressure came down on him and wonder from where that pressure came, ie the Mayor's office and the corporate sponsors. At the risk of seeming like a conspiracy theorist, I will now sign off.
- Wed Oct 10, 10:24:00 AM CDT
Thanks for this post. It reinforces very graphically what I wrote about yesterday on the same topic on my About.com heart disease site (http://heartdisease.about.com). Accordingly, I wrote a follow-up post today, linking to yours.
- Wed Oct 10, 11:35:00 AM CDT
At this time, without knowing Mr. Schieber's electrolyte panels, we don't know much about his hydration status. I agree with Dr. Wes that overhydration is potentially very dangerous to a marathoner (especially one with MVP). However, dehydration still remains an equally large threat. And while electrolytes are lost in sweat, sweat is itself markedly hypotonic, with the typical result of unreplaced sweating being a hypertonic hypovolemia.
The normal reflexive tachycardia and increased contractility that accompany hypovolemia could be potentially dangerous for an individual with MVP, and could contribute to chordal rupture that Dr. Wes mentioned. In addition, a person with MVP would be more likely to experience a drop in cardiac output secondary to inadequate preload, which coupled with the extreme oxygen demands of marathoning could also contribute to an arrhythmia in the absence of hyponatremia.
It is ultimately the responsibility of the runners to be aware of their health problems, as well as to hydrate in a proper manner (neither inadequately or excessively). However, when the event sponsors state that fluids will be available at certain points along the course, it is their responsibility to make that happen to allow the runners have the opportunity to make their own hydration choices.
- Sat Oct 13, 08:04:00 AM CDT
- American Street View said...
Hi Dr. Wes,
I came across this post after doing some googling on "MVP", which I was diagosed with two years ago. I applaud you for making your expert opinions so accessible, not only by posting in such a public realm but by writing in a plain language style people like myself can understand.
I'm writing because I want to offer a "rebuttal" of sorts. But first...
My Background: I'm a male in my mid-20's. Over the last 2.5 years, I've been in a fast-paced career where I am working 45-60 hours a week, getting little sleep (5 hrs/night avg.), eating poorly (+20% BMI over this period), and take sizeable doses of Adderall almost daily etc.
My Issue: I experience regular mild-to-moderate heart arthymias and twitching in my left leg. Symptoms usually appear in the afternoon of every work day and persist until I go to sleep, for a total of about 5-8 hours daily. On a few occassions where I have really stretched myself with sleep deprivation/nutrition/Adderall, I've had scary moments where the symptoms escalated from slow, steady palpatations to rapid, painful episodes.
The Bigger Point: I think there is a flip-side to mainstream medical opinion "blaming it all" on MVP after a sudden death where the person was found to have the condition. It seems when there is a living patient with MVP, doctors can be too dismissive of disease. For example, during the consultation after being diagnosed, my own cardiologist seemed almost apprehensive about how someone my age would let a "non-fatal" condition like MVP worry them. Beyond a very basic spiel about getting more sleep, etc., he was so unconcerned that he didn't even bother advising me on the long-term risks of heart infection, the need for antiobiotics prior to dental/surgical procedues, or any of the other seemingly serious MVP-related issues I've later learned about on my own accord.
While your post only addresses lack of evidence for MVP's direct causality in sudden death cases, I think the tone of your post title and some of the comments above indicate some degree of skepticism about MVP as a serious condition. While the condition may not *in itself* be a huge danger, given the prevalence of overstressed lifestyles like mine (as in my case), I worry that it could easily be a killer.
I'd be interested to hear any thoughts you may have. Thanks again for your great blog.
- Wed May 13, 08:35:00 PM CDT
- DrWes said...
Determining the cause of death can be a particularly perplexing challenge for health professionals. The presence of pathology does not necessarily imply causality. My point in this post is (1) that mitral valve prolapse is common, (2) we do not know the severity or other confounding reasons why the coroner determined MVP as the cause of death in this man, and (3) there are other issues in marathon runners other than the mitral valve finding that could easily have caused his demise. While I agree some doctors might not appreciate that MVP can be a serious condition, I was attempting to explain that its presence alone is unlikely to kill people unless some other issue was wrong with the mitral valve or the valve leakage was particularly severe.
Often, media reports things without the persective of the implications to the many, many people with this disorder. I was merely trying to lend some objectivity to the discussion.
The issue of the need for antibiotic prophylaxis should be discussed with your physician - not all patients require it (according to the new guidelines recently published).
- Wed May 13, 09:32:00 PM CDT
- American Street View said...
Developing a theory of causality for any event seems to be more of an artform than a science, even within actual scientific fields like medicine. I hope I didn't imply that I automatically subscribe to the notion that MVP was the exclusive cause of the jogger's death. I think the alternative explanations you provided seemed logical enough from this layman's point of view. On the other hand, while you pointed out electrolyte loss was a compelling potential cause, you seemed to focus in your post only on how it could cause death, not why it was more likely to induce the death than MVP complications. In fact, in the single example provided of a confirmed case of electrolyte loss, the patient apparently survived.
Going strictly on the varying theories you named and the support you provided for each, it seems that "a few extra [MVP-induced] heart beats into a heart exposed to that low sodium" is the most plausible explanation. You seemed comfortable with "combination explanation" yourself, but I think is my view that you can still "blame it all on mitral valve prolapse" practically speaking.
My view is this: MVP is a lifelong condition that, when aggravated by certain temporary stressors (e.g., electrolyte loss, or "pulling an all nighter on Adderall" in my case), can apparently be fatal. Because an people who do not have MVP are seemingly much more likely to survive these stressors than those who do, I think in all practicality it's fair to call MVP the underlying "cause." A cliche, but I think otherwise good analogy to draw here is AIDS: We say only that a person "died of AIDS", when in fact other pathogens (e.g. pneumonia) usually contribute to the death, don't we? (While I'm sure there are some physicians that may dispute even that claim, this sort of approach strikes me as too reductionistic....)
- Wed May 13, 11:03:00 PM CDT
Dear Dr,
I was diagnosed with MVPS few years back. I on/off have symptoms (may or may not) associated with MVPS. Recently I went to a cardiologist who gave his opinion as "Your MVPS size(I don't know what he refers too may be the prolapse size!)is not at all appreciable as per the cardiologist in United States(I am living in India)and its a less moderate form of MVPS and you can engage in all type of activites except lifting heavy weights". Your article drives me crazy whether to have a strenous work out or not". I have a strange feeling of tachycardia when raising from bed suddenly and resolve itself recently and he says that MVPS are slimmers and this body type makes them aware their heart is beating too fast and refused to put on any drugs other than a life style as that of a person having a normal healthy heart. I need your expert opinion in this regard.
- Mon May 18, 05:35:00 AM CDT
Although this is an old article I would like to provide BN and Anonymous a couple of resources that have greatly helped me understand our condition a little better. Thank you for this article Dr. Wes, it was an interesting read.
Here are the links:http://www.google.com/url?sa=t&rct=j&q=mitral%20valve%20prolapse%20syndrome&source=web&cd=1&cad=rja&sqi=2&ved=0CC0QFjAA&url=http%3A%2F%2Fwww.mitralvalveprolapse.com%2F&ei=9mjIUIiSKMjnrAGipYHoDg&usg=AFQjCNFMY7AzI_fQFWbIZlnG8ydFSgt0yw&sig2=v9w2mO2YpbcMKT5EPxEeYw&bvm=bv.1354675689,d.b2U
and this book provided Great insight!: http://www.amazon.com/gp/product/0446394076/ref=oh_details_o00_s00_i00
I'll check back periodically to see if either of you respond. Knowledge is power!
- Wed Dec 12, 05:29:00 AM CST


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Xcelorin brushless systems from Losi represent the latest development in brushless power and performance. The 1/10 Xcelorin Motors and ESCs offer features and specifications desired by electric RC enthusiasts. The ESC features a pre-wired high-speed cooling fan, low voltage cutoff protection, multiple programming options and much more. The motor features low-profile solder tabs with a protective cover, precision ball bearings for smooth operation, sintered neodymium rotors, and best of all requires no motor maintenance. For higher speeds and longer run times, look to Losi and Xcelorin brushless systems.
ESC Specs Type: Sensorless Brushless Forward: Y Reverse: Y Brake: Y Time Delay Brake: Y Throttle Limiting: Y (adjustable in 10% steps) Programmable: Full (via quick program card or PC) Continuous Maximum Current: 100A Momentary Peak Current: 540A Input Connector Types: Losi EC3 style Dimensions (WxLxH): 1.16 x 1.54 x 1.3 in (29.5 x 39 x 33.2mm) Weight: 1.7 oz (48 g) BEC Voltage: 6.1V, 3A PWM Frequency: Optimized for Spektrum or traditional radio systems Motor Specs Type: Sensorless Brushless Size: 540 Bearings or Bushings: Precision ball bearings Voltage: NiMH 6-12-cell; LiPo 2-3-cell RPM/Volt (Kv): 7500Kv Weight: 6.35 oz (180 g) Overall Diameter: 1.4 in (35.8mm) Shaft Diameter: 0.125 in (3.17mm) with flat Shaft Length: 0.18 in (4.6mm) Overall Length: 2.15 in (35.8mm)
Disconnect the battery from the speed controller before connecting the Xcelorin USB adapter to the speed controller. Failure to do so may result in DAMAGE TO YOUR COMPUTER.
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What this Warranty Covers Horizon Hobby, Inc., (Horizon) warrants to the original purchaser that the product purchased (the "Product") will be free from defects in materials and workmanship at the date of purchase.
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We have peer tutors in a wide variety of subjects and can accommodate most requests. Tutors are Salve Regina students that have excelled in the subjects they are tutoring, have been recommended by their professors, and have completed a tutor training program. Many are certified through the College Reading and Learning Association.
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If you think state spending is out of control, think again. One data point from Gov. Jerry Brown's new budget. Budget cuts and revenue declines during the Great Recession have pushed state spending, as a percentage of income, down to the lowest level since the 1972-1973 budget year.
"We're back in '72," Brown told a press conference Monday.
That was before Brown's first governorship -- and before the state took over responsibility for funding all sorts of local government functions.


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Meet The Cast & Characters
Clip | 2m 43s
Stars Dominic West, David Oyelowo, Lily Collins and Olivia Colman introduce their characters.
Aired: 04/02/19Video has closed captioning.
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Interview Roundup: The Cast of Les Misérables
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Les Misérables: What You Need To Know
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Super fast "5G" mobile data networks will be vastly different than today's 2G, 3G, 4G, says CEO Hans Vestberg, Stockholm-based Ericsson.
Sure it will be faster. But it will also be smarter and be located in weird spots, like telephone polls, he said on Monday at the Fortune Brainstorm conference in Aspen.
While 5G probably won't be rolled out in networks worldwide for another five to 10 years, Ericsson already gave its first live demo of the 5G that it is developing earlier this month.
The reason it will be smarter is because the Internet of Things is coming in that same time frame. That's where every object is added to the Internet, your cars, your pill bottles, your keys, everything.
"If you have a doctor following a remote patient, it's important [that the network] know it's a patient and not a connected car" he says. A problem with a patient might need to get priority on the network over a song downloaded to a car.
But cars are also going to need their own smarts as well. For instance, networks have to be much faster for things like autonomous cars (in Geek speak: they need to reduce latency). That speed needs to be instantaneous "if you want to auto-steer the cars."
And finally, these networks will need to be bigger to handle all this traffic, particularly in cities. "70% of the population will be in cities by 2019," he said. We need to "dense-ify the network. We cannot get big sites anymore in big cities."
Unfortunately, he says, there's no land left to buy to put towers and facilities. So Ericsson is thinking creatively about it.
It's in a test right now with Phillips to put cell tower service in low-power, green smart light posts. called "zero sites."