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Innovative Use of Wingman Crossing Catheter for Inferior Vena Cava and Iliac Vein Occlusion
ABSTRACT: Inferior vena cava (IVC) thrombosis can present progressively with symptoms of leg pain, swelling, ulcer formation, and impaired quality of life. The presence of an IVC filter is an independent risk factor for IVC thrombus formation. We present a clinical case of chronic IVC occlusion in the setting of prior IVC filter placement that was successfully crossed using a novel device and ultimately treated with stent angioplasty.
Key words: chronic deep vein thrombosis, inferior vena cava, venous occlusion, post-thrombotic syndrome, venous angioplasty, IVC filter, chronic total occlusion, Wingman catheter
Inferior vena cava (IVC) thrombosis is a rare but clinically relevant disease process that is frequently underdiagnosed.1 Occlusive IVC disease can present acutely or chronically with a diversity of symptoms. Acute manifestations are similar to acute deep vein thrombosis (DVT); ie, leg pain, heaviness, swelling, and cramping. Conversely, chronic venous occlusions are generally indolent in nature and can have delayed presentations. Chronic venous outflow obstruction can lead to venous hypertension, skin ulceration, post-thrombotic syndrome (PTS), and limb loss from venous gangrene.2-4 Symptoms of PTS consist of persistent leg pain, swelling, heaviness, skin changes, and ulcerations, which significantly impair quality of life and decrease life expectancy.1 Numerous studies have demonstrated a reduction in the development of PTS by providing early treatment and preventing recurrent thrombotic events.5
In spite of their various presentations, both acute and chronic venous occlusive disease share common etiologies, such as inherited and acquired thrombophilia, external compression (May-Thurner's syndrome), idiopathic, and iatrogenic causes. During the veno-occlusive process, conversion from a soft thrombus to fibrotic lesion may occur as early as 2 weeks.4 Over time, the lesion can become calcific, increasing the complexity and difficulty in crossing a chronic total occlusion (CTO) lesion. In the peripheral arterial circulation, 20% of CTO endovascular revascularization attempts end in failure due to difficulty in crossing the lesion.6 Fortunately, advances in technology have aided the operator in offering more extensive endovascular treatment options as first-line therapy in complex veno-occlusive disease.7 Herein, we describe the case of a 65-year-old female with PTS as a result of chronic venous outflow obstruction and thrombosis of the iliocaval venous system likely related to the presence of an IVC filter. The CTO lesion was successfully crossed using the Wingman crossing catheter (Atrium Maquet Getinge) followed by definitive treatment with stent angioplasty.
Case Report
A 65-year-old female with history of unprovoked DVT in the left popliteal vein 15 years ago, chronic venous stasis skin changes of both legs, and morbid obesity was seen for evaluation of gradually worsening bilateral leg edema with associated pain. She was previously on warfarin therapy for her DVT until last year, when anticoagulation was interrupted for removal of her lap-band, which was causing gastric obstruction. Prior to interruption of her anticoagulation, she underwent IVC filter implantation. After her surgery, coumadin was discontinued indefinitely.
Her evaluation included venous Doppler ultrasound, which demonstrated right external iliac and common femoral vein occlusive DVT. She was restarted on warfarin therapy and prescribed graded (15-20 mm Hg) compression stockings. After 8 weeks of therapy, she was evaluated with repeat ultrasound study, which showed persistent occlusive DVT. Clinically, she was CEAP (clinical, etiology, anatomy, pathophysiology) class 4 (Figure 1), and continued to experience bilateral lower-extremity discomfort with edema. Based on her persistent symptoms, which were refractory to conservative measures, she was brought to the endovascular lab for venogram.
Bilateral common femoral vein access was obtained with insertion of 6 Fr sheaths. Selective right external iliac venogram demonstrated 100% occlusive disease of the distal right external iliac vein with an extensive pelvic collateral network (Figure 2). Selective left external iliac venogram showed 100% occlusive disease involving the distal left common iliac vein extending into the IVC and involving the previously placed IVC filter (Figure 3). Collaterals were noted to communicate above the level of the IVC filter. A stiff-angled glidewire with a 0.35˝ support catheter was initially used from the left common femoral vein to partially cross the occluded left common iliac vein segment; however, it failed to progress further. A Wingman catheter was then used to successfully cross the left common iliac vein into the IVC and IVC filter (Figure 4). The glidewire was then advanced above the IVC filter into the IVC, with intraluminal position confirmed by contrast injection. The Wingman catheter with glidewire was then used to successfully cross the occluded right external/common iliac vein and IVC into the IVC filter. The glidewire was again advanced above the IVC filter. Simultaneous kissing-balloon inflations were then performed in the IVC using two 6 x 150 mm balloons. Further balloon dilations were performed in each iliac vein. Intravascular ultrasound was used for accurate measurement of the IVC and iliac veins. Two 14 x 80 mm Protégé self-expanding stents (Medtronic) were simultaneously deployed in a "double-barrel" fashion in the IVC (through the IVC filter) extending into the common iliac veins. The left limb was further extended using 14 x 80 mm and 14 x 40 mm Protégé stents in the left common iliac vein. The right limb was extended with a 14 x 60 mm Protégé stent and a 12 x 60 mm Epic stent (Boston Scientific) into the right external iliac vein. All stents were postdilated with 8 mm balloons. Final venogram demonstrated patent iliac veins and inferior vena cava with brisk flow (Figure 5). The patient was discharged home the following day on aspirin, clopidogrel, and warfarin.
Therapeutic options for chronic venous obstructive disease include conservative measures such as leg elevation, elastic compressive devices, compression pumps, analgesics, and chronic anticoagulation. However, when these options fail to resolve symptoms, invasive therapies are often pursued. Depending on the timing of clot formation and the composition of thrombus (soft versus fibrotic), general therapies revolve around thrombolysis with clot extraction and balloon/stent angioplasty. Catheter-directed thrombolysis (CDT) with an infusion catheter or Ekos catheter (BTG International) and pharmacomechanical catheter-directed thrombolysis (PCDT) utilize the infusion of a thrombolytic agent, typically alteplase, to dissipate thrombus. Further removal of thrombus during PCDT may be accomplished with rheolytic thrombectomy using the AngioJet device (Boston Scientific).8 Stent angioplasty is often required in the presence of chronic, fibrotic, veno-occlusive disease with good long-term results. Iliocaval stenting has proven safe, with a cumulative patency rate ranging from 90% to 100% and 74% to 89% for non-thrombotic and post-thrombotic disease, respectively, at 3 to 5 years.9 Stent angioplasty across a thrombotically occluded IVC filter has also proven safe, without an increase in morbidity and mortality.10 These invasive measures help prevent the recurrence of thrombus, improve PTS, heal venous ulcers, and improve quality of life.11
In the clinical case presented, successful stent angioplasty of the IVC, bilateral common iliac veins, and right external iliac vein was significantly aided by the use of the Wingman crossing catheter. The Wingman catheter is an over-the-wire extendable-tip crossing catheter with a stainless-steel blade (Figure 6).12 Designed to cross peripheral arterial CTOs, the blade on the Wingman crossing catheter can be advanced, retracted, or rotated to penetrate the proximal cap of vessel occlusions. Once an intraluminal channel is created, the blade is retracted and the catheter follows the wire as a support catheter.6
Iliocaval stent angioplasty is a safe and effective method of managing chronic obstructive disease to relieve symptoms and improve PTS. Innovative tools such as the Wingman catheter may aid in successfully crossing CTOs. IVC filter thrombosis remains an underdiagnosed condition; therefore, a high clinical suspicion for the disease process is warranted in patients with a history of IVC filter placement.
Disclosure: The authors have completed and returned the ICMJE Form for Disclosure of Potential Conflicts of Interest. The authors report no conflicts of interest regarding the content herein.
Manuscript submitted January 16, 2017, provisional acceptance given March 1, 2017, final version accepted March 4, 2017.
Address for correspondence: Vincent Varghese, DO, Deborah Heart and Lung Center, Division of Endovascular Medicine, Browns Mills, NJ 08015. Email: email@example.com
- McAree B, O'Donnell M, Fitzmaurice G, et al. Inferior vena cava thrombosis: a review of current practice. Vasc Med. 2013;18:32-43.
- Amin VB, Siegelbaum RH, Fischman AM, Lookstein RA. Approaches, techniques, and preprocedure considerations for successful interventional management of DVT. Endovascular Today. July 2013.
- White RH. The epidemiology of venous thromboembolism. Circulation. 2003;107:14-18.
- Kahn SR. The post-thrombotic syndrome: the forgotten morbidity of deep vein thrombosis. J Thromb Thrombolysis. 2006;21:41-48.
- Titus JM, Moise MA, Bena J, Lyden SP, Clair DG. Iliofemoral stenting for venous occlusive disease. J Vasc Surg. 2011;53:706-712.
- Razavi MK, Laird JR, Ansel GM, Mustapha JA, Inoue N. Forging a path; an elegant new catheter provides a winning CTO solution. Endovascular Today. August 2015.
- Seshadri R. Best management options for chronic iliac vein stenosis and occlusion. J Vasc Surg. 2013;57:1163-1169.
- Meissner MH, Manzo RA, Bergelin RO, et al. Deep venous insufficiency: the relationship between lysis and subsequent reflux. J Vasc Surg. 1993;18:596-605; discussion 606-608.
- Raju S. Treatment of iliac-caval outflow obstruction. Semin Vasc Surg. 2015;28:47-53.
- Neglen P, Oglesbee M, Olivier J, Raju S. Stenting of chronically obstructed inferior vena cava filters. J Vasc Surg. 2011;54:153-161.
- Alkhouli M, Morad M, Narins C, et al. Inferior vena cava thrombosis. JACC Cardiovasc Interv. 2016;9:629-643.
- Kazunori H, Naoto I, Akiko T. Recanalization of a heavily calcified chronic total occlusion in a femoropopliteal artery using a Wingman crossing catheter. Ann Vasc Dis. 2016;9:130-134.


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Venue Inspiration
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Best Startup Events 2020
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|October 6, 2020
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Larry's Country Diner is coming to the Clay Cooper Theatre October 6, 2020! Known for its spontaneity and impromptu dialogue, Larry's Country Diner is a unique down-home variety show which integrates entertainment, interviews, and music in a country diner setting. The show will feature regular characters including Black, Keith Bilbrey, Sheriff Jimmy Capps, Waitress Renae and avid church lady, Nadine along with special guest appearances on this show by country music duos, Wilson Fairchild, The Malpass Brothers, and the lovely and talented Teea Goans. A guaranteed wonderful time for the entire family for some awesome entertainment and traditional country music. You've seen this show on tv, now's your chance to see it live!
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Jordan K. answered 10/03/14
TutorNew to Wyzant
Patient and loves to help others learn!
Here are some items to research to help with this:
One major item to discuss is the Constitution and how and why it was developed. What did it have that the Articles of confederation did not?
How did the supreme court under Chief Justice John Marshall affect states rights?
What amendments to the Constitution strengthened the federal government?


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[RC] loosing shoes at Tevis - Melissa MargettsI have a question about what shoes are mostly used at Tevis. Christoph puts his equiflex shoes on my guy for all the 100's and they have never failed me once. They are very light, give good protection to the frog, NEVER slip on slick granite or asphalt and we seem to be able to get up to 350 miles out of a pair and we have NEVER lost one yet. At Tevis, my friend Renee Norris lost first one shoe (fixed by an easy boot she carried) then damn if she didn't lose another. She had a Farrier at Fransiscos slap a shoe on and damn if she didn't start to hear the tell tale clink another loose shoe. No one had a size OO easy boot and the cut offs were looming so she had to pull with a horse who still had a lot of "Go" in the tank but no shoe. She said her horse had not been interfering and she was Sooo disappointed as this was her third attempt and still no buckle. I was told that the major companies making the horse shoe nails have started using a cheaper alloy but the nails are weaker and shoes are coming off faster. Has anybody else heard of this? I heard that Garrets glue on gloves were a great success and that only one person lost a glove. Do most people still use steel shoes for this ride?
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Samsung Introduces Two Mono Laser Series
Samsung introduced its latest lineup of monochrome laser printers featuring two new series – the single function ML-2955 and the multifunction SCX-4729 – with eco friendly options that reduce consumption and increase savings.
The new series are targeted at both at-home professionals and small to midsized workgroups and businesses and are armed with print speeds up to 29 ppm, print resolution up to 1200 x 1200 dpi, automatic duplexing and 533 MHz processor.
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But the ML-2955DW offers wireless functionality for $20 more and features Samsung's one-touch wireless setup as well as Samsung's MobilePrint app for wireless printing from compatible mobile devices.
The SCX-4729 series also features two models: the SCX-4729FW and the SCX-4729FD. Both models offer print, scan, copy and fax capabilities along with a 40-sheet ADF, 128 MB memory standard, 250-sheet cassette, one-piece toner cartridge, Eco-Mode and pop-up numeric keypad.
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Adventurer |"Rover, Wanderer, Nomad, Vagabond, Call me what you will" | "This is a journey into the unknown, to something completely new" | "To the gypsy that remains faces freedom with a little fear. I have no fear, I have only love" | "Shh. You hear that? That's the open road calling my name, and I was born to answer that call. Bye." | "Home is where my rump rests" | "Who is gonna sing my selfish song, Well the answer is me so don't sing along"
See More
Nov 01, 2016 - Feb 06, 2020
Private Goal
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List of completed goals


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To complete your perfumed rituals, we are inaugurating our body care line with two products that are an essential part of your beauty routine.
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Xanax is a drug with direct impact on neurotransmitters, use it carefully to avoid addiction
The doctors to treat the problem of anxiety, stress, and panic use many drugs and Xanax is on the top. Yes, this is a benzodiazepine class of drug, which is given to the patient for the treatment of the mental diseases like stress, anxiety, and panic attacks. This slows the process of thinking and feeling towards the different things by putting a direct impact on the mind. Due to this, our mind can easily neglect the negative feelings and start feeling very happy. This results in very nice and a person can easily overcome issues like social anxiety etc.
Be careful with the stating of Xanax
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Seek medical help
Without the permission of the doctor, we should never share the medicine with any other. We should also make sure that we are only using the right quantity of the medicine that is given by the medical practitioner only. This means that one should be quite careful about the use of medicine and never skip or overtake any dose. It is better to start taking the next regular dose at the right time when you have missed the previous dose. Overdose of the Xanax can be very dangerous and make a person additive as well.
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One should also know the fact that Xanax addiction can also be a potential reason for dropping the use of medicine at once. This means that once you start taking the medicine, always seek medical advice to stop using it. A sudden interruption in the use of medicine can cause serious withdrawal symptoms and addiction to medicine. Individuals can also show some serious side effects of the medicine that include cramped muscles, bouts of nausea, digestive problems, and poor coordination, reduce appetite, and many more. Slurred speech is also a potential side effect of using the Xanax. This means Xanax addiction is a serious issue because it can put a direct negative impact on your mind and body and thus you should be quite careful about it.


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The way to use a heat tool
First we must know
You can use a heat gun for things below:
– Stamps
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- Provides 7 multi-function rooms and 3 kitchens of various sizes for venue rental
- Rooms can be used for talks, sharing sessions, seminars or indoor activities
- Easily accessible with proximity to Tsuen Wan and Tai Wo Hau MTR stations
Conrad was incorporated on the 14th January 2015, and recognised by the Hong Kong Inland Revenue Department as a charity under Section 88 of the Inland Revenue Ordinance on the 18th September 2015. Conrad used the Latin phrase "Diliges Proximum Tulum", translating to "love thy neighbour", as its motto to demonstrate the desire to serve the citizens of Hong Kong. Conrad aims to improve the knowledge of and increase the living standard of the citizen of Hong Kong.
The room can be used for children's indoor activities such as taekwondo and study room. Conrad is sincerely providing quality venues for use by all sectors. The rental is simple, just contact us via VenueHub to send an appointment.
Conrad is close to Tsuen Wan and Tai Wo Hau MTR Stations and easily accessible within a 5-minute walk. There are also a number of buses and minibusses. The Ho Fai Commercial Centre is equipped with time-paid car parks.
Now offering seven rooms:
- Room 1: 550 square feet, can accommodate 60 people
- Room 2: 610 square feet, can accommodate 60 people
- Room 3: 400 square feet, can accommodate 30 people
- Room 1+2: 1,160 square feet, accommodating 120 seats
- Room 2+3: 1,010 square feet, can accommodate 80 people
- Room 1+2+3: 1,560 square feet, accommodating 140 seats
- Room 1+2+3+Classroom A: 1,560 square feet, accommodating 190 seats
- Classroom A: 460 square feet, accommodating 50 seats
Equipped with projector, computers, wireless and wired microphones and speakers
Three kitchens:
- Kitchen 1: 600 square feet
- Kitchen 2: 420 square feet
- Kitchen 3: 1,020 square feet
Each kitchen is furnished with several advanced and easy-to-use kitchen utensils, such as electric ovens and induction cookers. The school adopts a smoke-free and carbon-free concept and has deliberately installed a variety of electromagnetic kitchen utensils. It has also implemented a variety of safety measures according to the fire regulations, so you can enjoy the pleasure of cooking in a safe environment. You will also have access to a coffee machine in the kitchen.
Amenities of Conrad College
- 140 Standing
- 60 Seated
Space & Layout
- Long Table Setup
- On-Site Kitchen
- Open Kitchen
- Movable Partitions (Room Dividers)
- Pillarless
- Private Room(s)
- Round Table Setup
Food & Drink
- Bring Your Own Food & Beverage
- Buffet Setup Available
- Venue can arrange external Asian catering
- Venue can arrange external Western catering
- Wine/Cocktail Menu
Technical Equipment
- PA System/ Microphone
- Projector
- Sound System


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Scandic Gypsy
Anna, founder of Scandic Gypsy is a Swedish (the Scandic part) national who is lucky enough to call Australia home. On her various travels (the Gypsy part) she has always found her curious mind sourcing products and suppliers which before now, were only supplied to family and friends. She saw an opportunity to make her passion into her profession, and by extension enabled her to live her mission of helping people in small communities in under-developed nations, to grow. Scandic Gypsy products are hand made Artisan products, making each item individual (just for you!). They have developed sound relationships with small community manufacturers in Indonesia who are families and communities working to support one another and creating good economic platforms for their villages. You might call it 'Slow Fashion'. They call it comfort, style, quality, and fairness for producers and consumers alike. We are so excited to welcome them to our nest. Click through styles that catch your eye for exclusive birdsnest stylist advice.
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Before going into the specifics about the potential impacts of automation of maritime shipping, it is important to underline that although automation can be solely considered at the port terminal level, it also takes place across entire supply chains.
The fourth industrial revolution: The big picture of value chains
Actors usually optimize the systems they can control and benefit from, but a common mistake is not to consider the larger impacts of the technologies they are using, both upstream and downstream of their value chains. The impacts of automation on port activity may be more significant on the activities that drive port volumes, such as manufacturing, than on port operations.
For instance, on the following figure terminal automation is but one change taking place within the fourth industrial revolution framework. Looking at logistics, there are also significant changes in procurement, fabrication/manufacturing, other elements of distribution (e.g. warehousing) as well as marketing (e.g. e-commerce). The question remains in which way all these changes are going to impact the demand structure of global freight distribution and how terminal automation fits into this picture.
E-commerce (the automation of retail): Lessons for maritime shipping and ports?
The impacts of e-commerce, a form of supply chain automation, on the retail ecosystem have been far-reaching. Using e-commerce as an analogy, the following impacts can be expected over maritime transport systems:
- Shipping networks. E-commerce changed the pattern of freight distribution with the growth of parcel deliveries and the resulting shift in last-mile logistics (urban deliveries). For maritime shipping, would (terminal) automation lead to a segmentation of services between highly automated terminals that can handle the high volumes and frequency requirements of mega-ships and less automated terminals focusing on secondary services? This could be particularly significant for transshipment hubs.
- Terminal footprint. E-commerce reduced the real estate footprint of retail as some of this footprint switched to distribution centers. Could terminal automation lead to a declining global footprint of container terminals, particularly if we enter a low growth environment? This could incite a rationalization of terminal assets and in some cases the closure of terminals, particularly in multiterminal ports where automation leads to higher capacity than required.
- New types of terminal facilities. E-commerce resulted in the creation of entirely new types of freight distribution facilities, such as e-fulfillment and sortation centers to coordinate its logistical requirements. Automation is changing operations and the configuration of container terminals, which is likely to lead to new terminal designs and interactions such as terminal / satellite facilities pairs.
- Vertical integration. Large e-commerce firms are trying to get involved in several segments of their supply chains, particularly to have a better level of control on the performance of their distribution. Since terminal automation results in a higher level of integration along the transport chain, particularly through the information technologies, it relies on, in which way this will shape the formation of new relations between carriers and their customers and even the possibility of new entrants?
E-commerce is thus a relevant analogy in trying to assess the potential impacts of automation on ports and maritime shipping. While safety and performance improvements are the focus, automation can lead to unintended consequences such as a segmentation of shipping networks, the decline of terminal footprint and the devaluation of terminal assets.
The automation ceiling: In which context further automation makes sense?
Port terminals are particularly prone to automation since it provides direct benefits in terms of cost, efficiency, safety and reliability. Still, this automation takes place at different rates depending on the technology involved and how easy it is to implement it in a cost-effective fashion; the low hanging fruits are picked up first. Ports and maritime shipping are an asset-dependent activity, underlining the complexity and risk of their automation.
Risk mitigation underlines that there is an automation ceiling representing what level of automation can be implemented at a terminal effectively from a cost / benefit perspective. Any automation that is too capital intensive and that does not lead to significant benefits such as lower operating cost or higher throughput is a risk and should be treated with caution. It also underlines that automation can be phased in an asynchronous fashion, creating disruptions of the flows and processes within terminals. This asynchronism is linked with the cost and ease of implementation of an automation segment. For instance, yard management and automated gates are the most prevalent forms of automation since they are mainly software-based as opposed to automated yard equipment (cranes or horizontal transport), which are much more capital intensive.
Blockchain and supply chains: Revealing how the sausage is made?
The current discourse about Blockchains as a form of supply chain automation is surprisingly vague, underlining expected benefits, but these benefits are rarely explained in a structured fashion. This is very reflective of a hype phase where the expected benefits of a technology are exaggerated and the complexities of its implementation undermined. Still, Blockchain technology shows promises particularly over bills of lading and automated payment systems. A paradoxical issue is that a segment of transportation and maritime shipping is based on a capitalization of inefficiency. To what extent the application of Blockchain technology would reveal inefficiencies within supply chains and force a pricing readjustment in an already tight profit margin sector? In simplistic terms, does the industry really want to reveal how its sausage is made?
Automation changes processes but also locations
The current port automation discourse tends to take place in a vacuum, focusing on the processes (management, equipment, information technologies, engineering) that could be automated in a port terminal. What remains rather unnoticed is that although automation changes the processes within value chains, more importantly for the shipping business, it also changes locational requirements.
The true extent to which each economic sector is prone to automation is uncertain. Those with the highest potential tend to be in the manufacturing and distribution sectors; the main customers of ports and shipping lines. Less considered are the impacts of automation on input requirements, particularly labour. This could be far-reaching in consequences since labour becomes a more secondary non-material input factor, inciting supply chains to change their locational preferences accordingly. Under this evolving environment, sourcing strategies can shift to locations that are either closer to markets (distributional efficiencies) or to material inputs such as resources (procurement efficiencies). The outcome is a change of the derived demand for ports and maritime shipping, potentially with less long-distance shipping and a modal shift to other regional modes.
The prospects for trade and shipping: Back to absolute advantages?
The above trend underlines challenging trade prospects since automation impacts the factors of production. An important demand driver for maritime shipping in recent decades has been the exploitation of comparative advantages with the related outsourcing and offshoring of many activities in lower labour cost locations. This convenience may be drawing to an end, inciting a readjustment of international trade more along absolute advantages in terms of markets, capabilities and resources. Incidentally, this was representative of the global trade environment prior to its recent acceleration; trade was more a matter of necessity than convenience. What if globalization was just a transition phase?
Terminal automation must be considered in a wider context that affects both the technical aspects of terminal operations, but also the derived demand of maritime shipping. While one aspect (terminal automation) is under the control of terminal operators, the other (value chain automation) is outside their control. It would be paradoxical to transition into a fourth industrial revolution with efficient (automated) terminals and supply chains supported by Blockchains, but with lower anticipated shipping demands. For the industry, this would be an unpleasant surprise as the array of technologies from which it would benefit would also be the drivers of its stagnation."
Source: PortEconomics


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It's certainly safe to say that we love a good layer. Coats, sweaters, shearling, cashmere—we're fans of any and every variety, especially when seasonal shifts keep the ever-so cold temperatures frozen at the top of mind. We couldn't get enough of their loungewear looks (really, we haven't been able to take them off), so we asked our very own Sam and Meaghan to work their magic once more and curate two polished yet casual ensembles to keep us perfectly warm all season long. From buildable basics to outerwear essentials, welcome to your stylized winter wardrobe survival kit.
The turtleneck is a triple threat of winter apparel: it's soft and simple, pairs well with everything, and is undeniably warm. When coupled with our Cashmere Overcoat (plus some simple denim and seasonal mules), that triple threat turns any outfit into the go-to look for when you're out and about during those cold weather days.
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It's not every day you come across a winter coat that's both warm and perfectly oversized—our Everyday Puffer Jacket checks both boxes. The ideal outer layer's understated exterior provides more than enough room for you to don your favorite sweater (like our best-selling Fisherman) so you can make the most of those moments outdoors without skimping on warmth.
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Photos by Angi Welsch


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How This Works
In the MovingWorlds Institute Global Fellowship, you will learn how to advance your for-good career while getting hands on experience on projects like this one.
Project Description and Impact
Born from an experience of a contemporary political context boiling over migration issues, our association aims to promote the mobility, diversity, connections, and integration of migrants spreading the culture of each migrant within the host society with activities based on culture and education. The association wants to expose a migration experience seen from the inside to the outside: that is the example of an association of migrants, by, about and for migrants.
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Learning Opportunity
By participating in the MovingWorlds Institute, you will first learn social impact frameworks and human-centered design before putting your existing skills and new knowledge to action.
This project accepts virtual experteers.
About the Hosting Organization
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Lecture "The Mansion of Happiness: Or, Finding the Meaning of Life in an Archive," by Jill Lepore, 7:30 p.m. June 5. Free. Antiquarian Hall, 185 Salisbury St., Worcester. (508) 755-5221 or www.americanantiquarian.org.
Music Lou Borelli Octet, 7:30 p.m. June 5. Nick's Bar and Restaurant, 124 Millbury St., Worcester.
Music VII Dubstep, 9 p.m. Tuesdays. Tammany Hall, 43 Pleasant St., Worcester. (508) 753-7001.
Art Show and Sale Students 14 and older submitted original works based on the question, "Can genocide be prevented? The two sides of human nature" and curated by Project eXodus with Dr. Elliot Salloway and photographer Manuel Schroeder, through July 3. Opening reception 5-9 p.m. June 5. 10 a.m.-6 p.m. Wednesdays-Saturdays; 11 a.m.-4 p.m. Sundays. Dzian Art Gallery, 65 Water St., Worcester. (508) 831-1106 or www.dzian.net. Dr. Elliot Salloway and photographer Manuel Schroeder art will be for sale to benefit the Strassler Center. Students' art will not be sold.
Indie Art Market 6-9 p.m. June 5. Beatnik's, 433 Park Ave., Worcester. (508) 926-8877.
Living with Alzheimer's For people with Alzheimer's, 1:30-3:30 p.m. June 5. Worcester Senior Center, 128 Providence St., Worcester. (800) 272-3900.
Earth and Spirit Singers 7-9 p.m. June 5. Free. First Unitarian Church, 90 Main St., Worcester. (508) 755-0955.
Stop and Shop Best Choice Series What's going on at the Deli, find out how to order the best selections for you. 1-2 p.m. June 5. Worcester Senior Center, 128 Providence St., Worcester.
Berlin/Boylston SEPAC Meeting 7 p.m. June 5. Tahanto Regional High School library, 1001 Main St., Boylston, followed by a social gathering at Flat Penney, 263 West St., Berlin. www.sepac-berlin-boylston.org.
Music Ed Morgan "The Music Man," 3:30 p.m. Tuesdays. World Gifts Espresso Caf�, 50 High St., Clinton. (978) 733-4277.
Exercise Classes Restorative Hatha Yoga 9:30 a.m. $12 drop-in fee. Easy Flow Strength Training, 6:45 p.m. (new four-week series starts, $40); $12 drop-in fee. June 5. Simonds-Hurd Complementary Care Center, HealthAlliance Hospital — Burbank Campus, 275 Nichols Road, Fitchburg. (978) 665-5800.
Story Time 10:30 a.m. Tuesdays. Fitchburg Public Library, 610 Main St., Fitchburg. (978) 345-9637.
Information Session for Pathways Early College Innovation School for high school students completing their junior and senior years at Mount Wachusett Community College and earning their high school diploma and an associate's degree, 6-7 p.m. June 5, 6, 12 and 13. Mount Wachusett Community College, Room W11, 444 Green St., Gardner. (978) 630-9248.
First Time Homebuyer Course 6:30-8:30 p.m. June 5 and 6-9 p.m. June 18, 19 and 20. Must attend all sessions to receive certificate. Registration is required. Greater Gardner CDC, 246 Central St., Gardner. (978) 630-2975 or firstname.lastname@example.com.
Documentary Film and Discussion "Mother Nature's Child: Growing Outdoors in the Media Age," 7 p.m. June 5. Discussion with Kim Bent of "Catch the Science Bug." Thayer Memorial Library, 717 Main St., Lancaster. (978) 368-8928.
Twin City Toastmasters 7 p.m. Tuesdays at different locations. To confirm location and time, call (978) 534-9925 or www.twincitytoastmasters.com.
Leominster Disabled American Veterans Chapter 24 Meeting 7 p.m. June 5. Veterans Center, 100 West. St., Leominster. (978) 537-1541.
American Red Cross Blood Drive 1-7 p.m. June 5. Lodge of Elks, 134 North Main St., Leominster. (800) 733-2767 or www.redcrossblood.org. Donors receive a free special edition Boston Red Sox t-shirt.
Tai Chi "Healthy Mind and Body Balance," 9:30 a.m. June 5. $2. Millbury Senior Center, 1 River St., Millbury. (508) 865-9247.
Blood Pressure Clinic 9 a.m. June 5. Free. Millbury Senior Center, 1 River St., Millbury.
Cribbage 1p.m. June 5. Millbury Senior Center, 1 River St., Millbury.
Messy Fingers 10:30 a.m. June 5. Millbury Public Library, 128 Elm St., Millbury. (508) 865-1181.
Volunteer Day Help with property maintenance, gardening, buildings and grounds work, trail clearing, wildlife monitoring and animal care, 9:30 a.m.-12:30 p.m. Tuesdays. Must be 16 or older. Wachusett Meadow Wildlife Sanctuary, 113 Goodnow Road, Princeton. (978) 464-2712, ext. 8707.
Zumba Fitcamp 7-8 p.m. $8. Tuesdays, Rutland Community Center, 53 Glenwood Road, Rutland.
Lecture Holy Cross professor Donald R. Brand will speak about the political process Americans use to elect presidents, 7 p.m. June 5. Shrewsbury Public Library, 609 Main St., Shrewsbury. (508) 842-0081 or www.shrewsbury-ma.gov/library.
Car Care Day for Single Ladies Designed to lend a hand to widows and single mothers with their car maintenance, the men of Bible Fellowship Church will provide a free oil change and basic check of each vehicle that has an appointment. June 9. Free. Registration is required by June 5. Bible Fellowship Church, Route 131, Thompson. (860) 923-9512 or (800) 621-6807 or email@example.com.
Cruisin' at the Upton VFW Classic cars, trucks, motorcycles, antiques, muscle cars and street rods, 4 p.m.-dusk Tuesdays. Milford Street, Upton. (508) 529-7792 or (508) 603-1242.
Wisdom Seekers 10:30 a.m.-noon June 5. Chester C. Corbin Library, 2 Lake St., Webster. (508) 343-0206.
Presentation "It's Not About the Hike," by Nancy Sporborg and Pat Piper, 6:30 p.m. June 5. Beaman Library, 8 Newton St., West Boylston. (508) 835-3711.


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AVP Austin Open
Many events have been canceled or postponed due to coronavirus concerns. Please check with the organization before going to any event.
The AVP Pro Tour comes to Austin with top professional female and male pro beach volleyball players. The weekend will feature exciting beach volleyball matches, heart-thumping DJ music, family-fun activities, a beer garden, food and drink, fan activities, athlete meet & greets, and more.


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Okay. Then let's talk about government being a customer of science.
You had mentioned September 11 and the anthrax attack, but in addition to kinetic and chemical threats, we also have radioactive threats, situations that are not meant for peaceful use. In what way has CNL contributed to tracking and detecting radioactive material for the purpose of keeping our country and its citizens safe and secure?


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3rd Annual Ukraine - Luxembourg Technology Forum (Digital event)
Event Information
Date and Time
Online Event
About this Event
Zoom Link
We would like to invite you to the 3rd Annual Ukraine-Luxembourg Technology Forum taking place in Luxembourg.
Meet the actors of the Tech industry from Ukraine and Luxembourg on September 14, 2020 at 5 PM.
Different speakers from both markets Ukraine and Luxembourg will talk about different topics such as :
- Fintech
- Biotech
- Cyber security
- Space technology
- Software development
Join the event together with the industry leaders and startup CEOs to share knowledge and exchange experiences on major trends and opportunities in main technology spheres.
If you are an Ukrainian company or entrepreuneur, you will have a chance to participate to the 5th edition of the b2fair Matchmaking Event at ICT Spring on 15th & 16th September 2020 (also digital event).
Ukraine-Luxembourg Business Club is partner with b2fair and give an unique opportunity to Ukrainian companies and Startups to participate to the 5th edition of the b2fair Matchmaking Event at ICT Spring on 15th & 16th September 2020.
We look forward to swing you online during Ukraine-Luxembourg Industry Forum.
We remain at your entire disposal for any further questions.
Your Sincerly,
Board of Directors
Ukraine-Luxembourg Business Club
Date and Time
Online Event


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Information about the bar, with photographs of local surfing.
Shows a history of the club, course details, membership information and news.
Offers a variety of seaweed treatments, with product details and prices.
This annual event is held in the Strandhill area. Includes a programme of events, history, photographs and registration details.
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These are challenging times, for everyone. At Olin Lippiello LLP, we are here to help with your legal needs during the Covid-19 (novel coronavirus) crisis. Our phone lines are open 413-203-0010. We can be reached … Read More
Nathan Olin Mentioned in the News for Work in Town of Greenfield Employment Matter
Attorney Nathan Olin of Olin Lippiello LLP was recently mentioned in the Greenfield Recorder for work that he is performing on behalf of a client in Greenfield, Massachusetts. The employment law matter has also been … Read More
Nate Olin Recognized for Work in Gender Discrimination Case
Here is a recent article recognizing Attorney Nathan Olin's important legal advocacy in support of this notable gender discrimination case against the City of Chicopee.
State Issues Guidance on Pregnancy Law Taking Effect April 1, 2018
This post updates our July 2017 blog, when we informed you that the Massachusetts legislature had just passed a new Pregnant Workers Fairness Act. As we said then, and what remains true now, the law … Read More
What the "Me-Too" Movement Means to You in Your Massachusetts Job
Throughout the past several months, the news media has been full of examples of sexual harassment (and assault) in many places of power — in board rooms, the halls of Congress, and news organizations. Although … Read More
Happy Labor Day – Please Thank a Service Worker Today
At Olin Lippiello LLP we are proud to salute all workers on this Labor Day. Officially, Labor Day in the United States has existed for more than 120 years. Its origins coincided with the industrial … Read More
"Pregnant Worker Fairness Act" Becomes Law in Massachusetts
It was another big week for Massachusetts workers. On Thursday, July 27, 2017, Governor Charlie Baker signed into law the Pregnant Worker Fairness Act (PWFA). While its provisions will not formally go into effect until … Read More
Transgender People and Employment Related Issues
Transgender people are targets of discrimination in many areas of their lives; this marginalization exposes them to tremendous social and economic insecurity. Perhaps most common is that transgender people often face harassment and discrimination in … Read More
Olin Lippiello LLP at NoHo Pride events on May 6, 2017
We here at Olin Lippiello LLP are pleased and honored to proudly support the NoHo Pride events on Saturday, May 6, 2017. The yearly Parade and Pride Day festival in Northampton celebrates the strength of the … Read More


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events, campaigns & more Sign Up
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We need your support. Please donate what you can.
*Tax Efficient Giving
DEBRA Ireland can claim back the tax paid on donations of €250 or more by individuals who are PAYE. That means a donation of €250 could be worth up to an extra €112 to us. Find out more


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The New York Times
April 5, 1914
High Prices Prevail, and There is a Field for American Makers.
The growth of the automobile trade in Rumania is described by United States Consul General Charles Campbell, Jr., stationed at Bucharest, in a recent report. He says:
"There is at present a large and growing trade in automobiles in Rumania, in which American manufacturers and distributors of motor cars could very easily participate to a much greater extent than they do. The demand here is for large, showy cars, equipped with all the latest devices, self-starters, electric lights, &c. No cars are manufactured in Rumania, and a stock of repair parts here is necessary before a large demand could be expected. Prices are high. Most cars are sold for part cash and the remainder, perhaps three-fourths or half of the purchase price, on secured paper, which is easily discounted at the local banks. American exporters interested should communicate directly with this office and be prepared to send a representative to Bucharest. The local dealers are now agents for as many lines as they care to handle."
|Connect with The Crittenden Automotive Library


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Finally managed to catch Mission Impossible Rogue Nation.
Was already surprised with the real stunt clinging on the plane at the beginning of the movie.
I was like… wtf? The epic scene at the beginning?? It better ge greater than that throughout the movie!
No disappointment though. The whole movie kept my toes curl and my fingers in fists.
One thing though.. his floral shirt.. and long hair with the sunglasses in some scenes made him looked like Bruce Jenner at some angles.
Oh HORROR! 😱😱😱😱
See the floral baju..
Sorry ah @kimberzilla . Talk about your other husband like that. Ha ha Just my two cents la.
Age is creeping up on Tom Cruise. He still looks great at his age though!
Still remember his first MI. I guess will go rewatch his first MI on Kodi tonight.
This morning there's an interview. The candidate came early but spent 30 minutes to fill up the application form.Wah.. apply for CEO meh?
So I checked with the receptionist. Where is the candidate? Still in the conference room. Can you please check if he completed the form?
Apparently he did some 20 mins ago but sat there like a dungu.
Can't blame him. Maybe the sickly HR personnel (the one with red hoodie all the time) didn't inform him to go to level 1 after completing the form.
When he arrived at my floor, I saw him at the lobby. Told him to wait another 5 mins for another boss to arrive.
When the other boss came, HR signalled him to go to my boss' room.
Then, one of our female colleagues walked past him. He stared at her and almost walked into the glass panel. Lol.
Am going to tease my female colleague on this for weeks!


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The MLG-2 automation light grids tout the speed, resolution, and optical features necessary to reliably detect small, transparent, and fast-moving objects, even under harsh conditions. A beam spacing of 5 mm ensures the thinnest objects are detected while a Transparent Mode function provides measurement, location tracking, and hole tracking on transparent materials. A durable aluminum housing with an enclosure rating up to IP 67 makes the MLG-2 resistant to glare and ambient light. In addition, commissioning can be easily completed using the intuitive display or the company's SOPAS software tool. Available in two versions, Prime and Pro, the MLG-2 Prime features two analog outputs, up to three switching outputs, and optical synchronization. MLG-2 Pro includes transparent, high-speed and high-resolution modes, wired synchronization, IO-Link 1.1, and troubleshooting via SOPAS software. For more info, go to http://www.sick.com/us/en-us/home/products/product_news/automation_light_grids/pages/mlg_2.aspx
SICK Inc.
Minneapolis, MN
[email protected]k.com


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The latest concert to hit the airwaves during the COVID-19 pandemic is Taylor Swift's City of Lover concert, which was filmed last September in Paris, France. It will air on TV Sunday, May 17 at 10 p.m. ET/PT on ABC.
If you don't have cable, here's how to watch Taylor Swift's City of Lover concert on your computer, phone, Roku, Fire TV, Apple TV or other streaming device:
Heavy may earn an affiliate commission if you sign up via a link on this page
Watch ABC on Hulu With Live TV
ABC (live in select markets) is included in Hulu With Live TV, which comes with 60-plus live TV channels and Hulu's extensive on-demand library of TV shows and movies. You can watch immediately with a seven-day free trial:
Once signed up for Hulu With Live TV, you can watch Taylor Swift's City of Lover concert live on your computer via the Hulu website, or on your phone (Android and iPhone supported), tablet, Roku, Apple TV, Amazon Fire TV, Chromecast, Xbox One, Nintendo Switch, Echo Show, or other streaming device via the Hulu app.
If you can't watch live, Hulu with Live TV comes with both its extensive on-demand library (which includes most shows and specials after they air) and 50 hours of Cloud DVR storage (with the ability to upgrade to "Enhanced Cloud DVR," which gives you 200 hours of DVR space and the ability to fast forward through commercials).
Watch ABC on AT&T TV Now
AT&T TV Now (formerly DirecTV Now) offers six different channel bundles. They range from 45 to 125 live TV channels, and they all include ABC (live in select markets):
Once signed up for AT&T TV Now, you can watch Taylor Swift's City of Lover concert live on your computer via the AT&T TV Now website, or on your phone (Android and iPhone supported), tablet Roku, Apple TV, Amazon Fire TV, Chromecast, or other compatible streaming device via the AT&T TV app.
If you can't watch live, AT&T TV Now — no matter what channel package you choose — comes with included cloud DVR.
Watch ABC on YouTube TV
YouTube TV comes with 70-plus live TV channels, including ABC (live in select markets):
Once signed up for YouTube TV, you can then watch Taylor Swift's City of Lover concert live on your computer via the YouTube website, or on your phone (Android and iPhone supported), tablet, Roku, Apple TV, Chromecast, Xbox One, or other compatible streaming device via the YouTube app.
If you can't watch live, YouTube TV comes with included DVR.
Taylor Swift City of Lover Concert Preview
Back in September, global superstar Taylor Swift filmed a concert at the L'Olympia Theater in Paris, France. Now the concert is coming to ABC immediately following the season 18 finale of American Idol.
At the concert, Swift performed songs from her award-winning album "Lover" for the crowd that included fans from 37 different countries who all converged on the City of Love for this once-in-a-lifetime event. "The musical event gives fans unprecedented access to behind-the-scenes moments with the artist and marks her only concert performance this year, after her Lover Fest tour was canceled due to the COVID-19 pandemic," says ABC in a press release.
"While we are all home, Taylor Swift and her family of fans will be able to have a moment together and experience a never-before-seen, intimate performance, and we are so thrilled to be able to offer this to our own family of viewers on ABC," added Eric Avram, vice president, Talent and Booking, ABC Entertainment.
"Lover," which is Swift's seventh studio album, was the top-selling album of 2019 and broke the record for most simultaneous entries by a female artist in Billboard's Hot 100 history. All 18 tracks from the album charted at some point. Swift is the only artist in history to have four consecutive albums sell over 1 million copies in their week of release ("Speak Now," "RED," "1989" and "reputation") and the only female artist to have six albums each sell at least 500,000 copies in a single week ("Fearless," "Speak Now," "RED," "1989," "reputation" and "Lover").
Swift announced the concert on May 8 on Good Morning America, telling her fans, "I just wanted to say hi. I hope everybody's doing well and everybody's happy and healthy and staying safe. So I played this concert in September called the "City of Lover" show and it was in Paris, it was so much fun … and we filmed it, so that is going to be airing on ABC on May 17 and the next day it'll be on Hulu and DIsney+. I'm really excited about it. Again, sending my love to you guys and hope you're well."
Taylor Swift's City of Lover Concert airs Sunday, May 17 at 10 p.m. ET/PT on ABC.
READ NEXT: Taylor Swift's House: Where the Singer Calls Home
Disclaimer: Heavy Inc. has affiliate relationships with various streaming content providers and may receive a commission if you sign up for a service via a link on this page.


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I'm using in my project some custom functions that I need to copy and paste on every pages, I think it's useless and not a clean way to do. Does anyone knows a solution that I can use to store all my "custom" functions? Like a class to import in all files or something like that
Thank you,


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WRGN's Columbus Day Skate
Join us for our annual Columbus Day Family Skate on Monday, October 12 from 6:30 to 9:30 pm, at Skateaway, Blackman Street, Wilkes-Barre. We've planned an evening of fun and encouragement on and off the skating floor, including all your favorite Christian music and a time of devotions mid-way through the evening.
Admission is $5 per person for all attending (skaters and non-skaters). All proceeds from the evening will benefit WRGN.
This year, tickets will be available for pre-order to facilitate a minimum-contact ticketing process, and ticket sales are limited to 100 due to capacity restrictions.
*Due to capacity restrictions, tickets may not be available at the door; we encourage you to preorder. Call us at 800-245-3688 if you have any questions!
Skates may be rented from Skateaway for $2, if needed.


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I Just Learned About This Rule In Monopoly And Everything Makes More Sense Now
How did I not know this.
Ahhh, Monopoly. An iconic game that taught me everything I know about capitalism.
I actually love Monopoly and don't mind that it takes a full moon cycle to play the game. I always played the banker, so obviously I thought I knew stuff. Until yesterday that is...*dun dun dun*
Whilst browsin' Twitter I somehow ended up on a thread of people talking about what hill they'd be willing to die on. It was then that I saw something that made me say, "Holy canoli??!?" See for yourself:
That's right — apparently in the actual rule book of Monopoly, if you land on a property and choose not to buy it, it then goes up for auction and everyone can bid on it. AND ALSO THE BANKER IS THE AUCTIONEER. That could have been me!!!!
I looked up the official rules to make sure this was no sick joke, and it checks out:
BUYING PROPERTY… Whenever you land on an unowned property
you may buy that property from the Bank at its printed price. You
receive the Title Deed card showing ownership; place it face up in
front of you.
If you do not wish to buy the property, the Banker sells it at auction
to the highest bidder. The buyer pays the Bank the amount of the bid
in cash and receives the Title Deed card for that property. Any player,
including the one who declined the option to buy it at the printed
price, may bid. Bidding may start at any price
WHICH MEANS either 1) Someone else can bid on the property and get it for way below market value, or 2) The person who decided not to purchase it can also bid and get it for way below what they would have paid!!!!!
So yeah, that's what I just learned about Monopoly. An entire real-life eBay situation can occur and I've never even experienced it.
However I don't blame my parents or anyone else for not implementing this rule, because RULES R 4 DWEEBS!!
Oops. Something went wrong. Please try again later
Looks like we are having a problem on the server.
Anyway, am I dumb?
vote votesYes, I knew that. Obviously. It's in the rules. I read the rules.
vote votesNo! I had no idea! Wow, this really changes everything (but like, it also changes nothing).
vote votesEh, I don't care. I'm more of a Candy Land kinda gal.