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When you're looking for dog walkers near Rivers, MB, Rover.com is the simple, smart way to find and book dog walking services. Our Rivers dog walkers are dog lovers first and foremost, and 95% of reviewed stays and walks have received a perfect five-star rating. Every new Rover dog walker in Rivers, MB must complete a background check. You can see the background check badge on your dog walker's profile, so you know your pet is in safe hands. Whether you need to hire a dog walker for a single outing or want someone to go on regular dog walks with your pet, you're sure to find a great fit for all your dog walking needs in Rivers with Rover's dog walking services.
If you're the sort of person who likes to book services when you're out and about, you'll love the Rover dog walking app. In minutes, you'll be able to view hundreds of experienced dog walkers no matter where you are, or re-book on-demand with your puppy's favorite dog walker. You'll get to check in in real-time to see how your dog's day is going. And if you hate carrying cash or calculating tips, you'll love the Rover app's cashless payment feature which enables fast, secure payment for your dog walker without money needing to change hands.
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Do you think you have what it takes to become a dog walker for Rover? We're always looking for people with a passion for dogs to join us as a dog walker! If you've been thinking about starting up your own dog walking business, or even if you've been doing it on your own for a while, you'll want to check out our easy sign-up process and consider joining the hundreds of awesome dog lovers who use the Rover dog walking platform. When you become a Rover dog walker, you get access to great support, including premium pet insurance, cashless payment (no more worrying about whether you'll get paid on time), and a third party background check to demonstrate your trustworthiness to prospective clients. Join our pack today!


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The HTML tests are available in several variants.
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See also: Index, XHTML, XML

subset: commoncrawl


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Society's Child
CBS News
Mon, 25 Jun 2012 13:44 UTC
"My job is to give you a safe, effective training environment," Palmer said firmly.
What the colonel did not mention directly in his recent address was a widening sex scandal that has rocked the base, one of the nation's busiest military training centers. Allegations that male instructors had sex with, and in one case raped, female trainees have led to criminal charges against four men. Charges against others are possible.
The most serious accusations surround an Air Force staff sergeant scheduled to face a court-martial in July on charges that include rape and mult
A two-star general is now investigating alongside a separate criminal probe, which military prosecutors say could sweep up more airmen. Advocates for female service members and members of Congress have started taking notice.
"It's a pretty big scandal the Air Force is having to deal with at this point," said Greg Jacob, a former Marine infantry officer and policy director of the Service Women's Action Network. "It's pretty substantial in its scope."
Yet there are signs the Air Force still doesn't have a handle on the full depth of the problem. Staff Sgt. Peter Vega-Maldonado pleaded guilty earlier this month to having sex with a female trainee and struck a plea deal for 90 days' confinement. Then he acknowledged being involved with a total of 10 trainees - a number previously unknown to investigators.
On Friday, after months of embarrassing disclosures, the head of the Air Force's training command ordered Maj. Gen. Margaret H. Woodward to lead an independent investigation. That same day, the Air Force gave reporters rare access to Lackland's instructional headquarters in an effort to show there was nothing to hide.
The headquarters facility is where Lackland trains the people who train recruits. Inside one small classroom, three women and two men were lectured on the importance of having a moral compass while watching a slide presentation titled "Integrity First."
Lackland has about 475 instructors for the nearly 36,000 airmen who will graduate this year. That's about 85 percent of what Lackland would consider a full roster of instructors, a demanding job that requires airmen to work longer hours than most for four years, at the expense of family and personal time. The Air Force recently launched a smartphone app to help recruit instructors. Topping a page of frequently asked questions is whether the divorce rate for instructors really is higher. (The Air Force says no.)
Palmer said that a slight shortage in instructors has not lowered the standards for applicants. In response to the allegations, he said instructor training is being revamped and that he was accountable for problems within the training wing.
Leaders of the instructor program, however, said the responsibility falls on the accused.
"A person sitting in that seat, they're going to do what they're going to do when no one is watching," said Master Sgt. Greg Pendleton, who oversees the training. "That's across the board. That's just them. When we're outside this door or outside these walls, there are individuals that have their own personal values."
So widespread is the fallout that Lackland halted operations for an entire day in March to survey about 5,900 trainees about whether they had seen or been a victim of sexual misconduct.
It was a highly unusual move for a vast 15-square-mile base that runs with relentless efficiency. A new class of airmen graduates every Friday for 50 of the 52 weeks in the year. At first, Palmer, commander of the 737th training wing, said he wasn't sure that halting training was even possible.
Airman Andrea Madison, a new graduate who was in basic training at the height of the investigation at Lackland, said she never felt uncomfortable with her instructors.
"They want to make sure no foul play is happening, no one is taking advantage of us," said Madison, of Columbus, Ohio.
Last week, one commander of a Lackland training squadron caught up in the sex scandal was dismissed after the Air Force lost confidence in his leadership. Col. Polly Kenny, 2nd Air Force Staff, said the dismissal was not directly related to the sexual misconduct investigation.
Nearly three dozen instructors at Lackland have also been removed in the past year, but the Air Force will not say how many lost their jobs as a result of the investigation that began last fall, only that the majority of dismissals were unrelated.
The first sexual misconduct allegations at Lackland surfaced a year ago against Staff Sgt. Luis Walker, who is charged with 28 counts.
Walker, the only instructor who has been accused of sexually assaulting another airman, faces life in prison if convicted. His civilian attorney, Joseph Esparza, has declined to speak with reporters and did not return multiple calls for comment.
Sexual assault victims are reassigned and can apply for a "humanitarian discharge" from the military, but Lackland civilian spokeswoman Collen McGhee said she did not know whether those affected by this case had done so.


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In late July, we posted about former Supreme Court Justice Sandra Day O'Connor's remarks at the National Governors Association Conference at which she called on the state executives to help do something to protect and reinforce judicial independence. That post mentioned other writings on the situations of judges and judging including a 2006 report (pdf available here) entitled the "New Politics for Judicial Elections Report for 2006," by the Justice at Stake Campaign. The report is excellent and, we thought, worth summarizing.
As it happens Nina Totenberg has recently done just that for NPR's Morning Edition. So, below we have excerpted the transcript of her report, supplemented with graphs and charts from the report itself (plus an interesting video described below).
* * *
A new report shows a dramatic increase in special interest money being spent on judicial elections.
The report, compiled by the nonpartisan group Justice at Stake, shows that business interests spend twice as much money on state high-court elections as all other groups combined, including lawyers.
At the same time, a poll of business leaders shows many feel uneasy about the trend.
Documenting the increasing influence of money in judicial elections, the report shows fundraising by state supreme court candidates rose in 2006, with the median being close to $250,000 per candidate. The high-water mark came in Alabama, where the total price tag for the race for chief justice was $8.2 million.
TV ads ran in 10 of the 11 states where state supreme court judges were up for election, compared to just four states out of 18 six years earlier. Average television spending hit a new record at $1.6 million per state. And business interests outspent everyone else combined — by a 2-to-1 margin.
"What we are seeing now is the beginning of a very serious arms race," said Charles Kolb, president of the Committee for Economic Development, a business group that is part of Justice at Stake.
Kolb contends that the arms race could end up with the mutually assured destruction of our judicial system.
His group sponsored a Zogby poll of business leaders that shows concern running so high that 70 percent of those polled favored alternatives to judicial elections.
The big players from the business community in judicial elections, however, are the Chamber of Commerce and the National Association of Manufacturers. They began focusing on state judicial elections because they thought they were being outgunned by the plaintiffs' bar — lawyers seeking big damage awards for clients who claimed injury.
It used to be that they were, but not any more. Business groups contributed twice as much to supreme court candidates as lawyers and unions combined in 2006. And 85 percent of non-candidate TV advertising was sponsored by business groups.
Take Georgia, for instance. The lone race for the state supreme court there cost $38,000 in 2000. But in 2006 the National Association of Manufacturers targeted Justice Carol Hunstein, through its affiliate group, the American Justice Partnership, with $1.3 million in contributions.
"Justice Hunstein was very, very unpredictable," said Dan Pero, president of the American Justice Partnership, offering an explanation for why the group targeted her. There was concern, he said, that Hunstein was a judge the partnership "could rely on" to correctly interpret the law.
But tort reform was not prominently featured in the anti-Hunstein TV ads, many of which attempted to make her look soft on crime.
Pero said the ads were focused on issues to which the general public could relate.
Ironically, Hunstein's record was considerably more conservative than her other colleagues up for re-election. A statistical analysis of Georgia supreme court criminal case rulings done by the Fulton County Daily Report concluded that in cases decided by a divided vote, Hunstein sided with the prosecution 39 percent more often than did the court as a whole.
Despite the fact that business groups poured money into the campaign to defeat her, Hunstein raised over $1 million herself and won.
Some of her supporters say the ad campaign was meant to send a message to others on the court that they too could face a business-financed challenge. [Justice Hunstein describes her election experience in the 9-minute video below.]
Former Michigan Gov. John Engler, head of the National Association of Manufacturers, conceded as much.
But the trend bothers Ohio Chief Justice Thomas J. Moyer, a Republican, who is the nation's longest serving current chief justice.
"Human nature is that we help people if they help us," Moyer said. "And that's the problem with this system."
Judges like to say that money doesn't matter when they are making decisions, but trying to ignore big money in judicial elections, observed one noted judge, is like trying to ignore the crocodile in your bathtub.
* * *
To view the entire report 2006 report, the "New Politics for Judicial Elections Report for 2006," click here. To view our earlier post on the situation of judging, containing other related links, click here.


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Greetings readers!
Here at Hack Library School, we pride ourselves on providing engaging, thoughtful, and useful resources for Library and Information Science students. The best part of this experience, in my opinion, is the community the writers have with each other and our readers. Unfortunately, because we're a blog by and for students, eventually we have to move on to bigger and better things (like full-time professional gigs). The good news for all of you is that we're looking for a new group of dedicated students who would like to be regular contributors here.
We're looking for people who are enthusiastic, skilled writers who have backgrounds and specialties that we're currently lacking at HLS. We're looking for a diverse group of writers: diversity of experience, professional interests, and opinions. We strive to critically engage with topics and we're not afraid of "stirring the pot," and we hope you aren't either!
The commitment is relatively low. We try to post 3 times a week. As the schedule sits now, each writer contributes about a post a month on the topic of their choosing. New writers will get paired up with a mentor (an "original" Hack Library School writer) to help with your first few posts and generally ease your nerves.
If you're interested in regularly contributing to the blog, please send Brianna (bhmarsha at indiana dot edu) an email with the following "application materials" by Oct. 5, 2012:
- A brief bio about yourself.
- Your school and anticipated graduation date.
- Your professional interests and 2-3 topics that you would like to write about.
- A writing sample, if possible. This does not need to be formal. Feel free to link us to a personal blog, a paragraph of a paper, etc. We just like to get a feel for your writing style.
If you are a recent graduate or can't commit to being a regular contributor, please consider writing a guest post for us! Just indicate that you are interested in a guest post in your email.
We look forward to hearing from you!
Categories: News


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Individuals and small businesses now have new, user-friendly ways to create websites that are ideal for today's go-go world of mobile devices.
Until recently, those who used do-it-yourself services to fashion websites had to navigate a tedious array of codes and steps. And with the rise of smartphones and tablets, Web creators sometimes had to create one version of a site for desktop applications and another version for mobile applications.
"More Web design services are using what we call responsive design principles," said Michael Tchong, founder of San Francisco-based Social Revolution, which tracks technology trends. This kind of design enables people to access a website with a minimum of scrolling, resizing and panning — regardless of whether they use a desktop computer, laptop, tablet or smartphone.
Strikingly and WordPress, both based in San Francisco, and Squarespace, based in New York City, are among the companies that have embraced these new design techniques.
All three companies say their tools allow users to design websites within a few minutes — and they don't have to know any code to do so.
"It can take hours to set up a website, but with our technology, it can be done in 10 minutes," said David Chen, chief executive officer of Strikingly. "The websites that people create through us are optimized for a mobile platform and for a desktop platform."
At the Strikingly site, users can choose from personal, business, or portfolio options. Then they can edit the templates, including the title, font and other elements. The site has prompts for creating links and new sections.
"We started this in college because we needed to build a website easily," Chen said. "We realized that consumers have trouble building their own websites. Nobody really understands how to do it. We wanted to democratize the whole process."
All three services allow users to just click away and build the lead page and inside pages as they wish, add images and create links. People can also insert buttons or locations for social networking efforts such as Twitter or Facebook.
"You don't have to know any code. You don't even have to know how to set up a site," said Raanan Bar-Cohen, senior vice president of commercial services for Automattic, the parent company of WordPress. "The beauty is the user doesn't have to think about all this stuff. It all happens behind the scenes."
WordPress offers hundreds of themes — including event, nature, recreation, retail, restaurant, industrial, entertainment, historical and architectural — for users to choose. They can scroll until something catches their eye, or they can conduct a search for a theme. Once they do so, they can build with a click.
The website creation services also enable people to include an array of features within the sites they build.
"Squarespace is a completely integrated platform that can handle blogs, stores, calendars, portfolios, and more within a single website," said Squarespace CEO Anthony Casalena.
Strikingly and WordPress offer very basic and limited Web pages for free. But for fees ranging from $8 to $60 per month, users can enhance and upgrade their basic websites. Squarespace charges fees of $8 to $24 per month, but offers a 14-day free trial period.
For Strikingly, Squarespace and WordPress, a mobile-friendly approach is the top priority in how they fashion their tools.
"So many people are coming to websites from smartphones or tablets now that this has to be a priority," said Ben Bajarin, a principal analyst with San Jose-based Creative Strategies, which tracks the technology sector. "More than half of the traffic to websites is coming from mobile devices."
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Durant leads Thunder past Pacers
Kevin Durant and the Oklahoma City Thunder can generate a lot of excitement as the NBA's highest-scoring team, but defense is still a matter of pride.
Durant scored 27 points, Kevin Martin added 24 and the Thunder clamped down in the second half to beat the Indiana Pacers 104-93 on Sunday night for their eighth straight win.
It was a matchup of NBA's most potent offense and the league's stingiest defense, but Oklahoma City also happens to be the second-best at making opponents miss.
The Pacers shot 60 percent in the first half before Thunder coach Scott Brooks delivered a message at halftime. His players responded by limiting Indiana to 33 percent after that.
''Defense is going to win games. You can score back and forth if you want to, but defending is what we do,'' Russell Westbrook said.
Westbrook had 21 points but more importantly came up with a big block against 7-foot-2 center Roy Hibbert — 11 inches taller — during a late 8-0 burst by the Thunder that put it away after the Pacers had pulled within three.
''Plays like that can change the whole momentum of the game,'' Westbrook said. ''That was one of those plays.''
David West led the way with 21 points for Indiana, which had all five starters score in double figures but still couldn't keep up.
The not-so-balanced Pacers came allowing an NBA-best 91.2 points per game but scoring a league-low 90.7.
''We knew to beat this team, we had to put up points as well,'' said George Hill, who scored 15. ''Our defense can only hold up for so long''
The league's worst shooting team at 41.5 percent from the field, Indiana was connecting on 59 percent midway through the third quarter before a 1-for-13 dry spell allowed Oklahoma City to move ahead to stay.
Serge Ibaka had two straight putbacks and later added a jumper as the Thunder took advantage with a 17-3 run, taking an 82-72 lead after Nick Collison's free throw with 46 seconds left in the third quarter.
The Pacers chipped away and pulled to 94-91 on Paul George's 3-pointer from the right wing with 5:26 to play. Durant found Ibaka open underneath for a layup on the other end, and the Thunder scored eight straight points to regain control.
After his block against Hibbert under the basket, Westbrook hit a jumper from the right wing, came up with a steal and then nailed another jumper from the left side for a 102-91 advantage with 2:59 left.
''Our first half was one of the worst we've played this year, and coach really got after us to bring it in the second half, and I think we did that,'' Durant said.
The Thunder, averaging a league-best 106.2 points, were just the fifth team to hit triple digits this season against Indiana. The Pacers are 1-4 in those games.
It was the 12th straight game with over 100 points for Oklahoma City. The blistering pace mattered little to Brooks, though, when it was 57-56 Thunder at halftime.
Oklahoma City came in ranked second in the league, behind only Indiana, in allowing opponents to shoot 42.4 percent from the field. The Pacers were 24 for 40 in the first half and trailed mainly because of a 12-point deficit at the foul line.
''Coach got on us at halftime. That wasn't championship defense right there,'' said Martin, who had 22 points in the first half. ''We realized that, and that was the No. 1 priority going out there in the second half, just being physical and making them take tough jumpers and getting rebounds. That's what we did.''
George ended up with 17 points and Lance Stephenson and Hibbert chipped in 10 apiece for the Pacers. After the hot start, Indiana finished with 46 percent shooting from the field.
Oklahoma City also outrebounded the Pacers, the league's top rebounding team, 40-34 and made 14 more free throws in 17 more attempts.
The Thunder shot 49 percent.
''It's tough to see guys making shots when you're playing tough defense on them. That was really what it was for us,'' George said.
Durant started out 4 for 17 from the field but hit five of six shots during a key stretch with Indiana trying to rally. Most of the damage came from the post, where Oklahoma City took advantage of the Pacers' defense switching screens with the small Hill ending up on Durant.
''They found something definitely,'' George said.
George sank a 3-pointer from the right wing to spark a 13-0 first-half run by the Pacers that tied it at 45. Stephenson had a three-point play during the spurt, and also hit the free throw following Westbrook's technical foul for reacting dramatically to what he thought should have been a foul against Indiana.
Westbrook made up for it, though, earning three free throws by sneaking his foot between West's feet on his 3-point follow-through and tripping him to draw a foul against West. After West argued vehemently, Westbrook knocked down all three foul shots to help the Thunder hold a 57-56 edge at halftime.
''You go through games like that throughout the whole season,'' Durant said. ''Your energy is not there at the start, but I think it's how you finish.''
NOTES: The Pacers became the first opponent to outscore the Thunder during the second quarter in seven games. Oklahoma City held a 70-point edge in the period during the span. ... Hibbert blocked at least two shots for the 15th straight game. He had two. ... Prior to the game, Oklahoma City recalled reserve point guard Reggie Jackson from its NBA development league affiliate in Tulsa. Jackson had played only one game on his assignment with the 66ers. Jeremy Lamb and Daniel Orton, who were also sent down Friday, remain with Tulsa.


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Tuesday, December 13, 2011
Medicine: Not for mothers?
So with the permission of our lovely moderator KC, I'd like to address the topic week a little more generally, and say some things that have been weighing on me lately. Namely:
Medicine is not a great career for a mother.
There, I said it.
Since we were asked to address which aspects are not family friendly, allow me to do so:
1) Unpredictable
When you're dealing with sick people, you can't predict your schedule, whether you're doing inpatient or outpatient. You might think you're going to be done at 5PM, and then your last patient will say, "Oh by the way, I'm having 10 out of 10 chest pain." Imagine it's 6PM, your patient says that, and you know your daycare will close in 15 minutes. It can (and will) happen.
2) Unforgiving of illness
Have I written about this one enough? I think I have. When you've got two children who pass colds back and forth (and then to you), you realize how difficult it is to be in a job where you basically can't call in sick.
3) Must work part time to work "only" full time.
An attending I talked to at a VA (not exactly a rigorous working environment) said that she had to cut back to working 75% time in order to only work 40 hours per week. Between on call time, documentation, phone calls, etc, the hours on your contract don't in any way resemble the hours you work.
4) Will mess with your sleep/wake cycle
It's bad enough worrying that a baby will wake you up. Worrying that a baby OR a pager will wake you up is enough to drive you crazy. I like my sleep, so this is a big one for me. How many times have I wished to be in a job where I could sleep through the night every night... ah, heaven.
5) Residency is killer
Dare I say that no residency is actually friendly to mothers? Yes, I'll say it. I'm sure some of you will come up with exceptions, but I think it's pretty overwhelmingly true.
6) You can't take a break
In a lot of careers, you could probably take a year or two off after your child is born. In medicine, it's much harder. You forget stuff and are rusty when you get back... not a great thing when you're dealing with people's lives. Taking long breaks is also a bit of a dink on your "permanent record." I once tried to apply for hospital privileges through a computer system and the program would not let me submit because I couldn't "account for" the 1.5 months between med school graduation and the start of internship. If I had taken a year off, the computer probably would have exploded.
7) The consequences of a mistake are so horrible
When you're a doctor, you can't mess up. People's lives and livelihood are at stake. You can't be careless for the sake of getting out a little earlier.
Truthfully, I sometimes feel like the entire school system is lagging behind the idea that two parents might be working. I mean, the school day ends at 3PM, which is extremely inconvenient for working parents. Kids get random weeks off from school during the year and the whole summer. And if they get sick, they're supposed to stay home. What on earth are we supposed to do with them if both parents work?
OK, but here's the good news:
I work as a consultant, which allows me to have a lot more flexibility. While I can't just not show up, it's not as big a deal to shift my hours. And the base salary for most physicians is enough that we can work part time (i.e. normal people's full time) and still bring home a good paycheck. (If you want to read more about what makes PM&R a good specialty for mothers, you can click on the link I mentioned above.) And if you enjoy the work you're doing, presumably you're happier in general and therefore a better parent (maybe).
But it's hard not to get a nagging feeling that when you're trying to juggle both motherhood and medicine, you're failing a little at both.
30 comments:
- AnonymousDecember 13, 2011 at 7:42 AM
Whoa! Are you seriously saying that you think the school system should lengthen the school day to accommodate *your* work schedule? What would you propose? After school care provided for every child by the school? Shift work for teachers? I worked at a private school while in college at the school's after school program. It was low quality day care at a moderate price. Still, it was only available until 5:30. I would have died as a kid if I had to be at school from 7am-5 or 6pm.ReplyDelete
What are you supposed to do with them? I don't know. Isn't that kind of your responsibility?
Susan: That's seriously your response to the hundreds of thousands of families who have 2 parents who work till 5 or later every day? Not helpful.ReplyDelete
When I was a kid, my parents paid extra for me to go to an afterschool program every day till 6 or later. And somehow I didn't die.
Love reading your posts Fizzy and the fact that you're completely honest. It's a beautiful trait that is difficult to come by these days.ReplyDelete
I think you rock.
Fizzy is absolutely right. It is very difficult to have children and be a doctor. Hours are impossible. My kids have gone on rounds with me because there was nobody to watch them at home (as have the children of countless physicians) and stayed in the office on sick days because I couldn't cancel an office full of patients.ReplyDelete
What's a Mom supposed to do?
- AnonymousDecember 13, 2011 at 10:32 AM
Can we possibly get someone to write an opposite opinion to this piece? I'm going to be 25 when I start medical school next year and I know I want to have children in the future which I never thought would be such a terrible idea according to Fizzy. Not to mention, I know many, many women docs with children - and both moms and kids seem totally normal and well-adjusted.ReplyDelete
To Anon:ReplyDelete
Being a working mother is challenging, period. I don't think Fizzy said it wasn't worth it or she regrets her career; I think it's refreshing that she's blatantly honest about the challenges of medicine and motherhood. You absolutely can do both, but that doesn't mean that every day will be a cake walk.
Don't second-guess your decision to go to medical school because you also want to have children. Just know that you have some schedule juggling ahead of you.
- AnonymousDecember 13, 2011 at 12:22 PM
To 25yo Anon:ReplyDelete
Of course there is another side to the story. There are many amazing things about being a physician. I think however, you should also realize that everything Fizzy is saying is true. There is no way around it, it is the nature of the beast. You need to go into this with your eyes open and really think about what it means not only for you but for your future family.
- AnonymousDecember 13, 2011 at 12:43 PM
25 yo anon: It's just the nature of having a career -- ANY career -- and being a mom. It's really difficult to be that mom who goes to all the kids' events, does all the schlepping herself, is class mom and girl scout leader, and spends long afternoons making cookies AND be a doctor because there are only so many hours during the day.ReplyDelete
For some of us this wasn't a difficult decision to make, since we knew we never wanted to do those mom activities as well. For other people it's tougher since a) sometimes you start med school and realize you hate what you're doing, and b) sometimes you realize you love being a mom and doing all those other activities much more than you thought.
Either way, if you're a doctor, you're going to work very hard with or without kids. With kids, something will have to give, and/or you will need a spouse who picks up the slack. I still believe you can be a great mom and a great doctor, and have a happy and fulfilled life with both things. You just might have to concede perfection on the way there.
Of course it's not a terrible idea - but there are real challenges that mothers in medicine face, hence the creation of this blog.ReplyDelete
If medicine is your passion, you need to find a way to make it work for you your family situation -you find the balance that you need.
Doing meaningful work should not be underestimated as a driving force despite the challenges.
I love your honestly. I was working part-time (60%) and still putting in close to 40hrs in primary care (I'd often log back on to the computer after my two went to sleep to finish my work). And yeah, I got those crushing chest pains as my last patient of the day and had to pay extra to the daycare for showing up late. After I had two more, I found I just couldn't keep up. Furthermore, I found (to my surprise) that I loved doing Mom things as much as I loved being a doctor. I just could not do both and be as good as I wanted to be. So I cut back significantly - I now work 10hrs/ week with the option of picking up Urgent Care shifts when I want to. It's an amazing compromise that I could not have done had I not been a primary care physician.
And to Susan: after Fizzy lays out her vulnerabilities and concerns regarding her career and children, your response was amazingly uncompassionate and mean.
- AnonymousDecember 13, 2011 at 3:50 PM
It's mean to suggest that the people who make children are responsible for their care? Especially educated people? Yeah, what a crazy thought that sick kids stay home from school. I think it's mean to think otherwise. Kids are not adults (duh). I know you've all chosen your lifestyle, and it's worth it to you to work while sick, etc. But kids should be at home when their ill. Not to mention, I don't want your febrile child at school with mine. Maybe the school could get a little infirmary??
My husband I made our own choices about our jobs, and roles and children. Fizzy and other MIM have to make their choices too. Clearly most MIM are going to have to make contingency plans for evening childcare. It's out there. I'm just asking why on earth that would be a school's responsibility? Schools are to teach, not babysit.
I'm shocked that Fizzy's post is such a revelation to so many people. And Fizzy, I'm at a loss as to why I would owe the two-income households of the world an "answer" to their daycare conundrums.
im just curious what profession that a person (mother OR father) is working full time at, that can pick up their child from school at 3 pm every day?!ReplyDelete
Anon(Susan), while we ALL make choices regarding our careers and children, it is your attitude that creates a rift between working and non working parents (pardon my assumption you are not working if i am wrong). You don't owe anyone an answer, but being a supportive voice (or maybe none at all) might be a better solution.
Personally, my husband and I both work full time (not in the medical field). We have a nanny full time who is there for our kids when they get home (1 pm-preschool, 4:15- elementary school). In a nice turn of events, our elementary school partnered with a community center this year to provide "after care" from 4-6 pm to help parents who cannot be home at 4:15, recognizing that more and more families are dual income with hours that exceeed the typical school day.
I think all that Fizzy was saying is that the school system is designed for families with SAHMs rather than two working parents, and that this is a challenge when both parents work. The system was designed back when most people lived on FARMS, which is why kids get out in the early afternoon and have summers off. It's kind of an obsolete arrangement. It's not just doctors who have to arrange for after school or sick care for their kids, it's lots of families, many of them far from rich. I don't think she once said that teachers or anyone else should have to pick up the slack or "owe" her free childcare or anything else. How bizarre that you read that in this post.
In any event, I know some people find the tone of her posts to be offensive, but excuse her for not being effusively happy and unconditionally enthusiastic about everything that being a MiM entails. I find her outlook honest and refreshing. And it seems like despite some ups and downs, she's made it work for herself, her family, and her career.
Hear, hear. I'll have some additional thoughts on this same issue later in the week.ReplyDelete
- AnonymousDecember 13, 2011 at 8:11 PM
I'm a physician, and my husband, an engineer, works longer days than I do. We have 2 small children and are constantly juggling work and home demands. I would like to work part time, but I have too many medical school loans to pay off to do so. My parents, a farmer and a teacher, couldn't help me pay for medical school.ReplyDelete
I appreciate Fizzy's candor. To the med student who might want to have children: I love what I do, but it is exhausting. I do have days when I feel like day care staff are raising my children. This is reality. The work is exciting and often exhilarating. I am humbled but also grow and learn more every day as a physician. I feel blessed to be part of my patients' lives. I have learned many life lessons as a physician, by watching people handle challenges with tremendous grace.
And Susan's comments are shockingly mean-spirited and far more offensive than anything Fizzy has ever written.
- AnonymousDecember 13, 2011 at 8:33 PM
Same anonymous as above...I remember having a male family medicine physician tell me once as a med student: "I should never have gotten married and had children. My job is too demanding. I can't be a father and a doctor and do both well" He was married to a SAHM. My point being that I think many physician parents, regardless of gender or circumstance, have these feelings.ReplyDelete
I thought about med school when I was newly married and opted for an MPH instead, in large part b/c I knew I wanted kids and I wasn't sure I/we could handle life with all that being either a med student, resident or MiM would entail. I have worked in PH for over a decade and have loved it but now that my kids are old enough to stay home alone sometimes and I can communicate with them by phone & text and they can understand abstractly that I am doing something that is very important to me that does often take me away from them, *big breath* I am going back to the plan to become a physician. I don't think it will be easy to have tweens and teens as a med student and resident, but I think it will work better for my family this way. If all goes as planned (don't laugh!), I should be done with residency when my youngest is 18.ReplyDelete
Fizzy - I think there are a lot of people who don't see the social structures of school and work and family. They just aren't going to understand how society might bear some responsibility in constructing institutions like school & day care to serve the needs of 2 parent families. When we did get it as a nation (WW2) there were all kinds of social support structures - 24 hour day care, concierge services delivering meals and laundry. When the GIs came back, the services all shut down. We've been on our own ever since.
Thanks for your honesty.
I think it's very easy for people like Susan to say that because they personally don't require a service, the people who need it should be left hanging, even if those people are the majority of the country. I'm sure there are tons of people who think women should have to pay out of pocket for all childbirth expenses... after all, why should a woman who doesn't have kids have to fund women who make the CHOICE to have a baby? People like that lack empathy and can't see beyond the tip of their nose at the greater good. Not really worth arguing with a person like that.ReplyDelete
I'm not saying women who want to have children shouldn't become doctors. Just to go into it with your eyes open, knowing there will be challenges.
Living in a town based around a university, most of the families around here are 2 working parent families. The after school programs were filled. So we had to get a nanny for our children, but even that doesn't cover everything. I have taken my children to the hospital with me, letting them play games on a computer in a call room while I see consults. I spend all winter worrying about them getting sick. I only have three more sick days for next 9 months. I'm with you, Fizzy. I feel that there should be more options for us, not just as MiM, but as working families.ReplyDelete
- AnonymousDecember 14, 2011 at 11:24 AM
I am originally from another country, one where all people were reuqired to work. Options for childcare were endless - 24 hour day cares, afterschool, summer, winter camps at school for exeptionally low fees. I will probably cause an outrage but I will mention: daycares had nurse, cooks (5 freshly prepared meals a day),caring loving teachers (I personally called my daycare teacher "mother"), accountants on staff equipped with bedrooms, playroms, cafeteria, spacious playgrounds, sometimes swimmingpools.ReplyDelete
I am finding myself in this progressive country feeling this country does not care for new generation. Everything is a parent's resposnibility. And parents are squeezed tight, with few safe options.
This individualistic approach "I don't care because I do not need this service" is shocking. When I have to work full time to support my family (so my kids hopefully have some education funds ready for them on time), do I neeed to worry sick about my kids basic needs, when I see a very ill patient? Do I need to worry every day because aftercare options are all temporary and change based on nanny's own preferences, my husbund schedule, school early dismissal? Do I need to juggle 2-3-4 people caring for my kids/family needs? I do it, but is it good for society? Afterall, I am trying to raise responsible society members (kids) to contribute back to this country. Someone somewhere said, society value is how well it cares for its young and for its old. Currently this society does neither.
- AnonymousDecember 14, 2011 at 2:40 PM
You're right. It is extremely hard to juggle motherhood & medicine. Training is intense and extremely difficult to juggle with pregnancy, let alone young children, but if you wait to get pregnant til you're a consultant you may not be able to get pregnant or your pregnancy may be high risk. It sucks!ReplyDelete
I had my first child mid way through my specialist training - still had 3 years to go. I did take a year off which in Australia is pretty normal. I was a little rusty when I started back, but not too bad. The main new issue was my mixed priorities and that I couldn't spend out of work hours time on projects, extra reading, etc, etc with ease - far from it actually! It was frustrating that I was expected to work a 45 hour work week, do some oncall, attend early morning & evening meetings (at least once a week) AND spend countless hours in study outside of work.
Thankfully it wasn't til my 3rd year back at full time work that we needed to put my son into childcare (previously he was with family). It was crazy! Suddenly being 5 minutes late to pickup was not acceptable. Problem was I was working over an hour from his childcare (and in traffic that could easily become 1.5 hours with no warning) and I was doing a busy job. The first day I had to collect him from childcare I got referred a patient having an Addisionian Crisis ... I made the diagnosis of Addison's and had to initiate treatment and he was semi-conscious. Somehow I treated him, arranged urgent transfer to a bigger hospital and then fought through traffic & collected my son with 5 minutes to spare til the childcare closed. Thankfully my husband was able to do most of the childcare pickups and that was my only disaster pickup for the year.
I'm now a consultant and it's much easier, as I work very part time (only 5 hours a week last year - currently on maternity leave). But there's heaps of unpaid work - research, reading, paperwork, phone calls from other doctors, patients, etc. I find it all very intrusive & I'm somewhat daunted by how to minimise this intrusion when I go back to work in the new year with a newborn. It's a very real challenge and although I love my job I sometimes wish I had a job where I could go to work, work set hours & come home and forget about work, focusing only on family.
- AnonymousDecember 14, 2011 at 9:35 PM
I identify so strongly with a lot of the sentiments in this entry. I am a surgical podiatrist, an associate in private practice. My son is one year old. I have gone to work sick, I have brought my sick son TO THE OFFICE because he couldn't go to daycre with a fever, and all of our backups fell through. On weekdays, I get to spend all of about 4 waking hours with my son soup to nuts. And this is on "normal person" (as the author said it) full time/ doctor part time. I work with diabetic wounds and limb salvage as a significant part of my practice, so the unpredictability also rears its ugly head for me. Bottom line, I appreciate the realistic, balanced honesty of the author on this topic. I love being a doctor. I love being a mom. But there are aspects of that combination that never get easier.ReplyDelete
- AnonymousDecember 14, 2011 at 11:28 PM
if ya'll think that non-doctor average work weeks are only 40 hours, you are sorely mistaken.ReplyDelete
- AnonymousDecember 15, 2011 at 12:28 AM
I have found that having a husband/partner who is committed to being fully a co-parent [whether that was his original intention or not :)] has helped me with some of these issues. I feel less divided, he and our daughter have a great bond and we have walked in each other's footsteps so we are more sympathetic on those not so easy days. (most importantly for me I am not the default parent who is responsible for everything kid related....)ReplyDelete
He is not in medicine (he is in the Trades) and I am a 7 on/7 off hospitalist who did an internship in Peds and residency in Family Medicine.
- AnonymousDecember 15, 2011 at 9:33 PM
I love this post. I love you for being so open and saying some things that I am afraid of saying (out loud).
Thanks for being insightful. Thanks for having the courage and confidence to bring this up.
I agree with that second last anonymous post. For my family, it's crucial that I am not the default parent. My husband is just as capable of packing lunches, finding mitts, getting kids out the door or in the door, bedtimes, attending events...there are certain things we're each better at, and things we each prefer, but if one of us is gone for our 24 hour shift, the other one manages no matter what. For me it's incredibly freeing to know that all is taken care of at home, and I can concentrate on work 100%.ReplyDelete
I refuse to be guilty that "mom" is not at events or bedtimes because you know what, Dad is there (or occasionally a grandparent or babysitter), and those people deserve to see the play or read the story just as much as I do. I really encourage my med students to have this attitude, it saves you much grief in the long run and I think it's healthier for everyone.
We are both family doctors -- I do OB call shifts, he does anesthesia call shifts. We have three kids 5,4 and 1.5 who we had after residency.
Fizzy, I hear you, but it's not just the job -- it's your attitude towards how your family works as a whole and who needs to be present. If you're happy with your job, you can make your family work. If you don't like your job, move on.
It's very interesting, the attitudes toward childcare and parenting and the balance with career/jobs. a few years ago my sister-in-law told us that we were irresponsible parents and shouldn't have any kids if we couldn't have one parent stay home to care for our kids. Needless to say, there's been a bit of a rift/distance since then.ReplyDelete
- AnonymousDecember 17, 2011 at 6:48 PM
Sandra -- I think Fizzy does like her job. She has written about this extensively. Further, most people don't have the luxury of "loving" their job, and do have to make compromises in their lives. This post was about those compromises. Does every blog post have to be completely balanced positives vs. negatives? Does every blogger have to be completely Polyanna about what they do at all times, or risk being told they have an attitude problem?ReplyDelete
Anon: Thanks for standing up for me. I took Sandra's "you" as the general "you" and I wasn't at all offended.ReplyDelete
I'm actually surprised and pleased that aside from that initial comment by Susan, everyone who commented seemed to "get" my post and there weren't many haters.
- AnonymousDecember 29, 2011 at 10:57 PM
Nice to hear others feel the same way. I am a fellow with an 8 months old and a 2 year old and struggling with the same issues in addition to a deployed husband.ReplyDelete


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Creative Commons Attribution 3.0 New Zealand
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This dataset was first added to MfE Data Service on 11 Jan 2016.
"Freshwater plant and animal pests can have significant negative impacts on ecosystem health by reducing indigenous biodiversity through predation and competition, and destabilising aquatic habitats. Freshwater plant pests can cause economic losses through blocking water intakes for hydroelectricity generation, impeded drainage or irrigation. In addition, pests can affect the suitability for recreational activities.
This dataset relates to the ""Freshwater pests"" measure on the Environmental Indicators, Te taiao Aotearoa website. "
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AC360's Elizabeth Cohen reports on California's history of forced sterilizations and its reluctance to pay reparations to the victims.
Filed under: 360º Follow • Anderson Cooper • Elizabeth Cohen
It also happened in Puerto Rico...
In regard to compensation to those victims of forced sterilization, I do not feel that current taxpayers should have to pay for the wrongs done by the state over 60 years ago. How is this fair? And what is the point? Money is not going to be able to correct any of the wrongs done to them. And all the survivors are most likely receiving Medicare, so they are being treated equally now. This practice was stopped many years ago, and the laws were changed. That is the correction that was needed. I think the formal apology is the appropriate response. Stop making the hard-working people pay for things that they weren't responsible for.
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Laaga chunari mein daag – movie review
Some have called Laga Chunari Mein Daag a regressive film. But is it one? Well, there are parts that could send feminist alarm bells ringing…
Look, the story is about a girl called Badki (Rani Mukherjee) who comes from a family which was once very rich. They live in a palatial house which is falling apart. The Father (Anupam Kher) is jobless and his wife (Jaya Bachchan) makes a living sewing clothes. The money isn't enough…because they aren't living in a slum. They have to maintain a huge house, pay the rising medical bills (Anupam Kher gets heart attack after heart attack), pay for the court case against a cousin claiming their house and also pay for Badki's younger sister Chutki's (Konkana Sen Sharma) education.
So, Badki turns to the flesh trade – becomes a high class escort girl.
That is pretty regressive say some as it sends out the message that the modern Indian woman can do nothing except fall back on prostitution to save the family.
What is she expected to do to then? Work in Macdonalds?
The director, Pradeep Sarkar, has gone out of his way to point out Badki's lack of education. She has not even passed her tenth grade as the family did not have enough money to educate both the daughters.
And Badki does job-hunt, in a kind of naive desperation…and not surprisingly cannot get a job that suits her, a job that will pay her the thousands she needs. No, not even a call centre will employ her as she cannot speak English. To top it all, this small town girl finds the big bad city confusing, and as a result finds herself quite unable to find something she can do. If anything, this futile hunt for a well paying job sends out a strong message that if you aren't educated in today's modern world, and you haven't learnt a skill, you are nothing.
The reason I do not think that this is regressive film is because it sends out another very strong message…that people who live off a prostitute's earnings need to be questioned about their attitudes. They take the money willingly enough, but are they equally willing to accept and respect the breadwinner? That's what the story is all about. And hats off to Sarkar for tackling this subject in such a sensitive manner. Sure, the film was not as hard-hitting or as stunning as his previous film Parineeta, but well, I think in some ways it comes close. It's the way Sarkar handles relationships…
Sure, it's a typical Bollywood melodrama, and you might shed copious tears, and the story is rather unbelievable, but what the heck, it is a movie.
As for acting, it's an absolute treat to watch Konkana Sen Sharma. As Chutki, she is absolutely brilliant! She manages to eclipse Rani Mukherjee and Rani herself acted pretty well. Jaya Bachchan as the mother wasn't bad either…good actually. Three powerful actresses in one movie, and this is what makes the movie worth a watch.
But Abhishek Bachchan? Give me a break! He is hardly to be seen in the movie! There is another guy (Kunal Kapoor), paired romantically with Konkana, and though he does a fairly decent job he has very little to do too…
Benares itself was very well portrayed cinematically, and the scenes near the Ganga are breathtakingly beautiful.
Some scenes in the movie are amazing. I particularly liked the one which is a kind of turning point in the story, when Badki is about to pass that point of no return. She gets an 'offer' which she finds disgusting, and calls up home for support…unfortunately she calls up at the wrong time. Her father has just had an heart attack, and her mother is at home, a grief-stricken, broken woman. Badki pours her heart out, telling her that she wants to come back home…that she has failed. That she cannot be the 'son' that they want her to be…but her mother is no state to listen. She is distraught and distracted…and well, after that it becomes too late for Badki.
That point about the parents (mostly the dad) wanting a son is another thing that critics of the movie didn't like. They thought that taunts about Badki and Chutki being girls were regressive….well, maybe. But that's the Indian reality for you.
But I wouldn't actually call laga chunari mein daag (which in English means a stained scarf), a journey of a woman (the movie has been tagged thus). I would call it a story about two girls and a woman. The movie revolves around the relationship of these three strong and proud women, two sisters and a mother. The 'head' of the family is shown as weak and spineless.
Sure, there might be some clichés in the movie, and one of them is that prostitutes are victims of circumstances …but hey, it's a movie. And it's a movie about a woman who decides to sell her body because of the circumstances….nothing very original here. To some extent the lilting music (for a review of the music you can check this out) and the excellent performances give the movie that extra sheen.
If you are a bollywood fan you'll like this movie, if you don't mind a melodramatic tear-jerker that is. A tear-jerker with a happy ending.
If you do go for it, remember to take a hanky along.
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October 17, 2007 3:48 pm
Nita…I agree she had a bad experience…we all have at some point or other….we need to be resilient and fight it out..its a rough world..is she could be trained to become sophisticated escort..she could be trained to become other things as well…
As for her first mistake to sleep with boss, I can understand such things happen..but who said…I cant go back after making one mistake! I hate to see that message from the film…
And this was just director gimmick: en aankhon ki masumiyat barkarar hai..its not real…you get hardened living such kind of life professionally…An unreal fairy tale this was 😦
cannot disagree with you there…yes a fairy tale…! – Nita.
Shyamal permalinkOctober 23, 2007 9:09 am
After a long time, I watched a really good hindi movie. yes, it is commercial. But within those bounds , Pradip Sarkar tells a heart wrenching story. I believe that the movie flopped at the box office because Indians still have a problem seeing a happy ending for a call girl in a movie. This is because most Indians , both male and female have not come out of the grips of seventeenth century attitude . They think of prostitutes as outcasts who should be hated. They cannot believe that there can be liberal young men in 2007 like the character portrayed by Abhishek who will fall in love with a call girl, in spite of knowing her profession. This says a lot about the narrow and backward outlook of Indians. This is why most reviewers who happen to be from this class of Indians , have rejected the movie. In contrast, The New York Times has all praise for the movie.
As such it is rare for New York Times to review an Indian movie not made by the Late Satyajit Ray. This itself should be a matter of great pride for the movie's director and producer.
I would like to know how this movie fared in Kolkata which is culturally far more advanced than Mumbai or other cities.
P.K. Chatterjee permalinkMarch 14, 2008 4:25 am
Apart from all the debates, I would like to highlight that the theme song and the title on which the story is portrayed is a bhajan having a more general message for all mortal beings. It says,
" Kori chunariya atma mori, mail hai mayajal
Woh duniya mere babul ka ghar, yeh duniya sasural"
It is never about the sin (or the feelings of committing a sin) that Rani has done and Anupam Kher is not that Babul.
Now, after watching this movie, people may mis-interpret the eternal message of that famous song. I think, director could have chosen some other title.
July 22, 2009 11:26 am
I thought Laaga Chunari Mein Daag was okay until I watched Arangetram (1973), a Tamil movie directed by K. Balachander with almost the exact same story. I agree with you in that I didn't think it was regressive. But I thought Arangetram wass a lot more realistic. For one, the family – particularly the brother that the protagonist, Lalita supports financially while she's a sex worker – refuses to accept her even in the end. Lalita marries a childhood friend in defiance to her family.
Another point where, for me, Arangetram scored over Laaga Chunari… was that Lalita, unlike Badki, is never apologetic of what she is. Even in the end, when she is berated by her family, she only points out to them that they might call her names, but she is, after all, their breadwinner.


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Grey's Anatomy Recap: "Idle Hands"
It's the moment Callie and Arizona - and Calzona fans - have been waiting for: After months of dealing with the aftermath of the plane crash and Arizona's insecurities when it came to her prosthetic leg, the couple finally had sex! In true Calzona fashion, their trip to sexytown in Thursday's episode of Grey's Anatomy lent for some comedy and - for this reporter - some blushing. But that wasn't the only great moment of the hour. Check out the other top moments below:
1. Meredith's baby woes: Knowing her history of bad luck, Meredith worries that there's something seriously wrong with her McFetus. Fortunately, she and McDaddy own a hospital now so they can run the gamut of prenatal tests, all of which tell them they have a happy and healthy baby boy on the way. Who wants to bet that they name the kid Sloan Grey?
2. The new ER: The state of the art emergency room at Grey Sloan Memorial is outfitted with a Lodox machine, which essentially takes an x-ray scan in 13 seconds. Cool? Very. Except they can't find a patient to use it on. Owen and Jackson even try to poach patients to get them in the machine. Before they're forced to resort to using it to find the marble in Mousey's nose (ew?), a patient finally comes in who needs it. Yay for technology!
3. Alex is a prankster: When a young cancer patient is crestfallen to learn that Intern Jo is dating Chesty McNoName (Yeah, we're still going to call him that, though we know his name is Jason), Alex teams up with the kid to prank McNoName, sending him all over the hospital with different pages, one of which sends him looking for a patient named Jenny Tailia. The pranks culminate in McNoName thinking he has to give Bailey his urine for a drug test. But McNoName takes it with a grain of salt, telling Alex that he'll have the last laugh later that night while having sex with Jo in the bathroom at the bar. It's on, McNoName. You're dead to us.
4. Cristina's jealousy: Once Cristina learns that an old classmate has gotten published, she sets her sights on getting on a research project, but Dr. Russell, the cardio head, only wants to pitch her to get 12 million instead of letting her in on it. So, Cristina cuts his funding in order to fund Bailey's human genome mapping project, forcing Russell to let her in on his project.
5. April's metaphor: When she starts comparing having sex to "going to the carnival" and wanting to go on the rides with Matt, April cemented a place in our heart. That's all.
What was your favorite moment from Thursday's episode? Hit the comments!
Grey's Anatomy airs Thursdays at 9/8c on ABC.
View original Grey's Anatomy Recap: "Idle Hands" at TVGuide.com
Other Links From TVGuide.com


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Hersh: Learning the signs of a concussion can prevent severe brain injury
Q: I coach kids who play football and want to learn more about concussions. What can you tell me?
A: A head injury is evaluated based on the patient's risk factors and their symptoms. The very young or old, those with a concerning mechanism of injury (such as ejection from a car), people on blood thinning medications, those with certain symptoms (such as a seizure after the injury, prolonged loss of consciousness, significant other injuries from the trauma, etc.) or other factors causing increased suspicion should be sent for emergency evaluation and may require a CT of their brain.
The American Academy of Neurology defines a concussion (considered a mild head injury) as a temporary alteration in mental status from trauma, whether or not there is a loss of consciousness. In fact, the vast majority of concussions do not involve any loss of consciousness.
The alterations of brain function from a concussion may manifest as:
- A vacant stare
- Changes in verbal or motor responses, such as slurred speech, unsteady gait or poor coordination. These changes can be subtle, such as answering questions normally but with a delay.
- Confusion, such as not knowing what day, month or year it is, or not knowing where they are or what happened. The confusion may be subtle, such as feeling like being "in a fog."
- Loss of memory, which most commonly includes the traumatic event, but often includes things from before or afterwards. This may be subtle or obvious (such as the patient asking the same question multiple times).
- Inappropriate emotions or reactions to the situation
- Sensitivity to noise or light
- Headache, dizziness, nausea or vomiting
- Loss of consciousness
Note that severe symptoms or deterioration in the patient's status requires emergency evaluation.
One and a half to four million sports related concussions occur each year in the U.S. This large range reflects the fact that many (possibly most) concussions are not diagnosed. One in ten athletes participating in contact sports sustains a concussion every season, with some sports being even higher. Of course concussions also occur from motor vehicle accidents, falls, assaults, injuries at work, combat (for our soldiers) and other causes.
The first step in diagnosing a concussion is having a high index of suspicion. Many methods have been developed to identify alterations in brain function (such of those noted above), including scoring systems based on the subject's answers to questions to assess:
- Orientation; such as location and date
- Immediate memory; for example by giving a series of numbers to be memorized and immediately recited back
- Delayed memory; for example by naming objects to remember and specify 15 minutes later
- Concentration; such as reciting the months of the year in reverse order
- Coordination; tests similar to those the police use to identify drunk drivers may be used, possibly done with and without physical exertion
- Symptoms; such as headache, dizziness, etc.
- Neurologic function
The severity of a concussion may be estimated by many methods, none of which has been shown to be perfect. As an example, I will discuss one conservative method that delineates severity of concussions by assigning a "grade":
- Grade 1: No loss of consciousness and symptoms lasting less than 15 minutes
- Grade 2: Loss of consciousness less than 1 minute or symptoms lasting 15 minutes to 24 hours
- Grade 3: Loss of consciousness over 1 minute or symptoms lasting more than 24 hours
Recommendations in the literature exist but none are known to be definitive, so each young athlete should be evaluated on a case-by-case basis. Example guidelines (which I cannot specifically endorse due to the limited data supporting them) include:
- Young athletes sustaining a concussion should be removed from the game due to concern for "second impact syndrome" (although some experts question this), where a second head injury on top of a concussion can result in severe brain injury.
- For grade 1 concussions the athlete can be considered for return to play after they are completely symptom free (at rest and with exertion) for at least one week.
- An athlete suffering a grade 2 concussion or a second grade 1 concussion may be considered for return to play a minimum of two weeks later, and only if they are symptom free (both at rest and under exertion) for at least one week.
- A grade 3 concussion should be sent for emergency evaluation. Return to play should not be considered for at least one month and until they are symptom free for at least a week.
- After a second high-grade concussion, the athlete should be evaluated for removal from further contact sports.
In order to best advocate for our young athletes we need to take the risks of concussions (including cumulative effects from multiple concussions, increased risk for developing seizures, development of chronic symptoms such as headaches, neurological symptoms, etc.) seriously. We need to protect our children by ensuring they wear appropriate headgear and their games are kept under control and played to minimize injuries; this is one of the ways referees and coaches can make a positive impact.
Jeff Hersh, Ph.D., M.D., can be reached at email@example.com.


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News Detail
23 Feb 2018 20:07:00
Audited Yearly and Consolidated F/S (F45-3)
The Company and Consolidated Financial Statement (F45-3) MATCHING MAXIMIZE SOLUTION PUBLIC COMPANY LIMITED (In thousands) The Consolidated Financial Statement Yearly Audited Ending 31 December Year 2017 2016 Net profit (loss) (77,134) (65,829) EPS (baht) (0.11) (0.11) The Company Financial Statement Yearly Audited Ending 31 December Year 2017 2016 Net profit (loss) (49,820) (97,504) EPS (baht) (0.07) (0.18) Type of report Unqualified opinion Remark Please see details in financial statements, auditor's report and remarks from SET SMART "The company hereby certifies that the information above is correct and complete. In addition, the company has already reported and disseminated its financial statements in full via the SET Electronic Listed Company Information Disclosure (SET Portal), and has also submitted the original report to the Securities and Exchange Commission." Signature ___________________________ ( Mr. Wiroj Bunsirirungruang ) Executive Director, Senior Executive Vice President and Company Secretary Authorized Persons to Disclose Information ______________________________________________________________________ This announcement was prepared and disseminated by listed company or issuer through the electronic system which is provided for the purpose of dissemination of the information and related documents of listed company or issuer to the Stock Exchange of Thailand only. The Stock Exchange of Thailand has no responsibility for the correctness and completeness of any statements, figures, reports or opinions contained in this announcement, and has no liability for any losses and damages in any cases. In case you have any inquiries or clarification regarding this announcement, please directly contact listed company or issuer who made this announcement.


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Radio Spirits brings you classic tales of mystery, crime and suspense featuring everyday individuals caught in a web of their own making, and tripped up by a twist of fate in the end. And heard throughout each radio play, as the events become a tangled web of crime, is that shadowy voice-of-fate, your host� The Whistler!
Dripping with sarcasm, The Whistler follows the murderers� slow descent into destruction while cautioning listeners about the futility of the criminal act they just heard.
This collection features 20 episodes of this classic series digitally restored and remastered for your listening pleasure. Bill Forman stars as The Whistler, with appearances by noted radio actors Gerald Mohr, John Dehner, Joseph Kearns, Virginia Gregg, and Raymond Burr. Also included is a Program Guide by radio historian Jim Widner with photographs and background information about the shows.
Episodes Include: Hit and Run 01-07-51, Trademark 01-28-51, High Death 03-11-51, Kind Thought 04-22-51, The Clayton Affair 04-29-51, The Man in the Trench Coat 06-17-51, The House on Hainsley Boulevard 07-01-51, Autumn Song 07-22-51, Design for Murder 08-05-51, A Matter of Patience 09-16-51, Two Smart People 09-30-51, Three Minus One Equals Murder 11-11-51, The Clay Tree 11-25-51, Curiosity Killed the Cat 12-16-51, A Matter of Odds 05-11-52, Night Flight 06-29-52, You Can�t Trust A Stranger 07-27-52, Dark Island 08-03-52, Final Papers 08-24-52, The Secret of Chalk Point 09-07-52
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