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You are currently browsing the monthly archive for May 2010.
Last night it hit… tears that wouldn't stop. I think it was getting that pap smear news and knowing that I have yet another procedure to go through. All in all, I've been very strong throughout everything: the loss of my ovaries and breasts, the menopause, the seemingly endless complications, 4 surgeries since October and at LEAST 2 more on the horizon (expander on July 13th then exchange), looking at this body with only one breast mound and a concave, ugly reminder… Last night it all came crashing down. I was so uncomfortable trying to watch TV and I kept stretching to relieve the tightness in my chest, and putting the afghan on and off in response to my hot flashes and chills and I had just had it.
I went to bed thinking about how one year ago, none of this BRCA+ stuff was even on my radar and my life was just normal. I was active and healthy. I felt 27 instead of 67… I still had two beautiful, perky "girls" and a body that was still capable of bearing children. I know that I made the right decision in testing and having my surgeries but every now and then the armor falls and I feel sad and grieve for the body that once had….. Last night (and today) was just one of those times. I know better days are coming. I know that this is just another "bump in the road" as Dr. M. says. I know all of that but I'm tired of this…. I look forward to not having to stuff one side of my chest, not being in a state of constant tightness and pulling and not having to sleep on my back, and being able to regulate my body temperature for a full day for a change. Sorry to be such a bummer.. but I'm human, I've just about had it and I'm sad….
Things are moving along here and it's great to not be in pain. Of course, I'm not completely comfortable but far from the agony of full blown expanders! I got my biopsy results from the mole on my face and it's benign. Yippee!! The dermatologist wants to see me yearly for a full body scan but that was great news!
I also got a call yesterday from the GYN and it's got me bummed. My pap smear results came back abnormal so I have to go in for a colposcopy on Tuesday. I've have that before and it's not fun! Yikes! Hopefully it's nothing but I really hate having that procedure done. UGH! Also, if they need to go in and do anything more than what can be done in the office, I hope she can coordinate with my PS and do it while I'm in for my expander surgery on July 13th. That will be my 5th operation since October and I know I have at least one more for the exchange after that so it will be 6 in one year. Sigh….. Here's to the girl I once was who hasn't had a thing since 1980.
I'm getting stronger every day and with the left side deflated and the right side non-existent, I can actually forget for a time what's going on. Of course, the minute a spasm hits or I reach across my chest to grab something and my arm brushes against it, I remember. What I'm getting at is, because I'm healing and getting stronger every day in anticipation of my July 13th surgery, I'm not in pain and can get on with my life. I've found just the right size facecloth to fill the right side of my sports bra to make it pretty even with the left so while it's much more comfortable to be braless, I can look fairly normal going out in public and it's not completely uncomfortable.
I really wish everything would be done before it's time to go back to school in September because I think it's important to be there at the start of the year but I've learned that It Is What It Is and I just have to go with the flow… Right now, I'm just getting better and living each day to the fullest. 🙂
I saw the dermatologist today and she did a full body scan to examine all of my moles and pigment changes. She said that everything looked fine and consistent for my skin with the exception of the mole on my cheekbone that caused me to call her in the first place. She biopsied it in the office and will get back to me on the results in about a week. We talked about my BRCA status and while BRCA2 has shown to have a high incidence of Melanoma, BRCA1 is inconclusive as of now. Regardless, considering my status and my mom's basal cell cancers, she is keeping an eye on me. She encouraged a yearly check and for me to report anything new/suspicious that I see.
I went to my GYN for my annual on Friday and made out fine. She was up on all of my goings on because the Breast Specialist has been keeping her in the loop and forwarding my info. We did discuss the HRT and luckily she did not oppose it at all. She did change me over to combo type, Climara Pro Patch, because I still have my uterus, which will be applied weekly. I haven't started it yet because it wasn't in stock at my CVS and they needed to order it. I picked up the prescription today so I'll start it tomorrow. She did my pap and internal and we discussed my BRCA1+ status and the fact that we're going to be on top of any changes and will remain proactive. I thanked her once again for referring me to my Breast Specialist and Plastic Surgeon as I am very happy with both of them. She loves them too and as she said, she doesn't only refer her patients to them but herself and her friends as well.
I saw the PS today and he was very happy with my progress. He wanted to wait 8 more weeks until putting the expander back it but it falls on the July 4th week so he is looking into July 13th. I need to see him again in a month for another follow up just to make sure that I'm still on track. I did mention to him that I'm actually getting used to being so small as I've never, ever been flat. I told him that it's liberating to not be so busty. He whipped out his trusty tape measure and said that I would need to go a bit bigger for width but I don't have to go as large as I was. I really love looking so much leaner and remember those days of the dreaded double bra to go running… I won't stay this flat but there's no way that I want to be close to a D or DD ever again. At 5'1″, I don't need all that top-heavy weight. It's still a long time away and as of now, I just want to concentrate on getting stronger each day and getting ready for the next surgery.
As you know, I had my PS appointment on Monday and I'm now deflated to less than what I was at the time of surgery. I was very sore that night and all day Tuesday as the muscles contracted back. I'm still sore if I touch the chest and feel tight with small muscle spasms every now and then but I'm not in any "pain" at all and haven't taken anything other than my Premarin all week. Yippee!!
I've been walking every day and I'm getting stronger each time. My first breathless walk after getting out of the hospital seems so long ago already. The weather has been beautiful and I'm really enjoying being outside.
Sleeping in my actual bed is still not that comfortable but I'm doing it anyway, mostly for DH so he doesn't have to get up with the dogs early in the morning as he works until the middle of the night. (They are in crates in our room.) Also, he misses me there… I definitely sleep better downstairs on my sectional couch nest but while I'm deflated and semi comfortable I'll get through it. I know that I'll be back down there after my surgeries and who knows how painful the next series of fills will be. Anything to get back to normal as possible is good….
I have my annual appointment with my gynecologist tomorrow for my pap smear and check-up. She's not the one who prescribed the Premarin for me, it was the Breast Specialist but I'm going to talk to her about it anyway. Since this last surgery, I've been having hot flashes and night sweats again so I don't know if it's just not strong enough anymore or if it was due to all of the trauma of the infection, tons of meds and surgery. Also, somebody mentioned that I should probably be on another form of HRT because I still have my uterus. (I'm not sure if he missed that or not. ) I'll talk to her about it tomorrow and if so I'll call him. I just hope that she doesn't say I shouldn't be on ANY HRT… I won't like it if two of my doctors have differing opinions… We'll see how I make out.
I had my PS appointment yesterday and he was happy with the healing of the skin on the Cellulitis side and drained 430cc from the left side bringing me to 290cc. He didn't want to take out any more at this point because he feared that the expander would wrinkle and cause me discomfort. So, I've got one deflated balloon and one completely flat side. I had some muscle soreness last night from the pec muscle relaxing closer to the chest wall but no real pain. Right now I've got some baggy skin but he said it will tighten up as time goes on.
While I'm more comfortable without the hard baseball on one side, I'm not symmetrical enough to go out without some padding on the right. Around the house or with a track jacket on I won't need to really do anything but as the weather gets warmer and I wear tanks or tees, I'll need to do something out in public.
The PS kept shaking his head while he was draining me and felt bad over what happened. It doesn't happen often but I'm just one of the "lucky" ones I guess. When I asked him why he thinks it may have happened, he said his best guess is it had to do with the original skin necrosis that I had early on. I see him again next week for another follow-up on the surgery side then I think we'll be breaking off our weekly relationship for awhile until I go back to be evaluated for surgery to try again.
We just had a weekend of summer-like weather and lo and behold, I've had hot flashes and night sweats for the past three days… Not sweating from the heat in a normal sense but the familiar (but definitely NOT welcome) feeling of the internal furnace that was my body after my BSO and before going on Premarin, post PBM. I'm not sure if my body is adjusting to the dosage and it's not enough, if it's the result of being on all of those meds, or if my body is just super sensitive to the heat now and the rising temperatures outside is enough to tip the scales. I'll be monitoring this situation closely that's for sure.
I'm going to the PS this afternoon and am expecting to have the left side drained to better match the right. I'm not sure if it will end up close enough to not wear any kind of stuffing but I'll find out later. I'm also anxious to know when he wants to see me again in terms of evaluating when it will be time to go back in to replace the expander.
One day at a time, but I've never been known to have much patience.. I like to be able to plan things but I've certainly learned through these two complications that things don't always go to plan….
I went out to eat with DH and a few friends last night (casual place) so I had to actually put a sports bra on for the first time in two months in order to not be so lopsided. Luckily, I have some very thin Under Armour sports bras (that were not supportive enough before but are fine for this). I ended up rolling up some socks to fill out the right side so that the shirt I had on would go straight across. Around the house I don't care but going out is different.
I tried sleeping in my bed last night since I am feeling better and the scratching is starting to subside… Big Mistake! Our new mattress is very firm and I could NOT get comfortable. It was hard sleeping on my back and I guess I ended up rolling on to my sides in my sleep because I woke up all night with pins and needles in my arms and sides from laying on the expander side. UGH! Maybe Monday when the PS drains that side I'll be able to sleep in my bed again at least until I go back in to have the right one placed back in and I start expanding both sides again. So, tonight… it's back to my nest on the couch. I have a nice new sectional which is very comfortable and I sleep in the corner of it. I'm able to lean into the sides of it so I can move somewhat on to my side and be comfortable. Putting pillows on the other side makes a nice cushy nest and although sleeping in this condition stinks, at least there is one place in my house that makes it bearable.


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Archives for point cloud
Open Design Alliance Releases Teigha 4.2.4—Support for Autodesk ReCap Files
ODA updates Teigha SDK technologies to version 4.2.2.
Using the Future of Architecture to Save Its Past
Philip D. Allsopp has a counter-intuitive passion for saving architecture's past by using the most state-of-the-art technologies available. And as part of this endeavor he is a leader in the emerging HBIM field—using BIM technology to address the heritage building industry.
Vectorworks, Inc. launches Spanish and Portuguese versions of its 2016 line of 2D/3D CAD/BIM Authoring Design Software
The new release is part of a worldwide rollout, the Spanish and Portuguese versions join additional language releases that took place over the past few months in English, Dutch, French, German, Italian and Norwegian.
GRAPHISOFT Hosts Live Online Webinar: Energizing Heritage Conservation with ARCHICAD Point Clouds and BIM
The live, online webinar on December 8, 2015 is about a revolutionary use of ARCHICAD to support an important preservation project.

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When Mario Di Paolo, the creative director at SpazioDiPaolo, redesigns a label or the image of a range of wines, he goes far beyond mere appearance and aesthetics and digs right into the depths of the history of the wine, its producers, and its culture, as he did with the Vigneti Radica wine range.
The origins of the winery date back to the 1950s, when the progenitor of the Radica family acquired his first plot of land in Tollo with the money he received from the sale of a bull. Up to then the animal, which was rather rare in that region, had been very useful in helping the residents of the town in their work. As a result, the family became quite popular and everyone began referring to all its members, in a kind way, as "Li Ture", meaning "The Bulls", a nickname that the family has proudly used until today. The designer, Mario Di Paolo, thus decided not only to keep and respect tradition but also to give value to this rather distinctive and original iconographic element: the bull. A religious archetype in numerous civilisations, from Mesopotamia to Assyrian-Babylonian, including India. Even nowadays, the bull holds a place in the public's imagination through the astrological meaning that is attributed to its constellation: the bull is a symbol of moral strength, physical power, as well as trust, loyalty and fertility. These are important values with which the Radica family is closely identified and that Mario Di Paolo has used as the basis of his project for the new image of Vigneti Radica wines.
The self-adhesive paper, Manter Tintoretto Gesso, produced by Arconvert, was chosen by the designer due to its felt marking and for its UWS treatment (Ultra Wet Strength), which makes it ideal even for wines that are placed in an ice bucket.
The graphic design for the labels is focussed on a realistic illustration of a bull printed in black and white. He has chosen a specific breed of bull for each wine along with a different coloured circle referring to the variety of wine. The circle is not only a simple graphic element, but a second label, which draws people's attention and immediately adds information, hence playing a very important distinguishing role. In addition, it should be mentioned that it is not easy at all to apply from a technical standpoint because it must be perfectly aligned with its twin shape that is cut out of the label so that the underlying glass is visible. The rest of the label includes the winery's logo and the wine variety stamped in silk printing with a retro font that is reminiscent of the characters of old typewriters from the years when the Radica winery was founded, the 1950s.
Mario Di Paolo has managed to enhance the meaning of the past by creating labels so original and appealing that they have even won the "Silver Award" at "Pentawards 2018", one of the most prestigious international competitions dedicated to packaging design.


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We're delighted to offer TEAM members free tickets to a preview of Peggy's Song, A Love Letter to the NHS performed in Wrexham as part of National Theatre Wales' NHS70 Festival.
Peggy's Song is both a light-hearted, one-man show about a hospital radio DJ, but also a touching tribute to the volunteers who give their time to the NHS. It is written by Katherine Chandler and directed by Phil Clark.
Age guidance: 14+
The TEAM Social will take place at Undegun, Regent Street, Wrexham on Wednesday 4 July at 8pm.
Tickets are for TEAM members and numbers will be limited so please get in touch to book your place. If you would like to join TEAM please join the group here.
If you'd like to join us for this final dress rehearsal and get a sneak preview of this fantastic show, please email firstname.lastname@example.com
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As far as most people were concerned Constance Sliver had a perfect name. She was nothing if not reliable and dependable, and generously so. She was also a slight little slip of a woman with a wide, tooth-bright smile that stretched ear to ear across the hollows of her cheeks. Her eyes looked like two holes into heaven (pale blue in daytime, dark, empty with glints of stars at night) especially if she were silhouetted against the sky. She also had a voice that sounded like a foundered goose. Which was probably not what would be expected of a sliver slip of a woman, and which, you have to admit, might be very annoying. But the point is Connie Sliver was always there.
If somebody caught the flu or pneumonia or the bubonic plague, Connie Sliver would show up with her concoctions, her quack, her grin, and her gates-to-heaven eyes. And her Bible.
It was part of her dependability, her constancy, her very much noticed reliability.
Everyone thought all this was very sweet. All this generosity, all this constant generosity, all this dependable reliability. It was just what the village of Flog Station, Montana, needed. Someone to tend to the sick and dying. To heal the ill and ease the dying into their reward.
On October 14, Ian Bristfair came down with a mild cold. Sniffles really, nothing more than that. But Connie Sliver heard about it and showed up while he was feeding the sheep.
She stood in the sheep muck, her grin earing to earing, and shouted at him over the sound of the conveyor he was pitching hay into. "Ian," she squawked, "You shouldn't be out in this weather. You'll catch your death."
"Hi, Connie," Ian said. He wasn't too pleased to see her. She would insist that he get right into bed with mustard plasters, and vinegar teas, and cod liver oil. She would go up to his house, start boiling water for tea, take out her vial of cod liver oil, and start mixing mustard plaster, and stay until he got over the damned cold or died. There were only three ways to get Constant Connie to move on: a healing, a dying, or occasionally, a more serious affliction in another part of Last Lost Valley County. "You must be pretty hard up today, Connie," he said, "Coming after a little cold like this."
"O, I never leave my boys to founder," Connie honked. "Doesn't matter the meekness of their troubles. Connie's always there."
The last thing Ian Brisfair needed was to be bed ridden and have to pay somebody to pitch hay to his sheep. The last thing he needed was vinegar teas and cod liver oil. He had already mustard plastered. The last thing he needed was a squawking goose with eyes like holes into the fifth dimension flapping over him in his bed.
"It seems I heard old Danny Frashure was down with the coughing fits," Ian said. He thought maybe coughing fits was an affliction Connie might deem worth leaving a cold to attend to.
"Been there. Done that," Connie croaked. "He died."
"O," Ian said. He went on shoveling hay to his sheep.
"An eye for an eye, a tooth for a tooth," Connie said. Which did not make a lot of sense, but that was one endearing thing about Constance Sliver, she could quote the bible without context until Jesus came down from the Cross and resurrected into the Second Coming. She knew the book backward and forward, and had been known to start with the "Amen" in Revelations and head back to "In the beginning, God. . . ." in Genesis, with a smattering of Mormon, Nephi, and Joe Smith patched in for good measure.
Ian didn't roll his eyeballs, at least not so that Connie could see.
By October 16 Ian was not feeling better. He was herding a fever, slightly above normal and rising. And Connie was doing all she could to get him back on his feet or safely into heaven, whichever "God willing and the creek don't rise" happened first. Of course she was disappointed with Ian's lack of cooperation.
The sheep still had to be fed, and Ian coughed himself out of bed every morning, put on his boots and went out to do the chores, this in spite of Constant Splinter's determined efforts to keep him securely tucked from all but the chore of handling his ill. Being out in the sheep muck shoveling hay was a relief of sorts. Connie's favorite verses in the bible were becoming a constant lament in the house. "Mind the post in your eye," she would cackle. "A time to reap, a time to sow," "One generation passeth. . . ." It seems the ripe joy of the Preacher was her favorite comforter. And so stink of the sheep pens was a welcome change.
On October 19, Ian's fever was still on the rise and headed into triple digits.
"Maybe, I should see a doctor," Ian said. He was reluctant to say this, and even more reluctant to execute it. Having opted out of Obama Care, he was in no hurry to take on any medical bills.
Connie, sitting in the chair beside the bed, croaked up, "What's a doctor know I don't."
"O, Pshaw, you got nothing a good dose of cod liver oil and vinegar-licorice tea won't cure." Which was another endearing thing about Connie Sliver. She was a bull on cod liver oil. She grinned that ear to ear grin. Ian was reminded, just for an instant–no longer than that–of a pirate flag with its skull and crossbones.
"O," Ian said. He went out to feed the sheep that morning, but not the next. A neighbor, knowing the situation, came over and took care of chores.
By November 1, Ian was about done in. Connie was reading him to sleep day and night. She healed under the reasonable assumption that if cod liver oil and vinegar tea wasn't quite enough, sleep was a good aide. And one of her sleep aides was to read the Bible starting with nemA at the end of Revelations and proceed from there. She had finished Deuteronomy and was backing into Numbers by now. But what vinegar tea wasn't curing, Numbers didn't seem to be curing either. Ian concluded he either had to get rid of Constance Sliver and her cod liver oil, herbal concoctions, and her incessant reverse Bible or he was a gonner.
"I tell you, Connie," he croaked, he had taken on many of Connie's characteristics, including a raven cough voice and a thin skeletal face, "Mervel Watson is nearing St. Peter's gate. Almost kaput, they say. You should go see him, bring him around.
"He's not as near as you." Connie squawked, her grin seeming to shape itself into the beak of a raven with white, perfect teeth. "Not nearly as near as you are."
Her eyes were black with the infinite emptiness of the cosmos behind them.


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If you love the elements that go into the design of a wedding and spend hours pouring over the gorgeous styled shoots and images on Pinterest and wedding blogs then this course could be the answer. We show you how to take your inspiration and creativity and channel it into the design of a wedding. You will learn how to take the briefest of ideas and turn it into a concept by using design tools such as mood boards, colour swatches, fabric samples and flower charts. You will understand how to design a table from the bottom up and how to layout and structure each element on it. We cover the production and logistics of styling a wedding so you can understand how to produce your wedding flawlessly. Finally, you will be shown how to communicate your design to your clients and produce the perfect client proposal.
There are 16 modules in this course divided into 5 sections with 5 Assignments. You will also have access to a library of additional resources, including a detailed section called; Becoming a Wedding Stylist, by acclaimed Wedding Stylist, Louise Beukes. The average completion time for this course is 12 weeks, but you will have up to 1 year to finish your course.
Upon graduation you will receive an Industry, Nationally & Internationally recognised qualification as a Wedding Stylist. The Academy is the leading education provider for the wedding industry and has been delivering industry accredited training for over ten years.As a student of the Academy you can apply for a Tesselaar Flowers Student Account and get great deals on wholesale flowers as part of our partnership agreement.
Choose a plan that fits you and your lifestyle
I chose the Academy simply because it was industry specific. I figured if you want to be the best then study with the best in that field! I made the right choice; my course content has been very targeted and specific! I really enjoy the flexibility and the ongoing support that you get at the Academy.
Choose a plan that fits you and your lifestyle
This course is ideal for anyone with a love of Weddings, Styling and Design. The focus of this course is teaching the student how to work as a Stylist at a Wedding. The skills and knowledge taught in this course could also applied to styling other celebrations.
A Wedding Stylist works with a couple to bring the design elements of their day together. There is no set list of duties for a Wedding Stylist, but these are some of the jobs you could expect to be doing when working as a Wedding Stylist: Meet with the couple to learn more about their vision for the day Design a Styling Plan for the couple's wedding Source items to bring the couple's wedding day look together Be there on wedding day to set up and style the wedding (pack down may also be a job you are required to help with).
Yes. In this course we teach you about the logistics of Wedding Styling, Client Consultations, Proposals, Contracts and Budgets.
Working with flowers as a Wedding Stylist is covered in this course, but for more in-depth training about Floral Event Styling, we recommend our Advanced Certificate in Floral & Event Styling.
As there is some 'cross-over'between these courses, we recommend that you first talk to us so we can be sure that taking this course will be of benefit to your individual circumstances.


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Michael Jackson, the one and only King of pop, has passed away today.
Davita loves Michael Jackson. Grandpa loves Michael Jackson. Millions all over the world love Michael Jackson, and will continue to love him.
He was eccentric, he was bold, he was fascinating, he was strange, he was wild, he was cool, he was kind, he was sweet, he was odd, he was mysterious, he was inspiring, he was controversial, he was a musical genius and above all, he was so, so human. Growing up in poverty and many hardships, he still preservered and became a musical and cultural icon; uncomparable to any other.
I remember hard and sad days where Michael Jackson sang me to sleep.
I remember vibrant, happy days where Michael Jackson sang as I watched my parents dance and reminice happily.
As a little girl, Michael Jackson was the first Black person I saw sing on TV.
I remember cold, winter days where Michael Jackson sang me to school.
I remember hot, summer days where Michael Jackson sang in the car on the way out to clubbing with friends and how we sang along at the top of our lungs, happily speeding down the freeway.
I'm sure Michael Jackson has sang through a lot of difficult things for people, from weddings to cancer; he was there for many all over the world: every creed, colour, religion and sexuality. He will continue to be there through his music and trademarked dance-moves and fashion sense.
Condolences to the Jackson family; especially his three children. I hope his spirit is at peace.
Michael Jackson, you were awesome and loved by many! You will be missed.
Michael Joseph Jackson
August 29, 1958–June 25, 2009


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One of the wonderful occasions in life is to have your wedding. Pairs are made in heaven but weddings take place on earth. Wedding is big fat day for the bride and groom where the planning starts from ordering, arranging, wedding cards selection etc to shopping, dinner etc. But to relish this event with frolic and felicity, there needs a proper planning. Are you going to have wedding after five or six months? If yes then here is wedding planning checklist for you to schedule your wedding as per your preferences and beliefs.
Go through this article, and make use of it while preparing for your wedding. All the important aspects and tips are framed in this piece of article. This content will hopefully prove life saver for you making your occasion incredible.
Before 5-6 months
First and foremost, announce your engagement to your near and dear ones. Now, plan your budget and divide the cost. Select the wedding venue and reserve it for the big day. You must select the wedding theme and order the florists, vendors and caterers. You must also order for DJ and select the songs for the day. This is the right month to plan for healthy diet and efficient exercise.
Before 3-4 months
This is the correct month to book the makeup artists. You must order the cake and wedding cards also. You should make all the arrangements for honeymoon. All the things like wedding day transportation, rooms for guests etc must be ordered and book now itself. You must also go to pre- marriage counselor.
Before 1-2 months
You must give short list to your video graphers and photographers. You should acquire wedding license and confirm the date, time and place with your vendors. You must purchase wedding gowns and groom attires. You must confirm that you have made all the orders and nothing is left now.
Before 2-4 weeks
You must ask for the scheduled leaves from your boss. You must start taking spa and massages from any makeup clinic. These are the days where you must be extra conscious about yourself. You must start taking healthy juices daily. You should also take facial treatment to glow more on the wedding eve. You must finish all the tasks related with shopping. See the checklist and finalize everything for the wedding day.
Before 1 week
This is the time when you must confirm all your reservations for honeymoon. You must do wax. You must do confirm everything related with order with your vendors, caterers and other party planners. You should wear the wedding day gown and see the fitting. You must also send the wedding cards. You must plan your seating chart and wedding day time list.
Before 1 day
You must systematize your accessorize and wedding gown. Take a long breathe and stay cool. You can have a Manicure and pedicure. You must have a last moment facial treatment too. You must do rehearsal for dinner.


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It Takes a Village
Happiest of Monday's to y'all! It's going to be a beautiful week, full of lots of things and I just needed a moment to reflect on this past weekend. So much happened. Saturday I wrapped up my mentorship at Salty Dog Yoga & Surf. I could not be more thankful for the opportunity to […]Read More It Takes a Village


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Plastic Surgery
School of Medicine > Plastic Surgery > Distinguished Alumni
Distinguished Alumni
John W. Canady, M.D.
Medical Director and Medical Safety Officer, Johnson & Johnson
Lynn Ketchum, M.D.
Clinical Professor
Mani M. Mani, M.D.
Emeritus Professor, Department of Plastic Surgery
David S. Zamierowski, M.D.
Courtesy Professor
Last modified: Sep 28, 2018


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My grandma used to have a cast iron trivet that she hung over her stove that said "The hurrier I go the behinder I get."
Something about the mix of Seussian wordplay and country-folk grammar of that sentence appealed to me enough that it stayed with me all these years.
That has very little to do with my intended topic, but the fact that I find myself constantly behind the seasons made me think of it. Things I photograph (or think or feel) in fall are now finally making their way onto my blog, as they simmered in my head and then came to life on my canvas over the winter and early spring. Now that the tulip bulbs and hyacinths are bending over in my front flower patch, I can finally unveil all this work that is no longer in step with the seasons.
I began painting this canvas after we came home from Sedona. I fell in love with the scenery at Slide Rock State Park. There was an old working apple orchard there dating back to pioneer times. The apple trees topped by the trademark Sedona-colored cliffs behind were ripe for painting.
The painting I made of the scene was just as good as your mom's friend who took up painting as a way to occupy her time after the kids went to college. Very nice. So I painted over it and tried again. (Maybe I should have photographed it before I killed it but I didn't. It looked very much like the photo.)
This time, I abandoned Sedona and just painted an autumn view I saw once.
I see a trend this spring. I try to recreate a picture, remember I already HAVE the damn picture, and try again, this time to recreate the feeling I want to convey about the picture. Wow, even writing about it sounds cliched and like something your friend's mom would write. Dammit, Lizbeth (she used to be Liz but she's called herself Lizbeth ever since she got home from that yoga retreat). Get out of my head!
I am what I am, I guess. To paraphrase Neil Diamond. Or was it Popeye?
Anyway, enjoy an Autumn Road.


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Say What?
Being Calm in a Storm
by Phillip M. Hazelwood
We are to do everything we do as unto the Lord. If we believe that there is a living God, then we know that He is watching us all the time and listening to what we say. He also feels our hurts and pains and shares our joys. He is our spiritual Father and cares about what we care about. He loves us and wants our souls to be satisfied at all times. Even when we lose our loved ones to death we can still have a calm peaceful heart and through sickness and pain we can still trust the Lord to have mercy on us. I can tell you this is the truth because I lost my own 39-year-old son after a year-long battle with heart disease.
We love the Lord because He first loved us. He is our comfort. He is our positive in a world of negative. If we will slow down, calm down and think about what we are doing and why we are doing it, things will come into focus. Whatever we do, let us do it slow and right the first time and we won't have to do it two or three more times to get it right. Stay mindful of God and do all that we do, unto Him.
So many people think that God is some being afar off, way up in Heaven somewhere that we can't reach, and besides that we have been so bad that He won't help us, anyway. The truth is that God is that Holy Spirit that lives inside of us. That is why we can never get away from either good or evil. Both good and evil are spirits and these two forces continually do battle in our mind to gain control of our body.
If we will slow down and stay calm, honestly and prayerfully follow the good and sweet wisdom of our Heavenly Father and pray to resist temptation, then we can overcome the tempter. Fear God and depart from evil and live.
Jesus is our Lord.


text:
Ugo amadi
The panel of judges for the 2018 edition of the 9mobile Prize for Literature has unveiled a list of nine books from an array of authors across the continent who entered for the prize following the announcement for the call for entries made earlier in the year by the telecommunications company.
The list is made up of entries received from first-time African writers whose books were published within the last 24 months before the call for entries. Now in its fifth year, the Prize is already acknowledged as the most prestigious literary prize for African fiction.
The nine books that made the longlist are: Aniete Isong – Radio Sunrise ,Ayobami Adebayo – Stay with Me ,Bronwyn Law – Viljoen- The Printmaker,David Cornwell – Like It Matters.Lesley Nneka Arimah – What It Means When a Man Falls Down from the Sky ,Marcus Low- Asylum ,Mukuka Chipanta – A Casualty of Power ,Odafe Atogun – Taduno's Song ,Qarnita Loxtan – Being Kari
In his comments, Chair of the Judging Panel, Harry Garuba noted that the books entered in the 2018 9mobile Prize for Literature testify to the abundance of talented new voices emerging from the African continent."The entries range through a variety of themes and preoccupations that mirror the expanse and diversity of the continent. The care and craft that the authors bring to the exploration of their chosen themes show a level of skill and artistry not often found in first works of fiction. These works give us a glimpse of the exciting literary landscapes ahead for African fiction" he said.Director, Brand and Experience, 9mobile, Elvis Ogiemwanye expressed his delight at reaching this stage of the Prize and commended the judges saying, "the Prize is what it is today because of the independence and competence of the judging panel, whose rich and varied experience boosts the entire process".
He also revealed that this edition of the Prize marks the fifth year the telco has sustained this platform that celebrates the richness and strength of African literature, which the 9mobile Prize for Literature is designed to promote.Following the longlist unveil, the Judging Panel poet and writer, Harry Garuba, writer Doreen Baingana and writer Siphiwo Mahala now have the tough task of screening the books even further to arrive at the shortlist of three finalists ahead of the grand finale/award ceremony in 2018.
The shortlisted writers will have copies of their books purchased by 9mobile for distribution to schools, libraries and book clubs across the African continent, while the winner receives £15,000, an engraved Montblanc Meisterstück pen, and a 9mobile-sponsored fellowship at the University of East Anglia, where he or she will be mentored by Professor Giles Foden, internationally renowned literature teacher and author of The Last King of Scotland.For more information, visit the website literature.9mobile.com.ng or @9mobilereads on Twitter and Facebook.
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Tradition shows tea time doesn't just belong to golf
Photo submitted
Emily Thacher-Ayala (left) and Sharon Morgan prepare to serve guests cookies in the tea tent.
Tennis was introduced to the United States in the 1870s. It was played on grass courts and players wore Victorian costumes, swung wooden rackets and smacked wooly, white tennis balls.
Twenty-five years later, William Thacher pioneered the Ojai Valley Tennis Club and began the Ojai Valley Tennis Tournament. This month, "The Ojai" will mark its 116th year.


text:
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Fakie's Protector Guide! v1
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Subject: Fakie's Protector Guide! v1
Wed Jul 13, 2011 8:24 am
-----Fakie's Guide------
Hey Everyone! If your reading this guide than you obviously want to know and understand your class a lot more. This guide will explain everything you need to know about this class. I will explain everything from the class it self to understanding the mechanics of the skills in this class.
[1. ------Class Introductions------]
In order to begin really understanding the Protector class, you need to understand what kind of class this is. The main job of a protector is usually a tank that generates aggro all the time and relies on damage reduction to help take all the hits that are needed throughout the game. Tanking is not the only thing a protector can do (marble spec being one of the three tree's this class has), they can also support and be a heavy hitting damage dealer as well. It really just all depends on what tree you choose to go down and where you allocate your points on the tree that you choose.
-Marble Tree-
This is the main tree that most protectors go down because it's the main tanking tree of the game. The entire idea of this tree is to hold aggro, reduce damage, and take hits. It is to be understood right away that the DPS of this tree is the lowest in game but its one the most important class's in the game. There's not many skills that they have to rotate with but done in the right way this class can dominate in both the PvE and PvP environment.
-Granite Tree-
This tree is all about supporting the party in the form of enhanced healing effect and resistance buffs. This tree has the ability to buff just about every mastery and towards end game can even take people out of stun's, sleeps, and snares. This will prove to be useful in both pve and pvp considering that both mobs and players are affected by higher resistance and the ability to take people out of snares. This build is a bit rough in the start but if you can get this to end game you will one of the most important class's in an end game instance
-Diamond Tree-
This tree is all about damage from all different sides. Also known as the 'glass cannon' spec for this race the diamond tree offers a ton of heavy hitting attacks that will shake anyone to the bones. It's all about stuns, heavy hits, and more stuns. Later on this class gets AOE stuns and Reflects damage so that will play perfect for pvp whether it be single duels or faction verse faction.
That is just an over view of all three tree's for a Protector. This guide is going to concentrate on of the Marble tree and the others will be added later as more solid research is done on them. Marble being the most important i decided to start with his tree. (also helps considering I am marble build XD)
Last edited by Fakie on Wed Jul 13, 2011 8:27 am; edited 1 time in total
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Subject: Re: Fakie's Protector Guide! v1
Wed Jul 13, 2011 8:24 am
--------------2. Understanding Tanking in Forsaken World--------------
There seems to be a big mis understanding of how the tanking happens to work in this game. In most games tanks are usually just all taunts and buffs but in this forsaken world they went with a different route. The tanks in this game are all about Damage Reduction and Aggro Over Time. So the main idea is your gonna get hit for a lot less than most class's and your going to be a lot easier to heal. Withe very passing minute you are gaining an over all base aggro and you also generate aggro per hit/skill. (also called bonus aggro) With a good rotation you should be able to hold aggro on any single target in the game. Aoe aggro doesn't get efficient till 55+ so don't worry about that for a while. Your not the only one not being able to hold group aggro as good as you would like to. (For those who don't know a rotation is the order you spam your skills in i.e. Taunt > Counter Strike > Hard Smash > Taunt)
Jumping into this class thinking " I tanked in WoW, I should be fine!" is going to get you and your entire party destroyed. That is why I made a section just for explaining the type of tank this is.
---------------------3. Marble Build---------------------
Considering that the Protectors don't have many skills to begin with our talent tree is really where all of our power comes from. So pay close attention to your build and how it applies in a party.
***This is a build based off my experience and research into this class***
In order:
Art Of Guardians (5)
Code of taunt (3)
Abominable Will (3)
Mass Taunt (1) *i will explain why later and an alt route on the tree*
Spirit of Rocks (3) *than at end game you add the last point if you choose*
Stone Skin (4)
Faith of Protection (3)
Protection Fortify (4)
Light of Belief (3)
Fire Power Coverage (2)
Guardian Boulder (3)
Whirl Wind Blessing (1)
UpHeavel (2)
Magma Burst (2)
Whirl Wind Blessing (1)
Heart Of Sent (2)
Tent of Rocks (3)
Protection Mastery (3)
Energy of the Land (2)
Leaving you with 11 extra points which you could max two skills from other tree's. I would suggest Rage of Mind considering it boosts attack (bonus aggro) and the duration of Mental Focus which is your aggro generator. Than you could Ode of Light for self healing or Extreme fury from the diamond tree for more damage.
For the Mass Taunt: The mass taunt doesn't really generate any aggro it just keeps the mobs attacking you for a certain amount of time. It is more of a last minute savior than a spam skill considering the cool down is at 120 secs. If you do choose to go down that way and use your 10 extra points you'll get it down to a one minute cool down and take away i believe up 90 extra acc. It's up to you if you choose to go down that path.
For Spirit of Rocks: I left it at 3/4 because in PvP and PvE i found it to be more than enough. I'd rather save that point for end game when i get the two extra skills.
Join date
Subject: Re: Fakie's Protector Guide! v1
Wed Jul 13, 2011 8:25 am
-----------------4. Rotations---------------------
This is where the dirty work comes into play. The Protectors are extremely rotation dependent. You will lose aggro SO quick from a good DPS if you don't know your rotations and that is something that you do not want. I will list a few rotations for different situations that will help out a lot.
* Mobs *
Attacking mobs isn't too crazy in this game for a Protector. If you have all of your buffs on and have some decently refined gear. (see my guide for refining armor)
Level 39 and under:
Counter Strike > Hard Smash > Taunt > Counter Strike > Hard Smash > Force of Fury > Counter Strike > Taunt > Hard Smash ...Rinse and Repeat
Level 40 and over:
Counter Strike > Hard Smash > Taunt > Earth Rift > Counter Strike > Counter Strike > Hard Smash > Earth Rift > Force of Fury...Rinse and Repeat
Those two rotations should be more than enough to help you destroy mobs. Things to note: Watch out for earth rift because you don't want to pull more than you can handle. I put taunt in because it reduces damage as well and that is always good. Counter Strike is going to be your major saving key because it helps you gain fury and puts up your defense. Don't worry about the attack reduction, it will not mater.
* Boss's *
This is where your rotation really matters. There is pretty much only one rotation for boss's. There are some skills that come in depending on situation so keep that in mind. Mass taunt and Earth rift depend on the situation considering you have to pay attention to how many adds the boss spawns. This is also only after you put on all your buffs and always pay attention to your buffs during the fight. Apply them as needed.
Taunt > Counter Strike > Hard Smash > Taunt > Counter Strike > Hard Smash > Taunt > Counter Strike
You need to keep that going at all times so you can pretty much keep the aggro on you over all.
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Subject: Re: Fakie's Protector Guide! v1
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My day 3 report from the CES 2011 show floor. Not every product being shown at the Consumer Electronics Show is revolutionary, but there was still plenty of "innovation" to be found in the new "iterations" of technology like 3DTVs introduced last year.
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text: This page is a bit hard to nail down, as it includes 3 genres of figures and gaming that are separate, but that I'm looking for a way to blend together into something cool and interesting. Imagine modern troops, vehicles and air power supported by powered combat armor and walkers, taking on each other and zombies? Sounds cool to me!


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Thursday, July 8, 2010
Theory on motive for my being a Targeted Individual
My mother is a documented radiation experimentee. In the 50's at the Naval Hospital in Bethesda Maryland USA she was given radium suppositories as well as other 'treatments' for tonsillitis. They shrunk but grew back and had to be removed surgically.
She and I are the only two women in our families to share the autoimmune disease endometriosis. Mine has been chronic/severe from age 16, which is unusual.Multiple surgeries were done as only later I understood there is no cure.
In later years my mother began having typical radiation related issues like thyroid problems.
After speaking to the Dept of Energy in early 90's and doing ground work she found her records just as they were to be destroyed. She was then intimidated out of not testifying or partaking in the class action lawsuit.
I began to notice circumstances that I now realize are organized stalking and harassment that were overt in nature around 1995.
Later in 2003 during the anti terror years and war in the US during Bush's presidency the harassment and stalking became very overt, aggressive and "24/7". The cover story on me is a great smear campaign consisting of sex, money laundering, abuse of power and my infidelity. There was a federal investigation of friends of my associates. Being career criminals my associates went along but tried to warn me that something was going on around 2004 or so. My ex and some local rich brats tried to frame me for drugs he was involved with. If the FBI weren't corrupt and assisting then they must have been yawning the whole time at how predictable the local corruption was. I was harassed during this time mostly to get me to believe that I was of interest to the feds. I read this is a common tactic to get rid of survivors of MK Ultra and related projects. After the person turns informant due to being covertly harassed they are then killed and the excuse is that they were killed for ratting. I took a strong stance of no subpoena then no contact. I wouldn't cooperate with any authority that conducted itself in this manner anyway. There were plenty of people who knew more than I did and targeting me made little sense within the context of the cover story.
During that time around 2003 there were many illegal home entries into my apartment. I even had one on tape but the oddest thing happened with my cheap digital camera: up on my setting it down and having it on, it switched to many times (X) magnafication and the person entering the door could not be indentified but there was something there and one could hear the entry.
In 2003 my kitchen area was water damaged by a radiator against the hallway wall upstairs floor and then a year later the main water pipe for heat in my living room somehow leaked alot of water under my couch and I wasnt aware of it for a month or so. The company refuse to fix it, and with much harassment going on and difficulty I pushed for testing and got medical results for my health as well. I was pushed into signing off. I had to go to the Dept of Environmental Health a state agency where someone pushed to do the right thing and it finally got tested in 2006 or so. I should have lived in a shelter during this time but didnt think of it or was stressed out to not realize doing that. I was being so intimidated that I could not function like a reasonable person. http://www.scribd.com/doc/34089125/Mold-testing-of-apartment">http://www.scribd.com/doc/34089125/Mold-testing-of-apartment
I retain permanent damage from staying in this apartment.
The life long milder version of gang stalking I had always experienced turning overt in 1995 then exploding in 2003 seemed connected to my mother's family and her life long 'bad luck'. My father was allegedly labeled mentally ill years ago for making constant claims concerning a secret govt project involving the military, the CIA and my mother's family. Years after hearing that,with all the events that have come to pass in this way..when you reassess his claims with this new information: How is he wrong? He's not.
My mother has a history of revealing things and then forgetting she said them. It may have been one of those moments she revealed to him her suspicions or he found out some other way. I suspect he is a target as well to discredit his claims. There was no internet back then so he couldn't very well do as I am doing with activism.
Whats interesting about the mold exposure above is that LSD was a staple of human experimentation in many countries around the world at that time in history. Within MK Ultra its shown to be a key part of the formula to 'wipe' the human mind or regress someone back to a childlike state. I often like to consider in my theory that the damage was on purpose and it would have driven me out onto the street again as they refused to fix the mold and make it habitable or if I did stay the desired effects would be exposure to fungi. Most people know that LSD is synthesized from mold. Also for any doubters of the chemical warfare value of everyday substances, in WW1 mustard gas was used as well as combining bleach with ammonia and putting that in shells to drop on the enemy as it forms a noxious substance. The US military has synthesized molds into an agent called Yellow Rain: http://www.mold-survivor.com/t_2_mycotoxin.html
Its highly suspected by many survivors of experimentation and mind control projects that these projects were continued privately by corporations or as classified by a govt entity. Its very possible that private contractors could continue with this or even a foreign nation. If it supposedly doesnt exist then its not under the Genova convention. With what little I have seen concerning law, conditions may allow such actions to be taken legally. What the public cant protest or vote on they cant change so its in thier best interest to remain covert and discredit whistle blowers. Some factions of the public may validate the existence of these projects as progress for humanity or the good of the USA and its future, to them one or two expendable people is just part of doing business.
by On_GangStalking clock 2:36:00 PM
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text:
Julie Bailey rarely allows herself to relax. If she does, the memories come flooding back, and she really doesn't want to go there.
'There' is the ward in Stafford General Hospital where her mother, Bella, died in 2007 – one of the hundreds of elderly, hapless victims of the failures in standards of care and leadership in the now infamous Mid-Staffordshire NHS Foundation Trust. Julie, a founder member of the patient and family group Cure the NHS, has been campaigning with fellow bereaved relatives for five years to get a full public inquiry into what went wrong at the hospital in the years 2005 to 2008 and why so many patients died before anyone in authority took any action.
'I haven't grieved for my mother,' Julie says, bluntly. 'I try not to think about her. She comes into my mind and I have to block it and then it comes over me when I least expect it, when I let my guard down. Then I'm back on the ward with mum again. It's been over five years and I can't think of a moment when I was happy since she died.'
Jim Swire was propelled into the media and political limelight when a bomb blew Pan Am Flight 103 out of the sky over the Scottish town of Lockerbie on 21 December 1988. His daughter, Flora, was among the 259 passengers and crew who died and Swire, at the time a GP, has spent the past 25 years fighting for the truth about what happened to be revealed by the UK and Scottish governments.
'I don't remember much about the initial few days or weeks. I was extricated from the numbness and horror by anger and I have been driven by that anger ever since – anger at the deep incompetence in the establishment, here and in the US, and the realisation that our government hasn't looked after its citizens and is hell bent on concealing the way the disaster was allowed to happen,' he says.
Linda Hurcombe's daughter Caitlin took her own life in 1998. Caitlin wasn't depressed, Hurcombe says, but had asked her GP to prescribe her an SSRI antidepressant; she'd read about them in a magazine when she was visiting the US (where direct advertising to the public is allowed) and had heard that they helped you lose weight. Hurcombe says the drug's side effects – emotional numbness combined with a gnawing restlessness – played a part in propelling a young woman with no previous suicidal tendencies to hang herself.
Driven to act
Hurcombe threw herself into the international campaign to force the pharmaceutical industry to come clean about the dangerous side effects of these new, allegedly wonder-drugs, particularly for young people. 'My prime motivation was to prevent it happening to other people. I didn't want anyone else to have to feel like I did,' she says. 'I knew that nothing would help me, so I decided to carry on in the only way I could, using my skills, which were in campaigning and writing. I knew nothing about SSRIs then but there was a point when it turned from a personal tragedy into an international iniquity and I would say I was galvanised.' A writer and college lecturer by profession, she wrote Losing a Child, a book for fellow bereaved parents about living with that loss.
Jim Swire says he needed to act; he couldn't sit with his grief. 'This was my way of coping and it still is. It's how I survive and will remain so until the powers that be cough up the truth,' he says. And in all he does he is guided, he hopes, by a sense of what Flora would have considered right. A medical student, she was about to take up a postgraduate place at Cambridge to finish her studies in neurology. 'I needed to behave in a way of which Flora would have been proud, to find the truth but also to behave honestly. But it has been difficult to say how much has been justifiable,' he admits frankly. 'My wife, Jane, realised early on I was going to have to do this, but that didn't give me carte blanche to lay about me to the detriment of my family and others.'
'His way wasn't my way,' Jane Swire says. 'I don't have that drive. I just tried to keep going for everyone's sake. I wasn't anxious to discover the how. I think it was helpful for him, but it wasn't my way of coping. What has kept me going is, at its most basic, that not to would have been worse, wouldn't it? We have two surviving children who have a future and we have grandchildren. I just tried to cope and to do the best for the family that we have left.'
Julie Bailey says she was primarily driven by guilt. 'I feel terribly guilty about what happened. We all do. My guilt is that I let it happen. I feel it happened under my nose and I couldn't do anything about it. I colluded with the staff. I made friends with them and tried to get favours that way. I feel now I could have put a stop to it and perhaps Mum would have been alive today. If I'd been as strong then as I am now, I might have been able to do something to stop it.'
She says the campaign saved her. 'It allowed me to focus on something else. I would be in a very bad place if I hadn't had the campaign. Something took over me when I lost Mum. I couldn't sit down. I just kept walking, walking.' When she tried and failed to get the hospital or any other organisation to do something to help the elderly patients left behind on her mother's ward, she realised she had to act. 'I thought, I can be crushed or I can do something myself. It was anger. I had a mission for Mum to uncover what happened. I lost her on 8 November and by 20 December the campaign had been launched and I started to get letters from other people saying the same things had happened to their loved ones and I knew I had to be the strong one for all these other people, to get the truth out.'
Fear of grief
Colin Murray Parkes is a leading figure in the bereavement care world: a consultant psychiatrist, Life President of Cruse Bereavement Care and author of numerous papers on bereavement. This is, he believes, a natural response to untimely death, even if writ large. 'Bereavement is a time of the most enormous psychological pain we can ever experience. It's natural to think, "Who did it?". And where the bereavement is culpable, it is understandable that people will seize on that as something they have got to put right.'
As a consultant psychiatrist at the Royal London Hospital, he found himself often called on to help deal with complaints from people who felt their loved one had died due to failures in their care. He describes one client, whose sister had died in the hospital. 'Her case hadn't been handled well. Nobody had listened. She received a fair amount of defensive aggression and was made to feel like an unreasonable child. She arrived clutching a letter from the Ombudsman in response to her complaint. She hadn't been able to open it. We talked about what it might say and she said, "But he might agree with me and that would be the end of the line. There would be nowhere else to go." And she burst into tears. I think she realised at this point that what she wanted was her sister back. She had been afraid to grieve; she feared that if she started grieving she would lose her sister all over again and her anger helped her to avoid the grief. When she did start to grieve, the anger diminished and she was able to start getting on with her life.
'That is why anger can be an alternative to grieving: as long as we have a crusade, the person lives on and we are keeping his memory alive by fighting for a cause.'
But that is not to say that fighting for truth and justice is always a pathological response to bereavement, Murray Parkes emphasises. 'There are some crusades that really need to be fought. There were occasions when a client decided to drop their case and I rather wished they hadn't. They had drawn attention to a problem that probably ought to be put right and my therapy had reduced their anger so they didn't go ahead with their complaint. But it was their decision to make, not mine.'
Sue Marshall, a psychotherapist who specialises in bereavement and is a supervisor and trainer for her local branch of Cruse, agrees. 'Anger is common in bereavement and it can potentially be a healthy response to death,' she says. 'If people have a very obvious focus for their anger, that can be quite therapeutic. Anger is quite energising. It gives people a sense of doing something: they can't bring the person back to life but they can channel their anger into raising money for hospital equipment, say, or campaigning to raise awareness of road danger.'
Linda Hurcombe set up the Caitlin's Kickstart Award, which funds local young people to go to college and is now in its 12th year. 'That's about continuity and community commitment to our youngsters. I am very proud of that, seeing young people go on into higher education and have opportunities they might not otherwise have,' she says.
Jim Swire believes 'something "bad can itself be "good" in that it may also become something in which you can invest worthwhile effort that may benefit others. It then becomes a positive "good" which can be dedicated with honour to the memory of the one you've lost'.
But the anger may also be about fear, Sue Marshall points out. 'We find it hard to see ourselves as victims of fate, to accept that things happen to us that are outside our control. If a death is sudden or unexpected, we want an explanation. That is at the heart of bereavement. But if there is no resolution, if you can't get answers to your questions or your concerns are unresolved, that is when a desire to seek justice may become pathological. And for some it may be a way of holding onto the person: "If I stop I would be letting him go, I would be moving away into a life of which he is not part" – and that may be too terrible to imagine.'
Channelling anger
June Allan argues that counsellors have to have an eye to the wider, social context of the person's life; their anger may be a very understandable response to an unbearable and unjust situation. Senior Lecturer in the School of Global, Urban and Social Studies at RMIT University, Melbourne, and a former bereavement counsellor and advocate, she is currently researching grief and trauma among forced migrants.
'There's a gulf between the ways in which anger is considered in traditional counselling and in advocacy and activism and the gulf is growing,' she argues. 'Counselling practice is becoming more and more individualised, manualised and personalised, with little regard for socio-economic and political context. But if individual expressions of feelings such as anger are perceived as personal issues when the source of the anger may relate to social injustices that equally affect others, you end up problematising and personalising the anger. There may be potential to channel it constructively to address injustice in some way. Advocacy and social action can be very useful tools to support grieving individuals who believe they have experienced grave injustices.'
Damien McNally's father was murdered in The Troubles in Northern Ireland, when he was just a baby. Very recently he learned that someone was being investigated for the murder. McNally was first a client and then a member of the board of directors of Wave, a charity that offers both counselling and advocacy to people bereaved in The Troubles, across all religions and communities. He grew up in the shadow of his father's unsolved death and chose to research the experiences of people like him, who were bereaved in childhood and adolescence during the Troubles, for his Masters degree. 'You can't deal with this therapeutically, in isolation from its context,' McNally argues. 'I went through counselling and I found it very useful but then you have to go out into the world again. It was only when I did my research that I realised that the fact no one had been brought to justice for the deaths was such a big issue with so many people like me. Their questions had never been answered.'
June Allen argues: 'The organisations and institutions have to be held to account on behalf of the bereaved people affected, so that it's not just left to the individual bereaved, who is already burdened. They need to be linked up with others with similar concerns and experiences, if they wish, to foster collective action and energy.'
INQUEST is a charity that supports bereaved families through the inquest process when a loved one has died in the custody of the state – in mental hospital, police custody or prison. 'We see people who have suffered a double traumatisation, by the death and then by the investigation process. A lot of the families are experiencing complicated grief and shock and are wanting answers to their questions,' says co-director Helen Shaw. And it can be a major problem for families when their legitimate anger about poor treatment or failure of care is mistaken for the anger of grief. 'Obviously the two are inter-related, but these families have legitimate anger; it isn't a symptom of their grief.' Not all counsellors understand this, she says. 'We need a network of grief counsellors with this experience and expertise, just as we have a network of expert lawyers.'
Simply being with others who have suffered the same loss can of itself be tremendously affirming when all around are people suggesting that maybe you aren't in your right mind; that it is the grief that is driving your demands for truth and justice; that you should 'let it go'. 'There's no doubt in the world that meeting other bereaved parents made all the difference,' Linda Hurcombe says. She travelled to the US to meet a group of other parents whose children had taken their own lives after being prescribed SSRIs. 'You are encouraged to feel that you are a mad, bereaved parent. I hadn't lost my intelligence and skills, my sense of balance; I'd lost my daughter,' Hurcombe points out.
'We met with the other families and that was difficult but the good thing is you don't have to explain: you know where you all are. You just reach out and give a hug,' says Jane Swire.
For Julie Bailey, the solidarity of the Cure the NHS group is a huge part of what keeps her going. She too felt that the hospital dismissed her response as that of a grieving relative, not as a serious issue that needed answers: 'We are a really close-knit group. We have never fallen out. We have just put our heads down and gone for the same thing.'
Moving on?
McNally wants his father's death investigated and the suspect brought to justice, if possible. But there is a tremendous pressure in Northern Ireland now to 'move on', he says. 'People here are living in two different worlds. There are people like me, my mother, my sister and other family members, still wanting to know what happened, and there's people who are saying you must forget about the past and move on.'
Linda Hurcombe talks about 'moving with', not moving on: 'My view of life is that you carry with you all the events that have happened to you. I sometimes wonder about people who choose the "letting go and moving on" way of dealing with tragedies; what happens to the experience? Do they remember their dreams? Caitlin comes into my dreams these days and she is in a good place. I feel blessed by that.'
Jim Swire says he has tried several times to step away from his pursuit for truth; it just hasn't been possible. 'It finishes when I am satisfied that the establishments of England and Scotland have been reasonably honest about what they know about what really happened and have passed that information to the public.' Asked if he can imagine a life without his crusade, he says quite simply: 'We desperately miss her. The one thing above everything else would be a campaign that would result in her miraculously appearing, but that's not possible and this is the only way I have been able to muddle through.'
Julie Bailey thought her campaign was close to being over, only to be 'kicked in the stomach' by the decision by Robert Francis, Chair of the Mid-Staffs inquiry, that no one should be held personally to account for what happened. She says she can't step away now; she owes it to her mother, herself and to the other bereaved relatives in Cure the NHS. 'We have all put our grieving on hold to focus on doing what is needed. If I stopped now the grief would just rush in. It will only end when we get accountability and we are certain that other loved ones will not have to suffer like ours did.'
How would Sue Marshall respond to someone who was making this kind of choice? 'I would ask them what it gives them, what are they hoping for, what would their desired outcome be, is it realistic – and what if you don't get it?' she says.


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Mission Statement
Civitas aims to restore the traditional role of philosophical and ethical investigation to the study of public policy. Housed in the Hobby School of Public Affairs, Civitas supports educational programming and public lectures on the role of values in policymaking and the importance of ethics in policy research and practice. Some of the major areas of inquiry include:
- The nature of justice and the good life.
- The political and economic institutions and policies of a just society.
- The moral dimensions of public policies.
- The ethical dimensions of policy research and implementation.
Civitas aims to challenge people to think more deeply about their public value commitments, to make reasoned judgments about which policy arrangements they consider most just, and to offer reasonable accounts about their policy preferences to others. In this way, it aims to contribute to open and respectful public dialogue about policies, innovative problem-solving, and an understanding that all policy choices involve trade-offs between values.
"Civitas" itself is a Latin term that refers to the commonwealth, meaning literally the common property and responsibility of all cives or citizens. The name Civitas has been chosen to highlight the important moral responsibilities we all have to work with others to make our commonwealth a better place for all. Our mission is to inform and elevate civic discourse and encourage thoughtful and responsible civic participation by bringing philosophical and ethical reflection to bear on our common civic life.
What is Civitas?
Civitas is one of three centers or programs within the Hobby School for Public Affairs at the University of Houston. Together with EITM (Empirical Implications of Theoretical Models) and the Public Policy Center, Civitas will help to develop a policy school distinctive for producing students schooled in both quantitative and humanistic approaches to social science.
In the U.S., most public policy schools focus their training on empirical analysis, methods, and policy processes. Within the Hobby School, Civitas complements this traditional approach by highlighting the important place of values and ethics in public policy-making and analysis. Civitas aims to make students aware of the different value commitments and trade-offs underlying public policy debates (e.g., liberty, equality, questions about the legitimate scope of government action, concerns about gender or racial bias). At the Hobby School, students will explore not just empirical policy tools but also what a just health care, housing, energy, social security, or other policy might look like. Civitas also introduces students to the ethical principles of good policy research and analysis, and challenges them to consider different ethical dilemmas relating to public policy practice. The goal here is to help students to become ethical policy-makers and researchers committed to the highest ideals of democracy and science.
Although Civitas addresses the important place of values in public policy, it is emphatically not anti-empirical. On the contrary, Civitas is committed to the idea that an appreciation of the ways in which values shape policy agendas can help students to better understand the appropriate uses of empirical data in policy debates. Students need to understand the importance of values in public policy so that they can use empirical research appropriately to speak to the concerns of different groups of citizens.
Civitas is concerned, of course, with more than coursework. It also aims to engage people in thoughtful reflection about the justice of different policies and ethical conduct through public lectures, internships, and other activities. The lectures are public events open to the University of Houston community and residents of the greater Houston area.
Why Civitas?
The main justification for the role of Civitas in the Hobby School is that normative political theory enriches empirical training and study. Public policy students have to devise interesting questions and tackle important topics. Normative theory can help in this process by encouraging students to consider fundamental questions of political order that can contribute to positive improvements to society.
Civitas can similarly benefit the broader community. Most importantly, the interdisciplinary study it promotes cultivates the capacities of democratic citizens for self-government. It does so by providing resources and a public arena for deep and rigorous reflection on what is just or good for our society and how to best achieve it.
As politics becomes ever more polarized in this country, we need more than ever citizens and policymakers who can transcend partisan squabbling. The aim of Civitas is to encourage students and citizens to develop a deeper appreciation of the important conflicting values animating public policy choices so that they can engage with one another in reasonable debate about potential solutions acceptable to all.
What are Civitas's Initiatives?
Curriculum Development
- New Course Development: Curriculum development is central initiative of Civitas. All students in the MPP program already take two courses on philosophy and public policy: Philosophy and Public Policy I and Philosophy and Public Policy II. Civitas will also support the development and teaching of an array of different subject area classes in the MPP program focusing on the ethical dimensions of public policy: Justice and Family Policy; Ethics, Energy, and the Environment; Health Care Ethics. Civitas will further support the development of undergraduate courses on ethics and policy associated with a projected Public Policy Minor and eventually perhaps a Public Policy Major. As part of this curriculum development, Civitas will identify interested and sympathetic faculty members and invite them to teach (or team teach) courses in the MPP program (see below).
Faculty and Postdoctoral Support
- Civitas Postdoctoral Fellowship: The Civitas Postdoctoral Fellowship would support the hiring of a new PhD in philosophy and public policy for a two-year appointment. The fellow would be expected to teach or team teach one graduate course per year on a topic related to philosophy/ethics and public policy, such as Ethics and Immigration or National Security, Cybersecurity, and Ethics. The fellow would also teach one undergraduate course per year on a topic relevant to philosophy and public policy (and ideally included in the Public Policy Minor), and help out with Civitas sponsored events and programs. Fellows would receive $45,000 per year (plus benefits), with a $1500 discretionary research stipend for conference travel or other activities.
- Civitas Interdisciplinary Scholars: In order to diversify course offerings, Civitas will pay for faculty from other colleges and departments occasionally to teach (or team teach) courses in the MPP program or undergraduate courses contributing to the Minor or Major. Faculty might come from the Honor's College, Engineering, or other programs.
Undergraduate Outreach and Support and Graduate Support
- Civitas Undergraduate Internship Scholarship: Civitas will offer two $2000 undergraduate internship scholarships per year to promote ethical reflection on public policy and public service. Students will apply to work a semester-long internship (160 hours) at an approved organization in some policy area that interests them (education, health care, criminal justice, air quality). They will at the same time do an independent study with the Civitas director or affiliated Civitas faculty member exploring the intersection of ethics and public policy in their internship area. The director/faculty member will provide the student with a set of readings for the semester and the student and faculty member will meet 5-7 times over the course of the semester to discuss assigned readings, reflect on their internship experience, and plan out a research project. Over the course of the semester, students will gain practical internship experience, gain theoretical insight into their area of interest, and write a research paper on ethics and public policy.
- Civitas Graduate Internship Scholarship: Civitas will offer one $3200 graduate internship scholarship per year along with tuition remission for the internship class to a qualified and interested MPP student. The guidelines for the internship are similar to those discussed above in regard to the undergraduate internship scholarship.
Public Outreach
- Lecture Series on Philosophy and Public Policy: Civitas will sponsor 2-4 public lectures per year on topics relating to values and public policy, research ethics, the nature of justice and the good life, and related topics. The purpose of the lectures will be to increase visibility for the Hobby School and enrich public discussion. An effort will be made to advertise the lectures broadly to the University of Houston community and residents of the greater Houston area. In the fall of 2017, Civitas sponsored a public discussion on the "Ethics of Gentrification" featuring Professor Ronald Sundstrom (Professor of Philosophy, The University of San Francisco) and Doctor Assata Richards (Founding Director, Sankofa Research Institute). The event was held at the Historic Eldorado Ballroom and attended by roughly 130 people (probably one-third from the University of Houston and two-thirds from the Houston community). In the Spring of 2018, Professor Susan Collins (Associate Professor of Philosophy, Notre Dame University) will deliver a lecture entitled, " War and the Good Life: The Spartan Regime." Civitas will also sponsor a lecture by Professor Naomi Zack (Professor of Philosophy, University of Oregon) on "Ethics in a Disaster." Two individuals from the Houston community will provide brief commentaries after the lecture on social justice issues relating to Hurricane Harvey recovery efforts. Possible topics for lectures during the 2018-2019 academic year include: "The Merits of Markets and Public Policy;" "Public Policy and the Limits of Markets;" "Ethics and Energy Policy;" "Mental Health and Social Justice;" "Justice and Early Childhood Education."
Program Development/Fundraising
- Institute for Applied Justice (IAJ): The Institute for Applied Justice is a proposed collaboration between the Hobby School of Public Affairs, the Political Science Department, and the Graduate College of Social Work at the University of Houston to engage students in thinking about how liberal democratic principles of justice can be brought to bear on the implementation of policies at the street-level in areas such as social work and policing. Although philosophers have given a great deal of thought to the nature of justice at the broad social level (constitutional principles, general political and economic institutions), relatively little attention has been given to thinking about the achievement of justice in the personal interactions between public agents and citizens at the street-level. Yet, as Michael Lipsky argued in his classic work Street-Level Bureaucracy (1980), whether or not citizens experience institutions and policies as just or not depends in large part on how street-level workers use their discretionary judgments to implement policies. The IAJ will focus on this important but neglected topic. An interdisciplinary seminar would bring together students from Political Theory, Public Policy, and Social Work to think about how principles of liberal democracy (e.g., liberty or equality) might be applied at the street-level and the nature of ethical conduct in professions such as social work and policing. In conjunction with the seminar, students would participate in an internship or shadow program whereby they would experience street-level work firsthand. A speaker series and conference would also be organized to support this research. Although the main focus of the seminar and conference would be to explore how the street-level implementation of policies can be better aligned with liberal democratic principles of justice, an important secondary concern would be to think about how our understanding of just policies and institutions is changed through a close engagement with individuals on the ground and the street-level problems of caseworkers, police officers, and so forth. Relatedly, some attention would be given to thinking about how state service administrations might be reformed in order to enable street-level bureaucrats to carry out their work in ways that align more closely with liberty and equality.
The Hobby School of Public Affairs thanks Branch Banking and Trust (BB&T) for their support of Civitas. Learn more about BB&T at www.bbt.com.


text: Recently, the Internal Medicine program held their second in a series of cooking classes with the residents and representatives from Local Matters. Local Matters is a recognized leader and community partner, working to increase key healthful food education and food access to combat food insecurity and diet-related diseases mainly in impoverished areas. Also recently, they held their first cooking class for patients. This was very well received and patients greatly benefited from free, healthy food as well as instruction on how to prepare it healthfully. Culinary Medicine is part of an initiative led by Dr. Lisa Hamilton to demonstrate to residents how to cook healthy so they can teach their patients the same cooking skills and knowledge.


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The UP Film Institute congratulates students Max Canlas for Akalingwan Nang Rosa" ("Rosa Forgets") Gilb Baldoza for "Kinalimutan Natin ang Mga Bata" ("We Forgot Our Children") and alumnus Gio Potes for "Mark and Lenny " they were chosen as finalists of the short film competition of FACINE 25.
Widely considered the premier showcase of Filipino films in the US, the FACINE festival is now the longest-running event of its kind outside of the Philippines.
In a Facebook post of FACINE 25, Mauro Feria Tambucon Jr Director of FACINE writes that "Of a total of 125 short films submitted in this year's competition, forty were selected as finalists". All forty films will vie for Best Short Film which will be awarded a $100 cash prize and Certificate of Recognition. Special citations will also be awarded in any category upon the discretion of the Jury.
The Short Films Competition will open FACINE 25 on October 18, 2018 at the San Francisco Main Library and the SF Philippine Consulate.
The finalists cover a wide range of genre, format, style and subject, all 45 minutes and less in length, both student and professional works, including notably films by non-Filipino filmmakers with the Filipino as subject."
The Main Competition will run October 19-21 at the Roxie Theater in San Francisco.
To see the other finalists visit: https://www.facebook.com/photo.php?fbid=10212130420871865&set=pcb.10212130744119946&type=3
Once again congratulations Max, Gilb and Gio.


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Category: Ineffective Assistance
Circuit Grants Cooperating Witness Writ of Coram Nobis Based on Failure of Trial Counsel to Accurately Advise of Immigration Consequences
In Doe v. Unites States, the Second Circuit (Katzmann, Kearse, and Chin) reversed the district court's denial of Doe's petition for a writ of coram nobis. In a partially redacted opinion (we do not even know the district from which this appeal emanated), the panel took the government to task for inconsistent legal positions and recognized the right of a defendant to make plea decisions with knowledge about the immigration consequences. Therefore, granted the Court granted this "extraordinary remedy."
Galanis Appeal Leads To Limited Remand To Determine Whether Counsel Was Ineffective
The appeal in United States v. Galanis, 17-629 (Sack, Parker, Chin) resulted in a limited remand in a summary order so that the district court can determine whether there was ineffective assistance of counsel. The facts of the case are somewhat unusual. Galanis was indicted in two different and separately-charged securities fraud cases. In September 2015, Galanis was indicted in the Gerova matter, and in May 2016, he was indicted in the Wakpamni matter. He was represented by a California law firm in the Gerova matter, but that firm declined to appear in the Galanis matter (perhaps due to unpaid invoices by the client). This left Galanis unrepresented in the Genova matter.
Second Circuit Remands Ineffective Assistance Claim for Lawyer's Failure to Apprise Naturalized U.S. Citizen of Denaturalization Risk Before Guilty Plea
In Rodriguez v. United States, the Second Circuit remanded the case to the district court to hear evidence on a defendant's application to vacate her guilty plea, on the grounds that she would not have entered into the plea if her counsel had properly advised her as to its immigration consequences. The Circuit, in a summary order written by Judges Walker, Lynch, and Chin, concluded that there was a reasonable probability that, had she been properly advised, she may have chosen not to plead guilty and thus may have avoided the immigration consequences that later ensued. Accordingly, it remanded the case to the district court to develop an evidentiary record and make a finding on those issues. The order requiring a hearing on a defendant's right to extraordinary relief represents a reminder to judges and prosecutors that the immigration consequences of a guilty plea are no less central to the plea allocution than the contemplated term of imprisonment. The decision follows the Supreme Court's decision last term in Lee v. United States, 137 S. Ct. 1958, 1967 (2017). In Lee, the Court held that a defendant who would not have pleaded guilty but for counsel's errors concerning the deportation consequences of his or her plea has demonstrated ineffective assistance.
Circuit Vacates Sentence for Failure to Correctly Apply Acceptance-of-Responsibility Guideline
In a summary order on January 2, 2018 in United States v. Reyes, the Court (Winter, Lynch, Droney) vacated and remanded a life sentence as procedurally unreasonable on the ground that the district court failed to properly apply a reduction for acceptance of responsibility under U.S.S.G. § 3E1.1. The decision reiterates that a three-level reduction is mandatory under certain circumstances if the district court has already imposed a two-level reduction, and that the government must formally move for a three-level reduction in order to bind the court's hands. The third point of acceptance of responsibility under the Guidelines is not a matter of grace or kindness by the district court. When a defendant is entitled to receive the third point, the district court is obliged to award it.
Section 2255 Petition Challenging Ineffectiveness Of Trial Counsel Denied
Last week, in Weingarten v. United States, the Second Circuit denied the Section 2255 petition of a convicted child sex offender, who claimed that his counsel had rendered ineffective assistance by failing to challenge the timeliness of the Government's indictment. The panel—consisting of Judge Wesley, who authored the opinion, as well as Judge Parker and Judge Droney—unanimously concluded that the timeliness issue was too complex, and too uncertain, to support a finding that trial counsel made a "significant and obvious" error by declining to raise it.
District Court Must Consider Significant Disparity Between Plea Offer and Ultimate Sentence When Assessing Ineffective Assistance Claims
In Reese v. United States, 16-516, the Second Circuit (Pooler, Wesley, Carney) vacated by summary order the order of the U.S. District Court for the Southern District of New York (Marrero, J.) denying Reese's petition to vacate his conviction and sentence pursuant to 28 U.S.C. § 2255. Reese claimed that his counsel had provided ineffective assistance, an argument the district court rejected on the grounds that Reese could not establish prejudice because the evidence of guilt presented at trial was "overwhelming."


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