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Watauga Medical Center
Hospital Visitation Restrictions Requested
Appalachian Regional Healthcare System asks that anyone sick with the flu or flu-like symptoms voluntarily refrain from visiting hospitalized family and friends, as well as those persons at the hospital for an outpatient procedure. It is also important that during this time of increased flu and flu like illness in our area, visitors 12 and under should refrain from visiting hospitalized family and friends.
According to the Centers for Disease Control, flu activity is on the rise in the U.S. with all 50 states reporting sporadic to widespread illness. North Carolina is reporting widespread illness.
Appalachian Regional Healthcare System's hospital emergency rooms, along with the physician offices and AppUrgent Care, have seen an increase in the number of people presenting with influenza-like illness. While everyone who presents is not tested for the flu, the System's facilities have reported more than 320 have been tested for flu since November 2013.
"Patients are very vulnerable while in the hospital, so we are appealing to those community members who may be ill with the flu, or exposed to the flu, to refrain from visiting hospitalized family and friends in order to help us protect the patients in our facilities," stated Dr. Herman Godwin, Chief Medical Officer for Appalachian Regional Healthcare System. "Our top priority is to take every appropriate precaution to keep our patients safe."
- Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
- Avoid touching your eyes, nose or mouth. Germs spread this way.
- Try to avoid close contact with sick people.
- Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
- If you don't have a tissue, cough or sneeze into your upper sleeve, not into your hands.
- If you get sick with flu, stay home from work or school and limit contact with others to keep from making them sick.
- Get the recommended seasonal flu vaccine.
- Fever
- Cough
- Sore throat
- Body aches
- Chills
- Fatigue
- Runny or stuffy nose
- Headache
- Diarrhea
- Vomiting
Most people recover from flu after about a week without lasting effects.
Seek emergency medical care if you or a family member has any of these symptoms:
- Difficulty breathing or shortness of breath
- Pain or pressure in the chest or abdomen
- Sudden dizziness
- Confusion
- Severe or persistent vomiting
- Flu-like symptoms that improve, but then return with fever and worsening cough
- In babies, bluish or gray skin color, lack of responsiveness or extreme irritation
Appalachian Regional Healthcare System is working diligently to prevent the spread of flu and appreciates any assistance the public can provide. For more information about the flu, visit www.flu.gov/.
Cancer survivor Jane Eberle benefits from the new Thrive Oncology Program
Cancer survivor, Jane Eberle, is thankful for the compassionate cancer, surgical and rehabilitative care she received from Appalachian Regional Healthcare System (ARHS).
In her early twenties, the ambitious Watauga County native left her home in Blowing Rock with eyes set on Washington D.C. Always fascinated by politics, Eberle spent the next 35 years working in and around Capitol Hill. Her impressive career includes, serving under Congressman Jim Broyhill, as well as, former Presidents Ronald Reagan and Richard Nixon.
Eberle's perennial devotion to her exciting career was eventually overshadowed by the familiar allure of the mountains. In 2002, Eberle decided to move back to the High Country to retrace her favorite hiking trails and spend some more time on the golf course.
Tragedy struck in 2006 when Eberle was diagnosed with breast cancer. Devastated, Eberle elected to have her mastectomy preformed at Watauga Medical Center.
"I love Watauga Medical Center," said Eberle through a tearful smile. "It is convenient and has provided excellent care for me over the years through each of my procedures."
In 2009, Eberle was once again a patient at Watauga Medical Center when she had her right hip replaced.
"After my successful hip replacement, everything was going fine. Until last year, when the cancer raised its ugly head again," said a frustrated Eberle. "I noticed suspicious tumor markers last August and I was diagnosed in October with triple negative breast cancer."
One of the unfortunate outcomes of triple negative breast cancer is that the only treatment option available is chemotherapy. In January, under the direction of Medical Oncologist, Anne Sobol M.D., Eberle began chemotherapy treatments at the Seby B. Jones Cancer Center. Regrettably, the cancer morphed into metastatic breast cancer and spread to her lower spine and lymph nodes.
Discouraged by the prognosis that chemotherapy would be a necessity for the remainder of her life, Eberle found solace in Paul Young, RN, OCN, Oncology Nurse Navigator at Seby B. Jones Cancer Center. Young has 14 years of experience working with cancer patients. He does a remarkable job partnering with patients and their families, offering assistance with education, emotional support and help obtaining financial assistance.
"Paul is a wonderful encourager," said Eberle. "He is very attentive to my condition and he recommended that I participate in the Thrive program."
Offered at the Paul H. Broyhill Wellness Center, Thrive is a medically supervised program that transitions patients from more acute phases of chronic disease management to wellness. Thrive consists of three components – Rehabilitation, Cardiopulmonary and Oncology.
"Jane was a good candidate for Thrive because she was suffering from the draining effects of chemotherapy," said Young. "She was very upbeat about the opportunity and willing to take part in the program."
The Thrive program, offered three days a week, provides a multidisciplinary team approach to wellness. The wellness staff works in collaboration with the patient's physician to measure outcomes as they transition to a healthier lifestyle.
Eberle shared that she felt exhausted and depressed after each chemotherapy treatment. However, since joining the Thrive program, a little over four months ago, she has regained her strength and joined a support group.
"I cannot say enough good things about the Thrive staff," said Eberle. "They keep a good eye on us as we make our way through a variety of exercises each session. Besides feeling better, I would have to say the most encouraging part is forming instantaneous friendships with other cancer survivors. We are all there for the same reason and we encourage each other."
Eberle, who recently decided to have her left hip replaced at Watauga Medical Center, shared that she is very impressed with how health care has advanced in the High Country during her lifetime.
"When I was growing up, the hospital was still located across from where Stick Boy Bread is now, said Eberle. "We in Watauga County are so blessed to have our present facilities. It enables the residents to have quality healthcare without having to go off the mountain. I am so impressed with Richard Sparks and how the care is now so expansive."
Eberle, who is looking forward to winter so she can wear sweaters once again said, "My faith is what keeps me going. I believe God has a plan so I can have hope."
For more information about Thrive, call 828-266-1060 or visit www.apprhs.org/thrive.
For more information about Seby B. Jones Regional Cancer Center, visit www.apprhs.org/sbjcc.
Domino Effect: New CT Scanner creates waves of improvements across Healthcare System
Thanks to the Cannon Memorial Hospital Summer Celebration, a fundraiser sponsored by Appalachian Regional Healthcare Foundation, $650,000 was raised to purchase a new 64 Slice CT Scanner for Cannon Memorial Hospital (CMH).
The new scanner was purchased in July 2013 as an upgrade to CMH's existing 16 Slice CT Scanner. Strategically selected by the Foundation as an optimal fundraising initiative, the 64 Slice CT Scanner serves as the first block in a domino effect to enhance Appalachian Regional Healthcare System (ARHS) as a whole.
After the installation was complete at CMH, ARHS wasted no time in "moving some furniture" around the system. The 16 Slice CT Scanner removed from CMH was installed at Watauga Medical Center (WMC) to complement its existing 64 Slice CT Scanner and to replace its 4 Slice CT Scanner. WMC's 4 Slice CT Scanner was relocated to Seby B. Jones Regional Cancer Center (SBJRCC).
"It is wonderful to have a planning CT now located in our facility," said Radiation Oncologist Dr. Yvonne Mack, Medical Director of the SBJRCC. "The CT, allows our patients to stay under one roof for convenient, patient centered care."
All the CT Scanners use the same platform, which allows for prior study comparisons and access to patient treatment plans across the healthcare system.
"It is extraordinary to consider the ever expanding footprint of influence a single gift can create," said Rob Hudspeth, Senior Vice President for Advancement for ARHS.
To learn more about Appalachian Regional Healthcare Foundation, visit www.apprhs.org/foundation.
Healthcare System recognizes nurses during Perioperative Nurse Week
During Perioperative Nurse Week, November 11-15, 2013, Appalachian Regional Healthcare System (ARHS) recognizes its perioperative nurses for their important role and commitment to safe patient care. Perioperative nurses specialize in the care of patients immediately before, during and after surgical and other invasive procedures.
In 1979, Operating Room, or OR, Nurse Day was established by the Association of periOperative Registered Nurses (AORN). A few years later, the observance was expanded to a full week. In 2000, OR Nurse Week was changed to Perioperative Nurse Week to more accurately reflect the broad spectrum of care provided to surgical patients by these nurses.
On October 4, 2013, Governor Pat McCrory proclaimed the week of November 11-15, 2013, as "Perioperative Nurse Week" in North Carolina. The proclamation highlights the contributions these registered nurses make to patient safety and the opportunities and challenges facing the profession.
Joan Messner, BSN, MHA, CNOR, Director of Surgical Services at ARHS said "The perioperative nurses at both Watauga Medical Center (WMC) and Cannon Memorial Hospital (CMH) are truly invaluable. Their commitment to outstanding patient care is the cornerstone to a successful surgical department."
ARHS is honoring these nurses during the recognition week.
For more information about Perioperative Nurse Week, visit www.aorn.org/PNW/. To learn more about Surgical Services available through ARHS, visit www.apprhs.org/surgical-services-wmc.
Warm up the winter blues
By: Lisa Shelton, LCSW
Eva Trivette-Clark, MA, LPA
Endless grey skies, drizzle to snow mixtures, and wind so gusty you see it coming before it hits you paints a not-so-colorful stretch of winter weather typically found in the High Country. Days of dark, dreary weather have been known to make some folks come down with the winter blues or its more extreme version, Seasonal Affective Disorder (SAD).
"The winter blues are fairly common in our area with long winter months and very grey days. The challenge is diagnosing whether a client has a mild case of winter blues, Seasonal Affective Disorder, or another form of depression," says Lisa Shelton, a Licensed Clinical Social Worker and Director of the Employee Assistance program with Appalachian Regional Healthcare System.
Symptoms for the winter blues and Seasonal Affective Disorder (SAD) appear to be similar on the onset and may include:
- Sleep issues (either too much or not enough)
- Fatigued to the point where it is difficult to carry out daily routines
- Overeating and/or strong cravings for "comfort foods," especially carbohydrates
- Lack of interest in normal activities
- Social withdrawal
Treatment techniques will determine whether or not the winter blues really are SAD or another form of depression. Shelton recommends a three-step process to clients describing some form of the winter blues.
Step one: Exercise – yes, it's a verb buzzed about all the time, but all this talk must lead to positive results because doctors, counselors, and other healthcare professionals are always recommending it. And, our area offers the Paul H. Broyhill Wellness Center, the Greenway, several parks, and sidewalks round about Boone to help you enjoy slivers of daylight during the winter months. A long walk outside helps refresh your senses, and if it is too yucky to go out, a creative solution may be to brighten up your home and do some jumping jacks, run-in-place, or stretches. Any form of exercise will help you warm up the winter blues.
Step two: Strive to sleep and rest well – if you exercise, you're more likely to tire yourself out and sleep better. Other considerations include reducing caffeine intake, make an effort to turn off your thoughts (counting sheep is always a popular game), or just simply lying there and resting. If you continue to have trouble sleeping, seek your doctor's advice. If you are sleeping too much, make an effort to avoid snoozing past eight hours.
Step three: Engage in an activity that gives you pleasure – this suggestion seems simple enough, but people often struggle with time and money to make it happen. However, if you make it a priority, you're likely to come up with an affordable solution that fits your budget. Popular winter activities may include reading, completing craft projects, sledding, ice-skating, or other ideas discovered by talking with friends or googling.
"Being aware of your symptoms is so important to getting past the winter blues. We're most vulnerable when we're unaware of what's going on with us. Sometimes sitting down and talking with a trusted friend, family member, or professional, qualified healthcare worker can be very successful in dealing with the winter months," continues Shelton.
If the above three steps do not seem to help your mood, seek the advice of your doctor or a licensed mental healthcare worker. Treatments for Seasonal Affective Disorder (SAD) may include light therapy, which involves exposure to daylight or a specially-made fluorescent bright light for 30 minutes to two hours a day. SAD can often be confused with other forms of depression, and patients with SAD aren't usually diagnosed with it until their symptoms can be observed over a period of one or more fall/winter seasons.
Shelton concludes, "The most important consideration is to take the time to make your mental health a priority. People affected by the winter blues or other more serious forms of depression must strive to adjust their routines in order to have success, and the rewards of a happy, healthy mind are well worth the effort."
Good News for Employees of
Appalachian Regional Healthcare System and other locals
Lisa Shelton and staff of the Employee Assistance Program (EAP) are available to provide short-term professional help and guidance to all employees and their family members of the Appalachian Regional Healthcare System as a part of the system's benefits program. The EAP is highly confidential and accepts voluntary self-referrals. Additionally, the EAP contracts to provide services for the Town of Boone, Town of Beech Mountain, Grandfather Mountain, Boone Drug, several doctors' offices, and other organizations throughout the High Country. For more information about EAP, call (828) 263-0121.
Outpatient behavioral health services are also available to the community in two locations for your convenience: Watauga Medical Center in Boone (828) 268-9454 and Cannon Memorial Hospital in Linville (828) 737-7888. The Outpatient Behavioral Health program provides assessment, medication management, individual therapy, group therapy, family therapy and behavioral planning based on individual client need. Our treatment programs are not only designed to treat mood disorders such as Seasonal Affective Disorder, but also for adults, children and families experiencing a variety of problematic behaviors and life patterns. Our program works to improve emotional stability and increase general functioning, as well as help clients identify, develop and increase the use of effective coping skills by emphasizing the existing strengths of the individual or family system. To be referred for treatment, we require a referral from a health care provider and we accept most major types of insurance. You are not alone. We can help.
Links for additional information about the winter blues or
Seasonal Affective Disorder (SAD)
Seby B. Jones Regional Cancer Center Celebrates 20 Year Anniversary
Seby B. Jones Regional Cancer Center (SBJCC), part of Appalachian Regional Healthcare System (ARHS), celebrates its 20th anniversary serving cancer patients in the High Country.
The Cancer Center uses a multidisciplinary approach in the prevention, diagnosis and treatment of cancers. Through advanced technology and a highly trained staff, the Center offers exceptional diagnostic and treatment procedures that include radiation, chemotherapy, biotherapy, immunotherapy, prostate brachytherapy and hormonal treatments. Since opening its doors in 1993, the Cancer Center has diagnosed and/or treated 8,316 cancer patients.
In the beginning
The Cancer Center has a rich history, beginning in the late 1980s, when a marketing study conducted by Watauga Medical Center revealed that 25 percent of High Country residents would not feel comfortable leaving the mountain area for care and treatment if faced with cancer. Richard Sparks, then President of Watauga Medical Center, along with his Board of Trustees, believed this feedback offered an opportunity to address a community cancer care need.
"We began gathering data to analyze and assess if it would be possible to support a quality cancer center in the High Country," said Sparks. "Early on it became apparent that we would have the support of the community."
Sparks partnered with the former Mayor of Raleigh and High Country enthusiast, Seby B. Jones, to begin the establishment of a cancer center in Boone. In 1992, Jones provided the lead gift to establish and develop a comprehensive cancer treatment program on the campus of Watauga Medical Center. Jones, who loved the mountains and its people, felt strongly that residents should have access to a quality cancer care facility near home. On June 13, 1993, the cancer center was named Seby B. Jones Regional Cancer Center in his honor.
Dr. Herman Godwin
Good intentions led to good support when Sparks made a cold call for help in 1992 to Dr. Herman Godwin, then medical director of the Blumenthal Cancer Center at Carolinas Medical Center (today it is named the Levine Cancer Institute). Godwin agreed to travel to Boone on a cold evening in November that same year to survey the need and determine how he could help get the Cancer Center up and running.
"After my visit, Richard and I had a hand shake agreement that I would serve as an outreach medical oncologist once a week in Boone at the Cancer Center," said Godwin with a reminiscing smile. "On January 14, 1993, I began driving up from Charlotte once a week to see patients. I saw four that first day."
Over the course of the next seven years, Dr. Godwin continued to commute once a week to the High Country to care for patients. Gradually, the decision to stay on the mountain for cancer treatment increased among High Country residents, which led to the decision to hire a full time Medical Oncologist, Dr. Flint Gray, who still practices at the Cancer Center today.
Prior to 1993, there was no substantial cancer care available in the High Country. Today, the SBJCC is a modern facility housing medical oncology, radiation oncology and a newly developed cancer resource center.
"We came from very humble beginnings," said Godwin. "In 1993, we opened our doors with the capacity to evaluate and treat patients with chemotherapy infusions once a week and to provide radiation treatments five days a week."
Fortunately, as the number of cancer patients increased, so did the financial commitment of the community to the Cancer Center. In 1997, a new million-dollar vault, with 24-inch concrete walls, was added to accommodate a new state-of-the-art linear accelerator.
Sandi Cassidy, Director of Oncology Services said, "The addition of the new linear accelerator took the Cancer Center from the early 90′s in technology into the 21st century."
The Cancer Center was accredited in 1997 as a Community Cancer Program by the Commission on Cancer under the guidance of the American College of Surgeons. To maintain the accreditation, the Center adheres to strict regulations and requirements regarding program management, clinical services, continuum of care, patient outcomes and quality of data. Simply translated, the accreditation sets Seby B. Jones Regional Cancer Center on a level in quality of care with other accredited cancer centers throughout our country.
2003 Infusion Center construction
In 2003, the Center expanded and added a medical oncology unit that included office space, exam rooms and a state of the art infusion center. The infusion center, equipped with 10 chairs and two beds, provides a comfortable environment for patients to rest and receive treatment. Prior to this addition, the Center had only a small number of infusion chairs.
The Cancer Center added Intensity Modulated Radiation Therapy (IMRT) in 2008. This unique form of treatment minimizes the risk of radiation damage to healthy tissues by precisely targeting cancerous cells and tissue. The addition of IMRT was among the first of its kind in North Carolina.
Nurse Navigation
"As research and technology advance, many more people are surviving their battle with cancer," said Cassidy. "We are working diligently to support the patient and his/her family from diagnosis to survivorship."
| Paul Young, RN
Oncology Nurse Navigator
To provide more emphasis on cancer survivorship care plans, SBJCC, in collaboration with the University of North Carolina Lineberger Cancer Center, established a Nurse Navigator program and appointed Paul Young, RN to the position. Young assists patients and their families from diagnosis to survivorship by providing a guiding hand of support through the entire process.
"If one informs an individual patient that, 'you have cancer,' it is enough to make the world literally change for that person," said Godwin. "At that point, additional information often falls on deaf ears due to the devastating news. Cancer is a complex and intrusive enemy, and it is helpful to have someone like Paul who is able to assist and provide continuous support, not only for the patient, but for the family as well."
Community Support
The Cancer Resource Alliance (CRA), an outreach arm of the Cancer Center, was established in 2006 to empower cancer survivors and their loved ones to be active partners in the healing journey. The CRA consists of cancer survivors, community members, Appalachian State University's Colleges Against Cancer Club, and ARHS healthcare professionals.
The CRA is completely supported by donations.Tax-deductible gifts help ensure that cancer patients and survivors have access to a wide range of enriching and supportive programs and services to facilitate healing. Numerous fundraisers are held throughout the year to help purchase wigs, prosthetic devices, educational materials, and iPads for patients to use while receiving treatment at the infusion center. Funds also help with outreach programs, support groups, the Cancer Patient Emergency Fund and the THRIVE Oncology track at the Paul H. Broyhill Wellness Center.
The Cancer Patient Emergency Fund provides financial assistance to aid many cancer patients and their families with expenses during treatment – gas for transportation, utility bills, medications and grocery expenses. The fund, originally started and maintained by the Park Foundation, has donated over $328,000 since its inception in 2007.
The FutureSeby B. Jones Regional Cancer Center's partnership with the University of North Carolina at Chapel Hill's Lineberger Cancer Center has allowed for clinical trials, nurse navigation and peer review sessions, via the Telehealth Medicine Education Program, to be shared with the High Country.
"Our physicians now have consulting access to some of the finest doctors in the state of North Carolina through the UNC alliance," said Cassidy. "Thanks to the Telehealth program, our cases can be discussed and reviewed in Chapel Hill through virtual real time technology, remotely from Boone."
Cassidy, a big proponent of preventative screenings, predicts a future increase in the discovery of early stage cancer cases through a variety of upcoming and strategically planned free cancer screenings. These screenings will be hosted in conjunction with the Community Outreach Department of ARHS and with the support and oversight of the CRA.
The Cancer Center also has plans to add a High Dose Radiation (HDR) unit in 2015, which will be used, in some specific cases, in place of the linear accelerator. HDR is unique in that it uses a concentrated high dose of radiation during treatment that in turn can greatly reduces the number of treatment days necessary for patients.
"In the future, I believe we will see increasing levels of success in prevention, early diagnosis, and treatment," said Godwin. "It has been a genuine honor and pleasure for me to be able to serve our High Country community and its patients for almost 20 years."
If you'd like more information about the CRA program, volunteering or making a donation, contact Angie Shoemake, MSW, at (828) 262-9170 or send an email to email@example.com.
For more information about the Seby B. Jones Regional Cancer Center please call 828-262-4332 or visit www.apprhs.org/cancer-center.
An Important message from Appalachian Regional Healthcare System to All NC State Employees and Retirees
Watauga Medical Center is "in-network" with the NC State Health Plan.
The NC State Health Plan has introduced some changes this year that may be causing confusion. Even though Watauga Medical Center is not listed as a Blue Options Designated Hospital, this has no bearing on the network status. Again, Watauga Medical Center is in-network with the NC State Health Plan.
Most importantly, Watauga Medical Center is your community hospital to provide NC State Health Plan subscribers with in-network care for you and your family, close to home.
For more information, please contact your organization's Human Resources office or Watauga Medical Center at firstname.lastname@example.com.
Scott Eggers is Heart Healthy Thanks to The Cardiology Center
In 2010, when Eggers went for routine blood work, he was advised to take a stress test. The results were abnormal, so he was sent to Charlotte to have a diagnostic procedure known as a heart catheterization and found an artery that was 85% blocked. A stent was placed successfully.
In December of 2012, Eggers was back at The Cardiology Center for a routine baseline stress test that is typical a year or more after a procedure. Abnormal results and his previous stent warranted a closer look. Eggers was scheduled for a diagnostic heart catheterization or heart cath the very next day. However, this time it was performed in Boone, by cardiologist, Dr. Paul Vignola.
"I like Dr. Vignola because he is very personable and explains everything to you. He respects your time and doesn't piddle around with you. He makes sure you are well taken care of and then he is ready to move on and help someone else," said Eggers with a smile.
Eggers shared that Dr. Vignola not only prepared him for the procedures, but helped reassure his wife and family with several personal calls during the procedure. Dr. Vignola explained the process in a very clear and concise manner. The first step is to perform a diagnostic heart cath to find out if there is a serious blockage. If there are no serious blockages or if the blockage can be treated with medication, the procedure stops. However, if it is determined during the diagnostic heart cath that there is a critical blockage, similar to the one Eggers had previously, then the procedure proceeds with repairing the blockage, if safe to do so.
"When I was in Charlotte, a few years ago, I felt more like a number as opposed to a person who was stuck lying on a gurney for hours waiting for my catheter procedure to be done," said Eggers. "However, having this procedure at Watauga Medical Center was quite different. You are close to home, you are familiar with the hospital, you are treated with the utmost care by the staff, and they are as well trained and certified as the staff you will find down the mountain."
Appalachian Regional Healthcare System began offering diagnostic catheterizations and angioplasty stents in November 2012. Since that time, more than 246 diagnostic heart catheterizations have been performed and 84 of those patients received stents with no serious complications.
"In 2012 when we were developing our Cardiology Service Line, the current literature demonstrated that percutaneous coronary intervention (PCI), was safe and effective in rural areas without cardiovascular surgical capabilities," said Kim Bianca, Sr. VP of Clinical and Outpatient Service Lines for ARHS. "Therefore in keeping with the American College of Cardiology guidelines we moved forward with the vision to provide this life saving program for the High Country. Thanks to the support of our CEO, Richard Sparks, our Board of Trustees and our medical staff, we have very successful interventional cardiac services here in Boone."
"I have been a doctor for 43 years in a variety of large cities, however, here in the High Country is the first time I can honestly say I feel like I am really taking care of my friends and neighbors," Vignola continued.
After recovering from his surgery, Eggers was advised to participate in the Cardiopulmonary Rehabilitation program offered at the Wellness Center and led by Dr. Jeff Soukup, PhD, CES and Kathleen Collins RN, along with students from Appalachian State University.
Eggers admitted the scariest part of the whole process was the looming lifestyle change. Known by his friends and family as the man who does not slow down, he knew it was time to trust the Lord and his doctor with some changes in his diet, exercise and smoking habit.
"You have to trust in the Lord when he opens doors," said Eggers. The Cardiopulmonary Rehabilitation program "has helped me immensely with my recovery and it has increased by endurance level. Everyone is supportive and the interaction with other heart and pulmonary patients is very motivating."
With only a few more weeks until he graduates from the Cardiopulmonary Rehabilitation program, Eggers looks forward to spending more time with his family, landscaping, and playing golf and much less time worrying about his health thanks to the team of providers at The Cardiology Center.
"We are very blessed to have such a strong cardiology center available to us in the High Country," said Eggers. "I would recommend speaking with Dr. Vignola before anyone considers having a cath or stent procedure off of the mountain."
For more information about the Cardiology Center, call (828)-264-9664 or visit www.apprhs.org/cardiology-center.
Occupational Therapy Helps Individuals Live Life to Its Fullest
- Customized treatment programs to improve one's ability to perform daily activities
- Comprehensive home and job site evaluations with adaptation recommendations
- Performance skills assessments and treatment
- Adaptive equipment recommendations and usage training
- Guidance to family members and caregivers.
For more information about Appalachian Regional Healthcare System, visit www.apprhs.org or call The Rehabilitation Center of Appalachian Regional Healthcare System in Boone at (828) 268-9043; in Linville at (828) 737-7520; at Watauga Medical Center Inpatient OT (828) 262-4173; or at Blowing Rock Hospital (828) 295-3136.
To find out more about occupational therapy and how it might help you, visit the American Occupational Therapy Association's Web site, www.aota.org.
Healthcare System Celebrates its volunteers during National Volunteer Week
Established in 1974, National Volunteer Week is focused on honoring those who provide extraordinary service through volunteerism. The week is endorsed by the President and Congress, governors, mayors, as well as corporate and community groups across the country.
In 2012, ARHS had 240 volunteers who served in 45 different job services for a total of 27,551 hours. A few of the volunteer services include, working in the activity garden, visiting patients, pastoral services, community outings, hospitality, gift shop and blood drives.
"I consider all of these amazing volunteers to be the real heart beat of our system," said Sallie Woodring, ARHS Director of Volunteer Services and Career Pathways. "Every day they bring to our hospitals and affiliates within ARHS all of their many talents to share with our patients, staff and visitors."
ARHS is hosting events at each hospital within the system to honor its dedicated volunteers. On Monday, April 22 Blowing Rock Hospital is providing an appreciation luncheon for its volunteers. Cannon Memorial Hospital is presenting a volunteer potluck on Thursday, April 25 and Watauga Medical Center is honoring its volunteers on Wednesday, May 8.
"They do what they do just to make a difference," said Woodring. "Their gifts of time, talent and compassion cannot be measured monetarily but their impact can be seen and felt throughout our organization."
For more information on volunteering at ARHS please contact Woodring at (828) 737-7538 or via email at email@example.com.


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Yorktown Independence Day Celebration
Thursday, July 4 - Independence Day Celebration, 9 am. Come to historic Yorktown and salute America along the waterfront beginning with a 9 a.m. patriotic parade on Water Street and during its evening Independence Day Celebration, featuring a bell-ringing ceremony at 7 p.m. and patriotic entertainment at 8 p.m. at Riverwalk Landing, followed by spectacular fireworks on the York River at 9:15 p.m. Free.
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That End of Term Feeling
School's about to break up for the summer. To be frank, lessons have become a bit of a drag. You're not going to finish top of the class but you have secured your place in the high grade for next term. You will once again be spouting poetry and firing pellets amongst the clever fellows with the slick partings and the shiny shoes. The sun is shining down on you and your attention is beginning to wander to those lazy days of July chasing girls across flower-adorned meadows and watching seagulls circle over the local rubbish dump. Hopes of warm sips of lager top and the odd love bite here and there drift in and out of your shimmering consciousness.
- Martin: Spurs stage epic rally
- Delaney: Gone in 360 seconds
Then bang, quicker than Luis Suarez can sink his teeth into a six-foot Serbian, three goals flash by your nose and a walk in the park down in London suddenly melts in your cupped hands. As this melting sensation takes a hold, you realise that none of this really needed to have been this messy after all.
City's season has been cantering gently toward this kind of denouement for several months now. The shortcomings have been aired time and time again -- the reasons, the excuses, the stale air and the disgruntled burps of frustration. This has been the soundtrack to a season of missed opportunities in the sky blue camp. Still trundling, still free-wheeling toward a possible end of season decorated with silverwear, there is a distinct second-place feel to City this April.
At White Hart Lane, an early lead perhaps was the last thing they needed. A sloppy Spurs, out of sorts and wayward in its passing, seemed too good to be true, Nasri's early volley was delicious in its precision and the Frenchman, in newly rejuvenated guise, could have had a second when Tevez's delightful cushioned pass on the volley put him through. As a slick shimmy and a swivel carried the Frenchman into a face-to-face confrontation with his countryman Hugo Lloris, the two could see the whites of each others eyes, as Nasri's toe-poke put the ball just wide of the far post.
Two-nil at that stage would have killed the game stone dead. However, a slender 1-0 half time lead felt a little precarious and -- although it took an increasingly bold Spurs most of the second half to wake up to the reality of what possibilities the game might still offer them -- this was eventually proved by a three-goal blast in the final 15 minutes.
It is hard to remember the last time a City side capitulated quite so spectacularly. The mind wanders back to the gory days of Mark Hughes and an inept, limp performance at White Hart Lane, of all places. A 3-0 defeat then felt like a solid blow between the shoulder blades. This one, enabling United to secure the title as early as Monday night against Aston Villa, felt like someone inexperienced with knives was attempting to remove your kidneys.
In amongst the fun there had been some slices of tactical jiggery pokery to sway things one way and not the other. Both changes, by either manager, one chosen the other forced, seemed to work irrevocably in Spurs' favour. The first half had seen City boss things comfortably without putting the game to bed. The depth and desperation in the two squads had been ideally portrayed by an immediate return for Gareth Bale (who was anonymous for most of the first half) and a continued recuperation for Silva and Aguero, despite the latter making the bench.
Villas Boas eventually changed the shape of his side to go 4-3-3, with Defoe finally coming on to show Adebayor what a sharp and interested striker should look like. The long thin man from Togo had earlier told anyone who was prepared to listen that City was a team of individuals and he spent some time here displaying what he meant by this. City's change came when the energetic Milner did not return for the second half, leaving Mancini to fling on the slightly less dynamic form of Aleksander Kolarov instead.
The game turned on 75 minutes with Kompany twice the nearest man to the mess as first Dempsey was allowed to score at the back post as the captain stopped moving, then Defoe did the business with a swerve past the Belgian and an unerring finish past Joe Hart. It felt a little like three points thrown to the four winds, but, in truth, more important points had gone west much earlier in the season, when the race for the title was still an open competition.
With the school bell ringing time in the background, it was clear that this time the game was up. The end of term report will read, "the student's standard of work remains high, but he has dropped somewhat from last term's excellence. He should take time this summer to recharge the batteries and strive to reach the levels that we all know he is capable of...".


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- Overview- selected tab
- Web Infrastructure Orchestration
- IBM solution
The Business Challenge
This evolution towards on demand e-business requires an operating environment which can seamlessly manage the allocation of IT resources, processes, and users as one cooperative entity and has led to a tremendous new opportunity: Web infrastructure orchestration.
Today, many companies want to get more from their existing IT infrastructures. They want to optimize manually-intensive processes and environments to adjust for rapidly-changing business conditions, as well as keep pace with dynamic and often fluctuating demands of key business applications without incurring overly-expensive capital costs. They must be able to:
- Manage service levels
- Increase resource utilization
- Reduce IT costs
- Respond to business changes quickly and with flexibility
- Manage increasing amounts of risk
"Access (in particular, the Internet) has changed workload levels from relatively predictable to spiky - forcing enterprises to overprovision their servers. Roughly 75 percent of server CPU power is not being used at any one time worldwide."
-- Gartner Group
The Business Requirements
To meet these challenges, organizations need an IT infrastructure which is safe, available, reliable, optimized, and flexible. In order to achieve this, they need to ensure:
- Web and application infrastructure is always available and ready to address consumer demands, 24 hours a day, 7 days a week, year round
- Web and application infrastructure is optimized, and maximum utilization is obtained from new and existing investments
- A web and application infrastructure which can quickly recover - taking minutes instead of hours or days
- Peaks in demand are met quickly and effectively and without business disruption
- The infrastructure is scalable, allowing it grow and shrink with changing demands without sacrificing manageability of complex, heterogeneous environments
- The integrity and privacy of customer information is maintained. Transactions need to be executed in an environment which customers feel is safe and secure
IBM Web Infrastructure Orchestration Solution
The IBM Web Infrastructure Orchestration solution allows customers to utilize the resources allocated to processes where they support a specific customer's business requirements most efficiently. It does this by proactively sensing and responding to peaks in demand, then reallocating IT resources to the most critical business processes based on the organization's specific business policies.
The IBM Web Infrastructure Orchestration solution is a key offering of IBM's Intelligent Infrastructure Management family of products. It is a pre-tested, pre-integrated orchestration solution of Web and application servers on IBM eServer BladeCenter with optional implementation services. It enables customers to simplify the management and consolidate IBM WebSphere servers and applications. The family provides customers with flexible solutions at a variety of entry points that meet their unique needs and allow them to transition to an on demand environment.
This offering comprises IBM hardware, software, and optional services, including:
- IBM Tivoli Intelligent Orchestrator
- IBM WebSphere
- IBM eServer BladeCenter
- IBM Total Storage
- Optional implementation services and solution testing/integration
Because IBM Web Infrastructure Orchestration is based on IBM Tivoli Intelligent Orchestrator it is scalable and extensible to existing heterogeneous environments. The IBM eServer BladeCenter server provides additional value by allowing Web server capacity to be added simply and affordably, addressing key issues such as space constraints, ease of deployment, manageability, scalability, and performance. (See the "IBM Solution" tab for more detail on the component products).
Key Advantages
Key competitive advantages of the IBM Web Infrastructure Orchestration solution:
- Packaged Intelligence
- Best practices and policies for use with unique blade architecture and devices, to workflows and policies for WebSphere
- Fast time to value and flexibility
- Easy to implement - Integrated and pre-tested: implementation time 4X improvement
- Based upon the IBM Tivoli Orchestrator product
- Scalable and extensible to Heterogeneous Environments
- Optimization of resources - often doubling utilization
- Designed to fit your business
- Policy based to better adapt to your environment
Contact IBM
Considering a purchase?
- Email IBM
- Request a quote
Or call us at: 1-877-426-37741-877-426-3774
Priority code: C&SI


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Robert's Reflections
Everyone has a mentor -- whether it is a family member, teacher, boss, fellow colleague. Robert Segedy, veteran bookseller, was/is mine. His knowledge and experience of the book world has assisting me though my bookseller days and beyond. His dry,and sometimes acerbic, humor saved me through many situations! Every so often, Robert will be adding his thoughts and ideas to this book blog. Thanks so much, Robert!
When I first started bookselling, there was no such thing as computer databases or the Internet; everything was done by hand or memory. When a book was sold, the title was written down. For reorders, an index card marked the spot on the shelf, and was retrieved later, so another copy could be ordered. If someone asked if the store had a book in stock, it was up to the bookseller that managed that section to actually know whether or not the store carried it. Instead of Google, we used the massive and immediately out of date Books in Print; forthcoming titles were researched on microfiche (I know, what was that?). Yes, it all sounds so terribly antiquated and old-fashioned, but it was bookselling, by god.
Today, anyone with a computer has access to an untold wealth of information; authors have Facebook pages, publishers have websites, and millions of people are making their opinions known -- from the mundane to the cerebral.
A quick search of the words "book clubs" bring forth a tidal wave of options -- from Oprah's sacred selections to the humble individual blogster -- one can work this particular vein like a prospector on the trail for gold.
So what does it all mean? Is reading making a much discussed return to the forefronts of coolness? Have reading clubs merely replaced previous generation's bridge clubs and sewing circles? Do you really believe that people are starved for the opportunity to gather and discuss ideas, to engage in enlightened conversation? Are we really that hungry for culture? Are we famished for the nourishment that can only come from a great book?
I believe that we are. I think that we are tired of being bludgeoned with reality television and smug attitudes, bored to death of shallow characters reciting tired lines that pass for comedy or drama or entertainment.
Yes, only a book can engage the brain, warm the heart, touch the soul. When a reader picks up a book and begins that special process, when the words flow off the page and we are swept along in the journey, we are partaking in a wondrous experiment. Books can become very special friends -- they can remind us of certain times in our lives, they can entertain, educate, enthrall us. It is often said that reading is a solitary habit, and it usually is. We do need to bring a certain amount of commitment with us, an ability to sit still and focus, a willingness to surrender to the text.
But in a book club, we have an unique opportunity. We can be among other readers, we can speak of what books have touched our lives, we can feel a certain feeling of pride in being a booklover.
Books can be so much more than a mere distraction, a temporary entertainment. Books can unite us with their words, they can educate us, and most importantly, books can make us feel whole again.
In these times of media overload, of limited attention spans, of
the idiocy of multi-tasking, we all need some quiet time with a good book and a chance to dicuss ideas and issues important to us. That is what book clubs and reading groups are all about!


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Our focus is to bridge the existing gap between the complex needs of labor support and your business. PLS analyzes your core risks, their components and infrastructure as well as your business impact parameters; such as legal, financial, safety and productivity. Based on this assessment, PLS generates a realistic cost analysis to deliver proven solutions in alignment with your business priorities. Our strategy is to simplify the risks by removing them and leaving your company better positioned to achieve higher profit margins.
Professional Labor Support
50 South Park Blvd.
Greenwood, IN 46143
Office: 855-865-7757 Fax: 317-865-4757 317-865-7757


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Lebo, BP boys falter
The first round of the WPIAL Quad-A boys' basketball playoffs were unkind to Mt. Lebanon and Bethel Park.
Although the Blue Devils drew the No. 3 seed in the opening round, they battled Hampton well before faltering, 53-48. Lebo led, 10-8, after one frame and trailed only by one, 26-25, at intermission. However, the Talbots outscored Lebo, 18-12, in the third quarter. They also connected on 18 of 21 attempts from the charity stripe to seal the victory.
Ryan Luther and David Huber paced Hampton with 19 and 14 points respectively, Justin and Jonny David led Lebo with 21 and 13 tallies.
While Hampton improved to 19-4 and moved on to play McKeesport (15-7) in the quarterfinals set for Saturday, Feb. 23, Lebo finished the season at 10-13 overall. The Blue Devils graduate two seniors, Justin David and Tyler Roth.
Meanwhile, the Black Hawks succumbed to McKeesport, 58-54, in overtime and ended their 2012-13 campaign at 17-6. Ranked at high at No. 1 to start the season, the Hawks lost five of their last eight games, including back-to-back defeats to the Tigers.
Carlitto Acie did in the Hawks. He exploded for 28 points, 14 in a pivotal third stanza that saw the Tigers turn a 33-26 deficit into a 34-33 advantage. Acie buried six, 3-point field goals.
While BP led, 29-24, at halftime, McKeesport outscored the Hawks, 22-12, in the third quarter.
Cody Gilchrist paced BP with 22 points followed by Rohan Young's 15 markers. Wyatt Hagerty pitched in 10 tallies. His free throw near the end of regulation pushed the game into overtime, but the Tigers edged the Hawks, 7-5, in the decisive quarter.
The loss saw the end of the scholastic careers for Gilchrist, Young and Hagerty as well as starter Kenny Gilmore and reserves Robert Huntington and Matthew Fowler. Sophomore point guard Joey Mascaro will be the Hawks' lone returning starter next winter.
In Class AA boys' playoff action, Bishop Canevin upended Charleroi, 59-52, at Peters Township. Matt Tambellini tossed in 19 points while Jake Seligman provided 17 markers for the Crusaders, who improved to 11-12 overall.
The win advanced Crusaders to the WPIAL quarterfinals, where they will face Beaver Falls (19-3) Feb. 20 at West Allegheny.
In other Feb. 20 boys' playoff action, Canon-McMillan (11-11) battles No. 2-seeded North Allegheny (19-3) at 8 p.m. at Chartiers Valley while Seton-La Salle (20-2) faces Mohawk (10-13) at 8 p.m. at Peters Township.
In other first-round action, Chartiers-Houston (14-9) dropped a 45-43 overtime decision to Beaver.
Though CH opened up a 27-22 lead after three quarters, they were outscored, 16-11, in the fourth frame and 7-5 in overtime. A 7-2 run propelled the Bobcats in the extra frame.
Ashley Balzer and Tori Foster led the Buccaneers with 12 tallies each.
The Lady Bucs graduate four seniors, including Balzer and Foster. Amanda Balzer and Kristin Scott are the other two.
Lebo, BP boys falter
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Page turns caddie job into scholarship cash (220)
90-year-old Bethel Park man graduating from University of Pittsburgh (197)
South Fayette in the wrong in bully case (192)
Canon-McMillan approves redistricting plan (160)
District attorney dropping charges against South Fayette student (154)
Canon-McMillan approves redistricting plan (86)
Fundraiser - April 23 (79)
Proud of international baccalaureate education (69)
South Fayette in the wrong in bully case (58)
Mt. Lebanon signals need to be upgraded (51)
Mt. Lebanon assessments grossly unfair (3)
Lebo rifle space still in limbo (3)
USC residents get a lot for their tax dollars (3)
Charges on South Fayette bully victim to be dropped (1)
Air quality a concern (1)
The Almanac what
you think!


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Grelvire's expecting another child, recently had to have a transmission rebuilt, and I need my custom projects anodized sale……
1. All prices: OBO, include PayPal fees, and USPS Shipping with delivery confirmation in ConUS (insurance optional at buyer's expense unless otherwise stated in sales thread).
2. Post and then PM.
3. I reserve the right to sell my item(s) to whomever I choose.
4. I normally will not ship first on trades (make offers, no electronic markers, if I'm looking for anything specific it is listed at the bottom of the sales thread).
5. I am willing to ship out of country with the following stipulations: extra shipping is required at buyer's expense; buyer assumes all risks (i.e. confiscated by customs, lost in transit, etc.)
6. I don't give ratings to items as I find this to be subjective, if there is a flaw I have noticed it is the description. Feel free to ask questions.
AO Feedback, MCB Feeback, and E-Bay Feedback
The Goods:

- Smart Parts All American barrel - 12" Black anodized, Twist-lock - $15.00 OBO
- Deadlywind Fibur barrel with tip protector- 14", AC threaded, slight scratch in the ano on the threaded end visible in photo - TRADED to Pif (MCB)
- Barrels of America (BoA) Express Barrel – 12" Chrome plated, AC threaded, .689 bore - TRADED to Pif (MCB)
- Barrels of America (BoA) Constrictor Barrel with Pillage brass shell casing loudner – 10" Nickel plated, AC threaded - TRADED to Pif (MCB)

- AM/MM rail with Vertical ASA - SOLD to OPBN (AO)
- AM/MM rail - SOLD to OPBN (AO)
- MiniMag Body - SOLD to OPBN (AO)
- AGD rubber grips - SOLD to Justus (AO)

- (2x) 50 round Pocket Hoppers – $5.00 each
- 13/3000 Ninja HPA tank - SOLD to WALZ (MCB)
- Remote-line with ball valve - $20 OBO
USPS Shipping/Tracking:
grub (AO) - 9114901159815525912796
barkingspider (AO) - 9114901159815525912819
audioSLAVE (AO) - 9114901159815525912789
crandall (MCB)- 9114901159815525912802
need4reebs (AO) - 9114901159815525914219
daemon512 (AO) - 9114901159815525912536
kwik175 (AO) - 13103060000045461037
dboggs79 (AO) - 13103060000045461013
Justus (AO) - 9114901159815525931599
Pif (MCB) - LC317207325US


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Introduction to The City Congregation and Jewish KidSchoolNew York, NY
Bummer! Sales have ended.
Unfortunately, tickets for this event are no longer on sale.
Event Details
Introduction to The City Congregation and Jewish KidSchool, with Rabbi Peter Schweitzer.
Meet TCC members, find out about our community, our secular Jewish school, and learn how Humanistic Judaism helps secular Jews maintain their Jewish identity.
All are welcome at this free event.
This event is a general orientation to Humanistic Judaism and our congregation and are not just aimed at KidSchool. Childcare is provided.


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Register interest for Sri Lanka now
Don't miss out on the beautiful Sri Lanka. Register your interest for our tour packages now.
Outstanding World Cup Offers
Save pounds and dollars with these great savings we've lined up for you across Oz
New! Home & Away Membership Package Available - just Ł25!
Become a First Class Member and get involved with the world's largest group of independent cricket fans


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3 Years+
The Bambino Mio Training Pants are designed especially for toddler when they start to potty train. They are a cotton blend with waterproof layer and inner pad for super absorbency and are easy to pull up which promotes independence.
The outer shell is made from cotton blend fabric with a waterproof backing and a super absorbent inner pad. The Training Pants allow toddlers to feel wetness while the waterproof layer helps to minimise the effects of any accidents.
No refunds or exchanges once this product has been washed or used. Packs will only be accepted back if they are complete. This does not affect your statutory rights.
As usual and now expected fabulous quality from Kiddicare, these training pants are superb and the second set I have bought. I would not hesitate to recommend. Delivery is exceptional.
These are exclusive customer reviews unless otherwise stated. Specifications of goods are subject to change.
Click for audio and text help.
Click for audio and text help.
Click for audio and text help.
Click for audio and text help.
This product is available as a pre-order. This means that we do not currently have the item in stock but we are expecting it shortly. You can place an order for this product now your expected shipping date will be 19-04-2014
A place where people come together to discuss our products and services, ask questions and seek advice.
to be a part of it.


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Tiki Wiki CMS Groupware is a full-featured, Web-based, multilingual, tightly integrated, all-in-one wiki, CMS, and groupware. Tiki can be used to create all kinds of Web applications, sites, portals, knowledge bases, intranets, and extranets. Tiki offers a very large number of features "out-of-the-box". It is highly configurable and modular. All features are optional and administered via a Web-based interface. Major features include a robust wiki engine, news articles, discussion forums, newsletters, blogs, file and image galleries, bug and issue trackers, a link directory, polls/surveys and quizzes, FAQs, a banner management system, calendar, maps, mobile access, RSS feeds, a category system, tags, an advanced themeing engine (Smarty), spreadsheet, live support, shoutbox, inter-user messaging, menu generator, advanced permission system for users and groups, internal search engine, external authentication support, and more. It was formerly named TikiWiki.
RainFramework is an MVC Framework for PHP. It's easy to use and it enables teams to work better. It is installable with a simple copy/paste operation. It has a very small footprint, with just the necessary library and files. It is well documented and tested, and it allows you to create Web applications more quickly. It also supports multiple languages, has a WYSIWYG editor, and is extensible.
PIMF (Php Is My Framework) is a micro framework for PHP that emphasises minimalism and simplicity. It is based on proven design patterns and a fast object relational mapping mechanism, and is designed to be easily updated without having to rewrite your projects. It includes mechanisms for easily coupling controllers to ExtJs and Dojo.
Elefant is a full-featured, but refreshingly simple CMS and PHP Web framework. It features an intuitive, streamlined admin interface, a tightly integrated WYSIWYG editor, dynamically embeddable content objects for building dynamic Web sites without touching code, and an extremely fast, secure, and flexible framework for add-ons and themes. The core CMS includes page editing, a blogging engine, site navigation, file and user management, automatic version control, a tool for translators and multilingual site management, and an in-browser theme/layout editor. It is also extensively documented and has a small but friendly and active developer community.
Yioop! is a PHP search engine. Yioop! can be configured as either a general purpose search engine for the whole Web or it can be configured to provide search results for a set of URLs or domains. Yioop can crawl pages or can directly index archives such as ARC and WARC. It supports indexing several file formats such as HTML, Atom, PDF, DOC, PPT, RTF, RSS, XML, SVG, PNG, JPG, BMP, GIF, and sitemaps. The Yioop! crawler can be deployed on one or many machines. It supports having one or more to crawl scheduler processes, as well as multiple fetchers and mirrors. Crawling respects robots.txt including Crawl-delay. Yioop! crawls are stored in a Web archive format that is easy to move around. Crawling can be done on one machine and the results deployed elsewhere. Yioop! supports mixing of crawls. Yioop! comes with a search front end that can be localized as desired using a GUI. This GUI supports RTL languages. Management of crawls can also be done using this GUI. Yioop! can be configured in a straightforward manner to make use of file caching or memcache if available.
lib4d_sql is a C library that provides the required functions (connect, prepare, execute, etc.) for writing an SQL client for 4D databases. It uses the public 4D SQL protocol, which is supported by 4D products since version 11. It is already used by the PDO_4D Open Source project, and it might be used to provide others drivers for JDBC, ADO, or ActiveRecord.
A library for manipulating sets and relations of integer points bounded by linear constraints.
A small Web server written in /bin/sh.


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BIO NOTE : Holliday is in his fifth season with Colorado and has career numbers of 411 runs, 754 hits, 112 home runs, 432 RBIs and a .320 batting average.
RECENT NEWS : On Monday, Holliday went for 2 for 3 with 2 RBIs and two runs scored and improved his batting average to .329 this season in an 8-4 loss to Kansas City .
QUOTE : " I try to be myself and let my teammates know where I stand in my relationship with the Lord. But at the same time , I don't want them to feel like I'm trying to beat them over the head . I hope to be their friend and build a relationship with them and let them know that I'm there for them , I feel like if I build relationships and prepare my heart for a chance to share with others , God will use me in a way that will glorify Him . "


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Schecter Guitar Research Hellraiser Extreme-4 Left-Handed Electric Bass Guitar
View All Recently Viewed Items
Copyright © 2014 Music & Arts. All Rights Reserved.
*Free Ground shipping applies to Standard Ground shipping only to the lower 48 United States. Very large and oversize packages which are required to ship via freight may require additional shipping charges. See product description page or shopping cart. Other restrictions may apply. Online rental transaction excluded from this offer.


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Report abuse
This is the usual way Club Med Cancun has numbered the rooms (unless they have changed it again) the 1000# rooms are in the "A" bldg...the 2000# rooms are in the "B" bldg...all the way thru the 9000# rooms which are in the "J" the Jade bldgYou should be able once you book...find which room # your are in in your "Travel Account" (upper right)Hope this helps
Not sure if we're in the Jade building, but can we crash the meet and greet if we're not? ;o)
(seriously, i can't find it anywhere on my reservation confirmation what building we're in...)
Hey guys, great idea, we are also in the Jade Building so See u there!
Just joined this trip while on the Punta Cana trip on our honeymoon. Was my wifes first Olivia trip (my second) she is hooked. This will be our 1 yr. anniversary. My first Olivia trip was a cruise, personally I think I like the cruise better, but we wanted this for the date. Be excited it will meet and beat your expectations for many reasons!! Met some great people in Punta Cana, they signed up as well! We'll be flying down from MA staying in the Jade building as well!


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Forum Index »
It just works! Ultralight Tripod Case
Photo gear is NOT ultralight, but a lot of landscape photographers strive to be. Going ultralight with 5-10lbs of camera gear is arguably MORE important because traditional backpacking stuff quickly clocks you up to "Too Heavy to Hike."So, I thought I'd share this. In the (infamous?) hunt for perfect stuff sacks, I realized the Thermarest stuff-sacks by Cascade Designs come in lots of different measurements, and are ideal for keeping an expensive tripod relatively dry and dust-free when you're out on the trail. For pack-rafters, they also have drybags.Here's my tripod, the Oben AC-1410 4-Section Aluminum Tripod with BA-0 Ball Head (3.2lbs):At 21", it fits perfectly in the Thermarest 11.5L stuff sack. I also wrapped it in about 2 feet of Gossamer gear's Thinlite pad, which adds a bit of protection for a couple ounces that doubles as insulation in camp. Enjoy!
I only use tripods for time lapse or shooting flowing water with a ND filter in daylight. I brought my slik sprint pro II (1lb 13oz), after two trips i realized it is Waaaaaaaaaaaaayyyyyyyy too heavy to be worth bringing and is for day hikes now. I now stack rocks, fill a stuff sack with leaves to get my slow shutter shots.Edited to add a few more a's and y's
Edited by KalebC on 07/22/2013 21:02:50 MDT.
I can usually do without a tripod and just use a small claw afixed to something. But im getting into video using cameras and sliders add way more interest to shots. Cant wait for this to hit the market. Hopefully it works. http://www.kickstarter.com/projects/baker/airtracks-inflatable-all-terrain-camera-slider/description
I noticed the date that the fellow got him money.Have you read the comments?Looks like he has regained interest in the project... He went MIA for a while...
What on your tripod would you be worried about? If you just remove the ball head and pack that away you should be fine? No need for extra stuff sack or pad.
I don't want dust to stick to the grease in the joints. I don't want rust to form on the metal parts from salt corrosion along the coast, either.
Tripod bags aren't a bad thing. I just usually keep my tripod in my pack or in my hand. It isn't typically found strapped onto or in anything else.I made a light sack and reinforced just some areas where sharp tripod things might poke. I put the tripod in it to protect my pack from the tripod... I don't want it to abrade the coating of my pack.Usually when I travel, I put the legs in the little sack and the head in two zipocs. This protects the pack enough. The inner ziploc does get some pokes...I don't usually worry about wrapping my tripod to protect it. I figure if I have done a thing wrong enough to hurt it, then I got other troubles as well...A bag wouldn't have helped with what caused this. Now, the way I was carrying the tripod may have had an effect, bag or not :^)I call this Goblin's Grin
Edited by Tan68 on 07/23/2013 12:24:56 MDT.
FWIW this month's Trail Groove Magazine has an article on UL tripods.http://www.trailgroove.com/?utm_source=TrailGroove+Magazine&utm_campaign=5c3cfb5854-Issue+9&utm_medium=email&utm_term=0_df09d26464-5c3cfb5854-63248477Starts on page 51
Ian,Thanks for the great tip to this magazine I have never seen before. It great.Derrick
I'm really impressed with the quality of this periodical too. One of the benefits of BPL surfing is coming across gems like Trail Groove.
Hmm I have yet to see any grease in tripod legs? The ball head yeh. which is why I could see taking that off and putting it away.and as far as rust from salt corrosion- Are you using it on the coast or just carrying it? because use alone will expose it to the same salt corrosion as not having it in a stuff sack. Also simply cleaning your tripod after back packing would solve this issue just like I'm sure most do with their sensors and camera bodies.
Yeah, I ended up reading about the Wichitaws
Josh,You are perhaps right. Call me paranoid. I'll carry the extra 3oz to guard the stuff sack.I'll be using it while backpacking and bike touring. My pack gets dirty, my bike gets dirty, my body gets dirty- I can't help but envision sand grains wedging themselves between the sliders and joints of my tripod and ball head. And the Oben most definitely comes greased.
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If you can boil water, you can have professional looking crested arrows with the QuickFletch system from NAP. The Quickfletch is the easiest way to fletch your arrows, either at home or in the field, and will shrink to fit any size carbon or aluminum arrow. Simply hold the fletchings in place and dip into boiling water and the tube will instantly shrink down and create a bond with any arrow shaft. Couple This with NAP's Quickspin SpeedHunter vanes and you have an attractive and deadly combination. This system eliminates problems with vane alignment and does not require any adhesives. Anyone can fletch arrows with the QuickFletch system from NAP.
Technical Information
Technical Information
- Fletching: 2" NAP QuickSpin Vanes
- Weight: 25.5 grains
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The statements and opinions expressed within Customer Reviews reflect each author's personal perspective and do not imply endorsement by MidwayUSA, its Employees or any other organization. Customers should in no way infer that MidwayUSA has validated review information as safe, accurate or appropriate.
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56 S La Grange Rd, La Grange, IL | Directions 6052541.813479 -87.870074
Mon-Fri 11am-12am ; Sat 11am-1am ; Sun Noon-11pm ; Open 7 Days
Every penny you go paying for the sandwiches from this place is worth it. They are very amazing here too, they have a great organization of staff.
Rude service – I am a long time La Grange resident who is proud to support local business. In the past I have been to Palmers many times and recommend it to out of town friends for it's extensive beer menu. This weekend (memorial day weekend) I had family in town and we wanted to go there for 1 drink (it was 10pm and we knew they were closing) before closing. at 10pm, the waitress greeted us rudely and very inappropriately and said that 1 hour before close she would need manager appropoval to serve us before we even said a word. Then she waited 15 minuts to even come take an order (while we observed many patrones getting new drinks and other waitresses taking drink orders). Once she arrived same rude and innapropriate tone and attitude. Frankely the food is not that great and if this is the type of service that Palmers wants to provide as a "neighborhood" restaurant I would rather support other local restaurant that appreciates the business of those in the community.
And I will NEVER recommend Palmers to an out of town friend again.
great outdoor patio – Great dining area and very good selection of beer. I love sitting on their patio on a nice summer day!
customer service? + lousiest nachos in world! – Went to Palmer's at 1 pm on baseball's opening day 2008. The place has about 20 TV screens. I'm a baseball fan, so opening day is a big deal for me. On this day, all the TVs were turned to the Cubs station, but the Cubs game wasn't set to start for another 30 minutes. So I asked the waitress to turn on ESPN so I could watch another ballgame that was going on. The waitress went away, but ESPN was never turned on. So I asked a manager the same thing, but he looked confused and said the Cubs and Sox were starting their games in 30 minutes. I said I know, but I'd like to watch a ballgame now before I had to return to work. He went away but nothing happened. The waitress eventually walked past my table and asked how everything was. I said okay but that I'd like to get a ballgame on TV. She then became really snooty. Finally, when I was just about finished with my plate of nachos---which had to be the worst I've had in a restaurant, all soupy and with chips that were broken into little bits---one of the TVs was switched to ESPN. I guess I must've gotten on the wrong side of the waitress because she never came back to refill my cola. I also had to flag her down to get my check. When she came to my table, she tossed the bill at me, and when I gave her money to pay the bill, she gave me change without saying thank you. By the way, the bill was $17 for lousy nachos, a cup of soup, and a cola. I left no tip, which is the first time I've ever done that. But the waitress was rude, selfish, and arrogant, so she got what she deserved. (I didn't catch her name, but she was in her 20s, had glasses and brown hair, and was a bit overweight.) I've been to Palmer's plenty of times, but I don't think I'll go back, not after the way I was treated. You'd think I was putting them out for making a simple request. This place now rates a zero for me.
Beer good. Food Service awful – The biergarten is a great place to have a beer, meet friends or just people watch during the summer months. The food service, whether appetizers or entrees, is so slow it boggles the mind. And this is constant, whether during the summer when the place is crawling with people, or during the winter with the place half empty. And this is for bar food. Its as if they have one George Foremen grill working since if you have a party over 5 people, the food may come out in shifts. Obviously, the profits are in the beer. Go for beer and leave the overcooked hamburgers on the grill.
Great place! – This place has good "bar food", great selection of beer and a great outside seating area! The staff is always friendly and it's a great place for kids.
Boisterous, family-friendly biergarten scores with homey sandwiches and a dizzying beer selection. – In Short
This brick-walled space and adjacent two-tiered beer garden draws families early on, and a louder, younger crowd after 9pm. Tasteful beer mirrors and framed beer posters hint at the 300-plus beers served by pint, pitcher and bottle, from Bell's, Capital and Dogfish to Ommegang and Summit. Bar menu selections include bratwurst, beer-battered fish and chips, and a massive triple-cheese and mushroom burger.
great sandwiches – I've been here several times. Dinners are good, but the sandwiches are terrific. Very unique and served with great side orders. All around six to eight bucks. It's a beer lovers paradise with 38 beers and hard ciders on tap, and about 300 bottled domestic and imports. Service has always been good, even on crowded nights.
Love this place – Palmer Place is such a good choice. They have good food, great beer selection, friendly staff and a fabulous outdoor patio. A few times when I've been there they even had some fun live music outside. I think this is one of the best choices for dining and drinking you could find in the area.
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Follow Harriet on Twitter
About Harriet
- The Poetry Foundation's blog for poetry and related news.
- More about Harriet
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Posts Tagged 'Benito del Pliego'
What Is Urgent Poetry? 5 Poets Respond September 12, 2013: Again and again you come across terms that define the poetry of this or that poet. For my own work, they often say, "hers is an urgent poetry." I'm trying to find out if there exists a consensus, more or less, to this definition. Here are the responses of five poets, and if I had been in the same room I wouldn't lose the thread of the [...]


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Vermont Frosted Evergreen - 16 Inch
Handmade in America by Simon Pearce glassblowers.
Item # 3807
You May Also Like
- Handmade in America by Simon Pearce glassblowers.
- Created from pure, lead-free glass using centuries-old techniques.
- Distinctive frosted finish is achieved by a unique sandblasting treatment.
- Also available in 6", 10", and 12".
- collection: Winter
- material: Glass
- style: Traditional
- country origin: Made in USA
- measurement: H 16 x W 4½ x D 4½
- category: Glass Decor
- subcategory: Evergreens
With appropriate care, your lead-free glass will retain its brilliance indefinitely.
- Clean with glass cleaner and a soft cloth.
- Use caution in placing thick pieces of our glass in direct sunlight. The brilliance of the glass can concentrate sunlight on other objects in the room.


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Miami rap heavyweight Rick Ross has been in the headlines like crazy during the 12 month span of 2012. After his Maybach Music Group tour was abruptly cancelled because of threats from the Gangster Disciples, Rozay hit up a Miami radio station to talk about why his tour was actually cancelled.
Besides shedding light on the tour's cancellation, he also spoke about his ongoing feuds with Young Jeezy and 50 Cent. Many remember the incident that happened between Rick Ross and Jeezy at the BET Hip-Hop Awards. Apparently, there was a scuffle involving the two rappers and police along with security broke it up before things could really get out of hand. When asked about the incident, Ross stated:
"This is nothing personal to me. At the BET Awards it basically just boiled down to me running across Young Jeezy, he had five security guards in front of him, five police officers behind him and we crossed paths I said 'what's up?' soon as he said 'what's up?' I tried to choke him. His security guards hemmed me up; whoever the big black dude with the bumps on his face, he should give that dude something special for Christmas."
Ross went on to say making another attempt at putting the paws on Jeezy is still an option despite their beef not being personal. The "So Sophisticated" rap star also threw the gauntlet down for 50 Cent. Ricky Rozay said he might want to take their beef to the boxing ring, considering 50 Cent just got into boxing promotion.
Like TheUrbanDaily.com on Facebook to stay updated with the latest entertainment news and original interviews!
With both of these beefs still simmering, it seems as though Ross is getting ready for a preemptive strike. don't quote us on that. That's only one of the possible outcomes we think may happen.
T.I. & Cee-Lo Say "Hello" To The Haters [NEW MUSIC]
Just In Case It Wasn't Clear Big Boi and André 3000 Are Good
2 Chainz Talks Grammy Nod and New Album


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Ronix products can only be shipped within the U.S.
(based on 1 review)
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By Camden
from Lake keowee, SC
About Me Advanced
Best Uses
Comments about Ronix William Intelligent Wakeboard 2013:
I love this board because it has 3 strips of wood 1 that runs straight down the center and two arches along the sides. This gives it just enough flex to make it a super awesome good poppy board. Everyone told me that the ronix one time bomb was more pop but i say it doesn't have as good of pop as the William and it is too inconsistent. With the William you get the same pop almost every time so you know how to adjust to go the way you want. This board is perfect for a intermediate to pro level rider. I would not recommend this to a beginner because learning jumps is better with a less abrupt board with not too much pop. This is a great gift for a wakeboard fanatic like myself who received it for my birthday.
Bottom Line Yes, I would recommend this to a friend
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Transferring ammo to and from the range just got easier! Here's a great way to store bulk or boxed ammo in a lightweight, water-resistant, molded container.
Both Cans sport:
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2 MTM™ 30 cal. Ammo Cans7 1/8 x 13 1/2 x 4"h., weigh 1 lb., 8 ozs. each.
2 MTM™ 50 cal. Ammo Cans 7 1/8 x 13 1/2 x 8 1/2"h., weigh 1 lb., 12 ozs. each.
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2901 Mission Blvd, San Diego, CA | Directions 9210932.765726 -117.251138
Tue-Sun 7:30am-2am
Mon 10:30am-2am
Neighborhoods: Northern, Mission Beach, Mission Bay, Northern San Diego
Like this place a lot. Laid back, comfortable. Easy place to meet people. Always have fun
The best! What I can remember!! – Born and raised in MB/PB.....too many stories ...too many babes and bro's to mention. I'm almost 60 and I know I spent my 20's there everyday...then kids.....I always remember going there, I don't remember leaving...sometimes I wake up and I think I'm at the "COMBER" still. And I still pop in theer a bit..great tunes!!!...I'm afraid I may never come out!!! Good days when the OTL was at "the Jetty"..........Toads live on!!!!
PB Toad
Met second ex-wife here – Been there forever. In the 60;s during Vietnam war, it was a great handout for Marines, DI's, newly formed SEAL team at Coronado, Over-the-line group, jocks and some SD Chargers. As a Marine Capt.at Camp Pendleton, it was a home. Will never forget it.
Cheap and Strong – Great dive bar by the beach. Cheap drinks, chill sometimes older crowd during the day and active college crowd at night.
Djs and dancing at night. Top 40 music to get you moving and drinking faster.
The Penant Bar is right next door, along with late night Mexican food. What more do you need from a beach bar?
Greatest Dive Bar!!!!!!! – So much fun! The locals are lifers and the beach community is second to none. If you want to hear some stories especially of days long past, this is the best bar. I mean OTL and OMBAC headquarters, plus rugby players on a Sat. night! Can it get any better? The parking is horrifying, but if you park north near the roller coaster and walk a few blocks south toward the jetty, you can enjoy the neighborhood.
Mission Beach's Cheers – The Beach Comber is truly the beach's version of Cheers. The manager and bartenders treat the locals like kings, and there is something there for all ages. Always a great time!
A stones throw from the beach, this South Mission dive comes complete with surfers and sand on the floor. – In Short
There's pool in the back and seating on the right, but it's the dance floor up front that defines this beachside hangout. It gets mobbed after midnight with college kids and surfer dudes, the most adept of which make slipping on the sandy wooden floor look like the latest dance craze. Likewise, with a seat by the bar and a house special Lynchburg Lemonade, it's hard not to enjoy watching the revelers do their thing.
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Video influence growing in search: will auto-captioning influence SEO?
Apr 22 2010 | Dave Gibson : President | Overhead The second I heard of YouTubes program to automatically translate and add closed captioning to all video content, my SEO ears went on high alert. Already we've been seeing videos gaining organic ranking – often above topic websites, and I've been preaching video to allRead the Full Post


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Nursing Programs
Nurses at Jefferson Regional Medical Center have opportunities to take part in special programs that guide and recognize the contribution of nurses in the delivery of patient care.
Care Delivery Partnership Program
The Care Delivery Partnership Program (CDPP) is unique to Jefferson Regional Medical Center. The program's goal is to provide a forum for nursing staff to set forth goals of continuous improvement in the patient care delivery process.
At Jefferson Regional Medical Center, nurses have a voice in issues that affect care and the nursing process.
Cameos of Caring
Linda Beetlestone, a registered nurse on Jefferson Regional Medical Center's Medical Progressive Care Unit, has been selected as this year's Cameos of Caring Award(R) winner. Linda, of Forward Township, will represent Jefferson Regional at the 14th Annual Cameos Awards Gala on Nov. 3 at the David L. Lawrence Convention Center, Pittsburgh.
"Linda is a true patient advocate," said Jennifer Neff, RN, who nominated her for the award. "Whether it is setting limits, keeping her patients safe, or answering questions from the patients or families, Linda moves through her day without thinking of herself, while doing the right thing for her patients and co-workers."
Linda said she chose nursing as her career because of her parents, who "are very loving and giving people. Becoming a nurse lets me continue with their same traits, which makes me feel great about helping others." She has worked at Jefferson Regional for 34 years, 29 of them as a registered nurse. She and her husband, Ralph Nevin, have two children, Aimee and Justin.
Previous Cameos of Caring Winners:
2000 - Cindy Dunlevy, RN
2001 - Cindy Nelson, RN
2002 - Nancy Cardinale, RN
2003 - Carol Mayfield, RN
2004 - Gerry Saylor, RN
2005 - Toni Thalman, RN
2006 - Jamie Trunzo, RN
2007 - Ruth Zalonis, RN
2008 - Ann Page, RN
2009 - Denise Freund, RN
2011 - Michael Cook, RN
Clinical Practice Ladder
Jefferson Regional Medical Center Nursing Department is proud to have a Clinical Practice Ladder program for the professional nurse. The purpose of the Ladder is to reward and recognize our registered nurses by providing a framework for advancement of nurses that choose to remain a bedside clinician. It is designed to enhance quality patient care as well as promote recruitment and retention of exceptional nursing staff.
The framework revolves around professional development and contributions to the nursing practice at the unit level, the organizational level and to the nursing profession at large. Advancement is based on application of the nursing process, proficiency with clinical skills, educational development, leadership and community outreach. The Division of Nursing is focused on empowering nurses, enhancing their careers and promoting excellence in practice.


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Hampton Bays Ice Rink Won't Open This Year
No happy family memories will be made on Southampton's ice skating rink, which is based in Hampton Bays, this season — Chris Bean, thetown's parks and recreation supervisor, said the rink's liner needs to be replaced.
According to Bean, the liner, which has been in use for seven seasons, has worn out and will cost $4,000 to replace. That money, he said, has not been budgeted this year and his department is working to request funding in the town's next budget.
Southampton Village to Celebrate 150th Anniversary of Emancipation Proclamation
The Emancipation Proclamation, President Lincoln's executive order during the Civil War to free the slaves in Confederate territory, turned 150 years old this week, and Southampton Village is joining in the celebration of the anniversary.
The start of the event, named "Bells Are Ringing," will be heard throughout the village on Saturday, as all the church bells in Southampton will ring in unison for one minute, according to the Southampton Historical Museum. Residents are invited to bring bells to the corner of Jobs Lane and Main Street in front of the First Presbyterian Church at 1 p.m. to join in the ringing.
Quigley: One of the Better Christmases I Remember
For one East Hampton family, Christmas was particularly special this year.
Doris Quigley, the teenage daughter of East Hampton Town Deputy Supervisor Theresa Quigley and Tom Quigley, was released from a New York City hospital in the week before Christmas, after four months of hospitalization. An East Hampton Town lifeguard, she broke her neck while swimming in the surf off an Amagansett beach. Though initially paralyzed,she regained the use of her legs and continues to make improvements.
The Quigley family enjoyed Christmas together as a family at home — Doris' four siblings were all in town to welcome her back. Then they joined a large extended family for Christmas dinner in Connecticut. "It's one of the better Christmases I remember," Theresa Quigley said.
Less Restrictive Law Regarding Dogs On Beaches Up For Hearing
Local dogs — and dog owners — will soon have their day, legally, on Southold Town beaches. Months after a Mattituck resident complained to the Southold Town Board that he was attacked by two dogs running loose on Bailie Beach in Mattituck this past summer and requested that the board create a town-wide rule that all dogs must be kept on leashes at beaches, board members will present an updated version of an antiquated town law regarding the issue for public hearing later this month.
The board voted during a meeting Wednesday night to set the public hearing for Jan. 15 on amendments to Chapter 193 of town code, which Southold Town Supervisor Scott Russell said last summer was written in 1981 and did not allow dogs on beaches or any recreational area at all.
Riverhead Foundation: Beached Whale Died Of Natural Causes
The massive 60-foot beached whale that washed up at Breezy Point the day after Christmas and netted widespread attention likely died of natural causes, according to theRiverhead Foundation for Marine Research and Preservation, which rushed to the scene when the whale was found.
"The working diagnosis from the forensic examination is congestive renal failure secondary to parasitic disease called crassicaudiosis," Kimberly Durham, rescue program director and necropsy team leader of the Riverhead Foundation said Wednesday.


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