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Find a location near you
General practice
A family doctor is concerned with the general health needs of people of all ages. Focusing on the primary care of you and your family, he or she can refer you to a specialist or community resources when appropriate.
Obstetrics and gynecology (OB/GYN)
Women have special health needs. We are here to help you through all stages of life, whether it's family planning, pregnancy and childbirth, menopause and perimenopause.
When it comes to their health (and many other things), children have unique needs. Our experts are concerned with the emotional, physical and social growth of babies on up to young adults.
This alternative medicine treatment uses special needles placed at certain points of the body to alleviate health problems. Our certified acupuncturists most often use this technique to lessen pain.
Allergy and immunology
When your immune system isn't working properly, we're here to help. Our specialists identify and address problems like allergies, asthma, eczema, hay fever, bad allergic reactions, autoimmune diseases and immune deficiency diseases.
INR clinic
The INR (international normalized ratio) clinic will help you manage your anticoagulation medicine (Warfarin, Coumadin® or Jantoven®) to prevent unwanted blood clots from forming.
Anesthesiology (pain management)
Anesthesiologists are doctors who specialize in pain relief and the care of patients having surgery.
Audiology (hearing care)Our hearing specialists – audiologists – identify and evaluate hearing loss. They can also help you prevent or live with hearing loss.
Bariatric surgery for weight loss
If you have a body mass index (BMI) of 40 or more and meet other criteria, bariatric surgery may help you achieve significant weight loss, which can lead to a healthier lifestyle. Also called weight loss surgery, bariatric surgery limits the amount of food you can eat by reducing the size of the stomach or changing the digestion process.
Cardiovascular disease
The number one killer in the United States, cardiovascular disease affects the heart, lungs and blood vessels. Our experts can identify, treat and help you manage cardiac conditions like angina, heart attack, heart rhythm problems, high blood pressure, peripheral artery disease (PAD) and stroke.
Child and teen psychiatry/p>Child and teen (pediatric) psychiatrists diagnose and treat behavioral problems, developmental issues and emotional illness. They can order tests, prescribe medicine and offer talk therapy.
Child and teen psychology
Child and teen (pediatric) psychologists use talk therapy to help children, teens and their families with emotional issues.
Chiropractic care
Chiropractic care focuses on how bone, joint and nerve problems affect general health. It is used most often to treat back pain, headache, joint pain or neck pain.
A doctor of chiropractic (DC or chiropractor) may give nutrition advice or suggest exercises. He or she does not prescribe medicines.
Clinical neurophysiology
Your nervous system controls how your body feels and moves. Our experts use clinical evaluation and tests to diagnose and manage problems with this important function.
Colon and rectal surgery
Our specialists diagnose and treat problems with the intestinal tract, colon, rectum, anal canal and perianal area. This involves treating conditions like colon cancer, hemorrhoids and inflammatory bowel disease (IBD).
Critical care
Life-threatening conditions -- such as heart attack and stroke; severe breathing problems and injuries -- require immediate and ongoing medical attention. Critical care can occur at the scene of an accident or in an emergency room. But it is most often given in a hospital's intensive care unit (ICU).
Dermatology (skin care)
Dermatology is about the skin, as well as the hair, mouth and nails. Our experts recognize how your "outer layer" can reveal internal problems as they treat skin problems in adults and children.
Diabetes education
Our diabetes education programs are designed to help patients manage diabetes every step of the way.
Diabetes, endocrinology and metabolism
Your endocrine glands regulate your body by sending hormones directly into the blood and other fluids. This affects metabolism, the use of energy and other chemical processes your body needs to function. When either aspect isn't working properly, diseases like diabetes can result -- and our specialists can help.
Dietitian services
A dietitian can help you and your family as you learn new patterns of eating. This can help you manage diabetes, prevent heart disease and lose weight.
Doctor of osteopathy (DO)
In taking a "whole person" approach to health care, doctors of osteopathy not only treat medical problems, they encourage patients toward healthful lifestyles that prevent illness. Doctors of osteopathy (DOs) function in many ways as medical doctors (MDs) do. They may be licensed to perform surgery with the appropriate training and certification.
Ear, nose and throat (ENT, otolaryngology)
Our head and neck surgeons can help you with your ears, face, jaw, nose, sinuses and throat. They use their knowledge of breathing and eating to treat and prevent allergies, hearing or voice loss, and other problems.
Emergency medicine
A sudden accident or illness can change your life in an instant. Available 24 hours a day, our emergency doctors, nurses and technicians focus on the immediate decisions and actions needed before and after reaching the hospital.
Eye care
In addition to routine eye exams, our eye doctors detect, treat and manage eye-related problems. Many of our eye care locations also specialize in eyewear and contact lenses.
Eyewear store
Our eye doctors can help you choose from more than 500 designer, fashion, sports and children's frames. They can also help you feel comfortable in prescription and non-prescription eyeglasses and sunglasses, safety and eyewear, ultra thin high-index lenses and progressive lenses.
Your digestive system processes what you eat into usable energy and unneeded waste. Gastroenterologists specialize in treating problems with the bowels, liver, stomach and other parts of your digestive system.
Genes are the blueprints for everything made in your body. Genetic counseling and possibly gene testing may help clarify your health and help you make decisions about how to manage them your own health risks or to help assess risks for your children or other relatives.
Geriatric medicine
As you grow older, your body and health needs change. Our experts know the aging process and how it affects the prevention, diagnosis, treatment and management of conditions common to the elderly.
Gynecologic oncology
Gynecologic oncologists care for women who have cancer of the female reproductive system.
Hematology (blood conditions and cancer)
Hematologists are doctors who specialize in the diagnosis, treatment and prevention of illnesses affecting the blood and bone marrow.
Home care
As you recover from an illness, injury, even childbirth, home care may be an affordable and practical alternative to hospital or nursing home stays.
Hospice and palliative care
We give physical, emotional and spiritual support to patients who have advanced or life-limiting illness. Family support is also provided.
Hospital medicine (hospitalist care)
Hospitalists are doctors who focus on the general medical care of patients in the hospital.
Infectious disease
Bacteria and viruses cause a number of contagious and non-contagious infections. Our specialists deal with a range of infections, from chickenpox to sexually transmitted diseases (STDs). They include experts in preventive and travel medicine.
LASIK (consultation)
Laser vision correction (also known as LASIK, LASEK or PRK) is used to correct vision problems such as nearsightedness, farsightedness and astigmatism. A consultation with an eye surgeon is needed to determine if you are a candidate for surgery.
Integrative, complementary medicine
Our integrative medicine experts complement traditional medicine with therapies that support healing of the mind, body and spirit. Used with mainstream medicine, these and other remedies may improve well being: acupuncture, biofeedback, chiropractic, massage and relaxation techniques.
Internal medicine
Our internal medicine specialists provide care at the clinic and in the hospital. These personal doctors help adolescents, adults and the elderly manage common and complex conditions.
Maternal and fetal medicine (high-risk pregnancy care)
Maternal and fetal medicine involves the care of a mother and her baby during pregnancy, birth and delivery. During a high-risk pregnancy, a perinatologist can help a woman have the healthiest possible pregnancy and birth.
Mental health
Our psychologist, psychiatrists and counselors help children, adolescents, adults and seniors work through times when the troubles of life interfere with their ability to function or cope.
A neonatologist is a doctor who cares for newborn babies who are ill or were born too early.
Your kidneys filter waste from your body, help regulate blood pressure and balance nutrients. Nephrologists are doctors who study, diagnose and treat kidney problems.
Neurological surgery
Neurosurgeons not only operate on the brain, they also use non-surgical means to help adults and children with problems involving your brain, spinal cord, muscles and nerves.
Your nervous system controls how you sense and react to the world around you. It involves your brain, spinal cord, muscles and nerves. Our specialists detect and treat these and other related problems with this system.
Nuclear medicine
Our specialists catch many diseases early on through radiation detection and imaging.
Nurse practitioner (NP)
Nurse practitioners are registered nurses (RNs) with advanced training. You may choose this type of health care provider for preventative care, routine exams, illness or injury.
Occupational medicine
Where you work can affect your health. Occupational medicine doctors work with employers and employees to prevent or manage injuries and illnesses.
Occupational therapy
If illness, injury or disability affects your daily life, you may need occupational therapy. Our occupational therapists can help you gain as many daily living skills as possible.
Ophthalmology (eye care)
Ophthalmologists are doctors who specialize in the medical and surgical care of eyes and in the prevention of eye disease and injury.
Optometry (eye services)
Optometrists diagnose vision problems, prescribe eyeglasses and contact lenses, and treat eye problems.
Orthopedic surgery
Your bones and muscles form the framework of your body. Our specialists strive to preserve and restore this framework by medical, surgical and physical means.
Orthopedics involves the care of the musculoskeletal system. We can help fix and maintain this system of bones, joints, ligaments, tendons, muscles and nerves that make it possible for your body to move.
In taking a "whole person" approach to health care, doctors of osteopathy not only treat medical problems, they encourage patients toward healthful lifestyles that prevent illness.
Chronic pain management
Pain has two components: a physical feeling and an emotional response. Our experts understand both aspects as they care for people experiencing severe or constant pain.
Anesthesiologists, nurses and other professionals work as a team to ease pain and increase comfort.
Within the medical laboratory, our specialists detect the cause and nature of many health problems.
Physical medicine and rehabilitation
Physical disabilities come in many forms and affect lives in different ways. Our experts work with you and your loved ones to restore your body -- and your lives -- as much as possible.
Physical therapy
Physical therapy uses exercise and manual methods to improve one's ability to move and function. Our physical therapists help people of all ages.
Physician assistant (PA)
Physician assistants take medical histories, examine patients, order and interpret lab tests and X-rays, and prescribe medicines, as delegated and supervised by a physician. You may choose this provider for preventative care, routine exams, illness or injury.
Podiatry (foot medicine and surgery)
A podiatrist is a doctor who evaluates and treats foot problems. Care can range from treating foot or ankle injuries to helping people with diabetes avoid common foot-related complications.
Preventive medicine
We would like to keep you from getting sick. Our experts work with individuals and communities to promote good health and prevent disease, disability and premature death.
Psychiatrists are doctors who diagnose and treat addiction, emotional illness and mental problems. They can order medical tests, prescribe medicine and provide talk therapy.
Psychologists help individuals and families work through emotional difficulties through talk therapy. They also evaluate mental health through special assessments.
Pulmonary medicine involves the diagnosis and treatment of lung and breathing problems. Our pulmonologists help people with diseases like asthma and lung cancer. They also see patients with sleep disorders.
Our experts use the latest technology to gain images of the body, diagnose and treat disease, even lessen pain.
Reproductive medicine (infertility)
Reproductive endocrinologists are doctors who diagnose and manage infertility or other problems related to the female reproductive system.
Rheumatology addresses the health of the musculoskeletal system – joints, muscles, soft tissues and bones. Doctors who specialize in this area are rheumatologists.
Speech therapy
Speech therapy focuses on the ability to express one's self and to understand others. Our speech language pathologists help people of all ages with speech, language and hearing problems.
Speech therapy
Speech therapy focuses on the ability to express one's self and to understand others. Our speech language pathologists help people of all ages with speech, language and hearing problems.
Spinal cord injury medicine
Your spinal cord sends messages to and from your brain and body. Those messages make it possible for you to feel and move.
When injury interrupts that process, we can help. A team of specialists in different areas (such as diet, mobility and speech) will work with you to bring back as much independence as possible.
Sports medicine
Physical exercise has many health benefits. And our experts can help you prevent or deal with injury or illness as you exercise on your own or as part of a team.
Sometimes a disease, injury or birth defect requires surgery. Our specialists are here for you before, during and after an operation. They use best practices and equipment to make sure you receive the most accurate diagnosis, treatment and care.
Thoracic surgery
Within your chest lie your lungs and heart -- your ability to breathe and circulate blood. When deformity, illness or injury affects that process, our thoracic surgeons can help.
Travel medicine
If you're traveling abroad, we can help minimize your chances of illness during or after your trip.
Located above the kidneys, your adrenal glands make hormones that affect your body's reproductive system. Within the kidneys begins the urinary tract, which helps your body get rid of waste. Our experts have the special knowledge to detect and treat problems with those functions.
Vascular services
Leg discomfort or muscle pain may be signs of peripheral artery disease (PAD) or another form of vascular disease. Our experts find and treat conditions that affect your body's vascular, or blood vessel, systems.
Expand the menus below to see location listings


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Cheer on your favorite golf players in the 2014 Ryder Cup in this Lightweight visor! This cool visor features an embroidered Ryder Cup graphic on the crown and an adjustable hook and loop fastener strap in the back. You'll be keeping cool while watching every shot in the comfort of this Ryder Cup visor.
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Special event items are produced by manufacturers only after the outcome of a game or event. These are advanced sale items and will ship immediately after they are received in our warehouse.
Manufacturer direct items are shipped directly from the manufacturer. These items are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.

subset: commoncrawl


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Hair, makeup, and a professional photography shoot for two!
Experience a day in the life of a model with this fantastic makeover experience for two! You and a friend will be given star treatment, with a makeup and hair styling session tailored to the stunning effects you want to achieve. Enter the studio for your photoshoot with a professional photographer. You can try a variety of styles and backgrounds, creating different looks and moods, to find your perfect picture with the real wow-factor. You will then have a viewing session, and are able to select one complimentary print between you, as well as order any further pictures to take home (there is no obligation to buy). Now, are you ready for your close-up?
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Federation Commander
A NEW fast paced board game of starship combat!
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Reloading Drone Racks
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Lieutenant Commander
Joined: 23 Feb 2008
Posts: 203
Location: Euless, Texas
Posted: Sun Mar 23, 2008 3:58 am
Post subject: Reloading Drone Racks
Ok, I know you can reload a drone rack befor eit's empty. But if said drone rack is not empty, and I decide to reload it, can I still fire the drone rack while it's reloading?
Say one of my F5's has 3 drones left in it's drone rack and at the end of the turn it has no internal damage. So, since it has no internal damage, it decides to start reloading its' drone rack; it can't completely reload it since it takes 4 points to reload it and the F5 only has 2. Say this takes place on turn one. Turn 2 comes around and the drone rack still has 3 drones in it, but it also has 2 points put towards reloading it. This would mean that it would have a "partially reloaded" drone rack with 3 drones prepped for launch already and, since it hadn't fired since turn 1 and it's now turn 2, the rack is eligible to be fired again.
"...You're going to burn in a very special level of hell. A level they reserve for child molesters and people who talk at the theater." — Shepherd Book
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Joined: 10 Nov 2006
Posts: 981
Posted: Sun Mar 23, 2008 4:18 am
Post subject:
Rule 5G5, last sentence:
"You cannot reload a rack or launcher (whether it is empty or only partially empty) on a turn that it launched a weapon."
If I recall from some other rulings, starting to reload has all the negatives of actually reloading. So, since your example has the F5 firing on turn 1, it can't start applying the "relaod" points until turn 2, then not fire it again on turn 3 to apply the last two point, which fully reloads it. So the rack won't be reloaded and ready to fire until turn 4.
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Joined: 09 Oct 2006
Posts: 4478
Location: Middle Tennessee
Posted: Sun Mar 23, 2008 4:29 am
Post subject:
Actually, I think that if you have a partially reloaded drone rack, i.e. 2 points of four applied to it and you fire a drone on the following turn, you lose the previously applied points and must start over again on the next turn.
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Lieutenant Commander
Joined: 23 Feb 2008
Posts: 203
Location: Euless, Texas
Posted: Sun Mar 23, 2008 4:41 am
Post subject:
Scoutdad wrote:
Actually, I think that if you have a partially reloaded drone rack, i.e. 2 points of four applied to it and you fire a drone on the following turn, you lose the previously applied points and must start over again on the next turn.
That makes sense.
Sorry for all the 'sudden' questions, but I've been playing for a few weeks now, but I just only obtained a rulebook yesterday so I've been absorbing a lot of reading; a friend of mine was nice enough to give me an old book yay!
"...You're going to burn in a very special level of hell. A level they reserve for child molesters and people who talk at the theater." — Shepherd Book
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Joined: 13 May 2008
Posts: 17
Location: Austin, TX
Posted: Mon Jun 30, 2008 9:35 pm
Post subject: Limit to Drone Reloads?
I think we've been misinterpreting the ship cards of Kzinti ships in our little battlegroup. We saw below each drone rack (on most ships) a block of boxes with numbered rows with four empty boxs in each row. Four drones in each rack -- ah! Must be reloads for the rack above! So we used those boxes to keep track of how many reloads we'd gone through.
Now, after a forum post about the life-span of a drone drove me back to the rules, I realized those are actually damage track for each drone in flight and also used to track the number of turns they've been out.
So... if those do not (as we previously supposed) indicate the number of reloads available for a given ship, then IS there a limit? Or can I keep reloading as needed for as long as a battle requires?
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Posts: 803
Posted: Mon Jun 30, 2008 9:41 pm
Post subject:
There is no limit to the total reloads available. You can keep reloading for as long as the battle lasts.
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Fleet Captain
Joined: 03 May 2008
Posts: 1865
Location: Earth
Posted: Tue Jul 01, 2008 2:03 am
Post subject:
There are scenarios that change that, though.
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Joined: 08 Oct 2006
Posts: 3498
Location: Dallas, Texas
Posted: Tue Jul 01, 2008 3:02 am
Post subject:
The answers have been correct.
If you fire a drone from a rack in the middle of being reloaded, you lose any accumulated repair points.
There is no maximum number of repairs that are allowed, therefore you may reload as long as you have a rack to reload.
And, yes, just about any standard rule can be overridden by a scenario special rule. So, in some special scenarios there may be a limited amount of repair points or a limited number of reloads allowed (including none of either).
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Creighton bolted to a 20-2 lead after six minutes and never trailed in a 91-61 win over Drake on Tuesday night at CenturyLink Center Omaha.
Creighton's ninth straight win propelled the Bluejays to a 15-1 overall record (4-0 MVC), the program's best start since 2002-03. Drake dropped to 6-9 (0-4 MVC) with the setback.
The nation's leader in three-point shooting, Creighton came out firing early by sinking its first three attempts from three-point range and take a 11-2 lead after four minutes. The lead extended to 20-2, and later a 9-0 run made it 39-10 with seven minutes still to play in the first half. By that point, Doug McDermott had made his first six shots and owned 14 points.
CU's lead reached as much as 30 on three occasions (42-12, 45-15 and 47-17) before the Jays took a 49-25 lead into intermission. Creighton shot 19-of-28 in the first half, good for 67.9 percent, including 9-of-13 from downtown. CU owned the glass 24-9, paced by five caroms from McDermott, while also dishing 15 assists. Drake was led by six points from Joey King at the break, but DU shot only 28.1 percent in the opening stanza.
Creighton held a lead of 21 or more the entire second half, and led by as much as 35 (86-51) in the final three minutes.
Junior Ethan Wragge tied his career-high with 22 points to lead Creighton, sinking six three-pointers for the third time this year. Joining him in double-figures were McDermott (16), Jahenns Manigat (13) and Grant Gibbs (10). In addition, Nevin Johnson added a career-best nine points in 12 minutes of action. The Jays shot 64.2 percent for the game, including 59.3 percent from three-point range and 58.3 percent from the line. Creighton dished 28 baskets on its 34 hoops, including nine helpers from Austin Chatman.
CU outrebounded the Bulldogs 40-22, outscored them off the bench 45-31, and in the paint 26-20.
Drake was paced by 17 points off the bench from King, while Jordan Clarke and Micah Mason both scored 11. Preseason All-MVC pick Ben Simons was held to four points, his lowest total since the final game of the 2010-11 season. Simons' league-best streak of 30 straight games with a three-pointer was also snapped at 30. The Bulldogs shot 35.6 percent from the field, 32.1 percent from downtown and 71.4 percent at the line.
Creighton returns to action on Friday with a 7:05 pm game at Missouri State.
NOTES: Creighton's 15 wins are tied for the national lead with Gonzaga, Michigan and Duke, with only Creighton and Duke owning 15 wins vs. Division I competition ...Creighton improved to 10-1 at home this season, the 17th straight season it has won 10 or more home games ...Creighton improved to 61-0 all-time at CenturyLink Center Omaha against teams that enter with a .500 record or worse, and has 71 straight such wins dating to a loss to Drake in 2002 at the Omaha Civic Auditorium ...Creighton's 44 wins since the start of last season are tied with Kansas for third-most nationally, trailing only Syracuse (48) and Kentucky (47) ...This is the fifth time that Creighton has started 4-0 in MVC play since rejoining The Valley in 1977-78, and first time since 2003-04 ...Creighton has made at least one three-pointer in 625 consecutive games ... Creighton has won 24 straight games when tied or leading at halftime ...Gregory Echenique moved into sole possession of fourth place on Creighton's all-time blocked shot list. He entered the night tied for fourth with Brody Deren with 138 swats and had one rejection ...The crowd of 18,073 was fourth-largest in CU history and the team's third straight sellout ...Doug McDermott's 16 points give him 362 this season, most of any player in the nation ...Creighton has made 10 or more three-pointers while shooting 50 percent from three-point range in all four MVC games, the first time in program history its done that in a four-game stretch. The Jays are shooting 53.1 percent from three-point range in MVC play this year (52-98) ...Ethan Wragge is now fifth in CU history with 189 career three-pointers, passing Matt Roggenburk (185) ...Creighton never trailed, the 40th time in 164 all-time games at CenturyLink Center Omaha that's happened. Creighton hasn't trailed in six of its 16 games this season.


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Digital photography has become a bit of an obsession lately. According to Instagram, more than 6 million photographs are uploaded to the popular social media site each day. This incredible number grows by leaps and bounds each day as more people use their smartphones and digital cameras to upload and share the images they capture.
Food Blogs – The New Way To Share Favorite Recipes
From beauty and fashion, to homemade crafts, baking cakes and cooking, and everything in between, there's a niche for everything on the internet. Trends come and go, but if there's one topic people love to discuss daily it's food. Trouble is, capturing a great photograph of food is tricky. For a professional look in your food blog photos there are a few essential tips which will take your food photos from humdrum to yum-yum! You can even call upon some of these tricks with your smartphone when you're out at a restaurant with friends and you want to upload the experience to Yelp or Facebook.
Easy Ways to Make Your Food Photos Appetizing
- Keep it Natural – Chances are, if you're just starting out as a food blogger, you don't have a professional grade digital camera with a slew of different lens and exposure options. That's okay! Lighting is the number one secret to a great food photograph and there's no better light source than the natural light provided by the sun.
- When working with natural lighting you may want to consider the white balance of your camera because sometimes the soft, natural light of daylight can cast a bluish tint to white objects. This is easily adjusted with the white balance of your camera, when focused upon something white such as a napkin or piece of paper.
- Location, Location, Location – Place your delectable food near a sunny window, or go outside on the patio to take advantage of the late-afternoon rays. Get creative with setting up your shot when calling upon the soft, natural light of the sun. Many professional cookbook images were captured without filters and light boxes, using only the natural light of the sun. Your food will have that just-served-at-a-party feel to it that makes it look even more appetizing.
- Less is More – Because your tasty dish is the central focal point of the image it's important to keep the picture as uncluttered as possible. This means using only a few dry ingredients as props in the shot, or just a single place setting to really frame the meal.
- Tasty Angles – For a salad or appetizer that doesn't really have a distinct point of focus, it's advisable to shoot the plate from above to take in the entirety of the plate without drawing the eye to any one place in particular. Otherwise a good rule of thumb is to use an angle around 45 degrees, not straight on, and not straight above, but just about three-quarters in between. When working on the composition of the photo, try to keep it interesting and uncluttered. Remember the focus is on the food and making it look as appetizing as possible.
- Pretty, Neat – Keep several varieties of plates, bowls, saucers, and other serving options on hand, but don't worry about buying matching sets for several guests. The idea here is to have as many options as possible to keep your photographs looking interesting, elegant and professionally composed. White, or plain place settings work best for obtaining a professional look in your blog photos. Also, make sure to clean up any spills, smears, or sauce puddles before taking a picture of the meal to keep it looking tasty instead of hasty.
- Timing Is Essential – Keeping meat and vegetables looking tasty and appetizing is difficult in food photography. One of the secrets the pros use is to set up the shot early, setting up the camera on a tripod with the best angle of lighting. Then, before the meat or veggies are fully cooked, the pictures are snapped while the food still looks most appealing. Once the ideal shot has been captured the food is cooked the rest of the way through.
Have Fun With Your Food
There are some serious challenges to photographing food, especially meat and vegetables. It takes a lot of creativity and close attention to things photos don't normally address. To keep your food looking as attractive as possible, don't be afraid to call upon tools like a glaze of vegetable oil or a misting of water to give some texture and appeal to the image. Play with your angles, props, and accessories to get the most appetizing look to your food, and it's always wise to have a tripod handy to keep the shot steady and sharp.


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Diltiazem Hydrochloride CD Side Effects
Generic Name: diltiazem
Note: This page contains information about the side effects of diltiazem. Some of the dosage forms included on this document may not apply to the brand name Diltiazem Hydrochloride CD.
Not all side effects for Diltiazem Hydrochloride CD may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.
For the Consumer
Applies to diltiazem: oral capsule extended release, oral capsule extended release 12 hr, oral capsule extended release 24 hr, oral tablet, oral tablet extended release
Other dosage forms:
In addition to its needed effects, some unwanted effects may be caused by diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD). In the event that any of these side effects do occur, they may require medical attention.
You should check with your doctor immediately if any of these side effects occur when taking diltiazem:More common
- Body aches or pain
- congestion
- cough
- dryness or soreness of throat
- fever
- hoarseness
- runny nose
- tender or swollen glands in neck
- trouble in swallowing
- voice changes
- Chest pain or discomfort
- chills
- diarrhea
- difficult or labored breathing
- feeling faint, dizzy, or lightheaded
- feeling of warmth or heat
- flushing or redness of skin, especially on face and neck
- general feeling of discomfort or illness
- headache
- joint pain
- loss of appetite
- muscle aches and pains
- nausea
- shivering
- shortness of breath
- slow or irregular heartbeat
- sore throat
- sweating
- swelling of hands, ankles, feet, or lower legs
- tightness in chest
- trouble sleeping
- unusual tiredness or weakness
- vomiting
- wheezing
- Blistering, peeling, or loosening of skin
- itching
- large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- no heart beat
- red irritated eyes
- red skin lesions, often with a purple center
- sores, ulcers, or white spots in mouth or on lips
Some of the side effects that can occur with diltiazem may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:More common
- Sneezing
- stuffy nose
- Acid or sour stomach
- belching
- constipation
- continuing ringing or buzzing or other unexplained noise in ears
- degenerative disease of the joint
- difficulty in moving
- hearing loss
- heartburn
- indigestion
- lack or loss of strength
- muscle aching or cramping
- muscle pains or stiffness
- pain or tenderness around eyes and cheekbones
- rash
- sleeplessness
- stomach discomfort, upset, or pain
- swollen joints
- unable to sleep
- Hair loss or thinning of hair
For Healthcare Professionals
Applies to diltiazem: compounding powder, intravenous powder for injection, intravenous solution, oral capsule extended release, oral tablet, oral tablet extended release
Diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD) was generally well-tolerated. Serious side effects have been rare during studies; however, patients with impaired ventricular function and cardiac conduction abnormalities have generally been excluded from these studies. Side effects were usually dose-related and of mild to moderate severity.
Cardiovascular side effects have included asymptomatic hypotension (4.3%), atrioventricular (AV) block (up to 4%), bradycardia (up to 3.6%), first-degree AV block (up to 3.3%), symptomatic hypotension (3.2%), vasodilation (up to 3%), palpitations (up to 2%), and extrasystoles (up to 2%). Angina, angina pectoris, arrhythmia (including junctional rhythm or isorhythmic dissociation), atrial fibrillation, atrial flutter, AV block (second- or third-degree), bundle branch block, sinus bradycardia, bigeminal extrasystole, congestive heart failure, electrocardiogram abnormalities, hypotension, postural hypotension, hypertension, myocardial infarct, myocardial ischemia, sinus pause, sinus node dysfunction, tachycardia, phlebitis, ST elevation, vasodilatation, ventricular arrhythmia, ventricular fibrillation, ventricular tachycardia, and ventricular extrasystoles have been reported in less than 2% of patients. Sinoatrial depression, atrioventricular depression, sinoatrial heart block, and several cases of sinus arrest, atrioventricular dissociation, and junctional bradycardia have been reported. A case of nodal bigeminy progressing to complete heart block has also been reported. Events such as myocardial infarction, which are not readily distinguishable from the natural history of the disease, and asystole have been reported during postmarketing experience.
Nodal bigeminy progressing to complete heart block has been reported in one cardiac patient who ingested a large amount of diltiazem in a suicide attempt.
Other side effects have included peripheral edema (up to 15%), lower limb edema (up to 8%), pain (up to 6%), infection (up to 6%), asthenia/fatigue (up to 4.8%), edema (up to 4.6%), influenza syndrome (up to 2.3%), and abdominal enlargement (up to 2%). Increased weight, fever, chest pain, malaise, flushing, pallor, abdominal pain, neck pain, ear pain, otitis media, accidental injury, and unevaluable reaction have been reported in less than 2% of patients.
Nervous system
Nervous system side effects have included dizziness (up to 10%) and headache (up to 8.9%). Amnesia, abnormal thinking, gait abnormality, hallucinations, insomnia, neuropathy, paresthesia, somnolence, syncope, tinnitus, vertigo, hypertonia, and tremor have been reported in less than 2% of patients. Dysosmia, dysgeusia, sensory loss, at least one case of acute Parkinsonism, and at least 2 cases of hyperactive symptoms or akathisia have been reported. Myoclonus has also been reported. Extrapyramidal symptoms have been reported during postmarketing experience.
A 62-year-old man with diabetes mellitus, congestive heart failure, and aortic stenosis developed uncontrollable hyperactivity within 24 hours after starting diltiazem. The akathisia was unresponsive to antihistamines and sedatives, and only resolved after discontinuation of diltiazem. A rechallenge was positive.
Respiratory side effects have included rhinitis (up to 9.6%), dyspnea (up to 6%), pharyngitis (up to 6%), bronchitis (up to 4%), increased cough (up to 3%), sinusitis (2%), and sinus congestion (up to 2%). Epistaxis, nasal congestion, respiratory distress, and respiratory disorder have been reported in less than 2% of patients. At least one case of eosinophilic pleural effusion that resolved following discontinuation of diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD) has been reported.
Gastrointestinal side effects have included dyspepsia (up to 6%), constipation (up to 3.6%), nausea (up to 2.2%), vomiting (up to 2%), and diarrhea (up to 2%). Anorexia, colitis, dry mouth, dysgeusia, flatulence, gastrointestinal hemorrhage, stomach ulcers, tooth disorder, eructation, taste perversion, and thirst have been reported in less than 2% of patients. At least one case of reversible, functional intestinal obstruction and paralytic ileus has been reported. At least one case of Intestinal obstruction and epigastric pain has been reported. Gingival hyperplasia has been reported during postmarketing experience.
A 72-year-old man developed gingival hyperplasia while receiving diltiazem. The hyperplasia recurred after surgical removal, and disappeared without recurrence after diltiazem was discontinued.
A 76-year-old man with CHF and an uncomplicated inguinal hernia developed epigastric pain, nausea, and vomiting associated with an unchanged ECG within 2 hours after starting diltiazem. Plain abdominal X-rays were suggestive of intestinal obstruction. The patient recovered within 24 hours after nasogastric suction, discontinuation of oral intake, and discontinuation of diltiazem. Rechallenge was not done.
In reported cases of acute generalized exanthematous pustular dermatitis, the rash developed 10 to 20 days after initiating diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD) therapy and resolved after discontinuation of the drug.
Dermatologic side effects have included rash (up to 2%). Petechiae, photosensitivity, contact dermatitis, pruritus, sweating, skin hypertrophy (nevus), and urticaria have been reported in less than 2% of patients. Rarely, acute generalized exanthematous pustular dermatitis (at least 3 cases), subacute cutaneous, and lupoid lesions have been reported. At least 6 cases of photodistributed hyperpigmentation have been reported. Acute generalized exanthematous pustulosis, alopecia, erythema multiforme, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, photosensitivity (including lichenoid keratosis and hyperpigmentation at sun-exposed skin areas), and cases of generalized rash (characterized as leukocytoclastic vasculitis) have been reported during postmarketing experience.
One patient developed both renal and hepatic failure while taking diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD) Although the drug was discontinued and renal and hepatic function were improving, the patient developed cardiogenic shock and died.
A 61-year-old man with hypertension and angina pectoris presented with fever and a generalized rash associated with hepatomegaly, a mild leukocytosis, thrombocytopenia, and elevated liver function tests. An infectious etiology was not found. After all of the patient's medications were continued except for diltiazem, his signs and symptoms resolved within six days. A macrophage inhibitory factor test and mast cell degranulation test done in the presence of diltiazem were positive.
Hepatic side effects have included mild elevations of SGOT and SGPT in less than 2% of patients. Mild and transient increases in liver function tests have been reported. Rarely, granulomatous hepatitis and hepatorenal failure have been reported. Extremely rarely, acute hepatitis has been reported. A case of jaundice associated with elevated serum transaminases has been reported.
A 58-year-old man with hypertension, coronary artery disease, and hypercholesterolemia developed acute and generalized extremity weakness and chest pain while receiving diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD) lovastatin, nitrates, and enalapril. The patient's muscles were tender to palpation. An ECG was unchanged. With normal liver and thyroid function tests, lovastatin was discontinued, but the patient's creatine phosphokinase (CPK) levels remained elevated (all CPK-MM) and the patient's symptoms persisted. There was no evidence of a connective tissue disease, rhabdomyolysis, or renal failure. The patient refused muscle biopsy. Upon discontinuation of diltiazem, the signs and symptoms of myopathy rapidly resolved, even after lovastatin was readministered. All signs and symptoms recurred upon rechallenge with diltiazem.
Musculoskeletal side effects have included back pain (up to 2.9%), myalgia (up to 2.3%), and gout (up to 2%). Muscle cramps, neck rigidity, arthralgia, arthrosis, bursitis, bone pain, and osteoarticular pain have been reported in less than 2% of patients. At least one case of acute myopathy has been reported.
Metabolic side effects have included hyperglycemia, hyperuricemia, mild elevations of lactate dehydrogenase, mild elevations of alkaline phosphatase, and increased creatine phosphokinase in less than 2% of patients. Insulin resistance, diabetes-like symptoms, a case of attenuated hypoglycemia and symptoms of hypoglycemia, a case of polyuria, polydipsia, and elevated blood glucose, a case of frank hyperosmolar nonketotic hyperglycemic coma, a case of insulinoma, and at least one case of metabolic acidosis and hyperkalemia have been reported.
A 72-year-old man with coronary artery disease and esophagitis developed a urticarial rash and jaundice associated with elevated serum transaminases, metabolic acidosis, and hyperkalemia. The patient died of cardiogenic shock complicated by pulmonary edema.
A 46-year-old woman with insulinoma demonstrated suppressed serum insulin levels after diltiazem 44 mg intravenously was administered. The patient was subsequently treated with orally administered diltiazem, with a significant decrease in the frequency of hypoglycemic attacks.
A 42-year-old man with a history of hypertension developed a generalized erythematous, purpuric rash associated with mucosal ulceration, fever, and elevated liver function tests within two days after starting diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD) A skin biopsy revealed histology consistent with Stevens-Johnson syndrome or severe erythema multiforme. The rash and liver function tests gradually resolved after discontinuation of diltiazem and institution of corticosteroid therapy. An extensive evaluation failed to reveal an infectious source.
Hypersensitivity side effects have included allergic reaction (less than 2%). Erythematous rash, urticarial rash, and, rarely, cutaneous vasculitis and purpuric rash have been reported. Angioedema (including facial or periorbital edema) has been reported during postmarketing experience.
Psychiatric side effects have included nervousness (up to 2%). Abnormal dreams, depression, and personality change have been reported in less than 2% of patients. Reversible mania, acute psychosis, and at least one case of auditory and visual hallucinations, paranoia, and misinterpretations have been reported.
A 72-year-old woman with hypertension and angina pectoris developed auditory and visual hallucinations, paranoia, and misinterpretations within two days after beginning diltiazem. In the absence of any other obvious cause, the diltiazem was stopped, and her psychosis resolved over the next three days. Nifedipine was successfully substituted.
A 23-year-old man with a carotid aneurysm and delirium developed an increased bleeding time (15 minutes) after starting aminocaproic acid, phenobarbital, and diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD) His bleeding time resolved to his pretreatment time of 6 minutes after diltiazem alone was discontinued.
A 61-year-old man with hypertension and angina pectoris presented with fever and a generalized rash associated with hepatomegaly, a mild leukocytosis, thrombocytopenia, and elevated liver function tests. An infectious etiology was not found. After all of the patient's medications were continued except for diltiazem, his signs and symptoms resolved within six days. A macrophage inhibitory factor test and mast cell degranulation test done in the presence of diltiazem were positive.
Hematologic side effects have included platelet dysfunction and at least one case of mild leukocytosis. Hemolytic anemia, increased bleeding time, leukopenia, lymphadenopathy, purpura, and thrombocytopenia have been reported during postmarketing experience.
Ocular side effects have included conjunctivitis (up to 2%). Amblyopia, eye irritation, eye hemorrhage, and ophthalmitis have been reported in less than 2% of patients. Retinopathy has been reported during postmarketing experience.
Genitourinary side effects have included impotence (up to 2%). Albuminuria, crystalluria, cystitis, kidney calculus, dysmenorrheal, nocturia, polyuria, sexual difficulties, vaginitis, prostate disease, gynecomastia, and urinary tract infection have been reported in less than 2% of patients.
A 53-year-old man, with hypertension and ischemic heart disease, developed a rash and acute renal failure associated with elevated liver function tests following a single dose of diltiazem (the active ingredient contained in Diltiazem Hydrochloride CD)
Several case reports have been published describing renal failure, which appear to be related to diltiazem. A 72-year-old man with coronary artery disease and esophagitis developed a urticarial rash and jaundice associated with elevated serum transaminases, metabolic acidosis, and hyperkalemia. The patient died of cardiogenic shock complicated by pulmonary edema.
Renal side effects have included kidney failure and pyelonephritis in less than 1% of patients. Acute renal failure has been reported.
Local side effects have included injection site reactions (e.g., itching, burning) in 3.9% of patients.
More about Diltiazem Hydrochloride CD (diltiazem)
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I'm going to post this in a format I believe was suggested by Ghostcrawler on the beta forums, which is the following (but I couldn't find the quote):
We cannot X. Well we have Y. Y does not serve this function because of Z.
That is this:
I have spent a fair amount of 3.0 OTing in pugs, generally because my Warriors gear isn't quite as good as whoever I'm pugging with. That being said, I still feel I have a decent feel for the role as a 3.0 warrior, and I have to say I think that warriors make poor OTs. (I am assuming with the new design philosophy that we should OT as well as anyone).
Here's why:
What we got in 3.0 (and wotlk) to OT better:
1) Better rage intake from better white damage (str on gear, more damage tuned into the prot tree)
2) Better scaling on gear.
3) Less rage starvation.
Why I think we cannot OT that well:
For the sake of this discussion I'm going to assume a warrior is my main tank (because it's a good baseline, and still probable) and I will make comparisons to bears (the quintessential OT) in terms of capability. My boss of choice will be a boss like Hydross, where threat-based transition is important but the OT is taking little to no direct damage.
As posted previously, the best threat rotation for a MT warrior looks like this:
Revenge->Shield Slam->Devestate->Devestate+Heroic Strike and with a priority on Sword & Board.
Of that rotation, i cannot use the following while OTing a boss such as hydross:
1: Revenge. My best threat move every 4th GCD is now gone, I am not being swung at. Even on Gruul, it's not enough to be able to use. There goes a good chunk of my scaling, DPS based threat.
2: Heroic Strike: While MTing a boss (at least one that hits hard and you don't overgear), you should never see white swings. With plenty of rage, Every swing should have a HS attached. However while OTing, white swings are the only source of rage (no, I'm not counting the glyph, but the glyph is still significantly less rage than white swings).
Additionally, I lose the Imp Def stance enrage, for a -12% damage reduction, which probably evens out to sometihng like 8-10% less threat provided the same rotation.
This is where the comparison to bears is most apt: Built into the feral tree is a way to turn yellow damage into rage. At a certain gear point, bears no longer have rage problems, which is why bears can use a full threat rotation including Maul (their heroic stike) while warriors cannot.
In the end, the fundamental reasons that a warrior cannot OT is:
Warrior threat is still based entirely around getting hit.
1) There is no way to turn yellow damage into rage, despite prot doing 90% of its job through yellow damage as well as a significant portion of its dps.
2) Warrior damage and threat (through enrage and revnege) also requires getting hit.
Suggestions to make this work:
I'm assuming that we should be able to OT as deep prot.
There needs to be a talent that converts yellow damage into rage (pefereably deep prot).
Also, either damage/threat needs to transfer from revenge -> another skill (i would love to see it on Devestate) or there needs some way to use revenge regularly while not taking swings (not intervene).
Thoughts? Comments? concerns? Feedback from Beta testers is welcome and encouraged.
BTW I do think this is a concern on par with MT concern. I for one would love to OT wotlk, partially because the role isn't as stressful from a guild attendence/management level (I can have RL conflicts with raiding, and I would prefer to OT for that reason).
I'm going to nitpick at this in that you are saying we -cannot- do it. Yes, we can, we just aren't as good as druids.In the end, the fundamental reasons that a warrior cannot OT is:
Warrior threat is still based entirely around getting hit.
1) There is no way to turn yellow damage into rage, despite prot doing 90% of its job through yellow damage as well as a significant portion of its dps.
2) Warrior damage and threat (through enrage and revnege) also requires getting hit.
As much as I would love to see a talent which translates yellow damage into rage, I have yet to find myself while off-tanking in a situation where it's been necessary.
While we may not have revenge or our enrage available (unless we are in a fight where a cleave must be shared), the threat we generate using Devastate and Shield Slam is quite powerful on their own as well as the option of slapping Vigilance on your MT if they're leaps and bounds higher than your dps (which they should be on any boss fight). There is quite often unavoidable aoe elements at current which help stock your rage bar up which lets you blow them on your other skills such as Shockwave and Concussion blow.
If at 80 this is a different story and we simply do not scale as fast as our DPS does I would see a real need for a fix to our rage mechanics as a whole (A post was made on the beta forums a while back which highlighted these problems amazingly well) rather than a bandaid talent solution (like Armored to the Teeth was for plate itemisation). Not saying I wouldn't like to see a rage fix now but I wouldn't hold my breath.
If a warrior uses all of his abilities and skills to the fullest. There are several ways of remedying situations like that with our new tools:
1. Berserker Rage. No longer only a berserker stance exclusive and can thus be used freely on bosses or trash groups that deal AoE oriented damage (many).
2. Warbringer. Instant rage.
3. Blood rage. Instant rage.
4. Mocking blow. Forces the mob to focus on you for several seconds which means an opportunity to proc revenge.
I think you're looking at a very narrow problem that will hopefully not show its ugly face too often.
We have several new tools to utilize, but you must still keep an active communication with whoever is assigned as "MT" (gawd, ugly word). Make sure he does not include mob A and B into his threat tree and I think you should be perfectly fine. I have yet to come into a situation where I am actually trying to pull a mob away and not getting it to work. Mocking blow is an awesome ability in those situations that I think alot of people forget about.
From my experience when i'm ot now rage is not such a big problem tbh and i usually have about 1500+ threat with devastate,shield slam and heroic strice at 50+ rage. Its realy the same rotation as usual except for no revenge and less heroic strikes/shield slams.
You mention hydros as an example, but since he resets aggro on transition you can just white swing him on the first phase and be on a full rage bar when you have to pick him up. Otherwise bloodrage,charge or even aggro an elemental for some dmg.
As it is now i personaly dont see a problem in warriors ot'ing, but wotlk raids may prove me wrong. Time will tell.
Devastate + Shield slam + Slow dps weapon
Is what most were using before this patch, off tanking as a warrior is doable and not as bad as you make it out. If you are offtanking chances are you can swap in some hit gear but even thats not needed. I offtanked gruul on my karazhan geared warrior (no kings defender, i used the 1h 2.6 speed axe from mgt). I only lost one feral druid who shouldn't have been dpsing I also got 0 miss directs.
So while gruul there is some aoe damage there is always some extra damage in melee range (like bloodboil's cleave) the encounter will accomidate prot warriors dont ever think it wont as your just fooling yourself..
Well their are a couple of good suggestions here, but i'd like to point a few things out:
1) Beserker rage doesn't generate rage if your not taking damage
2) Warbringer generates rage, but requires gimping ur tps as you run out
3) Mocking blow does not work on most bosses.
My main concern wasn't that we couldn't do it on fights with cleaves (like linx or bloodboil), but on fights like hydross. The last time i did hydross we just tanked him till he 2 shot the tank, then he preceded to 2 shot people until downed. I tried to pull off the warrior tank, but i wasn't even close.
I can't use HS unless after a revenge, cause it's hard on my rage bar, and white damage is my source of rage.
Yes, using a slower weapon would help (WTB normalized devastate).
I do think it can be done, especially with better players/playstyle than that found in the pug. But mostly, that requires the MT caping his or her dps and tps in order for you to keep up, because as an OT you can't keep the same rotation up unless there's a shared cleave. Even with aoe damage, your still dropping enrage and revenge.
This is different then say a druid, who can go head to head with a MTing warrior thoughout the fight because the druid can maintain 100% of his rotation/damage in an OT roll.
I just find oting irritating cause its often very raged starved. And the disparity between druid/warrior in 3.0 feels a little like the paladin/warrior pre-3.0 aoe tanking disparity, rather than the current paladin/warrior one.
I've seen some really cool things done (including raid saving ones) done by druids in raids pre-3.0. I'd like to see warriors a little closer.
First off your tacticks on hydros wrong, very wrong. But i get it, last time in ssc i tanked hydros the whole fight without any resistance gear and he just rolled over, so yeah people are using different strats on bossfights now.
But if you had done the fight as it was intended with frost/nature gear and dps not nuking in transitions so the 2 tanks could get aggro first. Rage would not have been an issue and offtanks would be tanking elementals. I dont want to bash your thread since ot threat is something that should be discussed, but using hydros as an example is making up a poblem that dont exists.
I have tried to find a fight where the ot had to be 2.nd on threat (gruul,VR,bloodboil kind of fight) and not taking any kind of damage, but i cant find one in tbc. I have not been in swp so maybe there is some fight there, but even then its a minimal problem. Warriors are fine imo and i have yet to find a fight where i'm restricted from a sertain role because of my class after 3.0.
I still find it hilarious that people want solutions that seem to cater to the "no-brainer balls out button mashing"-crowd. If you are doing tank transitions then by Kel'Thuzad's soiled pants you should have a stable communication going between the tanks. The person that a mob is focused on will always generate the most threat, period.
If you need to have a transition going, then plan it out and communicate. If you need to divide trash to spread the damage out, make sure the puller does not slap a monstrous amount of threat onto your mob or mobs. Taunting mobs works perfectly fine in most situations and mocking blow adds another factor since it affects some untauntable mobs.
For crying out loud it should at least be so challenging that a person needs to utilize his perception, awareness and tactical thinking.
I see alot of whining going on where people want it to be even easier, where's the fun in that?
I see most people talking about Warrior OT threat. What I am most concerned about it Warrior OT damage. I think that a Warrior OTing can generate more than enough threat to stay #2, given the tools available.
What I still find hard to do when I am OTing, is to put up (for lack of a better word) respectable DPS. When MTing I can get out 800 DPS pretty regularly over the course of an entire instance. While OTing, I can barely put out 400 DPS, just due to the nature of our class. As stated, a few of our hardest hitting abilities are not available when we are not getting hit. Not only from lack of rage, but due to the way the abilties work. Revenge only activates after we block, dodge, or parry an attack. When OTing, these will rarely happen, if ever. Damage shield also provides a decent amount of damage, depending on how many mobs, and the attack speed of the mobs.
I don't think other classes have as many restrictions on their abilities, although I am not an expert. Druids as far as I know, only need to have rage available to perform their abilities and do not need to wait on procs such as Revenge.
Failure is not an option. It comes bundled with the software.
Something that might be underrated for OT is Improved Spell reflect. I don't think Paladins or Druids have much in terms of magic mitigation (could be wrong), but this allows warriors to help them out a little, if they are the MT. The change in how spell reflect handles threat will help in an OT role, as well (threat goes to whoever the spell was cast at).
Oddly enough, I actually think Warrior's might be too good at off-tanking, and might be pigeon-holed into that role; this was something of a concern of mine when they released the current Vigilance, before the buffs to Sword and Board and such went in.
We do lose a good deal of damage because of the loss of Revenge and Enrage, although we should be able to get at least partial use out of those attacks on fights like Gruul (see: Patchwerk). What we do gain, though, is the ability to piggyback 10% of the main tank's threat... which is enormously helpful on fights like Bloodboil where you want the tanks to stay within a certain threat distance of each other. Even on fights where we can't use Heroic Strike/Revenge/Enrage, the ability to steal 10% threat from a tank means we can both easily stay above the DPSers.
There exists an answer to this problem that many warriors won't like. Spec for OTing. Talents like Improved Bloodrage, Puncture and Gag Order can help out your dps/threat a lot. And since we're talking about situations where you won't be taking much (any) damage, you can afford to drop talents like Damage Shield and Improved Revenge.
But if you absolutely cannot respec for OTing (mid raid?) Change up some of your gear. Put on a piece or two of DPS gear. Its true that if your MT drops and you're tanking now, these pieces of dps gear will be a hindrance. But its a value judgement you'll have to make if you want to maintain threat along with the MT.
You could put Vigilance on the MT, but that may not be appreciated what with the MTs minor drop in threat. But if the MT is also a warrior, try putting Vigilance on each other. You'll be leeching more threat than you transfer back to the MT but you'll be able to keep much closer in threat, and you'll both get the benefits of the 3% DR.
also, on this subject, blizz only said they wanted to make all 4 tank classes equally qualified to MAINTANK bosses. i, at least, see that as a statement of, they aren't gonna try and balance offtanking abilities at all. which is why paladins still have almost the same problem as warriors, minus possible usage of seal of blood/martyr to OT with. once again from my own perspective at least, paladins as offtanks have even more trouble offtanking than warriors do.


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what are you trying to do? heroics or 10 mans?
you're dps is decent for your gear right now, a fast weapon will increase dps a bit.
expertise> hit imo i don't have any numbers on that though. also the spike will be better for damage and threat than 40 sbv.


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Experience Michiana: October 22nd, 2012
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Episode #256
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- October 22, 2012


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text: Suzanne Somers takes 60 supplements every day (as seen on Oprah's bioidentical hormones show). We know that's excess, but how many supplements should you take? How many supplements is too many supplements? National Nutrion Month gives us reason to pay attention and keep track of those vitamins and minerals. This recipe can help.


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Women's Tennis
Freeman Memorial Championships
Sun., Jan 19
All day
All day
Watch Info
Not Available
Not Available
Not Available on App
Not Available on App
Not Available on App
More: Freeman Memorial Championships - Women's Tennis
Main Draw Action at Riviera Begins Thursday
Bruin women's tennis players looking for titles at one of the fall's biggest tournaments.
Tennis Teams Kickoff Fall Action at ITA All-American Championships
Men's and women's tennis players begin play at one of the biggest tournaments of the year.
Women's Tennis Players Listed in Fall ITA Rankings
The Bruins have four singles players and two doubles teams ranked to start the year.
Four Bruins to Compete in Inaugural American Collegiate Invitational
Marcos Giron, Clay Thompson, Mackenzie McDonald and Jennifer Brady will be in action in New York.
Brady Falls in U.S. Open Qualifying
Bruin sophomore drops a tough three-set match in New York on Wednesday.
CWSA Behind-the-Scenes with UCLA
Take a look behind the scenes as Honda Award winners Robin Anderson and Abby Dahlkemper take in the events surrounding the Collegiate Women's Sports Awards. (Courtesy of UCLABruins.com)


text: Obituaries | Bemidji Pioneer Skip to main content Login Register Classifieds CarsHQ JobsHQ HomesHQ ApartmentsHQ Classifieds Marketplace Bemidji Pioneer Search Search Sections HomenewsDaily arrests for Nov. 21-24HeadlinesCrime report for Nov. 21-24A life of law and order: BSU graduate realizes goal of becoming a police officerCouple accused of sitting in bar, while kids sat in carUPDATE: Freezing Rain AdvisoryMore Topicsbusinesseducationlocalregion sportsMEN'S HOCKEY: Bowling Green finishes off sweep, beats Bemidji State 3-2HeadlinesThis week at Bemidji High School: Winter has arrived for sports teamsMEN'S BASKETBALL: BSU leads from start to finish in 69-58 win over VibertoMEN'S HOCKEY: Bemidji State drops fifth straight as Bowling Green wins 3-1WOMEN'S BASKETBALL: Bemidji State rallies back to topple Mayville State 82-76More Topicsaxemenbeaverslumberjacks obituariesEdward Melvin Perkins, Jr. (Dewey)HeadlinesRichard N. LeachScott Michael FisherJoe L. BlankBrigitte E. Wokal columnsHeadlinesJohn Eggers: How do you say 'Thank You'?Patrick Guilfoile: Muddled? Blame an algae virusJohn Eggers: Are your Christmas catalogs piling up?Evan Hazard: Then we bought a new '03 PriusDoug Lewandowski: Caving in entertainmentHeadlinesPioneer Previews: Holiday Showcase today at BHS Performing Arts CenterArt briefs - Sunday Nov. 23Neilson Foundation grants Watermark $150K for move Pioneer Previews: A busy arts sceneMOVIES: New releases to hit around ThanksgivingMore Topicsartmusictheaterwriting outdoorsHeadlinesBlane Klemek: Birds of a feather. . . Blane Klemek: Coyotes are fascinating animals that are both revered and despisedBlane Klemek: Let the deer feed naturallyBlane Klemek: Unique features of the Clark's nutcrackerPaul Nelson: Surface water temperatures drop in Bemidji area lakesMore Topicsfishinghuntingenvironment celebrationsNiskanen birthday celebrationHeadlinesErickstad-Simpson weddingMann anniversaryBelcher-Bradseth wedding announcement Watkins birthday celebrationMore Topicsanniversariesbirthdaysengagementsweddings opinionHeadlinesBob Franken: Squawking and talkingDon't just throw bullets at things in the woodsMedia boycott of Obama's speech irresponsiblePeterson just trying to do the right thingTeen Health Fair was a rousing successMore Topicscommentaryeditorialletters Weather Forecast Close Forecast Radar obituaries Place an ObituaryObituary Guidelines November 23, 2014 Richard N. Leach Richard N. Leach Born March 14, 1931 in Bemidji, MN. Died November 13, 2014 St Louis Park, MN at age 83. Proceeded in death by his parents, Vivian and Harry Leach, sister Barbra Skelton, daughters Ann Brady and Rebecca Hicks. Survived by sons John and Tim (Katy) Leach; grandchildren...23 hours 58 min ago Advertisement Edward Melvin Perkins, Jr. (Dewey) B. January 20, 1956D. November 20, 2014 Edward Melvin Perkins, Jr. (Dewey) Edward Melvin Perkins, Jr. (Dewey), 58 of Red Lake, MN died Thursday, November 20, 2014 at the Red Lake Hospital. Funeral services will be at 1:00 pm, Monday, November 24, 2014 at St. Marys Catholic Church in Red Lake, Minnesota. A wake will begin...23 hours 58 min ago Scott Michael Fisher B. November 8, 1957D. November 21, 2014 Scott Michael Fisher Nov. 8, 1957 - Nov. 21, 2014 GLENWOOD, Minn. - Scott Michael Fisher, 57, Glenwood, formerly Bemidji, Minn., died Friday in his home. Services will be held in the spring. Arrangements by Hoplin-Hitchcock Funeral Home in Glenwood.November 23, 2014 - 7:47pm Advertisement November 22, 2014 Joe L. Blank B. June 22, 1937D. November 20, 2014 Joe L. Blank Joe Louis Blank, 77, of Red Wing formerly of Bemidji, died Thursday, November 20, 2014 at the Red Wing Health Center. He survived by his loving wife, Carol; four children, Joseph (Donna Gregg) Blank of Red Wing, Leonard (Dawn) Blank of Farwell, Minn., Jane (Lance)...November 22, 2014 - 7:57pm Brigitte E. Wokal B. November 1, 1937D. November 21, 2014 Brigitte E. Wokal Brigitte E, Wokal, 76, of Bemidji, MN died Friday, November 21, 2014 at Havenwood Care Center in Bemidji. Private memorial services will be held at a later date. She was born November 1, 1937 in Danzig, Germany. She married Leonard Wokal April 6, 1962 in Germany;...November 22, 2014 - 7:57pm Edward Melvin Perkins, Jr. B. January 20, 1956D. November 20, 2014 Edward Melvin Perkins, Jr. Jan. 20, 1956 - Nov. 20, 2014 RED LAKE, Minn. - Edward Melvin Perkins, Jr., 58, Puposky, Minn., died Thursday in Red Lake Hospital. A wake will begin 2 p.m. Sunday at the Red Lake Center and continue until the funeral at 1 p.m. Monday at St. Mary's Catholic...November 22, 2014 - 7:47pm November 21, 2014 Virgil H. Frieden B. October 13, 1939D. November 13, 2014 Virgil H. Frieden Oct. 13, 1939 - Nov. 13, 2014 BEMIDJI, Minn. - Virgil H. Frieden, 75, Bemidji, died Thursday in Sanford Medical Center. Visitation will be from 2:30-3:30 p.m., followed by the funeral at 3:30 p.m., Friday (Nov. 21) at Cease Funeral Home Chapel in Bemidji. The Cass...November 21, 2014 - 7:47pm Advertisement Robert A. Falk B. June 3, 1926D. November 13, 2014 Robert A. Falk June 3, 1926 - Nov. 13, 2014 BEMIDJI, Minn. - Robert A. Falk, 88, Hagali Township, Minn., died Thursday in Havenwood Care Center. Services were previously held. Burial in Lakeview Cemetery in Blackduck, Minn. Arrangements by Cease Funeral Home in Blackduck.November 21, 2014 - 7:47pm November 20, 2014 Kenneth Stevens B. April 10, 1928D. November 18, 2014 Kenneth Stevens Kenneth Stevens, 86, of Solway, MN passed away Tuesday, November 18, 2014 after a long battle with cancer. Funeral Services will be Saturday November 22, 2014 at 2:00 at the Solway Bible Chapel in Solway, MN with visitation one hour prior to the service. Interment...November 20, 2014 - 7:57pm Vernice E. Olson B. December 15, 1949D. November 15, 2014 Vernice E. Olson Vernice E. Olson, 64, of Bemidji died Saturday, November 15, 2014 at Manor Care Health Service in Fargo, ND. Private family services will be held at a later date. Vernice Eloise Olson was born December 15, 1949 to Wilfred and Evelyn (Rognstad) Olson in Bagley, MN....November 20, 2014 - 7:57pm November 19, 2014 Carol Faye Gulbranson B. March 26, 1933D. November 16, 2014 Carol Faye Gulbranson Carol Faye Gulbranson passed away on November 16, 2014 at 81 years of age. Carol lived her life fully, enjoying the companionship of family and friends, gardening, cooking, and occasional travel. Carol was born in 1933 and raised on a small farm near...November 19, 2014 - 7:57pm Arthur (Art) Allen Davis B. April 18, 1932D. November 15, 2014 Arthur (Art) Allen Davis The world lost one of its cherished and most genuine souls on November 15, 2014, when Arthur (Art) Allen Davis, 82, entered into eternal life. Mass of Christian Burial will be held 10:30 am Friday, November 21, at Church of Corpus Christi, Bismarck, with Rev....November 19, 2014 - 7:57pm Shirley Ann Sande B. September 9, 1934D. November 17, 2014 Shirley Ann Sande Shirley Ann Sande, 80, of Bemidji, MN, passed away peacefully with her family by her side on Monday, November 17, 2014 in Bemidji, MN. Memorial Services will be 11:00 am Friday, November 21, 2014 at the Cease Family Funeral Home in Bemidji, MN with Pastor Mike Naylor...November 19, 2014 - 7:57pm Kenneth Stevens B. April 10, 1928D. November 18, 2014 Kenneth Stevens April 10, 1928 - Nov. 18, 2014 BEMIDJI, Minn. - Kenneth Stevens, 86, Solway, Minn., died Tuesday in Nielson Place. Visitation will be from 1-2 p.m., followed by the funeral at 2 p.m., Saturday at Solway Bible Chapel. Interment will be in Meadowview Cemetery near Solway....November 19, 2014 - 7:47pm November 18, 2014 Arnold "Archie" Tangborn B. March 30, 1930D. November 14, 2014 Arnold "Archie" Tangborn Arnold "Archie" Eugene Tangborn, 84, of Laporte, MN passed away unexpectedly at the CHI St. Josephs Area Health Services in Park Rapids on Friday, November 14, 2014. Memorial Services will be 10:30 a.m., Saturday, November 22, 2014 at Olson-Schwartz Funeral...November 18, 2014 - 7:57pm Page 1Older » Advertisement randomness


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The world needs more foods that begin with the letter Q! I contemplated quiche and quince after reader suggestions, but the weather in Portland has kept me burrowing in my apartment trying to keep warm. In other words, I was too lazy to ride my bike to the co-op for quince and way too lazy to attempt my first quiche. It was either quesadillas or something fun with quinoa. Since quinoa is basically protein with a curly sprout, I figured it deserved some extra attention.
See the cute lil' rosemary sprig sprouting from the pumpkin seed? :-)
In my neighborhood, rosemary plants grow in monstrous masses along sidewalks. Folks are free to clip off sprigs as they wish. I had some street-plucked, home-dried rosemary in my pantry that I used in my pizza pretzels yesterday and decided it would be a nice addition to the quinoa crackers I wanted to make today. The combination of quinoa and rosemary is quite nice (and pretty if you use red quinoa!).
Quinoa Rosemary Crackers
These are adapted from Celine's infamous Cheezy Quackers
1 cup whole grain spelt flour, plus extra as needed
1/4 cup non-dairy butter
1/2 cup cooked quinoa
2 Tablespoons nutritional yeast
1/2 teaspoon salt
1/2 teaspoon dried, ground rosemary
few twists of freshly ground black pepper, optional
coarse salt, extra ground rosemary, and seeds for sprinkling
1. Preheat oven to 350 degrees and line a baking sheet with parchment paper or a Silpat.
2. In the bowl of a food processor, combine flour and non-dairy butter. Process until it resembles fine crumbs.
3. Add in cooked quinoa, nutritional yeast, salt, rosemary, and pepper (if using).
4. Process mixture until a wet dough forms and then add additional flour, 1 Tablespoon at a time, until the dough is no longer sticky or wet. The amount of flour you add will depend on your quinoa. I added about 2 Tablespoons additional flour to my batch.
5. Turn the dough out onto a lightly floured surface and roll into a rectangle about 1/8″ thick. Using whatever cookie/biscuit cutter suits your fancy, cut out shapes and place them on your prepared baking sheet. Sprinkle with salt, ground rosemary, and seeds. Gently press the seeds into the crackers.
6. Bake for 15-20 minutes, depending on the size of your crackers. Rotate the pan halfway through baking, and check them after 10 minutes to make sure they don't burn.
7. Allow crackers to cool, if you can wait long enough (I couldn't), before eating. They will crisp up once they cool, so don't fret!


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(Livingstone, Lower Zambezi)
South Luangwa National Park
(South Luangwa National Park - Central)
You lie, perfectly still, listening to the rustling and snapping of the dry grasses just outside your tent. Then you hear it; a slow, rhythmic panting that builds, then fades as the wild thing passes on its way to a nearby watering hole.
If you're someone who likes to live on the edge, as well as vacation on the edge, Zambia is your dream destination. Boasting some of the continent's most spectacular wildlife parks, many of which don't see the typical deluge of tourists, as well as magnificent natural wonders like Victoria Falls and Lake Kariba, the country is an ideal setting for remembering the magic of the natural world. Whether you're roaming expansive grassy plains in search of big game, enjoying a sunset river cruise down the Zambezi, or looking skyward in an effort to catch a glimpse of one of over 500 species of birds, your days will be filled with exotic adventures. In the evenings, relax in luxury tented camps and lodges that offer a chance to commune with the natural world around you.
Head out in your 4x4 with driver and explore Mosi-oa-Tunya National Park where Zambai's only white rhino can be spotted. Cruise up the Zambezi River and try your hand at reeling in a big one, like the renowned Tigerfish whose teeth are bigger than some dogs'. In South Luangwa National Park, considered by many experts to be the greatest wildlife sanctuary in the world, you'll feel pure exhilaration as you experience a walking safari that allows you to truly get up close to the action. Track lion, leopard, elephants and hippos through huge ox bow lagoons, woodlands, ebony groves and expansive grasslands. Whether you're canoeing along the immense Zambezi, spotting a pack of lions taking down a kill, or stargazing by an open campfire, your time in Zambia will be absolutely unforgettable.
Enjoy a personalized vacation that best suits your needs, developed by one of our experienced destination experts. Relax during your trip with our 24/7 support and expert local guidance.
*The Lower Zambezi area is closed from March - November *
Airport transfer with private vehicle.
Upon arrival you will receive all of your necessary documents for your trip which contains a detailed personalized itinerary with pick up and drop off times.
During your stay at Sussi and Chuma you will have the opportunity to enjoy a wide variety of activities included in your stay. You can choose two activities per day.
Today you can enjoy two of the included activities offered by Sussi & Chuma: falls visit, game viewing, canoeing, walking safaris, sundowner cruise, fishing or village tour. Or you can sign up for spa treatments or other tours (not included in tour cost)
Transfer between Livingstone and Chobe lodges.
Fly from Livingston to Mfuwe (South Luwange) via Lusaka. All baggage must be in soft sided bags and is restricted to 15kg per person.
You will join others from the lodge and choose two activities per day. There is a full range of game drives and night drives in the South Luangwa National Park using open 4X4 vehicles accompanied by a knowledgeable guide. The emphasis in this area is the wonderful opportunities for Walking Safaris. On your walks you will be escorted by a professional guide and an armed national parks scout.
Spend the day exploring South Luangwa National Park with your guide. South Luangwa is Zambia's premier park. Many places are claimed to be "one of the remaining wilderness areas" or "one of the last wildlife sanctuaries" but the South Luangwa National Park can live up to all these names and more. The Luangwa Valley is vast, remote, home to both people and a truly impressive number of animals. The South Luangwa park is 9050 sq. km with the river, its tributaries and the riverine strips being the focus of the wildlife viewing. There are the diverse habitats, from huge ox bow lagoons of varying stages of maturity, woodlands, ebony groves, grassland and thickets, that host truly impressive numbers of wildlife. The birdlife is also excellent with around 450 species to be seen.
The South Luangwa National Park is known as the home of the walking safari and all camps offer walks. Walking through big game country is a truly exciting experience and as South Luangwa led the way for guide training and licensing in Zambia the standard of guiding here is superb. Taking a scout with you, you will be able to enjoy a walk or explore further afield in the park. Enjoy a box lunch under a tree or next to a lagoon, take a siesta, or simply spend a lazy couple of hours reading a book with the fascinating animals and landscape all around you.
After lunch, head out on an afternoon game drive that continues into the early night giving you the chance to see the nocturnal world within the park.
Enjoy your flight from South Luangwa to the Lower Zambezi area. Luggage restricted to 12 kg per person in soft sided bags.
Motorised boat early morning or sunset river cruises are available as well as fishing in the Zambezi River (subject to water levels).With canoeing excursions, you'll enjoy an unforgettable canoe ride down the river to see the local wildlife from the river level. Or, try your luck at fishing. Fishing trips for game fish such as catfish, bream or the renowned tigerfish on a catch and release basis can be organised.
The area offers impressive game viewing with regular sightings of lion, leopard and serval. Other animals include elephants, hippo,wild dog, buffalo and general game. Bird watching and stargazing are also popular activities. For game viewing, you have the option, you can take professionally guided day and night drives through the riverine woodlands in customised 4 x 4 vehicles or you also have the option of a walking safari. Game walks offer a perfect way to experience the bush up close and personal. Walking safaris are conducted by a professional guide and are always escorted by an armed national parks scout.
Motorised boat early morning or sunset river cruises are available as well as fishing in the Zambezi River (subject to water levels).Canoeing excursions, you'll enjoy an unforgettable canoe ride down the river to see the local wildlife from the river level. Or, try your luck at fishing. Fishing trips for game fish such as catfish, bream or the renowned tigerfish on a catch and release basis can be organised.
Luggage restricted to 12 kg per person in soft sided bags.
Sanctuary Sussi & Chuma is named after David Livingstone's faithful companions and consist of an intimate lodge and two exclusive houses, both of which are situated to make the most of the amazing views that the sweeping Zambezi River provides.
Sanctuary Puku Ridge Camp is situated in the remote, wildlife rich South Luangwa National Park. Named for the Puku antelope that inhabits the Kakumbi Dambo (floodplain), which the camp overlooks, Puku Ridge Camp is built on a hillside, providing stunning vistas of the floodplain and the wildlife that frequents it. Wildlife to be seen includes elephant, lion, wild dog, buffalo and a wide variety of antelope in addition to endemic species such as the Thornicroft's giraffe and Cooksons wildebeest.
Sausage Tree Camp is perched on the edge of the Zambezi River in the Lower Zambezi National Park, in Zambia. Guests are treated with the utmost care, with 6 lavish tents spaced out along the river banks and each featuring natural toned furniture and high quality fabrics. Dining takes place in the presence of all sorts of wildlife and exotic species, while the chef marvels guests with the best of his talents. Canoeing and game drives are just a handful of the stimulating activities available for those visiting the Sausage Tree Camp.
Shayna Maislin ,
April 21, 2014
"I would highly recommend the tour guide that we had in the Serengetti . He was extremely knowledgeable, very helpful and courteous. We all agree that Kensington has first class staff working for them in Africa. All the camps that we stayed at were absolutely beautiful except perhaps for the one in Lake Manyara. All in all it was a spectacular trip!"
Janine Chey ,
April 21, 2014
"Our trip to Masai Mara via Kensington ran very smoothly. We stayed at the Mara West Lodge. Beautiful location atop a ridge overlooking the Masai Mara plains. Our luxury tents were quite comfortable and the staff/service at the lodge were great. Meals were very nice especially the daily soups. Our guide, Steve, was also great...so knowledgeable and eager to show us many interesting things. He planned our daily game drives and took us on a nature hike one afternoon. He clearly knows and understands this ecosystem. He has an amazing eye, finding animals in fields of tall grasses. Our entire family had an amazing time, trip of a lifetime...would love to go back!"
Justin Yax ,
April 21, 2014
"Once again, a perfect trip. From Elizabeth's planning to Godfrey's guiding, we could not have asked for a more thorough and well planned safari. I can't wait to come back and do it again, this time with a Kilimanjaro climb added onto the trip!"
Nancy Frierson ,
April 21, 2014
"The entire trip was superb - all the transfers, the lodging and the food, the safari experience and the knowledgeable guides. The guide's ability to spot an animal and identify it at a great distance allowed us to see and photograph all the animals on our list and then some. The lodgings were even better than we had hoped and the staff could not possibly have been better. Our trip of a lifetime turned out to be just that."
Avi J.Moskovitz ,
February 03, 2014
"We finally returned from the most magical vacation in Morocco and we cannot thank Lily and Kensington Tours enough!! This trip was beyond amazing and we are so appreciative for everything done to make this trip happen last minute for us!
We had a spectacular tour guide that spoke 8 languages, Ismail, and the friendliest and warmest driver, Said, whom made the experience absolutely phenomenal! Not only did we learn and see, but we laughed, danced, ate like pigs, kissed camels and snakes, ran in the Sahara desert under the stars, and enjoyed life - the best gift of all!
Ebony Hoskins ,
October 18, 2013
"I am so happy that I used Kensington Tours to help with my dream trip to Cape Town South Africa. I was looking for a well respected tour company that planned private guided tours that was not going to cause me my leg, lol. I begin searching companies by reputation and value. I narrowed it down to Kensington Tours because of the quality and value. I felt taken care of prior to my departure due to the detailed itinerary.
From the time of got off the plane to the time I headed back to the states, I was in excellent hands. The service was EXCELLENT! I will definitely use Kensington again. Certainly, a trip of a lifetime!"
Hanne Jones ,
October 24, 2013
"I have travelled all my life. I've combed much of Europe, from The arctic north in Norway to the streets of Seville in Spain, the beaches of Cannes and Nice in France and the medieval heart of Bologna in Italy. I've been on two African safaris (one tented, one not), both "luxurious." I've been on more than a dozen jaunts to India, some guided, others not. Over the years I have discovered that I had rather be lost and disoriented in a foreign country than submit once again to the unbending schedule of a guided tour. Hence I had given up tours of any kind, until Molly Kelly, an American Express travel agent, suggested I might want simply to list the places my friends and I wished to see in Morocco then let Kensington Tours make accessing them in an orderly way not only possible but thoroughly enjoyable as well. And this Kensington Tours did. They pulled our disparate destinations together and designed a far, far better route than we could ever have done on our own. They satisfied all our requests and threw in delicious additions, areas of interest we had never considered or even heard of. Our accommodations were well within our means and wonderful. Our guide and driver, not to mention our Mercedes SUV, could not have pleased us more. In other words, thanks to Molly and her recommending Kensington Tours, we had a sensational holiday. "
Anthoula Korina ,
September 05, 2013
"Africa had always been a myth in mind since I was child that was up until a week ago. I just returned from an epic safari adventure! Kenya, Tanzania and the Maasai are sorely missed.
Words cannot fully express the magic of this ever-flowing journey. It was awe-inspiring, breathtaking, free and powerful. My mind keeps playing tricks on me; thinking rather hoping that I'm going to see a giraffe cross a busy NYC street :)
The memories will resonate for a lifetime. To boot, I went on this trip solo; female traveler. Not sure any of it would have been possible w/out Kensington Tours!!! Thank you..."
JaneJennings ,
July 12, 2013
"I had a wonderful trip visiting the mountain gorillas in Uganda. We were able to get really close to the gorillas and watched their interactions with each other. The local people are so gracious and made every minute a delight. The accomodations were great. I loved waking up in the morning to the sounds of the forest. The added luxury of a massage was a great way to end the trip!"
gingermedlen ,
July 26, 2013
"Our family of 6 traveled to Morocco for a 9 day Imperial cities discovery, I was absolutely amazing. Our guide Lahcen Zaaim was the best guide we have EVER had and we have traveled to many countries. There was not one subject that he was not knowledgeable about. He made the trip sooooo memorable. He was so flexible and when he picked us up in the mornings to head out, he was talking nonstop to tell us soo much about everything we were seeing. There was soooo much to see in Morocco and he made sure we saw it all.. He truly has a gift in the touring business, you feel as if your leaving your best friend when the trip is over. When we got to the airport in casablanca, he spotted us before we saw him and of course, we asked him, how did you recognize us? He even went as far as to get the King of Moroccos artist to meet us at our riad the night before we left to return home late to do our names in moroccan arabic to frame, They were beautiful, He showed us a picture of the Kings Face he had done for the Palace! Lily Baffour from Kensington planned our trip and she was amazing, planning everything as she thought we would like based on what I told her. She did an Outstanding job and literally sent our Iteniaries by next day air in a beautifully done spiral bound personally book for each family that was going on the trip, SOOOOOO IMPRESSED and she even got the guide we requested!!!! I cant say enough about this trip and Kensington, we will definitely use again!!! We experienced a VERY different culture in going to Morocco and thats what we wanted, a Very different exotic trip and thats what we got!!!! Again our accomodations we Top Notch, staying in the TRuly authenic Riads, they were SOOOOO Luxurious, Plan on taking another suitcase or buying one there because you will buy more things to bring home than any other trip because of all the Handicrafts there, especially in Fes!!!
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A first-time collaboration with Mel, these metallic jellies are a striking addition to any wardrobe. Features a cutout pattern and bow accent. Round toe. Padded insole. Textured outsole. Signature Mel essence to add a very special scent to each pair. All styles have an additional insole on top of the plastic, to wick away moisture from your feet.
US size - refer to size chart for conversion


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Stan, Kyle, Kenny and Cartman have a new home.Hulu has landed a multi-year licensing deal to exclusively stream every season of Comedy Central's South Park, the streaming service announced at the Television Critics Association's fall previews on Saturday, where series creators
Hulu has renewed East Los High for a third season, the streaming service announced Saturday at...
Poor Brazil! After an embarrassing loss to Germany earlier this week, the World Cup host�team's last chance at redemption was ruined by the Netherlands�on Saturday.�The Netherlands'�3-0 victory�secured them�third place in the 2014 World...
Sunday�marks the one-year anniversary of�Cory Monteith's tragic death and the�
After going public with her diagnosis in December,�Kristen Johnson�is opening up�about her ongoing...
Australian Olympic swimmer Ian Thorpe will reportedly reveal he's gay during an emotional interview airing on Australian television�Sunday,�the�
At 10:15 a.m. on Sunday, July 13 at the Upper Delaware Unitarian Universalist service, local activist and writer, Skip Mendler, will be leading an interactive discussion on the topic "If You...
Afghanistan's two rival candidates reached a breakthrough agreement Saturday to a complete audit of their contested presidential election and, whoever the victor, a national unity government.
SELINSGROVE - Paige Stanton, of Honesdale, was recently inducted into the Lambda Pi Eta honor society at Susquehanna University.
- The Hawley Women's Club is sponsoring two trips for July: Thursday, July 24 to Ellis Island and the Statue of Liberty and Sunday, July 27 to Mohegan Sun at Pocono Downs.
- Events Calendar