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What to cook for our German exchange student?[Moved from Home Cooking Board]
- r
- Ruby Louise May 24, 2007 10:56 AM
My stepson is hosting a German boy for a few weeks as part of an exchange program. I want the exchange student to have the opportunity to try different kinds of American foods. Because we live in the San Francisco Bay Area, I also want to show him California cuisine. I realize he may not like everything that's offered, but I want to at least give him the chance to try some new things.
So far I know he's had hamburgers, hotdogs and pizza. I know he dislikes blue cheese, and avocados. Oh, and seafood, which eliminates several possiblities.
So far, I've come up with the following, which includes things my family likes to make and eat:
1.) Pizza cooked on the BBQ
2.) Soul food/Southern food like grits, beans or greens cooked with pork fat, cornbread, biscuits, pulled pork and jambalaya
3.) Fondue, which is something my family loves and we do several different kinds at once
4.) Mexican food (we'll probably hit the neighborhood taco trucks for this)
5.) Lots of fresh local produce
6.) Brownies
7.) Chili
Any other suggestions about what to prepare for this German boy to show off American cooking?
Can't answer with specifics but judging by our experience in Germany and Austria with the food in restaurants, go easy on the spice. We found German restaurant food to be very bland compared to our taste and tolerance for spices.Maybe its differeent in home cooking but we were really ready for a good Indian dinner when we reached England!
Unless it's just too darn hot, you could prepare a top-notch Thanksgiving meal. Perhaps not the very best we have to offer but obviously could be of interest to your guest.
You could serve and/or go out for ice creams, too, as they seem to be so different in different parts of the world. And all good!
Fry bread
Fried chicken
Not sure how American this is or isn't but chicken salad has been popular with visitors.
One thing I learned while hosting exchange students is that it's nice to be sure there's enough salad, bread, fruit, and cheese around so that even if they aren't crazy about the meal they won't starve.
Have fun!
re: xena
I actually really like the Thanksgiving Dinner idea...it is sort of uniquely American. I remember once my parents cooked a Thanksgiving dinner for some friends visiting from Australia...and they really liked it, although they thought pumpkin pie was very strange because "you can't make pie from a vegetable..." (althought technically isn't a pumpkin a fruit?) And in the SF area, its definitely NOT too hot this time of year to cook that kind of meal....unless they live in the far east bay suburbs possibly. SF in late May/June is generally cool and foggy. Today's predicted high: 62 degrees F.
I'd add some macaroni and cheese to your menu. Maybe on soul food night. Our exchange student from Germany loved mac and cheese. Also any sort of chicken cutlet or grilled chicken breast. But her very favorite thing was restaurant hamburgers. My God that girl could put away some hamburgers. I'm talking a Red Robin monster burger and a Cheesecake Factory double burger. She said they didn't give you enough meat on burgers in Germany. One thing she absolutely didn't like was peanut butter and jelly sandwiches. The school gave them box lunches for a field trip that included pb&j sandwiches. When she told me about it that night you would have thought she had eaten a cockroach with the face she made. She didn't like the soft white bread and she didn't like the combination of peanut butter with jelly.
re: xena
Yes! I gave her some root beer to try and she almost gagged.
And I do think we're the only country that eats peanut butter in combination with sweet things. In South America they eat peanut butter, but on crackers as an appetizer. I got some funny looks buying it with a jar of jelly and a loaf of bread.
re: honkman
The French don't like root beer either. A long ago French co-worker drank some and almost choked. Mmmm...I'm having a root beer popsicle right now.
re: ML8000
Rootbeer tastes of Germolene (English antiseptic cream)...I will never get over that and so gladly remain Rootbeer free in my life.
re: rob133
Just wondering, how do you know what antiseptic cream tastes like?
Obviously root beer is a very American thing but to many it's the taste of childhood. If you want something that even some root beer drinkers find weird - get some old fashion Dr.Pepper...bottled in Texas.
re: ML8000
We taste salty, sweet, bitter and sour with our tongue. We taste umami with our mouths. Everything else we taste with our noses. (Excuse me while I wipe off the whipped cream off the tip of mine.) ;-)
re: ML8000
I got too answers....the first is I guess ? I'm talking about the smell of Germolene is the same as the taste of Rootbeer, the second is I am sure as a kid I managed to eat some Germolene more than once!!!!
re: rob133
I know what you mean about the smell and the taste, I've had imported beers in the states that taste "skunky", I've never tasted a skunk, but I have smelled them and the taste of stale imported beer tastes like this smell.
But, back to what to serve the German kid, if your corn is in season serve him some corn on the cob. Very American, most Europeans I've met look at corn as cattle feed.
re: chowser
I think just as vegemite and marmite are acquired tastes, so is peanut butter. I'm not sure how you couldn't like peanut butter, but it seems to be so.
re: chowser
Love pb & honey. For our kids it seemed to be both the peanut taste and the texture they disliked. But we sure ate lots of Nutella while they were here...re texture maybe Nutella melts in your mouth a bit easier, not quite so sticky?
What about breakfast foods like biscuits and gravy, corned beef hash, variety of omelettes/skillets.
re: chowser
Our German exchange student told us that they don't eat meats with breakfast. Unfortunately, she told me this after she had ordered a huge breakfast at Denny's (on our weekend at Niagara Falls) and left all the meat on the plate. My daughter's a vegetarian and I don't eat pork products, so we couldn't even eat it for her.
re: AmyH
Maybe her family doesn't, but I spent a summer with a German family in high school and breakfast sometimes did entail meat. Other times, good rolls, jam and butter. Thing is, when they asked me what I liked, I said "cereal" since I was 17 and that was my experience. So the mom made a huge production about "wir muessen so viel Geld ausgeben fuer seine CORN FLAKES" and what a burden I was because I was so "picky." I ended up much preferring the stuff they normally had, it was good. But to this day I resent how when I said "we eat pizza at home" or whatever, they saw it as the selfish American DEMANDING pizza (which absolutely rocked in Germany btw, I am still overjoyed when I find a place that puts tuna on pizza). But this host Mutter was a real bitch sometimes.
Anyway, OP, your efforts are heroic and I'm sure you're a great host, but do keep in mind that this kid is going to want to go out a lot and sample local treats, including fast food. Let him get that slice of life too.
re: John Manzo
Just curious, which part of Germany did you stay ?
re: honkman
Krefeld, N-W and a week in "West Berlin" (this was 1981)
re: John Manzo
Also you can't force a kid to be interested in trying so much variety if they aren't into it... kid might be feeling homesick or just not be that into food, and being faced with unfamiliar, inconsistent stuff every day might not work. I know I would have loved it as a teen, but most of my friends when travelling would fixate on something familiar and have that every day. You'll figure it out.
re: pikawicca
Aha! That explains it. The Denny's breakfast our German student ordered was loaded with bacon and sausage. May have been ham on there, too. She wouldn't touch any of it. And this was a girl who had no problem with meat at any other time of the day.
re: chowser
It's been years since I was in Germany, but what I remember is that the amount of food for breakfast increases steadily as you go north. In Bavaria, it's bread and butter and jam, and maybe a bit of cheese once in a while, and by the time you get to Cologne, there are eggs and lots more. (This was the standard breakfast that came with a hotel stay.)
re: Anne H
Weisswurst being the exception to the rule in bavaria of course. (Had some this morning :-)
Oh, and it sort of hurts me to say this, but my (german) husband was a little too excited about the concept of drive through krispy kreme.
Let him eat what you eat, and let that be his discovery of "California Cuisine." Since your'e a chowhound, it'll be full of good things. As with any guest, there will be hits and misses.
Take him to the grocery store/farmer's markets with you. Get him out into the country to see how/where the food is produced, at both small- and large-scaled operations.
Maybe, don't take his likes and dislikes too seriously. Has he ever had a fully ripened Haas avocado? A taco made with fresh wild fish? Prepare some of his 'dislikes' and see if he changes his mind. Let him decide.
re: toodie jane
I'd made avocados available to him too. I was once served "guacamole" in Germany, one of the worst things ever put in front of me.
Where is he from in Germany and urban or rural? I've entertained German winemakers and they were extremely adventurous in their food likes here.
re: torta basilica
Yes, one of our French kids told us she was surprised to see us serve it as they thought of it as feed. She liked it, though I can see why that might be a turn off to them! We took her to a corn boil in a neighboring town and you know how that is, roasted, buttery beyond belief...wonderful. She went back for more. We also shared a funnel cake there and she loved it! Made me laugh because here she was thoroughly enjoying it when she has such wonderful desserts at home. This particular girl was a total joy; loved to try everything, go everywhere.
re: ajs228
You get cocktails everywhere in Germany (even before you are 21)
re: honkman
Don't think there is anywhere else- outside strict Muslim countries that outlaw booze or restrict it to hotels for foreigners - with a drinking age as high as 21. That is nuttiness imposed by MADD. Didn't exist when I was young and visited New York State.
re: lagatta
It wasn't a restriction. I just got the impression that most bars in Germany/Europe don't really do cocktails, or at least don't do them very well. I could have misunderstood him, though.
re: ajs228
They are very big on cocktails in Germany, and do them quite well. Your guy is probably going to the wrong places, or else lives in a very tiny village somewhere.
Your best/Favorite family recipies. The ones you serve when company comes over.
Specific possibilities I didn't notice being mentioned
Steak & Baked Potato
Pot Roast
Spagetti (Im sure the way you make it is Americanized)
Sloppy Joes (the tomato kind)
Main Dish Green Salads
Chinese (home made, restaurant, take out)
Your favorite family casserole
Backyard BBQ
Stuffed/Smotherd Pork Chops
Corn Bread
Corn on the Cob
Is there anyplace nearby that has a good Sunday brunch buffet?
Oh, forgot about good domestic cheeses. Then if you really want to American it up you could make grilled cheese and tomato with some of it, basic or dolled up version, whatever you like.
My wife is Bavarian and the most insulting thing is to try to cater to a specific thing that you think they haven't had. Basically do what you normally do for dinner. My wife is a big lover of everything on the grill because she was from Munich and in the city there wasn't much room to grill. Taco's another great idea. I am from New England so all the lobster and chowda here is great too. Don't make to much of a big deal about it because most thing we do aren't typical german so everything will be new. Do remember though that no matter what the bread or produce you buy, it will always be fresher in Germany, the reason being is that the refrigerators that they have are meant for 1 to 2 day supply of food. Another tradition they have is time for coffee and a light snack, usually cake or cookies and some time with family, something that is lost in the states. Be yourself and let him see what is truly american instead of a fascade.
We've hosted several exchange students over the years. Generalizing wildly here I would say the German kids have been some of the more open about trying different foods out.
Things that kids seem to like no matter where they're from:
homemade creamed corn(most love corn on the cob as well but we have found that more often than not german kids prefer not to eat with their hands)
any and all american junk food(really)
red sauce restaurant style italian
Cold Stone Creamery(yes, I know...but really these kids LOVE this place for whatever reason)
SOmeone above mentioned Thanksgiving...do try and prepare a traditional thanskgiving feast. Every kid we've ever had has LOVED LOVED LOVED learning about thanksgiving, helping with the big meal, and indulging. THis is something uniquely American(well Canadian too!) and they really find it interesting and love the food. Christmas is a big hit too - learning about how traditions differ.
If he's going ot be here over 4th of July show him what a traditional 4th of July holiday is like with all the good BBQ/Picnic fixings that go with it.
Whatever family recipes you may have. My family is greek and all the kids have loved trying different greek family recipes we've made over the years. Even if they didn't like it(our Norwegian "daughter" to this day won't look at feta even after a year of seeing it daily on the table and two month long return visits! LOL) they loved learning about it and trying it.
Don't stray to far from your normal routines...they like to learn what life is like here...and your dinner ritual is part of that. Make them part of it and don't treat them like a guest.
Don't be distressed or upset by anything he won't eat or won't try. Be sure especially at the first few days to not having anything too exotic and be sure there are always "safe" options while they get over jet lag. Jet lag and culture shock does a number on these kids and often their digestive tracks go completely out of whack with all the new food on top of the stress. Keep lots of basic staples around: bread, fruit, salad makings, cheese(not american!), cold cuts, and maybe a bottle of nutella for soemthing sweet(though sweets usually aren't a challenge for the kids! most love any dessert you get them to try) and don't be offended if he just wants a sandwich after trying something you've presented especially since he's here short-term and not long term.
Have fun!
re: Megiac
Went through this when we hosted a Swedish couple a couple years ago. Were grateful for many suggestions. Will strongly second the full-range (though not necessarily full-size) Thanksgiving dinner, together with some of the history.
Clam chowder (no tomatoes, please); and biscuits with sausage gravy; country ham, grits, and redeye gravy. The Germans are not exactly strangers to sausage and ham, but maybe not in these ways.
Take him to a farmers' market. We especially like the year-round Sunday FM in Walnut Creek.
Thanks everyone for your wonderful suggestions. I'm feeling really inspired now! The student has actually been here for close to 2 weeks, but he's been at my stepson's mother's home. This weekend he comes to our home for the remainder of his trip. Fridays are my day to menu plan and grocery shop for the week ahead, so I'm trying to prepare, especially with this long weekend on the horizon.
Interestingly, we've heard from families that have hosted German kids before in our community that they go nuts for Pixie Stix. We're going to give him some and see...
re: Ruby Louise
Ya'll are just going plain crazy here and I love it! I just showed this to our exchange student and he is getting a huge kick out of it. He's from Southern Germany, near Stuttgart. He cooks at home so we've had fun chatting about that, and he wants to cook for us before he goes. Basically he's a carb freak, loving pasta and sweets, especially chocolate.
So far he doesn't like rootbeer. Pixie sticks, roasted marshmallows, s'mores, brownies (basically all the sweets) have been welcome new discoveries. In Germany he and his sister got hold of a brownie recipe and tried to make them but they didn't turn out. Homemade mac-n-cheese and bbq ribs have also been interesting to him. He was amused by grilled pizza, but liked the taste. He's over American hamburgers. In fact, we are joking about how everyone is eager to bbq for him. He has had fondue before, but he was pretty entertained by my pizza flavored fondue, and by the fact that fondue night is kind of a family ritual for us. I don't think he was all that excited about the beef enchiladas, refried beans and spanish rice at my in-laws tonight.
He said to tell you all that the donuts from Buttercream Bakery here in Napa are great American donuts. And he got really excited at all the baked goods in our local Raley's. Having lots of salad and fruit at meals has helped him when the food has been a little too weird for him. He's also liked lemonade, which he says they don't drink much at home.
We've still got a week to go, so I'll keep you posted. Tomorrow we head to the taco trucks...
I love all of these great suggestions. Coming from the other direction, I was an exchange student in Germany for a year, and let me tell you, I expanded my palate. The host parents were warned that offal would not go down to well with Americans, so I wasn't often offered saumagen or blutwurst, but I felt terrible whenever I turned down any food. I felt like I had to keep my chin up and be as open as possible. To compensate there were two foods I flat out resisted for which I was ridiculed gently but consistently: red cabbage and sauerkraut.
Good call, btw about the peanut butter!
Fresh Orange Juice! All our European visitor kids loved it and drank as much as we could provide. For one duo, we gave them their own gallon containers - with their names printed on the label - and they were more thrilled than if they'd been given money. They photographed them in the (gigantic) refrigerator and sent the pictures home as proof.
re: Sherri
Yep, our Swedish visitors (mentioned above) were VERY big for fresh orange juice. It's apparently pretty expensive in Europe.
I forgot... how about stuffed hot dogs? The German kid won't be astonished by a sausage, but how about split, stuffed with cheddar and mustard, topped with mashed potato, and baked until hot through and the potato is lightly browned? I grew up on these in Missouri and Maryland, so they're a pretty widespread American staple.
Well, OK, my mother went with me from MO to MD, and kept cooking the same things.
re: MikeLM
Our German student loved grapefruit juice, too. I bought lots of ruby red those weeks!
re: Sherri
Prime California fruit and produce would probably be an eye opener.
re: ML8000
They have really good fruit in Germany, but it is still a good idea to have some on hand. Most younger Germans really like to eat healthy stuff and love fresh fruit and veg. It's true about the orange juice -- fresh is super expensive in germany and the other brands are mostly from concentrate. Mexican food in germany is pathetic but I am not sure Germans are aware of this fact. I have yet to meet the German who does not love all things BBQd or grilled so you can't go wrong there. Oh, and they all seem to love corn. On and in just about everything (it is then referred to as "American style", heh). Corn chowder always goes over really well. Italy is about a 4 hours drive from southern germany so that stuff won't be unfamiliar. Oh, and steaks in the US are much better what you get over there for the price.
re: Behemoth
Oh yeah, one of my friends took a Weber kettle grill as a gift for a German friend in the Rheinhessen who loved American grilled foods. He was the envy of his town.
re: Behemoth
Sorry, to say that most Germans don't think that steaks in the US are better than in Germany because you get reasonable priced Argentinian steaks (grass-fed) all over Germany which simply taste better than the majority of the corn-fed stuff you get here.
re: Sherri
You are aware that a lot of German families drink fresh orange juice in the morning. Most Germans are not thrilled by the fresh orange juice but that you buy it in gallon containers.
re: honkman
Didn't buy the OJ. We have many orange trees. The kids squeezed it themselves. They were thrilled.
I definitely agree with the full-blown traditional Thanksgiving dinner.
Apple pie of course, too. Scrambled eggs seem to be foreign to Europe, so those might be interesting. How about some Italian food that is so pervasive here that it can be considered American -- lasagna, spaghetti and meatballs?
A traditional roast beef dinner? Meatloaf? A really good top-of-the line steak cooked on the grill? Hot fudge sundae?
While not California cuisine but American: Philly cheese steak, key lime pie, arroz con pollo, BBQ ribs, chili and local produce.
If he hasn't been to a U.S. grocery store, take him. There are now some larger (American-style) grocery stores in Germany, but for each one of those there are a larger number of smaller grocery stores, specialty shops (butcher, bakery, fish) and weekly farmers markets.
The meat is better here in Germany. Even the McDonalds is better here (I'll actually eat at one here!).
American style baked goods might be interesting to him; toll house cookies and brownies.
The person who posted that Mexican food in Germany leaves much to be desired is right on... but I think this is the style of Mexican food that Germans enjoy, so beware of forcing real Mexican or even Tex-Mex food on him.
As for beverages... German soda is different from American soda, even Coke tastes different in the two countries (I love German Fanta because it is light and crisp, but American Fanta is too sweet for me) so make sure he gets to try some American soda if he hasn't already. I prefer American pineapple juice to the ones I find in German grocery stores, so maybe you can offer some pineapple juice. You also don't see lemonade around here.
Even things that I think are better in Germany, the American version is interesting to the kids... I hand out American candy on Halloween and the kids can't get enough of it, even though I MUCH prefer German candy!
I agree with the poster who said not to make a big deal about making "special" things for the kid - I think it will put a lot of pressure on him. Make things your family enjoys, then you'll still be happy even if he doesn't seem enthusiastic about it! Make him part of the process and you'll learn as much about German food and eating habits as you hope to teach him about American.
Lots of red meat, roasts, chops, etc, which are still expensive treats in Europe, especially beef. Lose the grits. Fondue is Swiss, and they do it better over there. Try good sourdough bread, goat cheese, local cured meats, the things they think are best done in Europe (oh -- add good local chocolate) we can compete at just about everything, these days. Expecting a European to like grits is a bit of a stretch, I think. American-style pies might be fun, lemon meringue, cherry, there's nothing similar in Europe. They might not like them, but they would be a different experience, as would a truly superb devil's food cake. Have fun, and be sure to provide a brand of bottled water that's available in Germany .
We had a series of au pairs and a steady steam of foreign visitors for years. The point of exchange programs isn't to be a tour guide and show them things. They'll see for themselves. These programs provides them a chance to see an American family living its normal life. So do it.
If you don't normally eat Soul food, forget it! But the taco truck will be something that will be fun. We didn't make any distinction between the kids from Germany and Afganistan except for serving pork. The kids from Bhutan loved the food court at the shopping mall just as much as the Brits as long as the adults didn't go. When my kids hauled out the trash, the French kid helped and then they listened to music and ate junk food. My kids took visitors with them to visit friends and just hung out. They ate what kids eat.
We planned excursions to things that were different and very American. They don't have political rallies in most countries. Odd but true. T-ball games. County fairs. A Wal-Mart or Target is amazing if you have never seen anything like that and a good cheap place to shop for things to take home. You may be able to introduce him to a local official at City Hall - always impressive. A cheesy tourist site or two. Most of those places have food. So what if it's junky? These are things that ordinary Americans do - that's why they're crowded.
Professionally, I arranged exchanges for adult foreign visitors, some fairly high ranking, and we applied these same guidelines. They always worked. We added Indian pow-wows, the Mall of the Americas, Texas State Fair, Mount Rushmore and Governors' mansions. A little higher flying but the same principle. We always just ate what we found where we found it. A great time was always had by all.
Just do what you do. Be yourself. He'll have a great time. Everything will be new to him. Even if he's had a hamburger before, he's never had an American hamburger with American kids in San Francisco.
re: MakingSense
Finally a sensible answer. Thanks. I can't understand so much angst over what to feed a student or ones own kids for that matter.
re: MakingSense
Excellent ideas and definitely sensible. The exchange students definitely are looking for our "everyday ordinary". How about a bus or other transit ride around town? Do you have a local ferry? That was something that I found completely different while an exchange student. Just getting around in general...
1. Fresh oranges and orange juice: have them squeeze it for themselves.
2. Chinese food: it's pretty expensive in Germany but really cheap in the SF Bay Area.
3. Mexican food (but not too spicy): Germans usually don't eat spicy foods.
4. Southern-style BBQ: make sure it has a heavy Americana motif
5. Pizza (American style): they don't normally eat American-style pizza.
I was born in northern Gernany in Hamburg. And I don't understand the many comments about Germans not liking spicy food. My mother used to cook some Goulash that was pretty hot and spicy and we loved it. Hungarian hot paprika was always in the spice cabinet as I recal. Lots of herbs and sauces were used with most meals. I sure hated the fruit soups however.
You guys are bringing back awesome memories for me! :) I once helped host a large group of German exchange students, and then I was able to go be an exchange student in Leipzig (one of 3 from my hs compared to almost 20 from the German school). We had great times and some very sad. From the first time I saw the topic I thought "corn on the cob". My exchange student said she hated corn on the cob - until she tried it the "american way". They were not used to corn on the cob with butter and seasonings. Spaghetti was a hit, but she ate that at home.
How about seafood? I had the opportunity to try eel while I was in Germany. Seafood is served different ways in all parts of the world.
The other thing I can think of is our version of popcorn. The German variety often has sugar, not salt and butter or other seasonings like we are used to.
Light pastries!
German baked goods-- even the kind that one could get at a "finer" Konditorei-- tend to be absurdly heavy. It's rather difficult to find light, crispy, etc. pastries, save for baklava and the like, in most parts of Germany.
They're not exactly light, but pies are rather interesting...
Oh! Whipped cream is also pretty ridiculously heavy in Germany, so you could top a slice of whatever with light, sweetened whipped cream.
How 'bout various local/artisan cheeses? I can't remember ever having as many different goatsmilk cheeses in Germany as I've had here...
It certainly wouldn't be new to your guest, but for whatever reason every always seems to miss Ritter Sport...(?)
Frankly speaking, I've had better low-to-mid-priced Italian, Greek, Turkish, and Thai in Germany, but the most part, diasporic Asian and Latin/Mexican food in CA can't be beat in quality and price. I'd never been able to find Japanese/Korean kare (curry) dishes in Germany, for instance. That sad fact pretty pretty much eliminated the possibility of having kare katsu all those visits...
re: PseudoNerd
"German baked goods-- even the kind that one could get at a "finer" Konditorei-- tend to be absurdly heavy."
Try the dampfnudel here with vanilla sauce ...
re: TheDescendedLefticleOfAramis
Sorry, but it sounds way too doughy for me even with the Vanillesosse.
When I visit other countries, I love to see what their ideas of American food is (or "vittles" as my friend called it, thinking that's what Americans call "food"). What about having a German potluck and having people bring what they think is German? Reminds me of that scene from "Better off Dead" with John Cusack where they have a French exchange student and the mom makes her French Fries, French toast and French dressing, all while trying to pronounce it in French.
re: chowser
Have him make you a traditional German meal. Especially good if he is not really taking to American meals. From my experience a 4 week trip goes like this:
Week 1: Everything is new and different, I'll give it a try
Week 2: I can do this! I can be American, Chinese, Dutch, whatever.
Week 3: Ok, been there, done that I'm ready to go back to what I'm, used to.
Week 4: Can't believe I have to leave all of these wonderful people!
Back home: Thrilled that I accomplished what I did, it has made me a better person and I look at home a little differently now, but the experience is done and I'm back to my routine.


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This is the best undereye concealer that I have tried. And I have tried many. It doesn't crease, it stays put, and the finish is very believable. I swipe it on directly from the stick, then pat pat pat it into place. It's not wet enough to smooth it on like a cream concealer; you really do need to pat and warm it with your fingers. Or at least I do. My only complaint is that I can't use it anywhere else on my face because the result is horrible cyctic acne. It's a bummer, being otherwise perfect and all, but the undereye perfection (which is what it was made for) is enough to warrent a 5 from me. I use Ivory in the winter and switch to Ochre in the summer if I've gotten some color.
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I don't know why I haven't reviewed this product yet because I absolutely love this concealer ! The shade I have is Beige which for me is perfect (nc20-25 and sometimes nc30 during the summer) I've tried Ochre and Ivory but Beige suits me best. The coverage is great for under my eyes,and it doesn't crease-very little product needed. Also,it lasts a VERY long time,I'm still on my first tube which I bought last year (no joke) ! Although the price is a bit high,it's definately worth it because it's high quality.
2 out of 2 people found this review helpful. Did you? Yes No
I put off buying this concealer for quite a while because I thought that it would be too drying for my eye area. The other reason, of course, is the staggering price. But my dark circles had gone from bad to worse (due to an extremely stressful move from NY to LA over the summer), and I was getting desperate. After trying it out at a Paul Labreque hair salon in NYC, I fell in love with it immedately. I was so surprised at how creamy and natural it looked. It isn't at all drying around my eye area, although I do recommend using a lot of eye cream before applying (Laura Mercier's Eyedration is really good!). My dark circles are pretty bad, so unfortunately I do need to use a lot of product to cover them. But it looks completely natural and never creases (a true miracle!). I have light olive, FFF skin, and I use Beige. The SA matched me up with it instantly and sure enough, it was a perfect match! I could not be happier with this product. The price however, (which is now $70 plus tax!) is really hard to get over. But it's well worth it IMO, because it evens out my skin so well by itself, that I don't even need foundation anymore. This is my HG staple for sure! :)
2 out of 2 people found this review helpful. Did you? Yes No
I love this product. I would give it 5 lippies if it weren't for the fact that it can be somewhat drying. I've found that over time it dries up the skin underneath my eyes. So, Ive had to resort to using two different concealers. Other than that, it's phenomenal!!! Covers well, and does not break me out. It is very expensive, but last quite awhile. It's a makeup staple for me. EDIT: Took a lippie of because I stopped using this. It just got to be too drying, despite the fact that I was using the Cle de Peau eye cream. I had to move on. Not too dissapointed as this did cost an arm and leg.
1 out of 1 people found this review helpful. Did you? Yes No
I was intrigued by this product with all the magazine hype. My biggest problem is my very dark undereye circles (hereditary). Although cinema secrets is also a good concealer, i got tired of using it. I used to go without an undereye cream, and after a long time of using cinema secrets, it can be drying. The pot is getting unhygienic too. And so i switched. The same problem, Cle de Peau can be drying to the skin around the eyes. The texture is silky and the color (i use Beige) looks natural, I can go on without the powder. But as I said, it can be drying. And so I apply an eye cream before putting on concealer. It doesn't completely cover but minimizes. I realized that maybe it's not the concealer anymore, but really just my bad undereyes! And so I bought a foundation, and use the concealer on top of it. I should have done this a long time ago. Anyway, I can say this is a nice concealer, but too much moisture can cause it to slide. Too many layers can emphasize fine lines. I found that applying pressure on my ring finger instead of light pats to get the concealer works better. Feels light on the skin. Not the best concealer, I am still on my search for a better one (I will try MUFE Lift Concealer next). But if I dont find it, I will repurchase.
1 out of 1 people found this review helpful. Did you? Yes No
I broke down and bought this concealer after seeing on Style Network that it was a HG concealer for many MU Artists. It is not perfect, however it is the best I have ever tried. It has a wonderful consistency and covers well. The price ($85.00) is over the top but dark circles are my No. 1 beauty issue.
2 out of 2 people found this review helpful. Did you? Yes No
Amazing. Despite the great and consisent reivews for this product, I find myself wholly disappointed with it. I must admit my shade choice was wrong: "ivory" when I should have chosen "ochre" or "beige" so I'm considering attempting a swap as this is just too expenisve an acquisition to sit at the bottom of my make-up bag taking up space. If the "ochre" or "beige" work better I will update this review with a more positive score. Alas, my HG concealer continues to elude me . . .
I was looking for a highly pigmented concealer to cover some blemishe scars I had. The SA told me this would work even thought it was marketed as an undereye concealer. And it did. Wonderfully! I love the packaging. Like the SA at NM told me to do, I just rubbed my finger on the top of the product to make it softer and easier to blend/apply and then I applied straight from my finger onto my face. I love the finish. I did not get oily or greasy on my face. I love the texture, the packaging, and the pigmentation. However, I did not use it under my eyes so I cannot comment on that. The concealer seems like it would last a long time and the high quality of the product did not make me hesistate too much to shell out $65. However, I am light to medium tan (about Hally Berry's color) and the darkest shade was too light for me. I gave the product of 4 out of 5 lippies because of the poor color selection...thats the only reason I would not repurchase.
What can I say? Moisturize, moisturize, MOISTURIZE before you apply this concealer. If you don't, you will get a dry, cakey feeling of something that will find little tiny lines even if there are none. If you do moisturize (and I even prefer to use heavy moisturizers like Sugar-Fresh rather than my Bobbi Brown Hydrating Eye cream under this one), it will be easy to blend, soft, and a little piece of magic.
On many days I skip makeup altogether, except for moisturizing my undereye area and applying this concealer. I can go without anything else, but I've gotten so used to this product (I bought it over a year ago and I'm still on the same stick) that if I don't wear it, I look like I didn't sleep at all the previous night. HG for me, combined with a good moisturizer and powder on top to settle it.


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Safe, Effective, Organic Bug Control
Questions? Call CedarCide (800) 842-1464
CedarCide produces an all-natural, organic alternative to chemical-based pesticides that is safe to use around children and pets. We use Cedar Oil which has an intense effect on insects both as a repellant and as a "knock down" killer (kills on contact). CedarCide products are 100% natural and non-toxic to people & animals. CedarCide products are available in a variety of forms, from ready to use sprays, to concentrates.
Cedar oil is a proven insect repellent that has been used for thousands of years. Since it is 100% organic and has no harmful effect to people or the environment, our products can be sprayed on people & pets, poured into standing water, sprayed onto surfaces, fogged into spaces or even applied to a customer's entire yard through hose-end sprayers or sprinkler systems using a simple plug & play injection system.
Whether you are looking for animal protection products, lawn pesticides, wood preservation & protection, or have a certain pest that is becoming a nuisance, we have an organic solution for you!
Vote for a New Cedar Suds Scent
One of our favorite things about Cedar Suds Pet Shampoo is how everybody has helped us along the way. It's come a long way since it was launched, getting new scents, adorable new labels, and a enthusiastic following. The next step on the road is asking everyone to help us pick a new scent. We've collected several options and want everyone to choose up to three of their favorites.
Popular Products
Testimonial Video from
Animal Angels Dog Sanctuary
Animal Angels is an animal sanctuary in North Texas with about 275 abandoned dogs. Find out how and why they use CedarCide products.
Organic Products for Animals
We have come out with a variety of products specifically catered to dogs, cats, horses and other common pets. Our organic pesticides keep fleas, ticks, and flies away from your animals while being completely safe for the animals and the environment.
Dog Insect Repellents – Completely organic, non-toxic solutions to keep the fleas, ticks, flies or other pests away from man's best friend.
Cat Insect Repellent – Our spritzers and sprays will kill the pests on your cat and deter them from coming back in the future.
Horse Insect Repellent – Our PHL (Pet Horse Livestock) will kill & prevent horse flies and other pests from bothering your livestock.
Natural Lawn & Garden Card Products
We carry a variety of products to keep your yard free from insects and build a barrier to keep future insects out. The natural ingredients in our products work to keep the harmful pests away while not harming many of the beneficial insects such as butterflies and bees. Like all of our products, they are safe for children and pets as well.
Lawn & Garden Products – We carry "kill on contact" products, mulch & granule products, weed & spider killing products as well as foggers and mosquito concentrate for sprinkler systems.
Wood Treatment & protection – Our products can be used on decks, fences and other wood to provide strength, water proofing and protection against weather elements. These products also provide a barrier to keep future insect from infiltrating the wood.
Pest Control Products – Our products can be used on countless pests and other insects that are bothering your plants, animals, family or keeping you from enjoying your yard. Whether the problems are small insects (mosquitoes, mites, ants, fleas, etc) or larger pests (scorpions, spiders, roaches, etc) – we can provide safe, effective solutions.
Contact Us with Any Questions
There is a reason why CedarCide has been in business for over twenty years and has a hundred thousand happy customers. But don't take our word for it, check out our testimonials section to learn more about the numerous successful pest eradication stories using our products.
CedarCide is dedicated to providing exceptional customer service to our loyal users. We appreciate your business and are here to answer any questions you may have. Call or use our Contact us form at any time and we'll be more than happy to answer any questions you may have.
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Harga tidak termasuk kos pos.
kalau sikit ringan akan pos guna poslaju
berminat boleh WA 0162066434
ni original TUPPERWARE
Ni Lelong RM 5 sebiji
We offer a wide range of ready-to-wear Syria hijab for kids and adults. Nowadays the hijab fashion is becoming increasingly popular among all age groups from kids to old women. The hijab styles for kids are introduced to make them look equally Islamic and beautiful. We proud to bring you GYMBOREE fashionable clothing and accessories which are created to celebrate kids being kids in unique head-to-toe looks.


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Southern Gardening: Home gardeners can grow microgreens
Some of the garden vegetables I miss in the summer are leafy greens. High temperatures cause undesirable bitterness in the greens, and I don't like high temperatures, either. But there is a way you can enjoy fresh-grown greens in the summer and not even leave the air conditioning: You can grow your own microgreens.
Growing microgreens is a fun way to add fresh flavors and a tender crunch to your dishes. I have been growing microgreens for about five years, and they are easy for the home gardener to grow.
Microgreens are young, immature, densely grown seedlings of selected vegetables and herbs. At harvest, which ranges from seven to 21 days after germination, microgreens are approximately 1 to 3 inches tall. At this stage, depending on the species grown, the harvested microgreens consist of the stem, cotyledon and developing true leaves.
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text: Strict Standards: Redefining already defined constructor for class XML_Parser in /home/sites/www.americanpoems.com/web/store/aom/includes/os.php on line 1188 Strict Standards: Declaration of XML_Parser::raiseError() should be compatible with PEAR::raiseError($message = NULL, $code = NULL, $mode = NULL, $options = NULL, $userinfo = NULL, $error_class = NULL, $skipmsg = false) in /home/sites/www.americanpoems.com/web/store/aom/includes/os.php on line 1604 Strict Standards: Declaration of XML_Unserializer::startHandler() should be compatible with XML_Parser::startHandler($xp, $elem, &$attribs) in /home/sites/www.americanpoems.com/web/store/aom/includes/os.php on line 3503 Strict Standards: Declaration of Cache_Lite_File::get() should be compatible with Cache_Lite::get($id, $group = 'default', $doNotTestCacheValidity = false) in /home/sites/www.americanpoems.com/web/store/aom/includes/cache.php on line 1020 American Poems: Tools & Hardware: Axis 45502 3 Outlet White Indoor Extension Cord, 6 Feet Home Apparel Appliances Books DVD Electronics Home & Garden Kindle eBooks Magazines Music Outdoor Living Software Tools & Hardware PC & Video Games Search All Products Apparel Appliances Arts & Crafts Automotive Baby Beauty Books Computers DVD Electronics Gourmet Food Grocery Health Home & Garden Industrial & Science Jewelry Kindle eBooks Kitchen Magazines Miscellaneous Mobile Apps MP3 Downloads Music Musical Instruments Office Products Outdoor Living Pet Supplies Photo & Camera Shoes Software Sporting Goods Tools & Hardware Toys VHS Video On Demand PC & Video Games Watches Wireless Wireless Accessories Advanced Search Sitemap View Cart Checkout Location: Home » Tools & Hardware » Axis 45502 3 Outlet White Indoor Extension Cord, 6 Feet Axis 45502 3 Outlet White Indoor Extension Cord, 6 Feet enlarge Other Views: Brand:Axis Category:Home Improvement List Price: $2.99 Buy New: $2.61 as of 11/26/2014 00:32 EST details You Save: $0.38 (13%) In Stock New (8) from $2.61 Seller:ELECTRADEPLUS Sales Rank:951 Color:White Media:Tools & Home Improvement Number Of Items:1 Size:6-Feet Shipping Weight (lbs):0.2 Dimensions (in):7 x 2 x 0.9 Warranty:ONE YEAR LIMITED MPN:205975 Model:45502 UPC:132017546230 EAN:0168141251351 ASIN:B0073AADTI Availability:Usually ships in 1-2 business days Features: 3 Outlet White Indoor Extension Cord, 6 Ft 3 Outlet 6Ft Exten Cord Polarized Plug Outlets UL Listed Similar Items: GE 51954 12 feet Extension Cord - White Axis 45505 3 Outlet Indoor Extension Cord, 8 Feet (white) Master Electrician 09413ME 12-Feet Cube Tap Extension Cord, White Master Electrician 09414ME 15-Feet Cube Tap Extension Cord, White GE Grounded 3-Outlet Tap, 58368 Editorial Reviews: SynopsisAxis 3 Outlet White Indoor Extension Cord, 6 Ft CERTAIN CONTENT THAT APPEARS ON THIS SITE COMES FROM AMAZON SERVICES LLC. THIS CONTENT IS PROVIDED 'AS IS' AND IS SUBJECT TO CHANGE OR REMOVAL AT ANY TIME. Brought to you by American Poems Categories •Apparel •Appliances •Arts & Crafts •Automotive •Baby •Beauty •Books •Computers •DVD •Electronics •Gourmet Food •Grocery •Health •Home & Garden •Industrial & Science •Jewelry •Kindle eBooks •Kitchen •Magazines •Miscellaneous •Mobile Apps •MP3 Downloads •Music •Musical Instruments •Office Products •Outdoor Living •Pet Supplies •Photo & Camera •Shoes •Software •Sporting Goods •Tools & Hardware •Toys •VHS •Video On Demand •PC & Video Games •Watches •Wireless •Wireless Accessories Related Categories •Extension Cords Cords, Adapters & Multi-Outlets Electrical Categories Tools & Home Improvement


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Adding Decimals
If your child is getting stumped by decimals, challenge him with a supplemental worksheet, all about adding decimals. He'll get to practice lining up the decimals while adding, and soon he'll be an expert! Don't forget that he can check his work with the answer page.
Topics: Fifth Grade, Decimals
Common Core: 5.NBT.B.7
Updated on Aug 8, 2011
This Weeks Deals
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I prefer to build single page web applications and I also make web performance optimization a 1st class feature in my architecture. This means I need to have the entire application's markup available when the user first loads the site, but at the same time I don't want 'all' the markup delivered to the client each and every time. I can do this because I store each view's markup in the browser's localStorage. I explained the basic mechanism a couple of years ago.
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Oct 17 2013 / 17:54


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The Gatehouse, Ref 22713
House | 1 bedrooms | sleeps 4
|Key Info
The Gatehouse is a unique, stone-built character cottage in the hamlet of Kelleth, three miles from the village of Orton, close to the Lake District National Park. This cottage sleeps two people in a galleried king-size double bedroom. The cottage also has a bathroom with cast-iron bath, kitchen and a sitting room with dining area and woodburning stove. Outside there is off road parking for one car and a front lawned garden with patio and bench. The Gatehouse is an ideal retreat for a couple, with walks and cycle routes in the area, the Settle-Carlisle railway, two National Parks and a number of villages and towns that are waiting to be discovered.
|Sleeps up to 4, 1 bedrooms
|Will consider
|Short breaks (1-4 days)
|Family friendly
|Suitable for children over 5
|Pets welcome, No smoking at this property
Features and Facilities
|Log fire
|Washing machine
|1 bedroom, 1 bathrooms of which 1 Family bathrooms
|Double beds (1)
|High chair
|Private garden, Shared garden
|Further details
Gas central heating with woodburning stove. Electric oven and hob, microwave, fridge/freezer, washing machine, TV with Freeview, DVD, CD/radio, selection of books, games and DVDs. Fuel and power inc. in rent. Fuel for woodburning stove on an honesty box basis. Bed linen and towels inc. in rent. Cot and highchair on request. Off road parking for 3 cars. Lawned garden with furniture. Two well-behaved dogs welcome. Sorry, no smoking. Shop 3 miles, pub 1 mile.
The Cumbria/Lake District
Impressive mountains, open fells and clear-water lakes, the Lake District has it all. From walking in the mountains to exhilarating watersports or just a gentle cruise on a steam-powered yacht, Cumbria is the perfect holiday destination.
The charming village of Orton is situated close to the Lake District National Park. The village centre has a 16th century church, village green, pub serving food, a Post Office/shop and a chocolate shop and tearoom, and there are rolling countryside and beautiful scenery in the area. Within driving distance are Kendal, Sedbergh and Appleby-in-Westmorland, as well as Haweswater lake and the Eden Valley.
Availability Your dates are available
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Help other travellers decide where to stay
This holiday home hasn't got any reviews yet. The average rating on Holiday Lettings is four out of five. This place could be newly added or perhaps it's a well kept secret. Either way, it's time to reveal all.
This advert is created and maintained by the advertiser; we can only publish adverts in good faith as we don't own, manage or inspect any of the properties. We advise you to familiarise yourself with our terms of use.
You're booking with
Sykes Cottages (Property Manager Sykes Holiday Cottages)
- 6 Years listed
Calendar last updated:21 Nov 2014
Based in United Kingdom
- English
- Landline
- +44(0)1244500524
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Shop Our Editor's Picks
We partnered with The Outnet to help you shop for all the perfect pieces you need for fall. This week, we take a look at some of Amanda Hearst's favorite things.
Embellished Suede Pumps
Dress up any outfit with these black Oscar de la Renta pumps.Was: $695
Now only: $278
Buy it here.


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Home » News
South Elm Street ready for growth, Manchester panel says
Construction continues on the new state liquor store on South Elm Street in Manchester. (DAVD LANE/UNION LEADER)
What's missing in the redevelopment equation is housing, which is where panelist Ron Dupont, president of Red Oak Apartment Homes, hopes to make a difference. His plan for a $10 million, mixed-use project on 1.75 acres spanning several parcels opposite the Market Basket building is the most ambitious proposal in the works. Preliminary plans call for a four-story building with retail or commercial space on the street level, and housing on the second, third and fourth floors, with 100 to 120 apartments or condos.
"Downtown America is making a comeback," he said. "The only question in Manchester on South Elm is, will we do a good job."
Aldermen toured the site in the summer, but have so far declined to settle the matter by vote, urging both sides to work out an agreement.
- Comedian Joan Rivers dead at age 81 says daughter - 0
- U.S. says Islamic State video of journalist's killing is authentic - 0
- No paper on Monday; check UnionLeader.com for updated, breaking news - 0
- Concord attorney Leahy dies - 0
Britain's Prince William and wife, Kate, expecting second babyREADER COMMENTS: 0
- NHIAA Football: Campbell pounces on Newport mistakes - 0
- NH's Trahan felled in Salem battle - 0
- Tiger hires new swing coach - 0
- Dave D'Onofrio's Patriots Notebook: Expect an aerial display - 0
- College Football: Wildcats are CAA champs - 0
- NHIAA Football: Leadership matters - 0
- Windham turns back St. Thomas - 0
- College Notebook: Daniel Webster relishes its men's soccer conference crown - 0
- Dover's Burt leads Panthers - 0
Proposal calls for gas pipeline across 17 NH communitiesREADER COMMENTS: 0
Carpenter ready for break from baseball
College Football: Wildcats are CAA champs
NHIAA Football: Leadership matters
A kinder, gentler House Speaker?
Driver acquitted in Amherst ex-chief's death
A kinder, gentler House Speaker?
Pipeline's NH route moves to top choice
College Hockey: Providence blanks UNH
- In the 1970's there were a couple hundred SWAT raids annually in the U.S., that number now tops 50,000. To what do you attribute the spike?
- More violent crime
- 22%
- Erosion of civil liberties
- 12%
- Militarization
- 31%
- Overtime pay
- 6%
- Police safety
- 7%
- War on Drugs
- 19%
- Other
- 4%
- Total Votes: 181


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SN'EADS by REE x Millennium Shoes "Infrared" T-Shirt
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Following up its "Sequoia" release, the Nike Free Inneva Woven Tech has touched down in a fresh new White/White style code. From its woven upper...More331 0
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Straying away from its traditional looks, the adidas Superstar 80s receives a complete overhaul for its latest "Glow in the Dark/Reflective" Red Snakeskin release. Based...More336 0
Tons of OG & Retro Heat Up for Auction From the Nice Kicks Vault
As addressed previously, the doors have been opened to the Nice Kicks Vault. Recently listed on eBay from the vault are tons of seldom seen...More593 0
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Attention footwear and basketball fans in Cali, something good is coming your way. The DXC x Sacramento Kings event is scheduled to take place on...More261 1
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The bold Nike Shox TLX Mid SP gets one of its most eye-catching looks yet with this pair in glossy black and metallic gold. The...More315 0
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Ocean Migration
by Femi Ford
Art Print
Collect your choice of gallery quality Giclée, or fine art prints custom trimmed by hand in a variety of sizes with a white border for framing.
Inspired by the movement of the sea. This design was originally handdrawn in ink, and then colored / repeated in Illustrator.
- 15Promote


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Listen: 45-Minute Talk With Christopher Nolan, Plus The Big Twist From Steven Spielberg's 'Interstellar' Script And More
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More What's Poppin' Less What's Poppin'
Jeffrey Wright the equivalent of Q from the Bond series ? that reminds me where was he in SKYFALL
Review: 'The Hunger Games: Mockingjay — Part 1' Starring Jennifer Lawrence, Philip Seymour Hoffman, And More
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Really liked most of the book, but like so many of King's stories, the payoffs don't work. The weaknesses in the story were made even more…
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I'm pretty sure the rock n roll movie is the Janis Joplin movie with Amy Adams.
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I watched it six times in six days in all six formats and wrote about it for the Talkhouse Film website - check out my thoughts there.
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Pretty f*ckin' terrible.
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Charles, from my point of view he doesn't have to explain anything. The film is pretty clear. Maybe the failure isn't the movie?
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He's a fast learner. Welcome to Moneywood.
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Nov 21th, 2014 10:53am
You think I'm going to go to the cinema FOUR times to see this story? You've lost all perspective Boone, not to mention respect for your…
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will there be ghost rider 3 i was just asking bc i like the movies i hope there will be bc its alsome
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The movie was great in my opnion. The actors were all hot and fit in my opnion. I want to see a two personally. The Movie got me into the…
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Baby dinosaur found near ancient sea.
Wolberg and his colleagues found pieces of the lower jaw and teeth of a baby duckbilled dinosaur in the Cretaceous rocks of northwestern New Mexico. "The teeth showed no wear or breakage," indicating that the animal died within a few weeks of its hatching, Wolberg says. He discovered the jaw, which stretches less than 3 inches long, buried beneath the larger rib of an adult dinosaur.
This infant dinosaur, the first reported from the region, probably hatched nearby. Previous excavations in the area have unearthed dinosaur eggshells and structures thought to be dinosaur nests.
These rocks formed along the shore of an inland sea that covered the middle part of the continent in the Cretaceous period, Wolberg says. Fossils such as marine clams and sharks' teeth have been found within a few meters of dinosaur remains, indicating that these duckbilled dinosaurs "lived and bred right next to the seashore," says Wolberg.
He calls these findings "surprising," noting that previous reports of dinosaur nests come from drier, inland habitats: "We never expected to find dinosaurs nesting in this setting." The new results suggest, however, that dinosaurs were more adaptable to a broader range of environments than previously thought, Wolberg says.
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- Home
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How long does a heart stent last? Do they need to be replaced?
See the live video session that I recorded on 4/25/2014 to discuss stenting in detail!
It all depends: Stents will last forever if they are made of some sort of metal as most are. There is a new product on the market, a new heart stent that dissolves in the artery three years after being implanted. It is yet to be used in clinically, and it will be a while (years) before its risks & benefits will be known.
(From: Scrutiny of Stent Problems Turns to Doctors, WSJ, May 29, 2007)
So, your question is not about stent durability, but about keeping the coronary artery opened up in the location where it was deployed. Because a stent destroys the artery locally, there will be scar tissue that rapidly grows over the stent. In addition, there is a strong tendency for clots to form at the site where the stent damages the arterial wall. Since platelets are involved in the clotting process, patients must take anti-platelet therapy afterwards, usually clopidogrel (Plavix) for six months and aspirin indefinitely.
Neither stents nor coronary artery bypass surgery treat atherosclerosis, the disease process that causes coronary artery disease with obstructive blockages. That means you may be developing new obstructions elsewhere, even after a successful intervention.
That said, there is about a 10-15% failure rate of stents to stay open and more than 40% of patients with a stent will need another procedure within a year, despite the use of expensive medications. This is in sharp contrast with a bypass operation that has a >95% success rate. While stents are more or less successful as treatment of anginal symptoms, they do not protect against future heart attacks or prolong life, again as opposed to bypass surgery:
(From: Drug-Eluting Coronary Stents — Promise and Uncertainty; Curfman, et al, N Engl J Med 2007; 356:1059-1060)
If you have coronary artery disease, it is important to choose the right treatment that should in all cases include life style modifications (diet & exercise) and medications that include cholesterol meds (the only way presently to stop progression of atherosclerosis – a process that will take years). It has been shown that in most patients with stable symptoms, this last option, called "Optimal Medical Therapy", is actually a better treatment option than Stenting.
Patients with extensive ("3 vessel") disease that may include a "Left main stenosis", diminished heart function and/or Diabetes do much better with a bypass operation. In situations where time is of the essence, such as an acute heart attack, a stent is may the best option if treatment is quickly enough. The same is probably also true for patients with only "one or two" vessel disease, although there are mini bypass operations that offer an equal if not superior treatment because it promises a much better long term protection.
The following includes an article from HealthDay News in 2012:
Many people with stable heart disease undergo an expensive artery-opening procedure when medication would work just as well, a new study suggests. The procedure involves placing a tiny mesh stent, or tube, in a clogged artery. As many as three-quarters of these operations are unnecessary, said lead researcher Dr. David L. Brown, a professor of medicine at Stony Brook University Medical Center in New York.
Money is the driving force, Brown said. "Everybody gets paid to put in stents, the hospital gets paid, the doctor gets paid, the stenting company gets paid," he said. "It's how our fee-for-service environment has taken over the decision making of this branch of cardiology." Stenting costs an average of $9,500 more to the patient over a lifetime compared with medication, Brown said. Although the procedure, called percutaneous coronary intervention, reduces death and future heart attacks for someone actually having a heart attack, its use in stable heart disease patients is questionable, he noted.
For the study, published Feb. 27 in the Archives of Internal Medicine, Brown and Dr. Kathleen Stergiopoulos, an associate professor of clinical medicine at Stony Brook, analyzed eight trials involving more than 7,000 patients randomly assigned to medical therapy or stenting plus medication. The trials were begun between 1997 and 2005. In this type of study, called a meta-analysis, researchers look for patterns that might not have been the main intent of the individual trials.
During an average follow-up of more than four years, no significant differences were seen in longevity or quality of life.
Overall, 649 patients died, 322 who received stents and 327 who received medication alone, the study found. Nonfatal heart attacks were suffered by 323 patients with stents and 291 taking only medication.
Among those with stents, 774 needed new procedures to open blocked heart arteries. Among those on medical therapy, 1,049 also needed a procedure to open blocked arteries.
Of more than 4,000 patients for whom data on chest pain — called angina — was available, 29 percent of those with stents had persistent chest pain compared with 33 percent of those on medical therapy alone, Brown found.
There is no data that stenting patients with stable heart disease reduces the risk of dying or having a heart attack, Brown said.
"This is not to say no one will need stenting, but only about a third of patients treated initially with medical therapy will need to cross over to stenting," he said. "People shouldn't blindly agree to have procedures unless the doctor can tell them that there is a documented benefit" in quality or length of life, he said.
Quality of life involves relief of chest pains, he said. If patients on the best medication still have chest pain that is unacceptable to them, stenting becomes appropriate, Brown said. Medical therapy included aspirin to prevent clotting, beta blockers and ACE inhibitors or angiotensin receptor blockers to control blood pressure, and statins to lower cholesterol, the researchers noted.
"If you go the medical therapy route, it means the patient has to be followed in an outpatient environment to see how they are responding to the medical therapy, and that takes time and effort that doesn't reimburse very well," he said. "That's part of the equation that drives putting in a stent rather than following the patient on medical therapy."
Dr. James Blankenship, a spokesman for the Society for Cardiovascular Angiography and Interventions, wasn't surprised by the study. "This is largely old news and many interventional cardiologists are avoiding the pitfalls that the authors are pointing out," he said. "In fact, the volume of interventions among Medicare patients has gone down 18 percent between 2005 and 2010."
"For many people, conservative medical therapy is the right thing, but for those who have a lot of symptoms, having a coronary intervention is a reasonable strategy," he said.
Dr. Gregg C. Fonarow, co-director of the University of California, Los Angeles Preventive Cardiology Program at the David Geffen School of Medicine, agreed that medical therapy is the first choice for patients with stable heart disease.
Coronary stenting should be reserved for those patients who have worsening symptoms despite optimal medical therapy, he said.
For patients with stable coronary artery disease, "the most effective and valuable therapy to prevent disease progression, heart attacks, stroke, heart failure and premature cardiovascular death is a combination of medications together with lifestyle modification," Fonarow added.
Hope this helps,
Dr T
For what it's worth I wanted to update my recent article about the Stents I just had put in. My doctor recommended a blood pressure monitor and I bought one Thursday. Probably wasn't a good idea for someone who is a little paranoid and trying to adjust to a major health change in their life. I say that because that night it was good, but when I woke up Friday I felt a little nausea and took an Alka-Seltzer which made me feel fine. So I went to the kitchen to have my breakfast and take my meds and of course check my blood pressure. The number were much higher than the day before and so I tried to be calm ate a little fruit and rechecked it again and it was even higher 168/80. I decided something wasn't right and went to the hospital to get checked. Making a long story short, they did and EKG, blood enzymes, blood pressure every 15 minutes and even an X-ray.
My heart doctor looked at the results and said I was fine and that blood pressure is going to fluctuate especially with A-fib and to only take my blood pressure five times a week and unless I'm having pain or other issues I should be fine. So I hope that I can adjust to this huge change in my life very soon and take it all in stride.
I will be 68 in 12/2014 and about 10/25/14 I started having some chest discomfort and because I have a minor GERT issue I thought that was causing my problem. The discomfort two days later became very intense and on a scale of 1 to 10 I would say it was a 7. This happened while just shopping at Sam's club and I immediately grabbed some Tums off the shelf and ate a couple and drank some water. That helped a little but I got the most relief from taking an Alka-Seltzer. I took my blood pressure on the machine at Sam's and it was 175/95 which was very high for me. Typically my blood pressure is 129/78 but of course that will vary, but that isn't anywhere near the level I had at Sam's club then.
After waiting a while I did my shopping and drove 35 miles home, put the stuff away and still felt okay. Next morning when I got up I felt that nagging ache in the center of my chest that drove me to see a doctor 4 months earlier. The doctor then had me do a Barium test which showed some issues like a small Hiatal hernia. Because back then I had this same nagging pain I thought it was the same thing again. But later in the day I went to the grocery store and hadn't been there 15 minutes before I got that discomfort again that was 7 on the pain scale.
So I decided to go to the hospital and get checked and they had me in a room to run tests within twenty minutes. The short version here is the nurse indicated my markers were high but didn't think I had a heart attack. They decided to admit me for 24 hours. My family doctor came by that evening and said he thinks my heart is strong with a great pulse and that he thinks it is my acid reflux problem. Sounds good huh?
In the morning my heart doctor who I went to a year ago for a slight Atrial-fibrillation problem that he diagnosed and put me on mild dose of aspirin for which I might add, worked great with no further issues until now. So now my heart doctor comes by the next morning to tell me I did have a slight heart attack and that they want to do a coronary angiogram and that will decide one of three things. Either medicines, a stent or by-pass surgery to fix the problem.
Needless to say the two completely different doctor opinions was hard to take with the later being so much more serious. Just the idea of this test had me scared to death and the next morning they did the test and the one artery was 99% blocked. The other arteries were okay, but it was plain to see by the picture they showed me that I had the blockage which left me no doubt that my family doctor didn't know what he was talking about.
After the test I was taken to a different hospital where they do a lot of heart surgery and they put the Stent in me. The next morning I felt fine and they released me. So now I'm on all this medicine you here all the possible side effects about and can only hope that I do okay on them. I will change my diet, lose 30 pounds and exercise at least three times a week and walk a lot.
I hope this comment wasn't too long and was helpful because I'm looking for information myself.
Hello, I had the same situation happen on 11/7/14 I had 2 stents put in. I'm scared to death. All of the medication has definite side effects. I have chronic afib and 2 other arteries that are partially blocked. I was told the medication should help them. I'm 53 years old and had no idea I had a heart attack. My arms were heavy and the top of my chest was tight. Now I have to exercise and watch my diet. The medication makes me feel tired and depression is taking control.
I am 48 years old now. In february 2014, i felt the burning in my stomach or a chest pain in central part of my chest for some good 3-4 days. One evening, when it get worsened, i rushed to hospital emergency. The medical officer gave me Angicid and i felt better. Later, the Doctor suggested me to go through blood tests which were fine, ETT which was fine, ECG which was fine but still they suggested me to go through an Angiography which showed artery blockage. An eventually as per my Heart Specailist reccommendation, I had2 Angioplasty + 2 stents. I neiter have Sugar nor blood pressure. Never had Heart Attack as well.
I feel okay except some discomfort usually in the left side ofmy chest during initial months. Taking regular Medcines Since March 01,2014, Not taking meat, and completey/strictly following Doctors prescribed food only.
My questions are:
Can Angina lasts for 3-4 days ?
I did Right to put Stents ?
How long these medicated stents will last ?
What will be my life Expectancy ?
Is there any other procedure that can remove my stents and make me healthier again ?
Re: your questions:
1. Yes
2. I don't think so. You were never tretaed before (had not fialed therapy). Read the original article and my comments to questions.
3. Read the article.
4. You have coronary artery disease. How that affects your future depends on whether you live a heart healthy lifestyle.
Hope this helps,
Dr T
I am a male 64 yr old with 5 arteries block 90% including the LAD and circumflex almost 100%. No heart damage/ no diabetes / no kidney or liver damage/ no smoking/ heart disease in both sides of the family death of father 83yr mother 87 yr and brother 36yr from heart disease. Mt Sinai NYC and NY Presbyterian both recommended 2 stenting procedures 6 weeks apart. Blood pressure now 110 /80 after being 175/130 for over a decade with daily benazepril hctz 20/12.5 mg. If I have no negative reactions to the stents after 2 years is it likely that the stents will have as long lasting benefits as open heart surgery?
thank you
This is a no brainer: you need a coronary artery bypass procedure!. Patients with multi-vessel disease do much better. Read this:
Hope this helps,
Dr T
I'm a 66YO with a stent put in my main artery in 2008 in southern cal, Now I live in Sydney since 2011 and my health was going south so I drop my 6 figure salary (very stressfuly job) and start taken care of my health since this lucky country have free medical and with a little money on private insurance realy helps to get good service. Now I have compound my health issues with stent, a 3.3cm pulmonary hamartoma and a 4.5 polyp inside of my bowel.running out parts in body! SO the polyps are gone with 2 colonoscopies and one more schedule this october. but the stetnt and the hamartoma still there. In a way I am like Joe the english pommie fellow I eat well very nutricios diet and go to the gym now 3-times/week . A quick insert! my pulmonary doctor told me that " you dont have to do it but is better to do it" then I went on a research and start getting second opinions. What I would like to do now is; 1.- can I maintain my stent (I take lipitor 10mg and aspirin 100mg)monitoring my MHR and target heart to optimum performence and how can I do it or where can I go. 2.- can breathing exercises witl helph maintain the size at least grow slowly (2004 was 2cm 2014 is 3.3cm)the way of my lession? 8 more months here in Sydney then I am moving to Barcelona my dream city for retirement! and when the wheter is to cold then back to Anaheim hills.
Dr T, tank you very much in advance.
- Re: Your coronary artery disease, if you live a heart healthy life style, you have done all you can do to protect against a recurrence.
- Re: Pulmonary hamartoma. In general, I'd recommend removal of any lung tumor even if thought benign, because Xrays and even CT scans are not always enough to make a definitive diagnosis of hamatoma vs. lung cancer.
Hope this helps,
Dr T
When I was 49, pear shaped , overweight , and hardly any exercise, bad diet etc. I had a extreme shortage of breathe while I was riding a bicyle. Turned out to be angina , main artery 95% blocked and 2 x 45% blockages. I thought this was the end of my life. I had 2 stents fitted.
Went to California for a vacation , as I am english living in UK.
The good life in california made me realise life can be better.
2 years later I kayak 12 hrs per week, cycle 50 -60 miles per week, and use the gym frequently. My diet is as good as I can get it, little fat, lots of carbs and protein. My body is a totally different shape and people approach me and comment on how fit I look.
My life is better than it has ever been. I am actually pleased I had heart disease that was diagnosed and treated other wise I could be one of the poor people that dont know and just drop dead one day.
The answer, and anybody can do it if they want to, is CHANGE your life style.
Joe - United Kingdom
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My mother has been lately suffering from a unique BP ailment. She had a blackout recently in which she was semi-conscious. Since then we have been monitoring her BP and have found that her systolic BP hovers around 140-150 while her diastolic level oscillates between 60-70. Yesterday night the upper one was 139 but the lower one dropped to 45 so I fed her some salty...
My 78 year-old active mother was flown to an out of town hospital last week after she was diagnosed with Aortic Dissection Type B. She is being managed with medication in order...


text: Current exhibitions KupferstichkabinettNanne Meyer. Nothing But The Moment. Drawings The draftswoman Nanne Meyer (born 1953 in Hamburg) has received the renowned Hannah-Höch-Preis of...More previous page next page results: 1 | displayed 1 - 1 | show all Show less Upcoming exhibitions KupferstichkabinettGerhard Altenbourg. Das gezeichnete Ich We apologize that this content is only in German available.More previous page next page results: 1 | displayed 1 - 1 | show all Show less Past exhibitions Previous years Coming years 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 KupferstichkabinettThe Art of Bathing. A Summer Exhibition at the Kupferstichkabinett Bathing is closely associated with three spheres of human life: the body, hygiene, and...More KupferstichkabinettArcadia - Paradise on Paper - Landscape and Myth in Italy Arcadia, the mythical land written about for centuries in verse, is an earthly paradise, an idyllic...More KupferstichkabinettPablo Picasso Picasso created the most important oeuvre in 20th-century art not only in his capacity as a painter...More previous page next page results: 3 | displayed 1 - 3 | show all Show less