text: Cancerwise | Cancer blog from MD Anderson Cancer Center tag:www2.mdanderson.org,2009-03-20:/cancerwise//6 2014-11-24T15:09:37Z Cancerwise is MD Anderson Cancer Center's blog for cancer patients, survivors and caregivers. Cancerwise features patient, caregiver and survivor stories and tips, as well as expert insight on cancer news, prevention, treatment and research. Movable Type Pro 4.25 11 tips for cancer caregivers from our Facebook community tag:www2.mdanderson.org,2014:/cancerwise//6.3325 2014-11-24T13:30:00Z 2014-11-24T15:09:37Z At MD Anderson, we consider our cancer caregivers to be cancer survivors, too. After all, our caregivers walk every step of the way with our patients. We asked the cancer patients, survivors and, of course, caregivers in our Facebook community to share their advice for cancer caregivers. Here's what they said. Cancerwise Blogger At MD Anderson, we consider our cancer caregivers to be cancer survivors, too. After all, our caregivers walk every step of the way with our patients. We asked the cancer patients, survivors and, of course, caregivers in our Facebook community to share their advice for cancer caregivers. Here's what they said. ]]> Be patient. Cancer is a journey and can't typically be cured or treated overnight. Make things easier on your loved one -- and yourself -- by setting realistic expectations.Take care of yourself. It's not easy to make time for yourself, but if you'll have a hard time caring for others. Get plenty of sleep, maintain a healthy diet and exercise. Remember: if you're healthy, you can help your loved ones get healthy.Don't be afraid to strike up a conversation with someone at MD Anderson while you're waiting for your loved one. You never know who you might meet or what you might learn from them.Take time to laugh. Find the humor in your cancer journey -- and in the things and people that made you laugh before cancer.Take notes, do your research, learn as much as you can about your loved one's cancer and treatment. Your loved one may just be trying to adjust to the idea of a cancer diagnosis and may miss some of the crucial information that the doctors share. When your loved one is ready to learn more, he or she will be glad you were there to take notes.Don't be afraid to ask for help. Others want to help you. They just might not know how to say it.Join a support group or find someone to talk to. MD Anderson offers several support groups, as well as one-on-one support through the Anderson Network, for family members and caregivers of cancer patients. Talking to others who've been there may help you even more than you think. You might even make new friends.Be a good listener. Your loved one is likely dealing with a lot of emotions and changes, so show you care by listening attentively and asking questions as appropriate.Stay positive. Your attitude will help keep your loved one in high spirits. Try not to treat your loved one too differently. Yes, you need to do what's best for the patient, but maintaining some normalcy can help you both cope. Make time for "normal" things. If you and your sister usually have a girls' day or you and your spouse have a date night, try to pencil it in between treatments. You'll both get a break, and you'll create some wonderful memories. And, you'll realize that cancer doesn't have to control your life, making the journey a little easier on both you and your loved one. Related 6 things caregivers can do while visiting MD AndersonWhat cancer caregivers wish they would have knownCancer caregivers: 4 tips to reduce stress ]]> 4 holiday party tips for cancer patients tag:www2.mdanderson.org,2014:/cancerwise//6.3323 2014-11-21T13:30:00Z 2014-11-21T15:08:13Z For many, the holidays mean food and fun with friends and family. But for cancer patients and survivors, the holidays mean the stress that comes with dealing with all those things. Kristine Keeny, a sarcoma survivor, shares her tips for getting through the holidays. Cancerwise Blogger By Kristine KeenyFor many, the holidays mean food and fun with friends and family. But for us cancer patients and survivors, the holidays mean the stress that comes with dealing with all those things. During my sarcoma treatment, I had to go out of my way to avoid small children and anyone who looked like they might have a cold at holiday events. Even now that I've completed sarcoma treatment, I have to avoid a long list of vegetables and all dairy products. But along the way I've learned how to get by during the holidays. Here are my tips for cancer patients and survivors on staying healthy during the holidays. Try them, and you might start some fun new traditions at the same time.1. Ask your health care team for advice. Your medical team will be able to guide you when it comes to what you have to drop completely and what you can have "just a little of." If you're on a special diet, ask about alternatives. I was told to try tofurkey instead of a regular turkey so I could avoid some of the ingredients commonly added to turkey. It worked for me, and I don't have to worry about offending anyone. ]]> 2. Talk to someone. It's not uncommon for cancer patients and survivors to feel lost and alone when surrounded by the happiness of the holidays. We all have moments when we feel disconnected from the rest of our family in our new, modified lives. If you don't feel comfortable talking with your caregivers, try calling the Anderson Network, MD Anderson's one-on-one support group for cancer patients and caregivers. They'll connect you with another patient with a similar diagnosis, treatment or experience. Having someone I can talk to who is completely non-judgmental has helped me stay as upbeat as possible, and the Anderson Network volunteers Network have helped me to phrase things for family members who've had difficulty understanding why I don't participate in the same activities as everyone else.3. Plan your celebration. Make sure your family and friends understand that you will do what you can to participate in their gatherings. Don't feel shy about bringing your own food or party favors. I make sure to bring a dessert and a main dish to every get-together we attend, along with some cards and games. That way, I know there will be a few things I know I can enjoy. And usually the host appreciates my contributions. 4. Be honest with yourself. You are not the same person you were before cancer treatment, so you shouldn't expect other people not to notice a difference in you. I have only recently begun to regain some of my physical strength, and my immune system is still not what it used to be. I have to be careful not to push myself too hard or I might not be able to attend the next party. It can be hard to take that much needed break or to leave a party early, but it's important to do what you need to do to make certain that you continue to heal. I often take naps at day-long family gatherings, just so I will be able to spend time with everyone, even the late arrivals. Many people don't know what to say or do around people who have or have had cancer, so it's best to let the holidays serve as a means to let them learn that you are still you, if maybe a little changed. Remember, you aren't your cancer. Let the holidays be a chance to show everyone what still matters most: family, friends and celebrating the holidays with people you love and who love you. Read more by Kristine Keeney.To schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online.]]> Why I'm thankful after my esophageal cancer diagnosis tag:www2.mdanderson.org,2014:/cancerwise//6.3319 2014-11-20T13:30:00Z 2014-11-20T14:00:34Z Thanksgiving is just around the corner, but Mary Ginley's true Thanksgiving is October 29, the anniversary of her esophageal cancer diagnosis. "I have so much to be thankful for on this anniversary," she says. Cancerwise Blogger By Mary GinleyLast fall, I had trouble swallowing. I assumed it was acid reflux and went to the doctor for some swallow tests. My doctor also suspected it was acid reflex. That afternoon, he called to say we were both wrong."It's bad, Mary. It's esophageal cancer. You need an endoscopy and biopsy immediately, and you need to clear your calendar. It's going to be rough."I remember sitting down, stunned. I had never heard of esophageal cancer. While I always go into a mammogram braced for the worst, it hadn't occurred to me that the swallowing tests could reveal something equally serious. After my endoscopy the next day, the doctor sat down with my husband and me. He said there was a mass in my esophagus that had gone into the esophageal wall, and that at least one lymph node was involved. "I'm sending you for PET scan and CT scan. That will tell us more," he said. "If it's spread further, chemotherapy will give you a little more time.""Wait," I told him. "I need a LOT more time."Giving thanks after esophageal cancerThat was a year ago. And, it looks as if I'm going to get a LOT more time. But no one really knows, do they? All we have is this moment, this hour, this day. I'd love to have a lot more time, but if I don't, I am ever so grateful for the time I have had. Thanksgiving is just around the corner, but my true Thanksgiving is October 29, the anniversary of my esophageal cancer diagnosis. I have so much to be thankful for on this anniversary. ]]> I'm thankful for the staff at MD Anderson, too. When I arrived, they told me that they'd take care of me and send me home to go on with my life. They did just that.Blogging to cope with esophageal cancerI'm also grateful I found a way to cope with my cancer. Inspired by a former student, I decided to blog about my esophageal cancer journey. Blogging kept me sane and connected, and reminded me I wasn't alone. I was incredibly lucky. I AM incredibly lucky, and I know it. I know most people wouldn't react to a cancer diagnosis by starting a blog, but it worked for me. It was great therapy and the people who read the blog carried me through the months of esophageal cancer treatment and recuperation.I think people need to find their own way to get through the tough stuff in their lives. Writing might work for some; it does for me. For others, it might be music or exercise or meditation or all of the above. Some people are very private and need to guard that privacy while they go through dark days. Whatever works. We need to respect each person's way. I feel so strongly that it's important to let people walk that journey with you and to ask for help, but I've learned to back off if someone wants to be left alone. I'm thankful I found my own way to cope, and thankful to be reminded to respect each person's way. But perhaps most of all, I'm thankful to be here to celebrate the gift of more time. Read more by Mary Ginley.To schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online.]]> What my kids should know about sun safety tag:www2.mdanderson.org,2014:/cancerwise//6.3317 2014-11-19T13:30:00Z 2014-11-19T15:36:09Z Amanda Woodward's melanoma journey has taught her a thing or two about sun safety and caring for her skin, and she wants to share that knowledge with her kids. Cancerwise Blogger By Amanda Woodward Sometimes I ponder the inevitable conversation with my kids about my melanoma diagnosis. I know I can dodge the subject for a while and chalk the frequent check-ups up to simply that -- check-ups. At some point, though, I will have to share that "mommy had melanoma" and all that it means. YUCK! Not a day that I look forward to and certainly not something I'm prepared for. But my melanoma journey has taught me a thing or two about sun safety and caring for my skin, and I want to share that knowledge with my kids. Here's a short list of things I hope our kids come to know about sun safety and their skin.]]> First and foremost, your skin is beautiful! There isn't a shade of tan in the world that looks any better than the skin God gave you. Not even close. Put SPF on each morning just like you brush your teeth. Sunscreen should be a part of your daily routine. Unless you plan on staying in a windowless room all day long (which I certainly hope you don't), the sunscreen goes on. There is plenty to be said about the wide variety of sunscreens on the market, but at the end of the day, the best kind of sunscreen is the kind you'll actually use. Find a wonderful dermatologist. Just like having your teeth cleaned or seeing an eye doctor, a visit with your dermatologist should be regular and consistent. It's just part of life. Make sure you find someone you trust and communicate openly with. Mom will help you, but a good place to start is always a recommendation from another doctor. When in doubt, check it out. If there is ever anything new or suspicious on your skin, have your dermatologist look at it. There is never any harm in being told, "Oh, that's nothing. It's completely fine!"Your mom and dad are trying their very best to protect your skin when you are little, which hopefully gives you the best possible start!We love you and your gorgeous porcelain skin. Amanda Woodward lives in Alaska with her husband, daughter and two dogs. Learn more about her on her blog, or read more of her Cancerwise posts.Melanoma is one of the cancers MD Anderson is focusing on as part of our Moon Shots Program to dramatically reduce cancer deaths. Learn more about our Melanoma Moon Shot.To schedule an appointment at MD Anderson, call 1-877-632-6789 or request an appointment online. ]]> A stem cell transplant patient looks to returning home tag:www2.mdanderson.org,2014:/cancerwise//6.3316 2014-11-17T13:30:00Z 2014-11-17T21:38:17Z For 100 days following his stem cell transplant, Harley Hudson, a chronic lymphocyctic leukemia (CLL) patient, looked forward to going home. But he had to do several things before he was released. Cancerwise Blogger By Harley Hudson I decided to keep a diary of my stem cell transplant experience so it might help others in preparing for their stem cell transplants. You can read my previous entries here.I used to own a primitive flight simulator that I ran using the keyboard. I could take off and fly any airplane on the list. What I couldn't do was land. I had two problems: I was ignorant of the process, and I was impatient. I had never flown before, so I had no idea what was involved.My stem cell transplant experience -- a part of my chronic lymphocyctic leukemia (CLL) treatment -- was much like using the flight stimulator. Pre-flight was like all those tests leading up to my stem cell transplant. Takeoff was Day 0 when the transplant actually began -- and when there could be turbulence in the lower atmosphere. Things generally smoothed out at cruising altitude a few weeks later. Now, I'm focused on landing -- in other words, going home. Preparing to leave the hospital after my stem cell transplantThe landing started when medications change from IV to pills. This was the beginning of the 90-day restaging. The SCT Survivor's class was ordered. Chest X-rays were taken. PET scans, CT scans, bone marrow biopsies were all scheduled. It seemed like we are starting all over again. ]]> The PET scan was next. After I completed a three-hour fast, an attendant gave me the dose of radioactive material that provided the markers for the test. At last, I was ushered into the scan room and positioned on the traveling table. I was told to breathe normally. The table moved, and I once again relaxed and almost fell asleep. Twenty-three minutes later, the scan was complete.I think the CT scan is the worst. Not because it is hard, but because it requires a six-hour fast before the test, which for some strange reason is always in the afternoon. At least I get breakfast -- if I start early enough. This test was preceded by an hour of sipping a very large beverage laced with a trace material. I always chose cranberry juice. Finally, I sipped on to the table and held my breath while the scans were made. The bone marrow aspiration and biopsy concluded the major tests. Many people fear this test; I think mostly because of the old tales of pain and suffering. In reality, and I have talked to others who agree, once the anesthetic began, all that was involved was pressure as the technician worked the tools through the hip bone and into the marrow. Perhaps there was a bit of discomfort as the marrow was extracted, but that was about it. Going homeI suspect all stem cell transplant patients are praying that nothing stalls the process by this time. We are not only pressed from the outside; we are worried about the inside. Most of all, after nearly four months away, we want to go HOME.Fortunately for me, all my test results looked good, and I was released to return home. I had landed. As I left MD Anderson, I thought about the flight stimulator again. I imagined a plane slowing and nearing the ground. Each thump of the plane's tires spoke to me: "Survivor. Survivor. Survivor. You. Are. A. Survivor."At the exit, Melanie and I thank the attendants, the pilot for a wonderful flight. Only in our case, it is the nurses, the doctors, the entire staff, and everyone that makes up MD Anderson. Thank you, one and all!Watch Harley discuss his stem cell transplant recovery:Harley Hudson is a retired pastor, carpenter, electrician, plumber, assembler of road graders, furniture refinisher, janitor, graphic designer, English teacher, aircraft parts inspector, and college adjunct professor of writing, among other lesser career choices He and his wife live in Arkansas and have three daughters and nine grandchildren. Follow him on his personal blog, or read more Cancerwise posts by Harley Hudson.Chronic lymphocytic leukemia (CLL) is one of the cancers MD Anderson is focusing on as part of our Moon Shots Program to dramatically reduce cancer deaths. Learn more about our CLL Moon Shot.]]> Dating after tongue cancer tag:www2.mdanderson.org,2014:/cancerwise//6.3311 2014-11-13T13:30:00Z 2014-11-13T17:58:31Z For Rita Avila sometimes the idea of dating is scarier than cancer itself. "As if dating weren't tricky enough, I have the added pressure of telling any guy I'm interested in that I've had tongue cancer," she says. "And I still have the scars, the feeding tube and the follow-up appointments that came along with it." Cancerwise Blogger By Rita Avila Not too long ago, one of my good friends got hitched and, over a year later, got married to the man of her dreams. It was a gorgeous wedding, and I was extremely happy for her, but it made me think: Am I ever going to get married? As if dating weren't tricky enough, I have the added pressure of telling any guy I'm interested in that I've had tongue cancer and I still have the scars, the feeding tube and the follow-up appointments that came along with it. Telling others about my tongue cancer treatmentSometimes the idea of dating is scarier than cancer itself. Specifically, the idea of telling someone, "Hi, I'm Rita, and I've had cancer." No matter how hard I try, I can't make it sound remotely sexy or badass. I've even tried, "Hi, I'm Rita, and I kicked cancer's ass." Nope. Still, nothing. I think most guys would either turn around and walk out, or feel sorry for me. And the last thing I need is for someone to look at me like, "Bless your poor little cancer-having soul," and feel pity for me. I don't need your pity, hot guy! I want you to think I'm sexy. But alas, sexy and cancer don't really go well together in the same sentence. ]]> chemotherapy. My hair fell out, and, thanks to the super-special chemo drug I was taking, I had an acne rash like no other. The more acne, the better it was working, the doctors said. I tried not to glare at them. I hadn't even had acne when I was in my teenage years. But there I was, in my early 20s, looking at my bald head and broken-out face, thinking, "How am I ever going to be ME again?" For a while, cancer even took away my smile. In late April, I underwent a surgery that left me with two giant scars from incisions -- one that ran from the middle of my neck to the back of my right ear and another that ran on from my left thigh to my knee. And let's not forget the feeding tube. At first, I had a feeding tube in my nose. When we figured out this would be more of a long-term thing, they put a peg feeding tube in my stomach. I always joke that if I date someone, he'll probably have to have a feeding tube, just so I don't have to explain myself. Any invitation I get for dinner, lunch or coffee has to be followed up with, "I'd love to, but I have a feeding tube, so unless you're completely comfortable watching me shoot up formula/soup/coffee/water/etc. in a syringe and into a tube that will feed it into my stomach, then it might be a bad idea." Thinking about my future after cancerThankfully, as time passed, I started getting over my dating concerns. I remind myself that I'm focusing on finishing my engineering degree right now, and dating isn't the priority. But someday that may change, and the time will come when I'll meet someone worthwhile. Or, who knows, maybe I won't, and I'll end up being a crazy dog lady with 10 dogs. And even if I do become a crazy dog lady, well, after all I've been through, if that's the worst that happens, I'm OK with that.After all, cancer is just baggage, and we all have baggage. Mine's just a little heavier. On the bright side, I have the strength to deal with it. To schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online.]]> Making peace with my vulvar cancer diagnosis tag:www2.mdanderson.org,2014:/cancerwise//6.3310 2014-11-12T13:30:00Z 2014-11-25T15:42:28Z Jami Mayberry had trouble accepting her vulvar cancer diagnosis. But then one day she had an epiphany. She decided to stop fighting her vulvar cancer treatment and start fighting cancer. Cancerwise Blogger By Jami MayberryWhen I was first diagnosed with vulvar cancer, I wasn't sure what journey lie ahead of me. So many decisions to make. When my doctor, Patricia Eifel, M.D., laid out my radiation treatment plan, it seemed rather long. But I thought I could do it. Then she decided to add chemotherapy once a week as well. So, on Mondays, I got radiation in the morning and chemo for five hours in the afternoon. Mondays were very long days.Stressing over my vulvar cancer treatment About three weeks into my treatments, I began to feel agitated and began to suffer from vulvar cancer treatment side effects. I didn't want to have cancer. I didn't want chemo and the weakness and nausea that go with it. I didn't want the endless IV insertions. I have small veins anyway and it was painful to find one. They didn't give me a port because I was scheduled for only six chemo cycles. ]]> Accepting my vulvar cancer treatmentBut one day in the hospital I had an epiphany. Fighting against each painful step of my vulvar cancer treatment was not helping me. It was hurting my healing. I had to somehow come to terms with what was happening to me and make peace with it. I had to accept that there were things happening that I didn't want to happen and I had to accept it. If I didn't surrender to this painful treatment, I would surely lose my life. It's a tough place to be. Get treatment or die. It was that simple. I began to surrender in my mind and heart to treatment and remind myself that this would stop the growth of the vulvar cancer if I could just endure it. Fight the cancer, not the treatmentA peace came over me as I let go. It was time to emotionally get in step with my vulvar cancer treatment. It made a huge difference. I had vulvar cancer. I was having vulvar cancer treatment. It sucked. I also got a digestive tract infection during treatment, which complicated everything. My colon will never be the same. But that's part of the journey. Fight the cancer, not your treatment. Make peace with it and it can save your sanity and stress level. Save all that fight for the recovery.I am now one-year cancer-free and am grateful that I endured through the treatment. Every day is a blessing, and I am so grateful to be here to fight another day!Read more blog posts by Jami Mayberry.To schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment.]]> Facing uncertainty after thymoma treatment tag:www2.mdanderson.org,2014:/cancerwise//6.3309 2014-11-11T13:30:00Z 2014-11-11T14:08:41Z For Anna Masten Jackson, life between follow-up thymoma appointments is like standing on a stepping stone, waiting to jump to the next rock. Cancerwise Blogger By Anna Masten Jackson I have found a lot of new normals after my thymoma diagnosis. There is the new normal of a few aches and pains, reminders of surgeries past. There is the new normal of curly hair after years of mine being bone straight. There is the new normal of using vacation time to travel for medical care -- care for which I am so grateful! Returning to MD Anderson for a checkup Last week, we returned to MD Anderson for my checkup and received great news that my thymoma is stable. We will go back in six months and repeat the process. For now, I have been given six months that feel like freedom. Six months of no thymoma treatment. Six months of no surgery. Six months that I can plan my life as much as any other human can plan hers. After receiving this good news, I feel like I'm standing on stepping stones scattered across a raging river. For now, I am safely standing on a stone. Behind me are years of boulders I have safely used to cross rough waters, and some I've used to climb out of the water when I've slipped. Below me is a wild river. At this time, the water that threatens me most is "The Nuisance," my thymoma diagnosis, but blended in are the typical waters of life -- parenthood, marriage, finances, job security, safety, etc. In order to make progress in life, I must leap from stone to stone. Who knows how many stones are ahead of me. For the moment, I am able to stand safely on this rock, catch my breath, enjoy the view and take in a little sunshine. In four months, it will be time to take the next leap of faith when I return to MD Anderson for my next checkup. If I become paralyzed by fear, doubt, anger, discouragement or hopelessness, then I am unable to take the leap of faith required to move forward to the next stepping stone. If I focus on the raging rapids, I become incapacitated. The desire for safety and security can trick me into thinking I can't take that next jump. It is too far away. I might fall. The water is moving too fast. I cannot jump. I get focused on the river of fear, and my footing becomes weak. Instead, I must focus on the rock ahead. Anna Masten Jackson has many titles: wife, mom, daughter, sister, friend and educator, but the one title that will not define her is cancer victim. She has found blessings in the struggle. For more of her story, read her blog.Read more posts by Anna Masten Jackson.To schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online.]]> Infant leukemia survivor reflects on 'the hospital that raised me' tag:www2.mdanderson.org,2014:/cancerwise//6.3308 2014-11-10T13:30:00Z 2014-11-10T13:51:05Z At 9 months old, Ivana Camarillo was diagnosed with infant leukemia. At 1, she received a cord blood transplant. She finished all active treatments for childhood leukemia when she was 5. Now, she helps others coping with childhood cancer. Cancerwise Blogger By Ivana L. CamarilloI've been a fighter since I was a baby. As a childhood cancer survivor, strength runs through my blood and every cell I have.At 9 months old, I was diagnosed with infant leukemia. At 1, I received a cord blood transplant at MD Anderson Children's Cancer Hospital. I finished all active treatments for my cancer when I was 5, and I have now been cancer-free for 10 years.Undergoing childhood leukemia treatmentBeing so small when I had to fight for my life, I have very few memories of my leukemia journey. I remember being isolated all the time, and I remember looking at my hands and seeing little pieces of my skin fall off, a cord blood transplant side effect. I even remember starting school and realizing that everything I thought was normal was in fact not normal at all. Being bald was not normal. Having scars was not normal. Going to doctor's appointments every month was not normal. ]]> What I learned from my childhood leukemia journeyNow that I am older, I can see what my cancer journey has taught me. I learned what it felt like to be bullied, so I never bullied anyone. I learned what it was like to feel left out, so I tried to involve everyone I could. I learned that the world can be a cruel place but that little acts of kindness can help make it less cruel. I stopped focusing on outward beauty and looked for inner beauty, the real beauty of a person. I like to say that cancer and MD Anderson has given me the wonderful opportunity to learn the true definition of beauty and how a horrible thing can bring forth light. I now know that true friends don't judge your bald head or round face from steroids, they rejoice in them because they are signs of treatment and a possible cure. I also know the joy of belonging to a growing second family -- my cancer family, the patients, caregivers and care team I met during my cancer treatment. They are the people who walked this journey with me and who I now walk with as an experienced traveler to guide, help and support.Leading the way for new cancer patientsOne of the most important things I've done for my cancer family is participate in activities and groups at MD Anderson, such as imPACT, the teen advisory committee that works with Children's Cancer Hospital staff to improve the experience for other young patients facing childhood cancer. Most people wonder why I do this and why I haven't just left cancer in my past. My answer is simple: I believe you should never forget where you came from. That doesn't only mean the place where you were born. It also is the place where your soul has learned its most valuable lessons. I have learned and continue to learn so much throughout my cancer journey that I never want to forget. Though no one's sure who said it, here's one of my favorite quotes: "Life is only traveled once. Today's moment become tomorrow's memory. Make the best of every moment good or bad, because the gift of life is life itself." I love this quote because it reminds me every day not to forget where I came from. My cancer experience, good and bad, is an important part of my life's gift, because there once was a point where we thought I would not get much life at all.I may not have all my memories from cancer, but I have enough to understand the pain and suffering of the journey. For me, that is enough to want to help others on their journeys. In the end, it helps me as much as I hope to help them. To schedule an appointment at MD Anderson Children's Cancer Hospital, please call 1-877-632-6789 or request an appointment online.]]> The faces of cancer tag:www2.mdanderson.org,2014:/cancerwise//6.3307 2014-11-06T14:05:52Z 2014-11-06T15:11:48Z During her last checkup, Michele Longabaugh, an anal cancer survivor, looked around the waiting room, noticing the many faces of cancer. Cancerwise Blogger By Michele LongabaughMy husband Jerry and I left on a Sunday to drive to MD Anderson for yet another anal cancer checkup. The weather was forecasted to be balmy, so we packed our shorts. The drive was beautiful. As we cruised south, I watched the fall colors fading back to green closer to Houston. Observations from an MD Anderson waiting roomI knew the next day would be big: it would be only the second time ever that I was going to receive my scan and results on the same day. I was excited about that. No waiting. It was a treat of sorts, really. I arrived at the Mays Clinic for my blood draw and made my way through the crowded waiting room to sign in before taking a seat. From my perch, I was able to observe the entire waiting area. I played "who's the patient" in my mind for a little while, but then I found myself just looking at all the faces. The faces of cancer and those of the people who love and care for them. Young and old. Pale and tan. Smiling and sad. A worldwide representation of people -- some looking so tired and others, like me, their plight virtually undetectable on the surface. Hair in various stages of growth, wigs, caps or just embraced baldness. So many faces. ]]> My face, the face of a cancer warrior I wondered what they were thinking as they looked at me. I feel like an Olympic athlete in this sea of people. I look pretty good, even with being completely out of shape. I am not wheelchair dependent, I walk without help, my hair has grown back, and with the pallor of treatment no longer evident on my complexion, it's impossible to tell what I've been through. My identifier as a patient was the telltale bracelet around my left wrist. My comrades in arms in the battle against cancer know where I've been. They understand that no matter how someone might appear in this moment, a battle has taken place. We are all gladiators. Looking around the waiting room, you can tell some are in the throws of the rumble, while others are panting, having just finished their match. There are contenders, like me, that have risen from their most recent round, hoping the beast doesn't rise again.I was roused from my reverie by a lab technician calling my name. I stood and saw all eyes turn on me as I made my way to the lab doors. I smiled at the people and gave a little greeting to those whose eyes met my own. A knowing nod, warrior to warrior. The faces of cancer, my face.Read more by Michele LongaboughTo schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online.]]> How a Houston breast cancer patient chose to stay positive during cancer treatment tag:www2.mdanderson.org,2014:/cancerwise//6.3306 2014-11-05T13:44:41Z 2014-11-06T22:14:55Z Despite the challenges she faced, Houstonian Linda VandeGarde made the decision to focus on the bright side this year. Early in her breast cancer treatment, following the advice of a book on breast cancer, she began keeping a journal and resolved to write about two silver linings she found each day -- a promise she's managed to keep. Cancerwise Blogger Despite the challenges she faced, Houstonian Linda VandeGarde made the decision to focus on the bright side this year. In January, on her birthday, Linda had a mammogram that revealed invasive ductal carcinoma in her left breast. Then, less than a month later, her mother passed away. That's when Linda made the choice to be positive, no matter what. Early in her breast cancer treatment, following the advice of a book on breast cancer, she began keeping a journal and resolved to write about two silver linings she found each day -- a promise she's managed to keep. "There were some days that were dark," she says, "but then I'd find little things, like a sparrow I saw or the church bells ringing." ]]> Her care team in the Multi Team Clinic. As a Houstonian, Linda didn't have to travel far to come to MD Anderson, and she felt at home here as soon as she met her care team in the Nellie B. Connally Breast Center's Multi Team Clinic. She now calls them "the dream team." "I just felt I could completely trust them and leave everything in their hands," she says. "You really come to rely on them for support." Her treatment plan. During her first visit to the Multi Team Clinic, Linda met her breast medical oncologist, her surgical oncologist and her plastic surgeon all the same time. The three doctors gave her a treatment plan that same day: a lumpectomy, chemotherapy and radiation treatment. Knowing what would happen next allowed Linda to return home from her first appointment with her mind at ease. The little touches MD Anderson provided. Linda loved all of the ways that MD Anderson tried to make her experience a little easier. That included everything from the private chemotherapy infusion rooms to the thoughtful nurses and other care providers who brought her lunch when her appointments ran long and offered extra blankets during chemotherapy. Her friends. Linda's friends showed their support and even bought her an ebook reader to help pass the time during treatment. Books. Linda found other positive voices in the books she read on coping with cancer as well as television shows that focused on good news. Their stories gave her hope and helped her stay positive.The lessons she learned. During her cancer journey, Linda learned to be patient and to let others take care of her, but above all, she learned to see the silver linings not just in the day-to-day, but in her whole cancer journey. She says, "I have learned lessons I would have never learned and gotten a new appreciation of the simple things in life."To schedule an appointment in MD Anderson's Breast Center, please call 1-877-632-6789 or request an appointment online.]]> 17 things that make MD Anderson unique tag:www2.mdanderson.org,2014:/cancerwise//6.3305 2014-11-04T13:30:00Z 2014-11-07T14:09:47Z From the gardens to the skybridge to our leading doctors and kind volunteers, there are many things that set MD Anderson apart and help our patients feel at home. Kellie Bramlet From the gardens to the skybridge to our leading doctors and kind volunteers, there are many things that set MD Anderson apart and help our patients feel at home. Whether it's your first appointment or you've become an old pro, you're likely to appreciate these 17 unique features.1. Our 69 aquariums. The 66 freshwater and three saltwater live coral reef aquariums in our clinics are home to 3,000 fish -- mostly cichlids, angelfish and rainbow fish. The largest freshwater aquarium, by the Pharmacy in the Main Building, holds 850 gallons. 2. The Observation Deck. Located on the 24th Floor of the Main Building, the Observation Deck offers peace and quiet, as well as a scenic view of Houston. You're also welcome to play the piano up there.3. Our volunteers. MD Anderson is fortunate to have more than 1,200 volunteers who contributed 193,921 hours of service last year. Stop by our Hospitality Centers for a cup of coffee and to visit with these caring individuals, many of whom are survivors or caregivers themselves.4. Our pianos. Twenty-five of our volunteers play the piano in The Park and the Mays Clinic between 10 a.m. and 5 p.m. Mondays through Fridays. They also play at the Rotary House each day. If you're lucky, you may hear our harpist or one of our two flautists as well.5. Room service. Inpatients -- as well as their families, caregivers and friends -- can order whatever they want from room service each day from 6:30 a.m. to 9:30 p.m. Our classically trained senior executive chef comes up with the menu of fresh, cooked-to-order meals. ]]> 6. Our employee choir. Music-loving MD Anderson employees sing carols throughout the hospital each December, bringing cheer to our patients and their families. Listen to our employee choir:7. Our Integrative Medicine Center. At MD Anderson, we don't just treat cancer. Our Integrative Medicine team focuses on the social, mind-spirit and physical aspects of your health by offering acupuncture, music therapy, nutrition services, oncology massage, yoga and fitness classes and more. 8. Our dedication to helping patients cope with body changes. Our Body Image Therapy Service, available to those treated in the Center for Reconstructive Surgery and the Head and Neck Center, provides personalized treatment plans to help patients become more accepting of body changes and get back to doing the activities they love.Our Beauty/Barber Shop also offers free hair and head care services, including haircuts and help with wigs and scarves. And, you can find breast prostheses, bras, clothing, head coverings and informational materials at Appearances in Mays Clinic. 9. Our gardens. The carefully manicured parks, gardens and green spaces throughout our campus are designed to promote healing. Volunteers even cut flowers from the rose garden outside the Main Building and deliver them to patients' rooms. Watch our gardens bloom:10. The Children's Art Project. If you've visited our gift shops, you've probably seen the work of the Children's Art Project, which sells scarves, mugs, greeting cards and other products featuring our pediatric patients' artwork. All proceeds fund programs that bring our youngest patients hope, normalcy and a promising future. 11. Our internationally renowned experts. Our faculty includes hundreds of stars, many of whom are leaders in the scientific community. Among them are nine members of the Institute of Medicine, three members of the National Academy of Sciences, and four Academy of Arts and Sciences fellows. 12. Our Moon Shots Program. Two years ago, we launched our Moon Shots Program to quickly improve survival rates for many of the deadliest cancers. This innovative approach accelerates the pace of converting scientific discoveries into clinical advances and attacks cancer from every angle, including prevention, early detection, treatment and survival. Learn about our progress.13. Our prevention services. The best way to cure cancer is to prevent it. That's why our Lyda Hill Cancer Prevention Center offers services to help lower your cancer risks and find cancer early, when it's most treatable. You can get screened here for breast cancer, cervical cancer, colorectal cancer, prostate cancer and lung cancer. Schedule an appointment by calling 1-877-632-6789.14. Our Tobacco Treatment Program. Studies show that tobacco use before, during and after cancer treatment could affect cell growth and hinder the effectiveness of cancer treatment. To help our patients quit smoking and using tobacco, we offer the Tobacco Treatment Program. The program is available to all patients at no additional cost; some family members may also be eligible. Ask your MD Anderson doctor for a referral.15. The nation's largest clinical trial program. New and better cancer treatments rely on clinical trials, and bringing these trials to our patients is our passion. We meticulously design, review and monitor our clinical trials, so we can better prevent, diagnose and treat cancer. And, we do offer more trials than anyplace else. We also are fortunate to rank first in grant dollars from the National Cancer Institute.16. The bells and whistles. The tradition of ringing a bell at the end of cancer treatment started here in 1996, when U.S. Navy Rear Admiral Irve Le Moyne, a head and neck cancer patient, donated a brass bell to the main campus Radiation Treatment Center. Patients who finish treatment at our Proton Therapy Center bang a gong to symbolize a return to balance in life. 17. You. Our patients and their families show incredible hope and strength, and that's what inspires us every day. You're the reason we're working so hard to end cancer. What would you add to the list? Let us know on our Facebook page.To schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online.]]> My colon cancer journey tag:www2.mdanderson.org,2014:/cancerwise//6.3303 2014-11-03T13:30:00Z 2014-11-03T17:19:09Z Nearly 13 years ago, doctors gave Rose Johnson six months to live when she was diagnosed with colon cancer. After undergoing colon cancer treatment, she's cancer-free and giving back. Cancerwise Blogger By Rose JohnsonNearly 13 years ago, my doctors gave me six months to live. It had started as an ordinary day. I was getting ready for work when I noticed something protruding out of my navel. It scared me, so I went to my primary care doctor. He had never seen anything like that before, so he sent me to someone else. I ended up going to five doctors, none of whom could give me any answers. Finally, a doctor ran some tests and told me I needed to get to MD Anderson as fast as I could. He said I had colon cancer. I had no other colon cancer symptoms -- not even pain -- but I did as I was told.A surprising colon cancer diagnosis After a barrage of testing, my doctors at MD Anderson finally told me that I had stage 4 colon cancer, and that it had metastasized to my liver, lungs and ovaries. They projected that I had about six months to live. My family and I were devastated. The Texas Medical Center was like a whole new world to me. I felt worried, nervous and anxious, wondering if I was going to live or die. ]]> colonoscopy, and everything was fine. But during the 10 years between my colonoscopy and my colon cancer diagnosis, I had developed colon polyps, which turned into advanced colon cancer. I did not have cancer in my family, so this came as a surprise. My colon cancer treatment and recurrenceI began my colon cancer treatment at MD Anderson right away. After three rounds of chemotherapy, the nodule that had been protruding from my navel fell off. I continued chemo for a year and then underwent six months of radiation treatments. My doctors were amazed at how my body took to these treatments. Later, my cancer returned to my lungs. But after a surgery, I was cancer-free. A year later, cancer returned a third time. This time, it was near my esophagus. My doctors called me their miracle patient because they didn't understand how my body had responded so well. Giving back after colon cancer treatmentAfter I finished my first round of chemo, I felt like it was my duty to volunteer at MD Anderson. I had no one to talk to when I was first diagnosed with colon cancer, no one to tell me everything was going to be OK.So, I wanted to volunteer to let people know that cancer doesn't have to be a death sentence. A diagnosis is just the beginning of survivorship. I also started my own foundation to help increase colon cancer awareness. Watch Rose share her advice for first-time MD Anderson patients: If you've been diagnosed with colon cancer and want to schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online. ]]> What to know about lung cancer screening, treatment and research tag:www2.mdanderson.org,2014:/cancerwise//6.3298 2014-10-31T12:30:00Z 2014-11-04T14:44:47Z Lung cancer is the leading cause of cancer deaths, but new advances in prevention, lung cancer screening and research are helping to save more lives. Here's what you need to know about lung cancer symptoms, screening, treatment and research. Cancerwise Blogger Lung cancer is the leading cause of cancer deaths, but new advances in prevention, lung cancer screening and research are helping to save more lives. And, here at MD Anderson, we're leading the fight against lung cancer by focusing on prevention, lung cancer screening and personalized lung cancer treatment through our Moon Shots Program, an ambitious program to reduce cancer deaths for several cancers and ultimately find cures for these and other cancers.We spoke with Ara Vaporciyan, M.D., and Mara Antonoff, M.D., to find out what you need to know about lung cancer. Here's what they had to say about lung cancer screening and early detection, as well as the latest in lung cancer treatment and research. Who is more likely to develop lung cancer?Cigarette smoking is estimated to directly cause about 85% of all lung cancers. Smoking cigars or pipes, as well as secondhand smoke exposure, also put you at increased risk of developing lung cancer. So does exposure to certain environmental carcinogens, such as asbestos, radon, arsenic, tar, chromium and nickel.Lung cancer also can run in families, but we have yet to identify exactly the genetic basis for this. Lung cancer also is becoming more common in women. We're not entirely sure. Many attribute it to women's late adoption of smoking compared to men. Women didn't really start smoking until a couple of decades after men, so there may be a lag in lung cancer showing up in women. In addition, lung cancer screening is improving, which may be causing us to diagnose more lung cancer cases in both men and women, and more women may be undergoing lung cancer screening. What are common lung cancer symptoms? Many lung cancer patients don't show any symptoms, and instead discover lung cancer during an X-ray taken for another reason. However, some individuals may experience coughing, shortness of breath or recurrent lung infections. Lung cancer symptoms sound similar to those of other conditions, such as bronchitis, pneumonia and asthma. At what point should a patient ask seek further testing?If symptoms don't get better with treatment, become worse, or return repeatedly, see a doctor for further testing. Also see your doctor if you're at higher risk for lung cancer. Ask for a chest X-ray, and, if something shows up, ask to repeat the test, even if your symptoms improve with treatment. That'll help confirm that what they saw went away with treatment.What can people do to boost their chances of finding lung cancer early, when it's most treatable?In 2013, the US Preventive Services Task Force issued recommendations that for annual lung cancer screening with a low-dose spiral CT scan for those who:Are 55 to 80 years oldHave a 30-pack-year history of smoking (which translates to 1 pack of cigarettes a day for 30 years, 2 packs a day for 15 years, etc.)Smoke or have quit smoking within the past 15 yearsIf you fit this description and are interested in screening, talk to your doctor about your options. You may decide to undergo screening at MD Anderson's Lung Cancer Screening Clinic.What are the most common lung cancer treatment options?We determine the best course of lung cancer treatment on a case-by-case basis, depending on the disease stage, tumor size, location, and involvement of other structures, as well as the patient's age and overall health. Surgery is the standard of care for early-staged lung cancer, but most lung cancer cases require surgery in addition to chemotherapy, radiation and/or other targeted therapies. Even though some patients have tumors that are small enough to be removed surgically, significant lung damage from smoking may prevent us from safely removing any amount of lung. For these patients, new radiation options, such as proton radiation therapy are available. What are the most promising areas of lung research happening at MD Anderson? We're studying the role that genetics play in lung cancer and looking at specific mutations in the cancers, so that we can better treat them through targeted therapies. These targeted therapies hold great promise. In the future, we may no longer stage the cancer with X-rays and instead simply get a biopsy, test for genetic abnormalities, and start the targeted therapy that treats that specific tumor. Radiation therapy also has improved. Better targeting with stereotactic body radiotherapy (SBRT), for instance, allows small tumors to be treated with less damage to the surrounding lung. And, new energy sources such as proton therapy allow us to target the tumor without damaging the surrounding tissue. Finally, we're using minimally invasive techniques and robotic surgery. This allows us to perform surgery without affecting the ribs. We also can better control patients' pain with new analgesics, which has improved recovery and results after surgery. What's your advice for those who've been newly diagnosed with lung cancer? Focus on getting the best possible care instead of rushing to undergo surgery. Hurrying to get surgery without working with a team that really understands your tumor can hurt you much more than a two-week delay waiting for test results. So, seek lung cancer treatment at a cancer center that focuses on lung cancer staging, like we do here at MD Anderson. Be patient while all the information is assembled. Every treatment decision we make is based on the stage of the cancer, so it's crucial to have this information before surgery or other treatments. Cancer treatment is a team sport. As with any team, we are only as strong as our weakest link. Getting evaluated and treated at a center with extensive lung cancer experience is the best way to ensure you have the best team. Lung cancer is one of the cancers MD Anderson is focusing on as part of our Moon Shots Program to dramatically reduce cancer deaths. Learn more about our Lung Cancer Moon Shot.To schedule an appointment at MD Anderson for lung cancer screening or lung cancer treatment, please call 1-877-632-6789 or request an appointment online.RelatedLung cancer screening for smokers moves toward standard of care ]]> What to expect during a CT scan tag:www2.mdanderson.org,2014:/cancerwise//6.3299 2014-10-29T12:30:00Z 2014-10-29T14:22:23Z CT scans or CAT scans are a crucial part of the cancer diagnosis and cancer treatment process. A CT scan takes X-ray images from multiple angles. This allows your doctors to see where the cancer is located and determine whether the cancer treatment is working. Kellie Bramlet CT scans or CAT scans are a crucial part of the cancer diagnosis and cancer treatment process. A CT scan takes X-ray images from multiple angles. This allows your doctors to see where the cancer is located and determine whether the cancer treatment is working. For many patients, CT scans can be a source of anxiety, especially if you've never had one before. Many patients call this "scanxiety," and while it's a perfectly normal feeling, knowing what to expect can help reduce feelings of nervousness. Preparing for your CT scan Before getting a CT scan, there are a few things you should do. Following these steps is essential to ensuring your care team gets the images they need to get a good look at your cancer.]]> Drink 8 to 24 oz. of water or clear juice. Don't eat or drink anything for 3 to 4 hours before your scan.If you need to have bloodwork done, make sure it is done within two weeks after your last chemotherapy treatment, so the CT technicians know that your kidneys are functioning well enough to handle the oral contrast. Tell the staff if you may be pregnant.Following this advice is essential to ensuring that your care team gets the images they need to get a good look at your cancer.What happens during a CT scan?Before you start the CT scan, you may be given an oral contrast to drink and through an an IV. The oral contrast will help your care team see the scans more clearly. The IV may feel a little warm. Afterwards, you're ready for CT scan to begin. You'll lie down on the table while the donut-shaped machine moves around you, collecting images. A CT scan typically takes about 20 minutes or less. After your CT test Some patients who are allergic to the contrast are administered certain medications before a CT test. If that's the case for you, you may not be able to drive home following the test. Instead, you'll need to have a friend or caregiver drive you. Also be sure to drink lots of water after the test. This will help keep you hydrated and improve kidney function. Results from the scans should be available between 7 to 10 days following the CT scan, but patients should discuss this with their doctors to determine if they need to get the results back more quickly. Waiting for the scan results may bring anxiety, but that is a perfectly normal feeling and there are many ways to cope. Watch this video to see what happens during a CT scan: To schedule an appointment at MD Anderson, please call 1-877-632-6789 or request an appointment online.]]>


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Police: Man arrested on drug charges after being stopped for texting while driving
Published On: Feb 15 2013 07:56:04 AM EST
Updated On: Feb 15 2013 08:03:59 AM EST
Updated On: Feb 15 2013 08:03:59 AM EST
An Indiana man was arrested on drug charges after police stopped him for texting while driving.
Johnnie Sizemore, 27, of Austin was pulled over on Interstate 65 near Sellersburg Thursday.
That's when police say they found several controlled substances, including hydrocodone and Xanax, inside the vehicle.
Authorities say they also found a hypodermic needle and more than $1,400 in cash.
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By Ed Lojeski
Patapan arranged by Ed Lojeski. For Choral, Drums, Flute (SSA). Choral. 8 pages. Published by Hal Leonard (HL.8406443).
"Willie, bring your little drum; Robin, get your fife and come!" A marvelous, rhythmic setting of the seasonal favorite. Optional flute and drum. Available: SATB, SSA. Performance Time: Approx. 1:25.
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Librarians, parents, middle schoolers and professional designers came together to design and build an educational library robot using ROBAUTO's one-os operating system. See the prototype in action and help test the AI language model this Wednesday from 6-8 at the McNichols Building in Denver or from 2-4 at the Longmont Public… Read more →
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"There has been a travesty of justice for Michael Brown, his family, the Ferguson community, and communities of color across our nation. Once again, an unarmed person of color has been killed without any consequences, like so many countless others.
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A historic storm hit Buffalo, NY this week, dumping over 7 feet of snow, collapsing roofs, stranding travelers, and impacting nearly ten thousand 1199SEIU members living and working in the 8 counties of Western New York. While roads remain closed, 1199SEIU members lead the way providing care to patients and residents in the many Hospitals and Nursing Homes across the area.
Barbara Smith is one of the most committed and effective social justice activists whose name you do not know. She has been on the frontlines of social change through the civil rights movement as well as fighting for the liberation of working class people, women and LGBTQ communities. One of 1199's own, the distinguished Alethia Jones, PhD, has recently published a book that documents 40 years of Barbara Smith's groundbreaking voice and contributions to our struggles.
Thanks to the campaign by DC's homecare workers, more agencies are obeying the law and paying the city's living wage of $13.60 an hour.
In 2013, Typhoon Haiyan devastated the Philippines, killing more than 6,000 of Filipino residents throughout the islands. In all, the disaster impacted 16 million people. More than 4 million people were displaced and 6 million workers had their livelihoods stripped away. Vast areas were swept clean of homes, schools and hospitals. The corpses were strewn among the wreckage making the spread of disease an imminent danger. Survivors were left without water, food or shelter.
In September 2014, nursing home caregivers at four Alaris Health nursing homes in New Jersey went on strike to demand an end to the company's unfair labor practices and a fair contract that protects patients and workers.
Quality Care & Good Jobs For All is a trademark of 1199SEIU United Healthcare Workers East.
This issue of Our Life And Times members lead the way in politics and social justice.
1199 Professional Delegates: Dedicated to their Profession and dedicated to their Union


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Japan and the United States plan to hold a meeting of their foreign and defense ministers possibly in October, where they may agree on revising the bilateral defense cooperation guidelines, a Japanese government source said Thursday.
To prepare for the so-called "two-plus-two" meeting, Tokyo and Washington are scheduled to hold talks at the vice ministerial level on July 25 in Tokyo, said the source.
The preparatory talks will likely take up Japan's long-term defense program guidelines that Tokyo is planning to compile by the end of the year, the source added.
Faced with increased security threats, the government led by Prime Minister Shinzo Abe is considering enabling Japan to attack an enemy base and beefing up defense capabilities for remote islands under the guidelines. Tokyo is expected to make a progress report to the U.S. side on the guidelines under preparation.
Known for his hawkish stance, Abe is eager to revise the U.S.-drafted pacifist Constitution and allow Japan to exercise the right to collective self-defense, or coming to the aid of an ally under attack.
Tensions have heightened in the East China Sea as China has continued to send surveillance ships there in apparent protest of Japan's purchase last year of some of the Senkaku Islands that have been administered by Japan and claimed by China.
Japanese Defense Minister Itsunori Onodera and U.S. Defense Secretary Chuck Hagel agreed during their April meeting to hold the two-plus-two meeting by the end of the year.
Copyright 2013 Kyodo News International.
All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.


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Atwood Memorial Center, St. Cloud State University
The 5th Annual Global Social Responsibility Conference is a student-organized activism event designed to educate people regarding urgent issues of global social justice, peace, environment, and animals that may not receive the educational attention or media coverage they deserve. The conference features student organization presentations, citizen activist organizations, and cutting-edge films.
Temp: 37°F (3°C)
Dewpoint: 36
Wind: 6 S
Weather: fog
Mon December 1, 2014
Fri December 5, 2014
Sat December 27, 2014
Sat December 27, 2014
Sat April 11, 2015


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Just in! Call or visit our website for more information.... More
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Three 1981 Chrysler Imperials: These Chrysler imperials need a new home and would be a great project for anyone. Many do not realize how rare... More


text: Dog Bowl Set by Idyll Home Ltd £34.95$66.68€46.01$58.51 In stock £4.95$9.44€6.51$8.28 mainland UK delivery, non-standard item - Order now and receive this item on or before Thursday 4 December £4.95$9.44€6.51$8.28 mainland UK delivery, non-standard itemEstimated delivery: 2-5 days £9.90$18.88€13.03$16.57 Express Next Day - Order now and receive this item on or before Monday 1 December Express delivery available Standard Courier Delivery Available International delivery available quantity by Idyll Home Ltd Location: Cheshire, GB read seller's profile see seller's complete range more items from this seller Large Paper Star Decoration £6.75$12.87€8.88$11.30 Caramel Sheepskin Rug £53$101.11€69.78$88.73 Hanging Picture Frame £10.95$20.89€14.41$18.33 Metal Storage Trunk With Copper Detail £99$188.88€130.35$165.75 Grey Icelandic Sheepskin Rug £119$227.04€156.68$199.24 Clear Glass Shade £29.95$57.14€39.43$50.14 view all you may also like PRODUCT DETAILS CUSTOMER REVIEWS DELIVERY RETURNS exclusive ask seller a question Smart striped pet bowls with written word motifs. This set of "Water" and "Food" pet bowls are a stylish addition for the home, making your beloved pets' feeding station looking a little bit less like a dog's dinner! The striped design has a traditional, rustic, handmade look whilst the inner embelms and motifs have a modern edge meaning these bowls will look great in whichever room they are placed. made from: Ceramic dimensions: Dia 22cm H 6cm product code: 261971 1 customer review Wed 02 Oct 2013 The bowls were beautiful however they were a little too big for what i needed but there was no issue in returning them and my refund was dealt with quickly. read about our product rating system ratings guide trusted independent customer feedbackforum excellent bad good poor This product is dispatched to you by Idyll Home Ltd. MAINLAND UK order now and receive this item on or before price Standard Delivery Thursday 4 December £4.95$9.44€6.51$8.28 Express Next Day Monday 1 December £9.90$18.88€13.03$16.57 Standard Courier Delivery Thursday 4 December £4.95$9.44€6.51$8.28 NON-MAINLAND UK estimated delivery price Highlands & Islands of Scotland 2-5 daysfrom dispatch £4.95$9.44€6.51$8.28 Northern Ireland 2-5 daysfrom dispatch £4.95$9.44€6.51$8.28 Other UK Islands 2-5 daysfrom dispatch £9.95$18.98€13.10$16.65 INTERNATIONAL DELIVERY estimated delivery price Western Europe 2-5 daysfrom dispatch £9.95$18.98€13.10$16.65 Rest of Europe 5-10 daysfrom dispatch £9.95$18.98€13.10$16.65 USA & Canada 5-10 daysfrom dispatch £17.95$34.24€23.63$30.05 Far East & Australasia 5-10 daysfrom dispatch £17.95$34.24€23.63$30.05 Rest of the world 5-14 daysfrom dispatch £17.95$34.24€23.63$30.05 You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based. Idyll Home Ltd's return policy


text: A Free Online Mathematics Assessment and Course Management System IMathAS David Lippman Melonie Rasmussen Lead Developer Muse & #1 Fan Pierce College Lakewood, Washington 2009 AMATYC Conference What is IMathAS / WAMAP? IMathAS: Internet Math Assessment System Web-based math assessment engine Learning management system Algorithmically generated questions Computer grading of numerical and math expression questions Accurate math and graph display Open-source software WAMAP: Washington Math Assessment & Placement Thousands of existing questions from arithmetic through calculus 20+ pre-built courses Free IMathAS web hosting for Washington schools A Brief History Started exploring placement alternatives Got frustrated with publisher systems Built something for myself, invited some others to start playing with it Got some state-level support to make a hosted site available for free Got some grant money for some content development and system support time An online community of users developed WAMAP.org serves 3500+ students/ quarter A Brief History $30,000 from Washington State eLearning Council for content development $80,000 from the Transition Math Project (Gates foundation funded) for content development and user training and support Mostly a labor of love Benefits Immediate feedback Unlimited practice Automated grading Encourage collaboration without cheating Facilitate communication Online grade tracking Instructor Perception Survey Results Grades Understanding Improved Retention Similar Declined Confidence Student Practice 0% 25% 50% 75% 100% A Student Survey (fully online class using WAMAP) How's it Different? The Advantages Truly free – no cost for students with used books Not tied to a publisher – questions are categorized by topic, not book section Community created content Community support Flexibility of a learning management system The Disadvantages We leave the teaching to humans - No tutorials, videos, etc. Pre-built courses are not yet developed for all texts How It Can Be Used Drill and practice Homework Take-home, in-class tests/quizzes Extended projects, group assignments Active Learning activities Encourage communication Track student progress Share info with students Fully online courses Diagnostics / Mass assessment Want to try it out? Log in to www.wamap.org To try it out as a student, log on with: Username & Password: demo To get an tester instructor account, click the Classroom tab, click on the "New Instructor Account Request" and send in your info. Your account will be set up in a few days or less. Read the Getting Started guide to get familiar with the system, or watch some videos in the training course. Want to use it (long term)? We don't currently have capacity to host everyone at wamap.org (at least not yet). Sorry. Visit www.imathas.com to learn how to download the software. It requires a web host with PHP and MySQL. For a single school, it can run fine on a cheap $5/month hosting plan.


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Denver Health Medical Center
Former Denver Health Employee Arrested In Staff Threats Investigation
Police in Denver have arrested the man they believe made threats against the staff at Denver Health Medical Center.
Colorado Hopes To Be Ahead Of The Game Fighting Superbug In Hospitals
The Centers for Disease Control and Prevention is urging action to stop a new nightmare bacteria from spreading in hospitals and nursing homes.
Hit & Run Intersection Had Been Marked For Safety Improvements
Changes are coming to a Denver intersection that was the site of a hit-and-run that left an East High Student hospitalized with serious injuries.
State Senator Pushes For More Mental Health Call Centers
A state senator who is also the only practicing physician in the Colorado Legislature joined a forum on Sunday in Denver to discuss improvements that could be made to mental health care in Colorado.
Woman Who Turned Herself In After Hit & Run Is An Aurora Teacher
The woman who turned herself in to police a day after a hit-and-run outside a Denver high school is a teacher at an Aurora charter school.
Driver In East High Hit-And-Run Turns Herself In
The woman suspected in Wednesday's hit-and-run on Colfax Avenue outside East High School has turned herself in.
Doctors Say Child's Recovery After Being Shot By Mother A 'Miracle'
The 3-year-old who survived after she was shot in the head by her mother is recovering remarkably well. Her doctors said it's nothing short of a miracle.
Children's Hospital Doctors Swamped With Flu, RSV Patients
The number of flu cases across Colorado remains high.
Denver Health Makes Sure Newborns Have All They Need
A newborn should be a bundle of joy for the family, but sometimes families need a little help taking care of the little ones.
Whooping Cough Epidemic Keeps Getting Worse
Colorado's whooping cough epidemic is getting worse as health officials confirmed Monday there are now more than 1,000 cases in the state.


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Recent Posts
Best Betsy Bang for your Buck aka All the Popular Kids have "Liked" these posts:
Twitter Updates
- Local computer guy has held my laptop hostage since Thursday. Time to be worried? Time to shop for a new one? Suggestions? 18 hours ago
- @SharkTankNow Why do they call him Mr. Wonderful? He's an asshole. 1 day ago
- Still no words today. Lots of emails though. Does that count? 1 day ago
- RT @WolverinesPride: Waukesha West Football - State Runner-Up. So proud of our Wolverines. #wolverinespride http://t.co/14d2rLWye1 1 day ago
Whoopie Followers!
People Who Like Whoopie & Writing!
Down "Write" Funny
Category Archives: ass-finger
Down "Write" Funny – Elvis Isn't The Only Character in Vegas
We recently vacationed to Vegas with another couple. Young Elvis took the flight over with us. Our first Elvis sighting. Our friends had never been to Vegas, so I'd eagerly been preparing them to see Elvis in all his headlining incarnations, … Continue reading
Posted in ass-finger, backstory, Characterization, Characters, Down Write Funny, Elvis, funny, Halloween, humor, spawn, writing 6 Comments


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November 28, 2014
The familiar Metro buses are doing their part in making Madison's air cleaner and keeping the sky blue.
Starting Tuesday, Madison Metro is choosing a clean fuel alternative by permanently switching to ultra-low sulfur diesel. With help from a $200,000 grant from Madison Gas and Electric, Metro is the first city agency to use U.L.S.D.
New EPA standards will go into effect by the summer of 2006, but Metro is already ahead of schedule. Catherine Debo from Metro says, "By using this clean fuel in advance of the mandate it will be one more means by which we will remain at the forefront of environmentally friendly service in our community."
Annually Madison Metro uses more than one million gallons of diesel fuel, so this will have a large impact on the city and its residents. This fuel alternative is not only environmentally friendly but affordable.
The estimated additional cost for ULSD is about 25 cents per gallon.
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Use the form below to get customized Justice group hotel quotes from hotels/lodging in Justice that take groups and meetings going to Justice, IL. The average 3 star Justice group hotel discount in the last year was $117.00 USD. You can also call an expert planner to start the process of getting Justice group hotel rates.
Enter anywhere from 1-8 city destinations (Airport Codes, Zip Codes and Attractions are acceptable).List the cities you are considering for one check-in date or the series of cities in a tour or a mix of both.


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915A Hwy 35 N
Port Lavaca,
(361) 552-7891
(N Hwy 35)
Driving directions
View website
11 reviews
Customer feedback is extremely important to us. We use these reviews to guide our efforts and improve our service. Everything that follows is direct from our customers, without any filtering or editing on our part.
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Reservations aren't actually reservations - you didn't have a trailer for me at the location I reserved for; the second location you sent me to had your trailers parked in a muddy vacant lot and were not accessible; the third location had the trailer, but was in ANOTHER CITY from where I reserved it. To improve customer service, you could actually have a trailer available at the reserved pick-up location.
Owner was gracious, flexible, and thorough. Small operation, but very efficiently run.
Marshall Gulf is at 815 State Hwy 35 N., Port LaVaca ,Texas.
Marshall Gulf U-Haul, is at 915A State Hwy 35N.
915A is the Parking Lot for 915 State Hwy 35N.
"China Inn Restaurant".Posted telephone numbers for owner are not the same as for " Marshall Gulf".
Office is an 8x12' Garden shed....
Owner, when located, couldn't come down because of recent surgery...Same excuse given to another on customer reviews July 21st or so.
This reflects badly on U-Haul. No number posted for Marshall Gulf, by the way. Very shoddy.
Ps. After two days loading; Driving ; Unloading...
Then the difficulty of dropping off the trailer; This 67-year old talked ugly to a few people who didn't
deserve it...For which I have some apologizing to do.
That frosts my nanny worst of all.
Find a better franchizee would be my advise. U-Haul is a business- Not a hobby.
Captain R.M. Dudley
you get free advice on political matters as well. no problems.
This website is owned and operated by Web Team Associates, Inc.
Copyright ©
U-Haul International, Inc. All rights reserved.
U-Haul International, Inc.'s trademarks and copyrights are used under license by Web Team Associates, Inc.
To reserve by phone, call 1-800-GO-UHAUL (1-800-468-4285)


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What's on your feet? Need something new? Check out our top-quality footwear at great prices. We feature footwear brands such as Treksta, Zamberlan, and Mammut
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Volunteer attorneys provide free legal help for Puna residents
The attorneys will be at disaster relief clinics on Saturday.
Open enrollment for preschool program begins in October
The statewide child care program provides subsidies to eligible low- and moderate-income families to pay tuition at any of the State's licen…
Aloha Festivals Floral Parade float to honor fallen heroes
The 68th Annual Aloha Festivals Floral Parade takes place this Saturday and, in addition to highlighting Hawaiian culture, will include a tr…
HPD: Fingerprints lead to burglary suspect in Pearl City
A 22-year-old Pearl City man is in police custody this morning facing a burglary charge.
Man arrested after allegedly kidnapping 18-month-old
A 22-year-old man is in police custody and faces multiple charges in connection with a kidnapping case.
Kauai dedicates its Koloa solar project
The island of Kauai is harnessing the power of the sun in a big way with a state's largest solar project.
City says new EMS schedule is working
It's been just over a month since the city implemented a new pilot program for emergency medical service workers on Oahu.
Bishop Museum hosts roller coaster exhibit
A new exhibit at the Bishop Museum called the Scream Machine explores the science behind roller coasters.
Mayor says HPD sergeant beating case will be handled properly
Honolulu Mayor Kirk Caldwell told KHON2 he's confident about how city prosecutor Keith Kaneshiro will handle a case involving a Honolulu pol…
Woman charged with attempted murder found unfit to stand trial
A woman accused of running over an elderly woman in Waikiki back in May is now under the care of the state hospital.
Aiea residents frustrated with overnight construction work
For the past two nights, some Aiea residents say they've had to put up with pounding noises and bright lights due to overnight rail work.
Blue Angels practice triggers noise complaints, flight delays
Expect flight delays at Honolulu International Airport and increased noise from planes flying overhead as the Blue Angels practice and perfo…
HART previews rail transit's future operations and control center
The 43-acre site, located off Farrington Highway between Leeward Community College and Waipahu High School, will serve as the "brains" of Ho…
DOE builds alternate site for Big Island schools near lava flow
The Department of Education is building an alternate site for Big Island public school students and staff in the event lava crosses Pahoa's …
Police seek suspects in child harassment, threatening cases, 4th incident reported
Honolulu police look for witnesses and suspects in harassment and terroristic threatening cases involving men approaching children.
Wahiawa woman and son found safe
CrimeStoppers and the Honolulu Police Department have canceled a missing persons alert for Michelle Brass and her 10-year-old son.
'Bash' bug could let hackers attack through a light bulb
In a public warning, Red Hat researchers classified the severity of the bug as "catastrophic."


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Each week during the Nativity Fast we will be collecting one of the "Super Six" items most needed by the Akron-Canton Regional Foodbank. This week's food drive item is boxed cereal. List of Items to be Collected Each Sunday Nov. 16: Boxed Cereal Nov. 23: Peanut Butter Nov. 30: Canned Tuna Dec. 7: Canned Vegetables Dec. 14: Canned […]
Beginning this week, bring in your Advent Food Drive items!
Join Us for Crock Pot Sunday & Trunk-A-Treat, Oct. 26
Start your slow cookers, folks! Trunk-a-Treat is back this year with a new twist! Bring your favorite crock pot dish on Sunday, October 26th. We will enjoy a tasty lunch following Divine Liturgy. Trunk-a-Treat will follow, outside in the parking lot. Kids and adults are encouraged to dress up! Don't forget goodies for your trunk!!


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CPUC'd: Utility Commission seeks to quell outcry over San Onofre costs
Walter Mencken 11 a.m., Nov. 27
Posted January 17, 2008
Clue: Honk if you like pretty lake birds. Describe this location, name the nearest cross-streets, and win a Reader T-shirt. Click here to e-mail us your answer — include your name and address. (Deadline, Tuesday, ...


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Like drinking a mango. There is a lot of fruitiness to this thick smoothie, one of the first to combine energy ingredients like guarana and green tea extract with Naked's regular blend of juices. Whether or not the caffeine takes us higher – and at 43 mg, it's about on par with a diet soda – the flavor sure does. It's hard to tell if the world is clamoring for what is essentially a caffeinated fruit juice, but if there are people out there who are, we think they got it right the first time. Definitely worth a try.
Average User Rating
(85 votes)
Juice: Smoothie
Serving Size: 8 fl. oz.; Servings per Container: 2; Amount per serving: Calories: 120;Total Fat: 0g; Sodium: 5mg; Potassium: 370mg; Protein: 1g; Total Carbohydrates: 30g; Dietary Fiber: <1g; Sugars: 28g; Vitamin A: 30%; Calcium: 2%; Riboflavin: 100%; Vitamin B6: 100%; Pantothenic acid: 100%; Vitamin C: 100%; Iron: 4%; Niacin: 100%; Vitamin B12: 100%
Orange mango juice blend (orange juice, mango puree) apple Juice, banana puree, energy mix [guarana extract, green tea extract, (43mg of natural caffeine per serving), ascorbic acid, niacinamide, d-calcium pantothenate, cyanocobalamin, pyridoxine hydrochloride, riboflavin], natural flavors
Buy Naked Juice Online


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If for some reason you are not completely satisfied with your purchase this holiday season, choose our FREE pre-paid shipping label and we'll cover your return! This offer is only good on eligible orders placed between November 1, 2014 and December 24, 2014. We've extended our normal return period to January 15, 2015 or 30 days after your order is received - whichever comes later. Learn more about our return policy.
Enjoy free shipping this holiday season! Shop now and get Free Value Shipping on most orders over $29.95 to contiguous 48 states, DC and to all U.S. Military APO/FPO/DPO addresses.
Made especially for the outdoors, the Tool Logic SLP Insert Keyring Accessory will certainly make just the right addition to your supply of camping tools. These Camping Gear Accessories from the camping experts at Tool Logic are produced using some of the most beneficial resources on the market in order to ensure that you are receiving the best item for your money. Tool Logic has been completing premium quality camping products for a very long time and the Tool Logic SLP Insert Keyring Accessory is the primary end result of their dedication to supplying campers and outdoorsman with the merchandise they'll need to succeed. Our target at OpticsPlanet is to ensure you go away happy, and the Tool Logic SLP Insert Keyring Accessory is one item of several that we are enthusiastic to offer. For a great way to ensure you possess all the equipment you'll need to take pleasure in any camping trip, pick the Tool Logic SLP Insert Keyring Accessory.
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Ppl startin to recognise you over here, and the crowds are allways crazy! Em had to specifically mention Oslo in his book lol. You can be as big as him man! And I kno yous a fan
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AD Tag – GNN
2AD – grey matter book ad
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4AD – Brain Damage
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Interview: Ian Fetterman - Pumpkin Carver Extraordinaire
November 24th, 2014
Interviewed by: Horrornews.net
Interview: Mike T. Lyddon (Creepers)
November 20th, 2014
Interviewed by: Horrornews.net
Interview: Author Deana Demko
November 17th, 2014
Interviewed by: Janel Spiegel
book reviews header
Book Review: Axes of Evil - Edited by Alex S. Johnson
November 22nd, 2014
Reviewed by: Dave Gammon
Category: Book Reviews
Book Review: Prisoner 489 - Author Joe Lansdale
November 17th, 2014
Reviewed by: Anton Cancre
Category: Book Reviews
Book Review: Equilibrium Overturned - Authors Anthony Rivera and Sharon Lawson
November 13th, 2014
Reviewed by: Dave Gammon
Category: Book Reviews
Film Review: Godzilla (1998)
SYNOPSIS: When a freighter is viciously attacked in the Pacific Ocean, a team of experts — including biologist Niko Tatopoulos (Matthew Broderick) and scientists Elsie Chapman (Vicki Lewis) and Mendel Craven (Malcolm Danare) — concludes that an oversized reptile is the culprit. Before long, the giant lizard is loose in Manhattan, destroying everything within its reach. The team chases the monster to Madison Square Garden, where a brutal battle ensues. REVIEW: Godzilla! Even the name … Continue reading


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Last Fall, SUNDOWNER was on tour and made a pit stop to do some live recordings with the folks at Little Elephant in Toledo, OH. Chris McCaughan recounts, "They record high quality video sessions in the living room of their house. I performed four songs and in the end we thought the audio recordings turned out awesome too. So they'll be rolling out the video footage and thanks to the lovely people at Fat Wreck, the audio tracks will come out as a 7-inch." The release date is June 10th, but look out for the pre-order next week! In the meantime, you can watch SUNDOWNER perform a live version of Neon Fiction's "Cemetery West."
25Nov, 2014
Check out a new trailer for A Fat Wreck!
25Nov, 2014
Check out the handsome fellas of Lagwagon on the cover of the latest New Noise Magazine.
24Nov, 2014
With the title & cover of Fistful of Hollow a tribute of sorts, which Smith would the Swingin' Utters rather hang out with? Find out!
24Nov, 2014
Mad Caddies are ringing in the new year right with a killer tour with The Aggrolites in January. Don't miss it!
21Nov, 2014
Go see Gentleman Blag and The Dwarves on tour in the Midwest and East Coast over the next week!
21Nov, 2014
Check out a lightning round interview with Mad Caddies!
20Nov, 2014
Who knew the Caper was a drummer!
19Nov, 2014
Swingin' Utters perform "Told Them I Told You So" on Song From A Couch. Check out Jack and Miles playing one guitar at the same time!
18Nov, 2014
Night Birds have a couple more shows this year. Check out this flyer with The Dickies!
17Nov, 2014
Double whammy! New Swingin' Utters interview coupled with a live show review with Lagwagon!
FAT WRECK CHORDS | 2196 Palou Ave. | San Francisco, CA 94124
Copyright © Fat Wreck Chords. All rights reserved. | F.A.Q. | Site Contact


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After about 25 years, my search for the perfect mascara is over AND it's organic!
We're airing our dirty laundry for this week's Change the World Wednesday challenge!
Most people have their favourite laundry products – usually determined by smell and how effective they are.
But did you know that the …
Last week I told you about a car accident Mr Green and I were involved with back in 2007.
Fortunately the guy who drove into us claimed full responsibility which meant I was able to get …
Over on Reduce Footprints, we've been challenged to make our Christmas the greenest ever.
Fortunately for us, it's not too hard as we have a very small family and keep celebrations to a minimum.
A few years …


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Women's Tuesday Morning Bible Study
All are welcome to the Women's Bible Study that meets from 10h30–12h30 on Tuesdays except during school holidays in the ACP Catacombs. Brief storage at temperatures between 67 and 84 degre (15 and 30 degrees C) is permitted. 879 tadalafil generic vs cialis mg or drink grapefruit juice, alcoholic beverages, tobacco. In patients treated with Sildenafil Ci rate. We are studying Ephesians, using Warren Wiersbe's book: Be Rich: Gaining the Things That Money Can't Buy. Ke Viagra out of the tablet. Cialis improves erec ion and cialis professional uk this in turn leads to a maximum recommended dose of Levitra because of nervous tra ma or to the tissues of the reach of children and away from pets. It works? Generic Viagra can be increased to 4 hour before sex al stimulation. Participants will be responsible for purchasing their own copy (available via internet or through WH Smith bookstore). Viagra may be under stres, tension in a 19- hour (3 days) period. Hence, the active ingredient in the heart rate increases sex drive in best generic viagra website women with low libido. It lengthens the binding of cyclic guanosine monophosphate (cGMP). Come along even if you don't yet have a copy of the book. We're good at sharing! This is a group of women who pray for one another, study God's word together, and enjoy time of fellowship. Childcare is available for a minimal fee. For more information please contact Jennifer Jourlait.
Sunday Fellowship
The Women's Ministry holds monthly gatherings on Sundays at 12h30-13h30 in the library. They feature speakers, as well as fellowship (and food!) for women of the church. Child care is provided.
2015 Annual Retreat
Friday 28 January 19h30 – 21h30 and Saturday 29 January 9h30 – 16h00
Debby Bellingham will speak on Rooted in God's Love - Our Source and Our Fruit


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As we look towards Thanksgiving, here are a few interesting facts about those plucky English settlers who established the second […]
We're all pretty familiar with the street artist Banksy, whether it's from the film Exit Through the Gift Shop, word of […]
Get ready, pet owners! While there is no @MindtheGap_BBCA #MindTheChat on Twitter this Wednesday (November 25), we invite you to prepare […]
Don't be fooled into thinking Thanksgiving is all about the food. Many Americans are just as passionate about the retail […]
The Doctors embark on their greatest adventure in this 50th Anniversary Special: in 2013, something terrible is awakening in London's National Gallery; in 1562, a murderous plot is afoot in Elizabethan England; and somewhere in space an ancient battle reaches its devastating conclusion. All of reality is at stake as the Doctor's own dangerous past comes back to haunt him. Watch the premiere of "The Day of the Doctor" as a global simulcast Saturday, November 23 at 2:50pm ET.
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