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Monday, December 30, 2013
ACA: The Miracle Policy?
As health care cost inflation has slowed markedly, some observers have cited the Affordable Care Act (ACA) as a major factor—even though the moderation in health care spending began before ACA's enactment. To be sure, some of ACA's important cost containment provisions may be playing a role, such as its push for accountable care organizations and its emphasis on paying for quality of care rather than just quantity of care.
Or maybe cost containment is simply the result of a recession that has reduced the spending power of Americans, with a significant contribution from an important pre-ACA trend (about 20 percent of the cost slowdown according to one study). For some time, employers and insurers have been increasing the public's "skin in the game" by increasing the individual's share of health care costs through premiums, deductibles and copayments. We've known for a long time that making health care more expensive for patients can discourage them from seeking care, so it isn't surprising that higher patient costs would help contain health care spending. But we also know that patients don't always distinguish between unnecessary care that can be forgone and necessary care that should be sought.
Time will help us sort out the causes of health care cost containment—if indeed it persists. In the meantime, we should be careful to distinguish between what we would like to be true and what we know to be true.
[cross-posted at orentlicher.tumblr.com]
December 30, 2013 in Affordable Care Act, Health Care Costs, Health Care Reform, Spending | Permalink | Comments (0) | TrackBack (0)
Saturday, November 23, 2013
Dynamic Medicaid Expansion
Yesterday's reports on the annual meeting of the Republican Governors Association indicated disarray over the Medicaid expansion, and an opinion piece in the NYT highlighted the common story that only half of states are expanding their Medicaid programs. If CMS is counting, then this tally is correct, as the federal agency can only account for those states that have submitted the proper documentation for expansion. But this is not the only way to consider the states' decisionmaking regarding the expansion. I have just posted a short essay preliminarily detailing research I have performed over the last several months, which reveals that many states currently counted as "not participating" are acting to expand their Medicaid programs. Here is the abstract:
November 23, 2013 in Affordable Care Act, CMS, Constitutional, Health Care Reform, Health Law, Health Reform, HHS, Medicaid, Obama Administration, PPACA, Spending | Permalink | Comments (0) | TrackBack (0)
Thursday, October 17, 2013
Dartmouth Institute Publishes Atlas of Medicare Part D Areal Variations
The Dartmouth Institute has just published its Atlas of areal differences in utilization of prescription drugs by Medicare Part D recipients. The Atlas--unsurprisingly but disturbingly--details significant differences. Pharmaceutical interventions are classified as effective, discretionary (where there is diagnostic or therapeutic uncertainty), and likely to be harmful in the patient population at issue. A caveat, however, is that the report measured prescriptions filled and thus may underestimate actual provider behavior.
An initial variation involved sheer numbers of prescriptions, with a high average of 63 per year in Miami and a low average of 39 per year in Colorado (overall, the average was 49 standardized 30 day prescriptions filled per year per Part D beneficiary). In general, the Mountain West had the lowest prescription average and the Rust Belt and Appalachian states the highest. These differences could not be explained primarily by overall burden of disease but instead appear to reflect variations in provider prescribing practices. For example, the American Heart Association recommends use of beta blockers in heart attack patients for three years post-attack. However, rates of prescriptions for these drugs in the first six months ranged from highs of 94% to lows of under 68%, and persistence in the next six months was only slightly lower, ranging from highs of 92% to lows of under 68%. Variations in statin use were even greater, ranging from just over 91% in Ogden, Utah, to below 45% in Abilene, Texas. Interestingly, there was little correlation between effective use of beta blockers and effective use of statins.
The other two therapies analyzed in the Atlas were treatment of diabetes and treatment of patients with fragility fractures. Diabetic patients fared somewhat better than heart attack patients, albeit still with significant variations. Osteoporotic patients, however, fared dismally, receiving a high of 28% and a low of 7% with filled prescriptions for drug to combat osteoporosis after fragility fractures in sites other than the hip (such treatment is recommended to decrease the risk of future hip fractures).
Most interesting of all, there was no correlation between drug expenditures and measures of effective care. In other words, patients in some regions may be spending a great deal on their drugs (paid for under Part D), but receiving far less benefit that patients in other regions who spend a great deal less.
October 17, 2013 in Access, Chronic Care, CMS, Consumers, Cost, Drug and Device, Health Care, Health Care Costs, Medicare, Prescription Drugs, Quality, Spending | Permalink | Comments (0) | TrackBack (0)
Monday, October 7, 2013
Federal-State Tensions in Fulfilling the ACA's Promises
[Cross posted today at Constitution Daily:]
The Affordable Care Act expresses many goals, but its heart is the desire to create a health insurance home for all Americans. The American healthcare system historically exists at the pleasure of a number of stakeholders and is not a coherent whole. This lack of system is reflected in the consistent tensions that underlie American healthcare, most notably federal power versus state power; the collective versus the individual; and the individual versus the state. In creating near-universal health insurance, the ACA has resolved one of those tensions, individual versus the collective, in favor of the collective. To that end, the ACA eliminated many of the practices health insurers used to cherry pick policyholders, which excluded people who need medical care from their risk pools. In so doing, the ACA represented a federal choice to make all people insurable, whatever their wealth, age, medical history, sex, race, or other distinguishing factor.
Despite the redirection this leveling of the health insurance playing field represents, the ACA did not craft a coherent whole out of the American healthcare system. Instead, the ACA remodels the preexisting, unstable healthcare system. In building on the old foundation rather than starting anew, the law retained the historic role of the states in regulating medical matters. To that end, the ACA urged the states to implement two key aspects of its insurance modifications: Health Insurance Exchanges and the expansion of the Medicaid program. The federal government has the power under the Spending Clause to create a federally-run insurance mechanism, but it chose instead to employ cooperative federalism to keep states engaged in healthcare policymaking. The trouble is that some states have not been cooperating with these central legislative goals.
The Exchanges, or Marketplaces, are an instrument through which qualified private health insurance plans can be purchased by individuals or small businesses. The states were offered federal funding to create their own state-run Exchanges, which were operative as of October 1, 2013 (Tuesday last week). Many states created Exchanges, but many rejected them as an expression of their distaste for the ACA. Predictably, many of the states that have refused to create their own Exchanges were the same states that challenged the constitutionality of the ACA. While there is value in dissent, the states that refused to create Exchanges invited more federal power into the state, because rejecting the federal offer for funding to create a state-run Exchange did not halt Exchanges from coming into existence. Instead, the ACA tasked the federal government with operating Exchanges in states that did not create their own. While expressing a desire to protect their state sovereignty, these states have invited federal authority into their borders. Though the Exchanges at both the state and federal levels have experienced some technical glitches this week, it appears that many people are eager to purchase insurance through them and that they have been successful at doing so. The states that rejected Exchanges have not stopped implementation of the law, but their actions have other notable ramifications.
The Medicaid expansion was designed to catch childless adults under age 65 and below 133% of the federal poverty level in Medicaid's safety net. As with other modifications to the Medicaid program over the years, the expansion added a new element to the Medicaid Act that states could reject, but they could lose all of their funding if they made that choice. The day the ACA was signed into law, states challenged the expansion of the Medicaid program as unconstitutionally coercive. They succeeded on this claim in NFIB v. Sebelius, and the Court rendered the expansion optional for states. Immediately pundits began to question whether the states would participate in the Medicaid expansion.
Though national media tallies make it appear that just over half of the states are participating in the Medicaid expansion, in reality the number is and will be much higher. In almost every state reported as "leaning toward not participating," and in many states reported as "not participating," some significant act has occurred to explore implementation of the Medicaid expansion. Some states have special commissions or task forces researching expansion; some state governors have indicated a desire to participate and have included the expansion in the budget; some legislatures have held debate or scheduled it for the next session; and so on. Though some states will not have their Medicaid expansions running by January 1, 2014, it seems very likely that most if not all states will participate in the expansion in the relatively near future.
In the meantime, state non-cooperation will have a direct effect on some of the nation's poorest citizens. People from 100% to 400% of the federal poverty level are eligible to receive tax credits for purchasing insurance in the Exchanges. In states with no expansion, people above 100% of the federal poverty level who would have qualified for Medicaid will still be able to obtain insurance through federal subsidies in the Exchanges. But, people who are below 100% of the federal poverty level will be too poor for tax-credits and living in states that have not yet expanded their Medicaid programs, therefore they will not be able to enroll in Medicaid either. These very low income people will not be penalized for failing to carry health insurance, but they will not have health insurance either. These individuals will get caught in a health insurance black hole that exists in part because the Court allowed states to refuse Medicaid expansion and in part because of state resistance to partnering in the implementation of the ACA.
State cooperation in the Medicaid expansion is even more important than state participation in the Exchanges, because many thousands of people may not get the access to health insurance that is the promise of the ACA. The debate over the meaning of federalism that swirls around political and academic circles will have a direct and important effect on the people who can least afford it. The good news for them is that Medicaid's history indicates that all states eventually participate in the program and its amendments, but this week's implementation of the Exchanges keeps access to medical care through health insurance tantalizingly out of reach.
October 7, 2013 in Affordable Care Act, Constitutional, Health Care, Health Care Reform, Health Law, Health Reform, Medicaid, Obama Administration, PPACA, Private Insurance, Spending, State Initiatives | Permalink | Comments (0) | TrackBack (0)
Friday, September 27, 2013
More states are expanding Medicaid than you might think
Big news in the world of ACA implementation: CMS approved Arkansas' proposed waiver for an alternative mechanism for Medicaid expansion, which is to be called the Arkansas Health Care Independence Program. Arkansas proposed a premium assistance program, wherein newly eligible Medicaid beneficiaries will obtain insurance through the Arkansas health insurance exchange by receiving financial assistance for premium costs. This will place the new Medicaid population in qualified health insurance plans, i.e. private health insurance, which is administratively more expensive than government-sponsored insurance, but it may help to deal with the problem of "churn" between Medicaid and Marketplace-based private insurance.
CMS's approval of Arkansas' Medicaid demonstration program is significant for a number of reasons, but here I'd like to focus on what I think is one of the biggest: this waiver approval will pave the way for other states that are "undecided" to finally declare their intent to expand their Medicaid programs. I believe this will happen relatively quickly, because most states are already working on expansion. You would not think this is true from the national media's reporting on the Medicaid expansion. If you have been following any of the many color-coded maps depicting the five possible categories of expansion (expanding, not expanding, leaning toward expanding, leaning toward not expanding, and alternative model), you would think that just over half of the states are participating in the Medicaid expansion. The national media has gotten this story wrong, because they do not pick up on the negotiations, investigations, committees, special commissions, and other ways in which the "leanging toward not participating" states are actually exploring how they can expand their Medicaid programs. To understand how dynamic the state decision making is, you have to track the local newspapers that follow every move of the state legislatures and their conversations with their governors (which I have been doing all summer).
After NFIB v. Sebelius was decided, I wrote that most states would still expand their Medicaid programs. It appears that most states are now working toward Medicaid expansion in some form. In future posts, I will explain this dynamic federalism story in more detail. For today, I will emphasize that CMS has opened the door to more state waivers, which will lead to more states expanding their Medicaid programs. Though I am not necessarily on board with federalism by waiver, espcially given states' history of waiver mistakes and failures, I do think that in this instance, alternative expansion is better than no expansion. Otherwise, many of our poorest citizens will be left out of the attempt at national insurance coverage, not paying a penalty, but not having access to much-needed healthcare either.
September 27, 2013 in Affordable Care Act, Constitutional, Coverage, Health Care Reform, Health Reform, HHS, Medicaid, PPACA, Spending, States | Permalink | Comments (0) | TrackBack (0)
Saturday, August 17, 2013
Another ACA Delay--and a Proposed Solution
This past week, the New York Times published a story about yet another delay in the implementation of the Affordable Care Act. Earlier this summer, NPR also reported the delay, which concerns total limits on out of pocket costs that consumers can be required to pay. Under ACA, beginning in 2014 consumers were supposed to have to meet only one out of pocket limit--$6,350 for an individual and $12,700 for a family--including all deductibles and co-payments. But the Times story reports that insurers have been granted a year's grace in implementing this requirement and quotes an administration official as attributing this decision to the inability of insurance plans to communicate with each other in determining out of pocket costs.
Both stories emphasize the plight of patients who are covered under separate medical and pharmacy benefit plans. Pharmacy plans in particular may have very high copayments, without annual limits. Patients with expensive drug needs for diseases such as multiple sclerosis are especially hard hit by these benefit structures.
As I ruminated on this delay, it occurred to me that the problem of the plans' inability to communicate with one another is the plan's problem, not the patient's. To say the least, it does seem rather unfair to have patients bear all of the costs of the delay.
Moreover, there is a model that could have been used to implement the single limit: submission of claims for out-of-network care. Patients do this all the time and receive reimbursement to the extent covered by their plans. The payer has a record of the claim and can credit it against the patient's deductible. Why couldn't this model have been applied to the problem of multiple plans for patients? It would be simple. These are primarily patients with employer-provided plans. All that would be needed would be to stipulate which plan is primary for the purpose of maintaining the single out of pocket total. Medical plans are used to maintaining such totals. If the medical plan were stipulated to be the primary plan, all the patient would need to do would be to submit records of out of pocket payments under their pharmacy plans. When patients meet the out of pocket total for the year, they would no longer be responsible for copays or deductibles from the primary plan. How would other plans know about this? Patients will receive records from their primary plans that they have met their deductible for the year. They would then be responsible for submitting these records to their other plans--after which the other plans would no longer be able to charge copays or deductibles.
This approach, to be sure, puts the burden on patients to solve the communication problem. But I'm surprised notbody seems to have entertained this suggestion, in a health care climate that heralds patient responsibility. Perhaps the difficulty instead is that the multiple-plan structure emerged as a way to limit health care costs for payers by shifting costs to consumers.
August 17, 2013 in Accountable Care Organizations, Affordable Care Act, Consumers, Cost, Employer-Sponsored Insurance, Health Care Costs, Insurance, Payment, Reform, Spending | Permalink | Comments (0) | TrackBack (0)
Wednesday, June 26, 2013
US v. Windsor: Some Constitutional Uncertainty, Many Healthcare Implications
The Court's decision striking down section 3 of DOMA in United States v. Windsor was unsurprising, yet still a relief to many. Section 3 defined marriage for federal statutory purposes to mean only marriage between one man and one woman. Based on the late March oral arguments in Windsor, as well as Justice Kennedy's majority opinions in Lawrence v. Texas and Romer v. Evans, the common wisdom was that federalism would be the prevailing reasoning because the states historically have governed family law matters, including marital status. One of Justice Kennedy's projects has been revitalization of the Court's enforcement of federalism to protect the states, especially as a method to protect individual liberties (see, e.g., Bond v. United States).
And so it was. Justice Kennedy provided both structural and substantive reasons for striking down section 3 of DOMA. From a structural perspective, Justice Kennedy's majority emphasized traditional state dominion over marriage, writing: "By history and tradition, the definition and regulation of marriage ... has been treated as being within the realm of the separate States." Though the opinion walked right up to the federalism line, it stopped short of holding that DOMA exceeded congressional authority or violated the Tenth Amendment. Instead, the majority moved forward on substance and held that the federal government cannot take away the marriage right and its attendant societal status once conferred by the states. To do so was a violation of gay couples' liberty and dignity. The Court also hinted at an equal protection analysis, condemning Section 3 as creating second class marriages in states that recognize same-sex unions. The majority applied only rational basis review, rather than heightened scrutiny, holding that DOMA was motivated by anti-gay animus and served no legitimate governmental purpose.
Neither the federalism, nor the equal protection, nor the due process analysis was either complete or clear cut, and each opens more questions than it closes. For example, Justice Kennedy views the experiment of the states to protect individual liberty, and here, it happens that twelve states do protect liberty, more than the federal government. But, this view of federalism's aspirational work does not address the 37 or so states that do not protect the liberty interests of their gay citizens from state discrimination let alone the federal government's limited view of gay rights. And, this reversion to assessing traditional state law domains does not advance modern conceptions of federalism that acknowledge most state law is ineffibly intertwined with federal law by virtue of statutory interconnectedness, conditional spending, or other cooperative federalism mechanisms. Instead, Justice Kennedy seemed to be reaching back to the dual sovereign model of doctrinal federalism.
Fortunately, this regressive model of federalism does not seem to hinder the work that Windsor is likely to do with regard to DOMA's far-reaching effects on healthcare. For example, marital status influences not only access to affordable private health insurance (which is usually easier and cheaper through marriage), but also qualification for the Federal Employees Health Benefits Program as well as Social Security, the gateway for Medicare at age 65. Section 3 also affected Medicaid enrollment and spend-down requirements for the elderly entering nursing homes. The Medicaid/DOMA issue was presented to the Court in a petition for certiorari that the Court has not granted or denied yet. Back in October, I highlighted the First Circuit's decision in Massachusetts v. Department of Health and Human Services, which was mentioned in passing by Justice Kennedy as a case that would suffer vacatur if the Court dismissed for lack of standing. It seems fair to read approval of the First Circuit's decision into Kennedy's cite, which makes me think the Court will not grant the petition.
In addition to public and private health insurance issues, some healthcare delivery issues are likely to be resolved by Windsor as well. For example, many stories have detailed how hospitals have turned away same-sex partners under the guise of HIPAA privacy. Other tales have highlighted how substituted decision-making at the end of life can devolve to estranged family members when same-sex partnerships are not recognized as giving the gay spouse decisional authority that would ordinarily be given without a second thought to a heterosexual spouse. Doctors' offices have refused to recognize same-sex spouses as parents of children who need medical attention. And, care for infants of same-sex couples may become easier now that the Family Medical Leave Act will apply to same-sex marriages. It seems that the federal recognition of gay marriage that will flow from Windsor will be beneficial in many healthcare situtations, even in states that do not recognize same-sex marriage. Federal agencies have much work to do interpreting the word marriage in the coming days, but it seems that these decisions will facilitate a more functional approach to families' experiences in the healthcare system.
June 26, 2013 in Aging, Constitutional, Health Law, HHS, Medicaid, Medicare, Politics, Spending, States, Unconstitutional | Permalink | Comments (0) | TrackBack (0)
Thursday, June 13, 2013
Tax credit litigation on the move
For those of you who thought we could forget about ongoing ACA litigation, here's a little update: the issue of premium assistance through tax credits for insurance purchased in federal exchanges is alive and well. The plaintiffs in the recently filed Halbig v. Sebelius claim that the ACA does not permit tax credits in federally run exchanges (opponents state that this is merely a statutory oversight, as I wrote in September.) A nice summary of the ongoing litigation on this issue was published yesterday on California Health Line.
These challenges seem to reveal the angst that the ACA is producing as the January 1, 2014 deadline creeps nearer. They also seem to reveal the upside-down federalism occuring in the states that have rejected the state-based exchanges. Those states have exercised their sovereign prerogative, but they are also inviting more federal power into the state, which aggrandizes federal power. Though I don't think these cases have a strong chance of success, if the plaintiffs are successful, undoubtedly we'll see more testing of the fence by states and private litigants.
June 13, 2013 in Affordable Care Act, Constitutional, Health Care Reform, PPACA, Spending, States | Permalink | Comments (0) | TrackBack (0)


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There have been several videos of teenage Madonna fanboys workin' it to her signature hit "Vogue" in the past, but we may have a winner for nailing the choreography. Ladies...
20 posts categorized "FANDOM"
Judging from the front view, I'd say there was some truth in advertising.
I had fun at today's Broadway Flea Market, where hundreds of thousands of dollars are raised in a single day for Broadway Cares/Equity Fights AIDS, but I did have a particularly nerdy problem that sort of blew me away momentarily.
Paul Nolan, of Jesus Christ Superstar and Once fame
I went because (1) You can always find fun stuff to buy, cheap and (2) They always have stars selling autographs and photo ops. This year, the only two stars I wanted were Patrick Wilson and David Hyde Pierce, and both were in the first block, meaning they were signing autographs from 11AM to 11:50AM, then would be posing for photos (you're supposed to pick one or the other...never been a fan of how this is organized).
Got there early, stood in line, then was told—SURPRISE!—Tony Danza had shown up and would do photos for 50 bucks! So worth it. Never met him, often...thought of...him growing up. Who's the boss? Tony Danza was, more than once, in my gaydreams. So I signed up for all three and they pulled me to get David (at first they said he would only pose with Bebe Neuwirth, whom I've already met, and then when they saw my money slipping away, they locked him in for a single). Took forever because for some reason, they were escorting people up to get their autographs done during the photo period. I kept looking around and saw Andy Mientus and others doing their photo ops, but was resolute I would not miss Patrick or Tony.
The found language of the "Niles Cranes"
When it came time, no one wanted to say, "Miss Neuwirth, please step out of the picture," least of all I (has anyone ever said that???), so I got her free.
Grabbed a pic of Corey Cott and a fellow former Newsies cutie Adam Kaplan
Mamma Mia! looker Neil Starkenberg
I went back into the line, only to be told Tony had done his very few photos and was done. I freaked out, offering to pay extra, and they confirmed he'd left. I was so mad. I know, I know—focus on getting a job and paying for food, Matt...Tony is around often, Matt—but it was disheartening. I felt like "Angela" almost getting a kiss from "Tony" in an early episode, unaware it wouldn't be consummated for many seasons. So then I said, "Well, when is Patrick doing his?" "Oh, he's done, too."
I lost it.
I was wigging out when told Tony Danza had exited the area.
Losing it inspired the harried volunteers to find it—they charged me double (so much for the free Bebe!), but they got me a dedicated pic with Patrick.
Patrick Wilson is just a handsome creature and a strapping guy. We did our shot and I cooed about Little Children, a stunning film, and then I had to tell him the one Patrick Wilson story I have:
ABOVE: Meet an exceptionally tight, tight end.
Matthew McConaughey will not be in Magic Mike 2.
If this doesn't make you want to kill that t.A.T.u. bitch, nothing will.
Scots voting NO on independence.
Joe Manganiello had sympathy for his LGBTI friends' suffering.
Last day to own a piece of Madonna history.
This ex-gay couple has HOT chemistry...and matching plaids!
Please check out my Kickstarter...I'm getting closer and closer!
Jessie J and Ariana G ditch Nicki M.
Ariana Grande does not ditch her fans.
Brian Sims on the Philly gay-bashing.
Check out the bulge on this one:
Jimmy Somerville's orgiastic "Travesty".
San Francisco politician is a Truvada...user.
Jared Leto's huge one.
Another insane mass shooting, this time a grandfather wipes out his family.
Miley Cyrus gets spanked for Mexican-flag spanking. (Herstory repeats!)
TRAILER: Is Big Eyes Tim Burton's comeback?
Jennifer Lopez is now a money-eating ass.
Clay Aiken's NYC fundraiser was in snark-infested waters, thanks to Vocativ.
Ben Affleck, like a dog returning to its own shit, returns to Details.
If you are "horrified" by the above cover, grow up.
Robin Williams + gay hustler = must-see movie.
Is Beyoncé really not Blue Ivy's mom after all?
Insane racist woman in death threat-laden viral video.
HOT guys, HARD at work.
James Franco is playing insane ex-gay Michael Glatze, who really hates the gays.
'90s teen heartthrob Andrew Keegan invented a religion.
Lady Gaga's lesbian fan letter.
Chris Martin's got a type: Annoying blondes.
Christian singer Vicky Beeching comes out swinging in 1st post-coming out interview.
Ferguson cops beat a suspect, charged him for bloodying their uniforms.
Papal selfies are the latest thing.
Gay blogger thinks gay men need to grow up and stay out of the bars.
Pioneering skateboarder Jay Adams dies @ 53.
In Entertainment Weekly (August 15, 2014), the esteemed actor Kevin Spacey, presumed to be gay by just about everyone (hence my post title), relates a really cute story of his former fanboy years, when he ambushed Katharine Hepburn after her performance in A Matter of Gravity in L.A.:
"I was 13 or 14 years old. She parked her station wagon in the loading dock of the Dorothy Chandler Pavilion, and I was waiting there with a bouquet of flowers. She came down this landing and she stopped and she looked at me. [In a Hepburn voice] 'You've waited for me. How lovely!' She took the flowers and sat on the bumper of her car and answered my questions about Spencer Tracy for, like 15 minutes."
They apparently became pen pals and then pals.
There's so much more to him than just muscles. There's also the peen.
What do you see first, his bulging abs or his bulging...?
Supercute Danny Roberts from The Real World is still adorbs.
Buzzfeed's Chris Geidner is NGLJA's Journalist of the Year.
Why would Rick Santorum want a photo op with Eric Stonestreet???
John McCain sad that he has no dinner invites from President Obama.
Jane Fonda lashes out at Rupert Murdoch.
Angry landlord decapitated tenant while she was alive, dismembered her.
50 Shades of Grey is the worst book ever. Looks to be the worst movie:
SHOCK!: Megyn Kelly has no idea what she's talking about.
Long Island Medium's Theresa Caputo called a fraud.
Amanda Lepore inks book deal.
The new Giovanni's Room can sell her book!
That Madonna snippet was a re-do of "La Isla Bonita".
Just like the dude in the first link, this one also has a lot going for him:
They don't make them like this anymore. Well, they do, but it's harder to make them—they're so stuck up!
Grant's story of freezing on a Broadway stage in 1972 was gut-wrenching!
I spent a nice evening at the 82nd Street Barnes & Noble, attending the booksigning for the memoir I Said Yes to Everything (Blue Rider, $28.95) by Lee Grant (b. October 31, 1925)...though it did have some ups and downs.
First, getting there 20 minutes before the start time, I was nonplused to find the entire seating area filled. The crowd was older, and the event free, which made for an interesting time when it came to the things one overheard:
"Who exactly is this person?"
"She was in everything in the '60s and '70s."
"How old is she? Eighty-eight? That's a very flattering photo on the cover."
"What's she going to talk about? A book? What book?"
Joy Behar (b. October 7, 1942) had a ringside seat [later asking a loaded question about Grant's Broadway co-star Peter Falk (September 16, 1927—June 23, 2011)], while the rest of us just stood around like groupies. Grant was there early, off to the side, eyeballing the attendees and excusing herself silently to find a bathroom. It was cute that she looked so pleased by the big crowd.
Grant was engaged in a conversation by well-known biographer Tom Santopietro, who repeatedly joked about Grant being the star. Grant was very comfortable doing the same, cracking jokes, cursing and openly reflecting about her early career, her experience being blacklisted for a dozen years and her transition to directing mostly documentaries.
Of her experience on the blacklist, she recalled stumbling into it after doing a Broadway play with J. Edward Bromberg (December 25, 1903—December 6, 1951) and many others who'd fled the House Un-American Activities. She was asked how she felt about his death of a heart attack and said she felt he'd been hounded to his death...and that quote wound up in Red Channels.
One highlight was when she reminisced about walking down the aisle to receive her Oscar and thinking it was a big fuck you to the McCarthyites who'd tried to keep her down.
For an 88-year-old woman, she looks and acts far younger, and has not only her wits but also her wit about her.
The questions were—shocker!—really great. These things usually have at least one or two embarrassing queries, but this time, Grant fielded thoughtful questions about stage fright, making diverse projects like her Columbo episode (March 1, 1971) and the '90s gay-themed movie It's My Party (1996) and how she felt when her sitcom Fay (1975) was axed after eight episodes.
Cook (L) and Barrie (R) catch up. Barrie was going into The Prisoner of Second Avenue in 1972 when Grant was leaving.
After, we lined up. I spotted the fabulous actress Barbara Barrie (b. May 23, 1931) off to the side, chatting, but she gave off a vibe of, "Don't." So I hesitated. After I saw her sign an autograph and then receive an intro by Grant, who'd begun signing in earnest, I knew I would go for a photo. By pure luck, Barrie was with the legendary singer Barbara Cook (b. October 25, 1927) when I got over to them. I asked politely for a photo with them both. "With? Yes," Barrie said, implicitly saying no to a posed shot of just the two of them.
The room was filled with talented ladies.
"Oh, is it your birthday?" Cook asked, why I had no idea. Turns out she'd misheard something I said, but I didn't want to correct her. Barrie was amazed that Cook had guessed that just from seeing me. I felt guilty taking advantage of birthday positivity, but it was just an oops. The pic is cute.
With a great singer and a great actress. Hopefully, I'm a...great writer?
When I got up to Grant, I told her it was nice to be able to admire her both as an actress and as a person, because so many major stars are—and then the guy behind me was snapping our photo, so I smiled. "What? So many are what?" Grant wanted to know, ignoring the camera. Click. So that's why the photo is less than ideal. But oh, well, we look engaged in conversation.
Are we deep in conversation about Warren Beatty's sexual prowess?
"Sorry, so many are right-wingers," I finished. She pooh-poohed that until I clarified, delicately, that I meant so many who were making movies in the '40s and, like she was, the '50s. With that proviso, she agreed.
I was able to get her people/the store's rep to approve my getting a posed shot of Ms. Grant—and I do mean one—posed shot in-between the umpteen fans who were queued up to buy her book.
It wasn't ideal, photo-wise (though my shots of Grant and of the Barbaras turned out great!), but it was still a thrill to be able to meet an Oscar-winning, one-of-a-kind actress and director whom I truly thought I'd never get to see.
I can't wait to read her book. If you've never seen The Landlord (1970), recommended to me by my pal Gordon not so very long ago, seek it out.
My pal Bob Deutsch has unparalleled stories of star-chasing back in the day, having asked Marilyn Monroe for her autograph as she entered MSG to sing "Happy Birthday" to Kennedy and having spent quality time with a pregnant Carol Burnett in her NYC apartment.
He went from shooting stars as a fan to shooting them professionally, and he's graciously sharing some of his hottest boys from the '60s—'80s in a series of posts starting now. Here are some pictures from his casual shoot with Parker Stevenson, of whom he says:
"He came to my apartment in the '70s—I really can't remember how I got him to do this, but he was really sweet and he did a photo shoot. A few weeks after this, I was in Hollywood and got on the set of The Hardy Boys and he introduced me to Shaun Cassidy...the rest is history!"
Two more shots of the man whom Kirstie Alley claims is in possesion of a big one after the jump...

subset: commoncrawl


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I read the newspaper obituaries. I have been an ordained clergyman in eight parishes, so I know Catholic people from the region between Montgomery County down through mid-St. Mary's County, Maryland. Just today, I found out through the Washington Post that Donald Baughmann passed (husband to parishioner in Rockville). I also heard that Marty Novak died (Laurel member), so I will already know it by Saturday morning paper's notice.
I also know that in the past week a former classmate of mine's (SPX School) mother died (Mrs. Jones), and a woman I knew while growing up in Bowie also died (Mary Conroy). She was in city and state politics, along with her husband, and knew my parents through that. I read Mary's obit in the Post this week. It recognized her 20 years in Md.'s House of Delegates.
Sometimes I note a few things in the obits. There are stories being told there. This week they included quick stories of some fascinating women. In the Post paper this week I saw that an actress died that I have seen a few times on stage (Tana Hicken). It said she had "received 20 nominations for Helen Hayes awards in her life of 70 years, with a wide range of characters played." I also read that Pittsburgh's 1st female mayor passed at 96. 26 years ago Sophie Masloff won the vote as a folksy Jewish grandmother figure mayor, picked to lead a city out of a long slump. I was amazed to read that Pittsburgh's first female mayor "was born to impoverished Romanian immigrants, with a dad who died when she was 2, and under a mom who scraped a living out of rolling cigars in a factory, and who had never learned English." As a young woman, Sophie "worked in Allegheny County government jobs for four decades, as such did her husband Jack, and it led all the way to becoming Mayor of the big city.
I also read that Bowie's Jamie Paterson died at 84. What was notable of this homemaker? Her grandfather was the Confederate General James Longstreet. I also read that Bowie's Mary Smith, a D.C. teacher in her life, passed at 88. She was in public schools for 34 years. Notable to me was that she kept her Catholic membership going at St. Gabriel's parish in NW DC, where she evidently was baptized long ago as baby Mary Dorsey.
These all were quick but informative stories of some interesting women whom God has blessed the earth in our area.
I also learned from Alan Postlethwaite's obit (8-17)that he was a native of England but eventually got a job in the Smithsonian's Conservation Unit, due to his learnedness as a metallurgical scientist. I found out that the Smithsonian was first begun and funded by an Englishman named Smithson. In the close of the obit, I wondered how this museum official ended up being, in his retirement, "a volunteer in President Bill Clinton's White House."
In a couple of days our own parishioner Theresa Proctor will have her obit in the paper. Theresa lived on Queen Anne Rd. for the past 57 years, and was married to "Mott" who predeceased her a few years ago here (I did his funeral.) She had been faithful to Mass through her life, and she was active in our parish, even in its founding days, even helping to keep our parish rectory cleaned. She helped social activities in the parish, too. Theresa lived beforehand on Church Road when that area belonged to Holy Family Mitchellville parish. In our becoming a parish (as a mission from Holy Family), Theresa helped us get the new members to St. Edward the Confessor, even when we just met in a school. Her wake and funeral are on Thursday morning, Aug. 29th at St. Edward. Her enthusiasm and smile and faith will be missed.
I had heard that another local (Anne Arundal County) priest had written some thoughts on obituaries…
Here's what he said. He comically noted that the reading of obituaries is an Irish thing of looking and being sure that you are not listedin them, so that you can celebrate that you have another day to live well in this world! Obituary reading is his "racing form so that he'll know who out ran him to heaven that day."
One other comedian quips: "What's up with obituaries? They now cost you an arm and a leg! The newspaper used to publish your passing for free. Now it costs you a lot of money just to inform others you are going six feet under. It hardly leaves your kin to cover the rest of the funeral bills. Ah–but you should just send them to 777 Pearly Gates, attention to St. Peter. He'll cover you for the rest."
Clive the Human Cannonball says he won't need a funeral Mass. "Whenever the cannon shot does miss the target," he says, "you can just go get a shovel and bury me where I have fatefully landed. It is probably where God intended for me to lay! Call it fate."


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Hold down Control (PC) or Command (Mac) key + mouseclick to select more than one option
|Avg. Dinner Entrée
|Greater than $25
|$18.01 - $25
|$12.01 - $18
|$7.01 - $12
|Less than $7
Posted by sonia pereda on 12/18/2010
i love this place.. I went with my family for my 38th wedding anniversary. (Armando) Excellent service , amazing food .Portions were not large but the quality and taste was amazing...Little pricey for Cuban food but I would go back ... I give Victors cafe a 10
Posted by Joshua on 01/19/2010
As we are living in the neighbourhood, we stopped by for lunch one weekend day. The host was really snotty and acted as if we had bothered him. We did not wore a suit, because it was a weekend and we lives in the neighbourhood. Although the decor and ambiance are nice, the food is overrated. We love Cuban food as we love a variety of International cuisines. This place is just disappointing.
Posted by Miki Matos Vega on 06/15/2009
I love this place but admit, a trip here will cost you dearly. This ain't Restaurant Row, but it's not far, just off the television studios and Theatre District that draw tourists by the double-decker busload. Why so costly? Well, what do you think they pay in rent for this location? A scaled down place by the same name used to serve good and reasonably priced Cuban cuisine uptown around W. 71st but that joint is no mas. Here you pay in part for the ambiance - the lighting, plants and open air décor - that aims to mimick old Havana, or at least Eighth Street, Miami. Suggest the Ropa Vieja (shredded skirt steak) or Lechón Asadó (roast suckling pig marinated in sour orange) as an entree. Appetizer: the red snapper Ceviche or Tamal De Maiz Tierno, a pork-filled corn tamale. Wanna save some digits? Try a Cuban sandwich. Better still, don't drink here. Walk a block west to 9th Ave and get your sangria or mojito on in some nueva Hell's Kitchen taberna before or after dinner. Miki Matos Vega
Posted by MC on 05/24/2009
My friend and I had the ropa vieja and chimichurri skirt steak. Both were excellent and perfectly-cooked. My pina colada was very good as well. Not cheap and the portions were not large, but the quality was high. I would go back.
Posted by Anonymous on 05/23/2009
My fiance took me there for my bday and wow, the food was excellent and the service even better. First they took us to the back section and I was cold so without an attiude like I have seen with some places, they happily moved us to the front. They refilled our water all night when usually my fiancee has to ask for water several times. Overall, multiple waiters giving us the friendliest service, even as it started to get very busy... The talapia, flan, rice (with chicken arroza dish) and mango gelato was the best I've ever tasted! We were not crazy about the mango and coconut mojitos (too sweet) but when the food is that delicious, we paid little attention to alcohal anyway.
Posted by M on 04/10/2009
Old friends got together for a pre-theatre dinner, but the staff wanted the table and tried to rush us out. We couldn't relax and enjoy the food and conversation with our companions. I'll never go back.
Posted by John_Boy on 02/22/2009
The food, for the most part, was very good. It was very expensive though, especially in these recessionary times. And I felt that we were being rushed at the end of the meal.


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Hutt Golf Club
Address: Military Road Lower Hutt Lower Hutt
Phone: 04 9392385
Fax: 04 5674260
Web: www.huttgolfclub.co.nz
Email: firstname.lastname@example.com
This club has been listed with a basic listing, if you would like a more detailed listing similar to Manukau, please contact us and we can discuss what you can have on your detailed listing.
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"Top 50" listing of golf courses for the best places to play. A comprehensive directory of winning golf courses and the raves they have received from top golfing reviewers. » Go


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Wednesday 3 April 2013, 15:25
He's been with us since the very beginning of the CBeebies channel, but Sid is saying goodbye to life as a presenter in the CBeebies House this week (don't worry, you can still see him in Let's Play!). We caught up with Sid for a quick trip down memory lane…
You've been on CBeebies for more than a decade, but can you remember how you felt on your very first day?
Well, it was a long time ago, but I can remember that there were a lot of nerves about! But there was so much to think about, there was no point getting too worried. I was quite lucky, though, because I was sort of led into it. We had about a week to get to know the producers and directors, and there was a photoshoot with the other presenters before we started, so by the time I actually got into the studio I'd been gently brought into it and I was quite comfortable.
What I did recognise right from when I had the first audition was that if I was going to make this job work for me, I needed to be myself – so my focus for probably the first two years or so was 'am I being myself?' But then, of course, when you're working in children's television, and you're saying to yourself 'just be yourself….and look at the camera, and hold up the thing, and say that, and sing this….', you do start to wonder who you really are!
How has life in the CBeebies House changed over the years?
It's changed quite a lot! It's nice because I've been around to see every change. For instance, originally we recorded lots of links together as a team of presenters, then we began recording more on our own, so that gave me a whole different kind of experience.
Then when we brought in the zones, I had my own zone with lots of running around. Actually, that's one thing that's changed a lot – I do a lot less running around these days. Much less crazy boy and much more considered.
We still do little challenges though – like today I was recording a link where I had to throw little hoops over an anchor, and I still really want to win when we do things like that. Obviously we can't keep doing take after take, so I have to get a good score straight away!
What's the most bizarre thing you've had to dress up as?
Well, nowadays it's just about responding to any given situation and circumstance, so it doesn't really matter what I have to wear. But that didn't come until maybe a year into the job, so at the beginning someone would say 'put that box on and pretend to be a train,' and I'd be like, okaaay, well, I'll give it a go…. For me, back then, that simple thing was bizarre. Of course, now I've got a whole theatre show where a cardboard box is the main feature and it turns into all sorts of things, but ten years ago, doing that felt really strange.
Generally, though, I love it. This job has given me a love of dressing up and I never knew it could be so much fun. Especially doing Let's Play, I was living out all my childhood fantasies really – it's proper dressing up with costumes and moustaches and so on, and that's something I asked for – real costumes!
What did you want to be when you were little?
I wanted to be a footballer! Then the only other time I ever really seriously wanted to be something was in my late teens, when I wanted to be a firefighter. I actually went up for the job. I took all the tests and passed everything, apart from the eye test. I really didn't expect that to happen. I was really looking forward to it, but I have covered being a fire chief and a whole football team so far in Let's Play, so I've done it all in a way.
Do you have a favourite number rap?
Obviously the last raps 16-20 have all been words ending in 'teen', so that's made them more difficult to write. One to five were just brilliant though! I remember reading a review where a music critic had done a spoof album review of them, it was so funny!
What are you proudest of about your time as a CBeebies presenter?
Partly just staying for as long as I have – and also that I've maintained being myself. The feedback from the audience has always been great and I'm only leaving now because I want to so, whatever I've been doing, it must have been right…
All posts are pre-moderated and must obey the house rules.
Join the discussion...
All the best to Sid - It's been a pleasure watching you over the last couple of years with my 3 year old.
Good luck Sid... You've been absolutely great over the years... Such a fantastic presenter... All the best for the future..!! :-)
Best of luck Sid! We've loved watching you for over 6 years and you're affectionately known in our house as 'Crazy Sid'! We really enjoy Let's Play too, and my 1 year old sings "me" along with you! Keep up the good work!
We have been watching for eight years!!!MISS YOU
Maya and Olivia
We have two boys, one just seven and one nearly twelve, and Cbeebies has been a staple for both of them. Of late though, CBBC has taken over and I have missed 'old friends' like Sid in my day, but wish him all the best as he moves on to pastures new.
Best of luck, you always made us smile, and that is how we will remember you. Until next time!
Sid and Andy together were magic, and their Christmas rap was hilarious - stretching out words to make the beat (we could never manage it ourselves). We've stopped watching CBeebies now (migrated to CBBC) but I hope my children will always remember that and the number raps too. Good luck Sid. You worked wonders for children.
Thank you Sid for the many happy times you have given my children - especially my 4 year old son who absolutely loves you and was over the moon to see you on stage at Xmas too. You've done such an important job over the last few years - just think how many children you have brought a smile to. Amazing! Good luck for the future.... [Personal details removed by Moderator]
I have two girls aged 10 and 8 and we have been watching Sid and his colleagues on Cbeebies almost since the start. Just wanted to say that we have all enjoyed your work throughout this time: thanks!. May the very best of fortune follow you!
We're definitely going to miss Sid in our house - and I agree with Bristlewort that he and Andy were hilarious together & I'll particularly miss that madness. Best of luck with whatever come next!
End of an era indeed. Anyone got a link for that spoof album review for the number raps?
All the best Sid your a great presenter and will be missed at cbeebies my girls really enjoy lets play hope it all works out well for you!!
Sid, i've been watching you on CBeebies since 2002..you have made me and my children happy over the years. Good luck, we'll miss you
Sid, goodbye and good luck from Christopher, Danilo, Georgina, Harry and Ella and from their grandad who sat with them. Best wishes in your new direction we will not forget you.
Sid, You'll be greatly missed. Good luck in whatever you do next.
He wos my favourite presenter men' Gosh! I'll miz u Sid.
Oh No - love watching you with my grandson Joel
What are you doing next? Will we see you on TV?
All the best in whatever it is - I hope you are successful, happy & satisfied. XX
Oh no!! Sid........why are u leaving :( my daughter loves u n she loves lets play too, i think ur a great presenter n comical, whos goin to do lets play, n whos goin to do the number raps with andy :( pls change your mind.........
Ahh no Sid! Eliza loves your raps !! All the best funny man x
You have been a FAB presenter and we dont want you to go!!!
What day and date are you leaving???
Oh dear! I've been looking for Sid since and when I did not find him especially for the Christmas production advert, I knew something was wrong. I was having this little fear that he might have left like Chris and Poi. So I googled him up and yours truly, he's gone. Am really sad cos he's a role model for my kids who are blacks as well. I just hope bbc get someone from the black community to replace him cos we want to send a clear message to our youths that you can be like Sid.
Wednesday 27 March 2013, 16:11
Thursday 11 April 2013, 17:04


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The Symptoms of Commitment Phobia
- Criticism of a Partner
- Hurting Their Partner
- Scared of Getting Noticed
- Unrealistic Ideals
- The Unavailable Partner – The Affair
- The Unavailable Partner – The Long Distance Relationship
- The Commitment Phobic Partner
- Commitment Phobia and the Long Term Relationship
- The 'Yo-Yo-ing' effect in commitment phobia
- The Serial Commitment Phobic
- The Fear of Commitment to Anything
Improving problems with commitment can be relatively straightforward, when you know what to do
You might be relieved to know that there are a few things that issues like these tend to have in common. They are often to do with the way you think about the problem, and while they can be relatively straightforward to change when you know what they are, they can be difficult to spot if you don't.
If you'd like help with commitment phobia, check out our commitment phobia self-help programme, or book a free initial consultation below...
Our commitment phobia self-help programme
The Avon HypnoCognition® Commitment Phobia Programme has been designed specifically to help with commitment issues.
We've helped lots of people over the years to see what's behind their problems, and we can help you to do this too. We can show you how to recognise these things for yourself, and we've put all this info into a commitment phobia self-help programme.
What some of our previous clients have said...
Here's what some of our previous clients have said...
I had hoped for some improvement when I came to see you the first time, but I never ever imagined that so many things would be sorted out and that I would feel that much better -- not just about relationships but about myself in general.
It was another failed relationship that made me go and get professional help, not being entirely convinced that there was much I could do about my pattern -- which was always ending up with the wrong guy. But rather than waiting for Mr. Right, I thought it was better to do something about it. And I am so glad I did! My views, opinions and feelings have completely changed.
I will never forget you and what you did for me - Thank you so, so much!
All the best, take care and see you soon,
Kerstin, a commitment phobia client from London
(Name used with permission)
Thank you so so much for all your help with everything....my commitment phobia is well and truely gone.....and i will never forget you for that... i want other people to know that commitment phobia can be overcome.... i have read threads on websites where people have commitment phobia and they are going mad and think that there is no cure or no way of over coming it.....i thought that too....before i met you and Denise...
Chloe S, a commitment phobia client from London
(Name used with permission)
Paul has provided me with the right help and the right tools. I feel empowered to deeply improve my approach to life and he has already got me well started.
Gael B
Marseille, France
Words from Gael, who is successfully overcoming his commitment phobia
If you'd like help with commitment phobia, check out our commitment phobia self-help programme, or book a free initial consultation below...


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Anne Arundel New Grad 2012
- 0Oct 26, '12 by RNurse_SHas anyone applied to the Nursing Graduate Internship at Anne Arundel Medical Center? If so, how long did it take you to hear back from them? Are there any other surrounding hospitals that are new grad friendly? I've been applying to Johns Hopkins with no luck. Thank you for the advice!
- 0Nov 5, '12 by RNurse_SHello! I also applied on the 1st and received an email on the 2nd saying my application was being reviewed by HR. I haven't heard anything else but I see the position is still posted on their website. I'm hoping and praying to hear something, I've applied to dozens of jobs and haven't received one call back. Let me know if you hear anything, I'll do the same! Good luck!
- 0Nov 12, '12 by RNurse_SI saw the position is finally off the list, I was surprised it stayed on as long as it did! I've heard it's usually off within a week so that could be a good thing or a bad thing. Either they didn't get as many applications as they have in the past, or they're going to be totally swamped with candidates after leaving it on for so long. I called the HR department last week just to ask in general (not about myself specifically) how long it usually takes to start setting up interviews, but was unable to get ahold of anyone. I've heard that for the last internship, they started interviewing 1 month after applications came in. Praying right along with you!
- 0Nov 19, '12 by RNurse_Sciku03, I was able to get ahold of someone in the HR department to ask in general (again not about myself specifically) how long it usually takes to start setting up interviews. I was told the November 1 posting generated 150 external and 50 internal applicants and to expect to hear from either a recruiter or electronically by the END of December. So it looks as though we still have quite a wait ahead of us. I was expecting there to be competition, but I have to say I'm surprised at the total, 200 people is quite a hefty amount. I can only pray I made an impression with my application. Good luck to you as well!


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We really enjoyed our visit in Banff and appreciate the hospitality of Yvonne and Lloyd! They have a beautiful home and were able to give us great advice and suggestions on what to see and do in the area. I'd highly recommend staying with them when you visit Banff!
Location: Canada > Alberta > Canadian Rockies > Banff National Park > Banff
Ranked #33 of 34 B&Bs / Inns in Banff
Price Range (Based on Average Rates): $$
Number of rooms: 2
- Also Known As:
- Banff Bed And Breakfast
- Banff Hotel Banff


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Dear All,
I now give you the Slide Decks from the Microsoft IT Academy Summit which took place at Microsoft UK HQ on Wednesday 19th October 2011. I cannot embed them into this post due to it being in HTML but I have posted then up here for you.
Microsoft IT Academy Summit – Slide Deck
If you have any problems let me know.
@TheScarfedOne is working on putting together an article which covers the information discussed through-out the event and compiles the tweets that were tweeted throughout the day. He will be publishing that soon i believe.
I also noticed that there were no replies on the thread which we posted up for any questions that people had, so it would be handy to get some feedback as to what you think of the Microsoft IT Academy, If there is certain areas in which you wish to know more on or does everyone know about the IT Academy and that is why it is a bit quite :-)
Many Thanks,


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Day 19 - Sunday, August 3
Note: In our 40 days of prayer, we actually have 43 prayer devotionals. So, I had to combine some. This is one of those days.
The first devotional is from one of the senior saints in our congregation. She is a gem of a lady. When we were renovating the house, she was here faithfully helping us paint.
The second devotional is from one of our youth. He is son of our building committee leader and is only like 6 or 7 years old.
Bible Verse - John 3:16 (NIV)
For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.
My Thoughts
Jesus came into this world knowing what was going to happen to him, but he came anyway and died for my sins. He arose and sits in heaven interceding for me.
My Prayer
Dear God,
Thank you for the gift of Thy Son and my Savior. Because of Jesus, I can live in Heaven forever with You and Jesus.
Bible Verse - Luke 24:1-3, 6a (NIV)
On the first day of the week, very early in the morning, the women took the spices they had prepared and went to the tomb. They found the stone rolled away from the tomb, but when they entered, they did not find the body of the Lord Jesus.
He is not here; he has risen!
My Thoughts
C. was asked which scripture was his favorite. This is what he selected.
�The greatest event ever!�
My Prayer
Dear God,
Thank you for raising Jesus from the dead.
Additional Thoughts.... Have you ever thought about what our lives would be like if Jesus had chosen to come down off the cross? He pleaded with God in the Garden to take away His burden. He knew the pain that He would suffer... not just the physical pain, but the emotional and spiritual pain of being separated from His Father. When Jesus took on the sins of the world, God had to turn away from Him. God cannot be in the presence of sin. Jesus felt the pain of separation from God, and He does not want us to live an eternity without Him. That is why He died on the cross and became the sacrifice that covers all of our sins. The best thing we can do in our lives to thank Jesus for His sacrifice and try to do what He would have done on this earth. Go and tell a friend about what Jesus has done for you today. Don't let them spend an eternity without Him.
Day 18 - Saturday, August 2
Note: The man who wrote this devotional is a elementary school teacher. He and his wife have adopted two little girls, sisters that they adopted at two different times (different biological fathers). He is very soft spoken and very thoughtful.
Bible Verse - Psalms 27:1 (KJV)
The LORD is my light and my salvation; whom shall I fear? the LORD is the strength of my life; of whom shall I be afraid?
My Thoughts
I remember riding home with my mom from my grandmother�s house when I was a young boy. My mother told me that I was going to have to feed the dog when I got home. It would not have been a problem except that it was dark outside. I asked my mom if the nighttime was the same as the daytime except for the light. She assured me that it was.
When God created the world, he made both day and night. God�s creation was perfect, so Adam and Eve had nothing to fear from the darkness. That changed when sin entered the world. Movie makers have frightened us for years with scary movies that take place in darkness. The darkness holds in its grasp the element of the unknown.
Christians need not fear the dark for their salvation comes from the light of God. In his magnificent presence darkness cannot exist. He is the eternal source of strength to any who will but accept his grace. What task is too great for us when God is providing our strength? What fear can overcome us when God is our caretaker?
My Prayer
Gracious Lord,
Give us the wisdom to see your precious light. Help us to place worry and fear behind us in our daily walk. Allow us to place our vanity aside and accept your strength and guidance.
In Jesus� name, Amen.
Additional thoughts... I have to admit that I am one of those people who is fearful of those things that are in the dark. I have no problem with darkness itself. I love to sit outside on a summer night and stare at the stars in the dark sky. But when I'm walking to my car in a parking lot at night, I always have this suspicion that someone is going to jump out from behind something and attack me. No, I've never been attacked in such a way; but I've always had that fear. Like Mr. M.O. said, " Movie makers have frightened us." Many times that I am in such a situation, I sing a gospel song in my head. "Amazing Grace how sweet the sound..." or "Jesus, Jesus, Jesus.... there's just something about that name..." It helps me to sing. Singing reminds me that God is always with me. So, "Precious Lord, take my hand, lead me on, let me stand, I am tired, I am weak, I am worn. Thru the storm, thru the night, lead me on to the light, take my hand, Precious Lord, lead me home." Let us all remember when times in our lives are dark, that God is always there to provide the light we need.
Day 17 - Friday, August 1
Note: This gentleman is one of the quiet behind the scenes kind of guys. He doesn't teach class, but he certainly can make some great comments.
Bible Verse - John 16:33 (NKJ)
These things I have spoken to you, that in Me you may have peace. In the world you will have tribulation; but be of good cheer, I have overcome the world.�
My Thoughts
I love this scripture so much because I do find peace in the Lord, in a world that is filled with tribulation. In my alone time - my prayer time, I find a peace and comfort that can come from no other place. It also reminds me as it says in the scripture, �he has overcome the world.� The world that we live in at the present is insignificant in the larger scheme of things.
My Prayer
My most precious and loving heavenly Father,
Thank you for the peace that I find in you and your son Jesus. Thank you for the place I can go and be away from this world�s tribulation and chaos and find a calm that no other place can provide. Thank you for your written word that teaches me that I can be of good cheer because this world has been overcome and because of your love and your grace a home in heaven awaits me. Please help me and give me strength to share with others the peace that can only be found through you.
These things I ask in Jesus� name, Amen.
Additional Thoughts... You know the advice that many older ladies tell you when you get pregnant (or guys, when your wife gets pregnant) or when you have little ones, "Choose your battles." I know there would be so much more peace in my house if I did pick my battles better. Someone once said to me, "Is this something that will matter 5 years from now? If not, it isn't worth losing sleep over." Living the Christian life is one of those things that will matter in 5 years. If you know someone who isn't living the Christian life, pray for them.
Day 16 - Thursday, July 31
Note: This gentleman is one of our elders. He is a very soft spoken man who always has a smile, a polite word, and a hug for all.
Bible Verse - Mark 12:28-31 (NIV)
One of the teachers of the law came and heard them debating. Noticing that Jesus had given them a good answer, he asked him, "Of all the commandments, which is the most important?" "The most important one," answered Jesus, "is this: 'Hear, O Israel, the Lord our God, the Lord is one. Love the Lord your God with all your heart and with all your soul and with all your mind and with all your strength.' The second is this: 'Love your neighbor as yourself.' There is no commandment greater than these."
My Thoughts
In life we are surrounded by many distractions each day. This is not necessarily bad as many of these distractions involve our family, our church family, our friends and neighbors, our associates in our workplaces and others we come in contact with. In addition, we are all too busy in today�s world. We must take time to dwell on and love God in prayer and take time to love our neighbors enough to influence everyone we come in contact with to want to love the Lord as well by submitting to His Word.
My Prayer
God and Father who art in Heaven,
Help me to be focused on what is really important. Help me to seek your love and blessings by being honest in admitting my weaknesses and seeking your help in overcoming them. Help me to be aware of people�s need for your salvation and blessing, by saying words of encouragement to lead them to find out who you are and why they desperately need you. May you help me to be who you want me to be.
In Christ�s name, Amen.
Additional Thoughts... As was mentioned in a previous blog's comments, there are so many things that get in our way that keep us from listening. "Everyone is 'plugged in', hooked up or charged to something."
We need to stop focusing on ourselves and start focusing on others. So many people around us have needs that we could meet if we'd just open our eyes to see and open our ears to listen.
Our Honduras mission team gave a report tonight of their trip to El Sauce. On their trip two years ago, they saw a "lady" lurking around but never participating as a recipient of their mission work. They found out that she was a prostitute. When they went back this year, they found out that she had left that life and become a Christian. The mission team two years ago had planted a seed that God used to change this woman's life. We never know what kind of influence we can make on someone, so we should always be on guard and continue to focus on the important things of living the Christian life.
Day 15 - Wednesday, July 30
Note: The writer of this devotional is a high school English teacher, mom of 2, and wife of the part-time teen youth minister.
Bible Verse - Isaiah 48:17 (TLB)
I am the Lord, your God, who teaches you what is best for you, who directs you in the way you should go.
My Thoughts
Recently I had the opportunity to attend a women�s conference with a group of ladies from several different churches. My friend Nancy was the pilot for the journey, driving a group of six women in her car. She did a great job getting us to St. Louis, with a little help from her GPS.
Not having a GPS in my own vehicle, I marveled at the handiness of this piece of equipment. All we had to do was program our destination and a calm, soothing voice would direct our every turn. It even told us how many feet we had to go until the next turn. We only had to follow its directions, and we would be at our hotel in no time.
This system worked well until we were stopped by a closed road. No matter what we did, we just couldn�t follow the directions given. Every time we �chose� not to go where we were instructed, the GPS would say, �Recalculating� and give us a new set of directions based on our lack of listening.
As I sat in the middle seat, I was struck by the similarities between God and the GPS. God knows the direction he wants us to take in life. The Lord says he teaches us what is best for us and directs us in the way we should go. But, because we are disobedient children, we don�t always choose to listen to what He is telling us. We go off on our own path and do our own thing.
I think that it is during those times, when we aren�t listening, stumbling blocks are littering our paths and we aren�t doing what God wants us to do, that He says �Recalculate� like our own personal GPS and makes a new path for us. He promises he will watch over us. All we need to do is to listen to his directions.
What a blessing it is for us to know that no matter what roadblocks we are faced with, or how much �construction� makes us detour from our intended path, if we remain faithful to God and do our best to follow His instructions for us, that one day, we will reach Heaven, our ultimate destination.
My Prayer:
You alone know the path that you want us to take. You know that we are stubborn and want to do things our own way. Thank you for directing us, even when we don�t know that we are lost. Help us to be still and listen for your guiding word to help us make the choices that you want us to make. Help us to always look to you and to seek your will instead of our own. Thank you for loving us and for caring for us, your disobedient children.
Additional Thoughts: I'm one of those people who is the last to get in on the new technologies. My twin sister, however, is one of the first. She already has a GPS. We used it on our trip to Paducah in May for our birthday. It worked great. It took us from the Red Lobster right to our hotel.
In paralleling the GPS to our lives, I guess we could say that when our paths are clear that we are living the way God wants us to. But I would also point out that when we are doing God's Will that this is the prime time that Satan is doing his best to derail us. He, Satan, will put obstacles in our paths. Yes, sometimes these obstacles are made by us; but other times, Satan will drop bombs on us to take our focus off of God. So, keep your eye on the goal. You may have to take a detour to get there; but if you continue to walk the path that God puts before you, you can always walk around the potholes.


text:
Intracellular filling in fixed brain slices using Miniruby, a fluorescent biocytin compound.
Citations & References
- Authors: Liu WL, Behbehani MM, Shipley MT
- Journal: Brain Res (1993) 608:78-86
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Just curious if any forum members bought one of these & if they would review it for the forum.
I know absolutely nothing about it.
I know that the retail is expensive at $129.00 MSRP but, I've been seeing them pop up on Ebay for right about $60.00
(Still seems expensive to me piced at $60)
Sure looks a bit better than a Shoot Me First Photographers Vest though.


text:
GameBoy Advance
Harvest Moon: More Friends Of Mineral Town Answers for GameBoy AdvanceHome / GameBoy Advance /
Game Questions & Answers (Q&A) service lets you ask questions about video games for game consoles or PC games. So ask your Harvest Moon: More Friends Of Mineral Town question for GameBoy Advance and get answers from real gamers or answer questions and share your insights and experience with the rest of the gaming community.
- Developer: TOSE
- Publisher: Natsume
- Genre: Strategy Breeding/Constructing
- Release Date: Jul 26, 2005
- ESRB: Everyone
Question & Answers
Answer from: Blizzard
You need first of all fully upgraded barn, then go to the spring mine and at level 10 and deeeper there'll be a jewel called admatite which is blue and looks like a diamond. Get it and go to the blacksmith and choose buying cheesemaker, after 3 days or so you'll have it in ur barn, put milk in there and get cheese, its the same about yarn and mayonise.
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From: YU KIlp
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Posted on: 12-18-2014
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Hospitals Duel Over ER Care In Arkansas
by Mark Friedman on Monday, Mar. 24, 2008 12:00 am
Lynn Weaks, CEO of Arkansas Surgical Hospital, said the hospital meets all the regulatory requirements by having registered nurses on-site 24 hours a day, and doctors are on call if they're not at the hospital.
Arkansas Surgical Hospital in North Little Rock has an emergency room, but the Metropolitan Emergency Medical Services ambulance service took no emergency patients to it last year.
MEMS did, however, make seven emergency runs from Arkansas Surgical Hospital to other area hospitals in 2007, according to its executive director.
While the Surgical Hospital meets all regulatory requirements, its record underscores the findings of a recent federal government report: A majority of physician-owned specialty hospitals don't have doctors on site at all times.
The report has added fuel to the long-running battle between physician-owned specialty hospitals and full-service hospitals, also referred to as community hospitals.
The report by the Office of Inspector General for the Department of Health & Human Services said only 55 percent of the nearly 110 physician-owned specialty hospitals it studied had emergency departments. And of those hospitals that had an emergency department, 58 percent had only one emergency bed.
"Most notably, 34 percent of hospitals use 9-1-1 to obtain medical assistance to stabilize a patient, a practice that may violate Medicare requirements," the report said. "Almost half of all hospitals (46 percent) use 9-1-1 to transfer patients, a practice that is permitted by Medicare."
The report didn't sit well with critics of physician-owned specialty hospitals. "Patients and consumers deserve to know what they're getting into with specialty hospitals," said Sen. Chuck Grassley, R-Iowa, in a January news release. "Most people assume that if it's called a hospital, it can handle emergencies, but this data shows that's not the case. More broadly, it's fair to ask whether taxpayers should continue to support erosion of community hospitals."
Sen. Max Baucus, D-Mont., also was shocked by the report and said in a statement that Medicare money for hospitalization shouldn't be used on facilities that most people wouldn't even call a hospital.
Lynn Weaks, CEO of Arkansas Surgical Hospital, said the hospital meets all regulatory requirements by having registered nurses on-site 24 hours a day, and doctors are on call even if they aren't at the hospital.
"We just don't meet but we exceed the expectations that are set," Weaks said. And he said all the nurses on the staff are certified with advance cardiac life-support training.
"Every nurse has been trained to individually be the lead in resuscitation efforts," Weaks said. "That is different in what you'll find in other hospitals. So we're staffed, and we're staffed very well."
The seven Surgical Hospital patients who needed emergency transfers to other hospitals last year had complications from surgeries and were stable before they left, said Surgical Hospital Chief Nursing Officer Judy Jones.
The American Hospital Association, though, doesn't believe that a hospital with one emergency room bed should be considered a hospital.
"When you only have one bed in an emergency department, the chances are pretty good that you've not got it staffed," said Ellen Pryga, director of policy for the AHA. "It's basically a room with a closed door and the lights off. And part of the problem with that is it really is holding that organization out as having a capability that they don't have."
The Arkansas Department of Health has awarded the Surgical Hospital a license to operate as a hospital.
"We believe that they meet the requirements to be licensed," said Ed Barham, a spokesman for the Department of Health. "I'm not sure what else we can legally say. It's Arkansas law."
Jon Swanson, executive director of MEMS, said his ambulance service doesn't take emergency patients to Arkansas Surgical Hospital because it doesn't have a physician on staff all the time.
And that baffles Doug Weeks, the administrator at Baptist Health.
If MEMS "is required to take patients to the most appropriate, closest facility then I don't understand why they've never gone there," Weeks said.
"I think that's the intent of the rules and regs of the Arkansas Department of Health. If there's a facility in town that doesn't get any patients from MEMS, something seems amiss related to the rules and regulations of the Health Department," Weeks said.
The University of Arkansas for Medical Sciences Medical Center also has a problem with hospitals that are licensed as a hospital but don't take emergency patients.
"There is a sizable task of taking care of the emergency medical needs of the citizens of central Arkansas, including those who come to us via ambulance," said R.T. Fendley, senior associate hospital director for UAMS, in an e-mail statement to Arkansas Business "This responsibility is shared by the acute care hospitals in the region. UAMS views it as unfair for any facility to be licensed as a hospital without assuming a share of this responsibility."
The Arkansas State Highway & Transportation Department doesn't consider the Arkansas Surgical Hospital to be a true hospital and refused a request to put up blue hospital signs on Interstate 430 and Interstate 40 indicating its location in North Little Rock.
"They do have what they term as an emergency room at that hospital," Highway Department spokesman Randy Ort said. "But our policy states that a hospital has to be a 24-hour emergency treatment facility with a physician on duty within the emergency department."
Ort said the Highway Department determined that the Surgical Hospital didn't meet that requirement.
Cherry-Picking Alleged
The AHA's main concern with the physician-owned specialty hospitals is that they get the best patients - the high-paying, well-insured surgical patients - without having to take in any of the 47 million uninsured Americans for whom the hospital emergency room is the primary safety net for medical care.
Federal law requires that any patient who enters an emergency room must receive initial care and be stabilized before leaving, regardless of his ability to pay. "But if you don't have an emergency department, that law doesn't apply," the hospital association's Pryga said. "And if you have an emergency department with one bed and no staff then it isn't a portal for those patients to come through."
But Jason A. Spring, CEO of HealthPark Hospital in Hot Springs, a physician-owned specialty hospital, said the AHA was really trying to reduce competition for the full-service community hospitals that are its members.
Community hospitals "have devoted a great deal of time and money to destroying our industry," Spring said in an e-mail statement to Arkansas Business. "This is an ongoing battle between competition in the marketplace and the traditional hospital model. After numerous studies that suggest we are a business model that provides efficient, safe care to patients, they continue to work to eliminate us."
Congress has been trying to curb the expansion of physician-owned specialty hospitals for years. The House of Representatives passed a bill last year that said that if any doctor owns more than 2 percent of a hospital or if doctors own more than 40 percent of the hospital, it wouldn't qualify for Medicare payments, Rep. Pete Stark, D-Calif., said last week.
The House bill is in the Senate and might be voted on this year, he said.
History of Bad Blood
Between 2002 and 2004, the number of specialty hospitals nationwide jumped from 46 to 89, according to the American Hospital Association.
To curb the growth, in 2003 Congress approved a moratorium on Medicare payments to new physician-owned specialty hospitals. When that moratorium expired in June 2005, Congress prohibited the Centers for Medicare & Medicaid Services from approving new specialty hospitals until 2006.
The American Hospital Association has maintained that the physician-owned specialty hospitals are not more efficient and provide no better care than community hospitals. The AHA also claimed doctors who invest in specialty hospitals steered the better-paying patients and those with fewer complications to their hospitals while the sicker ones ended up at the community hospitals, often with no way to pay their bills.
On the other side of the debate, the American Medical Association - which represents doctors - insists that the specialty hospitals are good for health care.
"They have lower infection rates, fewer medical errors, shorter turnover times, and increased cost efficiencies," according to a 2006 letter Dr. Michael Maves, executive vice president and CEO of the AMA, wrote to the Centers for Medicare & Medicaid Services. "Moreover, specialty hospitals encourage competition between and among health facilities, which has led to the delivery of higher quality, more efficient, and innovative health care in the communities where they are located."
Maves also pointed to a Medicare Payment Advisory Commission report that found no conclusive information indicating financial harm to community hospitals resulting from specialty hospitals.
In Arkansas, the battle was highlighted when a group of doctors sued Baptist Health in 2004 and accused the hospital system of canceling their privileges in an attempt to limit competition.
The six doctors were partners in the Little Rock Cardiology Clinic P.A. The doctors sued Baptist Health after the hospital's board of directors adopted a policy in 2003 that began using economic criteria as the basis for granting medical staff privileges at the state's largest hospital.
Baptist Health wouldn't comment on the lawsuit at the time, but said specialty hospitals were financially hurting community hospitals.
That trial started in Pulaski County Circuit Court on March 10 and was still going on last week.
Emergency Cases
The physician-owned specialty hospital model came under fire again in 2007 after a death of a patient who had been at a specialty hospital in Texas. In that case and another in Oregon, the patients had complications after elective surgery. Neither hospital had a physician on duty at the time, and nurses called 911 for help. The ambulance companies rushed the patients to the community hospitals, where they died.
Critics of the physician-owned specialty hospitals jumped on the news of the deaths.
"We're concerned about any hospital that relies on dialing 911 to rush a failing patient to a community hospital," Sens. Baucus and Grassley said in a joint news release.
The deaths also resulted in the study from the Office of the Inspector General.
That report came under criticism from supporters of specialty hospitals because of its conclusions.
"From start to finish, this report had a preordained conclusion," said Robert James Cimasi, the president of Health Capital Consultants of St. Louis. "It was a smear job. The number of people killed in hospitals because of medical error and the lack of response to emergency care is the largest cause of death in America.
"And to pick out and focus on these very high quality, specialty hospitals and try to infer and insinuate some sort of ... connection because some of them don't have emergency rooms there's no statistical validity to this report."
Many hospitals in rural Arkansas don't have emergency rooms staffed by doctors 24 hours a day, said Nate Miller, the CEO of the physician-owned Surgical Hospital of Jonesboro, in an e-mail statement to Arkansas Business.
He said if all hospitals were required to staff doctors 24 hours a day, rural hospitals would face a financial strain.
The Surgical Hospital of Jonesboro has two emergency room beds. Miller said the hospital is staffed with a registered nurse 24 hours a day, seven days a week. And the doctors are on call 24 hours a day, he said.
Transferring patients from one hospital to another happens when the patient requires it, Miller said.
"In northeast Arkansas many patients are transported from the emergency rooms to the Regional Medical Center at Memphis," Miller said. "Is it appropriate for these hospitals to transfer patients to a higher level of trauma care, yet complain that SHJ does the same thing?"
Quality Care
Miller pointed to several studies that showed the quality of care is better at specialty hospitals than at community hospitals.
Weaks also said the Surgical Hospital has received nationwide awards for its quality of care.
Arkansas Surgical Hospital ranks among the top 5 percent of hospitals in the nation for joint replacement surgery and spine surgery, according to the 10th annual HealthGrades Hospital Quality in America Study.
The Surgical Hospital also received the HealthGrades Specialty Excellence Award for joint replacement surgery as well as the Specialty Excellence Award for spine surgery, according to a news release from the hospital in October.
The Surgical Hospital was one of only 13 hospitals in the country to receive both awards.
"This award speaks volumes about the caliber of physician and quality of staff found here at Arkansas Surgical Hospital," Weaks said in a news release at the time.
Weaks said he didn't want to get into a mud-slinging contest with the community hospitals.
"We want to have goodwill toward the community hospitals," he said. "We think they do a very good job at what they do, and we're confident that we do also."
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Sounds Like: Coheed and Cambria, Skunk Anansie, Patti Smith, Minus the Bear, Soundgarden
Label: Lift Tune Records
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Bio: Since their debut, March into Paris has been making a huge impact on the indie rock scene. As one of Northern California's most critically acclaimed bands, they regularly blow audiences away with their energetic, some say manic live performances. MiP consists of charismatic powerhouse lead vocal... See Full BioMore Info
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We are proud to be part of Old I's 79th anniversary show! Ton's of great bands over two days (14th & 15th) along with food and special guest! NOT TO BE MISSED!!!
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Number Station's CD release show with Goodbye Black Sky, Saint Solitaire, and March Into Paris! What an awesome way to bring in the Summer!
Apr 20
An awesome day to celebrate music and indie record stores! Dimple Folsom will have live music (see line-up below), amazing food from Drewski's food truck, exclusive CD and Vinyl releases by many awesome bands, special store wide sales, contests and prizes, many fun local artists and local businesses with booths set up outside and lots of free goodies to give-away for free!! Store Hours are 10am-9pm...but most of the festivities will be from approx. 11am-7pm.
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Resolution: standard / high
Figure 1.
Distribution of sTfR concentrations according to vaginal microflora status. Box-and-whisker plots of the sTfR distributions according to vaginal microflora status during early pregnancy. The thick line represents the median sTfR value, the horizontal box lines the 25th percentile and 75th percentile, and the outer short horizontal lines the boundaries of the sTfR range. Healthy vaginal flora is defined as grade I or lactobacilli-dominated microflora on Gram stain (corresponding to a Nugent score 0 – 3) and disturbed vaginal flora is defined as grade II and grade III flora, this is mixed or gram-negative rods-dominated microflora on Gram stain (corresponding to a Nugent score ≥4).
Verstraelen et al. BMC Infectious Diseases 2005 5:55 doi:10.1186/1471-2334-5-55


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Bubbly drinks in all their forms, from sparkling wine to fizzy ginger beer, inspire an effervescent bubble party. Pair them with a cool Vietnamese-style noodle salad tossed in a bright (and fat-free) citrus dressing.
Food & Wine AUGUST 2009
In a bowl, cover the noodles with cold water and let stand until pliable, 25 minutes. Drain. Bring a saucepan of water to a boil. Add the noodles and cook, stirring, until al dente, 1 minute. Drain the noodles in a colander and return them to the pan. Fill the saucepan with cold water and swish the noodles around. Drain and swish the noodles 2 more times. Drain the noodles in the colander, lifting and tossing, until dry.
In a small bowl, stir the grapefruit juice with the garlic, sugar and fish sauce until the sugar is dissolved.
In a large bowl, toss the rice noodles with the shredded cabbage and scallions. Add the dressing and toss well. Add the chicken, cilantro and mint and toss. Serve right away, passing Sriracha sauce at the table.
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Rice-Noodle Salad with Chicken and Herbs Recipe


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Brondby have confirmed the sale of Denmark midfielder Michael Krohn-Dehli to Spanish side Celta Vigo.
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Krohn-Dehli successfully completed a medical with the Primera Liga outfit on Tuesday, ending his four-year stay with the Danish club.
The 29-year-old winger has left Brondby before - as a teenager to join Dutch giants Ajax - and the club's sporting director Ole Bjur has confirmed that the player was keen to head abroad once more.
"Krohn wanted to test himself abroad again and we as a club have tried to help him fulfil this wish if the right offer came along," Bjur told Brondby's official website.
"This has now happened with Celta Vigo and I'm convinced that this is the right move for all parties involved."
The fee for Krohn-Dehli, who scored twice for his country at Euro 2012, is believed to be in the region of €1million (£800k).