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June 10, 2005 The NEWSSTAND i t e m s o f i n t e r e s t f r o m t h e m e d i a Modern Healthcare – June 6, 2005 Hatch hunts for hospitals By Melanie Evans Three times in as many months, Whether other states follow suit insurance. The hospitals and clinics Minnesota's Attorney General Mike remains to be seen. also agreed to adopt a zero- Hatch and state hospital executives tolerance policy for abusive debt- have heralded deals to end one of "The rest of the country is going to collection practices and not to sue the most divisive practices in follow," Hatch said. "It has to." for payment before first making healthcare: billing uninsured sure patients owe money and their patients more for care than those Hatch has long been an aggressive insurers have been billed, if with medical benefits. watchdog of Minnesota's healthcare appropriate. An estimated 400,000 The latest agreements, announced industry. His audits of Minnesota residents are uninsured. last week, included 35 hospitals that Bloomington, Minn.-based voluntarily signed two-year deals HealthPartners; Allina, A single standard for all U.S. with Hatch to give uninsured Minneapolis, and its former health hospitals may be difficult to draft, patients at least the same discount plan, Medica, criticized Minnesota said Richard Scruggs, the Oxford, as had been negotiated with each not-for-profits for excessive Miss., lawyer leading a consortium hospital's largest insurer. In May, 16 spending on travel and of lawyers suing not-for-profit hospitals with four Twin Cities entertainment. hospitals over how and how much health systems voluntarily signed they bill the uninsured. But no identical agreements. Hospitals face mounting pressure hospital should bill uninsured nationally to address aid for the patients more than those with A fifth health system, Fairview uninsured. Congress and state coverage, he said. Not-for-profits Health Services, reached a separate legislatures have launched inquiries. receive a tax exemption to provide deal announced April 1 that covers Lawyers have sued not-for-profits, care to the underserved. six hospitals, after being the subject alleging that unfair billing and of a 15-month inquiry by Hatch aggressive collection practices "There's no justification for a (For a complete list of participating violate their tax-exempt status. penalty for being poor and hospitals, click here. To date, Minnesota hospitals have addressed uninsured," Scruggs said, nor will it roughly 75% of Minnesota hospital the problem head- on, Hatch said, hurt them financially to change. admissions are covered by such and others can, too. "That's not where any hospital, big agreements, which also lay out or small, rich or poor, makes any standards for debt-collection "It's the right thing to do," he said. money." policies. "If it's the right thing to do that the uninsured should pay the market Terence Pladson, president and Expect more hospitals in the state to rate, then do it. If it's the right thing chief executive officer of follow, said Hatch and Minnesota to do to set standards for CentraCare Health System, is also a Hospital Association President collections, then do it." member of the St. Paul-based Bruce Rueben. "We believe other Minnesota Hospital Association's hospitals will sign on because it's Under the agreements, patients with board of directors, which worked become an industrywide standard in annual household incomes of with Hatch to draft the billing and Minnesota," Hatch said. In many $125,000 or less will be charged no collection agreements. CentraCare, cases, hospital executives must wait more than the amount paid by each St. Cloud, which owns three central for trustees or directors to meet and hospital's largest insurer according Minnesota hospitals, promised to approve the deal before signing on, to revenue. The terms apply to adopt the standards, which modified Rueben said. patients without insurance and to similar discount and collection medical care not covered by 2 policies adopted by its board within to hospitals, which seek to make up Unlike other agreements, Fairview's the last year. lost revenue by spreading costs to deal requires that a third-party other patients. Insurers negotiate reviewer must agree the health "We saw this as a positive response discounts for enrollees, leaving the system has complied with all to a major public challenge," uninsured bearing the brunt of a necessary safeguards before suing a Pladson said. Hospitals sought a broken system, he said. patient for payment. voluntary agreement to avert more stringent state legislation or costly, Mark Rukavina, director of the David Page, Fairview's president time-consuming investigations by Access Project, Boston, praised the and CEO, said Hatch's inquiries into Hatch. deal and said it appears more Fairview highlighted unrecognized comprehensive than legislative problems faced by Minnesota's "Hospitals elsewhere face a similar efforts elsewhere, such as in uninsured. "We have an activist choice," he said. "I would urge Connecticut and California, where attorney general who is interested in other states to look to proactively laws address patients' access to and understands the healthcare enact similar measures or discuss information or what fees and industry," Page said. them with their hospital associations interest hospitals can charge. "This before Congress takes action." is a new development," he said. For Fairview, Hatch's audit provided uncomfortable but "It's a great example," said Nancy Alicia Mitchell, spokeswoman for important lessons. "We had to get Kane, a professor of health policy the American Hospital Association, past the criticism and look at and management at Harvard said the trade group applauds the ourselves in the mirror," he said, University's School of Public Minnesota agreements. The AHA "and ask, `Are we proud of all the Health. Kane testified at a U.S. encourages hospitals to develop things we're doing?' " House Ways and Means Committee local solutions to billing and hearing on not-for-profit hospitals collection issues, she said. The answer was no. Now, as that too few of them provide enough Fairview adopts changes, the health financial aid for needy patients to One agreement -- the one between system must do more than follow justify their tax-exempt benefits. Hatch and Minneapolis-based the letter of the law and be fully Before Congress, Kane called for Fairview -- differs from the rest, responsible for its policies. When an stronger standards to be required for which were voluntary. Hatch error occurs, "we've got to err on the hospitals that are granted tax- concluded a 15-month inquiry into side of the uninsured," Page said. exempt status, including discounted Fairview by releasing a damning rates for the uninsured and less five-volume report on the health Jim Abelsen, senior vice president aggressive collection practices. system's collection and billing and general counsel for St. Mary's "That's where Minnesota is headed," practices. Duluth (Minn.) Clinic Health she said. System, said Fairview's experience No other Minnesota health systems raised awareness among Minnesota Minnesota's history as a progressive were subject to an inquiry. hospitals that uninsured patients state, with a commitment to public However, four systems that paid an unfair price for medical health and no investor-owned announced deals with Hatch in early care. hospitals, made it easier for such an May -- Allina Hospitals & Clinics, agreement to flourish, Kane said. Minneapolis; HealthEast Care "I think you need to give credit to "Hopefully, more states will see it System, St. Paul; North Memorial the attorney general for recognizing as something to emulate," she said. Health Care, Robbinsdale; and Park a problem, and you need to give Nicollet Health Services, St. Louis credit to Fairview for "Of course, that's for other states to Park -- received requests for acknowledging it," Abelsen said. As answer," said the MHA's Rueben. "I information about billing and more Minnesota hospitals adopt the think what we're doing is the right collection practices from Hatch. standards, it sends a message to the thing for Minnesota." state's residents that the healthcare Fairview's low-income patients system is responsive to their needs. The deal won't solve the wider faced harassing collectors, even "There is a value in acknowledging problem of access to affordable after agreeing to payment plans. a problem and agreeing to live by healthcare, he said. "What led us to Fairview garnished wages that standards and then letting the public this point is a flawed financing should have been exempt from such know they'll be accountable," he system," Rueben said. Government action and pursued payment from said. insurers deeply discount payments those who did not owe money. 3 Des Moines Register – June 4, 2005 Don't mix two issues of income, hospitals' tax status By Jack Dusenbery A May 30 Register editorial took issue with the publicly the cost of supplies, staff, overhead and the allocation of reported earnings of several physicians based at Covenant the cost of caring for the uninsured among the insured. Medical Center in Waterloo. The issue at hand has been inappropriately intertwined with the tax-exempt status of Tax-exempt status allows hospitals like Covenant Medical hospitals. Center to ensure that a full array of high-quality services is available to all who seek them. While "for-profit" First, on physician compensation: Certainly the numbers competitors cry foul, they open surgery centers and add are attention-grabbing. Underreported and certainly imaging facilities to siphon out business they carefully underappreciated are the underlying numbers from which select, leaving to hospitals the care for the uninsured and that compensation was calculated - statistics that speak to the responsibility for unprofitable business lines, like many how hard each of these physicians works. emergency rooms and obstetric programs. The Register was provided with data on these physicians' Tax-exempt status helps institutions run patient-care so-called relative value unit, which showed, related to services that, if left to profit-and-loss decisions, might not national data, that the amount of care delivered is in the be made available locally. The status allows systems like top 1 percent nationally. Their work generated payment, Covenant to reinvest in the community and our charitable primarily from insurers, that, minus business expenses, mission by providing clinics in rural Iowa - Jessup and became income to the physician. They are not paid a Oelwein, Gladbrook and Hudson. Tax-exempt status salary; they were paid what they earn by seeing patients. creates modern facilities and high-quality care in places where it is needed - our hometowns. The level of work, not the corresponding compensation, points more to the real problem - a shortage of specialty Current movements to review the rules and status of tax- physicians in rural health-care markets. It is not executive exempt health-care providers are important and compensation; it was earned by responding to patient worthwhile. We support efforts to ensure that health-care needs every day of the week, regardless of the hour. dollars are spent taking care of people in need, not paying salaries to those who in their daily work might never see a It demonstrates what is still right about health care - patient. dedication to serving those in need. We believe their hard work and dedication is commendable, not condemnable. We fear that recent stories have confused the issues of how much physicians can earn seeing patients and the Second, on the issue of tax exemption: These physicians worthiness of the tax exemption their home-base hospital did not benefit from this hospital's status. They were paid receives. It would be bad public policy to continue the the same for the work performed as their colleagues in confusion and send a message that taking care of patients other local health systems or in stand-alone practice for when and where needed is wrong. similar activity during the same time period. We all need to be part of the debate to make sure that, Paying people not providing patient care an excessive from access, to privacy, to care for the uninsured, to the salary is far different from paying a physician what his or high cost of care, we make decisions that put patients first. her personal patient-care activity, minus business expenses, generated. JACK DUSENBERY is president and chief executive officer of Covenant Health System. Doctors seeing patients is not what drives up the cost of care, as your editorial suggests. The true accelerants are 4 Washington Post – June 8, 2005 Free-Market Philosophy Doesn't Always Work for Health Care By Steven Pearlstein As the head of Medicare and Medicaid, Mark McClellan profit they need to operate unprofitable departments such may be the most powerful man anywhere, in control of as burn units and emergency rooms 24/7. about 7 percent of the U.S. economy. And today was to be the deadline for him to rule on one of the most heavily In truth, the arguments tend to jumble different issues that lobbied issues of the past year: whether to lift an 18-month need to be pulled apart. moratorium on creating new physician-owned specialty hospitals. While specialized, high-volume units are probably a better way to provide some health services, they don't need to be It's all very technical and bureaucratic, to be sure. But in owned by physicians. There are plenty of other sources of deciding the issue, McClellan is being asked to choose investment capital. And the experience with doctor-owned between two competing and fundamentally irreconcilable labs and MRI machines suggests that physician ownership models for the U.S. health care system. of surgical hospitals will inflate total health care spending by increasing the number of unnecessary operations. One model would rely even more on competition among self-interested providers for the business of increasingly At the same time, community hospitals are probably right empowered consumers to restrain prices, assure quality that specialty hospitals cream-skim the most profitable and spur innovation. That, after all, is how it works in business. But the larger question is why the system doesn't nearly every other industry. allow hospitals to price their services so that "hard" cases are just as profitable as "easy" ones and emergency rooms The other model is based on the premise that competition enjoy the same operating margins as cardiac units. in health care will always be highly imperfect, and that too Eliminating cross-subsidization within hospitals would much competition will have socially unacceptable significantly reduce the amount of "cream" available for consequences. This model envisions even more "skimming." government regulation and stronger management by public and private health plans. McClellan hopes that by adjusting and refining Medicare reimbursement rates for different categories of services, In a decision that seems only fitting for a Harvard-trained and allowing general hospitals to offer "gains-sharing" physician and MIT-trained economist, McClellan has payments to doctors that could substitute for ownership of decided to kick the can down the road, extending the their departments, he can level the playing field enough to moratorium until year-end. diffuse the specialty hospital issue. Like many conservatives, he looks to specialty hospitals, consumer- There are about 130 physician-owned specialty hospitals, driven health savings accounts and new reimbursement most of them focused on heart, orthopedic or other types of schemes that pay doctors and hospitals for the quality surgery. There is some evidence that by doing large rather than the quantity of care they provide to push the numbers of the same kinds of operations, the tightly U.S. health care system toward the market model. focused hospitals lower costs, improve medical outcomes and deliver more patient satisfaction. And, in theory, McClellan's crusade is likely to fail, however, if he doesn't giving doctors a stake in the enterprise not only gives them resolve a fundamental question about the proper role of greater control over their professional lives, but also offers doctors in the health care system. extra incentive to innovate and improve service. When they are vilifying insurers and managed-care General hospitals, by contrast, see the move toward companies, physicians like to present themselves as Dr. specialty hospitals as nothing more than cream-skimming Welby -- selfless professionals whose medical judgments by self-dealing doctors that will put community hospitals would never, ever be colored by their financial interests. into an economic death spiral. They argue that doctors But in lining up behind physician ownership of specialty referring patients to hospitals they own is an unacceptable hospitals, the doctors essentially acknowledge that they are conflict of interest. And by siphoning off the most just like the rest of us, their behavior swayed by even profitable patients in the most profitable parts of medicine, modest financial incentives. the specialists rob general hospitals of the scale, scope and 5 You can't have it both ways. And the way the people For most Americans, providing health care ought to be would have it is to pay their doctors well, put them in the different from selling soap; they won't tolerate doctors central decision-making role in the health care system -- acting like commissioned salesmen and investment and then demand that they give up the right to invest in bankers. And if that means having less market competition MRI machines or specialty hospitals or get incentive and more regulation in the health care system, it seems to payments from drug companies. be a trade-off they're willing to make. Wall Street Journal – June 7, 2005 Cases, Fines Soar In Fraud Probes Of Drug Pricing By John R. Wilke Months before a new law kicks in The recent surge in cases reflects criminal investigations under way that will dramatically escalate increasing scrutiny of drug makers' stands at 150 and involves nearly government spending on drugs, pricing practices and a sharp rise in 500 drugs. "We've been focusing on state and federal prosecutors are federal and state prosecutions of pharmaceuticals intensively over the investigating 150 cases that involve health-care fraud. Prescription drugs past year, to coordinate the massive alleged pricing fraud by some of the represent an ever-larger share of the number of cases with others in law world's largest drug makers and nation's health bill, and the federal enforcement, the states and federal could produce more than $1 billion government is preparing for a huge agencies," he said. in criminal fines and civil penalties increase in spending when the new this year. Medicare drug benefit goes into The scope of the investigation and effect in January. the cooperation involved suggests The cases are part of an expanding that what had appeared to be industrywide investigation of drug It will cover prescription drugs for scattered moves in the past few pricing that has produced scores of the first time for more than 40 years has coalesced into a broad lawsuits currently under seal in million Americans and will cost an concerted effort. State and federal courts around the country. They are estimated $720 billion in its first 10 fraud cases have already netted $2.4 focused on allegations that drug years. With these huge increases on billion from drug firms -- including companies cheat state and federal the way, Senate Finance Committee Bayer Corp., Pfizer Inc. and health-care programs by inflating Chairman Charles Grassley, an Schering-Plough Corp. -- that were prices, offering undisclosed rebates Iowa Republican, has pressed the alleged to have overcharged state or to distributors or marketing drugs Justice Department to step up fraud federally backed health-care for unapproved uses, according to enforcement. programs, according to an estimate lawyers and officials involved in by Taxpayers Against Fraud, a these cases. While the criminal and civil nonprofit advocacy group. James penalties and settlements represent a Moorman, the group's director, said A half-dozen major drug makers small fraction of drug-company the cases publicly acknowledged to have already paid fines and profits, they are rising fast. Fines date are "just the tip of the iceberg." penalties to settle charges in the past and penalties this year could amount two years. At least three more -- to almost twice the totals paid in "It's safe to say that we're Serono Inc., Abbott Laboratories each of the past three years, officials investigating many more companies Inc. and King Pharmaceuticals Inc. - said. than have been publicly identified," - are expected to face similar said Patrick O'Connell, a prosecutor allegations and possible criminal Peter Keisler, who oversees the in the Texas attorney general's fines or civil penalties this year. Justice Department's civil-fraud office. He wouldn't name unit, said that "the most frequent companies under scrutiny. Nicholas Prosecutors also could force these defendant in fraud cases today is in Messuri, an assistant attorney companies to accept "corporate health care" and that the industry general in Massachusetts, said this integrity agreements" that include now accounts for "the lion's share of year "already looks like a record- tough federal oversight of the way fraud, both in number of cases and breaking year" for health-care fraud the companies price and market dollar amounts -- and those numbers cases. drugs under government-paid are going up." health-care programs, including Serono, the U.S. unit of Swiss- Medicaid and Medicare. Mr. Keisler wouldn't discuss based Serono SA, one of Europe's individual cases. But he said the largest drug makers, has set aside number of separate civil and $725 million to cover possible 6 criminal fines and civil penalties. taxpayers by falsely setting a high defend ourselves against these Serono says it is cooperating with reimbursement rate, the suit said. claims." the inquiry, which it describes as Under Medicaid rules, companies "an ongoing, industrywide are generally required to give the Much of the new wave of cases is investigation by the states and government the best price that they being pursued under the False federal government" into the setting give to any purchaser of a drug. Claims Act, signed into law by of wholesale prices and other Abraham Lincoln to damp commercial practices, and that Since the California case was filed profiteering in the war effort and many other drug companies are also in 2003, investigators have found an during reconstruction. Under the under scrutiny. alleged pattern of similar fraud act, which was widened in 1986, the involving other drugs and other government gets triple damages King Pharmaceuticals, of Bristol, companies, lawyers briefed on the when companies are found to have Tenn., and Abbott, of Abbott Park, case said. As a result of this new bilked taxpayers. Ill., also have said they are information, a wider complaint cooperating with investigators. King against Abbott and other drug Last year, Pfizer paid $430 million has set aside $130 million for companies is expected to be filed to settle False Claims Act lawsuits possible civil penalties and fines. A within weeks, including new involving marketing of its anti- spokesman says the company hopes charges covering other drugs and seizure medication, Neurontin, for to strike a "comprehensive new defendants, and possibly new unapproved uses after a sales settlement" soon with the Justice federal charges, lawyers briefed on executive blew the whistle on the Department and other regulators to the case said. Justice Department practice. Schering-Plough settled resolve all pricing claims. officials declined to comment. two False Claims Act cases for a combined $372 million, for Abbott faces pricing-fraud claims In a statement, Abbott said the allegedly reporting inflated prices brought two years ago by California case "is "similar to others for its Claritin antihistamine and California's attorney general, based filed against our industry." The albuterol asthma inhalant. In 2003, on alleged overcharges to company said it has "consistently Bayer paid $257 million for government-paid drug programs for complied with all laws and concealing pricing data; Bayer also vancomycin, a powerful antibiotic. regulations" and "properly and paid $14 million for alleged Abbott is alleged to have reported to lawfully provided information as overcharges in 2001, in one of the the state Medi-Cal program an required by the government and first big cases that led investigators average wholesale price of $55 a requested by the independent drug- to begin examining similar alleged dose while charging pharmacies price reporting services." The pricing frauds by other major drug only $6.29 a dose. The alleged statement added, "We have a strong makers, state and federal officials scheme, apparently intended to help defense and intend to vigorously said. the drug gain market share, cheated Wall Street Journal – June 3, 2005 Health Effort Tackles Patients' Data By Vanessa Fuhrmans More than 50 major health insurers, patient from any participating health and what it covers. In many cases, medical associations, hospitals and plan, possibly by early next year, staffers spend hours on the phone technology companies have joined group participants say. with managed-care companies or in an effort to resolve a daily hassle logging on to dozens of differently that contributes to health-care costs: Once information-exchange formatted health-plan Web sites. the cumbersome process of standards are established, the group The time and money spent on this obtaining patients' health-insurance expects technology companies that administrative chore have grown information. specialize in administrative software with the multiplying variations on for doctors will create systems to co-payments and deductibles. Soon, The effort could lead to an initial set extract patient eligibility from the the growth of consumer-driven of information-exchange rules this various health plans. health plans will bring even more fall. These would allow medical complexity to the task. providers, using an electronic Today, medical practices have no system of their choice, to obtain single, easy way of checking Physician practices containing 10 coverage information for any whether a patient has a health plan physicians spend about $39,000 7 annually, on average, to verify information-exchange rules allow The Waltham, Mass., company coverage eligibility, according to a easy use of direct deposit or athenahealth Inc., which sells such survey conducted for the Medical automated tellers regardless of online systems to providers, says Group Management Association, where a person's home bank is about 23% of claims denied by while larger medical centers often located. insurers are because of incomplete spend more than $1 million. Further or incorrect eligibility information. contributing to health-care costs are "For that information transfer to And according to CAQH, some claims errors or denials due to happen they have to talk in the same medical groups estimate that up to incorrect or sketchy information. language and work under the same 50% of the bad debt they incur operating rules," Ms. Thomashauer comes from inaccurate eligibility To address that, a health-plan said. information. alliance called the Council for Affordable Quality Healthcare has With the parameters set, software The physician practices owned by brought together the disparate group companies would know what is the University of Kansas Hospital in to hammer out a set of interoperable needed. "They've already said, if we Kansas City see about 800 patients rules for exchanging such health can come up with the rules, the a day. Often patients forget their benefit and eligibility information. marketplace will build this," said insurance cards, or present cards The group includes insurers such as Carl Volpe, vice president of that are out of date or don't detail Aetna Inc. and Humana Inc., some strategic initiatives for health- what is actually covered. Patient of the biggest Blue Cross and Blue insurance titan WellPoint Inc., eligibility for government programs Shield plans, Montefiore Medical another participant in the initiative. such as Medicaid can change Center of New York, and the federal monthly. Centers for Medicare and Medicaid Already, many larger practices and Services. And the group continues hospitals use automated software "There's no way we can call every to add participants. that verifies patients' eligibility with health plan or look at every Web health-plan Web sites ahead of an site," said Tammy Shepherd, chief The idea isn't to create a central appointment. But the information financial officer of the Medical database of information, said Robin isn't consistent among the Web Administrative Services of KU, Thomashauer, CAQH's executive sites, and usually doesn't explain owned by the hospital. director. Rather, the model is the what co-payments or deductibles banking industry, where are involved. Los Angeles Times – June 6, 2005 A mini price, a mini policy By Daniel Costello Connie Terwilliger, a 53-year-old perhaps some prescription drugs but get coverage or to help struggling voice-over artist, has found a way to that don't cover catastrophic employees keep it. cut her insurance premiums by more illnesses or most hospital care. than half. California-based Jack in the Box For some healthy consumers, they Inc. and Marie Callender's recently By switching health plans, her may be a good idea. But as the plans started offering limited-benefit monthly cost will drop from $300 to become more popular, consumer health plans to their employees, $123. For that, she will get five advocates warn that they may joining companies such as Exxon doctor visits a year, some lab tests provide a false sense of security. Mobil Corp., Home Depot Inc. and — and strict limits on hospital care. Without that ultimate protection, Denny's Corp. Later this year, more they say, the plans might not always than 20 national companies, "I'm pretty healthy and in many be worth the cost. including Intel Corp., IBM and ways this plan is better for me at Sears, Roebuck & Co., are expected half the price," the San Diego The bare-bones policies, known as to include limited health insurance woman said. "limited-benefit" or "mini-medical" in their coverage options as well. plans, have been popular for several Like Terwilliger, more Americans years with some small employers. Critics of mini-medical insurance are turning to low-cost health plans, Now more companies are point out that most employers don't some as cheap as $50 a month, that embracing the leaner policies as a contribute to the plans, as opposed pay for routine doctor visits and way to cajole uninsured workers to to traditional plans in which 8 employers often pay 80% to 100% that typical comprehensive plans do. for doctor visits and prescription of employee premiums. Most pay for routine medical care drugs run about $20 to $50. such as doctor visits and offer some And, they say, these policies won't prescription drug coverage but Because they have yearly coverage much help workers who most need typically cover only a tiny portion ceilings, nearly anyone can qualify it — those who end up in the of major costs incurred by hospital for them, even with preexisting hospital facing huge unpaid medical visits, operations or mental health medical conditions. The plans are bills. Research shows that up to half services. often the same price no matter the of all bankruptcies today are related policyholder's age, gender or area of to medical costs. For instance, the plans may pay for residence. several doctor visits a year, Another concern, say benefit immunizations for children and Those buying the skimpiest experts, is that if employees try to $500 worth of yearly prescription coverage will still qualify for reapply for comprehensive coverage drugs. But employees could be "group" prices at hospitals rather down the road, limited plans may eligible for as little as $300 a year in than the sticker price that uninsured not be considered "credible emergency room care — or enough patients are often charged. That coverage," and applicants could be to last no more than a few minutes means those who exceed a $1,000 denied for preexisting conditions in most hospitals. yearly coverage limit could walk just as if they had no insurance at away with a hospital bill that is half all. The plans have strict coverage caps, or even a third the size of the bill which may be as low as $1,000 a they would have gotten if "Let's say exactly what this is year and are rarely higher than uninsured. about," said Lisa McGiffert, senior $20,000. That means that no matter policy analyst for Consumers how high a medical bill is, the Edelheit of United Group Programs Union, a Washington, D.C.-based insurer won't pay more than the says a client who bought a mini- consumer advocacy group. yearly cap. medical plan last year and later had "Medical coverage is getting more surgery saved thousands of dollars. limited every day, and people are Still, the growing popularity of the Because she had bought a limited- paying higher health premiums for plans shows that they are filling a benefit plan, the hospital charged little in return." need. her just $2,900 for the operation, and her insurance carrier paid all Others worry that broader adoption "No one is going to say these are but $900 of the bill. of limited plans could skew the better than full coverage, but it's a notion of just what it means to have step up for people who otherwise Other than employers, some health insurance or encourage more wouldn't have insurance," said associations, including AARP, are employers already offering better Jonathan S. Edelheit, president of also marketing the limited health benefits to move to the skimpier United Group Programs, a national plans as supplemental medical plans. insurance broker based in Florida. insurance. In buying a second health plan, some people could save "People could say these folks are Although a broad mix of employers having to pay huge out-of-pocket technically insured, but that doesn't is starting to offer mini-medical costs on their own. mean much [with these plans]. plans, they are still primarily aimed People would still be crippled if at low-income and hourly workers "These are an option for anyone they get sick," said Jonathan Parker, in industries that have high rates of who can't afford to pay for group national campaign director for uninsured workers or employees insurance," said Joann Parrino, vice Americans for Health Care, a who are spending large percentages president of employee benefits at national grass-roots organization of their income to remain insured. Bolton & Co., an employee benefits that advocates for universal consulting company in Pasadena. healthcare. The plans cost $50 to $100 a month "That's a lot of people nowadays." for an individual and around $200 a The limited plans keep costs down month for families. Co-payments by not offering the same benefits 9 Washington Post – June 5, 2005 A Movement to Bring Grief Back Home By Rachel S. Cox After Richard Saul died of Lou the standard American practice of funerals to the aging of the baby- Gehrig's disease just before handing the body over to a boom generation, a phenomenon Christmas last year at age 77, mortician for embalming and expected to keep the death rate neighbors and friends gathered at display before cremation or burial. rising for decades. his Cleveland Park home to extend sympathies to his widow, Judy, and Knox said that in her seven years as "It's the other end of the spectrum their sons and grandson. Many were director of Crossings, a Silver from natural childbirth," she said. surprised to learn that they could Spring nonprofit she founded to "The baby-boom generation took also pay their respects to Richard. help others carry out home funerals, control of critical life events, wrote she has assisted about 150 families. their own wedding vows, had home His body, washed and dressed in his Others active in the movement births. . . . They're fueling the favorite clothes, lay in the master report an increased interest in the interest in taking control." bedroom, cooled by dry ice and practice, but the number of home open windows, and surrounded by funerals is minuscule considering The funeral industry acknowledges fresh flowers, burning candles, the roughly 2.4 million annual a growing public interest in more- family photographs and mementos deaths in the United States. individualized funeral rites. "I think of his many years as a lawyer, civil a home funeral is a wonderful way servant and father of four. Like a Like the hospice movement, which to go," said Robert J. Biggins, small number of other bereaved in since the 1960s has helped the president-elect of the National the Washington area and nationally, terminally ill die peacefully at Funeral Directors Association. Judy Saul chose to care for her home, the home funeral movement "What could be more personal? It husband's body for several days at aims to protect what it calls signifies a family's desire to be home. individuals' "right" to care for their actively involved in celebrating the own at death. At its most abstract, life of the family member. Anything Once the hospice nurse who came promoters say, it hopes to dispel the that we can do to help them do that to certify the death had convinced fear and denial that accompany an is our mission." the D.C. coroner's office that institutionalized approach to death, keeping the deceased at home was and return life's final act to its Yet home funeral advocates said legal -- as it is in the District and all historical position as a natural, that at the state level, where laws but five states (Connecticut, profound and private event. governing funerals are made, the Delaware, Indiana, Nebraska and industry often has opposed the right New York) -- Saul and a friend, Despite the violent deaths that of individuals to care for their dead. Sally Craig, had prepared her crowd movie and TV screens and "Right after my first book came out, husband's body with the assistance newspapers, in our culture "we the state of Rhode Island changed of Beth Knox, a "funeral rites" never see actual death," said Joshua the statutory language to make it educator whom Saul had met two Slocum, the director of the Funeral more difficult," Carlson said. Her months before. Consumers Alliance, a national book came out in 1987. Recently, group that advocates for consumer the Texas legislature debated an "I got to know people on a really protection in funeral affairs. "The amendment supported by the Texas personal basis because we had time institutionalization of illness and Funeral Directors Association that and we were home," Saul said. death has made us inordinately would have made it illegal for After three days of grieving, she felt terrified." families to contract directly with ready to part with her husband's crematories, meaning they would body. "To have him home, you Supporters of home funerals say have to go through funeral homes. really know the person isn't there they pose no health risk under The amendment was withdrawn last anymore. That is the whole point, so normal circumstances. month. that you get used to the idea. By the third night, I'm ready to see him Lisa Carlson, executive director of One benefit of a home funeral, go." the nonprofit Funeral Ethics advocates say, is price: A home Organization, which works with the funeral can cost only a fraction of a This kind of after-death care, its funeral industry to protect and mortuary funeral, which typically advocates say, offers a more expand consumer options, attributes runs about $5,000, according to the humane and healing alternative to the growth of interest in home 10 Funeral Consumers Alliance. The she said, "a lot of comfort in being It was regret over not seeing her prices can go much higher. able to perform acts of love in these mother's body at all that led unbearable situations." American University Park resident But the most important benefits, Leah Johnson to plan a home advocates agree, are psychological. In contrast, Washington funeral for her father, James "There's a tremendous increase in psychotherapist Riki Alexander, a Anastos, who died in January at 91. healing and acceptance of death for board member of Crossings said: the family to touch and see and be "I've had so many clients who When her mother was fatally with the departed," Knox said. "It's grieved for so many years and are injured in an auto accident in 1985, very empowering at a time when so not over it. I wonder if it's Johnson rushed to the hospital, only you feel like everything's out of because they didn't get to have the to be told that it would be too control." time and see that the person wasn't traumatic to see her. Because her there. It becomes this unresolved mother's cremation was handled by Knox speaks from hard experience. thing." a funeral home, as her mother had In 1995 her 7-year-old daughter, wished, Johnson never saw her Alison Sanders, died from the But American norms and again. impact of an airbag that deployed expectations about death, other during a low-speed auto accident. observers say, practically ensure She said having her mother die Knox found herself unwilling to home funerals a limited following. alone was "too traumatic for the rest leave after-death care to funeral of my life." She determined that her home staff, despite the hospital's "For families that have difficulty father's death would be different. "I insistence that it would release the addressing the topic of death, [a would do the absolute best for him body to no one else -- still an all- home funeral] is much more at the end." too-common occurrence, Knox said. difficult," said Stephanie Handel, a grief therapist at the Wendt Center Although her husband and children "We're required by law to care for for Loss and Healing in the District. initially voiced reservations about our children," she said. "But at the Facing not only the many reminders the idea of a home funeral, Johnson last hour, we're told that their body of a loved one but also the body recalled, when she explained how doesn't belong to us anymore. That itself "might be too much to cope much it mattered to her, "they rose makes no sense." with," said Handel, who also directs to the occasion." They had cared at a program at the Washington home for Anastos, who suffered Knox found a funeral director morgue that helps next-of-kin cope from Alzheimer's disease, and one willing to bring Alison's body with the legalities of an unexpected Friday night he died in his sleep. home, where family members, death, which include identifying a friends and neighbors joined in a Polaroid photograph of the body. Washing and dressing her father's three-day vigil. By the time the body with Knox and a close female funeral director returned to take Knox agreed, and said she can think cousin "felt very biblical," Johnson Alison's body to her funeral and of many reasons why people might said. As he lay in their guest room, then to the crematory, Knox was, not want a home funeral, such as if "friends started coming." she said, ready to let her go. they're exhausted or have no supportive community. But, she "Some didn't want to go up, which Having imagined, as most parents added, with an expected death was fine. Some friends came and do, that she could never endure the "there is no law that states that the just sat there with him. We kept a catastrophe of a child's death, Knox body needs to be removed in the candle burning. It was so good. It found that "when it actually first 24 hours. There is much was just quiet. We were kind of happened, my senses were so highly healing and acceptance to be gained seeing him out. It felt like we were attuned to the sense of love, I had a by being with the death at this really caring for him." very precise presence of mind, very time." clear sense of direction." There is,
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Book your room at Baymont Inn & Suites Frisco Lake Dillon
Room, 1 King Bed, Non SmokingMax Occupancy: 2 guests (up to 1 child)
Room, 2 Queen Beds, Non Smoking (Pet Friendly)Max Occupancy: 4 guests (up to 3 children)
Room, 1 King Bed, Accessible, Non SmokingMax Occupancy: 2 guests (up to 1 child)
Room, 2 Queen Beds, Non SmokingMax Occupancy: 4 guests (up to 3 children)
Oversized 3 Queen Beds Non SmokingMax Occupancy: 6 guests (up to 5 children)
Room, 1 King Bed, Non Smoking (Oversized)Max Occupancy: 3 guests (up to 2 children)
Room, 1 King Bed, Accessible, Non Smoking (Pet Friendly)Max Occupancy: 3 guests (up to 2 children)
Room, 2 Queen Beds, Non Smoking (Oversized)Max Occupancy: 5 guests (up to 4 children)
Family Suite, 2 Queen Beds, Non SmokingMax Occupancy: 6 guests (up to 5 children)
Mountain ski retreat with dining and an indoor pool
Conveniently located near the ski slopes, this Frisco hotel is in the mountains, near Frisco Historic Park and Museum, Frisco Nordic Center, and Frisco Adventure Park. Local attractions also include Lily Pad Lake Trailhead and Outlets at Silverthorne.
Hotel Features
Baymont Inn & Suites Frisco Lake Dillon guests can head out to the slopes, have a meal at the restaurant, and take a dip in an indoor pool.
Room Amenities
In addition to premium cable television, guestrooms include beds with pillowtop mattresses, complimentary wireless Internet access, and air conditioning.Information missing or incorrect? Tell us!
Hotel Amenities
Hotel Amenities
In addition to an indoor pool, Baymont Inn & Suites Frisco Lake Dillon provides a spa tub and a fitness center. The hotel offers a restaurant. Guests can enjoy a complimentary breakfast. High-speed wireless Internet access is complimentary.
Business-related amenities consist of a 24-hour business center and meeting rooms. Event facilities measuring 2268 square feet (211 square meters) include conference space. This ski hotel also offers tour/ticket assistance, concierge services, and complimentary newspapers in the lobby. Complimentary self parking is available on site.
Baymont Inn & Suites Frisco Lake Dillon is a smoke-free property.
- 24-hour front desk
- Number of floors - 4
- Free breakfast
- Free newspapers in lobby
- Conference space
- Fitness facilities
- Elevator/lift
- Free WiFi
- Laundry facilities
- ATM/banking
- Meeting rooms
- Total number of rooms - 127
- Restaurant
- Free self parking
- Conference space size (meters) - 211
- Spa tub
- Indoor pool
- Wedding services
- Concierge services
- Tours/ticket assistance
- Number of meeting rooms - 4
- Year Built 1979
- 24-hour business center
- Conference space size (feet) - 2268
- RV, bus, truck parking
- Smoke-free property
- Number of buildings/towers - 1
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking, RV, bus, truck parking
Room Amenities
- Premium TV channels
- Air conditioning
- Coffee/tea maker
- Cable TV service
- Climate control
- Free newspaper
- Cribs/infant beds available
- Phone
- Free local calls
- Hair dryer
- Iron/ironing board
- Free WiFi
- In-room safe (laptop compatible)
- Daily housekeeping
- Shower/tub combination
- Blackout drapes/curtains
- Partially open bathroom
- Pillowtop mattress
Where to Eat
A complimentary continental breakfast is served between 6:30 AM and 9:30 AM.
Baymont Inn & Suites Frisco Lake Dillon has a restaurant on site.
Nearby Things to Do
An indoor pool and a spa tub are on site. Other recreational amenities include a fitness center.
The recreational activities listed below are available either on site or nearby; fees may apply.
- Ski equipment rental shops nearby
- Golfing nearby
- Downhill skiing nearby
- Cross-country skiing nearby
- Snowboarding nearby
- Snowmobiling nearby
- Snowshoeing nearby
- Rafting nearby
- Kayaking nearby
- Sailing nearby
- Hiking/biking trails nearby
- Bicycle rentals nearby
- Mountain biking nearby
- Ski lessons available nearby
- Golf lessons available nearby
- Personal motorized watercraft on site
To make requests for specific accessibility needs, complete the "Special or Accessibility Requests" section of "Trip Preferences" when you book your hotel.
- Accessible path of travel
- Accessible parking
Hotel Policies
Check-in time starts at 4 PM
Minimum check-in age is 18
Check-out time is 11 AM
Payment types
Pets allowed, Maximum number of pets per room 2, Pet maximum weight in lb is 75
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- Pet fee: USD 15 per night
- Deposit: USD 20 per night
- Rollaway bed fee: USD 20.00 per night
We should mention
Children 12 years old and younger stay free when occupying the parent or guardian's room, using existing bedding. This property allows pets in specific rooms only (surcharges apply and can be found in the Fees section). Guests can request one of these rooms by contacting the property directly, using the contact information on the booking confirmation.

subset: commoncrawl


text:
Book your room at Catalonia Las Cañas
Please enter your travel dates.
4-star hotel in Viana with free self parking
Situated in Viana, this hotel is close to San Bartolome Church, Concatedral Santa Maria de La Redonda, and Bodega Darien. Local attractions also include Santiago el Real and Museo de la Rioja.
Hotel Features
Catalonia Las Cañas provides complimentary wireless Internet access, laundry facilities, a business center, and free self parking.
Room Amenities
Televisions come with satellite channels. Guestrooms also feature complimentary wireless Internet access, air conditioning, and desks.Information missing or incorrect? Tell us!
Hotel Amenities
Hotel Amenities
High-speed wireless Internet access is complimentary. This 4-star property offers access to a business center and meeting rooms. Event facilities measure 1506 square feet (140 square meters). For a surcharge, a roundtrip airport shuttle (available on request) is offered to guests. This Viana hotel also offers multilingual staff, complimentary newspapers in the lobby, and laundry facilities. Onsite self parking is complimentary.
Catalonia Las Cañas is a smoke-free property.
- Free newspapers in lobby
- Babysitting or childcare (surcharge)
- Airport transportation (surcharge)
- Business center
- 24-hour front desk
- Multilingual staff
- Safe-deposit box at front desk
- Total number of rooms - 75
- Shopping on site
- Television in lobby
- Elevator/lift
- Breakfast available (surcharge)
- Smoke-free property
- Laundry facilities
- Luggage storage
- Number of floors - 2
- Meeting rooms
- Free self parking
- Conference space size (feet) - 1506
- Conference space size (meters) - 140
- Number of meeting rooms - 2
- Free WiFi
- Year Built 2004
- Number of buildings/towers - 1
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking
Room Amenities
- Air conditioning
- Phone
- Daily housekeeping
- Private bathroom
- Hair dryer
- Bidet
- Bathtub only
- Satellite TV service
- Desk
- Rollaway/extra beds available
- Blackout drapes/curtains
- Free WiFi
- Free cribs/infant beds
- Connecting/adjoining rooms available
Where to Eat
Buffet breakfasts are available for a surcharge and are served each morning between 7:30 AM and 10:30 AM.
Nearby Things to Do
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
To make requests for specific accessibility needs, complete the "Special or Accessibility Requests" section of "Trip Preferences" when you book your hotel.
- Accessible bathroom
- In-room accessibility
Hotel Policies
Check-in time ends at 6 PM
Minimum check-in age is 18
Check-in time starts at noon
Check-out time is noon
Payment types
Pets allowed, Pet maximum weight in kg is 10
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
Service animals exempt from fees/restrictions
- Fee for buffet breakfast: EUR 6 per person (approximately)
- Rollaway bed fee: EUR 20 per night
We should mention
Cash transactions at this property cannot exceed EUR 2500, due to national regulations. For further details, please contact the property using information in the booking confirmation. This property offers transfers from the airport (surcharges may apply). Guests must contact the property with arrival details before travel, using the contact information on the booking confirmation. The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.


text:
It was filmed on a panasonic camcorda in thier HD format
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HIV Infection Risk Rubbing Against Someone
Here's a taste of what TheBody.com has to offer on this topic:
Ask the Experts
Risk of infection and HIVI read a question to Dr.Boyle about aman in CT who can't get a hip replacement because his CD4 count isnt 200 . Ilive in ny yorl and my orthopedic surgeon will not replace my hip unless my CD4 count is 400 . It was 391 and he refused saying a count...
Response from Keith Henry, M.D.
University of Minnesota, School of MedicineTo my knowledge there is no CD4 criteria for performing necessary surgery in HIV+ persons. A level of 400 is arbitrary with no clear biologic justification. The risk for post surgical infection and outcomes in general for HIV+ patients is close to... Read more »
Understanding risk levels (SAFER SEX GUIDELINES, SAFER SEX METHODS, 2011)I understand that sex acts (and life in general) include levels of risk. I get that unprotected... Read more »
HIV Infection Risks??Please comment on some issues that I am concerned about. What is the risk ofHIV infection thru... Read more »
Does Pregnancy Pose an HIV Infection Risk for Men?... Previous studies have demonstrated that pregnant women are at greater risk of HIV infection. However, a new study, presented at the International Microbicides Conference in Pittsburgh in May seems to demonstrate that Read more »
Male Circumcision Reduces Men's HIV Infection Risk by 65%, Data Re-Evaluation Says... Routine male circumcision could reduce a man's risk of HIV infection through heterosexual sex by 65%, according to final data from two NIH -funded studies conducted in Kenya and Uganda published Read more »
Daily Oral Antiretroviral Reduces HIV Infection Risk in MSM by 44%, Study Finds...want to start using the strategy now," according to the newspaper (Stein, 11/23). "In some developing countries where HIV infections are so widespread that they've become a major burden on the economy and the health care system, a... Read more »
Older People Face Greater HIV Infection Risks: Study... Physicians are failing to diagnose HIV infection among older patients, even as many people over age 50 enjoy extended sex lives thanks to erectile dysfunction drugs, the World Read more »
Connect With Others
Risks of HIV Infection
Posted by chrisenquist, 2 Replies...protected sex with a sex worker at Thailand. I used condoms but I have few doubts on the condom usage with regards to Risks of HIV Infection 1st: What are the risks of infection if the condom slips off during withdrawl 2nd: I still remember the... Read more »
Possible HIV transmission/infection ???
Posted by Anonymous, 4 Replies... 2. In relation to Q1, are sore throats and feeling feverish coupled with runny nose and tiredness a sign of Acute Primary HIV infection. I'm having these illness since 10 ~ 15 May 99, which is about 3 weeks after the "EXPOSURE"? 3. Can a... Read more »
hiv infection risk PLEASE help
Posted by Anonymous, 1 Replyok a few hours ago i had a bleeding bit at the skin on the bottomcorner of my index finger so i went and got a bandaid. i had just washed the cut and tryed to put the bandaid over it the first time but didnt manage. i then looked again and there... Read more »
Risk of Infection?
Posted by Anonymous, 3 RepliesHi, I am really worried about stuff. A few months ago I had sex with a prostitute (I used a condom) and about thirty days later I had some symptoms. These were profuse runny nose, sore throat, phlegmy cough and fatigue. I also had a mouth ulcer. ... Read more »
Resource Centers
Guides for People With HIV


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|Property type
|Minimum Stay
Madeira Cottage was built in 1818. With its distinctive bay windows it is frequently pictured on chocolate boxes! Perfect for all ages, its current owners have used this grade II listed building as a treasured family retreat for 10 years. With its low ceilings and gently sloping floors it still retains much original period charm which is enhanced by the simple antique furniture and tasteful furnishings. However, the facilities are modern; new very good beds, heating, brand new fitted kitchen and four well appointed bathrooms. Among those who at some time have stayed there are Captain Marryat, the writer of sea stories, his friend Cruikshank the artist and, at a later date, the poet Walter de la Mare.
For more details of our website and online booking site please phone 07976 439 069.
We rented it for a birthday weekend and had such a special time there. The house was everything we could have hoped for. Exquisite. Many thanks. Helen
We took a party of six to the cottage & had a great holiday. I cannot recommended it highly enough. It is in a fantastic location & everything you could want is provided by the owners.If you are thinking of booking this cottage do not hesitate. You will not regret it.
Madeira Cottage occupies pride of place on the beachfront just beyond the high tide wall. Yet it is only two minutes walk from the main thoroughfare, Broad Street. In the other direction, a gentle stroll along the front brings you to the harbour with its renowned Cobb, its collection of pubs, ice cream stalls, fresh fish shop and sundry other seaside traders. Lyme Regis is in the centre of magnificent Lyme Bay, the jewel of the Jurassic Coast, a world heritage site. 2006 saw the reopening of the beachfront after extensive coastal defence works: it now boasts a larger sandy beach, making Lyme the perfect venue for a safe, traditional family holiday.
Other Activities: fossil-hunting


text:
urbazon said
I'm a student, so weekdays, weekends, the same…
Same here
AGSoft said
This honestly sounds very niche. You'll most likely have to hire a developer to develop this plugin.
Indeed. This'll have to be a custom-built plugin as I can't think of many people finding this useful. Contact me if you're interested, but I can tell you beforehand that it'll cost at least $750.
Added one of my favorite tracks
Hi, you can also contact me via my profile if you have idea's for plugins
SportTipsWorld said
I doubt it very much, try this. http://lmgtfy.com/?q=Wordpress+plugin+for+users+to+chart+miles
never write the word "for" or "to" in a google search
But I agree with sporttipsworld, chances are slim at best that this plugin exists and has what you need.
Yes, you can run a script when the user quits the page. You cannot however prevent him from leaving the page other than the default confirm box, this is because of security reasons. I suggest using something like this:
<script> $(document).ready(function() { $("a").click(function() { //do stuff here if(!success) { return false; } }); }); </script>
But of course it won't register events where the anchor tag isn't clicked, so you should use the window.onbeforeunload as a backup.
Make sure you've loaded the jQuery library and check if the browser you're using is supported. If you're using Internet Explorer it would be a good idea to switch to Chrome Another thing you can do is bring up the console (usually F12 ), then reload the page and see if any errors pop up.
Remember that authors are not obligated to provide support, most do but some don't. It can also take quite a long time for support to be answered, especially in the holiday season.
graphicmind said
Joost said
RikdeVos saidYou make an excellent point. Don't underestimate the damage that water deprivation can do to you, guys. Practise religion responsibly
mucahitgayiran said... Think about kidney stones and the damage it can do to all internal organs. ...
i want waterrrrrrr
Fasting has many medical benefits, these page have some info and there's something about water too:http://www.masjidtucson.org/submission/practices/ramadan/medicalbenefits.html
Those articles, and pretty much any other positive article about fasting, are about the fact that fasting is healthy because you burn fat, which essentially results in you losing weight. If you go to a doctor, he'll never tell you to fast (unless you eat way too much calories or unhealthy food), but instead tell you to exercise more to lose weight. Therefor fasting should never be seen as a positive thing towards a person's health, but only as an alternative, easier, and less healthy solution.
Did you know that eating vegetables every day is much more healthy than fasting? I guess not, that's why you're fasting. You can never argue that fasting is healthy, as there are much less damaging alternative solutions. I understand that people fast because of their religion, but you shouldn't say that you're going it because it's healthy, because that's really not true.
I'm currently working on the 13" air (and typing this reply ) and I have to say that it's pretty damn fast! The SSD makes a real big difference: boot time is only a few seconds and I can easily run all of my programs for web development simultaneously. Yeah, if you ask me it doesn't make much sense why the display in the Pro is of lower resolution, it's a "Pro", but I've got my macbook hooked up to an external 1080p display when I'm working anyhow. That difference in resolution is noticeable, but not such a big deal for most people.
If you decide to go with the Pro because you need the quad-core, put an SSD inside. But if you aren't doing video editing or using Photoshop 24/7 (although Photoshop runs very smoothly on my machine), go with the Air. Besides, the Air is amazingly thin and light.
mucahitgayiran said
i want waterrrrrrr
If you're thirsty, you're already dehydrated as our thirst sensation doesn't really appear until we are 1 or 2 percent dehydrated. By then dehydration is already setting in and starting to impact how our mind and body perform. Think about kidney stones and the damage it can do to all internal organs. Dehydration affects all people, and staying properly hydrated is just as important for those who work all day at a computer as it is for marathon runners, who can lose up to 8 percent of their body weight as water when they compete. You need 8-10 glasses of water a day to stay hydrated.


text:
Was £17.00 - £19.00
Now £8.50 - £9.50
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Boy's dark blue smart jeans
Item No.2230201324
From our exclusive range of designer boy's denim from RJR.John Rocha, these stylish jeans come in classic blue in a dark rinse. These stylish jeans come with five pockets, button fly fastening and come belted at the waist with a colourful canvas belt.
This item is available for
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7 days a week between 6pm - 10pm
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Collect from store the next day - FREE
Order before 7pm for next day collection after 12pm midday
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Full Delivery details
- Adjustable waistband
- 100% Cotton
- Machine washable
Why not try


text:
Desirae and Step Dad Tom - Family Videos
Embed tm4429 1558 views 2010-10-02T01:24:10 This was a baby shower for Desirae. I put together a book and had everyone write to her. She loves Tom and this was her response upon seeing his letter
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- 'I'm Praying For You' - Godly Couple PRAYS When Son Strays From The LordMinistry Videos
No playlists found for this account.


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commercial property for rent or lease in Mckinney (TX), Industrial Space For Lease.
Mckinney commercial real estate for lease, rent, and leased investments.
Find Mckinney industrial buildings for lease, retail rentals, & Mckinney shops. Locate a Mckinney warehouse lease and any real estate for lease / investment, including industrial properties to rent and sale.
As companies grow they must either relocate and sometimes extend their existing lease, and as information technology advances, they inescapably have to deal with landlords with far more experience with commercial properties. The absence of defining the lease requirements at an early stage can lead to confusion and time delays. Employing an experienced Mckinney broker will ensure business owners being made aware of all the areas available in a local market and remove much of the unnecessary issues.
commercial space listings
Plano (Collin), Irving (Dallas), Crandall (Kaufman), Canton (Van Zandt), Rice (Navarro), Cedar Hill, Hutchins, Barry, Corsicana
in Mckinney Texas (TX) (Collin)
Mckinney shopping Centers / Malls:
Lamar Plz #5, W Lamar St : Lamar Plz #4, W Lamar St : Lamar Plz #3, W Lamar St : Lamar Plz #2, W Lamar St : Lamar Plz #1, W Lamar St : Central Park Plaza, N Central Expy
Mckinney Medical Cntrs / Hospitals:
Westpark Hospital, S Central Expy : Medical Center Of Mckinney, Medical Center Dr : Columbia Hospital, Medical Center Dr


text:
2004 Chevrolet Monte Carlo User Reviews
Average Ratings from 35 reviews
- Performance:
- Appearance:
- Build Quality:
- Overall:
Review Highlights Click to filter reviews below
User Reviews
Displaying 1 - 10 of 35 2004 Chevrolet Monte Carlo reviews.
marioingram46 writes:
2004 Chevrolet Monte Carlo SS Review
A very fast car.
Wasn't the best on gas. Only used premium.
Collectors Item — I loved the overall beauty of this car and everything it stood for. It would get it to great speeds and you would hear the engine roar. This car most definitely described all American Muscle. Dale collaborated with GM and only made 3,333 of the sweet babies.
Primary Use: Sport/fun (spirited driving, track racing, off-roading, etc.)
Looking for a Used Monte Carlo in your area?
CarGurus has 1,781 nationwide Monte Carlo listings starting at $1,600.
cargurugmsteve writes:
2004 Chevrolet Monte Carlo SS Supercharged Review
sporty 2 door, fun to drive, 30 mpg hiway, east to mod if thats your style.
2 doors can be little awkward with many passengers, needs premium fuel
Great Sporty Looking 2 Door — like the sporty appearance, and good firm handling, fun super charger driving, good hi-way economy of 30MPG plus. comfortable driving and riding, best for a couple or small family because its a two-door. decent power for a V-six. has surprisingly good luggage volume, which is good for trips. must fill with premium fuel because of supercharger as not to damage engine when or if you use its good passing power.
Primary Use: Sport/fun (spirited driving, track racing, off-roading, etc.)
SSpock writes:
2004 Chevrolet Monte Carlo SS Supercharged Review
Nice handling and good looking coupe with reasonable power and decent build quality.
Torque steer, numb steering, speed limiter set lower than a baseline Hyundai.
Surprising Fun, Composed And Fast Car, That Surrounds You In Leather And Comfort — I bought this car new. And from day one, it was a blast to drive. Acceleration is smooth and linear. When the supercharger kicks in, it feels like you are being catapulted from behind. Speed ceases to go beyond the indicated 112 mph (due to the limiter), but the car feels composed and solid at speed. The supercharger maintains speed easily with the cruise control engaged. I see the complaints about gas mileage, but using synthetic oil in my beast since the first oil change, I got better than 28 mpg highway driving with speeds averaging 70 or more. I easily got 30 mpg driving sensibly (which admittedly, is hard to do). So I have ZERO complaints about gas mileage. I'll take zero to sixty in under seven seconds and nearly 30 mpg any day. And though it isn't the prettiest car (nor the fastest) on the street, mine always draws compliments. Fit and finish is better than expected for a Chevy. Perhaps the Canadians can teach the Yanks a thing or two about quality. Nevertheless, very few demons have shown their faces in my SS. The tire pressure monitor had a hiccup in the first 2000 miles, and the moonroof decided not to cooperate at approximately 15,000 miles, sticking partially open. But Chevy fixed everything under warranty and the only costs incurred in the first 2 years of ownership were the typical oil changes and tire rotations you would expect. Nothing out of the ordinary. I traded this car after 2 years and 36,000 miles. And I still miss this car. I had no regrets buying this car and would have bought another, had Chevy continued to build them. But no. Only used Montes are now available. With any luck, you can find a well cared for supercharged model that will give you loads of fun miles as mine did.
Primary Use: Commuting to work
Hammer883 writes:
2004 Chevrolet Monte Carlo LS Review
Nothing really
Shaun writes:
2004 Chevrolet Monte Carlo SS Supercharged Review
Handling, Acceleration, Appearance
Gas Mileage
Best First Car Ever! — I love this car, the performance is outstanding, quick acceleration and the speeds builds quickly due to it's factory supercharger. It's build quality isn't the best, doesn't warn you of power steering fluid, but you'll find out about it hen your car starts to whine... I had a regular 2001 Monte Carlo SS before this one and it kept me alive through my first car accident( 50 MPH with no seatbelt collision... ), so I can't knock the build quality too much... Very fun to drive... The interior is full leather and very clean, cream and white to match the outside paint of white and silver trim along the bottom... Maintenance is where the money kicks in, gas burner, premium gas only, no doubt, due to it's dual exhaust and 6-cylinder supercharged engine. Along with speeding is coming to sudden stops, so the breaks wear fast, well with me they do =p Beside maintenance and build quality, it's an overall fun car to drive and very smooth, after 40 MPH, is when the boost from the supercharger kicks in, so that's when the fun starts! For $12,000 used, the best fun a 18-year old first car owner will ever have!
BlackBeltB writes:
2004 Chevrolet Monte Carlo SS Review
Handles Great, Very Reliability, Awesome Gas Milage, Nice and Comfortable, Sporty/Luxury Full Size 2dr Coupe
Stock Brakes/Rotors, Once I replaced them with Cross Drilled & Slotted Rotors All the Around and with Ceramic Pads All the way around It Fixed All the Brake Problems!!
Sinister Super Sport — Just Love this Car All the way Around!! Great Looking, Sporty, Handles Great almost like my former Corvette in turns at higher speeds grips the road nice, but definitely gets way better gas millage 23+City / 28+Highway.. Weather your Young or Old these are great vehicles to own.. One of the Best Vehicles I have ever owned, Hands Down a Keeper..
Primary Use: Sport/fun (spirited driving, track racing, off-roading, etc.)
CanadianGord writes:
2004 Chevrolet Monte Carlo SS Supercharged Review
A rocket on wheels! This car turns heads wherever I go! People actually stop me as I get into my car, or honk at me from the next lane and ask me about the car!
Higher car insurance costs and general maintenance is expensive because the engine compartment is so crowded due to front wheel drive engine.
Take Heed, Owners Of Japanese Cars! This Is What American Car Engineering Is All About!! — My 2004 Monte Carlo SS Supercharged 3.8 V6 is the nicest car I've ever owned. It rates as much fun to drive as it is to look at standing still,(which isn't too often) with it's shiny yellow sporty paint job and beautiful black leather interior. I've owned it since September 2007 at 28,000 miles put on by the lady who leased it from the dealer for 3 years. It has better acceleration by far than the three Corvettes I have previously owned. ('75, '78 and '79) and is every bit as much fun to bend around a sharp corner as it is to unleash the 13 psi Eaton Supercharger out on the open highway. It has easily kept up with much more powerful V8's pushing 390 HP such as the Toyota Tundras and Nissan Titans in the passing lanes, even though it only pushes 240 HP! The styling is great and really attracts a lot of attention. I've had compliments from both young and old everywhere I go. The interior is as nice as any leather interior I've seen in any luxury car and still has that "new car smell" every time I open the door. The CD sound system blows away any standard system I've had in any car before this one. It is a 6 speaker amplified "Monsoon" system that came with it and it ROCKS!!! The Bass just jumps out at you even at low volumes. The heated seats are a blessing on those cold mornings and evenings and the HUGE trunk comes in so handy when shopping at Costco. The collapsible rear seat is a real handy item, too! Ladders and longer items fit easily into this car. The 4 wheel disc brakes work effortlessly even at high speeds and the stability in high speed cornering is impressive to say the least. There are no rattles, squeaks or other annoying noises that most used cars seem to develop. The engineers at Ward Engineering have done an admirable job in designing a sports car that has all the features and advantages of a big solid car combined with a race car feel. Not an easy thing to do!! I've noticed that switching to Castrol Syntec 5W-30 oil has made a big difference to my gas mileage. Well worth the extra money for the high-end oil. I'm now getting an extra weeks worth of driving before a fill-up. About 28 mpg around town and easily 35 on the highway. As far as power, I've had it up to 120 mph numerous times on long trips, and it feels as if I am going 60 mph, it's that smooth a ride with no steering wheel bounce or front end shimmy. A very solid and responsive machine, indeed! The "fun-factor" is off the scale with this car, as I look forward to driving to work each day, unlike most of the cars I have driven in the past. It has every imagineable option you can desire in a car, and some I was surprised to find. Also, due to the front wheel drive, this car is incredible in deep snow! It is a big, heavy vehicle which helps trememdously in slippery snow. I remember back a few years ago, when I lived on a terribly steep hill, just how easily and effortlessly the Monte Carlo plowed right up the hill. I took only a short run at it as there was a sharp corner at the bottom, and it made it all the way to the top! This was a road that all the neighbors were afraid to use and were parking their Ford trucks at the bottom!! Another bonus to owning this car! Peace of mind in the worst weather conditions Canada can throw at it!! An update as of April 22, 2012...I have just purchased a "G-Force Performance Chip" for this vehicle and am astonished at the difference it has made to my gas mileage, acceleration and overall performance! I have gained at least 30 HP, my gas mileage has dramatically improved and acceleration is now instantaneous. The G-Force website is easy to find on the Internet, and I would HIGHLY RECOMMEND anyone and everyone to make the $69.95 purchase for their vehicle A.S.A.P. Why give your hard-earned money away to the oil barons when you can cut your trips to the gas stations by installing this little gadget. It takes less than 30 minutes to install it, and will virtually pay for itself in the first month after you get it. I noticed a huge difference almost immediately and am very impressed with this product! It does EXACTLY what it says it will do. ( Reprograms your onboard engine computer to optimize horsepower, fuel / air mixture to 14.5 to 1 ratio, reduces emissions and betters engine overall performance.) I now buy gas once a month instead of every 10 days! This product really works! Buy it!! It's the best $69.95 you'll ever spend on your vehicle!
Primary Use: Commuting to work
Larry writes:
2004 Chevrolet Monte Carlo SS Supercharged Review
Power and comfort
Difficult to work on under hood.
It's A Nice Car. — It's 2004 Dale JR Edition. Super charged 3.8. Fully loaded. Only 2441 of them produced. 260 hp. Heated leather seats. It's fast for a large front wheel drive car. You can have fun with it screwing around town or enjoy long trips with it.
Primary Use: Sport/fun (spirited driving, track racing, off-roading, etc.)
Charles writes:
2004 Chevrolet Monte Carlo SS Supercharged Review
Nice straight line power but with luxury car comfortable.
It drank premium fuel like a fish and when pushed it handled like one too.
The Best 2000's Monte Carlo. — Powered by the Series II 3.8 supercharged V6, had good power but not overpowered. Handled almost identical to a stock SS, decent but not great, remember this was a big car. But still very fun to drive, comfy upfront, great looking car, probably best of the whole 2000's Monte Carlos.
Primary Use: Commuting to work
Brandon writes:
2004 Chevrolet Monte Carlo SS Supercharged Review
Clean and full of torque
Monte!!! — 0-60 est low 5 secs.Best 1/4 13.74 at 99.4 mph. Pulls 55mph in 1st gear. Motor pulls strong up to 110 or so, top end not the best. Blower whines like none other. Cons--- ITS FWD. No traction, but once it catches, it pulls pretty damn good. Not the best in the corners. But for the most part an overall good car.Hope to keep on modding it up.
Primary Use: Sport/fun (spirited driving, track racing, off-roading, etc.)
Displaying 1 - 10 of 35 2004 Chevrolet Monte Carlo reviews.
Reviews From Other Years
1970 Chevrolet Monte Carlo Reviews
Nice To Drive And It Turns Heads But Won't Pass A Gas Pump W/o Stopping.
I like that it gets looks and is fun to drive. Alot of the Interior parts of a Chevelle also work on this car. Has lots of power but is also a very heavy car so not real fast on a track. Read More
Awesome Car!
I love everything about this car. It has a 350 5.7 liter completely rebuilt with a little over 400 horsepower. All the bells and whistles were done when it was restored. Inside is very modern as well.... Read More
1971 Chevrolet Monte Carlo Reviews
Labor Of Love
It took me and a friend 20 days a month for 7 months to do a mild frame on resto. Very rare and may be the last SS ever built, according to a letter from Gm and the vin number. Read More
Very Good Looking Smooth Running Ride.
Got a great deal on this, Cant wait for warmer weather to get this out and about. Need a headliner, and was possibly going to try to install myself. could use some advice there. Any words of encourage... Read More
1972 Chevrolet Monte Carlo Reviews
Her Name Is Sadie
This is not your typical looking vintage Monte ,Engine ,Interior,Sound System tweeked but not over tweeked. Definitly an eye catcher what i like most about it is it is no weekend car i can start it up... Read More
Its Still A Head Turner!
The Bench front seat...would be awesome with buckets instead. Like I said this isnt a very accurate review because my Monte Carlo has Hydraulics! So Im sure it would ride much better if it didnt have ... Read More
1973 Chevrolet Monte Carlo Reviews
Cool Car, In Any Color.
Bought this from a buddy who worked at the Marina with me. It never gave me trouble, handled great, I even towed my race car with it. I drove it into the ground and sold it for parts. No regrets. GM c... Read More
73-77 A-bodies Are The Bomb
my first car was a 1975 monte in 1984. i have been hooked ever since. the body lines and the way it handles,makes this an awsome car.this is my first big block and would not trade it for anything Read More
1974 Chevrolet Monte Carlo Reviews
Not The Best By Gm And The Chevy's Average Cruisers
Love the look of the car bodystyles,it's big and durable can take a beating,it's a good cruiser or family car,fun to drive,but are known for being cold blooded and not dependable at times,but it gets ... Read More
Big, strong,safe classic chevy for a my mother to drive,but not the best GM built chevy there reliable and run perfect when new but become a pain to keep running known for being cold blooded,always ha... Read More


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Derbyshire County Council - Improving life for local people
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AG, Gate City Bank warn of phone scam: Scammers try to get debit card info
FARGO — A recent wave of phone scams in North Dakota and Minnesota is nothing new, experts say, but this time fraudsters are taking an extra step to appear credible.
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EDM 'It' Boy Porter Robinson Surprises With Sleepy Single, Twitter Rant (Audio)
"The more I forced myself to work within those DJ-friendly limits, the more I resented the genre," he tweeted on Sunday night when dropping the track early.
Electronic music it-boy Porter Robinson dropped the first single from his much-anticipated album Worlds on Sunday, and like Kurt Cobain said about Nirvana's In Utero, it might alienate a lot of his fans.
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Clocking in at a resting heart rate of 64 BPM, the nearly five-minute track is called "Sea of Voices" and lives up to its name, opening with tinkling bells, twirling synths, and sweet female trilling. Sampled strings join the swell, which builds slowly to the track's first lyric line, sung a cappella at the 3:10-minute mark: "We'll see creation come undone." Then there's an intergalactic downbeat-release that recalls atmospheric master M83 -- particularly his space-age work on the Oblivion soundtrack. And just a minute later it's all over, resolving with more a cappella vocals -- aka, an ellipsis...
For fans of 21-year-old Robinson's earlier hits -- bass-happy, festival-grade drops like "100% In The Bitch" -- the cosmic bliss might be too much of a divergence. But Robinson's known that for awhile, and he's ready. "It has a bunch of weird tempos that dance people aren't really doing," he told Billboard about the then-untitled album back in November. "There's no DJ-friendly intro and outro. It's meant to be listening music. It's not a party record at all."
Porter was rumored to release the song on Monday, but dropped the track via Soundcloud Sunday evening instead. Before revealing the track, he took to Twitter to share many thoughts on its recording and his forthcoming album.
PHOTOS: Oscars 2014: Best and Worst Moments
"Years ago, I realized that I wanted to write an album that focused on beauty above all else," he tweeted. "The feeling of hugeness and gorgeousness and vastness and beauty is what I f---ing live for. It is my favorite thing in the world. I kept trying to write songs that both satisfied me artistically and also could 'work' in a DJ set. Nobody ever heard these songs because they sucked and made me miserable. Again and again, I found that making a track 'danceable' just meant compromising and ignoring what the song really needed. And I found that the more I forced myself to work within those DJ-friendly limits, the more I resented the genre. I realized that the rift between the music that works for DJs and the music that I love had grown too huge to ignore.
"I've had multiple anxiety attacks on stage this year and it was always related to feeling like a fraud. It sucked. The f---ing watershed moment in writing Worlds was when I realized that I didn't have to write songs for DJs. I realized that my need to be honest with myself and with you was greater than my need to be famous or whatever. I don't want to cheapen peoples' past experiences of shows or songs. I still f--- with my old stuff. That was my favorite music when I was 18. I am 21 now and now I'm writing 21-year-old-me's favorite music."
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While the album's track list is still not confirmed, "Sea of Voices" sounds to us like Track 1. And Track 2 will probably determine what these Worlds will really be like.
Listen to "Sea of Voices" below:
This article first appeared on Billboard.com.
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DeSouza impresses NDSU on spring football scrimmage
FARGO — The first touchdown in North Dakota State's first spring football intrasquad scrimmage was a 40-yard pass to a running back who wasn't on the roster. The second score was a 74-yard run by another running back who wasn't on the roster.
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Band + DJ together! Uplighting and Video Services also!
Cover Story Entertainment is New England's best entertainment band and event services provider. The band is comprised of all Berklee graduates and ranges from a core 6 piece up to 11 piece band of highly passionate musicians. It is their passion and drive that makes Cover Story so successful at entertaining crowds of all ages and keeping the dance floor packed. Aside from their musical talent they come with State of the Art "Concert like" sound gear as well as a full LED light show for the stage and dance floor. More importantly Cover Story comes with full liability insurance, which more venues require.
Our most popular package includes the following when you hire Cover Story:
· Live music and cocktail house provided by acoustic guitar or piano
· Full band acoustic dinner set
· Full and rocking and dancing electric sets
· Sound/ Light engineer
· Recording Spinning DJ that interacts with your guest by taking request while band is on a brief break
· LED lighting for the stage and dance floor
· Day of coordinator/ Media specialist during contracted time
Additional Services that can be added to any package include:
· Live music ceremony package, including a full premium PA system, hidden wireless microphones for your officiant and readers, sound engineer and live musicians who will accommodate your music request
· Sophisticated cocktail house with two or more musicians
· Additional horn player can be added to the band's lineup
· Uplighting to enhance your venue
· Video Services to capture the highlights of your day
What sets Cover Story apart from most bands and service providers out there is that it is family owned. The band is not affiliated with any agencies, so it will save you the agency fees right from the start. It also gives you a more personal experience when working with the band, as there is no middleman to communicate through. The owner, Chris, is the band's leader and lead guitarist and his wife, Tiffany, is the day of coordinator and media specialist. They are with you right from the initial email quote to the last song on your special day. You can feel at ease knowing they are there to ensure you day runs smoothly.


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In Stock
Make your next outing to the mountain legendary with the Burton Escapade Snowboard Bindings for women! Burton has held nothing back in this design, making every effort to create the easiest to use, yet precise and comfortable binding available. The high back gives incredible control while on your heel edge and directly underfoot is a full bed of cushion for those higher impact maneuvers. It is a relatively stiff binding, making you feel as though you are truly one with the board and increasing overall control. Finally, the buckles are smooth like butter and the straps infused with air, giving a comfort you may only find elsewhere at home in your favorite slippers.


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Animal Rescue League of Southern Rhode Island
About Us
About ARLSRI
ARLSRI Board Members
ARLSRI Staff
ARLSRI Community Partners
Adoption Policy
Adoption Application
Adoption Fees
Adoptable Cats
Adoptable Dogs
Small Animals
Intake Policy
Happy Endings
Monetary Donations
Event Sponsorship
Vehicle Donations
Wish List
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Volunteer Guidelines
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Foster Program
Volunteers in Action
Volunteer Appreciation – pics of "our heroes"
Court-order Community Service
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Community Pet Food Pantry
Community Outreach
Bark and Ride
News & Events
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New Shelter
Building Details
Building Committee
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Photo Gallery
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Naming Opportunities
Contact Us
Shelter Update
Construction and fundraising continue on our state-of-the-art shelter. Interior painting is underway, the flooring is being poured, and the water has been connected. We get more excited each day about moving into this wonderful space!
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Featured Feline
Hello, I am Otis, and without being fluffy let me state that I am a special cat. I am a handsome grey cat who has been at the rescue for over a year, and I am looking for a particular type of owner. I need a patient owner who is willing to give me time to adapt and isn't expecting a lovable cat lap the second they see me at the shelter.
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Featured Canine
Becky's life has been filled with disappointment. She is a sweet 1 1/2 yr old girl who loves to play with other dogs. However, she has been at our shelter for too long and the only reason is because she is scared.
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In the News
ARLSRI is nearly halfway to reaching the $100,000 matching grant challenge of the Copper Beech Foundation. Help us reach our goal!
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ARLSRI Signature Event
ARLSRI's Diamond in the Ruff event takes place on March 27, 2015 at the Narragansett Towers from 6 to 8pm. Featuring food and beverage tastings, a silent auction, and raffle prizes, it's an event you won't want to miss!
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Community Events
Spreading the word about our mission is essential if we are to continue to be successful. To achieve this goal we participate in popular events, including the South County Balloon Festival, the Charlestown Seafood Festival, and so many others.
See what's coming up…


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FEMA awards grants for three projects, including fortifying Coast hospital
by MBJ Staff
Published: July 9,2013
Tags: Coastal Critical Facility Wind Retrofit, Federal Emergency Management Agency, Hazard Mitigation Grant Program, Mississippi Emergency Management Agency, Singing River Hospital, U.S. Sen. Thad Cochran
SOUTH MISSISSIPPI — U.S. Sen. Thad Cochran (R-Miss.) reports that more than $18.3 million in federal funding has been approved for disaster mitigation activities in South Mississippi, including funding to reinforce the Singing River Hospital in Pascagoula and to build a special medical needs shelter in Stone County.
The Federal Emergency Management Agency (FEMA) has approved three Hazard Mitigation Grant Program awards for Mississippi, including $15.33 million to fortify the Pascagoula hospital, $1.27 million to build a regional medical needs shelter in Stone County and $1.93 million to continue support for the Mississippi Emergency Management Agency (MEMA) Coastal Critical Facility Wind Retrofit initiative.
The Singing River Hospital project will entail hardening the exteriors of the hospital, the Regional Cancer Center and Heart Center to withstand 150 mph winds — the wind speed and impact standard for this region. The FEMA grant will cover 95 percent of the $16.13 million cost of this mitigation work.
FEMA is providing 100 percent of the $1.27 million cost for the special medical needs shelter to be built in Stone County to serve patients from the six-county coastal region of South Mississippi (Stone, Harrison, Hancock, Jackson, George and Pearl). FEMA indicates that the proposed Stone County site near the intersection of Highway 49 and Highway 26 provides easy evacuation routes from all six counties.
The $1.93 million award for the MEMA Coastal Critical Facility Wind Retrofit project will support wind retrofit on state-owned and occupied buildings in Hancock, Harrison and Jackson counties. This grant, which requires a 25 percent nonfederal cost share, may also be used to retrofit local critical facilities and buildings in these counties.
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Esophageal Candidiasis Treatment
Here's a taste of what TheBody.com has to offer on this topic:
Ask the Experts
What Is Candida esophagitis?What is candida esophogitis? What syptoms occur? And do all hiv pos get it?
Response from Judith Feinberg, M.D.
University of Cincinnati, College of Medicine...Candida esophagitis is a yeast infection of the lining of the esophagus. Not all HIV+ get this, but it is one of the most common OIs. Symptoms Read more »
fatigue&thrushI am 32 and have been + for roung 4 years. my cd4 count stays areoun 4-5 hundred, viral load... Read more »
SYMPTOMS OF CANDIDA ESOPHAGITISDear Dr. Feinberg,Could you please provide me the symptoms of candida in the esophagus (i.e, fever,... Read more »
Candida Esophagitis...An infection frequently underestimated in HIV infected women, is Candida esophagitis, (a yeast infection in the esophagus). It is closely related to thrush (a yeast infection in the throat) and Candida vaginitis Read more »
Fungal Infections: Candidiasis...however, isolatesfrom patients treated with fluconazole showed no decline in in vitrosusceptibility. Treatment of Oral and Esophageal Candidiasis: The treatment oforopharyngeal and esophageal candidiasis was addressed in studies... Read more »
Systemic Candidiasis...esophagus may become partly blocked by coatings and spots that build up. In rare cases, bad ulcers can rupture the esophagus. Esophageal candidiasis can spread, or disseminate, into the stomach and intestines. Because esophageal candidiasis can... Read more »
AIDS Defining ConditionsThe Centers for Disease Control and Prevention (CDC) defines an HIV-positive person with a CD4 cell count of 200 or less as having AIDS. The CDC has also developed a list of more than 20 opportunistic infections (OIs) that are considered... Read more »
Connect With Others
esophageal candidiasis
Posted by Anonymous, 3 Replies...is it possible to get esophageal candidiasis several months after infection? Read more »
Posted by LostNconfused, 5 RepliesI tested positive 3 days before Christmas and I think I am still numb to the fact. I haven't told any friends or family because I really don't know how and most are judgemental and I'm sure will walk away. But I guess if they do, then I didn't need... Read more »
Posted by Survivor, 1 Reply...their patients. BY] What kinds of AIDS complications do you see? Suprunenko: Tuberculosis is number one, toxoplasmosis, esophageal candidiasis, CMV retinitis and pneumocystis. With regard to antiretroviral therapy, we see peripheral... Read more »
Crazy again
Posted by crazy_person...exactly like OHL from the pictures I've seen online. Plus, I've developed peripheral neuropathy and have been diagnosed with candida esophagitis and molluscum contagiosum. Is it possible that I have a rare strain of HIV that is not being picked... Read more »
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I am using Linq to dataset to query a datatable. If i want to perform a group by on "Column1" on data table, I use following query
var groupQuery = from table in MyTable.AsEnumerable()
group table by table["Column1"] into groupedTable
select new
x = groupedTable.Key,
y = groupedTable.Count()
Now I want to perform group by on two columns "Coulmn1" and "Column2". Can anybody tell me the syntax or provide me a link explaining multiple group by on a data table??