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A device and method for facilitating compliance with a medication regimen may incorporate an icon set that illustrates concepts relating to the medication regimen in a pictographic form that is easily recognized and comprehended. The device is programmed with medication instructions, and generates medication reminders for the medication instructions by displaying icons from the icon set. The device may additionally display text, play audio, vibrate, send text messages to other devices, etc. The device may accept input from the individual and/or caregiver regarding the medication instructions or the medication events. The device may also contain the medication, control access and dosing of the medication, and administer the medication to the individual. The device may also communicate information regarding the medication regimen to the caregiver, such as prescription renewal requests. This device and method may improve the accuracy and thoroughness of compliance and communication regarding the medication regimen.
1. A method for facilitating compliance with a medication regimen comprising at least one medication instruction formulated by a caregiver for an individual, comprising:
programming the at least one medication instruction into a medication device configured to store the at least one medication instruction and at least one template of at least one type of at least one data record and to generate a medication reminder message by displaying icons from a medication regimen icon set that together depict the medication instruction by:
selecting a template based on the type of the medication instruction, and
displaying a unit box comprising an arrangement of icons selected from the medication regimen icon set and positioned according to the template; and
providing the medication device to the individual.
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The present disclosure relates generally to the field of medication, and particularly to patient compliance with a medication regimen.
The medical community notes that medication errors are a major reason for patient hospitalization, with mortality estimates sometimes reported ats accounting for over 90,000 deaths per year. Although there are numerous factors contributing to this crisis, baselines in health-related information creation, transfer, comprehension, and compliance are key elements of this problem.
In efforts to address this problem, the medical community is embracing the advancement of computer-based systems. Although these systems are moving into the forefront, they may not be fully efficient or effective and may exhibit the same problems inherent in a paper-based system, including increased user entry and retrieval time in searching for current and historical i health-related information. Both systems exhibit common problems by relying on text-based communication, which may be ambiguous, region-specific, and either partly or fully miscomprehended by people interacting with the system. These problems may be exacerbated or compounded during the transfer of health-related information among healthcare professionals, due to the lack of standardization (resulting in �re-entry� errors) and comprehension issues, where content of material and interpretation of health-related information is variable, based on organizational and cognitive abilities.
The transfer of health-related information between the medical community and the general population also continues to have serious problems, since non-standardized and often incomplete health-related information may be imperfectly �pieced together� by multiple healthcare providers and the patient to create an incorrect or incomplete medical record. This problem may also arise when health-related information (including the vehicle, route, dosage, time of day, administration, and/or use of a medication) is not easily transferred, accessed, or understood by the general population.
Improvements in the process of recording and communicating medical information, including medication regimen information, are therefore desirable.
The following presents a simplified summary of the disclosure in order to provide a basic understanding of some aspects of the disclosure. This summary is not an extensive overview of the disclosure. It is intended neither to identify key or critical elements of the disclosure nor to delineate the scope of the disclosure. Rather, its primary purpose is merely to present one or more concepts of the disclosure in a simplified form as a prelude to the more detailed description that is presented later.
The present disclosure relates to a device for recording and communicating health-related information, including medication regimen information. The device relies on an icon set that illustrates the concepts relating to the health-related information, including the medication regimen, in a pictographic form that is easy for the individual to recognize and comprehend. The present disclosure also relates to a method of facilitating individual compliance with a medication regimen through the utilization of such a device.
The use of a medical icon set for communicating health-related information has many potential advantages. First, the individual may comprehend the reminder message in a language-independent manner. Pictographic icons can be used to circumvent differences in language capabilities and skill levels among the caregivers and the individual. The icon set may be cognizable to individuals with limited literacy skills or with mental faculties, such as very young, elderly, and mentally handicapped individuals.
Second, if a common set of medical icons is utilized by many caregivers and individuals, it may become a standard and standardized lexicon for the communication of health-related information, including medication regimen information. Regular and frequent exposure to the same icon set, especially from a variety of sources, may lead to quicker, fuller, and more accurate recognition and comprehension by caregivers and individuals of these icons and the illustrated concepts. Moreover, widespread exposure to and use of the same icon set may improve the speed, depth, and precision of communication of health-related information among many caregivers and individuals.
Many such icon sets may be conceptualized to represent many areas of healthcare. However, the present disclosure addresses the administration of medication, and the concepts related thereto.
In furtherance of these advantages, the present disclosure recommends the use of a medication device that functions as a medication reminder for the individual. Both the device and its use in a method of facilitating medication regimen compliance are contemplated by the disclosure. The medication device includes a medication regimen icon set, and predominantly communicates with the individual regarding medication instructions through the display of icons chosen from this icon set. Once a medication regimen has been formulated, the device is programmed with one or more medication instructions that comprise a medication regimen. The device may include a chronometer, by which it monitors time, and logic for determining when to generate medication reminder messages based on the chronometer and the medication instructions. For each medication instruction, and more specifically for each medication event corresponding to each medication instruction, the device generates a medication reminder message by displaying icons that are representative of the medication instruction.
The medication device may optionally exhibit other features to facilitate compliance with the medication regimen and completion of the medical record. These options will be discussed in detail hereinbelow.
To the accomplishment of the foregoing and related ends, the following description and annexed drawings set forth in detail certain illustrative aspects and implementations of the disclosure. These are indicative of but a few of the various ways in which one or more aspects of the present disclosure may be employed. Other aspects, advantages and novel features of the disclosure will become apparent from the following detailed description when considered in conjunction with the annexed drawings.
The following terms used herein are suggested to have the following meanings. This is not intended as an exhaustive list of defined terms, but only as an interpretive aide for facilitating the reading and comprehension of the disclosure described herein. The definitions provided herein are intended to be coupled with the other sources of interpretive guidance for these terms, such as context, common usage in the field of art, and ordinary usage in the English language.
�Healthcare� and �healthcare service� are suggested to mean a service provided to a recipient of healthcare that relates to the health, functionality, and/or physical and/or mental well-being of the recipient. Such services may derive from one or several of the myriad recognized fields of healthcare, including, for instance, allopathic medicine, osteopathic medicine, physical and/or occupational therapy, dentistry, chiropractic medicine, hospice or home healthcare, and pharmaceuticals.
�Caregiver� is suggested to mean a provider of a healthcare service to an individual. �Caregiver� may include any type of healthcare practitioner, including, for instance, a physician, nurse, physical or occupational therapist, chiropractor, dentist, or home healthcare worker. The caregiver may also be a non-professional individual who is involved in providing a healthcare service to the individual, such as a relative, friend, or cohabitant. In a broader context, �caregiver� may include other parties involved in the dispensing of medication to an individual, such as a pharmacist, drug manufacturer, or insurance agent. In the case of self-administered healthcare, the caregiver may be the individual. �Caregiver� may also refer collectively to a plurality or team of such providers, either working together (e.g., a physician and a nurse) or separately (e.g., a physician and a pharmacist.)
�Icon� is suggested to mean a graphic symbol and/or word whose word form represents and/or suggests its meaning.
�Icon set� is suggested to mean a set of icons that together represent some common features of a particular area of healthcare.
�Individual� is suggested to mean a recipient of healthcare service provided by a caregiver. In the case of self-administered healthcare, the individual may also be the caregiver.
�Medication� is suggested to mean a composition of matter administered to an individual in order to prevent, suppress, cure, ameliorate, and/or alleviate an undesirable health condition. Medication may, but need not, be limited to a prescription-restricted pharmaceutical, but may also include (for example) over-the-counter drugs, supplements, and vitamins.
�Medication data set� is suggested to mean a set of data pertaining to a medication regimen, including data pertaining to a medication instruction (such as a medication instruction annotation) and data pertaining to a medication event (such as a medication event annotation.)
�Medication event� is suggested to mean an instance when a medication instruction is to be followed by the individual.
�Medication event annotation� is suggested to mean an annotation about a medication event, such as a symptom experienced by an individual upon an instance of taking a dose of medication.
�Medication instruction� is suggested to mean an instruction by a caregiver to the individual for taking a dose of medication in accordance with the medication regimen. Sometimes, the medication instruction includes a specific date and time at which the dose should be taken.
�Medication instruction annotation� is suggested to mean an annotation about a medication instruction, such as a direction to take the medication on a full stomach.
�Medication prescription refill message� is suggested to mean a message pertaining to a quantity of doses of medication to be provided to the individual in accordance with the medication regimen. Examples of such messages include (without limitation): a notice of the current quantity of medication in the individual's possession; or a request sent to a caregiver (including, without limitation, a pharmacist or a physician) to provide a quantity of doses of medication; and a request sent to a caregiver to authorize the renewal of a medication.
�Medication regimen� is suggested to mean a course of medication recommended by a caregiver for an individual in order to prevent, suppress, cure, ameliorate, and/or alleviate an undesirable health condition.
�Medication regimen icon set� is suggested to mean an icon set that together comprise a predominantly pictorial lexicon for describing the formulation, prescription, and administration of medication to an individual. Some examples of concepts expressed by the medication regimen icon set include (without limitation): a physical condition that the medication is intended to address (e.g., a cardiac condition or a diabetic condition); a formulation of the medication (e.g., a pill or a fluid); a device for administering the medication (e.g., a syringe or an eyedropper); a time at which the medication is to be administered (e.g., morning or evening); and a frequency at which the medication is to be administered (e.g., hourly or daily.) This list is not intended to be exhaustive, but to describe some of the concepts that a medication regimen icon set might express.
�Palette� is suggested to mean a data entry element of a user interface, comprising a circle containing a radially arranged set of icons that represent options for valid input. In one instance, the palette simultaneously displays all of the options for valid input; in another instance, the palette displays a subset of the icon set, along with a button (e.g., labeled �Next� or a right arrow) for displaying a different subset of the icon set.
�Unit box� is suggested to mean a data display element of a user interface that pertains to a data record, where the data display element comprises a set of icons selected from a larger icon set in order to display the data record in a predominantly icon form. The icons are arranged on the unit box according to a template for the type of data record, such that all unit boxes based on the same type of data record will similarly arrange the icons in order to achieve a consistent visual aspect.
One or more aspects of the present disclosure are described with reference to the drawings, wherein like reference numerals are generally utilized to refer to like elements throughout, and wherein the various structures are not necessarily drawn to scale. In the following description, for purposes of explanation, numerous specific details are set forth in order to provide a thorough understanding of one or more aspects of the present disclosure. It may be evident, however, to one skilled in the art that one or more aspects of the present disclosure may be practiced with a lesser degree of these specific details. In other instances, well-known structures and devices are shown in block diagram form in order to facilitate describing one or more aspects of the present disclosure.
As discussed above, health-related information can be communicated in a more consistent and language-independent manner by the use of an icon set, where the icons are of predominantly pictorial form and are recognizable representations of medication instructions. The present disclosure recommends a device that communicates with the individual and the caregiver through the display of such an icon set, and also the method of using such a device in order to facilitate compliance with a healthcare regimen.
A device in accordance with the present disclosure is illustrated in
In one set of embodiments, such as the embodiment illustrated in
An illustration of a medication device producing such a message is shown in
In the imbodiment illustrated in
Turning now to the input component of the medication device, it is suggested that many types of input devices may satisfy this function. The input device may be one or more buttons positioned on the device, e.g., a set of buttons that comprise a hardware keyboard. The input component may be a pointing device, such as a mouse or joystick. The input component may be a touchscreen interface that receives touch input.
The user input may be handled in many ways to facilitate the translation of user input into logical instructions. The device may show on the display a keyboard, and may map user input to the keys of the keyboard, in order to function as a software keyboard. Alternatively, the device may feature a handwriting recognition component for parsing the user input from handwriting into written text, and may then parse the written text into medication instructions. The handwriting input in this instance may be either a natural language, or a gesture-based lexicon, such as the gesture-based date entry methods that are common on stylus-based personal data assistant (PDA) devices.
Alternatively, the device may display a set of user interface elements, and may derive input based on the user's interactions with these user interface elements. One example of such an interaction is illustrated in
A palette is a user interface element for accepting user input as a subset of a variety of options. As illustrated in
In the device of
In another embodiment, the medication device may receive audio user input via a microphone. As one example, the device may feature a voice recognition component for parsing the audio input from voice input into spoken text. The device may then process spoken text may then be parsed into medication instructions.
In another embodiment, the medication device may receive medication instructions not from user input, but from another electronic device. In this embodiment, the medication instructions may be programmed into a separate device, e.g. a personal computer, and then electronically transmitted to the medication device through a communications interface. Many well-known types of communications interfaces may be used for this purpose, such as: a telephonic modulator/demodulator (modem), a Universal Serial Bus (USB) adapter, an infrared (IR) receiver, a network adapter, a wireless network device such as an 802.11-class network adapter, or a cellular mobile communication device.
In one set of embodiments, the individual and/or non-professional caregivers perform the entry of information into the device. In another set of embodiments, information is entered only by caregivers comprising healthcare professionals, and the individual and non-professional caregivers may not enter information, but can only read the information. The latter set of embodiments has several advantages. A healthcare professional may have more accurate and up-to-date information about the medication regimen than the individual or a non-professional, and may be more familiar with its dispensing, symptoms, and targets. The healthcare professional may be better able than the individual or a non-healthcare professional to evaluate the results of the medication regimen and to make adjustments. It may be optimally efficient for the healthcare professional to program the device with medication instructions at the same time as loading the medication chambers with medication.
In addition to displaying icons, the medication device might supplement the medication reminder message with additional information. In one embodiment, the medication device supplements the reminder message by displaying additional text, e.g., text captions that explain the concept illustrated by the icons (which may be particularly useful for training new users of the medication regimen icon set as to the meanings of the icons.) In another embodiment, the medication device supplements the reminder message by generating sound, such as an audible alarm or a verbal statement. In yet another embodiment, the medication device supplements the reminder message by generating tactile feedback, such as vibration. In yet another embodiment, the medication device supplements the reminder message by transmitting a message to another electronic device, e.g., by sending a text message to a cellular phone, text pager, or Blackberry device.
In another set of embodiments, in addition to generating the medication reminder message, the medication device may feature a medication chamber that contains a dose of the medication, and the medication reminder message may reference the medication chamber. The device may contain a plurality of such chambers, and the medication reminder message may reference the chamber corresponding to the current medication instruction. As another example, as illustrated in
This set of embodiments may include other features. In one set of embodiments of the device and its method of use, the individual is instructed to load the medication chambers with medication doses in accordance with the medication regimen. In another example, the caregiver may load the medication chambers with medication doses in accordance with the medication regimen. In this latter example, the loading of the device may be solely performed by the caregiver (e.g., a physician, nurse, pharmacist, drug manufacturer, etc.), and the individual may be prevented from accessing the medication. This set of embodiments is useful for preventing a variety of medication regimen errors by the individual, such as taking the wrong medication, taking an incorrect dose of medication, or taking a medication dose at an incorrect time.
The embodiments described hereinabove that limit individual access to medication doses may be facilitated by selecting a medication device with hardware that promotes this limitation. As one example, the medication device may feature a processor-controllable medication chamber lock that prevents the individual from accessing each medication dose except in accordance with a medication instruction. An example of this controlled-access medication device may be illustrated by reference to
Another feature that may be incorporated in the set of embodiments in which the medication device contains the medication doses is a medication dosing component that allocates and dispenses a quantity of the medication in accordance with the medication instruction. As an example, the medication may be provided in the form of a liquid, and the medication chamber may be loaded with sufficient liquid medication for several medication doses. During the medication event, the medication device may allocate a specific quantity of the liquid medication in accordance with the medication instruction, which may be dispensed to the individual.
Yet another feature that may be incorporated in the set of embodiments in which the medication device contains the medication doses is a medication administration component for administering the medication dose to the individual. An example of such a device is illustrated in
Another feature that may further the purpose of the disclosure is the capability of annotating a medication instruction and/or a medication event. It may be helpful to annotate a medication instruction with additional information, e.g., �take this medication on a full stomach.� It may also be helpful to annotate a medication event with information, e.g., �this medication made the individual dizzy.� In either case, the annotation may be input by either the individual or the caregiver. Also, the annotation may be provided as input either via the input component that receives the medication instruction, such as those described above, or via a separate input component. Irrespective of the implementation, the medication device stores the annotation and subsequently includes it as output. As one example, the physician may input an annotation about a medication instruction that is subsequently available to the individual as part of the medication reminder message, e.g. by activating the �Note� button of the medication reminder unit box. As another example, the user may input an annotation about a medication event that is stored for later review by the caregiver. The latter example is illustrated in
The medication device might contain the medication, and may provide a dose of the medication to the individual in accordance with the medication instruction. The medication device may additionally contain a lock mechanism for the medication chamber, in order to limit access to the medication except in accordance with a medication instruction. Further, the medication device may measure and/or administer the dose for the individual (e.g., by incorporating an eyedropper mechanism.)
The medication device might communicate with the caregiver by exchanging information about the medication regimen for the individual. This information, generally referred to as a �medication data set,� might include an additional medication instruction, a medication instruction annotation, and/or a medication event annotation. The device might also contain a component for detecting compliance by the individual with the medication instruction (e.g., a sensor that determines whether or not a pill was removed from a chamber in the medication device), and might communicate this information to the caregiver.
In yet another set of embodiments, the medication device may include a communications component for exchanging with the caregiver a medication data set. As with the input component, the communications component may be selected from many well-known types of digital interfaces, such as: a telephonic modulator/demodulator (modem), a Universal Serial Bus (USB) adapter, an infrared (IR) receiver, a network adapter, a wireless network device such as an 802.11-class network adapter, or a cellular mobile communication device. The input component may also serve the function of communications component. The communications component exchanges with the caregiver data about the medication regimen, which is generally referred to herein as a medication data set.
The medication data set may contain many kinds of data about the medication regimen. For example, the medication data set may contain additional or altered medication instructions. A caregiver or a caregiver's computer system may communicate with the medication device in order to provide additional medication instructions. For instance, the medication data set may include additional or altered medication instructions, such as when a prescription is refilled or a medication regimen is adjusted. The medication data set may include a medication instruction annotation, such as new information about a pharmaceutical drug that the caregiver wishes the individual to know and follow. The medication data set may include a medication event annotation, such as a report by the individual of symptoms experienced upon taking a medication dose. The medication data set may include a medication prescription refill message, which may be issued in advance of exhaustion of the medication so that the prescription refill is received in time for continuation of the medication regimen. In all such embodiments, the exchange of the medication data set between the medication device and the caregiver facilitates communication and monitoring of the individual's medication regimen, and thus furthers the advantages of the present disclosure.
One particular embodiment that combines features of several embodiments suggested above is a medication device including both a medication chamber, and a communications component. In this case, the medication device may also feature a detection component that is operably coupled to the medication chamber for detecting compliance of the individual with the medication instruction. For instance, the detection device may be a pressure sensor that detects the removal of a medication dose from the medication chamber. The medication device may then transmit to the caregiver, via the communications component, a medication instruction compliance message that corresponds to the medication instruction. The caregiver's computer system might be configured to process the message and assemble a record of the compliance of the individual with the medication regimen.
The disclosure also includes the method of facilitating compliance by an individual with a medical regimen. This method involves the utilization of a device such as described hereinabove. This method, as illustrated in
Just as the medication device is described hereinabove has having many embodiments with varying features, this method may be augmented by selecting medication devices having such features, and by using the medication device in different ways.
In one embodiment of this method, the programming of the medication device is performed by the individual, such as when a caregiver simply provides the unprogrammed medication device and a medication regimen. In another embodiment, the programming of the medication device is performed by the caregiver, who then provides the programmed medication device to the individual. The former embodiment may reduce the business process overhead for the caregiver (and prevents liability for incorrectly programmed devices), while the latter embodiment may further increase compliance with the medication regimen.
Another set of embodiments of this method involve medication devices that accept medication instruction annotations. In one embodiment of this method, the annotation of the medication instruction is performed by the individual, such as when the individual wishes to include personal notes in future medication reminder messages (e.g., �I feel better when I take this with water.�) In another embodiment of this method, the annotation of the medication instruction is performed by the caregiver, such as when the caregiver wishes to include additional notes about a medication regimen while programming the medication device.
Still other sets of embodiments of this method involve medication devices that feature a medication chamber, and where a medication dose is loaded into the medication chamber. In one set of embodiment of this method, the loading is performed by the individual, such as when the caregiver who programs the medication device is different from the caregiver who supplies the medication. In another set of embodiments of this method, the loading is performed by the caregiver, such as when a pharmacist or a medical drug manufacturer provides a prescription medication to an individual in a pre-loaded medication device. Embodiments within this latter set may also involve medication devices having a controllable medication chamber lock, which may limit access to the medication dose as discussed hereinabove. Embodiments within this latter set may also involve a medication administering component, and the method may include administering the medication dose to the individual in accordance with the medication instruction, as discussed hereinabove.
Still another set of embodiments of this method involve medication devices that accept medication event annotations. In one embodiment of this method, the annotation of the medication event is performed by the individual, such as when the individual wishes to record a sensation experienced during a medication event (e.g., �this medication made me feel dizzy.�) In another embodiment of this method, the annotation of the medication instruction is performed by the caregiver, such as during an office visit where medication is administered (e.g., �patient visited and was given intramuscular injection of 10 cc of medication.�)
Still another set of embodiments of this method involve medication devices that feature a communications component for exchanging a medication dataset with the caregiver, as described hereinabove. The medication data set exchanged in these methods may include an additional or updated medication instruction (e.g., upon the refill or alteration of a prescription regimen.) The medication data set may include a medication instruction annotation (e.g., when the caregiver wishes to provide the individual with additional information about a medication instruction.) The medication data set may include a medication event annotation (e.g., when the individual wishes to record a sensation experienced during a medication event.) The medication data set may include a medication prescription refill message (e.g., a request to a caregiver to authorize refill of a prescription when the current prescription is nearing exhaustion.) The medication data set may include a medication instruction compliance message, particularly when the medication device includes a detection component for detecting individual compliance with the medication instruction, as discussed hereinabove. In all such embodiments, the exchange of the medication data set between the medication device and the caregiver facilitates communication and monitoring of the individual's medication regimen, and thus furthers the advantages of the present disclosure.
Although the disclosure has been shown and described with respect to one or more implementations, equivalent alterations and modifications will occur to others skilled in the art based upon a reading and understanding of this specification and the annexed drawings. The disclosure includes all such modifications and alterations and is limited only by the scope of the following claims. In particular regard to the various functions performed by the above described components (assemblies, elements, devices, circuits, etc.), the terms (including a reference to a �means�) used to describe such components are intended to correspond, unless otherwise indicated, to any component which performs the specified function of the described component (i.e., that is functionally equivalent), even though not structurally equivalent to the disclosed structure which performs the function in the herein illustrated exemplary implementations of the disclosure. In addition, while a particular feature of the disclosure may have been disclosed with respect to only one of several implementations, such feature may be combined with one or more other features of the other implementations as may be desired and advantageous for any given or particular application. Furthermore, to the extent that the terms �includes�, �having�, �has�, �with�, or variants thereof are used in either the detailed description or the claims, such terms are intended to be inclusive in a manner similar to the term �comprising.� Also, �exemplary� as utilized herein merely means an example, rather than the best.
Patent Citations
Non-Patent Citations
Referenced by
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Removing Halogen Dimmer Transformer...
So, I bought the wrong thing, but realized it after I had already started installing it, and now I'm trying to make the best of it.
I have 2 sets of lights (10 lights total, 5 on each strand, each strand with it's own small dimmable transformer built into the line, and a touch dimmer pad attached to that to control the lights) that I would like to turn on and off at the same time.
I don't really want the dimmer, I want to run the lights off of a light switch, and just turn them on or off. They're in the kitchen, and the use is mainly to provide more task lighting on the counters so I don't need any kind of "moody" ambiance lighting.
I have the lights wired into the electrical line which is connected to the switch, and figured that I just wouldn't use the dimmer pad. No such luck. When you turn the switch on the lights don't actually turn on until you hit the dimmer pad.
These are G-4 10w 12v bulbs. Will I blow all of the lights out if I cut the transformer out and splice the line back together without it?
Right now both strands of lights work fine independently of one another, as long as you are using the touch pad. I tried splicing together the touch pad lines, to at least control both sets of lights off one pad, but they just don't seem to work right. The signal to dim doesn't seem to go to both sets at exactly the same time, so they get out of sync.
I'm already out $70, and I really don't want to scrap the whole deal and buy more lights. They are actually very nice lights, the perfect size and the perfect amount of light when turned all the way up. I just want them to be able to be turned on and off on one switch at the same time.
Any suggestions would be greatly appreciated!
You have a real problem.
The fact that the included dimmer does not remember its previous setting is part of the problem.
This prevents you from simply using a simple on off switch.
Dimmers (even at full on) often still distort the voltage waveform and do not operate well in series (one dimmer feeding power to another).
Dimmers depend on a circuit that finds the zero crossings of the voltage to operate correctly, and many will not operate if the voltage waveform is already going through another dimmer.
Yes, you did unknowingly buy the wrong thing but unfortunately there is no way (economically) to make them work. The transformer has the touch dimmer built into the electronics and the default mode on power-up is lights off. Then by touching the touch-plate after it has found it's floating static mode, it'll change through your finger's capacitive effect.
You can not connect the lights without the transformer - they are 12 volt lights - not 120 volt and will instantly burn out.
Chalk it up as a small mistake and go buy 120 volt puck lights, without a dimmer function, and install them instead... maybe you'll find somewhere you'll want the "mood lights."
Oh, not sure how you wired them directly, but the proper way is for the switch to control an outlet that the type of lights that you are describing are then plugged into.
BTW - The 20 watt bulbs are much better for under cabinet task lighting than the 10 watt bulb version.

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Reviews and news of films, foreign and mainstream
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For those readers of Gillian Flynn's 2012 mega-selling thriller "Gone Girl" – it logged eight weeks in the top spot of New York Times bestsellers and eventually sold two million copies; trust us, in the book world that's huge – are these the far-from-average marrieds at the center of the plot? […] [Read More]
Oscar predictions 2013: Will 'Argo' continue its winning ways, or is that stinkin' thinkin', 'Lincoln'?
Bipolar disorder. War. Slavery. Strokes. Tsunamis. Bombings. Shipwrecks. Killer tigers. Poverty. Floods. Revolution. Prostitution. Paralysis. Iron lungs. The Middle East. Plane crashes. Alcoholism. Cults. Death. Death. Death. It must be Oscar time! And with that, it must be time to take a stab at guessing what the hive mind of that most mysterious and complex […] [Read More]
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I posted earlier my reason for doing it. There really wasn't any specific reason other than just wanting to. I chose this forum for survival I suppose?
The only way I could make this anymore real would be riveting or using stainless. What I'm doing is plenty for what I want it for. I could have used aluminum but decided that would be too weak. What I have is actually "more real" than the stuff they had for sale at the renaissance festival.
Well I think it will be pretty cool, and you should keep us updated. I'm looking forward to seeing the finished product.
Thanks I'm not discouraged. Just not enough time when ur workin 60 hours a week and have class 3 nights and then 5 hrs of Spanish on Saturday mornings.. I am surprised myself that I actually got the motivation to just do it.
I'm glad I did, keeps my mind off of things. It's fun to do while ur watching the tigers take the Yankees out of the runnings for the second year in a row
Roll eyes
Need more letters to post. Ignore this. ^---------
Just keep it up Capto. Even if all you do is make some mudflaps out of it like I did after I lost patience it's still cool as hell, pretty rewarding, and while it isn't very entertaining or exciting, it's a hobby that keeps one occupied.
Tip: typing "rolleyes" and substituting the quotations for colons with no spaces will give that smart ass face
And here's a little interesting reading for ya. http://www.history-of-armor.com/ChainMailArmor.html
There's tons more information out there on the evolution of armor of all types. I'm thinking my next project, if I decide to take one on, will be scale armor. I just hope I can make real scale armor...
Thanks for making sense out of what he said. I thought he was trying to be a smart azz (don't know if the occasional swear word is allowed or not). Just didn't see any sense in it or any sense in his comment in general. That Osama picture is starting to make more sense now.


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Originally Posted by M Stat
It was not too long ago, when I was building up a Leica system, that one could go to B&H or KEH and find literally pages and pages of listing for Leica lenses. Now there are few to choose from. Back then I picked up a pristine 35mm Summacron for around $1,600. Now the same lens in the same condition goes for around $2,400 to $2,600. I thought it was the introduction of the Leica M9 that was responsible for the higher demand and prices of Leitz lenses now. Just a theory.
Maybe. It's a rarified market. Hardcore Micro 4/3s shooters are bidding up the prices of fast manual primes in mounts with adapters to popular models, mostly for video. Film bodies are what's piling up. Good glass? Not so much.


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Now, four years later, there are many companies making waistcoats/vests for the guys. Many of the vests are one-of-a-kind. The majority of them are velvet with a satin back. They are embroidered, and then usually shipped without the crystals. Moms of boy Irish dancers are pretty handy and creative at getting the crystals on-- which are usually Swarovski element crystals. Anything seems to go as far as color. The other big trend other than the jackets and military look, is that in giving the vests a very custom-looking, form-fitted appearance and embellishing the vests, many designers have opted to do away with the front opening with buttons and instead have gone to a hidden side zipper under the arm of the vest.
Here are some links to some popular Irish dance costume makers and waistcoat designers (there are wonderful pictures of the latest waistcoats/vests that they have made on the sites):
That above link is also the premiere source for custom-made, boys, Irish dance pants.
Where my son and I once said, "Not the rhinestone buttons!", we now say, "Bring on the crystals and color." For my kiddo and me, we both really love the current trends in boys' costumes. I will say, "Stop!" though if any electric lights go on the costumes. However, until that line in the sand is reached, I love all the fabulously unique and creative costumes the boys, moms, teachers, and designers are coming up with. I can't wait to see what the trends for boy Irish dance costumes will be come 2012!
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For many people, social media has become just as essential as toilet paper when going to the bathroom.
A new study found that many Americans are so addicted to social media that they can't even go to the toilet without it.
Nielsen's "State of the Media: Social Media Report" found that a third of Americans between the ages of 18 and 24 use social media while in the bathroom.
The study also showed that 50 percent of survey responders update their statuses and check their newsfeeds while at a work.
Also On Black America Web:
The Hottest Celebrity Instagrams (3/20-3/27)
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Paget's disease of the breast: the experience of the European institute of oncology and review of the literature
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Background Paget's disease of the breast is an uncommon presentation of breast malignancy, accounting for 1–3% of all the breast tumors and presents in different histopathologic patterns: in association with an underlying invasive or non invasive carcinoma, or without any underlying neoplasia. In the literature, different methods are used for the treatment. Mastectomy with or without axillary dissection has been considered as the standard treatment procedure for many years. Several studies have already shown that breast conservation with radiation therapy is an oncologically safe option. Regarding the axillary approach, several studies have documented the presence of positive sentinel lymph node even in Paget's disease alone. The objective of this study was to retrospectively analyze outcome of patients affected by Paget's breast disease and to define our institutional experience. Patients and methods Between May 1996 and February 2003, 114 patients with confirmed Paget's disease of the breast were retrieved and underwent surgery at the European Institute of Oncology of Milan, Italy. The median age of the patients was 54 years at the time of the diagnosis. In our study, the histopathological examination of the operated specimen revealed one hundred seven patients with Paget's disease associated with an underlying invasive or non invasive carcinoma, and seven patients without underlying carcinoma. Patients underwent either conservative breast surgery or mastectomy, with or without sentinel lymph node biopsy and/or axillary surgery. Each patient was evaluated after surgery at a multidisciplinary meeting to selecting systemic therapy. Results Seven patients had "pure" Paget's disease of the breast and one hundred seven had the disease associated with an underlying carcinoma. As surgical techniques 71 mastectomies and 43 breast conserving surgeries have been performed. Complete axillary dissection was done in patients with clinically positive lymph node and/or sentinel lymph node biopsy positive. Sentinel lymph node biopsy was performed in nineteen patients with invasive component and five were positive and underwent axillary dissection. Eleven sentinel lymph node biopsies were done in patients with non invasive component and none of them was positive. Adjuvant systemic therapies were based on the final tumor, node and metastasis stage: thirty patients received adjuvant chemotherapy alone, fourteen received endocrine treatment alone, twenty-six patients were evaluated to receive both chemo and endocrine therapy. The median duration of follow up was 73 months and was updated in the last 6 months. Five patients developed local recurrence, one had regional recurrence, another two had loco-regional recurrences and fourteen had distant metastasis as a first event. Malignancy-related deaths were censored in the statistical analyses cancer for and due to another tumor in eleven patients. Additionally, deaths were not related to malignancy totally in thirteen patients. Conclusions Screening examination and imaging techniques are fundamental. Breast conserving surgery combined with breast irradiation for patients with invasive and non invasive breast carcinoma has become the treatment of first choice. All surgical conservative approaches should include the complete nipple–areolar complex and margins of resected specimen free of tumor. Thanks to the evolution of the conservative approach, good cosmetic result can be obtained. To be informed about the axillary lymph node status and to avoid the patient to have a second surgical approach, sentinel lymph node biopsy should be performed.
- Velpeau, A (1856) On disease of the mammary areola preceding cancer of the mammary region (trans: Mitchell H). Sydenham Society, London
- Paget, J (1874) On disease of the mammary areola preceding carcinoma of the mammary gland. St Bartholomews Hosp Rep 10: pp. 87-89
- Ashikari, R, Park, K, Huvos, AG, Urban, JA (1970) Paget's disease of the breast. Cancer 26: pp. 680-685 CrossRef
- Chaudary, MA, Millis, RR, Lane, EB, Miller, NA (1986) Paget's disease of the nipple: a ten-year review including clinical, pathological, and immunohistochemical findings. Breast Cancer Res Treat 8: pp. 139-146 CrossRef
- Dixon, AR, Galea, MH, Ellis, IO, Elston, CW, Blamey, RW (1991) Paget's disease of the nipple. Br J Surg 78: pp. 722-723 CrossRef
- Kothari, AS, Beechey-Newman, N, Hamed, H, Fentiman, IS, D'Arrigo, C, Hanby, AM (2002) Paget disease of the nipple: a multifocal manifestation of higher-risk disease. Cancer 95: pp. 1-7 CrossRef
- Fu, W, Mittel, VK, Young, SC (2001) Paget disease of the breast: analysis of 41 patients. Am J Clin Oncol 24: pp. 397-400 CrossRef
- Bijker, N, Rutgers, EJ, Duchateau, L, Peterse, JL, Julien, JP, Cataliotti, L (2001) Breast-conservating therapy for Paget's disease of the nipple. Cancer 91: pp. 472-477 CrossRef
- Muir, R (1935) Pathogenesis of Paget's disease of the nipple and associated lesions. BR J Surg 22: pp. 728-737 CrossRef
- Inglis, K (1946) Paget's disease of the nipple, with special reference to changes in the ducts. Am J Pathol 22: pp. 1-33
- Yim, JH, Wick, MR, Philpott, GW, Norton, JA, Doherty, GM (1997) Underlying pathology in mammary Paget's disease. Ann Surg Oncol 4: pp. 287-292 CrossRef
- Lagios, MD, Westdahl, PR, Rose, MR, Concannon, S (1984) Paget's disease of the nipple. Alternative management in cases without or with minimal extent of underlying breast carcinoma. Cancer 54: pp. 545-551 CrossRef
- Kollmorgen, DR, Varanasi, JS, Edge, SB, Carson, WE (1998) Paget's disease of the breast: a 33–year experience. J Am Coll Surg 187: pp. 171-177 CrossRef
- Paone, JF, Baker, RR (1981) Pathogenesis and treatment of Paget's disease of the breast. Cancer 48: pp. 825-829 CrossRef
- Freud, H, Maydovnik, M, Laufer, N, Durst, A (1977) Paget's disease of the breast. J Surg Oncol 9: pp. 93-98 CrossRef
- Kawase, K, Dimaio, DJ, Tucker, SL, Buchholz, TA, Ross, MI, Feig, BW (2005) Paget's disease of the breast: there is a role for breast-conserving therapy. Ann Surg Oncol 1: pp. 21-27
- Chen, C, Sun, L, Anderson, B (2006) Paget disease of the breast: changing patterns of incidence, clinical presentation, and treatment in the U.S. Cancer 107: pp. 1448-1458 CrossRef
- Pierce, LJ, Haffty, BG, Solin, LJ, McCormick, B, Vicini, FA, Wazer, DE (1997) The conservative management of Paget's disease of the breast with radiotherapy. Cancer 80: pp. 1065-1072 CrossRef
- Joseph, KA, Ditkoff, BA, Estabrook, A (2007) Therapeutic options for Paget's disease: a single institution long-term follow-up study. Breast J 13: pp. 110-111 CrossRef
- Sukumvanich, P, Bentrem, DJ, Cody, HS (2007) The role of sentinel lymph node biopsy in Paget's disease of the Breast. Ann Surg Oncol 14: pp. 1020-1023 CrossRef
- Laronga, C, Nasson, D, Hoover, S (2006) Paget's disease in the era of sentinel lymph node biopsy. Am J Surg 192: pp. 481-483 CrossRef
- Osther, PJ, Balslev, E, Blichert-Toft, M (1990) Paget's disease of the nipple. Acta Chir Scand 156: pp. 343-352
- Jamali, FR, Ricci, A, Deckers, PJ (1970) Paget's disease of the breast. Am J Surg 76: pp. 365-381
- Zakaria, S, Pantvaidya, G, Gosh, K, Degnim, AC (2007) Paget's disease of the breast: accuracy of preoperative assessment. Breast Cancer Res Treat 102: pp. 137-142 CrossRef
- Friedman, EP, Hall-Craggs, MA, Mumtaz, H, Schneidau, A (1997) Breast MR and the appearance of the normal and abnormal nipple. Clin Radiol 52: pp. 854-861 CrossRef
- Soderstrom, CE, Harms, SE, Copit, DS (1996) 3D RODEO breast MRI of lesions containing ductal carcinoma in situ. Radiology 201: pp. 427-432
- Haerslev, T, Krag, JG (1992) Expression of citokeratin and erbB-2 oncoprotein in Paget's disease of the nipple. An immunohistochemical study. APMIS 100: pp. 1041-1047 CrossRef
- Wolber, RA, Dupuis, BA, Wick, MR (1991) Expression of c-erb-B2 oncoprotein in mammary and extrammamary Paget's disease. Am J Clin Pathol 96: pp. 243-247
- Lammie GA, , Barnes, DM, Millis, RR, Gullick, WJ (1989) An immunohistochemical study of the presence of c-erbB-2 protein in Paget's disease of the nipple. Histopathology 15: pp. 505-514 CrossRef
- Winstanley, J, Cooke, T, Murray, GD, Platt-Higgins, A, George, WD, Holt, S (1991) The long term significance of c-erB-2 in primary breast cancer. Br J Cancer 63: pp. 447-450
- McCann, AH, Dervan, PA, O'Regan, M, Codd, MB, Gullick, WJ, Tobin, BM (1991) Prognostic significance of c-erbB-2 and oestrogen receptor status in human breast cancer. Cancer Res 51: pp. 3296-3303
- Lovekin, C, Ellis, IO, Locker, A, Robertson, JF, Bell, J, Nicholson, R (1991) c-erbB-2 oncoprotein expression in primary and advanced breast cancer. Br J Cancer 63: pp. 439-443
- Polgar, C, Orosz, Z, Kovacs, T, Fodor, J (2002) Breast-conserving therapy for Paget disease of the nipple: a prospective European Organization for Research and Treatment of Cancer Study of 61 patients. Cancer 94: pp. 1904-1905 CrossRef
- Stockdale, AD, Brierley, JD, White, WF, Folkes, A, Rostom, AY (1989) Radiotherapy for Paget's disease of the nipple: a conservative alternative. Lancet 2: pp. 664-666 CrossRef
- Marshall, JK, Griffith, KA, Haffty, BG, Solin, LJ, Vicini, FA, McCormick, B (2003) Conservative management of Paget disease of the breast with radiotherapy: 10- and 15-year outcomes. Cancer 97: pp. 2142-2149 CrossRef
- Fisher, B, Anderson, S, Bryant, J (2002) Twenty-year follow-up randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation ort he treatment of invasive breast cancer. N Engl J Med 347: pp. 1233-1241 CrossRef
- Shivers, S, Cox, C, Leight, G (2002) Final results of the Department of Defense multicenter breast lymphatic mapping trial. Ann Surg Oncol 9: pp. 248-255 CrossRef
- Lucci A, , Kelemen Miller, PR C (2001) National practice patterns of sentinel lymph node dissection for breast carcinoma. J Am Coll Surg 192: pp. 453-458 CrossRef
- Veronesi, U, Paganelli, G, Viale, G (2003) A randomized comparison of sentinel-node biopsy with routine axillary dissection in breast cancer. N Engl J Med 349: pp. 546-553 CrossRef
- Title
- Paget's disease of the breast: the experience of the European institute of oncology and review of the literature
- Journal
Breast Cancer Research and Treatment
Volume 112, Issue 3 , pp 513-521
- Cover Date
- 2008-12-01
- 10.1007/s10549-007-9880-5
- Print ISSN
- 0167-6806
- Online ISSN
- 1573-7217
- Publisher
- Springer US
- Additional Links
- Topics
- Keywords
- Paget's disease of the breast
- Breast surgery
- Sentinel lymph node biopsy
- Industry Sectors
- Authors
- Mujgan Caliskan (1)
- Giovanna Gatti (1)
- Irina Sosnovskikh (1)
- Nicole Rotmensz (2)
- Edoardo Botteri (2)
- Simona Musmeci (1)
- Gabriela Rosali dos Santos (1)
- Giuseppe Viale (3) (4)
- Alberto Luini (1) (4)
- Author Affiliations
- 1. Division of Breast Surgery, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy
- 2. Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy
- 3. Division of Pathology, European Institute of Oncology, Milan, Italy
- 4. University of Milan School of Medicine, Milan, Italy


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Happy Birthday OA
phonegirlNovember 13, 2011
Happy Birthday OA. When I read Karen's post, I remembered Luvs sending birthday wishes to you last year and it seemed like it was this time of year. I had to look forever to find that post but alas I found it and what perfect timing.
Hope you will stop by and let us know how your day is. We miss you and need another update.ha I tried to send you a card but Photobucket encountered an error and shut down.Sorry
Hope you have a fun day. Punk
Happy Birthday, OA ...hope your weather is still letting you enjoy your outdoor theatre w/your family & friends! Have a GREAT Day...but beware of the sun...look what can happen! ;-) Jeanne S.


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If you ask me why I shop at MJM, it is not because they have the lowest prices (but the do), it is not because they offer free shipping (but they do...Read More ->
Thank you, Jeff, for your quick response to my question. I was a first-time customer and needed assistance before I made my purchase. You made it...Read More ->


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Christmas Amaryllis never bloomed. What did I do wrong?
I bought a Red Lion amaryllis bulb last year before Christmas from Lowe's. It came as a kit with pot/soil/bulb. I planted it as the instructions said and all it did was grow leaves. Long leaves. I left it to grow and when the leaves finally started turning yellow I cut back on watering. When the leaves finally died I quit watering all together and put it in the coolest, darkest place I could find. I checked it a few weeks ago and it was starting to grow some leaves. I went ahead and took it out and potted it. It now lives on the front porch that gets sun all day. The longest leaf is probably 4 inches long. The rest get shorter. It has 3-4 leaves. It does look like one side of the bulb is bigger than the other, but it has looked like this ever since I potted it the second time.
What am I doing wrong?
I haven't ever fertilized the buld. Could this be the problem?
You never fertilized it??? These are heavy feeders and need full sun as well. Feed every other watering with half strength Miracle grow or an equivilent. Usually if a plant doesn't bloom it's due to not enough food and/or light. Also, sometimes they will go a year without blooming, you can imagine the energy it takes to make those amazing flowers! Start feeding it!
Bulbs of the common big blooming cultivars contain at least one preformed bud and do principally NOT need any fertilizing up to the time point when the flower scape has reached full size and the blooms open.
This is the reason for the ubiquitary amaryllogene advice - discovered on almost every plastic label accompanied with potted knight star lilies which tells
"fertilizer usually not necessary"
This is fully correct in the case that the plant will be delivered to the waste bucket afterwards - which is very common and btw fully intended by the bulb traders *lol*
However, regular fertilization is absolutely necessary in order to re-establish the bulb which is so exhausted after having generated such a huge plant mass in scapes and leaves.
The importance of a carefull husbandry for the plant at the windowsill to make it REbloom is generally underestimated (my opinion) With certainty it is not sufficient that the plant be keeping its leaves but for some weeks after it has bloomed - and then these leaves, while regarded as undecorative, often underdeveloped or even collapsed due to irregeular watering are cut away...
The leaves should instead remain living for a timespan in the magnitude of 1/2 year and more, during which even fresh new leaves will be produced. BTW this will fill up the leaf bush and considerably enhance the performance of your knight star lily!
This aim can only be achieved by regular waterings and fertilizing and nursing the plant at a windowsill which is not TOOO dark... It is wise to support the leaves, which usually tend to become very long indoors to protect them from collapsing and becoming useless for the plant. Use adhesive films for that purpose.
Now, back to the start question:
There are several reason why blooms remained absent in the first season, Casey.
The bulb might have been stored far too long prior to forcement, and the buds have already shriveled up meanwhile, or the scape was damaged by bulb scale mites, which are seemingly an inevitable adjunct to every hippeastrum bulb (my personal experience). OR, and this happens very often, you watered to amply at the very beginning of the forcement. The compost should be watered vwery sparingly at this stage.
Yes that happened to me as well. Last christmas I bought an appleblossom and a red lion. The apple blossom performed great, and it got me hooked. The red lion just grew leaves, and more leaves and nothing else. However, due to the performance of the apple blossom I did not give up on the red lion. So this spring I placed both of them out on my front porch (or patio, it's uncovered but raised so I don't know what you'd call that). And man, their leaves are huge, like 2-3 ft.!! They actually look interesting without the flowers. But arrghh! Oklahoma is sooo windy! One day I got back form work and I saw the appleblossom on the ground and it's pot broken and I freaked out. It doesn't seem that it faced it though, it's broke some of the leaves, but it's doing okay and putting out more (this is like the second time it happened to that one).
A few days ago I also saw the red lion blown over, and it's leaves got bent. It's sending out a few new leaves again. So, I'm still biding my time and holding hope that it will eventually bloom, but I'm just letting it do it's thing.
One thing I learnt though was to not plant the bulbs in the plastic pots they come in, those leaves are basically windsails and they will just keep blowing over. I'm using clay pots now. I'll repot the red lion after it goes dormant and ready to come out again.
I received a "bulb in a box" kit for christmas once as well. It grew leaves but didn't bloom either. The growing instructions weren't that bad, but, I couldn't provide good conditions: daily highs of 55-65F and a ceiling light fixed with a 23W CF. It promptly went back into hybernation and started leaves again a few months later, but, still no blooms. This was my bedroom and the best conditions in the house. However, after reading around online I realized that the pot and substrate that came with it probably weren't very good for it. The pot, for one, had no drainage holes and the substrate, for second, held so much moisture next to the bulb that when I repotted it I couldn't touch any part of bulb that was below the soil line without flesh sliding right off, yuck )-: Now its in a larger clay pot with a good sterilized potting soil cut with pumice that has a bulb fertilizer mix I added as per instructions (4-6-4 and active soil microbes). So now I'm just giving it a nice long veg. state in the hopes that when I next cycle it I'll get some good blooms and maybe a sturdy bulbet for a friend who gave me some prolific hoya cuttings. A few more details; the bulb was labled as white giant, and the re-pot supplies were around $12.


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Staff Reporter
Thiruvananthapuram: An 18-year-old youth was killed and 11 others injured when a Sports Utility Vehicle (SUV) collided head-on with a KSRTC superfast bus at Korani junction on NH 47 in Attingal police station limits on Monday.
The deceased has been identified as Linsay Jose, son of Jose and resident of Kayikkara Puredom, Pallithottam, Kollam. Renid, Akhil and Senthil, who were travelling with Jose, were also injured in the accident.
Six persons who were travelling in the KSRTC bus and two persons Thomas and Pankajakshan who were standing at the bus stop at Korani junction were also injured. The injured were rushed to the Medical College Hospital (MCH).
The accident took place around 1.30 p.m., the police said. The SUV, which belongs to a rent-a-car firm in Kollam, was proceeding from Thiruvananthapuram to Kollam. The KSRTC bus was coming from Attingal to Thiruvananthapuram.
Of the injured, three were admitted and the rest were under observation in the casualty wing of the MCH. The body of Jose was later shifted to the MCH mortuary.


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Below you can view all the homes for sale in the Ironwood Village subdivision located in Casa Grande Arizona. Listings in Ironwood Village are updated daily from data we receive from the Phoenix multiple listing service.
To learn more about any of these homes or to receive custom notifications when a new property is listed for sale in Ironwood Village, give us a call at (480) 659-4488.
Viewing Homes 1 to 8
of 8
Ironwood Village | House For Sale
1587 E Earl Drive, Casa Grande, Arizona 85122
Reduced By $7,700
Full Bath(s)
Sq. Ft.
Year Built
This lovely home is a breath of fresh air the gated community of Ironwood Village. New tile floor and new paint throughout brighten this 2 bedroom home in Ironwood Village. Upgrades include 42''Oak Kitchen cabinets & slide outs, Corian counter-tops, premium lot and bay windows. The gas fireplace is a great addition. All appliances are included and all furnishings will be included with full price offer, otherwise miscellaneous items may be negotiated. Community features include heated pool & spa, BBQ area, exercise facility, card & billiard rooms & library. There are plenty of clubs and activities to join in on as well. Ironwood Village is a great choice for an age restricted 55+ gated community in Casa Grande.
Ironwood Village | House For Sale
1550 E Manor Drive, Casa Grande, Arizona 85122
Absolutely beautiful Plan One in 55+ Ironwood Village. This Energy Star home with a split floor plan is open & inviting with 4'' plantation shutters, gorgeous maple flooring in the great room, entry & dining area. 9' ceilings, custom paint, rubbed oiled bronze faucets, ceiling fans & upgraded light fixtures. A galley kitchen with Corian counters, maple cabinets & breakfast bar is perfect for entertaining. Artfully arranged sitting area could be a dining area & opens to the outdoor living space. The split master suite has a bay window with engineered marble counter, shower surround & walk-in closet. An extended patio with privacy walls wraps the back of the home. A solar array has a fully paid 20 year lease with 18 years remaining on the lease. R-38 in attic, LowE windows & sun screens.
Ironwood Village | House For Sale
1589 E Brenda Drive, Casa Grande, Arizona 85122
Reduced By $8,995
Premium Location! 2 Bedroom, 2 Bath with a Den! Great location right across from the community rec center & pool, other features include, great room floor plan, vaulted ceilings, built-in entertainment center, large laundry room with storage, master suite with huge walk-in closet, dual bathroom sinks, ceiling fans, extended back patio with block wall for privacy! All this located in the Ironwood Village 55+ gated community. This is a must see.
Ironwood Village | House For Sale
1541 E Laurel Drive, Casa Grande, Arizona 85122
Reduced By $17,400
HUGE PRICE REDUCTTION! Beautiful Move-in-Ready 3 Bedroom 2 Bath 2 car garage hone. The 3rd bedroom was used as a den but does have a closet. A New AC Unit and Water Heater were installed last year. New Carpet in Bedrooms and hall was just installed as well. A large centrally located Kitchen Has all matching black appliances and a New sink along with glass racks and a huge Pantry. You also have beautiful tile flooring throughout other than the bedrooms. There is A Soft Water unit and filtered water to add to your comfort and well being as well. Outside you can sit on your Slate Patio which is covered and has a beautiful view of the greenbelt and walking paths.Don't forget to ck out the Country Club and all it's amenities just down the street. Priced for quick sell.
Ironwood Village | House For Sale
1466 N Desert Willow Street, Casa Grande, Arizona 85122
Beautiful, quiet & highly efficient! This Plan 5 has a complete solar array & attic fan for an $8-$10 electric bill each month! Lovely open floor plan with custom neutral paint, leaded glass windows, vaulted ceilings, ceiling fans, 2'' blinds and vinyl inlay flooring in all the wet areas over tile. The kitchen is a cook's delight with a bay window, Corian counters, cherry cabinets with 42'' raised panels & pull-out shelves, all appliances & a breakfast bar. Inside laundry has Maytag front loading washer & dryer, cabinets & pantry. Master suite has double sinks, grab bars in the shower & walk-in closet. The den/office can be a sitting room for the 2nd bedroom which can be a 2nd master. Whole house water filtering system, additional attic insulation & garage door. Extended patio & pony wall.
Ironwood Village | House For Sale
1526 E Laurel Drive, Casa Grande, Arizona 85122
Reduced By $10,000
Simplify your life in this 55+ gated community. This home features 16'' porcelain tile in all areas except bedrooms, wood shutters throughout & view of the greenbelt. The living area open to the kitchen & dining area, offers a corner gas fireplace, vaulted ceilings, pot shelf lighting & ceiling fan. Beautiful open kitchen with granite counters, under cabinet lighting, breakfast bar, black appliances & dining area with bay window. The master bedroom & 2nd bedroom both have walk-in closets giving plenty of storage space. The master bedroom has bay window and bathroom with dual sinks, lifted toilet and shower with seat & grab bars. Enjoy resort style clubhouse featuring heated pool & spa, full kitchen, billiard room, card room, boche ball & more. Don't miss out on this one, call to see today.
Ironwood Village | House For Sale
1484 N Desert Willow Street, Casa Grande, Arizona 85122
Reduced By $5,000
Picture perfect & upgrades galore! This 2 bedroom home has an open concept, a split master, den/office & secluded 2nd bedroom. Soothing neutral colors, 9' ceilings, 18'' tile laid diagonally, 4'' plantation shutters, granite counters, glass tile backsplashes, 42'' maple cabinet uppers with lower cabinet pull-outs, Whirlpool appliances, microwave/convection oven, under-cabinet lights, 3 bay windows, mirrored closet doors in MBR, ceiling fans, etched glass French doors into the den/office, security screen doors, sun screens, water softener, insulated garage & garage door, attic pull-down access, utility sink, epoxy garage floor, stone facade on front exterior, pony wall around the extended, private patio, doggie run & 5 solar panels for incredibly reduced utility bills. Amazing!
Ironwood Village | House For Sale
1589 E Manor Drive, Casa Grande, Arizona 85122
Absolutely gorgeous!Custom features throughout this fresh, open concept floor plan! Dramatic vaulted ceilings, 2'' plantation shutters & custom white cabinets with glass insets! A cook's delight kitchen with breakfast bar. All appliances are included. Lovely ceramic tile plus upgraded carpeting in the bedrooms. Bay windows in the living, dining rooms & both bedrooms. An archway leads to the den/office/library with built-in cabinets & shelves. The split master is luxurious with a walk-in closet, double sink vanity, private water closet & large shower. The 2nd bedroom is tucked around the den for privacy. The inside laundry room has been converted to a small studio with washer & dryer housed in the garage (easily restored). A southern covered patio has a privacy wall backing to a greenbelt.
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Thousands of "undeliverable" checks from IRS waiting for Minnesotans, North Dakotans
The IRS is holding onto thousands of economic stimulus checks and tax rebates for Minnesotans and North Dakotans that have been deemed "undeliverable" by the postal service.
IRS Spokeswoman Carrie Resch told WDAY Radio News that in Minnesota there are 4,000 checks totaling $2.5 million.
In North Dakota, there are 600 checks totaling more than $350,000.
Resch said you can go to the IRS web site to find out if you're on the list of those that have money coming to you.
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Wonderland Creek - eBook
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Product Description
Fleeing small-town gossip, Alice heads to the mountains of eastern Kentucky to deliver five boxes of donated books to a library in the tiny coal-mining village of Acorn. Dropped off by her relatives, Alice volunteers to stay for two weeks to help the librarian, Leslie McDougal.
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|Format: DRM Protected ePub
Vendor: Bethany House
Publication Date: 2011
Availability: In Stock
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Alice Grace Ripley lives in a dream world, her nose stuck in a book. But happily-ever-after life she's planned on suddenly falls apart when her boyfriend, Gordon, breaks up with her, accusing her of living in a world of fiction instead of the real world. Then to top it off, Alice loses her beloved job at the library because of cutbacks due to the Great Depression.
Fleeing small-town gossip, Alice heads to the mountains of eastern Kentucky to deliver five boxes of donated books to the library in the tiny coal-mining village of Acorn. Dropped off by her relatives, Alice volunteers to stay for two weeks to help the librarian, Leslie McDougal.
But the librarian turns out to be far different than she anticipated--not to mention the four lady librarians who travel to the remote homes to deliver the much-desired books. While Alice is trapped in Acorn against her will, she soon finds that real-life adventure and mystery--and especially romance--are far better than her humble dreams could have imagined.
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