text:
Learn how to organize, enhance, and share photos with Lightroom 6 and Lightroom CC.
Learn to combine the power of Adobe Lightroom and Photoshop Elements, and take advantage of one-click image enhancement as well as advanced retouching and editing features.
Learn how to organize, edit, and share your photos with Photoshop Elements 13.
Learn how to make cityscapes look their best with this collection of Lightroom and Photoshop enhancement techniques.
Learn to retouch and enhance a portrait of a young woman using subtle image adjustments in Photoshop Lightroom.
Get familiar with the photo organizing, editing, and sharing features of Adobe Photoshop Elements 12, the less expensive version of Photoshop that is ideal for casual photographers who want to achieve professional results.
Learn how to use Lightroom to convert a photo from a wedding or any other event into a black-and-white image worthy of framing.
Get a friendly, approachable introduction to Photoshop Elements' organizing, editing, and sharing features.
Explore Lightroom 5's features for emailing photos and sharing them on social media networks like Facebook and Flickr.
Create and apply presets to save time and automate repetitive tasks at key points in your Lightroom workflow.
An approachable introduction to organizing, enhancing, and sharing photos in Lightroom.
Learn how to enhance the natural beauty of a landscape photo with Adobe Photoshop Lightroom in this short start-to-finish project.
Learn how to develop a travel photo into a wonderful memory of your trip in this short start-to-finish Photoshop tutorial.
Learn how to create slideshows, photo books and calendars, collages, and more with the tools in Photoshop Elements 11.
Learn the best techniques for sharing and printing photos using Photoshop Elements 11.
Learn how to import and organize photos using the Organizer in Photoshop Elements 11.
Go beyond the automatic editing features in Photoshop Elements and find out how to make sophisticated edits using the Expert Edit mode and Camera Raw.
Find out how to get Lightroom and Photoshop to communicate seamlessly and take advantage of each program's capabilities.
Get a friendly, approachable introduction to the organizing, editing, and sharing features in Photoshop Elements 11.
An introduction to the Lightroom capabilities for organizing, enhancing, and sharing photos.
Introduces the photo organizing, editing, and sharing features of Photoshop Elements 10, the less expensive version of Photoshop that's perfect for casual photographers who want to achieve professional-looking results.
Shows how to create, publish, and sell photo books using the Blurb self-publishing service.
Introduces the photo organizing, editing, and sharing features of Photoshop Elements 10.
Provides an approachable introduction to organizing, enhancing, and sharing photos in Lightroom.
Manage and edit photos, create projects, and share photos with Photoshop Elements 9.
Offers a comprehensive tour of selections, the key to performing creative imaging tasks in Photoshop CS5.
Shows how to use Photoshop CS5 for optimal web graphics workflow.
Introduces new features and productivity enhancements in Adobe Photoshop CS5.
Demonstrates how to take photographs to the next creative level using image compositing techniques in Photoshop.
Shows how this program can help organize, edit, and share photos, as well as build projects.
Shows how this program can help organize, edit, and share photos, as well as build projects.
Covers everything about using layer masks to enhance photographs and create professional-looking image composites.
A walk-through of the many manual and automatic selection methods in Photoshop and pointers on choosing the most effective selection methods for an image.
Offers a detailed look at the techniques photographers and designers use to master image adjustments.
Explores the features and techniques that allow designers and photographers to work intelligently with layers.
How to optimize graphics and photographs so they download quickly in a web browser.
Teaches a broad spectrum of core skills that are common to many creative fields.
Learn every stage of digital photo processing, from getting organized to sharing projects with family and friends.
"I learn most effectively through seeing and doing and lynda.com lets me do that. The movies are very well done." —Mike I.
more from our members »


text:
To find a doctor, call 800-667-5356 or click below:
Find a Doctor
Request an Appointment
En Español (Spanish Version)
Definition | Reasons for Procedure | Possible Complications | What to Expect | Call Your Doctor
A knee osteotomy is the removal of a wedge of bone from the tibia to reshape and realign the leg. The tibia is the shinbone. Recovery time will depend on certain factors, such as your overall health.
Copyright © Nucleus Medical Media, Inc.
This procedure aligns the knee joint so the healthy part of the knee surface is able to do more weight-bearing. This takes pressure off the damaged part. Damage is often due to osteoarthritis . This surgery may be done instead of a total knee replacement . It may also be done to correct poor knee alignment for other reasons.
While osteotomy does not cure conditions like osteoarthritis, the surgery may:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your risk of complications may be increased if you have a history of blood clots.
Prior to the surgery, tests will be ordered to confirm the diagnosis and decide how much bone to remove.
Tests may include:
Before surgery, you will need to:
Talk to your doctor about any medications, herbs, or supplements you are taking. You may be asked to stop taking some medications up to 1 week before the procedure.
Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.
Anesthesia will keep you pain-free and comfortable during the procedure. Anesthesia methods include:
There are many methods that can be used to perform an osteotomy. In one method, imaging technology is used to measure the piece of bone that will be removed. A cut is made in the skin from the knee cap to the top of the shinbone. Several thin wires are placed in the knee to serve as guides, showing where the bone should be cut. An oscillating saw is used to remove the bone wedge. The remaining parts of the bone will be held together with staples, screws, or a plate and screws. The tissue will be stitched together and the area will be closed.
1-3 hours
Anesthesia will block pain during the procedure. You will have pain after the procedure. Ask your doctor about medication to help manage pain.
You may need to stay in the hospital for 2-3 days. If you have any problems, you may need to stay longer.
Right after the procedure, you will be taken to recovery and monitored closely. The staff may:
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
To help ensure a smooth recovery at home, take these steps:
You will need to return to the doctor to have your cast removed or to have x-rays taken. Full recovery can take 6 months.
Call your doctor if any of the following occurs:
If you think you have an emergency, call for emergency medical services right away.

subset: commoncrawl


text:
Welcome, Guest [Sign in / Register]
Ok so i went to Megaton an bought Jericho for 1000 caps. Then i walked around the wasteland for a while and Jericho suddenly disappeared. Anyone have any suguestions for where he might have went cause he isnt in Megaton
Breaking News: loading...
Learning Through Level Design with Mario
An Oral History of Japanese Games
Five Things We Won't See in the Final Fantasy VII Remake
1UP's Science Week
Mega Man: A Community With Blues
The Diablo III Survival Guide
© 2010 | Advertise | Terms and Conditions | Privacy Policy | Site Usage | Site Map | Browse Games: # A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


text:
Garapan commented on brewed bokeh
Congratulations! Shadowness is proud to feature your work in today's Daily Inspiration- http://shadowness.com/dailyinspiration/forum/daily-inspiration-202 as an example of high quality and craftsmanship, and we thank you for your continued efforts for superior art.. This work is an inspiration to the Community and we are grateful for your contribution. Thanks!
Sep 24th, 2011


text:
The Hillsong Blog
Stories, thoughts and articles about what Jesus is doing in our world and how we outwork that through our local churches.
Join Collected For You
A selection of hand picked articles straight to your inbox every month.
Whoa... Looks like your email is invalid.<br/> Let's try this again...
We'll be in touch soon!


text:
News - The Record (KY)
By agreement with the Library of Congress and several states organizations, and funded by the National Endowment for the Humanities (NEH), Fold3 brings the National Digital Newspaper Program to its subscribers.…More
Current Record Count 398
100% complete
Watch! Receive email when more records or Member Discoveries are added.
WatchRecent discoveries in News - The Record (KY)
Pete Kelley was the last to be found. He was my great grandfather.
mykygen198 commented on this image. (09 Sep 2011)
See all of mykygen198's Comments -
Spotlight added: Browder mine explosion
Added by: mykygen198 (14 Jul 2011)
See all of mykygen198's Spotlights -
Fold3 Free Trial
Access Everything. Start Now!
Source Information
The record. : (Greenville, Ky.) 1899-1???. Original data from: Fold3
Find something interesting in the News - The Record (KY)? Write a Memorial Page about it—it's Free
Popular Titles
Missing Air Crew Reports, WWII Free
Vietnam Veterans Memorial Free
Revolutionary War Pensions
Revolutionary War Service Records
WWII US Air Force Photos Free
War of 1812 Pension Files Free Updated
WWII "Old Man's Draft" Registration Cards Free
Civil War "Widows' Pensions" Updated
Civil War and Later Veterans Pension Index
Brady Civil War Photos Free
What people are saying
— LifehackerGreat resource for history buffs, students and researchers who need primary sources.


text:
Miller, Cards looking to rebound in playoff chase
Buchanan, Phillies eyeing first back-to-back series wins since April
The Cardinals lost a game off their lead over the Giants for the National League's top Wildcard spot on Friday night, and they'll need Shelby Miller to right the ship on Saturday night to maintain their postseason standing.
It's been a challenging season for Miller, as the third and fourth innings have been tough on the young right-hander, who owns 4.94 and 7.43 ERAs in each frame, respectively. His last turn was indicative of those troubles as the Padres tagged him for four two-out runs in a 38-pitch third on Aug. 16.
"It's kind of the game-changer at that point," Miller said of the third, the only one of his six innings in which he allowed any hits. "That's where the momentum changed. They got it right back when we had it all. It should have not happened."
Miller needed only 36 pitches to finish his outing with three scoreless frames, something Cardinals manager Mike Matheny hopes the right-hander's strong finish of a week ago will carry into Saturday's showdown against the Phillies at Citizens Bank Park.
"To his credit, that was one of the best we've seen him gather himself and come back up there for the next two because we needed it," Matheny said. "At that point, we're still in the game, but obviously there is already a lot of damage done."
Miller will oppose David Buchanan, who has developed into a solid member of the Phillies' rotation this season. With postseason play out of sight and an eye on cracking Philly's rotation out of Spring Training next season, Buchanan has impressed by notching five consecutive quality starts and not allowing more than three earned runs in a start since June 8.
Buchanan has recorded a 3.46 in nine starts since then, a run that includes allowing only two earned runs in 6 2/3 innings against the Giants in his most recent start. Despite his solid turn, Buchanan was disappointed he did not get out of the seventh.
"My job is to go as deep as I can," Buchanan said. "I tried to keep us in the game. But I'm getting really tired of not finishing innings. I don't know what it is. I don't know if I'm pressing or what. I have to figure something to get out of those innings and leave the bullpen alone for the seventh. Save them for the eighth and ninth. I tried to keep us in the game. I did the best I could. We didn't come out with a win, but I'll take it again in five days and see what happens."
Cardinals: Red-hot Jay
Jon Jay's 12-game hitting streak ended on Friday night as he finished 0-for-3 against the Phillies. He batted .514 (18-for-35) during the streak. His .313 batting average entering Friday was his highest since he was at .320 on April 24. He ranks among the Major League leaders with a .420 (21-for-50) clip in August.
Phillies: Series-ly bad luck
After taking two of three from Seattle this week, Philadelphia hopes to take this weekend's set from St. Louis to earn back-to-back series victories for the first time since going 5-2 against the Dodgers and the D-backs from April 21-27.
The Phillies have gone 10-20-3 in series since winning consecutive sets in late April, and Friday night's victory provides some optimism that the run of series losses may end.
Worth noting
• St. Louis leads the National League and ranks second in the Majors with 205 two-out RBIs.
• Should first baseman Ryan Howard, second baseman Chase Utley and shortstop Jimmy Rollins all start for the Phillies on Saturday, it will mark the 900th time they have shared the same starting lineup at their respective positions.
Joe Morgan is an associate reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


text:
Massachusetts General Hospital Cardiology Grand Rounds take place on Wednesdays from 8:00 am to 9:00 am in the O'Keeffe Auditorium of the Blake Building.
Cardiology Grand Rounds
Date: 03/11/2015 - 03/11/2015Description:
This week's Grand Rounds Speaker is Ik-Kyung Jang, MD, PhD and the topic is OCT.
Your gift of any amount will open new doors in outstanding patient care, research, clinical education and community outreach at Mass General.
Driving to Mass General? Get driving directions or locate a parking lot on the hospital's main campus.


text:
We have detected that cookies are disabled on your browser. This site's secure checkout requires that cookies are enabled. Click on one of the links below to change your cookie settings:
Enabling cookies on Firefox
Enabling cookies on Chrome
Enabling cookies on Internet Explorer
Enabling cookies on Safari
Toll Free: 1 (866) 249-6672
Home / Products / About
Click Here to create a new account now!
2 Item(s) Page: 1
Show 10 20 30 per page
Dimensions: 8.00" x 10.00"
Item: 18438B
Dimensions: 19.00" x 2.00"
Item: 18438
At Lasting Commemoratives, our vision is to be the leading supplier of personalized event recognition products. We accomplish this by providing innovative products that recognize your accomplishment and the spirit of the event.
Learn More


text:
Monday, September 10, 2007
Ken's Colon
Poor Ken Griffey, Jr. Seems like his body keeps letting him down, one thing after another. I was there at the beginning of his career in Seattle, and he was a joy to watch. Now [I began this post a few months ago] he's been having trouble with diverticulitis for the past several months. Guy his age? He's gonna need it out one of these days.
Among the design flaws of the human body (the hemorrhoidal veins and pilonidal dimples are also on the list) is the fact that the blood supply to the colon travels on the outer surface, feeding the inner lining (the mucosa) by sending little branches diving through the muscle layer to get there. Each hole-for-an-artery in the muscle represents a weak spot through which the mucosa can pooch outward, forming a pocket known as a diverticulum. In some people, it happens.
In the US, more than a third -- maybe half -- of people over fifty have at least a few diverticula. Most never know it. For some, it becomes a problem. Unusual in someone his age, Ken Griffey's diverticulitis is likely, according to the odds, to be a recurring problem. Instead of the occasional pocket here and there, I'm guessing his colon shows the typical sawtooth pattern of extensive diverticulosis. (Terminology time: having diverticula is called "diverticulosis, not in and of itself always a problem. Having an infected diverticulum is "diverticulitis. A problem.) The problems diverticula can cause are in two categories: bleeding, and infection. Because, by developmental definition, each diverticulum abuts an artery, it's easy to understand why inflammation or irritation in one can cause erosion into and bleeding from the vessel. Similarly, infection of a little pocket containing hardened stool isn't hard to figure, either. ("Inspissated" is the medical term for some substance that gets dried out and hardened, and it happens to be among my favorites of words learned in medical school. All those sweet and steamy sibilants, stippled by a percussive "p" and a tensile "t." Inspissated. Great word. And "bezoar." Already wrote about that, but feel like saying it again. Bezoar.)
Surgery for diverticular disease involves navigating numerous grey-zones, and a few of crystal clarity. Seeing someone exsanguinate is a sure signal to swing the scalpel. Bleeding from a diverticulum can be steady and severe. But even when the need to operate is obvious, the target may not be; so the extent of the operation can be in doubt, going in. Less likely nowadays, with better imaging and shorter delays in obtaining it, going to the OR with uncertainty as to which part of the colon contains the bleeder wasn't rare only a few years back. And the nature of diverticular bleeding is that it can stop and start randomly. The stopping, perversely, seems to like to happen just as the patient enters the imaging suite. So, short of unrelenting bleeding, there's a certain degree to which deciding when and if to operate is a crap-shoot. (Pun intended? You decide.)
By far the most common site for diverticula, and for bleeding there-from, is the sigmoid colon. (This probably has to do with pressure generated in having a bowel movement, and is why constipation and diverticulosis have an association; and why high fiber intake is really good for people who have it.) There are times when you find yourself in the patient's belly with a less than clear idea of where the bleeding is coming from: a negative or equivocal imaging study; no time to have gotten one. Then what? It might depend on how localized or extensive that person's diverticula are. You might resect the sigmoid if it has the dense concentration that one often sees; maybe even send it right to the lab to see if the pathologist can identify the culprit pocket. Some people advocate dividing the colon at about its half-way point, and seeing if blood keeps flowing from the upper half. Having been impressed with how well-tolerated is the removal of most of the colon (as long as there's a decent amount of rectum -- which never has diverticula -- left), I've not been reluctant, when the chips were down, to do a sub-total colon resection.
With diverticulitis, there are lots of decisions as well. It takes a residency and then some to understand the issues and the choices. Some easy (perforation with peritonitis; fistula -- these need surgery for sure, even if the perfect one might be a matter of opinion), some not (mild attacks, repeatedly -- how many, how severe, is enough.) Timing of surgery, and what exactly to do, are decisions into which judgment and experience are at play. For example, after a severe attack which subsides, it's nice to wait several weeks for things to cool down before operating; but recurrent attacks might occur in the interim. The ideal is to be able to do a one-stage operation -- meaning take out the bad part and sew the ends together. When forced to operate in the middle of a flare-up, it may or may not be necessary to make a temporary colostomy. That's crystal ball stuff. In the really old days, it was three stages: diverting colostomy, followed by resection, followed by a final operation to put everything back together. One of the signs that even surgeons respond -- if reluctantly -- to evidence is that a three-stager almost never is done any more, and many one-stage operations are now considered safe when, not long ago, two would have been the obvious choice.
I should add this: surgery for diverticular disease is gratifying. It's rare to have further problems after having the diseased area removed, and the comparatively small section that's typically taken out leads to no side effects at all. So it's a pretty happy group of patients. It is that for which we surgeons shoot.
56 comments:
- rlbates said...
Nice post Dr Sid! I'm going to send it to my Mom who had a partial colon resection due to diverticulitis (perforation, but no colostomy--thankfully). She is doing great these days. Thanks.
- Sid Schwab said...
A reader asked me, in an email, to clarify about the precariousness of the blood supply to the colon. I'll answer here, so others can read it. As opposed to the richly endowed small bowel, the colon's blood supply is, in some areas, less generous. It's fine for normal use: it's mainly when operating that one has to take particular care. Any bowel operation necessarily interferes with circulation to the area removed; with colon, one has to take care that if a significant vessel is removed, the remaining circulation to the bowel where it's sewn back together is adequate. That's true no matter where you operate, of course; it's just that certain areas of the colon require close attention. Or else the area of connection (anastomosis) can leak, or scar down and become obstructive.
My husband has diverticulosis. Most of the time it's not an issue, but we have discovered the hard way that cashews, uncooked green peppers, and large amounts of cantaloupe are Right Out. It makes sense that the cashews would do it, but he can eat vast amounts of pecans or peanuts without trouble.
People's insides are strange. - 9/10/2007 9:00 PM
- beajerry said...
Remember Doug and Wendy Whiner?
(SNL moment) - 9/11/2007 6:52 AM
- Klari said...
It's such a cool word (bezoar) that's it's been, unsurprisingly, harrypotterised.
I just read your blog post about bezoars, i tremendously enjoyed that part: "word sequence cautery, suction (...) how gross!". - 9/11/2007 10:47 AM
- RoseAG said...
Can they tell you if you've got them when they do a colonoscopy?
- Sid Schwab said...
Rose: Yes, they can be seen on colonoscopy. Remember, they are very common, and in most people who have them, they cause little or no trouble. I told my patients who had diverticula with minimal or no symptoms to take plenty of fiber to avoid constipation; no need to do more unless there are specific symptoms. (That's what I told my patients: readers here need to hear from their own doctors, and not take my advice for this or ANYTHING!)
- prairie mary said...
So how does all this relate to Gardner's Syndrome, the tendency to have polyps that can develop into trouble? I lost a step-daughter who had the genetic proclivity. They told her children not to get a genetic analysis because if they have it, too, it might damage both their health insurance and their job prospects.
Prairie Mary - 9/12/2007 9:03 PM
- Sid Schwab said...
PM: there's no relation between Gardner's syndrome and diverticular disease. The former is a genetic trait -- a consequence of an abnormal gene -- and the latter is, as I put it, a design flaw to which everyone is potentially subject, partly preventable by having plenty of fiber in the diet and avoiding constipation.
The genetic testing thing is complicated, all right. - 9/13/2007 8:45 AM
- Tom said...
A recent barium enema showed that my diverticulosis was not confined but extended throughout the colon. How unusual is this? Does this raise any additional concerns.
I was recently hospitalized with diverticulitis that responded to antibiotics - 11/14/2007 3:19 PM
- Sid Schwab said...
It's not rare that there are diverticula throughout. It depends on how extensive. It's still most common that the problems occur in the sigmoid colon, so often if surgery is necessary, that's the part that's removed (assuming it's known that that's where the problems have been) and the rest are left alone. But surgery isn't always necessary; especially after only one episode that responds easily to antibiotics; it's not possible for me to say much more from this far away.
- Melissa said...
My husband is a 34 year old otherwise healthy and fit male who has suffered from what he calls mild diverticulitis for the about a year now. Stared out as two severe bouts of diarrhea (could be unrelated), and then an attack of diverticulitis about three months later. He calls it mild because the pain isn't all that great, and each time it happens it responds well to antibiotic treatment.
He's now had five attacks over the past 8 months. If this stuff responds well to antibiotics, is surgery advisable? I realize you can't provide a medical diagnosis over the Internet; I'm more interested in your general opinion.
He's not a big fan of having parts removed (who is), so he'd like to avoid surgery. However, we're also pragmatic, and would also like to avoid taking antibiotics once a month for the rest of his life. There must be some sort of middle ground. - 2/02/2008 7:38 AM
- Sid Schwab said...
Melissa: it's a crystal-ball sort of thing. If he's doing everything he can to avoid them (which, mainly, means having plenty of fiber in his diet) and is having attacks at that rate, the odds are they will keep happening. The potential is there for things to get significantly worse. For an otherwise healthy person the risk of surgery is very low, and the chance of side effect from losing the sigmoid colon (assuming that's what the operation would be) is really small, and the chances of being relieved permanently (assuming the diverticula are mostly limited to that area) is high. I can't diagnose or recommend. I can just say most people like him sooner or later need surgery, and are glad they did, when they get to that point. If one indeed had a crystal ball, one would like to do surgery before complications of the disease occurred, if one could see they would.
- Chucky said...
Hartman's procedure??
I have a question I hope you could give me some feedback on or tell me whether you ever heard of this happening.
I am a 43 yr. old male and thought I was healthy and fit until I began suffering increasingly chronic contipation (from 1-2x per yr. to 4-5) that seemed to be lasting longer and longer and responding less and less to OTC procducts like Ducolax. I'll try to make this as succinct as possible. Anyway, in mid july of this yr. I had a severe bout of constipation that would not respond to OTC products and I went to a after hours emergency clinic where I received x-rays that the Dr. found to reveal a partial blockage of the descending colon. She gave me some anti-spasmodics for IBS, oral Toradol, pain meds and recommended a Mg+ solution and Milk of Magnesia. Well the pain let up a little but the constipation persisted despite these interventions and enemas.
The next day the pain was so great (pretty much localized to the lower left abdominal quadrant) I had to go to the ER. I had a CT that confused the radiologist as well as the general surgeon and ultimately had to have a emergency explorative abdominal surgery. The general surgeon found a severe acute diverticulitis with an anastomosing infection and did a Hartmans procedure with an end colostomy. The Dr. plans to reverese the procedure in a couple of months. NB - unfortunately it was a open procedure and not laproscopic.
Since I was d/c'd from the hospital the ostomy site has been very painful and heavy feeling. A couple of weeks after being home the L. lateral border of the ostomy began to get very hard and indurated and there was severe pain when my bowels would move. This progressed until the ostomy would not move any more and I began to feel the same pain that I initially went into the ER with.
I went back to ER and they found an increased signal near the ostomy, I was running a fever in the low 100's and my WBC's were elevated to over 15K. I was admitted and received Cipro IV for 4 days until the ostomy began to work again and my fever and blood work normalized. My Surgeon said that he had never seen this before and figured that it was an iatrogenic infection.
Since then, the same thing happened again, back to the ER where I was given oral Cipro for 10 days and it cleared up again.
That being finished, the same thing is happening again and when I try to push on the swollen part there is some is one part on the lower medial aspect of the ostomy that oozes or squirts what looks like a mix or pus, stool and blood. It is not very viscous and when pressed it literally squrits out of one little area about the size of pencil lead. With this I am running a low grade fever, getting chills, my inguanil lymph nodes are swollen and tender on the L and the ostomy feels heavy and painful again.
So, I am curious if you ever heard of this. My surgeon has been pretty passive about this and I'm wondering if you think it is cause for concern??
It seems like there must be a preforation somewhere that is leaking into the muscle/fascial layer or something since its so recurrent. I don' t like the idea of being on antibiotics long term and I am concerned about abdominal infections once the procedure is reversed.
I would appreciate any insight or thoughts you may have regarding this and would be happy to answer any further questions you may have.
Thank you in advance. - 9/14/2008 11:52 AM
- Sid Schwab said...
chucky: it's hard for me to be specific, because I don't know the situation well enough. I agree that high among the possibilities is that there's a fistula from near the stoma; or inadequately drained infection. Possible options include open exploration of the area, or a contrast study (injecting soluble contrast medium into the stoma and taking an xray, or possibly looking in with a scope. Chronic antibiotic use without knowing more about what's going on seems unlikely to be sufficient.
A couple of general and non-useful comments: without knowing what your initial xray in the ER looked like, I can't really say; but giving powerful laxatives when there appeared to be a partial colon blockage was, shall we say, gutsy. And don't feel bad about open vs laparoscopic surgery in this situation. I'd call it the right call, once again acknowledging I don't know the details. I do think your surgeon needs to be very directly involved in the current stoma problems you are having.
I also find it interesting that he said he'd never seen anything like that before; it makes me wonder what kind of training/experience he's had. That's pretty snarky of me, I realize: but if you're not getting satisfaction, another surgical opinion wouldn't hurt. - 9/14/2008 2:06 PM
- Chucky said...
thank you for the reply and insight, I appreciate. Your book sounds like an interesting and entertaining read.
I had a foot of my colon removed last Sept. due to recurring diverticulitis. Done via lap . Three months later I had hardness and pain around the naval area and a low grade fever. CT showed inflammation consistent with diverticulitis. I still don't believe it was diverticulitis because I still have hardness a lot. I can move it around. I don't even have constipation at the time. I was wondering if it could be an internal hernia??? If it is or not is there a reason for me to be concern??
- Sid Schwab said...
anonymous: it could be hernia, infection, or other things. If it's still there, it should be checked by your surgeon.
It comes and goes. NO reason that I can figure out.
- Scungi said...
I know this post is rather old, but I am enlightened about your blog.
I am a 30 year old male, that was reently hospitalized twice (13 days in total) in the past three weeks for diverticulitis. The diverticulum that is causing the discomfort is in the descending colon, and surgery was advoided both times with abx, but unsure if it was a second flare up so recent or not responding to the orginal abx (flagyl and levoquin) and was precesribed Augmentin (Zoson (sic)) in the hospital after.
My plan of treatment now is hopefully for it to settles down, and have a colonoscopy to see exactly whats going on (surgeon suspects it could be related to Crohns or colititus due to strong family history, and young age, as well as diverticulum location).
That being said, surgery appears imminent, due to the fact I have been experience this undiagnosed for 10+ years, but the idea of having my descending colon as well as my sigmoid colon removed (though sigmoid not affected)but best to do preventitively? As well as a better resection to the anus? My surgeon is well researched and well versed, but out of curiousity with the limited details, your thoughts? - 5/05/2009 12:21 PM
- Sid Schwab said...
Scungi: I was just thinking about this post, because Ken Griffey Jr is out again with diverticulitis.
I really can't offer much without knowing the exact details of location and diagnosis, the latter of which ought to be clarified by the colonoscopy. Exactly how much colon to remove, and where to hook it up will be determined, I'd say, by those findings. As a general rule, people who've had up to half of their colon removed will likely have entirely normal bowel function; and in most cases, even taking more than that can lead to little significant change in bowel habits.
There are anatomic considerations, too, regardless of the underlying disease: the blood supply to the remaining colon can dictate the need to take more, or less, depending on location. - 5/05/2009 1:18 PM
- Scungi said...
That is how I found out about this blog post of yours due to the fact Ken Jr. is out with it, and my brother mentioned we had it in common.
The way the surgeon laid it out to me was to reconnect to the anus is better because the connection is much more like to be stable and less of a possibility of a reoccurance, especailly since it occurs more often in the sigmoid colon. That was my layman's terms described by me, I am sure it was better described by him at the time.
Like I said though the GI guy does not think Crohns or colititis is contributing based on the CT scan, I have a colonoscopy schedule hopefully to sort it all out.
Any familiarity with left testicular pain in your practice associated with diverticulitis? It seemed to be a shock to most of the residents, not so much the attendings or the surgeons, but it was excruciating pain, often get it with general "tough"gas as well. I do have a verococele (sic) there but small, not big enough to worry about states the consult urologist who saw me while admitted, and does not believe my pain is from the vercocele either.
Thanks for your quick response on a old post, describe everything to tee, and helps me describe it to friends and co-workers trying to figure out what was wrong with me. - 5/05/2009 7:39 PM
- Sid Schwab said...
Testicular pain is not rare with diverticulitis, depending on where the inflammation is in the colon, since the neurovascular structures to the left testis run behind the colon, in part.
Your surgeon might have meant "rectum," as opposed to "anus" (more properly, "anal canal.")There's a potential functional difference, as well as complexity of the operation, when hooking to anus (harder, more potential for control or sexual issues) as opposed to rectum (easier, unlikely to have other issues.) When the diagnosis is diverticulitis, as opposed to Crohn's or ulcerative colitis, it's pretty unlikely to need to go all the way down to the anus. - 5/05/2009 8:10 PM
- Scungi said...
You are right with the rectum, been so overwhelmed with the whole ordeal lately, I am getting everything confused.
Keeping my fingers crossed I do not get another flare up as well before the colonoscopy.
But again, thanks for the education and the great pictures that go with it, I feel like printing out your blog to hand out to everyone at work, so they understand what happened to me.
Thanks again - 5/05/2009 8:17 PM
- -Steve said...
Well, not sure if you are still checking this at all, had another flare up in 11/01........ended up scheduling surgery for 01/29. Two weeks prior again another flare up, took ABX early to try to hold it off, didn't really work but still went ahead with the surgery.
Removed a good portion of my transverse and descending colon (again only 30), and reconnected from transverse basically at the sigmoid. Everything is working out fine, but the Dr. stated was very inflamed and an abscess was clearly present.
Just trying to get back into eating and having regular BM's, but nervous about reoccurrence especially in the sigmoid.
Thanks for your blog, it has been helpful and informative - 2/15/2010 10:06 PM
- -Steve said...
-Steve and Scungi, same person, two different emails account, sorry for the confusion
- Sid Schwab said...
Sounds like it was time, Steve. Hope all goes well.
- Nancy said...
Hi Dr Sid...tomorrow will be 2 weeks from by colon resection. I had been in the hospital on antibiotics due to diverticulitis for a week as well. I was released 4 days after surgery and the surgeon removed about 16inches of my colon and I did not need a colostomy. My appointment with my surgeon is next week. I had been running a low fever of between 98.8 and 102.0 between January and the surgery two weeks ago. My temp is still running about 99.2-99.8. My main concern is that my normal temp prior to January 2010 was always about 97.5, rarely higher. Bowel movements have not returned to normal yet, but I have had problems in that areas for 5-8 years (diahrea and constipation. Do you have any thoughts at all on what is still causing the 99+ temps (I do break out in sweats at least once a night). I am 68 years old. Thank you so much.
Nancy - 7/11/2010 1:43 PM
- Sid Schwab said...
Nancy: having low-grade fevers after major abdominal surgery is not rare, and may just reflect a combination of various factors involved in healing. But it could also be due to infection, either in the incision or inside somewhere. So it's best to inform your surgeon. I can't really say any more from this far away.
Appreciate the information you provide. My husband has had severe pain in his left testical/groin area for the past two weeks with some very low left back pain. Initially thought kidney stone - 2 CTs show a stone present in the left kidney, but drs say it is (1) not the cause of his pain & (2) stones are not 'positional'. He is only uncomfortable (entire left groin is tender) when lying flat. When he sits, the pain increases to intolerable levels and when he stands, it rapidly increases to severe - after 10-30 seconds upright he is in excruciating pain and must lie down. MRI shows some lumbar degeneration, but urologist, GP, back specialist & general surgeon say it is also not the cause of his pain. None have ever seen a presentation that is positional - lying flat = ache in back and tenderness in left groin region. Standing = severe pain in left testical which is relived by lying flat on his back. CT showed diverculosis but not diverculitis. Would the CT have revealed any colon problems or would a colonoscopy be useful? Would the CT have shown any potentially dangerous problems such as an abdominal aortic aneurysm? He has a follow-up with the general surgeon on Monday who seems to be committed to helping find the cause - although when the usual suspects are ruled out (spine, kidney stone, no hernia felt on manual exam), I know that diagnostics are not, as you say, crystal balls (pun intended - easy for me to say, I guess). I want to make sure that they explore or test for things that could be imminently life-threatening, even if those causes are not the most likely. I also want to get him in to see the proper type of specialist (hence the urologist when he described the pain as similar to a past kidney stone, the back doctor when the urologist & GP said 'might be back' ). He has an appointment with a neurologist on Thursday, and I could get him to a recommended urologist or vascular specialist if varicoceles or other vascular problem could be the issues - or gastro if a colonscopy would be useful - although, the prep for a colonscopy will be difficult for a guy who can't walk to the bathroom. I do respect the new general surgeon we saw yesterday - but obviously I have a more vested interest in my husband's life and pain than even the most dedicated physician who is responsible for hundreds of patients. I have sufficient education to evaluate what I read, but my degree and background is not medical - so I can only gather information, make observations and ask questions - I can't diagnose or treat him, as much as I wish I could. It has been a couple of months since your last comment on this thread, but if you are still reading these comments, I want to thank you for providing the information that you have, and for addressing some of the concerns that others have asked about. Responsibly, you never attempt to diagnose or make treatment judgments from afar, but I see where you have provided clarity and explanations to those seeking information. I am in a similar professional field and know that often in a practice, the treating physician (or advising attorney, counseling CPA, etc) is trying to treat/manage/handle the immediate situation presented and often does not have the time or the thought to provide additional background and information that a patient or client might need. Thank you for providing that service to others where you can.
- Sid Schwab said...
It sounds like a challenging problem. I think a CT would have shown such things as aneurysmal disease or diverticulitis, neither of which really fits well with his pattern of positional pain. Were a kidney stone the cause it's likely he'd have at least microscopic blood in his urine. A hernia that would cause that severe pain ought to be palpable when he's standing, although it's possible to have a form of "internal hernia," such as an obturator hernia, that could be difficult to diagnose. Still, pain that severe from a hernia that is so positional would be pretty unusual.
Depending on the nature and location of the pain (ie, if it sounds neuropathic) I'd still be keeping neuromuscular sources high on the list.
Sounds like it'll take persistence to figure it out. Good luck to you both. - 9/11/2010 9:00 AM
Due to prev centerline laporoscopic ventral hernia repair (massive) resulting from perf appendix/peritonitis surgery (burst while in hospital-they blew the diagnosis), I am wondering if this would definitely preclude any future surgery to correct my bothersome diverticlitis. I'm to the point now that if it wasn't for this 20x25cm pc of Proceed mesh in my belly, I'd schedule the surgery quickly. If the mesh is compromised, would that require another procedure to replace the entire pc of mesh? I am under medical care-good medical care-but am interested in your opinion. Also, with my advanced diverticular disease, would receiving a high contrast (barium?) enema be dangerous/risky when I have my next CT Scan? (in 3 days...) Any danger of impacting/clogging the diverticulae? I am under good medical care but am interested in you opinion! Thanks
- Sid Schwab said...
Michael Ronnau: The prior surgery, and preceding peritonitis, would not preclude future surgery for diverticulitis. It might make it harder. Or not, depending on time interval and your body's response, and how and exactly where the mesh was placed.
When it's necessary to cut through mesh, in most cases the cut can be closed with some sort of non-absorbable suture, such as nylon.
Contrast studies can be done with diverticular disease. Usually it's best to use a water soluble contrast medium rather than barium. - 9/18/2010 1:12 PM
- Rick said...
Dr. Sid, could you please weigh in on yet another "mystery of the universe"?
I went to the ER this week with what I thought was a kidney stone in my left side just under my rib cage, but the CAT scan didn't show one and there was no blood in the urine. I have had a kidney stone before and this felt like one. This "attack" came on out of the blue and I got hit with an intense wave of nausea, but didn't vomit. The CAT scan did show diverticulosis in my intestine. Because of this and the possibility of diverticulitis the ER doc put me on Cipro. My doctor, an internist, checked me out further and we decided to watch things. I continued having left sided pain and took a limited amount of pain killers and Ibuprofen, continuing the Cipro. At day 3 1/2 I'd still not had a bowel movement, but hadn't eaten to much owing to nausea and general malaise. That evening though I took a laxative and had a painful bowel movement and felt much better.
The pain in my side by this time had decreased greatly, but toward the end of each day I'd be feeling kind of yucky with some pain (more of a soreness) in my side. The whole thing is still a mystery, but the greatest possibility to have emerged after closely looking at this thing is that I may have caused diverticulitis to have occurred by ingesting too many raw cashews. I had eaten about half a bag of them the day before the attack and eat a pound of them a week. I was wondering therefore if this seems plausible (also there is evidence that there is some toxicity in cashews even when the toxins are removed through steam extraction as is the case with the ones I buy) and if you have any experience or views in the regard. As of this writing I'm feeling better in the mornings and get yucky at bedtime and still on Cipro. I'm a fairly active 55 year old guy with excellent health who works outside all day. - 10/30/2010 8:25 AM
- Sid Schwab said...
Rick: I can't make any meaningful diagnosis from over here. The distinction between diverticulosis (meaning there are diverticula there, which is true of maybe a third or more of Americans over 50) and diverticulitis, meaning infection causing various symptoms, usually is based on typical signs of infection, such as fever and elevated white blood cell count, (and, often, signs of inflammation on CT scan or other imaging.)
As I've also said, I don't think there's evidence that specific foods cause diverticulitis, nuts or otherwise. The bag of cashews could have caused some sort of other stomach upset, however.
I hesitate to go further, since there's no way I can know what went on. The above are statements I consider to be true, but they are general statements; how they apply to you, I can't say. - 10/31/2010 1:41 PM
I happened on your blog and hope you will be able to still answer me.
I had terrible abdominal pain and the doctor sent me for a barium enema to find out if it was diverticulitis. Something I NEVER want to have to go through again. After reading most of your posts why did they do that procedure instead of a CT or something less traumatic?
I live in South Africa so I dont know if this is the normal way to check.
Why I was searching is that I am totally confused as to what I should or shouldnt eat. I have avoided nuts because I too had eaten a fair amount of cashews the day before the pain started.
I have gone to a dietician and tried sticking to a fibre diet but I still find my stomach very bloated all the time. Is this normal?
Now while searching I find differing information to what my dietician gave me!
My constipation problem only started after I had a bladder sling and then an operation for correction for a total vaginal prolapse.
Could these operations have interferred with my colon at all? As after the first one the bladder sling I would get terrible pain in my lower back and feel feverish before each passing of stools.
Thanks - 3/17/2011 4:32 AM
- Sid Schwab said...
Eve: I can't answer specifically, not knowing what was seen on the Xray. In general, for people with problems from diverticular disease, a high-fiber diet is the main dietary recommendation. The goal is to avoid constipation.
Being bloated is not normal, if by bloated you mean noticeable distention of your abdomen. If that's the case, it needs a diagnosis.
It's possible your surgery could have affected your colon in some way.
I know of and have corresponded with a surgeon in South Africa. Based on his blog, I'd say he's really good. His name is Neil Taverner. If you track him down and see him, tell him I sent you. - 3/17/2011 9:41 AM
- phil neason said...
Dr. Sid,
Just came across your blog and think it's great-
5 days ago wound up in the ER, lower abdominal pain, especially sharp over the appendix. CT showed " stranding prox sigmoid distal descending colon most likely for diverticulitis" . For two months before this I've had major constipation, "full" feeling and what feels like difficult breathing. Maybe pressure on my diapraghm? Only occurs with the constipation. I have psoriatic arthritis, could my systemic inflammation from that condition be playing a part here, particularly the breathing thing? Thanks for your blog-
Phil Neason - 9/05/2011 12:40 PM
- Sid Schwab said...
Glad you found the blog, phil neason, and thanks for the kind words.
I hate to offer diagnostic opinions here because there's no way I can know enough of what's going on. With diverticulitis the peritioneum over the area can become inflamed (that's what causes most of the pain), and that can inhibit breathing sometimes. Some inflammatory bowel conditions can be associated with arthritis, but I'm not sure it's the other way around with psoriatic arthritis.
Constipation can be both cause and effect with diverticular disease, as I've said in this post, and if that's what's causing the constipation you'll need a dietary plan to deal with it.
With those CT scan findings, I assume you've been referred to or are planning to see a gastroenterologist. S/he will be able to give you much better information. - 9/05/2011 1:12 PM
- phil neason said...
Wow, thanks Dr. Sid for such a quick response-
Yes I have a follow-up colonoscopy on Nov.7 with a Gastro guy highly recommended by a close friend who had two nasty bouts with the disease then a resection. I will mention the arthritis info to him of course. Thanks again for your comments-
Phil Neason - 9/05/2011 1:26 PM
Dr. Sid,
11 days since my diverticulitis attack, was doing fine, with no pain since the initial attack, had some fatigue/breathing issues (which I wrote you 5 days ago), but recovered well, energy is back, feel good yesterday and today. I finished 11 days of flagyl and levaquin, 500mg each, once par day.
My concern is that after no pain but feeling miserable for 9 days, yesterday I felt great but had mild discomfort immediately prior to my only BM. I had taken Miralax and Citruscel 4days ago as my doctor told me if I was feeling constipated to act on it that way. I stopped the Citruscel yesterday morning. Today I feel great but had bad cramping prior to, during and immediately after my only BM. About 5 mins total. Started firm, then soft, then pudding. No blood. Am I regressing? Appreciate your take on this, thanks-Phil Neason - 9/11/2011 5:05 PM
- Sid Schwab said...
Usual disclaimer, regarding my inability to be accurate from far away.
I can say in general that symptoms you describe can persist for many days, a few weeks, since even when signs of infection have subsided, residual inflammation and swelling, thickening of the bowel, can take a while to resolve. So absent fever, increasing pain, symptoms such as yours don't necessarily suggest regression.
Your treating doctors are better able to assess and advise, yada yada... - 9/11/2011 5:47 PM
Wow again, your quick responses put restless minds at ease... I've read that's the case, and if it was a weekday would have called my GE. I will monitor pain, fever, etc. If anything occurs I'll call him. Thanks again. Phil Neason
- Diana said...
Love it! Thank you for your smart, informative piece and generous answers to the Diverticulitis Dilemma.
I am going in for the resection surgery next week and am soooo looking forward to not having this pain and nastiness hanging over me.
My question to you is, why the heck is there so little information out there for what people should be eating when they get an attack and afterward as they heal? It has taken me hours and hours - cumulative days of research online and talking to nutritionists and dietitians to get a good idea of what I should eat and drink. Sadly it seems the GI docs and surgeons are least informed (bad for business?).
A second question if I may, after reading on other sites people's experiences with Diverticulitis (young, old, fat, thin, exercisers, vegans...), could there be some truth to the theory that antibiotic use without restoring the good bacteria (via Probiotics and such) in the gut be a big contributing factor? Thoughts please?
Thank you again for the clear explanation with a side of humor. Much appreciated!
Diana - 11/01/2011 6:22 PM
- Sid Schwab said...
Diana, I'm glad the blog continues to be useful. I'm betting you'll be really glad you had the operation.
As to dietary questions: one problem is probably related to the fact that it's taken a complete about-face in the past several years, from avoiding fiber and seeds and nuts, etc, to realizing the only important thing is fiber, with the aim of avoiding constipation and the need to strain. It should be your goal after surgery, too.
As to a possible role of probiotics: I have no opinion, meaning I've not seen anything that confirms it. I think the etiology of diverticula is multi-factoral; but it seems the most important factor might be chronic straining at stool. Problems are less common in people with high fiber and vegetarian diets. Why some with diverticula have little or no symptoms, and others get diverticulitis is mysterious, far as I know; but, to repeat and repeat, it seems less frequent in those who maintain good bowel function.
I always told patients I saw who'd not had what I considered clear indications for surgery that they should maintain enough fiber intake to avoid constipation and straining; other than that, no specific avoidance such as seeds, etc. - 11/01/2011 7:05 PM
- phil neason said...
Dr. Sid,
I first wrote in September, following an acute diverticulitis attack. My follow-up colonoscopy was yesterday, and in the pack of post-exam materials ( I don't remember much of my conversation with my GE, I was still foggy) his notes say "Multiple large and small-mouthed diverticula were found throughout the entire colon. The colonoscopy was technically difficult and complex due to the multiple diverticula, significant looping and a generally tortuous colon." I can guess what this means, but it doesn't sound good. What is my prognosis going forward, are there surgical options with diverticula on the right and left sides? I'm a little worried. Thanks for your guidance-
Phil Neason - 11/08/2011 4:41 PM
- Sid Schwab said...
Really, you'll need to talk it over with your gastroenterologist in a non-drugged state. Tortuosity, per se, may not mean much. It's just the way some colons are; an anatomic variation.
The surgical question begins not with the extent to which there are diverticula throughout the colon; it has more to do, in general, with the number and/or severity of episodes of diverticulitis a person has had.
Once it's decided that surgery is the right course -- often anything but a black and white decision -- then the extent of the operation must be figured. It's not rare to have diverticula throughout the colon; it doesn't mean the whole colon needs to go. Depends on where the infections have occurred, whether there are concentrations of diverticula on one place (usually the sigmoid colon).
For the record, and not suggesting it'd be the right operation because I have no way of knowing, a sub-total colectomy, where all but the last several inches are removed, is remarkably well-tolerated by most people; some have "normal" bowel movements, many have a few easily managed bowel movements a day. Only a small minority have problems with diarrhea that can't be managed. - 11/08/2011 7:08 PM
- phil neason said...
Dr. Sid,
Thanks once again for a very quick and easy- to-understand response. I was worried that there might not be any surgical options, if the frequency and severity of attacks continues.. It wouldn't be so much the attacks themselves, or the pain, which although bad I'm able to tough out, but the collateral damage, i.e. my extensive travel for work (the last attack began 2 hours into a 5 hour plane flight), international travel, etc. It fills me with trepidation of course. Will I be hospitalized in a foreign country, or even out of state due to bad timing, things like that. Knowing there might be some other options should it get really bad gives my mind a little peace. For that, I thank you-
Phil Neason - 11/08/2011 8:20 PM
I've been told that the infected colon could contain parasites. Is this an accurate statement?
- Sid Schwab said...
All colons contain parasites, by strict definition. It sure as hell sells a lot of bogus colon cleanses, though.
- Diana said...
Hiya! A wrote to you a few months ago re: impending resection surgery. I thank you for your great response and thought I would post a follow up report.
I am now six weeks post surgery. I feel pretty darn good and can eat anything now. I did lose 35 pounds from August to November which puts me happily back in the svelt column :o) I will stay svelt thank you.
I had been hospitalized twice for DIverticulitis with a known abscess and put on Augmentin and rest for the six weeks prior to surgery to calm the bowels. I was one sick puppy. I had had 4 CT scans with contrast in the two months leading up to surgery - which did not show the grapefruit sized, leaking abscess attached to my bladder - surprise! Surgeon said he was totally surprised to see that and all the scar tissue everywhere. My OBGYN was on call since there appeared to be a cyst on my ovary and my surgeon thought it might need to be removed (it was). So I ended up with the Da Vinci and three surgeons working on me. 5-1/2 hours, seven holes and no bags! Doc thinks that abscess has been brewing for maybe three years. Doc took out 8 inches of Sigmoid and the first ring of muscles in the rectum. Turns out those muscles gets tighter with age ('bout the only thing!) and would have caused more diverticula in the future.
I am 48 years young, feel some discomfort still but can tell I am healthier now than I have been in a very long time.
Thank you for your very informative blog (I am a big fan of other one as well). You are right, I am so very glad I had the surgery.
Can you shed light on why the almighty CT scans missed something so large? The head of radiology had even reviewed at least two of the scans. - 12/25/2011 1:21 PM
- Sid Schwab said...
Diana: sounds like really good news, and there's no surprise that you'd feel so much better after all that.
As to why it didn't show up: CT scan can be unpredictable in how well it shows soft tissue abnormalities; and sometimes it's hard to tell bowel from other stuff around it; the abscess may or may not have been in full flower when your scans were done.
In any case, it's good that it's all out of there, and I'd guess there's more feeling good to come as more healing occurs.
Thanks for the followup. - 12/25/2011 6:06 PM
Dr. Sid, I have had a few attacks of diverticulitis and antibiotics usually take care of it. Cipro is almost always prescribed..an antibiotic that I refuse to take due to the dangerousness of it. Most antibiotics make me very ill. Can you recommend one other than a fluoroquinlone?
Thank you! Lori - 12/31/2013 9:01 PM
- Sid Schwab said...
I'm sorry, Lori, but I don't want to get into specific therapeutic recommendations on this blog. I can never know enough about an individual from so far away.
- BRCinHozho said...
I've had my sigmoid resection about 11 years ago. I recently started having bouts with diverticulitis again, currently on Flagyl and Cipro. If worse case, another surgery is performed will the do another resection or do a total colon removal? My pain is in the same area as my initial before surgery.
- Sid Schwab said...
BRC: I'd say it'd be unlikely they'd recommend removing the entire colon unless it was full of diverticula throughout.


text:
Grumble grumble.
Anyway, what's the X11 lock?
Phoronix: Wine 1.5.11 Kills Big X11 Lock, Brings Multi-Channel ALSA
Wine 1.5.11 has been released today now that the project's back to their bi-weekly Friday releases. Wine 1.5.11 brings a few interesting changes...
Grumble grumble.
Anyway, what's the X11 lock?
Wow, multichannel support. That's a feature that has been on the wishlist for a long long long time.
Here's hoping the sound revamps finally include working Pulseaudio support soon - turning off PA isn't an option (or at least a very bad one) and PA support via ALSA emulation has never worked well. Mind you, no idea how difficult multichannel PA is!
I hope this multi channel ALSA driver doesn't mess up the recent Ubuntu PulseAudio version of Wine, as PulseAudio has been running fantastic.
x11 lock is "simply" a big mutex which was mainly called every time there was frame drawing and/or other GL and X11 operations.
Aquiring and releasing locks are potentially expensive operations which may yield the control of the CPU from the process which performs locking operations to the OS, triggering a potential context switch and so decreasing overall performance, i.e. FPS, of an application using such locks.
As you already know, Direct3D calls are mapped to OpenGL, which through macros ENTER_GL and LEAVE_GL, was heavily using the lock.
Removing a potential cause of slowness in D3D applications is always a good thing. Nonetheless I'd like to point out that probably Michael's not completely accurate: in fact, a previous patch committed the 19th of July was actually performing the above enter/leave gl soft switch off, and was released indeed with wine 1.5.10.
Again, with this revision the lock has been "officially" removed from the code, but already one month ago majority of D3D codebase already stopped using it...
Not having the X11 lock anymore is great news, but again, this is probably the last part of an incremental change.
Hope this is clear!
Ps. here the enter/leave gl patch to exclude the lock http://source.winehq.org/git/wine.gi...928f0a959e9e14
I'm not at all familiar with Wine details, but here's how it usually is.
Big X11 lock:
Every time they call any X function, lock a mutex (or other scalable construct) so that only one thread can do those at a time.
Replaced with a set of smaller locks, which scales better.
The same thing was done with the big kernel lock.


text:
Specifically formulated for all types of respiratory problems including sinus infection or inflammation. Read More
Buy 3 HomeoPet Products, Get 1 FREE!
(Must add 4 to cart.)Specifically formulated for all types of respiratory problems including sinus infection or inflammation. Give 3x day, once in morning, in the evening, and at bedtime into the mouth, on food or in water.
- Brand: Homeopet
- Type: Cough & Sinus
Reviews (2)
"This Can't Be Good"
I bought this for my dog's sinus problems (sneezing, etc) because removing problem teeth and antibiotics didn't seem to help. All three times I tried to give it to him (which was already difficult because he did not want it -- must taste terrible) he threw up. I will not be trying to give it to him again and I wasted $10.
"Relief for my hounds"
"I have used this product for many years with my beagles and Doxie. It helps with their "" reverse"" or "" inward"" sneezing. I've never had any side effects from this and I put it in their water."


text:
Create An Account
This beautiful brass effect sonic screwdriver stand is the perfect place to display your sonic; the design is again part of the Doctor's name in Gallifreyan. It is primarily made to hold any official version of the 11th Doctor's sonic; toys, remotes, torches, and of course the real deal. It will hold any sonic screwdriver, the fit will not be as quite as snug as the 11th Doctor's. Please note; this item is just a display stand, and does not include any form of the Sonic Screwdiver model.
The stand has a felted bottom to protect your surfaces, and comes in its own Doctor Who themed gift box. THIS IS NOT A TOY. NOT SUITABLE FOR CHILDREN. Note: All items in this range must be shipped by courier. Shipping outside of the UK is available on this item, but please contact us before placing your order. as we will have to obtain a shipping quote for you in your location.NOTE WE DO NOT ACCEPT PAYPAL ON ANY ITEM IN THIS SECTION CREDIT/DEBIT CARDS ONLY.


text:
A comic about nudists? Well, yeah! Nudists have adventures too!
Tooncast this comic on your own website by copying and pasting this code snippet:
<script language="javascript" src="http://www.webcomicsnation.com/tooncast.php?series=thebarepit"></script>
The Bare Pit
About Cast Archive Stories [1][2][3][4][5] [6][7][8] Stuff TBP 428 [forum] L&Z LJ [blog] Contact [email] 10 years [history] Bare Manors Nudistry [eccentric!] Loxie & Zoot
Buy/Own Reviews & interviews |


text:
Ambig Gear
(73 items)
Product ID: 1056826
Main Content
Secretly, you've always wished you could be a professional racecar driver. Zooming past people on the highway has its thrills, but just imagine getting paid to go fast. Push yourself to new heights with this Ambig Racing Team tee. This two-toned tee features finish flags, Ambig lettering and three quarter-length raglan sleeves. It's a cool tee worthy of any talented driver.
- 50% Cotton/50% Polyester
- Made in America
- Raglan sleeves
- Screen print graphics
- Tagless collar
Ambig Customers also liked:
Special event items are produced by manufacturers only after the outcome of a game
or event. These are advanced sale items and will ship immediately after they are
received in our warehouse.
Manufacturer direct items are shipped directly from the manufacturer. These items
are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite
number, and/or designs. Some options may be limited by league rules.


text:
Saint Ulric of Augsburg
Also known as
- Udalric
- Udalrich
- Uldaricus
- Ulderic
- Ulrich
Son of Count Hucpald and Thetbirga; related to the dukes of Alamannia and the imperial family of the Ottos. He was a sickly child. Educated at the monastic school of Saint Gall where he proved to be an excellent student. Chamberlain to his uncle Blessed Adalbero, bishop of Augsburg. Priest. Bishop of Augsburg on 28 December 923.
Built churches, worked with the sick in hospital, endlessly visited his parishes, set a good example for his priests, brought relics from Rome – and his good work paid off in the form of improved moral and social conditions for both the clergy and laity.
When the Magyars plundered Germany, they besieged Augsburg. Due to Ulric's courage, his leadership, and his ability to organize the resistance, Augsburg held until Emperor Otto arrived. On 10 August 955, a battle was fought in the Lechfeld, and the invaders finally defeated. Some legends say that Ulrich fought in the battle, but that was impossible.
After 48 years as bishop, an ill and exhausted Ulric resigned his seat, and handed the diocese to his nephew, a move which had the blessing of the emperor, but which the Synod of Ingelheim ruled un-canonical. They charged and tried the aging bishop for nepotism; Ulrich apologized, did penance, and was forgiven, the message of which reached him on his death bed.
A letter circulated for a while that indicated Ulric did not support priestly celibacy, seeing it as an unnecessary burden. However, this was later proven a forgery, and certainly Ulric had enforced the discipline on himself and his clergy.
Ulric was the first Saint canonized by a Pope, which led to the formal process which continues today. Legend has it that pregnant women who drank from his chalice had easy deliveries, and thus his patronage of them, and for easy births. The touch of his pastoral cross was used to heal people bitten by rabid dogs.
- 890 at Kyburg, Zurich, Switzerland
- 4 July 973 at Augsburg, Germany of natural causes
- buried in the Church of Saint Afra
- earth from his grave is reported to repel rodents, and over the centuries, much has been carried away for that purpose
- 3 February 993 by Pope John XV
- against birth complications
- against dizziness
- against faintness
- against fever
- against frenzy
- against mice
- against moles
- against vertigo
- Augsburg, Germany, city of
- Augsburg, Germany, diocese of
- Creazzo, Italy
- happy death
- pregnant women
- weavers
- bishop holding a fish
- at dinner with Saint Wolfgang
- rewarding a messenger with a goose leg, which turns into a fish on Friday morning
- giving a fish to a beggar
- giving a garment to a beggar
- with Saint Afra
- riding through a river on horseback as his companion sinks
- with a cross given him by an angel
Additional Information
- Book of Saints, by the Monks of Ramsgate
- Catholic Encyclopedia
- Catholic Online
- Katherine Rabenstein
- Lives of the Saints, by Father Alban Butler
- Ökumenisches Heiligenlexikon
- Our Sunday Visitor's Encyclopedia of Saints
- Roman Martyrology
MLA Citation
- "Saint Ulric of Augsburg". CatholicSaints.Info. 15 November 2008. Web. 7 May 2015. <>


text:
Top Definition
mainstream fiction which lacks craft, character development, and often deals with trite topics such as vampire romance involving feeble and helpless female characters waiting for rescue.
Hey Ted, let's check out the Mainstream Fucktion section to see if we can find any new vampire books.
додав Jada Danger Hemingway
19 Лютий 2010


text:
The following information will help you know what to expect when you arrive at the airport for flights operated by American Airlines or Envoy Air Inc. Please note that our suggested arrival times have changed.
In addition, to better ensure an on-time departure, our goal is to close the jetbridge door 10 minutes prior to departure time. This allows all customers to board and stow their belongings.
Please review the suggestions so that you have enough time to catch your flight. In addition, you can check the latest travel alerts to learn about circumstances that could affect schedules, airport operation and parking as well as flight status information for gates and times.
Within the U.S. as well as flights to Hawaii, Puerto Rico, and the U.S. Virgin Islands check in:
Departing Hawaii and the U.S. Virgin Islands check in:
For flights to international destinations check in:
Recommended check-in times for cities that exceed two hours:
Flights departing | Recommended Check-In Time |
Antigua (ANU) | 150 minutes |
Aruba, Aruba (AUA) | 180 minutes |
Asuncion, Paraguay (ASU) | 180 minutes |
Barbados (BGI) | 180 minutes |
Barcelona, Spain (BCN) | 180 minutes |
Belize City (BZE) | 180 minutes |
Bermuda, Bermuda (BDA) | 150 minutes |
Bogota, Colombia (BOG) | 210 minutes |
Brazil (all cities) | 180 minutes |
Buenos Aires, Argentina (EZE) | 180 minutes |
Cali, Colombia (CLO) | 180 minutes |
Canada (All cities) | 180 minutes |
Caracas, Venezuela (CCS) | 180 minutes |
Curacao (CUR) | 180 minutes |
Dublin, Ireland (DUB) | 180 minutes |
Grand Cayman, Cayman Islands (GCM) | 180 minutes |
Grenada (GND) | 180 minutes |
Guatemala, City, Guatemala (GUA) | 180 minutes |
Guayaquil, Ecuador (GYE) | 180 minutes |
La Paz, Bolivia (LPB) | 150 minutes |
Lima, Peru (LIM) | 180 minutes |
Madrid, Spain (MAD) | 180 minutes |
Managua, Nicaragua (MGA) | 180 minutes |
Maracaibo, Venezuela (MAR) | 180 minutes |
Medellin, Colombia (MDE) | 180 minutes |
Mexico (All cities) | 180 minutes |
Montego Bay, Jamaica (MBJ) | 180 minutes |
Montevideo, Uruguay (MVD) | 240 minutes |
Nassau, Bahamas (NAS) | 180 minutes |
Panama City, Panama (PTY) | 180 minutes |
Paris Charles De Gaulle, France (CDG) | 180 minutes |
Pointe a Pitre, Guadeloupe (PTP) | 180 minutes |
Port of Spain, Trinidad & Tobago (POS) | 180 minutes |
Port-au-Prince, Haiti (PAP) | 180 minutes |
Puerto Plata, Dominican Republic (POP) | 180 minutes |
Punta Cana, Domincan Republic (PUJ) | 180 minutes |
Quito, Ecuador (UIO) | 180 minutes |
San Jose, Costa Rica (SJO) | 180 minutes |
San Pedro Sula, Honduras (SAP) | 180 minutes |
San Salvador, El Salvador (SAL) | 180 minutes |
Santiago, Chile (SCL) | 180 minutes |
Santiago, Dominican Republic (STI) | 180 minutes |
Santo Domingo, Dominican Republic (SDQ) | 180 minutes |
St. Kitts (SKB) | 180 minutes |
St. Lucia (SLU) | 180 minutes |
St. Maarten (SXM) | 180 minutes |
Tegucigalpa, Honduras (TGU) | 180 minutes |
Turks and Caicos (PLS) | 180 minutes |
To retain your pre-reserved seat on a confirmed flight, please adhere to the minimum check in and gate arrival times listed. We have suggested airport arrival times above to help you check in and get through Security with enough time.
For flights within and between the U.S., Puerto Rico and U.S. Virgin Islands:
For flights originating outside the U.S. or flights departing the U.S. for an international destination:
Note: Particular seats on the aircraft are not guaranteed.
Please review the table for airports that require extra time for check-in.
In Orlando and Fort Lauderdale, baggage for confirmed flights may only be accepted up to four hours prior to confirmed departure.
Flights departing | Check-in Cutoff Time |
Atlanta, Georgia (ATL) | 45 minutes |
Austin, Texas (AUS) | 45 minutes |
Buenos Aires, Argentina (EZE) | 75 minutes |
Caracas, Venezuela (CCS) | 90 minutes |
Charlotte, North Carolina (CLT) | 45 minutes |
Chicago O'Hare, Illinois (ORD) | 45 minutes |
Cincinnati, Ohio (CVG) | 45 minutes |
Dallas/Fort Worth, Texas (DFW) | 45 minutes |
Denver, Colorado (DEN) | 45 minutes |
Dublin, Ireland (DUB) | 75 minutes |
Honolulu, Hawaii (HNL) | 45 minutes |
Jacksonville, Florida (JAX) | 45 minutes |
Las Vegas, Nevada (LAS) | 45 minutes |
Los Angeles, California (LAX) | 45 minutes |
Maracaibo, Venezuela (MAR) | 90 minutes |
Miami, Florida (MIA) | 45 minutes |
Newark, New Jersey (EWR) | 45 minutes |
New York (JFK) | 45 minutes |
Orlando, Florida (MCO) | 45 minutes |
Philadelphia, Pennsylvania (PHL) | 45 minutes |
Phoenix, Arizona (PHX) | 45 minutes |
Pittsburgh, Pennsylvania (PIT) | 45 minutes |
San Francisco, California (SFO) | 45 minutes |
San Juan, Puerto Rico (SJU) | 45 minutes |
Seattle, Washington (SEA) | 45 minutes |
St. Croix, U.S Virgin Islands (STX) | 45 minutes |
St. Thomas, U.S Virgin Islands (STT) | 60 minutes |
Tampa, Florida (TPA) | 45 minutes |
Washington Dulles, District of Columbia (IAD) | 45 minutes |
To help us get your bag on the same flight with you, present your bag to an airline representative for check-in no later than the stated cutoff times for the departure airport.
For flights within and between the U.S., Puerto Rico and U.S. Virgin Islands:
For flights originating in airports outside the U.S. or flights departing the U.S. for an international destination:
When arriving in the U.S. from an international city, you will claim your checked bags at the first stop within the U.S. and proceed through Immigrations/Customs. If you're flying internationally and connecting to another airline, check the applicable country's Customs procedures to determine whether checked baggage needs to be re-checked with the other airline upon arrival into that country.
At the security checkpoint, present your government-issued photo identification, such as a driver's license or passport and your boarding pass or priority verification card. We offer a wide range of convenient options for obtaining your boarding pass:
Enhanced security measures at select overseas airports
The TSA has implemented enhanced security measures at select overseas airports with direct flights to the U.S. If you intend to carry on electronic devices, including cell phones, you may be required to turn them on during security screening. Devices that do not power on may not be permitted onboard the aircraft. Learn more on the TSA website.
If you are not traveling but are attending a meeting in a private, reserved conference room, in the Admirals Club or Executive Center, you can go through the security checkpoint if your name is placed on the daily meetings list given to Security at least 24 hours in advance.
To have your name placed on the list, please call 1-800-237-7971 and select the club location. Club personnel will assist you and provide information for you to access the security checkpoint. For additional information regarding the Admirals Club please visit www.aa.com/admiralsclub.
Additional Information
Air carrier authorization forms for escorting minors, the elderly, etc. will still be available and valid for passage through security checkpoints. For more information regarding unaccompanied minors, please refer to our Traveling With Children page.
Further information regarding clearing the security checkpoint can be found at www.aa.com/checkpoints.
At various airports, AAdvantage Executive Platinum®, AAdvantage Platinum® and AAdvantage Gold® members, AAirpass® holders, as well as First or Business Class customers may have access to special security checkpoints entrances.
To confirm availability of this service, we suggest that you inquire at the airport upon arrival.
Premium security checkpoint access varies based in part on local TSA staffing constraints. Local operators at some airports may also restrict access to these checkpoint entrances.


text:
- Northern New York Newspapers
- Watertown
- Ogdensburg
- Massena-Potsdam
- Lowville
- Carthage
- Malone
- NNY Business
- NNY Living
- NNY Ads
A renowned canoeist soon may be coming to St. Lawrence County as a consultant for a proposed chain of whitewater parks along the Raquette River.
Scott Shipley, an Olympian and three-time silver medalist in the canoe slalom world championships in the 1990s, owns S2O Design and Engineering Inc., a whitewater park consulting firm in Boulder, Colo.
The firm soon will be presented to the Potsdam village board for approval as consultant for the early planning stages of the proposed whitewater parks.
If the firm is chosen, Mr. Shipley would survey sites in Colton, Canton and Potsdam to determine their viability as tourist destinations for whitewater enthusiasts, and the possibility of creating a manmade kayak park along some stretches of the river.


text:
I received my kit yesterday thanks ward
I have to say it is much smaller than I thought probably due to all the robbe kits I build. it arrived with a hole in the outer and inner box postal monkeys!
lots of stuff in there but the box weighs less than20 pounds
the hull is vacmolded in half split down the middle vertivcally from bow to stern,the decks are quite dissapointing they ment well but fell well short of the goal they are vacmolded very thin styrene and all those flood holes need to be cut open or drilled with a .001 bit yuck cut them open and sand off the excess off the back much easyer
the tower and acompaning parts are all vac molded turdy even more so than the robbe stuff nice.the boat has a vacmolded ballast tank that sits on top of the pressure hull .
the latter being quite roomy if you think through your arrangment of gear and toss out the plan inlcuded with the kit
they suggest only 2 servos ,1 for bow planes ,1 for rudder WHAT NO STERN PLANES? there is room in there if you use mini servos or one small gell cell and not the 2 nicad packs suggested ouch no run time at all and talk about heat WOW
making the stern planes operational will be a challenge but definately doable. there are lots of cast metal deck fittings nicely done and all the linkage,control arms etc,etc
the hull has some strange flood pattern holes on the sides I am unaware of these on any plan or print of the original so these will be filled over
over all impresion is good its a nice small boat that can travel with you it might even fit in an overhead on the plane
I give it 3 and a half stars out of 5
ca check my site next week for pics
Edited By boatbuilder1 on 1047744673


text:
Welcome to the NEW University of Wisconsin-Extension Team Forage web site.Our Mission: To develop and disseminate research-based information that will enhance profitable forage production and utilization while sustaining Wisconsin's natural resources. Here are a few things you might want to know:
Posted: January 27th, 2014 under Team Forage.
Tags: Team Forage
Comments: none


text: Jeff Lilly of Jeff Lilly Restorations in San Antonio, Texas, has been a contributor to Corvette Fever for some time. A while back, Jeff ran across these photos of a '72 LS5 chassis that he had built years ago and asked me if I could use them in some way. I decided that our annual concours restoration issue would be a great place to publish these incredibly detailed photos of this C3 chassis. This is how a C3 can be built to look correct and still hold up to the elements. Enjoy!


text:
Architect-designed Ramp House is a skaters dream pad
Article Summary
For skating lovers who heard the phrase 'don't you dare skate in the house' one too many times as a kid, this might just be the dream home you've always wanted. The unique dwelling is described as having a 'curved form interior' (otherwise known as a ramp), but it's not just 'a house with a ramp in it'. Archivirus Architecture and Design's creation sets out to deliver a completely 'skatable habitat' for the client (which is not actually Tony Hawk -he has his half-pipe built in the backyard) with smooth concrete and curved spaces to enhance the idea of motion.
« Back to Architect-designed Ramp House is a skaters dream pad
Related Articles
- Features
- Reviews
- Aircraft
- Architecture
- Around The Home
- Automotive
- Bicycles
- Children
- Computers
- Digital Cameras
- Electronics
- Environment
- Games
- Good Thinking
- Health and Wellbeing
- Holiday Destinations
- Home Entertainment
- Inventors and Remarkable People
- Laptops
- Marine
- Medical
- Military
- Mobile Technology
- Motorcycles
- Music
- Outdoors
- Pets
- Robotics
- Science
- Space
- Sports
- Telecommunications
- Urban Transport
- Wearable Electronics


text:
Newport Brass 933/26 Polished Chrome Chesterfield Deck Mounted Roman Tub Faucet with Metal Cross Handles - Includes Personal Hand Shower and Rough-In Valve
Technical Specs
Specification Sheet | |
Installation Guide | |
Exploded Parts | |
ADA | No |
Approved for Commercial Use | Yes |
Connection Size | .75 |
Diverter Included | Yes |
Diverter Location | Valve Trim |
Drain Assembly Included | No |
Escutcheon Included | No |
Faucet Centers | 7.25 |
Faucet Hole Size | 1 |
Faucet Holes | 2 |
Faucet Type | Bathtub Faucet |
Flow Rate (GPM) | 12 |
Handle Height | 5.06 |
Handle Material | Metal |
Handle Style | Cross |
Handles Included | Yes |
Handshower | Single Function |
Handshower Included | Yes |
Height | 12.94 |
Hose Included | Yes |
Hose Length | 59 |
Installation Type | Deck Mounted |
Integrated Diverter | Yes |
Manufacturer Warranty | 1 Year Limited Commercial, 10 Year Limited Residential |
Material | Brass |
Max Deck Thickness | 1.5 |
Number Of Handles | 2 |
Pause Control | No |
Spout Height | 1.25 |
Spout Reach | 5 |
Spray Pattern | Full |
Spray Settings | 1 |
Theme | Traditional |
Valve Included | Yes |
Valve Type | Ceramic Disc |
Product Features:
- Solid brass construction of faucet body and handles ensures reliability
- Covered under Newport Brass's 10 year limited warranty (covers functionality and finish; does not apply to "living" finishes 03N and 08W)
- Newport Brass uses an industry-leading lacquer finish process to produce finishes that are durable, color-protected, and scratch resistant for years to come
- Coordinates seamlessly with the Chesterfield Collection
- Includes hand shower - handy for rinsing down the tub or just rinsing off after a bath
- Deck mounted installation - faucet mounts directly to the tub fixture
- Dual handles operate with 1/4 turn
- 2 cross handles included with the faucet
- Complete with rough-in valve system
Product Specifications:
- Overall Height: 12-15/16" (measured from mounting deck to highest part of faucet)
- Spout Height: 1-1/4" (measured from mounting deck to spout outlet)
- Spout Reach: 6-15/16" (measured from center of faucet base to spout outlet)
- Hand Shower Flow Rate: 2.5 GPM (gallons per minute)
- Tub Spout Flow Rate: 12 GPM (gallons per minute)
- Single function hand shower with full spray pattern
- Hand Shower Hose Length: 59"
- Maximum Deck Thickness: 1-1/2"
- 2 holes required for faucet installation
- Faucet Centers: 7-1/4" (center-to-center distance between handle installation holes)
- All hardware required for faucet installation is included
About Newport Brass:
Since 1989, Newport Brass has developed, designed and delivered classically constructed, versatile suites of timeless kitchen, bath, and shower products for the discerning customer. With 20 years of commitment to well-engineered, solid brass designs and an undisputed reputation for performance and durability, Newport Brass continues to handcraft the finest fixtures with strict testing and quality assurance measures.
Additional Newport Brass Links
- View Manufacturer Warranty
- Shop All Newport Brass Products
- Shop All Newport Brass Chesterfield Collection Products
Our SKU: 933
This product is listed under the following manufacturer number(s):
- Almond
- Antique Brass
933/06 - Antique Copper
933/08A - Antique Nickel
933/15A - Biscuit
933/65 - Bone
- English Bronze
933/07 - Flat Black
933/56 - Forever Brass (PVD)
933/01 - French Gold (PVD)
933/24A - Gloss Black
933/54 - Gun Metal
- Hammered Antique Copper
- Matte White
933/52 - Oil Rubbed Bronze
933/10B - Oil Rubbed Bronze (Hand Relieved)
933/ORB - Polished Chrome
933/26 - Polished Copper
933/08 - Polished Gold (PVD)
933/24 - Polished Nickel
933/15 - Polished Silver
- Red
- Satin Brass (PVD)
933/04 - Satin Bronze (PVD)
933/10 - Satin Chrome
933/26D - Satin Gold (PVD)
933/24S - Satin Nickel
933/15S - Satin Silver
- Simulated Wrought Iron
- Stainless Steel (PVD)
933/20 - Uncoated Polished Brass (Living)
933/03N - Venetian Bronze
933/VB - Verde Green
- Weathered Brass (Living)
933/03W - Weathered Copper (Living)
933/08W - White
*Denotes a finish or option that has been discontinued
1 Question from the Community
The Newport Brass 933 is 2.5 flow rate (gpm). Hope that helps. You can reach me by email or directly on ext. 341. Have a wonderful day and happy home improving!
What is the flow rate through Newport Brass 933 faucet?
A. The Newport Brass 933 is 2.5 flow rate (gpm). Hope that helps. You can reach me by email or directly on ext. 341. Have a wonderful day and happy home improving!
Newport Brass
Newport Brass Chesterfield Collection
Other Products In The Newport Brass Chesterfield Collection
Newport Brass 930
Chesterfield Double Handle Widespread Lavatory Fau...$436.10-$748.30(7)
Newport Brass 9481
Wall Mounted Pot Filler Faucet with 26-1/4" Double...$506.80-$836.50
Newport Brass 124
Chesterfield Deck Mounted Soap and Lotion Dispenser$102.20-$164.50(3)
Newport Brass 108C
Chesterfield Single Handle Cold Water Dispenser fr...$145.60-$225.40(2)
Newport Brass 934
Chesterfield Wall Mounted Clawfoot Tub Filler with...$717.50-$1,205.40
Warranty Info
Brasstech, Inc. warrants to the original consumer residential purchaser ("Original Purchaser") that if a product in its; Newport Brass®, Brasstech®, motiv®, Newport 365 or GINGER® lines of products ("Product") is confirmed upon inspection to be defective in materials or workmanship during the warranty periods described below, Brasstech, Inc. will, at its option, either repair or replace the Product with a similar current model of the Product. If repair or replacement is not commercially practical or cannot be made in a timely manner, then Brasstech, Inc. will provide a refund for the Product.
Warranty Periods and Coverage Product Finishes- PVD and Polished Chrome (26) finishes on Products other than Drains and Shower rods are warranted as long as the Original Purchaser owns their home.
- "Living" finishes have no warranty*. These include 03N & 08W.
- Shower rods, porcelain parts and glass parts have no finish warranty.
- Mirror products will be warranted from desilvering for two (2) years from the date of purchase by the original purchaser as long as desilvering is not due to chemical contact. See maintenance section for proper cleaning instructions.
- All other finishes are warranted for ten (10) years from date of purchase by the Original Purchaser.
- Polished Chrome (26) and PVD finishes on kitchen, bath or lavatory drains including drain baskets and components are warranted for one (1) year from date of purchase by the Original Purchaser.
- All other Drain finishes have no warranty.
- All Product parts except valves are warranted for ten (10) years from date of purchase by the Original Purchaser.
- Ceramic disc valves for the lavatory faucet, tub/ shower and roman tub are warranted for as long as the Original Purchaser owns the home.
- All other valves (balance pressure, thermostatic, etc.) are warranted for one (1) year from date of purchase by the Original Purchaser.
- Lights have no functional warranty. Soap / Lotion pump mechanisms are warranted for one (1) year from date of purchase by the Original Purchaser. Shower rods, porcelain parts and glass parts have no functional warranty.
- Hot water tanks are warranted for one (1) year from the date of purchase by the original purchaser.
- This Warranty does not cover labor charges or associated costs for, or damages occurring during the removal, transportation, return or installation of Products or replacement Products.
- This Warranty does not cover damage or defects due to normal wear and tear, misuse, abuse, hard water, improper storage, improper handling, improper maintenance**, improper installation*** or uses other than normal household usage****.
- This warranty is non-transferable.
- Products sold to customers for use as display items are not meant for resale and are not covered under any functional or finish warranty.
In no event will Brasstech, Inc. be liable for incidental or consequential damages (such as labor charges), whether based on breach of express or implied warranty, breach of contract, negligence, strict liability or any other legal theory. Some states do not allow the exclusion or limitation of incidental or consequential damages, so, the above limitation or exclusion may not apply to you. Any implied warranties, including the implied warranties of merchantability and fitness for a particular purpose, are limited to the duration of this written warranty. Some states do not allow limitations on how long an implied warranty may last, so the above limitation may not apply to you.
Warranty ServiceTo obtain service under this Warranty, please contact your Product dealer. If you are unable to locate your dealer, please call 949-417-5207 or access the Brasstech, Inc. website at www.brasstech.com. Proof of purchase, such as the original receipt, is required for the dealer to issue credit to the consumer. The dealer must be an authorized dealer and the product must be purchased in the original manufacturer's packaging (display items excluded).
State RemediesThis Warranty gives you specific legal rights, and you may have other rights which vary from state to state.
Product CareSimple care is all that is needed in maintaining this product. Abrasive cleansers, detergents and silver or brass polish may result in damage to the finish and therefore should not be used. To clean, simply wipe with a soft, water dampened cloth. GINGER® hand, deck and wall shower sprays feature easy-cleaning jets. The jets should be cleaned periodically by rubbing your thumb or a damp cloth across the jets to loosen mineral deposits. Run the shower spray briefly to purge the loosened deposits.
* Uncoated and Living FinishesUncoated and Living finishes such as Polished Brass Uncoated (03N) and living finishes such as Weathered Copper (08W), do naturally weather and change color over time. Living and uncoated finishes are not warranted.
** MaintenanceProper maintenance is required to preserve all finishes. Do not use any abrasive cleaners, alcohol, ammonia, detergents, or brass or silver polish on the Products. For complete care requirements and recommendations, please visit our website at www.brasstech.com.
*** Proper InstallationProducts must be installed in accordance with the manufacturer's installation instructions supplied with the Products. For example, pipes must be flushed before faucet installations, because solder and other debris may damage ceramic discs. You may also call 949-417-5207 for copies of the installation instructions. Many of our installation instructions are also available on our website, www.brasstech.com.
**** Commercial PurchasersBrasstech, Inc. extends the above limited warranty to purchasers of Products for industrial, commercial and business use upon the same terms and conditions and exclusions applicable to residential purchasers, except that the finish and functionality warranty periods are reduced to a period of one (1) year from the date of purchase. ADDITIONALLY, with respect to commercial purchasers, all implied warranties, including the implied warranties of merchantability and fitness for a particular purpose are excluded and disclaimed.


text:
garden.com > Patio Furniture > Patio Dining Sets > Item # G24560
promotional discount applied. Cart total will reflect savings.
See Cart
Quantity discount will reflect in cart.
Customer Service will contact you with Freight Quote
Sometimes, manufacturers require that products be advertised only at their suggested prices. When we choose to sell these items for less, we display the sale price only in the cart. To see the price, click Add to Cart.
One-time delivery
(Details) Deliver Every: 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks 7 Weeks 8 Weeks 1 Month 2 Months 3 Months 6 Months
Product Summary:
Beautifies Any Outdoor Area
Create rustic inspiration in your garden or on your patio with these popular cedar furniture pieces. Long-lasting good looks and low maintenance make cedar the natural choice for your home and garden decor. With the added benefits of beauty and comfort, cedar is an ideal choice for any setting. Cedar has an exceptionally high strength-to-weight ratio, which means that it is both durable and easy to move about. It does not shrink or warp as many other woods commonly do. Unlike pressure-treated wood furniture, we use no chemical preservatives that may be harmful to your family's health.
In Stock-Ships Fast
Product Reviews by Customers
This item is not eligible for Canadian shipping.
Some items everyday price is so low we can't discount or we have marked down the item to a final sale price. These select items will not be included in your order total when determining if your order qualifies for a promotional event.
Ads by Google


text:
The Rangers offer camps for baseball fans of all ages. Sign the whole family up and learn from the pros!
The Boys & Girls Clubs of America are the official charity of Major League Baseball.
Find the best selection of team gifts and items for kids of all ages at the official online shop for everything Rangers.


text:
Contents |
Medium Bad Things
If you pick up a phone in the space, and dial 311, you'll page a bunch of Noisebridgers who will join you. (Use +1 415 494 2858 ext 311 on external phone or mobile).
In Case Of Bad Things
Police: Dial 911 for emergencies.
- The pay phone in the space is a VoIP phone and does not have 911 service. Call 415-553-8090 from that phone.
- You may get a faster response when calling from a cell phone or VoIP phone by calling the SF police at 415-553-8090. Program that number into your phone. The reason is that non-landline calls may go through a general dispatch center where wait times sometimes exceed 1 hour.
- For non-emergencies (noise complaints, questions, etc...), call 415-553-0123.
Fire: Dial 911 for emergencies.
- The designated meeting place in case of evacuation is the sidewalk area in front of the Mi Ranchito market.
- For non-emergencies call 415-553-0123.
San Francisco City Services: (graffiti, street conditions, alley cleaning, utilities, etc): 311
Water (flooding): Call the landlord.
Minor Medical (< 10 hit points): There's a first aid kit in the middle of the south side of the classroom wall.
Major Medical (>= 10 hit points, shop accident, gunshot wound, etc): Dial 911 for emergencies. The closest hospital is the level 1 trauma center at San Francisco General Hospital - Emergency. Google thinks there's a hospital very close by on 18th, but it's just a drug clinic and does not have emergency services.
To learn more about emergency preparedness, take the local Red Cross online course
Lab Safety Protocols
See Noisebridge Lab Safety and Ethics Page.
Reporting Misbehavior
If you wish to report harassment anonymously or privately, you can send a message to email@example.com