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At a Glance
Why Get Tested?
To help evaluate thyroid gland function; to help diagnose thyroid disease; to screen for hypothyroidism in newborns; to monitor effectiveness of treatment
When to Get Tested?
When you have signs and symptoms of thyroid disease, usually after an abnormal result on a TSH test; commonly performed as a screening test on newborns soon after birth; when you are being treated for a thyroid disorder
Sample Required?
A blood sample drawn from a vein in your arm or from pricking the heel of an infant
Test Preparation Needed?
None needed; however, certain medications can interfere with the free T4 test, so tell your healthcare provider about any drugs that you are taking. If you take thyroid hormone as treatment for thyroid disease, it is recommended that your blood sample be drawn before you take your dose for that day.
The Test Sample
What is being tested?
Thyroxine (T4) is one of two major hormones produced by the thyroid gland, a small butterfly-shaped organ that lies flat across the windpipe at the base of the throat. The other major thyroid hormone is called triiodothyronine (T3) and together they help control the rate at which the body uses energy. Almost all of the T4 (and T3) found in the blood is bound to protein. The rest is free (unbound) and is the biologically active form of the hormone. This test measures the amount of free T4 in the blood.
T4 production is regulated by a feedback system. When the level of T4 in the bloodstream decreases, the hypothalamus releases thyrotropin releasing hormone, which stimulates the pituitary gland to produce and release thyroid-stimulating hormone (TSH). TSH then stimulates the thyroid gland to make and/or release more T4. As the blood concentration of T4 increases, TSH release is inhibited.
T4 makes up about 90% of thyroid hormones. When the body requires thyroid hormone, the thyroid gland releases stored T4 into circulation. In the blood, T4 is either free (not bound) or bound to protein (primarily bound to thyroxine-binding globulin). The concentration of free T4 is only about 0.1% of that of total T4. T4 is converted into T3 in the liver or other tissues. T3, like T4, is also mostly bound to protein, but it is the free forms of T3 and T4 that are biologically active. Free T3 is 4 to 5 times more active than free T4 in circulation.
If the thyroid gland does not produce sufficient T4, due to thyroid dysfunction or to insufficient TSH, then the affected person experiences symptoms of hypothyroidism such as weight gain, dry skin, cold intolerance, irregular menstruation, and fatigue. Severe untreated hypothyroidism, called myxedema, can lead to heart failure, seizures, and coma. In children, hypothyroidism can stunt growth and delay sexual development.
If the thyroid gland produces too much T4, the rate of the person's body functions will increase and cause symptoms associated with hyperthyroidism such as increased heart rate, anxiety, weight loss, difficulty sleeping, tremors in the hands, and puffiness around dry, irritated eyes.
The most common causes of thyroid dysfunction are related to autoimmune disorders. Graves disease causes hyperthyroidism and Hashimoto thyroiditis causes hypothyroidism. Both hyperthyroidism and hypothyroidism can also be caused by thyroiditis, thyroid cancer, and excessive or deficient production of TSH. The effect of these conditions on thyroid hormone production can be detected and monitored by measuring the free T4.
How is the sample collected for testing?
A blood sample is obtained from a needle placed in a vein in the arm or from pricking the heel of an infant.
NOTE: If undergoing medical tests makes you or someone you care for anxious, embarrassed, or even difficult to manage, you might consider reading one or more of the following articles: Coping with Test Pain, Discomfort, and Anxiety, Tips on Blood Testing, Tips to Help Children through Their Medical Tests, and Tips to Help the Elderly through Their Medical Tests.
Another article, Follow That Sample, provides a glimpse at the collection and processing of a blood sample and throat culture.
Is any test preparation needed to ensure the quality of the sample?
No test preparation is needed. Certain medications can interfere with the free T4 test, so tell your health practitioner about any drugs that you are taking. If you take thyroid hormone as treatment for thyroid disease, it is recommended that your blood sample be drawn before you take your dose for that day.
The Test
Common Questions
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Due to a dramatic increase in the number of questions submitted to the volunteer laboratory scientists who respond to our users, we have had to limit the number of questions that can be submitted each day. Unfortunately, we have reached that limit today and are unable to accept your inquiry now. We understand that your questions are vital to your health and peace of mind, and recommend instead that you speak with your doctor or another healthcare professional. We apologize for this inconvenience.
This was not an easy step for us to take, as the volunteers on the response team are dedicated to the work they do and are often inspired by the help they can provide. We are actively seeking to expand our capability so that we can again accept and answer all user questions. We will accept and respond to the same limited number of questions tomorrow, but expect to resume the service, 24/7, as soon as possible.
Article Sources
NOTE: This article is based on research that utilizes the sources cited here as well as the collective experience of the Lab Tests Online Editorial Review Board. This article is periodically reviewed by the Editorial Board and may be updated as a result of the review. Any new sources cited will be added to the list and distinguished from the original sources used.
Sources Used in Current Review
(Updated 2014 May 14). Thyroid Tests. National Endocrine and Metabolic Diseases Information Service [On-line information]. Available online at http://endocrine.niddk.nih.gov/pubs/thyroidtests/index.aspx through http://endocrine.niddk.nih.gov. Accessed June 2014.
Topiwala, S. (Updated 2012 June 26). T4 test. MedlinePlus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003517.htm through http://www.nlm.nih.gov. Accessed June 2014.
(© 1995–2014). T4 (Thyroxine), Total Only, Serum. Mayo Clinic Mayo Medical Laboratories [On-line information]. Available online at http://www.mayomedicallaboratories.com/test-catalog/Overview/8724 through http://www.mayomedicallaboratories.com. Accessed June 2014.
Hammami, M. (Updated 2013 July 23). Thyroxine. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/2089576-overview through http://emedicine.medscape.com. Accessed June 2014.
Meikle, A. W. and Straseski, J. (Updated 2014 April). Thyroid Disease. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/ThyroidDz.html?client_ID=LTD through http://www.arupconsult.com. Accessed June 2014.
Pagana, K. D. & Pagana, T. J. (© 2011). Mosby's Diagnostic and Laboratory Test Reference 10th Edition: Mosby, Inc., Saint Louis, MO. Pp 958-960.
McPherson, R. and Pincus, M. (© 2011). Henry's Clinical Diagnosis and Management by Laboratory Methods 22nd Edition: Elsevier Saunders, Philadelphia, PA. Pp 377-378.
Sources Used in Previous Reviews
Thomas, Clayton L., Editor (1997). Taber's Cyclopedic Medical Dictionary. F.A. Davis Company, Philadelphia, PA [18th Edition].
Pagana, Kathleen D. & Pagana, Timothy J. (2001). Mosby's Diagnostic and Laboratory Test Reference 5th Edition: Mosby, Inc., Saint Louis, MO.
U.S. Preventive Services Task Force (2004 May 15). Screening for Thyroid Disease: Recommendation Statement. American Family Physician [On-line journal]. Available online at http://www.aafp.org/afp/20040515/us.html through http://www.aafp.org.
MedlinePlus Medical Encyclopedia. T4 (Updated 10/24/07). [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003517.htm.
(© 2005). Thyroxine, Free (Free T4). ARUP's Guide to Clinical Laboratory Testing [On-line information]. Available online at http://www.aruplab.com/guides/clt/tests/clt_245b.jsp#1149312 through http://www.aruplab.com.
(© 2005). Thyroxine. ARUP's Guide to Clinical Laboratory Testing [On-line information]. Available online at http://www.aruplab.com/guides/clt/tests/clt_243b.jsp#1149270 through http://www.aruplab.com.
Wu, A. (2006). Tietz Clinical Guide to Laboratory Tests, Fourth Edition. Saunders Elsevier, St. Louis, Missouri. Pp. 1050-1053.
Amarillo Medical Specialists. How to interpret your blood test results. Available online at http://www.amarillomed.com/howto.htm through http://www.amarillomed.com.
Eckman, A. (Updated 2010 April 20). T4 Test. MedlinePlus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003517.htm. Accessed February 2011.
Pagana, K. D. & Pagana, T. J. (© 2011). Mosby's Diagnostic and Laboratory Test Reference 10th Edition: Mosby, Inc., Saint Louis, MO. Pp 958-960.
Lee, S. and Ananthakrishnan, S. (Updated 2010 April 26). Hyperthyroidism. eMedicine [On-line information]. Available online at http://emedicine.medscape.com/article/121865-overview through http://emedicine.medscape.com. Accessed February 2011.
(© 2008). Thyroid Function Tests. American Thyroid Association [On-line information]. Available online at http://www.thyroid.org/patients/patient_brochures/function_tests.html through http://www.thyroid.org. Accessed February 2011.
Irizarry, L. et. al. (Updated 2010 April 23). Toxicity, Thyroid Hormone. eMedicine [On-line information]. Available online at http://emedicine.medscape.com/article/819692-overview through http://emedicine.medscape.com. Accessed February 2011.


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The Retrospec Beta Series is the ideal commuter bike with a hand built steel frame and horizontal dropouts, double wall rims, sealed bottom bracket, and brand name components throughout. Also included is a fixed-gear/single-speed bike that mixes speed and sleekness with performance and durability. Riding fixed or single-speed means low maintenance, simple and efficient design, and allows you to connect to the road in a way that other types of bicycles cannot do. All of our custom fixed gear bikes come with CST High Performance tires that will have you riding fast and smooth, and without having to worry about getting a flat on imperfect pavement!
Our fixies come in a variety of stunning signature color combinations, from the hot pink and electric blue Betty Davis to the black and red El Diablo made popular by celebrity soccer star and international icon David Beckham. No matter what your personality is, one of our Beta Series custom fixed gear bikes is sure to suit your individual style.
Retrospec's Beta Series bike features silky smooth KT hubs with flip-flop hub on the rear wheel. The hub comes with a fixed-gear cog and a freewheel, so you can ride fixed or coast. Both front and rear wheels come with 32 spokes and are built with lightweight 41 mm Super Deep-V rims.Wheels that are deep enough for optimized performance but never too heavy. Our wheels also come with a resilient nylon rim tape and CST Super-HP tubes and tires (700x23c).
Retrospec is the only bicycle company in the world that can claim bar-spin clearance, no toe-overlap, and flat top tube all in one frame. All Beta Series Retrospec custom fixed gear bikes have bar-spin clearance on all size frames. If you aren't tricking out on your fixie now, you probably will someday soon because the Retrospec Beta Series makes it so easy. Our frames are uniquely designed to avoid any chance of a toe overlap and all our bicycles size 49 cm and larger come with a flat top tube for a traditional track-style frame.
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Comments about Retrospec Beta Series Bike:
is a heavy bike with poor components
Best Uses
Comments about Retrospec Beta Series Bike:
You really can't complain about this bike at the price I bought it for. I got the chrome model and it is a really good looking ride. Yes, it is a cheap bike, and it comes with some cheap components. Suck it up and replace them as you go. I already swapped out the pedals for some cheap BMX style. My biggest beef is not having water bottle braze-ons. There is no excuse for that. The frame is heavy, but it's solid with plenty of clearance for wider tires. Speaking of which, the 23 mm road tires are a little skinny and harsh for city commuting. 28 or 32 mm would be a better choice. I bought the large 57 cm size, which = 22.5". That's a big bike, it should come with 175 mm crank arms instead of 170 mm, and the little micro stem is a joke for that size frame. The other reviewer also noted that the large frame felt cramped. That's because they use the same little stem for all the sizes. I will be swapping out for a longer stem with a little more rise. I can't quite get used to narrow bars, so I will probably go to a wider set as well. Other than those little nit-picks, this bike is strong and fun to ride... It will get noticed as well.
Best Uses
Comments about Retrospec Beta Series Bike:
This is a fun bike. I purchased it for a easy bike to ride to the bank or the the store. Its perfect for that. Fun to ride and looks great. ( chrome option )
I do think the top tube length is super short and put you in a weird riding position but maybe I'm just used to my other bikes. I but a longer stem and moved the seat as far back as I could and its a bit better. Would not recommend for rides longer than 10 miles.
Best Uses
Comments about Retrospec Beta Series Bike:
I use the Retrospec Beta (Betty Davis) to commute around inner Houston. Its lightweight frame lets me accelerate quickly and handle well. It has a flip/flop hub which means you have the choice to ride it fixed gear or free. I have the Betty Davis with the pink frame, and blue and white rims, and I've gotten numerous compliments on it. Because of its good looks, it's a thief magnet, so please be sure to get a good U-lock and keep it safe!
I was a little disappointed in Retrospec for not putting any holes in the frame to accomodate a bottle holder, but it's a minor detail that didn't stop me from buying the bike.
Like any other bike with high profile rims, you'll need to be sure that it's strictly used for the road, and that hitting one too many potholes (something Houston roads are notorious for) will send you to the bike shop looking for new tubes.
It's a great entry level road bike, and I don't think you'll get a better deal! The bike parts that come with it are not of cheap quality, but also not top performance, obviously. It's at a good middle ground. A bike you intend on using for more than the weekend should be an investment because you want it to carry you in good hands for miles, and this bike defnitely does so!
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Get free Standard Shipping with your $50 purchase today! Just choose Standard Shipping during checkout.
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The South African Rugby Union's leadership says they have committed to finding alternative competitions for the Lions to participate in, including exploring the possibility of their inclusion in the European Cup.
On Thursday it was announced that the Lions would be the franchise to drop out of Super Rugby in 2013 in order for the Kings to be accommodated. This will leave the Johannesburg franchise without a high level of competition from the start of 2013 through to August, at which stage they'll have a promotion-relegation play-off against the last-placed side in the South African conference.
The implications of this situation for the Lions are wide-ranging, the most significant of which is that their best players, many of whom are only have a couple of months to run on their contracts, will seek to play elsewhere.
Keo.co.za can confirm that the Lions' leadership has already engaged their senior players on the idea of a loan to another franchise for 2013, in a bid to retain them. Whether this ploy succeeds remains to be seen.
Saru, represented by president Oregan Hoskins and CEO Jurie Roux at a press briefing in Cape Town, has insisted it is working to increase the options available to the Lions and their players.
'The amount of work that went into trying to trying to find alternatives – entry into competitions in Europe, trying to get new structures in place [in Super Rugby, that is, changing the format to include an additional team] – just trying to get a better position for the franchise that was going to fall out, was continuous over the last six months,' Roux said.
'We reached the point where we couldn't postpone this decision any longer but that doesn't mean we can't still find some form of competition for the Lions. That will be a tough task and maybe it will be a downgraded competition. We've been speaking to IRB about possible inclusion into the European Cup, the Nations Cup and Pacific Cup, just to provide an opportunity. We'll even hope that somehow we can convince Sanzar that whatever [expansion] is happening post 2015 can be brought forward to 2014. We'd need to convince the broadcasters and partners and we'll certainly try to at our next meeting.'
The financial implications for the Lions are self-evident, with a loss of gate, advertising and merchandising revenue (among other income streams) to seriously affect their bottom line. They already find themselves in a perilous financial state following the Guma Group's withdrawal from the franchise and lengthy legal battles with franchise partners, the Pumas and Leopards.
However, Roux said they were open to discussing means of assisting the franchise financially.
'We've got an agreed upon funding model that was decided in November 2009. It includes all six franchises. That runs through to 2015, so irrespective of whether you are playing Super Rugby or not you are still getting your share of the broadcasting revenue,' he said.
'No decision has been made on any additional funding. We need to look at how we can assist at keeping the Lions running so that they are able to compete should they win promotion in 2013.'
Roux also didn't rule out the possibility of the Lions negotiating a merger with another franchise, although this is a highly unlikely scenario.
'Initially there was a lot of discussion about the possible merger or whoever dropped out would go into a merger with the Kings for the rest of the period of the contract. [If] that happens is up to the Lions and the Kings. They are official franchises and should run their business accordingly,' he said.
Roux added that the possibility that the Lions could challenge the decision legally, but said he hoped that wouldn't happen.
Asked to assess their leadership on a saga that became incredibly messy and embarrassing for South African rugby, Hoskins said: 'South African rugby is a tough terrain. We have passionate constituencies and it is always a more challenging environment than our Australasian partners. We've got to do the best we can.
'We've done a lot of soul searching around this. The issue of the Spears goes back to 2005 so until now we've tried. Under all these circumstances it is the best we could do.'
By Ryan Vrede


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What is Ohio's Patron Confidentiality Law?In September 2000, Ohio's lawmakers passed section 149.432 of the Ohio Revised Code dealing with confidentiality of library records. Ohio was the last of the 50 states to enact such confidentiality legislation. In the past, library borrower records were open for public review, inspection and copying. Basically, this new law provides that cardholder information is confidential with a few exceptions.What does this mean to me?Library staff may ask for more identification-related information when assisting customers with transactions. While this may seem like an inconvenience or an unnecessary annoyance to some customers, the staff is committed to protecting the privacy of our customers' information and complying with this new state law.Who can look at my record?Customers have the option of choosing who can access their library account information, be it a spouse, relative or other individual. All customers will have opportunity to sign a consent form listing those who may be privy to such account information.Parents/custodians/legal guardians of minor children will be asked to list other individuals who may have access to a child's account information, including grandparents, caregivers or other individuals.These customer consent forms must be on file at the library if detailed information linking the titles of materials to a specific customer is to be given out.What about the staff? Can they look at my library records?Access to identifiable information about you is limited to those employees who have a specific business reason to retrieve such information. Our employees are trained on the importance of confidentiality and privacy of customer information.The library does not share its customer list with outside organizations except for administrative functions, such as sharing information with our collection agency. Not even the Friends of the Library groups may have access to your records!How does the USA Patriot Act affect me?The Patriot Act allows law officers to review customer records via a search warrant. By law, library staff must comply immediately with the orders of a search warrant. However, since customer library records are cleared as materials are returned, the only records available to law enforcement officers would be items currently checked out and items that have fines. If you should have any additional questions about your library record and the Patriot Act, please ask a library staff member.
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For your convenience, CenterPoint Energy works with a number of merchants to provide bill payment centers. These locations will accept your CenterPoint Energy payment and provide you with a receipt. Payments made at these locations before 5 p.m. are posted to your account on the next business day.
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digitalis medicine-oral, Crystodigin
GENERIC NAME: DIGITALIS MEDICINE - ORAL (didge-ih-TAL-iss)
BRAND NAME(S): Crystodigin
Medication Uses | How To Use | Side Effects | Precautions | Drug Interactions | Overdose | Notes | Missed Dose | Storage | Medical Alert
USES: Digitalis medication works directly on the heart muscle to strengthen and regulate the heartbeat. It is used to treat certain heart conditions.
HOW TO USE: Take this medication exactly as prescribed. Try to take it at the same time(s) each day. May be taken with food or milk to avoid stomach irritation. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped.
SIDE EFFECTS: Diarrhea, loss of appetite, drowsiness, headache, muscle weakness, and fatigue may occur as your body adjusts to the medication. Inform your doctor if you develop: confusion, visual disturbances (blurred vision or yellow/green halos around objects), fast/slow/irregular heartbeat, skin rash, breast enlargement, severe stomach upset. If you notice other effects not listed above, contact your doctor or pharmacist.
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GARETH DUNCAN analyses Monday night's Varsity Cup final in Pretoria.
Over 14 000 fans are expected to show up for the highly-anticipated Varsity Cup title decider to be played at Tuks Rugby Stadium. The fifth tournament final will see Tuks host the unbeaten Maties.
This clash is an accurate summary of this year's tournament as these two universities have been the in-form teams during the campaign. Maties, who suffered a disappointing campaign last year, won six and drew one of their seven fixtures, while 2011 losing finalists Tuks won six of their seven league matches. The latter's only defeat was a 23-22 loss to the Stellenbosch team at Danie Craven Stadium in February.
Tuks have challenged well in the forwards battle and their backs have thrived with this platform set, but Maties have proved to have the most dominant pack in the competition this season, and there's plenty of quality among their backs to trouble opposition defences. Whoever holds the ascendancy up front will go on to achieve victory.
A historic tournament overview between these two sides see Maties holding the better record as they have beaten Tuks four times in seven matches. Tuks have won two other clashes while there was one draw in 2008.
However, Tuks captain and hooker Zane Botha is confident that his charges can clinch their first Varsity Cup title, especially after falling short against UCT in last season's final.
'We deserve to be where we are this year,' said Botha. 'We ended top of the log, we won our semi-final and it's our right to host the final in front of our home fans. We're really looking forward to it.'
Botha added that they are prepared for a physical encounter against the visitors.
'It's [a physical game] what you always expect against the Maties. There's no such thing as a weak Maties side, excellence is in their culture.'
Maties head coach Chean Roux revealed that his team have also done their homework and have certain tactics in place.
'As a coaching team we couldn't possibly do any more… I mean, we know what to expect and I'm pretty sure Tuks will know that we'll know what to expect,' said Roux.
'All we can do as a team is get our execution right and ensure that we stop their momentum. They have two major strings to their bow – their momentum and their kicking game, we need to stop them both, although it won't be easy against a teaTukm that's been playing the same game – and doing it very well – for the past two seasons.'
Tuks – 15 Clayton Blommetjies, 14 Deon Helberg, 13 Jerome Pretorius, 12 Dabeon Draghoender, 11 Hayden Groepes, 10 Wesley Dunlop, 9 Lohan Jacobs, 8 Jono Ross, 7 Jacques Verwey, 6 Okkie Kruger, 5 Franco Mostert, 4 Mike Williams, 3 Grant Kemp, 2 Zane Botha (c), 1 Sabelo Nhlapo.
Subs: 16 Kurt Haupt, 17 Juan Schoeman, 18 Sthembiso Mlongo, 19 Wiaan Liebenberg, 20 Rudi van Rooyen, 21 Willie du Plessis, 22 Courtnall Skosan, 23 Basil Short.
Maties - 15 André Smith, 14 Ryan Nell, 13 Wessel Coetzee, 12 Louis Jordaan,
11 Dean Hammond, 10 André Kemp, 9 Donald Stevens, 8 Grant Hattingh, 7 Helmut Lehmann (c), 6 Sam Mabombo, 5 Hugo Kloppers, 4 Reniel Hugo, 3 Os Hamman, 2 Rob Herring, 1 Alistair Vermaak.
Subs: 16 Alfred Ries, 17 Brummer Badenhorst, 18 JP Swanepoel, 19 Nicholas de Jager, 20 Boela Abrahams, 21 Jarryd Buys, 22 Clearance Khumalo, 23 Hein van der Merwe.
Keo.co.za predicition: Maties by 8


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Indie Next List
The Monk Who Sold His Ferrari: A Fable About Fulfilling Your Dreams & Reaching Your Destiny
The Monk Who Sold His Ferrari: A Fable About Fulfilling Your Dreams & Reaching Your Destiny (Paperback)
Related Editions
Wisdom to Create a Life of Passion, Purpose, and Peace
This inspiring tale provides a step-by-step approach to living with greater courage, balance, abundance, and joy. A wonderfully crafted fable, The Monk Who Sold His Ferrari tells the extraordinary story of Julian Mantle, a lawyer forced to confront the spiritual crisis of his out-of-balance life. On a life-changing odyssey to an ancient culture, he discovers powerful, wise, and practical lessons that teach us to:
- Develop Joyful Thoughts,
- Follow Our Life's Mission and Calling,
- Cultivate Self-Discipline and Act Courageously,
- Value Time as Our Most Important Commodity,
- Nourish Our Relationships, and
- Live Fully, One Day at a Time.
About the Author
Robin Sharma is the CEO of Sharma Leadership International, a global training and coaching services firm. Rated as the #2 leadership guru in the world by leadershipgurus.net, he is the author of ten books, including five #1 bestsellers that have been published in more than forty countries. Robin is a highly sought after speaker and leadership advisor to organizations like Microsoft, GE, IBM, FedEx, Nike, BP, and Yale University. For more information, visit robinsharma.com.


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Posttraumatic Stress Disorder Center - East Lake, FL
East Lake Psychiatrist Doctors for Posttraumatic Stress Disorder
Type of Physician: Psychiatrist
What is a Psychiatrist?
A certification by the Board of Psychiatry & Neurology; practitioners are skilled in the prevention, diagnosis and treatment of mental, addictive and emotional disorders. He or she is trained to understand the biological, psychological and social components of illness and is qualified to order diagnostic laboratory tests and to prescribe medications, as well as to evaluate and treat psychological and interpersonal problems. The psychiatrist is also prepared to intervene with individuals and families who are coping with stress, crises, and other problems in living.
Specialty: Psychiatry
Common Name:
Psychiatrist Doctors in East Lake *
Associates In Counseling & Psychiatry
Associates In Counseling & Psychiatry
Caryn B Schorr MD
Robert F Vassall MD
Compass Health Systems PA
West Psychiatric Associates PA
Pembroke Pavilion Psychiatric Associates
Shlomo Pascal MD
Broward Psychiatric Services
Broward Psychiatric Services
Francisco J Borges MD
Gail C Eisenberg MD
Richard W Levin MD
Arnold S Zager MD
Neil H Edison MD PA
Behavioral Health Group Inc
Behavioral Health Group Inc
Juandalyn R Peters MD
Behavioral Health Group Inc
H Barry Miller MD PA
Alvaro G Manotas MD
Bayview Center for Mental Health Inc
Alina Nodal MD
Gary Kushner MD
Psychiatric Consulting & Counseling Inc
Shobha Gupta MD
Keller Healthcare
Keller Healthcare
Ignacio Lopez-Merino MD
Keller Healthcare
Henderson Mental Health
Julius Meller MD
Larry Benovitz MD PA
Juan B Espinosa MD
William Greenfield MD
Institute for Family Therapy
Peysaf Worthalter MD PA
Drs Greener & Abramson
Grabois Pravder & Kaplowitz MDs
Grabois Pravder & Kaplowitz MDs
Drs Greener & Abramson
Grabois Pravder & Kaplowitz MDs
Charles B Mutter MD PA
Grabois Pravder & Kaplowitz MDs
Henderson Mental Health Center
Henderson Mental Health Center
Henderson Mental Health Center
Henderson Mental Health Center
South Florida Psychiatric Associates Inc
Charles Barton MD
Bernard Savariego MD
Maximo P Monterrey MD
Psychiatric Associates
Psychiatric Associates
Gregg L Friedman MD
Richard Douyon MD
Drs Aksu & Reininger
Ruben B Vallejo MD
Compass Health Systems PA
Compass Health Systems PA
Compass Health Systems
Leonard S Lebow MD
Compass Health Systems PA
Jaime S Rejtman MD PA
Lifepoint Counseling Ctr
Lifepoint Counseling Ctr
Monica G Salgueiro MD
Richard B Seely MD
Diana DeLaVega MD
Jose E Gamez MD PA
Bernardo Pascual MD
Victoria M Roberts MD & Joseph W Poitier MD
Compass Health Systems PA
Rosa F Turner MD
Mark S Willner MD
Windmill Psychiatric Associates
Marino Molina MD
Florida NeuroPsychiatric Institute
Jesus S Rodriguez MD
Florida NeuroPsychiatric Institute
David Echavarria MD
Stephen Kahn MD
Guido F Nodal Jr. MD
Alfredo G Pujol MD
Henderson Mental Health Center
Carol E Weingrod MD
Citrus Health Network
Citrus Health Network
Citrus Health Network
George Jacobson MD
Citrus Health Network
Citrus Health Network
Citrus Health Network
General Psychiatry
Citrus Health Network
Margarita Lermo MD
Rossana Lopez MD
Christopher B Mahon MD
Florida Neuroscience Center
Alberto J Fernandez-Sabater MD
East Lake, Florida
Posttraumatic Stress Disorder
PTSD facts
Other Related Posttraumatic Stress Disorder Articles
Emergency Contact for East Lake
Nearby East Lake Hospitals *
*Provider Directory Terms of Use:
The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval.


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Washington Liposuction Doctors and Reviews
Washington Liposuction cost
Average cost in US: $5,950
Average cost in Washington: $6,125
Washington Liposuction reviews
86% of Washington reviewers said Liposuction was worth it
"32 Yo Professional and Lifelong..."
I am a 32 yo professional woman that has never been a stick and doesn't come from stick like genes. I have always been an athlete and continue to work out 3 days a week and play competitive sports 2 days a week. But since entering my 30s, my body just won't respond the way it used to. Some of it is due to age and metabolism and some of it is due to stress. I lost my mother a year and a... more
"25 Year Old Needing Some Fine..."
I saw several highly recommended plastic surgeons before going with Dr. Bitar. After having my first child two years ago, I've always had some trouble getting all the baby weight off especially in my belly. Dr. Bitar was the only plastic surgeon who agreed that a little liposuction would help get rid of the stubborn tummy fat WITHOUT doing a tummy tuck. 2 out of the 3 plastic surgeons I saw... more
"Lipo on Arms and Legs. Lanham, MD"
I wish I had never agreed to the procedure I had done. Very limited work was done to the areas I paid for. Also, I woke up many times during the procedure feeling all the horrendous pain possible, as anesthesia was underused. I have had to pay another surgeon to finish the work that Dr. Banks agreed to do. The current surgeon who just did follow-up lipo could, during the procedure, see... more
"Liposuction on Upper and Lower..."
First all let me say that I love my doctor and I love my results even more! It was important that I found an aggressive surgeon and Dr. Widder was super aggressive. All together he took off a total of 11 pounds of fat out of my stomach. On top of that he was super friendly and made me feel very comfortable. I visited several surgeons but no one was as nice or made me feel as comfortable as... more
"Two kids 32 Wanted Better Body Shape..."
I recently lost over 70 lbs and decided to get Lipitor help smooth out everything else. My procedure was today I hardly got any sleep #nerves but I got to the office which was a little outdated but the staff were incredibly friendly and Dr.Araya was great we were talking and then the surgery was finished :) Just some pics of draining and garment. Not a lot of pain numbing has started to... more
"44 No Kids Want to Do Lower Ab..."
I have been thinking about doing my lower ab pooch forever, becaise I have had it that long. Even at my thinnest 107 lbs I still had a pooch. Even aty fittest I have a 4 pack but never a 6. So abdominal etching would really make me happy as I work out like a beast. On the other token after turning 44 gravity is not my friend..I noticed a shift in my fat distribution that is unpleasant to me. I... more
"41 Yo Male That Wanted to Remove..."
I had the procedure done on 24 Jul and I am pleased with the results. I am on day 3 and I wanted to document my journey to help others since this site was very helpful before and after the procedure. I did have bruising on my penis and testicles. I only used Tylenol to manage the pain and it was a little tough yesterday and better today. I did go for a walk today 2 miles and felt pretty... more
"24 Year Old with PCOS Weight Gain -..."
I have always been very active and athletic but began to gain serious weight the last 2 years (15 lbs) even though I was still exercising and eating healthy. I have never had a flat stomach so this is a surgery I had been considering for about 4 years now but always wanted to try and lose the weight myself. Last September I was told I had PCOS and that losing weight would be nearly... more
"35 Year Old Female, Liposuction, ..."
I have recently decided to have surgery so that I can feel better about myself & look better in my clothes. I've been to 4 different doctors & they all told me that I should get a tummy tuck because I will get the best results. While I do agree with them I decided to get liposuction instead because I can't afford to take the time off work for the recovery process. I am a full time single... more
Bad idea. Instead of a lil buldge now I have extra skin that I really don't think will retract. I have a kind of bat wing now under my arm toward my back. He ran the lipo into the back area somewhat. More on one side than the other. Now I have two very different sides back there squishing out at my bra line on top. One is full and looks pretty normal, the other is a skin flap. I have already... more
"Neck Lipo and Muscle Tightening..."
47y/o male has neck lipo and tightening of the neck muscle to give a better / more defined profile. Procedure took about 2 hours. Pain was moderate. I actually used the pain medication at bedtime to sleep. I am 8 days post-op and most of the bruising is gone, but the neck swelling remains; hopefully, some of this goes down during week 2 of recovery. Definitely happy with the results Dr.... more
"GREAT Work! - Washington, DC"
I had circumferential liposuction performed by Dr Marefat. He's not trying to run a factory like most doctors... getting patients in and out as quickly as possible. He takes whatever time it takes to make the patient happy! I recommend patients get anesthesia if the procedure is expected to be more than an hour. I went back to DR Marefat to have my thighs lipo(ed) and love the results... more
"Inner and Outer Thigh Liposuction..."
Dr. Poindexter liposuctioned my inner and outer thighs and my upper arms. The results are fabulous! My inner and outer thighs had stubborn areas of fat that I absolutely hated, including saddlebags on my outer thighs and uneven pockets of fat on my inner thighs. After the liposuction, I was so happy with how smooth, even and slim the contours are, while still maintaining a feminine shape and... more
"Yay for Smaller Arms! -Ellicott..."
For those looking into upper arm liposuction, I would recommend the procedure. Be aware that there are drawbacks (I've traded pudgy arms for a bit of loose skin) but I am still pleased with the decision nonetheless. The recovery isn't that bad, especially if you have a week or two to take it easy (and someone to help you if possible). I'm glad I did it! more
"Glad the First Part is over -..."
I have a good month before i have to go back to work so I figured this was as good a time as any. I took the plunge with the help of my 18 year old! She has been a great nurse though I do pay her a little for helping me. Surprisingly I was not scared but I did feel guilty. The procedure went fine. I followed all directions and made sure I used an experienced and qualified plastic surgeon.... more
"Will Lipo Fix my Square Butt -..."
My ps told me lipo will fix my square butt but not sure if it will ,I'm planning on getting something done by September of this year!do anyone having suggestions??i don't want I huge butt i want it to look natural as possible!the ps also told me that lipo will reduce the size of my stomach too,tt is out of the question for me!! Ok I've decided to get bbl along with lipo!!now I'm in the... more
"Liposuction/breast Lift/tummy Tuck -..."
Hello, I am a 25 year old female, I was over weight through out my teenage years up to few months ago. I lost a total of 65lbs. honestly thinking back I don't even know why I was the way I was and regret so much that I didn't make this change earlier in my life. one day I woke up and told myself enough is enough, I need feel good about myself and changed my life style. eating healthy and... more
"Back, Flanks, Abs 47 Year Old Male -..."
1/18/03 had liposuction on my back, flanks, and fat injected into my buttocks. The fat injection was more about my long term health and where I will gain weight instead of looks. I frankly didn't care how my butt looked. I have to go back later this week to have the abs done and look forward to finishing it up. I was a little concerned based on all I read here about the recovery. I have a... more
"A Young 51 and Had Back and Flanks..."
Had lipo of flanks, back (upper and lower) and as added bonus PS lipo'd mons area and gave it a much needed lift - surgery performed 12/21/12 under general. Background ~ I had a TT w/muscle repair 2 years ago (very happy with the outcome), however, with the flat tummy my back and flanks seemed to standout more ~ especially in my bathing suit. First, I absolutely love my PS and went... more
"Completing my Journey - Fairfax, VA"
I had a Full TT last year. I'm still happy with the results of my tummy. I was left with a small fat pocket on my side. I decided if he was going to suck out the fat pocket. Then why not get my entire waistline done. So, I'm feeling very excited. I'm telling myself that this is my last time with PS but who knows what the future holds.I'm now a little over a week past my lipo. I had my flanks,... more
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Chalkboard is i-to-i's TEFL community.
It is currently still in testing phase which could mean you find the odd bug!
Q: What is i-to-i Chalkboard? A: It's the online community of TEFL specialists
Use the tabs below to learn more about our TEFL courses
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text:
Humanitarian Aid
How do we help?
Humanitarian aid is designed to help people in dire need as a result of natural disasters, epidemics or conflict.
Where do we help?
The Sahel, Pakistan and Syria – a country where violence is continuing to take its toll – are just a few of the places where the Federal Foreign Office is supporting aid programmes. In many areas, things are made harder both for relief workers and for those in need by the precarious security situation. moreWhere do we help?
Fight against Ebola
The fight against the Ebola epidemic in West Africa is posing a dramatic challenge for the international community. The German Government is continuously expanding its assistance and support for the countries affected. In his capacity as Special Representative of the Federal Government, Ambassador Walter Lindner directs and coordinates all aid measures. moreFight against Ebola
Collaborating with relief organizations
Information is available here on our funding guidelines, the sorts of project which are eligible for support as humanitarian aid abroad, and the Humanitarian Aid Coordinating Committee.
moreCollaborating with relief organizations
Humanitarian mine and ordnance clearance
Every year, landmines and unexploded ordnance kill countless people around the world. Germany is actively working for the prohibition of anti-personnel mines, and supports a range of projects to this end. moreHumanitarian mine and ordnance clearance
Humanitarian disaster risk reduction
Risk analysis, prevention and preparedness are the three core elements of effective disaster risk reduction. Germany is campaigning to see improvements in international preparedness. moreHumanitarian disaster risk reduction
International cooperation on humanitarian aid
Natural disasters and armed conflicts leave countless people around the world reliant on humanitarian aid. UN organizations play a key role in the provision of international humanitarian aid. moreInternational cooperation on humanitarian aid


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As Seen on TV - Stream Clean Reviews
REVIEW SNAPSHOT®by PowerReviews
- Easy to use (3)
Best Uses
Reviewed by 4 customers
Sort by
- Convenient
- Easy to Use
- Effective
Best Uses
- Pet Stains Odors
Comments about As Seen on TV - Stream Clean:
I have 5 cats and one that seems to forget how to use the litter box at times. Great for getting the urine smell out of my rugs. Smell is a bit intense at first but after a while it was much lighter. The can says it's not for furniture but I did use it on my couch cushion and it got the smell out. Buying another can just to have on-hand. Great stuff! I would definitely recommend this to anyone with pets.
- Convenient
- Easy to Use
- Effective
- Powerful
Best Uses
- Home
- Living room
Comments about As Seen on TV - Stream Clean:
This is the best product ever. My carpet has heavy pet stains and just after one use, I can already see a huge difference. I've tried many products before with no success. I'm so impressed that I am purchasing 3 more cans.
- Easy to Use
- Efficient
- Hard Stains Gone
- Miracle Worker
- Powerful
- Simple Instructions
- Spray And Go
Best Uses
- Any Room
- Cleaning
- Gets Hard To Reach Spots
- Great On Carpet
- Great On Hard Floors
- Home
- Office
Comments about As Seen on TV - Stream Clean:
I disagree completely with the other review because my can worked just as TV said, and I have a disability too. I did not have to bend. Spray went to hard-to-reach spots. Got out the toughest pet and coffee stains that nothing else could. I am critical of such miracle cleaning products but this one gets 5 stars. It worked beautifully. Leaves no smell. Doesn't stain carpet or my real hardword floors. My pets aren't bothered by it - they don't even notice it.
- Doesn't Do Job
- Label Misleading
- Says Spray And Go But You
- You Have To Bend
Best Uses
- None
Comments about As Seen on TV - Stream Clean:
Misleading statements on package and in ad on TV. You have to bend over and blot. I am disabled so this was important. Only warns about use on light carpet on back of can. You need to tell the real truth in your catalog. Several applications didn't even get up dirt.
|**In order to join, you need to have at least
1 item in your shopping cart.


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Tumor Grade Center - Poway, CA
WebMD Physician Directory
Poway, California
Tumor (Grade)
Tumor grade facts
Other Related Tumor Grade Articles
Emergency Contact for Poway
Nearby Poway Hospitals *
Aurora Behavioral Healthcare
Pomerado Hospital
Scripps Memorial Hospital
Kaiser Permanente Medical Ctr
Thornton Hospital
Palomar Health Downtown Campus
Sharp Vista Pacifica Hospital
Rady Childrens Hosp San Diego
Sharp Grossmont Hospital
Alvarado Hospital Medical Ctr
San Diego Rehabilitation Center
Alvarado Parkway Institute
Rady Children's Hospital
Scripps Green Hospital
Sharp Memorial Hospital
Sharp Mary Birch Hosp For Women
Sharp Mesa Vista Hospital
Promise Hospital Of San Diego
Kindred Hospital
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San Diego Hospice
UC San Diego Medical Center
Scripps Mercy Hospital
Vibra Hospital Of San Diego
San Diego County Psych Hospital
Naval Medical Center
VA San Diego Healthcare
New Vistas
Paradise Valley Hospital
Sharp Coronado Hospital
Tri-City Medical Center
Scripps Mercy Hospital
Sharp Chula Vista Medical Ctr
Bayview Behavioral Health
Naval Hospital Camp Pendleton
Fallbrook Hospital
*Provider Directory Terms of Use:
The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval.


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Edmonton Oilers (1-6-1) at Ottawa Senators (3-2-2), 2 p.m.
(SportsNetwork.com) - The Ottawa Senators will try to keep heading in the right direction when they host the struggling Edmonton Oilers in Saturday's clash at Canadian Tire Centre.
The Senators began the season on a six-game road trip and went 2-2-2 on that swing, earning wins in the first and last contests of the trek. Ottawa then made it two wins in a row by picking up a victory in its home opener on Thursday, downing the New Jersey Devils by a 5-2 score.
Erik Karlsson and Jason Spezza each notched a goal and two assists to help Ottawa keep the Devils winless on the season. Bobby Ryan added a goal and an assist, while Milan Michalek and Zack Smith each scored once for the Senators.
Karlsson, Ryan, Spezza are off to terrific starts to this season. Spezza is leading the team in both goals (5) and points (8) through six games, while fellow forward Ryan has four goals and seven points. Karlsson is leading the club's defense with two goals and six points.
Craig Anderson backstopped the Sens' second straight victory with 40 saves and he is 3-1-2 with a 2.88 goals against average this season.
"He's a great goalie and he comes up big for us when we need him," Karlsson said of Anderson. "Obviously today he might have saved the game for us."
Anderson has solid career numbers against the Oilers, going 7-3-1 with a tie and a 2.48 GAA in 12 games versus Edmonton.
Next up for the Senators is Wednesday's game in Detroit, where they will face former Ottawa captain Daniel Alfredsson and the Red Wings.
Edmonton enters Saturday with just one win in eight games. The club has lost five in a row and the last three setbacks all came in regulation. The Oilers dropped a 3-2 decision Thursday night against the New York Islanders despite Taylor Hall scoring twice during an eight-second span in the first period.
Hall accounted for both Oilers' goals, which came a mere eight seconds apart late in the first period and handed Edmonton a 2-1 lead. The two goals were the fastest by one player in Oilers' history, breaking Wayne Gretzky's record of nine seconds set against St. Louis on Feb. 18, 1981.
However, the Oilers failed to generate much offensively the rest of the way and they let the home team score twice in the second period to take the close contest.
Despite falling to 0-4-1 on the season with another loss, goaltender Devan Dubnyk had his best showing of the campaign, finishing with 37 saves for the Oilers.
"This is where Duby takes over and starts playing like we know he can," said Hall. "It would have been nice to get a win for him."
Dubnyk expects to get the call again on Saturday. He has never started a game against Ottawa, but did see action in relief against the Senators on Nov. 17, 2011 and stopped seven-of-nine shots.
The Oilers are making the fifth stop on a six-game road trip today and will close the swing Tuesday in Montreal.
Edmonton has taken three of the last five meetings against the Senators overall and also has claimed the last two encounters in Ottawa.
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text: You will look great and feel even better with new Women's Casual Shirts from The Sportsman's Guide. Choose from a variety of styles like: Denim Shirts, Polos Shirts, T-Shirts, Long Sleeve Shirts, Button Down Shirts, and more. You won't have to sacrifice comfort for style, at Sportsman's Guide you can have it all and at amazingly low prices.


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Since Groovy 1.6, it is possible for if/else and try/catch/finally blocks to return a value when they are the last expression in a method or a closure. No need to explicitly use the return keyword inside these constructs, as long as they are the latest expression in the block of code.
As an example, the following method will return 1, although the return keyword was omitted.
|Code Block
def method() { if (true) 1 else 0 } assert method() == 1
For try/catch/finally blocks, the last expression evaluated is the one being returned. If an exception is thrown in the try block, the last expression in the catch block is returned instead. Note that finally blocks don't return any value.
|Code Block
def method(bool) { try { if (bool) throw new Exception("foo") 1 } catch(e) { 2 } finally { 3 } } assert method(false) == 1 assert method(true) == 2


text: It's a confluence of events. Gordon, the "big piece" we got out of the Chris Paul trade (after Stern vetoed the club's first deal) has really yet to suit up for the organization. His condition, as Jeff Duncan pointed out today, has continually been portrayed as a minor injury that just needed a little time to heal. Frustration built as Gordon broadcast his desire to play for another team (possibly feeling "disrespected" by the Hornet's delay in offering him a max deal) and tried out for the Olympic team after he couldn't play for his NBA squad. After he got his deal, fans finally thought they'd get to see the player that was touted as the cornerstone of the franchise, only to have this "minor" knee injury appear once again, benching him for the start of another season. Frustration boiled over and I think that is understandable. The longterm situation can still be fixed if Gordon can get back out on the floor in the next few months--and stay there.


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Added by Esquizito on November 2, 2010 at 11:00pm —
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Welcome toTHE JAZZ NETWORK WORLDWIDE "A GREAT PLACE TO HANG"
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May 29, 2015 from 7:30pm to 10pm – MATTHEW-MURKLAND PRESBYTERIAN CHURCH
The "Oueen City" is in need of some bumping, toe taping, head nodding, hand clapping Funk...... and "PHUNKPLAYAH" is coming to deliver. From Smooth Jazz to some of that "Ol Skool Funk" from the 70s…
Organized by PHUNKPLAYAH / MATTHEW-MURKLAND PRESBYTERIAN CHURCH | Type: concert, smoothjazz, jazzfunk, olskoolfunk
June 28, 2015 from 7pm to 11pm – TONY'S
Recording artist Kirby Hamilton, Jr. aka "PHUNKPLAYAH" is putting finishing touches on his upcoming Smooth Jazz CD to be released this summer June 2015
Organized by PHUNKPLAYAH | Type: cd, release, party
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It is common for the fuel level sensor in the fuel tank read the fuel level incorrectly. The sensor must be replaced to correct the condition. Our technicians recommend having the complete fuel pump module replaced on high mileage vehicles.
1999 Buick LeSabre Problem Reports
Most Reported 1999 Buick LeSabre Problem Reports
The mass air flow or crankshaft position sensor may fail causing the engine to stall intermittently. Proper diagnoses will be necessary to determine the cause of any stalling condition.
One or more heater & AC (HVAC) air delivery and/or temperature mode door actuator may fail. This can result in incorrect air delivery or temperature. If this occurs, fault code(s) stored in the HVAC control module should be available to assist with diagnoses.
The transmission pressure control solenoid may fail causing erratic shifting. Our technicians tell us that partial dis-assembly of the transmission is necessary to replace a failed pressure control solenoid.
The intake manifold gasket can develop external engine oil leaks. The intake manifold will need to be removed and the gaskets replaced to correct this issue.
Problems with the anti-theft systems using the raised-chip key can prevent the car from starting. The wires in the steering column to the ignition lock cylinder tend to break. The the key and ignition lock cylinder must be replaced to correct this condition.
Illumination of the Check Engine Light can be caused by a loose or worn gas cap.
The water pump may develop a coolant leak resulting in an engine overheating condition.
The front struts may show signs of wear, or be excessively bouncy ride at freeway speeds. This may begin to occur at around 75,000 miles.
The fuel pump can fail causing the engine to stall and not restart. Our technicians highly recommend to replace your fuel filter every 30,000 miles to help prevent undue strain on the fuel pump.
The upper intake manifold may develop an internal coolant leak causing one or more cylinders to fill with coolant. This can cause the engine to "hydro-lock" and not turn over. Removing the spark plugs will allow the engine to turn over pushing the coolant out of the spark plug holes. Replacing the upper intake plenum and gasket is commonly required to correct this condition.
The engine can be very difficult to start after this problem has been repaired, it can be helpful to clear as much of the coolant from the intake manifold and cylinders as possible before reassembling the intake manifold.
The rubber section of an automatic transmission cooler line may develop a fluid leak . In some cases the leaking section of hose can be replaced. In others, the complete cooler line must be replaced to correct this concern.
The steering rack may fail causing a loss of power steering fluid as a result the steering may become hard to turn.
REPLACE THE STEEL (Lines) TUBES (4) AND BLEED SYSTEM.


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The Health Information Management (HIM) department is committed to providing the highest quality of service to our patients, physicians, and other healthcare information users by maintaining the accurate, dependable, and secure collection of records as well as the appropriate dissemination of health information.
Release of Information
Hours of Operation: Monday - Friday 8 AM to 4:30 PM
Scanning Operations (includes Emergency/Continuation of Patient Care requests)
Hours of Operation: 6 AM to 11:30 PM seven days a week
Phone: 202-476-5267
Please send all requests, authorizations and legal name changes, to:
Children's National Medical Center
ATTN: Health Information Management
111 Michigan Avenue, NW
Washington, DC 20010
Or fax to: 202-476-2270
Individuals have a right to access, inspect and obtain a copy of their Protected Health Information (PHI) for as long as the designated record set is maintained as deemed by law. All requests should be made through the HIM department.
To request for medical record copies, an Authorization for Release of Medical Information form is required and must be signed by a parent, legal guardian, and/or the patient (if the patient is 18 years of age or older).
**Please note: If you are the legal guardian, please provide appropriate documentation along with the authorization.
Authorization for Release of Medical Information
It takes approximately 21 business days for your request to be processed.
Charges (other fees may apply):
Children's National Medical Center has contracted with IOD, Incorporated to process our billing copies of medical records. For questions and concerns regarding the billing of copies for medical records, please call 1-866-420-7455.
To request copies of Radiology images, please contact the Radiology department at 202-476-3426.
To request copies of hospital bills, please contact the Billing department at 301-572-3542.
Changes to patient names within the medical record and hospital systems should be made through the HIM department.
To request a name change, a Legal Name Change Form is required, must be signed by parent, legal guardian, and/or patient (if the patient is 18 years of age or older, and must be accompanied by one of the following documents to verify legal name change:
Send all requests, authorizations and legal name changes, to:
Children's National Medical Center
ATTN: Health Information Management
111 Michigan Avenue, NW
Washington, DC 20010
Did you know Children's National has more than 50 locations throughout the region? Find one that's convenient for your family.
Find a Children's Location Near You


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Recommended Just For You
Customer Raves & Reviews
amazingly gorgeous cards
They were easy to peronalize , and the colors were right on with my wedding colors. Cheap prices and I received them in 3 business days!
Great Multipurpose labels
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Simply Fine Lenox® Twirl 4-piece Place Setting
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Keo.co.za brings you the latest news from the Six Nations.
Earls elevated
Wing Keith Earls replaces Andrew Trimble in the only change to the Ireland team to face France in Paris on Saturday.
Stephen Ferris, who missed the win over Italy, has been bracketed in the side but his inclusion is pending a fitness test on Thursday. Nine replacements have been named, but two will drop out later in the week.
Ireland - Rob Kearney (Leinster), Tommy Bowe (Ospreys), Brian O'Driscoll (c), Gordon D'Arcy (both Leinster), Keith Earls, Ronan O'Gara, Tomas O'Leary (all Munster); Cian Healy (Leinster), Jerry Flannery, John Hayes (both Munster), Leo Cullen (Leinster), Paul O'Connell (Munster), AN Other, David Wallace (Munster), Jamie Heaslip (Leinster).
Subs (from): Rory Best, Tom Court (both Ulster), Donnacha Ryan (Munster), Sean O'Brien, Kevin McLaughlin, Eoin Reddan, Jonny Sexton (all Leinster), Paddy Wallace, Andrew Trimble (both Ulster).
Gatland changes two
Leigh Halfpenny and Jonathan Thomas have been promoted to the Wales starting team for their Test against Scotland on Saturday.
Halfpenny replaces fellow Cardiff Blues team-mate Tom James, while Thomas joins his Ospreys team-mate Alun-Wyn Jones – who was yellow-carded for a trip against England – in the second row. Luke Charteris is relegated from the squad.
Gethin Jenkins has recovered from his calf injury to be named on the bench and he joins fellow Blues players flank Sam Warburton and utility back Tom Shanklin in the 22.
Wales – Lee Byrne; Leigh Halfpenny, James Hook, Jamie Roberts, Shane Williams; Stephen Jones, Gareth Cooper; Paul James, Gareth Williams, Adam Jones, Jonathan Thomas, Alun Wyn Jones, Andy Powell, Martyn Williams, Ryan Jones (c)
Subs: Huw Bennett, Gethin Jenkins, Bradley Davies, Sam Warburton, Richie Rees, Andrew Bishop, Tom Shanklin.
Paterson set for milestone
Chris Paterson will plays his 100th Test in a Scotland team that sees three changes to face Wales in Cardiff.
Euan Murray returns to the side after missing Sunday's clash with France due to his religious beliefs, Dan Parks replaces Phil Godman at flyhalf, with Rory Lamont coming in on the wing. Sean Lamont moves from wing to centre as Max Evans is dropped.
Scotland – Chris Paterson (Edinburgh); Thom Evans (Glasgow), Sean Lamont (Scarlets), Graeme Morrison (Glasgow), Rory Lamont (Toulon); Dan Parks (Glasgow), Chris Cusiter (Glasgow, c); Alisdair Dickinson (Gloucester), Ross Ford (Edinburgh), Euan Murray (Northampton), Nathan Hines (Leinster), Alastair Kellock (Glasgow), Kelly Brown (Glasgow), John Barclay (Glasgow), Johnnie Beattie (Glasgow).
Subs: Scott Lawson (Gloucester), Allan Jacobsen (Edinburgh), Richie Gray (Glasgow), Alan MacDonald (Edinburgh), Mike Blair (Edinburgh), Phil Godman (Edinburgh), Max Evans (Glasgow).
Double blow for France
French wing Aurelien Rougerie and prop Luc Ducalcon have been ruled out of the Six Nations Test against Ireland.
Alexis Palisson will replace Rougerie in the squad, while Jean-Baptiste Poux will come in for Ducalcon after a two-year absence from the international scene.
Wing Benjamin Fall is also doubtful for the clash against the Six Nations champions, but there is a 50-50 chance that the 20-year-old will recover in time.


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Herbal Hair Color Powder
Logona Herbal Hair Color is especially gentle to your hair and contains only natural colorants such as organic henna, ground walnut shells, or indigo leaf. Since Logona is not using artificial colorants, their hair colors are not meant to provide 100% coverage. Instead, Logona's 100% Botanical Herbal Hair Dyes "mix" with your natural hair color for a more natural look.
- No synthetic colorants or PPDs
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About Logona
Bodycare products manufactured and packaged from a broad ecological standpoint resonated with a growing number of consumers. The Logona product line has steadily expanded over the years to meet growing consumer interest. Today, over 200 natural personal care and cosmetic products carry the Logona label.
Strict ingredient quality standards have always been fundamentally important to Logona product formulation and manufacturing. Logona products utilize the highest quality, natural raw materials, such as premium vegetable oils and waxes, herbal extracts and essential oils derived from organic agriculture and wildcrafting.
Aside from rigorous ingredient standards, Logona products must also conform to industry leading ecological standards regarding minimal resource consumption during manufacturing, and minimal and recyclable packaging for the finished products.
Quality Creates Trust
Manufacturing personal care products without synthetic preservatives requires especially careful procedures to handle both raw materials and finished products. Only the slightest contamination can ruin an entire production run. Logona utilizes GMP (Good Manufacturing Practice), the pharmaceutical production standard, to guide its manufacturing. In spring of 1999, Logona successfully completed an "Environmental Audit" of its entire operation, conducted under mandate of the German federal government.
Over 25 Years Expertise with Natural Personal Care
Despite its steady growth, Logona has remained true to its founding principles. Many personnel from those early days still work with the company today. The collectively organized Logona employs more than 150 full time employees, and places special emphasis on social responsibility and fairness towards employees and community.
Logona product quality standards have continually improved to correspond with advances in manufacturing know-how and more rigorous ingredient standards. For example, every Logona product complies with the stringent BDIH ingredient criteria as a certified natural product, and carries the BDIH Seal of Approval.
No advance in product quality, however, has come at the cost of the company's steadfast commitment to environmental responsibility. The goal to make quality personal care products with minimal impact on the planet and its resources remains foremost.
Logona opposes animal testing
Logona products contain trusted, traditional, plant-based ingredients recognized for generations as completely safe for the intended use by humans. Testing takes place exclusively on human volunteers. These tests accompany every Logona product, starting with self-testing by research and development staff members, continuing with similar staff testing during the microbiological stability trial period, and finally culminating with rigorous, scientific testing on paid volunteers under independent, dermatological supervision. Only after a product has successfully passed each of these phases can it be introduced to the marketplace.
Respect for people, animals, and environment is the basis of our ethical self-image. For this reason we are actively engaged in the movement to validate alternative test methods, which do not utilize animals. We strongly believe that animal testing belongs to the past.
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Zip along in style with this slim wristlet with two separate zippered compartments to keep everything organized. The large compartment has all the components of a small wallet: four credit card slots, a bill holder and an ID window. The small compartment holds a phone.
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Finally, it's time to fill out those brackets, and there are some tough choices, even in the first round.
Can Rx overcome last year's first-round exit in a matchup against The Oceanic? Who will be favored when formidable opponents 22 North and Elijah's meet?
The answers will be revealed when the Fire on the Dock dining competition returns to
Sixteen chefs will compete tournament-style over six weeks at Bluewater Grill, with one chef eliminated each night until a champion is crowned April 3.
Of the 16 competitors last year, 12 were from local restaurants, but neither of the finalists were from the
Last year's event was at Shell Island Resort, where Andy Hopper of Chefs 105 in
Each showdown features a mystery ingredient that is revealed to the chefs at on the day of the competition. In the 2012 finale, the secret ingredients were grits and strawberry moonshine.
James Doss of Rx restaurant competed in last year's event, even before his restaurant opened. He drew veteran competitive chef Marc Copenhaver of the since-closed Marc's on Market, and their secret ingredient was bison.
Doss believes he took too many risks in 2012. Both his risotto and poached egg were challenging dishes to plate in a short time for 120 patrons.
The event not only promotes regional restaurants, but also spotlights a vast array of foods that are produced in
Shrimp, grits, quail, asparagus and even Cheerwine were featured ingredients in last year's event.
Southern Foods representative Laurence Willard is in charge of the secret ingredients and the food truck that supplies the kitchen. And if anyone gets out of line, he has the bouncer's size and no-nonsense attitude that ensures civility.
"I make sure everybody plays pretty," Willard said. "When you get a bunch of egos in the kitchen, sometimes it gets crazy."
Like basketball players jockeying for position in the low post, the chefs sharing a kitchen sometimes deliver a little "smack talk," Willard said.
"Some of them are very competitive," he said.
The courses are judged by diners and professional judges with blind tastings. Judges ("pros and joes") score each course on six criteria. Organizer Jimmy Crippen, who recently closed his Blowing Rock restaurant to focus on the competition dining series, reminds diners: "Mothers have been wrong. Wives have been wrong. Vote with your palate."
Tickets for the event are $59 per night and $69 for semifinal and final rounds.
Want to go?
What: Got to Be N.C. Competition Dining Series – Fire on the Dock
When: Feb. 18-April 3
Where: Bluewater Grill,
Tickets: $59-$69
Details: 828-265-9075 or CompetitionDining.com
First round dates for February
18: Scott Grimm (Dockside,
19: James Doss (Rx,
20: Mark Lawson (Blockade Runner,
25: Clark Merrell (Circa 81,
26: Josh Woo (YoSake,
27: Gerry Fong (Persimmons,
First round dates for March
4: Brent Poteat (22 North,
5: Kristen Mitchell (Cameo 1900, Wilmington) vs. Josh Petty (Sweet & Savory,
Second-round dates
March 11-12 and 20-21; semifinals are March 27 and 28; final is April 3.


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Sam Faye's voice rises as he describes what makes Capriana, a new retirement community in Brea slated to open next month, worth monthly fees sometimes in excess of $6,000.
The executive director of the 121-unit complex rattles off a list of amenities: movie theater, art studio, gym, day spa, salon, bar.
"It's closely akin to a cruise ship," he says, "for seniors."
Construction of new senior housing stalled during the recession as financing dried up and home sales plummeted. But the market has picked up momentum recently, and developers are forging ahead.
Capriana is one of more than a half-dozen senior housing developments in the works or recently completed in Orange County. The projects include top-of-the-line complexes, low-income apartments and standalone homes nestled in the new community of Rancho Mission Viejo.
"There are more and more communities that are in development stages ," Faye said. "The demand for senior housing is growing. It's going to continue to grow because the population is aging so rapidly."
By 2015, the 55-and-over population in the United States is projected to jump more than 16 percent to 88 million as more baby boomers hit retirement age, according to the U.S. Census Bureau. By the end of this decade, that group is expected to grow to nearly 100 million.
Investors, particularly those in real estate investment trusts – called REITs – are looking to capitalize on those trends, flooding the $300 billion market with new capital and boosting deal activity.
"This is the fastest growing segment of the entire real estate industry," said Dave Stolte, senior vice president of the senior housing division of brokerage NAI Capital in Newport Beach. "Every REIT in the United States is chasing senior living product and operators and developers. There's more money coming our way than at any time in history."
Limited supply
Senior housing encompasses a broad range of dwellings, from age-restricted units to nursing care facilities that offer 24-hour service to residents with complex medical needs .
Victor Regnier, a senior housing expert and USC professor, said assisted-living homes fared relatively well through the recent downturn because they offer need-based rather than discretionary services. Many seniors, though, put off moving to age-restricted communities while money was tight.
According to data from the National Association of Homebuilders, the number of units sold or rented to seniors fell from about 256,000 nationwide in 2005 to less than 68,000 in 2011. But the numbers are picking back up. The homebuilding group expects this year's figure to climb 22 percent from 2012 (82,339 units) and another 40 percent in 2014.
With more seniors looking to move, developers are struggling to keep up.
"There's just not a whole lot of supply available," Regnier said. "As the market in general feels higher levels of optimism, I think you're going to see all of these housing types come back."
One company looking to fill the gap is Meta Housing Corp., a Los Angeles-based developer of about two dozen affordable and market-rate senior apartment complexes in California. The company recently completed projects in Tustin, Long Beach, Hollywood, North Hollywood and downtown Los Angeles. Meta Housing is working on several other projects, including a 76-unit low-income apartment complex in San Clemente for residents 55 and older.
"We've been pretty busy in the last couple of years," said Kasey Burke, executive vice president of Meta Housing.
He noted the particular appeal of Orange County, which has the right combination of wealth and a large aging population to drive demand for all types of housing. "Orange County is a great area to be building right now."


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Earlier this year, the ASPCA assisted in a three-state dog fighting bust alongside the FBI, Missouri Highway Patrol and several other agencies.
When we found these dogs, many were doomed to live their whole lives tethered by heavy chains—and on the day of the raid, many were left outside to suffer through a blizzard.
Today, after months under the care of our behaviorists, veterinarians and tireless responders, dogs rescued from this raid are thriving. In fact, some have already headed to rescue for adoption! Still others remain in our care.
We wanted to show you some of these dogs' happy faces and thank you for helping us make their rescue possible. We couldn't have taken on this massive operation without your help!
Slideshow: Amazing Transformation of Dog Fighting Victims
wow! Im sorry ASPCA put your cat to sleep:(
I thought ASPCA was a No kill shelter??
SO many people confuse the ASPCA with other SPCA organizations. There is only ONE (1) ASPCA in the country. Unless an animal is vicious and can't be rehabilitated to be placed in a home or is terminally ill, the ASPCA does everything it can to help find ALL animals new homes....including horses. ASPCA and the local SPCA organizations are NOT the same. Even strays picked up must be held for 5-7 days to give owners a chance to find their pet. I suggest you go back to the place that euthanized your cat by the next day and take a good look at the sign on the building. If your cat was reasonably healthy, they wouldn't have done that. They even have FIV+ cats that they try to find homes for. Helen, I think you're confused.
No, I'm not confused. It was the ASPCA on Linden Blvd in Brooklyn, NY. Believe me, I know the ASPCA does wonderful things and I'm even a member & donate monthly. But this was my experience with them.
There is no ASPCA on Linden. That's NYC animal control, which of course euthanizes animals. Sorry about your cat.
You clearly ARE confused. There is no such thing as an ASPCA in Brooklyn. The only ASPCA shelter is in Manhattan, on East 92nd Street. New York Animal Care & Control is the animal control agency for the city, and they are the ones on Linden Boulevard in Brooklyn. Please acknowledge that you've been badmouthing a group based on your own error.
I too thought a local shelter would not kill any animals but I was wrong. I have feral kittens in my backyard and they were meals for the coyotes so I called the shelter to see if they would take kittens. They said yes if they were socialized so we brought 2 in and gave them to the shelter. Later I brought another one in to the shelter. Before I left I asked about the first two and they said they were euthanized because they were sick so I asked for the 3rd one back and they had already euthanized him. To most local shelters especially in a rural area a good feral cat is a dead one. Be careful, They will lie. I had to get out of there or they would have called the cops on me.
Cheryl I'm sorry for your bad experience however, your sweeping generality about rural shelters disturbs me. I have worked at our local shelter for years and one of our main drives is to have individuals bring in feral cats to spay and neuter. We work on colonies and return them to their homes. The fact is if you simply try eradicate a feral colony a new one will take its place.
Our PSPCA has a 48 hour holding period that every animal is held for at least 48 hours when they first come in. You can't even adopt the animal until the 48 hours is up. I got lucky and got to adopt my dog in less than 24 hours, so he only spent 1 ngiht there. Why? Because his owner had died and a group of people protested and degraded our local PSPCA to the point that they had to shut down. Now, everyone wishes our local PSPCA was back. Why? Because we are over run with strays that have no place to go since all the local "no-kill" shelters are full to the max. Do you know what it's like to see cats as road kill? It hurts! One of those shelters took over the spot where our PSPCA was and charges way too much for anyone to adopt. Yes I understand it's expensive to take care of all those animals, but if you can find them loving homes faster,you'd have less to feed. People see those fees and figure out why get an older mixed breed pet from a "no-kill" shelter,when you can buy a pure bred puppy for almost the same price? Our local PSPCA used to only charge $75 for a dog no matter if it was male or female, give it shots,and give us a coupon toward neutering to boot!Great deal,great animals!So why not save one?You get a wonderful family member with unconditional love in the process.
Those people do NO rescues.. spend not a DIME on rescues. DO NOTHING TO FIGHT BAD LAWS LIKE THE AG-GAG, OR HORSE SLAUGHTER BILL, OR FARROWING CRATES, OR DOG FIGHTING LAW TO MAKE 'WATCHING' A CRIME. They do nothing... in fact in Dade County this year, AFTER NKN has stepped in with all their talk... our shelter is giving away dogs and cats over 6 months old. THAT is NKN's 'live bodies out the door' idea. Well, THOSE cats and dogs will soon be strays on our street (NKN says that is BETTER than shelters ... read Winograd's words) that we down south will have to deal with. How many people running off to get FREE dogs and cats have bad intentions? Well, every dog fighter, every Santaria priest (the LEGAL torture of animals in the name of religion that the Cubans adhere to), every barn that throws the cats outside to 'eat mice and lizards', every Jeffrey Dahmer wanna be.. Free to a good home WAS never condoned by rescuers.. we all KNEW better! But no NKN! Winograd actually wrote a piece on "why don't we take all the cats from the shelter and drive around to neighborhoods and hand them out?" Seriously! I am not making this stuff up! Meanwhile, not ONCE have we seen any NKN people out here with boots on the ground, not once at a natural disaster, not once lobbying Congress against BAD laws and fighting for GOOD animal welfare laws, not once at a dog fighting raid, not once at a puppy mill raid, not once undercover at a factory farm. SO, what DO they DO that works FOR animals, and not their own pockets? Flying around on rented jets, I have heard, costs a LOT..


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Where is the problem with going local? The Hornets embarrassed themselves some years ago by replacing Silas with most ridiculous head coach ever...the 'homie' Floyd...
Oh great, Minnesota just picked Midget McCants.
(Or Headcase McCants)
(Or Heartburn McCants).
And I really, really wish Bilas would just shut the heck up with the wingspan thing.
Where is the problem with going local? The Hornets embarrassed themselves some years ago by replacing Silas with most ridiculous head coach ever...the 'homie' Floyd...
man green is falling like Chase Lyman does after he runs for two minutes.
AKA St. David
LOL. Stern is getting senile!!
McCants had to tap on his shoulder to remind him of the photo op.
that makes us laughOriginally Posted by Greenie
What does new jersey do????
Originally Posted by CP3Originally Posted by Lebron James
This has got to be it. If Toronto drafts Danny Granger with the 16th pick, you have to think that we put up Magloire for the #16 and for Rafa Araujo (plus, I can translate for Araujo like my boy said earlier, except he had me working for Vazquez).
Plus any fillers like Claxton and Lynch on NO's part and Aaron Williams, etc. The center pieces, though, I believe will be Granger, Magloire, and Araujo.
I wonder if this was a pick for the Bobcats lol.
God Bless New Orleans and God Bless Louisiana.
that also makes us laughOriginally Posted by Saints63213
Let Granger keep droping. The way this draft is going we may get him at #33.
"Hi, I'm Jawad Williams, and don't expect ME to be a first round pick like my teammates tonight at the NBA Draft."
Isn't Rex Chapman advising them?Originally Posted by Greenie
Time for some football!!!
Lot of little moments like that in this draft. It was pretty funny, I bet neither of them ever forget that.Originally Posted by Trueblood
guys... i wouldnt trade mags for granger... GET A PICK!
hey dont diss himOriginally Posted by West Coast Hornet
what is going on here?!?!?!?!?! both green and granger STILL THERE!!!
And they both tumble again.The Nets take Antoine Wright
Granger must not be all that good.
Who yall want at 33?
Definitely a SF right?
-Gerald Green
-Danny Granger
-Joey Graham
-Hakim Warrick
-Ryan Gomes
One of those guys and I REALLY I'll definitely be more satisfied with this draft than ANY Saints draft ever!!!
Still would love to get Chris Taft or Andriuskevicius there too, if none of those SF's are still there.
KrsticOriginally Posted by Cajun_Hornet
Gimme any of those fellas.Originally Posted by joe87
how would you guys feel if Charlie V and this next year(granger) are trade to us for Mags?
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