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Botsford News Release
Farmington Hills, Mich. (June 29, 2009)---The Fourth of July holiday is Saturday and many Americans are thinking about the excitement of fireworks displays. For millions of adults and children, fireworks are a staple of the festivities. Before celebrating, it is important that everyone remembers the importance of fireworks safety.
"Fireworks can turn an enjoyable evening into a night in the Emergency Room when children and adults are injured while using fireworks," says Sanford Vieder, D.O., an Emergency physician at Botsford Hospital. According to the U.S. Consumer Product Safety Commission, fireworks were involved in an estimated 9,200 injuries treated in U.S. hospital emergency rooms in 2006. An estimated 6,400 injuries were treated during the one-month period surrounding the Fourth of July. Dr. Vieder says, "Hands and face, including the eyes, are the most commonly injured body parts."
"The best way to protect your family is not to use any fireworks at home," says Dr. Vieder. "Attend public fireworks displays and leave the lighting to the professionals." If you are going to light fireworks, he offers the following safety tips:
· Only use fireworks outdoors.
· Obey local laws and purchase only legal fireworks.
· Have a bucket of water to discard all used fireworks.
· Read and follow all warnings and instructions.
· Do not try to re-light or handle malfunctioning fireworks; soak them in water and throw them away.
· Spectators should keep a safe distance from the shooter and the shooter should wear safety glasses.
· Alcohol and fireworks do not mix. Have a "designated shooter."
· Only persons over the age of 21 should be allowed to handle sparklers of any type.
Beaumont Health is a not-for-profit organization formed by Beaumont Health System, Botsford Health Care and Oakwood Healthcare to provide high-quality, efficient, accessible services in a caring environment for southeastern Michigan residents and beyond. As one of Beaumont Health's eight hospitals, Botsford Hospital is a multi-specialty 330-bed hospital and verified trauma center located in Farmington Hills, Michigan. The campus also houses an imaging center, a comprehensive care cancer center and an extensive medical education program---part of Michigan State University's Statewide Campus System. Annually, Botsford cares for about 16,000 inpatients and more than 60,000 emergency and trauma patients with a team of approximately 2,500 employees, 300 volunteers and 600 physicians.
botsford.org, twitter, facebook, blog
MEDIA CONTACT: Lynn C. Anderson, Director, Marketing & Public Relations or Beth Montalvo, Publications & Media Relations Coordinator


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JACKSONVILLE, Fla. -- A candlelight vigil will be held for Janya Solomon Monday at 6:00 p.m.
The Justice Coalition said the service will take place at Mt. Carmel Baptist Church in downtown Jacksonville.
The public is invited to joining the Soloman family to honor Janya's short life.
The 2-year old was killed in a hit-and-run crash in the parking lot of the Harold House Apartments Sunday.
RELATED:Serdarus Migel Scott wanted in connection with fatal hit-and-run that killed Janya Solomon

subset: commoncrawl


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Welcome to the Central Oregon Coast!
The Economic Development Alliance of Lincoln County is a nonprofit, public-private partnership dedicated to diversifying the Central Coast's economy, and facilitating the creation of quality jobs locally.
We assist with
business relocation and expansion
to Oregon's beautiful Central Coast. If you are looking to expand or relocate your company here, or if you are assisting a client wanting to do so, please let us know what we can do to be of help.
You are invited to visit our
Guide to Bringing a Business to Oregon's Central Coast
Move your cursor over the map for
closeup of Lincoln County.
Our Economic Development Efforts
The Alliance also serves Lincoln County by providing coordination for economic development with local economic development efforts and agencies, regional groups, public-private partnerships, and the Oregon Business Development Department. Please
let us know
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Lincoln County's Economy: Key Takeaways from the "Ten Year Update on Lincoln County, Oregon's Economy"
(Feb 2015)
Ten Year Update on Lincoln County, Oregon's Economy
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Grant Report on Marine Industries....
Lincoln County Multiple Listing
Industrial and Commercial Buildings and Sites, and
Homes and Home sites on Oregon's Central Coast!


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Easy Ways to Color Blond Hair
So You Want to Amp Up Your Blond Hair? Two Easy Ways to Do It
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All this week, I'll be featuring his tips on bumping up your hair color, whether you're a blonde, brunette, redhead, or dark-haired beauty. So let's start off with blondes. To find out how to keep your flaxen locks looking amazing, just read more.
- In lieu of subtle highlights, Johnathan suggests placing wider, yellow-blond highlights underneath the hair and around the sides. Not only will your roots be disguised (yay!), but this technique allows your color to still peek out and be reflected by the light.
- In lieu of a full head of highlights, try lighter-hued, heavy-tipped ends instead. "It gives you so much more boldness," he says. Psst: tips are also more cost effective as you'll rarely need touch-ups — if at all.
Image Source: Thinkstock


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Rising US interest rates crush recovery in housing and banking sectorPosted on 13 July 2013 with 1 comment from readers
The 50 per cent rise in US treasury yields over the past couple of months has been a hammer blow to the US housing recovery sending mortgage applications through the floor. That's bad news for the mortgage suppliers, the US banks.
But you would hardly think so with the S&P financials up 13 per cent over the same period. Is the stock market reading this one wrong? After all higher interest rates should also dampen the flow of money into stocks, quite apart from hitting bank profits.
Fed policy error
However, this would not be the first time that market sentiment has gotten way out of line with economic reality. Last week Fed chairman Ben Bernanke put in a little vigorous backpedaling to try to push rates back down and that sent US stocks to another record close.
Yet the damage to the recovery is already done with mortgage rates locked higher. What will it take to correct this mess?
Why a stock market correction would do the job nicely. That would boost bonds and lower yields while realigning bank shares with a more realistic view on profits.
Will Wall Street deliver? It's hard to say with the no-can-lose approach of investors to money printing, the sort of herd like consensus that usually ends in disaster.
But the smart money is moving to the sidelines now and the dumb folk may follow. Recent data on company investment is very worrying as it shows the guys with the cash to spend are not spending it. They clearly have serious doubts about the recovery too.
Recovery over?
Indeed, this looks to be the end of the recent 'recovery' phase and not the start of a longer upturn. The headwinds against it now are simply too powerful: from the domestic issue of higher interest rates to the pile up of economic problems overseas that will become domestic issues later.
China is not just slowing down but going into a headlong dive into recession. Europe is already there. The UK recovery is more about a Scot winning Wimbledon than the economy. All the BRICS are in trouble.
Where's the growth going to come from now? The USA?
1 Comment posted by readers:
"Indeed, this looks to be the end of the recent 'recovery' phase and not the start of a longer upturn. The headwinds against it now are simply too powerful"
Perhaps so but the "recovery phase" has been running from 2009 and despite the cogent arguments of the Editor, Roubini etc it continues to forge ahead.
Ed Note: True but outside of stock and some house prices where is this recovery? We've just traveled through Austria and Italy and over to Vancouver and it's bad news all round. 'On the low side of indifferent' one top hotelier in Vancouver told us last week. Italy was dead. Austria struggling.


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Snooki Is Looking For A Baby Name? Introducing The Jersey Shore Name Generator!
March 8, 2012 10:25 AM
Picking out a name for you baby can be stressful. No need to worry when you have "The Jersey Shore Name Generator"! Anyone can use this is find out your Jersey Shore name. Mine? Tommy Mortadella.
Here is the Jersey Shore Name Generator! Leave a comment to let me know your new name!


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Box Office and General Enquires
020 7284 email@example.com
A totally charming and whimsical night out
The word 'phenomenal' just about does it justice . . .
Cafe de Paris' Titanic Ballroom has been transformed into a bohemian lair
A languor, a grace, which belongs to a bygone age
We strongly recommend that you attend.
. . . Proving that London cabaret is nothing if not modern, and is still subversive, innovative and very much alive.
Outlandish cabaret and variety work of the highest calibre, with acts flowing into one another . . . and the audience
One of the best nights out that the city has to offer
The kind of experience that really does offer something for everyone
Glorious eccentricities. . . Finely-tuned louche delivery and devilish humour
Attended Friday's show and loved it – thanks for an original and very special night out!
Amazing! Seeing it again next week.
Slick, gorgeous, sassy and such fun. Loved the show last night. xx
Ooh la la. . . We loved the petite French dominatrix. . . What a great show!
Amazing night! Great food and fab atmosphere! Highly recommended! Thank you for a lovely night xx
Black Cat Cabaret was fab last night. Cafe de Paris is such a beautiful venue, great performances and way too much wine. . . Ouch!
Black Cat Cabaret = best reason for travelling to London.
Impressed by The Black Cat at Cafe de Paris – pacy, cohesive, nice historical refs. Laurie Hagen, Cabaret Rouge, and shadow play stood out.
Beautiful food and beautiful people! We had a lovely night watching you guys, all the acts were spot on!
Fabulous night watching the ever-awesome performers at The Black Cat Cabaret, with the heartbreakingly beautiful and talented Dusty Limits compering.
Finally went to see The Black Cat Cabaret last night, after wanting to go for ages. Thoroughly entertaining, really enjoyed the diversity of acts, and the venue is plush – recommended!
A great little venue and a superb show, I will definitely recommend it to anyone, except perhaps my Grandmother…
I was lucky enough to be at the opening and it was breathtaking! A really special night – definitely recommend sitting down for the meal.
Stunning show last night. You guys get better every time, and what a perfect setting.
Amazing night at Black Cat Cabaret last night – now dying to run away and join a cabaret!
An amazing show! Fantastic variety of performers. If in doubt, don't be. . . Go to The Black Cat!
Amazing night out. Fantastic show and performers.
Dusty charming as ever, Laurie impressing with her reverse striptease, the dancers divine, and Vicky a revelation.
Truly dazzling show indeed yesterday, I never expected such a polished, witty & sophisticated affair, thank you!
Fantastic… the second time was even better than the first!
The Black Cat Cabaret was an amazing time out – it is bloody good. Made an excellent 30th birthday.
"Loved the show tonight! Can't wait to come and see it again!!!"
Sensational show last night! Like being dragged through a Toulouse-Lautrec painting by the scruff of my neck.
Amazing venue, excellent food (best steak I've ever had) and lovely show.
This is a real night out! For those planning a visit to London, you'll be entertained like in the old days.
Brilliant show by the The Black Cat tonight. Love the Montmartre feel transported to snowy soho.
Completely brilliant. Thanks to all for a spectacular night of entertainment and salacious gigglement . . .
THANK YOU for an amazing night on the 26th of April – we all thought it was one of the best nights out we have had!


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Hidden - AltLd - 11/Feb/12
Hidden - AltLd - Dec/09
Soloed the first pitch but chucked a belay in for some cruddy ice. Fun route.Fultonius - Lead - 27/Dec/08 with Neil Adams and Andy Inglis
Neil Adams - AltLd O/S - 27/Dec/08 with Ally F and Andy I
Solo 1st half then rope brought out for thin section.andyinglis - 2nd - 27/Dec/08 with Neil and Ally
Great late season route. Thaw setting in and cornices collapsing but Twisted gully looked to have stable snow and not much of a cornice to collapse. Started in sunshine and great visibility. Couple of short ice pitches. Not much gear for runners or belays. Good route though! JimMcQ - AltLd - 15/Mar/08 with TC
niall_mac - Solo - Nov/96
99bolivar - 17/Feb/91


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Despite playing a key role in advancing climate change hysteria, the United Kingdom's National Weather Service, known as the Met Office, quietly released a report last week conceding that so-called "global warming" actually stopped more than 15 years ago. The startling admission shows once again that United Nations theories and climate models are wildly inaccurate at best, experts say, meaning multi-trillion dollar schemes to deal with alleged human-caused "climate change" are at the very least severely misguided.
According to the latest UK Met Office report, first reported by the Daily Mail, there has been no noticeable increase in global temperatures since early 1997. The alleged warming trend supposedly observed from 1980 to 1996 was about as long as the current "plateau" period, the paper reported. Prior to that, climate scientists admit, global temperatures had been stable or dropping for decades, a fact that prompted previous generations of climate alarmists to sound the alarm about the supposed dangers of man-made "global cooling."
"Climate models are very complex, but they are imperfect and incomplete. Natural variability [the impact of factors such as long-term temperature cycles in the oceans and the output of the sun] has been shown over the past two decades to have a magnitude that dominates the greenhouse warming effect," Georgia Tech climate science department chief Professor Judith Curry told the Daily Mail. "It is becoming increasingly apparent that our attribution of warming since 1980 and future projections of climate change needs to consider natural internal variability as a factor of fundamental importance."
The Met Office temperature data report is known as Hadcrut 4 because it is compiled by the Met Office's Hadley Center and the now-disgraced Climatic Research Unit at the University of East Anglia — the institution at the center of the infamous ClimateGate scandal that exposed so-called "climate scientists" fudging numbers, covering up contradictory data, conspiring to attack dissenting experts, and unlawfully trying to evade freedom of information requests. Unsurprisingly, the CRU's discredited boss, Phil Jones, downplayed the significance of the latest findings.
Click here to read the entire article.


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From inside the book
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Review: A Pictorial History of the CarouselUser Review - Barb - Goodreads
This book has some good information about carousels and lots of pictures, but all but about a couple of pages are in black and white. Pick it up at the library. You will get some information but there were a couple of books I liked better that are out there. Read full review
Review: A Pictorial History of the CarouselUser Review - Peacegal - Goodreads
This is a book sure to delight anyone who is intrigued by the art of the carousel. Read full review
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Why is Sandy Alderson on Twitter? Is it smart?
Yesterday, Sandy Alderson suddenly appeared on Twitter and quickly made the following two entries:
Yesterday morning, there was a popular meme on Twitter among fans and reporters goofing on Alderson for driving to St. Lucie (instead of flying). Naturally, people joked that the team couldn't afford to buy him a plane ticket. I've heard Sandy was then inspired by people in his office to sign up and Tweet so he could respond to things like this being written or said about him by fans and critics. In this case, he goofed back in response to that joke and then explained why he's driving and not flying.
"We wanted to play off the absurdity of it," Alderson told the New York Times. "Everything we do is viewed through the prism of our perceived financial situation."
I think this is great. I don't know him well, but I've talked to him enough to know he has a great sense of who he is and the realities facing the Mets, he is mostly understanding of media, and he has a very funny, dry sense of humor. From what I can gather, I wouldn't expect him to have a lot of one-on-one interaction with Mets fans at first, nor do I expect a lot of Tweeting. Instead, I expect him to pepper comments here and there, at moments when he feels it is warranted. And why not? I mean, if reporters and fans can use social media to frame him and the team negatively (sometimes fairly, sometimes not), then he and the team should use those same channels to respond.
My advice: Let different members of the Front Office jump on from time to time to write and answer fan questions. For instance, have Paul DePodesta jump on and talk about the farm system, etc… In this day and age, especially considering how disconnected and frustrated Mets fans are feeling, I think it would be nice for us to have this level of occasional communication with the people trying to make the situation better.


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A catchy quote from a movie, TV show or other source to brighten the beginning of your week:
Emily Barham: You lack principles, Charlie. Isn't there anything you would die for?
Lt. Cmdr. Charles E. Madison: Sure. I'd die for you, if it ever came to that.
Emily Barham: I really believe you would.
Lt. Cmdr. Charles E. Madison: There's lots of things I'd die for, Emily; my home, my family, my country. But that's love, not principle.
- Click here to learn the source.


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Type Case Q&A with Monotype's Steve Matteson
In a short span of about 20 years, screens have increased from fewer than 100 dots per inch to 300 and more. This radical change in technology requires designers who serve publishing markets to look closely at typefaces and make wise decisions that will result in optimal reading experiences.
The greatest challenge, of course, is that with so many different devices all using various types of LCD or electronic paper surfaces, each screen has different characteristics that may erode the sharpness of letterforms. In addition, each reading application (browser, mobile app, e-pub) has different technologies for displaying typefaces as pixels.
With all these considerations, we caught up with Monotype's Steve Matteson to understand how the company's eText typefaces are addressing these challenges.
Type Case: What makes eText typefaces different from other digital typefaces?
Matteson: Our eText typefaces have been designed with reading on screen in mind. Rather than the screen being an interim step to a printed document, the screen is now often the final product where information is consumed. eText typefaces have an increased openness – spacing between letters and space inside letters. The 'black' parts of letters (round, straight and diagonal strokes) are made slightly heavier to prevent them from fading out.
Type Case: How do different device surfaces and screen characteristics (resolution) impact the sharpness of the letterforms?
Matteson: The different technologies that convert letterforms into pixels on screen use different algorithms to determine whether a pixel is all black or just a shade of black. Screens also are manufactured with various sized pixels (represented in dots-per-inch). For example, a 12-point letter H on a desktop computer may be made up of 16 pixels, whereas a mobile device may use more than 30 pixels to create the same letter H at 12 points.
Backlit LCD screens will make the thin parts of letters appear lighter because of the intensity of light. Electronic paper, on the other hand, causes subtle gradations in black and grey that are hard to distinguish. This causes a lack of definition or subtlety in letter shapes.
Type Case: Given the complexity of designing across multiple devices, what is the best way to choose the right eText typeface?
Matteson: There is typically no way to tell on which device/browser/e-reader your content is going to be read, so it's best to choose the worst possible scenario and make sure it reads well. eText typefaces are tested on a number of platforms to ensure they look as beautiful as possible. Of course, personal preference and the subject matter of the content will also play a role in determining the best choice of typeface.
Type Case: What's next with eText typefaces?
Matteson: Digital typography continues to evolve with advances in technology, and part of the solution is to redraw typefaces with electronic output in mind. Monotype's new eText typefaces, which are already seen in many popular consumer electronics devices, are enabling designers to raise the level of typeface quality to achieve the best possible digital reading experience.
Learn more about eText typefaces.


text: Half an Hour | IBDB: The official source for Broadway Information IBDB: The official source for Broadway Information Official Broadway League sites: - sites - broadway.org broadwayleague.com broadwayfanclub.com kidsnightonbroadway.com stagespecs.org tonyawards.com Quick Search For: In This Category: All Show People/Org. Theatre Season The credits for this production have not yet been completed or verified. Half an Hour Nora Bayes Theatre, (5/06/1926 - 5/06/1926) First Preview: Total Previews: Opening Date: May 06, 1926 Closing Date: May 06, 1926 Total Performances: 1 Category: Play, Revival, Broadway Setting: The library of Mr. Garson's London home Opening Night Credits Production Staff Produced by Walter Hartwig and The Manhattan Little Theatre Club Written by James M. Barrie Cast Fred C. BatchellorMr. ReddingJ. Fabian JoyceButlerGene MagnusSusieEdward MarchanteHughHamilton S. PhillipsDr. BrodieDorothy Lawrence RoseLillianAnna M. SteinMrs. ReddingJohn C. WhitcombMr. Garson © 2001-2015, The Broadway League, All Rights Reserved. (Copyright and Disclaimer)


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More New and Used
from Private Sellers
The Rough Guide to South America On A Budgetby Rough Guides; Manzo, Clemmy
DK Publishing, Inc.
Related Products
The Rough Guide to South America on a Budget is the definitive guide to making the most of this exotic region without breaking the bank. Backpackers, career-breakers, gap year travellers and those who want more bang for their buck, will find in-depth budget information for all twelve South American countries and every aspect of travel. From hotels, hostels and restaurants to special events, festivals and adrenalin-pumping outdoor activities, this guide is packed with the best budget information. You'll find 'Treat Yourself' boxes that feature great places and things worth splashing out on and also a full-colour introduction with highlights for every country. There are reviews and recommendations for night-life, shopping, markets and entertainment, as well as useful words and phrases in every language and detailed maps for hundreds of locations. Make the most of your time with The Rough Guide to Central America on a Budget.


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This past weekend, The New York Times ran an interesting article on how the round-the-clock, sedentary lifestyle of bloggers can have a detrimental effect on their health.
CNN picked up on the story, and chatted with Perez Hilton about the risks of being a blogger. Click here to watch the video.


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- Northern New York Newspapers
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- NNY Business
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- NNY Ads
Third period notes:
Weninger awesome save with 48 seconds left. Dives to make the glove stop.
Harvard is certainly making SLU earn this one. Weninger is holding strong in net. Good, solid hockey game.
Goal SLU Gunnar Hughes somehow finds a hole. No idea how that got through. What a shot.
Goal Harvard Dan Ford from the point. Weninger got screened.
Saints fail to score on the power play.
Saints go on the PP.
Carey gets a couple shots away but nothing goes. Saints still up by one.
Second period impressions:
The Saints kept up the energy even after giving up the tying goal early in the frame. Weninger is playing great again tonight in net. He has 21 saves to this point. St. Lawrence finally killed off a penalty that many in the rink though unwarranted. Hughes was simply defending his goalie and Harvard's Moriarty was clearly under the pile shoving his stick into Weninger. If anything, it should have been matching five-minute majors. Instead, Hughes was ejected, while Moriarty received only two minutes in the box.
The Saints have to stay energized and in control in the third period. If they come out flat again like what happened last night, Harvard will win this game.
St. Lawrence hasn't scored more than three goals since a 6-5 overtime loss to RIT on Oct. 15.
Second period notes:
Saints with a chance to add another goal. Petr Placek to the box.
Saints kill the penalty. Excellent PK.
The penalty kill is holding strong so far. Two minutes left in it.
Hughes gets a 5-minute major and game misconduct and Moriarty gets two minutes. Absolutely ridiculous.
Big scrum in front of SLU goal and matching penalties for George Hughes and Daniel Moriarty result. Looked like Moriarty kept poking his stick at Weninger and Hughes retaliated.
GOAL SLU Chris Martin's second. Banks it in off the far post. What a shot.
Carey stuffed from point-blank by Steve Michalek. Great chance there.
Odd man rush for the Saints is whistled dead for offsides. Questionable. Greg Carvey looks to the sky in shock.
Both teams are currently 2-for-2 on the power play.
Goal Harvard Another power play goal. This was a bad one I'm sure Weninger wants back. Went straight through the five hole.
First period impressions:
St. Lawrence played fluid and fast again to start tonight. It was a little more controlled than against Dartmouth and perhaps the Saints will continue the pace with the lead.
This game should be tied right now. Weninger batted one shot away with a blocked and then dove to his right with his stick extended to stop another shot. Awesome stuff.
The Saints look good tonight and Harvard just appears to be chasing them around.
First period notes:
Weninger, flat on his stomach, makes an incredible stick save at the final horn.
Nearing the end of the period, Greg Carey gets a penalty.
Goal SLU Great feed from Bruckel behind the net to Drewiske.
Goal SLU Chris Martin scores on the power play, putting home a rebound off a George Hughes shot.
Saints get a power play right away. Chance to tie it.
GOAL Harvard on the power play it's Patrick McNally unassisted.
Pretty even skating here, but Riley Austin picks up a penalty at the 16:04 for tripping.
Saints caught a little slow on a change, but Weninger makes a nice save in net.
It's "Support Your Troops" night here at Appleton Arena. The Saints will be wearing military themed uniforms and are auctioning them off on eBay this week. To place a bid, click here
Here are the lines for tonight. Just a couple changes for the Saints, including Kyle Flanagan as a scratch.
I spoke with him last night and he seemed fine, so I'm not sure why he is out tonight. I do know he's had a mild groin injury that he's been playing through. Perhaps that acted up. Will ask after the game tonight.
Greg Carey/Tommy Thompson/Patrick Doherty
Chris Martin/Kyle Essery/Jacob Drewiske
Gunnar Hughes/Mark Armstrong/Justin Bruckel
Max Mobley/Rick Carden/Nic Vangog
George Hughes/Pat Raley
Riley Austin/Justin Baker
Nelson Armstrong/Jordan Dewey
Goalie: Matt Weninger
Colin Blackwell/Alex Killorn/David Valek
Marshall Everson/Luke Greiner/Eric Kroshus
Rence Coassin/Colin Moore/Petr Placek
Tommy O'Regan/Mike Seward/Daniel Moriarty
Dan Ford/Danny Biega
Patrick McNally/Ryan Grimshaw
Max Everson/Danny Fick
Goalie: Steve Michalek
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Joe Kapp Settles Grey Cup Score From 48 Years Ago
November 28, 2011 10:37 AM
73 year old former Viking Joe Kapp has always been considered a tough guy.
Over the weekend at a Grey Cup program, Kapp attacked a guy as payback for an incident in a game almost 5 decades ago. Here is a link to the story with video of the feisty former Viking QB.


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Welcome to Smogon! Check out the Smogon Info Hub for everything you need to know about starting out in the community. Don't forget to introduce yourself in the Introduction Thread, too!
Welcome to Smogon Forums! Please take a minute to read the rules.
NUzlocke Challenge
Discussion in 'BW NU' started by DTC, Oct 20, 2012.
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We've all experienced the panic of looking at our alarm clock and realizing we've overslept…by a lot. Suddenly, the leisurely hour you had planned to carefully apply makeup and style your hair is gone out the window, replaced by mere minutes of beauty cram time. Cue anxiety attack. Instead of running out the door with yet another rendition of your go-to messy bun (and enduring a round of pointed stares from your coworkers), why not employ a few simple hair and skin tips to help you save time and still look polished? We asked celebrity hairstylist George Papanikolas (his clients include the well-tressed Mila Kunis and Shay Mitchell) and L'Oréal consulting dermatologist Dr. Gervaise Gerstner for their best morning beauty tips. Click through the slideshow above and never curse your alarm clock again.
Photo courtesy of Angelo Pennetta/Vogue UK


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Bonita Springs Concert Band
Bonita Springs Concert Band Sunday, January 26, 2014, 2:00 – 4:00 pm Featured Guest Soloist Paul Votapek Principal Clarinet, Naples Philharmonic The Bonita Springs Concert Band invites you to come and enjoy an exhilarating program of marches, folk songs, concertos, waltzes, big band hits, soul music and jazz. The concert, under the direction of Dr. Dennis Hill, is on Sunday, January 26,, from 2:00 - 4:00 PM at Riverside Park on Old 41 in Bonita Springs. The concert begins with The Commando March, a composition written in 1942 by Pulitzer Prize winner Samuel Barber. This will be followed by American Riversongs such as Shenandoah and The Glendy Burk; songs written during an early period in American history when the rivers and waterways were the lifeline of our nation. Paul Votapek, principal clarinetist with the Naples Philharmonic Orchestra, is our soloist for today's concert. He will be playing Mozart's Concerto For Clarinet. Old Blue Eyes, Frank Sinatra, rose to fame singing with big bands and recorded hundreds of songs. The band offers-up four of his biggest hits: Come Fly With Me, Witchcraft, That's Life and Fly Me To The Moon. An upbeat, lively round dance A Galop To End All Galops completes the first half of the show. Escapada, a Spanish selection, will have you humming; and the beautiful waltz Emperor by Johann Strauss is familiar and heartwarming. A change in tempo and beat will have you stomping your feet in Salute To American Jazz, a medley of famous songs representing styles from a variety of jazz periods. Trumpeters Antonio Castillo, Lynn Asper and Terry Stevens, members of the band, will present A Saint-sational Trio. This will be followed by a medley of familiar Ray Charles songs. The program closes with the band playing a circus march entitled In Storm And Sunshine. Refreshments are available at the concert from Royal Scoop Ice Cream. Bring a chair or a blanket and enjoy a great afternoon of music. For addition information, visit their website: bonitaspringsconcertband.com
Riverside Park
10451 Pennsylvania Ave, Bonita Springs, FL 34135


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Tag Archives: leading county cricketers 2010
The leading all-rounder of 2010?
We know who was the leading run-scorer in Championship cricket in 2010 – Surrey's Mark Ramprakash with 1595 runs. We also know that Andre Adams of Nottinghamshire was the leading wicket-taker with 68 victims, whilst his colleague Chris Read was … Continue reading
Posted in Andrew Hignell, Statsman, Talking cricket Tagged Andrew Hignell, leading county cricketers 2010, robin martin-jenkins, statsman, talking cricket Comments Off


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Mac and Cheese: The Secret to Making It Rich and Creamy
Let's face it: there has been no lack of macaroni and cheese coverage on The Kitchn. We'll admit it. We like the stuff. But recently we stumbled upon a great tip to give your favorite mac and cheese recipe the creamiest boost.
Drum roll, please: Instead of water, cook your macaroni noodles in the milk itself! This tip from the Heavenly Homemakers not only gives it a super creaminess, but the starch from the pasta thickens the milk into a bit of a sauce, so you're going to have a nice thick, rich pot of cheesy goodness. Now that you've got a new tip in your arsenal, it's time to use it with one of your favorite recipes. Or, as always, try one of ours.
A Few of Our Favorite Mac & Cheese Recipes:
• Easy Homemade Macaroni and Cheese
• Brie-Style Mac and Cheese with Mushrooms
• Provencal Macaroni and Cheese
• Big-Hearted Mac and Cheese with Artichokes
• Martha Stewart's Mac and Cheese
Related: Dinner Quick: One-Bowl Microwave Mac and Cheese
(Images: Martha Stewart)


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How To Order Tickets
- Order by phone: 570.577.1000
- Order in person: Visit the Weis Center lobby or the Elaine Langone Center lobby
- Order by mail: Use the order form in the brochure
- Order online at the University Box Office
Officially Amazing.
BestValueSchools has ranked the Weis Center third on its list of 25 Most Amazing University Performing Arts Centers in recognition of its mix of programming and community engagement.
When you attend a Weis Center performance, you will quickly realize that sharing this moment in time with hundreds of others will inspire, move and energize.
The Weis Center is a 1,200 seat performance hall that is both architecturally striking and acoustically exceptional.
For more than 25 years, we have presented artists who are committed to doing their very best work for our University and Central Pa. audiences. In turn, we inspire our patrons to be actively engaged in the performance as it unfolds on stage.
Offering an annual series of thirty professional performances spanning a dozen genres, we have something for everyone.
"Like" our Facebook and Twitter pages to receive the most up-to-date information, special promos, and insider info. We often post pictures and videos of our visiting artists, as well as local arts and cultural events. This is the best way to keep tabs on our busy lineup of programming!
Each month, we send a colorful and engaging e-newsletter. Take a moment to sign up. We will never share or sell your email address and we will not spam you.
The Pulitzer Prize-winning author of The Sixth Extinction will speak at Bucknell Jan. 26.Read more
The critically acclaimed group will play works by Haydn, Bartok and Dvorak.Read more
Irish music supergroup, The Gloaming, will perform on Thursday, Oct. 15 at 7:30 p.m. at the Weis Center for the Performing Arts.Read more
The company will perform "Cokata Upo! Come to the Center," a three-part, evening-length work that celebrates the culture of the Lakota people.Read more
Inuit throat singer Tanya Tagaq will perform Wednesday, Sept. 30, at the Campus Theatre.Read more
The Hot Sardines will perform at the Weis Center for the Performing Arts on Friday, Sept. 25Read more
Violinist Bella Hristova will perform with pianist Amy Yang on Sunday, Sept. 20, at 2 p.m. in the Weis Center's lobby.Read more
The Weis Center for the Performing Arts will present Colombian world music ensemble Cimarrón on Wed., Sept. 16, at 7:30 p.m. at the Campus Theatre.Read more
Modern jazz artist Kellylee Evans will perform on Friday, Sept. 4, at 6 p.m. outside at the Weis Center Plaza.Read more
The Weis Center for the Performing Arts will host a free performance of the high-energy band outside at the Weis Center Plaza.Read more
Weis Center for the Performing Arts
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Come hunt with Sitka and Rhino Outdoors pro-staff members
For the second year in a row, Sitka pro-staff member Jeff Sposito will be joining the Heartland Lodge Crew for a whitetail hunt October 7th-11th. Also joining the Heartland Lodge Crew this year on the same week will be Rhett Hardin pro-staff member of Rhino Outdoors. Jeff will be bringing along some new Sitka gear for hunters to try out while in the field. Rhett will be bringing Rhino's new lid-cams for everyone to try out, along with ground blinds to hunt from as well. There will be give a ways going on during the week from both Sitka and Rhino Outdoors for hunters to win while they are in camp. If you're interested in joining us this week feel free to call me in the office at 217-734-2526 or email me at firstname.lastname@example.com. Spots are available but limited so don't hesitate to contact me...Matt


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WASHINGTON – Someone purchased a winning lottery ticket at the Sheetz in Leesburg.
The Virginia Lotter says the ticket, sold March 16, is worth $1 million.
The winning numbers were 3-7-21-44-53 and Powerball number 16. The winning ticket matched the first five numbers and missed the Powerball number.
The ticket's owner has 180 days from the drawing to claim the prize.
The Lottery advises the winner should immediately sign the back of the ticket to establish ownership.
On Feb. 14, Virginia Lottery awarded a $217 million Powerball jackpot to Dave and Nancy Honeywell of Fredericksburg.
This is the 10th $1 million Powerball winner in Virginia since Nov. 24.
Follow @WTOP on Twitter.
In Maryland, all sorts of marine life is living among more than 100 sunken ships.


text: Getty Images/Brendan Smialowsk Tom Brokaw Journals of South Dakota, Family and Cancer in Book By Beth Warden May 7, 2015 | 1140 KSOO-AM South Dakota's Tom Brokaw is ready to tell his own story about his journey through cancer after his diagnosis of multiple myeloma two years ago. Read More|Comment Category: Homepage, News Tags: cancer, tom brokaw, Yankton Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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Postpone: by several days, and API
Suppose I have a tasks that recurs every month. It's due today (April 1st) and I want to postpone it to next Monday.
It does not appear I can do that via web site. The 'postpone' command would postpone to next occurrence, and if I modify date directly, the task is no longer recurring. So I can either keep postponing it for a week, even when I know beforehand there's no chance I'll get to it until next Monday, or I can mark this occurrence done, and create another task. Neither is particularly ugly.
So, OK, I am sure I can hack this myself? The API reveals that task has due_string and due_date, and I can modify the latter. Except, there's no API to set due_date directly. There is 'updateRecurringDate' API call that appears to match the 'postpone' command (when applied to recurring tasks). But I cannot see any API that would allow me to set due_date to week from now. Am I missing something?
All responses
Hello Vladimir,
We strongly recommend not to alter your tasks this way as we can't guarantee that your due dates will remain in tact or any other unforeseen issues may occur.
Aside from the two options you've mentioned, there a third one - neither postpone nor change the task's due date, but simply leave it overdue. By default, the "today" and "7 days" views on the web always include overdue tasks. The task count next to "today" as well as the number on the Chrome plugin will turn red when there are overdue tasks and they're always being included in this count so you won't miss this task and when you have the time to complete it - simply check it off and it will move to its next occurrence regardless of how many days it's overdue.
Best regards,
well, right now there's no published API to do that anyway.
The problem with your proposal is that my today screen already has a dozen or a two of tasks. Visually scanning it is inconvenient, and adding tasks that I *know* are not actionable until later will make it even harder.
If you have 'do it today', why not 'do it tomorrow' or 'do it next week' or 'do in on X'?
We will consider adding more "Do it..." options in the future. Reg. my suggestion - you wouldn't have to add new tasks. If you leave the task unchanged, it would stay overdue until you complete it.
Alternatively, you could use labels as a secondary method of setting dates. Simply type @8/1 within the task's name and when you click on the @ link below the search box, you'll see a list of all your labels and can find tasks with any label from the list.
Best regards,
thanks for considering the suggestion.
What I meant that instead of having a task disappear from my default screen for a week, it will be still there, distracting from other genuinely outdated tasks. And, BTW, overdue task will reduce my karma.
Can you advise me whether there's an API for 'do it today' operation?
Postponing tasks also reduce Karma. Reg. the API - it should be possible when using /API/updateItem https://todoist.com/API/help#items
Best regards,


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3rd trial of Johnathan Doody to resume in January
PHOENIX — The third trial of a man accused in the 1991 killings of nine
people at a suburban Phoenix Buddhist temple will be in recess until next month.
Maricopa County Superior Court officials say there was no trial Wednesday
because a juror was sick.
The trial is scheduled to resume Jan. 6.
Johnathan A. Doody was 17 when he was accused of participating in the August
1991 slayings at the Wat Promkunaram temple.
He was found guilty in 1993 and sentenced to 281 years in prison. But an
appeals court threw out his conviction in 2011 after ruling that investigators
improperly obtained his confession.
Doody went on trial again in August, but a mistrial was declared in October
after jurors failed to reach a verdict. His third trial began Dec. 4.


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Egypt's leaders select premier and plan for quick elections
Published July 9, 2013 10:45 pm
Politics • The plan is for a civilian democracy in a six-month period.
This is an archived article that was published on sltrib.com in 2013, and information in the article may be outdated. It is provided only for personal research purposes and may not be reprinted.
This article cannot be shown due to contract restrictions.


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Location: Foreign Animal Disease Research
2013 Annual Report
The specific objectives are: 1. Produce paired monoclonal antibodies to porcine cytokines IL-13 and IL-15. 2. Produce paired mononclonal antibodies to bovine cytokines IL-13, IL-15, IL-17 and IL-21. 3. Produce a collection of monoclonal antibodies that will differentially bind alleles of the BoLA Class I and Class II major histocompatibility complex (MHC) proteins that can be used to rapidly analyze blood samples and determine MHC gene expression in a given cow.
Amendment 1: 4. Produce monoclonal antibodies to porcine immunoglobulins.


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2012 Mexico Open
Web.com Tour | 07 - 10 Jun 2012
The Nationwide Tour is in Mexico this week for the Mexico Open at the El Bosque Country Club in Leon.
The tournament was won last year by heart transplant recipient Erik Compton who has gone on to join the PGA Tour this season but who created quite a stir last year when he won by two over Richard H Lee to record his first Nationwide Tour victory.
Other winners of the event since it was first played have been Jarrod Lyle, Troy Merritt and Jamie L...
Read more »


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9-26-2013 Intel Guru Mnt Goat We are now basically awaiting for the RV to align with just a couple of events. They have a time frame defined…I believe the RV will happen sooner than later and I am hearing they are planning to have us in the banks prior to September 30th but no later than early October. Today is Thursday 9/26, it is late September and we are now just entering this timeframe when the RV could in fact occur. I am not calling the RV today or tonight but the process is in motion and we should see it very shortly and I mean very shortly. [post 3 of 3]
9-26-2013 Intel Guru Mnt Goat My CBI contact has told me that the CBI of Iraq will begin the process by posting the new rate on their site. This will be followed by rolling the rates out to the exchanges and banks. There is a whole new CBI site that will come up at this time. The auctions will then also end. Just prior to the revaluation look for the rate on the CBI site to change drastically to be almost cut in half to something around 500-600. This will be a sign of the proximity of the full revaluation happening. It will then happen very soon after. [post 2 of 3….stay tuned]
9-26-2013 Intel Guru Mnt Goat I have noted in my last 3 posts over many weeks that the window of opportunity for the RV would be the later part of September and early October timeframe. I said this because I knew that there were certain other events that must align to this timeframe. Note that I did say timeframe not specific dates… no one knows the date or rate for sure. … the RV could not possible happen until other events mature…they must align to a common timeframe, a window. [post 1 of 3….stay tuned]
9-26-2013 Intel Guru TNT Tony Talked to bank personnel and rates are being loaded by regions, so that no one can exchange tonight and the process should be completed sometime tonight. If everything goes as planned and there are no hiccups, we are cleared to start the exchange. They have the option to start tomorrow at bank opening or whatever time they deem. Current rates being loaded are IQN $25.87, VNN – $2.87 and IDN – $1.08. We will have to wait until the morning to see if these rates hold. [post 2 of 2]
9-26-2013 Intel Guru TNT Tony All I can tell you is that it looks like what you have been waiting for could finally be here. Bank people are saying the rates have returned and are at the teller screens. I have received information and confirmation that several countries are looking at the exact same rates that we are…..USD vs IQN. These rate are also live at their teller screens. Hong Kong, Australia, UK all say that the rates are live and identical. Rates are identical at WF, BOFA and CHASE. [post 1 of 2….stay tuned]
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Discussion in 'Psychology [Psy.D. / Ph.D.]' started by 50960, 12.06.05.
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New sticky.
What is "advanced practice?"
Great idea, psisci, but we should try to narrow down an adjective to describe psychologists who prescribe. "Prescribing psychologist," "medical psychologist," etc., there are too many titles out there!
OK, I'll get us started....here's a great set of articles on psychologist RxP from the National Register of Health Service Providers in Psychology that sasevan posted in another forum:
I've said it a few times in the past, but I'll reiterate it here: I truly believe that with the appropriate training, a doctorally prepared psychologist, with advanced psychopharm and med assessment training, should be more than qualified to prescribe psychotropics.
At first, I was against this, but after doing some research, I don't think it's a bad thing and may actually help some patients who wouldn't otherwise have access to a competent mental health professional (other than an an MSW/MA).
Another point, master's level NPs and bachelor's level PAs, as well as optometrists, prescribe meds all the time and have not been through med school, and research shows that they prescribe meds more safely than many MDs and DOs (especially the IMG/FMGs). Podiatrists, pharmacists, and dentists also have full or partial RxPs and do a safe and effective job, for the most part, in prescribing meds.
With the appropriate training, why wouldn't PhD/PsyDs with additional pharm/med training be effective and safe prescribers? I think the data from NM and LA has shown that so far, so good in terms of prescribing psychologists in those states.
I still maintain that clinical psychology should move from the scientist-practitioner model (Boulder?) to the PsyD (practitioner) or Vail model. A PsyD should be a four year, post BA/BS professional degree, like the JD, MD, PharmD, DDS, DVM, OD, etc. Lose the heavy stats courses, the research courses, and focus on anatomy/physiology, pharmacology, med/psych assessment, counseling/therapeutics, psychometrics, etc.). Incorporate the pharm into the doctoral program rather than mandate a post-doc MS in psychopharm.
If a student wishes to do research, publish, and experimentation, go for a PhD rather than a PsyD.
Just my two cents. I wish you guys the best of luck in fighting for RxPs.
Rock on ProZack!!
I say "medical psychologist" is the best.
Can you copy and paste the above, edit a bit to make it sound more "official" (you're a lawyer so I have faith in you ), and then send it to legislators in your state (Michigan)? I'm sure psychologists lobbying for RxP would appreciate having an MD, JD speaking out in favor of RxP for psychologists. Rock on.
Given what the Psy.D. system is currently, I strongly disagree.
If all goes well, I'll be a lawyer if (and that's a big IF) I pass the February 06 bar exam. Xanax has helped me through 200 evidence and civil procedure questions for the last week!
I'll tell you one thing, once I move into law, I will advocate strongly for RxPs for med psychologists. However, strangely, I haven't heard much of a movement for that sort of thing here in MI. It seems most of the momentum is either on the East Coast or out West (WA, OR, HI, and CA). I think I read that MO or another similar state had a bill on the floor, but it was rejected? Anyone know more about that? I wonder if it's that the APA's lobby group isn't as strong as the optometrists and NPs?
Hey ProZackMI,
Great to have you here and in the psychiatry forum. As usual, you make some great points. I really hope that you maintain some presence in medicine/psychiatry evenwhile practicing law. Though I'm sure that in either endeavor you'll continue to be a great advocate.
P.S. Best of luck on the Bar Exam
It would require change, no doubt. The current PsyD is a quasi-professional degree. It's a hybrid between a PhD and a....JD/MD/DDS, whatever. In other words, it has characteristics of a PhD, but also has characteristics of a professional degree. I work with a woman who received her PsyD from either Pace or Rutgers (I really can't remember) and she told me she had to write a dissertation/doctoral paper, take a ton of stats classes, etc. That made me wonder, does she have a watered down PhD or a some kind of hybrid degree? There is no doctoral project or dissertation for the JD or MD or other professional doctorates.
So, you'd have to scap the current PsyD curriculum and make it more like other professional health care programs.
Year 1 - combination of advanced psychology and basic medical sciences
Year 2 - Same
Year 3- clinical psych, clinical med assessment and pharm
Year 4- more clinical psych, clerkships, simple research, pharm
PsyD + licensure exams, including pharmacology
2-3 year post doc residency in a medical/hospital setting
The PsyD in my world would be structured like the MD, DDS, OD, DPM, PharmD, DVM. First two years are mostly clinical/basic sciences. Third year is clinical. Fourth year is clinical and practical.
The PhD would be reserved for researchers only. IMO, a PhD isn't geared for practice. No offense to any PhD practitioners out there, but your doctorate is a research degree. Just my thoughts!
Thanks! I plan on maintaining a connection with medicine even while practicing law, but most likely, I'll go back to internal med. One of my best friends owns a small, urgent care clinic in a pretty swanky neighbourhood not too far from my condo, so once I get established in law, and as long as there are no conflicts of interest, I would most likely augment my income by pulling weekend duties at the clinic. You know, a few ear infections, some allergic conjunctivitis, exacerbations of asthma/COPD, basic wound care, etc. Anything "severe" is referred to a local ER. I miss IM. To be honest, I'm getting burned out with psych.
If I could do it over again, I would have gone to law school after undergrad. I would have gotten my JD, passed the Bar, and then worked for several years. Then I would have gone back for a PhD/PsyD. Psychiatry is mostly...script writing with minimal actual patient counseling/therapy. Even though I'm a physician, I don't believe that every pathology has a biogenic or genetic etiology. Most of my peers, however, are quick to Rx an SSRI or TCA for reactive depression! And patients now expect it. I had a patient today beg me for Paxil/Prozac due to bereavement. Her husband died a week ago and she wants meds. I tried to tell her that her depression is natural, not endogenous...and that with time, her condition will improve. Psychotherapy is the best course of action, if any, in her case, not pharmacological intervention. She was pissed I suggested such a thing and stormed out of my office.
That's what psychiatry has become...at least based on my personal experiences.
Sorry to vent!
Another good post
I think that RxP will have initial success in the less urbanized (i.e., with less psychiatric presence) states as one of the main arguments for medical psychologists is to increase patient access to psychopharmacologists. Given that I think that RxP has the best chance in the South, Midwest, Southwest, and Northwest (HI also). I don't think it has a very good chance in the near future to pass in places like MA, NY, NJ, PA, FL, IL, TX, or CA. Although in the latter I believe there's a lawsuit arguing that psychiatry's opposition to RxP is a violation of psychology's right to establish/regulate its own scope without unfair interference from its business competitor (not really sure about this but its what I remember hearing from an RxP conference at APA about 2 years ago). If there is such a lawsuit and psychology were to win then likely RxP will sweep most states. Can you think of any legal angle on this?
I totally agree with this model for the PsyD but alas I don't think psychology would undertake such a restructuring of its current program (especially limiting the PhD to academicians and the PsyD to practitioners). It would also likely medicalize all of clinical psychologists, perhaps to the point where there would be too little difference between psychologists and psychiatrists. I think that perhaps a concentration in med psych (akin to neuropsych, forensic psych, health psych) is much more feasible; maybe the middle ground between the current proposed model of a post-doc MS in psychopharm and your proposed restructuring.
You have to remember that, like it or not, the AMA has one of the strongest lobby groups around. They have more clout than the ABA! This political muscle, coupled with the public's understanding of psychology, will be the biggest obstacle to RxPs.
First, the AMA and ApA don't want psychologists to follow the path of the NPs, PAs, optometrists, and a few other physician extenders/professions who have increased their scope of practice authority. MDs and DOs fear encroachment from all ends. Examples:
- Optometrists have limited RxPs (called TPA/DPA) in almost all states. In OK, they have limited surgical privileges (I believe a type of laser surgery) and their lobby groups are pushing for similar privileges in other states, like NC. They are also fighting for hospital admit and D/C privis. Thus, ODs are encroaching on internal med/family practice and ophthamology.
- Audiologists, who perform a similar role as optometrists, only for the ears, used to receive an MA/MS degree in aud. Now, they are arguing for the AuD (Dr. of Audiology) degree. Their argument: Hey, we are the optometrists of the ears, why should we be stuck with a lowly masters and they get a fancy clincial doctorate? Lo and behold, the AuD is born. Soon, after this degree replaces the MA/MS in audiology as the basic professional credential, audiologists will seek enhanced scopes of practices to mirror the ODs. This will encroach upon ENTs/Otos.
- Physical Therapists (PTs) have recently upgraded to a 3-year post BA/BS professional doctorate called a DPT. With the enhanced degree, PTs wish to become primary care providers whereby there would be no need for an MD/DO Rx to receive PT tx. Eventually, down the line, PTs will most likely seek RxPs (analglesics, narcotics, etc.) and possibly even surgical privis. Thus, encroachment on PM&R and ortho!
- PAs and NPs are already encroaching on FP/GP and IM. A few NP programs now grant the DNP (doc of nursing practice) degree! Dr. Nurse? Where do we draw the line, folks?
- CRNAs --> anesthesiology
- Midwives --> OB-GYN
NOW...here come the clin. psychologists who are asking to be one of the "boys" and treated as true health care providers, not glorified social workers. Organized medicine doesn't want yet another competitor. The insurance companies, however, love it. Lawyers love it!
Another obstacle you guys have is the older psychologists who feel this change is eroding the practice of clin psychology. Psychology, according to them, is NOT medicine. They argue, "if you want to Rx meds, go to medical school!" You guys are divided and not unified. Almost all ODs advocated for enhanced scope of practice powers, but you find psychologists divided into two or three factions: 1) those strongly for RxPs, 2) those strongly against RxPs, and 3) those who don't care. Until you guys unify, you will continue to lose the battle.
Another obstacle, the public's perception. Many folks get confused between psychiatrists, psychologists and even MSWs. Both psychiatrists and psychologists are "doctors", but one is a "talking doctor" as one of my colleagues likes to say, and the other is a "pill pusher". If they both have the same "powers and privileges", what's the difference? If psychologists become more like psychiatrists, will the MSWs attempt to fill the void and become more like psychologists? Can you see MSWs trying to perform TATs, Rorschachs, MMPIs, WAIS, WISCs, WIATs, etc.?
The public thinks a psychologist is a professor type or a touchy-feely therapist type. If you guys start Rx'ing one day, that will confuse the public.
Lastly, the current doctoral education program for most clinical psychology programs is vastly under medicalized in terms of training and assessment. It would seem unfair to make you guys, who usually have more formal schooling than MDs, to obtain another degree in order to have RxPs. One solution here would be to make your professional doctorate more like the MD (see my previous few posts), or make an optional residency for post docs in med psych/psychopharm. Rather than the standard APA one year post doc internship, a prospective med psych would do a two-four year, paid, hospital-based residency, in med psych/psypharm, where you'd do physical exams, read labs, prescribe meds, and do normal psychological testing and counseling. This option would keep the status quo as well as allow many newly minted PhDs and PsyDs to acquire some serious medical skills/training.
Whew...I'm long-winded.
Enough for now!
I have attached an application in case you may be interested in being a Collaborative Practice Associate of the American Society for the Advancement of Pharmacotherapy. The purpose of the Collaborative Practice Committee is to establish liaisons with health care professionals who are currently licensed to prescribe medications, with the goal of increasing opportunities for interdiscipilinary collaboration, research, and education. Essentially, it is for prescribing providers who support prescriptive authority for psychologists. Additionally, I suspect many RxP training programs all over the country would be interested in having a psychiatrist teach some of the coursework.
I'm an IMG, and it seems like you are willing to put down a population of hard working physicians to improve your cause, which is wrong.
Care to show me this research? I mean if you are going to compare prescribing patterns of optometrists, and PAs to all phsycians that's bad research.
Hi Solid,
Im a Ph.D., and it seems like you are willing to put down a population of hard working psychologists to improve your cause, which is a losing battle. BTW, I'm sure your well versed in research.
Cool...I printed a copy and will look it over. I wouldn't mind mentoring a prescribing psychologist one day, should this issue ever present itself in MI. Thank you!
But what about folks who are already licensed psychologists? How would they go about obtaining prescriptive authority?
As a physician and soon to be attorney, I have a thorough understanding of medical malpractice issues. My emphasis in law school was health care law and medical negligence. While I don't have facts and figures to share at the top of my head, I will tell you that the legal research strongly indicates that FMGs constitute the bulk of medical defendants in certain areas. Interestingly, the majority of these "physicians" are psychiatrists, pediatricians, gynecologists, and neurologists. I'm not sure why, but that is what the legal research indicates.
I'm also basing my comments on research I did for a research paper I did in law school regarding scope of practice issues in various health care professions (e.g., optometry, NPs, PAs, podiatry, etc.). As an MD, I started off wanted to read that optometrists were killing people by inappropriately prescribing a medication, not understanding a drug contraindication, etc. I wanted to see that NPs and PAs did harm by having RxPs. I was wrong and surprised. What really shocked me is to learn that IMGs do more harm than non-physician prescribers.
Also, based on my personal experience, working with many foreign medical grads who are psychiatrists, I often see inappropriate diagnoses, poor/dangerous medication choices, and frequent communication problems due to langauge barriers and poor communication skills and/or cultural differences. I have personally caught several egregious errors in prescribing and tx.
I can look up the legal sources I mentioned above and give you hard facts and figures, but suffice it to say, more harm has been done my physicians prescribing (both US trained and non-US trained) than has been done by any PHD, OD, PharmD, DDS, NP, etc. The data suggests (but is not dispositive) that foreign medical grads (mostly from India and Asia) are the worst offenders in terms of medical malpractice issues related to prescribed medications. Yes, this seems like a sweeping generalization, but that is what the research has shown. Sorry if that bothers you.
Of course, that does not mean ALL FMGs are poorly trained or dangerous. Some of the best physicians I know personally obtained their education abroad. It's a case-by-case basis, but unfortunately, the data suggests a pattern in terms of FMGs and medical negligence centered on prescribing.
I'm a "hard working physician" in training and support psychologists obtaining RxP 100%. This effort is not to "put down" physicians, but rather to increase access to desperately needed behavioral healthcare services in certain US states. US medical students tend not to be interested in psychiatry, leaving many residency spots occupied by FMGs, who often try to match into psychiatry not out of interest, but by default (it's easy to match). Even then, many states have few psychiatrists and GPs do most of the prescribing of psychotropics, with little to no follow-up. Add to that limited collaboration between behavioral healthcare providers (due mostly to discrepancies in the number of psychiatrists and psychologists in certain states) and 6-month long waiting lists to see a psychiatrist, and we've got a mental health crisis. Patients do not deserve to suffer. Psychologist RxP with appropriate training = in my book.
Well put. If possible, could you post a couple links or provide references to these articles. I'd like to take a look at them. Thank you!
1. I have no cause. I'm defending RxPs for "hard-working" and well-trained psychologists who are attempting to improve their professional standing and expand their scope of practice to better serve their patients. That is, after all, the subject of this topic. This discussion has nothing to do with FMGs. I merely mentioned that fact to show that the AMA's objections to properly trained professionals prescribing meds is inconsistent with the totality of the evidence. The bulk of the evidence in terms of overall safety of medications prescribed each year, in the US, shows that the majority of harm caused to patients by prescribing providers is NOT done by psychologists, optometrists, NPs, PAs, pharmacists, dentists, etc. The research shows, very clearly, that the majority of harm done to patients is done by MDs and DOs. Moreover, of this group (physicians as a whole), it is the FMGs who more frequently prescribe an inappropriate medication, over prescribe, don't look at the whole medical hx, don't understand pharmacology, etc. It is the FMGs who end up harming patients, more often, than the non-physician prescribers.
Why is this? Several reasons. FMGs typically receive inferior training. They usually have 5-6 years of formal education (typically, a Bachelor's in Medicine is the degree earned without prior undergraduate training). They are often trained in medical schools with poor facilities, poorly trained faculty, and do not have access to medical technology or state-of-the-art treatment techniques and information. They come to the US and must pass the USMLE I and II and then complete a residency, where they actually learn to be physicians, but often, that process is like building a house on quicksand. Without a proper and strong foundation to start, any structure built thereafter will be subject to slowly sliding into the quagmire.
I have a co-worker (psychiatrist) from India, who told me that his son, who is in the 8th grade, has better science facilities at his middle school than my friend did at medical school (in Bangalore, India). In school, he never was exposed to sophisticated medical technology like we have in the US. His pharmacology professor (just one) had a medical degree from India, not a PhD or PharmD. The cardiology dept. consisted of two physicians who never performed a CABG or PTCA. They had no idea how to read an Echo. Their EKG machines were 20 years old. They had no clue how to read a Thallium or Persantine. They never knew how to do or read a cath. No clue about LVEF, ischemic cardiomyopathy, etc. He had to learn this in his residency. When I look at my patient's med hx, I actually understand what I am reading; he does often does not. The sad part is, many of the PhDs I work with know more medicine and pharmacology than many of the FMGs! Who would you rather have prescribing powerful psychoactive meds to you or your kids? A FMG who has no clue but can pass through a relatively easy residency, or a PhD with proper training?
To make matters worse, a large amount of FMGs lack the communication skills necessary to be effective medical practitioners. Not all, but many FMGs have no problem reading English, but have a hard time speaking it clearly and effectively. Many have a hard time understanding Americans, especially minorities and children who often use colloquialisms and slang or who speak more quickly than others. Frequently, I see patients request a new doctor because they cannot understand theirs, or worse, their doctor doesn't understand them or doesn't appear to listen to them.
2. I was not comparing prescribing patterns of optometrists to all physicians. I was pointing out that when optometrists do prescribe, they so safely and effectively, unlike many FMGs. I was making a statement that if optometrists and nurse practitioners can do it safely, it's reasonable to conclude that properly trained psychologists should be able to do so safely and effectively.
To those who have not seen this, here is a flyer for the upcoming Mid-Winter Conference of the American Society for the Advancement of Pharmacotherapy (Division 55 of the American Psychological Association):
Is anyone planning on going? I am not, but would love to hear about the meeting from someone who does attend.
Did anyone attend the American Psychological Association meeting this year? Were there any talks on RxP? If so, what did they cover?
Dear Psych,
You have me wrong on both counts! I am not opposed to psychologists prescribing meds as long as there is a well thought out education route.
On the second count, no I am not versed in research as I am a fresh medical graduate and there hasn't been time for me to swim in those waters. LOL
Funny how quickly your tone and opinion changed once a lawyer reamed your ass. Go ProZack!
What a load of self serving B.S. When I came to the U.S. I was shocked at the level of medicine I saw. Where I was trained, we were taught to think and we were expected to be knowledgable, hard working and caring. Here's what I saw in the U.S., an initial impression that has only been stregnthened in the years since:
American doctors are trained to throw a pill automatically at every complaint. They do not know how to think.
American doctors aim to please the customer, not treat the patient, as a physician should.
American doctors know how to play office poltiics and suck up to those in power - they do not care about the patients, or about what is right.
American doctors haven't got a clue about collegiality. They consistently attack one another and eat their young alive.
US doctors resemble robots, IMO. Money grubbing ones, that is.
Medicine here is far inferior to that practiced in other countries. Sure, the rooms are nicer, the instruments might be newer, and at the cutting edge of certain sub specialties, the US is undoubtedly number one. But you do not know how to be a caring, thoughtful, logical, empathic physician, a person who has dedicated their life to the health and well being of others. You know how to be slick and make money.
I have treated many patients that had been treated by American doctors, including some working at several famous Boston hospitals (MGH, Mclean). It seems at times that every single person who walks through their doors is diagnosed with Bipolar and loaded up with lamotrigine, lithium, seroquel and a bunch of other junk. This overdiagnosis of Bipolar and this rabid polypharamcy originate from the so-called "best" academic centers, and are rampant in all levels of practice.
I find your posts ridiculous and I think you are a hate mongerer. You have built up an entire thought system just to justify your own xenophobia, Mr. lawyer-doctor.
Be nice.... This is getting off topic.
Good point, psisci! Way to be a moderator!
Back to the issue at hand: What do people think about Missouri psychologists proposing that their "prescribing psychologist" bill include not only administering psychotropic medication but also ECT? Here's the bill:
Details: http://www.house.mo.gov/bills051/biltxt/intro/HB0504I.htm
Interesting slideshow on psychologist RxP: http://www.ndms.chepinc.org/data/files/3/195.pdf
I am in the process of leaving medicine, at least in part, because I tend to agree with you. There are still many medical students (and for that matter, law students) out there who start off with altruism in mind and intend to serve others by alleviating their pain and suffering, but for some reason, usually during school or in residency, the altruism is traded in for hedonsim, or at the very least, materialism. I remember hearing med students talk about how much they were going to earn after residency, etc. To some degree, I bought into it myself. Medicine has always been a big money maker in the US. Not so in Europe and other countries where physicians are often treated as "inferiors" by other professions. In many countries, like Russia, physicians are thought to be mere "body mechanics" and make much less than other professionals.
I also agree with you about the increasing practice of polypharmacy among physicians in general, not just US-trained physicians. This is one the biggest problems with psychiatry. Example: A 30-year-old healthy woman comes in due to increasing sxs of depression: insomnia, anhedonia, feeling hopeless, lethargy, intermittent SI, etc. These sxs began after her finance of five years, was killed in Iraq. Her psychiatrist immediately Rx's an SSRI (Paxil or Prozac, not sure which) after a 10 min. med review and sends her on her merry way. The SEs of the SSRI were significant, so her doc changes her medication to Wellbutrin. No more side effects. However, by the time she came to me as a new patient, she needed the Wellbutrin to "cope". Had she been my patient initially, I would have diagnosed reactive/situational depression vs. adjustment D/O with depressed mood and done some counseling/grief therapy. I would not have prescribed any meds.
During my psych residency, I had a clinical psychologist with an Ivy League PhD as a preceptor. I remember him telling the residents about his three magic words: GET OVER IT! His advice, to the residents, was to encourage patients to GET OVER IT without medication. I never forgot that and to this day, 4 years later, I still use it, even for my most recalcitrant patients.
Nevertheless, medicine in general has become dependent on pharmaceuticals and the "magic pill" theory. That's part of the American way. Fast food, fast sex, fast medicine. Quick and easy. I'm not sure where you're from, but in places like India and China, there is minimal access to drugs, so physicians often have to make do with what they have. True, they learn how to treat patients with less. However, we are not talking about medicine in India or China or Russia. We are talking about the US health care system.
You say American medicine is inferior to medicine as it is practiced in other nations because American doctors are greedy, robotic, money-grubbing, political, selfish, insensitive pill pushers who don't give a **** about their patients. Shortly after you made that wonderfully stereotypical statement, you stated that I was a hate monger and overgeneralized the quality of care provided by FMGs. Don't you find it ironic that your statements stereotype and overgeneralize ALL US doctors?
Much of what I wrote was predicated on empirical and objective research. I also included some anecdotal evidence as well. Your statements were completely subjective and predicated upon your personal observations.
A few comments:
1. I have encountered some incredibly sensitive US physicians who treat their patients as people, not signs and symptoms. Unfortunately, most of these were DOs, not MDs (I'm an MD, so this bothers me). I have also encountered some incredibly arrogant and rude doctors. In fact, I work with some. It's ridiculous for you to say all US docs are uncaring automatons. Some are, some are not. I have met some incredibly rude and arrogant FMGs. Two years ago, I presented to the ER with right sided lower flank pain. A KUB revealed a 4mm calculus. While I was writhing in pain in the ER, an Indian ER doc, who had such poor English skills, that he might as well have been speaking Dravidian, rudely tells me that I had a gravel pit in my kidney and that I need surgery right away or I would die. I grabbed the KUB and IVP reports, saw a 4mm stone, and laughed. No hydronephrosis, normal labs (creatinine, albumin, BUN, etc.), just pain and hematuria. Why would that kill me? I passed the stone and have been fine ever since. This FMG was rude, arrogant, barely understandable, and had I not been a physician, might have scared me unecessarily.
I have treated many patients who tell me their previous psychiatrist, who happened to be a FMG, was rude, didn't listen to them, or was not understandable. Many of these foreign docs often imputed their cultural biases onto their American patients. Things like an Asian male psych telling an American woman that she should stop complaining and just give in to her husband's demands for sex and service. If you're going to treat American patients, you have no right to do so under the veil of your cultural biases.
2. Managed health care often puts unreasonable constraints on physicians. These constraints may appear to be insensitive, greedy, etc.
3. Many FMGs that I know enjoy driving BMWs, Mercedes, and Lexus just as much as the American docs. Worshipping at the Altar of Mammon knows no geopolitical boundaries, my friend.
4. Many of the problems with medicine, especially psychiatry, is the basis of my support for RxPs for properly trained psychologists. Psychologists are trained to be better listeners and better problem solvers. As you pointed out, physicians tend to be quick the Rx pad and short with the listening skills. A pharm trained psychologist would most likely Rx less and listen more.
5. You are obviously a very insecure person who feels inferior to US trained docs because of your foreign medical education. Your disdain for your American colleagues is palpable and offensive. If you, personally, are a competent physician, then who cares where you went to school? Some of the biggest morons I have met have had an MD, JD, or PhD from places like Harvard, Yale, and Stanford. Some of the best doctors and lawyers I have met earned their degrees from places like Medical College of Ohio/Wisconsin, Thomas Cooley Law School, University of Toledo, etc. Where you went to school is not relevant, it's what you learned and how you apply what you learned coupled with your own personal skills. FMGs are often trained at poor, backward schools with little or no resources. This factor does not mean all FMGs are inferior, but if medical practice statistics can be trusted, and if the US Dept of Health and Human Services stats can be trusted, it would sure seem that many Americans are suffering because of FMGs and their lack of training. One reason is that they quickly try to become like US docs and are quick to Rx without understanding the pharmacology etc.
6. The VAST majority of inappropriate psych diagnoses I encounter come from master's level therapists (MA and MSW) and FMG psychiatrists, NOT US trained psychiatrists. I've had to sit down with a few colleagues, and a few residents, and explain the DSM IV criteria for true bipolar. I had to explain what schizoaffective D/O was and how it is diagnosed. Most American psychiatrists have no problem in this area. We learn something called the differential dx, which apparently, is not taught in Madras, Bangalore, or Velore.
I don't think we should be doing ECT. I think we should be able to order it when needed but not administer it...sorta like general anaesthesia.
Good point. There is a big difference between prescribing a medication and actually performing a clinical procedure. Many things can go wrong during ECT, and I don't think a psychologist would be prepared to treat such unforeseen medical contingencies without a medical degree.
You psychologists seem to be a hateful lot. I'd like to point out that when you reply to topics on the Psych/MD forum we respond with common courtesy and do not make comments like the above.
I really wanted to find out just how much psychologists are willing to be receptive to MDs. I guess the answer is not much.
I'll be going now, see ya on the MD side.
The fellow you seem to be arguing with is a psychiatrist, not a psychologist. Also, there seems to be ample tendency to respond negatively on the psychiatry board as well. I think it is a mistake to generalize disdain for MD perspectives based on what I would term "noise in the system."
Whether or not prescription rights for psychologists becomes a reality, I think we can strive to discuss the issues in a rationale way.
I'm a clinical psych doctoral student in Canada - no prescription rights anywhere on the horizon here. But I would like to learn about psychopharmacology, particularly as it relates to my children and adolescent clients. Where do I start? I'm capable of doing lit reviews using PubMed but I feel I need a fundamental background from somewhere. Unfortunately, my current school does not offer an overview course of pharmacology like my previous school did.
For you PPR or the psychopharmacology institute would be a good option. PM me, and I can send you some links. Happy to hear you are interested in the training as that is the most important part of all of this talk of RxP in my opinion..getting psychologists some medical training.
Can you tell us more about Prescribing Psychologists Register (http://www.pprpsych.com/) and Psychopharmacology Institute (http://www.nmhc-clinics.com/pages/TPI/ppp.html). Websites for these programs look kind of shady -- is a Diplomate Fellowship in Psychopharmacology really "the most stringent Diplomate in the profession of Psychology?"
Not according to Dr. Jack Wiggins: http://www.prescribingpsychologist.com/InternationalNews.htm
I go to Massachusetts School of Professional Psych (www.mspp.edu) and we have one of the few psychopharm masters in the country. http://psychopharm.mspp.edu/index.asp?action=10&what=10&type=0 is the direst link to the psychopharm info on the website. You can do distance learning and you only have to attend 9 weekends over 2 years, but you do have to finish grad school first. I plan to do it as soon as I have my Psy.D.
Um...you just managed to miss the entire point of my post...
I have not for one instant felt inferior...don't you get it? I came here and was appalled at what I saw...I count myself blessed for having had such a wonderful medical education.
And you ARE a xenophobe. Are you not?
Nope, I'm Dutch and Norwegian.
I'm not a Xenophobe.
Here's a novel concept. If you're so appalled by the medical profession in the United States, then you should pack your stuff, buy a plane ticket back to your place of origin, and go back there to practice medicine where you can put your wonderful medical education to good use. You are an Americanophobe, to coin a new word, and your contempt for this country is patently offensive.
YOU missed my whole point, which was objective and empirical research has shown that non-physician prescribers are not a danger to the public as the AMA would have everyone believe. Additionally, more people die each year from errors/incompetence from physicians prescribing meds rather than non-physicans prescribing meds.
To me, that is a good indicator that properly trained psychologists would not pose a threat to their patients by gaining RxPs. This is not a place to bash American physicians, but rather, to discuss potential advances to the scope of practice of clinical psychology. If you have comments to add about clinical psychology, then make them, otherwise kindly cease and desist posting in this thread.
Yes! Some threads have a strange way of devolving into hostile discussions of topics that are unrelated to the original question or topic.
Flutterbyu, how do you like MSPP? I took a human neuropsychology course at the Jamaica Plain VA during my undergraduate training and really enjoyed it. I recall some MSPP PsyD students being in the course. Are most students in your program considering the Master's in psychopharmacology? What is the status of the psychologist RxP bill in Massachusetts?
Only reason I posted here was that after you had gone on your little racist rant there, an IMG who stood up to you (even just a little) was yelled down. I was trying to show you that there can be different opinions about American Greatness, and you should not be so certain of your superiority.
Mister, you are not in charge of this thread, this is not your courtroom, and you ain't gonna tell me where I can post.
I cannot compete however with your productivity in terms of sheer word volume, and I do not intend to try.
It is easy to be nasty and racist. I see that no evidence to the contrary will sway you from your very-dearly-held-opinion. You could have a thousand eloquent, educated IMG's posting here, you could meet a thousand rude and ignorant american docs, and you would still hold on to your opinions. It is clear that I have failed in my mission here on this thread, and you will persist in spreading these malignant views.
Signing off.
Non-physician providers = Future of American Healthcare?
US News article (with discussion of psychologist RxP): http://www.usnews.com/usnews/health/articles/050131/31turf.htm
No not the most stringent by any means, but good enough, and very good for someone in Canada who just wants some training.
I agree with Zack, if it is so terrible here in the U.S, than go home!!! The only racial comments came from you!!! I would like to know what your motivation to come to the U.S was? Was it a career opportunity? Family? I mean, concidering you obtained your degree elseware, you must have had some opportunity in your own country to practice medicine eh? What was the motivation to bring you here AMERICA!!!!!!!!! Until us Americans, or should I say American BORN citizens go on your countries medical forums and degrade your countries physicians, please have some self control and respect, and refrain from posting on ours!!!!! Thanks! By the way, your name says Ergo_sum, (therefore I (you) am) what???
Cogito Ergo Sum-I think, therefor I am... Rene Decartes!
Thanks for the invite Psisci, I read your invite on the psych forum a few days ago, and I'm glad you want to have informative and respectful conversations. Some more willing than others . But great idea
In keeping with the topic of this thread, here's a .pdf of Tennessee psychologists' "back and forth" with Tennessee psychiatrists regarding psychologist RxP. Tennessee's mental health system is a mess!
TN bill: http://www.legislature.state.tn.us/bills/currentga/BILL/SB0723.pdf
I have a feeling that Tennessee will gain prescriptive authority for psychologists this upcoming legislative cycle -- they successfully passed it through the Senate and were ONE VOTE shy of passing it through the House last cycle (http://www.tpaonline.org/leg/id155.htm). Hawaii looks promising too. Anyone else have any insight regarding legislation for psychologist RxP in these or other states?
Separate names with a comma.


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