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Article Date: 4/1/2001
Prescription Tracking
Do You Count?
New research reveals what you
may have long suspected: You often don't get credit for the prescriptions you
write. Here's a look at the issues surrounding prescription tracking and
proactive measures you can take.
We have a problem in the ophthalmic industry, and it's time to face it head on. Historically, research firms that collect data for pharmaceutical companies have reported that optometrists prescribe only about 3% to 5% of all ophthalmic drugs -- with the rest being attributed to ophthalmologists, primary care physicians, pediatricians, allergists and other healthcare professionals. This seems quite unlikely to O.D.s. Even accepting the notion that M.D.s prescribe a higher volume of drugs than O.D.s, the fact that O.D.s outnumber M.D.s nearly 2 to 1 should offset this.
The interest over this prescription tracking issue ranges from a basic desire to get the facts straight to allowing optometry to participate fairly in the significant resources of the pharmaceutical industry -- which include detailing and sampling by pharmaceutical reps, educational sponsorship, research grants, advertising support in journals and participation at conferences.
A glaring problem
"I remember the shock I felt when a rep showed me the data," says Cliff Courtenay, O.D., of Valdosta, Ga. When looking at the numbers for a particular glaucoma drug, Dr. Courtenay found that his M.D. partner's numbers were twice that of his own.
"My partner was in the top 10% of ophthalmologists in this sample, which includes glaucoma specialists. We both see about 4 to 6 patients per day, and we have similar prescribing habits, so it's almost impossible for him to prescribe twice as much of that drug as I do.
"Obviously, there are some sources for error in this analysis, but the gross numbers are way out of line, which leads me to suspect that many of my prescriptions are attributed to my partner. This would also explain why he ranks so high in prescriptions for that drug compared to other doctors in our region."
Whether you can relate to Dr. Courtenay's account or not, you should think about measures you can take to combat the problem.
"Optometry is still evolving," says Dr. Courtenay. "To be sure that we receive the educational dollars and pharmaceutical rep attention that we need to thrive, it's paramount that O.D. prescription habits are accurately tracked."
Before searching for answers and defense tactics, let's take a closer look at the problem and what research indicates.
The whole truth
Pharmaceutical companies are leading the charge to obtain correct data. They want to know the truth about who prescribes their products, but it's not a simple task in a data collection system that's so deeply entrenched.
These companies rely on data about your prescribing habits that come from reporting firms, which buy the information from pharmacies. And this is where you're often left out. More often than not, that prescription you write is credited to someone else.
However, according to Juli K. Stone, vice president, National Accounts at National Data Corporation (NDCHealth), the company's independent validation re- search indicates that for an O.D. with his own prescription pad printed with his DEA number, data are nearly 100% accurate.
Recently, Alcon Laboratories commissioned a study with NDCHealth to provide a better understanding of what happens as prescriptions move from your practice to retail pharmacies and then to data collection agencies.
The study was supplemented by interviews with members of the American Optometric Association (AOA) to learn more about optometrists' concerns. According to doctors' own estimates in the Alcon/NDCHealth study, the average number of prescriptions they write ranges from two to three per day during regular times of the year to 10 to 15 per day during allergy season.
Number of Rxs per Winter Month per
Artificial tears.....80
Glaucoma meds.....47
Anti-allergy meds.....30
Source: AOA
What other studies show
Other companies and organizations are also trying to get a better handle on the situation. Here's what they're doing and what their efforts have revealed:
AOA's new study. The AOA's just-released 2001 AOA Scope of Practice Survey analyzes the frequency of O.D. prescribing for various drug categories and reveals an even higher prescribing rate. Some of these data are shown in the table above in "Number of Rxs per Winter Month per O.D." (For extensive coverage of this survey, see the April 23 issue of AOA News.)
Allergan's study. Allergan worked on a separate study with SECO in March and April 2000. SECO's board gave Allergan a list of approximately 20 O.D.s. Allergan tracked the prescriptions of these O.D.s for two, 2-week periods and then for 1 month. It compared its findings to a tracking company's data and found that only 14% of prescriptions were tracked back to the correct optometrist.
"Although the results aren't statistically significant because of the small sample size, they're directionally consistent with other study data," says Jake VanderZanden, director of marketing and sales for Allergan.
From the O.D.'s viewpoint
The O.D.s interviewed for the Alcon study believed that they account for roughly 20% to 25% of all prescriptions written in the ophthalmic market.
In stark contrast, NDCHealth data show that only 4% to 5% of dispensed prescriptions in the ophthalmic market are attributed to optometrists.
About 26% of these prescriptions were written for anti-infective drugs, more than 47% were written for glaucoma treatments and about 18% were prescribed for anti-allergy products.
In the companies' eyes
The following pharmaceutical companies have their own views of the problem. Here's what some of their executives say about data they've received from IMS Health, another prescription tracking company.
Bruce Riddell, vice president of marketing at Santen Pharmaceuticals, explains that his company is studying existing data, and doing its own survey.
"O.D.s' prescriptions are underreported," he says, "But to what extent? I don't think anyone knows this quantitatively ."
Mr. Riddell continues, "All of us on the supply side of pharmacy want to know who our prescribers are and what products meet their needs."
According to the pharmaceutical consulting firm Scott-Levin, pharmaceutical companies in the United States spent $5.3 billion in the first 11 months of last year, sending close to 100,000 sales reps into doctors' offices and hospitals, and $1 billion more holding marketing events for doctors.
Some pharmaceutical executives think that optometrists don't bother to prescribe their products, so they focus their efforts -- and their dollars -- on other groups.
According to IMS Health, one of the prescription tracking companies, face-to-face selling and physician-targeted advertising in the first 6 months of 2000 accounted for $2.7 billion, a 12% rise over 1999 first half figures.
Pharmaceutical reps are a wealth of information and product sampling. They can inform your practice of the newest drugs on the market -- drugs that can make a difference to your patients. Reps spend time with you, leave information for you and your staff, and help stock valuable product samples.
What if you're left out of the loop?
If you're left out of this cycle, you can't compete with the ophthalmologists and family practitioners who'll be better informed than you. So why aren't those sales reps knocking on your door?
According to Richard
Edlow, O.D., chair, AOA Information and Data Committee, O.D.s surveyed in the 2001 AOA Scope of Practice survey said they saw an average of 2.8 drug reps over a 6-month period.
According to Bobby Christensen,
O.D., F.A.A.O., of Midwest City, Okla., "Pharmaceutical representatives are out there and are willing to do things with
O.D.s, but sometimes O.D.s don't return calls.
"What works well for reps is regional and county meetings. Group meetings of this sort cut down costs to pharmaceutical companies and allow them to give out more samples."
His advice: "Organize meetings where pharmaceutical reps can talk about products and O.D.s can learn how to get samples. This betters the relationship between O.D.s and reps. Just call a company and ask them to send a representative for this purpose."
Carl Spear, O.D., F.A.A.O., director of optometric marketing at Novartis Ophthalmics, expresses the same sentiments.
"Novartis is looking internally at some pilot-type beta testing programs to get a better look at the issue of underreporting.
"We have O.D.s call for samples or a visit from a sales rep, and we pull their prescribing information to find that they write few prescriptions. But when we talk to them, it becomes apparent that they're actually writing a good amount."
Dr. Spear describes his view of the problem: "Often, the problem is the pharmacist deciding that the prescription is from someone else. Our sales reps encourage O.D.s to work with pharmacists. That's where I think the numbers become different.
"The O.D.s who live in rural areas seem to have the highest prescribing numbers [better pharmacy relationships, more accurate tracking], whereas in urban areas, the pharmacist takes the prescription and an O.D. may not even get counted."
Leo Otero, product manager at Bausch & Lomb Pharmaceuticals, says, "O.D.s are underreported, but when an O.D. has TPA certification, some states have different levels of certification, so unless he's certified to the highest level, he can't be assured of getting proper credit.
"However, most companies are fairly confident that the M.D. quotient is accurately represented. M.D.s often get the credit over an O.D. when sharing a prescription pad," says Otero. He adds, "I think O.D.s are already an important group, but they'll gain more importance as this issue is clarified."
Aake VanderZanden from Allergan agrees.
"O.D.s have the best potential for increasing the credit they get for writing prescriptions," he says. "O.D.s are clearly the gatekeepers for treating most eye conditions."
"That said, Allergan knows that O.D. prescription tracking is a problem," continues VanderZanden. "That's why we've changed the deployment of our sales force to cover a broader base of O.D.s."
The data capture process
When filling a prescription, the pharmacist takes some vital statistics into his database. These include the prescribing physician's DEA number, assigned by the Drug Enforcement Agency to track controlled substances. As each state developed its optometric therapeutic drug act, some authorized optometrists to apply for DEA numbers, some authorized DEA-like numbers and some didn't authorize any.
According to the just released scope-of-practice survey by the AOA, 55% of practicing O.D.s with therapeutic privileges don't have DEA numbers.
Years ago, a physician's DEA number became a convenient way to track and credit prescriptions. Today, however, prescribing authority is shared by ad- vanced practice nurses in 48 states, physician assistants in 45 states and certified nurse midwives in 33 states. Homeopaths have such authority in three states and pharmacists in nine states. Very few of these practitioners hold DEA numbers.
Yet, pharmacies continue to track prescriptions through the same methods because it's legally required by many states.
"Our policy is to track set fields of information for all prescriptions," says Carole Hively, corporate spokeswoman at Walgreen's Pharmacy.
"These fields include the doctor's zip code, DEA number and what he prescribed. We then sell his prescribing information to companies that eventually send it to pharmaceutical companies."
This practice happens in most pharmacies. NDCHealth receives prescription data from more than 60% of all retail pharmacies in the United States. That's more than 36,000 pharmacies.
These pharmacies provide NDCHealth with more than 74% of all prescriptions dispensed in retail outlets in the United States. NDCHealth attempts to match a prescription to a practitioner primarily, but not only, by tracking DEA numbers.
Prescribing optometrists who don't have DEA numbers will most likely not be matched accurately. To fill in the blank, a pharmacist may decide to use your patient's primary care physician's DEA number, or even a pre-approved DEA number by a managed care organization.
In either case, you're no longer associated with that prescription. You become lost in the database. In fact, in the Alcon study, two of eight practicing O.D.s interviewed weren't found in the NDCHealth database at all. Six optometrists interviewed for the Alcon study agreed that the NDCHealth data represented only 66% to 75% of the actual volume they prescribed.
Are O.D.s Guilty of
By Neil B.
Gailmard, O.D., M.B.A., F.A.A.O., Munster, Ind.
I was at a meeting recently with executives from several of the major ophthalmic pharmaceutical companies, and someone brought up the topic of tracking prescriptions. As we discussed the frequency of sales reps calling on optometric practices and the practice of leaving drug samples, one of the executives mentioned that optometrists are known to
"oversample their patients." I asked executives from all the companies if they agreed with this premise -- and it was unanimous. They perceived it was a well-known fact. And it's not just based on the numbers of samples distributed compared to the number of prescriptions written -- but also on the general perception of their sales reps. O.D.s ask for samples more often than
M.D.s, and they go through them faster.
Some of the reasons cited for the practice are interesting. For example:
No matter what the reason, if it's true that we do sample more freely (and I suspect it may be), we should take active steps to change the practice. It's bad for our profession and the industry because such misuse drives up costs and results in giving us a poor image.
One pharmaceutical executive summed it up well. He said that the major difference between O.D.s and M.D.s is that M.D.s give a sample and a written prescription for a drug, whereas O.D.s just give the sample. Not writing the prescription results in an increased sample-to-prescription ratio, and it could lead to noncompliance in patient care.
Filling and billing
"Pharmacies need to be paid for the prescriptions they dispense, and some managed care organizations will only recognize a DEA number, "says Dr. Williamson, of Cape Coral, Fla.
"In Florida, we don't have DEA numbers, but we do have prescriber numbers. Instead of calling us first, some pharmacies use their own DEA number or credit the patient's primary care physician number to get around the managed care organization's rules. We lose out."
Chris Williamson, O.D., also a participant and in practice with his father in Cape Coral, says, "I remember an incident where the pharmacist wasn't aware that O.D.s in Florida have the authority to prescribe medications.
"The patient was refused the medication. We had to call the pharmacist and educate him about the new laws regarding optometrists' prescribing authority in our state."
Imagine a pharmacist saying this to one of your patients:
"Mary, because you were treated by an optometrist, your insurance won't cover the cost of your prescription eye drops.
"You'll have to pay for it yourself. You know, if you had seen an ophthalmologist, it would've been covered."
This actually happened to one of Dr. Neil Gailmard's patients.
"Actually," Dr. Gailmard explains, "the insurance company didn't really discriminate against O.D.s in this case, but their computerized billing system required a DEA number, which Indiana optometrists can't obtain.
A common understanding
"Pharmacists have told my patients that I didn't have the proper license number so my prescription couldn't be filled. They couldn't process the prescription without a DEA number for the computer program, which is used for third party billing."
Dr. Gailmard explains that in cases such as this, he gets a phone call, asking for his DEA number. He tells the pharmacist that the drug he prescribed isn't a controlled substance and doesn't require a DEA number. He says that he's certified to prescribe therapeutic drugs in the state. The pharmacist agrees that a DEA number isn't required for the drug class, but rather for identification.
"Cases like this undermine the doctor-patient relationship, and can't be tolerated," he says.
"We have a great drug law in Indiana, which includes glaucoma and oral medications, but we aren't authorized to obtain DEA numbers. State officials say we don't need one because we don't prescribe controlled substances, but they miss the point.
"Most pharmacies have found a way around the problem so problems with filling and billing happen only rarely now. A large national chain has agreed to insert its own store DEA number in the field. It lets our patients use their insurance, but I'm sure Indiana optometrists aren't being tracked properly because of this.
"I even had a mock number printed on our prescription pads followed by the statement, 'For billing purposes only.' This has worked for many pharmacies, but it doesn't help the inaccuracies of prescriber tracking."
Prescription problems
The barriers to completely accurate tracking are varied. They don't all pertain to an
optometrist's DEA number, but they do include the following issues.
Group practice offers many advantages, but when it comes to tracking prescriptions correctly, too many names on a prescription pad can be a recipe for trouble. Several factors contribute to confusion when a pharmacist is trying to fill a prescription.
If you don't write clearly, with a legible signature, the pharmacists may credit a different name on the pad.
Some pharmacists revealed that they're instructed to assign a prescription to the doctor whose name most closely resembles the signature. If the pharmacist is very busy, he has even less time to search for the accurate prescriber. One pharmacist speculated that a physician's signature on a prescription is unreadable 20% to 30% of the time.
If the O.D. doesn't have a DEA number, but the M.D. listed as part of the same group practice does, the pharmacist may assume it doesn't matter if she gives credit to the M.D. instead.
Approximately 40% of prescriptions written are never filled by a patient. Fewer are refilled.
"I was flabbergasted to learn that a third of my patients never fill the prescriptions I give them," says Stuart Thomas, O.D., of Athens, Ga., a participant in the Alcon/NDCHealth study.
"Patients may not understand the importance of taking their prescriptions. We need to spend more time educating them about the importance of compliance."
Pharmacies nationwide are experiencing a staff shortage.
"We found there to be about 3,800 pharmacist vacancies across the country, which is about a 12% shortage," says Phil Schneider, managing director of public affairs for the National Association of Chain Drug Stores. Other sources estimate the shortage to be 20% to 25%.
In addition, the Journal of the American Pharmaceutical Association revealed that 92% of responding pharmacists are "very often or often interrupted while filling a prescription." One can see how prescriptions are credited to the wrong practitioner.
The pharmacists interviewed in the Alcon study indicated that although they recognize misidentification as a problem, they don't consider it to be critical.
The survey revealed that where a DEA number is required and the prescribing optometrist doesn't have one, the pharmacist will either use the patient's primary care physician's DEA number, or a pre-determined number.
Suggestions for improvement
Perhaps the greatest challenge to accurately tracking O.D. prescription habits is a lack of DEA numbers for O.D.s in all states. Insurance companies and managed care organizations require most pharmacies to cite a DEA for reimbursement. To fulfill this, pharmacists will most likely continue to substitute a primary care physician or MCO-authorized number if the prescribing O.D. doesn't have a DEA number.
The DEA never intended its numbers to be used in this manner. The numbers are designed to track controlled substances. One recommendation from Alcon/ NDC Health's study was to ask the DEA to issue a special subset of numbers for O.D.s to track all drugs for which they write prescriptions.
"DEA numbers for O.D.s is a critical issue," says Dr. Thomas. "SECO is looking at it, and so is the AOA. Hopefully, we'll come up with viable solutions."
Here are some other tips to consider if you think you're not being accurately counted.
If you practice in a state that allows you to apply for a DEA number, do so and make sure it's on all of your prescription pads.
Get individual prescription pads for each O.D. in your practice to ensure accurate credit.
Dr. Christensen says that if you share a pad with other doctors, often the doctor listed on top gets counted as writing that prescription. Also, an M.D. listed along with other names is more likely to get the credit.
Ask your patient to bring his medication to the follow-up visit. Check whether the correct caregiver is credited for it.
Get to know the pharmacists in your area. Many are unaware of the long-term impact of a misrepresented DEA number.
Where do you go from here?
There's no question about it -- you're not always getting proper credit for writing prescriptions. So, what's next?
Resolving this problem needs to be a cooperative effort between optometrists, pharmaceutical companies and tracking companies. As the AOA and others bring this problem to the forefront, We'll likely have more solutions at our fingertips.
Optometric Management, Issue: April 2001


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Jeff Daniels Interviews James Corden as 'Newsroom,' 'Dumb & Dumber' Characters (Video)
Two of the most contrasting characters Daniels has ever played come together for "Late Late Show" segment
Two of the most contrasting characters Daniels has ever played come together for "Late Late Show" segment
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The Kauṭilīya Arthaśāstra: Its Author, Date, and Relevance for the Maurya Period
Kusumanjali Book World, 2000 - Political science - 188 pages
Study of Arthaśāstra of Kauṭalya, classical treatise on Hindu polity and statecraft.
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US Pharm. 2007;32(6):28.
Regular Aspirin Use Reduces Risk of Colon Cancer
Taking at least two 325-mg tablets weekly for an extended period cuts the risk of colorectal cancers by almost one third, but only in tumors overexpressing cyclooxygenase-2 (COX–2), according to a study published in the New England Journal of Medicine. Andrew T. Chan, MD, of HarvardMedicalSchool and colleagues reported a reduced risk for COX-2–positive tumors becoming evident after 10 years of aspirin use, suggesting an effect on early stages of cancer.
In an accompanying editorial, Sanford D. Markowitz, MD, PhD, of CaseWestern ReserveUniversity in Cleveland, wrote that current thinking ascribes the cancer-preventive activity of aspirin and NSAIDs principally to the ability of COX-2 to block the generation of PGE2, the most abundant colon prostaglandin. The findings of this study "provide powerful support for the role of COX-2 as a key mediator in the development of colon cancer and now pose questions about the clinical implications of discovering differences between colon cancers that express high or low levels of COX-2," said Dr. Markowitz.
Mega Multivitamin Use Linked to Prostate Cancer
Men taking multivitamin supplements more than once a day are twice as likely to die of prostate cancer as men who never take supplements, according to a report in the Journal of the National Cancer Institute. The prospective study included 295,344 men ages 50 to 71 who were free of cancer at enrollment in 1995 and 1996.
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Protease Inhibitors Tied to Increased Heart Attack
Treating HIV with protease inhibitors (PIs) is associated with an increased risk of heart attack, according to results from a large observational study of 23,437 HIV-infected patients published in the New England Journal of Medicine. Researchers reported a 16% risk increase per year, which amounts to about a doubling of the risk of myocardial infarction over five years. The incidence in patients receiving PIs for more than six years was only .6% per year, which is considered "low or at most moderate, depending on a patient's risk-factor burden," said James Stein, MD, of the University of Wisconsin. There was no association found between heart attack and the use of nonnucleoside reverse transcriptase inhibitors.
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Statins May Decrease Lung Cancer Risk
Use of a statin for at least six months was associated with a 55% reduced risk of lung cancer, according to results of a retrospective study published in Chest. The case-control study of 483,733 patients (primarily men) used data prospectively collected from 1998 through 2004, representing the first large, population-based study of statins and lung cancer.
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Regular use of selective serotonin reuptake inhibitors in patients ages 50 and over is associated with double the rate of fractures as those not using such medications, according to a report in the newsletter Harvard Women's Health Watch. While further studies into this link are required, bone density tests and adequate calcium intake may benefit this population.
--Kanika Sahdev, PharmD
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: Well you LOSE 'EM how you GOT 'EM. Actor Keenan Ivory Wayans BROKE OFF his nearly 20 YEAR MARRIAGE when he met actress Brittany Daniel.
The two HAD been together for nearly 2 years - looking VERY MICH IN LOVE.
But yesterday, paparazzi snapped pics of Keenan in Miami - with ANOTHER CHICK.


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Within three months a policy will be formulated for dealing with the children of those illegally in Israel and their parents.
(Communicated by the Prime Minister's Media Adviser)
"Prime Minister Benjamin Netanyahu today (Thursday), 30 July 2009, met with Interior Minister Eli Yishai and Finance Minister Yuval Steinitz. It was decided that the Government's policy of removing persons illegally in the country from within Israel's borders and encouraging them to leave voluntarily would continue. Interior Minister Yishai proposed that temporary permits to be in the country be given to children of those illegally in Israel and to their parents for a limited three-month period.
It was decided that within these three months a policy would be formulated for dealing with the children of those illegally in Israel and their parents. Prime Minister Netanyahu and Interior Minister Yishai agreed that the latter would convene discussions on the issue within the Ministerial Committee on the Employment of Foreign Workers, which he chairs, with the participation of professional elements.
The unceasing stream of illegals into Israel in recent years has led to a situation in which the proportion of foreign workers in Israel is among the highest in the world, relative to the local population and the number of employed persons. This fact increases unemployment among Israelis and significantly changes Israel's internal demographic balance.
Therefore, Prime Minister Netanyahu instructed Finance Minister Steinitz and Justice Minister Yaakov Neeman to formulate within a short time draft legislation to increase enforcement and punitive measures vis-a-vis Israelis who employ illegals; this legislation will be submitted to the Knesset during its upcoming winter session. At the same time, the Cabinet will discuss the growing phenomenon of illegal infiltrators on the southern border and ways to increase border control."


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April 30, 2016
1-9-06 - A cut fiber optic phone line resulted in no long distance or 911 service for most of Denison and Pottsboro Monday evening. The outage also left most of the viewing area with no KXII service on Dish network.
A construction crew cut the line at Park Street and Deer Run Road.
The outage has also affected some cell phone services.
Local affiliate reception on Dish network has also been affected, due to where Dish takes in the KXII signal.
Crews repaired the broken line late Monday night.
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or email@example.com.


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what should i expect from my babys first shots?
Im a first time mom and i hear everything different about their first shots..is she going to get sick or act funny for a few days?
Posted: 07/26/2010 by MonkeyMonksMom
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Yes, I must be misinformed. 23 years of medical practice and teaching at a medical school will do that to you. Look, the facts your are spewing are wholeheartedly misinformed and preposterous. If you wish to return to the dark ages where the average age at death was 30, then by all means, do so. But leave everyone else's children out of it. Smallpox and polio have been largely eradicated due to vaccines. At one point, smallpox eradicated 1 of every 4 people on the planet. I don't like those odds. The risk of a significant vaccination reaction are 1 in 1,000,000, (According to the WHO) which are much better odds. And if you are so "educated:, then how can you possibly have such horrible grammar? "Other people who don't know nothing about vaccines...." Please take your Grade 5 education and stay out of the realm of healthcare.posted 12/07/2012 by mikepoling
she will cry, possibly like you've never her cry before so prepare urself for that, call ur ped and ask how much tylenol to give her a couple hours before and keep that in her the rest of the day, she will prob sleep more and eat less for that day and possibly the next day or two after, so any projects you need to do good time for that...good luck, other then the crying I had no issuesposted 07/27/2010 by ruthless09
yeah we had no serious issues, but one thing i would suggest is asking if they could put the shots in the sides of the thighs, not the front, cause our first set was in the front, and then when you hold the LO on your shoulder, they press into you and makes her cry, but she wants you to hold her, we went round and round on that one...and we also use baby ibuprofin, it seemed to help with her pain 1000 times better than tylenol...good luck!posted 09/08/2010 by BrookieM2001
Every baby is different and they all react in their own way to shots. My baby cried out like i have never heard him cry before and so did I when i heard him. The rest of the day he was fuzzy and when i would touch or move his thighs he would scream at the top of his lungs. At night he ate and went to sleep for six hrs like he normally does. Good luck with your baby's first shots and remember to just hold and comfort them and let them know your by their side :)posted 07/10/2012 by JessesGirl1010
The person talking about Tylenol has not informed themselves correctly. There was a single study of only 497 children and they found only minor effects on the immune effects of the children. The recommendation is to not give Tylenol routinely, but that it is safe to give it to them if they have fever or pain associated with vaccinations. There are no toxins in vaccines and there is CERTAINLY no formaldehyde or aluminum in them. At least not in the last 30 years anyhow. Reactions to vaccines occur, just like reactions to ANY medication, herbal remedy or even food or environmental exposure. They are VERY rare. But the horror stories people always share either occurred many years ago when some vaccines were made with some remnants of egg which triggered anaphylaxis, or when they had mercury in them, which they no longer have. People need to stop trying to interpret medical research and giving advice when they are not medically trained. DEFINITELY vaccinate your children!posted 12/07/2012 by mikepoling
Your information is dated, and incorrect. As simple as that. I have no further reason to discuss anything with you. You began the "attacks" stating I was uninformed and uneducated. You obviously have some strange reason to be against vaccination and you can choose to make that choice. But the difference between us is that I provide current information that helps reduce people's fear, anxiety and pain. You spread fear and distrust, worming your way into a position where people assume you know something, where you are woefully misinformed. The other difference is I feel responsible for the information I provide. You do not, although you can be legally held responsible for it now in many States. The fact that you blow off the millions of lives that HAVE, indeed, been saved by vaccines is further testament to your illogical side of this argument. I have people that want to be helped to talk with rather than you. I hope your children remain healthy in the future. I really do.posted 12/08/2012 by mikepoling
Oh and just to clarify the formaldehyde and aluminum issue...the live viruses are killed with formaldehyde, which is not present in the vaccine, but is used in the destruction of the live virus. There is none in the vaccine. The "aluminum" you refer to are actually aluminum salts, a VERY different substance that occurs naturally in almost every water source, any root vegetable and most meat sources. So better stop eating if you want to avoid it. Are you beginning to see how reading a vaccine label and not understanding what it is telling you is dangerous? You not only need to read it, but understand the process of making vaccines. I've put in the lab time to understand these things. Maybe you could be a little less skeptical at the people who are trying to save lives and putting in 18 hour days to do it, only to come home and put in more hours trying to clarify misunderstandings like this one. Try to understand...we are not out to get you.posted 12/08/2012 by mikepoling
Also, I would not recommend using Tylenol prophylactically. It will probably not help with the pain of the actual pokes so i would wait to give it until right after the injections to avoid medicating your child unnecessarily. Never give ibuprofen before. It can cause bleeding and bruising. Unfortunately reactions do occur. This usually involves a fever and lethargy for 1-3 days. One of my daughters even had nausea and vomiting. It will pass and they will be healthier in the long run. In the meantime, snuggle that baby extra tight.posted 02/14/2013 by NurseNicole
First off, I tend to agree with mikepoling because you will never see an educated person decline immunizations for their child. Larissakissa: people like you are the reason people like my little sister endanger their children's lives by choosing not to vaccinate. In my profession, I have never seen a child die or even require hospitalization for a reaction to their vaccinations. However I have seen many children who are fatally ill from illnesses that could have been prevented. Shame on you for spreading these lies.posted 02/14/2013 by NurseNicole
All i have to say is be prepared for a cry like you have never heard before. I felt so bad for her that i had to leave when they did it and my husband stayed in there with her. She was so upset after and i just held her close for about 10 min. Oh and plus on top of that she was hungry. She was able to finish about half the bottle when they did it so after i was done rocking her to calm her a little, i gave her the rest of the bottle and she seemed to be just fine. They had given her some tylenol before so we had given her another dose before bed. she wasnt cranky at all for the rest of the night.posted 01/28/2011 by tgoulet24
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Dr Fred Palmer Skin Whitener Cream Overview
Skin brightening and lightening have lately been gaining popularity in the skin care and cosmetics industry. Now almost every major cosmetics company has a line of products for skin brightening. But the truth is that women of color have been using these products for decades. One of the most popular is Dr Fred Palmer Skin Whitener Cream, which has been around since the 1930s. The official name has changed to Dr Fred Summit Skin Whitener Cream, but the Dr Palmer name endures just the same.
Dr. Fred Palmer Skin Whitener Cream uses an exclusive formula to help make your skin lighter and smoother, while it creates a glow from within. The Summit products website claims that by using this skin bleaching cream, you'll achieve perfectly soft, lovely skin while fading age spots, blemishes, brown spots, and freckles. All this, and it restores a natural, clearer, brighter tone as well.
Dr Fred Palmer Skin Whitener Cream Ingredients and How They Work
The active ingredient in Dr Fred Palmer Skin Whitener Cream is Hydroquinone at 2%, which is the highest concentration available without a prescription. What hydroquinone does is inhibit the activity of tyrosinase, the enzyme that stimulates the production of melanin, or skin pigment. So if less melanin is produced, darkened skin is lightened. Most dermatologists agree that hydroquinone is the most effective skin lightening ingredient available. The trouble is that the FDA is concerned that hydroquinone may cause ochronosis, which is a permanent thickening and darkening of the skin. There is also some evidence that hydroquinone may cause cancer in rats, though there have been no human cases reported.
Dr Fred Palmer Skin Whitener Cream can be used morning, night, or both. Many users say it works well as a base for makeup and that it leaves skin soft and supple.
Dr Fred Palmer Skin Whitener Cream Pros and Cons
It is said that there is good and bad in all things. Considering both can help you make the best purchasing decision.
Advantages of Dr Fred Palmer Skin Whitener Cream
- It is very affordable.
- It contains the number 1 dermatologist recommended skin lightening ingredient.
- It has been trusted by women for decades.
Disadvantages of Dr Fred Palmer Skin Whitener Cream
- Hydroquinone my cause irritation, rashes, or more serious skin conditions.
- Dr Fred Palmer Skin Whitener Cream reviews reveal that some users achieve no real results.
Where to Buy
Dr Fred Palmer Skin Whitener Cream be found both locally and online. Walmart and Amazon carry it for prices in the $6 or $7 range for a 2 oz jar. Plenty of other retailers sell Dr Fred Palmer Skin Whitener Cream in a similar price range.
Women have been using Dr Fred Palmer Skin Whitener Cream for many years, though some now know it as Dr Fred Summit Skin Whitener Cream. Whichever name you prefer, the product has a large following of satisfied customers. We wish it derived its effectiveness from something other than hydroquinone, but most dermatologists do believe it to be safe. Given the fact that it works for so many, and its extremely moderate price, we recommend giving Dr Fred Palmer Skin Whitener Cream a try.


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You are a theologian. It may not be how you describe yourself, but you are. You are a theologian as you listen to God, talk about God, wonder about God. Victor Thasiah, an assistant professor, describes theology as "talking about God and everything else in light of who God is" (page 20).
That we are all theologians is not meant to diminish the significance of those whom we call to be teachers of the faith, be they parish pastors or professors. We are a church richly blessed by theological wisdom that has been passed on for centuries by strong Lutheran seminaries and by the work of emerging theologians who help us think about our complex, often conflicted and rapidly changing world in light of who God is.
As the ELCA we are in our 25th year and we have work to do — theological work. It involves all of us and it calls us to:
• Be attentive. Listen for God speaking to us. We cannot talk about God if we have not heard God speaking. Our work as theologians begins in worship and in Scripture. The word of God is God's living address to us and the whole creation. As a Book of Faith church, we are committed to becoming fluent in the first language of faith that is the language of Scripture. As you pray and study the Scriptures, hear them read in worship and listen to the word preached, be attentive to what God is saying. As theologians, we will also be attentive to others through whom God is speaking. Yes, so often through unexpected people judged to be outsiders, God speaks.
• Be curious. Martin Luther wrote the Small Catechism so parents could teach their children the basics of faith. He also taught us to ask: "What does this mean?" To be theologians is for all of us to have an unquenchable curiosity about faith and life. From age 12 in the temple to the risen Christ asking John three times, "Do you love me?" Jesus was a relentless questioner. Faith frees us to be the same.
• Be disciplined. If we are serious about each of us being a theologian, it will call for commitment and discipline. We need to hold each other accountable for this shared calling.
John Thomas, former president and general minister of the United Church of Christ, once said, "We will require leaders schooled in the theological disciplines and practiced in the spiritual disciplines lest the truth that is proclaimed be merely warmed over political agenda of social ideology with a pious veneer. The capacity to read Scripture critically and teach the Bible thoughtfully, to think and speak as theologians informed by the richly diverse traditions of the church through the ages, to pray and to meditate, alone and corporately, to listen to God and particularly to the oppressed and to those who are vulnerable — these disciplines are critical to resisting the deceiving and distorting voices that shout from beyond the church and that whisper within."
• Be conversant. It takes practice to talk about God. Increasingly I stop my sermons and ask people to talk with another person. If we are not comfortable talking about Jesus with another person in worship, how will we have the confidence to talk about our faith with a neighbor, a colleague or classmate? Too often we worry that we might say something wrong so we don't say anything. Let us trust the promise of Scriptures that the Spirit will give us the words to say.
• Allow for diversity. Talking about God and everything else in light of who God is will allow for diversity. I believe our theological wisdom is deepened and enriched by the voices of those who often have been ignored and excluded. We have a glimpse of that in the young theologians introduced in this issue.
I absolutely am convinced that this is a great time to give a Lutheran evangelical witness to the gospel. May each ELCA member and congregation make our 25th anniversary year the occasion to grow in our "talking about God and everything else in light of who God is." Yes, for in Christ we are always being made new.
© 2016 Augsburg Fortress, Publishers


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The Wampanoags are crying about the rape of their sacred Nantucket Sound, the Kennedy tribe is moaning that this wind farm will ruin their view, and a bunch of other people opposed to the project are going to court to block it. I don't think we're going to have to get used to seeing wind-powered turbines on the horizon of deserts and seas, and atop hills and mountains any time soon.
I'll be the first to admit that I freakin' hate the way they look. I don't know why they don't put them on top of buildings, certainly in coastal cities and interior cities with constant wind, like Chicago, and leave the natural world alone. It would be great if they could design them to look like Dutch windmills instead of jet airplanes.
They put some wind turbines on an island off the coast of Maine and the people who live there complained about the low-decibel whooshing sound they make, that it disrupts their sleep and causes emotional distress. There's one near I-95 in Rhode Island. As I drove by it, the slow-motion turning of the blades seemed hypnotic. I had to shake my head to break the spell. At a certain RPM, the thing might be a road hazard.
We know the turbines won't leak oil, but what about birds? Will they know to stay away from the blades? Come to think of it, we could use a few less seagulls anyway. I just hope the backers of wind-powered turbines resist telling us the electricity will be too cheap to meter.
What I want to know is if it takes 130 turbines to provide electrical power for 200,000 homes, how many homes are in America? How many of these monsters do we need?


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[Related -Media General Inc. (MEG), Young Broadcasting To Merge In All-Stock Deal]
Whenever I consider a potential investment, the first thing I do is weigh the bear case (or bull case for shorting). I want to familiarize myself with what the key risks of a potential investment are and what the skeptics see and then try to put some holes in the bear case when developing the bull case for the company. After that, I try to reconcile the bad and good of the potential investment to its current valuation and if it looks like there's a chance to make meaningful gains (100+%) from current levels, I'll build a position slowly.
That brings me to Media General (MEG), which I think may offer one of the best risk/reward opportunities for the next year. MEG is a newspaper and broadcast television company, offering 3 metropolitan newspapers, 20 community paper, and 18 broadcast television stations, operating primarily in Virginia, Tennessee, Florida, North Carolina, Ohio, and Rhode Island. Aside from the newspaper and television segments, MEG owns Dealtaker, a web-based coupon site, as well as roughly 200 specialty publications in specific smaller communities. Those wanting further detail on MEG's operations and financials can review the company's SEC filings. Upon reviewing those filings, the following points will likely resonate as the key points for MEG bears:
[Related -Warren Buffett's Latest Buys And Sells | Berkshire Hathaway Q4/2012 Fund Portfolio]
1) Levered Pig: MEG has a horrific balance sheet. Based on MEG's Q2 2011 balance sheet, the company carries about $650MM in net debt excluding its $163MM pension liability. On a net debt/LTM EBITDA basis, MEG is levered at about 6.5x LTM EBITDA. However, 2010 benefited from ad spending related to the nationwide political races, resulting in much higher operating results than in off-election years such as 2011. As a result, MEG's net debt/EBITDA ratio could be much higher as the year progresses, indicating less breathing room for the company.
MEG also has little in the way of undervalued assets on its balance sheet. MEG management squandered cash in prior years, overpaying for acquisitions leading to $355MM of goodwill. MEG has about $388MM in PPE and does in fact own a considerable amount of land. In fact most of MEG's television stations are located on land owned by MEG. MEG also owns a number of its buildings and all of its newspaper production equipment and facilities. Nonetheless, all of these assets have been pledged as collateral. While the value of MEG's FCC licenses may have some value beyond the $211MM recognized on the balance sheet, overall MEG's assets providing little breathing room in the event of a company credit crunch.
For example, refineries in recent years traded for cheap valuations due to high debt to cash flow metrics but the liquidation value of their key assets - the refineries - were in a number cases much higher than the depreciated book value. This provided some margin of safety in the event of a credit issue. MEG does not have that asset backstop.
2) Horrific management and governance: MEG's management team is awful. CEO Marshall Morton has led MEG's overpaying acquisition spree in digital media, acquiring Blackdot and DealTaker in recent years. DealTaker recently suffered a big set back in February 2011 when Google altered its search algorithm. Since then, MEG is blowing money on consultants to help fix this issue but as of Q2 2011 has nothing to show for it except continuing declining sales and negative cash flow for this segment.
In addition, management owns few overall shares with CEO Morton owning shares solely through exercisable options and stock awards. Despite the poor historical business performance of MEG under Morton and his team's leadership, MEG investors pay MEG's management team over $6MM per its latest proxy. This total compensation represents over 10% of MEG's current equity value. What is particularly unfortunate is that in 2011, MEG has instituted aggressive firmwide layoffs yet there appears to be little to no indication that MEG management is willing to take one for the team and scale back its pay. This can be problematic as those responsible for the content generation are let go and what's left is an overpaid, incompetent, uninspiring management team.
MEG shares are also split in the typical Class A and Class B structures, whereby most investors have little control. The majority of control - via Class B shares - is held by MEG's Chairman, J. Stewart Bryan III, a direct descendant of MEG's founder. Despite MEG management destroying the company, the Chairman has shown little interest in replacing this management team. The Board is also feckless, content to pocket in aggregate $1.2MM in fees in 2010...who knows for what other than to loot shareholders.
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See my comment on part 1 IF in PA
He fucks her so well in all three parts . I want this guy to fuck me for a long time.I love doggie style and like to cum in that position. I cum about five six times in an hour.


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September 11, 2013
Rep. T.J. Berry, R-Clay County, speaks on behalf of HB 253, a bill he proposed in the regular session, in an effort get get fellow legislators to override Gov. Jay Nixon's veto of the legislation. Proponents said it would have cut taxes on individuals and and businesses and opponents say that it could have jeopardized school funding. Several Republicans sided with the Democrats causing the vote to fall short of the 109 votes needed to override Nixon's veto.
Stories this photo appears in:
Nixon 'gun rights' veto sustained
House votes to override, but Senate comes up one vote short
Missouri senators blocked a likely legal battle over a bill supporters said protects Missourians' constitutional right to bear arms.
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Veteran Sky News presenter Bob Friend has announced his retirement after a 50-year career in journalism.
Friend, who joined the Kent and Sussex Courier aged 15, will present his final show with co-host Vivien Creegor this week.
The 65-year-old presenter, who will be collecting an MBE for his services to broadcasting next Wednesday, freelanced for the nationals before going to the BBC in 1969, where he worked as a correspondent in Northern Ireland, Vietnam, Australia, Japan and New York.
He joined Sky News at its launch in 1989, where his classic presenting style won him cameo roles in a number of feature films, including Independence Day and Mission: Impossible.
Commenting on his retirement, Friend said he would not be giving up journalism altogether: "Journalists never actually retire and after visiting some of the places I've worked in over the years, I'll settle down to some writing and, hopefully, more broadcasting.
Movie moguls have been strangely quiet.
"It's been a great half-century - local newspapers, BBC radio, foreign correspondent and then 14 years with Sky News. I'll miss the people and the buzz of seat-of-the-pants live broadcasting. But a half-century in regular employment is probably enough."
Head of Sky News Nick Pollard said that Friend would be sorely missed, describing him as "a true gent - one of the old school of journalists".
Stephen Claypole, Friend's former boss at the BBC and former managing director of APTN, said: "He was certainly in my view one the best reporters of his generation: utterly tenacious. Then he became a presenter who had an unusual understanding of the audience - they always identified with him. He really engaged with the viewer and had a great presence.
He was an excellent broadcaster, with a tremendous voice and great on-screen charisma."
Also paying tribute was Mark Thompson, chief executive of Channel 4, who worked with Friend as the BBC Breakfast Time producer in New York.
"Bob is an exceptional journalist whose many years as an outstanding correspondent in the field gave him a natural authority as a Sky anchor."
By Sarah Boden


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REACH FOR THE SKYopens in a new windowopens in a new window
No matter your destination, Sky Magazine's engaging stories about travel, lifestyle and business help you make the most of your time in the air and on the ground.
McCarran International Airport (LAS)
This 24-hour happening town draws visitors to its casino floors day and night. But the Wild West boomtown that first morphed itself into a hotbed for showgirls and gambling is a family vacation destination that's so much more than just "the Strip."
One of the first things you'll likely notice flying into Las Vegas is that it is truly an oasis in the desert. This fantasy vacation destination is a neon spectacle when the sun sets, powered by the nearby Hoover Dam, named for President Herbert Hoover and constructed during the Great Depression.
Nevada made gambling legal in 1931 — at the height of dam construction — and downtown Las Vegas became the place to be for the dam workers with casinos and speakeasies to help them unwind after a long day pouring concrete. Today, the action buzzes on the casino floor with the thrill of the high rollers — on more than 4,000 gaming tables — and the excitement of hitting a jackpot on one of the 116,000+ slot machines inside the Las Vegas city limits.
Live Like a High Roller
Thanks to family friendly entertainment like Cirque du Soleil, the Secret Garden and Dolphin Habitat at the Mirage and theme casinos like Paris and New York-New York, Las Vegas has become a mecca for kids of all ages. Many casinos offer free shows in addition to high end, world class magic and music revues (as well as adult cabaret, natch).
The foodie scene of Las Vegas has moved well beyond the $1 buffet. Although those old school deals can still be found, the real culinary action is in hole-in-the-wall ethnic eateries and signature, destination restaurants from some of the finest chefs on the planet.
Hike in the desert, dine in Paris, and gamble in Monte Carlo — all without leaving the great desert state of Nevada.
Flights to Las Vegas
Las Vegas Area Hotels
Car Rental, Las Vegas Airport (LAS)
REACH FOR THE SKYopens in a new windowopens in a new window
No matter your destination, Sky Magazine's engaging stories about travel, lifestyle and business help you make the most of your time in the air and on the ground.


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Police: Dad kissed son before leaving him in hot car
A Cobb County Police detective said Jason Ross Harris kissed 22-month-old Cooper Harris moments before leaving him in their car while he went to work. The boy died of hyperthermia. VPC


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Credit: © John Spellman / Retna Ltd
Anne Hathaway (Aug 8th, 2011)
Anne Hathaway dazzles on the red carpet with loose, sexy curls parted down the center .
Styling Tip
Step 1: Apply a nickel-size amount of styling lotion onto damp hair. Blow dry haphazardly while shaking out your hair with your fingers.
Step 2: Avoiding the top six inches, wrap a two-inch section of hair around a large curling iron. Hold in place for a few seconds to set the curl, release and repeat all over alternating the curl direction.
Step 3: Turn your head upside down and ruffle hair with fingers. Turn right side up again and create a messy center part. Finger style your hair into place. Spritz with hairspray to finish.


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Hey everybody
I spent the last two days making the landmasses, those small islands are terrible to do! I know there isn't much to judge, but I thought I'll post it anyway
By the way, I wanted to make some fancy parchment with the text and nice borders and all, but I still lack experience and skill.
Two things I'd like to say...
First: the world is hollow, I guess most of you know how it works. In this system there are two holes where the poles should be. The thing is: citizens (most of them?) don't know it. Basically, a ship could travel to inner earth without even noticing it (except for mirages seen on the point where the two suns meet). Climate, temperature and all other things are also modified, but I really don't care a lot (at least not now) since it is a fantasized version of our Earth.
Second: english is not my language (actually a friend of mine did the description for me, thank you man!), so tell me if there are any errors.
(There are no names deliberately)
(Oh yes, if someone could point me into the right directions on how to make those wonderful borders...)


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Friday, July 25, 2014
A Fulton man who works as a federal law enforcement officer is scheduled to appear in court July 29 on an assault charge in an incident involving a minor.
Scott A. Armstrong, 37, is accused of putting a teenage boy in a choke hold on March 1, for which he faces a misdemeanor charge of third-degree assault.
According to the probable cause statement, the teen and his parents reported the alleged incident to the Callaway County Sheriff's Office on March 5, telling deputies that Armstrong had put the youth in a choke hold and cut off his air, causing the boy to temporarily lose consciousness. They said the alleged incident occurred at the residence of Armstrong and Beth Ready.
The statement further states that photos taken by the alleged victim's parents after the incident "show redness on (the teen's) throat that resembled a fabric pattern, and a horizontal red mark on the back of (the teen's) neck."
According to the probable cause statement, Armstrong admitted to placing his arm around the teen's neck and that he lost consciousness.
Armstrong is a member of the Boone County Sheriff's Department Cyber Crimes Task Force. According to the group's website, Armstrong is a senior FBI special agent "with extensive experience investigating federal crimes to include; crimes against children, computer intrusion and computer fraud."
Callaway County Prosecuting Attorney Chris Wilson said the charge against Armstrong was determined on intent, so the alleged victim's age does not automatically prompt the charge to be assault of a minor.
"Abuse of a child includes knowingly causing physical injury to a child, and Mr. Anderson is charged with recklessly causing physical injury," Wilson said.
According to online court records, Armstrong waived his formal arraignment on June 24 and his attorney, Douglas Shull, entered a plea of not guilty on his behalf. A hearing for the case is scheduled for 1:30 p.m. on Tuesday before Judge Robert Sterner.
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March 1, 2013 to March 7, 2013
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March 6, 2013 at 10:00 AM until 12:00 PM
This workshop is devoted exclusively to sales tax issues for construction contractors and subcontractors, who provide plumbing, carpentry, electrical, roofing, heating/air conditioning, landscaping, ...
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Sales, Compensating Use & Estimated Tax Workshop
March 6, 2013 at 1:00 PM until 4:00 PM
There will be two segments to this workshop: Sales
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Starting a Business Workshop
March 6, 2013 at 2:00 PM until 4:00 PM
If you are thinking of starting a small business, this workshop is a great place to begin.
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Understanding Financials
March 8, 2013 at 3:00 PM until 5:00 PM
If you are a small business owner, this workshop is for you! In this workshop you will gain an understanding of basic accounting terminology, have a working knowledge of financial statements (profit


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In a telling moment in the fascinating and tart documentary "Bigger, Stronger, Faster,*" gym rat Gregg Valentino tells the film's maker that when he's at a nightclub and a foxy gal comes in with her boyfriend, it's the guy who makes a beeline for him.
The woman, well, she's repulsed.
He's got a point. Thanks to anabolic steroid use, Valentino's arms look like they've been invaded by tumors. This isn't muscle definition but something sci-fi, something Hulk-ian — as in the Incredible but also as in Hulk Hogan.
Hogan is one of the celebs who make a few appearances in a Christopher Bell's funny, thought- provoking debut thanks to footage from his wrestling days but also to news coverage about the issue. (Hogan appeared in court in 1994 to testify about steroid use.) And Bell makes terrific use of pop-culture artifacts.
After all, the Bell Boys of Poughkeepsie, N.Y — the director, older brother Mike, a.k.a. "Mad Dog," and younger brother Mark, a.k.a. "Smelly" — responded to the call of Hogan, as well as the big-screen come-ons one-time steroid users Sylvester Stallone and Arnold Schwarzenegger issued to American boys and young men. You can grow up to look like me if you live by the rigorous rules — oh, yeah, and the asterisks.
Maybe that makes the movie sound as if it will be a fact-heavy screed about the use of anabolic steroids (which constain synthetically produced testosterone) for performance enhancement in sports.
Instead, Bell takes us on a informative, rangy and ambivalent journey. Along the way, there are interviews with former Olympians — medalist Carl Lewis and the medal-stripped Ben Johnson — and film-strip jaunts that delineate the various drugs used to improve an athlete's game. A visit to a farm to see a naturally double-muscled bull is a fine bit of weirdness.
Propelled by a love for his brothers (steroid users) and his own desire not "to cheat" in order to compete in power-lifting, Christopher Bell doesn't provide easy answers.
The University of Southern California film school grad asks pointed questions not just of the experts but of his parents, Rosemary and Sheldon Bell. He also talks to classical musicians who use beta blockers to control their anxiety during concerts but also take them prior to auditions. Isn't that competing with the use of drugs to enhance performance?
Why, he wonders, do the media focus so much coverage on steroid abuse in sports when people are addicted to even more dramatically altering endeavors, like plastic surgery?
"Bigger, Stronger, Faster*" was produced by the same folk who helmed "Bowling for Columbine" and "Fahrenheit 9/11." That may be a draw for many; a Michael Moore-like folksy use of wry observation runs through the movie.
But for those who might use the comparison as a reason to skip "Bigger, Stronger, Faster,*" don't. Bell and cowriters Alex Buono and Tamsin Rawady have done something all their own.
By making this journey personal, a powerful vulnerability permeates the film.
Sitting across from his mother, Chris looks thoughtful but pained. He knows he's inflicting misery on her as he tells her who first supplied Mike with steroids.
Earlier, Rosemary admits she believed having three sons would be easy. "At least I don't have a daughter with her face in the bowl," the large and loving Rosemary recalls thinking. Indeed.
One of the fine achievements of "Bigger, Stronger, Faster*" comes in showing that Americans' bedeviling problems with body image cut across gender lines.
We've known for years the bony profile anorexia whittles out of women. But now we have Gregg Valentino's disturbing biceps.


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Predictions for UFC 110
On Saturday the Ultimate Fighting Championship brings us a matchmaker's dream -- a card filled with evenly-matched fighters.
Starting with the main event between Cain Velasquez and Antonio Rodrigo "Big Nog" Nogueira, both fighters are comfortable on their feet and on the ground. Nogueira is one of the best jiu-jitsu-fighting heavyweights in the world.
Velasquez ranks second only to Brock Lesnar when it comes to wrestling in the heavyweight division.
Velasquez's game plan should be to stay off his back and ground and pound Nogueira. The key will be to see Velasquez's reaction when he is on his back and Nogueira is in his guard.
It will be interesting to see Nogueira's face when he feels the punching power of Velaquez for the first time. "Big Nog" has taken some big punches over the years from guys like Fedor Emelianenko, Heath Herring, Dan Henderson and Frank Mir. But none of the aforementioned guys can hit like Velaquez.
When the final horn sounds, I see Velasquez suffering his first loss, with Nogueira winning on a close decision, 29-28 on all three score cards.
The co-main event fight between Wanderlei Silva and Michael Bisping is what you call a snack fight -- you step into the next room to get a snack and this one may be over. "The Axe Murderer" Silva swings for the fences from the opening bell, and his intensity is unmatched. These are two of the most exciting middleweights in the division.
Bisping's strategy must be to take this fight to the ground, because he cannot stand toe-to-toe and take another punch like Dan Henderson delivered to him. Silva hits like a heavyweight, but may have taken too many punches over the years. His inability to take a punch has weakened his reputation among UFC fans.
But, I still give the edge to Wanderlei by knockout in the first round. He needs this fight more than Bisping to remain in the UFC. As long as there are fight cards in Europe, Bisping should have a contract with the UFC.
Joe "Daddy" Stevenson takes on Australian-born George Sotiropoulos in a lightweight battle.
Stevenson has become a stepping-stone for any fighter looking for a title shot. With 46 fights (36 wins, 10 losses) under his belt, this cagey veteran's losses have come against some of the elite fighters of this division. Guys like BJ Penn, Kenny Florian and Diego Sanchez are just some of his toughest opponents.
Sotiropoulos' only two losses were to Shinya Aoki, which was a disqualification for a groin strike, and a loss to Kyle Noke which he later avenged. He will have the home crowd cheering him on.
Sotiropoulos is right at the doorstep for a title shot with Penn, but it will be contingent on him winning this fight with Stevenson. He is a well-rounded fighter with good stamina, a black belt in jiu-jitsu and an amateur boxing background.
So, I'm going with Sotiropoulous by a unanimous decision over Stevenson.
As for the remaining fights, Ryan Bader will remain undefeated with a win over Keith Jardine by decision.
Ben Rothwell is fighting Mirko Cro Cop in a matchup of heavyweights. Rothwell seems to get nervous when going against big-name fighters. Cro Cop needs to win this by a knockout if he ever wants a title shot. Cro Cop's next opponent is likely to be the winner of Velasquez-Nogueira. I'm taking Cro Cop by TKO.
Chris Haseman and Elvis Sinosic first fought in 1997 in Australia. Haseman won that fight, but Sinosic will win this one by submission.
Krzysztof Soszynski is a very aggressive fighter with good stand-up. Stephan Bonnar would be better off not to stand and brawl with him, but this is Stephan Bonnar. He won't back down and is a 'forget-my-game-plan' type of fighter. This will be the "fight of the night" with plenty of blood. In the end, I give the edge to Soszynski, because he will dictate the fight.
Chris Lytle vs. Brian Foster is a pretty evenly-matched fight. I give the edge to Lytle because of experience.
Croatia Goran Reljic takes on CB Dollaway in a middleweight match. Reljic is a well-rounded fighter and will be too much for Dollaway. I see the fight only going two rounds with Reljic winning by submission.
New Zealand's James Te Huna is making his UFC debut against Igor Pokrajac, who is one of three Croatians on the card along with Cro Cop and Reljic. I haven't seen many of Te Huna's fights -- just a couple Internet matches that didn't impress me. Te Huna is fighting out of Penrith, Australia, so someone has to sell the local tickets. Pokajac wins by TKO.
Those are my picks. What are yours?


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KGMI News Reporting
By Mike Curtiss
BELLINGHAN, Wash. – Whatcom Transportation Authority is considering changing some of their bus routes.
Route changes proposed are at Bellis Fair Mall, Meridian Village, Everson and Kendal. Spokesperson Maureen McCarthy says they also want to try out some new ways to pay.
Play Maureen McCarthy on proposed changes
She says the new payment options include a $3 all-day pass.
WTA will host a public hearing on the proposed changes today at 5:30 p.m. at the Bellingham Senior Center.
People can also send comments by phone or by email, but they must be received by 3:00 p.m.


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Ask the Dentist – My Gums Hurt
Okay, okay…I've slacked off a bit with our Ask the Dentist feature at Family Dental Care Park Ridge. And because of that, our inbox is filled with great questions. So, I printed all of the questions out and with my eyes tightly closed, I reached into the pile and pulled out THIS one:
"My gums hurt. They just seem to be sensitive all of the time. Am I doing something wrong? What can I do to make them feel better?"
I was beginning to wonder when someone would ask this question because in over 20 years of doing dentistry, this is probably one of the most frequently asked questions… "Why do my gums hurt?"
So, here's the thing…if you experience a change in your "norm" and something (anything) begins to hurt that never hurt before and it's not going away, my advise to you is to check it out. This goes for medical as well as dental issues. That said, let's explore why your gums may hurt.
Our oral cavity (mouth) is made up of an intricate relationship between hard and soft tissue and this relationship is interdependent. Our teeth are supported by our jaw bone but are "protected" by a gentler ligament that surrounds each root to soften the impact between tooth root and bone. This entire package is then surrounded by a softer tissue that we refer to as the gums. The gums provide a sort of biological barrier between the tooth and the bone. This biological barrier is constantly bombarded by the bacteria in our mouth but, if we practice proper oral hygiene, we can usually keep the gums healthy enough so that they can do their job in protecting the support system for our teeth. SO…often, if we are not "keeping up" with the bacteria removal in our mouths by correct brushing and flossing, the gums get inflamed. When the gums are inflamed,a very common symptom is for the gums to hurt. Just like a fever is a symptom of something bigger going on in our bodies, so is pain in our gums often a symptom that something bigger is going on. The good news is that, usually, with improved oral hygiene (good brushing and flossing) the gums can respond quickly and happily so that the discomfort goes away. Sometimes, if the bacteria that is causing the gums to be inflamed has really had a chance to set up housekeeping, you may need to include some warm salt water rinses (one tablespoon of salt in a drinking glass of warm water to swish around in your mouth and then spit as often as necessary during the day) and periodic gum massages with your finger.
If your gums continue to hurt despite these measures, it is time to call the dentist and set up an appointment to see the hygienist or the dentist. Gums that continue to hurt despite your efforts to resolve that, need to be checked out. Sometimes the solution is as simple as switching out your toothpaste which, in some rare cases, can cause some gum sensitivity. Sometimes you may have small irritations on your gums caused by viruses that are making your gums hurt. The bottom line is this. If you have committed to excellent oral hygiene including flossing and brushing and you have tried warm salt water rinses and massaging your gums and you still have painful gums, it needs to be checked out so that the correct treatment can be started. Most often, however, improving your oral hygiene works wonders on improving painful gum symptoms!
Thanks to all of you who have submitted questions to Ask the Dentist. Please continue to send them in…we will get to each of them as soon as possible! You can ask your questions below in the comment section or you can email me at firstname.lastname@example.com
And, remember, as always…we LOVE making you smile!


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Matt Cullen had his first career hat trick and the Carolina Hurricanes extended their winning streak to three games with a 5-2 victory against the Colorado Avalanche on Sunday.
Cullen recorded his 400th career NHL point with his second goal, which came early in the second period and gave Carolina a 2-1 lead.
Colorado had its threegame winning streak snapped and lost for the first time in 16 games to Carolina. The Avalanche entered 12-0-3 against the Hurricanes, last losing to the franchise in 1996, when the Hurricanes were the Hartford Whalers.
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Recent Posts
Recent Comments
- Joseph Day on The Battle of Marathon
- john chew on The Culmination of a Classics College Career
Monthly Archives: April 2014
Classics Alumnus Wins Microsoft Competition
Michael Carper, '13, a Classics major, recently won the grand prize in Microsoft's Power BI demo contest. To see what Classics majors can do, follow the link. http://www.apparatus.net/company/news/
Stroud Wins Fulbright
The Classics Department is proud of Patrick Stroud, '14, who just recently was awarded the college's third Fulbright fellowship this year. Stroud is Classics minor. Follow the link for the full story. http://www.wabash.edu/news/displaystory.cfm?news_ID=10271
Magic and the Classics Tomorrow
It's less than twenty-four hours until the big Suovetaurilia tomorrow. I hope everyone is getting their togas, and appetites, ready. In the midst of all the excitement, I have one last blog to write about the schedule of events for … Continue reading
Delicious Food!
Wabash amici, The Suovetaurilia is in exactly one week! As that day approaches, I thought it would be appropriate to post the menu for the day on this blog. The event is meant to be a Classically-themed feast after all. … Continue reading
More Exciting News on the Suovetaurilia
As promised, I have more information on the program for the Suovetaurilia which will occur in just over a week. Professor Wickkiser's Ancient Greek Religion and Magic class will begin the festivities with a reading, in English, from Book 1 … Continue reading
Countdown to Wabash's First Ever Suovetaurilia
The Classics Department and Eta Sigma Phi are about to end this school year with a bang. In just under two weeks, on Saturday, April 26, 2014, at 3:15pm we will be hosting a suovetaurilia. This event has been the … Continue reading


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BlackArrow Unveils New Solutions For Pay-TV Operators To Open Dynamic Advertising To Programmer Affiliates
NEW YORK, April 11, 2012 /PRNewswire/ -- BlackArrow, a worldwide provider of advanced advertising solutions for New Television platforms, today announced new capabilities of the BlackArrow Advanced Advertising System that enable service providers to work with programming networks to expand the sale, placement and measurement of dynamic advertising insertion across IP and traditional pay-TV platforms. The BlackArrow enhancements, Ad Router technology and a Business Suite of software tools, allow service providers to offer programmers an expanded menu of options to control and manage their ad inventory. The new products enable the use of third-party ad systems, or the BlackArrow Campaign Suite, for fulfillment of programmers' national ads across a service provider's multiple platforms. Moreover, the enhanced BlackArrow system enables pay-TV business models and affiliate agreements that already exist between service providers and programmers to be extended across new video delivery platforms.The Ad Router, a component of the BlackArrow Decision Suite, is designed to reside at the operator's data center and control and mediate all real-time advanced advertising workflows, including ad routing requests that are based on various platforms and inventory owners. The Ad Router allows operators to send national and local ad avails to different Ad Decision Services (ADS), enabling programmers and local sales organizations to use their existing campaign tools for real-time ad fulfillment. The Ad Router also can route ad requests from different platforms to different ADSs, streamlining cross-platform consistency for operators in business policies, reporting and measurement. The BlackArrow Business Suite enables programmers to manage metadata and avails, or placement opportunities, against their content. Programmers can specify how ad loads change through programming windows, such as the key C3 measurement timeframe, can gain visibility into asset availability at the operator plant, and can dynamically remove or replace "baked in" ads in on-demand content without having to re-pitch assets.
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- This event has passed.
WCKG Trip to the Michigan Fiber Festival
August 18, 2012 @ 7:00 am - 9:00 pm| $60
Event Navigation
We're doing it again! The WCKG is sponsoring a bus trip to the Michigan Fiber Festival on August 18, 2012. Join us on our deluxe 55-passenger motor coach to the festival. We will spend the day at the Michigan County Fairgrounds in Allegan, Michigan. We leave the Sulzer Regional Library at 7 a.m., spend the day at the festival and depart for Chicago at 6pm. Estimated time of return is 9 p.m. The cost is a flat price of $60 per person which includes lunch and admittance in the fairground.
Don't delay…… Sign up now!
Pick Up:
Sulzer Regional Library
4455 North Lincoln Avenue
Chicago, IL 60625
In the event that we don't meet our minimum number of riders (35), we reserve the right to cancel the bus by Monday, July 16.
Sign up below or download the mail-in registration form.
For more information, please contact Worna Haywood: (773) 859-5534 or firstname.lastname@example.com.
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Banded cat shark losing fins
my banded cat shark is about 4 months old. i just noticed today it looks lke his fins are disinigrating. doesnt look like hes getting nipped at. the tips of his tail, sid fins and dorsal are all like wearing down.
hes also been hanging out at the surface right where the filter drops the water and bubbles into the tank. anyone have any ideas whats going on?
Sounds like fin rot and poor water quality.
we test the wateraround 2 times a week to monitor it.. the levels are perfect and stable for months. i brought him to our fish store who takes care of us when he need it. hes in a lil icu over there getting treated.. they thought it was fin rot when i explained it over the phone but when they saw him they said it wasnt. and it wasnt getting nipped at either, so they are a bit unsure of whats going on but working on it for us. lets just cross our fingers!
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Gallery Zoo Art Blog
How I Use My iPhone To Market and Manage My Art Business
I love my iPhone. You probably hear many other people say this, but probably not for the reason I am about to give you. I love my iPhone for marketing and managing my online art business. Before I got my iPhone, I never had a smart phone. My phone--which I reluctantly carried once...(continue reading)