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A colleague of mine recently said to me without irony, "I think that you think you are destined for greatness." He didn't say this as a compliment. It felt more like a zinger – an accusation along the lines of who the heck do you think you are Missy, wanting so much more out of life? Isn't this Popsicle stand good enough for you?
Wanting to keep the peace, I bit my lip and said almost nothing. But the snarky words have been gnawing at me. Shouldn't we all feel destined for greatness or at least want to do great things with our lives? The fact is, what motivate me are fears of failure more than the belief that my fate will be fabulous. And as it turns out, fear is a fantastic motivator. But because this comment on my character came during Women's History Month, the few weeks set aside each year to recognize the tremendous accomplishments American women have made, I found my colleague's statement not only condescending but also ironic.
The bittersweet truth is that at one point many of us women did feel destined for Big Things. We were the "Sesame Street" and "Free to Be You and Me [1]" generation who were told to aim high and dream large and anything was possible, even if you were as awkward as Big Bird. But as the reality and routines of life crash around us each day, it's easy for us moms to feel that our dreams have been aborted, interrupted or at the very least deferred. Kids, mortgages and the utter exhaustion and chaos of managing the two have a way of sidetracking and dashing lots of dreams, which is perhaps why we moms need to be reminded, not belittled about our potential for greatness.
Maybe this is why I am totally infatuated with Michelle Obama and how she is redefining the role of First Lady, sculpted arms and all. While Americans are furious with Wall Street and the greedy bums who are getting bonuses at a time when there are apparently more unemployed people in America than the entire population of Pennsylvania, there is some sunny news coming from the Beltway – coming from our nation's First Mom – the person with no doubt, the greatest gig in Washington right now.
Today, Michelle Obama and a bunch of D.C. fifth graders started digging an organic garden on the White House lawn. Growing green produce in the backyard of the White House may be less politically charged than printing Greenbacks and organic Arugula will not exactly kick start our battered economy, but it does make for a tasty salad with a peppery kick. But hey, this is symbolism. So while our Commander-in-Chief keeps reminding us that it's time for Americans to roll up their sleeves and dig deep – sacrifices need to be made – digging in the dirt and planting organic berries actually seems to be on message, and a heck of a lot more fun than dealing with AIG.
And, yesterday, in honor of Women's History Month, our First Mom – our nation's head cheerleader – spoke at a local high school and invited more than 100 high school girls to the White House for dinner. The message was simple, inspiring and very 1970s – yes, you can be anything you want to be.
"Someone in your school thought you had a lot of potential," the First Lady said to students from Southeast Washington's Anacostia High School, a school in one of the poorest neighborhoods in D.C. "I didn't want to talk to kids who had already arrived; I wanted to talk to kids who are pushing to get to the next place."
I get the feeling that Michelle Obama never believed it was her destiny to live in the White House, but I bet her husband believed he was destined for greatness or at least, like me and other neurotic high achievers, was either motivated by a great fear of failure or had something to prove to his father.
But as the First Lady reminded me this week, we can't stop dreaming and trying to make a difference. We must each keep striving for greatness, not just for ourselves, but to show our children that yes, anything is possible.


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Program and Service Guide
Find out what's happening all around the Y in our seasonal program and service guide.
Pool Schedule
Open swim times, lap swim times, and times when the pool is being used for other activities are listed in our pool schedule.
Exercise Schedule
All group exercise classes (except Specialty Classes) at the Downtown, Woodland, and Beach House locations are FREE to Y members. Some classes require pre-registration.
Gym Schedule
Whether you're looking to join a team sport or just want to shoot hoops, check the gym schedule to find out what's happening.
Climbing Schedule
Our new climbing wall provides opportunities for all ages to get to the top. We provide classes and open sessions. Birthday parties too!

subset: commoncrawl


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Retirement and Discontinuation of Redirects
The CITES website will be retired on February 1, 2016. Please update any bookmarks to point to the new Technology Services website (external link).
New Email Choices for Undergraduates
UPDATE: MS Live enrollment is delayed
Due to technical issues with the enrollment process, the roll out of MS Live @ Illinois to undergraduate students has been delayed. We are continuing with the phased-in rollout of Google Apps @ Illinois to these students, as well as their migration off of CITES Express Email.
Starting September 14, 2010, groups of undergraduate students will be notified of their option to create Google Apps @ Illinois accounts and to indicate where they want their @illinois.edu email sent. They will have the option to direct their @illinois.edu email to either their Google account or a personal email account.
By November 15, 2010, all undergraduate students should have been notified and their migrations completed.
It is expected that the rollout of MS Live will be delayed until mid-year 2011 in order to address the technical issues encountered as well as the feedback received, indicating that students are confused about the relative merits of their email choices.
In May, the University of Illinois Urbana campus began offering Google Apps @ Illinois to first-year freshmen and transfer students. On August 30, a staged rollout begins, making Google Apps @ Illinois and MS Live @ Illinois available to all undergraduate students. Existing undergraduate students with Express Email accounts will have until November 15, 2010, to enroll in the new services and self-migrate their mail on Express to Google, MS Live, or another third-party service.
Graduate and professional students are not eligible for outsourced email at this time. It's expected that graduate and professional students will be served by the campus Exchange service when it's available later this year. Until then, they will continue to be provisioned in CITES Express Email.
Undergraduate students who choose to create Google Apps @ Illinois and/or MS Live @ Illinois accounts will have access to email, calendaring, and instant messaging. They will also have the ability to use Google Docs and Sites and/or Microsoft Office Web Apps and Windows Live SkyDrive to collaborate with classmates and store files online. They will have the option to direct their @illinois.edu email to either their Google or MS Live accounts or another personal email account.
For all students, faculty, and staff, firstname.lastname@example.com will remain the official address for routing University communications.
Undergraduate email is being outsourced at the recommendation of the Campus Email and Calendaring Committee. To view the committee's final report, visit https://wiki.cites.uiuc.edu/wiki/display/emailcalendaring/Final+Report.


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Recovery helped boost electric demand
It wasn't our record-setting heat alone that explains the region's all-time peak in demand for electrical power this summer.
The PJM Interconnection, the outfit that manages the production and distribution of power across the grid in Maryland, parts of 12 other states and the District of Columbia, said that after adjusting for the record heat, a reviving economy added another 1 percent to the jump in highest electrical demand.
"It may seem like a small increase, but it's consistent with expected effects of economic recovery," said Michael J. Kormos, PJM's senior vice-president for operations. "It's also a significant change from the reduction in peak demand experienced in 2009, and is the largest increase in weather-adjusted peak demand since 2006 when we recorded our all-time peak."
Peak demand is defined as the maximum demand over one hour. It's the mark that power production facilities must be built to supply, and it is typically reached in summer because of the region's demand for air conditioning.
The Summer of 2010 saw a record-high peak in electric demand across the PJM region, reaching 203.7 million megawatts. That broke the previous record of 203.4 million megawatts, set in 2005. It was 37 percent higher than the average summer peak.
It was the hottest summer on record for Baltimore, averaging 79.3 degrees for the months of June, July and August. That broke the previous record of 79.1 degrees, set in 1943. The city also suffered a record 59 days of 90-degree weather in 2010, and tied the record for the number of 100-degree days (7).
(SUN PHOTO: Lloyd Fox, July 22, 2010)
Categories: By the numbers


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A proposed study could help determine if there is a link between living near nuclear power plants or other nuclear facilities and having a higher risk of cancer, but challenges and limitations exist, says a new report from the National Research Council, the operating arm of the National Academy of Sciences and National Academy of Engineering. The report recommends that a pilot study be completed first to evaluate the feasibility of a full-scale study, although the ultimate decision about whether to perform either would be the responsibility of the U.S. Nuclear Regulatory Commission (USNRC), which sponsored the Research Council report.
Read the whole story at www.sciencenewsline.com
The pilot study focus would look at six nuclear power plants and one fuel cycle facility that provide a broad representation of plant designs and operating histories: Dresden, Ill.; Millstone, Conn.; Oyster Creek, N.J.; Haddam Neck, Conn.; Big Rock Point, Mich.; San Onofre, Calif.; and Nuclear Fuel Services, Tenn.
You can download the NAS study proposal free at the National Academies Press page for this report.


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In addition to our successful practice here in Ireland, PUNCH Consulting Engineers also provides the benefits of global presence with successful projects in Europe, North America and the Middle East. To enhance our international services, we have brought together the capabilities and specialist skills of three of Ireland's leading practices - JV Tierney, Ethos Engineering and ourselves PUNCH Consulting Engineers. Together we have the extensive resources required to provide the full range of engineering and consultancy services to clients around the world. With over 100 years experience in the three companies and a commitment to sustainable design solutions that is founded on years of knowledge acquired on landmark and award winning projects, we provide economical and environmentally responsible complete solutions to our clients within a proactive and co-operative team structure.
TPE Consulting Engineers offer a full range of experience from Healthcare, Infrastructure, High-Tech, Sustainability, Environmental, Marine, Mechanical, Electrical, Civil, Structural and Project Management. A wide range of applications and experience has been gained over 100 years and can be seen in the broad range of clients, projects and industry sectors that we have worked in over the years. TPE Consulting Engineers joint project portfolio includes over 5,000 designs with involvement in over €1,000 million worth of construction works annually with a joint annual turnover in excess of €20 million.
If you would like to learn more about TPE Consulting Engineers, please visit our website at www.tpe.ie.
© Copyright 2010 PUNCH Consulting Engineers // All Rights Reserved // Registered No. 111183


text: Build On Hope opened their first Safe House for the children to seek refuge, receive an education and a new start. It will also provide a place for the elderly to heal properly while taking care of the children. There will be one adult for every 5-6 orphans showing them proper hygiene, cooking and cleaning, and teaching the children about their culture. Constructing this Safe House has provided jobs for many of the residents and is building a new sense of hope in the community. The Safe House will be continuously regulated and monitored to ensure its purpose is upheld with integrity. This Safe House will be the first of many.


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Bland Theft Auto
This is the same game we played 10 years ago.
For a path to consequence, Grand Theft Auto should look at some of its copycats. GTA III, the groundbreaking game that switched the series from a top-down, Sim City-style view to full 3-D, singlehandedly invented the genre of open-world sandbox games, but two other franchises have taken what GTA III started in more interesting directions. The Saints Row series, which started out as a joyless act of grand theft game design, has blossomed into a cult favorite by taking Grand Theft Auto to its logical conclusion, with everything turned up to 11. In the latest installment, for instance, your street-thug character has been elected president of the United States and must use his superpowers to fight off an alien invasion by escaping from a Matrix-esque computer simulation of his old gangland stomping ground.
Taking the opposite tack, the Hong Kong-set Sleeping Dogs sings to those of us who think Grand Theft Auto is fundamentally broken by the fact that you can drive on the sidewalk and knock over a light pole in plain view of a cop, and the cop won't react. Sleeping Dogs subscribes to broken windows theory: If the small things matter, the big things feel like they really matter. The game charges you for every fire hydrant you run over, every storefront you ram, every bumper you knock in, and presto, the whole enterprise is more engaging. As my mom always says, what's given too freely is valued too lightly. Sadly, Sleeping Dogs was a commercial failure. That is, it's safe to say it wasn't the fastest entertainment property to ever hit $1 billion in sales, like a certain other game mentioned in this article.
While Grand Theft Auto occupies an unhappy medium between Saints Row and Sleeping Dogs, the game that threads the needle of consequence most cleverly is the Wii U's Lego City: Undercover, an honest-to-God "Grand Theft Auto for kids" that's fun enough for adults, too. In Lego City, it doesn't matter if you plow through crowds and crash cars—everything and everyone are made of Legos and are magically put back together again.
It's not like GTA V doesn't make any improvements on its predecessors. The multiple characters you control throughout the game are more interesting than any single protagonist of a previous GTA. The dialogue feels less fake, possibly because they had gang members do the voice acting. Animation is much improved, even though people's faces still look like they're made out of moist clay. Most mercifully, they fixed the save system, so you don't have to go on a journey every time you want to record your progress.
And, of course, things like skydiving from a plane you stole and commandeering a cop car to chase bad guys are as fun as you remember. The sound track is great. And it's still a blast to get together with some homies and pass the controller around, seeing who can cause the most ridiculous mayhem.
But these are the same pleasures we took from Grand Theft Auto 10 years, and four main-series games, ago. That GTA V is essentially a high-definition remake of 2004's Grand Theft Auto: San Andreas means the folks behind the franchise have some thinking to do about exactly what kind of games they're trying to make. Are they content to design a brilliantly realized city every few years, then sit back and count their money? In the words of one of GTA V's characters, Michael, a jaded millionaire who sits out by his gorgeous pool every day, "Good palm trees are just a substitute for not knowing what the fuck you're doing on this Earth."
As for George R.R. Martin, well, there's a new print run of his best work, Tuf Voyaging, so that's something.


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Reviews for Kings Bounty: Warriors of the North - Ice and Fire
Solid DLC!MauroR | Feb. 7, 2014 | See all MauroR's reviews »
If you've enjoyed the advetures of Olaf you surely will enjoy this DLC who brings the main protagonist in a small island covered by Ice and Fire (hence the name of the DLC). You have to help ice spirits and snow elves to face these changes in the climate and I'll stop here with the main plot since, surely, you don't a review spoiling the entire game story, a thing that you want to experience by yourself. If you didn't play the previous games of this franchise I suggest to try them if you're into this genre because these games have a pretty solid and awesome gameplay, this is me saying this, just think also that this genre wasn't my genre at all but I've changed my mind when I've started playing the King's Bounty franchise titles. Even if you're not in this kind of game I suggest you to at least try these titles, you won't be disappointed I assure. And they are also quite long, so you'll get your hard earned money spent worth the purchase. Happy gaming :)
That's how DLCs should be madeShav | Feb. 3, 2014 | See all Shav's reviews »
There are plenty of turn-based RPG/strategy games lately. Banner Saga, Eador, Blackguards, to name a few. Kings Bounty however is pretty well-known series, and Warriors of the North is definitely my favorite part of the series, as I just love tales of vikings, set in a snowy areas. Ice and Fire is a great DLC to this wonderful game, and it is exactly what old expansion packs used to be. It is not just a DLC pack with cosmetic updates, but it adds two new factions, new story, and new skills. Also, the addition of Snow Elves is pretty surprising, as this is the race that was usually associated with forests, and magic, not some snowy hills. Ice and Fire is a perfect DLC for all the people that likes King's Bounty: Warriors of the North and want to spend more time in wonderful world of Endoria.
Valuable add-on for a great game!curta | Feb. 3, 2014 | See all curta's reviews »
Iincluding additions to the main storyline and new quests this DLC promise to give adds about 20 hours of gameplay...Based on the durations would seem an expansion rather than a simple dlc. In addition to new missions for the reckless Olaf, the package adds a new nation of elves, the Snow Elves, and even a dozen new creatures including a new species of the undead, the Necro Lizardmen. Icing on the cake an improved skill system for the creatures and new unique objects to collect.So there's really a lot of irons in the fire that makes this DLC highly recommended for those who love the world created by 1C and wants to return to the north of Endoria, for others better wait for a discount.


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I just wanted to call your attention to the status of the GMO labeling bill in the Vermont Legislature. This issue is extremely important to Vermonters, as demonstrated by their polling responses and attendance of public hearings and lobbying events.
The full text of this article is only available to online subscribers.
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Copyright 2011 Addison Independent | 58 Maple Street, Middlebury, Vt. 05753 | All Rights Reserved
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St. Petersburg, FL (Sports Network) - Jeremy Hellickson cooled off baseball's
hottest team, firing seven shutout innings to enable the Tampa Bay Rays to
stop the Toronto Blue Jays' 11-game win streak with a 4-1 triumph at Tropicana
Hellickson (6-3) limited a Toronto offense that averaged 6.4 runs over the
club's franchise record-tying unbeaten stretch to just one hit -- a J.P.
Arencibia single in the second inning -- to improve to 4-1 in June. The right-
hander did issue four walks after going four straight starts and a total of 26
innings without one.
He got all the support he needed from the trio of James Loney, Wil Myers and
Sam Fuld, who socked back-to-back-to-back solo home runs off Esmil Rogers in
the bottom of the second.
Myers finished 2-for-4 in the rookie's first-ever game at Tropicana Field,
with Luke Scott contributing an RBI double to help the Rays take the opener of
this three-game set.
Rogers (3-3) surrendered all four Tampa runs on seven hits over six innings of
The Sports Network


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Follicular Cyst in Ovaries. Something to worry about?
After my miscarriage I had a sonogram to see if everything was gone. They detected a few follicular cyst on both ovaries, and the largest one is approximately 1.9 x 1.6 cm on the left. Even though they said would not stop me from ovulating or conceiving I am a little concerned.. Does anybody have this? Should I be concerned or should I rest my mind?
Posted: 07/16/2010 by marianeta2
Answer this question


text: Virginia has two congressional seats where the incumbents are stepping down, and there's no shortage of candidates to replace them. Republican Frank Wolf will leave Capitol Hill after 34 years, and the GOP will hold a firehouse primary in late April to pick his successor. Delegates Barbara Comstock of McLean and Bob Marshall (pictured) of Prince William County want to replace Wolf. They appear on a long list of candidates for the Tenth District Republican nomination. The Eight District Democrats will hold a June 10th primary to choose a successor for retiring Congressman Jim Moran. One of the declared candidates is Don Beyer, who was a Democratic Lieutenant Governor during the 1990's. Beyer could be competing with at least one current state senator and several Democratic members of the House of Delegates.


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Select a harness using the measurement of the girth - the measurement around the dog's chest just behind the front legs - allowing space for 2 fingers to fit between the harness and the dog's body for a comfortable fit.
38 Inch Harness fits a chest size of 36-42 inches.
IMPORTANT: A harness is designed only for use while walking a dog.
DO NOT use a harness for a tie out restraint!
DO NOT continue using a harness that may have been chewed!
Manufacturer: Auburn LeathercraftersSee all products from Auburn Leathercrafters
Visit Manufacturer's website: www.auburndirect.com
Black Spiked Leather Dog Harness 1x38 inches


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Warfare in Ancient Greece: A Sourcebook
Taylor & Francis, 01.06.2002 - 280 Seiten
Warfare in Ancient Greece assembles a wide range of source material and introduces the latest scholarship on the Greek experience of war. The author has carefully selected key texts, many of them not previously available in English, and provided them with comprehensive commentaries.
For the Greek polis, warfare was a more usual state of affairs than peace. The documents assembled here recreate the social and historical framework in which ancient Greek warfare took place - over a period of more than a thousand years from the Homeric Age to Alexander the Great. Special attention is paid to the attitudes and feelings of the Greeks towards defeated people and captured cities.
Complete with notes, index and bibliography, Warfare in Ancient Greece will provide students of Ancient and Military History with an unprecedented survey of relevant materials
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The Hunt in Ancient Greece
Judith M. Barringer
Eingeschrõnkte Leseprobe - 2001
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Rhetorical Action in Ancient Athens: Persuasive Artistry from Solon to ...
James Fredal
Keine Leseprobe verf³gbar - 2006


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Online Movie Information
If you have children (especially of the younger variety), you've probably found yourself concerned from time to time about the content of a movie they or the whole family might watch. Or even as an adult, you might want to have a more detailed description of why a particular movie is rated "R" or "PG-13" or even "PG." If you've been watching movies for at least a few years, you know that sometimes ratings can be misleading: they simply don't give the viewer enough information to go on.
Given that dilemma, I've found a very handy source that can help immensely in this regard. In fact, I've found it so helpful I decided to become a contributor myself. I refer to the website called imdb (http://www.imdb.com), which is used quite often at the library for any number of movie-related questions. Amongst many other features, it has one called the "Parents Guide" which has a link titled "View content advisory." Clicking on this will take you to a separate page that lists five categories: Sex & Nudity; Violence & Gore; Profanity; Alcohol/Drugs/Smoking; Frightening/Intense scenes. The idea is that people who have seen the movie give an objective description of things that fit into the aforementioned areas. They are not supposed to editorialize but simply state the content. If this is done well, it can be a great help. And that's the only rub here: because this is user-generated content, it's not necessarily reliable—some people are sloppy in their descriptions, others simply forget what they saw, and so on. So, as with much on the internet, the user must maintain a certain amount of skepticism. But with that caveat, the feature is nonetheless helpful if you're not getting enough information from that little box underneath the rating letter. Additionally, if like me you like the idea of the Parents Guide, you can become a contributor yourself simply by creating an account on imdb.
(Note: it's probably best, if you do decide to contribute, to go back and check at least some of your entries from time to time to make sure they haven't been changed too much. If they have been changed, and you think it was wrong, you can always re-edit the entry.)
Posted by: David


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The Root of all Evil/Trobule With Atheism
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Next-Gen Poster
Join Date: Mar 2003
Location: United States
Posts: 3,575
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Re: The Root of all Evil/Trobule With Atheism
You've made reference to Kant's
Critie der reinen Bernunft
but did you read the book? Having only bought the book today, I was quite amused to come across this passage in the preface to the first edition:
I have not evaded its questions by pleading
the insufficiency of human reason. On the contrary, I have
specified these questions exhaustively, according to
principles; and after locating the point at which, through
misunderstanding, reason comes into conflict with itself, I have
solved them to its complete satisfaction. The answer to these Axiii
questions has not, indeed, been such as a dogmatic and
visionary insistence upon knowledge might lead us to expect --
that can be catered for only through magical devices, in which
I am no adept. Such ways of answering them are, indeed, not
within the intention of the natural constitution of our reason;
and inasmuch as they have their source in misunderstanding,
it is the duty of philosophy to counteract their deceptive
influence, no matter what prized and cherished dreams may have
to be disowned. In this enquiry I have made completeness
my chief aim, and I venture to assert that there is not a single
metaphysical problem which has not been solved, or for the
solution of which the key at least has not been supplied. Pure
reason is, indeed, so perfect a unity that if its principle were
insufficient for the solution of even a single one of all the
questions to which it itself gives birth we should have no
alternative but to reject the principle, since we should then no
longer be able to place implicit reliance upon it in dealing
with any one of the other questions.
While I am saying this I can fancy that I detect in the face
of the reader an expression of indignation, mingled with Axiv
contempt, at pretensions seemingly so arrogant and vain-glorious.
Yet they are incomparably more moderate than the claims
of all those writers who on the lines of the usual programme
profess to prove the simple nature of the soul or the necessity
of a first beginning of the world
. For while such writers pledge
themselves to extend human knowledge beyond all limits of
possible experience, I humbly confess that this is entirely
beyond my power. I have to deal with nothing save reason itself
and its pure thinking; and to obtain complete knowledge of
these, there is no need to go far afield, since I come upon them
in my own self. Common logic itself supplies an example, how
all the simple acts of reason can be enumerated completely
and systematically. The subject of the present enquiry is the
[kindred] question, how much we can hope to achieve by
reason, when all the material and assistance of experience are
taken away.
(Copied from
I haven't gotten past the preface, but my understanding is that Kant's real critique is of the supposed limits of human knowledge, not the process of logic itself directly. Read the article criticizing Kant's critique
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AMAG Technology, an access control, IP video and intrusion detection (IDS) solution provider, announces that Certified Partner, Bosch Security Systems, has certified its DLA 1200 Series IP Video Storage Appliance, Video Recording Manager V2.21, and Video Recorder 700 Series Hybrid HD Recorder with AMAG's Symmetry v7.0.1 Security Management System. AMAG and Bosch cooperatively tested and certified this integration through AMAG's Extended Business Solutions Program.
"The AMAG/Bosch integration gives our customers a state-of-the-art video recording solution to ensure all video is securely stored for later retrieval if necessary," said Extended Business Solutions, Program Manager, Shae Taylor. "Bosch's recording solutions offer high quality, easy to use solutions to help better secure an end user's buildings and properties."
"We're working closely with AMAG Technology to provide customers with easy and seamless integration of live and recorded Bosch H.264 IP video streams within the Symmetry Security Management Software," said Brad Eck, Integration Manager, North America, Bosch Security Systems, Inc. "Combining the superior imaging and reliable performance of our products with the powerful management features in the Symmetry platform will help end users achieve advanced operator efficiency, greater facility control and improved situational awareness."
Users will find many benefits of the integration including:
For more information about how to acquire the plug-in, visit Bosch's new Integration Partner Program web portal at ipp.boschsecurity.com.
Bosch recording solutions provide reliable, efficient storage of video. They are simple and scalable and allow for fast playback of video data.
Bosch offers a broad portfolio of IP cameras—from standard cameras to advanced imagers with superior processing power—for capturing crisp images in all lighting conditions. Because of the certified integration of the recording solutions listed above, many Bosch cameras may be utilized in the complete Bosch integrated solution including the DINION IP camera for well-lit locations, DINION 2X Day/Night IP camera for areas with harsh lighting conditions, and the DINION HD 1080p camera with 2MP resolution for capturing fine details. AUTODOME HD PTZ cameras are also compatible through the Bosch integration and deliver 1080p resolution with 20x zoom. In addition, Bosch has tested all AUTODOME, DINION, and FLEXIDOME IP cameras, as well as other IP cameras from its portfolio, to ensure compatibility—allowing users to view live and recorded video of Bosch H.264 video streams through the integration to the certified recording solutions. For more information, visit www.boschsecurity.us.
About AMAG Technology
AMAG Technology's Symmetry Security Management and Video Solutions can be found in a wide spectrum of markets: government, commercial, education, transportation, healthcare, utilities and banking. Based out of Torrance, California with sales and support located throughout the United States, AMAG sells its Symmetry Product Portfolio of access control and network video systems through its Symmetry Authorized Resellers throughout North America.
AMAG Technology is part of G4S Technology, a leading manufacturer of scalable, integrated security management systems headquartered in Tewkesbury, Gloucestershire, England. G4S has operations in more than 125 countries and more than 625,000 employees. AMAG Technology has been at the leading edge of access control technology for more than 40 years. For more information, visit www.amag.com.
SOURCE: AMAG Technology


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Please double-click on links to go to stories.
Chief's Corner: TigerText Update
Chief's Corner: Hand Hygiene Champions Are Here!
Memorial Sloan Kettering Update: Check out the HHC Cancer Institute Website
From Dr. Rocco Orlando: The ICD-10 Conversion
Black and Red: It was a $1 Million Party
Stop the Stigma About Mental Illness: Take the Pledge
Atrial Fibrillation Center: Coming Soon To A Hospital Near You
ImageConnect: Our New Cloud-based imaging system
On NBC Nightly News: Our own Dr. Richard Quintiliani
Wash in, Wash out: Remind a Colleague
247 More Days: Until ICD-10 Rocks Your World
Voices of Our Patients: Kudos to Drs. Smedley and Al-Bagdhadi
Medical Staff Interim Meeting: Mark March 26 On Your Calendar
Medical Staff Spring Event: Mark May 22 On Your Calendar
DID YOU KNOW? We spend HOW MUCH for food??
Wash In - Wash Out
Hartford Hospital has held relatively steady with hand-hygiene compliance, achieving an 82 percent compliance rate last month. This is almost at the level of best practice.
This is strong progress, but it is not, and should not, be good enough for Hartford Hospital.
We have plateaued and are increasing our efforts to improve. Although our goal for this year is 90 percent, we will not be satisfied until we reach 100 percent compliance, so we still have work to do.
Follow Hartford Hospital on facebook, youtube and twitter
Dr. Rocco Orlando, HHC Senior Vice President and Chief Medical Officer
Change is now the norm for physicians. With hospital mergers and affiliations, electronic health records, and evolving payment systems and regulations, it can be difficult to keep up.
There is yet another huge change on the horizon that will demand our time and attention. In a few months, the United States will adopt ICD-10, a new medical coding system.
While it may seem a long way away and not very significant on a doctor's busy radar screen, it will change everything for us. The bottom line: if you don't code properly, you won't get paid.
ICD-10 is the latest version of the International Classification of Diseases, used throughout the world. Here in the U.S., we have been using version 9 since 1979, and have been federally mandated to make the complex transition to ICD-10 by October 1, 2014.
The change to ICD-10 may be the most challenging transition since the inception of medical coding, and will require changes throughout the health care industry. Since ICD-10 is the first new diagnosis coding system adopted since the widespread use of computers, the change will involve updated software installation, as well as staff training, changes to business operations, data conversion, testing, reprinting of manuals and other materials, and more.
For physicians, whether employed or in private practice, documentation must be adapted to conform to ICD-10 coding requirements.
It will be time consuming, labor intensive, and costly for all involved. It is essential to the financial wellbeing of both our hospitals and each of you to prepare for the change to ICD-10.
Hartford HealthCare is committed to helping all our physicians adapt to this changing environment with minimal disruption. We are planning a series of communications and training – written, web-based and in person - to assist you with this transition.
Please take some time to familiarize yourself with what ICD-10 is all about. We have set up a SharePoint page (https://myhhc.hhchealth.org/hhcProjects/icd10/info) with links to a variety of information. Take a few minutes to look over the Resources for Physicians we have posted there.
Also, watch for regular postings called "Countdown to the Upgrade," here in Seymour Street Journal. We will share information, links and tips that will help you get ready for what promises to be a massive change.
If you have questions, please send them to email@example.com.
Together, we will meet the challenges posed by the transition to ICD-10. We have 258 days to get ready, and the clock is ticking.
Support of the 23rd annual Black & Red on Jan.25 was outstanding. A sold-out house was treated to an exciting evening of music by the pop band Barenaked Ladies, dinner, dancing, and dessert at the Bushnell. More than 1,200 guests attended the annual fundraising event, which this year benefited the Institute of Living (IOL). The gala is on track to net more than $1 million.
In addition to BNL, entertainment was also provided by the high-energy dance band Flipside in the Bushnell's Belding Theater and by Twilight in the Bushnell's Great Hall.
The evening also marked the IOL's "Stop the Stigma" campaign, which is aimed at eliminating the fear of stigma and discrimination that makes it hard for people with mental illness to get the help they need. The IOL is asking everyone to make a difference and help change the way people view mental illness by taking a pledge to "Stop the Stigma" at stopthestigmact.org.
The gala was such a tremendous success, in part, because of the support of the 2014 Black & Red Medical Staff Advisory Committee, which is chaired by Hank Schwartz, MD, and includes members:
Rehan Aziz, MD
Sanjay Banerjee, MD
Sudeshna Basu, MD
Adrienne L. Bentman, MD
Karen Blank, MD
Greg Bonaiuto, MD
Lee D. Brauer, MD
James F. Brodey, MD
Deepti Chopra, MD
Eric D. Cohen, MD
Jeffrey L. Cohen, MD
Michael Dewberry, MD
Jeffrey A. Finkelstein, MD
Joanna H Fogg-Waberski, MD
Evan Fox, MD
Ethan B. Foxman, MD
John W. Goethe, MD
John F. Greene Jr., MD
Robert C. Hagberg, MD
Victor Herson, MD
Alfred Herzog, MD
Orlando Kirton, MD
Ajay Kumar, MD
Inam U. Kureshi, MD
Vernon Kwok, DMD
Courtland G. Lewis, MD
Mirela Loftus, MD
Steven H. Madonick, MD
Salma Malik, MD
Radhika Mehendru, MD
Raveen Mehendru, MD
Theodore F. Mucha, MD
Lisa B. Namerow, MD
Stacy R. Nerenstone, MD
Jeffry Nestler, MD
Jerry Neuwirth, MD
Sara H. Niego, MD
William T. Pastuszak, MD
Godfrey D. Pearlson, MD
David A. Pepper, MD
Ann L. Price, MD
Osman Qureshi, MD
Francisco A. Ripepi, MD
Tilla F. Ruser, MD
Dahlia A. Saad Pendergrass, MD
Robert A. Sahl, MD
Matthew L. Saidel, MD
Andrew L. Salner, MD
Patricia A. Sheiner, MD
Steven J. Shichman, MD
Samuel M. Silverman, MD
Joel Sorosky, MD
Caren B. Teitelbaum, MD
Witold Waberski, MD
Karina R. Weiss, MD
Andrew Winokur, MD
Leslie I. Wolfson, MD
Peter M. Zeman, MD
Hartford Hospital kicked off a campaign to end the stigma of mental illness at the annual Black & Red gala last night at The Bushnell.
Harold (Hank) Schwartz, M.D., Hartford HealthCare Regional vice president, Psychiatrist-in-Chief Institute of Living at Hartford Hospital, says for some people, a mental illness may be a lifelong condition, like diabetes. "However, as with diabetes, proper treatment enables many people with a mental illness to lead fulfilling and productive lives. By helping combat the stigma associated with mental illness, we can help increase the number of people that seek treatment."
"We will be looking to our employees of Hartford Hospital and across the Hartford HealthCare system to take a pledge to stop the stigma," said Stuart Markowitz, M.D., president Hartford Hospital and Hartford Region, senior vice president Hartford HealthCare. "As a health care leader in the community and the state, it is our duty to set the example and stop the stigma associated with mental illness. Together, we can do it."
We are asking all HHC staff to take a pledge and sign their name to the following:
The goal is to obtain 5,000 individual pledges, spreading the message that changing attitudes can begin to change minds. Ask everyone — fellow employees, volunteers, patients, the community — to "take a pledge." It is online now at www.StopTheStigmaCT.org.
Hartford HealthCare is launching an initiative called ImageConnect, which will help deepen the integration of caregiving across our system.
ImageConnect is aimed at creating a robust, flexible and scalable cloud-based imaging system that will further reshape the way we diagnose and treat patients. It will allow patients' imaging histories to follow them across our system.
We will move from the complexity and inconvenience of multiple imaging systems to a single platform – available to clinicians via the Epic dashboard.
Unlike CareConnect, which will make use of the Epic EHR tool, the ImageConnect system will be largely homegrown, with the help of several vendors and, most important, the contributions of a broad-based, systemwide group of leaders.
Dr. Rocco Orlando is the project's executive sponsor. Interventional radiologist Dr. Barry Stein, HHC chief imaging informatics officer, and Hank Tessier, ImageConnect program director, will lead it. Steering and operations committee members represent system talent from clinical services, ITS and other areas.
Work begins immediately to build and test the ImageConnect system together with the first two customers: Radiology and Cardiology. Dr. Stein will be the clinical sponsor for Radiology and Dr. Justin Lundbye will be the clinical sponsor for Cardiology. We expect to begin to bring these system-wide service lines onto ImageConnect before the end of 2014. Other service lines will quickly follow.
Memorial Sloan Kettering (MSK), the world's oldest and largest private cancer center, has selected the Hartford HealthCare (HHC) Cancer Institute, which includes all HHC cancer-care facilities, as the first member of the MSK Cancer Alliance.
As a system, HHC treats more than 6,000 new cancer cases annually. This unique partnership with MSK will give HHC cancer patients unprecedented access to MSK standards of care and clinical trials by HHC physicians in HHC facilities.
To learn more, please visit our new HHC Cancer Institute Web site at: http://hartfordhealthcare.org/cancer.
FAQs and other information about the alliance are available there for both physicians and patients.
We pitched a story to NBC Nightly News last week over the record number of patients in the ED, many with viral illnesses. A producer contacted us and a flu patient was interviewed. Dr. Richard Quintiliani Jr. from Medicine/Infectious Diseases is in the video.
The story appeared on NBC Nightly News with Lester Holt on Jan. 19.
http://www.nbcnews.com/video/nightly-news/54120357/ Courtesy: NBC Nightly News
The Division of Cardiology is pleased to announce the opening of the Hartford Hospital Atrial Fibrillation Center.
The center, which will officially open in February, is a joint venture between the departments of Electrophysiology, Cardiology, and CT surgery.
It is the first center in the region to offer comprehensive evaluation, management, and treatment services for patients with atrial fibrillation (AF) in a collaborative and multi-disciplinary fashion.
"The center will assist patients and their doctors in navigating the wide array of therapeutic options (drug therapy, pacemakers, catheter ablation, and surgery) that are now available to treat AF," said Dr. Eric Crespo, director of the Interventional Electrophysiology Lab.
Patients can be referred for evaluation through the department of Electrophysiology at 860-972-1506.
We will be having two Town Hall Style meetings with the hospital and medical staff leadership on Wednesday, March 26 in Gilman Auditorium, 6:45-8 a.m. and 5:30-7 p.m. Planned participants include Drs. Stu Markowitz, president; Jack Greene, chief medical officer for HH; Rocco Orlando, chief medical officer for HHC; Jim Cardon, executive vice president and chief clinical integration officer for HHC; and
Stacy Nerenstone, president of the medical staff. Come and ask your difficult questions, and find out what is going on at Hartford Hospital and at Hartford HealthCare.
The Board of Directors and Medical Staff Spring Event will be held Thursday, May 22, starting at 6 p.m. with a cocktail hour in Heublein Hall at the ERC. The awards ceremony will begin at 7 p.m. We will present five awards: the Physician in Philanthropy Award; the Distinguished Service Award; the David Hull, MD, Young Practitioner Award; the John K. Springer Humanitarian Award; and the Quality and Safety Award.
Dr. Michael Lindberg, physician-in-chief for the Geriatric and Palliative Medicine Institute of Hartford HealthCare, has been selected by the editorial board of the upcoming 9th edition of the Geriatric Review Syllabus to be a contributing question author.
Dr. Lindberg has authored questions and critiques for the previous four editions of the Geriatric Review Syllabus. The 9th edition will be published in 2015.
David F. Tolin, Ph.D., director of the Anxiety Disorders Center at the Institute of Living, will be given a lifetime achievement award at the annual meeting of the Connecticut Psychological Association in October.
Dr. Orlando Kirton, director of the Department of Surgery and chief of the Division of General Surgery, was selected as Master of Critical Care Medicine by the Council of the Society of Critical Care Medicine.
The selection as an MCCM reflects his status as a long-standing Fellow of the American College of Critical Care Medicine and is based on achievements as a prominent and distinguished leader of national and international stature, personal character, leadership, eminence in clinical practice, outstanding contributions to research and education in critical care and exemplary contributions to SCCM, ACCM and the field of critical care.
Hartford Hospital has one of only 50 LDL apheresis programs in the country.
"We recently treated a woman with primary biliary cirrhosis whose total cholesterol was over 3,000 mg/dl and who was having cerebral symptoms because her levels were so high," said Dr. Paul Thompson, chief of Cardiology.
In the past year, Dr. Thompson said, the program has expanded and it is now one of the largest in the country.
Dr. Jack Ross was interviewed on NBC CT on Jan. 12 about the flu.
Drs. Gretchen Diefenbach and Mical Assaf were interviewed on WNPR on Jan. 14 about a new study currently taking place at the IOL involving neuronavigation in the treatment of anxiety disorders. Hear the segment here.
Scott Healer, a PA from HHC MG, was interviewed by NBC CT on Jan. 15 about how the harsh winter weather can exacerbate pre-existing skin conditions.
Dr. Hank Schwartz was a panelist on "Out of the Shadows: A Community Conversation on Mental Health," broadcast live on CTN on Jan. 14. He also recorded a segment for "The Real Story" on Fox CT about the need for the"Stop the Stigma" campaign, which will air on Jan. 19. He was interviewed by News 8 on Jan. 17 about Peter Lanza's cooperation with the Sandy Hook commission; by the Yale Daily News on Jan. 21 about the relationship of mental illness to violence; and by Fox CT on Jan. 23 about the "Stop the Stigma" campaign.
Dr. Jeff Finkelstein was interviewed on WTNH and the Hartford Courant on Jan. 15 about the high census in the ED due to viral illnesses.
Dr. Ken Robinson was interviewed on Channel 3 and Fox CT on Jan. 15 about the high census in the ED due to viral illnesses.
Dr. Mike Drescher was interviewed on WTIC on Jan. 17 about the ED status of patients.
Dr. Andrew Salner appeared on WFSB Medical Rounds on Jan. 22 talking about the alliance with Memorial Sloan Kettering. Watch the segment here.
Dr. Kelly Johnson-Arbor was interviewed by Fox CT on Jan. 21 and WTNH on Jan. 22 about hypothermia and frostbite. Watch the segment here.
Dr. Cliff Rios was interviewed by WFSB on Jan. 23 about the dangers of cross-fit training.
Dr. Stuart Markowitz was interviewed on Fox CT on Jan. 24 about the Black & Red.
Dr. Laura Saunders was interviewed on Foxt CT on Jan. 24 to discuss the psychological impact behind Justin Bieber's arrest.
Dr. Vasanth Kainkaryam was interviewed on WFSB on Jan. 25 about an event he is facilitating at the CT Science Center about pediatric obesity.
Hartford Hospital in collaboration with the OxyHeal University, is offering a 40-hour course in Hyperbaric Training for Healthcare Providers on Feb. 24-28 at the Backus Wound and Hyperbaric Center in Norwich. It will meet daily from 8 a.m.-5 p.m.
The Hyperbaric Training for Healthcare Providers Course is designed to meet the requirements of a Designated Introductory Course in Hyperbaric Medicine and will introduce to physicians, registered nurses, technicians and other allied health care providers the clinical indications, documentation and operational requirements of a Clinical Hyperbaric Medicine Facility. NBDHMT 40 Category A Credits.
This course is required for physicians who wish to supervise and bill for hyperbarics, and for nurses and technicians who would like to sit for the National Certification Exam. Free of charge to any Hartford HealthCare employee.
Call Michael Powers at 860-798-8155 with questions. Register today: email@example.com or email@example.com.
Hartford Hospital and the Mayo Clinic are offering TransFuse 2014, a 3-day multidisciplinary conference devoted to exploring the current state-of-the art techniques and program development to implement a blood management program in hospitals. It will be held March 26-28 at the JW Marriott Desert Ridge Resort and Spa in Phoenix, Arizona.
Dr. Ajay Kumar, chief of the Department of Medicine, is one of the course directors.
Also on the faculty from Hartford Hospital are Dr. Elizabeth Deckers, Ob-Gyn; Dr. Steve Shichman, chair of the Department of Urology; and Chris Donovan, executive director of fiscal services.
REGISTER ONL INE NOW! http://www.mayo.edu/cme/anesthesiology-2014r455
HHC members gets a discount with registration at the Blood Summit.
The ophthalmology office of Dr. Paul Gaudio, located at 85 Seymour Street, recently received formal credentialing for an ophthalmology fellowship specializing in ocular infection and inflammation (uveitis) from the Association of University Professors in Ophthalmology (AUPO).
Dr. Gaudio's office has had two uveitis fellows in the recent past.
Hartford Hospital's Tallwood Urology & Kidney Cancer Institute will be providing a series of three free educational seminars for primary care providers. You can attend one, two or all three.
Each session is independent and will provide 2 CMEs and dinner. They will be held form 5:30-8:30 p.m., at the Glastonbury Pond House Grill. Advance registration is required; contact the Health Referral Service at 860-545-1888. For more information, contact Jan Ruderman at 860-817-5300.
Thursday, April 10: Prostate Health. Speakers: Drs. Stuart Kesler, Arthur Tarantino and Joseph Wagner. The session will focus on criteria for PSA testing, managing BPH and new developments in Active Surveillance for patients diagnosed with prostate cancer.
Tuesday, May 13: Kidney Stones. Speakers: Drs. Jeffrey Morgenstern and Jarrod Post.The session will focus on the identification and management of stone disease as well as the role of the PCP, urologist and nephrologist in caring for patients with kidney stones.
Tuesday, June 4: Pelvic Health. Speakers: Drs. Richard Kershen, Adam Steinberg, Jill Peters-Gee and physical therapist Stacey Head. The session will focus on the role of the Primary Care Provider in identifying and managing: overactive bladder, urinary tract infections, and hematuria. A physical therapist will also provide an overview of the role of physical therapy in patients with pelvic health dysfunction.
We recognize the need for sharing information about activities throughout the hospital more widely with our Medical Staff.
Chief's Corner will bring you highlights of activities of interest, which will be authored by our Department Chiefs. Should you have any comments or suggestions along the way, please share them with us.
- Dr. Jack Greene, Hartford HealthCare regional vice president of Medical Affairs for the Hartford Region and Hartford Hospital
Tiger Text is the encrypted HIPAA compliant text messaging application that HHC has endorsed for our providers.
This application provides:
Tiger Text is the application chosen to assure compliance across the system and to facilitate superior coordinated care for our patients.
Our goal is to enroll as many providers as possible to enhance our ability to communicate about patient issues, leading to more efficient coordinated care. It allows real time communication about patient issues which enhances our ability to communicate in an effective and timely manner. Once installed, it is a simple application to use. We encourage everyone to enroll.
The application is available to credentialed physicians and mid-level providers. We have already enrolled a large number of providers and hope to expand it to the entire medical staff.
If you wish to enroll, send an email to the TigerText project manager, Christine Greene, at firstname.lastname@example.com with the heading "tiger text enrollment."
If you have any issues with the application, you may contact the Customer Service Center at 860-545-5699. The Mobility team for your region will process a resolution for you as soon as possible.
Dr. Jack Ross, Chief, Infectious Diseases, HIV Programs, Epidemiology
Starting in February, you will see physicians, nurses, patient care assistants and others wearing this button on all our nursing units. They are our new unit based hand hygiene champions!
At the suggestion of the ICU nurses and their managers, each unit, each role, each shift throughout the hospital will have individuals who will prompt all caregivers to perform hand hygiene.
The hand hygiene champions will speak to you if you forget to wash in, wash out. There will be zero tolerance for disrespectful behavior, and leadership will speak to anyone who pushes back when spoken to by the unit champions. If the behavior continues, a Quantros report for unprofessional conduct will be submitted. The unit champions are in addition to hand hygiene observers and accountability agents on the units currently.
The buttons and champions also serve a second purpose of messaging to our patients, their families, and our colleagues that we value hand hygiene and patient safety at Hartford Hospital.
Hartford Hospital Medical Staff members are currently fourth in HHC for compliance with hand hygiene at 80%. For comparison, THOCC and MidState physicians are at 100% and 94% respectively. We need to improve hand hygiene both entering and leaving our patients' rooms.
Dear Sir or Madame,
On Jan. 8, I was an inpatient for a colonoscopy procedure.
Every step of the way (including phone conversations with Maria beforehand), the hospital and its staff maintained the very high standard of care and expertise that we (as a family) have experienced in our nearly four years of living in Hartford.
The receptionist was gracious and efficient.
The staff involved from start to finish in my procedure under the care of Dr. Michelle Smedley were as follows: Pauline, Precious, Julia, Dr. Yasser Al-Bagdhadi in admittance, and Jen and Andre in recovery.
Our proximity to the hospital and our experiences there during our time in Hartford have been a big part of our strong attachment to the city.
With gratitude,
Dectora Coe Jeffers
The Institute of Living will be starting a second ongoing therapeutic support group for young adults (approximately 17-26 years old) who are struggling with co-occurring medical and psychiatric conditions. This new group will run on Fridays at 2 p.m. in the conference room of the Center Building on the Institute of Living campus.
A collaboration of the divisions of Health Psychology, Neuropsychology, and Young Adult Services, this psychotherapy group provides patients an opportunity to grieve the losses and limitations brought on by their medical conditions, while maintaining a future oriented focus. By modifying hopes, expectations, and plans in an empathic environment patients support one another in their pursuits of fulfilling and meaningful lives.
This group is open to any and all young adults -- they do not have to be current patients of IOL/HH. Patients will be registered by the Young Adult Services billing department.
While the number of referrals we receive in the coming weeks will determine the start date of the new group, presently we believe we will be up and running no later than mid-February. Patients, families, and referring providers seeking additional information may contact Dr. David Bendor directly at 860-545-7008 or at firstname.lastname@example.com.
We are developing a Center for Global Health at Hartford Hospital in order to identify our footprint, create value, establish lasting partnerships, and strengthen our opportunity to provide world-wide impact.
Integration and coordination of current HH activities will promote collaboration; improving cost-effectiveness and sustainability, both domestically and abroad.
Please take this brief survey to help us identify the global health activities of our physicians, clinicians, and staff, as well as your interest in participating in future opportunities.
Survey results will be used in the development of Hartford Hospital's first global health database.
To participate in this 5-10 minute survey please click here. ( https://redcap.harthosp.org/surveys/?s=Dbb8n9HJv3)
(You may have already taken the Hartford Hospital Humanitarian Mission Survey last February. This is not the same survey. This survey is designed to more accurately capture data that can be collected in the Center for Global Health's database.)
Hartford HealthCare is well underway preparing for the transition to ICD-10 on October 1, 2014. This will affect physicians in both the inpatient and outpatient arena, as physician payments will require the use of ICD-10 coding.
We would like to have physicians involved and integrated with this project as it evolves.
Here is a link to a very short questionnaire consisting of only eight questions. (https://www.surveymonkey.com/s/HHC-ICD10-1) Our purpose is to establish a baseline understanding of physician knowledge and preparation for the ICD-10 transition.
Please take a minute to answer these questions by Feb. 4. We will analyze the data and then communicate the results back to you.
Patient safety is our priority. Our goal is to train all physicians who care for patients in our hospital to fully participate in this effort.
The medical staffs at THOCC and Backus have already undergone this training. Dr. Peter Shea, the vice president for Medical Affairs in the Eastern Region, will conduct a training session for physicians on Monday, February 3 In Gilman Auditorium. This session will take place from 11:30 a.m.-1 p.m. during the time set aside for our combined clinical chiefs/MEC meeting. Members of these groups will be expected to attend. We are also inviting all members of our medical staff.
This training will be mandatory over the next year and multiple other sessions will be scheduled. Please take advantage and attend this kick-off session if at all possible. Feedback from those who have attended other sessions has been outstanding.
The safety behaviors that are included in the hospitalwide training include clear communications, effective hand-offs, attention to detail, mentoring and coaching others and practicing with a questioning attitude. These safety behaviors have been successfully deployed in more than 300 other hospitals nationwide, resulting in reduction of preventable harm rates of 85-90 percent on average.
HH's goal with the HRO journey is to substantially reduce incidents of preventable harm, to the eventual goal of to at least one year without an incident. It's part of our commitment to do the safe thing for every patient, every time.
State mandated CME for physician license renewal is available free on the Hartford Hospital Jubilant Learning Platform. You will need your Novell sign on information to access the portal. If you have forgotten your sign on, please call the HELP desk 55699
(outside: 860-545-5699).
To access Jubilant from the web, go to the Hartford Hospital page and click on the gold tab "Medical Professionals." Click on "Learning Portal" from the drop down menu, and then click on the green tab "Learning Portal Login."
From the home page of the intranet (inside HH), click on the Learning Portal for Medical Education and Training link. Once you've clicked on the link, use your Novell sign in, and the CME is under Physician License renewal CME.
Once you have passed the post-test, you will be awarded a printable CME certificate. Your CME will also be maintained and easily self-service accessed on the Learning Portal site, should you need a copy in the future.
Please note that your Risk Management required activities through MRM will provide your Risk Management CME.
All health care workers and patients should feel comfortable reminding any other health care worker to sanitize regardless of their role. This should always be done in a courteous and constructive manner. All health care workers should respond courteously and gratefully when reminded.
If you remind another health care worker to sanitize, and he or she responds with irritation or hostility, please notify their department chief, Dr. Jamie Roche or Dr. Jack Ross, who will communicate with them to prevent recurrences.
Hartford HealthCare spends $8.8 million per year providing food to patients, visitors and staff.
Healthcare providers may face disruptions in their payments even if they are on target to operate using ICD-10 codes on Oct. 1, 2014.
Since providers will, and indeed need, to be able to pay rent and staff salaries if the transition does not flow as smoothly as testing has indicated, experts advise having up to several months' cash reserves or access to cash through a loan or line of credit to avoid potential headaches.
"Just figure that with the transition to ICD-10 there will be delays in reimbursement," said April Arzate, vice president of client services at MediGain, a Dallas-based revenue cycle and healthcare analytics company.
Paul Weygandt, MD, vice president of physician services at J.A. Thomas & Associates, said that the amount of cash reserves will vary depending on the healthcare organization.
"The better way to look at this," Weygandt explained, "is that the amount of money that you need to set aside is inversely proportional to the preparation work you do for ICD-10."
Read more here.
There are some new emergency rooms at Hartford Hospital designed to safely treat those with mental health disorders. If you are looking at a bed in the emergency room at Hartford Hospital, it's in the purple pod where there is tempered glass in the windows and covering the TV. There are no electrical outlets in the room, a camera monitors the patient 24/7 and all the security measures blend into the room.
"If a patient is all on edge, already it's hard to make sure you get a thorough evaluation. They may be sayings things just to get out of the room, out of the bad experience," said Dr. David Pepper, Hartford Hospital.
Doctors say by relaxing the patient, they can be more confident in their diagnosis. The lighting has been studied and altered in the purple pod. It can be dimmed and colors changed from yellow to blue to green.
"Different colors can help a patient feel more calm and relaxed and we really tailor toward the patient. If they prefer the blue or green light, we can adjust the light to their preference," said Pepper.
One of the biggest problems is dignity. When you take four, five or six patients and put them in the same room, they have no privacy. At the Hartford Hospital rooms, all you have to do is flip a switch and it tints the glass and it is instant privacy inside the room.
"So you can see that we have windows that can close it down, and be able to do some therapy and give them privacy," said Danette Alexander, Hartford Hospital.
Right now, Hartford has ten of the new rooms in the purple pod up and running, and there are 13 more that will be done next month.
These state of the art, one of a kind rooms in Connecticut are leading the way to changing the way behavioral health patients are treated.
"It allows us to have access to the patient and allows the patient security and a calm, quiet environment," said Pepper.
Watch the 2 minute video clip which aired on News 8 here.
State health officials reported on Jan. 15 that more than 1,000 people in Connecticut have now come down with the flu this season, a fact not lost on emergency room staff at Hartford Hospital.
They saw 376 patients Jan. 13, erasing a daily record there that goes back at least 15 years.
Emergency room doctors are seeing more and more cases not only of the flu, but of a gastrointestinal illness that has been hitting the region.
"I think we're right in the middle of an outbreak of both, and I don't think it's peaked yet," said Dr. Jeff Finkelstein, chief of emergency medicine for Hartford Hospital and the Hospital of Central Connecticut.
As far back as Alexander the Great's campaigns, tourniquets were wartime staples, used to stanch the bleeding of wounded soldiers. But they became a last resort for both military and civilian emergency personnel after World War II, when medical experts blamed the prolonged cutoff of blood for frequent amputations.
Transportation was so poor in those days that it took the wounded hours, if not days, to receive adequate medical attention — far too long for a tourniquet to remain in place. "The treatment was initially worse than the disease," said Dr. Lenworth M. Jacobs, the head of the Hartford Consensus, a group of experts in emergency medicine who have studied how to respond more effectively to mass casualties.
Although the expanded use of tourniquets has encouraged some medical experts, they believe more needs to be done. Dr. Jacobs said that "when they began putting $15,000 defibrillators in public places 15 to 20 years ago, there was no concept" that terrorist attacks or mass shootings might one day be more common.
"There's no reason a $15 tourniquet can't be right beside the defibrillator," he said.
Patients diagnosed with generalized anxiety disorder usually have two treatment options: medication or counseling. But new research underway at Hartford Hospital is looking to add a third choice -- magnets.
Gretchen Diefenbach is the doctor in charge of the society. She said both medications and counseling treatments like cognitive behavioral therapy only help about half of the people who do those treatments. So she's looking at a new idea, Transcranial Magnetic Stimulation, which targets so-called "worry circuits" in the brain.
"It's a therapy where we put a magnetic pulse on the scalp," Diefenbach said. "That pulse is used in order to change the electrical activity underneath, in the brain site."
Million-dollar robotic surgical systems touted by hospitals in Connecticut as state-of-the-art medical technology have had a spike in reported problems and a series of manufacturer recalls. Now these systems are under review by federal regulators.
But officials at three regional health care systems that together use eight of the robots for patient care — Eastern Connecticut Health Network, Hartford Healthcare, and St. FrancisCare — say none of them was affected by the recalls.
They also say they haven't had to report any injuries to patients in connection with the use of the "da Vinci" surgical systems manufactured by a California company, Intuitive Solutions.
MidState Medical Center in Meriden is among the first in the country to offer a high-tech operating room where patients can be diagnosed and treated in one sitting.
The hybrid operating room is robotically controlled with the latest software in 3-D imaging.
"It's sort of like having R2D2 bring you an X-ray machine," said vascular surgeon Dr. Jonathan Hasson. "It lets you do surgical procedures and minimally invasive vascular procedures in the same setting."
The sophisticated room at MidState Medical Center enables surgeons to be more precise in repairing a patient's problem with little or no incision.
"We can do diagnostic angiography and find problems and in the same setting, and repair the problems as we find it, rather than two separate imaging settings," Hasson said.
The William W. Backus Hospital has begun offering gastric bypass surgery for obese patients seeking to lose weight, the hospital announced Monday.
Hospital spokesman Shawn Mawhiney said Dr. Mark Tousignant has already done a few of the procedures, and more are scheduled. The procedure is the second type of bariatric surgery offered by Backus, adding to the adjustable gastric banding done there since 2010.
Lazard Asset Management announced that the Lazard Emerging Markets Multi-Strategy Portfolio has been selected by Hartford HealthCare as the first emerging markets investment option for its defined contribution retirement plan.
"Our intention is to give our employees access to some of the best thinking behind our top performing endowment funds, namely to capture the market growth potential of emerging economies without subjecting employees' savings to the full risks of emerging stock markets," said David Holmgren, Chief Investment Officer of Hartford HealthCare.
A Connecticut startup developing a new cancer treatment is drawing the eyes and interest of investors and big pharma, as it prepares to begin clinical trials this year on its drug discovery.
Kolltan Pharmaceuticals Inc. is developing a drug therapy that targets and aims to block chemical signals in cancer cells that help form tumors.
The New Haven privately-held firm got its start based on lab discoveries from Yale professor Dr. Joseph Schlessinger, and hopes to eventually tap into a $24 billion cancer drug market for targeted antibody therapies.
Kolltan has raised $75 million from a host of life science investors and signed a key licensing agreement in July with MedImmune, the R&D arm of bio pharmaceutical giant AstraZenca.
"Our goal is to build an industry-leading company that can generate and develop novel [drugs] for use in oncology and other severe diseases," said Gerald McMahon, a former MedImmune executive who took over as Kolltan's CEO in 2012.
A report grading the conditions of the nation's emergency departments said Connecticut's are 15th best in the country, with a 'C' grade.
That was down from a 14th-place ranking in 2009, when Connecticut earned a 'C+' grade.
The American College of Emergency Physicians, which created the report card, commended Connecticut for having a low rate of fatal injuries and residents with "general good health."
But the state's emergency departments lost points for having an average wait time of nearly six hours, the sixth longest in the country.
Points were also docked on the report's access-to-care category. Emergency rooms in the state have a high occupancy rate, despite the high number of trauma centers in the state.
The report also said that Connecticut has not kept pace with other states in preparing for a large-scale disaster.
Ryan Dasilva, 23, of Danbury needed his third kidney transplant, but his blood was incompatible with more than 99 percent of potential donors.
His options were running out when he received a call that he was eligible to be part of a six-person kidney transplant, performed simultaneously in December at Yale-New Haven Hospital, the University of Toledo Medical Center in Ohio and the Maine Medical Center.
Multiple live-donor kidney transplants — considered the best way to lower the number of people on the waiting list for organ donations — are becoming increasingly common. In 2012, the most recent available data, there were 529 multiple kidney swaps, the most in any year.
The Jackson Laboratory, the state's partner in a massive bioscience expansion, has won a $7.5 million grant from the South Korean government for a large-scale cancer genomics project. The grant will pay for research using Jackson Laboratory mice that can host human tumors.
"This is a wonderful example of the international collaborations that JAX is building to rapidly advance its research mission, in this case: individualized cancer diagnosis and treatment," said director of The Jackson Laboratory for Genomic Medicine and leader of the JAX component of the project,
Lee, who also is a distinguished visiting professor at Seoul National University, will work with principal investigator Jong-Il Kim, M.D., Ph.D., of the Seoul National University College of Medicine and other academic collaborators in Seoul.
During the first phase of the grant, from 2013 to 2015, Kim and colleagues will collect and store tumors from patients with gastric, breast, colon, lung and rare cancers and determine the genomic signatures of those cancers.
Lee will lead the development of hundreds of new mouse model systems for gastric, breast and other cancers that will be made available to the worldwide scientific community. The models will allow for more detailed study of the cellular and genomic characteristics of specific cancers. The research team will also build a publicly accessible library of anticancer drugs.
Last fall, after mulling the buy-vs.-lease question, St. Francis Hospital and Medical Center, based in Hartford, Conn., determined that leasing computers would save it 10% based on a three-year timetable.
The decision to switch to leasing was taken up as part of the preparation for a major upgrade of clinical applications systems now underway, says Glenn Mason, director of infrastructure and enterprise services. "We had the opportunity to replace 5,000 end-user client devices -- 3,700 PCs and 1,200 thin clients," says Mason. Other equipment, such as servers and workstations on wheels were also going to be upgraded as part of what was anticipated to be more than a $3 million technology refreshment focused around the Epic electronic healthcare application and the implementation of new workflow systems.
Mason said the hospital's management took a look at the upfront costs for buying hardware versus leasing it, based on a deal offered by HP Financial Services, and determined it would save at least $150,000 in 2014 alone under a three-year lease plan. "At the end, it will save 10% in the total cost of ownership over three years," says Mason.
UnitedHealthcare's recent decision to drop thousands of doctors from its Medicare Advantage plan came under harsh criticism at a U.S. Senate hearing Wednesday.
U.S. Sen. Richard Blumenthal chaired the field hearing of the Senate Special Committee on Aging at the Legislative Office Building. He was joined by another committee member, U.S. Sen. Sheldon Whitehouse of Rhode Island.
In early October, UnitedHealthcare sent letters to an unknown number of doctors in Connecticut and elsewhere, informing them that they would be dropped from its Medicare Advantage network as of Feb. 1. UnitedHealthcare officials say the number of doctors to be dropped is proprietary, but the Connecticut State Medical Society estimates that the number in Connecticut is at least 2,200.
The Fairfield County Medical Association and Hartford County Medical Association are suing UnitedHealthcare, seeking to prevent the company from dropping doctors who belong to the two associations on Feb. 1.
Hospital leaders will have some real opportunities to improve care in their communities in 2014.
On top of every hospital administrator's mind is the need to shoulder a new round of changes this year, from electronic health records and ICD-10 implementation to new penalty programs and payment models, to a host of new regulations, some with ambitious timelines.
Hospitals are also concerned with meeting the needs of the growing number of baby boomers reaching an age when they can be expected to put greater demands on the health care system and with responding rapidly to other demographic shifts in their communities.
Fortunately, with these changes come new opportunities. Even in states that are not expanding Medicaid, hospitals can expect considerable gains in coverage — with millions of newly insured Americans. This constitutes a significant and welcome step forward on the road to building healthier communities. But hospitals will have plans to achieve their own improvements this year.
Hospitals will be working hard to make further gains in quality and patient safety. Nothing succeeds like success, and we now have examples of highly effective, evidence-based improvement efforts across the board — from eliminating health care-acquired infections to reducing patient readmissions. Hospitals will evaluate carefully the many opportunities for improvement and make a strategic plan to implement those that will have the greatest impact.
A new dress code for doctors, nurses and other health care workers calls for outfits that may be short on style, but long on what it takes to keep dangerous germs from spreading among patients.
Short sleeves, bare hands and forearms and white coats that are laundered at least once a week — if not more often — are the keys to keeping nasty bugs such as Staphylococcus aureus from hitching a ride on a doctor's wrist.
Neckties are questionable. Watches and rings have to go. It's not clear what to do about name tags, lanyards, necklaces and cell phones, but when in doubt, it's best to clean the offending items — or get rid of them.
To envision and build tomorrow's hospital, one thing is clear: We'll only get so far by re-engineering the hospital of the present. The hospital of the future will not be a hospital at all. Instead, it will be an inventive health delivery network that will require all of us -- industry, clinicians, caregivers, families, and patients -- to coordinate efforts in new ways, so we work together more efficiently to serve more people, with better outcomes at lower costs and higher quality standards.
We must break with traditional models and norms and challenge ourselves about how and where care is offered. We need to cooperate through arrangements like private-public-government partnerships that make powerful and meaningful associations among all people, technology, services, situations and costs involved in health delivery.
What's the difference if you get hurt at a Bruce Springsteen concert or a performance of "Die Fledermaus"? To your wrenched back, not much. But to the folks who process your medical records, it's a distinction worth noting.
The difference between an injury at a music hall and one at an opera house is one of many thousands of details that will be parsed by a new health care classification system that begins in the U.S. on Oct. 1 — a deadline that presses on every health care provider and insurer in the nation.
This is the first new version of the International Classification of Diseases, maintained by the World Health Organization, since the 1970s. Commonly known as ICD-10, the new system will increase the number of codes to describe various ailments and their treatments from 17,000 to 155,000.
It's a change that some say will improve health care and billing. Others maintain that it will merely drain resources.
Dr. Peter Shea, the vice president for Medical Affairs in the Eastern Region, will conduct a training session for physicians We are inviting all members of our medical staff. This training will mandatory over the next year and multiple other sessions will be scheduled. Please take advantage and attend this kick-off session if at all possible. Feedback from those who have attended other sessions has been outstanding.
Dr. Kimberly A. Davis, Vice Chairman of Clinical Affairs and
Chief of the Section of Trauma, Surgical Critical Care & Surgical Emergencies at Yale University School of Medicine; and Trauma Medical Director and Surgical Director, Quality & Performance Improvement at
Yale New Haven Hospital
Dr. Ajay Kumar, chief of the Department of Medicine, is one of the course directors. Also on the faculty from Hartford Hospital are Dr. Elizabeth Deckers, Ob-Gyn; Dr. Steve Shichman, chair of the Department of Urology; and Chris Donovan, executive director of fiscal services.
REGISTER ONL INE NOW! http://www.mayo.edu/cme/anesthesiology-2014r455 HHC members gets a discount with registration at the Blood Summit.
A cocktail hour begins at 6 p.m. The awards ceremony will begin at 7 p.m.This year we will present five awards: the Physician in Philanthropy Award; the Distinguished Service Award; the David Hull, MD, Young Practitioner Award; the John K. Springer Humanitarian Award; and the Quality and Safety Award.


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Alice W. Lee, MD, ABIHM is a holistic and integrative psychiatrist practicing in Gaithersburg, Maryland, who combines nutritional medicine (orthomolecular psychiatry), energy medicine, and other alternative therapies in the holistic and integrative treatment of mental health conditions. Her training in child, adolescent & adult psychiatry and her clinical experience with prescription medications allow her to:
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What is Holistic Psychiatry? – Interview with Dr. Rachael Sand (11/14/08)
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Obama's Border Bet
The president says there's a "humanitarian crisis" at the border—so why is he treating it as a simple immigration problem?
That might sound like bombast, but the limited available evidence supports it. Honduras, Guatemala, and El Salvador have been increasingly ravaged by gang violence and are among the most dangerous countries in the world. Honduras, which accounted for the highest number of unaccompanied minors apprehended at the border in the past three years, now has the highest murder rate in the world. And, as Vox recently pointed out, the murder rates in all three countries were so high in 2012 that someone living in one of them was, statistically speaking, more likely to be murdered than a civilian living in Iraq at the height of the war was to be killed.
Children and teens face their own particular set of dangers given the prevalence and power of gangs back home. "My grandmother wanted me to leave," a 17-year-old migrant from Honduras recently recounted to the U.N. High Commissioner for Refugees. "She told me: 'If you don't join, the gang will shoot you. If you do join, the rival gang will shoot you—or the cops will shoot you. But if you leave, no one will shoot you.' " Another explained her reason for fleeing: "In El Salvador they take young girls, rape them, and throw them in plastic bags."
Even assuming Obama's proposed change would convince families against sending their kids to the border, there's no guarantee that the message would ever reach Central America, where many households don't have television, let alone the Internet.
Furthermore, there's evidence to suggest that those children who do make the trip, and the families who send them, are on some fundamental level accurately grasping our asylum law. The U.S. asylum process is complicated, but children can earn a number of special visas if they are believed to be victims of human trafficking or other crimes. According to a recent UNHCR estimate, more than one-half of the children arriving from Central America's Northern Triangle fled their home countries because they "suffered or faced harms that indicated a potential or actual need for international protection."
Put another way, these children don't meet the technical definition of refugees under U.S. law because they are already on American soil when they're applying for asylum, but that doesn't mean they don't have a legal claim to refuge. "The White House's proposal represents a lack of recognition that these kids are fleeing serious harm," says Megan McKenna, the director of advocacy and communications for Kids In Need of Defense, a nonprofit that arranges pro bono representation. "It's unfairly limiting to look at this just as an immigration issue, and that's what the president is doing."
Regardless of whether Obama's plan works as intended, advocates fear kids in legitimate danger would be deprived of the protection they have a right to under U.S. law. "We're not saying all of the children should stay," says McKenna, "just that our laws say they should have meaningful representation and access to the system. [Obama's proposal] would end that."
The proposal faces an uncertain fate in Congress, where some Democrats will be wary of taking a vote designed to speed the deportation of children, and where Republicans currently threatening to sue Obama for executive overreach will likely have little interest in giving the president the additional power he's asking for. But even if lawmakers ultimately approve his proposal, there's plenty to suggest that the outcome might not be any better than the current unsustainable status quo.


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Matt Burkes legacy is that drivers can and should be treated as criminals for killing cyclists. Throughout the country, cycling deaths are regularly dismissed by law enforcement as mere traffic accidents. But often they are not accidental, the needless fatalities are tragic consequences of reckless driving and lawless drivers, Wilborn writes on his BikeLaw.com blog. The drivers felony conviction here proves to police, policymakers and drivers to take cycling safety seriously. This case from South Carolina is an example of how to do it right.
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Reviews by conkerj
RTS and Total War fans will love thisconkerj | June 22, 2013 | Review of Total War Shogun 2 - PC
This is most certainly the best Total War game so far, the graphics are amazing for the shear scale you see. The battles and animations feel so good to watch, nothing beats seeing a line of samurai with spears charge full speed down a hill and smash into a line of enemies. If you love war and strategy, do not hesitate to buy this. My only complaint? I personally hate load screens and for me I feel there are quite a few and some are rather lengthy. Other than this, amazing game.


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Tampa Asset Protection Lawyer
Select a video below to learn about Florida Asset Protection Law from the Tampa attorney(s) at the law firm of Joe Gonzalez, PA
Asset Protection Law Basics: Whether you want to protect your personal and professional assets from creditors, litigation, divorce or estate taxation, laws vary from state to state. The Tampa lawyer(s) at Joe Gonzalez, PA answer your important questions, on video, about bankruptcy law in Florida. For answers to your legal questions about Asset Protection Law, click on a question below, or to contact Joe Gonzalez, PA about Asset Protection Law issues, use the form below or call (813) 445-4378.
All Video Answers
Are there techniques available to reduce or avoid estate taxes?
Are there things I can do to protect my existing business?
Are there ways to protect my assets other than using a trust?
Can a retirement plan protect my assets?
Can asset protection work if I am currently in litigation?
Can I transfer my assets to my children just before I go into a nursing home and still qualify for Medicaid?
Do I have to employ asset protection for all types of assets?
Does a small business (subchapter S) corporation give me the same protection as a limited liability company (LLC)?
How can I avoid being impoverished by the high cost of nursing home care?
How can I protect my house in Florida?
How can I remove assets from my estate without being subject to estate or gift taxes?
How do I find an attorney to help me with asset protection?
How does an asset protection trust work?
How much income can I make and still qualify for Medicaid?
How vulnerable is a home to lawsuits?
I am considering a trust to protect my assets from taxes. Can a trust lower my federal estate tax liability?
I carry malpractice and/or liability insurance. Is that enough to protect my assets?
I heard I can give away $10,000 and not have any problems. Is that true?
I heard Medicaid can take our house for reimbursement. Is that true?
If I am in a nursing home, is it too late to give away my assets and qualify for Medicaid?
If my spouse enters a nursing home, must I give away my assets to keep them from being taken to cover the costs of care?
Is asset protection only for the wealthy?
Is it possible that I may need more than one limited liability company (LLC)?
Is it true that, for tax purposes, it is better to be a subchapter S corporation than a limited liability company (LLC)?
Should I have an asset protection plan if I have exposure to lawsuits?
Should I hire an attorney to help me put together an asset protection plan?
Should I just give all of my assets to a relative to hold for me?
What are foreign trusts and off-shore entities that I hear about being used for asset protection purposes?
What are some risks involved in engaging in an asset protection plan?
What are some risks involved in using an asset protection trust?
What are the income, estate, and gift tax consequences of a life insurance trust?
What are the income, estate, and gift tax consequences of an asset protection trust designed for judgment creditor protection?
What are the income, estate, and gift tax consequences of an asset protection trust made for Medicaid planning purposes?
What is a life insurance trust?
What is an asset protection trust?
What is joint tenants with right of survivorship?
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What protection is available through a family limited partnership?
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What should I do if I have concerns about my business partners' exposure to creditors?
What techniques can I use to protect my business property?
When should I start asset protection planning?
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Why do I need help obtaining Medicaid coverage? Can I just submit the application?
Why should I apply for Medicaid coverage?
Will a limited partnership (LP) or limited liability company (LLC) protect my assets?
Will a professional corporation (PC) protect my assets in Florida?
Will Medicare pay for my nursing home costs?
Would a revocable living trust provide protection for my assets?
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Law Firm InfoJoe Gonzalez, PA
304 South Willow Avenue
Tampa, Florida 33606
(813) 445-4378
About Our Firm
For the past 28 years, Joe Gonzalez has been practicing law in Hillsborough County, Florida. Ranging from estate planning to real estate, family law to contract disputes, Mr. Gonzalez has a record of successfully representing people in court. With Mr. Gonzalez's legal counsel, you can rest assured that your valuable assets are guarded to the fullest possible extent from creditors, competitors, and legal adversaries.
Our Office Location
The Florida lawyer(s) at Joe Gonzalez, PA offer their Asset Protection Lawservices to residents of Pinellas, Hillsborough, and Pasco counties; and the cities of Tampa, St. Petersburg, Clearwater, Brandon, Plant City, Tarpon Springs, Palm Harbor, Palmetto, Bradenton, Pinellas Park, Largo, Port Richey, Lake Magdalene, Ruskin, Palmetto, Brooksville, St. Pete Beach, Oldsmar, Dunedin, East Lake, Largo, Gulfport, Indian Shores, Riverview, Apollo Beach, Sarasota, Longboat Key, and Siesta Key.


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Reviews by 893kira
Evil Mastermind Simulation!!!!893kira | May 31, 2013 | Review of Evil Genius - PC
Evil! Evil Simulation! Basically in this game you create your super secret private theme park aka evil lair with booby traps that could put viet kong to shame and build some facade paris hilton hotel or las vegas casino that could make those pesky tourist, CIA, KGB, commando and etc to idiots. Having build an impregnable base you start making heist like stealing some gold reserve, kidnapping some famous people to teach your brainless minion to 1st class playboy or commando and some valuable artifact to finance your doomsday machine for word domination. Graphics: It's mediocre to this year because this game publish on 2004! Gameplay: 3 Avatar evil genius to choose Tropico gameplay minion system like workers, waiter, soldier and etc Different Henchman to chose 3 doooomsday machine that could leading to 3 different ending Pros: Entertaining Music (ahem evil music) Entertaining creative traps like bear traps, Nicholas cage bees, piranha w/ laser (just joking there are no laser piranha in the game) and many more black humor gameplay like killing disloyal minion in front of your minion to boost working activity and torturing some poor tourist or agents in a book shelves and even better collecting some corpse to make brainless hulk zombie to create a deadly patrols or make them a hamster to operate your creative traps. entertaining missions and villains aka heroes (super agents that could destroy your base) Cons: 2 Campaign stories, 2 islands, limited customization and annoying ai leading to micromanagement.