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Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
The Supreme Court's decision to uphold the Affordable Care Act, and
the victory by President Obama in the November election, made it all but
certain that targeted reimbursement reductions are on the horizon. The
law created the Independent Payment Advisory Board (IPAB) with a mandate
to drive down healthcare costs. Given that the board's principal tool
the power to modify payment rates and requirements as the board's
principal tool, providers can expect both lower payments and decreasing
volumes of high-margin services. At the same time, CMS and commercial
payers are actively exploring new care delivery and payment models
including ACOs, bundled pricing, and pay for performance. To top it all
off, consumer and payer interest in the cost and quality of care is
growing as new transparency requirements mandate the reporting of
outcomes and premiums rise.
All of these demands point to the need for a fundamental
transformation in how we deliver care, refocusing efforts toward "better
care at lower cost." Providers can anticipate particular scrutiny on
the payments for traditionally high-margin, high-volume services and
need to prepare accordingly. Healthcare delivery organizations must make
the care they deliver more efficient, or risk their financial solvency.
Provider organizations will need to capture and analyze integrated cost
and quality data, structured to provide insight into improvement
opportunities. Success requires a level of clinical and financial data
integration that is new for the industry.
The Changing Role of the Finance Professional in Cost ReductionOver
the years, healthcare organizations have employed numerous
cost-reduction and quality-improvement strategies. Hospitals have merged
to form ever-larger systems, and suppliers have consolidated. Extensive
lean operations programs have been established. Simultaneously, quality
assurance (QA) departments have trained small armies of nurses to sift
through patient records and produce reams of reports for the complex
bureaucracy of "quality improvement" committees. In spite of these
efforts, costs continue rising and have been largely pushed onto the
insurer, while significant gaps in quality remain. However, new payment
and delivery models are poised to begin shifting this risk back to the
providers. Physician decision-making, one of the largest drivers in the
ultimate quality and cost of patient care, will be the focus of
cost-reduction and quality-improvement efforts going forward.
Finance professionals have a critical role to play as hospitals
grapple with these challenges,. The first step for monitoring and
controlling healthcare delivery costs is developing an accurate
understanding of the cost of care delivery. Capturing and analyzing
integrated cost and quality data will be critical to deliver more
efficient, high-quality healthcare. This represents a change in how
financial data has been used from the past, and will require the
development of new capabilities, processes, and roles.
Cost AccountingAs the clear trend toward the
standardization of care accelerates, reducing variation in the cost and
outcomes associated with particular procedures or protocols will be
critical. Medical leadership will be pressed to improve consistency, and
will need to rely on finance professionals for accurate activity-based
cost data that allows them to identify outliers. These leaders will need
a more refined understanding of cost than has historically been
required, and simply looking at numbers rolled up at the department or
even DRG level will be insufficient. Finance leaders will need to be
able to identify outliers at the physician and procedure level, so they
can accurately identify the reasons that treatment decisions vary
and—where appropriate—eliminate unnecessary variation.
Deploying and maintaining a detailed activity-based cost accounting
system is a substantial undertaking, but the wealth of data it can
provide is well worth the investment. Many healthcare systems are
currently investing in costly EHR systems that will do little to
facilitate a better understanding of the real drivers of high healthcare
costs, but by linking activities with their costs, finance leaders will
have the data they need to work with clinical leadership to drive
meaningful change.
Supporting Changes Within a Clinical OrganizationOf
course, having data is only the first step; affecting change within a
clinical organization will require certain interpersonal and influence
skills—from both clinical and financial leadership—that will allow them
to serve as convincing agents for change. As physician leaders try to
drive change, one of the biggest challenges they face will be their own
peers. Historically, physicians have had enormous autonomy and have
operated from an entrepreneurial base, making them nearly impervious to
change. Because they will have to challenge their peers regarding both
the clinical and financial impact of the decisions they make, physician
leaders will need support. They will need finance professionals to
provide them with meaningful, trustworthy, and easy to understand
financial data and analyses.
Monitoring financial results as physician leaders work to standardize
their approach to care will be critical, and it will be up to finance
to provide practicing physicians with insights into the financial and
business implications of their clinical decision-making. Given the
historical silos dividing clinical and financial leadership, this may
prove challenging, but will ultimately lead to greater success for your
cost and quality initiatives.
Providing "better outcomes at lower cost" is well within our reach,
but this outcome could remain elusive if finance professionals do not
embrace their critical role, by linking activities with costs to manage
unnecessary variability. Managing this variability will also require
finance professionals to develop new capabilities and processes for
engaging clinical leadership and supporting changes in clinical
practice. The return—truly improved healthcare cost and quality—will be
well worth the effort.
Levi is a business analyst, Numerof & Associates Inc., St. Louis.
Publication Date: Thursday, December 20, 2012
In this Business Profile, Bruce Haupt, president and CEO of ClearBalance, discusses how a patient loan program can increase patient collections, reduce bad debt, and speed cash flow.
In this Business Profile, Jerry Bruno, principal with Deloitte Consulting LLP, discusses the importance of choosing revenue cycle solutions that help an organization meet the challenges of a quickly evolving healthcare environment.
In this business profile, Lane Jackson, a partner in the Grant Thornton LLP Health Care Advisory Services practice, with extensive experience in overseeing system implementations and revenue cycle reorganizations, discusses best practices for elevating revenue cycle performance during an EMR implementation. Grant Thornton LLP is a sponsor of the Large System Controllers Council Affinity Group.
In this business profile, Amy Gross, senior vice president of Key Government Finance, discusses the benefits of private placement transactions to support large-scale financing projects.
In this business profile, Doug Polasky, executive vice president at Xtend Healthcare, explains the importance of having sound workflow processes in a consolidated business office to ensure optimal performance and reduce costs.
In this business profile, sponsored by SSI, Jay Colfer, vice president of sales and marketing, shares how patient access solutions are reversing the trend toward increased bad debt resulting from the rise in high-deductible consumer health plans.
In this business profile of Deloitte Consulting, Matthew Hitch and David Betts explore the potential benefits of elevating the customer experience and outline strategies to change service delivery.
TriMedx helps health systems control costs and uncover savings opportunities by optimizing the clinical engineering function.
Patient financial engagement is more challenging than ever – and more critical. With patient responsibility as a percentage of revenue on the rise, providers have seen their billing-related costs and accounts receivable levels increase. If increasing collection yield and reducing costs are a priority for your organization, the metrics outlined in this presentation will provide the framework you need to understand what's working and what's not, in order to guide your overall patient financial engagement initiatives and optimize results.
No two patients are the same. Each has a very personal healthcare experience, and each has distinct financial needs and preferences that have an impact on how, when and if they chose to pay their healthcare bill. It's no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients. The need to tailor financial conversations and payment options to individual needs and preferences is critical. This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach, but take control of rising collection costs.
This white paper, written by Apex Vice President of Solutions and Services, Carrie Romandine, discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle. Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs, but it will maximize the amount collected before sending to collections. Further, targeted messaging should be applied across all points of patient interaction (i.e. point of service, customer service, patient statements) and analyzed regularly for maximized results.
This white paper, written by Apex President Patrick Maurer, discusses methods to increase patient adoption of online payments. Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections. This white paper shows why patient-centric approaches to online payment portals are important complements to traditional provider-centric approaches.
Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs. This article, written by Apex Founder and CEO Brian Kueppers, explores a number of strategies to create synergy between patient billing, online payment portals and electronic health record (EHR) software to realize a high ROI in speed to payment, patient satisfaction and portal adoption for meaningful use.
Faced with a rising tide of bad debt, a large Southeastern healthcare system was seeing a sharp decline in net patient revenues. The need to improve collections was dire. By integrating critical tools and processes, the health system was able to increase online payments and improve its financial position. Taking a holistic approach increased overall collection yield by 10% while costs came down because the number of statements sent to patients fell by 10%, which equated to a $1.3M annualized improvement in patient cash over a six-month period. This case study explains how.
With the ICD10 deadline quickly approaching and daily responsibilities not slowing down, final preparations for October 1 require strategic prioritization and laser focus.
Read how Gwinnett Medical Center provides clear connections to financial information, offers multiple payment options for patients, and gives onsite staff the ability to collect payments at multiple points throughout the care process.
Read how Orlando Health was able to perform deeper dives into claims data to help the health system see claim rejections more quickly–even on the front end–and reduce A/R days.
To maintain fiscal fitness and boost patient satisfaction and loyalty, healthcare providers need visibility into when and how much they will be paid–by whom–and the ability to better navigate obstacles to payment. They need payment clarity. This whitepaper illuminates this concept that is winning fans at forward-thinking hospitals.
Financial services staff are always looking for ways to improve the verification, billing and collections processes, and Munson Healthcare is no different. Read about how they streamlined the billing process to produce cleaner bills on the front end and helped financial services staff collect more than $1 million in additional upfront annual revenue in one year.
Effective revenue cycle management can be a challenge for any hospital, but for smaller providers it is even tougher. Read how Wallace Thomson identified unreimbursed procedures, streamlined claims management, and improved its ability to determine charity eligibility.
Before launching an energy-efficiency initiative, it's important to build a solid business case and understand the funding options and potential incentives that are available. Healthcare leaders should consider taking the steps outlined in the whitepaper to ease the process of gaining approval, piloting, implementing, and supporting sustainability projects. You will find that investing in sustainability and energy efficiency helps hospitals add cash to their bottom line. Discover how hospitals and health systems have various options for funding energy-efficient and renewable-energy initiatives, depending on their current financial structure and strategy.
Health care is a dynamic mergers and acquisitions market with numerous hospitals and health systems contemplating or pursuing formal arrangements with other entities. These relationships often pose a strategic benefit, such as enhancing competencies across the continuum, facilitating economies of scale, or giving the participants a competitive advantage in a crowded market. Underpinning any profitable acquisition is a robust capital planning strategy that ensures an organization reserves sufficient funds and efficiently onboards partners that advance the enterprise mission and values.
The success of healthcare mergers, acquisitions, and other affiliations is predicated in part on available capital, and the need for and sources of funding are considerations present throughout the partnering process, from choosing a partner to evaluating an arrangement's capital needs to selecting an integration model to finding the right money source to finance the deal. This whitepaper offers several strategies that health system leaders have used to assess and manage capital needs for their growing networks.
Announcements from several commercial payers and the Centers for Medicare and Medicaid Services (CMS) early in 2015 around increased efforts to form value-based contracts with providers seemed to point to an impending rise in risk-based contracting. Rather than wait for disruption from the outside in, health care providers are now making inroads on collaborating with payers on various risk-based contracting models to increase the value of health care from within.
Yuma Regional Medical Center (YRMC) is a not-for-profit hospital serving a population of roughly 200,000 in Yuma and the surrounding communities.
Before becoming a ZirMed client, Yuma was attempting to manually monitor hundreds of thousands of charges which led to significant charge capture leakage. Learn how Yuma & ZirMed worked together to address underlying collections issues at the front end, thus increasing Yuma's overall bottom line.
Kindred Hospital Rehabilitation Services works with partners to audit the market and the facility's role in that market to identify opportunities for improvement. This approach leads to successes; Kindred's clinical rehab and management expertise complements our partners' strengths. Every facility and challenge is unique, and requires a full objective analysis.
As the critical link between patient care and reimbursement, health information enables more complete and accurate revenue capture. This 5-Minute White Paper Briefing shares how to achieve cost-effective revenue integrity by your optimizing HIM systems.
Speedier cash flow starts with better CDI and coding. This 5-Minute White Paper Briefing explains how providers can improve vital measures of technical and business performance to accelerate cash flow.
Qualified coders are getting harder to come by, and even the most seasoned professional can struggle with the complexity of ICD-10. This 5-Minute White Paper Briefing explains how partnerships can help improve coding and other key RCM operations potentially at a cost savings.
The point of managing your revenue cycle isn't just to improve revenue and cash flow. It's to do those things effectively by consistently following best practices— while spending as little time, money, and energy on them as possible.
How Lucile Packard Children's Hospital Stanford increased payments received within 45 days by 20% and reduced paper submission claims by 70% by using ZirMed solutions.
The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real‐world denial rates often range from 12 to 22 percent. Read about how predictive modeling can detect meaningful correlations across claims denials data.
Emergency Mobile Health Care (EMHC) was founded to be and remains an exclusively locally owned and operated emergency medical service organization; today EMHC serves a population of more than a million people in and around Memphis, answering 75,000 calls each year.
Since the Physician Quality Reporting Initiative (PQRI) introduction, CMS has paid more than $100 million in bonus payments to participants. However, these bonuses ended in 2015; providers who successfully meet the reporting requirements in 2016 will avoid the 2% negative payment adjustment in 2018, so now is the time to act! Included in this whitepaper are implications of increasing patient responsibility, collections best practices, and collections and internal control solutions.
Getting paid what your physician deserves—that's the goal of every biller. Yet even for the best billers, achieving that success can be elusive when denials stand in the way of success, presenting challenges at every turn. Denials aren't going away, but you can learn techniques to manage and even prevent them.Join practice management expert Elizabeth W. Woodcock, MBA, FACMPE, CPC, to: Discover methods to translate denial data into business intelligence to improve your bottom line, determine staff productivity benchmarks for billers, and recognize common mistakes in denial management.
Physician practices must improve organizational efficiency to compete in this era of reduced reimbursement and escalating administrative costs.
Many healthcare organizations are pursuing next-generation health information systems solutions. Learn more about Navigant's work with University of Michigan Health System.
The proper implementation of healthcare information technology systems is crucial to an organization's financial health.
Converse and network with your peers around vital topics.
Drive down costs while improving quality in a reform environment.
Receive expert insights and how-to action to achieve and maintain peak revenue cycle performance.
Access expert insights on financial forecasting/planning, strategic partnerships, capital allocation, and more.
Copyright 2016, Healthcare Financial Management Association.
Join HFMA today and enjoy:


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Activists demand Rep. Dan Lipinski support immigration reform
Nestled in a small strip mall here in the shadow of Midway Airport sits Democrat Rep. Dan Lipinski's office. It was to that office immigration activists delivered a birthday cake recently.
Immigration reform and "criminal alien" injustice
The Republican leadership in the House has been threatening to use parliamentary tricks to stop a reform bill even if it has majority support.
Mobilizing in August is key for immigrant rights
The first priority is to pressure Republicans to support legalization of the 11 million undocumented immigrants.
Mass arrests at immigration protest spur coalition to remake America
In a jail cell in the nation's capital, top leaders of 40 powerful labor/progressive groups found they had plenty of time to hash out plans for essentially remaking America.
Latino voters' relevance in mid-term elections examined
"Where do these Latinos stand on immigration reform? How do they feel on the debate over it so far? We decided to explore their views."

subset: commoncrawl


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Recent Preprints in PDF Format
Stochastic Komatu-Loewner evolutions and SLEs.
Preprint 2016. (with M. Fukushima and H. Suzuki)
Brownian motion on spaces with varying dimension.
Preprint 2016. (with S. Lou)
Stability of heat kernel estimates for symmetric jump processes on metric measure spaces.
Preprint 2016. (With T. Kumagai and J. Wang)
Obliquely reflected Brownian motion.
Preprint 2015. (with K. Burdzy, D. Marshall and K. Ramanan)
Law of large numbers for branching symmetric Hunt processes with measure-valued branching rates.
To appear in
J. Theor. Probab.
(with Y.-X. Ren and T. Yang)
Stochastic flows for Lévy processes with Hölder drifts
Preprint 2015. (with R. Song and X. Zhang)
Boundary Harnack principle and gradient estimates for fractional Laplacian perturbed by non-local operators
To appear in
Potential Analysis
. (with Y.-X. Ren and T. Yang)
Fluctuation limit for interacting diffusions with partial annihilations through membranes
Preprint 2014. (with W.-T. Fan)
Stochastic Komatu-Loewner evolutions and BMD domain constant
Preprint 2016. (with M. Fukushima)
Systems of interacting diffusions with partial annihilation through membranes
To appear in
Ann. Probab.
(with W.-T. Fan)
Hydrodynamic limits and propagation of chaos for interacting random walks in domains
To appear in
Ann. Appl. probab.
(with W.-T. Fan)
Heat kernels and analyticity of non-symmetric jump diffusion semigroups.
To appear in
Probab. Theory Relat. Fields
. (with X. Zhang)
Perturbation by non-local operators.
Preprint 2013. (with J. Wang)
Lecture Notes
Topics on Recent Developments in the Theory of Markov Processes
List of Zhen-Qing Chen's Publications and Preprints
Back to Zhen-Qing Chen's Home Page


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Here's a little about our company, to get you started...
Matthew's Digital Prints was founded in 2009 by travel photographer Matthew Irby. Since then, we have grown our company and now offer a wide range of products in our store. Our company specializes in wildlife, black & white, and landscape photography. In our store our offerings include framed prints, magnets, greeting cards, and more. Please visit the store!
Featured Products
** Limited Time Offer **


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Follow HitFix Follow @hitfix
Lady Gaga, Jason Aldean performing at Grammy nominations special
LL Cool J once again hosting live CBS show on Nov. 30
NEW YORK (AP) — Lady Gaga and Jason Aldean — possible contenders for next year's Grammy Awards — are set to perform during the annual nominations special next month.
LL Cool J will again host the show, to air live on CBS on Nov. 30. A handful of the 78 categories will be announced at the event, to be held at the Nokia Theatre in Los Angeles. The Recording Academy earlier this year reduced the number of categories, which had totaled 109.
The Grammys will be held Feb. 12 in Los Angeles and will air live on CBS.
Copyright (2011) Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.


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Results 13 to 13 of 13
- Join Date
- Jun 2011
- Location
- The Land of Verdite
- Posts
- 17,142
- Blog Entries
- 1
Re: Injuries to Joe and Torrey (Title Modification)
Torrey Smith is always going to have issues with minor sprains, cramps, etc. This is something that John Harbaugh has talked about in the past. Torrey Smith's body fat percentage is extremely low. I say extremely, since it will surprise some to realize that it's not actually the best thing to have one really, really low."When questioned, the Elders explained that they were in search of magical powers. However, they're actually searching for the whereabouts of a certain ring. This ring is a legendary treasure that long ago was known to exist"


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We are located in the heart of Mid-city on historic Canal Street.
Take a step back in time where grace and southern elegance come together to make your special event memorable. Whether you are planning an elopement, an intimate wedding, reception or just celebrating a special event, you have come to the right place.
You can bring your event to life with your own unique choice of design, organization, food, beverage and décor or we can do it all for you.
To make an appointment for a tour of our home or to plan a special event please contact Canal Street Inn by phone at (504) 483-3033, or by e-mail at email@example.com.
Just the two of Us
Our courtyard, pergola and patio offer a unique venue for couples, who desire the charm and romance of a New Orleans wedding.
We have created a perfect, unforgettable and worry free wedding. All you will have to do is get your marriage licenses and say " I DO"!
- Ceremony Official
- Wedding Coordinator for your Event
- Two nights in the Canal Street Bridal Suite
- Space Rental
- Small Bouquet for the Bride and boutonniere for the groom
- Petite Wedding Cake
- Two Bottles of Sparking Wine
- Ice Tea
- Two Trays of hors d'oeuvres (From Selection)
- Small Seasonal Flower Decorations
- White Linens, China and Glass Ware
The cost of the event is for you the bridal couple and three guests is $1900.00. Please add $25.00 any extra person up to 20 people.


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I have a real problem with my site being cached, simply because I posted something that was a big mistake. I realized my mistake and pulled the post. However, it's still cached on Yahoo. Their suggestion to keep your site from being cached is to use tags such as these:
Is it possible for me to use these somewhere in WP to keep my blog from being cached? It's really important that I get that cached portion of my site off of there.


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Home :: Cognac Champagne Diamond Jewelry :: Cognac Diamond Earrings :: Ladies Diamond Fashion Earrings
10K White Gold
0.50 cts.
Product Selection
Excellent Value And Price
My husband and I shopped around for a new wedding ring set for quite some time. We saw sets that we liked but were out of our price range. I came across...
Perfect Service!!
It doesn't matter how beautiful the jewelry is, if the customer service is bad, you can guarantee they won't make a sale to me. This is NOT the case with...
My Wededing
Me and my fiance have been talking about marriage for a while now and decided a week ago that we were just going to do it and so we went and got our...
Copyright © 2016 Joshua's Jewelry. Powered by WSC Cart


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Welcome to Freedom!
At Freedom we want you to come as you are. We cannot guarantee that you will stay the same. What we do know is that you will experience great worship, relevant conversations, and a place you can feel comfortable attending.
We offer something for all ages and casual is expected.
We are moving to Saturday nights at 6 p.m. starting on March 5th.
Come check us out at:
1625 South Cline St.
Griffith, IN
(Just a couple blocks north of rt. 30 on the right. Look for the Yellow Sign!)


text: Gallery: Your Favorite Athletes With Their Moms By Gavin Evans Gavin Evans is a contributor for Complex Media. Share Tweet 0 Russell Westbrook and Shannon Horton For the first time in series history we get to see Urkel's mom. Source Watch Now Tags: Galleries, Lists, Derek Jeter, Derrick Rose, Kobe Bryant, Lebron James, MLB, NBA, NFL, NHL, Shaquille Oneal, UFC Like Follow Chat SIGN UP FOR OUR NEWSLETTER Enter Show Comments


text: Offline By Marcus Wilson • 04/05/2010 This post was syndicated from Physics Stop - View original source I'll be offline for a while – I will be back – promise Leave a Reply Click here to cancel reply. Name (required) Email (will not be published) (required) Website Comment Notify me of followup comments via e-mail. You can also subscribe without commenting.


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A form of entertainment similar to cow tipping. It involves walking along a small creek with an unwitting companion, who is then shoved headlong into the drink. There seems to be an entire think tank devoted to the subtle art named The Brookings Institution. Visitors from Urban neighborhoods are often subjected to this chilling dip.
Janice could not wait to make out with James, but before they could get to the boathouse, he had brooked her. It was her first brooking. They say you never forget your first one.
Beküldő: Pantaloon 2008. január 7.
Trending Now
Can you define these popular missing words?
A nothing town on the Southern Oregon coast. A place where the retired rule, the young are bored and you either move away when you are 18, or you live there forever in lameness.
Man, you're still in Brookings? Well, was nice knowin' ya.
Beküldő: QuestionMarc 2008. október 15.
Self stimulation of the gentitals.
Brooking is self stimulation.
Beküldő: Braedan 2006. április 19.
Hell. A small coastal town full of old people, conservatives, rich assholes, bored teens, and meth. They all converge at the one and only Fred Meyer's.
"Brookings is hell."
Beküldő: fadedrunes 2008. október 13.
Made popular by the anime series "One Piece" Brooking is when a person makes a joke or statement involving a specific subject matter that is generally opposed to the regular subject matter. (Another word related to irony though usually used in a comical way or way to bring Joy and or happiness to others.
1.You are the most beautiful thing my eyes have ever seen...(though he's a skeleton and Skeletons do not have eyes)
2. It's been so long since I've eaten anything. (ALTHOUGH I HAVE NO STOMACH! I'M A SKELETON!!! YOHOHOHO!!)
3. I will protect my friends! Even if it costs me my life...Oh, wait. I'm already--*blown away by Kuma*
First guy :That chick is Hot!
Second guy:dude your gay stop brooking around and get back to work.
2. It's been so long since I've eaten anything. (ALTHOUGH I HAVE NO STOMACH! I'M A SKELETON!!! YOHOHOHO!!)
3. I will protect my friends! Even if it costs me my life...Oh, wait. I'm already--*blown away by Kuma*
First guy :That chick is Hot!
Second guy:dude your gay stop brooking around and get back to work.
Beküldő: Kingicehunter 2015. október 20.
A modern day adaptation of a primitive social ritual in which a female will become intoxicated and adorn herself provocatively with clay beads, facepaint and animal furs and proceed to mate with myriad males, dwarf males and in some cultures Cercopithecidae in an attempt to gain the attention and approval of the rest of the tribe or "Frat" as it is sometimes called in modern day practice. A female who is Brooking is also prone to engaging in other attention seeking behaviors and is likely to suffer from "Irritating Stuck-Up Bitch Syndrome" as defined by Karl Von Cuntenheimer in his 1864 volume "Thou Reeky Rampallian Harpy!: an analysis of the common soror."
Shall we go Brooking tonight?
Beküldő: Wilkenshire 2011. június 12.
A South Dakotan town in which there are more cows than people, and more pickup trucks than modern haircuts. Shortened as, "Bkx"
"I can't git those steel toe cowboy boots anywhere but in Brookings!"
Beküldő: Chelsmeh 2009. február 19.


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[caption id="attachment_3074" align="aligncenter" width="500" caption="Griff Jenkins of Fox News and Sloan Gibson, president and CEO of the USO, enjoy conversation with the wounded warriors at the vineyard vines-USO Tied to a Cause reception in Georgetown, Washington, DC, June 22, 2010. (USO photo by Katherine Ruddy)"][/caption]
By Samantha Quigley, Senior Editor, ON PATROL
For a few hours on Tuesday night two wounded warriors and their wives escaped to the Vineyard.
The USO and vineyard vines hosted a reception at the retailer's Georgetown location in Washington, D.C., to celebrate being "Tied to a Cause."
Tied to a Cause, a campaign through vineyard vines recognizes the efforts of community and grassroots organizations. This month, Tied to a Cause is supporting the USO's Operation Enduring Care, an initiative to create a national network of care and support for America's wounded warriors and their families. Proceeds from the sale of the custom USO-vineyard vines ties and totes will be donated to the USO.
The wounded warriors and their wives enjoyed a vineyard vines makeover at the start of the evening and mingled with more than 100 friends of the military, vineyard vines, and the USO, including USO President Sloan Gibson, Fox News's Griff Jenkins, and the late Tim Russert's son, Luke.
Perhaps the highlight of the evening, however, was the warriors and Gibson each signing two ties. One will join the many others hanging as decoration in the Georgetown store. The other will be displayed in the USO Arlington office.
The promotion will last through the Fourth of July weekend, with receptions also happening in Connecticut, New York, and Massachusetts.
To see more photos, please visit our flickr gallery and enjoy the video below!
More from the USO
Aug 24, 2016
USO and the What To Expect Foundation Host Special Delivery Baby Shower in Dover
Being pregnant isn't easy under the best of circumstances. But being pregnant and having a spouse in the military – or serving yourself – can make the expecting experience exponentially more difficult. That's why the USO and the What to Expect Foundation, led by best-selling author Heidi Murkoff, team to bring Special Delivery Baby Showers to military bases around the world.
Aug 24, 2016
A Dish in the Desert: USO Piloting Expeditionary Satellite Internet Kit Program for Service Members Downrange
After months of research, two reinforced plastic cases arrived at Camp Shorab, a once-bustling Marine Corps base in Southwestern Afghanistan. When unpacked the packages' color-coded contents provided a free USO internet connection for troops on the ground.


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Texas lawmaker drafting bill to arm official at every school
The Protection of Texas Children Act is a direct response to the massacre in Connecticut at Sandy Hook
Pet packer: Why do we have and pay "our" representatives for Congress/Senators when they do not protect us Americans that pay their wages .... they are worthless to America, when they Alllow this worthless president and administration to do whatever they want, even to the point of putting us in danger ... they need to be removed from office ... they are not listening to us or caring about what we want/say or care about keeping us safe . They are NOT fighting the no ID law which will totally corrupt the voting process in Nov (the only way corrupt Hilary has a chance), they can't stop Obama and can't hold him responsible for breaking the law, they must be scared of him.... yeh, we really need them !!! "NOT" !!


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- Report: #808522
Report - Rebuttal - Arbitrate
Complaint Review: Iowa Steak Company
Iowa Steak Company1441 29th Street West Des Moines, Iowa United States of America
Iowa Steak Company Rip Off from door to door salesman representing IA Steak Co. products sold low quality inferior meat West Des Moines, Iowa
*General Comment: iowa steaks 3144390257
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When I cooked four of them up for dinner a few nights later, I found them to be terrible! They were small to begin with (less than 4 oz.) but after taking out the sections that were unchewable, grizzled, and fibrous, they were not even a mouth full. All of those I cooked that night were well below standard, very hard to chew, and simply a rip off for the price. I was very disgusted that I was suckered into buying them and questioned whether or not they were even legitimately from Iowa Steak comapny or if the guy had bought them from some other place and just had them put in an Iowa Steak company box.
I see from other reports that this has happened to other people, so I guess it is somewhat of a common practice. I just can not imagine how this company can allow such meat to be offered to the public and have the nerve to say that it is top quality. I will never be a sucker for this pitch again from anyone. Expensive lesson to learn.
This report was posted on Ripoff Report on 12/12/2011 11:30 PM and is a permanent record located here: http://www.ripoffreport.com/r/Iowa-Steak-Company/West-Des-Moines-Iowa-/Iowa-Steak-Company-Rip-Off-from-door-to-door-salesman-representing-IA-Steak-Co-products-808522. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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#1 General Comment
iowa steaks 3144390257
AUTHOR: lee - (United States of America)
SUBMITTED: Monday, January 23, 2012POSTED: Monday, January 23, 2012
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Although it's still very early in the season, the table is already starting to take shape, and the individual teams are beginning to show their real ambition and potential.
No team is this more true for than Tottenham Hotspur.
They didn't have the smoothest start to their season, after having their opening-day fixture against Everton at home cancelled due to the London riots, and having the two games following that cancellation against two of the strongest teams in the league.
But now that all appears to be behind them, and they are in fine form.
And although they have all but put their early-season woes in the past, their competition for the fourth place spot have not. Their most likely competitors are Liverpool and Arsenal, who have had mediocre starts to their seasons, at best.
Given this, I believe Spurs will beat the Gunners and the Reds and claim the fourth spot, and here's why...


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Vision: Every student prepared for a world yet to be imagined. Mission: The mission of the K-12 Executive Director Team is to provide support to schools in an effort to create a challenging and stimulating academic environment. It is our belief that all children can learn and it is our responsibility to help schools assist students to reach their fullest potential. We are committed to providing excellent, distinctive educational experiences that equip students for success today and in the future.
Goals: -Demonstrate improvement of student achievement. -Demonstrate a high-performing team. -Embrace a culture of constant innovation -Communicate and engage frequently with our customers. -Provide a safe learning and working environment. -Demonstrate operational efficiencies. -Demonstrate fiscal prudence and financial responsibility
Brien S. Hodges, Ed.D.I am honored to be serving Colorado Springs School District 11 as an Executive Director of K-12 Schools. As a professional educator, I have dedicated the past twenty-four years to helping other educators better the learning opportunities for all students. As an instructional leader, my role is to support school principals, their staff's, their students and their communities in helping to ensure that every student is prepared for a world yet imagined.
Sherry KalbachI am honored and proud to serve Colorado Springs District 11 in the role of Executive Director for K12 schools. I am a graduate of District 11, and alumni of Wasson High School, Irving Junior High School, and Wilson Elementary School. I earned my Bachelor's Degree in Social Sciences from the University of Southern Colorado, and my Master's Degree in Curriculum and Instruction from the University of Colorado. My teaching career began at the elementary level, and continued as a middle school language arts teacher. I have served as both an assistant principal and a principal at the middle school level for the past ten years. In my spare time, I enjoy spending time with my family, gardening, reading, and traveling.
John KeaneAs Executive Director, K-12 Schools, it's great to be a part of the D11 team. I came from the business community 21 years ago to enter into the field of education. I earned my Bachelors Degree in History from the University of Denver and my Masters degree in Administration and Supervision from the University of Phoenix. I taught Social Studies, Language Arts, Math, Technology and Business to middle school students until I became an administrator and have served as an Elementary, Middle and High School Assistant Principal, as Middle School Principal, as Athletic /Activities Director at Middle and High School. I have served as Director of Curriculum and Instruction in two districts and was Assistant Superintendent for Curriculum, Instruction and Assessment in the Alamosa School District.


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Phoenix man recovering from heroin addiction, sibling still struggling
Editor's note: Part two of a two-part story on heroin addiction and its affects on one Valley family. Part one ran Monday.
PHOENIX — Six years ago, Alex (not his real name) was attending Thunderbird High School in Phoenix. He said drugs were easy to find at school.
"If you have three friends there, you'll probably find someone that has something. It's harder to get prescription pills now, but it's easier to get heroin now," he said.
Alex was not interested in drugs during high school, but after graduation he began hanging out with a group of about 50 students from Cactus Shadows High School in Cave Creek. One of them offered him OxyContin at a party.
"He had a legal prescription for it from breaking his leg."
He offered Alex some pills.
Alex refused that time, but after being offered on a few other occasions with the same group, he finally succumbed to the temptation.
A few weeks later, Alex took the drug for three straight days, then tried to stop on the fourth day.
He failed.
When he didn't take the drug, he found that "Your body hurts so bad. Every single muscle in your body hurts or cramps. You can't sleep. You can't sit down. You have to walk around, but then you get so sore that you want to sit down, and you can't do anything. You will then do anything to get money to go find something."
Alex said he never stole for drug money. He used his paycheck to buy drugs. He later tried heroin, and found that it can give the same high, but is less expensive. And he said once connections are made, finding a dealer is easy.
"I would come and tell someone that 'I'm feeling sick.' If you're involved in heroin, you would know what I meant, and you would answer 'Oh, really? Well, I've got something.' If you had no clue about heroin, you would ask, 'Do you need some cough medicine or something?' "
Alex eventually had a $60-a-day heroin addiction. It also cost his job and a girlfriend. After four years, he'd had enough.
"I decided it's not worth it," he said. "I don't want to be in this lifestyle anymore. I want to have a better life. I went and got help."
He did that by going to a methadone clinic and joining the LDS church. He's been clean for two years, and has a new job.
Alex had to stop hanging around the drug crowd in Cave Creek. For the most part, he did that but did keep in touch with his closest friend from the group.
One night the friend called to ask Alex if he knew where to get some heroin. Alex told him that he had become clean, and urged him to do the same.
The next day, Alex got a call that the friend had been killed in a head-on collision. He was apparently behind the wheel when he went into a seizure. Alex said the friend may have taken Xanax just before the accident.
Alex credited his parents for helping him get clean. "They've had played a big role in my recovery. Their support has been tremendous."
His dad Mike (not his real name) would also like to give that same support to Alex's stepsister, if he can find her. Alex spoke with her several months ago, and knows that she is still hooked. She won't take her parents' help.
"She doesn't want them coming to where she's at, seeing who she's with, and trying to take her home again," Alex said.
Meanwhile, Mike, keeps looking for his stepdaughter, who had been an honors student. If he finds where she is, he wants to tell her "Please let us help you.
"Please, please, please come home. Stop (using the drugs) before you die. Because you will die," he said.
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The Scoop on Shovel Knight
Although millions of people around the world enjoy playing video games, not many people have the talent or motivation to make a game of their own. For David D'Angelo '08, however, the spark, the drive, and the talent were all there.
D'Angelo was heavily involved in music while at Grinnell, participating in the orchestra and serving as president of the acapella ensemble G-Tones. He was also an avid gamer and had always been interested in the process of making video games. After a short postgraduation stint writing commercial jingles, the dual music and computer science major moved to Los Angeles and began to pursue a career in video game design.
He got a job as a video game programmer at WayForward, a work-for-hire video game company that produces games at the request of companies like Warner Brothers, despite the fact that the economy was crashing for many other industries. "Video games are kind of recession-proof for some reason," he says.
After working on retro-style 2-D games like "Double Dragon Neon" and "Contra 4," an idea began to bud in D'Angelo and a few of his coworkers. In 2013, they broke off from WayForward and began their own video game company, Yacht Club Games.
"We wanted to create a retro game that was the first in a new franchise rather than a continuation of an old series," D'Angelo says. "We were looking at 'Zelda II: The Adventure of Link' and observing the underused down-thrust attack of Link, and we just thought 'How cool would it be to base an entire game around that simple mechanic?'"
After much debate over what kind of weapon would work best for flipping enemies over and attacking their underbellies, the team decided on a shovel. "Then we thought that 'knight' is the funniest word you could put next to 'shovel', so we wound up with a game called 'Shovel Knight,'" D'Angelo says.
D'Angelo and his team started a Kickstarter campaign to fund the game, in which they had 30 days to reach their monetary goal through online donations. To get the word out, they went to conventions to show off the game, released live-streamed video updates on the project daily, and communicated heavily with their fans.
"We streamed ourselves making the game, we streamed ourselves talking to our fans, we responded to every single email and comment we received," D'Angelo says. "We wanted people to see how passionate we were about this game."
The Kickstarter campaign was launched in the middle of March 2013 with a goal of $75,000; they reached that goal in just a few short weeks. By the end of the campaign in mid-April, the team had collected a total of $311,502 for the development of the game. The game was released in June 2014, and has since sold more than a million copies. It can be now purchased for Wii U, 3DS, PS4, PS3, PS Vita, Xbox One, Windows, Amazon Fire TV, Mac, and Linux.
When it came to the designing and marketing of "Shovel Knight," D'Angelo says his Grinnell experience has been a valuable asset to his work. "I didn't learn how to make games at Grinnell, but I did acquire the knowledge and tools needed to face any programming problem, and my music background helped me create and implement sound in our games," he says. "Even the course I took in Japanese literature has come in handy as I draw on Japanese art and customs when engaging with our partners there in preparation for the game's release.
"You get a taste of a little bit of everything at Grinnell, and that has been so important in what I do. I think the best thing you can do is to explore all your options while you're there, because you just never know what skills you'll end up using later on!"


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Columbus, Ohio (AP) -- A little argument over light bulbs that broke out in Ohio provides some early lessons in meeting the tough, new energy efficiency requirements that are sweeping the nation.
Consumers went crazy in October when they learned how Akron-based Firstenergy planned to distribute energy-efficient light bulbs.
The company proposed automatically mailing the bulbs to every customer, then adding to electric bills a surcharge that well exceeded the retail price of the bulbs.
The Ohio Consumers' Counsel and the offices of Governor Ted Strickland and state lawmakers were flooded with protests.
Consumers' Counsel spokesman Anthony Rodriguez says he believes a better Firstenergy light bulb program will emerge from the controversy.
(Copyright 2009 by the Associated Press. All rights reserved.)


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LISTEN: Lisa Oz Talks Healthy Living Secrets!
Posted November 20th, 2013 @ 9:15am
Lisa Oz, one of our favorite health experts, called up Bob and Christine on the Morning Show to share some of the best ways to live a healthy life! Her secrets? Lots of yoga, meditation...and less gluten!


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Hotels in Kukmirn, Austria
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"This was a family vacation with our 2 children. Hotel was a bit tricky to find, we passed quite a few hotels as we came near. Hotel is clean and modern. We found the room very clean and comfortable. Had booked a room with 2 double beds but was given a room with 2 single beds, sofa bed and rollawa..."
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- Brennerei Wohlfuehlhotel Lagler
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The location of your Kukmirn hotel is important. If you are traveling to Kukmirn, &StateorCountry for business, you may want to consider getting a hotel close to the airport or near your meeting venue. By doing so, you can really cut down on transportation costs and time. You may also want to book a hotel that offers free wifi just in case you need to get some work done.
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You'll also want to determine which type of accommodations will suit your needs before booking a hotel in Kukmirn. If you're traveling with the kiddos, a family friendly hotel will offer larger rooms and more sleeping arrangements. For those traveling for an extended period of time, booking a hotel suite with a kitchenette is a smart move and will feel a little more like home. If you are budget conscience and just need a place to rest your head, a hostel or motel may be all you need.
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Good Morning BJ & Everybody!
I don't know where BJ is this morning, but I hope that all is well with her this morning.
I have DH, DS & DD home today so this oughta be a swell one..........NOT!
I have GOT to get a handle on this house and soon as I'm pretty sure that I'll be seeing furry, 4-legged varmits running wild around here soon if I don't. LOL
Just going to hop in the shower and try to give the breakfast nook a quick once-over before MIL arrives.
Enjoy your day everybody - it's been snowing here since I got up this morning. UGH!
Good morning Miss P and BJ and friends
Miss P- thanks for starting this. I was just about to! I am home sick. Temp of 100.2! sheesh! so I am still in bed! Sneezing and blowing like crazy! I hope that all those at your house find some place to go! lol
Lori posted this this morning on the GN thread so I thought I would bring it over
Good Morning,
I will be working at 5 am all week so thought I'd say hello here.
Was busy busy busy this weekend. Ran all around town Saturday finishing up my Christmas shopping. Happy to say I am finished! Then yesterday I spent at least 5 hours wrapping it all and storing it til Christmas. I would love to put in all under the tree but Bubba my cat has other ideas. He licks the bows til they fall off or scratches at the paper, so I have learned not to place the gifts under the tree til Christmas Eve. LOL
It's super cold and blustery today, winds are howling. Another storm is on it's way. Dh covered my patio plants with burlap last night as we are under a frost warning the next few nights.
Hope you are all well and have a great day!
Lori- I do hope today goes by fast and you have a good day at work! I think it is funny about the cat and your gifts! Chris
Chris - You shoulda got a flu shot dearie, it appears that you've got the symptoms of it. UGH! Hopefully you'll be feeling MUCH better as the day moves along, especially since you just started a new job!
And by the way............that siggie of mine (up above), WE, as in ME, do not love snowy days OR frosty nights - I just wanted to be clear on that one. LOL
Miss P- I never get a flu shot and I have never had the flu (ok I need to stop saying that or the fates that be will make it happen) I always get a fever for a day then it goes away! It is a pain but it will go away by tonight! Thanks for your concern! And I realize that you are NOT a snowman so you (and I) would not like those days! LOL
Chris (thinking, how early is too early for a double SOB)
Didn't get to sleep until after 1:00 so just now getting up. I'm going to get my coffee and be rigt back.
It's 5º going all the way up to 12º today. I need coffee. BRB.
Paulette, thanks for starting this.
BJ- Sorry for the lousy night of sleep! Or were you busy? Boy we are warmer here than you and even warmer than Depo I see! LOL go figure!
Good Morning BJ, Paulette & Everybody,
BJ, I hope your getting your much needed sleep, I did not get much last night but so it goes..... I have the sleep doctor appt. wed. so maybe he will help me with that.
Hi Paulette, thanks for getting this rolling this morning, I see you have a full house today, that makes things challenging, I hope you get what you want accomplished, your good at cracking the whip so maybe putting everyone to work might be to your advantage today. It is raining here right now and it is suppose to turn to snow sometime later today.
Chris you poor girl, you just got over being sick, too much excitement getting all those new toys, lol. I hope you kick that crud quick, (((HUGS)))
Ugh.....Lori.... blustery that sounds awful, at least where your at it doesn't last long, the cold temps must have got you in the holiday spirit getting all your shopping done, I have not even started yet, I have started a list but that is about it. I hope your week goes smoothly, those hours can wear you down, maybe a nap when you get home would be nice.
Well I got DH out the door this morning, he is on his way to San Diego for the week, so I hope to get some things done around here. Wed. they are inducing DDIL at 5:30am so that is gonna be a big day, we are all ready for that little guy to get here. I have some sewing to do when I get back from running to the post office and getting a wedding card I need to get in the mail.
Have a good day everyone.
Good morning everyone
Cold 44 here this morning. We had the electric heater running all night and that was not enough as the furnance also kicked in.
Need to vaccum here this morning and mop the kitchen area. More dust from our feet than dirty. Will do while DH is helping maintenance finishes cutting down a tree.
Good Morning BJ, Paulette and Friends,
Paulette - Thanks for starting us off today! Good luck getting your DMIL direct deposits set up for her! Try to have a good day with everyone home!!! I know how that is. And good luck trying to decide what to do with your hair....it's hard in that in between stage.
Chris - So sorry to read that you are sick with a cold and asthma and now a temperature so high. Rest today and I hope you feel better soon. Glad you liked my Xmas siggy yesterday and that you snagged it. So glad you are enjoying all your new appliances......it's so nice when appliances work like they are supposed to, lol. Take care of yourself today!!
Lori - Good morning to you!
BJ - I'm sorry you didn't sleep well and also I'm sorry you have a cold on top of everything else - feel better GF! Enjoy your coffee this morning!
From yesterday:
Diane - Hope the church bake sale yesterday was great - I bet you dropped off something yummy.
Anita - I copied your recipe for the Cranberry Crumb Bars - sure sounds good - thanks so much for posting! You've been on a roll with your baking the last two days! How did it go yesterday with Lucky and Kosta's dog? Too bad about Kosta and his girlfriends relationship - that is so difficult for you and then you don't get to see them very often - 8 months is a long time not to see him. Do your other 2 boys feel like you do? I hope Kosta comes to his senses and realizes that there might be a better girl out there for him.
Karen - I hope you get that phone call today!
Elaine - That's too bad your Xmas tree fell over - we had that happen one year and lost several sentimental ornaments so now Greg, besides the tree stand, attaches string from the tree to the wall & attaches with a nail for extra security.....maybe you want to try something like that too. I have heard of serviette.....being my Mom was born in Germany, that is the word they used.....but we never used that word growing up or anything & I never hear someone using it now. That is so sweet that you want to buy ornaments that remind you of each one of us
Sharon - Sorry to read your back is hurting......good for you on getting rid of so much Xmas stuff.....you are right, you will make someone very happy by donating so much stuff.
Pegg - Good luck at the eye doctor today - I hope you get a good report! How nice for you to look forward to your trip to Denver!
I have appointment to go to so I need to get ready for that. Lot of stuff to do today to make up for having fun over the weekend, LOL! I was so tired last night after the Christmas Vesper Service and dinner at our friends house.......I came home and went straight to bed!! I feel better today and I hope to get a lot done!! Lots of Christmas projects to work on! Need to get California, etc. packages mailed out by this week, Xmas cards and Xmas decorating to work on too. Tomorrow I get my crown on my tooth.
Catch up with you all later! Happy the sun is out here! But rain on the way I think.
Good morning Deb- Wow a week to yourself! LOL Oh I can think of all the things I could do! Yes maybe it is the excitement of the new "toys" LOL. Good luck to DDIL and the baby! Hope all goes well!
Good morning ladies.
Chris, I think stress is having alot to do with my sleep. So much on the brain. I have a mammogram this morning and need to call my brother. Both are like pulling teeth for me.
I need to get dressed and curl my hair. I washed it last night and should have curled it but didn't so now I need to do that as my appointment is for 1130 this morning.
Lori, Vera and Paulette, have a good one.
Good morning Vera- Wow that is cold for you but according to the NBC weather you may get some snow tomorrow! Is that what they are predicting?
Morning Heidi- hope all goes well with the crown tomorrow! And I bet you were tired after your busy weekend!
BJ- I can so relate to that! Stress is such a life changer! I will be glad when you get out and your stress level is much lower! Chris
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About Winnet Europe
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Welcome to WINNET Europe!
WINNET Europe, the European Association of Women Resource Centres, was formed in year 2006 by national, regional and local Women Resource Centres (WRCs). WINNET Europe has in year 2014 member organisations in 11 of the 28 EU member states, in which one is outside the EU.
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The Briton, winner of this year's Paris-Nice race and Tour of Romandie, finished second in the opening prologue before moving into the lead after Monday's stage won by Australian Cadel Evans.
When asked if he was worried he had found top form too early with the Tour de France still four weeks away, the 32-year-old Wiggins said: "I can never win whatever I do.
"If I didn't take the jersey or perform here then I'm the biggest piece of rubbish out there but if I win here I've peaked too soon."
Asked about 2011 Tour winner Evans's blistering attack in the final kilometres on Monday, Wiggins said: "I knew Cadel was always going to be good so there's no surprise there".
Another Tour contender, Luxembourg's Andy Schleck, struggled for form on stage one as he lost more than three minutes on the last climb.
"Andy always turns it on for the Tour so I wouldn't put too much store by that," added Wiggins. "No disrespect to the Dauphine but the big one is in July."
- Sports & Recreation


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Last Saturday Richard Hickey celebrated his 80th birthday with a surprise party given by his children Gary Hickey, Jill Johnson, Robin Channon and Mary Alice Douglass.
The party started with two hours of bowling at Tri-City Lanes for guests who could bowl. Afterward, they gathered at St. Mary's Baptist Church to continue the party. Richard's grandson Rodney provided the music.
The Obed Wild and Scenic River host another "Memories of the Obed" program on Dec. 14.
The program, beginning at 1 p.m., will feature Sonny Human and Judge Mike Davis, long-time residents of the area.
Memories to be shared include logging in the park area, fishing and hunting, and life in general along the Obed River in years gone by.
This free program will be in the Obed Visitor Center at 208 N. Maiden St. in downtown Wartburg.
The program explores the unique river-related memories of area individuals.
More than 50 area dancers will perform during this weekend's "Clogging Around the Trees" in Harriman's Princess Theatre.
The doors will open at 5 p.m.
Admission is $5.
Dancers with the South Eastern Clogging Co. and Bowers Elementary will perform during the holiday event.
Babahatchie Community Band will have its free Christmas concert on Dec. 16 in Harriman's Princess Theatre.
The concert starts at 8 p.m., after the city's Christmas parade.
"I think this is the most music we have prepared for a concert, plus we will have two special guests with us on stage this year," said Babahatchie member Alison Westrich.
Sandy Wells will lend her vocal talents to "Grown-up Christmas List," "The Christmas Song" and "White Christmas."
It has been said that picking up a fork to eat a Middle Eastern dish of eggplants is as much a historical act as picking up a shovel on an archeological dig.
25 Years Ago
The 2013 Roane Open Art Show in the downtown Harriman building known as The Annex at 431 N. Roane St. will feature dozens of area professional, accomplished amateur and student artists displaying paintings, pottery, photography, textiles and various mixed-media works.
Virtually all of the pieces on exhibit will be for sale. The show will be from 10 a.m. to 7 p.m. Dec. 14 and from noon to 6 p.m. Dec. 15.
Members of Harriman American Legion Post 232 were visitors at St. Mary's Baptist Church the fourth Sunday in November.
Those who attended this service were Bronce Cleveland, 1st Vice Cmdr. Edward Buttram, Post Cmdr. Greg Love, Sergeant at Arms Walter Love and Charles Ewing.
They enjoyed the service and will be back again soon.
Other visitors were Derrick Gilbert, his wife Dr. Donna Gilbert and their son Dominique Williams from Oak Ridge.
Mid-East Community Action Agency will distribute USDA commodity foods for Kingston and Harriman residents in Harriman Church of God at 3106 Roane State Hwy., Midtown.
Distribution for Harriman and Kingston residents will be Dec. 12; Oliver Springs and Rockwood residents will pick up their foods on Dec. 13.
Distribution times for both days will be from 9 a.m. to 1 p.m.
Call 354-0450 for more information.
Oak Ridge's Grace Lutheran Church an open house this weekend to provide information about getting insurance via the Affordable Care Act.
The open house will be from 2 to 6 p.m. Dec. 7 in the church at 131 W. Gettysburg Ave.
Although the deadline for individuals to sign up has been extended to Dec. 23, time is getting short for those who wish to have insurance that takes effect as of Jan. 1.
Copyright © 2016
The Roane County News is your source for local news, sports, events, and information in Roane County and Kingston, Tennessee, and the surrounding area.


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Ebony Arrow (Skyrim)
46,320pages on
this wiki
this wiki
- For other uses, see Ebony Arrow.
- Main article: Ebony Weapons (Skyrim)
The Ebony Arrow is a type of arrow that appears in The Elder Scrolls V: Skyrim.
As of Dawnguard, the arrows can be crafted at a forge in bunches of twenty-four with ebony ingots and firewood.
- They can occasionally be found in chests and containers.
- Have a small chance to spawn on Dwarven Centurions at levels 16+. Higher character levels will increase the chance for the arrows to spawn.
- Narzulbur, the Orc Stronghold. Inside the shed that also contains the iron and ebony ore and iron ingots. Taking these arrows is a crime.
- Enter the Labyrinthian and clear out Lost Valkygg. The Draugr Lord at the end next to the exit always carries an Ebony Bow and a large quantity of arrows, regardless of level.
- Starting around level 40, ebony arrows (along with all other ebony goods) become available in good quantity from Blacksmiths such as Eorlund Gray-Mane or at Warmaiden's. However, these arrows have a chance to be found as early as level 21.


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And why did Chelsea feel the need to play in white the other day away at Norwich? Are their players no longer able to distinguish between yellow and blue? Also how long will it be before referees stop allowing their reputations to be continuously assaulted and actually apply some technology to help them in their task?
But the biggest question surely centres around the man who currently looks more miserable than the weather. This time last year, when he was sitting cheerfully near the top of the Premier League, apparently anointed as the next England manager, seemingly able to dictate his own terms to take on the job he had always wanted, could Harry Redknapp have envisaged that merely 12 months later he would be in the footballing equivalent of purgatory, just waiting for the summons to head downstairs?
No wonder he resembles a bulldog channelling the spirit of Jack Dee. Just at the point he thought his career was going to enter its final flourish, he has seen it go into free-fall. And judging by the way his team played against Liverpool, things are not about to get any better. Harry looks as if he is going to go out a loser.
Of one thing we can be certain: the mess at Queens Park Rangers is not of Redknapp's making. Recently, during his lecture to business students at Harvard, Sir Alex Ferguson referred to his several former players who had gone into management.
"I taught them everything they know," he said. Before adding with a wry smile: "but I didn't teach them everything I know."
After suffering from Mark Hughes's bizarre, cack-handed stewardship for two seasons, Rangers fans are all too aware of that. Though you might imagine it didn't require lessons from Ferguson to understand that buying in a bunch of second-rate players and paying them superstar salaries was unlikely to be the best way to progress his club.
But even if he is not responsible for the dire position in which he finds himself, you have to wonder whether even a man of Redknapp's proven record of escapology has the resources to sort out a mess this intractable.
Saddled with the not good enough and the not interested, he now has a month-long opportunity to do the impossible: bring in sufficient number of better players to make a difference. It is not an easy sales proposition.
Quite why anyone would want to join a club in QPR's position at this point of the season is hard to fathom. Unless it is for vast financial return. And such a recruitment policy is hardly going to help a dressing room already split asunder by the consequence of salary discrepancy. It seems that half the squad are accusing the other half of being cynical mercenaries, there for the cash and unwilling to put in the necessary graft. They don't need any more divisions.
Redknapp was talking fondly yesterday of the merits of Frank Lampard and how he would love to bring the man likely to be tearing Rangers' miserable under-achievers apart this evening to the club. Well, yes, Lampard would be a brilliant signing for the hoops. Not just a fine Premier League player, but the kind of hard-working self-improver who would set precisely the kind of dressing room tone so evidently missing at Loftus Road.
Can you imagine Shaun Wright-Phillips or Jose Bosingwa being quite as cavalier in the Rangers cause with Lampard around? This is a man who always puts in a shift and makes it pretty clear he expects his team-mates to do likewise.
But, whatever family pull Redknapp might be trying to exert, the chances of Lampard joining his uncle are about as high as those of Carlos Tevez issuing a dinner invite to Gary Neville. It isn't going to happen.
Instead, in as precise a definition of the old Hollywood casting adage of "you want, you'd settle for, you get" as you could conjure up, the best Redknapp is likely to be able to recruit is Joe Cole. Nice a guy as he might be, right now Cole is about as likely to lead anyone out of a hole as George Osborne.
What Redknapp needs if he is to stand any chance of escaping is a decent keeper, a good centre-back, a couple of reasonable full-backs, a defensive midfielder and a prolific striker. Most of a team, in other words. And by his own admission, the king of the wheel and deal will find it impossible to do that sort of business in January.
This is a time, he says, of stupid agents and greedy chairmen. A time when desperation forces people to do ridiculous things – like paying £35 million for Andy Carroll. In other words, come the end of the month, we can expect Redknapp to have struck a deal to bring Balotelli to Loftus Road.
- Sports & Recreation
- Harry Redknapp


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Informative Interactive display for ExxonMobil's VIP guests to learn about the products used within the McLaren-Honda MP4-30 race car at the Austin Grand Prix weekend in 2015.Graphic Design, Interaction Design, Motion Graphics2015
Branded McLaren 650S for ExxonMobil, made available for their affiliates to be able to hire for promotional purposes at events. With brand awareness the key, the design displays the engine oil flowing around the 100% scaled McLaren engine.
Project management, design creation and art direction of 'hero car' photoshoot at the McLaren Technology Centre.Art Direction, Automotive Design, Graphic Design2015
Rebranding of one of the UK's top Creative Production Studios. Based in the central design hub of East London's Shoreditch, Taylor James have created some amazing print and motion work for the world's top brands, including Rolex, Aston Martin, O2, American Express and Evian.
The design task included creating a refreshing new brand identity, and also lead on to Interior & exterior signage, print & online advertisement, and client-facing documents, as well as enforcing the new brand principles for future use by employees.Branding, Creative Direction, Graphic Design2012
A selection of my After Effects motion work so far.Computer Animation, Graphic Design2015
I was asked to design a font for Boots, the font is based on Boots' corporate typeface, AG Book Rounded, but its uniquely 'hand-coloured' look gives it a fresh and approachable feel that engages babies and mums alike.Graphic Design, Print Design, Typography2012
App created for ExxonMobil's VIP guests to explore the variety of informative goodies on offer over the Grand Prix weekends in 2015. Available from the app store, and password protected for guests only.Graphic Design2015
Creating 3d scenes in Adobe After Effects to create a motion piece from still photos.Animation, Graphic Design2015
Working on the brand guidelines, marketing collateral, above the line communications for fitness group 'Nuffield', applying strict attention to detail, and vigorous proof-reading capabilities.
Branding, Graphic Design, Typography2015
I created a textured 'chalk board' version of the Interstate typeface for Sainsbury's to use in store as signage behind their fresh food counters.Graphic Design, Print Design, Typography2012
Inspired by a trip to the 2015 Goodwood Festival of Speed, this is the ultimate exotics.Automotive Design, Graphic Design, Photography2015
Brand Identity for a Wedding DJ company who stand out from the crowd by wearing sharp suits and playing all things disco, funk, soul & hip hop. The logo mark I came up with unifies the dress code and their profession quite uniquely, using the shape of a tie to mimic the arm of a turntable playing a record.Branding, Graphic Design, Motion Graphics2012
All works © Jack Edwards 2015.
Please do not reproduce without my expressed written consent.
Please do not reproduce without my expressed written consent.


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The Standards
High School: Number and Quantity
Vector and Matrix Quantities HSN-VM.C.8
8. Add, subtract, and multiply matrices of appropriate dimensions.
That's pretty self-explanatory.
Both the addition and subtraction of matrices are incredibly easy. If your students ditched class the day you taught addition and subtraction of matrices, they'd probably be right if they just guessed how to do it. Naturally, they're responsible kids and would never dream of ditching a class as enthralling as yours.
The rule is just to add or subtract numbers that are in the same location. So the number in the top left corner is added to or subtracted from the number in the top left corner.
Students should understand one critical concept about the addition and subtraction of matrices of different sizes. It can't be done. Matrices need to have the same numbers of rows and columns to perform those particular operations.
Here are some examples.
As for multiplication, we should be straight with you. It's pretty tricky.
Here's how multiplication works: we move along the top row of the first matrix and down the second row of the second. Multiply the elements, and then add them up.
No, we aren't kidding. We aren't cruel enough to kid about something like this.
So before we even start, in order to be multiplied, the number of columns of the first matrix has to equal the number of rows of the second. Otherwise they can't be multiplied.
You might want to go easy on the students first, and start with square matrices.
First we move across the top row as we move down the first column. The answer goes in the top row, first column.
3 × 2 + 5 × 8 = 46
Now for the top row, second column.
3 × 6 + 5 × 9 = 63
Those are our two numbers for the top row. Now we'll move onto the bottom row of that first matrix, starting with the first column.
1 × 2 + 4 × 8 = 34
And finally, we'll calculate the bottom row, second column.
1 × 6 + 4 × 9 = 42
That means our resulting matrix is .
Students should know that it's not that bad once they get the hang of it. There are two tricks. The first is physically moving your fingers across and down the matrices so we know which numbers to multiply and add. The second is knowing where to put the answer. Just look at which row you multiplied by which column, and that will be where the answer goes.
Finally, students should know not only how to perform these functions, but how to ask for help if they need it. Matrices are friends, but they're not always easy to get along with.
Here is a recap video of multiplying matrices.


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Pars plana vitrectomy (PPV) is associated with risk of intraoperative retinal tears (RTs) and postoperative rhegmatogenous retinal detachment (RRD). Eyes undergoing RRD repair are at higher risk for developing subsequent epiretinal membranes (ERMs) that may compromise vision.1,2 For cannulated surgery as compared with standard 20-gauge PPV, we previously reported markedly lower of risk of intraoperative RT (3.3% vs 23.0%, respectively) and a trend toward reduced risk of postoperative RD (2.8% vs 5.9%, respectively).3 However, in eyes with previous RRD repair, risks of these events are not well documented. Therefore, we evaluated eyes with previous RRD repair undergoing PPV for ERMs or macular holes (MHs) and compared them with eyes without prior RRD.
A retrospective review was performed on a consecutive series of eyes undergoing PPV for MH or ERM from January 1, 2003, through December 31, 2009.3 From these, cases that had undergone prior RRD repair were selected for this study. The variables studied included patient demographic characteristics, interventions at prior RRD repair, and microsurgical approach. The study was approved by the institutional review board of the Medical College of Wisconsin. The requirement for written informed consent was waived by the institutional review board.
A total of 466 eyes underwent PPV for MH or ERM, of which 40 eyes (10 with MH and 30 with ERM) had a history of RRD repair and were selected for analysis. Mean follow-up was 77 weeks (range, 10-254 weeks). Thirty-nine of the 40 eyes had their prior RD repaired with PPV, 29 of these with a scleral buckle (SB); only 1 had previous SB alone. The overall rate of intraoperative RT was 2.5% (1 of 40 eyes). It occurred in 1 of 23 eyes (4.3%) during noncannulated PPV and none of 17 eyes during cannulated surgery. This eye had a prior SB in place and did not develop recurrent RD postoperatively. The overall rate of postoperative recurrent RRD was 7.5% (3 of 40 eyes) and was not influenced by the choice of standard 20-gauge PPV (1 of 23 eyes [4.3%]) or cannulated surgery (2 of 17 eyes [11.7%]) (P = .56, Fisher exact test). Recurrent RRD developed in 1 of 29 eyes (3.4%) that had a prior SB with PPV compared with 2 of 10 eyes (20.0%) that had their prior RRD repaired with PPV without an SB (P = .16, Fisher exact test). In 2 eyes without a previous SB, recurrent RRDs developed 4 and 5 weeks in the postoperative period, caused by new RTs within 1 clock hour of a previous sclerotomy. The third case had RRD 51 weeks later. The indication for PPV (MH or ERM) or lens status (phakic, aphakic, or pseudophakic) did not influence the rate of intraoperative RT or recurrent RRD (Table). The rates of intraoperative RT and recurrent RRD in eyes with previous RRD repair in this study were not significantly different from those for eyes without prior RRD3 (12.7% [54 of 426 eyes; P = .07] and 4.9% [21 of 426 eyes; P = .48], respectively).
Eyes with prior RRD repair that undergo PPV for ERM or MH do not appear to be at significantly different risk for postvitrectomy RRD compared with eyes without a history of RRD that undergo such surgery. We observed a somewhat reduced rate of intraoperative RT in eyes with previous RD repair (P = .07) and a lower risk of recurrent RD if previous SB had been performed (P = .16), although the differences did not reach statistical significance. Our study is limited by its retrospective design and small number of patients in subgroups. Council et al4 reported a recurrent RD rate of 6.7%, which is comparable to our observed rate of 7.5%. In distinction, our study cohort was derived from a larger pool3 that provided a reference group without previous RD.
Corresponding Author: Dennis P. Han, MD, Department of Ophthalmology, Medical College of Wisconsin, 925 N 87th St, Milwaukee, WI 53226 (email@example.com).
Published Online: November 21, 2013. doi:10.1001/jamaophthalmol.2013.5698.
Author Contributions: Drs Singh and Han had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Singh, Covert, Henry, Bhatia, Han.
Acquisition of data: Covert, Henry, Bhatia, Croskrey, Sanchez, Han.
Analysis and interpretation of data: Singh, Henry, Bhatia, Han.
Drafting of the manuscript: Singh, Han.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Singh, Covert, Henry, Bhatia, Croskrey.
Study supervision: Han.
Conflict of Interest Disclosures: None reported.
Funding/Support: This work was supported in part by an unrestricted grant from Research to Prevent Blindness, Inc (Medical College of Wisconsin), by the Thomas M. Aaberg Sr Retina Research Fund, and by the Jack A. and Elaine D. Klieger Professorship in Ophthalmology (Dr Han).
Role of the Sponsor: The funding organizations had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Ophthalmology editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
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Discover the Discount with Promocode.co.uk
Searching for a promo code, discount or voucher? Welcome to Promocode where we aim to bring you active discounts and offers from the major shops online, and also on the high street. You can find offers across the board ranging from Mothercare, to special offers for students. If it's help with those DIY jobs around the house and garden then have a look at offers from Homebase, B&Q and Wickes. If you can't face those jobs around the house ans need to escape then how about a short break with Travelodge. Or if you need more time, and want to go further afield, then have a look at our partners Thomas Cook or First Choice. As always we have the latest deals from the most popular fashion outlets like ASOS, Boohoo, Dorothy Perkins and Debenhams to keep you on trend. With so much choice you can always find what you need.
Last updated Monday, 15 August 2016 16:10
Featured Retailers
Voucher and Promotion codes Blog
Happy Halloween….
"Once a favorite time for the Children to dress up to scare and impress, now teenagers and also adults, seem to be getting more drawn in to the fun and festivities. The whole family can now take part in this haunting occasion using make up from online retailers like Beauty Expert and get a spooky 15% off Halloween products and make up to give the scariest look possible. At Promocode we think that anything is possible with eye liner and some imagination! If it's outfits that you need then check out supermarkets like Asda who have clothing for men, women and kids. If it's Dads turn to go trick or treating then how about this impressive Werewolf outfit now a bargain at £8. Or a simple red and black reversible cape at just £3!! The can be no excuses not to get involved in the fun. To complete the package there are loads of trick or treat candy bowls and bags, plus decorations for in and outside the home to beckon ghouls and ghosts to visit your door. "
"Every now and again at Promocode we like to look at one of the retailers that may not be that well known, they don't advertise as much as some of the other online shops, but they have some great items and are definitely worth a look at. This week Goddiva took our interest, partly because of the number of fantastic promo codes they currently have for grabs. Look further than this though at what they have to offer and we guarantee that you will be hooked and maybe make them one of your regular online shopping haunts. We're pretty sure as far a women's fashion goes there isn't much you can't find at Goddiva from the essential wardrobe basics right the way to formal items, cocktail dresses and eye catching evening wear. At Promocode we love the choice of dresses at Goddiva and you will be sure to find something to suit any occasion. If you want something more simple how about a new maxi dress, with prices starting from just £10 With an in house design team Goddiva are able to look at what's new on the red c"
Get out and play out.
"We spend a fortune trying to keep children entertained and with the English weather being what it is it's only natural that the money usually goes on toys and games for inside. Well the weather is certainly feeling better so at Promocode we thought we'd have a look at some solutions to entertain the children, and lets face it the adults also, outside. John Lewis always seem to have a great selection of outdoor items to suit any age of child and this ranges from the usual paddling pools and sand play to the more active and adventurous games. There are gifts and toys to suit all price ranges, like this badminton set at just £6.99!! This really is great fun for all the family and all you need is a small space and a calm day and you will be running about and laughing in no time. When you are short of space how about getting creative outside making sand sculptures? If you can't get the children to the beach then bring the beach to you with a sand play area or sand pit. There are loads of options at John Lew"
JD Sports at Promocode
"JD Sports is a top sports retailer with all of the top clothing brands to keep you ventilated and free – whether you're running, competing or just training at the gym. To add to this, designer brands such as Nike and Adidas mean that you can keep up with the latest trends when you're participating in physical activities so that you can look your best even when you're hot and sweaty! At Promocode, there are many amazing offers allowing you to get the very best from JD at the very best price available. Many may think that JD Sport caters mainly for men but that isn't true! There are lots of brands and various clothing specially designed for sporty women and those who are highly physically active. Women can be fitness freaks too and this is why at Promocode, there are discounts targeting female needs as well as others' such as 92% off selected women's accessories. From headbands and wristbands to sports bras and other necessities, JD Sports has everything you could possibly need to maximise your sporting perfor"


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Preferred for spreaders, mowers and other older ground-driven machines where positive traction is required. Available brand will be shipped. Tread/lug design may vary somewhat from illustrations shown. This is a Firestone Power Implement with continuous tread pattern.
Size: 6.00 x 16
Ply Rating: 6
March New Product Insert: Page 1


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Pretty straight edge now. No alcohol, drugs, clamping down on the bullshit. Unfortunately I'm trying to recover from that damn flu that just went around. Also went vegan.
then...awesome. haha
arent we supposed to meet up and do dirty?
I can't remember the post but you are more than welcome to use them.
fuck idk if i saved it?
busting balls on the daily even mine :*
oh mangy mang. it do g00d
most likely just spending it with the family and whatnot
how about you?
herro derre
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