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About Your Surgery
This guide will help you prepare for your liver surgery at Memorial Sloan Kettering (MSK), and help you understand what to expect during your recovery. Read through this guide at least once before your surgery and then use it as a reference in the days leading up to your surgery. Bring this guide with you every time you come to MSK, including the day of your surgery, so that you and your healthcare team can refer to it throughout your care.
There are several kinds of liver surgeries to treat cancer. One is called a liver resection, in which the part of the liver with the tumors is removed. Another is called liver ablation, which kills cancer cells by exposing them to very high temperatures or electric currents.
Your doctor will explain which type of surgery you will have. Some patients may have a combination of both a liver resection and a liver ablation.
About the Liver
Your liver is a large organ located on the right side of your body, just under your ribs. It's shaded in the figure Your Liver, below. Your liver has many vital functions, including:
- Storing and filtering blood
- Making bile, which helps with the breakdown of food (digestion), especially of protein and fat
- Changing sugar into a form your body can use for energy
- Helping your body get rid of waste products
- Making the substances that your blood needs to clot
The healthy part of your liver that is left after surgery will grow larger to replace the part that was resected. It should return to its original size within a few weeks. However, it will take longer for your liver to be fully functional.
Liver Surgery
Your surgeon will make an incision(s) to see your liver clearly. He or she will decide the size of the incision and if a minimally invasive technique, (which makes very small incisions and uses cameras for guidance) is appropriate for you. Then, your surgeon will inspect your liver using an ultrasound to confirm the location and number of tumors in it.
If your surgeon is removing a tumor, he or she will also need to take out a small amount of healthy tissue around it. The amount of tissue that will be removed depends on the size and location of the tumor(s).
Your surgeon may decide that the best way to treat your tumor(s) is to ablate it. There are different methods used for liver ablation. Radio frequency ablation (RFA) and microwave ablation kill cancer cells by heating them. Irreversible electroporation is a new method of ablation which uses an electric current to kill cancer cells.
Liver ablation methods can be used individually, in combination with a liver resection, or in combination with one another. The exact treatment differs from patient to patient.
The length of your surgery will depend on how many tumors need to be treated. Most surgeries take between 2 and 4 hours but others may be longer. Your surgeon may close your incision with staples, stitches that dissolve and will not need to be removed, or glue.Back to top
Before Your Surgery
The information in this section will help you prepare for your surgery. Read through this section when your surgery is scheduled and refer to it as your surgery date gets closer. It contains important information about what you need to do before your surgery. Write down any questions you have and be sure to ask your doctor or nurse.
Preparing for Your Surgery
You and your healthcare team will work together to prepare for your surgery.
About Drinking Alcohol
The amount of alcohol you drink can affect you during and after your surgery. It is important that you talk with your healthcare providers about your alcohol intake so that we can plan your care.
- Stopping alcohol suddenly can cause seizures, delirium, and death. If we know you are at risk for these complications, we can prescribe medication to help prevent them.
- If you use alcohol regularly, you may be at risk for other complications during and after surgery. These include bleeding, infections, heart problems, greater dependence on nursing care, and a longer hospital stay.
Here are things you can do to prevent problems before your surgery:
- Be honest with your healthcare provider about how much alcohol you drink.
- Try to stop drinking alcohol once your surgery is planned. If you develop a headache, nausea, increased anxiety, or cannot sleep after you stop drinking, tell your doctor right away. These are early signs of alcohol withdrawal and can be treated.
- Tell your healthcare provider if you cannot stop drinking.
- Ask us any questions you have about drinking and surgery. As always, all of your treatment information will be kept confidential.
- I take a blood thinner. Some examples are heparin, warfarin (Coumadin®), enoxaparin (Lovenox®), clopidogrel (Plavix®), and tinzaparin (Innohep®). There are others, so be sure your doctor knows all the medications you're taking.
- I take prescription medications.
- I take any over-the-counter medications, herbs, vitamins, minerals, or natural or home remedies.
- I have a pacemaker, automatic implantable cardioverter-defibrillator (AICD), or other heart device.
- I have sleep apnea.
- I have had a problem with anesthesia in the past.
- I have allergies, including to latex.
- I am not willing to receive a blood transfusion.
- I drink alcohol.
- I smoke.
- I use recreational drugs.
About Smoking
People who smoke can have breathing problems when they have surgery. Stopping even for a few days before surgery can help. If you smoke, your nurse will refer to you our Tobacco Treatment Program. You can also reach the program at 212-610-0507.
About Sleep Apnea
Sleep apnea is a common breathing disorder that causes a person to stop breathing for short periods while sleeping. The most common type is obstructive sleep apnea (OSA). This means that the airway becomes completely blocked during sleep, so no air can get through. OSA can cause serious problems when you have surgery. Please tell us if you have sleep apnea or if you think you might have it. If you use a breathing machine (CPAP) for sleep apnea, bring it with you the day of your surgery.
Within 30 Days of Your Surgery
Presurgical Testing (PST)
Before your surgery, you will have an appointment for presurgical testing (PST). The date, time, and location of your PST appointment will be printed on the appointment reminder from your surgeon's office.
You can eat and take your usual medications the day of your PST appointment. During your appointment, you will meet with a nurse practitioner who works closely with anesthesiology staff (doctors and specialized nurses who will be giving you medication to put you to sleep during your surgery). He or she will review your medical and surgical history with you. You will have tests, including an electrocardiogram (EKG) to check your heart rhythm, a chest x-ray, blood tests, and any other tests necessary to plan your care. Your nurse practitioner may also recommend you see other healthcare providers.
Your nurse practitioner will talk with you about which medications you should take the morning of your surgery. To help you remember, we've left space for you to write these medications down in the "Morning of Your Surgery" section of this guide. It is very helpful if you bring the following with you to your PST appointment:
- A list of all the medications you are taking, including patches and creams.
- Results of any tests done outside of MSK, such as a cardiac stress test, echocardiogram, or carotid doppler study.
- The name(s) and telephone number(s) of your doctor(s).
Health Care Proxy
If you haven't already completed a Health Care Proxy Form, we recommend you complete one now. A health care proxy is a legal document that identifies the person who will speak for you if you are unable to communicate for yourself. This person is known as your health care agent. If you are interested in completing a Health Care Proxy Form, talk with your nurse. If you have completed one already, or if you have any other advanced directive, bring it with you to your next appointment.
Breathing and Coughing Exercises
Practice taking deep breaths and coughing before your surgery. You will be given an incentive spirometer, either before or after your surgery, to help expand your lungs. For more information, please read How to Use Your Incentive Spirometer, located in the "After Your Surgery" section of this guide. If you have any questions, ask your nurse or respiratory therapist.
Try to do aerobic exercise every day, such as walking at least 1 mile, swimming, or biking. If it is cold outside, use stairs in your home or go to a mall or shopping market. Walking will help your body get into its best condition for your surgery and make your recovery faster and easier.
Eat a Healthy Diet
You should eat a well-balanced, healthy diet before your surgery. If you need help with your diet talk to your doctor or nurse about meeting with a dietitian.
10 Days Before Your Surgery
Review Your Medications
Stop taking medications that contain aspirin or vitamin E 10 days before your surgery or as directed by your doctor. If you take aspirin because you've had a problem with your heart or you've had a stroke, talk with your doctor before you stop taking it. He or she will tell you whether or not you should stop. If your cardiologist feels you need to remain on aspirin, liver surgery can be performed safely while you continue to take this medication. For information about medications containing aspirin, read Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), located in this section.
Purchase Hibiclens® Skin Cleanser
Hibiclens is a skin cleanser that kills germs for 6 hours after using it. Showering with Hibiclens before surgery will help reduce your risk of infection after surgery. Hibiclens is available at your local pharmacy without a prescription.
Purchase Clear Liquids
Purchase clear liquids to drink the day before your surgery. For a list of clear liquids that you can drink, please see the table in this section.
Purchase Supplies for Bowel Preparation, If Needed
If you need to do a bowel preparation before your surgery, your nurse will tell you how. Use the area below to check off and write in any supplies you'll need.
Magnesium citrate bowel preparation
- 1 (10-ounce) bottle of magnesium citrate
MiraLAX® bowel preparation
- 1 (5 mg) tablet of bisacodyl (Dulcolax®). These are usually sold as a box of 10 tablets.
- 1 (238 gram) bottle of polyethylene glycol (MiraLAX)
- 1 (64-ounce) bottle of a clear liquid
7 Days Before Your Surgery
Stop taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (e.g., Advil®, Motrin®) or naproxen (e.g., Aleve®). These medications can cause bleeding. For more information, please readCommon Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), located in this section.
Herbal Remedies
If you take a multivitamin, talk with your doctor or nurse about whether you should continue. Stop taking herbal remedies or supplements. For more information, please read Herbal Remedies and Cancer Treatment, located in this section.
Watch a Virtual Tour
This video will give you an idea of what to expect when you come to Memorial Sloan Kettering's main hospital on the day of your surgery.
1 Day Before Your Surgery
Note the Time of Your Surgery
A clerk from the Admitting Office will call you after 2:00 pm the day before your surgery. He or she will tell you what time you should arrive at the hospital for your surgery. If you are scheduled for surgery on a Monday, you will be called on the Friday before. If you do not receive a call by 7:00 pm, please call 212-639-5014.
MSK Presurgical Center (PSC)
1275 York Avenue (between East 67th and East 68th Streets) New York, NY
B elevator to 6th floor
Begin a Clear Liquid Diet
You will need to follow a clear liquid diet the day before your surgery. A clear liquid diet includes only liquids you can see through. Examples are listed in the table below. You cannot eat any solid foods while on a clear liquid diet.
Clear Liquid Diet
Do Not Drink
Sweets and Desserts
Start Bowel Preparation, If Needed
If your doctor or nurse told you that you needed to do a bowel preparation, you will need to start it 1 day before your surgery. For both the magnesium citrate and MiraLAX bowel preparations, you will need to follow a clear liquid diet the day before your surgery. Examples of clear liquids are listed in the table above. Make sure to drink plenty of liquids other than water, coffee, and tea. Try to drink at least one 8-ounce glass every hour while you're awake.
- Magnesium citrate bowel preparation
- At 2:00 pm on the day before your surgery, drink the magnesium citrate.
- MiraLAX bowel preparation
- On the morning before your surgery, mix all 238 grams of MiraLAX with the 64 ounces of clear liquid until the MiraLAX powder dissolves. Once the MiraLAX is dissolved, you can put the mixture in the refrigerator, if you prefer.
Take your MiraLAX bowel preparation
The MiraLAX bowel preparation will cause frequent bowel movements, so be sure to be near a bathroom the evening before your surgery or procedure.
At 3:00 pm on the day before your surgery, take 1 bisacodyl tablet by mouth with a glass of water.
At 5:00 pm on the day before your surgery, start drinking the MiraLAX bowel preparation.
Drink an 8-ounce glass of the mixture every 15 minutes until the container is empty.
- Apply petroleum jelly (Vaseline®) or A & D® ointment to the skin around your anus after every bowel movement. This helps prevent irritation.
- Drink 4 to 6 glasses of clear liquids after you finish the MiraLAX. You may continue to drink clear liquids until midnight, but it is not required.
Shower with Hibiclens
The night before your surgery, shower using the Hibiclens solution. To use Hibiclens, open the bottle and pour some solution into your hand or a washcloth. Rub it gently over your body from your neck to your waist and rinse. Do not use any other soap. Do not let the solution get into your eyes, ears, mouth, or genital area. Dry yourself off with a clean towel after your shower.
Go to bed early and get a full night's sleep.
Morning of Your Surgery
Between midnight and up until 2 hours before your scheduled arrival time, you may drink a total of 12 ounces of clear liquids (see Figure 3).
Examples of clear liquids include:
- Clear broth, bouillon, or consommé (no particles of dried food or seasonings)
- Gelatin, such as Jell-O®
- Clear fruit juices (no pulp), such as white cranberry, white grape, or apple
- Soda, such as 7-Up®, Sprite®, ginger ale, seltzer, or Gatorade®
- Coffee or tea, without milk or cream
Shower with Hibiclens
Shower using Hibiclens just before you leave for the hospital. Use the Hibiclens the same way you did the night before. Do not use any other soap. Do not put on any lotion, cream, powder, deodorant, makeup, or perfume after your shower.
Take Your Medications
If your doctor or nurse practitioner instructed you to take certain medications the morning of your surgery, take only those medications with a sip of water. Depending on what medications you take and the surgery you're having, this may be all, some, or none of your usual morning medications.
Things to Remember
- Do not put on any lotions, creams, deodorants, makeup, powders, or perfumes.
- Do not wear any metal objects. Remove all jewelry, including body piercings. The equipment used during your surgery can cause burns if it touches metal.
- Leave valuables, such as credit cards, jewelry, or your checkbook at home.
- Before you are taken into the operating room, you will need to remove your hearing aids, dentures, prosthetic device(s), wig, and religious articles (such as a rosary).
- Wear something comfortable and loose-fitting.
- If you wear contact lenses, wear your glasses instead.
- Your breathing machine for sleep apnea (such as your CPAP), if you have one.
- A portable music player, if you choose. However, someone will need to hold these items for you when you go into surgery.
- Your incentive spirometer, if you have one.
- Your Health Care Proxy Form, if you have completed one. ȗ Your cell phone and charger.
- Your toothbrush and toothpaste.
- Your denture cleaner, if you have one.
- This guide. Your healthcare team will use this guide to teach you how to care for yourself after your surgery.
Parking When you Arrive
Parking at MSK is available in the garage on East 66th Street between York and First Avenues. To reach the garage, turn onto East 66th Street from York Avenue. The garage is located about a quarter of a block in from York Avenue, on the right-hand (north) side of the street. There is a pedestrian tunnel that you can walk through that connects the garage to the hospital. If you have questions about prices, call 212-639-2338.
There are also other garages located on East 69th Street between First and Second Avenues, East 67th Street between York and First Avenues, and East 65th Street between First and Second Avenues.
Once You're in the Hospital
You will be asked to state and spell your name and date of birth many times. This is for your safety. Patients with the same or similar names may be having surgery on the same day.
Tell your nurse about medications you've taken
A nurse will meet with you before your surgery. Tell him or her the dose of any medications (including patches and creams) you took after midnight and the time you took them.
Get dressed for your surgery
You will be given a hospital gown, robe, and nonskid socks.
Meet With Your Anesthesiologist
He or she will:
- Review your medical history with you.
- Talk with you about your comfort and safety during your surgery.
- Talk with you about the kind of anesthesia you will receive.
- Answer any questions you may have about your anesthesia.
Prepare for your surgery
Once your nurse has seen you, 1 or 2 visitors can keep you company as you wait for your surgery to begin. When it is time for your surgery, your visitor(s) will be shown to the waiting area. Your visitors should read Information for Family and Friends for the Day of Surgery, located in this section.
You will walk into the operating room or you can be taken in on a stretcher. A member of the operating room team will help you onto the operating bed. Compression boots will be placed on your lower legs. These gently inflate and deflate to help circulation in your legs.
Your anesthesiologist will place an intravenous (IV) line into a vein, usually in your arm or hand. The IV line will be used to give you fluids and anesthesia (medication to make you sleep) during your surgery.
Your anesthesiologist may also put an epidural catheter (thin, flexible tube) in your spine (back). This will be used to give you pain medication. The medication is delivered into your epidural space, which is the area just outside your spinal cord. It will give you pain relief with fewer side effects, such as nausea, vomiting, and sleepiness. This is similar to what is given to women when they have babies.
Once you are fully asleep, a breathing tube will be placed through your mouth and into your windpipe to help you breathe. You will also have a urinary catheter placed to drain urine from your bladder.
Once your surgery is finished, your incision will be closed with staples or with stitches that will absorb as you are healing. Steri-Strips™ (thin pieces of tape) will be placed directly on your incision and covered with a bandage. Your breathing tube is usually taken out while you are still in the operating room.Back to top
After Your Surgery
The information in this section will tell you what to expect after your surgery, both during your hospital stay and after you leave the hospital. You will learn how to safely recover from your surgery. Write down any questions you have and be sure to ask your doctor or nurse.
What to Expect
When you wake up after your surgery, you will be in the Post Anesthesia Care Unit (PACU).
You will receive oxygen through a thin tube that rests below your nose called a nasal cannula. A nurse will be monitoring your body temperature, pulse, blood pressure, and oxygen levels.
You may have a urinary catheter (Foley®) in your bladder to monitor the amount of urine you are making. You will also have compression boots on your lower legs to help your circulation.
You may have a pain pump called a patient-controlled analgesia (PCA) device. For more information, please read Patient-Controlled Analgesia (PCA), located in this section. If you do not have an epidural catheter, your pain medication will be given through an IV line.
Your visitors can see you briefly in the PACU, usually within 90 minutes after you arrive there. A member of the nursing staff will explain the guidelines to them.
Depending on the type of surgery you had, you may stay in the PACU overnight. After your stay in the PACU, you will be taken to your hospital room. Soon after you arrive in your room, you will be helped out of bed and into a chair. Your nurse will tell you how to recover from your surgery. Below are examples of ways you can help yourself recover safely.
- You will be encouraged to walk with the help of your nurse or physical therapist. We will give you medication to relieve pain. Walking helps reduce the risk for blood clots and pneumonia. It also helps to stimulate your bowels so they begin working again.
- You will not be allowed to eat for the first day or two. Then, you will be given clear liquids. After that, your diet will progress to a regular diet as tolerated. As soon as you are eating and showing no signs of complications, you will be ready to go home.
- Use your incentive spirometer. This will help your lungs expand, which prevents pneumonia. For more information, please read How to Use Your Incentive Spirometer, located in this section.
- Continue to perform your breathing and coughing exercises every 1 to 2 hours while you are awake.
- Your nurse will teach you to splint your incision. This will reduce the movement of your stomach muscles and decrease pain while you do the coughing exercises.
Commonly Asked Questions: During Your Hospital Stay
The following section covers common questions patients ask after having liver surgery. Speak with your doctor or nurse if you have any additional questions or if any of this information is unclear.
Will I have pain after my surgery?
Yes, you will have pain after your surgery, especially in the first few days. Your doctor and nurse will ask you about your pain often. You will be given medication to manage your pain as needed. If your pain is not relieved, please tell your doctor or nurse. It is important to control your pain so you can cough, breathe deeply, use your incentive spirometer, and get out of bed and walk.
Why is it important to walk?
Walking will help prevent blood clots in your legs. It also decreases your risk of having other complications such as pneumonia.
Will I be able to eat?
You will not be allowed to eat for the first day or 2 following the surgery. Then you will be on a clear liquid diet. After that, your diet will progress to a regular diet as tolerated.
Eating a balanced diet high in protein will help you heal after surgery. Your diet should include a healthy protein source at each meal, as well as fruits, vegetables, and whole grains. For more tips on increasing the amount of calories and protein in your diet, ask your nurse for the resource Eating Well During and After Your Cancer Treatment. If you have questions about your diet, ask to see a dietitian.
How long will I be in the hospital?
Most patients are in the hospital for 5 to 7 days after having a liver resection or ablation but this will depend on the exact surgery that is done.
Commonly Asked Questions: After You Leave the Hospital
Will I have pain when I am home?
The length of time each patient has pain or discomfort varies. You may still have some pain when you go home and will probably be taking pain medication. Follow the guidelines below.
- Call your doctor if the medication prescribed for you doesn't relieve your pain.
- Take your medications as directed and as needed.
- Do not drive or drink alcohol while you are taking prescription pain medication.
- As your incision heals, you will have less pain and need less pain medication. A mild pain reliever such as acetaminophen (Tylenol) or ibuprofen (Advil) will relieve aches and discomfort. However, large quantities of acetaminophen may be harmful to your liver. Do not take more acetaminophen than the amount directed on the bottle or as instructed by your doctor or nurse.
- Pain medication should help you as you resume your normal activities. Take enough medication to do your exercises comfortably. Pain medication is most effective 30 to 45 minutes after taking it.
- Keep track of when you take your pain medication. Taking it when your pain first begins is more effective than waiting for the pain to get worse.
Can I shower?
Yes, taking a warm shower is relaxing and can help decrease muscle aches. Use soap when you shower and gently wash your incision. Pat the areas dry with a towel after showering, and leave your incision uncovered (unless there is drainage). Call your doctor if you see any redness or drainage from your incision.
Do not take tub baths until you discuss it with your doctor at the first appointment after your surgery.
Is it normal not to feel hungry after surgery?
It is common to have a decreased appetite after surgery. Try eating several smaller meals that have each of the food groups (i.e., fruits/vegetables, meat/chicken/fish, breads/grains, dairy products). This will help you heal faster.
In addition to not being hungry, you may also not be able to taste things the way you did before your surgery. This will improve with time.
How can I prevent constipation?
Your usual bowel pattern will change after surgery. You may have trouble passing stool (feces). This is a common side effect of pain medication. Please review the material your nurse gave you about fiber and constipation.
To avoid constipation, take a stool softener such as docusate sodium (Colace®) 3 times a day and 2 tablets of senna (a laxative) at bedtime. Continue taking the stool softener and laxative until you are no longer taking pain medication. Drink plenty of liquids. If you feel bloated avoid foods that can cause gas, such as beans, broccoli, onions, cabbage, and cauliflower.
Can I drink alcohol after surgery?
Alcohol is cleared out of the body through the liver. Do not drink alcohol until you check with your doctor or nurse.
How do I care for my incision?
The location of your incision will depend on the type of surgery you had. It is normal to have numbness of the skin below the incision because some of the nerves were cut; this sensation will lessen over time.
- By the time you are ready to leave the hospital, your surgical incision will have begun to heal.
- You and your caregiver should look at your incision with your nurse before you leave the hospital so you know what it looks like.
- If any liquid is draining from your incision, you should write down the amount and color. Call your doctor's office and speak with the nurse about any drainage from your incision.
Change your bandages at least once a day and more often if they become wet with drainage. When there is no longer any drainage coming from your incision, they can be left uncovered.
If you go home with Steri-Strips on your incision, they will loosen and fall off by themselves. If they haven't fallen off within 10 days, you may remove them.
If you go home with glue over your sutures (stitches), it will also loosen and peel off, similarly to the Steri-Strips.
Is it normal to feel tired after surgery?
Feeling tired (fatigue) is the most common complaint after liver resection or ablation. It is an expected side effect. You may need a nap during the day, but try to stay out of bed as much as possible. That will help you sleep at night. It usually takes 6 to 8 weeks until your energy level returns to normal.
Can I resume my activities?
It is important for you to resume your activities after surgery. Spread them out over the course of the day. You can do light household tasks. Try washing dishes, preparing light meals, and other activities as you are able.
You may experience swelling in both of your lower legs following surgery. This will get better with time. If you feel that the swelling is getting worse while you are home and is interfering with your activities please call your doctor and let him or her know.
You may return to your usual sexual activity as soon as your incision are well healed and you can do so without pain or fatigue.
Your body is an excellent guide for telling you when you have done too much. When you increase your activity, monitor your body's reaction. You may find that you have more energy in the morning or the afternoon. Plan your activities for times of the day when you have more energy.
When is it safe for me to drive?
You may resume driving 3 weeks after surgery as long as you are not taking pain medication that may make you drowsy.
When can I return to work?
The time it takes to return to work depends on the type of work you do, the type of surgery you had, and how fast your body heals.
What exercises can I do?
Exercise will help you gain strength and feel better. Walking and stair climbing are excellent forms of exercise. Gradually increase the distance you walk. Climb stairs slowly, resting or stopping as needed. Ask your doctor or nurse before starting more strenuous exercises.
When can I lift heavy objects?
Check with your doctor before you do any heavy lifting. Normally, you should not lift anything heavier than 5 pounds for at least 6 weeks. Ask your doctor how long you should avoid heavy lifting.
How can I cope with my feelings?
After surgery for a serious illness, you may have new and upsetting feelings. Many people say they felt weepy, sad, worried, nervous, irritable, and angry at one time or another. You may find that you cannot control some of these feelings. If this happens, it's a good idea to seek emotional support.
The first step in coping is to talk about how you feel. Family and friends can help. Your nurse, doctor, and social worker can reassure, support, and guide you. It is always a good idea to let these professionals know how you, your family, and your friends are feeling emotionally. Many resources are available to patients and their families. Whether you are in the hospital or at home, the nurses, doctors, and social workers are here to help you and your family and friends handle the emotional aspects of your illness.
When is my first appointment after my surgery?
Your first appointment after surgery will be in 1 to 3 weeks after you leave the hospital. Your nurse will give you instructions on how to make this appointment, including the phone number to call. During this appointment, your doctor will discuss the pathology results with you in detail.
- A temperature of 101° F (38.3° C) or higher
- Pain that does not get better with your medications
- Redness, swelling, or drainage from your incision that is foul smelling or pus-like
- No bowel movement for 3 days or longer
- Nausea or vomiting
- Jaundice (yellow skin or eyes)
- Diarrhea
- Constipation that does not get better in 2 to 3 days
- Any new symptom or physical change
- Any questions or concerns
After 5:00 pm, during the weekend, and on holidays, call 212-639-2000. Ask to speak to the doctor on call for your surgeon.Back to top
This section contains a list of MSK support services, as well as the resources that were referred to throughout this guide. These resources will help you prepare for your surgery and recover safely. Write down any questions you have and be sure to ask your doctor or nurse.
MSK Support Services
The following are MSK resources that you may find helpful.
Call the Admitting office to discuss private room or luxury suite options. If you want to change your room choice after your Presurgical Testing visit, call 212-639-7873 or 212-639-7874.
Call with questions about anesthesia, the medications used to make you sleepy for your surgery.
If you are interested in donating blood or platelets, call for more information.
MSK welcomes patients from around the world. If you are an international patient, call the International Center for help coordinating your care.
Many people find counseling helpful. We provide counseling for individuals, couples, families, and groups, as well as medications to help if you feel anxious or depressed.
Integrative Medicine Service offers patients many services to complement traditional medical care, including music therapy, mind/body therapies, dance and movement therapy, yoga, and touch therapy.
You may find it comforting to speak with a cancer survivor or caregiver who has been through a similar treatment. Through our Patient-to-Patient Support Program, we are able to offer you a chance to speak with former patients and caregivers.
Call Patient Billing with any questions regarding preauthorization with your insurance company. This is also called preapproval.
Call the Patient Representatives office if you have any questions about the Health Care Proxy Form or if you have any concerns about your care.
If you have any questions about MSK releasing any information while you are having surgery, call the clinical nurse specialist.
Patients may request private nurses or companions. For more information, call the Private Duty Nursing Office.
At MSK, care doesn't end after active treatment. The RLAC Program is for patients and their families who have finished treatment. This program has many services, including seminars, workshops, support groups, counseling on life after treatment, and help with insurance and employment issues.
Social workers help patients, family, and friends deal with issues that are common for cancer patients. They provide counseling on getting used to a serious illness, advice on how to communicate with family, friends, and young children, and help with employment issues.
If you want to quit smoking, MSK has specialists who can help. Call for more information.
External Resources
The following are resources outside of MSK that you may find helpful:
For additional online information, visit LIBGUIDES on MSK's library website at http://library.mskcc.org or the Liver Cancer section of MSKCC.org. You can also contact the library reference staff at 212-639-7439 for help.
Additional Resources
- Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
- Herbal Remedies and Cancer Treatment
- Information for Family and Friends for the Day of Surgery
- How to Use Your Incentive Spirometer
- Patient-Controlled Analgesia (PCA)
- Preventing Falls: What You Can Do


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- Celtic Gods and Heros: Introduction to Celtic Mythology
- Youngsters of school age almost effortlessly learn about the gods and heroes of Greek and Roman mythology. Names like Zeus, Hercules, Diana, Ulysses, Mercury, Venus, and others become widely familiar. Paintings, popular movies, and books trace their stories...
Deities & Heros >> Celtic, Welsh, Irish & Brittish
Dun Amp Bradstreet is described in multiple online sources, as addition to our editors' articles, see section below for printable documents, Dun Amp Bradstreet books and related discussion.
Suggested News Resources
- Dun amp; Bradstreet's (DNB) Q4 Earnings Surpass Estimates
- Dun & Bradstreet Corp. (DNB - Analyst Report) reported fourth-quarter 2015 adjusted earnings of $2.87 per share that easily beat the Zacks Consensus Estimate of $2.
- Form 4 DUN & BRADSTREET CORP/NW For: Mar 02 Filed by: Hill Christie
- Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
- What to Expect from Dun amp; Bradstreet's (DNB) Q4 Earnings?
- We believe that Dun & Bradstreet's strong product portfolio and innovative product pipeline are major positives going forward. The company has been launching new solutions, which leverage the benefits of its data and analytics capabilities.
- Dun amp; Bradstreet (DNB) Q3 Earnings Beat, Revenues Miss
- Dun & Bradstreet ended the quarter with $293.9 million in cash and cash equivalents, up significantly from $137.8 million as of Jun 30, 2015.
- Dun amp; Bradstreet (DNB) Misses on Q2 Earnings amp; Revenues
- Dun & Bradstreet Corp. (DNB - Analyst Report) reported second-quarter 2015 adjusted earnings of $1.25 per share, which missed the Zacks Consensus Estimate of $1.
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text:
Hotels near Ullapool Museum
Search hotels near Ullapool Museum in Ullapool
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Trending now in Ullapool
Hotels within 0.5 miles of Ullapool Museum
- Most bookedCaledonian Hotel
12 people looked at this hotel in the last hour
Most recent review
"Great value hotel perfect for a stopover during a tour of the north west Highlands. "
A Traveller, Sep 2016, GB
9 people looked at this hotel in the last hour
Most recent review
"Easy to find. Walking distance to eateries. Room was decent sized with tv, coffee, tea etc. Bathroom was beautiful. Overall, clean and relaxing. Might be a little claustrophobic for someone tall. I would stay again. Wifi was weak and patchy."
A Traveller, Oct 2016, US
Hotels within 1 mile of Ullapool Museum
13 people looked at this hotel in the last hour
Most recent review
"A fairly basic hotel but good helpful service helped make the most of the property. Plenty of free parking just outside the room. Very quiet. Room basic but does the job fine."
A Traveller, Sep 2016, GB
Hotels within 3 miles of Ullapool Museum
7 people looked at this hotel in the last hour
Most recent review
"Great B&B, freindly and helpful host, room was comfortable and spacious, only improvements i can think of would be to have a larger bed and a little easier access to the bathroom/bathroom light."
A Traveller, Oct 2016, GB
- Croft Cottage and Tigh-na-Mara ChaletNo Guest Reviews yet
3 people looked at this hotel in the last hour
Hotels within 12 miles of Ullapool Museum
5 people looked at this hotel in the last hour
Most recent review
"We had gale force winds and rain for the 2 days we were there but still managed to enjoy our time there. We had a lovely big room with a sofa, huge bathroom with beautiful bath and separate shower. Food was amazing in the restaurant and the bar. Friendly staff on hand all the time. Highly recomme..."
A Traveller, Oct 2015, GB
Hotels within 14 miles of Ullapool Museum
6 people looked at this hotel in the last hour
Most recent review
"I had a wonderful few days on the wild Assynt hills and stayed here. The Alt inn is a characterful highland pub/ B&B and serves traditional local produce. The fresh fish is particularly recommended. Rob & Leslie are sure to offer you a warm highland welcome. I have had a marvellous stay at the Alt. "
A Traveller, Oct 2016, GB
Hotels within 18 miles of Ullapool Museum
11 people looked at this hotel in the last hour
Most recent review
"Not much to look at from outside but wonderfully welcoming, cosy and comfortable inside. Recommend eating at Peet's Restaurant in the town! Wonderfully large bathtub (great for warming up) and possibly the best shower I've ever had. Staff were attentive and took care of the one niggle we ha..."
A Traveller, Oct 2016, GB
11 people looked at this hotel in the last hour
Most recent review
"The lodge is a renovated shepherds mansion that is in an ideal location for those looking to escape to a little piece of tranquility. Tons of hiking trails and great views to be had. Staff are very friendly and accommodating!"
A Traveller, Oct 2016, CA
Hotels within 21 miles of Ullapool Museum
7 people looked at this hotel in the last hour
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"Very friendly atmosphere. Lovely room and a fabulous meal."
A Traveller, Oct 2016, GB
Hotels in Ullapool near Ullapool Museum
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text:
New England Patriots tight end Rob Gronkowski is expected to play Sunday against the Buffalo Bills despite being listed as questionable with a hip injury, a league source told ESPN NFL Insider Adam Schefter (link here).
The Patriots will be without tight end Aaron Hernandez for a third straight game, as he is out with an ankle injury. The team also released backup tight end Kellen Winslow on Thursday.
Gronkowski was a new addition to the Pats' injury report Friday. Considering there were no previous reports of a hip injury, it stands to reason that the tight end injured the hip during Friday's practice session.
Gronkowski has been held to just 156 yards through three games a year after setting an NFL record for receiving yards and touchdowns by a tight end. In a Week 3 loss to the Baltimore Ravens, he was targeted just three times and caught two passes for 21 yards, his lowest totals since Week 4 of 2011.


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It is probably ironic that a blockbuster movie should choose Earth Day on which to stamp its carbon footprint, however strong the film's environmental overtones. But 20th Century Fox, the studio behind Avatar, released the DVD and Blu-ray versions of James Cameron's sci-fi epic last Thursday with a perfectly straight face – and a deafening fanfare. HMV Oxford Street was transformed into a low-rent facsimile of the lush planet "Pandora" for yesterday's launch in the UK, while a replica of the film's "Tree of Souls" was unveiled in Hyde Park. Like its big-screen release, which was hailed as a coming of age for 3D cinema, Avatar is expected to be huge for home entertainment – specifically the burgeoning Blu-ray format of high- definition DVDs.
It took Avatar just four days to become the biggest-selling Blu-ray film ever, shifting 2.7 million discs in North America alone. On Sunday it surpassed the second-placed Batman sequel The Dark Knight, which has sold 2.5 million – and taken 16 months to do so. Four million more copies of Avatar were sold over the weekend in the standard DVD format. All told, that's $130m (£84.1m) in sales for Fox, almost double the domestic US box office receipts from the film's first week in cinemas last December. That makes Avatar the fastest-selling home entertainment release of all time in the US; it has already broken records in Germany and France, too.
Tesco, which on Sunday opened 180 of its stores at midnight to mark the release, expects to sell 20,000 Blu-ray copies of Avatar. In a prophecy that he doubtless intends to be self-fulfilling, Keith Metcalfe, the chain's home movie buying manager, called it a "historic moment in the development of the Blu-ray format – potentially the tipping point that many people have waited for to get their first Blu-ray player."
But is Blu-ray ready to have its day, or is this just another play from an industry frantically trying to keep people paying for its product? Is the format truly revolutionary, or is it just the MiniDisc of movies?
The high-definition Blu-ray format was developed in the early 2000s by a collaborative group of electronics manufacturers and movie studios, including Fox. By the time Blu-ray discs made it to market in mid-2006, however, they were not alone. HD-DVD, a rival high-definition format championed by Toshiba, had beaten them to the shelves by a matter of months. After a "format war" frequently likened to that between VHS and Betamax in the 1980s, Blu-ray won the support of enough major studios and retail chains to claim victory. In 2008, Toshiba announced the demise of HD-DVD.
A combination of the recession, internet piracy and the increasing popularity of rental services such as LoveFilm, meant DVD sales slumped by at least 10 per cent in 2009, hence Hollywood's relief at the boost in box-office takings from blockbusters such as Avatar. In the same period, however, Blu-ray sales increased by 167 per cent, and analysts predict that the format will forge a larger and larger proportion of the home entertainment market in the next five years. Today its share of US DVD sales typically hovers between 10 and 15 per cent, according to the market monitoring site blu-raystats.com.
Richard Cooper, a senior analyst at Screen Digest, said: "Adoption of Blu-ray has not been as wholehearted as the industry would have liked. But it's certainly beginning to be taken up, albeit by a high-end viewing niche: those people who have high-definition televisions over a certain size, and who really want to enjoy the full HD experience that you can only really get from Blu-ray. Avatar was always going to be a film that drove people towards Blu-ray, and it will also raise consumer awareness of the format."
Mr Metcalfe has compared the release of Avatar to the launch of The Matrix in 1999, which sold 3 million copies on DVD and significantly boosted sales of DVD players. Now that HD televisions are on sale for around £500, and Blu-ray players for less than £200, both are within reach of the average consumer – but only if they choose to upgrade their home entertainment set-up in these economically uncertain times. Unlike the early days of DVD, Blu-ray must compete with a variety of formats, not least digital downloads, both legal and illegal. DVDs have been the film industry's greatest source of income for some time and, as with its attempt to attract audiences back to cinemas with 3D, Blu-ray is its great white hope for home entertainment revenues. But while it may offer a high-end viewing experience, the evidence that Blu-ray can counteract the desertion to downloads remains insufficient to calm the nerves of studio executives. Like their music industry counterparts, they will surely have to imagine more novel ways to monetise their content in future.
"Statistics on illegal downloading are vague and unreliable," Mr Cooper said. "But consumers are currently spending more on Blu-ray than on digital downloading. A single download obviously doesn't cost nearly as much as a Blu-ray disc, but as a group of consumers we're still quite entrenched in a culture of purchasing physical media. Blu-ray still offers a premium product that's difficult to obtain elsewhere; downloading HD video is an overnight process for most people, so that slows the adoption of HD as a digital medium."
With broadband speeds increasing, it won't be long before downloadable HD becomes a more manageable prospect for consumers, at which point Blu-ray's days may be numbered. Sony, one of the format's leading developers, has just announced it is to stop making floppy disks – a reminder, if one were needed, that almost all technologies are transitional. Still, Avatar was originally sold on the premise that it had to be seen on a cinema screen, preferably an IMAX one, and in 3D. That campaign helped it to become the highest-grossing film of all time. Now consumers are being told that Blu-ray is the only way to watch James Cameron's blockbuster on a small screen. And for the moment, at least, we seem to be taking that advice.
On the losing side
The Sony-developed video cassette was released in 1975. JVC's VHS format was released a year later and eventually defeated its rival, despite its inferior quality. The key to VHS's victory was the format's greater recording time: two hours compared to Betamax's one. As market share dwindled Sony accepted defeat in 1988 and started to manufacture its own VHS players. The last-ever Betamax machine was built in 2002.
Another ill-fated Sony product, the MiniDisc was an attempt to replace audio cassettes as the editable music format of choice. The first player hit the market in 1992, and Sony, keen not to repeat the mistake it made with Betamax, allowed other companies to make their own versions of the device. Initially the format did very well, but was soon rendered obsolete by the rise of the internet and the MP3.
Toshiba briefly went head-to-head with Sony's Blu-ray format for domination of the high-definition DVD market. Companies were forced to choose between the two, and as time wore on an increasing number – including Warner Bros – opted for the latter. Sony's Playstation 3 games console was made with a built-in Blu-ray player, giving the format another selling point. Shipments of HD-DVD machines ceased in March 2008.
- More about:
- James Cameron
- Sigourney Weaver
- Sony
- Video Player


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Adding the benefits of clean drinking water to your kitchen can you save money, and improve the health of your household. The Waste Maid Precision RO P-RO filtration system is the most compact reverse osmosis system of its kind. The compact unit is smaller than a 2 gallon water container and measures less than 14 inches in depth. The lightweight unit can be easily lifted with one hand, and installs with ease. The Waste Maid Precision RO P-RO single vessel Reverse Osmosis system takes advantage of the new higher flow membranes, providing more flow. The unique flow design creates a higher water to brine ratio.
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GSMCON2017 to be held in Dallas, TexasWe have recently announced our new location for 2017. Click for the preliminary information.
GSMCON 2017 Planning UnderwayThe 2017 Government Social Media Conference & Expo (GSMCON) is the 3rd annual social media conference for U.S. city, county and state government.
Government Social Media Conference & Expo
The Government Social Media Conference & Expo (GSMCON) is the only major social media conference for U.S. city, county and state government.
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text:
(WASHINGTON) Today, after lunching at
Washington's swank "Beanery" restaurant, Federal Reserve
Chairman Alan Greenspan let one rip with a loud,
resounding fart, which was heard halfway down Pennsylvania
Avenue. The disturbance sent ripples through an already
beleagured energy market; futures plunged on fuel prices as
money managers interpreted Greenspan's "comment" to
indicate a glut of natural gas in the market. In sympathy
with the futures price drop, Dow Industrials also
plummeted nearly 35 points, indicating fear among
investors. "It's a scary market," one Wall Street insider
was heard to say. "When Greenspan issues a statement
like this, we had better be prepared for the worst."
Fungool has about 6 identities on the "rick"
board. I went
"surfing" there (LOL) and I know this.
Doctor Fungool is a
fraud. Pump and dump, puffed up
ego, and chickenshit, too.
I was ready to meet him
as a friend in Las Vegas but he was
just blowing
hot air. He's lame, dudes!
Iota Beta Mu, IBM
What's your problem? You got a beef w/ me: why not speak up instead of polluting these boards w/ your nonsense?
Got no time for silly jerks - so speak up - what's the deal?
Trader Rick: go to the rick board and leave him a message.
He's polluting this board.
...same lousy grammer ...same inability to find the shift key ...dream on!!!
i jus read yalls post and i think the market goin
down tomorrow and will rally tues after labor day
wkend! yall goin to the lake over labor day? ive gotta a
big wkend sat the game sun wealls goin to new orleans
for a couple a days. classes start tues. i was lookin
at the sky last night and was thinkin bout yall up
there in mich and wonderin if yall saw the same
beautiful sky that i was seein! it was so pretty cant put
it into words. teklet honey i dont understand that
arizona lady has she gotta a screw lose? that doggie
cruelty is sick and she thinks it funny! enough bout that
topic icky icky icky!!! hey sweety yall really
brightens up my days! i think im in luv with yall! that
aint so bad is it? makes this ole world jus a hole
bunch nicer. well wish yall were here so i culd give
yall a big hug and a kiss but my lil note will havta
do for now. take care now sweety and the next time
yall looks up at the sky jus smile and know yalls in
my heart. write me real soon now!
glad to see you bounced back fine --like the
wunnerful young lady you are. actually hon, someone did
imitate my name a while back ---used a "1" instead of an
el and you can see how that fooled people for a bit.
i was clueless until i got messages responding to
me that i didnt know anythin' bout. wow. it is
awful. they stealin your identity. same person did it to
real nice guy and talented, football bob. now the doer
of the deeds tryin to imitate good ole boy
Kahunajoe, and the perpetual pessimist, (smart fellow
really) the Doc. to throw off. but that only means i hit
the nail on the head. the guy is zeroto1 (my nickname
for him is zero to less) he the only one who made a
use of the porn pic. and shortly after it was posted.
given his prior record---it was him. i would bet.
everybody else was highly critical of the post---not
him---and he used it to attack me. i writing to you since
he says i piqued etc. i havent read his message but
i read the cuss pretty well...
sweetie, the law is a great and interesting
education---and if people dont unnerstan you smart as all get
out, then they got a problem with the gray matter. You
one great gal.
today gonna be tough day in
market. but it should rally late in the day. --or if not
immediately after the big unempl. report out before the
opening tomorrow. i suggest you buy msft at about 89
1/2---even if not a hundred shares. nothing wrong with
holding lcos but it probably going back to 38 and maybe
right here on opening or shortly after.
market does not take prisoners. dont you worry none we
be all right.
luv and a smooch
If anyone is into collectables there are these trading cards called Mad-Stox. They're trading cards of Stock Market companies with information and trivia on the back. So there. Mad-Stox.com
retraction. FunkyGDog, FunkyG-Dog, both manifestation of evil
Dr. Fungcool. Not bull. Not bear. Just crave attention to feed
insatiable ego.
"dont forgive unless genuine remorse. my idea".
I do believe you're on the right track.
With the Lord's love for you, brother,


text:
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11/17/2016 » 11/19/2016ASD Fall Conference 2016
12/7/2016ASD Chicago Holiday Gathering
See What's New
This year's Fall Conference is being held in
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Get event details and register now!
ASD Chicago Holiday Gathering
Wednesday, December 7 | 6:00 - 9:00 PM
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Details available soon at steeldistributors.org/events.
January 19 - Detroit Regional Meeting*
March 9-11 - Spring Convention - New Orleans
May 11 - Pittsburgh Regional Meeting*
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September 14 - Cleveland Regional Meeting*
Fall Conference - Location and dates to be determined
December 6 Chicago Regional / Holiday Meeting
*Includes Future Leaders Forum session.
More ASD News
Association of Steel Distributors Announces New President, Executive Committee


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†Product Description
Height: about 80mm
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・Main Body
・Twin buster rifle
・Interchangeable left and right hand parts for holding the Twin Buster Rifle
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Validation Report (click to view full report)
Validation report: La Mare de Carteret High School
Validation dates: 8 February 2016
Here are the evaluations for La Mare de Carteret High School.
|Improvements in performance
|Learners' experiences
|Very good
|Teaching for effective learning
|Very good
|Meeting learning needs
|Very good
|Improvement through self-evaluation
|Very good
|Leadership of improvement and change
|Very good
Youth Speaks
The annual Rotary Youth speaks competition took place on Tuesday 27th January a public speaking competition where all schools compete. Year 11 students Lauren Guille, Savannah Goddard and Cameron Ashplant from La Mare de Carteret High School presented a speech "Being Young is Overrated" which combined the embarrassing issues of adolescence and the more serious growing concern of mental health issues affecting young people today. A stunning highly polished performance prepared by Mrs Champion and Mr Dodd. The group won both the intermediate and overall competition. We look forward to the next round of regional competitions due to take place in Southampton in early March.


text:
Steve Tyrell 2007 Catalina
© Scott Mitchell. All Rights Reserved.
About this image
Steve Tyrell Catalina Bar and Grill 2007
About Steve Tyrell
CD/LP/Track Review
- This Guy by Jim Santella
- This Time Of The Year by Jim Santella
- Standard Time by Dave Nathan
- Standard Time by Jim Santella


text:
Recovery Act:
Results of GAO's Survey of State Housing Finance Agencies' Use of the Low-Income Housing Tax Credit Assistance Program (TCAP) and the Section 1602 Program (GAO-10-1023SP, September, 2010), an E-supplement to GAO-10-1022R
GAO-10-1023SP: Published: Sep 20, 2010. Publicly Released: Sep 20, 2010.
Additional Materials:
- Full Report:
(202) 512-6794
Office of Public Affairs
(202) 512-4800
This product is an E-supplement to GAO-10-1022R. To further assess state implementation of the Tax Credit Assistance Program (TCAP) and Section 1602 Program, we asked managers of state housing finance agencies in all 50 states, the District of Columbia, Puerto Rico, Guam, and the US Virgin Islands to complete a web survey. Our questionnaire asked about the status of program delivery, program design, safeguards and controls, expected results, and challenges to implementation. We designed and tested the self-administered questionnaire in consultation with experts, representatives of housing finance stakeholders, and state agency managers. Survey data collection took place in November and early December of 2009. We received usable responses from all 54 agencies.
Oct 3, 2016
Elderly Housing:HUD Should Do More to Oversee Efforts to Link Residents to ServicesGAO-16-758: Published: Sep 1, 2016. Publicly Released: Oct 3, 2016.
Jul 13, 2016
Credit Programs:Key Agencies Should Better Document Procedures for Estimating Subsidy CostsGAO-16-269: Published: Jul 13, 2016. Publicly Released: Jul 13, 2016.
Jun 8, 2016
Low-Income Housing Tax Credit:Some Agency Practices Raise Concerns and IRS Could Improve Noncompliance Reporting and Data CollectionGAO-16-360: Published: May 11, 2016. Publicly Released: Jun 8, 2016.
May 31, 2016
Housing for Special Needs:Funding for HUD's Supportive Housing ProgramsGAO-16-424: Published: May 31, 2016. Publicly Released: May 31, 2016.
May 2, 2016
Rural Housing Service:Actions Needed to Strengthen Management of the Single Family Mortgage Guarantee ProgramGAO-16-193: Published: Mar 31, 2016. Publicly Released: May 2, 2016.
Jan 8, 2016
Troubled Asset Relief Program:Status of Housing ProgramsGAO-16-279R: Published: Jan 8, 2016. Publicly Released: Jan 8, 2016.
Sep 15, 2015
Affordable Rental Housing:Assistance Is Provided by Federal, State, and Local Programs, but There Is Incomplete Information on Collective PerformanceGAO-15-645: Published: Sep 15, 2015. Publicly Released: Sep 15, 2015.
Jul 23, 2015
Low-Income Housing Tax Credit:Joint IRS-HUD Administration Could Help Address Weaknesses in OversightGAO-15-330: Published: Jul 15, 2015. Publicly Released: Jul 23, 2015.
Jul 10, 2015
HUD Public and Indian Housing Programs:Progress on Prior GAO Recommendations to Enhance Accountability and EfficiencyGAO-15-747T: Published: Jul 10, 2015. Publicly Released: Jul 10, 2015.
Jul 6, 2015
Troubled Asset Relief Program:Treasury Could More Consistently Analyze Potential Benefits and Costs of Housing Program ChangesGAO-15-670: Published: Jul 6, 2015. Publicly Released: Jul 6, 2015.
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Eastwell Manor Hotel, Golf, Spa
Eastwell Park, Boughton Lees, Ashford 20.7 miles away
Dating back to the Norman Conquest, spectacular Eastwell Manor, tucked into the heart of the Kent countryside, makes guest feel as if they were to the manor born. A grand central stone staircase in the gardens, only interrupted by a lavish fountain,... more
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Ashford International Hotel
Simone Well Avenue, Ashford 22.1 miles away
Whether you are en route to or from the continent or just fancy a few nights away, the Ashford International Hotel has all the luxuries of a slick city hotel but with added space to throw in a luxurious swimming pool, generous gym and spa area and... more
Chilston Park Hotel
Sandway, Lenham, Maidstone 28.0 miles away
Chilston Park hotel is an elegant 17th century Grade I listed country house, set in 23 acres of rolling countryside and dense woodland. You´ll find an oasis of calm, comfort and warmth. The warm, homely and welcoming atmosphere runs through all of... more
London Beach Country Hotel, Golf Club & Spa
Ashford Road, Tenterden, Ashford 31.0 miles away
Tenterden's Premiere luxury hotel, the London Beach Country Hotel, Spa & Golf Club is set in the beautiful Wealden countryside a mile from the historic town of Tenterden. Guests at the London Beach are 15 minutes drive from Rye and the southern... more
The George in Rye
98 High Street, Rye 34.5 miles away
The George in Rye dates back to 1575 and boasts an original ballroom perfect for lavish weddings and banquets. Located in the centre of Rye and recently refurbished to create a stunning south coast hideaway. Comfortable bedrooms are individually... more
Travel Ideas containing The George in Rye
Flackley Ash Hotel & Restaurant
Peasmarsh, Rye 35.3 miles away
Flackley Ash Hotel and Restaurant nestles deep in the Sussex countryside, surrounded by beautiful woodland and rolling fields, on the outskirts of the historic town of Rye. A fusion of old and new, with a relaxed and informal atmosphere. The forty... more
Bridgewood Manor
Nr Bluebell Hill, Walderslade Woods, Chatham 36.4 miles away
From the smart leather sofas and welcoming blazing log fire in the lobby to the peaceful courtyard where staff serve drinks as you sit and chat with friends or colleagues, the Bridgewood Manor hotel in Rochester is a welcoming stop for business or... more
Wivenhoe House
Wivenhoe Park, Colchester 45.1 miles away
Surrounded by pretty manicured gardens, woodland and tranquil lakes, this 18th-century manor house hotel is situated in a peaceful setting within acres of historic parkland, yet only minutes from the heart of Colchester. The hotel offers luxurious... more
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The Pier at Harwich
The Quay, Harwich 46.6 miles away
Proudly overlooking the quay, the smart blue and white Pier Hotel and Restaurant at Harwich is in poll position for views over the Stour and Orwell estuaries. The hotel is actually made up of two buildings, one of which was built in 1850s and houses... more
Brandshatch Place Hotel & Spa
Brands Hatch Road, Fawkham 46.7 miles away
A sophisticated Georgian mansion built in 1806, Brandshatch Place stands proudly in 12.5 acres of lush countryside in the Garden of England. One of the finest country house hotels in Kent, its imposing architecture holds many pleasures in store. The... more
Hotel du Vin - Tunbridge Wells
Crescent Road, Tunbridge Wells 47.6 miles away
Step through the dark green wooden portals of the Hotel du Vin Tunbridge Wells and into the Burgundy Bar, all blood red squashy velvet sofas, leather pouffes and gently battered wooden tables, and the feeling that you are in good hands sweeps over... more
Maison Talbooth
Stratford Road, Dedham, Colchester 49.8 miles away
Tranquillity is the essence of the Maison Talbooth hotel, a Victorian country house, which enjoys a superb position on a bluff overlooking the Stour river valley, stretching away to the Mediaeval church at Stratford St Mary. The twelve spacious... more
Stratford Road, Dedham, Colchester 50.0 miles away
Milsoms hotel is set in a stunning 2 acre garden . There is an informal atmosphere, with fifteen en-suite bedrooms, and this is the perfect place to eat, drink and stay as well. The contemporary gastro bar and brasserie are at the heart of the... more
Rowhill Grange Hotel & Utopia Spa
Wilmington, Dartford 50.9 miles away
Just 30 minutes from London yet deep in the heart of the Kent countryside, Rowhill Grange Hotel & Utopia Spa is a pretty 18th century manor house now dedicated to sublime pampering. This four star luxury retreat has very generously sized guest... more
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- Sunday Night Spa Break - From £149pp
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Salthouse Harbour Hotel
1 Neptune Quay, Ipswich 54.4 miles away
The Salthouse Harbour Hotel Suffolk goes beyond what you expect and exudes its 4 star status in every curious corner, eccentric sofa and unstuffy cushion. The sea-salted brickwork exterior has been restored & rejuvenated into a ship shape... more
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Kesgrave Hall
Hall Road, Kesgrave, Ipswich 55.2 miles away
Having checked in to my room at Kesgrave Hall (a very fast affair since I was with two tired small children and the receptionist simply said I could fill in the form at my leisure – great touch), I wondered into my room and actually said: "wow".... more
Hintlesham Hall
Hintlesham, Ipswich 55.5 miles away
Absolutely perfect for a weekend's pottering, Hintlesham Hall in the rolling Suffolk countryside is the quintessential English country house. It's a 16th century grade one listed Elizabethan manor house with a wonderfully long driveway for you to... more
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Buxted Park Hotel
Buxted, Uckfield 56.7 miles away
In the heart of Sussex, this magnificent Georgian Palladian mansion, set in 312 acres of superb parkland roamed by fallow deer and traversed by the River Uck, has played host to the rich and famous for centuries. Every single one of the forty four... more
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- Sunday Night Club - Save up to 25%
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The Waterside Hotel
11/12 Royal Parade, Eastbourne 57.1 miles away
The unique boutique Waterside Hotel & Restaurant offers a welcoming atmosphere with stunning sea views and outstanding cuisine. The twenty individually designed rooms boast every home comfort with extravagant suites, Jacuzzi baths and seaview bath... more
The Grand Hotel
King Edward´s Parade, Eastbourne 58.0 miles away
This magnificent White Palace (as it is known locally) can boast Mirabelle, one of the best hotel restaurants on the south coast. It also stands in an ideal seaside position midpoint between Eastbourne's charming pier and the Surrey Downs. The sheer... more
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Ashdown Park Hotel & Country Club
Ashdown Park, Wych Cross, Forest Row 58.0 miles away
In the heart of the Ashdown Forest, the inspiration for AA Milne's 100 Acre Wood, the luxurious Ashdown Park Hotel is pretty much everything you would expect from a country house hotel. Set in 186 glorious acres, the lawn sprawls downwards towards a... more
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Down Hall Country House Hotel
Matching Road, Hatfield Heath, Bishop's Stortford 60.9 miles away
Set in the lush rambling Hertfordshire/Essex countryside, the impressive Italianate Downs Hall Country House Hotel's history dates back to the 1300s. This is a classic country house hotel equipped with extensive grounds and woodland to explore where... more
Gravetye Manor
Vowels Lane, West Hoathly 61.8 miles away
This 17 bedroom Relais & Chateaux Country House Hotel near West Hoathly in Sussex, is set in 1000 acres of wooded parklands and gardens, famous for being created by William Robinson, arguably one of England's greatest gardeners. Enjoy glorious vistas... more
The Wentworth Hotel
Wentworth Road, Aldeburgh 62.0 miles away
The Wentworth Hotel sits right on the edge of the beautiful Suffolk coast, looking out over Aldeburgh Beach. There are thirty seven well appointed bedrooms, many with spectacular sea views. Each bedroom has a copy of Orlando the Marmalade Cat, a... more
Alexander House & Utopia Spa
East Street, Turners Hill 62.1 miles away
Sometimes you just want to melt into a beautifully upholstered sofa in a tranquil country house sitting room, sip on a glass of chilled Champagne and quietly listen to the civilised noise of a fine dinner being prepared for you. Welcome to Alexander... more
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- Sunday Night Spa Break - From £167pp
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The Great House Restaurant and Hotel
Market Place, Lavenham 62.4 miles away
Celebrating 30 years at The Great House Hotel! An authentic luxury boutique hotel in the middle of the medieval village of Lavenham in Suffolk, next to National Trust Lavenham Guildhall. This 15th century building with an imposing 18th century façade... more
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- Special 2 night Dinner B&B offer at The Great House
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Nutfield Priory Hotel & Spa
Nutfield Road, Nutfield, Redhill 64.2 miles away
Nutfield Priory hotel, which dates back to 1872, is an idyllic country mansion set in over 40 tranquil acres high on Nutfield ridge and enjoying breathtaking views of the Sussex and Surrey countryside. One of the greatest pleasures is the exquisite... more
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Langshott Manor
Langshott Lane, Langshott, Horley 64.6 miles away
Built in the late 1500s and with many original features still intact, Langshott Manor sits at the end of a country lane in Surrey and makes the perfect secret night away. It's brimming with romantic extras, like a real log fire in your room with... more
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- Dinner, Bed and Breakfast - From £99pp
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Malmaison - London
18/21 Charterhouse Square, London 64.7 miles away
Cosmopolitan cool is delivered with aplomb at Malmaison London. It's a hard task to live up to the household landmark names dominating the capital's skyline, but this nursing-home-turned-luxury-urban-hotel does the job. On the edge of Clerkenwell,... more
The Strand Palace
372 Strand, London 65.4 miles away
The Strand Palace hotel is situated in the heart of the West End with all that London has to offer, right on your doorstep. Offering exceptional value for money without sacrificing style or service. Each of the guest rooms are equipped to a high... more
The Royal Horseguards
2 Whitehall Court, London 65.4 miles away
The Royal Horseguards & One Whitehall Place are situated on the banks of the River Thames and provides state-of-the-art luxury in one of London's most iconic buildings. All bedrooms have been transformed, combining all the classical elegance of the... more
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Corinthia Hotel London
Whitehall Place, London 65.5 miles away
This is five-star London accommodation at its most elegant. Huge light-filled public areas are beautifully kept, with fresh flowers, sparkling polished marble floors and gorgeous furniture setting the tone. Minutes from Downing Street in the heart of... more
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The Montague on the Gardens
15 Montague Street, Bloomsbury, London 65.7 miles away
The Montague on the Gardens sits unassumingly in the heart of London's Bloomsbury, close to the British Museum and the British Library. Understated luxury seems to be the mission here, with rooms and suites decorated with lavish fabrics, velvet... more
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Victor Hotel
51 Belgrave Road, London 65.8 miles away
The Victor Hotel is a friendly hotel located near Victoria Station in the heart of London. Offering great value low cost accommodation the Victor is ideally located for sightseeing, shopping trips and business on a budget. Guests can choose from... more
Highley Manor
Haywards Heath 65.8 miles away
Situated in the beautiful Sussex countryside, Highley Manor is a quintessential English property set with 7.5 acres of grounds. Perfect for a weekend retreat, conference or wedding venue. London is only 29 miles, Brighton & Hove is 17.4 miles and... more
The Cavendish London
81 Jermyn Street, St James's, London 66.0 miles away
The Cavendish London is set in the heart of Piccadilly and offers the ultimate in luxury and convenience for visitors to the UKs Capital. All 230 guest rooms boast elegant furnishings, subtle lighting and clean, uncluttered design. The AA Rosette... more
Dukes Hotel
St James's Place, London 66.1 miles away
Dukes Hotel is an award-winning, privately owned, luxury hotel in a quiet corner of Mayfair, offering all the essential elements for guests travelling for either business or leisure. Dukes Hotel is leading a return to sumptuous comfort without... more
The Rubens at the Palace
39 Buckingham Palace Road, London 66.1 miles away
The Rubens at the Palace offers aristocratic grandeur combined with the latest comforts and technology. Overlooking the Royal Mews of Buckingham Palace, it's surrounded by London's most popular attractions, shops, theatres and museums. The... more
Latest Special Offers & Deals for The Rubens at the Palace
- 4 nights for the price of 3
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Rocco Forte Brown's Hotel
Albemarle Street, London 66.2 miles away
Located in the heart of London´s Mayfair, Brown´s Hotel, part of the Rocco Forte Hotels collection re-opened on 12th December 2005 following an extensive renovation closely overseen by Sir Rocco´s sister Olga Polizzi. The ú19 million restoration has... more
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The Chesterfield Mayfair
35 Charles Street, London 66.4 miles away
If you're eager to be in the thick of the action, you can't beat the Chesterfield Mayfair hotel, located within an easy walk of London's biggest attractions such as Piccadilly Circus and Trafalgar Square. Step outside and prepare to flex your plastic... more
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- 4 nights for the price of 3
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The Dorchester
53 Park Lane, London 66.6 miles away
During the twentieth century The Dorchester became the premiere address for visitors to London. Just about any star you might name has stayed in this Art Deco palace overlooking Hyde Park. In recent years the hotel has undergone a significant... more
Ockenden Manor Hotel & Spa
Ockenden Lane, Cuckfield 66.9 miles away
Ockenden Manor Hotel & Spa is a place for peace and serenity, this lovely Elizabethan manor house is a haven for those that need to ´get away from it all´. The Michelin Starred Restaurant offers a superb dining experience with views over the gardens... more
Latest Special Offers & Deals for Ockenden Manor Hotel & Spa
- New Years Eve at Ockenden Manor Hotel & Spa
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The Capital Hotel
Basil Street, Knightsbridge, London 66.9 miles away
The Capital Hotel, sitting on the platinum pavements of London's fabulously wealthy Knightsbridge district and a stone's throw from Harrods, is dubbed a grand hotel in miniature - retaining first class service expectations with a personal touch to... more
The Levin
28 Basil Street, London 66.9 miles away
The Levin 12 bedroom townhouse is the world's closest hotel to Harrods. Some of London's most famous and exclusive department stores and luxury boutiques are just a stone throw away. For those interested in art and culture, The Victoria and Albert... more
The Arch London
50 Great Cumberland Place, Marble Arch, London 67.1 miles away
The Arch London is just a stones throw from Marble Arch and spans seven Georgian townhouses and two mews homes. This unique boutique urban hideaway offers a combination of English heritage with contemporary style. Bedrooms and suites are individually... more
The Egerton House Hotel
17/19 Egerton Terrace, Knightsbridge, London 67.1 miles away
The Egerton House Hotel is a luxury boutique townhouse hotel occupying a conveniently central yet pleasantly secluded position deep in the heart of exclusive Knightsbridge, overlooking two pretty tree-lined garden squares. The hotel has thirty... more
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- 3 nights for the price of 2
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The Pelham Hotel
15 Cromwell Place, London 67.4 miles away
The Pelham is a luxury 5 star boutique hotel in the heart of South Kensington. An iconic, traditional and romantic haven nestled in the fabulous surroundings of The Royal Albert Hall, Natural History Museum and Harrods. All of the fifty two bedrooms... more
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- Shop and the City Package
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Gore Hotel
190 Queen's Gate, London 67.7 miles away
A quintessentially British hotel, just a glance from Hyde Park and the Royal Albert Hall, The Gore offers luxury, privacy and undeniable character in equal measure. Since 1892, The Gore has been one of the capital's truly great hotels. The ethos... more
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- Exclusive Kensington Palace Tour (Valid throughout the year)
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Best Western Mornington Hotel
12 Lancaster Gate, London 67.8 miles away
The Best Western Mornington Hotel offers 70 4 star stylish air-conditioned and modern London hotel rooms. The hotel has outstanding facilities, a professional meeting room and stylish bar ideally located in the heart of London within walking distance... more
The Milestone Hotel
1 Kensington Court, London 68.0 miles away
Wonderfully located overlooking Kensington Palace, The Milestone Hotel (a member of Leading Hotels of the World) is minutes from The Royal Albert Hall, Knightsbridge shopping and with easy access to the West End - enjoy a peaceful stroll through... more
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Bryant better, Lakers aren't in loss
LOS ANGELES – Kobe Bryant unwrapped a heating pad from his left ankle, joked with a referee. Then, during a timeout with 6:11 remaining Tuesday, he peeled off his purple warmup shirt and checked back into a close game.
Like he did so many times in the weeks before he ruptured his left Achilles tendon on April 12, he prepared to lead the Lakers out of another big hole.
But not this time. There was too much confusion, too many mistakes by his new teammates as the Lakers lost 114-108 to the upstart Phoenix Suns (12-9).
The Lakers (10-11) are struggling to mold the style that led them to a 10-9 start without Bryant around the dominant superstar.
"We've lost our little stuff and that's all you need in the NBA," coach Mike D'Antoni said, "and it makes it tough to win … If you're not rolling, you're not going to win."
D'Antoni criticized the team's psyche – "We're struggling with who we are," he said – defense, and interior defense. The Lakers were outscored in points in the paint and were outrebounded 43-33.
Bryant has tried to ease into the season, allowing players such as Nick Young and Xavier Henry to handle the ball, and pressuring the defense by setting screens and rolling to the basket.
"It's a learning experience," Bryant said, "and I mean that in a sense of when you have a young team, you have to remember, constantly remember it's a marathon not a sprint."
Put simply: Against the Suns, Bryant was better, the Lakers weren't.
Bryant finished with 20 points on 6-of-11 shooting in 29 minutes. He made all eight of his free throws and committed only three turnovers. It marked vast improvement from a nine-point, eight-turnover debut Sunday, in a 106-94 loss to the Toronto Raptors.
Bryant scored four quick points out of that fourth-quarter timeout, a signature turnaround jumper, two free throws. But that was all the comeback had in store this time around.
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I used the brang and caught an exploding bug and sent it to the rock on the ledge. No problem - up on the ledge 2 plants come down from the ceiling, they are now gone, But there is another rock at the back of the room and I can't figure out how to destory it. The boomarang and bomb wont fly that far. Any ideas or help appreceiated.
I have the right 'NOT' to be tolerant of others because they are different, weird, or tick me off."
Current games
Madden football
Monster Trucks
use boomerang and just target bomb
it will bring the bomb back to you


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- agaspard85
- USA, Female, 25-30
- Novice Nomad
- 1 review
This hotel was okay for what I paid. It was seemingly clean & offered free breakfast from 6am to 10am. My biggest issue was the poor wifi connection and that my room smelled a bit like smoke although it is a non-smoking hotel. When I advised the front desk, I was told that some people don't respect the policy and smoke on the room's balcony. They should have something in place to charge these guests when this happens. It's odd but they collect the payment when you check in. Good location
- wideweb7463
- Israel, Male, 41+
- Globetrotter
- 23 reviews
It is more like a hotel, very shiny and well located, without the backpackers atmosphere of a hostel.
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