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Check in from 14h / Check out prior to 11h
Il Glicine - Campo de' Fiori: Find photos, reviews, information, amenities and compare prices for 2 stars hotels in Rome, Italy.
Conveniently situated, Il Glicine - Campo de' Fiori allows for easy access to Rome's popular sightseeing areas. It also provides complimentary wireless internet to all guests during their stay.
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The property provides a tour desk and comfortable apartments. The property's multilingual staff will be glad to share local knowledge and help organise itineraries.
Il Glicine - Campo de' Fiori has cosy apartments, furnished to suit the needs of any traveller.
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Howard de Walden portfolio28 Dec 2012
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Howard de Walden reports 10% rise in value of property portfolio
Howard de Walden Estates has unveiled a 10% rise in the value of its portfolio of properties, to £2.4bn, during the 12 months to April, after stripping out takeovers and divestitures, according to a filing with Companies House.
The dynastic estate, which owns shops and private hospitals in London's West End, posted a 3% fall in pre-tax profit to £41m, even as turnover, primarily rent, increased 8% to £80m.

subset: commoncrawl


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Right on Jack! I do not believe in cutting taxes for the rich. I believe in cutting taxes for the poor. Get rid of the 10% tax bracket and eliminate taxes on dividends cap gains and interest for those making less than the median or average income whichever is higher.
Flatter definitely isn't fairer in tax policy
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text:
ERIC Number: ED333456
Record Type: RIE
Publication Date: 1991-Mar
Pages: 14
Abstractor: N/A
Reference Count: N/A
WAC Reconsidered: Issues for the 90s.
Ward, Jay A.
Characteristics that describe composition studies at its best (interdisciplinarity, collaborative, dialogic, radically democratic, maintaining a dynamic tension between "praxis" and "theoria") do not reflect a view of writing which is widely shared either by academics in fields other than composition or by those engaged in nonacademic writing. In fact, these characteristics do not reflect the view of writing which is widely held and practiced by many composition instructors themselves. As a result, both the capacity of composition instructors to lead in much needed writing-across-the-curriculum programs and the related role in assisting students to acquire writing skills that transfer to other courses are impaired or called into question. Composition instructors must somehow attempt to approach discourse in ways that include the diversity of academic discourse communities, and the varied epistemological assumptions and pedagogical practices that underlie them. (Fourteen references are attached.) (RS)
Publication Type: Speeches/Meeting Papers; Opinion Papers
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers: Educational Issues
Note: Paper presented at the Annual Meeting of the Conference on College Composition and Communication (42nd, Boston, MA, March 21-23, 1991). Best available copy.


text:
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text:
Zizzi - Tunbridge Wells
88 High Street, Tunbridge Wells, TN1 1YF +44 1892731166
- Genomsnittlig
- Huvudrätt: £11
- Matkostnad: £28
- Öppettider
- Open from 12:00 to 23:00 Monday to Saturday, and 12:00 to 22:30 on Sunday.
This restaurant has an overall feel of 'welcome'. The service, food and atmosphere was great.
Lisa Kimberley
07 december 2015
från Tunbridge Wells
Set in a listed building, Zizzi Tunbridge Wells specialises in passionate Italian cuisine, and showcases a rustic wood-burning oven.
The Zizzi menu offers a reinvention of traditional Italian cuisine, as well as a range of trusty classic dishes. Enjoy thin and crispy rustica pizzas loaded with fresh toppings, a skinny pizza range with all offerings under 550 calories, and sumptuous cichetti tasting plates. Complementing the rich natural flavours, the Zizzi wine list is compiled by Italian wine expert, Guillaume Aubert.
Specially designed for younger diners, a bambini menu at Zizzi restaurant in Tunbridge Wells is filled with tempting yet nutritious Italian dishes. For dessert, organic gelato comes courtesy of renowned ice cream maker, Kitty Travers.
Zizzi Tunbridge Wells sits a stone's throw from the historic Pantiles, and features an inviting outdoor dining area. Tunbridge Wells Rail Station is reached by a 5-minute walk.
Zizzi - Tunbridge Wells
88 High Street, Tunbridge Wells, TN1 1YF
Se alla restauranger i Kent
Se alla restauranger i Tunbridge Wells
Kundbetyg för Zizzi - Tunbridge Wells
- Mat
- Värde
- Atmosfär
- Plats
- Service
- Drycker
((*** 20 september 2016 av Matt från Tonbridge
Nice place, slow service and wrong food choice however, wouldn't recommend the seafood risotto. Good value but I'd play safe and get a pizza or something.
((*** 22 mars 2016 av Alison Tuffley från Royal Tunbridge Wells
The staff were extremely friendly and efficient. The food however was disappointing. I had the Rissoto Pesce and although it did say there were chilli's in it there were far to many which overpowered the taste. The restaurant is clean but very noisy and quite cold the decoration is minimal and could be prettier and Italian overall it was ok for a chain restaurant what you see is what you get.
((((* 20 mars 2016 av Diane Wharton från Ashford
the new veg and seafood frita starter was absolutely delicious. loved the combo, particularly liked the courgette, red pepper, artichoke...yum
Glad we weren't eating late, as found the lighting was a little gloomy, once it got dark, but it's a nice restaurant and attentive staff. The chef was lovely, seeing to us when the waitress wasn't there.
((*** 16 februari 2016 av Andrew Weaver från Rye
Nice food but the decor is unacceptable, with food and drink stains on the painted walls and chairs.
((((* 9 februari 2016 av Paul Barratt från Tunbridge Wells
((((( 7 december 2015 av Lisa Kimberley från Tunbridge Wells
This restaurant has an overall feel of 'welcome'. The service, food and atmosphere was great.
((*** 2 december 2015 av Daniel Easton från Royal Tunbridge Wells
Turns out the voucher I'd booked online had to be shown before we sat down. Neither waiter asked to see the code so I did not realise.
Then when I did show the code he said he couldn't use it.
The bill cost nearly £15.00 more than I expected.
Was not happy.
The food was mediocre. The service was good until we found out about the voucher.
(((** 27 november 2015 av Mandy Wickison från Tunbridge Wells
We arrived to a nearly full restaurant and were promptly greeted and shown to our table. the waitress was very pleasant and attentive.
The chefs were very efficient at getting the meals cooked our service was quick although it was busy. One of our vegetarian choices was the butternut squash and caramelised onion classic pizza,a new addition to the menu, this was quite bland, the onions would have given more taste but they had been made too sweet and gooey and were unpleasant - the waitress asked was everything alright with the meal and my husband pointed out he didn't like the onions and her response was 'maybe you should scrape them off'- which made him feel it was his fault for choosing this meal. My choice was the chicken wrapped in prosciutto ham, potatoes and green beans which I would recommend.
The end of the restaurant feels draughty around your legs, the heating had gone off and it was a cold evening.
((((( 1 juli 2014 av Debbie Brand från Royal Tunbridge Wells
Is booked the table for my husband and I and two friends. The meal was a thank you gift to our friends for some DIY help that they had given us.
The men ordered beer and us ladies had a bottle of wine. The beer was a bit warm so we mentioned this to our waiter 'George' he was very apologetic and said that the fridge had broken upstairs but he would get us an ice bucket to put the bottles of beer in. The next two bottles were bought up from the lower floor and were much cooler. When settling our bill 'George' explained that he had not charged us for two bottles of beer! Which was very kind of him and much appreciated.
((((( 12 februari 2012 av JessFace från Tunbridge Wells
[...] Very good food at reasonable prices and fast, friendly service despite being busy
Tyvärr så kan du inte boka Zizzi - Tunbridge Wells online via vår hemsida
Befintliga erbjudanden
Erbjudanden direkt till din inkorg!
Hör om våra topperbjudanden först, och boka de bästa borden.
Du kommer snart att få tillgång till en massa bra erbjudanden
Restauranger i närheten
101m 31 recensionerJamie's Italian - Tunbridge Wells
Jamie's Italian - Tunbridge Wells
128m 111 recensionerThe Tunbridge Wells Bar & Grill
The Tunbridge Wells Bar & Grill
211m 0 recensionerDuke of York
Duke of York
291m 0 recensionerThe Tunbridge Wells Eating House
The Tunbridge Wells Eating House


text:
Clare Oak
also traded as as: Royal Oakhistorical era: mid 20th century
closed approx 1958?
Chilton Rd
grid reference TL 769 463Something we've got wrong about this establishment? Something more you think we should know about it? Please email us
View in Google Earth
CAMRA West Suffolk & Borders branch.
last updated 15/09/2016
Shown as a pub (the Oak) on OS maps at least as late as 1958, but not on the 1959 or subsequent sheets, so must have closed about this time.
(Most pub, location & historic details collated by Nigel, Tony or Keith - original sources are credited)


text:
- Worldwide Rank #42,115,434
- Follower/Following Ratio 10.54
- Daily New Followers 0
Ilsan 이종호 Twitter Stats
@002023lee - Tracking Ilsan 이종호 Twitter profile since June 10, 2013
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United States District Court, Middle District of Pennsylvania
August 4, 2014
JAMES J. LARNERD, JR., Plaintiffv.DEPUTY WARDEN HAUCK, et al., Defendants
Conner Chief Judge
THOMAS M. BLEWITT, United States Magistrate Judge
On July 14, 2014, Plaintiff James John Larnerd, Jr., currently an inmate at the Lebanon County Correctional Facility ("LCCF"), filed, pro se, this instant civil rights action pursuant to 42 U.S.C. § 1983.[1] (Doc. 1). Plaintiff also simultaneously filed a Motion for Leave to Proceed in forma pauperis. (Doc. 2).
Plaintiff's civil rights form Complaint consists of five (5) handwritten pages. (Doc. 1, pp. 1-5). Plaintiff had insufficient room to fully state his claim in the Statement of Claim Section of his Complaint, so he attached two (2) single-spaced, handwritten pages to continue his factual averments. (Id., pp. 4-5). Plaintiff did not attach any Exhibits to his Complaint. As Defendants, Plaintiff names: (1) Deputy Warden Hauck; (2) Medical Staff LCCF; and (3) Warden Robert Karnes. (Id., p. 1). Plaintiff states that he filed a grievance on June 3, 2014.[2]
Plaintiff alleges as follows during his incarceration in the Lebanon County Correctional Facility in pertinent part:
When I was admitted I informed the medical staff that my left shoulder was hurt by the officers that arrested me. I also informed them of a goiter on my thyroid. ...
I was seen and told stretch my shoulder and I was given Motrin for the pain. After two days of no relief I asked to see the Doctor again. My medication was changed and I was given Naproxin for the pain. Still no relief from the pain in my shoulder. ...
I saw the Doctor 1 or 2 more times at the prison and he changed my medication to Ultram. This just barely helped with the pain. ...
My prescription ran out and because of the unsuccessful pain relief I tryed to go without for about 10 days. The pain became unbearable and I asked to have my prescription re-ordered. ...
I was taken to a neurologist on June 4, 2014 where I was diagnosed with nerve damage to my left C6 nerve and that I was suffering from a pinched nerve. ...
I was finally taken to the Good Samaritan Hospital and given an MRI. This was done on June 27, 2014 at 2pm...My medication was then switched to pretizone and flexerall. I was also informed that I was going to need surgery to repair the damage.
(Id., pp. 3-5).
Based on these facts, Plaintiff attempts to assert Eighth Amendment denial of medical care and cruel and unusual punishment claims against Defendants. (Id.).
As relief, Plaintiff requests "$2, 500, 000.00 in monetary damages for neglect and pain and suffering caused by the lack of medical attention given to me and my situation. These damages will cover lost wages and all medical expenses in repairing my shoulder." (Id., p. 3). Plaintiff does not state if he sues the state actors Defendants in both their individual and/or official capacities. (Id., pp. 2-3). However, Plaintiff can only seek monetary damages from the state actor Defendants in their individual capacities.[3] The Court has jurisdiction over his §1983 civil rights action pursuant to 28 U.S.C. §1331 and §1343(a). We will now screen Plaintiff's Complaint as we are obliged to do in accordance with the PLRA.
As stated, the Plaintiff has filed an application to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. (Doc. 2). The Prison Litigation Reform Act of 1995, [4] (the "PLRA"), obligates the Court to engage in a screening process when a prisoner wishes to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. Specifically, Section 1915(e)(2), which was created by § 805(a)(5) of the Act, provides:
(2) Notwithstanding any filing fee, or any portion thereof, that may have been paid, the court shall dismiss the case at any time if the court determines that (A) the allegation of poverty is untrue; or (B) the action or appeal (i) is frivolous or malicious; (ii) fails to state a claim on which relief may be granted; or (iii) seeks monetary relief against a defendant who is immune from such relief.
28 U.S.C. § 1915(e)(2).
In a § 1983 civil rights action, the Plaintiff must prove the following two essential elements: (1) that the conduct complained of was committed by a person acting under color of state law; and (2) that the conduct complained of deprived the Plaintiff of rights, privileges or immunities secured by the law or the Constitution of the United States. Parratt v. Taylor, 451 U.S. 527 (1981); Kost v. Kozakiewicz, 1 F.3d 176, 184 (3d Cir. 1993). Further, Section 1983 is not a source of substantive rights. Rather, it is a means to redress violations of federal law by state actors. Gonzaga Univ. v. Doe, 536 U.S. 273, 284-85 (2002). See also Holocheck v. Luzerne County Head Start, Inc., 385 F.Supp.2d 491, 498-499 (M. D. Pa. 2005); Slater v. Susquehanna County, 613 F.Supp.2d 653, 660 (M.D. Pa. 2009) (citations omitted); Stankowski v. Farley, 487 F.Supp.2d 543, 550 (M.D. Pa. 2007) ("only those who act under color of state law are liable to suit under section 1983."). "In order to satisfy the second prong [of a §1983 civil rights action], a Defendant does not have to be a state official, but can also be held liable as a state actor." Slater v. Susquehanna County, 613 F.Supp.2d at 660(citations omitted).
It is well-established that personal liability under section 1983 cannot be imposed upon a state official based on a theory of respondeat superior. See, e.g., Rizzo v. Goode, 423 U.S. 362 (1976); Hampton v. Holmesburg Prison Officials, 1546 F.2d 1077, 1082 (3d Cir. 1976); Parratt, supra. It is also well-settled in the Third Circuit that personal involvement of defendants in alleged constitutional deprivations is a requirement in a § 1983 case and that a complaint must allege such personal involvement. Id. Each named defendant must be shown, through the complaint's allegations, to have been personally involved in the events or occurrences upon which Plaintiff's claims are based. Id. As the Court stated in Rode v. Dellarciprete, 845 F.2d 1195, 1207 (3d Cir. 1998):
A defendant in a civil rights action must have personal involvement in the alleged wrongs . . . . [P]ersonal involvement can be shown through allegations of personal direction or of actual knowledge and acquiescence. Allegations of participation or actual knowledge and acquiescence, however, must be made with appropriate particularity. (Citations omitted).
A civil rights complaint must state the time, place, and responsible persons involved. Id.
Courts have also held that an allegation seeking to impose liability on a defendant based on supervisory status, without more, will not subject the official to section 1983 liability. See Rode, 845 F.2d at 1208.
I n Reisinger v. Luzerne County, 712 F.Supp.2d 332, 343-344 (M.D. Pa. 2010), the Court stated:
The Third Circuit Court of Appeals recently set out the appropriate standard applicable to a motion to dismiss in light of the United States Supreme Court's decisions Bell Atlantic Corp. v. Twombly, 550 U.S. 433 (2007), and Ashcroft v. Iqbal, ___U.S. ___, 129 S.Ct. 1937 (2009). "[T]o survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true to 'state a claim that relief is plausible on its face.' " Iqbal, 129 S.Ct. at 1949 (citing Twombly, 550 U.S. at 570). The Court emphasized that "only a complaint that states a plausible claim for relief survives a motion to dismiss." Id. at 1950. Moreover, it continued, "[d]etermining whether a complaint states a plausible claim for relief will ... be a context-specific task that requires the reviewing court to draw on its judicial experience and common sense." Id. (citation omitted). McTernan v. City of York, 577 F.3d 521, 530 (3d Cir.2009). The Circuit Court discussed the effects of Twombly and Iqbal in detail and provided a road map for district courts presented with a motion to dismiss for failure to state a claim in a case filed just a week before McTernan, Fowler v. UPMC Shadyside, 578 F.3d 203 (3d Cir.2009).
[D]istrict courts should conduct a two-part analysis. First, the factual and legal elements of a claim should be separated. The District Court must accept all of the complaint's well-pleaded facts as true, but may disregard any legal conclusions. [ Iqbal, 129 S.Ct. at 1949.] Second, a District Court must then determine whether the facts alleged in the complaint are sufficient to show that the plaintiff has a "plausible claim for relief." Id. at 1950. In other words, a complaint must do more than allege a plaintiff's entitlement to relief. A complaint has to "show" such an entitlement with its facts. See Philips [v. Co. of Allegheny], 515 F.3d [224, ] 234-35 [ (3d Cir.2008) ]. As the Supreme Court instructed in Iqbal, "[w]here the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the complaint has alleged-but it has not 'show[n]'-'that the pleader is entitled to relief.' " Iqbal, 129 S.Ct. at 1949.
This "plausibility" determination will be "a context-specific task that requires the reviewing court to draw on its judicial experience and common sense." Id. Fowler, 578 F.3d at 210-11.
Based on the foregoing facts, Plaintiff alleges that Defendants violated his Eighth Amendment right to medical care and subjected him to cruel and unusual punishment.
We will recommend that the Court dismiss without prejudice Defendants LCCF Warden Robert Karnes and Deputy Warden Hauck. While Plaintiff names Karnes and Hauck as Defendants, Plaintiff does not allege any constitutional claims against the Warden or Deputy Wardens who are supervisory officials and were not involved in Plaintiff's medical care. Therefore, in accordance with the aforementioned §1983 standard, because Plaintiff has failed to allege any personal involvement whatsoever of Defendants Karnes and Hauck in relation to any of the constitutional claims he raises in his Complaint, we will recommend that the Court dismiss without prejudice Defendants Karnes and Hauck. As stated, personal liability under section 1983 cannot be imposed upon a state official based on a theory of respondeat superior. See Rode, supra. We find that allowing Plaintiff to amend his pleading to properly raise Eighth Amendment claims against Defendants Karnes and Hauck may not be futile and thus, should be allowed. See Grayson v. Mayview State Hospital, 293 F.3d at 111.
Plaintiff also names the Medical staff at LCCF as a Defendant. (Doc. 1, p. 1). However, it is well-established that a medical department is not a proper Defendant for a § 1983 action. See Fischer v. Cahill, 474 F.2d 991, 992 (3d Cir. 1973). The Third Circuit recognized that a prison's medical department may not be sued under Section 1983 because it is not a person. Id. at 992.
Therefore, the medical staff at LCCF is also not an appropriate Defendant, and we will recommend that this Defendant be dismissed with prejudice because a medical department, like a prison, is also not a "person" under §1983.
As stated, Plaintiff attempts to allege cruel and unusual punishment by LCCF as a conditions of confinement claim against Defendants. Plaintiff asserts his Eighth Amendment conditions of confinement claim by alleging that the Defendants subjected him to cruel and unusual punishment by not treating him. (Doc 1, pp. 2-5). However, Plaintiff has failed to allege personal involvement of any Defendant with respect to his conditions of confinement claim and also has failed to comply with Federal Rule of Civil Procedure 8(a) because he fails to plead his confinement conditions claim with factual sufficiency.
In Mitchell v. Dodrill, 696 F.Supp.2d 454, 466 (M.D. Pa. 2010), the Court stated:
The Eighth Amendment prohibition against cruel and unusual punishment demands that prison officials do not house inmates under conditions that deprive them of one or more basic human needs, such as the basic human need for reasonable safety, adequate physical space, and the need for some degree of ventilation and fresh air. Helling v. McKinney, 509 U.S. 25, 32 (1993). However, the Eighth Amendment does not mandate that prisons be free of discomfort Farmer v. Brennan, 511 U.S. 825, 833 (1994) (quoting Rhodes v. Chapman, 452 U.S. 337, 349 (1981). No static test determines whether conditions of confinement are "cruel and unusual." These terms must "draw [their] meaning from the evolving standards of decency that mark the progress of a maturing society." Tillery v. Owens, 719 F.Supp. 1256, 1261 (W.D.Pa 1989).
To establish an Eighth Amendment claim, Mitchell must show that he has been deprived of "the minimal civilized measure of life's necessities." Griffin v. Vaughn, 112 F.3d 703, 709 (3d. Cir. 1997) (quoting Young v. Quinlan, 960 F.2d 351, 359 (3d. Cir. 1992)). In reviewing this type of claim, courts have stressed the duration of the complainant's exposure to the alleged unconstitutional conditions and the "totality of the circumstances" as critical to a finding of cruel and inhumane treatment. Rhodes, 452 U.S. at 362-363. Moreover, the focus must be on the deprivation of a particular basic necessity. As explained by the United States Supreme Court:
Some conditions of confinement may establish an Eighth Amendment violation "in combination" when each would not do so alone, but only when they have a mutually enforcing effect that produces the deprivation of a single, identifiable human need such as food, warmth, or exercise-for example, a low cell temperature at night combined with a failure to issue blankets. To say that some prison conditions may interact in this fashion is a far cry from saying that all prison conditions are a seamless web for Eighth Amendment purposes. Nothing so amorphous as "overall conditions" can rise to the level of cruel and unusual punishment when no specific deprivation of single human need exists. Wilson v. Seiter, 501 U.S. 294, 304-305 (1991).
In addition to showing conditions that pose a significant risk of serious harm, the inmate must show that the person or persons responsible for the conditions of confinement acted with "a sufficiently culpable state of mind." Id. at 298. As described by the Supreme Court in Farmer, the standard for determining deliberate indifference in a conditions of confinement case is whether a prison official knew of and disregarded an excessive risk to an inmate's health or safety. Farmer, 511 U.S. at 837. The Court added that "it is enough that the official acted or failed to act despite his knowledge of a substantial risk of harm." Id. at 842.
Plaintiff has failed to properly allege an Eighth Amendment conditions of confinement claim because he has not averred that any Defendant acted with deliberate indifference to a substantial risk of harm by not treating him for severe pain. Plaintiff does not allege deliberate indifference on the part of the Defendants because Plaintiff fails to provide information that any Defendant knew of a risk of serious harm to him and disregarded his complaints. To the contrary, Plaintiff asserts the list of treatment which he received for the pain in his shoulder. We find that Plaintiff's allegations are insufficient to rise to an Eighth Amendment claim.
Therefore, because Plaintiff has failed to allege personal involvement of any Defendant with relation to his conditions of confinement claim, because Plaintiff's allegations appear to only demonstrate potential negligence, and because Plaintiff has failed to properly allege the elements of a constitutional claim, we will recommend that Plaintiff's Eighth Amendment conditions of confinement claim be dismissed with prejudice. We find that this claim may be more properly asserted as an Eighth Amendment denial of medical care claim. Thus, we find that allowing Plaintiff the opportunity to amend his Complaint with respect to his conditions of confinement claim would be futile. See Mitchell, supra; Grayson v. Mayview State Hospital, 293 F.3d at 111.
In his Complaint, as noted above, Plaintiff's denial of medical care claim is vague at best. Plaintiff alleges that Defendants violated his Eighth Amendment right to medical care since his incarceration on March 12, 2014, he has complained of severe pain due to a left shoulder injury which has not been properly treated . (Doc. 1, p. 3).
The Eighth Amendment "requires prison officials to provide basic medical treatment to those whom it has incarcerated." Estelle v. Gamble, 429 U.S. 97, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976). In order to successfully raise an Eighth Amendment denial of medical care claim, a plaintiff inmate must allege that the defendant was deliberately indifferent to plaintiff's serious medical needs. Monmouth Cty. Corre. Inst. Inmates v. Lanzaro, 834 F.2d 326, 346 (3d Cir. 1987). A prison official acts with deliberate indifference to an inmate's serious medical needs when the prison official is aware of the medical need and "disregards an excessive risk to inmate health or safety." Farmer v. Brennan, 511 U.S. 825, 837, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994). According to the Supreme Court in Estelle, negligently diagnosing or treating a medical condition does not amount to an Eighth Amendment violation of an inmate's right to medical care/ treatment. Estelle, 429 U.S. at 106.
Plaintiff does not allege that any of Defendants failed to supervise any prison employees in deliberate indifference to his serious medical needs. In fact, as stated, Plaintiff does not even allege that the supervisory Defendants had any direct knowledge of his medical condition or treatment. Plaintiff clearly states in his allegations that he received treatment.
In short, it is not alleged that the Defendants were aware of any improper medical care to Plaintiff by the prison's medical staff during the relevant time. Further, as the Goodrich Court stated, "non-physician defendants cannot be "considered deliberately indifferent simply because they failed to respond directly to the medical complaints of a prisoner who was already being treated" by the prison's medical staff. Durmer v. O'Carroll, 991 F.2d 64, 69 (3d Cir.1993).
There is no allegation that any of the supervisory Defendants had reason to believe that the prison medical staff were not treating Plaintiff appropriately. The Goodrich Court also stated:
A prison official's deliberate indifference to an inmate's serious medical needs constitutes a violation of the Eighth Amendment and states a cause of action under § 1983 See, e.g., Estelle v. Gamble, 429 U.S. 97, 104-05, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976). The Eighth Amendment claim has objective and subjective components. First, the prisoner must show that his medical need is, objectively, sufficiently serious." Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994) (citation omitted). Second, he must establish that the prison official acted with subjective deliberate indifference, that is, that the official was aware of a substantial risk of serious harm to the prisoner but disregarded that risk by failing to take reasonable measures to abate it. Farmer v. Brennan, 511 U.S. 825, 837, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994).
A medical need qualifies as "serious" for purposes of Eighth Amendment analysis if, for example, "it is one that has been diagnosed by a physician as requiring treatment." Monmouth County Corr. Institutional Inmates v. Lanzaro, 834 F.2d 326, 347 (3d Cir.1987) (quotation and citation omitted). In addition, "if unnecessary and wanton infliction of pain results as a consequence of denial or delay in the provision of adequate medical care, the medical need is of the serious nature contemplated by the eighth amendment." Id. (quotation *111 and citation omitted). A mental illness may constitute a serious medical need. Inmates of the Allegheny County Jail v. Pierce, 612 F.2d 754, 763 (3d Cir.1979) ("Although most challenges to prison medical treatment have focused on the alleged deficiencies of medical treatment for physical ills, we perceive no reason why psychological or psychiatric care should not be held to the same standard.).
An inmate can show deliberate indifference" where, for example, "prison authorities deny reasonable requests for medical treatment ... and such denial exposes the inmate to undue suffering." Lanzaro, 834 F.2d at 346 (quotation and citation omitted). Alternatively, deliberate indifference" is shown where knowledge of the need for medical care [is accompanied by the] ... intentional refusal to provide that care" or where"prison authorities prevent an inmate from receiving recommended treatment for serious medical needs or deny access to [a] physician capable of evaluating the need for such treatment." Id. at 346-47 (quotations and citations omitted). It is clear, however, that allegations of negligence do not rise to the level of a constitutional violation. Estelle, 429 U.S. at 106, 97 S.Ct. 285. Finally, "whether or not a defendant's conduct amounts to deliberate indifference has been described as a classic issue for the fact finder." A.M. ex. rel. J.M.K. v. Luzerne County Juvenile Detention Ctr., 372 F.3d 572, 588 (3d Cir.2004) (quoting Nicini v. Morra, 212 F.3d 798, 816 (3d Cir.2000) (Rendell, J., dissenting)).
214 Fed.Appx. At 110-111. See also Ascenzi v. Diaz, 2007 WL 1031516, *4 (M.D. Pa.).
Furthermore, mere disagreement as to the proper medical treatment does not support an Eighth Amendment claim. Monmouth County Correctional Institutional Inmates v. Lanzaro, 834 F.2d 326, 346 (3d Cir. 1987)("Courts, determining what constitutes deliberate indifference have consistently held that mere allegations of malpractice do not raise issues of constitutional import...Nor does mere disagreement as to the proper medical treatment support a claim of an eighth amendment violation."); White v. Napoleon, 897 F.2d 102, 110 (3d Cir. 1990) (mere disagreement over proper treatment does not state a claim upon which relief can be granted).
We find that Plaintiff has not alleged the personal involvement of any Defendant with respect to his Eighth Amendment denial of medical care claim. Thus, we will recommend that Plaintiff's Eighth Amendment denial of medical care claim be dismissed without prejudice as against Defendants Warden Robert Karnes and Deputy Warden Hauck Defendants because Plaintiff has not properly alleged that these Defendants acted with deliberate indifference to a serious medical need.
Based on the foregoing discussion, we respectfully recommend that:
1. The Court dismiss WITH PREJUDICE Plaintiff's claims for monetary damages against Defendants in their official capacities;
2. The Court DISMISS WITHOUT PREJUDICE, Defendants Warden Robert Karnes and Deputy Warden Hauck with respect to Plaintiff's denial of proper medical care claim;
3. The Court DISMISS WITH PREJUDICE Defendant Medical Staff LCCF; and
4. The Court DISMISS WITH PREJUDICE Plaintiff's Eighth Amendment conditions of confinement claim as against all Defendants.
Plaintiff v. DEPUTY WARDEN HAUCK, et al., Defendants
(Chief Judge Conner) (Magistrate Judge Blewitt)
NOTICE IS HEREBY GIVEN that the undersigned has entered the foregoing Report and Recommendation dated August 4, 2014.
Any party may obtain a review of the Report and Recommendation pursuant to Rule 72.3, which provides:
Any party may object to a magistrate judge's proposed findings, recommendations or report addressing a motion or matter described in 28 U.S.C. § 636 (b)(1)(B) or making a recommendation for the disposition of a prisoner case or a habeas corpus petition within fourteen (14) days after being served with a copy thereof. Such party shall file with the clerk of court, and serve on the magistrate judge and all parties, written objections which shall specifically identify the portions of the proposed findings, recommendations or report to which objection is made and the basis for such objections. The briefing requirements set forth in Local Rule 72.2 shall apply. A judge shall make a de novo determination of those portions of the report or specified proposed findings or recommendations to which objection is made and may accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge. The judge, however, need conduct a new hearing only in his or her discretion or where required by law, and may consider the record developed before the magistrate judge, making his or her own determination on the basis of that record. The judge may also receive further evidence, recall witnesses or recommit the matter to the magistrate judge with instructions.
Failure to timely file objections to the foregoing Report and Recommendation may constitute a waiver of appellate rights.
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text: bp By September 17, 2012 10:37 PM Share on Facebook Share on Twitter Category: Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! Best of WBKR Lineup Announced for ROMP 2017 Last Day To Submit Christmas Wish Letters – Monday, December 12th Eric Church Tickets Go On Sale Today Richard and Florence Knit 675 Hats for Christmas Wish [VIDEO] Recommended For You ZergNet Best of the Web ZergNet


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Sub-merged Souls.
SUBmerged souls~~~~~~~~~~~~~~~~~
© All rights reserved-MFB III
In the thick skin
of a metal tube
one end bleeding oil as it
swallows gallons of salt water
filling living spaces
with flotsam..body parts
and exploded debris
from within this havoc
scrambled 23 comrades
fleeing the sea
they had always loved
imagine their horror
as they fled madly
into the ninth chamber
clawing hatchways closed
behind them tightly sealed
heartbeats echoing in the
metal walls around them
breathing so fast..too fast
and devouring precious air
that was always, ever dwindling
huddled in a shivering mass
in total darkness
fathoms below the light
thoughts of all they knew
but would soon know no more
torturing their minds
as they waited for a Godsend
a tap of hope on the
flesh of this steel coffin
but silence mocked them
not moving now
not talking anymore
holding in a breath
as long as humanly possible
blowing out a poisonous gas
carbon monoxide
gasping the little oxygen left
into their shrunken lungs
a small reward for their efforts
the captain in darkness
leading them in prayers
then knowingly
writing blindly of his love
to his family
pen flailing weakly
as he describes the nightmare
of these submerged souls
while above politics as usual
and the safety of secrets
classified information
slows the rescue to a crawl
storms brew a bitter cup of tea
for these hapless twenty-three
left in the drink
abandoned after futile attempts
one by one they winked out
of existence
life light's fading
from their eyes
even in the total blackness
the husk of what once was
living flesh encased in
the hull of what once was
a mighty vessel
now consigned to the
Artic waters
forever a relic of one
of this centuries
terrible blunders
23 souls abandoned ship
beyond human assistance
and all that remains
are remains.~~~~~~~~~~~~~~~~~~~~~~~~~~~
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text: Related Program: Wyoming Stories Wyoming Stories: Marine tells story from his Iraq tour By Cordelia Zars • Nov 22, 2013 Related Program: Wyoming Stories TweetShareGoogle+Email Jason Williams Credit Micah Schweizer Listen Listening... / 4:17 Jason Williams is an Iraq War veteran from Lander. In 2004, he was part of the 11th Marine Expeditionary Unit deployed to Najaf. Tags: Iraq WarNajafWyoming StoriesU.S. MarinesTweetShareGoogle+Email Related Content StoryCorps: Vietnam veteran talks about his time as a POW 3 years ago View the discussion thread.


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Box Office: 'X-Men' Nabs $261M Worldwide Debut
X-Men: Days of Future Past has earned $90.7 million on its first weekend of release, with a projected Memorial Day four-day debut of $108m. That total that includes $8.1m worth of Thursday previews. That's a lower opening than the 2006 debut of X-Men: The Last Stand, which earned $102m Fri-Sun and $124m Fri-Mon over its Memorial Day debut. Heck, adjusted for inflation, it's a smaller Fri-Sun debut than X2: X-Men United ($85m back in 2003) about on par with X-Men Origins: Wolverine ($85m in 2009) and X-Men ($54m in 2000, which would be about $80m today without any 3D bump). The question becomes exactly how 20th Century Fox viewed this seventh X-Men picture. Was it merely intended to improve upon the box office fortunes of the last three installments, or was the "franchise all-stars to the rescue" super-sequel meant to shoot the 14-year old X-Men franchise to towering new box office heights? If it's the former, then the picture will certainly be a success. But in terms of relative comparisons to the X-Men franchise as a whole, it's coming up somewhat short. X-Men may no longer be a god among insects in America. I add that caveat because it also earned $171m overseas this weekend. So going into Monday, the film has already earned $261m worldwide.
The film's $90 million weekend is the fourth biggest of the year, behind Captain America: The Winter Soldier ($95m), Godzilla ($93m) and The Amazing Spider-Man 2 ($91m). The good news is that the film played a little better than X-Men: The Last Stand over the long weekend. X-Men 3 opened with a $45m opening day (the second biggest on record) and then went on to earn $102m Fri-Sun (about $125m today not accounting for 3D) and $124m Fri-Sun (about $151m today), for a 2.7x four-day multiplier and an awful 2.2x Fri-Sun multiplier. This time around, X-Men: Days of Future Past earned $36m on opening day (the third-biggest of the year) for a 2.9x Fri-Mon multiplier and a solid 2.5x Fri-Sun multiplier. It's also the sixth-biggest Fri-Mon Memorial Day opener ever, behind Fast & Furious 6 ($117), X-Men: The Last Stand ($124m), Indiana Jones and the Kingdom of the Crystal Skull ($126m), and Pirates of the Caribbean: At World's End ($153m, which included $13m worth of Thursday previews).
X-Men: Days of Future Past, which brings back Hugh Jackman, Halle Berry, Patrick Stewart, and Ian McKellen for a time-travel story that also involves James McAvoy, Michael Fassbender, and (the now red-hot) Jennifer Lawrence, was supposed to scale new heights for the franchise or merely stem the relative bleeding domestically. If Fox was looking for a Fast Five-type breakout success, it will have to happen overseas. Memorial Day weekend openers generally have terrible legs over their domestic theatrical run. X-Men: The Last Stand earned just 1.88x its four-day figure overall, ending its domestic run with $235 million. Most Memorial Day openers aren't much better, with X-Men: The Last Stand, Indiana Jones and the Kingdom of the Crystal Skull, The Hangover part II, Fast & Furious 6, and Pirates of the Caribbean: At World's End (the top five Memorial Day openers of all time prior to this weekend) doing around 1.85x-2.2x their 4 or 5 day debut figures.
It would seem at this juncture that the absolute best-case scenario is that X-Men: Days of Future Past ends its domestic total with $247m domestic (2.3x). That's a solid figure, but it's also below the $285m adjusted-for-inflation domestic totals of X2 and X-Men: The Last Stand. Like the Spider-Man reboot, it could be that the X-Men franchise, which was once one of the towering giants of the comic book superhero sub-genre, is now just another too-expensive fantasy property. The absolute nightmare scenario, and I'm not outright saying this is how it's going to go, is that X-Men: Days of Future Past performs exactly like X-Men: The Last Stand from here on out and ends its domestic run with $200m. It"s doing about average for the franchise in America, although it's clearly breaking out overseas. Again, if this were the first entry in a franchise, this would count as a win regardless of how it plays out.
But Fox was arguably expecting that the return of Bryan Singer and the returning of the old cast members would cause X-Men: Days of Future Past to play like a proverbial X-Men 4, with the inflated budget to match. Like The Amazing Spider-Man 2, with great budgets come great expectations. I don't want to be too negative in case it performs like, for example, Fast Five, which earned $200m here and over $600m worldwide. The overseas marketplace has changed since 2006. It already earned $171m overseas in 100 markets, the vast majority of markets in which it will be playing. Considering that The Wolverine holds the record for overseas totals for a X-Men film at $282m, it would appear that at least a foreign record will be broken for an X-Men film. It should have close to $300m worldwide by tomorrow ($261m by today, plus whatever it makes worldwide tomorrow). So does this mean that the domestic total is irrelevant? Maybe, but that remains to be seen.
The other major release was a somewhat shocking whiff. Warner Bros. (a division of Time Warner TWX +1.01%) dropped the Adam Sandler/Drew Barrymore romantic comedy Blended as a form of counter-programming, but everyone who didn't see X-Men went to see Warner Bros.' Godzilla or Universal's Neighbors instead. Blended opened with just $14.45 million, outright terrible for a mainstream Adam Sandler comedy. The film will theoretically cross $18m by Monday. The good news is that it cost just $45m to produce, meaning $50m here and $50m overseas will put the film in eventual break-even form.
US Figures:
1. (-) X-Men: Days of Future Past - $90,700,000
2. (1) Godzilla - $31,425,000
3. (-) Blended - $14,245,000
4. (2) Bad Neighbours - $13,946,000
5. (3) The Amazing Spider-Man 2 - $7,800,000
6. (4) Million Dollar Arm - $7,093,000
7. (5) The Other Woman - $3,675,000
8. (7) Rio 2 - $2,500,000
9. (15) Chef -$2,260,000
10. (6) Heaven is for Real - $1,950,000
More @ [Source]http://www.forbes.com/sites/scottmendel


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Fabulous Links: Week of 01/21/2011
This weeks top links of the week!
The Fashion Bomb – Tired of your same old hairstyle? Try one of these 6 Different Ways to Style Your Locs.
StyleList – Tim Gunn on New Weight Watchers Gig, Anna Wintour's Bullying Tactics, and His Next Book - I don't know about you, but I can never get enough of Tim Gunn!
The Frisky – Money 101: Identifying The Money Drains In Your Life. Get to know them so you can save more.
Couture in the City – It was recently revealed that Jennifer Aniston Hated 'Rachel' Haircut!
The Budget Fashionista – This is amazing – Rent The Runway Launches Wedding Site.
Category: Uncategorized


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Individual plans are offered by third-party payers directly to individuals. About fifteen million Americans have individual plans; approximately ten million of them have individual plans with commercial companies, four million with Blue Cross/Blue Shield, and one million with HMOs. Individual plans offer four basic kinds of policies: major medical policies, hospital-surgical policies, hospital indemnity policies, and dread disease policies. The best coverage is under major medical policies: they typically pay for hospital care, physicians' fees, laboratory tests, drugs, ambulance services, and skilled nursing facilities. Hospital-surgical policies pay for hospital and surgical services only. Hospital indemnity policies pay a fixed amount only while a person is hospitalized. Since a typical amount paid is $75 a day, and since the average hospital charge per day is ten times higher, hospital indemnity policies are regarded as a rip-off. Dread disease policies will generally not provide coverage for people who already have the dread disease. Individual plans have different requirements for eligibility, cover different services, and reimburse at different rates than group plans. Generally, an insurer will cover some percentage of your medical costs if you continue to meet certain conditions: if you pay your premiums; if you have not reached some (usually extremely high) upper limit or cap on expenses; if you ask the company to pay for only those items they contracted to pay for; and if you do not seem to pose to them an unacceptably high risk. For commercial insurance companies and Blue Cross/Blue Shield, risks are classified as (1) standard, for which the insurer will supply standard coverage at the usual rates; (2) substandard, for which the insurer will supply coverage at increased rates or will exclude coverage for some medical condition; and (3) denied, for which the insurer will supply no coverage. For HMOs, risks are either acceptable or unacceptable: that is, HMOs will either accept you at the usual rate or they will deny your application. For insurers, virtually all people with AIDS, cancer, coronary artery disease, and diabetes pose unacceptably high risks. To assess the risk you pose, all private, third-party payers (that is, all private insurers) use similar mechanisms. You must fill out an application, which includes a health questionnaire. Nearly all health questionnaires include questions about HIV infection: for example, Have you ever had AIDS, ARC, or tested positive for HIV infection? Other questions may ask whether you have or ever had symptoms of HIV infection. Still other questions may be about drug abuse, age, and occupation: these questions are triggers for the insurer to scrutinize the application further. Questions about sexual orientation are also triggers, despite the fact that such questions violate the guidelines of the National Association of Insurance Commissioners. When you apply for an individual plan, the insurer will request your medical records. Everyone applying for individual insurance must authorize the insurer to request medical records. The insurer might also request a statement, called an Attending Physician Statement, from your physician. Your medical records must be complete, including HIV status. Withholding or falsifying any information on a medical record is grounds for the insurer to deny payment and cancel the policy. Most insurers also require the applicant to take a medical examination. Whether an insurer can require you to take an HIV antibody test is still a matter of legal argument. Some insurers require HIV antibody tests for all applicants for individual plans; most will require the tests if the answers on your health questionnaire merit the test. California and Washington, D.C., have banned HIV antibody testing but allow insurers to use CD4 counts instead. What insurers want to rule out with all these questions and tests and checks is what they call a preexisting condition. A preexisting condition is defined by the National Association of Insurance Commissioners as "the existence of symptoms which would cause an ordinarily prudent person to seek diagnosis, care, or treatment," or as "a condition for which medical advice or treatment was recommended by a physician or received from a physician within a five-year period preceding the effective date of coverage." In short, a preexisting condition is a medical condition for which you have received advice or treatment (assuming you are an ordinarily prudent person) from a physician within the last five years. Some insurers will accept an applicant with certain preexisting conditions as a substandard risk; others will deny the application for the same condition. To be certain the applicant does not have a preexisting condition that has escaped everyone's notice, insurers usually enforce a waiting period—usually a matter of months—between the time of application and the time coverage begins. If, during the waiting period, the applicant shows no evidence of a preexisting condition, the company will accept the application and will pay eligible medical benefits. If you develop AIDS well after you enrolled in an individual plan with the insurer, by law that company is not permitted to drop you. The bottom line: An asymptomatic person with a positive HIV blood test does not fit the definition of having a preexisting condition. Insurers nevertheless will often deny the applications for individual plans from people with HIV infection. Some of these denials are being contested in court. Note that the preexisting condition rule affects people who apply for individual plans with a new insurer. For this reason, people with HIV infection who have a long-time plan with an insurer are often advised to stay with that insurer. You can find out the details of individual plans by reading your policy or by talking to your insurance agent.*205\191\2*
ligence is only one of the critical factors in the child's ability to learn. There can be other problems. For example, reading is a complex task. The child must first see the letters and the seeing must then be translated into electrical signals in the eye. These signals are then sent to the occipital lobe of the brain. From there the message goes to the association areas of the brain in the parietal lobe where the symbols are interpreted. Meaning comes from association with something that the child remembers, memories which must be retrieved from the frontal and temporal lobes.Thus problems with reading could occur at many levels. A child with visual problems who needs glasses may not be able to see the letters. A child with damage in the occipital lobes might have normal eyes but might not "see" the letters. One with damage in the association areas of the brain might be able to see the letters but might not be able to recognize them. Problems in other areas might keep him from being able to retrieve the memories that give the words meaning. These varied difficulties with reading often go under the heading of "dyslexia." "Dys-" means not working properly, and "lexia" means having to do with words. In most children the basic cause of the dyslexia is not understood. There clearly is a higher incidence of this type of learning problem in children with epilepsy.242\208\8*
Sometime with thrombosis or thrombophlebitis of a deep vein, a portion of the thrombus becomes detached and travels through the veins to the right side of the heart and is then pumped into the lung circulation, where it blocks an artery in the lung. This is called pulmonary embolism.Symptoms of Pulmonary Embolism.Depending on the size of the pulmonary embolus, it can cause chest pain, shortness of breath, or cough (that may produce blood-streaked sputum). In extreme cases, loss of consciousness or even sudden death may occur.Pulmonary embolism may not be suspected, especially if the person has heart and lung disease already. Prompt diagnosis is critical, because about 10 percent of people with pulmonary embolism die within the first hour.Who Is Affected by Pulmonary Embolism? Your risk of having a pulmonary embolus increases if you are confined or immobile for prolonged periods, in other words, the same conditions that are likely to cause deep venous thrombosis or thrombophlebitis. The most likely times for pulmonary embolism to occur are after surgery, stroke, heart attack, hip or leg fracture, or prolonged bed rest or inactivity (such as sitting for a long time in a plane or car). Your risk is also higher if you are overweight or if your blood has an abnormally high tendency to clot.*208\252\8*
"The people who are my support," said Alan Madison, "also upset me most. My partner, when I came home from work early, gave that look of, 'Oh God, he's sick, he's probably dying.' " Their caregivers' worry about them occasionally seems to be a request for reassurance, as though they want the sick person to say, "No, I'm not sick at all. Nothing to worry about." When people are tired and not feeling well and a little worried themselves, reassuring others is trying. Steven's caregiver is his cousin: "My cousin gets too doting. She gives me her entire schedule and wants to know mine. But I can't feel accountable to her—we're both full grown—in spite of her good intentions." People with HIV infection are extremely aware that they are affecting the lives of their caregivers. They worry that they are causing trouble and suffering, and they feel responsible for that. Perhaps they also occasionally feel some guilt for inflicting trouble on their caregivers. As a result, people with HIV infection protect their caregivers. Sometimes they keep worrisome information to themselves, or they minimize symptoms and pains. They say they don't want to make the caregivers' burdens any heavier. They worry that the caregivers will burn out and be unable to help them in times of urgent need. They also worry that no one is caring for the caregivers: "My cousin hasn't had an easy life," says Steven. "She lost her father, and now she's losing me. She's having a hard time and somebody should be watching out for her." People with HIV infection are sometimes bothered by reassuring caregivers because they want not to be reminded of sickness, but to concentrate on getting well. Too often, what the caregiver expresses as sympathy sounds to the receiver like pity. The sick person sometimes hears the caregiver saying, "It must be awful to be you." "That kind of sympathy," says Steven, "makes me very uneasy."
Whether caused by a gunshot, a fall from a balcony, a car or motorcycle accident, or a dive into a shallow pool of water a spinal cord injury requires immediate emergency medical assistance. Care must be taken at the scene of the accident to preserve the integrity of the spinal cord. This means that the injured person should be moved only by a professional who is trained in the proper protocol. Stabilizing the neck and transferring the patient onto a backboard – a flat board or stretcher-are usually the first steps taken by the emergency medical technicians. The backboard is placed securely into an emergency vehicle, and a swift journey to a trauma center or hospital follows. Sometimes helicopters do the transporting. On reaching the hospital, the injured person is rapidly transferred to the Emergency Room (ER). Time is of the essence.Franklin remembers bits and pieces of his trip to the hospital, emergency treatment efforts, and the fears and feelings swirling through his mind. At this point, injured people often have an awareness of their surroundings but no real understanding of what has actually happened. You may be thinking, "What's going on? What's wrong with me? Where's my family?" Questions may float through your mind but you maybe too stunned to ask. Events seem beyond you. You feel as if you've been transported into someone else's life. There is pain. There is no pain. Your headache is like no other you've experienced. Time whizzes by. Time is in slow motion.If you remember the trip to the hospital, you may recall the board on which you arrived and the doctors and nurses examining you. You may remember chaos in the ER, and the sudden appearance of family members and how they reacted, whether with tears or with stiff upper lips. After a quick visit, your family was probably escorted to the waiting room, and you were on your own again with medical staff.
Certain symptoms are suspicious and should be given serious consideration. Not long ago a state cancer organization asked 158 people with cancer why they had delayed so long in seeking medical attention with their problem. One half of them said that they had not taken it seriously. Two had hesitated because they were afraid of cancer and two because they were afraid of doctors. Ten per cent said that they just had not bothered about it, and another 10 per cent were afraid that it would cost them something to see the doctor. This information is enlightening, since we know that hundreds of thousands of lives could be saved today if people would just bring their symptoms soon enough to the attention of competent physicians and surgeons.Whenever a lump appears underneath the surface of the body and does not go away the symptom must be considered suspicious. Whenever there is bleeding or a discharge, from any portion of the body, that is not easily explainable the symptom is a warning sign. Whenever a sore or rubbed area in the body does not heal promptly, investigation should be made immediately. Cancers that may be seen and felt easily are those on the skin, in the mouth, or in the breast. Women are much less likely to suffer cancers of the skin than are men, because women are much more careful about the appearance of the surface of the body. Men suffer more cancers of the mouth than do women. Cancers of the breast, however, are far more frequent in women than in men. The most frequent cancers which cannot be seen or felt but which warn of their presence by unusual symptoms such as bleeding and discharges are cancers of the urinary bladder, the kidney, or the organs concerned in childbirth.Pain is a relatively late symptom in cancer. Pain is likely to cause people to seek medical attention promptly; but other symptoms usually come before pain. Cancers which cannot be seen and which do not give any external signs of their presence are those of the stomach, the bowels, or the lungs. Hoarseness that persists more than a short time, and particularly hoarseness that does not go away after the voice has been rested, may be considered a danger signal. Many a man with serious symptoms affecting his stomach satisfies himself with a dose of baking soda. This is like pouring water on a fire bell when the fire is burning in the house.*2/318/5*
Sthe compulsions that crippled Howard Hughes, as well as those affecting his fellow OCD sufferers, can be divided into two groups', behavioral (observable acts) and mental (thought rituals).Behavioral compulsions include all the classic and well-recognized OCD rituals. Hughes was troubled primarily by washing and checking, the two most common types of severe compulsions. Another widespread behavioral compulsion is asking for reassurance. Other common examples include hoarding, repeating, tapping, and ordering.
Washingmany experts think that washing is the single most prevalent type of behavioral compulsion. Judith Rapoport, M.D., of the National Institutes of Health, a top OCD researcher and author of the acclaimed book, The Boy Who Couldn't Stop Washing, reports that more than 80 percent of the people who come to her clinic for treatment of OCD have been bothered at some time by washing rituals.At the root of washing compulsions, not surprisingly, is an obsession that a part of the body is unclean. Washing eases the feeling temporarily, but once the scrubbing is done, the thought returns. More scrubbing follows. Dermatologists are often the first to diagnose this disorder, as people frequently seek treatment for the skin damage caused by this excess.Handwashing compulsions are OCD's most recognized symptom. They are, indeed, the hallmark of the disorder. A typical example is provided by a math teacher:
I get to thinking that my hands are unclean in some way. It's not that they look dirty. And it's not that I imagine germs on them, either. It's just that I have this feeling they're unclean. So I'll lather them up good, wash them for a couple minutes, and dry them carefully. But pretty soon I'll touch something and then I'll get the feeling again. Some evenings after work I wash my hands every five minutes. They're in bad shape. I have to put medication on them and wear gloves when I sleep.
The most famous description of excessive handwashing is found in Shakespeare's Macbeth:
doctor: Look how she rubs her hands.gentlewoman: It is an accustomed action. … I have knownher to continue in this a quarter of an hour. lady Macbeth: Yet here's a spot. . . . Out, damned spot! Out,I say! . . . will these hands never be clean? . . . Here's thesmell of blood still: All the perfumes of Arabia will notsweeten this little hand.
Although this would seem to be a good description of compulsive washing, in the context of Shakespeare's play it probably does not represent true OCD. Lady Macbeth's handwashing occurs during sleepwalking, and her ritual is driven not by clinical obsessions but rather by depressive delusions or preoccuptations fueled by her guilt over Duncan's murder.
Checkingchecking compulsions is also very common. A recent study of 250 consecutive patients from Harvard's outpatient OCD clinic found that 63 percent complained of checking rituals.With this type of compulsion, a person must examine a situation over and over to make sure that no harm will come of it. Obsessions such as, "Is the gas shut off?" and "Are the doors locked?" drive the checking. A young wife described the torment and disruption that these rituals can cause:I stand there and turn the light switch off and on, off and on, off and on, off and on. I can't make myself stop. It's crazy. What happens is that I have the thought that maybe I didn't completely turn it all the way off. Maybe the switch is somewhere inbetween the off and on position and a fire will stat because of a short circuit. I know that this does not make sense. Still, I have to keep on switching back and forth until I get it just right. I might stay there for ten or fifteen minutes. One time the light switch started smoking. Now my husband swears at me and yells, "Leave the light switch alone of you really will start a fire!"
Requesting Reassurancethis type of compulsion tests the patience of family members more than any other. Here, a sufferer becomes obsessed that something terrible has happened and is compelled to coax a pledge from another person that everything is okay. "I didn't hit anybody with the car, did I?" "That lump doesn't mean I have AIDS, does it?" The OCDer asks over and over, unable to stop, knowing the answer she'll get, but needing to ask again anyway. Reassurance must be endlessly provided. A newlywed explained how her marriage was almost on the rocks due to her reassurance compulsions:1 love my husband more than anything. But I get the crazy thought that I might be interested in other men. I'll be walking in the mall and I'll notice a handsome guy, and afterward I'll get to wondering ifI looked at him too long, if maybe that means I'm interested in him. I'll worry all day; I can't stop myself from thinking that I might have had thoughts of unfaithfulness. Then, because I feel so guilty, I'm driven to tell my husband. I know it makes him feel bad, but I have to. He says that it's okay, that he knows I'm not interested in anyone else. Then I feel better. But I've been doing this every day, and it's driving him nuts.Hoardinghere, the natural tendency to save things is stretched to a pathological degree. A young man whose apartment was more than half filled, floor to ceiling, with magazines and newspapers explained that he was afraid to throw an article away because he might later remember that there was something critically important in it. Then, if he couldn't find it, he might get so upset that he would have a nervous breakdown.Repeatingwhen a routine action is repeated compulsively, and when— unlike in washing, checking, reassurance, and hoarding rituals—it bears no logical relationship to the obsession preceding it, this is called a repeating compulsion. One student, when struck by a harm obsession, compulsively repeated the action he was engaged in; this could be combing his hair, crossing his legs, or writing his name. Several quick repetitions usually sufficed to chase away the obsession. Repeating compulsions often must be performed a certain specific number of times. A young woman, in response to "a feeling of dread," scratched her head, brushed her teeth, or chewed on Life-savers four times, no more no less.Rubbing, Touching, and Tappingthese common compulsions also defy logical analysis. A student with harm obsessions needed to tap her fingers ten times to prevent her tormenting thought from coming true.Orderinghere, items must be arranged so that they are "just so." These rituals differ a bit from all others: They occur frequently in young boys, and their corresponding obsessions are often hard to identify.It has been hypothesized that ordering compulsions bear some resemblance to another kind of abnormal, repetitive action, the jerky movements referred to as "tics." Ordering compulsions may represent a hybrid symptom between OCD and the related neurological disorder of tics, Tourette's syndrome.*13/338/2*
Cost-EffectivenessCost-effectiveness studies have suggested benefit from antibiotic prophylaxis, but the assumptions inherent to these studies were inappropriate, limiting the usefulness of their conclusions. Two recent analyses were performed – one in the general population and one in patients with mitral valve prolapse. The study in the general population assumed that antibiotic prophylaxis is 100% effective, which is unlikely, and that 15% of IE (Infective Endocarditis) cases are related to dental procedures, although this number has been estimated to be closer to 4% to 10% in other studies. The mitral valve prolapse analysis also assumed 80% efficacy. Further study in this area is needed, with application of more accurate estimates of patient and physician adherence to recommendations, effectiveness of prophylaxis, and updated costs of complications of endocarditis and costs of antibiotic use.
Considering ReferralThe current recommendations for antibiotic prophylaxis of IE are designed to facilitate widespread application by primary care physicians. Some possible reasons for referral would include the work-up of an undiagnosed murmur, clarification of a congenital heart defect, or suspected penicillin allergy.*51/348/5*
Because the skin forms the covering of the body we do not associate it directly with the digestive processes. Yet if we are to understand the true function of the skin, and be in a position to take care of it so that it remains in a healthy condition, we must appreciate the fact that is intimately associated with the nutrition of the whole body. As we have already pointed out, all the cells of the body live in a fluid medium; from this medium they get their nutriment, and into this medium they return the waste products of their own activity. It is therefore true to say that it is in this intercellular fluid that the final digestive process is carried out.There is a direct connection between the alimentary tract and this fluid medium, and in the normal state of affairs a perfect balance is maintained. But this balance can be upset by indiscretions in eating, because if the stomach and the bowels are disturbed by overloading the end-results of the pressure will be felt in the inter-cellular fluid. This will mean that the fluid will be under stress of having to deal with too much nutriment and, at the same time, unable to stem the rising tide of increased cell activity. This is probably the first step in the making of congestion, which in turn is the first stage of what we call disease.Such congested tissues lead to disorders of the circulation, because, as we have already shown, the "sea-water" of the body depends for its movement on the circulation of the blood and the lymph, and the thickened inter-cellular fluid will not circulate so freely through the small vessels. We shall not get very far if we merely try to increase the circulation by mechanical and other means, because, as we have explained, the pressure from the overloaded digestive organs is at the bottom of most of the trouble.The skin is very much involved in such conditions, because the great network of connective tissues lying in and under it, are great reservoirs of inter-cellular fluid. When the congestion occurs in this area the skin begins to show the effects of it, and if we draw the fingers with pressure over it, large red weal will follow the course of the fingers. That is a very sure sign of congestion in the tissues of the skin, and out of this condition a great many troubles will develop. It is the basis of many acute skin complaints, especially those that have their roots in digestive disorders; for we shall find that at the back of the congestion lie the errors of nutrition that are so easily overlooked.It is clear, therefore, that a healthy skin is directly dependent on the dietetic habits of the individual, and that it can be affected more quickly through this medium than in any other way. The habit of overeating, especially of heavy starchy and sugary foods, will affect the health of the skin much more quickly than many people imagine, and a diet deficient in mineral salts and vitamins will produce typical disorders in the skin. If the diet is lop-sided and contains too much of one kind of food, the alkaline balance of the fluids of the body may be disturbed and the connective tissue in and under the skin will become swollen with fluid. All these conditions are end-results and need no direct treatment. They need tackling at their source, i.e. in the disorders of the digestive tract.From these observations it is clear that the health of the skin must be considered in direct relationship to the food that is eaten, and it follows that the diet must be evenly and properly balanced. In spite of, or perhaps because of, the increased knowledge we have of the vitamin content of foods, the need for balancing the diet still remains.
Stress is so important in PMS that it warrants this whole chapter of its own. The research just emerging shows mat PMS and stress go hand-in-hand. If you have a lot of stress in your life you are more likely to develop PMS. Women with PMS often have more stress in their lives than women without the condition, according to Dr Jane Chihal from Texas, USA."Perhaps stress predisposes the patient to PMS or perhaps the syndrome can be perceived as a type of inner stress. If a patient also experiences external stress, the total stress "load" may exacerbate the severity of her symptoms," she says.Typical signs of built-up stress:• inability to sleep properly• unexplained aches and pains• indigestion• feeling tired all the time• a reefing of having too much to do and loo little time to Soft• uncontrolled eating• chain smoking• drinking too much alcohol• lack of Interest In sex• crying for no reason• outbursts of temper• sweating/palpitations• shortness of breath and/or dizziness• feeling tired as soon as you wake up• twitching muscles, especially the eyesIf you recognize several of these signs in yourself then the alarm bells should be ringing. You could be under too much stress.*39\120\4*


text:
I Survived an IRS Audit (and You Can Too)
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I Survived an IRS Audit (and You Can Too)
by Stephanie Chandler
Although I read the letter three times, the grim news stayed the same: I was being summoned to the IRS for an audit. I had an instant flashback to the third grade when I was called to the principal's office. I didn't know what I had done, but it must have been something bad.
"You have nothing to worry about," my accountant assured me. "We have everything in order." Because I have a broad spectrum of activities on my plate—I own two businesses, I'm a published writer, and I also work as a business consultant—I have relied on an accountant to keep my books since I began my entrepreneurial life in 2003.
The letter indicated that I needed to bring several items to the audit, including bank statements, credit card statements, the prior year's tax return, and charitable contribution receipts. To my great relief, my accountant informed me that she kept copies of all of my statements. I had them too, but mine weren't exactly in good order. I subscribe to the shoebox method of filing. It would have taken days for me to locate everything I needed.
I put the appointment out of my mind until the day before, and then the nerves set in. Although I kept reminding myself that there was no rea…IBPA Members – Click here to view the full article (login required).
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Sith Lord
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Sith Lord was a title granted to powerful practitioners of the dark side of the Force in the various Sith orders throughout galactic history. Sith Lords often took on the title of "Darth," with a specialized Sith name following it. For millennia, there could be any number of Sith Lords at one time, such as during the days of the Great Hyperspace War and the Great Galactic War. After the New Sith Wars and the fall of the Brotherhood of Darkness, Darth Bane instituted the Rule of Two, thereby only allowing two Sith Lords at any given time. The Rule of Two was eventually ignored, and multiple Sith Lords continued to exist with the Lost Tribe of the Sith and the One Sith.
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text:
Ocean Star Vacation Rental, Hilton Head Island, SC 29928 © 2013 All Rights Reserved
The Ocean Star
Vacation Rental, Hilton Head Island, South Carolina
We're sticklers for ensuring your stay is the best it can be. There are 3 bedrooms (a king, a queen, and 2 twins), each with it's own full bathroom.
The Ocean Star is just a short walk away from South Beach. It is also just a short walk to shops and restaurants such as The Salty Dog Cafe.
Enjoy Hilton Head's world famous bike paths that can take you almost anywhere on the island!


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I'm a wholesaler in the Philadelphia area. I'm looking to continuing building my buyers list. Me and my partners come across multiple deals on a consistent basis. If you would like to join our buyers list then please email me. Show email Thank you!
- Sep 4, 2015 2015-09-04 23:42:44
- Philadelphia, PA


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Between Sundays
Aaron Hill has it all --- athletic good looks and the many privileges of a star quarterback. But Aaron's about to receive an unexpected handoff, one that will give him a whole new view of his self-centered life.
Megan Gunn works two jobs and spends her spare time helping at the youth center. Much of what she does, she does for the one boy for whom she is everything---a foster child whose dying mother left him in Megan's care. Now she wants to adopt him, but one obstacle stands in the way. Her foster son, Cory, is convinced that 49ers quarterback Aaron Hill is his father.
Thrown together in a season of self-discovery, they're about to learn lessons in character and grace, love and sacrifice. Because in the end life isn't defined by what takes place on the first day of the week, but how we live it between Sundays.
Books by Karen Kingsbury
(June 2017)
(October 2016)
(March 2016)
(April 2015)


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I'm here to meet guys from 30 to 69 years old for dating, friendship, marriage, serious relationship, networking and more.
I am sincere,honest and responsible. looking for a friends and maybe more. Respect me and i will respect you.
I am looking for a genuine male. I dont want a man who is playing games and i will not waste my time with them. I dont want anyone who takes drugs or cheats.


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Great ride.
Reviewed By Jon J (Port St Lucie, FL) Reviewed for a 2003 Chevy S10 Pickup —9/24/2016 5:44 PM
I had lowered my S10 4" and both front and back shocks were bottoming out. I was going back and forth between Nitro Drop 2 and Street Performance. I went with the Street Performance and satisfied with my decision. The ride is awesome. I would get this again.
decent shocks
Reviewed By Mark E (WOODBRIDGE, VA) Reviewed for a 2002 Chevy S10 Pickup —6/30/2016 2:18 PM
good shocks for the price. Even with worn out leaf springs, these new shocks made a big difference. vehicle also brakes better.Old, original, front shocks were rusted up on tops, but other than that installation was a breeze.


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Krispy Kreme has landed at Glasgow Airport, and by the look of these pictures, it is already a firm favourite with passengers and airline crew!
Aedas will play a role in the development of China's Shenzhen Bao'an and Hong Kong international airports after being appointed lead design architect on major projects at both gateways.
Dubai International Airport has picked a novel way to celebrate the 45th anniversary of the United Arab Emirates – wrapping the nation's flag around its Air Traffic Control (ATC) tower.
NATS and INEA, the European Commission Innovation and Networks Executive Agency, today signed grant agreements totalling €26 million of EU funding which will help the UK accelerate the upgrading of its air traffic management systems in support of delivering a Single European Sky.
Washington DC's airports have announced the latest new names to join their major retail/F&B makeover, which started nearly three years and has already led to the opening of close to 120 new outlets.
The architects responsible for creating Orlando International Airport's new $1.8 billion South Terminal project have provided Greater Orlando Aviation Authority board members with an update of its progress.
BEUMER Group UK has completed the installation of a new CrisBag Early Bag Store (EBS) and baggage handling system as part of Gatwick Airport's £186 million redevelopment of the South Terminal Pier 1.
Airport World finds out more about the blueprint for a pioneering aerotropolis development at Kuala Lumpur International Airport.
Hartsfield-Jackson Atlanta International Airport today confirmed plans to build a new 440-room, four-star hotel "within steps" of the domestic terminal.
Ciarán Curran tells us more about how Cork Airport has become the first gateway in the world to have ICAO qualified wildlife operators.


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Apr 25, 2012
Peru's Credicorp has laid another stone in its plan to build a trans-Andean platform, agreeing to a deal giving it 60.6% of Chilean investment bank IMTrust. The parent of Banco de Credito del Peru...
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January 12, 2017 | New York, USA
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text: Dr. Terry Wahls has given one of the most important TED Talks I have heard. Her presentation, "Minding Your Mitochondria", is about the healing power of food. It's not a new diet fad. It's a way of eating that provides your brain and body with dramatically more nutrients and minerals. This way of eating relieved her symptoms of MS - and has been shown to have these same results in clinical trials at the University of Iowa. The foods that she suggests will provide you with more energy, health, and vitality. Please take a moment to watch this powerful video. Then go eat some kale and blueberries!


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