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|June 20, 2001
Volume 3, Issue 25
|Midwifery Today E-News
"Vaginal vs. Cesarean Birth - Part 2"
Print Page
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Quote of the Week:
"Life is not always fair, nor is it totally in our control. Forces in life--call them God, nature, or fate--are bigger than we are and sometimes have an agenda different from our own."
- Nina Chaya Sabghir
The Art of Midwifery
CONGRATULATIONS TO OUR CONTEST WINNER, Susan Skinner of Rochester, Minnesota USA. She will receive a free one-year subscription to Midwifery Today magazine for having sent in the following tip. Her name was drawn from all contestants who entered. Thanks so much, Susan!
At a recent ACNM convention, Kelly Lott, massage therapist, taught us the art of a "scooping massage" around the gravid abdomen to relieve constipation: If you go around the abdomen using hand after hand massage in a clockwise fashion, it follows the path of the ascending-->to transverse-->to descending colon. Do for about 30 seconds. It works!
- Susan Skinner Rochester, MN
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TRICKS OF THE TRADE VOLUME III: Coming soon!
News Flashes
Based on a meta-analysis of available literature, chorioamnionitis appears to be associated with an increased rate of cerebral palsy in premature infants and, to a lesser degree, in full-term infants. A growing body of evidence supports the notion that inflammation of the fetal membranes caused by maternal infection contributes to neonatal brain injury. As much as 12% of cerebral palsy in term infants and 28% in premature infants might be attributed to infection of the fetal membranes, the chorion and amnion.
- Journal of the American Medical Society, Sept. 20, 2000
Midwifery Today Issue 58 Now Available!
Theme: Mamatoto ("motherbaby")
Articles include:
What Do You Think?
Editor's note: In this issue we are continuing to publish responses to a news item [Issue 3:23] about an American obstetrician who believes vaginal birth creates "needless" pelvic floor disorders later in a woman's life. The news story appeared to favor cesarean section as an acceptable alternative.
From a lecture by Marsden Wagner M.D. in New York City, April 2001
"Women will only agree to cesarean section (CS) if they are convinced it is safe for them and their baby. One of the first efforts of obstetricians promoting CS has been to take the scientific evidence on risks of CS and torture the data until it confesses to what they want it to say. One example: Obstetric hype in popular and professional magazines says research shows 60% of women who have vaginal birth have urinary and fecal incontinence. But a careful reading of the research papers they refer to reveals something very different. The hype lumps all women with vaginal birth together instead of doing what the researchers did---dividing them into risk groups. When analysis of risk was done, they found that women at high risk for urinary and fecal incontinence have had large numbers of births; have had babies weighing over ten pounds at birth; and most importantly, have been the victims of unnecessary, aggressive obstetric interventions during their labor and birth.
What are these aggressive, invasive obstetric interventions that have been proven scientifically to cause permanent damage to the pelvic floor and urinary tract and also lead to more otherwise unnecessary CS? One example is the use of powerful and dangerous drugs to start or accelerate labor, a practice that has doubled during the past 10 years. These drugs make labor abnormal with violent contractions that can damage the uterus and pelvic floor. The only reason women agree to such induction is because they are not told the truth about the drugs, for example that Pitocin (oxytocin), a drug used for decades to induce labor, doubles the chance the woman will have urinary incontinence in the future. By withholding such facts doctors seduce to induce.
Induction with drugs is not the only aggressive, invasive intervention that is frequently used in vaginal birth and is associated with damage to the urinary system, pelvic floor and rectal areas. Episiotomy has been scientifically shown to result in more pelvic floor damage than a natural tear. When an effort was made in the 1980s to reduce CS in the United States, the rate of using forceps or vacuum extractor to pull the baby out went up--some doctors just can't stop doing invasive interventions. And there is good data that using forceps or vacuum to pull the baby out has more risk of pelvic floor damage than any other form of birth.
Obstetricians have turned birth into a surgical procedure and done damage to women's bodies and now suggest the solution is to promote yet even more radical and aggressive surgery, CS. The solution is less unnecessary invasive surgical procedures during birth, not more."
[Re: the E-News article, Issue 3:23]: The two obstetricians tried to say that vaginal birth can damage a woman, but they never pointed out the ways in which CS can do harm not only to the woman but to the baby as well. The following excerpt from my article "Choosing Cesarean Section" in The Lancet of November 11, 2000 reviews some of the dangers associated with CS, the alternative to vaginal birth that some doctors are trying to promote:
"In addition to the increased risk the woman will die with an elective CS, there are other risks for the woman including the usual morbidity associated with any major abdominal surgical procedure--anesthesia accidents, damage to blood vessels, accidental extension of the uterine incision, damage to the urinary bladder and other abdominal organs. (1) Some of these risks are common: 20% of women develop fever after CS, most due to iatrogenic infections requiring diagnostic fever evaluation for both woman and baby. (1)
There are also risks women carry to subsequent pregnancies due to scarring of the uterus including decreased fertility, increased miscarriage, increased ectopic pregnancy, increased placenta abruptio, increased placenta previa (1,2,3). Recently in the United States the widespread use of the unapproved drug misoprostol (Cytotec) for labor induction has created a new risk of CS in subsequent pregnancies. Women attempting VBAC who are given misoprostol have a rate of uterine rupture of 5.6% compared with a rupture rate of 0.2% for women attempting VBAC not given misoprostol, a 28-fold increase in risk of uterine rupture. (4) For women choosing CS, all of these risks exist in all of their subsequent pregnancies even if the original CS was not an emergency. The increased risks of ectopic pregnancy, abruptio placenta, placenta previa and ruptured uterus are all life-threatening to both woman and baby.
For whatever reasons women choose CS, very few are clearly informed about fetal risks. In an emergency CS where the baby has developed a problem during the labor, the risks to the baby of doing the CS will likely be outweighed by the risks to the baby of not doing it. In an elective CS where the baby is not in trouble, the risks to the baby from doing a CS still exist, meaning the woman who chooses CS puts her baby in unnecessary danger. That some women are choosing CS strongly suggests women are not told this scientific facts.
The first danger to the baby during CS is the 1.9% chance the surgeon's knife will accidentally lacerate the fetus (6.0% when there is a non-vertex fetal position). (5) Obstetricians may be less aware of this risk--in one study only one of the 17 documented fetal lacerations was recorded by the obstetrician doing the surgery. (5)
A much more serious risk to babies born by CS is respiratory distress. Many reports in the scientific literature document the CS procedure per se is a potent risk factor for respiratory distress syndrome (RDS) in preterm infants and for other forms of respiratory distress in mature infants. (1) RDS is a major cause of neonatal mortality. The risk of newborn RDS is greatly reduced if the woman is allowed to go into labor prior to the CS.
Another serious risk to the baby born by CS is iatrogenic prematurity (the baby is premature because the CS was performed too early). Even with repeated ultrasound scans, the standard deviation for estimating gestational age is large, creating errors in judging when to do an elective CS. Doing the elective CS after the woman goes into spontaneous labor would markedly reduce this risk as well. A vast literature documents the increased mortality and morbidity, including neurological disability, associated with premature birth."
1. Wagner M, 1994. Pursuing the Birth Machine: The Search for Appropriate Birth Technology, Sydney, Australia: ACE Graphics.
2. Enkin M, Keirse M, Renfrew M, Neilson J, 1995. A Guide to Effective Care in Pregnancy and Childbirth , 2nd ed, Oxford University Press.
3. Goer, H, 1999. The Thinking Woman's Guide to a Better Birth. Putnam, New York: Penguin.
4.Plaut M, Schwartz M, Lubarsky S, 1999. "Uterine rupture associated with the use of misoprostol in the gravid patient with a previous cesarean section," Am J Obstet Gyn 180:1535-42.
5. Smith J, Hernandez C, Wax J, 1997. "Fetal laceration injury at cesarean delivery," Obstet & Gynecol 90:344-6.
So beware. Surgeons try to sell surgery. Never forget that obstetricians are, after all, surgeons. Women must be extremely cautious in the face of this hard sell and get the facts from those who do not have a vested interest in surgery.
- Marsden Wagner, M.D., M.S.P.H.
To read full-length articles by Dr. Marsden Wagner, go to Midwifery Today's web site!
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Question of the Week
Q: I am currently supporting a close friend in the beginning stages of her first pregnancy. She has a history of severe childhood physical and sexual abuse and finds it very difficult) to be touched, massaged, or otherwise physically cared for. This is totally understandable. However, I am having a hard time figuring out what to offer when the usual physical comforts provide no comfort. Midwives and doulas, do you have advice in terms of what I can try or other avenues to take?
- Allison Campbell
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Question of the Week Responses
Q: While listening to fetal heart tones late in labor (when heard right above the pubic bone) it seems at times I hear cord sounds. This usually happens when the baby comes with a nuchal cord. I now prepare myself for a nuchal cord when I hear a cord pulsing at a woman's pubic bone, and I must say, it is nice to anticipate this fairly unexpected event. Have any other midwives found this to be true?
- Dawn
A: I noticed the same pulsations that you describe. I was at a particularly long VBAC with an anterior placenta and a single sutured uterine scar. (This was homebirth number 32 for me. Previously all deliveries were in the hospital with fetal monitoring, not Dopplers, so I never noticed this phenomenon before. I've been RN to at least 1000 if not 2000 laboring women). At this birth, as labor progressed I began to hear the pulsation over the uterine scar. The ultrasound report only said "anterior placenta." I assumed it was up high. When I heard the pulsation below the FHTs and over the scar, I began to worry the placenta was attached at the scar and there might possibly be an acreta. I wondered also if it could be a nuchal cord? In fact, given the two situations, I was hoping it was nuchal cord so that I would not have to transport mom for placenta acreta post-delivery. Upon birth, there were two nuchal cords, and the placenta disattached itself easily. My worry was for nothing. However, I was made aware of this phenomenon with that birth and have since found it to be true, and it is nice to anticipate a nuchal cord!
As a side note, I find it interesting that I never noticed this occurrence in the hospital--nuchal cord was always a surprise. Variable decels were often not related to a nuchal cord, and many times the monitoring strip looked beautiful, yet there was a nuchal cord or two!
- Sandra
Oregon School of Midwifery
Oregon School of Midwifery still has openings for Fall 2001 program.
Question of the Quarter for Midwifery Today Magazine
Theme for Issue No. 59: Prenatal
Question(s) of the Quarter: What are the essential elements of good prenatal care? How does prenatal care create better birth? As a midwife/doula, what do you hope to accomplish in the prenatal period with a pregnant woman?
Please submit your response by June 30, 2001 to email@example.com
Know a strong woman? Helping empower one? If you haven't already done so, please forward this issue of Midwifery Today E-News to one or two of your friends or business associates. Thanks so much!
EDITOR'S NOTE: Only letters sent to the E-News official email address, firstname.lastname@example.com, will be considered for inclusion. Letters sent to ANY OTHER email addresses will not be considered.
In response to planned VBAC with expected dilation rate [Issue 3:24]:
I had a very long slow labor with my first beginning at about 4:00 am on a Thursday morning when my waters broke after being up most of the night with gentle contractions. I continued to have gentle contractions until 5:00 pm that evening when I finally got to 5 cm. At that point labor settled and by midnight I was at 8 cm, by 4:00 am fully dilated and I delivered my son (8 lbs 6 oz. without episotomy, anesthetics etc., in the position of my choice) by myself at 5:12 am. By the rules your doctor is using I would have required a c-section. My doctor measured my progress by things like how far the baby had descended toward the birth canal and how much my cervix had thinned. These are much more accurate measures than the stupid centimeters-dilated measure.
My doctor told me he had a rule for moms like me. Whenever he felt like interfering he would go outside and have a smoke instead and then he would ask himself the following:
1) Is the baby all right?
2) Is the mother all right?
3) Have we made any progress at all since the last time I checked even if it is something as simple as the head a little lower or the cervix a bit thinner?
If he could answer yes to all these questions, he would remind himself that 98% of the time nature knows best and he would wait a little longer. In his experience 98% of the time, no intervention would be needed later either.
He was a British doctor who had trained under midwives delivering babies at home in England during WWII. He had the lowest c-section rates (2%) of any doctor in the hospital and was very proud of it. He also had the lowest rates of complications of moms and babies, intra- and postpartum, which he kept very careful track of so it could be trotted out for comparison whenever his colleagues complained about his methods, which at least one did every year.
My suggestion is to find a good midwife and leave the decision about when to bring in an ob-gyn to her/him. A good one will know if s/he's in trouble and needs a ob/gyn to take over. But otherwise avoid ob/gyns like the plague.
- Natalie Bjorklund
In response to Caroline's comments about oil of oregano [Issue 3:24]: Yes, some oils are not to be used internally but many can be used without any harm to tissues (see "Essential Oils Desk Reference" by Essential Science Publishing--espublishing.com for specifics). North American Herb & Spice's oregano is backed up with a whole host of uses spelled out in "The Cure is in the Cupboard" and how to use it internally and externally. They agree that it should not be used in pregnancy as very little research has been done. I did not suggest use in pregnancy but in breastfeeding when there is a yeast/thrush infection. The only other alternative to treat the deep-seated systemic infections is Diflucan which has serious liver implications. It was designed to be given in one dose and yet most have to be treated every day for two weeks to be effective. I think women should be told that there is an alternative that has not had any serious side effects--the worst being pizza breath.
- PJ Jacobsen, IBCLC
Regarding the episiotomy query, the only "new" method I know is never
to do one (unless there is foetal distress right at the end).
- Alison
There are many homeopathic remedies for hemorrhoids. Old farmers used to carry horse chestnuts in their pockets to keep hemorrhoids away. Homeopaths use Aesculus--homeopathic horse chestnut to treat them when they feel as if sticks were in them--sharp shooting pains, purple painful, and worse standing and walking. Witch hazel can be applied externally as well as taken internally homeopathically. Hamamelis is for hemorrhoids that bleed profusely with soreness and a pulsation in the rectum. Homeopathic sulphur is indicated specifically for hemorrhoids during pregnancy that burn, are sore and may itch. Check out a homeopathic repertory (I like Robin Murphy's) for more specific symptoms and remedies. Combination homeopathic creams can give quick relief when you aren't sure which remedy to try.
- Cheryl
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Midwifery Today: Each One Teach One!


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CREW TV brings you closer to the industry's
most influential leaders and thinkers. Click on the videos below to watch the interviews:
Landlords may think a tight rental market has kicked the need for curb appeal maintenance to the, ahem, curb. But think again, reports Jemima Codrington: that work is key to maximizing ROI.
Video transcript below:
Jemima Codrington: Staging can help prospective tenants fall in love with the inside of their property. So should you bother with the outside too? Hi, I'm Jemima Codrington and welcome to Investor Insight on Crew TV.
Skimping on curb appeal could cause potential tenants to curb their enthusiasm. Experts say there are certain key factors every staging should have that can take a rental unit from feeling like a house to a home.
Tarik Gidamy, The RedPin.com
Tarik Gidamy: Just like with anything else in life, first impressions is really important. Curb appeal maintenance means that when the person calls up the prospective buyer to your home or to the rental, they get a warm fuzzy feeling. They can see themselves in that place and the first impressions and curb appeal really does that from landscaping to the way that the home is maintained and just the overall outside look is really important and key.
Steve Arruda, Century 21 Best Sellers
Steve Arruda: Well I would say that your first impression is very important. So I think just to do some minor [curb appeal] grass cutting, planting will definitely you know give life to your property and the first impression is very important for a renter who is seeing multiple properties in that day. So again, you want to stand out from the crowd, so it's very cost effective, it's quick and it will expect the best return on your investment.
Blue Pearl Mortgage Group Inc. is expanding its footprint once again, this time with services in Ontario
Transit City Condos is a new 55-storey development located next door to new Vaughan Metropolitan Centre
For new investors, it's easy to get overwhelmed by facts, figures, formulas, and different investment calculations. Our goal today is to demystify the most important condo investing terms that you need to know

subset: commoncrawl


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After years of stalled redevelopment proposals, Herefordshire Council has said it is ready to hand over Hereford Butter Market.
Today (Mon) the council has confirmed that it is "seeking expressions of interest" in the site's redevelopment.
Hereford City Council is backing the move but - on cost analysis alone - won't be be taking the market on itself.
Councillor Patricia Morgan, cabinet member for corporate services, said that while the council had explored a number of market hall style redevelopment options for the Buttermarket over recent years, none have proved viable enough to take forward.
"To move the redevelopment forward, we are seeking expressions of interest from organisations who wish to present proposals for the site. There is also the potential for a freehold disposal of the site if the right circumstances are presented," she said.
Herefordshire Council began backing away from a £3m plus redevelopment the Buttermarket in September last year.
Then, the council's cabinet removed recommendations committing the council to that redevelopment if the Buttermarket could not be transferred to Hereford City Council or "other interested parties."
But members were warned that the city council was "very cautious" about any takeover when its operating budget was compared to that of the Buttermarket.
And a Buttermarket in the hands of private sector shareholders would be a
hard sell, members heard.
The council has been is actively negotiating a transfer of the ownership,
operation and future redevelopment of the Buttermarke for some time.
At that meeting in September cabinet was expected to commit the council to continuing negotiations but on the basis that it would take on the redevelopment – funded through further borrowing – if a transfer could not be agreed.
Instead, cabinet removed recommendations relating to the council's responsibility for the redevelopment should talks fail.
Built in 1860, the Buttermarket market has suffered from limited capital investment over recent years and the building requires substantial investment to stay open.
The present freehold valuation of the site is estimated at approximately £1m, with freehold disposal estimated at £1.25m
In 2011, the then Hereford Futures was asked to bring forward a financially viable refurbishment scheme.
The then cabinet member for highways, transportation and waste approved the appointment of Wrenvridge-Trebor LLP as the preferred developer.
A resulting feasibility study offered a number of options for consideration,
but Hereford Futures indicated that a recommendation to finance redevelopment through borrowing would mean Wrenbridge-Trebor could not be appointed as it would breach European procurement processes that the project was subject to.
The council is sustaining annual losses against its budgeted income stream
from the Buttermarket.
An estimate for the 2013/14 income budget for the Buttermarket was £273,000 against a spending budget of around £150,000.
Further annual costs associated with maintenance and repairs were pitched at between £25k-£35k based on average
At the time, the council was criticised for spending sums on perpetually planning the Buttermarket's refurbishment over recent years that could have seen the work completed.
For more see this week's Hereford Times


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10 Best Hidden Gem Amusement Parks in the U.S.
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STERLING HEIGHTS, Mich. - James Brown, 24, was in a Sterling Heights court on Wednesday.
He walked into court still in handcuffs, accused of killing four women associated with the website Backpage.com.
Brown kept his head down for most of the hearing but, was seen taking notes when testimony started.
He is accused of murdering and than locking the bodies of four woman in the trunks of their own cars, before abandoning the cars in Detroit.
The Macomb County Prosecutor's Office charged Brown in November with the murders of Demesha Hunt, Renesha Landers, Natasha Curtis, and Vernithea McCrary.
Assistant Wayne County Medical Examiner Dr. Francisco Diaz was the first witness to take the stand. He performed the autopsy on Landers and Hunt.
Diaz testified that no evidence of trauma was found on the victims during the autopsy and ruled the official cause of death as asphyxiation.
Read: Man charged with 'Backpage' murders.
Watching the testimony unfold, the families of the victims filled the courtroom. Demesha's aunt, Rita Hunt, told Local 4 that being in the same room with as Brown was not easy.
Hunt said no amount of evidence will justify the death of her niece. "I really wanted to know what would possessed him to take the lives of these young ladies like that. What was going through his head," she said.
Police and prosecutors allege that Brown initially made contact with the women through the internet website www.backpage.com.
The Case:
At least three of the four women promoted themselves as escorts-for-hire on the site.
Hunt and Landers drove to Brown's home in the City of Sterling Heights in December 11th. Police said their bodies were found the next day in the trunk of a car on Promenade in Detroit.
Curtis and McCrary drove to Brown's home on Dec. 24th. The following day, Detroit police were called to a burning car on Lannette.
Curtis and McCrary were found dead in that car's trunk. Dr. Carl Schmidt also testified that the bodies were burned beyond recognition.
He believes the woman were victims of asphyxiation before the fire.
~Two of the victims, Renisha Landers and Demesha Hunt~
"Just looking at him makes my skin crawl, I mean my niece is no longer with us," said Hunt.
More Headlines:
- Woman dies after being hit by car
- Board of commissioners to hold swearing-in ceremony
- Lawmaker: Allow parents to buy alcohol for adult children
Copyright 2013 by ClickOnDetroit.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Two weeks ago news came of a death of a journalist in Jhapa. The cause of death was not immediately known but the Jhapa Chapter of the Federation of Nepalese Journalists quickly concluded that Yadav Poudel's murder was linked to a story on prostitution he had covered.
In Kathmandu and across the country there were angry protests. Journalists, media houses and facebookers condemned the killing as a cruel blow to press freedom and demanded stern action against the perpetrator(s). The prime minister, not to be left behind, pledged immediate action and said that the murder of a journalist was an attack on democracy and human rights.
Preliminary police investigation, however, ruled out Poudel's profession as the cause of his death. Apparently inebriated, Poudel had embraced the wife of the hotel owner and Yubaraj Giri, the would-be publisher of his paper who was also drunk, had pushed Poudel from the hotel rooftop in the ensuing scuffle. Intriguingly, Poudel's story on the prostitution racket run by Som Dhakal and his wife Manju happened in the same hotel from where he fell to his death, raising suspicion about the owners' involvement.
Many journalists suffer attacks because of what they write. This week, the Committee to Protect Journalists (CPJ) ranked Nepal number six among countries where killers of journalists are not prosecuted. But every other scuffle in a bar, tea-house or local watering hole that involves a journalist is not necessarily a blow to press freedom.
Poudel may have been killed for the story he wrote, but if the murdered in question was not a journalist would the Nepali media have so easily jumped to conclusions? Maybe reporters themselves would have gone through the standard journalistic practice of cross checking evidence before dishing out a verdict. But journalists in Nepal consider themselves to be above the purview of professional scrutiny. They suffer from a false sense of moral superiority and are so self-obsessed, they make no effort to hide it. What else explains the ridiculously high number of headlines in dailies that read: 'Theft in Journalist's House' or 'Journalist's Bike Stolen' or 'Journalist Bereaved'?
The power and privileges that come with being a journalist have led most to think that they are an exclusive class of citizens who can get away with anything. Just look at the op-eds in any major daily, there is a real disconnect between the pundits and readers. Writers sway from one point of view to another from month to month and don't think readers deserve an explanation. Someone should read to them what they wrote last year.
They openly lobby in favour of certain political leaders while viciously lambasting others, they incite fear and spread cynicism. They shamelessly front as the public relations officers of politicians. Circumstances change over time and so can one's beliefs, but when writers exhibit an utter lack of core values, it becomes hypocrisy and double standards.
We know there is a problem when supposedly sane writers suggest we should not make a fuss over rule of law because those laws were made by status-quoists and don't deserve to be followed. We know there is a problem when in all these years not a single writer can muster the courage to question the use of violence as a political tool.
Most journalists lament that writing is not enough and they want to make the world a better place. Indeed, the world could do with some improvement, but here's the deal: writing with honesty and integrity is enough. We may not have to pass an exam and obtain a professional journalists' license, we may not have to go to the people every few years and seek their endorsement like politicians, but the least we can do is to be honest to ourselves and to our readers.
Perhaps writers can never be completely objective because all writing is inherently manipulative. But they can surely be honest enough to tell readers up front where their loyalties lie. At least they can spare us the shock of discovering that our favourite columnist is a card-carrying member.
Read also:
Give and take
Mind what you speak, but speak your mind, ANURAG ACHARYA
Nepal's transition is not being driven by issues at hand, but by those that will follow once the constitution is declared


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A Chinese child sits amongst a pile of wires and e-waste. Children can often be found dismantling e-waste containing many hazardous chemicals known to be potentially very damaging to children's health.
The rate at which these mountains of obsolete electronic products are growing will reach crisis proportions unless electronics corporations that profit from making and selling these devices face up to their responsibilities.
It is possible to make clean, durable products that can be upgraded, recycled, or disposed of safely and don't end up as hazardous waste in someone's backyard.
Discover more about e-waste, what happens after it is thrown away, which companies are top and bottom of the toxic product class and the solutions to the problem.
Our analysis of samples taken from two electronic waste (e-waste) scrap yards in Ghana has revealed severe contamination with hazardous chemicals.
Get an idea of the components that make up our everyday appliances.
E-waste is routinely exported by developed countries to developing ones, often in violation of the international law. This practice is legal because the US has not ratified the Basel Convention.
Scientific tests, arranged by Greenpeace, reveal that Apple's iPhone contains hazardous chemicals. The tests uncovered two types of hazardous substances, some of which have already been eliminated by other mobile phone makers.
1 - 4 of 4 results.
Since 2006 Greenpeace has been campaigning to green our electronics,...
Read more >


text: These shoes totally speak to me. They say "let loose, have a few cocktails tonight, and enjoy yourself." They're also telling me to book a trip to Miami soon! So come on ladies, let's get cheeky in the Areliwet by Aldo. This Aldo sandal features a black suede leather with simple upper and adjusting strap. A black and white striped 6 inch heel contrasts with a bright teal 1 3/4 inch platform. Adding a bright pop of color is major this season and the Areliwet is right on trend!


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When you think of regional New Mexico cuisine, you probably think first of fiery foods spiced with red or green chiles. But the state has its share of delicious sweets, too, and a flavor that is particularly popular is piñon. These nuts come from the piñon trees which grow in abundance in the area—they are so popular that they are sold out of trucks and roadside stands, in the way that tomatoes or corn might be sold in the summer in New Jersey. They also make their way into quite a bit of local cuisine, and in my opinion, most notably in sweets.
Click through the slideshow to see a collection of six wonderful piñon indulgences from the City Different.
View Pinon Sweets We Love in Santa Fe in a larger map
About the author: Jessie Oleson is a writer, illustrator, gallery owner, and cake anthropologist who runs Cakespy, an award-winning dessert website. Her first book came out in October 2011; she is currently at work on her second book.


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Assumption Parish officials want Texas Brine to foot the bill for costs associated with the sinkhole.Parish officials sent the company bills totaling $321,000.Most of the amount comes from manpower from the sheriff's office and parish police jury since August 3rd.Texas Brine owns a failed salt cavern blamed for the cause of the now-nearly three-month long headache in Bayou Corne.
Copyright 2012 WAFB. All rights reserved.


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Can I be Both?Riddles are little poems or phrases that pose a question that needs answering. Riddles frequently rhyme, but this is not a requirement.
To some I am considered a doctor,
and to many, my title is abbreviated.
I was also once a soldier who fought for many years.
After many battles, I have at last retired and have found other things to do.
Who am I?
AnswerI am a Vet.
A Veterinary doctor is commonly referred to as a 'Vet'.
The retired soldier is usually referred to as a 'Vet' (taken from the word, 'veteran').
What Next?
See another brain teaser just like this one...
Or, just get a random brain teaser
If you become a registered user you can vote on this riddle, keep track of
which ones you have seen, and even make your own.
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Kathleen Kendall-Tackett
From: LEAVEN, Vol. 33 No. 2, April-May 1997, p. 27
We provide articles from our publications from previous years for reference for our Leaders and members. Readers are cautioned to remember that research and medical information change over time
Becoming a mother can be at once joyous and stressful. For women who have been sexually abused, the transition to motherhood can bring unique challenges. As LLL Leaders we may be asked to help. Knowledge about sexual abuse can help a Leader in two ways:
- It may explain concerns or behaviors we might not otherwise understand;
- It can make us more comfortable and therefore more effective when mothers choose to share this information with us.
General Characteristics
In the past 20 years there has been a veritable explosion of knowledge about sexual abuse. The long-term effects of child sexual abuse have been carefully documented in hundreds of studies. Leaders need to keep in mind several cautions about this information:
Not every woman who has been sexually abused responds in the same way. There is a tendency to think that all sexual abuse survivors will look and act the same or experience the same types of difficulties. Sexual abuse survivors vary in the amount of trauma they've experienced, influencing the severity and type of symptoms they might exhibit. Experiences tend to be more traumatic if a family member or close friend was involved, if sexual penetration was involved, if force or coercion was involved, if the abuse happened often and was repeated over a period of years, if there was no adult to believe or support them during childhood. But even women who have had similar abuse experiences may respond quite differently to them.
Other traumatic events during childhood can cause symptoms similar to those caused by sexual abuse. Sexual abuse is not the only form of trauma children can experience. Physical abuse, neglect, divorce, death of a parent, even invasive medical procedures can all cause difficulties for children when they grow up. Occasionally women who have experienced one of these other types of trauma have been told they "must have" been sexually abused. We need to walk a fine line between realizing sexual abuse may be a possibility and not attributing every difficulty a mother experiences to sexual abuse.
The process of healing is individual. Where a woman is in her healing process will influence the types of symptoms she has and feelings she must deal with. Just as the type of trauma a woman experiences varies, so too does the level of healing. We cannot assume that because we see women at the same time in their lives (when they have a new baby) that they are at the same place in their healing process, but may find that they still have some questions and concerns.
Reactions Leaders May Observe
The long-term effects of sexual abuse are listed in Table 2. Not every survivor will experience all or even most of these. However, this listing demonstrates the wide range of repercussions sexual abuse can have. In addition to these long-term effects, Leaders may observe some other reactions:
Lack of confidence in her body. A mother may feel that her body has been damaged by her experience. She may have learned not to trust her feelings about her body. Sometimes this lack of confidence is reinforced if the woman has had a difficult birth. She may not expect that her body will function correctly when it comes to producing milk and may be quite anxious. She may experience intense shame over her breasts. The physical sensations associated with breastfeeding may remind her of her sexual abuse experience.
Intense need to do everything "right." A mother may try to parent her children very differently from the way she was parented. This is a laudable goal but can be taken to extremes. A mother with a difficult childhood may try to be perfect. This may manifest in "selfless devotion," meeting baby's needs to the exclusion of all of her own. With older children, a mother may be reluctant to set limits, only later to explode with anger and frustration. She may also be highly critical of the parenting practices of other mothers.
Tendency to see herself as very different from other mothers. The effects of child sexual abuse can be stigmatizing. A mother may believe she is different from other mothers in ways not directly related to the abuse. For example, she may mention feeling as though the difficulties she has with her children-be it tantrums, defiance or other acting out-are due to her past history of sexual abuse. In other words, if she were not a sexual abuse survivor, all would be well between her and her children. Most Leaders can offer lots of reassurance to mothers in this regard.
How Leaders Can Help
Leaders can help mothers who are sexual abuse survivors in a number of ways. In all situations, remember that every mother is different; what may be a problem for one mother may not even bother another.
Offer suggestions that will make breastfeeding more comfortable. It is not a good idea to approach a mother about possible sexual abuse, as some recent literature recommends. Some mothers may tell you about their experience; others will not. Whether she does or doesn't, a Leader can offer information that can help make breastfeeding a more comfortable experience.
Through your conversation with a mother, try to determine which situations make her uncomfortable. For example, she may have trouble with skin-to-skin contact, a playful older baby or nighttime nursing. Help the mother set limits and boundaries. Some mothers limit breastfeeding to daytime because nighttime nursing reminds them of nighttime sexual abuse. Some mothers want to give their babies the benefits of breast milk but cannot tolerate the baby at the breast. These mothers may opt to pump and give bottles of expressed milk. Be flexible and creative to help the mother find a solution that works.
Help mothers learn what is normal. Mothers who have been sexually abused may have difficulty knowing what is normal when breastfeeding. Most mothers derive at least some sensual pleasure from nursing but mothers who have been sexually abused may be concerned about these feelings. You can offer reassurance, perhaps even bringing up some of the pleasurable aspects of nursing. Also, emphasizing the biological function of breasts may tone down their sexual connotation.
Some mothers from abusive homes can be so anxious about doing a good job parenting they are reluctant to set limits for their children. They may not know the normal range of behaviors for various ages. A discussion on loving guidance can help a mother who has not had positive role models learn more effective and loving ways to parent her children.
Suggest she see a qualified counselor. If a mother tells you that she been sexually abused, talk with her about the importance of seeing a professional who can help (if she is not already doing so). We need to remember that as Leaders our primary objective is breastfeeding support. While it is important to be sympathetic and encouraging, be careful if you find yourself becoming the main source of emotional support for issues only tangentially related to breastfeeding. A mother experiencing serious difficulties or difficulties outside the realm of breastfeeding needs to be encouraged to seek appropriate help.
Help educate health care providers about the normal course of breastfeeding, for example, breastfeeding on demand, co-sleeping and late weaning. This is an area where a Leader's expertise can make a significant difference. A surprising number of health care providers in the sexual abuse field feel that attachment-parenting practices are a negative result of the sexual abuse experience. We can educate mental health providers, directly or through the mother, about normal breastfeeding practices, especially from a global perspective.
Helping a mother who has been sexually abused can be one of the more challenging situations you encounter as a Leader. It can also be one of the most rewarding. I've known many sexual abuse survivors who have grown past their abusive experience to become nurturing mothers, fathers, even LLL Leaders. With encouragement and breastfeeding support, we can help make that happen.
What Leaders Can Do to Help Breastfeeding Mothers Who Are Sexual Abuse Survivors
- Offer suggestions that will help make breastfeeding a more comfortable experience.
- Help a mother learn what is normal for breastfeeding.
- Encourage a mother to seek qualified professional help with problems beyond the scope of breastfeeding.
- Help educate health care providers about the normal course of breastfeeding.
|Table 1 - Overview of Sexual Abuse
|Around 20% of all women
|Peak age of vulnerability:
|7-13 years of age (but can occur earlier or later)
|90% are male; 70-90% are known to their victims. For girls, 30-50% of abusers are within the family.
|Table 2 - Overview of Long-Term Effects of Sexual Abuse
|Post-Traumatic Stress Disorder (PTSD)
|A mother may experience sudden and intrusive flashbacks perceived in the present.
|Cognitive Distortions
|A mother may overestimate danger to herself or her baby. She may perceive herself as weak or helpless.
|Emotional Distress
|A mother may experience depression, anxiety, panic disorder, obsessive-compulsive disorder, anger, chronic irritability and difficulty expressing anger.
|Impaired Sense of Self
|A mother may have difficulty separating her emotional state from the reactions of others. She may have difficulties with self-protection, leading her to become a victim again.
|A mother may experience dissociation, which includes alterations in body perception (including feelings of separation from her body), emotional numbing, amnesia regarding painful memories, and multiple personality disorders. Other types of avoidant behavior include substance abuse, suicidal thoughts and attempts, "tension- reducing activities" such as indiscriminate sexual behavior, bingeing and purging, or self-mutilation.
|Interpersonal Difficulties
|A mother may have problems with interpersonal relationships. She may adopt an "avoidant" style, characterized by low interdependency, low self-disclosure and lack of warmth. Or she may adopt an "intrusive" style, characterized by extremely high needs for closeness, excessive self-disclosure and a demanding, controlling style.
Finkelhor, D. Current information on the scope and nature of child sexual abuse. Future for Children 1994; 4:31-53.
Becker-Lausen, F and Mallon-Kraft, S. Pandemic outcomes: the intimacy variable. Paper presented at the 4th International Family Violence Research Conference, Durham, New Hampshire, July 1995.
Briere, JN and Elliot, D. Immediate and long-term impacts of child sexual abuse. Future of Children 1994; 4: 54-69.


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Cincinnati Shakespeare Stages RICHARD II, Now thru 2/3
Cincinnati Shakespeare Company, Cincinnati's stage for the classics, presents William Shakespeare's poetic history "Richard II", playing from tonight, January 11- February 3, 2013. This production is directed by Cincinnati Shakespeare Company Producing Artistic Director Brian Isaac Phillips and features CSC Resident Ensemble Members Giles Davies, Jim Hopkins and Brent Vimtrup. This production is generously sponsored by Charles Parsons and The Mercantile Library's Canon Club, the design is sponsored by Osborne Rohs Williams & Donohoe and the ensemble is sponsored by Messer Construction.
"Richard II" is an epic tale of fading power that sheds a light on the deterioration of a kingdom and the isolation of power. King Richard (Brent Vimtrup) exiles his noblemen while seizing their land to carry on his own wars. As dissent continues to grow, a fight for the true heart of England begins and one man's celestial right to rule is called into question creating the genesis of the "War of the Roses". This production is the kick-off of a chronological history cycle and the penultimate story in CSC's quest to "Finish the Canon".
"Richard II" begins a multi-season history cycle that includes Shakespeare's "Henry IV: Part 1 & 2" and "Henry V". CSC will stage both of these in the future so audiences are encouraged to catch "Richard II" now to start the cycle. This will be the first time Cincinnati Shakespeare Company will produce "Richard II" and it is also the penultimate production in CSC's quest to "Finish the Canon". CSC will have produced Shakespeare's entire canon of 38 plays by the end of its 20th anniversary season, next season. Having already produced 36 of Shakespeare's plays, Cincinnati Shakespeare Company will produce the remaining two titles, including "Richard II" this season and the last during the 20th anniversary season in 2014. Producing Artistic Director Brian Isaac Phillips has noted that "as the company has produced Shakespeare's less familiar works, like wildly popular "Henry VIII: All is True" and "The Life and Death of King John", audiences and artists alike have discovered something wonderful in each play that expands their appreciation of Shakespeare's artistry and skill."
Brent Vimtrup* (King Richard II) is now in his 2nd season with the company. He was most recently seen on the stage as Henry Baskerville in CSC's smash hits "The Importance of Being Earnest" as Algernon Moncrieff and "The Hound of the Baskervilles". He will reprise his role as Henry Baskerville this June during a run of encore productions. His debut last season included comedic roles in "Bedroom Farce", "Love's Labour's Lost" and "Sense & Sensibility" as well as critically acclaimed roles in "The Grapes of Wrath" as Noah Joad and in "A Man for All Seasons" and "Henry VIII: All is True" as the Duke of Norfolk.
Sponsored by John & Elizabeth Grover.
Giles Davies* (Henry Percy) appeared last season at CSC in "Sense & Sensibility". Since then, Giles returned to the Tampa area and began teaching at the Patel Conservatory, directing their production of "A Midsummer Night's Dream". He directed two productions with the Gorilla Theatre's Young Dramatist Project, and taught Shakespeare with the American Stage summer program. Most recently, he was seen in Jobsite's production of "Fahrenheit 451" as Beatty, the fire chief. Favorite CSC roles inclu de Coriolanus, Macbeth, Richard III, Iago in "Othello", Caliban in "The Tempest", Vladimir in "Waiting for Godot", Trofimov in "The Cherry Orchard", and Lady Bracknell in "The Importance of Being Earnest".
Sponsored by David & Ruth Lahey
Jim Hopkins* (Bolingbroke) is in his fifth season as a Resident Ensemble Member at CSC. He has been seen on CSC's stage this season as Judge Taylor & Walter Cunningham in the sold-out run of "To Kill a Mockingbird". He was featured last season as the title role in "Henry VIII: All is True" and "A Man for All Seasons." He was also seen last season as Don Armado in "Love's Labour's Lost", Duncan in "Macbeth" and Ernest in "Bedroom Farce". He has also performed at The Shakespeare Theatre of New Jersey; Human Race Theatre, Great Plains Theatre, Nebraska Repertory Theatre and at Playhouse on the Square in Memphis. Sponsored by Al & Mary Lopez.
Brian Isaac Phillips** (Producing Artistic Director) is celebrating his 10th season of artistic leadership of Cincinnati Shakespeare Company. He was named Producing Artistic Director in 2010 after being Artistic Director since 2003. Prior to these responsibilities, he served with the organization as Associate Artistic Director for one season, as well as four seasons as a member of The Acting Company. He is a proud member of Actor's Equity Association and the Stage Directors and Choreographers Society. Mr. Phillips is a graduate of Morehead State University and has been a resident of Cincinnati for almost fifteen years. In that time he has worked for Cincinnati Playhouse in the Park, Ensemble Theatre of Cincinnati, Cincinnati Opera, Cincinnati Ballet, Cincinnati Symphony Orchestra, The Children's Theatre, Know Theatre of Cincinnati, New Stage Collective, as well as over 100 productions with CSC. Most recent credits include "The Importance of Being Earnest", "Romeo & Juliet", "The Grapes of Wrath", "Henry VIII: All is True", "Macbeth", "A Man for All Seasons", "Bedroom Farce", "The Two Gentlemen of Verona", "The Handmaid's Tale" (world premiere), "The Life and Death of King John", "Dracula", "Blithe Spirit", "Krapp's Last Tape", "The Lion in Winter", "All's Well that Ends Well", "Amadeus", "Timon of Athens", "The Seagull", "Hamlet", "Long Day's Journey Into Night", "King Lear", and "Cymbeline". Outside of CSC Mr. Phillips has recently been seen onstage in "Collapse" at Know Theatre, "Porgy and Bess" at Cincinnati Opera, as well as "The Seafarer" and "Dead Man's Cell Phone" at Ensemble Theatre. He staged Know Theatre's recent production of "Angels in America: Millennium Approaches" and will be directing their upcoming production "When the Rain Stops Falling" and served as dramaturg on Cincinnati Ballet's "A Midsummer Night's Dream". Mr. Phillips is honored that CSC was named as a finalist last year for Cincinnati Chamber of Commerce's Non Profit of the Year. He is also thrilled that after next season, CSC will have produced all 38 of William Shakespeare's plays and, on a personal note, he will have either staged or performed in all 38 as well.
* Member of the Actors Equity Association
** Member of the Stage Directors and Choreographers Society
Performances of "Richard II" are scheduled from tonight, January 11- February 3,2013 on Thursday, Friday & Saturday evenings at 7:30pm and Saturday and Sundays at 2pm. Preview performances are on Tuesday Jan. 9 and Wednesday Jan. 10 at 7:30pm and tickets are $15. The theater is located at 719 Race Street, downtown Cincinnati, two blocks west of the Aronoff Center. Single ticket prices range from $22-$28 on Thursday Nights and Sunday Matinees and from $26-$32 on Friday and Saturday Nights. If available, $14 student rush tickets may be purchased 30 minutes before a show with a valid student ID. Visa, Discover, MasterCard, and American Express are accepted. Ticketing fees may apply. Discounts are available for students, seniors and groups as well as Enjoy the Arts and AAA members. To purchase tickets or for more information, call the CSC Box Office at 513.381.BARD (2273) ext. 1, or go online at www.cincyshakes.com.
Performance Schedule:
Wednesday January 9th at 7:30 pm (Preview)
Thursday January 10th at 7:30 pm (Preview)
Friday January 11th at 7:30 pm (Opening)
Saturday January 12th at 7:30 pm
Thursday January 17th at 7:30 pm
Friday January 18th at 7:30 pm
Saturday January 19th at 7:30 pm
Sunday January 20th at 2:00 pm
Thursday January 24th at 7:30 pm
Friday January 25th at 7:30 pm
Saturday January 26th at 7:30 pm
Sunday January 27th at 2:00 pm
Thursday January 31st at 7:30 pm
Friday February 1st at 7:30 pm
Saturday February 2nd at 7:30 pm
Sunday February 3rd at 2:00 pm
Cincinnati Shakespeare Company is a professional theatre company dedicated to bringing Shakespeare and the classics to life for audiences of all ages. Located in the heart of downtown Cincinnati, CSC produces a dozen mainstage productions each season. CSC employs a resident company of actors and artists who live and work in Cincinnati year-round, and performs on a Small Professional Theatre contract with Actors' Equity Association. Cincinnati Shakespeare Company's Education and Outreach Programs see an average of 18,000 students each season by taking Shakespeare into schools, parks, community centers and by hosting educational matinees of mainstage productions at its home on Race Street. In Season 20, CSC will become one of only a handful of companies worldwide to have produced Shakespeare's 38-play canon in its entirety. CSC is a 501 (c)(3) non-profit organization and all donations are tax deductible.
Pictured: Brent Vimtrup as King Richard II. Photo by Jeanna Vella.


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Posted 5 years ago
(76 items)
The Duncan Butterfly is probably the second most well known yo yo, behind the Duncan Imperial. This one is a 1970's model, the logo has seen several changes. I've seen at least three different Butterfly logos. Duncan developed the butterfly shape by turning the each half of a standard yo yo around. It allows the user to catch the string between the halves when doing certain tricks.


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Yankees honor 'Missions Made Possible' founder
TAMPA, Fla. -- The Yankees kicked off the announcement of this year's upcoming HOPE Week with a pregame ceremony on Thursday, honoring 73-year-old Ken Guill for his work in founding the non-profit humanitarian organization "Missions Made Possible."
Missions Made Possible (www.missionsmp.com), an Orlando, Fla.-based agency, was recognized on the field prior to Thursday's game against the Twins. The organization provides lifeguard and emergency relief flights for those in need of sudden transportation due to unfortunate health problems.
"What does it mean to be recognized by the Yankees? It's beyond expression and words, the thankfulness that has occurred, for my whole crew and all the other people that make it happen," Guill said. "It's not just us, but there's mechanics behind the scenes and other people that would have loved to been here too."
Guill was joined by vice president, co-pilot and co-founder Joe Kemmer, co-pilot Chris Meyer and flight nurse Vicky Smith, all of whom were invited guests of the Yankees.
HOPE Week (Helping Others Persevere & Excel) will return for the fifth consecutive season from July 8-12, a community program that brings to light five stories intended to inspire individuals into action in their own communities.
Bryan Hoch is a reporter for MLB.com. Follow him on Twitter @bryanhoch and read his MLBlog, Bombers Beat. This story was not subject to the approval of Major League Baseball or its clubs.


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Seaport Village brings back its popular Spring Busker Festival, an event that welcomes street performers from all over the country.
Spring Busker Festival
When: Noon to 5 p.m. Saturday and Sunday. Buskers After Dark is from 6 to 10 p.m. Saturday.
Where: Seaport Village
Cost: Free
Details: seaportvillage.com
Here's what you need to know before heading out to the two-day event:
What is a busker? Buskers are people who perform in a public area for tips. You can see anyone from a singer on a street corner to a guy painted silver standing as still as a statue all day.
Famous buskers: The Violent Femmes, the Wiggles, Blue Man Group, Leonard Cohen, the Barenaked Ladies, Cirque du Soleil and many other artists began as buskers.
Who will I see at Seaport Village? This year's lineup features circus acts, comedians and musicians.
Highlights include Bob Besmehn, a performer who appeared on "The Late Show With David Letterman" juggling knives on a unicycle. Ring Masters is a dance crew that was seen on MTV's "America's Best Dance Crew." Murrugun the Mystic, featured on AMC's "Freakshow," eats fire and swallows swords. Wanderlust Circus uses fire and LED hoops in its performance. And Jason Escape escapes from a straitjacket while suspended upside down.
Is it family friendly? The daytime performances are open to all ages. But Buskers After Dark is a party for visitors age 18 and older that features unedited comedians, acrobats and fire jugglers. There will also be cocktails and DJ-spun music.
Busker etiquette: Though the shows are free to watch, the performers all work for tips, so be sure to have some dollar bills handy.
Busker Festival schedule
West Plaza
Noon: Jason Escape
1 p.m.: Murrugun the Mystic
2 p.m.: Wanderlust Circus
3 p.m.: Aerialist Fred Gryzybowski
4 p.m.: Juggler Jason Smith
East Plaza
12:30 p.m.: Alex Clark
1:30 p.m.: Juggling troupe Something Ridiculous
2:30 p.m.: Jesse Horne's clown antics
3:30 p.m.: Ring Masters
4:30 p.m.: Bob Besmehn
West Plaza
Noon: Something Ridiculous
1 p.m.: Alex Clark
2 p.m.: Jesse Horne
3 p.m.: Bob Besmehn
4 p.m.: Ring Masters
East Plaza
12:30 p.m.: Fred Gryzybowski
1:30 p.m.: Jason Smith
2:30 p.m.: Murrugun the Mystic
3:30 p.m.: Wanderlust Circus


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Topic: New to website
I to am knew to this website and have truly enjoyed hearing everyone's stories. My 37 year old husband became ill on October 7, 2006 with flu like symptoms. A week later his urine and stools became discolored which we attributed to dehydration because of the "flu". Three days later he became jaundice. Of course, we then went to the doctor who thought he may have hepatitis. They did some blood work and it came back that he did not have hepatitis but the blood work showed that he had high liver enzymes. He went to the hospital for a ultrasound of his gallbladder (they assumed he had gallstones in his bile duct). The ultrasound showed multiple gallstones and an inflammed gallbladder. We changed Scott to a low fat diet and all of his symptoms and sickness went away.
We went to the hospital on November 1 to have the gallstones removed during an ERCP. The doctor found no gallstones in the bile duct but what he referred to as a stricture. A temporary stint was put in to allow the bile to flow. He told us it was a very serious condition and that we would need to go to Mayo Clinic, KU University, St. Louis or some other major hospital. This was not something that could be taken care of in a local hospital. We left our local hospital not even thinking that it was cancer.
We were given an appointment for November 3rd. with Dr. Romano Delcore at Kansas University Medical Center in Kansas City, KS. He immediately began talking about pancreatic cancer. We were totally shocked. We had come for gallstones and an inflammed gallbladder. I should say that my husband's family has a large history of pancreatic cancer. His paternal grandmother died of pancreatic cancer as did her father and two syblings. Another brother died of gallbladder cancer and the other died of a form of leukemia. We had the "Whipple" speech and walked away feeling down and out. We then were sent for a EUS (endoscopic ultrasound) which showed that my husband had Stage 3 pancreatic cancer. The cancer was in his bile duct, pancreas and at least one lymph node but not to his liver. How fast life can change in one month!!
We went back to Dr. Delcore's on November 20th. Dr. Delcore said he was not sure if he would be able to remove the tumor. The ultrasound had shown the tumor very close to the portal vein. Also, if he had gotten in there and found that it had actually spread beyond those areas he would not be able to resect the tumor. In that case he would bypass the tumor to remove the blockage and close Scott up. Dr. Delcore said he would know about 4 hours into the surgery. Scott had then asked him what he could expect for a life expectancy. Flat out, Dr. Delcore said about 18 months if they are unable to remove the tumor. I walked out of his office thinking unacceptable. We are 37 years old and have two children (9 and 12) we have a lot of life ahead of us.
On November 28, Scott went to KU Medical Center for the Whipple procedure. I sat in the waiting room receiving periodic updates as to what was going on. Finally, at 1:25 the nurse came out to tell me that they were going to procede with the surgery. Dr. Delcore felt confident in removing the tumor and surrounding effected areas. Scott came out of surgery at 6:45 p.m. almost 10 hours after he went in. I was able to talk to him around 9:00. He looked great and even sounded good. He called me the next morning at 5:00 and just wanted to talk! He had a rough couple of days trying to get his pain medicine right. He was up and walking around the day after his surgery and walking about 1 mile a day two days after his surgery. He was determiined to beat this!! Our doctor had told Scott prior to surgery, "the bed is your enemy you want to be out of it."
A week after his surgery, Dr. Delcore came in and told Scott that Christmas had come early for him. It turns out that he has Bile Duct cancer not pancreatic. We know that it is still not good but better than pancreatic. They also did find 4 malignant lymph nodes out of 12. They were the 4 closest to the tumor. Scott was released on December 8th.
We went to Florida for three days on December 15th. He felt great but was a little tired. We had a great Christmas and are thankful for all the days that we have together.
Thursday, of this week January 18, 2007 Scott received his first chemo. treatment. They are going to use Gemcitabine once a week for two months. He will then begin radiation for six weeks along with a chemo. pill (5FU). He will then go back to 3 weeks on and one week off of the Gemcitabine for three months. We are not sure what effect this will have, but we do know that we are young and that we will do whatever it takes to beat this terrible disease. We have a lot to live for!!
My husband has not missed a day of work since getting sick in October except for his days in the hospital, the day of his EUS and ERCP and the month he had to take off of surgery. To see him, even before surgery you would've thought he was just a healthy guy. He continues to work and feel great. I guess that is what makes this all so "Wrong".
I would definitely recommend Dr. Delcore for anyone needing the Whipple. He does approximately 40 surgeries a year. The staff at KU Medical Center was wonderful. They have given us hope and promise for the future!!


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Hobbies Ringer Women T-Shirts are an Idakoos specialtiy! Idakoos has many things to offer. Whether you want to get a Hobbies Ringer Women T-Shirt for a special occasion, give a Hobbies Women T-Shirt as a present or need to represent with a funny Hobbies Ringer Tee during Holidays or Family and Friends get-togethers, Idakoos is sure to have the right Hobbies Ringer Women T-Shirt for you! Even if it turns out you can't find the right Hobbies Ringer Shirt with the perfect design for your mother, father or children (or friends!); Idakoos offers all of its men's women's and children's Hobbies Ringer Women T-Shirts as Custom Hobbies Women T-Shirts. Personalize any Hobbies Ringer Women T-Shirt the way you want to ensure the perfect gift.
Showing 1 - 24 of 22005 Women Ringer T-Shirt


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Experience the history of the Virginia & Truckee Railroad at the 6th annual Virginia City/Carson City Railfest on Saturday August 13 and Sunday August 14. Step into the shoes of our yesteryears and celebrate by riding the historic rails on a Stream Train from Carson City to Virginia City and back. Train rides are available all weekend and are a great experience for the whole family.
On Saturday, pose for a picture with legendary western characters at the Virginia City Living Legends Photo Op in the Delta Saloon parking lot. After you have your memorable picture taken, stop by the F street Train Depot to experience how the American Civil War helped shape the country we live in today at the Battle Born Civil War Reenactors Educational Booth. For adults 21 and over, escape the Comstock and relax on a romantic full moon evening train on the Moon Over the Comstock V & T Ride. This tranquil journey includes a light box dinner and a glass of wine in a souvenir Railfest wine glass.
Head over to the Nevada State Railroad Museum on Sunday to see and learn all about the trains that traveled along the V & T Railroad, as well as other locomotives and cars made famous in movies and on television.
For overnight accommodations in Virginia City and more information on this and other events happening in Virginia City, log on to www.VisitVirginiaCityNV.com or call the Virginia City Visitor Center at (775) 847-4FUN (4386) or (800) 718-SLVR (7587).


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This year's California navel orange crop, estimated at 93 million cartons, should be a bit larger than last year's estimated 89 million cartons, but grower-shippers hope for a continuation of the prices they enjoyed last season.
As of early October, dates for the first shipments remained up in the air.
In an effort to provide end users with a better-eating piece of fruit than in past years, the state's growers have agreed to implement what they're calling the California Standard.
That means some growers may have to hold onto their fruit a bit longer than usual until it meets a specific maturity — and taste — standard.
"We're never sure when we'll get started," said Neil Galone, vice president of sales and marketing for Booth Ranches LLC, Orange Cove, Calif.
"This year, it's even more in question."
Galone estimated that Booth Ranches will start harvesting the third or fourth week of October with limited availability for shipping the first week of November. The company expects "reasonable availability" by mid-November.
Cecelia Packing Corp. in Orange Cove also should start shipping navel oranges in late October, a bit earlier than last year.
"A lot of items have been a little earlier this year than they were last year, and navel oranges are no exception," said Randy Jacobson, sales manager.
The company plans to ship navels until mid-May.
Volume at Cecilia Packing will be up slightly compared with last year, in line with the state's overall orange crop.
Jacobson attributes the larger crop to good growing conditions.
He's optimistic about fruit size, despite survey results from the California Agricultural Statistics Service indicating that, as of Sept. 1, fruit diameter was slightly smaller than the five-year average.
Despite increased competition from mandarins, prices have remained surprisingly steady on navels, he said.
"The crop size has not been overwhelming, so we've been able to manage the crop pretty well and do a fair job on the pricing."
Galone agreed that navel prices have stayed steady or perhaps gotten stronger, even with good-size crops and the fact that "the mandarin varieties are compromising somewhat the demand for navels."
On Oct. 2, the U.S. Department of Agriculture was reporting f.o.b. prices of mostly $18 for 15-kilogram cartons of Chilean navels and mostly $16-17 on size 64s.
South African navels were selling for mostly $18-20 for 15-kilogram containers of size 40s, 48s and 56s.
F.o.b. prices of shippers' first grade California valencia oranges were mostly $10.73-11.75 for size 56s and $10.73-12.75 for 72s.
Retailers and consumers can look forward to good-quality navels as the season kicks off, said Mike Keeline, salesman for Bravante Produce, Reedley, Calif., which is in its third season with Sherman Oaks, Calif.-based Sunkist Growers Inc.
"The size looks good," Keeline said.
"Overall, our (oranges) appear to be a little bit larger than last year."
Volume at Bravante Produce should be up 10% over last year. The company expects to start shipping in early November and continue into June.
Fred Berry, director of marketing for Mulholland Citrus in Orange Cove, was hoping for cooler temperatures in October and maybe even some rain to help trigger color change and speed up maturity.
He expects the company to start shipping navels in late October, at least a week ahead of last year. But that will depend on the weather.
"We would like to see some fall," he said.
August and September, which had many days in the 100- to 105-degree range, may have set records for average daily temperatures, he said.
Fortunately, nighttime temperatures dropped significantly, and that's beneficial for the oranges, Berry said.
Some forecasters are predicting El Niño conditions this year, which could trigger more rain than usual, he added.
Rick Eastes, vice president and general manager for Seald Sweet West International Inc., Dinuba, Calif., anticipates larger-size navels this year than last.
He expects to see normal sizes of 88s to 113s early in the season and 56s and 72s as the year progresses.
Conditions already were starting to become more fall-like in the Orange Cove area, Jacobson said.
"We seem to be seeing some growth as the heat starts to back off a little bit, the nights are a little longer and getting a little bit cooler," he said.
"The trees are waking up."


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Dear Santa,
I'm at work on Christmas Eve. Everyone has left except me and Mr. Barr. Get him something nice this year.
I've tried to be good. I've even put in extra effort on The Pioneer News Web site. I'll try to keep my list small:
It's my Grandma's 90th Christmas. Give her something nice to enjoy it, even if it's just family visits and a free subscription to The Pioneer News.
Get something really cool for all my nieces and nephews, unless they were bad. My siblings might endorse coal and switches if you feel they are necessary.
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CRESTWOOD - Take a few of the turnovers and a couple of missed tackles, North Bullitt head coach Brett Newton will take Friday night's victory over the South Oldham Dragons with a grain of satisfaction.
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SHEPHERDSVILLE - If you don't have a plan, you never know where you are going.
And you don't know if you reach your intended destination.
A group of concerned citizens wrapped up nearly a year of meetings with the formal presentation of a strategic plan for Bullitt County to fiscal court members.
State Rep. Linda Belcher, who organized the group, and Lou Ann Moore, president of the Bullitt County Chamber of Commerce, were given a few moments to make the presentation to court members.
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Venice, FL, U.S.A.
Nye Discount Books, Inc. is a family run operation that is dedicated to providing exceptional customer service from start to finish. Our years in the business have enabled us to set the standard, whether it's our 1 day shipping, our secure packaging, or industry leading customer service.
We guarantee the condition of every book as it's described on the Abebooks web
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Orders ship within 2 business days. Shipping costs are based on books weighing 2.2 LB, or 1 KG. If your book order is heavy or oversized, we may contact you to let you know extra shipping is required.


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The Escondido Union School District board will postpone a vote Thursday on a revised salary schedule for assistant superintendents, officials said.
Board members will discuss the recommendation, but won't vote, said Bob Leon, deputy superintendent for human resources.
The adjustment would have resulted in a 3.22 percent pay increase for two current administrators next school year.
The recommendation to revise the salary schedule is the result of adjustments that started last fall when the district started recruiting for two assistant superintendents.
The district found that its salary schedule, which included an annual longevity bonus, was not competitive with other districts.
Salary changes, which included eliminating the longevity bonus, for the two open positions were approved separately by the board.
The recommendation this week was to make the salary schedule the same for the other two assistant superintendent positions.
Under the proposed revised salary schedule, with no longevity bonus, the salary range would increase 18 percent to $124,336 to $148,464.
The teachers association for the K-8 district wanted officials to wait on the salary adjustments until compensation for all employees could be examined.


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Hello all,
A Thai monk has asked me to find out in which months the Vulture's Peak (Gijjhakūṭa, Skt. Gṛdrakūta) at Rajgir is "open". I told him that as far as I know it's always open, but the monk (who has visited it four times) insists that it's closed during certain months of the year. He wishes to know because his aunt is travelling there this year and is particularly anxious to see the Vulture's Peak. I've checked a few tourist sites and pilgrims' accounts via Google and haven't found anything that would contradict my own view. Does anyone here know anything about this matter?


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Alessandro Ballan is recovering well from surgery to remove his appendix, as well as scar tissue from a previous operation, BMC Racing Team Chief Medical Officer Dr. Max Testa announced Sunday.
Recovery Timetable Not Affected
Ballan underwent surgery Wednesday night after stomach pain he first felt Tuesday did not go away. "Because the pain wasn't that intense and continuous I thought it was a digestive problem," the past world road champion said. "On Wednesday night, the pain became very intense so I went to the hospital." Dr. Testa said doctors performed exploratory surgery which found adhesions had formed where Ballan's spleen was removed in December following a crash that broke his left leg in two places and fractured a rib. "The surgery to remove the adhesions and his appendix was very successful and he is doing well," Dr. Testa said. "I do not think this will impact the original timetable we had for him to return to racing in four months. But he will stay off the stationary bike for a couple weeks." Ballan said while these health scares have worried his family, everything is fine now. "From now on, I want to look forward to the future and riding with my teammates again," he said. "No more hospitals anymore."


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Bob Cropp, professor emeritus at the University of Wisconsin-Madison, offers the following comments on the current dairy situation and outlook.
"Farm milk prices have shown strong increases since the beginning of the year. Class III increased from $13.48 in January to $17.00 in February and will be above $19.00 for March. Class IV increased from $16.42 in January to $18.40 in February and will be near $19.70 for March. The U.S. Average All Milk price increased from $16.70 in January to $18.40 for February and will be near $19 for March. But, these prices most likely will be the peak for the year. While butter, nonfat dry milk and dry whey prices are holding up cheese prices turned sharply down. CME butter has been at $2.12 per pound since March 7 before showing some weakness on March 16. As of March 18, butter was $2.07. Western nonfat dry milk has been in the range of $1.48 to $1.68 and dry whey $0.45 to $0.52. On the CME 40-pound cheddar blocks peaked at $2.02 on March 3, started to show some weakness on March 8 and declined sharply on March 14 and as of March 18 blocks had fallen $0.335 to $1.685. Likewise, CME cheddar barrels peaked at $1.98 on March 3, showed some weakness on March 10 and as of March 18 barrels had fallen $0.28 to $1.70. Near month Class III futures responded with sharp declines as well.
"It now looks like the Class III price will be well below $17 by April and could be in the low $16′s from May to early fall and then recover to the high $16′s or higher. The continuation of strong exports of nonfat dry milk and dry whey are anticipated and should hold up prices of these products to mid summer or early fall. Class IV could approach $20 by April and remain in the $19 range to early fall before falling in the $17 to $18 range. Dry whey could stay in the $0.40 to near $0.50 range until fall which will help to support the Class III price.
"This decline in cheese and Class III prices was not un-expected. Cheese and Class III prices peaked at levels that were unexpected based on the level of cheese stocks, cheese production and the level of milk production. Cheese exports were 60 percent higher in 2010 than the year before and 96 percent higher in January than a year ago which helped to support cheese prices. But, 2010 cheese exports are just 3.7 percent of cheese production while January exports improved to 4.7 percent of production. Cheese production has been well above a year ago with January production of cheddar cheese up 5.6 percent and total cheese production up 5.0 percent. Cheese sales have held up quite well despite higher prices. But, yet American cheese stocks increased slightly from December to January and were 9 percent higher than a year ago as of January 31st and total cheese stocks 7 percent higher, the most for this date since 1987.
"Butter prices may well weaken more but yet remain relatively high. Butter producers have been somewhat reluctant to build up stocks in fear that high butter prices were not sustainable. Butter production increased just 2.7 percent in January over a year ago. Butter stocks increased 46 percent from December to January, but remain 29 percent below a year ago and the lowest stocks for this date since 2005. Butter exports were strong in 2010, up 99 percent from the year before and accounted for about 8 percent of butterfat production. Butter as well as cheese exports for 2011 are expected to be favorable but considerably lower than last year levels.
"Cheese prices could well rebound some increasing the Class III price by summer and fall. But, this will require a slowdown in milk production. USDA's estimate of February milk production was up 2.4 percent from a year ago for the 23 reporting states and up 2.0 percent for U.S. as a whole. For the U.S. cow numbers did not increase in February but were 0.7 percent higher than a year ago. Increases in milk per cow appear to be slowing some with February's production per cow 1.3 percent higher than a year ago.
"Of the 23 reporting states 19 had higher milk production than a year ago. The 4 states with less milk production were Illinois -3.2 percent, Missouri -2.7 percent, Utah -0.7 percent and Pennsylvania -0.2 percent. Florida led all states with relative increases in milk production with February's production 12.2 percent higher than a year ago. All Western states continue with increases in milk production with production up as much as 8.8 percent in Texas, 7.3 percent in Arizona, 5.7 percent in Colorado, and 3.4 percent in Idaho. Production was up just 2.4 percent in California. For the Northeast, as indicated, production was down 0.2 percent in Pennsylvania but 3.8 percent and 2.7 percent higher respectively for New York and Michigan. In the Upper Midwest production was up just 0.5 percent in Wisconsin and 1.2 percent in Iowa with production down 0.8 percent in Minnesota.
"Milk production is likely to show relatively smaller increases as we approach summer. Corn prices remain at high levels. February hay prices at the national level are 15 percent higher than a year ago with prices up as much as 56 percent in California and 39 percent in Idaho. With lower milk prices returns over feed costs will be squeezed encouraging increase herd culling and reduced grain and concentrate feeding. With 3 percent more replacement heifers to calve this year the average number of milk cows for the year may not decline from last year, but a smaller increase in milk per cow could hold the increase in total milk production for the year below 2 percent. Then if domestic sales can continue to show growth as well as favorable dairy exports, Class III prices will strengthen the last half of the year reaching at least the high $16′s. Summer weather conditions for cow comfort and growing conditions for crops will also be an important factor determining were milk prices will be later this year."
Source: University of Wisconsin Cooperative Extension


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'Golisano's bid is self-funded, although he did suggest they may tap into public sector sources such as Empire Zone credits and some minor perks from Erie County. The credits are available to any business located within a designated Empire Zone. HSBC Arena sits in a downtown Buffalo Empire Zone.'
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Ukiah Daily Journal
Service Employees International Union, Local 1021, the union that represents the majority of Mendocino County employees, filed suit against the county of Feb. 11 for its effort to contract out mental health services currently provided by county workers.
The county in October released a request for proposals in its effort to find a contractor to provide the mental health services that aren't already contracted out. Before the RFP was released last year, Mendocino County Health and Human Services Agency Director Stacey Cryer estimated between 60 and 70 percent of the county's mental health budget goes to 78 contractors to serve the county's mentally ill asults and mentally disturbed youth.
The lawsuit alleges that the county's bid to contract out mental health services is an illegal attempt to funnel public dollars to a private entity, and to improperly shed its responsibility for the welfare of its residents, according to a Tuesday press release from SEIU.
"The county's attempt to privatize these services is not only bad policy, it is a blatant violation of state law, and the county must be held accountable for its violation of the public trust," said David Eberly, president of the Local 1021 Mendocino chapter.
The union claims that state law forbids counties from contracting out services it has the capacity to provide.
"Mendocino County has qualified and experienced mental health workers already doing the job who have a proven commitment to their community," SEIU stated. "Nonetheless, the county put out a request for proposals last October to have its adult mental health services provided by a private company and is expected to announce the winning bid any day now. The union's lawsuit seeks to stop this wasteful and improper expenditure of public monies before a contract is granted."
The union contends that mental health services are a community concern that should remain within an accountable organization and not be "left to the mercy of a private system," according to the SEIU statement.
"Mental health services should be for our community and by our community, not for sale or privatization," said Alex Bricken, a Mendocino County mental health worker.


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I have many Buddha statues/ornaments, I will take some pictures and share them with you all after Christmas, possibly the 26th or the 27th so keep looking back at this thread for updates.
Here is 2 of them so far.
It's a candle holder with Buddha meditating next to a lotus flower
This one is made out of wood (dunno what kind)
I will upload more soon after Christmas.
I'm really sorry the pictures are so small and not good quality, I'll try and make them larger & look better when I get more time.


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NEW YORK (AP) — Shane Greene had little trouble finding the plate. Throwing to first was his problem.
The rookie right-hander wasn't the only player in pinstripes to struggle Monday night.
Greene made three of the Yankees' five errors, Derek Jeter grounded into an inning-ending double play with the bases loaded in the fifth, and New York lost to the Texas Rangers 4-2.
"It was an ugly game on our part," manager Joe Girardi said after the Yankees' first loss since the All-Star break. They were coming off a three-game sweep of Cincinnati.
Batting with more than 45,000 fans standing and cheering, Jeter sent an easy grounder to second baseman Rougned Odor and fell to 0 for 8 with a walk and two sacrifice flies with the bases full this year.
Miles Mikolas (1-2) then retired his final seven batters in winning for first time since Aug. 21, 2012, with San Diego. Mikolas won twice in 25 relief appearances for the Padres that year. He's had little success this season, coming in with a 10.05 ERA in his first three big league starts.
"That's a big situation, a big jam to get out of," Mikolas said. "It almost makes me as a pitcher want to compete a little harder, let the fans down."
Mikolas yielded two runs, including Jacoby Ellsbury's homer, and four hits in a career-high 7 1-3 innings to outlast Greene (2-1) in a matchup of 25-year-old pitchers getting a shot because of injury-wrecked rotations.
Pitching for the first time at Yankee Stadium, Greene worked around three errors of his own — two on short tosses to first base — and one by second baseman Brian Roberts to work into the sixth with a 2-1 lead.
But he appeared to tire with two outs in the sixth and gave up a single to Jake Smolinski, walked Jim Adduci and allowed a tying hit to Geovany Soto.
Matt Thornton relieved and gave up consecutive run-scoring hits to Odor and Choo, who helped Texas win for the third time in 17 July games.
"He was still throwing the ball well," Girardi said when asked why he left Greene in. "He gave up a broken-bat bloop hit over the third baseman's glove. It's not like they were hitting him hard."
Green was charged with four runs and five hits in 5 2-3 innings. He had given up just two runs total in his first two career starts.
"I felt really good. I just had to keep on grinding," he said.
Jeter made an error at shortstop in the seventh to give the Yankees five in a nine-inning game for the first time since Aug. 20, 1998, against Minnesota.
"I don't think anyone is going to dwell on this one," Roberts said.
Adrian Beltre drove in the Rangers' first run with a fielder's choice in the third inning.
Joakim Soria gave up a single to Kelly Johnson and plunked pinch-hitter Brian McCann with a pitch before getting Yangervis Solarte to fly out for his 17th save.
Slugging first baseman Mark Teixeira was not available to pinch hit in the ninth because he is out with a strained back muscle. Girardi said before the game Teixeira would miss at least three to four games.
Playing the outfield for the first time since the All-Star break because of left ankle trouble, Choo snapped an 0-for-22 skid with a third-inning double.
Carlos Beltran put New York ahead with a sacrifice fly in the first after Jeter walked, advanced to second on a balk and third on Ellsbury's single.
Ellsbury homered leading off the fourth to give the Yankees a 2-1 lead. It was the seventh straight time he reached base after going 4 for 4 with a walk in a win over Cincinnati on Sunday.
NOTES: Rangers C Soto left after the top of the sixth with tightness in his right groin. Smolinski bruised his left foot and was lifted for a pinch hitter in the ninth. ... Rangers RF Alex Rios (sprained right ankle) missed his second straight game. Rangers manager Ron Washington said Rios looked much better and could play before the series ends Thursday. ... Injured Yankees LHP CC Sabathia (knee) turned 34. ... Up next: The Rangers plan to activate RHP Nick Martinez (1-6) from the DL to start Tuesday against the Yankees. He has been out since July 2 with discomfort on his left side. Rookie RHP Chase Whitley (4-3) starts for New York.