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Home > Patients & Visitors > Health Library > General Anesthesia
General anesthesia is a combination of medicines that you inhale or receive through a
needle in a vein to cause you to become unconscious. It affects your whole body. Under anesthesia, you should be completely unaware and not feel
pain during the surgery or procedure. General anesthesia also causes
forgetfulness (amnesia) and relaxation of the muscles throughout your
General anesthesia suppresses many of your body's normal automatic
functions, such as those that control breathing, heartbeat, circulation of the
blood (such as blood pressure), movements of the digestive system, and throat
reflexes such as swallowing, coughing, or gagging that prevent foreign material
from being inhaled into your lungs (aspiration).
Because these functions are suppressed, an
anesthesia specialist must carefully keep a
balance of medicines while watching your heart, breathing, blood pressure,
and other vital functions. An
endotracheal (ET) tube or a laryngeal mask airway device is
usually used to give you an inhaled anesthetic and oxygen and to control and
assist your breathing.
General anesthesia is commonly begun (induced) with
intravenous (IV) anesthetics. But inhaled anesthetics
also may be used. After you are unconscious, anesthesia may be maintained with
an inhaled anesthetic alone, with a combination of intravenous anesthetics, or
a combination of inhaled and intravenous anesthetics.
As you begin to awaken
from general anesthesia, you may experience some confusion, disorientation, or difficulty thinking clearly. This is
normal. It may take some time before the effects of the anesthesia are completely gone.
Serious side effects of general anesthesia are uncommon in people
who are otherwise healthy. But because general anesthesia affects the whole
body, it is more likely to cause side effects than local or regional
anesthesia. Fortunately, most side effects of general anesthesia are minor and
can be easily managed.
People are instructed not to eat or
drink anything for up to 8 hours before anesthesia so that the
stomach is empty. The amount of time depends on the procedure. This will help to prevent food from being inhaled (aspirated) into the lungs.
The breathing tube inserted during general anesthesia can also prevent stomach contents from entering the
After surgery using general anesthesia, a common side effect is nausea and vomiting. Most of the time, this can be
treated and doesn't last long. Also, some people have a sore throat or hoarseness from the breathing tube inserted
after the person is unconscious. Inserting the breathing tube can sometimes cause damage to a person's mouth or
teeth, but this is uncommon.
Rare but serious risks of general anesthesia include:
Some people who are going to have general anesthesia express
concern that they will not be completely unconscious but will "wake up" and
have some awareness during the surgical procedure. But
awareness during general anesthesia is very rare. Anesthesia specialists devote careful attention and use many methods to
prevent this.
ByHealthwise StaffPrimary Medical ReviewerAdam Husney, MD - Family MedicineSpecialist Medical ReviewerJohn M. Freedman, MD - Anesthesiology
Current as ofAugust 14, 2016
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August 14, 2016
Healthwise Staff
Medical Review:
Adam Husney, MD - Family Medicine & John M. Freedman, MD - Anesthesiology
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.
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To test preventive approach, Philly AIDS group recruits men at risk of HIV infection
The AIDS organization Philadelphia Fight is recruiting young, HIV-negative gay men of color to a support group where they will be given a preventive AIDS drug.
The group will accept 15 men between the ages of 18 and 29, provide free medical care, and dispense the drug Truvada at weekly prevention meetings.
Truvada was approved in July for use as a pre-exposure prophylactic for those at high risk of contracting HIV.
Three months later, Philadelphia Fight director Jane Shull said not a lot of people are using the drug this way, especially in the highest risk groups.
"One of the most important things that we hope results from having this group is that the people who participate and get involved become ambassadors for using pre-exposure prophylaxis in the gay community," Shull said.
In a major clinical trial, men who took the drug faithfully were 73 percent less likely to get HIV than those taking placebos. The men who took it inconsistently had only a 21 percent reduction in infection.
"What we're trying to do is see if, by having a weekly support group, the result will be that everybody takes the drug every single day," Shull said.
The efficacy of using anti-retroviral drug for prevention in high-risk populations was once controversial, but is now backed by a body of medical data and is more widely accepted. Still, UCLA health policy researcher Arleen Leibowitz says there remains the question of whether it's the most effective use of scarce prevention dollars.
"If you treat people who are HIV-positive and reduce their viral load so that it's not detectable, the transmission of HIV is reduced by 96 percent," Leibowitz said. "Whereas if you give Truvada to people who are uninfected, it reduces transmission by much less."
The drug's sticker price is almost $1,400 a month. Those whose insurance doesn't cover it, and who meet income requirements, can apply get it for free from drug maker Gilead.

subset: commoncrawl


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MAC Tinted Lip Conditioner SPF 15 Reviews
This is the bestNot only does it condition your lips, it also makes your lipstick last longer. And, it has SPF; so important for all parts of your face and body. — 6 years, 6 months agoCaroleVonAllten | 1401 reviews
This review is: Helpful | Not helpful | Inappropriate | 7 of 9 people said helpful
MAC Tinted Lip Conditioner SPF 15Purchased this while at the MAC counter for something else. Didn't feel like running all around for a tinted balm. I lucked out. I purchased only to wear to gym sans makeup however find myself using this all the time! color is bright in the jar but applies super sheer. I have pigmented lips & it's just gorgeous. After my workout i am left w/ a slight stain & conditioned lips. I only apply using a ...read moreEcotools eyeshadow brush. Comes out perfect every time & it doesn't mess up the product. A definate staple in my bag. I gotta be honest when I say that I only bought it because it was MAC. I did not have much expectation for the product itself, BUT it is honestly the absolute best lip balm ever. I have tried many balms, but this one moisturizes like no other. I put it on at night and by morning my lips are so, so soft :) It gives a hint of pinky color and smells really good. The taste is slightly sweet, but not gross. I LOVE this balm so much and will buy it again for sure. I like this lip conditioner and have bought it twice. It is not the best or the most moisturizing, but it does give a bit of a pink glow. One of the main purposes I use it for is actually to put a bit on my cheeks for a pretty, dewy blush. I'm not really a fan of carrying makeup around for touch-ups, so near the end of the day when I'm starting to look a little pale and bedraggled, I put some of this on my lips and on my cheeks and I feel like I look instantly fresher. Or, on the weekends or days off when I really don't want to put on much makeup, or when I'm just going to the gym, I just put on mascara, some of this on my lips, and a bit on my cheeks. Fresh and pink! This lip conditioner is just average, it is creamy and keeps my lips smooth. Don't expect any miracles from this though, I do like the hint of pink, and the packaging can be a little bulky at times, the spf added in it is a little added bonus for me. First of all, this smells AMAZING! I personally love sweet-smelling fragrances, and this lip conditioner smells like vanilla cupcakes. It feels super soft on your lips and moisturizes nicely :) It also gives a hint of color, which I love because I'm not a big lipstick person. — 5 years, 5 months agomihshelle | 182 reviews
This review is: Helpful | Not helpful | Inappropriate | 8 of 10 people said helpful
I'm in love with this :)I used to think that MAC was overrated... but I keep finding more and more MAC products that I love! I have this in Hello Kitty - Popster. This is a hot pink color that applies fairly sheer, but can be built up. PROS: Decent price. Love the buildable color. Nice and moisturizing. Like that it has SPF 15! LOVE LOVE LOVE that MAC collaborated with Hello Kitty :) CONS: I don't like pot glosses in general, but at least this is a nicely sized one. Overall, I'd definitely repurchase this! — 8 years agoLipglossandSpandex | 521 reviews
This review is: Helpful | Not helpful | Inappropriate | 8 of 9 people said helpful
great lip balm!i have the lip conditioner in fuschia fix from the mac dsquared line. first of all, the color goes on mostly sheer. it's not too pigmented, which i believe is perfect for an everyday casual lip balm. the product is actually very moisturizing on my lips and i can feel it working and making my lips smoother. the tub brings SO much product that it has lasted me ove a year already. i believe its a good deal :) — 6 years, 3 months agokenya | 504 reviews
This review is: Helpful | Not helpful | Inappropriate | 1 of 2 people said helpful
Review: MAC Tinted Lip Conditioner SPF 15I love the smell of this ! Very light, vanilla. I also love te sher pink color of "Petting Pink". The price is a little high at $14.50 but it is so worth it! Moisturizes well, smells good, huge pot, long wear... perfect♥ WWW.MAKEUPORBREAKUP7.BLOGSPOT.COM — 6 years, 4 months agoaly7 | 396 reviews
This review is: Helpful | Not helpful | Inappropriate | 0 of 1 people said helpful
Amazing!UPDATE: I can't believe that MAC discontinued these!!!! They have so many other products that are crappy and bad yet they choose to chop this one. Gahhh I'm beside myself these are my life in a lip balm!!!! I recently scored one of these at the CCO for only $10 compared to the regular $15 price tag. I picked up Gentle, Coral and I'm so in love with it! It's the perfect my lips but better & redder ...read moreshade and it feels and makes my lips look so good. And the smell! I'm an addict for the signature vanilla scent that MAC has. — 4 years, 6 months agoCliniqueLover | 297 reviews
Quality Product But I Don't Like The ContainerVanilla scented, creamy, smooth, hydrating, conditioning, slightly glossy, tinted but I don't reach for it because I don't like applying with my fingers and too much of a hassle to use a lip brush. I will try 'kissing' the product like the other reviewer mentioned. Great tip. — 6 years, 6 months agoSubCulture | 332 reviews
Love it!I personally LOVE this lip conditioner. Its great that it has an SPF in it and it lasts reallly long. I got the one with Lavender in it and it has a faint nice scent to it. It glides on smoothly on my lips and makes it feel soft the entire day with no dryness or cracking. The tint is very subtle and sheer, a nice light pink. — 6 years, 7 months agomakeupbyjanalyn | 169 reviews
gotta say yesI really do not like lip products that come in pots. Why do they do this. You have to unscrew the top, put your finger in to apply, put the top back on and then wipe your finger off......Whats the allure of this? But....it is a nice product if you are into all the ritual of it. It applies nice, there are good colors, stays fairly well and an added bonus of spf...all said, it has my vote. — 5 years, 6 months agoShanthiDevi | 100 reviews
This review is: Helpful | Not helpful | Inappropriate | 1 of 1 people said helpful
DeliciousnessThis is soft, yummy, has SPF and a hint of tint. Perfect for the summer!! I don't particularly like the container that it comes in, but I have gotten really good at kind of 'kissing' the product so it slips on my lips easily. Otherwise I would have to use my fingers and then I wouldn't know what to do with the extra on my fingertips. Other than easier application, there is nothing I would change about these. — 8 years, 3 months agoleelu | 354 reviews
This review is: Helpful | Not helpful | Inappropriate | 1 of 1 people said helpful
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SANTA CRUZ -- Unemployment in Santa Cruz County inched downward from 8.8 percent in September to 8.7 percent in October, as the number of residents with jobs jumped from 140,000 to 144,400, the highest for October since 2001.
Much of that growth came from a net gain of 3,900 jobs in the county, with the rest from people commuting outside the county, according to figures posted by the state Employment Development Department on Friday.
Santa Clara and San Benito counties saw their jobless rates hold steady at 7.9 percent, adding 7,700 jobs, largely in public and private education, retail and construction.
Santa Cruz County added 2,200 jobs in state government education as UC Santa Cruz, the county's largest employer geared up for the new school year. Local government, which includes K-12 schools and Cabrillo College, added 900 jobs, and private education and health services added 600 jobs.
Typically, the hiring in education would gear up in September but it came a month later this year. The count captures jobs as of the 12th of the month, with later hiring rolling into the next month.
State analyst Jorge Villalobos said the labor force, which grew to 158,100, is "the largest we have on record for October in Santa Cruz going back to 1990."
He pointed out that the 8.7 percent unemployment rate is down from 10.1 percent a year ago and is the lowest for October since 2008, when it was 6.5 percent. That was before the economy took a tumble.
Besides the increase in education jobs, trade and transportation jobs were up by 500, with 400 in retail. That could represent hiring by Target for its new Capitola Mall store or Forever 21, which opened in downtown Santa Cruz in late September.
Another standout was leisure and hospitality, with restaurants and bars adding 100 jobs when typically in October, 400 jobs would be lost as the summer tourism season ends.
However, October's warm weather kept visitors coming.
The hospitality count does not include jobs with the Santa Cruz Warriors, which held a recruiting event fair late in October to fill up to 100 part-time positions for a season that opens late in December.
The weather could have been a factor in ag jobs too.
On average, 1,400 farm jobs would be eliminated in October, but this year, the drop in farm jobs was 800.
Follow Sentinel reporter Jondi Gumz on Twitter at Twitter.com/jondigumz
Industry Jobs October Change from September Change from a year ago
Government 21,400 Up 3,300 Up 800
Private education, health 15,000 Up 600 Up 800
Trade, transportation, utilities 18,000 Up 500 Up 1,100
Professional and business 10,700 Up 200 Up 700
Financial activities 3,400 Up 200 Up 200
Leisure and hospitality 12,200 Up 100 Up 300
Other services 3,900 Up 100 Up 300
Information 900 0 0
Mining, logging, construction 2,800 0 0
Manufacturing 5,100 Down 300 Down 100
Total Nonfarm 93,400 Up 4,700 Up 4,100
Total Farm 11,900 Down 800 Down 100
Total 105,300 Up 3,900 Up 4,000
Source: California Employment Development Department


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THE RUGBY club building which a car crashed into on Saturday evening is repairable, engineers have said.
A spokesman for Caerphilly County Borough Council said engineers had assessed Crumlin RFC's building on Kendon Road on Monday morning and will it not need to be demolished.
He said: "Generally speaking it is repairable and it does not need to be demolished. It's a problem in the corner of the property."
Ron Shallish, the rugby club's steward, said it was still waiting for their insurers to visit on Monday afternoon and were waiting to find out how much the damage would cost to repair.
Mr Shallish had the damage could have been "much worse" than it was.
The car crashed into the building at about 5.45pm on Saturday evening. About 70 people were still in the club, watching the England v France Six Nations match.
But the club had been much busier earlier in the afternoon, when more than 100 people were watching Wales play Italy.


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'"When you have just one of those nights in your first 40, it's not so bad. He's been so solid for us," Ruff said of pulling Miller, omitting the night on Long Island. "I guarantee you probably every starter in this league is going to get pulled this year and to get one after 40. It just looked like he was having a tough night. You've got to take the emotion out of it and give the other guy a go."'
You are here: Home / SabresBeat / Miller pulled for just second time


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NEW PALTZ, N.Y. -- The Ulster County School Boards Association is advocating for a series of state legislative changes to scale back mandates, provide more financial assistance, and cut costs for local schools.
The organization's Legislative Action Committee re-formed last year as local school boards have strived to become more politically active amid a period in which many school officials have said they are struggling to provide a solid curriculum while remaining solvent.
The association asks the New York State Mandate Relief Council to be given power "to nullify or modify unfunded or underfunded mandates, thereby providing substantive mandate relief to balance ... diminished state aid and the local school tax levy cap."
Last month, the Mandate Relief Council voted down 51 of 65 requests for help from local governments and school districts in what once was billed as an effort to give local governments better flexibility to operate under the state-mandated tax cap.
Ann McGillicuddy, the Onteora school board trustee who chairs the Legislative Action Committee, said the council currently does not have any power besides the ability to made recommendations to the governor and state Legislature.
"It seems like a token committee," McGillicuddy said of the council.
The newly adopted Ulster County School Boards Association's legislative agenda also calls for additional state funding to cover administration, scoring, and security for testing required under the controversial new teacher and principal evaluation system, as well as for the state to provide evaluators to help with associated classroom observations.
McGillicuddy called the new evaluation system "probably the most costly new mandate" imposed on New York schools in the last few years because of the manpower required to complete them. Some local principals have said they now expect to spend about three quarters of their time evaluating teachers at a time when the state expects more instructional leadership from building administrations.
Among the county School Boards Association's positions on cutting costs, the organization advocates for state law to cap school district contributions toward employee health insurance premiums, using the 35 percent state workers pay as "a guideline."
Teachers contribute about 10 percent toward their premiums in most Ulster County school districts, although Kingston school district teachers are not required to contribute individually toward their premiums.
New York State United Teachers has argued the proposal to cap school district premium contributions would infringe on its members' collective bargaining rights.
Ulster County school board members also advocate the state provide "relief from unpredictable increases in pension (contributions)," change the new tax cap to allow school districts to automatically raise spending to the lesser of 4 percent or the percent increase in the consumer price index when their budgets are rejected by voters twice instead of freezing the tax levy at the prior year's level, not make midyear cuts to school aid, and develop a plan for how to handle public school districts that become insolvent.
The organization also asks state government to "invest in the success of New York's youth by fully funding full-day pre-kindergarten programs for 4-year-olds."
The association also advocates for the state to "oppose the requirement that a single high stakes test be the sole measure of student or school achievement." Instead, school board members argue, new tests created for the new teacher and principal evaluations should provide multiple measures to be considered in evaluating school and student performances.


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Konchog1 wrote:But did the Buddha mean this teaching as an absolute truth or as clever help for someone tormented with lust? As for Shantideva, he meant those teachings only for people who can't meditate because they keep thinking about the opposite gender.Ikkyu wrote:There you have it. Buddhism is a life-denying religion which is unhealthy if we pay attention to these ridiculous and frankly harmful injunctions. Human sexuality is a wonderful and natural thing that is part of a healthy and normal life. I understand subduing cravings as a way to achieve peace, but the fact that Buddha said this makes me think twice.
I dunno. Frankly I keep hearing about how "Buddha said such and such at such and such a time for such and such reasons and take it in context yada yada" and while that's all well and good I don't see how we can interpret likening sexual activity in general to a child playing with excrement as a specific teaching for the well-being of one person at that time. What kind of dumb advice is that? Like I said... I understand from a practical standpoint how limiting the passions depletes suffering but this kind of stuff just seems to crop up over and over -- Buddhist texts and all the "sex is evil" business reminding me of Catholic schools and repressed nuns -- and I get the impression that not only are the Buddhist texts very contradictory, they simply have a perspective that is, in modern times, untenable. You can't propose a religion for enlightening the world and bringing peace and harmony when its founder says that sex is like playing with poop it's so bad. Sex is the reason we're even using this forum. Our parents did it and now we're here. Isn't a human birth supposed to be favorable for enlightenment anyway? I don't get it.


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Using a kit will also save you a lot of time; building your own platform can take up to a day and you could easily wait more than a week for concrete base to cure. One of these kits, on the other hand, can be assembled in just minutes. When you choose this foundation option it might even be possible for you to put together your shed in a single day.
The most impressive thing about this Arrow Foundation Kit, though, is that it actually provides the best type of base for your shed. Because it will allow your belongings to be stored above the ground, it provides much better defense against damage from ground moisture or flooding than your other options. So by choosing to save yourself time and energy, you're also giving your shed the most secure foundation available.
Hop In
5 Stars
I would recommend this item to a friend.
Cuts Time in Half
May 18, 2017
Perfect fit really made project much easier.
Henry Combs
5 Stars
I would recommend this item to a friend.
Sturdy and Simple
May 22, 2014
With the easy-to-follow instructions, assembly was easy. The kit included sturdy material and everything needed to complete it. It goes with my shed perfectly.
Brandon Lockhart
5 Stars
I would recommend this item to a friend.
Fits Well, Strengthens Shed
May 20, 2014
The floor, being specially made to fit my shed, is easy to install and gives the storage building structural integrity.
Trent Lavoie
5 Stars
I would recommend this item to a friend.
Level and Squared for Good Fit
May 4, 2014
Once my shed's floor frame was assembled, the kit was easy to install. I squared the corners and leveled the frame before attaching the plywood, then completed my shed.
Francisco Denson
5 Stars
I would recommend this item to a friend.
Right Price, Good Support, Fast Delivery
June 15, 2013
The price was just right for my kit which was delivered right on time. Assembly was easy and provided strong support for the plywood flooring.
Seal Beach, CA
3 Stars
Arrow Foundation Kit for 5 x 4 Sheds & 6 x 5 Sheds - FB5465
March 16, 2013
Easy to assemble, but wasn't really needed except if you want to have items not sitting on the ground. It is a frame that has to have plywood or something else like plywood to have the items not sit on the ground.
Pros:Easy to assemble
Cons:Really is not needed, and kind of pricey for what it consists of.
Mason Hughes
4 Stars
I would recommend this item to a friend.
Good Base for Shed
February 8, 2013
This floor provided a good base for my shed and was easy to assemble. I found that some of the parts were excluded, but I called the company; the missing parts were shipped immediately.
Cohen Gilbert
5 Stars
I would recommend this item to a friend.
Needs More Support
June 1, 2012
This is a good idea for a shed floor, but I think it needs more support ribs. It came with long support ribs as well two small ribs, but I would like to have had more.
Kayden Caron
3 Stars
I would recommend this item to a friend.
Frame Not Very Sturdy
March 7, 2012
There are some design issues that you need to know about prior to assembly. If you decide to put the front piece onto the frame, then the ramp that comes with the kit cannot be used. Also, the metal cross beams cannot be fastened in place, thereby making the structure much less sturdy.
Edward Bullard
5 Stars
I would recommend this item to a friend.
Perfect Fit
August 17, 2011
Combine this shed floor with some good plyboard and you have just what you need to store some heavy duty equipment (which is what I do). I purchased this shed floor and did just that.
Paul Kimbrough
3 Stars
I would recommend this item to a friend.
Slightly Challenging to Assemble
June 25, 2011
The big surprise that this shed handed to me was that the cross beams only fit into the slots and that there was no design to fasten them in place. The advertisement in the picture does not tip one off to this, so be prepared for some surprises once you have completed the assembly process.
Roberto Moeller
4 Stars
I would recommend this item to a friend.
Strong Frame
June 8, 2011
This has a strong frame. The instructions advise you to use nails, but I prefer self-tapping screws so the boards will not warp.
Damien Moran
3 Stars
I would recommend this item to a friend.
Easy Installation
February 20, 2011
This kit assembles and installs easily and secures the shed well. I chose to use screws to fasten it to the plywood rather than nails, which were recommended. I think the price is a little too high.
Xavier Begley
Grand Rapids
4 Stars
I would recommend this item to a friend.
Overall, a Good Product
October 23, 2010
Even though this is a product that I liked, there are some negatives that need to be addressed, and I will deal with those first. It is imperative that you handle all of the metal pieces with leather gloves, because they can be very sharp. Also, caulk or sealant must be used, and no mention of this was made at any point in the instructions. On the positive side, each piece is embossed with the specific part number, making it very easy to locate the different parts. Combine the additional bag of bolts, screws, and nuts with clear instructions and you have a product that is quite easy to assemble (my wife and I managed to assemble the frame unit in less than a half an hour.)
Marcus Pollard
4 Stars
I would recommend this item to a friend.
Great Fit, Great Buy
August 21, 2010
This is a perfect fit for the shed I have. The quality and price made it a good buy.
Larry Boston
West Virginia
5 Stars
I would recommend this item to a friend.
Instant Patio
October 10, 2009
For the size and price, this floor is a great way to have a patio floor wherever you need it. I can move it to another location easily and clean it effortlessly. In full sunlight, it doesn't get hot enough to burn bare feet.
Gerald Gruhn
5 Stars
Easy way to floor a shed
May 25, 2008
Nice simple frame to support your shed floor. It was complete and easy to modify for my use.
Donald Smith
5 Stars
December 17, 2007
highly recomended
Rich Sadler
5 Stars
Arrow Foundation Kit
September 26, 2007
Glad I purchased this item for the Arrow Woodlake 6x5 Storage Shed. Installation was quick, easy, and accomodated my floor plan. If felt this kit was essential in building my Storage Shed to meet my needs.


text:
Blakely Blackford
Blakely Blackford, 26, moved to New York after graduating from college in 2002 to work in publishing. In 2004, severe and rapid-onset joint pain led her to seek medical help—and to her diagnosis of lupus. A year later she developed lupus nephritis. Here the South Carolina native, who is a photo editor for Bloomberg Markets magazine, shares her thoughts on having lupus and a professional career.
What led to your diagnosis?
Over the summer of 2004, I went from feeling slight joint pains in my hands to debilitating pain and inflammation in all of my joints. It was very frightening for me to go from the seemingly perfect health of a 20-something to being outpaced by 80-somethings. I could hardly walk, and the constant pain made it difficult to think or even sleep.
In some way, the severity was a blessing, as it led to a prompt diagnosis. My doctor at the Hospital for Special Surgery is a leader in the field, and his concern for his patients is as strong as his commitment to defeating the disease.
Has lupus affected your career ambitions?
For me, lupus has forced awareness: initially, of my health; consequently, of my approach to daily living . . . and to a sharper awareness of (and appreciation for) my life.
How do you cope with a chronic disease and a full-time career?
I am very fortunate to suffer little fatigue from lupus. But while I haven't been tired, I have learned that rest and a lack of stress are essential elements of a healthy lifestyle. Lupus impelled me to become aware of both the negative and the very positive powers of the body and the mind on health.
One difficulty with my career and lupus is the effect of the disease and its treatment on my cognitive abilities. Both lupus and some of the medications can negatively affect cognition, especially short-term memory. To deal with this new difficulty, I write notes and make lists—yet I often forget to make the lists!
Your employer knows that you have lupus. Do you have any thoughts on what information people with lupus should share—or not share—on the job?
I think it is essential for someone with lupus to inform his or her employer, both for the individual and for the company. The effects of lupus—fatigue, pain, memory loss and internal complications—often go under the radar of anyone not aware of the illness. An individual might not look sick to the employer. But a good employer will learn as much as possible about the disease in order to understand the situation.
I think of health like a point on a resume. An employer unfamiliar with a company on a job application, for example, will need to research it some to better understand the applicant. The same goes for a health situation. I'm not saying lupus should go on a resume, but the employer and employee benefit from communication.


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Study on the Role of Decompression of Lower Extremity Nerves for the Treatment of Patients With Symptomatic Diabetic Neuropathy With Chronic Nerve Compression (DNND)
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- How to Read a Study Record
|Painful Diabetic Neuropathy
|Procedure: Nerve Decompression
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:
|Controlled, Randomized, Double-Blinded, Prospective Study On the Role of Decompression of Lower Extremity Nerves for the Treatment of Patients With Symptomatic Diabetic Neuropathy With Chronic Nerve Compression
- To determine if nerve decompression of lower extremities in patients suffering from painful symptomatic diabetic neuropathy with chronic nerve compression, has a significant impact on alleviation of pain, and improvement in quality of life. [ Time Frame: 2 years ]
- To measure changes in quality of life. This includes medication changes, pain relief, restoration of sensation, etc. [ Time Frame: 2 years ]
|Study Start Date:
|January 2008
|Study Completion Date:
|September 2013
|Primary Completion Date:
|September 2013 (Final data collection date for primary outcome measure)
|Assigned Interventions
Active Comparator: 1
Patients who are randomized to receive surgical care, will receive the nerve decompression, along with similar incisions on the opposite leg, but no decompression on that leg. This will serve as the patient's control leg, and also blind them to the treatment leg.
Procedure: Nerve Decompression
Nerve decompression on a randomized leg, with similar skin incisions on the opposite leg so that the patient is "blinded" to which leg received the decompression.
No Intervention: 2
Subjects who are not randomized to receive the surgical procedure will be followed up with the same clinic visits as the patients who are receiving the surgical procedure.
Detailed Description:
Dr. Shai Rozen, is working with physicians from Internal Medicine, Neurology, and Physical Medicine and Rehabilitation to conduct a clinical study on patients with painful diabetic neuropathy. Specifically, regarding the efficacy of peripheral nerve decompression in the lower extremity in a select group of patients which may have superimposed nerve compression in addition to their diabetic neuropathy. Initial data supports success rates at around 80% in terms of significant alleviation of pain and restoration of at least protective sensation and long term follow ups have suggested decrease in prevalence of infections, ulcerations, and amputations.
Potential candidates for the study are patients who have symptomatic painful diabetic neuropathy who have not responded to medical treatment (glucose control, pain medications)and continue to have severe pain.
It is thought today that one third of patients with diabetic neuropathy may have superimposed nerve compression in the nerves in the leg, or in other words the nerves may be pressed by the surrounding tissue. This nerve compression is what might be contributing to the pain, and often loss of sensation at the bottom of your feet. The principle is similar to carpal tunnel syndrome which is pressure of a nerve in the wrist. Carpal tunnel syndrome is seen in 14-30% of patients with diabetes compared to 2% in the general population.
This study involves one year of close care and follow-up. As a part of this study, you will have regular evaluations by a foot care specialist from Physical Medicine and Rehabilitation, receive glucose management tips from a Diabetic Nurse Educator, and also have specialized, non-invasive testing in the Neurology department. The care that you would receive for being a part of this study is highly exceptional due to the various departments involved and their dedication to this research.
Initial data supports success rates at around 80% in terms of significant alleviation of pain and restoration of at least protective sensation and long term follow ups have suggested decrease in prevalence of infections, ulcerations, and amputations.
Potential candidates for the study are patients who have symptomatic painful diabetic neuropathy who have not responded to medical treatment (glucose control, pain medications) for at least one year and continue to have severe pain.
Dr. Shai Rozen is the principal investigator on this study, and Julia Kalayanamit is the clinical coordinator. We are both very happy to speak with you if you would like more information about the study, including appointments, scheduling and visit activities.
|Ages Eligible for Study:
|18 Years to 80 Years (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Type 1 or 2 Diabetes
- Diagnosed with peripheral neuropathy
- Symptoms of: pain and/or numbness
- Bilateral symptoms (pain in both legs)
- Have been treated non-surgically
- Aged 18-80
- All genders and all races
Exclusion Criteria:
- Cardiac or renal pedal edema
- Medical condition which does not allow surgery
- Inadequate glycemic control
- Skin ulcer
- Charcot's foot
- Symptoms of radiculopathy/sciatic-type nerve pain
- Inadequate nutrient circulation in the feet
- Weight greater than 300 lbs.
- Psychiatric problems or alcohol/drug abuse
- Pregnancy
Please refer to this study by its ClinicalTrials.gov identifier: NCT00703209
|United States, Texas
|UT Southwestern Medical Center
|Dallas, Texas, United States, 75390
|Principal Investigator:
|Shai M Rozen, MD
|UT Southwestern Medical Center at Dallas
|Responsible Party:
|Shai Michael Rozen, Associate Professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center
|ClinicalTrials.gov Identifier:
|NCT00703209 History of Changes
|Other Study ID Numbers:
|Study First Received:
|June 19, 2008
|Last Updated:
|May 27, 2015
Keywords provided by Shai Michael Rozen, University of Texas Southwestern Medical Center:
symptomatic diabetic neuropathy
burning feet
Diabetic Neuropathy
Loss of sensation in the foot
Painful Diabetic Neuropathy
Additional relevant MeSH terms:
Peripheral Nervous System Diseases
Diabetic Neuropathies
Neuromuscular Diseases
Nervous System Diseases
Diabetes Complications
Diabetes Mellitus
Endocrine System Diseases
ClinicalTrials.gov processed this record on September 21, 2017


text:
Carlos Rogers
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I'm ignoring the fact that Nat is posting names I don't want to see anymore....
In the counting thread, the goal is 1000 posts by each member. In this thread we are at 1010 posts...
And I'm number two, Gyron. How do you like that? You don't even know it bwahahahaha.
Last edited by Natston; 06-23-2009 at 09:35 PM.
I'm ignoring your counting. Ignore ignore ignore....
You sadly don't have clue what's happening to you.
Only 38 away from number one... bwhahahahahhaha
Who does number two work for? Dr.Badd unless I can get 37 posts in...
Jerome Bettis
I'm sorry Dr.Badd, I wish there was a better way...
Natson for the Ignoring FTW
PACER FAN ON STRIKE!!!-The moment the Pacers fire Larry Bird I will cheer for them again.
The number one and two unignorers. Just the way it should be.
PACER FAN ON STRIKE!!!-The moment the Pacers fire Larry Bird I will cheer for them again.
and the ignoring pheoninom continues. . .
PACER FAN ON STRIKE!!!-The moment the Pacers fire Larry Bird I will cheer for them again.
Look out, he is the mad hatter...
I'm ignoring Nat Stone's Feeble attempt at taking #1 from Dr. Badd.
As a matter of fact, It would be all too easy for me to become active and unignore Nat Stone all together.....
Nat Stone: Well, there are these rules that guys have, an understanding as to what exactly constitutes cheating. Take your situation for example: it's not cheating. It's never cheating when you're in a different area code, not to mention a different state.
Dr.Badd That makes no sense.
Nat Stone Hey, don't look at me Dr. Badd, OK, I didn't make up the rules.
Gyron: No no, this is legit, I- I've actually read an article about this. There's a whole bunch of them, it's like- they're like loopholes. Right, for argument's sake, let's say that you were Posting with two threads at the same time, it- it wouldn't be cheating because they would cancel each other out.
Nat Stone Exactly. Or if, uh, you're too wasted to remember- it is not cheating. Because if you can't really remember it, it never really took place.
Dr. Badd: It's supposed to be a challenge, that's why they call it a shortcut. If it was easy it would just be the way.
Nat Stone: You can teach ancient Unignoring in 46 hours?
Dr. Badd: I can teach Japanese to a chimp in 46 hours. You just have to find a way to relate the material.


text:
Revealing historic sketches online
7 March 2011,
Revealing the historic sketches of Francis Place for the very first time…
After Museum conservators in the Art department had completed their conservation work on the Francis Place sketchbooks – containing some of the earliest on-the-spot- sketches of Wales in the Museums collections – I was given the task of figuring out the best way in which to present these sketches online.
Secret sketches hidden for 200 years
Places' sketchbooks had been taken apart 200 years ago and their pages stuck on a woven paper backing. Recent conservation work has since revealed further sketches on the reverse – sketches that have been hidden for over 200 years.
What's more, these hidden sketches were a continuation of the panoramic view from the previous page – so by digitally stitching two double page panoramas together, new complete views could been created that would never have been possible to see before – even by the artist himself!
Now, how could we display these new super long panoramas online whilst still allowing the detail to be seen?
The default width for our webpages is set at just under 1000 pixels across, this was just not enough to be able to show off these panoramas in any detail, so I decided that the easiest solution was to add scroll bars direct to the image, allowing them to be displayed across the page whilst at the same time allowing the complete panoramas to be studied in detail.
Cardiff 1678:
One of these newly generated images is of a panoramic view of Cardiff, containing an unique view of the medieval town as it was back in 1678.
To show this detailed sketch off in the best possible way, I decided to repurpose our interactive image navigator tool, which allows the user to pan around a high resolution image viewing details close up.
By using texts from a previously published article on medieval Cardiff, I was also able to pinpoint and highlight certain aspects of the panorama that were noteworthy – be it places that have remained unchanged since medieval times, or places that have long since vanished.
Francis Place goes global
To promote this work, the marketing team at the Museum distributed several Tweets and Facebook mentions. As well as being picked up by the BBC Wales news website and local media, we also published images onto the photo sharing website Flickr and added the extra information as notes embedded within the image. To make it a bit more user focused, I posted a comment asking users to guess where the artist was postitioned as he sketched… The foreground area of the sketch has altered so dramatically since 1678, it's not as easy as it seems….


text:
It's only March, but that's not too early to start thinking about summer jobs.
The city of San Diego is trying to get a head start.
At a news conference Tuesday, Mayor Bob Filner joined other public officials and some business leaders in launching a downscaled effort aimed at connecting businesses with prescreened job-seekers between 16 and 21. The program, called CONNECT2Careers, still needs to find enough local employers willing to take on the participants.
Applications for the program are due by April 15. In the next few months, the nonprofit San Diego Workforce Partnership plans to select the participants, train them in areas such as resume preparation and interview skills, and hopefully place them in a job. The city is paying for these services with a $200,000 grant.
The program is the latest incarnation of the publicly subsidized "hire a youth" program, which at its peak was funded by more than $10 million in federal stimulus money in 2009. That year, 3,200 low-income, 14- to 24-year-olds worked for 418 employers, earning $8 to $10 per hour. Their wages were partially subsidized for up to 140 hours.
The stimulus funding has ended, so the city is stepping in to pay for the smaller program.
"The need for police, the need for social services, the need for every other part of our budget goes down when the kids are employed and getting activity and learning while they are out of school," Filner said. "This is an absolute necessity for a major city to do."
This year's program will try to focus on placing youths, many from underserved areas, into major employment sectors such as defense, innovation and tourism. For instance, Qualcomm plans to hire 25 workers at $10 per hour, up from 20 each year since 2009, said Vance Anderson, the company's manager of staffing. Anderson said those who go through the program have better chance of landing a job over others who apply online on their own.
"Being in that network gets you a better chance of getting that opportunity," he said.
CONNECT2Careers will likely teach invaluable lessons, said Phil Blair, CEO of the staffing agency Manpower San Diego. Blair, who plans to hire five paid interns this summer, said learning professional skills such as being on time, dressing appropriately and taking initiative will last beyond the program.
"It's the first time they're in an adult world and have to act like an adult," Blair said. "Ideally, they look at this room full of people and say, 'I want to be like this.'"
Applicants need letters of recommendation, a personal statement and school transcripts. They will participate in a mentoring program in addition to working at a local business.
The workforce partnership is hosting workshops about CONNECT2Careers at various public schools.
Applications: available at workforce.org
Submission deadline: April 15
For more information: applicants and employers can call (619) 228-2945 or e-mail firstname.lastname@example.com


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It seems that no matter what Port Lavaca (Texas) Calhoun athlete Daniel Brooks does, he can't escape the rumors. For months Brooks has gone a bit underground due to incessant chatter about the strength of his commitment to Oklahoma on Monday night.
The 5-foot-8, 175-pound all-purpose back has been a Sooner commitment since mid-March but eight months later still seems unable to shake off the idle conversations about his true intentions to head to Norman. With that in mind it's no surprise that Brooks was brief in his response to the rumors late Monday.
"No," Brooks responded when asked if there was any truth to the rumors of his change of commitment to TCU.
So things are set between he and Oklahoma?
Much of the reason the rumor was given credibility was his family's connection to the Horned Frogs. His parents are both alumni of the university and his father starred in track during his time on Hell's Half Acre. However, his father echoed his son's thoughts as well as expounding upon them.
"No that is not true! Daniel is an Oklahoma Sooner. A Calhoun football coach informed me that TCU had contact him and made an offer to Daniel. Daniel has also been offered by Navy, Georgia Tech and Oklahoma St.," the elder Brooks stated.
"Daniel is totally committed to the Oklahoma Sooners! He's having a great season with the (Calhoun) Sandcrabs and is getting a lot of attention from several schools.
"The Sooners are the only program that he's going to look at, visit, and be playing for. Daniel hasn't thought about, considered or even discussed changing his commitment, and will not be changing his commitment!"
And if that's not definitive enough, SoonerScoop.com was also contacted by one fellow visitor during Brooks' official visit on Nov. 5 for the Texas A&M game who heard about the rumors and felt compelled to offer some input.
"Brooks isn't going anywhere. He was all-OU on the trip. His dad was even asking everyone if they were having a good time," the source said.
Rumors aside, Brooks will prepare as his Calhoun (12-0) team gets ready for it's Texas 4A playoffs third round match-up with San Antonio area power Kerrville Tivy.


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The average playing career for an NFL players is 3.5 years, the average MLB career is 5.6 years, the average NBA career is 4.8 years, and the average NHL career is 5.5 years. Playing in one of the major four American sports takes a toll on a person's body that is nearly unfathomable.
The aforementioned being established, it is truly an incredible feat when an athlete exceeds the career length average of their respective league. The praiseworthy nature of such a feat is heightened when athletes break their sport's average career length by a sizable amount.
Hence, it is the intent of this article to explore the athletes whose Herculean fortitude has seen them experience generation-bridging careers. But first, those worthy of an honorable mention will be listed.
A Pair of NHL Legends:
Considered the greatest hockey player to ever play the sport, Gretzky's career lasted from 1978-1999. And, one of his most notable teammates makes the final list. But, Gretzky is unfortunately trumped by other NHL greats for the primary portion of the list.
Moreover, Martin Brodeur—the greatest goalie in hockey history—misses the list by the mere span of a year. But, the fact that he hasn't retired clearly states that he will make the list of longest NHL careers before his career comes to a conclusion.
The 20-Year NFL Club
Playing 20 years of NFL football—a sport reputed for its sheer brutality—is something that deserves to be heralded. And, there are a select few NFL players who have managed to achieve such a status.
In particular, the careers of Brett Favre, Jim Marshall, and Jason Hanson all deserve honorable mention on this list.
Favre—unfortunately known in the 2010's for his waffling antics and texting scandals—walked on the football field for nearly 300 consecutive NFL regular season games. And, he did so as the quarterback—the one position on the field where the person playing it walks onto the field with a figurative bulls-eye on his back.
In addition, Jim Marshall is a multi-decade player who is known for one play, the "Wrong Way" play. It was a blunder that left a permanent stain on an otherwise brilliant career—one where he was a member of one of the fiercest defensive lines in NFL history.
Lastly, Jason Hanson is a retired NFL kicker who played 21 football seasons with the Detroit Lions. And, he suffered through some of the franchise's darkest times—including the oft-reviled Matt Millen era. Retiring after the 2012 NFL Season, Hanson played with both Barry Sanders and Calvin Johnson, who have both rewritten the record books at their respective positions.
But, while the previously stated careers are laudable, they weren't quite lengthy enough to crack the top 10.
10. Kareem Abdul Jabbar—20 NBA Seasons
Considered one of the best to ever play the game of basketball. Jabbar—born Ferdinand Alcindor—played in the NBA for two complete decades. It was a career that spanned six championships, six MVP awards, nineteen all- star appearances, and two franchises– The Milwaukee Bucks and the Los Angeles Lakers.
When Jabbar retired, he was the NBA's all time leading scorer, which is an accolade that he still holds even in the present day.
9. Robert Parish—21 NBA Seasons
Another center who had a Hall of Fame career, Robert Parish's career numbers and awards aren't as gaudy as Jabbar's. But, they still are impressive enough to merit his immortalization in Springfield, Massachusetts.
In his 21 NBA seasons, Parish appeared in nine all-star games and won four NBA championships.
In the end Jabbar's career trumps Parish's in all aspects save for one season of playing.
8. Jaromir Jagr and Ron Francis—23 NHL Seasons
Believe it or not, Jaromir Jagr is still playing in the National Hockey League. To put perspective on how long his career has been, Jagr started playing in the NHL before his 2012 teammate, Dougie Hamilton, was alive.
Also, NHL Hall of Famer Ron Francis has the distinction of playing for 23 NHL seasons. Spanning from 1981 to 2004, Francis was inducted to the Hall of Fame in 2007. He set franchise records for the Hartford Whalers, and proceeded to build upon such records when he returned to the team's new incarnation, the Carolina Hurricanes.
7. Gary Anderson—23 NFL Seasons
Another Minnesota Viking with a blunder as his most remembered career highlight, Anderson was one NFL kicker who posted a 100% field goal success rate in the 1998 NFL Season. But, one missed field goal in the NFC Championship game during that same season caused one of the NFL's most explosive offenses to go without a chance to fight for the Lombardi.
However, like Marshall, it is unfair to remember a mistake as the most notable moment of a long career. And, while he was a kicker, to play a professional sport for a span of time that exceeds two decades is praiseworthy.
Anderson's career lasted from 1982- 2004.
6. Morten Andersen—24 NFL Seasons
Another NFL placekicker who is sure to be seen as undeserving of this recognition due to the position that he played, Andersen's career lasted 24 seasons. And, it was a span of time that earned him seven Pro Bowl appearances.
Generally speaking, it is taboo to vote a special teams player into the NFL Hall of Fame. But, if it weren't stigmatized, then Andersen would certainly be a worthy candidate to join the NFL's elite in Canton, Ohio.
5. Deacon Mcguire and Tommy John—26 MLB Seasons
While baseball isn't as physical as the hockey or football, the strain that the sport puts on a pitcher's throwing arm is almost incomparable—just ask Stephen Strasburg. The aforementioned star pitcher was a player who received the now- famous ligament surgery that is named after Tommy John, a baseball player who pitched for 26 Major League seasons.
Now known more for the surgery named after him, John's most notable career accolade is having 288 career wins—a number that was accumulated as a result of his long career.
In addition, Deacon Mcguire was an old-time player who played 26 seasons. Primarily, he did so for franchises that are no longer in existence.
26 years is a long time, but it is not the longest amount of time spent in the Big Leagues.
4. Mark Messier—26 NHL Seasons
The lesser spoken of contributor to the Edmonton Oiler dynasty of the 1980's, Messier was Gretzky's teammate at two separate points in his career. As stated before, they were teammates with the Oilers, and they were reunited in the twilight of their careers with the New York Rangers.
But, Messier's career was great enough to be judged as an independent body—one that is separate from the massive shadow that the Great One casts. And, the NHL thought so when he was inducted into the Hall of Fame.
Spanning 26 seasons, Messier's career length is bested by only one other hockey legend.
3. George Blanda—26 NFL Seasons
To measure this career length, famous Rock and Roll singer Jim Morrison was barely six years old when George Blanda started playing in the NFL in 1949. And, in 1975—the year that Blanda retired—Morrison had been deceased for nearly four years.
Moreover, Blanda's career predates the founding of the Oakland Raiders by eleven years. And, his retirement predates the Raider's move to Los Angeles by a mere seven years.
Splitting time as a quarterback and a kicker, Blanda is one of the few NFL kickers to be inducted into the NFL Hall of Fame.
2. Cap Anson and Nolan Ryan—27 MLB Seasons
Cap Anson played a long time ago. In fact, his retirement from baseball as a player occurred three years before the twentieth century came to pass. Enshrined in Cooperstown, New York, Anson is a baseball player who—due to the his retirement being over 100 years in the past—is not as well known as another baseball player who played for 27 years.
Nolan Ryan, who some argue is the greatest pitcher to step on a mound, set records for amount of money earned and pitch velocity—as well as a good number of other things.
One of such records that Ryan holds is the tied record for the longest amount of time spent in the Big Leagues—a span of time that is two years more than one quarter of a century.
27 years is a long time to throw a ball at speeds that exceed 100 miles per hour. The fact that Ryan's arm can still move is praiseworthy.
1. Gordie Howe—26 NHL Seasons, 32 Seasons Total.
Gordie Howe's NHL career spanned 26 seasons. But, in the 1970's, a professional hockey league called the World Hockey Association was set up to try and compete with the National Hockey League.
After his final season with the Hartford Whalers, Howe played in the WHA for the better portion of the 1970's. Effectively, this makes Howe a player whose professional career span from the 1940's to the late 1970's.
To put this in perspective, Howe's career started in 1946—fifteen years before Wayne Gretzy was born. And, when he was reaching the end of his career with the WHA, Wayne Gretzky's professional hockey career was just beginning.


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Janice Ellen Bieber
OCEAN PINES — Janice Ellen Bieber, 70, died Saturday, May 11, 2013, at her home in Ocean Pines. Born in Connecticut, she was the daughter of the late Henry Lieberman and Augusta Mandell.
She was preceded in death by her husband Leroy Bieber.
Mrs. Bieber is survived by two daughters, Eileen M. Burke and her husband, Christopher, and Laurie Graham and her husband, William; a brother, Larry Lieberman; five grandchildren; and one great-grandchild.
A graveside service will be held at 2:30 p.m. on Thursday, May 16, at Franklin Memorial Park in North Brunswick, N.J. s of condolence may be sent to the family online at www.burbagefuneralhome.com.
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