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" Have you experienced a knee injury? What are the best treatments, preventions, or products to cope with these injuries? "
I am currently recovering from an ACL surgery, which is actually my third surgey on my right knee for the same injury.
Last year, I suffered an inury whilst competing in a wrestling match which at the time I assumed was just a dislocation, and being in Spain I went to a Spanish hospital and had no idea what was going on, and when I got back to England the next day, I had a call out doctor come out to my house and examine my knee as I couldn't actually walk to get anywhere at all. He told me just to take ibuprofen and rest it for a couple of days, which I did and had no change, I got myself painfully to the doctors who after examining my knee told me there was a suspected ligament tear and I needed an MRI to confirm this. She wrote me a letter to take to A and E that same day and to get an MRI.
I arrived at the hospital and after waiting for 2 hours (thats quite a small time in there lol) I was sent through to A and E minors, where I handed my letter to the doctor there, he really didnt bother to read it and sent me for an x-ray, which I already had done in Spain, and showed nothing. I tried to explain to him I needed an MRI but he still sent me for an x-ray. After the results came back clear, he tried to straighten my leg out, to a painful fail that nearly ended up with me punching him! He told me I would be ok in 10 days and sent me home, to return in 10 days. I returned after the days with no improvement whatso ever, to unfortunatley find the exact same doctor on duty, and he just brushed me off again!
After two weeks with still no improvement, I went back to my doctor who was shocked to find that the doctor I saw at the hospital had ignored her recommendation and she referred me to orthapedics on an emergency referral. Turns out that emergency means within a month! My local NHS hospital was apparently over run with orthapedic patients, so I was referred to my local private hospital, and the treatment was paid for by the NHS. I was very thankful for this, as I got my treatment very quickly, I was seen by a specialist and booked in for an MRI within 2 days, and was then back to the specialist within a week for the results.
The results were something I truly did not expect. It turns out I had torn my medial meniscus, and completley ruptured my ACL. The meniscus was repairable, but the way it had torn caused a portion of it to stick under the joint, which was what was stopping my leg from straightening. I was told I would need surgery to fix this problem, and was referred to a surgeon back at my local NHS hospital, who I went to meet before my surgery, and he totally put my mind at rest. I was told I would need to have two surgeries. One to repair the medial meniscus, as they had to be able to straighten my leg for the ACL to be replaced.
I went into hospital on the day unit for my first surgery, which went succesfully, and had all aftercare and physio I was meant to have, and I healed well, painfully but well. I was then booked in to have my ACL reconstruction after my surgeon checked my leg and approved it to have the next surgery done. I was to have my hamstrings removed from my right leg and placed into my knee to replace my ACL, but it turns out I actually damaged the hamstrings in the same accident, but this wasn't noticed until the surgery, so imagine my upset when I was woken up from surgery to be told I had to heal from this one and then go through it all again!
My surgeon decided that I could have my hamstrings taken from my left leg to put into my right knee, and I agreed to this, as I was just desperate to be normal again. My surgery was booked in for March 29th this year, and I went into the day surgery for the 3rd time, hoping this time it would all be successful. I woke up from the surgery, and was happy to learn that all had gone well, and no longer did I have hamstrings, but I did have an ACL.
I am currently 2 weeks out of surgery, and after suffering a DVT in my left leg, I am getting back to normal, although there is still a long way to go yet. I am still on crutches, but am now able to put some weight on my left leg again, but still needing a lot of painkillers and rest, and I can't go anywhere far, or do much things for myself, but I am a hell of a lot better than when I came out of the hospital. I start physio next week, and although I am not looking forward to it, I am hoping the recovery is quick and I can get back into the ring.
I have felt many ups and downs, especially since this surgery, as twice now I have had to re learn walking and independance, just to have it all taken away again. I miss being able to walk unaided, and to be able to carry my own things, do my own shopping and not have pain whenever I go anywhere, and I would love to go places on my own again. I know I will soon be back to my normal self, and that I will have to work hard to get my legs back to a good enough strength to get back in the ring, but I will do this and I will be strong again, no matter how tough this is to deal with.
I hope that no one else has to deal with anything like this, it is horrible, and I truly hope I never have to go through with anything like this again, so please everyone, take care of your knees.
About four years ago I drove up to Scotland. On the way back, we stopped at Preston for an overnight break. In the middle of the night I awoke in agony, went to the local hospital and was treated quite badly. They said I would have to stay in (for a knee!) or I could sign myself out, go home, and get treated locally. They also said that it would need surgery. I opted for going home. My wife (a newly passed driver) bravely drove us the rest of the way home.
By the time we got home, I was feeling a bit better. I rested my knee until the weekend finished, then went to the doctor. X-Rays showed it was most likely a trapped cartilage, that had now freed. Relief was that I could probably correct it with physio.
Luckily I had some insurance, so opted to go private. the cost for ten sessions was over £300, with half being paid by the insurance. Money well spent though. Four weeks on crutches, with a lot of pain, things began to ease. About six months in, continuing the exercises at home, it was pretty good. Nowadays, I still do the same stretching, knee bending and strengthening exercises. It is still tender sometimes, but (touch wood) it is pretty good now. So my advice is that you can heal yourself with some dedication.
Around April last year, I was at athletics training just like any other week, I had been feeling some discomfort in my knee for a few weeks preciously, but I didn't really think anything of it, simply passing it off as standard strain. Then, as part of the warm up I dodged to one side, and felt my knee lock, and as my body continued in one direction, my knee felt like it moved in the opposite direction. I heard a faint pop, and then, not surprisingly, I fell over, with a stabbing pain in my knee.
As it happened, there was a phyiso at the track that night, so I was carted over to her, where she briefly looked at my knee, and put an ice pack on it. She came to the conclusion, much to my relief, that I probably hadn't done anything serious, as my knee had not yet swelled up. However, by the next morning, it had swelled up to about double the normal size and so I went to see a consultant knee surgeon. I had an MRI scan, where it was confirmed that I had torn my Anterior Cruciate Ligament (ACL), and had a meniscal tear.
The ACL is one of the major ligaments in the knee. It connects the back of the femur (thigh bone) to the front of the tibia (shin bone). Its role is to prevent the forward movement of the tibia from underneath the femur. It is a common sports related injury, and is often done when twisting or turning sharply. It is often seen in a combination with a medial meniscus tear, which is a tear to cartilage disk which acts as a cushion between the femur and the tibia.
The ACL will not fix itself, and it is essential for intensive or competitive sport, or sport which involves a lot of sharp twisting and turning. If the patient doesn't intend to do sport like this, it is not always necessary to reconstruct the ACL, as the knee will strengthen with time, and it is possible to do sport without it. If the ligament is reconstructed, the broken ligament is removed, and a new ligament is substituted in its place (called a graft). This is usually either the Patella Tendon or the Hamstring Tendon which has been pulled down to replace the torn ligament.
I had my ACL reconstructed, which involved two days in hospital. One I woke up from the operation, the pain was not too bad as I had a nerve block put in my leg, so I couldn't feel it, however once this wore off, my knee was very stiff and painful to move. A physio came to show me exercises to help regain the movement in my knee after the operation, and the following week was spent on crutches, while constantly trying to keep moving the knee to get the movement back as quickly as possible.
Once I could walk without the crutches, I started having regular physio, and followed a special ACL reconstruction program. The program lasts nine months to a year; the idea being that you work up to more and more activities and sport, so that by six months most non contact sports can be played (although probably not very competitively), and by nine months to a year, contact sports and sports such as netball which involve twisting and turning. It's a long and boring process but hopefully a worthwhile one.
The one positive side of an injury like this is that I found I had a lot of spare time on my hands, as I wasn't doing any sport, so I started to find other things to do, including athletics coaching, and volunteering. So it's not 100% bad, maybe just 90%. But I'm not one for moping, and I'm determined to make the most of this unfortunate situation, after all, there's not really a great deal I can do about it, so I'm just working on strengthening the knee, and enjoying the new opportunities it has opened up before I hopefully return to full sport.
My diagnosis
I have Chronic Fatigue Syndrome and so when just before Christmas I began to get bad knee pains I put it down to just another symptom of this. I went to the doctors, she had a fiddle with them and said it probably was. She said it could be due to stress that my mind was deciding my knees hurt (ooooookkkk I thought lol) she gave me some strong painkillers and told me to go back after a week.
I did not go back to the doctors after a week. I'm at university and it would have meant travelling back to see her and so didnt bother. With the pain killers I managed quite well and the pain came and went. As I wasnt overly active over the christmas break my knees seemed to calm down. My first day back on campus however, I wore some boots with a heel (not a massive one) and had to rush around all over the place, up and down hills (if you've ever been to Nottingham Campus you'll know there are some considerable hills to climb) and that night I was in severe pain. At first I wondered if it was the stress of being back at university but the idea that stress could give me knee pain was a bit too much. So I decided it must have been the rushing around. So I took it easier and didnt wear any heels. But still the knees hurt. I needed to go to the doctors anyway and so I mentioned just before I left that I was still experiencing problems. This doctor again had a twiddle with them and immediately said he could feel movement with my knee caps, he bent them around and then asked me to do a squat, at which point there was a loud pop. When I sat down he told me I had Patellafemoral Pain Syndrome.
What is Patellafemoral Pain Syndrome?
It sounded a bit scary, but he explained it was a common injury where the knee cap is being grated on by the femoral bone causing pain behind the knee cap. It is doing this because the muscles aernt holding everything in place as they should. (This is a much better diagnosis than my mother had been trying to convince me with. She was set on the fact that I had early arthritis- thanks mum lol) It is also known as "runners knee" and is a common injury of runners. I had been going to the gym recently and my favourite piece of equipment is the treadmill. After Christmas I had stepped it up a bit. My mums gym coach had said it is a common injury for those that dont have the correct body allignment when running, they can also experience sore shins. Well I wish I has known a long time ago as I am always getting sore shins and I could have prevented the knee injury then! The injury can be worsened by going down hills and stairs and locking the knees. (so bending them completely)
The Treatment
I had to try and avoid hills, stairs and the treadmill. The hardest is not locking my knees as I am most comfortable sitting cross legged and even do so when I am sat on a chair. The information the doctor gave me told me I could still exercise as long as I did not run. (Bad Advice) I went to the gym with my friend, avoided the treadmill and as suggested used the bike instead. That night when driving home I thought my femoral bone was going to pop out from under my knee. I got a stern lecture from my parents lol and my mum sat there pushing my knee cap around as I squirmed and told her to quit it because it was making me feel sick. You see when you touch it you can feel it grate and its gross.
Other than that I was told to take ibuprofen by the doctor. He gave me some exercises to do (which I'm ashamed to say made me feel too queasy to do - I have a thing about bones. I am also not going to describe them here as I think it would be irresponsible for me to do so, if you have a knee injury and want advice see a doctor not a dooyoo review of the injury) and an information sheet. The sheet told me to wear a support if needed (these can range from a simple tubigrip for around £4 to a proper knee injury support £25+) and to ice the injury three times a day. I use deepfreeze gel instead if i feel uncomfortable. You need to avoid twisting the knee as it is the side to side movement of the knee cap that makes mine worse.
The doctor told me if the pain continued I would have to undergo a course of physiotherapy, I'm hoping this wont be necessary. I am still experiencing trouble though and I am itching to get back on the treadmill!! Its very frustrating. The worse case scenario is surgery, but I'm sure this is only for athletes that have had years of stress on their knees.
The reason I have given the injury two stars is because the pain isnt constant. I am able to get sympathy from friends and parents lol. It is also a good excuse to get out of things. "sorry my knees are feeling bad today"
HOWEVER I am not belittling the injury, It can be serious for some people and potentially career threatening. But for me I'm sure I'll be back on the treadmill in no time, learning to run with the correct allignment of course.
In November 2006 I was foolishly playing rugby. What was I thinking? That playing a sport would keep me healthy.
I had just been passed the ball on the blind side out of a scum and as the number 14 had only one choice to run in to the gap. There was one person to run around and it was while doing this that my ankle gave way while my leg was fully extended mid stride and my knee twisted and as I was falling to the floor I got takled. I felt a pop in my knee and then lots of pain.
After a visit to the hospital, when they had decided that no bones were broken and I had been plastered up and I was sent on my way with all but the doctors word that I had possibly torn a ligament and I should put no weight on my leg. I had a week off work and then had to struggle to commute into London on crutches which really hurt my hands.
It was not untill January that I got the results of my MRI scan and was diagnosed with a torn Anterior Cruciate Ligament as it turns out this is a really important part of ones knee if any kind of sport is to be played in the future. It's a horrible feeling when your knee "goes" after you have a ligament missing, like slipping on ice but from the knee not the foot.
I had my first operation to remove the cruciate ligament compleatly as it was balled up in the knee joint and I was unable to fully extend my knee inhibiting my physio therapy. I had to have absolute full movement of my knee so my knee would be strong enough to cope with having a ligamen graft. My knee muscles had waisted terribly as I had not put any weight on it for about three months.
Fortunatly my wonderful surgeon was able to fix my knee compleatly by grafting the tendon from the front of my knee and replacing the ligament that I had broken. If it were not for him and the advanced technology of todays medicine I would be crippled.
Anyone who has had a look at my profile page recently will see from my list of opinions that my health has not exactly been wonderful of late. Well, collingwood21 has gone and done it again! As you may have guessed from the category, my latest malady is a knee injury - a sprain to be precise, caused by lifting a heavy box awkwardly. So, thought I might as well share my received wisdom on the knee and what it can suffer in case any of you out in there in dooyooland become similarly afflicted. I really don't kneed this! ● A bit of anatomy The knee is the largest joint in the body, designed as a weight bearer and shock absorber when we move around. It is a hinge joint where your femur (thigh bone) and tibia (shin bone) meet, and is covered at the front by your patella (knee cap) - your muscles allow bending and straightening movement, while ligaments bind the bones together. The knee joint has five ligaments, one at each side, two attaching the patella to the main leg bones, and one joining the tibia and femur together. Despite its role, the knee is actually quite a structurally weak joint, and so is vulnerable to a number of injuries. As I now know. :-( ● Sprains A sprain is caused when you damage a ligament, stretching or tearing it - one or more ligaments may be damaged in a sprain. This type of injury may occur from a fall, sudden blow or twisting movement, and is fairly common in the knee. You can recognise a sprain from pain, swelling, bruising, lessening of joint mobility and a feeling of stiffness, although these vary depending on the severity of the injury. For example, I am able to put weight on my knee so I know it is not a severe sprain, although walking is difficult and there was quite a bit of swelling - this makes it a moderate sprain, so there was likely to be some tearing of one of my ligaments. After experiencing what is classified as "moderate pain" though, I would h
ate to have a severe one (i.e. with complete tear of ligament). ● Strains A strain, on the other hand, is what happens when you twist or pull a muscle or tendon, from either a sudden injury or from overstressing the joint. These are less common in the knee than sprains, but can occur and cause pain, muscle spasm, swelling and a feeling of joint weakness. ● Treatment of sprains and strains When it has become apparent that you have suffered a knee sprain or strain (trust me, you will know!), then it is important to apply some first aid to your joint. During the first 48 hours after injury, you should follow the RICE technique: R is for Rest Take the weight off your joint and rest it as much as you are able. Do not play sport or take part in any physical activity, and avoid walking as much as possible so as not to aggravate the injury. I is for Ice Cool the joint down to help reduce swelling. A freezer block, bag of crushed ice, frozen peas or ice pack will all do - wrap them up in a towel to avoid freezer burn, and place on your knee for 20 minutes four to eight times a day. This is actually very soothing and helps to numb the pain too; I found it a real help. C is for Compression Not as scary as it sounds! All that is meant by compression is a tight bandage for your knee to provide support and help keep swelling down. A good inexpensive one is Boots Tubigrip, an elasticised support bandage that you simply cut to size and pull on over your knee - they cost £3 to £4 for a box, and are washable and reusable. If you need to move around still though, you will probably be better with a sports knee support, which cost about £6 but are stronger and more comfortable if you have to walk. E is for Elevation Try to lift your bad knee above the level of your heart to minimise blood flow to the injury, thus reducing bruising and swelling. I found it quite helpful to sleep w
ith my leg raised on a couple of pillows, and tried to sit with my feet up as much as possible. Painkillers are also a must if your injury is anything like mine! Both ibuprofen and aspirin have anti-inflammatory properties as well as being able to reduce pain, so use these rather than paracetamol if possible. These may be taken orally, or applied directly to the joint in the form of a gel, but be very careful to read instructions, leave at least four hours between doses and ensure you do not overdose on them. If you are at all unsure, speak to a pharmacist or doctor. If you are in severe pain, cannot walk at all, or have seen no improvement within 72 hours, then see your GP. It is possible that you may require prescription medication, crutches or the services of a physiotherapist to aid recovery. Normally though, improvement should be seen after a few days and you can move on to the rehabilitation of your poor little knee. This simply means that you do gentle exercises to help the damaged bits get back to full strength and flexibility so that you can get around to walking normally again. The nurse who examined my knee recommended lieing down on my back (without any support bangade around my knee to allow me to move it properly), then slowly and gently bending my leg to bring my knee towards my stomach. I then straightened my leg slowly again, and repeat this several times daily, usually first thing in the morning as it is easier to do in pyjamas than jeans! Although some people may experience a psychological barrier against doing this ("it'll hurt too much!" or "I'll injure my knee again!"), it does help recovery. Carry on doing this until you feel happy that your knee has healed and you can walk normally again. Full recovery from a mild to moderate sprain is normally 3 to 6 weeks. For a severe sprain, it can be anything up to 12 months. ● Other knee injuries While spra
ins and strains are the most common types of knee injuries, it is possible to suffer other problems. Dislocation - a favourite with a friend of mine, who has managed this four times so far. A dislocation happens when a joint becomes displaced by a strong wrenching force, and is reasonably uncommon in the knee because of the large size of the muscles concerned (but my friend is never one to conform). This will require a trip to casualty, strong painkillers, a plaster cast and several weeks on crutches to sort out. Arthritis - OK, more of a disease than an injury, but damaged joints may be more susceptible to arthritis. This is basically damage to the cartilage, which eventually brings the ends of the two bones into contact so that they rub together and cause major swelling, stiffness and pain. Having seen my gran suffer with arthritis in her knees, this is not something I would wish on my worst enemy. Currently, medicine cannot cure arthritis, but it can be eased with a variety of drugs and painkillers. Runners Knee - caused by overuse of the joint that leads to the shock absorbers breaking down. The breakdown is progressive, but can be prevented and helped by cutting back activity. Tendonitis - another problem of overusing the knee, tendonitis causes the tendons to become swollen and irritated, leaving the knee inflamed and painful. Rest and anti-inflammatory drugs are required to treat the affected knee. Iliotibial band syndrome - only of concern to the regular cyclists amongst you! The repetitive motion of activities such as cycling can lead to tendons rubbing against the bony area at the end of the thigh, leading to irritation. Again, swelling and pain results. ● Prevention of knee injuries Well, we all know that prevention is better than cure! - warm up properly before exercise - wear athletic shoes that fit properly and have arch supports - do not overdo exercise, and sto
p if you experience any pain - take care to keep feet aligned when lifting heavy boxes, and do not lift too much - when cycling, ensure the seat is at the correct height for you - maintain a healthy weight - wear protective kit when playing sports - do gentle stretching exercises daily ● For more information http://www.uihealthcare.com/topics/sportsmedicine/spor3342.html http://www.niams.nih.gov/hi/topics/strain_sprain/strain_sprain.htm I hope everyone reading this has happy and healthy knees!
I slipped on a wet floor about ten years ago and managed to twist my knee so that the knee cap, (or patella to give it it's proper name), was dislocated. It was quite an odd sight, or would have been if it hadn't been so painful. The knee cap was literally sticking out at the side of my knee. The knee structure is very tough and strong but the muscles, tendons and ligaments surrounding it can be torn or strained by violent movement. I had twisted my knee and managed to push the cartilege that forms the knee cap out of place. A friend who happened to be there at the time tapped it and it slipped back into place. I still had to go to the hospital where they bandaged it, gave me painkillers and anti inflamatory tablets to decrease the swelling and told me to go home and behave myself until the pain went! It was very painful for about six weeks. Knee joints take a lot of strain, wear and tear so they are very vulnerable to damage. It is virtually impossible to rest a knee completely when you have no one to fetch and carry for you. Mmmm! Well! If I had followed instructions to the letter I would have led a very boring life. It still hurts at times, even now. This seems to be a problem that doesn't sort itself out completely. Once you have a weakness in a knee it doesn't take much make it swell up and give you pain. Such a simple accident has led to so much pain. Fortunately it's only sporadic and not too bad in recent years. It can be awkward though. I was standing on some step ladders painting a ceiling. That was fine but when I tried to bend my knees to climb down again, my left knee wouldn't bend, it was locked. I had great difficulty hopping down the ladders with one leg straight. This wasn't helped much by my dog who had been watching this fiasco and had decided that this was a good game and he would climb up the ladders behind me and join in the fun! I m
ust admit that although I was struggling I couldn't help laughing because the dog was barking and leaping with sheer delight! Well, both knees are working today so I should be grateful. I have been advised that gentle exercise will keep the joints moving but I don't think they had 'step ladder hopping' in mind!
It is hard to know how to write a decent opinion on the subject of knee disorders. If anyone is interested in them, it is usually because they have, themselves, had an experience of it; so what can you tell them? However, as a challenge I have set myself, I am here to try to explain how it was for me - without wanting to sound self-pitying or such like. Here goes... I used to be afit person. My main interests were walking, roller-blading and swimming (particularly swimming). I was an avid member of the local school's swimming pool committee, which meant helping with the upkeep and maintenance of the pool, and supervising out-of-school swimming sessions. All well and good, until new legislation was brought in which meant that at least one member on pool duty had to hold the Bronze Medallion Life-Saving qualification. We, as a committee, argued about this: our pool was 3 feet in depth all along, just 15 feet long by 10 feet wide, well-supervised with non-swimmers being required to use flotation devices etc, but no - we had to comply. Fair enough; we wanted the best in safety for our children. All that was left was the big question: who was going to take this qualification. All eyes fell on Trayo. Trayo's eyes rose to heaven. Still, it was a challenge, wasn't it? But was I fit enough for the gruelling course? And at 27, was I young enough??? I decided not. I shook my head viciously, right up to and including the moment I said "Yes"! And so it was. I headed off to the frightening venue of our town pool and joined forces with the other, equally nervous, candidates - who were all of around 17 years of age, young, lithe, fit and slim. The course went reasonably well. After initially struggling, I gained in strength what I had lost in youth and seemed to be on course for my very own Bronze Medallion. The week before the examinations and physical tests were due to take
place, disaster struck. Fighting to keep within the time limit on the rescue task, I kicked out with all my ability to go faster. PING! Ouch, what the heck was THAT? I tried to continue swimming (my "casualty" was slowly drowning in the deeper end!) but the most horrendous pain was searing through my knee joint. I stopped swimming, tried to keep myself afloat using just my arms - and yelled. Loudly. My "casualty" became my hero! He miraculously regained consciousness and swam to my aid, pulling me towards the edge where our instructor helped him to drag me out of the water (no easy task: I'm no skinny!). Upon reaching terra firma, the damage became apparent, with a knee joint that resembled a prize-winning cauliflower. The accident book was sought, and ice-packs were applied to the appropriate area. The following day I discovered that movement was nigh on an impossibility. My partner took me to casualty, where x-rays revealed no broken bones (funny that!), so a Tubigrip was applied and crutches were lent to me. "Whatever you do," said the cute Australian doctor, with more wisdom than I care to mention, "DON'T let them open the knee up to see what's wrong!" Even then, I found his words to be of little comfort. After 3 weeks of pain and immobility, things seemed to be easing. I managed to ditch the crutches, and started to walk small distances alone. Over time, the knee almost returned to normal, until one fateful day when I happened to get out of the bath. Yes, you did read that correctly! I had enjoyed a lavish soak but had decided that it was time to get out before I washed away the rest of my skin. I put one leg onto the carpet, followed with the other... PING! Here we go again! Remembering the wise doctor's words, and fearing another trip to casualty, I went to my G.P instead. I explained wha
t the doc at A&E had told me, and how I wanted to avoid any surgical intervention. His theory was the same: "Once they start messing around with knees they tend to cause more trouble!". His advice was a course of steroid injections directly into the joint. Painful, but seemingly effective, I found. Unfortunately, after a month of these the joint had not improved as much as expected, so I was referred to the fast-track knee clinic. (The term "fast-track" made me giggle; I was going nowhere at any rate of knotts!). Here I found myself undergoing x-rays, scans, physiotherapy - you name it - and no-one had any inclination what the actual problem was! In course I was fitted with a leg brace, which gave me lateral stability and enabled me to at least walk around the house without crutches. But it didn't solve the problem, only eased it, and after 18 months (yes, really!) I was faced with the inevitable arthroscopy. *Definition* arthroscopy: a minor operation involving the use of an arthroscope to see inside a joint, whilst simultaneously causing more pain and swelling than the patient could ever cope with. The arthroscopy revealed a small injury to the cruciate ligament, a crossed-over ligament that holds the knee together. Repairs were duly made, followed by further physiotherapy and the continued usage of the leg brace. Thus, I underwent more than 2 years of treatment when, had I ignored the original casualty doctor's warning, I could have been repaired and rectified within a year! The question is: did the operation cause further problems? Well, it's hard to say really. I can't kneel or squat, I still can't swim using the breaststroke leg kick (the knee has a frightening tendency to hyperextend, which can hurt considerably!), and I haven't yet attempted roller-blading (due, in part, to complications from a recent pregnancy, but also to the fear of en
during that awful pinging sensation again!). But if I keep to some simple rules (e.g. don't kneel, squat etc.) I have to say that, generally, there have been no unwelcome after effects. But if I ever get my hands on that casualty doctor...!
Knees. Kind of boring, aren't they? Bony lumps between your thighs and shins, they don't do very much. ~~Not funny~~ They don't even sprout hair like armpits, though I've always wondered what makes armpits so special. And armpits are definitely funnier. ~~Not sexy~~ Anyway, all such ruminating leads us not very far, but is a useful background to just how unsexy knees - and therefore knee complaints - are. ~~A not funny, not sexy, introduction~~ This op is going to talk about the knee problems I suffered and suffer, mainly focussing on childhood. Those of you with knee problems may find some solace and good advice. I've also got some advice here for parents of kids with persistent health problems that the doctors struggle to pin down. And I hope to entertain you along the way, with my own brand of sparkling wit and repartee. OK, OK. I hope to entertain you with my brand of non-humour, so prepare to scornfully smirk at how unfunny this prat is. ~~The problem with knees~~ Now here's another issue for you. Because knees are great big lumps of bone covering up some complicated mechanics, most knee problems are invisible to the eye and to X-ray too. That is, unless you're unfortunate enough to crack your patella (knee bone) like former England fast bowler David "Syd" Lawrence did a few years back. ~~So who's a big softie?~~ But that's a rare thing. Most people with knee problems are suffering problems in their soft tissue and that's harder to diagnose, harder to treat and more likely to recur than bone-related problems. And so it was (and is) with me. My history (I'll keep this brief before you nodd off) of knee problems, started when I was very small - about 6 or 7. ~~Don't go!~~ My knee used to "go". Now that's a good one for you parents. "Mum! My knee&
#39;s gone!". "Gone where?" is the wrong response. My problem was, I couldn't actually put my finger on what the damn problem was. I would get a peculiar straining feeling inside my knee, not really painful, but rather horrible nonetheless. A few visits to the doctor had resulted in a "tubigrip" bandage being prescribed, and I would don it. ~~The trouble with Tubigrips~~ Tubigrips are elasticised tubular bandages. They are designed to "support" an afflicted joint or limb part, particularly when they are very tight. Of course, the tighter they are the less comfortable, but that's just one drawback of Tubigrips. Later in my life, I worked out that they were actually making my "problem" worse on the great majority of occasions. I would say Do Not Treat Them Unsceptically. ~~Scepticism with other treatments~~ In fact, in recent years, I've begun to treat other - more medicinal remedies - more sceptically too. After a couple of breathless incidents, my partner was diagnosed with asthma a few years back. The "puffer" the doctor gave her made her ill - nauseous and far more breathless. In the end, I suggested she stop using it. She did and has had no more symptoms since. ~~I'm not Doctor Quack~~ I'm not suggesting all of you out there in Dooyooland throw away your medicines - just don't treat them as panaceas. Assess them as you would any consumer product - are they good, or are they useless? ~~Back to the knees~~ It took a heavy fall to really kick things off. I was 11 and I fell onto a hard wooden surface. My knee took the brunt of it. From the first second, I knew this was different. I was in lots of pain, but worse was the discomfort - a separate feeling. This now felt (on any kind of movement of the knee) like something inside would snap if I moved it too much.
~~Pop goes the Kneesel~~ And the fact is, the doctors never really sussed it. Over the next 8 years or so, the same thing recurred several times. I had manipulations under anaesthetic, blood clots removed from the joint in key hole surgery (that was from the other knee, that felt left out) and all kinds of scans and other crap. Wierdest of all, I had a "moving pictures" X-ray, where the injected my knee with a radioactive dye and then Oxygen(!) and watched the dye in the soft tissue on a moving picture. The Oxygen going in was mad - I imagined my knee bursting all over the ceiling. Ugh. ~~Physioterrorists~~ Physioterrorists fall into two categories. The darlings and the sadists. I saw plenty of both. The sadists took the Public-School-PE-teacher approach of "there's nothing wrong with this kid that 976 miles on an exercise bike won't fix". These Physios usually made things worse - thankfully, I think they're a dying breed. The darlings (males included) cared. And worked with me to make me better, taking me seriously, despite my youth. ~~Water torture? Swimmature pleasure...~~ One surgeon I was under was a big believer in the benefits of Hydrotherapy - doing exercises in a bath-temperature pool. My Physio at the time was a stunning woman, who later appeared on "Blind Date". We would get in the pool and she would stand cradling my head on her chest as I lay on my back in the pool and exercised my knee. As a 12 year old, this worked well for taking my mind off the pain! Today, I would simply refuse, for fear of "embarrassing myself"! ~~Abracadbra!~~ One doctor we saw at the time predicted that the problems I was encountering may well disappear on their own in my late teens. We didn't take too much notice - one of his colleagues had made dark and unsubtle references to a life in a wheelchair shor
tly before one episode had cleared up. But disappear they did - my last major "episode" was in the lower 6th at school - and I'm now more than 30. I do get occasional twinges, especially (laugh now) when the weather changes, but unfortunately I can't predict a damn thing because it happens subsequent to, not in advance of, changes. Sigh. My career as John Ketley's brilliant assistant, gone down in flames. ~~Hypochondria - difficult to spell. More difficult to disprove~~ Chatting with my mum, a year or two ago, I made an alarming discovery. My parents, whose support and encouragement for me at those times was nothing short of heroic, had been persuaded by a doctor to take me to a psychiatrist. The doctor thought I was putting it on - why I should want to go under the knife, through the hands of physioterrorists and onto crutches (see below) is anyone's guess, but I know such people do exist. However, I was young enough not to realise what was going on and (KEY POINT) my parents deliberately underplayed the whole thing. The Psychi apparently soon decided that I wasn't making it up, but I'm interested to know what would have happened if he'd decided otherwise. Would I have been refused treatment? Left in pain? Actually, sod the physicalities, this bloke could have mentally damaged me, if I had felt abandoned and not believed. Please listen to me parents. If your kid says there's a problem, believe them. The results could be alarming if you get it wrong. ~~Matron, would you hold my crutch?~~ Crutches, use of, some tips. I've spent over a year of my life on the damn things in total. So take heed of my advice! 1) Go for elbows Elbow crutches are the metal ones which come up to your elbows. Unless your leg is in serious plaster (by which I mean up to your thigh) ask, plead or beg a pair of these, rather
than using the Long John Silver types. They're more comfortable, smaller, lighter - much better. 2) Go for padding Your hands WILL hurt if you need to use crutches to get around for any length of time, especially if one leg is non weight-bearing. Pad the handles of the crutches with some foam or bandages. Best of all, use the crummy Tubigrips they gave you if you decide they make you worse. Gloves can be good - but beware of sliding grip on the smooth rubber/plastic handles. 3) Watch out - they slide It's not just their handles. It's their feet too. Look at the size of your feet and compare them with those of the crutches. They haven't got much purchase, so take care on smooth or damp surfaces, or you'll be on your face on the floor before you can say "Oops." 4) Don't take no for an answer You can get a pair of crutches from any NHS hospital. Even if your doctor has omitted to get you a pair or you "officially" can't. Ask the porters. They've often got some spare pairs and they're usually very friendly helpful people - sometimes working for no money. When you're finished with them, try to remember to return them. ~~Sporting endeavours~~ I now play football on a regular basis, but I am careful with my tackling. I also avoid running on anything other than grass - if I want to go for a run it's a local park or nothing. Jarring the knee by running on pavement etc is BAD. And that goes for you healthy people too. ~~Tubular balls~~ On long tube journeys, I need to sit. My knees are weak. I won't push and shove my way to a seat, but here's my tactics that give me the best chance of sitting... Enter the tube through a set of double doors. You can get in quicker than through a single and have a better chance of getting a seat. Then, if there isn't one, make your way to stand i
n the aisle area. If you are in a style of train that has an aisle at each end and one in the middle, go for an end. Don't ask, just do it. When you see someone about to stand up from a seat near you, ostentatiously back away to allow them to progress to the door in the OPPOSITE direction to you, i.e. the way you're facing. That way, as they move off, you follow them... and then sit. When you are young and male, noone will stand up and give you a seat. And I won't embarrass myself by asking for one - I look too healthy. So I have no shame in using these tactics - feel free to copy them. Unless you're on my train!!! *** So, that's a summary of my knee problems and some advice to anyone who suffers similarly or is a parent of a kid with a mysterious ailment. I hope it's been useful. I'll leave you with this thought - I once crocked my knee for a good few months by playing cards. Work that one out, if you can.
Have you experienced a knee injury? What are the best treatments, preventions, or products to cope with these injuries?


text:
Research Topics
C A Mulvaney
Affiliation: University of Nottingham
Country: UK
Detail Information
- Does increased use of private health care reduce the demand for NHS care? A prospective survey of general practice referralsCaroline Mulvaney
Department of Health Sciences, University of Leicester, Leicester LE5 4PW
J Public Health (Oxf) 27:182-8. 2005..The aim of this study was to examine the relationship between private and NHS outpatient referral rates accounting for their association with deprivation...
- The economic impact of preschool asthma and wheezeC A Stevens
Leicester Children s Asthma Centre, University of Leicester, Leicester, UK
Eur Respir J 21:1000-6. 2003..6 million UK pounds. Primary prevention strategies at the population level promise more cost savings than any attempt at decreasing hospitalisations in those more severely ill...
- Fatal and non-fatal fire injuries in England 1995-2004: time trends and inequalities by age, sex and area deprivationC Mulvaney
Division of Primary Care, University of Nottingham, 13th Floor, Tower Building, Nottingham NG7 2RD, UK
J Public Health (Oxf) 31:154-61. 2009..To examine time trends and deprivation gradients in fire-related deaths and injuries...
- Do maternal depressive symptoms, stress and a lack of social support influence whether mothers living in deprived circumstances adopt safety practices for the prevention of childhood injury?C Mulvaney
Division of Primary Care, University of Nottingham, Nottingham, NG7 2RD, UK
Child Care Health Dev 32:311-9. 2006....
- Increasing child pedestrian and cyclist visibility: cluster randomised controlled trialC A Mulvaney
Division of Primary Care, 13th Floor, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK
J Epidemiol Community Health 60:311-5. 2006..This cluster randomised controlled trial was designed to assess the use of free visibility aids one and eight weeks after their provision among primary school children in Nottingham, UK...
- Depressive symptoms in mothers of pre-school children--effects of deprivation, social support, stress and neighbourhood social capitalCaroline Mulvaney
Division of Primary Care, 13th Floor, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK
Soc Psychiatry Psychiatr Epidemiol 40:202-8. 2005....
- Engagement in safety practices to prevent home injuries in preschool children among white and non-white ethnic minority familiesC Mulvaney
Division of Primary Care, University of Nottingham, UK
Inj Prev 10:375-8. 2004..To examine engagement in home safety practices to prevent injuries in preschool children among white and non-white ethnic minority families...
- Delivery of a national home safety equipment scheme in England: a survey of local scheme leadersC A Mulvaney
Senior Research Fellow, Faculty of Medicine and Health Sciences, School of Nursing, University of Nottingham, Queens Medical Centre, Nottingham, UK
Perspect Public Health 133:314-9. 2013..This paper reports the findings from a national survey of all scheme leaders responsible for local scheme delivery...
- Relationships between child, family and neighbourhood characteristics and childhood injury: a cohort studyDenise Kendrick
Division of Primary Care, Floor 13, Tower Building, University Park, Nottingham NG7 2RD, UK
Soc Sci Med 61:1905-15. 2005....
- How useful are home safety behaviours for predicting childhood injury? A cohort studyDenise Kendrick
Division of Primary Care, University Park, Nottingham NG7 2RD, UK
Health Educ Res 20:709-18. 2005..Further exploration of factors that may explain lower injury rates in these families is required. Information on safety behaviours may be useful for targeting and monitoring injury prevention activity...
- "Risk Watch": cluster randomised controlled trial evaluating an injury prevention programDenise Kendrick
Division of Primary Care, University of Nottingham, University Park, Nottingham, UK
Inj Prev 13:93-8. 2007..to evaluate the effectiveness of a school-based injury prevention program...
- Does targeting injury prevention towards families in disadvantaged areas reduce inequalities in safety practices?Denise Kendrick
Division of Primary Care, University of Nottingham, Tower Building, University Park, Nottingham, UK
Health Educ Res 24:32-41. 2009..Other strategies will be required to reduce inequalities especially in relation to functioning smoke alarms...
- What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?Angela Schedlbauer
Division of Primary Care, School of Community Health Sciences, Research and Learning Resources Division, Information Services, University of Nottingham, Nottingham, UK
J Am Med Inform Assoc 16:531-8. 2009..None of the studies evaluated features that might make alerts and prompts more effective. Details of an updated search run in Jan 2009 are included in the supplement section of this review...

subset: commoncrawl


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Amherst / Mt. Holyoke College Teacher Program
Students who wish to obtain licensure for public school teaching may, as an alternative to enrolling in a Masters program after graduation, draw upon our liaison with the Psychology and Education Department at Mount Hoyoke College, and complete the requirements for initial licensure during their undergraduate years.
Amherst College, under the auspices of Mount Holyoke College, is approved by the Massachusetts Department of Education to offer teacher education programs in the following licensure areas:
- teacher of middle school [5-8] in history, English, physics, chemistry, biology, earth science, political science/political philosophy, and mathematics
- teacher of secondary school [8-12] in English, physics, chemistry, history, biology, earth science, political science/political philosophy, and mathematics,
- teacher of visual art [Pre-K-8], [5-12],
- teacher of foreign language [5-12]: Spanish, French, German, Italian, Russian, or Latin & classical humanities,
- teacher of music [All Levels], dance [All Levels], theater [All Levels].
The teaching licenses obtained through these programs are recognized throughout the United States. With initial licensure in Massachusetts, teachers are allowed to teach in public schools for up to five years before they obtain a master's degree in education (M.Ed).
The Amherst College / Mt. Holyoke College Teacher Program involves selecting a licensure subject area and a related major. Students need to follow a course of study that fulfills the requirements determined by the Massachusetts Department of Education's 'Field of Knowledge' form as well as complete a required number of Psychology and Education courses. Amherst College students should consult the General Timeline provided to keep them on track to fulfill all requirements within their undergraduate degree.
The requirements for Massachusetts licensure involves both coursework and a considerable number of hours engaged in classroom teaching/experience. Students interested in the Amherst College / Mount Holyoke Teacher Licensure program should consult with Sarah Frenette, the Five College Teacher Licensure Coordinator, as early as possible in their time at Amherst.


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HOUSTON - Roger Clemens was victimized by poor run support again.
The Rocket allowed two runs in seven strong innings but didn't get a decision as the Houston Astros beat the Los Angeles Dodgers 3-2 Friday night on Morgan Ensberg's run-scoring double in the ninth.
Clemens, 4-0 in seven starts since May 30, gave up eight hits, struck out four and walked one. His ERA, the best in the major leagues, rose to 1.48 from 1.40.
The 42-year-old right-hander, selected an All-Star for the 11th time, is 7-3 in 18 starts this year, and the Astros have scored two runs or fewer in five of his no-decisions. He was facing the Dodgers for just the second time in his major league career.
Willy Taveras led off the ninth with his 41st infield single, sliding headfirst into the base to beat the throw from first baseman Hee-Seop Choi to reliever Yhency Brazoban (2-3). Craig Biggio sacrificed, and Ensberg doubled to deep right center.
Brad Lidge (3-2) pitched a perfect ninth. Lance Berkman went 3-for-3 for the Astros, who have won five of six and 14 of 18.
Los Angeles has lost five of seven.
Rookie D.J. Houlton, selected by Los Angeles from Houston in the winter meeting draft, gave up two runs and six hits in 6 2/3 innings.
n Nationals 8, Phillies 7
PHILADELPHIA - Carlos Baerga hit a three-run homer and Matt Cepicky drove in three runs to lead the Washington Nationals over the Philadelphia Phillies .Washington nearly wasted a five-run lead in the middle innings, giving up three runs in the fifth and four more in the sixth.
But Gary Majewski pitched two scoreless innings of relief, and All-Star Chad Cordero threw a scoreless ninth for his league-leading 31st save. Washington earned its major-league leading 24th one-run victory.
The Nationals had dropped three of four to the Mets for their first series loss at home since April. But they had 11 hits and dropped the last-place Phillies 91/2 games back of the division lead.
Ryan Drese (3-1) continued to turn his season around since the Nationals claimed him off waivers in early June, pitching one-hit until he allowed three runs in the fifth.
By that time, the NL East-leading Nationals already had staked him to a 5-0 lead against Robinson Tejeda (1-2), who lasted just 3 1/3 innings in the worst of his six starts this season.
n Cubs 9, Marlins 6
MIAMI - The Chicago Cubs snapped the NL's longest losing streak, and they did it against a pitcher tied for the league lead in wins - Dontrelle Willis.
Jeromy Burnitz homered and drove in three runs, Matt Murton had two hits in his big league debut and the Cubs ended an eight-game skid by beating Willis and the Florida Marlins.
Willis (13-4) was bidding to become baseball's first 14-game winner. Instead, he struggled through his shortest outing this season, allowing a career-high eight runs, all earned, in 4 1/3 innings. His ERA rose from 1.89 to 2.39.
Willis hit a ball off his right foot batting in the third inning, hopped away from the batter's box and knelt in pain. But he stayed in the game and threw another 39 pitches before departing.
n Braves 2, Brewers 1
ATLANTA - Pinch-hitter Ryan Langerhans' bases-loaded single with one out in the ninth inning scored the winning run, and the Atlanta Braves beat the Milwaukee Brewers for their sixth straight victory.
Julio Franco singled against Julio Santana (1-3) with one out and was replaced by Pete Orr. Adam LaRoche followed with a pinch-hit single before Johnny Estrada was intentionally walked to load the bases.
Langerhans, who replaced fellow rookie right fielder Jeff Francoeur, drove the ball past shortstop J.J. Hardy's diving attempt.
n Pirates 6, Mets 5 (10)
PITTSBURGH - Humberto Cota finished off a frantic rally with a game-winning single in the 10th inning after Mets closer Braden Looper wasted a four-run lead in the ninth, and the Pittsburgh Pirates stunned New York.
The Mets, coming off three wins in a four-game series at NL East leader Washington, opened a 5-1 lead on Ramon Castro's homer and RBI single, but one of the league's most reliable closers couldn't hold it.
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text:
Merging is one of the first things new drivers are taught when learning to drive.
Millions of drivers merge everyday with no problems, but Greg Phillips, district manager for the West Virginia Division of Highways, said that it also causes lots of accidents.
He said part of the problem is the highway drivers who don't move over for those merging.
"It'll show a big yellow triangle, where the traffic does merge there. The proper thing to do is to move over to the left lane if at all possible," Phillips said.
He said while it's common courtesy for highway drivers to move into the left lane to allow those mergers to enter the highway, it's ultimately up to the merger to enter safely.
Trevor Saas said he's dealt with lots of people who don't know how to properly merge.
"Honestly, they need to get with the speed of traffic. Half the issue is the traffic isn't going that speed, or the length of that merging lane," said Trevor Saas, a driver.
Phillips said drivers should exit the ramp at about 45 mph to safely blend in with traffic.
But Saas said there's not always enough room to reach those speeds.
"When there's two lanes of full traffic and I just have to sit there. That's not fun because now I have to force my car to go much faster than it wants to," Saas said.
Phillips said it's also important for highway drivers to follow the speed limit. Driving too slow sometimes causes mergers to change lanes too quickly, which can lead to an accident. But he also said driving too fast is problematic too, because it reduces reaction times.
"A lot of times people will come off of that ramp, and someone in front of them will be going slow and they'll shoot into the left lane. If someone is going too fast you could get clobbered right there," Phillips said.
Phillips also said drivers should remain in their lanes until it's safe to shift into another one.
According to Phillips, mistakes associated with merging can lead to a wide-range of citations including speeding tickets and failure to maintain control of motor vehicle citations.
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Even though Watergate had some incredibly far-reaching ramifications, it nonetheless comes as a surprise to learn that the scandal played a significant role in the course of the Viet Nam War as well. In April 1973, less than three months after the Paris agreement was signed, the Nixon Administration decided to end the truce by resuming U.S. bombing raids against North Vietnamese and Viet Cong forces. Reason: scarcely had the treaty gone into effect when Hanoi began violating it. According to a secret report to the White House, the North Vietnamese began installing surface-to-air missiles around...
Indo-china: The Watergate Connection
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PC Gaming Myths @ ExtremeTech
View Single Post
September 28th, 2007, 19:34
Originally Posted by
SW: X-wing series -> Rogue Squadron series
Actually, Rogue Squadron DID appear on the PC.
I've played almost every X-Wing-related game (except console games), and I can say that Rogue Squadron (the first game) played in part differently than X-Wing.
In my opinion, one can rather safely say that this game has been (excuse me) "dumbed down" (
) , because it lacks some kind of "depth" … but on the other hand it has features no PC game of all X-Wing related games ever had: combat on planets surface. The only game that has this is Star Wars Starfighter (of which the PC version is largely ignored by LucasArts as it had never appeared and the XBOX version got some extras - so in this case the exact
of "dumbing down" actually happened !) and the both "Rebel Assault" games.
Rogue Squadron (I'm still speaking of the first game) is very difficult in some areas. Reaching gold status is nearly impossible in some missions.
TIE Fighter, as the opposite example, has some unrivalled depth, some prefer it even to X-Wing Alliance, which also has great depth.
As a general rule, I'd tend to say that console games seem to have a rather reduced
, which the PC versions rather seem to have.
Now, the question is: Is this a marketing decision ? A design decision ? A cost-reducing decision ?
Any intelligent fool can make things bigger, more complex, and more violent. It takes a touch of genius and a lot of courage to move in the opposite direction. (E.F.Schumacher, Economist,
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CROFTON, Md. — A woman pulled from a burning townhome in Crofton has died of her injuries.
Anne Arundel County fire officials say 52-year-old Patricia Hart died at Johns Hopkins Bayview Medical Center in Baltimore late Wednesday afternoon.
She was rescued from a second-floor bathroom of the burning home a day earlier.
The cause of the fire remains under investigation.
Hart becomes the third person to die as a result of a fire in Anne Arundel County this year.
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Adding fresh content to your website is an important factor in search engine ranking, getting more people to visit your website and attracting advertising links. Visitors will not stay long if the articles on your website are always the same and do not offer a lot of value. Below are several ways to obtain quality articles to post on your website. Write the Articles Yourself While many website owners do write their own content, they find that in the long run it takes time away from other tasks they could be performing to increase efficiency and growth. Conducting research and writing is time consuming. The advantage to writing your own … [Read more...]
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There are many lengthy guides online letting you know how to create the perfect CV for that career search and job interview you've managed to obtain, but most of them are far too long and boring, which is why I've decided to condense that information into only 500 words. This should go part of the way to making your life a little easier over the next few days, as it can be difficult to know which details you should include, and which are best left out. Don't get me wrong here, I'm no professional CV writer, but I have been offered every single job I've ever had an interview for, so you can guarantee my technique is adequate. The most … [Read more...]
Tips for Small Businesses – How to Build a Real Mobility Strategy
Modern technology can be a hurdle for many small business owners. There are so many buzzwords and it can all be pretty confusing. There are still small business owners who don't have any kind of web presence at all, so getting involved in mobile is still a big leap. Things like social media, online reputation management, and the cloud can all leave small business owners with a puzzled look on their face, and that's before you even start talking about a mobility strategy. Let's take a look at some advice and tips for small business owners that are looking to step up their mobile game this year. Creating a Presence The first step is to … [Read more...]
The Importance of Ethical Negotiations
What does the word "negotiation" mean? Do you think it creates a negative atmosphere? Well, some people do, and the most common reason behind it is that people only relate to what other are trying to sell (goods or services). An average person negotiates for things on a daily basis: we negotiate whenever we try to encourage our kids to do their homework or when we tell our spouses to make us a sandwich. A solid definition of a negotiation would sound like this: "when two or more people exchange ideas with the intent of changing their current nature of their relationship, they're bargaining." It's easy to see how valuable it is to improve … [Read more...]
World of Social Media Monitoring and Analytics
As we use social media to connect with others, we create a digital data trail of human interactions. When analyzed properly, this valuable data can show public opinion and consumer trends, make predictions and provide insights. For companies properly collecting and analyzing this data, it can be key to business success. This infographic was designed to provide organizations with information about the world of social media monitoring and analytics. Browse the list of analytic tools to refine your marketing campaign so as to effectively target your audience and reach the maximum level of social engagement for your brand. Don't get left behind … [Read more...]
Focus on Mom & Pop Shops: How to Choose a Small Business Lawyer to Protect Your Investment in a Family Business
If you own and operate a mom and pop business, you will want to consider your legal options with a small business lawyer. Since smaller businesses are owned by sole proprietors or are entirely family owned—they typically represent a lifetime of work and investment. Assuring that you protect this lifetime of work, and your integrity, is bar-none. Choosing a small business lawyer can be a difficult task. The following tips can help you during your search for one. Understanding the Need for Small Business Lawyers Never underestimate when or why you might require an attorney. The truth is that unless you know the future, you'll … [Read more...]
4 Inventory Control Challenges Simplified through Asset Tracking
Inventory control isn't a challenge faced only by warehouses and retailers. Most small businesses have physical assets they rely on to facilitate processes or create products. Whether a company handles a few hundred or hundreds of thousands of assets, inadequate inventory control leads to disorganized workflows, wasted time, and unnecessary delays. Asset tracking provides a foundation for better inventory control, simplifying several challenges associated with managing inventory. Inaccurate Forecasting Forecasting is one of the biggest challenges faced by businesses. Many business outcomes rely on accurate forecasting. With inventory … [Read more...]
How A Document Management System Can Benefit Your Business
I have worked at several different sorts of companies over the years, and the one thing that is common amongst all of them is the amount of paperwork and documents that they generate. It seems that regardless of whether you do a simple or complex job, as an employee you have to spend a significant portion of your day dealing with and processing all sorts of documents such as order forms, invoices, receipts, bank statements, and, of course, the notes that you write down on paper to remind you of stuff! Did you know that, on average, employees typically spend nearly half of their working days looking for information in emails, documents, on … [Read more...]
Chief Elements for an Effective Office Design
Chances are you'd love to have more office space, right? Unfortunately, that's often not feasible for a variety of financial or practical reasons. Usually, you have to make do with what you have. Fortunately, when you're working with limited office space, there are ways you can optimize the design to make better use of the room you have. What makes an office appealing? Is it the furniture, the design, the colors, the ambiance? Unfortunately, working in a tiny space and devoting 8 hours a day to a desk you don't even like should compel you to make a change. Here are some design tips to make your office space seem bigger and more … [Read more...]
Techie translation guide: What your business IT provider says and what they actually mean.
Does your IT provider really know what's best for your business? Find out with this techie translation guide. Like any business relationship, your partnership with your IT provider should be based on trust. But when they insist on speaking some odd variant of Klingon you have a problem. A simple request often turns into an extended discussion where only one of you seems to know what's going on (and it isn't you). When you make a request, you expect it to be done quickly and efficiently. But instead you get any number of the following excuses (and what they really mean) What they say – "It can't be done." What they mean – "I have no idea … [Read more...]
Choosing the Best Restaurant Cooking Equipment
Whether you were looking for used or new cooking supplies for your restaurant, having the right information is paramount to make the right decision and to avoid being duped into buying equipment that will offer you the required services. Apart from having the right information, it is equally crucial to find the right store from which to buy. Ideally, with the right cooking tools, a restaurant should be a place ready to serve food for any number of customers at any given time. So how do you choose the best cooking equipment for your restaurant? Better still, how important is it to choose the right tools for your restaurant? Choosing the … [Read more...]
Four IT Issues Your Business Shouldn't Have to Deal With
It's supposed to make our lives easier, but sometimes technology can be extremely frustrating and can slow us down in terms of performance. Here are the four IT issues that are all too common in the workplace and how you can easily solve them. 1. Slow Broadband A slow broadband connection can be extremely frustrating, especially if you pay a high sum of money on your internet package because of its advertised speed. But if you load up your internet only to find yourself crawling from one page to the next, going online can become more of a dreadful chore than a joy. Most slow broadband problems are caused by issues at the customer end … [Read more...]
Want To Start A Business In The Fitness Industry?
Many people today are interested in living a healthier lifestyle. That is why the fitness industry is very popular. However, in order to succeed in the fitness industry, it will take a lot of hard work on your part. Below are some tips that will help you succeed. Develop A Plan Many people start looking for gyms for sale before they even have a plan in place. It is never a good idea to start any type of business unless you have a plan. A business plan is a lot like a road map. It gives you the directions that you need so that your business will run as smoothly as possible. Before you start writing your business plan, you … [Read more...]
The Statistical Argument For Customer Advocacy [Infographic]
Customer advocacy is a specialized form of customer service where companies focus on what is best for their customers. In recent years especially, more and more small businesses have started to recognize the importance of customer advocacy and have begun implementing strategies that focus more on the customer. According to a recent survey, a word-of-mouth recommendation is the primary factor behind 20-50% of all purchasing decisions. Advocates tell twice as many people about the purchases they make. In the following infographic, we're presenting a statistical argument for customer advocacy. We'll start by providing additional data and … [Read more...]
Tips to Getting Your Computer Repaired Locally
They say that good help is hard to find. When it comes to your computer, finding a good service company can be quite challenging. Perhaps with technology today, you may think that you can do everything over the Internet. There are many service companies that do repairs via mail, but you might not have the time to do that. For one thing, if you really need your computer everyday, like if you need it to run your small business, then you really need to make sure that you get it repaired locally, so you don't have to have to spend extra days waiting for the UPS guy. So, if you want a good computer service company in your area, you may have to do … [Read more...]
Famous Bulls of The Trade Market [Infographic]
In the stock market, investors who are able to reap a high return for their investment are most commonly known as Bulls. In this infographic, we showcase a few famous Bulls who have managed to obtain jaw dropping returns from the trade market. For each individual, it also provides some background information on how they got started, shed light on where and how they made their money, and provide a piece of advice from the individuals themselves. Click image to see a larger versionFamous Bulls Infographic via Bulls on Wall Street … [Read more...]
Tips to Build Employee Morale
Employees are the backbone of any business, and they are the foundation that keeps small businesses successful. Small business leaders must pay close attention to the satisfaction of their employees because their engagement greatly impacts the business' bottom line. Studies continue to show that happy employees are more productive and provide better quality work than those who are unengaged and unhappy. Ultimately, a happy team is a productive team, and happy employees are more likely to continue to be loyal to their company while providing top-notch service to help the company stay successful. Here are a few tips and techniques that can be … [Read more...]
Rise of the Video Marketing Empire [Infographic]
According to recent research, the average Internet user is likely to watch roughly 206 videos each month. Based on that statistic, it may not surprise you to read that almost seventy percent of marketers now incorporate video into their marketing campaigns. In the following infographic, we're making the case for video and including information that will convince you of how important developing and sharing video is to your overall content marketing efforts online. We'll start by including a number of compelling statistics about the state of video today. Next, we'll outline the evolution of video in marketing. Then we'll shed light on the power … [Read more...]
5 Most Popular Word Press Plugins for Small Business Sites
The need for effective content marketing has made WordPress an essential part of most business websites. WordPress (WP) blogs and plugins make it easy to publish high quality articles that build trust and credibility with readers, promote the business brand and eventually get more conversions. According to WordPress, over 60 million users have picked WP as their content management platform. Due to the massive developer support that it enjoys, several plugins are now available to help you customize your WP website. Here is a brief review of the 5 most popular WordPress plugins for small business websites. WP Touch Mobile Plugin The rapid … [Read more...]
Top Knowledge Management Software to Improve Customer Service
Managing frequently asked questions (FAQs) of customers can be a daunting task, especially if you have a big collection of information to maintain. But this task is easier done using knowledge management software which you can easily integrate to your website. Here are our top 10 recommendations: 10. ProProfs ProProfs is an application that enables businesses to reduce online queues on the FAQ. It can manage your database of information and make them easily accessible to your customers. By integrating this application to your website, customers can find instant answers to their questions in 90 different languages anytime … [Read more...]
Breaking Bad: Turning Negative Coworkers into Team Players
There's always one bad apple in the barrel - that one employee at work that's always complaining and raining on everyone's parade. But, you don't have to let that one person bring down the whole company. While you certainly can't fix every bad employee - you might have to fire them - you certainly can try to reform them. Here's how. Institute Team-Building Exercises Team-building isn't something everyone enjoys. Even your best employees might sigh at the idea of having to interact with people in unrelated departments or with people they may not get along with in their own department. But, team building and leadership training … [Read more...]


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We recently saw some very disturbing and shocking images of Jiah Khan's dead body after her mother Rabbiya Khan released them everywhere as an evidence to the new petition to prove that the death was not a suicide. Now, we again have a shocker for you. Rabbiya used the social platform of twitter and revealed that she went to a medium (psychic medium- a person who can see spirits of the dead). Rabbiya openly admitted in search of her daughter she went to a medium in order to find out what exactly happened on the night of her death.
"Went to the medium one of the famous one on Belgravia road got the answers," she posted on the micro-blogging site Twitter. This was not it, she further described about the happenings of the meeting. She tweeted about this and said, "I only asked the medium I need a reading and she described bebo (Jiah Khan) exactly as she was and what happened that night." A twitter follower of her's even asked her if she could share what happened to Jiah. In response to this, Rabbiya explained what she believes happened to her daughter on the night of her death. "She (Jiah) was kicked, knocked out and then strangled to give the picture of hanging. Sad that she was not capable to do anything like this," stated Rabbiya Khan.


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SP FA 5 years ago
Brewers owner Mark Attanasio said "there's always a chance" the team could pursue Kyle Lohse.
"There's always a chance," Attanasio said. "Again, it's a function of size of contract, length of contract. Kyle had a phenomenal two seasons the last two seasons. We just have to see if that fits in our overall scheme." Milwaukee could use some rotation help, and they're one of likely a number of teams that would consider Lohse if his price falls far enough. Interest in Lohse has been sparse this spring despite the fact that he posted a 2.86 ERA and 1.09 WHIP in 211 innings last season.


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Meet the people behind the scenes.
VEDA's small but efficient staff understands the difficulties faced by people with vestibular disorders. We are here to help!
Cynthia Ryan MBA, Executive Director
Cynthia has worked in non-profit management for over 15 years, and previously was General Manager and Vice President of a financial research firm. Cynthia's mother, Eileene, suffers from Meniere's Disease. Cynthia enjoys hiking, reading, and volunteering with local animal welfare organizations. She and her husband, Tod, are the proud caretakers of two cats and their loyal pooch, Fionn MacCool.
Christina Conner, Membership & Development Administrator
Christina has worked with members in several different organizations, most recently as the Membership and Special Events Manager at the Morris Museum in Morristown, New Jersey. Christina has volunteered with organizations like the Girl Scouts and AmeriCorps. Christina recently moved to Portland, Oregon from the Greater New York City area and is looking forward to experiencing all the City of Roses has to offer. "It is my mission to help make the world a better place," says Christina. "I am very excited to become a part of the team at VEDA and work to increase its impact."
In her spare time, Christina is an avid reader who also enjoys knitting and hiking.
Karen Ilari, Bookkeeper
Karen works for VEDA part-time. She has worked in accounting for many years in both the profit and non-profit sectors. Karen spends the rest of her time on her other love - painting. She sells her paintings on her online store and teaches painting through online videos. She and her husband, Bill, are empty nesters with four children, three grandchildren (so far!) and one very spoiled kitty named Pooty.
Cassey Parish, Patient Support Coordinator
Cassey uses her experience as an Intake Coordinator for Hospice to lend an empathetic ear for support to vestibular patients while educating them about VEDA's resources. She has had her own struggles finding a diagnosis for a chronic illness, and she understands how frustrating that can be.
Michelle Eyres, Development Coordinator
Michelle has worked in the nonprofit world in Portland for over 9 years. She has contributed to the success of organizations big and small. As a life-long Portlander, she is very proud of the high level of philanthropy found here. "I am not a person that can sit by and hope someone else steps up and tackles a problem. My passion has led me to a gratifying career and collaboration with many diverse people." In her off hours, Michelle plays indoor soccer with her husband, avidly reads murder mysteries and spends as much time with her teens as they will allow.
Fionn MacCool, Canine Morale Officer
Fionn enjoys walks, pets, and belly rubs. He also enjoys riding in his bike cart and waving his tail in greeting at the people who pause to watch. Fionn takes his role of morale officer very seriously, using his smile, wag, and generally happy demeanor to lift the spirits of everyone he meets. While in the office Fionn greets each employee periodically throughout the day to make sure they have taken a break to pet him and smile. Fionn promotes awareness about cats, dogs, and rabbits with vestibular disorders, and encourages pet owners to spay and neuter their four-legged family members.
Board of Directors
VEDA's board of directors is composed of people who have been diagnosed with one or more vestibular disorders, friends and family members of vestibular patients, and medical specialists in the vestibular field. Their focus is to expand awareness for vestibular disorders while improving care and treatment for patients suffering from vestibular dysfunction.
- Louise Geib, M.Ed., President (Atlantic Beach, FL)
- Kathleen Stross, PT, MS, Secretary (Pearland, TX)
- Gary Breitbord, Acting Treasurer (Holliston, MA)
- Dennis Fitzgerald, MD (Baltimore, MD)
- Matthew Crowson, MD (Durham, NC)
- Holly Fisher (Coppell, TX)
- Rebecca Rubin (Sherman Oaks, CA)
- Rose Dunn (Maryland Heights, MO)
- Sandy Egge (Portland, OR)
- Esteban Medina Orgaz, PhD, MBA (Pontevedra, Spain)
- Bryce Salvador, Owner XHockeyProducts.com, NHL Player/Captain, Ret. (Westfield, NJ) - Honorary
Medical & Scientific Advisory Board
VEDA's medical and scientific advisors represent the best and most well-respected professionals in the vestibular community. Our advisors hail from such notable institutions as Massachusettes Eye and Ear, Harvard Medical School, Vanderbilt University, Duke University, the Mayo Clinic, Northwestern University Medical School, Johns Hopkins Hospital, and Oregon Health Sciences University. With experience in direct patient care, research and teaching, our advisors provide oversight to VEDA's published materials, ensuring data that is accurate, timely and scientifically relevant.
Department of Otolaryngology—Head & Neck Surgery
Washington University School of Medicine
Saint Louis, MO
Professor, Departments of Neurology, Physical Therapy, and Otolaryngology
Northwestern University Medical School
Chicago, IL
Clinical Co-Director, Comprehensive Dizziness Center
Chief, Section of Neurology
Chicago, IL
Vestibular Rehabilitation Center
Paris, France
Director, Dizziness and Balance Disorders Program
Mayo Clinic
Rochester, MN
Director of Research, Silverstein Institute
Sarasota, FL
Director, Division of Physical Therapy
Director, Vestibular Rehabilitation
Emory University
Atlanta, GA
Massachusetts Eye & Ear Infirmary
Boston, MA


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Some of the best talent in the country will be on display at PPL Park this weekend.
Maryland, Virginia, Notre Dame, and New Mexico will battle the Winter weather, and each other, for the right to lift the College Cup. Scouts will eye potential targets for a return to Philadelphia in January's MLS Superdraft.
With high picks in this year's draft, the Union have an opportunity to bring in some top college players.
Here's a look at five senior prospects who will play in this weekend's College Cup.
Patrick Mullins: forward, Maryland
Mulins might be the most dynamic forward in the country, which is why he's listed in the top three of most mock drafts.
Check out his 2013 stat line:
24 games, 24 starts, 2,113 minutes, 16 goals, 8 assists, 100 shots, 48 shots on goal
And his 2012 stat line:
24 games, 23 starts, 1,779 minutes, 17 goals, 10 assists, 95 shots, 40 shots on goal
Mullins won the MAC Hermann Trophy last season and was also named a first team All-American, ACC Offensive Player of the Year, and MVP of the ACC Championship.
He's got great specs too – six foot one, 172 pounds. He's not a small forward. Mullins has that dynamic body type that really allows for a broad skill set. He's quick enough to turn and pivot and create space for himself, but he's also strong enough to battle with bigger defenders.
- Highlights: Patrick Mullins: Hermann Trophy Winner
Kyle Venter: center fullback, New Mexico
Venter is among the top defensive prospects in this year's draft.
He's got perfect size for his center back position – six foot three, 190 pounds. He's slightly bigger than Jose Goncalves and slightly smaller than Chad Marshall when it comes to height and weight.
Typical of guys with those attributes, he's extremely strong in the air. He regularly wins aerial challenges and physical battles.
Venter is coming off an ankle knock he sustained in the recent win over Washington, but should be fine for this weekend. New Mexico shutout the second seeded Huskies in what was considered a huge upset win. The Lobos haven't allowed a goal in the entire tournament.
Harrison Shipp: forward/midfielder, Notre Dame*
Shipp comes with a big 'ole asterisk next to his name, because he could be signed to a homegrown contract by the Chicago Fire and removed from the SuperDraft process.
He's really been the catalyst for the Irish this season, leading the team with 12 goals and eight assists in his 21 starts. He's played 2,031 minutes and tried 88 total shots.
Shipp lines up as a second striker, but he really likes to receive the ball in the midfield. At 5-foot-9, 145 pounds, he's got the body type to be that hybrid attacking midfielder and withdrawn forward. He can turn in tight spaces, but also has a good nose for goal. Most people see him as an attacking pivot in a 4-2-3-1 or a 4-4-2 with a diamond midfield.
- Highlights: Harry Shipp, Notre Dame Soccer
Grant Van De Casteele, center fullback, Notre Dame
Van De Casteele is a fifth-year senior and a four-year starter at centerback.
Experts have pegged him in the No. 8 to No. 12 range for top defensive prospects in January's MLS SuperDraft.
More than anything he is extremely consistent. He's started pretty much every game going back to 2011. Van De Casteele is a 6-foot-2, 165 pound centerback who could certainly find his way to Major League Soccer.
Michael Calderon, midfielder, New Mexico
Calderon is New Mexico's attacking midfielder, a transfer from Fairleigh Dickinson University.
He assisted on both goals in the tournament win against Penn State and will be key for the Lobos in breaking down a solid Notre Dame defense.
A native of San Jose, Costa Rica, he's described by some as a late second round prospect. A strong tournament performance could up his stock ahead of January's draft.
Contact Union writer Kevin Kinkead at firstname.lastname@example.com


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"This is a big day for the patients with this cancer and for ImmunoGen,"
Kadcyla has gained
"I am thrilled to see our concept of a trastuzumab-DM1 conjugate become
a reality today," commented
Collaboration History
ImmunoGen conceived of the idea of attaching the Company's DM1
maytansinoid cell-killing agent to Genentech's trastuzumab antibody to
achieve a highly effective, HER2-targeted anticancer agent. In 2000,
In 2006,
Today, multiple Phase III trials are underway or planned evaluating Kadcyla for a number of HER2-positive breast cancer indications. The compound also is being evaluated for the treatment of HER2-positive gastric cancer.
Multiple TAP Compounds Advancing in the Clinic
In addition to Kadcyla, nine other compounds with the Company's TAP technology are in clinical testing for the treatment of an array of cancer types. Three of these compounds are wholly owned by ImmunoGen:
The Company expects to advance a fourth TAP compound, IMGN289, into the clinic in 2013. IMGN289 targets EGFR and is a potential treatment for cancers that overexpress this target, including many head and neck and non-small cell lung cancers.
This press release includes forward-looking statements. For these
statements, ImmunoGen claims the protection of the safe harbor for
forward-looking statements provided by the Private Securities Litigation
Reform Act of 1995. It should be noted that there are risks and
uncertainties related to the development of novel anticancer products,
including risks related to preclinical and clinical studies, their
timings and results. A review of these risks can be found in ImmunoGen's
Annual Report on Form 10-K for the fiscal year ended
Herceptin® is a registered trademark of
Kadcyla™ is a trademark of
For Investors:
Executive Director, Investor Relations and Corporate Communications
For Media:
The Yates Network
News Provided by Acquire Media


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Mammoth puts Snowmass in spotlight
October 22, 2010
Snowmass VillageSnowmass Village — A hairy, prehistoric elephant brought the circus to Snowmass Village on Wednesday. — A hairy, prehistoric elephant brought the circus to Snowmass Village on Wednesday.
Snowmass Village — A hairy, prehistoric elephant brought the circus to Snowmass Village on Wednesday.
A Snowmass Water and Sanitation board meeting drew a packed crowd to a room at the Snowmass Club, where a selection of bones from a prehistoric mammoth were put on display for curious onlookers. Fascinated kids and adults, a class of schoolchildren, reporters and television news crews filed past the collection of giant, coffee-colored bones, recently unearthed from a reservoir excavation project just west of town.
The board has not yet decided what to do with the remains of the creature; another meeting is scheduled Monday, but the Denver Museum of Nature and Science appears to be the most likely repository for the bones. The museum has offered to handle excavation of the sensitive site, and take the bones to Denver where they can be preserved in a controlled atmosphere. The bones have not been fossilized — turned to stone, in other words — but remain soft and porous, in much the same shape they were in when the mammoth was encased in a peat bog some 10,000-plus years ago.
On Wednesday, Water and Sanitation employees were spraying the specimens on display with distilled water from time to time to keep them moist. For now, they are being stored in dark plastic and kept damp, in a cool place.
Yet to be determined is whether the animal is a Columbian mammoth or the much rarer woolly mammoth, according to Ian Miller, paleontologist and chairman of the museum's Earth Sciences Department.
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"There are no known woolly mammoths from Colorado yet," he said.
The museum's mammoth expert, Steve Holen, is expected to return to Denver from the Yukon on Saturday and then will head to Snowmass Village if the museum takes on the project, Miller said. Holen will be able to determine which type of mammoth it is by examining its teeth and bone structure.
Either way, the discovery of a mammoth is a "significant scientific find," said Bob Mutaw, cultural resources team leader for URS, the engineering firm involved in the reservoir project.


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Gallery Seats Available To See Mike Huckabee In Salina
KSAL Staff - December 12, 2013 9:02 am
Gallery seating is now available to see Mike Huckabee speak in Salina.
According to the Salina Area Chamber of Commerce, open gallery seating is being made available for their Annual Banquet and Membership Meeting, Thursday, February 6, 2014 featuring the former Governor of Arkansas, Mike Huckabee.
Huckabee is national voice familiar to Newsradio 1150 KSAL listeners. He can be heard on "The Huckabee Report" every weekday morning at 7:30 on the radio. The former Arkansas Governor Mike Huckabee is the host of the number one rated weekend hit Huckabee on the FOX News Channel, and is heard daily across the nation on The Huckabee Report syndicated on almost 600 stations by the Citadel Media Network, where it has been the fastest growing new program on the Citadel Media Network in recent years. He is the author of nine books
Cost of the gallery seating, located on the south side of the arena, is $20 per person. No dinner will be served with gallery seating.
"We have had a tremendous response to the banquet thus far," stated Clark Renfro, Chamber Chairman. "Over 1,100 dinner tickets have been sold and we're looking forward to an enjoyable evening with the popular Governor Huckabee. By making gallery seating available and affordable to everyone, this is a terrific opportunity to see and hear a speaker that has far-reaching appeal."
The banquet will be held Thursday, February 6th in the arena of the Bicentennial Center. A few dinner tickets are still available. They are on sale now through December 31 to Chamber members for $50 per person. They will go on sale to the general public for $75 per person beginning January 2.
The banquet will begin at 6:30pm with a plated dinner on the floor of the arena. The program will begin at approximately 7pm with remarks by outgoing Chamber Chairman Clark Renfro, incoming Chairman Dale Heuszel, and the address by Governor Huckabee.
To order dinner or gallery tickets, persons can call the Chamber at 827-9301 ext.123, email Sandy Cole, firstname.lastname@example.com, or stop by the Chamber office, 120 W. Ash.
will barf bags be available during his speech?
With all the taxpayer money the chamber gets gallery seating should be free.
Jillian if you were talking about our current President I would agree with you. But Huckabee is great.
I also like Mike and if he ran for President I sure would vote for him and my kin folks would also. I also feel the chamber could give back to the community by letting people in for free to sit in the gallery.


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I have a wordpress.com blog and I want to allow users to be able to sign up to it, sort of like how you have to sign up for wordpress. Is there any way I can do this? I've gotten comments already by some people but when I look in Users in my control panel there is only me.
Also, is there a free forum hosting site that will allow me to integrate a forum with my wordpress site? Possibly without users having to re-register to the forum?
The blog I need help with is aftershockstudios.wordpress.com.