text:
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All testimonials are provided voluntarily. No compensation is involved.
From: Theresa C. - New Jersey
Sent: April 09, 2010
To: Bingham, Catherine
Subject: Theresa C. recovery
Dear Catherine,
Thanks again for all your help and care. Everyone... and I mean everyone... at the hospital were so kind, caring and helpful. I had nothing but a positive experience at Mt. Sinai and will forever be thankful for Dr. Adams, Dr. Chikwe and Dr. Robin Varghese and the entire cardiac team. I will also remember John Gomez in housekeeping who always had a smile and kind word for the patients.
I am a 53 year old woman who was diagnosed with severe mitral valve regurgitation. Before the surgery, I could not go through the day without taking a long nap in the earlly evening. I was exhausted every day. It has now been 5 weeks since my mitral valve repair surgery, and I can not believe the remarkable difference in how I feel. I can go through the day without a nap and have more energy than I had in a long time. I am walking on the treadmill for a half hour a day, and hope to increase that amount to an hour real soon. Next, I am going to start cardio rehab to build my strength and endurance.
My repair surgery was done through an incision under the right breast. I wanted to try this approach for a couple of reasons. First, I felt my recovery would be faster since my sternum would not have to be broken to gain access to my heart. Also, although not my main concern, cosmetically this is a superior choice especially for women. If you look at my chest now, you would not even be able to guess that I just had open heart surgery, The incision has healed beautifully, and since it is under the breast fold you can not even see it.
The surgery itself went remarkably well. I had no issues of severe pain. In fact, my only issues were the breathing tube and a burning sensation in my right leg. The incision site has never been uncomfortable or caused me any pain. In fact, I only took tylenol and a pain killer the first week at home. Since then I have taken no pain killers. I feel great and have to remind myself that I had open heart surgery. I had a positive experience at Mt. Sinai Hospital from my initial consultation with Dr. Adams to my surgery and follow-up with Dr. Chikwe. Everyone was so kind and helpful.
As for the future, I plan to use weights to build my strength and to keep on walking.I plan to walk further and faster than before my mitral valve repair surgery. This summer I will enjoy swimming and floating down the lazy river at our vacation condo in South Carolina.
From: Hilary E. - California
Sent: Wed, Feb 10, 2010
To: Adams, David
Deciding to have open-heart surgery as an asymtomatic 28 year old girl was incredibly difficult. I had always known about my mitral-valve prolapse (my dad heard my murmur when I was seven). I have had echocardiogram's ever since I can remember and they had been consistent until a stress echo where my ejection fraction was reported at 53-55 and it had been above 60 a year before on the same stress test. Within the next few weeks my cardiologist told me I would need surgery soon.
I went to see several cardiothoracic surgeons and surprisingly had been told a wide range of opinions and approaches from surgeons making my decision even more difficult. It was a confusing process to know what information to believe and whose word to trust. Fortunately, I had done some research about my condition with my Mom that revealed the advantages of getting a valve repaired instead of replaced as a young female patient. One website we looked at was Dr. David Adams' site at mitralvalverepair.org. We found current information that made me hopeful of getting a repair and scheduled an appointment at Mt. Sinai's specialty center in New York. Dr. Adams was the first surgeon to look me in the eye and explain in simple terms what was going on inside my body. He also said, with certainty, that my mitral valve could be repaired. It was upsetting and relieving all at once.
It was a long doctor's appointment, one that my Mom and I both cried during. When we left, it was clear that surgery was medically necessary soon; but, more importantly, I trusted Dr. Adams. He was the first surgeon to say my valve was something he sees and operates on often (a Barlow's valve), what a relief! I am now more than a year post-op (Dr. Adams repaired my valve on 9/9/08) and I can say with confidence that after all the stress and wondering about this life-changing decision, surgery was a good choice. My mitral valve no longer leaks and I'm back to a happy, active lifestyle.
Dear Dr. David H. Adams,
It has been 5 months since my open heart surgery at Mount Sinai. Surgeon Dr. David Adams and assistant surgeon Dr. Adanna Akujuo repaired my Mitral Valve and closed the hole in my heart. You worked miracles. You and your entire cardiac team are amazing. I am fortunate and grateful that you were my surgeon. You are someone that I will never forget and I cannot thank you enough. Each day that passes, I am reminded of how thankful I am that you changed my life. My wife, Jaclyn and I and children think very highly of you. You will always be remembered in our family.
The experience I had with you and your team was incredible and wonderful. Jose, Theresa King, Frank and Teresa were extremely helpful. Each time, my wife, Jaclyn called the office, they were sure to answer all questions. Your staff is pleasant and made the whole scary experience better. Edith is an amazing nurse with a lot of experience. She explained everything in detail and just made the entire situation better. She is a caring nurse with a wonderful manner. Your staff is well trained, professional and knowledgeable.
The first time my wife, Jaclyn and I met you and Dr. Anelechi Anyanwu in consultation, we knew immediately that you would be the surgeon for me. You showed us how confident you are and it showed that you had a great bed side manner. Your passion and perfection for repairing valves was remarkable.
I consider you to be the very best surgeon and I would absolutely recommend you to anyone in need of Mitral Valve repair.
Once again, my family and I cannot thank you enough for what you have done to make sure that I am alive and healthy today.
Mr. and Mrs. M. D. & family
I am 48 years old and I've always had Mitral Valve Prolapse. I went to my regular physician for my yearly physical in July of 2009. He didn't like the sound of my heart and he scheduled me for an echocardiogram. A week later I got a call from my Cardiologist, he told me that I needed open heart surgery. I was shocked but OK.
When I learned what was involved and that I would have a scar down my chest, it upset me. My cardiologist referred me to Dr. David Adams to discuss mitral valve repair surgery.
I had called Dr. Adams' office and spoke with Leemor. She arranged an appointment for me to meet with Dr. Adams. Leemor was on top of things; if I had any questions I would just pick up the phone and she was always there for me.
I went to meet with Dr. Adams on September 2, 2009. He explained what was wrong
with me. I had Mitral Valve Regurgitation. Dr. Adams explained the procedure that I would undergo to fix my leaky heart valve. I was very comfortable with his decision.
Dr. Adams reviewed his schedule with me and we chose a date for my surgery – September 18, 2009. I went to meet with Therese King. Terry set up all of my pre-surgical appointments and made sure that everything went smoothly – she even made my hotel reservations for me!
Terry and Leemor took care of any paper work that had to be done. They were both there for me every step of the way and provided me with moral support. When I was in the hospital they even came to visit me – I felt so special!
Dr. Adams performed my open heart surgery on September 18, 2009. He did a mitral valve repair and put a ring around my valve to stop the leak. That Valve is called my "RING OF LIFE" and my scar is "MY LIFE LINE".
Thank you Dr. Adams and the team, you saved my life. If I didn't have a ring or a scar I might not be here to tell my story. The surgery went great. After surgery I went to the ICU where I was treated with the best of care. Thank you Nurse Corazon (Cory) Catlico and all the other ICU nurses. I was in ICU overnight and moved to another floor where I was treated for the next 4 days. While in the hospital I only had to take five pain pills total. Due to the perfect surgery that Dr. Adams performed I never had pain, just a little discomfort.
I was discharged from the hospital on September 23, 2009 and I'm doing very well. I do my walks twice day since the day after I got out of the hospital. I did return twice for my check up and everything was great. Dr. .Adams is my LIFE SAVER. I still remain friends with Leemor. Well, everyone there is my friend forever. The pictures are from six days after my surgery and 5 weeks my scar has healed - WHAT SCAR?????
I am expecting my first grandchild in December and because of Dr. Adams and his wonderful team I will be able to live a long, happy, healthy life!!!!
My Sincere Thanks to Dr. Adams and Team
Jeannie (Jean) M.
December 12, 2009
Dr. David Adams and staff
Just a few lines to let you know how I am progressing since you replaced my Aortic valve and repaired my Mitral and Tricuspid valve, on Aug. 6th 2009. I can tell you now, that I did not realize what a difference this surgery has made in my life. The coughing, shortness of breath and having to sleep with at least three pillows are all gone now, along with the fear of heart failure. After carrying around those symptoms for all those years, a person can forget how life can be without them.
My cardiologist in Rockland county NY, Dr. A. Beniaminovitz, was thrilled when I told her that you had done the surgery. She said she sends all her very difficult cases to you. Since we have returned to Florida, I have learned of other people who have had to have their valves repaired again, by you after having their original surgery done down here.
Since our return to Florida on Sept. 23rd I have increased my walking routine to at least five miles a day (2 miles morning and 3 miles afternoon) with no problems. Now if I can get my knees to keep up with my heart I'd be in tip top shape. There is an ocean of people down here with leaky valves and I have touted your expertise to who ever will listen.
Once again I thank you and your very able staff and also the excellent Mt. Sinai Hospital staff for all you have done for me.
With much appreciation,
Gerald G.
It has been nine months and one day since my surgery at Mt. Sinai. First, I would like to thank my wife, without her research, finding Mt. Sinai and Dr. Adams, I probably would not be here today. Everyone in your office from Jose to Therese King made everything so easy during my operation and time there. It is a true pleasure to be treated with such professionalism from the moment you step into the hospital until the day you leave. I would like to recognize the whole team at Mt. Sinai for making the experience I had seem as if it was an everyday routine.
I came to Mt. Sinai having had Mitral Valve Repair in 2003. Two years after the operation I was getting out of breath climbing stairs or doing anything physical. It was later revealed that I had Mitral Stenosis. Several doctors told me that I needed a Mitral Valve Replacement. Upon having a TEE, my mitral valve was barely moving. During the initial consult on December 10, 2008 with Dr. Adams, he stated that he was not sure if he could do the repair or not. I later found out that my case was a first for Dr. Adams. After studying my echo with Dr. Anyanwu, Dr. Adams stated that he could not guarantee he could repair the valve, however, he would spend four to six hours trying to see if he could. I stressed greatly that I wanted to have the valve saved, as I wanted to obtain a private pilot's license and if one has an artificial valve they are ineligible to receive one.
Dr. Adams said that if we had any chance of repairing my valve, we would have to operate very soon. When we walked out of his office to talk to his staff, they all just stood there with blank stares, he stated that he had promised he would not schedule another surgery during 2008, however, my condition being so serious did not allow for any time to wait until the New Year to operate. My surgery was scheduled for December 23, 2008. Although my surgery was during the holiday season, it turned out to be the best Christmas ever for my wife and four children. My family came to New York from South Carolina during the time I had surgery, and after 8 hours 3 minutes, my family was notified to meet Drs. Adams and Anyanwu in Dr. Adams' office. When Dr. Adams arrived to meet my family, he had a huge smile on his face, he told my wife and children that he not only saved my mitral valve, he also repaired my tricuspid valve. He told my family that I would be able to fly! Today, I am feeling better than I have in years and can run up stairs and mow the lawn with no difficultly at all.
I would also like to mention the staff in the CTICU. Dr. Scurlock and his staff are to be commended for the top rate care given to me, as well as all of the patients in the CTICU. Dr. Gregory Fischer, Dr. Anyanwu, and Dr Scurlock made themselves available for any issues with care or questions as to what I could expect during my stay there. I would also like to thank the nurses; Veronica, Velma, Sue, Jen and all the others that participated in the excellent care I received while in the CTICU.
I return to Mt. Sinai for my follow up appointment on October 2, 2009 with Dr. Bruce Darrow. I hope that I will be able to see some of my caregivers who helped me through the tough times following my surgery and made my Christmas and New Years the best ever.
It is because of the dedication of Dr. David Adams and the Mt. Sinai team that I am able to say, if anyone needs mitral valve treatment, Mt Sinai is the place to go.
Every one of you has been so wonderful. We truly cannot thank you enough for kindly repairing my heart!
With sincere gratitude,
Walter A. S. & family.
From: David A. - New York
Sent: Thur, Aug 20, 2009
To: Adams, David
Subject: Mitral Valve Repair - October 2008
Ten months have passed since you and your team performed my mitral valve repair. I wanted to thank you and your staff for squeezing me into your schedule so that I could have six months of recovery time with the hope that I would be able to test for my Black Belt exam at Barley's Karate. In April 2009, I was able to test and "pass" my Black Belt exam with my wife Kerri. Our children Meagan and Michael are already Black Belts. Without you and your team's expertise, dedication and caring this goal would not have been possible. Thanks again.
David A.
From: Zach K. - California
Sent: Wed, July 22, 2009
Subject: Mitral Valve Repair Patient
When I found out I would need to undergo heart surgery at only 18 I was crushed. I thought it would mean the end of riding motocross for me, which is my biggest passion in life.
Being from California, my parents and I were somewhat apprehensive to travel all the way to New York when my cardiologist recommended Dr. Adams to preform the surgery. However after getting the the highest chance of a successful repair from Dr. Adams, we made the the trip to Mount Sinai.
It turned out to be the best decision of my life to date. Just four months after having my Mitral valve successfully repaired I was at the track riding again. I am extremely thankful for Dr. Adam's and his staff, who made the whole ordeal much easier than I would have thought possible, and handled every aspect in a professional, yet caring way. I felt well taken care of from the day I arrived to the day I left the hospital.
Thank you so much for everything!
Zach K. #210
From: Mike F. - New Orleans, LA
Sent: Wed Jul 22, 2009
Subject: a great result from a great surgeon!
Dr. Adams,
You may remember me as a white, blind court reporter from New Orleans married now for 28 years to Mignon and together we have 5 wonderful children. I will be 52 tomorrow and thanks to you, I am in great shape. In January of 2007 with no medical background and through the grace of God, I accidentally discovered and ultimately correctly self-diagnosed a severe mitral valve prolapse with regurgitation. After 5 months of hoping it was something else and would soon go away, I finally went to see a local cardiologist and confirmed the diagnosis I previously suspected. After having done much research on the problem and its cure, I located what I thought at the time to be the absolute best surgeon in the world for fixing the broken leaflets of my mitral valve. I then immediately phoned you and had a very comforting conversation wherein you assured me that once you finished my surgical repair , I would "walk out of the hospital as God made me." Thanks to your gracious help and accomodations, I flew into New York City on August 15, 2007, went through the catheterization and all preliminary testing on August 16, and then surgery by you on the morning of August 17, 2007.
Facing the condition, the surgical cure, all its risks, and New York City itself was extremely frightening and intimidating. However, from the moment I met you face to face in your office at Mt. Sinai, I felt an immediate sense of calm and security. Painful as the immediate recovery was, I was able to fly back home to New Orleans and my 5 kids on August 26, 2007. Immediately following my discharge from Mt. Sinai 5 days after surgery, I began a stringent and intense self-rehabilitating program. I was released from Mt. Sinai sometime around noon, and that evening my wife and I were strolling through Central Park. Three days later on August 25 in an attempt to show my wife the town and to reward her for all her prior suffering, prayers, and dedication to my well-being, she and I took a bus and toured Times Square and all its surroundings. The walk was slow and somewhat stressful, but very entertaining and physically rewarding.
My rehab continued from the moment I got home and my progress was rather remarkable. I was told by you and all the research I conducted that I would be out of work for 6 - 8 weeks following surgery. It may interest you to know, though, that on the 13th day following my open heart mitral valve repair, I took my first deposition. I never turned back other than to think of the sincerest appreciation I have for you and your wonderful staff. I have enclosed herein some photographs that you may find entertaining. The first is of you, my wife and I in your office on my last visit prior to my return home. The second photo is of me changing my oil one month post-surgery. The subsequent photos were taken of me at my oldest son's wedding on August 8, 2008 just shy of one year post-surgery. Incidentally, the last picture is not upside down.......
David, on a personal note, I am one who never forgets to say thank you. Everyone has a job, but not everyone does their best at it. You are more than good at what you do. I hope you are as proud of your work as I am of you. It is unfortunate that our paths may not ever cross again, but please know that it is my wish that they will. You are not just an excellent surgeon, but a wonderful man and a fine human being.
May God bless you and all that you do.
With my deepest sincerity and warmest regards, the president of your New Orleans Fan Club,
Mike F.
From: Michelle O. - New Jersey
Sent: Thur, Jul 09, 2009
Subject: Michelle O.
Dr. Adams and team are an exceptional group of people. I was truly blessed to be under their care. My very first experience with his office starting with the initial contact to set up a consultation was pleasant. Jose was so kind and patient with me in my panicked state and calmed me down and forgave my "short" attitude with him. Dr. Chikwe then assured me that I would be okay and would be in good hands. The road to being in "good hands" was a tough one that required a fight.
I am a 27yr old female who had no idea that I was in need of open heart surgery because I was asymptomatic.
In 2006, I went to school for training in Cardiac Ultrasound. After graduating the course, I immediately started my externship as a cardiac ultrasound technician with a cardiologist in New Jersey. It was during the last day of my externship that I learned that I would need a mitral valve repair. One of the incoming externs did a practice echocardiogram on me and the Cardiologist saw my study. He informed me that I would need open heart surgery because I had severe regurgitation and a little enlarging of the heart due to a prolapsed mitral valve. After absorbing this life changing news, I immediately began to have other tests done and consulted with a cardiothoracic surgeon. After consulting with the cardiothoracic surgeon, I informed my cardiologist of the results of the consultation. My Cardiologist felt uneasy with the consult because I was told by the surgeon that it was not definite that my valve could be repaired and would possibly need to be replaced. My doctor informed me that it was not ideal for me to have a replacement due to my age. He felt I was too young to have a replaced valve and preferred me to have a repair.
My Cardiologist told me about Dr. Adams and sent my study to him. Dr. Adams and Dr. Chikwe reviewed my study and advised my Cardiologist to have me come in for a consult. I consulted with Drs. Adams and Chikwe and felt 100% better after having been assured that he and team could repair my valve.
Seemed easy enough except that I am a New Jersey resident. As a New Jersey resident, my insurance could not be used in New York and my HMO carrier was adamant about not approving my surgery to be done at Mt. Sinai. Because of insurance issues I was then given to the hands of Terri in Dr. Adams office (who is an angel). She provided me with a couple of options to try to appeal my insurance company's decision. She held my hand through the entire fight and after many denials and appeals back and forth between Dr. Adams' office and my insurance carrier I recieved a call from the insurance company. My insurance company informed me that they would be approving my request for surgery to take place at Mount Sinai with Dr. Adams because of the persistence of Dr. Adams and his team. They fought to save my life basically. I feel this is extremely important to know because they didnt have to fight the fight with me. They could have easily said sorry your insurance is not accepted here and so we cannot help you. But they did not, because of Dr. Adams and team I feel I was given a second chance at life. Had I not had the repair and instead had a replacement it would have made it difficult for me to bear children in the future or I would have had to have another surgery in about 10-15yrs depending on the type of replaced valve. I am forever grateful to Dr. Adams and the staff at Mount Sinai. I appreciate the Ring so much its as if its Dr. Adams' halo and he took it and placed it around my heart. It is evident that the pleasantry, respect, & genuine care & concern for the patients is a trickle down effect amongst the staff.
From: Cynthia T. - California
Sent: Thur, July 09, 2009
I came from California to New York for Dr. Adams to perform my mitral valve repair. His passion for his work came through to me during our initial phone conversation. The valve had calcifications that increased the difficultly of repair. From the very beginning his office "team" was there to help… from checking into my insurance coverage to advice about hotel accommodations. Every team member was knowledgeable, caring & treated me as if I was their only patient! My 4 hour surgery turned into 8 hours & Dr. Adams checked & repaired the tricuspid valve as well. Dr. Adams' manner is calm, soothing & knowledgeable… I knew I was in the best hands for my situation. I have NO murmur & went from 100% regurgitation to zero on the post op. echocardiogram. The incision was closed by a plastic surgeon from the inside out… NO staples, or external sutures to remove. I would urge anyone given a diagnosis of REPLACEMENT to FIRST be evaluated by Dr. David Adams & his team before going any further with treatment. I was told many times that only a replacement would do in my case. And here I am, REPAIRED & NOT having to deal with Coumadin!!! I will be forever grateful to this most wonderful surgeon & his team at Mount Sinai Hospital in New York City. They have not only extended my life span… they have saved my lifestyle!! I will be back to riding my horses shortly… not an option if Coumadin was in the picture!!!
July 2009
Dr. Adams,
It's wonderful that some people still have the time to give to others. Thank you for a second chance in life.
I will never forget you and will forever be grateful.
From: Patricia S. - Florida
Sent: Tue, Mar 17, 2009
To: King, Therese
Subject: another picture for your website
These pictures are of Bill S. (surgery date 4-3-08). The gator was caught by an official 'Gator Hunter', Bill and our son Michael in our backyard shortly after we returned home from New York. He was considered 'small'!
Headline will read…
"4 weeks after Open Heart Surgery Boca man catches Alligator".
Dr. Adams is going to love this. He is going to put it on his Discharge instruction sheet for new patients. Gator catching can resume 4 weeks post surgery.
When I learned at 81 1/2 I needed mitral valve surgery and met with Dr. Adams who explained in detail the Carpentier ring repair and hospital stay, my family and I were confident we were in the very best of hands. Everyone from Teresa overlooking the excellent after-care I received with a a team of exceptionally caring nurses, made a frightening open heart procedure comfortable and safe.
A seemingly tireless team of doctors, and Dr. Adams in particular, were there before and post surgery for me. Life four years later is still busy with keeping home with a wonderful husband fo 67 years in a two floor home. We're still hosting our three children, grandchildren and i was able to play on the floor with a 15 month old great grandbaby. I've continued to plant and tend a summer garden, drive locally, read the N.Y. Times, New Yorker, books and attend theater every month in N.Y. riding the L.I.R.R. I've slowed up (for me) but at 86 life is full and I feel grateful!
Thank you, thank you to a superb surgical team seemingly imbued with Dr. Adams' passion for excellence and his profession.
Good luck,
Pearl W.
"Thirteen months had passed since you and your team performed mitral valve and tricuspid value surgery on me at Mount Sinai when that picture was taken, a little over a year lived through the prism of my heart, and I now have the opportunity to publicly thank all the wonderful people who made my experience so successful and so transcendentally beautiful.
To Dr. Chikwe, for her daily visits, which was like having a ray of sunshine enter my hospital room; to Dr. Anyanwu, who in his quiet way, was one of my saviors; to Ms. Leventhal, the nurse in the pre-surgical holding area and the operating room, who made me feel that I was on a stage set ("lights, action, cameras"); to Dr. Reich, the Chairman of the Department of Anesthesiology, who had me laughing as he wheeled me into the operating room and got me so involved in a conversation, that I didn't know I was about to go under; to Edith, the nurse practitioner, whose no-nonsense approach to my questions, made me keel over in gales of laughter; to Lorna, my day nurse in the Intensive Care Unit, who knew just what medication would ease my pain and who said to me, as I tried to get up from my wheelchair, "Tall and proud, Margaret, tall and proud"; to Theresa Kearns, who scheduled my initial consultation with you, making it seem as if I was going to a delightful tea party and who later visited me in the Intensive Care Unit; and most of all to you, for saving me, for making me whole and for your kindness and compassion."
Feb. 6, 2008
Dear. Dr. Adams,
I cannot thank you enough for saving my heart. I am forever indebted to you. It was an exhilarating experience and my gratitude to you knows no bounds.
From the bottom of my heart (and I think you've seen it!) I thank you again and again...
Love always,
Margaret G.
From: Merryl H. - New York
Sent: Monday, Feb 15, 2009
To: Adams, David; Chikwe, Joanna; Adanna, Akujuo; Reich, David; King, Therese
Subject: Merryl H. - Thank You
To Dr. Adams and the Mount Sinai Mitral Valve Repair Team -
Thank you for repairing my mitral valve and giving me a new lease on life. My surgery was February 2nd, and I'm already up and about, taking 2 mile walks, starting to respond to work e-mails and cooking (much to my kids' delight). I'm feeling stronger each day.
Again, I thank you -
Merryl H.
Feb. 9, 2009
Dear. Dr. Adams,
Put aside for a moment the absolutely excellent care I received during my 4 day stay at Mount Sinai, which permitted me to begin working on a new painting 4 days after I returned home and riding my bicycle a week after that.
What struck me most about you and your team was the uncommon, unrushed, unhurried amount of time everyone was willing to spend with me, from our first meeting which lasted over an hour, through the subsequent encounters with the entire team.
Everyone was polite and friendly, respectful, and concerned about my well being, mental as well as physical.
It was an unexpectedly terrific experience.
With many thanks,
Steve S.
Dear Dr. Adams,
I would like to thank you, Dr. Di Luozzo, Teresa, Terry, Edith, Joel, Catherine, the rest of your staff and all the rest of the doctors and nurses at the Mt. Sinai Medical Center for the wonderful care that you have given my wife Florence before, during and after her recent surgery to repair a cardiothoracic aneurysm. I would like to be able to thank each of them personally, but there were so many that I cannot recall all of their names. Perhaps you can pass my gratitude on to them. Everyone I came into contact during my visits to the hospital were extremely helpful and courteous, even the workmen.
When we first visited you in June it was a stressful situation for us, as you can imagine; your patience in carefully explaining what was going on and the time you spent with us was greatly appreciated. Later, in October, during our second visit, when the need for surgery as apparent from the second CT Scan, I found your patience and calmness very reassuring. I especially remember your parting words to me "Don't worry, I'll take good care of her." You certainly have done that and I thank you most gratefully.
John B.
Priscilla underwent mitral valve repair surgery with Dr. Adams in April 2008. She sat down and spoke with us a few months later at her follow-up visit.
Dr. Adams: Many patients are afraid to have heart surgery. They know they need it, and we think it is very important for patients who have gone through it to share it with other people that will be. They are going to be afraid, but I want them to have confidence that they are going to get good care and that they are going to get the right operation.
Priscilla: And I have to say is that you made us feel more at ease when I first came in. The way you sat down and spoke to us, just showed me what was going to happen.
Dr. Adams: I always say that in a consultation, usually the decision of what to operate has already been made by a good cardiologist, so our job is actually to make people feel comfortable and feel confident about the care they are going to receive, not necessarily to decide that they need surgery, so I am glad to hear that because I think that is the major part of the consultation.
Priscilla: Yes it is, and I felt very confident even though I did not want it, but I felt confident. I am glad I had it done.
Dr. Adams: I think that also shows that we are particularly proud of you because at 80 years of age, it shows that you are never too old or young to keep your own mitral valve as opposed to have a replacement.
Priscilla: Yes.
Dr. Adams: So I am very proud of that. I have told you I showed your case to the meeting recently, so you have had a typical case of a single popped chord, and it is just fantastic to see how well you are doing.
Priscilla: I thank you, thank you, so much.
Dr. Adams: Tell me a little bit about what your experience was like. I know it is hard work having heart surgery when you are 80 years old, but how did you find the hospitalization and the care, and what your clinical experience was here.
Priscilla: I think from the very beginning I had a good experience. Everybody is so professional, but everybody on the other hand treated me just very graciously from the time I came in for the operation until the time I went home. My stay in the hospital I feel was just very good. I just cannot say enough about it.
Dr. Adams: We are really proud to hear something like that because this is something our whole team really strives for everyday, and it is one thing to be an expert in mitral valve repair and all the technical issues with that, but it is also important that the patients feel like they get great care here.
Priscilla: I definitely did. I have no complaints and even today when I came in to follow up with you and just everybody that I met you know came and they talked to me from the team. It was like old home week to me and I felt just so great.
Dr. Adams: I love to hear that. I think you really personify what we are trying to accomplish in this program right now.
Priscilla: You certainly have succeeded because it was just a very good morning for me.
Dr. Adams: That is great. I really appreciate you agreeing to talk to us.
Priscilla: Thank you.
Brian had his mitral valve re-operation with Dr. Adams in May 2008. He shared with us his experience with our team and how he feels five weeks after surgery.
Brian: After we had met, I kind of came in here. I really felt very confident that I was making the right decision. The people here just supported that through and through. From the anesthesiologist and the people who prepped me for the surgery, as well as my post care, every one really did a terrific job. I mean they really have a sense of team here. I think that everybody is on the same page and they communicate well together. I felt pretty well taken care of.
Dr. Adams: We were thrilled with the result with a patient like you because a re-operation is obviously more complicated than a first time operation. I think that the way you describe it pays a great tribute to the whole team here, because these are very complex operations and need to be done, as we said, perfectly.
Brian: You know, even after I got out of the hospital, there were a number of people from the hospital here who called me to follow up to make sure that I was doing the things that I was doing. Someone wrote me a note and I really felt that people care; that I was getting better and I felt like I got better, I feel like I am getting better. I mean it has been five weeks and I already feel a lot better than I did before I came in here, so it was a great job.
Dr. Adams: Well, I really appreciate you making these comments. When I saw you today in the clinic, I could not resist.
Dec. 26, 2008
Dear. Dr. Adams,
When the unthinkable happens to your family, you can only hope that the help that arrives is a fraction of what we experienced with you. You have been generous, kind and exceptionally wonderful with Laura's surgery. Thank you, thank you. Your team is amazing. Enjoy the holidays and thanks for posing.
Kind wishes,
Angela and Harold
Dec. 11, 2008
Dear. Dr. Adams,
Words can hardly express my heartfelt appreciation for your generosity in performing my surgery so expeditiously but more importantly the apparent mastery with which you performed.
I hardly thought that i could be at home writing this letter a mere 6 days after surgery. You have invigorated my strength and optimism for a healthy and long life - a live walking advertisement for your remarkable work.
Much thanks to you and your wonderful staff and best wishes to you in the new year.
All the best!
Larry H.
Dec. 2008
Dear. Dr. Adams,
In September of this year I had the good fortune to have had you as my surgeon. You performed a mitral valve repair, as well as a tricuspid valve repair.
I had been prepared by my doctors to expect a replacement. When i was told you had repaired the valves, I couldn't believe it. You gave me a "gift," greater than I could have hoped for.
I will NEVER forget you and will be forever grateful that our paths crossed.
The world is a better, brighter place due to your expertise, dedication, and caring..
I wish you every happiness...
From: Ben P. - South Carolina
Sent: Mon, Oct 27, 2008
To: Adams, David
Subject: life
Hello Dr. Adams,
Ben P. just saying hello. Sitting here waiting for game five of World Series with my 10 year old son. Sorry Red Sox didn't make it. Wife just landed at La Guardia to show my oldest son around NYU for college. Hope I stay busy-tuition is crazy. Wife loves NYC-probably has something to do with my heart surgery in NY vs. Cleveland-nothing personal. I am a Cubs fan. Anyway-I am doing great. Thanks again. I feel like I a twenty year old-no s**t. I have twice the energy and just feel good every morning-instead of tired. Thank Randy Martin for me as well next time you talk. My son Ian is a pitcher and shortstop for a traveling team. It is just great to be confident in my ability to watch his progress to who knows, the majors? Why not.
Sincerely and best regards,
Ben P.
Dear Dr. Adams,
I want you to know how grateful I am to have found you to do the surgery on my heart. It is not the kind of decision anyone would want to make a mistake with. And I certainly made the right decision in asking you to operate.
In our very first conversation on the phone, you described the surgery as very straightforward. You repeated those words the first time we met face to face. You inspired a lot of confidence when you said that. But you were much too modest. There is nothing straightforward about reconfiguring the leaflets of a mitral valve, implanting a new annulus, and suturing in new chordae the width of a thread. If it were as simple as you made it sound, I would not have traveled 1200 miles to get it done.
I remember looking at my echocardiograms over the last thirty plus years and seeing my mitral valve flailing around. When Rebecca, who did my post surgical echo showed me my reconstructed mitral, I was stunned and delighted. It functioned like part of a Swiss watch. I knew then that the ordeal of open-heart surgery was all worthwhile.
I was and still am impressed by the dedication of your associates and staff. You all demonstrated that you understood that inside every patient is a person. That compassion meant a great deal to me, and went a long way to accelerating my recovery.
Although I would never want to repeat the experience, I will be forever thankful that I found a surgeon as gifted as you to get me through it.
Thank you.
Raymond B.
From: Michel K. - Florida
Sent: Tue, Sep 02, 2008
To: Adams, David
Subject: Thank you
Dear Dr. Adams and Team:
It has been about 3 weeks since my open heart surgery in NYC and every day I feel better.
As a 34 year old male, who had been at the "top of his game" when I found out about needing mitral valve repair, there is much I can say about the experience. Personally, I have gone through several lessons, revelations, challenges and strides, but the most important lesson I can pass on to other young heart patients who need a valve operation, is to pick you and your excellent team. Thank you for giving me a perfect heart again and thus a longer life expectancy. In addition, your team's guidance pre- and post- surgery has been incredible.
Having worked and lived on every continent, traveling the world, meeting outstanding medical professionals, I can tell you I experienced your Department of Cardiothoracic Surgery at Mount Sinai, NYC to be the best reference center with the best care and professionalism. This is how medical "care" should be.
Every single person who "touched me" was informed, caring, knowledgeable and pleasant. Dr. Chikwe is incredible and always available. Therese helped get the entire trip organized, making us comfortable with all items; she is wonderful. Edith continues to guide me through the recovery stages remotely. Dr. Fischer is also great. Every single person (I failed to mention them all) was smart, caring and professional - and informed about my case in advance.
This is what I learned about where/how to get your heart fixed. When you are young and in need of this type of surgery, you want to select the best surgeon at the best reference center. When you plan to live a long life after surgery (50+ years), you need to make sure it is fixed the best way, by someone who has the most experience and best knowledge. Only then will your procedure be a success . . . 50 years from now. So, forget about who you know or where you live, but do your research, find the 2 or 3 best, "interview" them and select who you get the most positive feeling from. This is how I picked you.
So, I am now completely focused to getting back to 100% and actually plan to get to at least 120%. (You did tell me my heart is better now than it ever was.) In 2009. I plan to run a marathon or do something seriously challenging. I hope to set an example for others that need to follow in my food steps. I plan to check in again and let you know about my progress along the way and hope that I can host you and/or Dr. Chikwe in Florida some day.
All the best,
Michel K.
From: Michel K.
Sent: Wednesday, November 12, 2008
To: Adams, David
Subject: Michel K is back!
Dear Dr. Adams, Dr. Chikwe and Team:
Today marks 3 months exactly since my heart operation. You had mentioned early on that 3 months would be a time look forward to. I felt like sharing my recovery update with you, so that you may share it with others who are in need of mitral valve surgery, but are worried what life might be like after. Well, I can tell you that I have been back at work for 6 weeks and traveled to NYC, Washington DC, Las Vegas and Atlanta. I play with my children like I used to; I even run 4 miles again, swim, lift weights, including push and pull ups. While I aim to set new physical goals for myself with this "new heart" of mine, I'm back! Your team has given me a new life expectancy and valuable experience. Thank you! Feel free to post this update to your website.
It was great to see you last week. Pls let me know when you might visit South Florida - we owe you a very nice dinner at the very least.
All the best,
Michel K.
"And you, Terry, were a godsend, keeping things moving steadily going in and coming out, even to the point of advising me on pajamas! Last but surely not least, I want to thank Dr. Adams and his amazing surgical team for the miracle of restoring a human heart to health. I couldn't have been in a better place than Mount Sinai. You have perfected the art of healing and I will always be grateful to all of you."
"Dear Dr. Davis (Pres. & CEO Mount Sinai Medical Center:
Thursday, July 10, 2008, I underwent mitral valve repair surgery at Mount Sinai Medical Center. I am writing from my home, recuperating after the successful surgery. The surgeon, Dr. David H. Adams, and his staff, and the staff of the Cardiothoracic Intensive Care Unit far exceeded my expectations in terms of their professionalism, competence, attentiveness, and humanism. I am 68 years of age and have been hospitalized a few times in my life thus far, but none of the previous hospital stays could compare positively to this one. While I am sure that there are many people who contributed to my successful hospital stay that I never met face-to-face, I would like to specifically bring to your attention some members of the medical and hospital staff that I did experience personally who, I feel, maximized the positive result of my surgery."
Mike is a 40-year-old pilot for United Airlines who came to us from Denver with severe mitral valve regurgitation.
He chose to have elective mitral valve repair surgery with Dr. Adams in June 2008, to ensure that he would have his mitral valve repaired, and not replaced, in order to be able to maintain his medical status for flying, as required by the FAA.
From: Gary K.
Sent: Monday, September 29, 2008
To: Adams, David
Subject: My Surgery
It has been over one year since my surgery. I am doing fine... back to work, no valve leakage, ejection fraction up to 55 from 45, heartbeat stable, etc., etc.
I just wanted to thank you again for saving and extending my life. All of your hard work to get where you are was certainly a blessing to me!
Thank you and God bless you!
From: Ron Fierro (Watch Mr. Fierro talk about coming from Florida to see Dr. Adams)
Sent: Thursday, July 26, 2007 1:06 PM
To: Adams, David
Subject: Thanks, I feel great.
Dear Dr. Adams,
You repaired my valves last November 9. Just wanted to drop you a line to let you know how great I feel. I am attaching some pictures of me on my morning ocean kayaking. I go 4 times a week and swim on the other days. I plan to make a trip to New York for follow up soon. I am going to try to get some video for you as soon as we have a good surfing day.
Ron Fierro
West Palm Beach, Florida
After 23 years of mitral regurgitation and shortness of breath, Nicole was referred by her cardiologist at Montefiore Medical Center to Dr. Adams. Talking with Dr. Adams about his pioneering minimally invasive techniques relieved her worries about having a scar on her chest.
Weeks later, with her incision barely visible, she describes herself as "very satisfied" with the outcome.
Mary had her mitral valve repaired by Dr. Adams on 6/15/05. 5 weeks later, she's back doing the things she likes best in life, volunteer work, gardening, hiking, and traveling.
"Four years past surgery all my annual check-ups have been absolutely positive; the most recent, just completed, shows no changes since surgery. At age 74, I am still handling my pastoral duties, plus daily walking and golf up to twice a week. My wife and I just took a dream vacation to Alaska and didn't miss a thing we planned to see or do. Next, trip to Ireland straight ahead. Thank God for Dr. Adams and his competent team at Mount Sinai."
Dear Dr. Adams,
I wanted to drop you a note and let you know that not a day goes by that I don't think about how fortunate I was to have you repair my mitral valve. It was 3 and half years ago that I had my operation. I was 43 years old and the interesting thing was after I was diagnosed with heart failure and needed the operation, the first 2 surgeons told me that I would need a replacement and offered no other choice. Fortunately for me a friend had recommended that I speak to you. I remember only talking to you over the phone from my hospital in New Jersey and knowing that after we spoke, without a doubt you were the surgeon that I wanted. You explained to me that you strive to fix the valve rather than replace it. I immediately transferred to Mount Sinai and you and your team performed miracles.
Well that was 3 and half years ago and I feel like new and as if I never had a problem. I have a wife & 3 kids, one of whom was just born 10 days ago. I am truly back to normal thanks to you. Your passion for what you do and your drive for perfection is what I really appreciate. The one other thing that I wanted to mention is how from A to Z you and your team are amazing. The bed side manner, the fact that everyone was always on time, and your follow up was great. I would absolutely recommend you to anyone in need of Mitral Valve repair.
Once again, myself and my family can't thank you enough.
Ron P.
"I cannot thank you Dr. Adams and your entire cardiac care staff nearly enough. I am eternally in your debt.
Having gone through the experience of having my New York based cardiac physicians tell me things were well when comparing one EKG from the last one and telling me that there was no change, to being told by one of your staff that my medical condition was more dire was a revelation. Having 3 valves worked on and coming through as I did was miraculous. Thanks to your skill and that of your assisting surgeons I am alive.
The remarkable thing is there was absolutely no pain whatsoever. Some discomfort as I mentioned to you from the tube down the throat and being tied down so I couldn't pull the tube out of my throat. I believe it was an 11 hour operation and then you all waited 3 hours to see if it worked. It certainly did. While I couldn't thank you vocally all the time, I put my thumbs up and smiled when you came in to see me after I recovered. I kept thinking to myself "How do they do it?" The hours on their feet. I remember when you came in at 6:00 am to tell me you were going to do 2 lesser operations "to give me every chance possible". I certainly didn't see those words with any sense of foreboding.
Thanks for everything, for your caring and compassion, for your skills and expertise as staff. I truly owe you my life."
"Marathons are no big deal. Climbing Everest might be a little harder. But thanks to Dr. Adams and his team at Mount Sinai I now have the energy to keep up with this !!"

subset: commoncrawl


text:
Kiernan Maletsky
Latest Stories
5 years ago | Hip-Hop
Lil Wayne has just released his tenth studio album, I Am Not a Human Being II. It's been 18 years since his first album: True Story as one half of The B.G.'z. In that time, he's been a lesser-known member of an embattled southern hip-hop group, a ...


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Aizawl Zoo Mizoram is located in the state capital of Mizoram. It is located at a higher altitude of 2950 feet high on a ridge. The zoo is well connected by road. One can reach Aizawl either by road or rail and can hire a taxi or by go through local buses to reach this zoo. The nearest airport is Shillong. Travelers want to reach this zoo by rail have to alight at Silchar in Assam. They have to alight here and either by taking Barak Valley express, Tripura Passenger or by Cachar express and then road transport through NH-54 to reach Aizawl zoo Mizoram. Aizawl is one of the most beautiful natural attraction points in Manipur where you can find some good staying arrangments in affordable cost. One should visit at least 2 days to feel the nature in the North-East.
Aizawl Zoo Mizoram Timings
Aizawl Zoo Mizoram is though a mini zoo but it is the home of most endangered animals those are not found in any other places of Indian zoo. The zoo opens for visitors from 7 AM to 4.30 PM, except Friday as Friday is a weekly off for the zoo, rest of the days the zoo opens for visitors. During winter the zoo opens at 8 am to 5 pm. Due to improper maintenance of this zoo, some places the enclosures are open and it might be horrible for the visitors. Aizawl Zoo Mizoram does not have any restaurant, so it is advised to take food and drinks items with you while visiting. Aizawl Zoo Mizoram does not have admission charges for several facilities but normal charges per person is Rs.10/- and if you are carrying a camera inside then they charge Rs.20/- per person.
Things to See Inside Aizawl Zoo Mizoram
Aizawl Zoo Mizoram is a zoological park that especially attracts to the visitors those have interest for natural habitat and endangered species. Here one can find the endangered species like Pangolin, Capped Langur, Porcupine, clouded leopard, Sun Bear, a long tail cat called Zamphu, wild boar and Himalayan Yak which you will never find in any other zoo in the plains. Aizawl Zoo Mizoram is the home of most Asiatic endangered species and the zoo authority successfully managed to breed these species in this zoo. As the zoo is located at the higher altitude is advised by the authorities to travel in a group for visitor's safety purpose. In brief Aizawl, Zoo Mizoram is not much more explore by the people as it does not get noticed easily by the common men but if you are a nature lover, wildlife lover then it is a must for you to visit the rare endangered species those are only found in this Mizoram only.
For more information about Aizawl Zoo Mizoram please contact at the below address.
- Aizawl Zoological Park
- B. Sanghnuna Building
- Tuikhuahtlang, Aizawl
- Mizoram 796001


text:
Whom do I address to submit a letter to the editor? I have information pertaining to an earlier letter posted on your site:
On May 7, I received an email:
From "brandon long" <firstname.lastname@example.com>
Hi, we can use you for work 06/06/06 if you still will be interested.
Send phone number and we will call you.
Nice Ass Production
On May 8, I replied, sending my phone number. At 11:46 Am that day, I received a phone call from someone blocking caller-ID. The caller claimed to be "Scott Lyons" and claimed to have sold scenes previously to NaughtyAmerica.com. He asked if I'd be available June 6 for a scene with Angel Long, Dani Woodward, and Alana Evans.
I told him I'd the hold the date open for him, and he said he'd call back before the shoot to give me more info. He never called back, and in hindsight, the caller appears to be the same fraud reported here: AINews.com/story/10349 [linked in the box to the right].
Thank you,
J. Adams
[A big thanks out to those sending information in to Adult Industry News. Again my email is Editor(at)AINews.com. Maybe the real Gavin Marx will contact us - he worked with Lezley Zen in the Vivid feature "Jack and Jill". -Ed.]
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People in the news: Moore Thompson, Haslers, Hayward Wright
This week's news of professional moves in the sector includes a partner promotion and retirement at Moore Thompson, Haslers have appointed a chairman, Hayward Wright adds a member to its team
6 Jan 2017
Moore Thompson has appointed Heather Bright as partner who takes over from Tim Martin who leaves the firm after 14 years. Martin joined the firm when his previous practice W J Ground & Co in Spalding was acquired by Moore Thompson. Despite retiring from the position of partner, he will continue to hold a consultancy role at the firm on a part-time basis. Bright has been with the firm since 2003, having also joined following the acquisition of W J Ground & Co. Her experience includes working with clients in a wide range of business sectors and varying structures – including sole traders, partnerships, limited liability partnerships and companies.
Jon O'Shea has become chairman at Haslers, taking over from long-standing partner Laurence Jacobs who has been chairman for five years. Jacobs will continue to work as partner within the business services group. O'Shea trained at BDO and joined Haslers in 1990 and became partner in 1997.
Tom Casey has joined Hayward Wright Chartered Accountancy Group where he will manage a portfolio of around 200 clients on behalf of the firm at its head office in Redditch. He joins from a Birmingham-based accountancy practice and will now advise Hayward Wright's clients on a variety of finance-related areas including tax planning, monthly accounts and general commercial advice.
PKF Cooper Parry has made 68 appointments across its East and West Midlands offices making it the fastest growing firm of accountants in the UK. The biggest area of growth has been in the audit team, where 43 team members have joined. Key appointments include Ed Gray, who joins the team as director of transaction services and Ian Ball and Melanie Hopwell, who have been appointed audit managers. In the tax team, Krista Fox has been appointed partner and Suki Kaur has been appointed director. Jeremy Birch has joined the firm as restructuring director. Further appointments have been made across the restructuring, wealth, corporate finance, service charge and IT solutions teams.
Thomas Westcott has appointed Alan Sanders as its audit and assurance manager. This is the second time he has worked for the firm, having completed his training there before joining BDO's Bristol office three years ago. HE will be based in the firm's Plymouth office.
Woodrow Mercer Finance has appointed Martin Hibbert as an associate director based in its Leeds office. Previously, Hibbert worked in private banking for a number of banks including NatWest, Royal Bank of Scotland and Barclays Wealth and Investment Management. He joins from Brewster Pratap where he was a senior consultant in executive finance.
Sir David Metcalf has been named as the first director of Labour Market Enforcement, who will oversee a government crackdown on exploitation in the workplace. Previously, from 2007 to 2016 he was chairman of the Migration Advisory Committee and was also a founding member of the Low Pay Commission.


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CRM specialist
Budget $30-250 USD
Need someone to customize my crm downloaded from UCM according to my demand
Please only senior freelancers with knowledge should bid and should show some previous work.
4 Freelancer bietetn im Durchschnitt $238 für diesen Job an
Hello, I have experience in CRM and I hope I will give you better result as you want. Thank you. my previous project is. [url removed, login to view] this is the same like freelancer like milestone system despite system payments Mehr
Though I am new here but my team has 4 years of experience into CRM. Can very well execute this Project
Dear Concern, Greetings I had analyzed your requirement and we are ready to take this opportunity. Since, we have good exposure in these technologies. About us, we are web development(Techocupar) company Mehr


text: Le mardi 03/01/05 Sven Luther <firstname.lastname@example.com> a écrit : > > Sven, would it be possible to have CONFIG_FB_RIVA=y by default in Debian kernel? > > See my other mail, it depends though on the size of it. > How comes rivafb can't take over from offb though ? I don't know why but I've try the following : video=offb:off video=rivafb video=offb:off video=offb:off, video=rivafb when I disable offb I don't have any framebuffer at all and when offb is enable rivafb is just ignored. > Can you or Guido fill a proper bug report about this ? I'm trying to recompile kernel-image-2.6.10 with CONFIG_RIVAFB=y and if it works I will filed a bug. > We still want to be able to fit on a miboot floppy, and integrate as > many fbdevs as possible. > > -rw-r--r-- 1 root root 65118 2005-01-29 23:47 /lib/modules/2.6.8-powerpc/kernel/drivers/video/riva/rivafb.ko > > So, this means adding 65KB to the kernel, or probably 20-30KB compressed, will > make a test with it builtin and the miboot floppies, and tell you. Many thanks. Regards. -- Djoumé SALVETTI


text:
Read what Wavelength Magazine had to say in their Winter 2010 issue:
This will be of most interest to the kayak fishermen among us, though other kayakers might find a suitable use. It is a heavy cast iron construction that is every bit a traditional anchor, with a handy fold-up storage feature.
Advantages: A truly well-made product that is high durable and likely to last a lifetime of use.
Disadvantages: Users should know the risk of entanglement, and place it only in a manner where a cutaway is possible should the anchor become caught.
Versatility: Can be used to club bears.
Read the full article by visiting the Wavelength Magazine website at


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About: Billy Carney
- Website
- http://bcfitness.net
- Details
- For over 30 years, I have devoted myself to studying, practicing and preaching the benefits of health and fitness activities being a big part of a person's life. And through many trials and errors, I've created a unique and unorthodox approach that cuts through the clutter and uncertainty. It is my hope that you find the information in this blog to be simple, easy to understand, and more importantly inspirational. Whether you are trying to feel better, drop a few pounds, improve your appearance or just enhance your quality of life – your body is a walking billboard of how you lead your life. How you do anything is how you do everything…and it shows! Why Fit Over Fourty? This site is dedicated to helping others lead a healthier and fit life. It is my hope that we can all share our own experiences and use each other as a resource to make the world a better place. I started this blog mainly because I love helping people. Hopefully, my insights will lead you to successes beyond your dreams. Connect with Billy You can connect with me with questions and concerns via social media sites at LinkedIn – Facebook - Digg –Top1Network – SelfGrowth and at www.bcfitness.contactus.html


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I love a good G&T in the summer, but the store-bought tonics, even Schweppes, seem to be getting sweeter every year. I've read about small label tonic waters without a lot of added sugar, but don't know any brands or where to find them. I'm in Southern California, so I'm sure there's somewhere where such a thing is available.
Any recommenations would be welcome.


text:
Killing Rommel Paperback
by Steven Pressfield
Autumn,1942: Hitler's legions have swept across Europe.
Soviet Russia reels under the German onslaught while across the channel, Britain struggles on. And in North Africa, Field Marshall Erwin Rommel and his Afrika Korps have routed the 8th Army, threatening the oil fields of the Middle East.
The war hangs in the balance... Out of this, the British hatch a desperate plan - to send a small, highly mobile fighting force behind enemy lines to strike a blow that will stop Rommel's army in its tracks.
It is to be called the Long Range Desert Group and its exploits will become the stuff of legend.
Based on real events, Steven Pressfield's bold new novel brings to pulse-racing life the ingenuity and daring of this maverick commando unit - a disparate, dedicated 'band of brothers' who sacrificed so much for the sake of freedom...
- Format: Paperback
- Pages: 416 pages, maps
- Publisher: Transworld Publishers Ltd
- Publication Date: 01/04/2009
- Category: Modern & contemporary fiction (post c 1945)
Other Formats
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Showing 1 - 1 of 1 reviews.
Review by HenriMoreaux
Written as a memoir this historical fiction novel is, well, odd. If it were non fiction the first third of the book would have been rather interesting. However, as it's fiction you find yourself reading about seemingly irrelevant childhood experiences of someone who doesn't exist and that don't particularly relate to the main thrust of the plot. The only thing that you really need to know is that he admires a bloke called Stein, has the hots for Rose whose brother is Jock - yet it takes over a hundred pages to learn this.After passing this stage of the book the war starts and you think 'hey it's a book about killing Rommel, we'll finally be on his heels now'... and you're wrong. You then spend some time in the fictitious characters life as a tank commander. Then his redeployment to the Long Range Desert Group... which does some more rudimentary missions before finally heading off to kill Rommel. Finally the Rommel chasing begins? Not really, it's only a portion of the book as well, and afterwards we deviate back to the activities of the Long Range Desert Group again.If the first part was dropped, it was just written as a fiction book and gave the impression it was about the Long Range Desert Group as opposed to specially a novel about killing Rommel it would be a great book. However, it's hard to rate it in it's format. The first half drags, it's only tangibly about Rommel, yet once it finally gets going you find yourself nearly having to brush the sand out of your hair & mouth but then it destroys the atmosphere by flicking back to the present under the guise of it's-a-published-non-fiction-memoir, which it isn't.Could have been a compelling historical fiction novel - as is, it just passes.
Also by Steven Pressfield | View all


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FLORHAM PARK, N.J. -- Rex Ryan downplayed the idea that the Jets' appearance on HBO's "Hard Knocks" gave opposing teams information that could be used against them.
Ravens offensive coordinator Cam Cameron told reporters in Baltimore on Friday that he gleaned "strategic" information from watching the miniseries that chronicled the Jets' preseason.
"Yeah, there was probably a lot revealed in that strategically, the way I viewed it," Cameron said. "At least what we were jotting down. There was a lot of stuff in there, strategically."
Ryan, who served as a coordinator with Cameron in Baltimore under head coach John Harbaugh in 2008, didn't think teams could learn any pertinent information from the behind-the-scenes look the show provided.
"What you going to learn?" Ryan asked reporters on Saturday. "You guys saw it. What did you get out of it?"
The series showed footage of the Jets' depth chart as it evolved throughout the preseason. NFL scouts told ESPNNewYork.com that they were stunned to see the information.
Still, Ryan said the Ravens could learn more from looking at their own playbook because he employs the same defensive game plan with the Jets that he did during his days in Baltimore.
"There might be something in the playbook that might be a little more revealing than what you saw on 'Hard Knocks,'" Ryan said.
Jets corner Antonio Cromartie pointed out that Cameron didn't do much with the information provided by the previous 'Hard Knocks,' which featured Baltimore's division rival, the Cincinnati Bengals.
Baltimore lost both games to the Bengals in 2009.
"Good luck; that's all I could tell Cam," Cromartie said. "Good luck with it."
Defensive tackle Kris Jenkins had a different take.
"I know we sacrificed some things by being on 'Hard Knocks' because they got to see some things about us. Some strengths. Some weaknesses," Jenkins said. "But when it's all said and done, it's still football.
"I don't think [information revealed on 'Hard Knocks'] is ... going to be detrimental to our season or our goals. But of course it's going to make games tougher. Of course it's going to make the bull's-eye bigger."
Jenkins also said the team had fun while filming "Hard Knocks" but he was happy to see the cameras go at the end of the preseason.
"We're glad that we did it but at the same time we're glad that we have some peace in the locker room," he said.
Ian Begley is a regular contributor to ESPNNewYork.com.


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15606 Southfield Road, Allen Park, MI 48101Request info Add to list
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15606 Southfield Road is aretail property for lease in Allen Park, MI.
Beautiful 5,510 sq. ft. former bank branch with (4) drive thru lanes. Rare opportunity on the heavily traveled Southfield Road corridor. Solid area demographics. Ideal for bank, credit union, office/medical or other retail use. Adjacent to municipal parking with signage and access available on both Allen and Southfield Roads.
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Erica Fernandes Wiki, Biography, Age, Date Of Birth, Bio, Height, Boyfriend, Net WorthPosted in Viral Celebrity By Amit Kumar On January 3, 2017
Erica Fernandes Wiki, Biography, Age, Date Of Birth, Bio, Height, Boyfriend, Net Worth– Here you can read the biography of a fantastic Film Actress named Erica Fernandes. She gains fame from various South Indian and Bollywood films. Before joining film industry she participated in many beauty pageants. Even she won the title of Femina Miss Maharashtra in the year 2012. Now she is going to debut in the TV industry with the TV serial 'Kuch Rang Pyaar ke aise bhi' where she appeared as lead role of Dr. Sonakshi Bose. Today she is popular among the youth generation due to her cute look, attractive smile, gorgeous personality and mind blowing acting skills. Get here the complete details about her wiki, biography, age and many more.
If we put light on her personal details then this gorgeous girl was born on 7th May, 1993. And basically hails from Mangalore, Karnataka, India. But currently she is residing in Mumbai. She is cute daughter of a former model and an interior designer Ralph Fernandes. And Lavina Fernandes is her mother. She completed her education from Holy Cross High School, Mumbai and St. Andrew's College, Mumbai. She is very passionate towards acting from childhood due to which today she reaches such a height in very short time.
Erica Fernandes Wiki, Biography, Age, Date Of Birth, Bio, Height, Boyfriend, Net Worth
Bio Profile
- Full Name: Erica Fernandes
- Date of Birth: 7th May, 1993
- Age: 23 years
- From: Mangalore, Karnataka, India
- Father: Ralph Fernandes
- Mother: Lavina Fernandes
- Height: 5'5'' approx.
- Occupation: Acting and Model
- Nationality: Indian
It is not confirmed yet that this gorgeous girl is single or in a relationship. We will update about it soon.
I hope you enjoy this post because we are trying our best to provide you the latest stuff. If you like this post then kindly share it with your friends at social sites and also shares your feedback to us by writing a comment below in the box. For more interesting posts stay tuned with us.
About Author
Hello Friends, I am a Mechanical Engineering student who loves writing, guiding and motivate the people. Currently I am working on profiles, biography of popular celebrities and people who are getting viral in news. If you want to see yourself on my website, you are welcomed. (For any support or help kindly contact me at email@example.com)


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SANTOS7 21:11 10 Nov 2007
Try setting diferent values (1.5gigs memory) mine are set at 2.500 for both upper and lower values, my swap file is also on a diferent partition to my C:/ drive.
Having said that there are strong arguments for and against default and custom settings in this department, and what evre you choose you will not see any discerning change in preformance.
Why do i have mine set as such, Purely personal choice...


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Status: Open (Call business to confirm holiday hours)
Know more about this business than we do? Cool! Please submit any corrections or missing details you may have.Help us make it right
Be the first AL.com user to add photos or videos of S L Brown & Pollard LLC
This company is an excellent investment firm that will listen to your needs and not promise you the "moon". Safe, Sound investment advice & service.
Sl Brown & Pollard LLC can be found at Montlimar Dr 1110. The following is offered: Investment Services. The entry is present with us since Sep 10, 2010 and was last updated on Nov 14, 2013. In Mobile there are 65 other Investment Services. An overview can be found here.
Since 1998, S L Brown & Pollard Llc has been providing Investment Counselors from Mobile.


text: It is so simple and it offers great benefits since it is still considered to be Amerian Express. I really like how the card looks too. There is no annual fee which is nice. Although 1.5% cashback may not sound like a lot it really does add up. I really enjoy using it and the friendliness of US Bank and American Express whenever I have an issue is unbelievable. I would reccomend this card to anyone.


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- Please select a date to see the proper prices!
Description of the accommodation:
Rooms, services When taking a trip to Duluth, booking a room at Radisson Hotel Duluth Harborview Duluth may be a great decision. The guests of the hotel may stay in a nicely furnished, comfortable room in Duluth. In case you ever feel like eating in, you may taste delicious local dishes in the restaurant of the hotel. The bar provides a nice atmosphere for a romantic evening talk or a personal meeting. You can find the exact list of services provided by Radisson Hotel Duluth Harborview Duluth (including those for extra fees) and the exact equipment of the rooms on the information sheet below.
Payment Depending on the selected date, room and price, you may need to provide credit card guarantee or advance bank card payment to finalize your reservation.
Arrival, opening hours English is spoken by the personnel.
Radisson Hotel Duluth Harborview Duluth rooms Rooms
- Please select a date to see the proper prices!
Accommodation services
- Finnish sauna
- Jacuzzi
Pet friendly, Bar, Elevator
Own restaurant


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Mallory Gear Lube, Premium Blend 5 Gal. (1 Each) 9-82402
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This item is found in the following Product Families
Mallory Premium Gear Lubricant
Replaces Original Equipment Manufacturer # (OEM #):11546/2405
Special marine additive package provides superior lubricity and corrosion protection to protect gears and bearings under the demanding conditions of the extreme marine environment
- Exceeds all OEM specifications
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- Recommended for all outboards & stern drives gearcases requiring a marine GL-5 lubricant (except OMC/Johnson/Evinrude electric shift models, for these units use Mallory Marine "Type C" gear lubricant)
- Will not void engine manufacturers warranty!
Replaces Original Equipment Manufacturer # (OEM #):11546/2405
This product ships in 1 business day.
Add to Cart and enter your Postal Code to determine the shipping charges.
Most products and orders leave our warehouse in 1 business day. However, select items may take more processing time. Alaska and Hawaii orders please add 1 additional warehouse processing day.
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New to Trinity?
We are glad you are thinking of joining us at Trinity Episcopal Church and hope that you find experiences of joy and wonder, comfort and care. When you walk in the front door of the church you should make yourself known to the people at the Welcome Table in the narthex. They will be wearing Welcome nametags. They can orient you to our newly enlarged building.
Toward inclusion and membership
Join us for Worship: Service times, Church School, Music
Join us in community: Outreach, Those Who Serve
Join us in financial support: Give
By making yourself known at the Welcome Table, you will receive an invitation to a semi-annual luncheon at a parishioner's home, where you can meet and mingle with clergy, vestry, and other parishioners.
The Welcome Committee is especially glad to have new committee members who are also new to the church. See Lucy Rosborough for further information.
← That's Lucy on the left with her husband Brian!
• Arrange for a short meeting with one of the clergy or speak to one of them after a church service. They would like to get to know you and answer any questions you might have about Trinity or about membership. You may arrange a meeting by calling the church office at 978-369-3715.
• Worship with us regularly. We worship at 8:00 am in the chapel and 10:00 am in the main sanctuary on Sundays. Please join us for worship and for coffee hour fellowship following both services.
• Commit yourself as a member of the parish. Complete the Membership Information Form. The information is used to include you on our mailing list, record your birthdays and anniversary. You may opt to have any of this information kept confidential. If you have special interests or skills, we invite you to tell us that, so we may help you become assimilated into the life of the congregation.
• Participate in parish life. Join in one of the committees or ministries of the church (Outreach). Feel free to contact any of the chairs for more information. Time commitment may range from little, to a seasonal burst of activity, or a regular schedule. You could choose one that suits your needs and interests. The Welcome Committee particularly appreciates the views of members who are new to the parish.
• Offer your pledge for our ministry together. Once you claim Trinity as your church home, we encourage you to participate in the life of the parish by making a financial pledge or recordable gift in support of our many ministries. Prayerfully complete the Pledge Card either here on the website or fill out and mail to the church office a paper pledge card (available in the Church Office). Your pledge or gift is kept confidential. Christian giving has a Biblical foundation and continues to be inspired by gratitude to God. We give from generous and thankful hearts, recognizing that all is God's and that we are the stewards of God's bounty.
Please feel free to call the Church Office (978-369-3715) with questions or to receive additional information. You can fill out some forms from the website, but may wish to pick up paper copies, such as the Membership Information Form, and copies of Trinity's publications at the Church Office or at the Welcome Table.
We welcome all people on the basis of our Baptismal Covenant in which we promise to "see and serve Christ in all persons," and "respect the dignity of every human being."


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Here We Go Again Trailer (2010)
01 January 2010 54 mins
Here We Go Again DVD is DH Productions' twentyfifth DVD adventure. We will bring together the old and the new, from the Andes to the Appalachians. Fresh faced rippers team up with our stable of shredders, showing that no matter where you're at or who you are, it's all about havin' fun. While secret stashes and untouchable locations are nice, Here We Go Again. will draw upon DH Productions' DIY style and blue collar work ethic to feature rad spots all around the world - spots that are there for the taking. Look around you and see what you can find. This is our backyard sesh - where's yours?
Watch the official Here We Go Again 2010 trailer in HD below or find more Here We Go Again videos on Vidimovie.


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Studies show up to 15 percent of women between the ages of 20 and 60 have a sexual desire disorder. This interview with relationship experts Ian Kernerand Logan Levkoff discusses the new drugs being developed to help women with sexual dysfunction.
Visit NBCNews.com for breaking news, world news, and news about the economy
Related Reads


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$0 CARFAX Value
No Accident or
Damage Reported
No accident or damage reported to CARFAX
CARFAX 1-Owner
Purchased on 12/03/97 and owned in IL until 10/27/17.
Personal Use
Driven an estimated 2,199 miles/year.
Service History
Last serviced at 41,349 miles in Shannon, IL on 07/11/16 • Oil and filter changed • Fluids checked


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featured stallholders
market information
latest market update
market calendar
- 17 Dec Sunday 9am to 2pm
- 1 Dec Twilight Friday 4pm to 9pm
market hoursFriday 4pm to 9pm
market parkingVRC Parking $4 All parking is controlled by the VRC.
StallholdersView All Stallholders
regional weather
Thunderstorms. A few storms may be severe. High 27C. Winds NW at 15 to 25 km/h. Chance of rain 80%.
Saturday Night
Thunderstorms this evening giving way to periods of light rain late. Low 19C. Winds NNE at 10 to 15 km/h. Chance of rain 80%.
Showers and thunderstorms. A few storms may be severe. High 29C. NNE winds shifting to SW at 15 to 25 km/h. Chance of rain 80%.
market location
market brochuredownload
No Dogs
Dogs are not permitted in the market area.
about the market
We are pleased to announce the new dates for our fabulous Flemington Market.
Starting Back
August 27th, September 17th, October 15th, December 1st (FRIDAY Twilight 4pm-9pm) and December 17th.
This isn't any old craft fair, set at the iconic Flemington Racecourse, this market continues to evolve and grow, while still maintaining the Craft Markets philosphy of fresh, good value and above all great quality handmade products.
Go for a stroll through the stalls selling one-of-a-kind jewellery, skincare, scultpture, art, toys and homewares. Meet producers from all over Victoria selling freshly baked bread, gourmet sauces, jams, chutneys, hand poured chocolates, spice mixes, wine and more.
There's a perfect picnic area within the market, so grab
some goodies and spread out on the lawn.
If the beautiful gardens of the racecourse inspire you, be sure to stop past the plant stall on your way out and take home a pot of roses, or a terrarium for those not blessed with a green thumb!
Craft Markets Australia would like to show respect and acknowledge the Traditional Custodians of the Land, of Elders past and present, on which our markets take place.


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Neurofibromatosis type 1 is an autosomal dominant disorder affecting the ras proto-oncogene. It is characterized by the overgrowth of nervous tissue and skin discoloration. While it is associated with a variety of phenotypic presentations, it is the plexiform variant that is particular concerning, as it can become extremely disfiguring and has a propensity for malignant degeneration.
A case of a Pacific Islander with a large plexiform type 1 neurofibroma is presented. The patient was ultimately treated with surgical resection, negative pressure wound therapy, and split-thickness skin grafting with good results. A review of the literature concerning the diagnosis and treatment of neurofibromatosis is included.
Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder affecting the ras proto-oncogene, resulting in growth of nervous and fibrotic tissues.1 It has a variety of clinical presentations ranging from benign café-au-lait macules to malignant degeneration of plexiform neurofibromas. The hallmark neurofibromas can grow large in size and result in significant disfiguration. Currently, outside of clinical trials, treatment is limited to surgical resection.2
A 19-year-old man was referred to our institution from the Republic of the Marshall Islands via the Pacific Island Health Care Project for evaluation and treatment of a large mass of the back and buttock (Fig. 1).3 The mass had been present since birth and had been progressively enlarging over the past several years. The patient reported embarrassment over the disfigurement caused by the mass.
Physical examination revealed a soft tissue mass of the back that extended from the tenth thoracic vertebra to the inferior gluteal clefts. The mass had hyperpigmentation, corrugations, and neovascularization. No additional neurofibromas or café-au-lait spots were noted. Neurological examination was normal. CT scan images demonstrated the mass to be confined to the subcutaneous tissues, without extension into the underlying musculature.
The patient underwent a radical resection of the mass. The superfi cial margins were the tenth thoracic vertebra superiorly, laterally to the anterior abdominal wall, and inferiorly to the gluteal clefts. The deep resection margin was the paravertebral fascia. The wound was initially managed with negative pressure wound therapy, and once a bed of healthy granulation tissue was created, autogenous skin was harvested from the upper back and grafted to the granulation bed. Two weeks later, excellent graft take was noted (Fig. 2) and the patient returned home.
Neurofibromatosis type 1, also known as von Recklinghausen's disease, is an autosomal dominant disease with an incidence of 1 in 2,600 to 3,000 individuals. It has equal distribution between men and women and in one half of patients there is a family history of neurofibromatosis.4,5
The disease results from a mutation of the NF1 gene on chromosome 17q. The gene codes for neurofibromin, a 260 kDa ubiquitously expressed protein found throughout the body.6 The protein has both structural and functional similarity to guanosine triphosphatase - related proteins that are involved in the regulation of the protooncogene ras. Therefore, it has been speculated that the function of the NF-1 gene may be related to its ability to modify ras-mediated cell proliferation.6 Mutations of the gene have highly variable phenotypic expression, resulting in a heterogeneous presentation.7 The hallmark of NF1 is the hyperpigmented cutaneous lesions. Diagnostic criteria were developed by a National Institutes of Health consensus conference in 1987 and refined by a second conference in 1997 (Table 1).8 Few if any patients, however, will manifest all of the clinical features. In fact, for nearly one-third of patients the clinical diagnosis will be made based on a family history and the presence of only one of the six characteristic physical features.8
Various subtypes of neurofibromas have been described based on histologic appearance and location. These include the cutaneous, subcutaneous, nodular, and diffuse plexiform variants.19 The former two arise from the distal end of the nerve and are localized to the cutaneous and subcutaneous skin layers respectively. Nodular neurofibromas arise from the proximal nerve root and are often found growing within organs. Finally, the diffuse plexiform variant involves long segments of multiple nerves. This is in contrast to the other 3 types which rarely if ever involve long segments of the nerve or the axon itself. Additionally, this variant can be found in any histologic layer of tissue where nerves are present.
The plexiform variant of neurofibromatosis represents a major cause of morbidity and disfigurement. Approximately 20–44% of individuals with neurofibromatosis type 1 develop plexiform neurofi bromas.9 Plexiform variants are slow-growing tumors, which may be present at birth or develop later in life. These lesions are composed of an overgrowth of neural elements of tumor and connective tissue that infiltrate normal tissue. They can be superficial (affecting the skin and subcutaneous tissue) or deep (affecting visceral and adjacent tissues through occluding or obstructive mechanisms). They arise in various regions of the body, including the trunk, limbs, head, and neck. In a study of 126 individuals 16 years of age or older with NF1, plexiform neurofibromas were found in the chest of 20% of patients and in the abdomen and pelvis of 44 %.9 This particular variant of neurofibromatosis is especially concerning as it has a 20% risk for malignant degeneration into peripheral nerve sheath tumor.1,10 Furthermore, these spindle cell sarcomas tend to be poorly responsive to therapy, are frequently metastatic at the time of diagnosis, and are associated with a 28% 5-year survival.11
No specific treatment for plexiform neurofibromas currently exists, aside for surgical resection. Clinical trials examining conventional chemotherapeutic agents, antifibrotic agents, and other biologic therapies have had mixed results. Pirfenidone, an antifibrotic agent, has been shown to inhibit survival of human neurofibroma xenografts in mice, but human trials have been less promising.12 In adults, pirfenidone has been shown to decrease the size of the neurofibroma by up to 15% in a minority of patients, however, these results were not sustained at 24 month follow up.13 A phase one trial in pediatric patients had similar disappointing results.14 Thalidomide, a Tumor Necrosis Factor-alpha inhibitor, has also been tested with poor results. In a trial of 20 patients, 67% showed no change in tumor size after 1 year of treatment and the remaining patients had a less than 25% reduction in tumor size.15
In light of the poor results from medication trials, primary therapy continues to be complete surgical excision of the neurofibroma. This can be a challenging procedure as the lesion may involve multiple nerve fascicles, with serpiginous growth and significant vascularity.16 Indications for resection of plexiform neurofibromas include cosmesis, intractable pain, neurologic deficit, suspected malignant transformation, and progressive enlargement with compressive effects.17 Even with surgical excision, plexiform neurofibromas have a recurrence rate of 20%.18
In summary, there are several types of neurofibromas including: cutaneous, subcutaneous, nodular, and diffuse plexiform. The cutaneous neurofibromas are benign soft, fleshy lesions that are most concerning for cosmetic reasons. In contrast, subcutaneous neurofibromas are firm and tender lesions that can cause pain and neurological deficits. However, the plexiform variant is the major cause of morbidity and disfigurement. Unlike the other variants, plexiform neurofibromas carry an increase risk of malignant peripheral sheath tumors. These tumors typically arise from preexisting plexiform lesions, metastasize widely, and present with poor outcomes. The treatment for this variant of neurofibromatosis is complete excision of the malignant peripheral sheath tumor with palliative chemotherapy.
The views expressed in this manuscript are those of the authors and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the US Government.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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Payday loan companies have popped up all over the country and the internet in recent years. While the idea of a cash advance on a future paycheck may seem like a good one, the fees, interest rates and rules that these companies use make it difficult for people to pay off the loan in one pay cycle. In many cases, a person who uses a payday loan ends up rolling the loan over time and again. Rolling the loans over from one month to another will result in a borrower paying an enourmous amount of fees by the time that the original loan amount is satisfied. Though payday loans can help those in a bad situation to obtain some much needed cash, there are a number of alternatives to payday loans that offer less cost and less risk to the borrower.
Personal Loans
Personal loans are the best alternative to payday loans. Personal loans have much lower interest rates and more favorable repayment terms. However, a person must have at least a decent credit score and average income to obtain a personal loan. Personal loans are available from most banks, credit unions and other financial institutions.
Creditor Negotiation
One of the most overlooked ways to deal with a pressing financial need is to seek assistance from the creditor. In many cases, creditors will allow a person to make a late payment, skip a payment or make some other arrangement. Simply calling a creditor and asking what options are available can help a person to gain the time needed to make a payment without the use of a payday lender.
Credit Card / Cash Advance
Credit cards typically have high interest rates when compared to a bank loan, but the rates on credit cards are far lower than the rates from a payday lender. Credit card cash advances can be used to make payments to creditors who accept cash only. In addition, credit cards have much better repayment terms than a payday lender.
Pawn Shops
Along with the proliferation of payday loan lenders, pawn shops have also become more common in many areas of the country. Pawn shops loan money against items of value that they hold in their possession. At the end of the loan term, generally 30 days, the borrower repays the loan, pays interest on the loan and regains their item. If they are unable to pay, they can either pay only the interest to extend the loan for another month or the pawn shop simply takes possession of the item. While pawn shops also charge high interest rates, they generally are not as high as payday lenders. In addition, the worst case scenario with a pawn loan is losing possession of the pawned item. Pawn shops also buy items outright. For those with items to sell, selling things to a pawn shop is a great way to obtain cash quickly.