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Wednesday, October 1, 2008
Shane Hmiel Returns To NASCAR...Almost
The nationally syndicated TV series Three Wide Life has been undergoing some major renovations. Just like many NASCAR teams outside of The Chase, the producers of this TV show are making changes now with an eye for 2009. One of those changes is the addition of Shane Hmiel to the line-up.
Producer Parker Williams has reached-out to Hmiel, who is currently driving Sprints, Midgets and Silver Crown cars in various series with a new outlook on life. Click here for an article by SI's Tim Tuttle on how Hmiel got his life together.
NASCAR used to have many national and regional TV series that served different purposes and aired across various areas of the country. Since the time that NASCAR consolidated its race footage and TV production, those shows have faded from the landscape.
Three Wide Life is an effort by an independent group to concentrate on interviews and conversation with NASCAR personalities. They are looking for the kind of behind-the-scenes perspective that cannot be conveyed on shows like RaceDay and NASCAR Now.
Three Wide Life has also added local Charlotte writer and reporter Brittney Cason as the new host. Originally, the current "Miss Sprint" Monica Palumbo was being considered for this role but things did not work with her current employer. Cason is a graduate of Virginia Tech and has been working on a variety of media-related projects in the Charlotte area over the past several years.
While Cason will be hosting the show, Hmiel will be featured in a very different way. As the Producer, Williams made contact with Hmiel to get his perspective on the current NASCAR scene. What he found was a clean and sober Hmiel happy to participate.
In the first new episode airing this week across the nation, Hmiel speaks-up about what he has been doing and how his new life is going. Viewers will be able to send email questions to Hmiel and he will be answering them on each episode. It should be interesting to hear Hmiel's point of view on topics ranging from Kyle Busch to The Chase. Hmiel is a person who has literally grown-up in NASCAR because of his father, Steve.
Cason will host this episode from the Richard Petty Driving Experience over at Lowe's Motor Speedway. Her feature interview is with Rick Wren, who is Ron Hornaday's crew chief in the Craftsman Truck Series. Excellent selection. There will also be a segment with Brit Goodrich from Penske Racing who talks about his pit crew role with Talladega on the horizon.
DirecTV and radio reporter Tony Rizzuti will also appear in the show with a segment called Tech Zone. Rizzuti will be speaking with veteran engine builder Keith Dorton. Topics should range from Dorton's experience with both NASCAR and the Hooters Pro Cup Series to shared memories of his late brother Randy.
To top it all off, Cason visits with IRL driver Graham Rahal, the youngest winner in IRL history. Bobby's son shares his thoughts on the current state of the unified IRL and racing in general.
This is an ambitious agenda for the re-vamped show. Since there are almost no independent TV series covering NASCAR in the marketplace today, it should be interesting to see just how Three Wide Life does over the next several months.
Click here for the Three Wide Life website that has details on where the show airs across the country.
The Daly Planet welcomes comments from readers. Simply click on the COMMENTS button below and follow the easy instructions. The rules for posting are located on the right side of the main page. Thanks for taking the time to stop by.
29 comments:
- Dustin said...
That title was just a little misleading lol
- October 1, 2008 at 3:58 PM
- Daly Planet Editor said...
It's a TV blog dustin! :)
- October 1, 2008 at 4:02 PM
- red said...
ok, so i read the entire article, nodding to myself and saying "yes! yes! yes!" as i read a description of the show. then i eagerly linked thru to the stations carrying it and . . . the SOLE station in PA carrying this will be in johnstown?!? nothing in the philly market? nothing in pittsburgh? seriously?
i am so discouraged. it sounds like a great show and, although i may be in the minority, i'm very pleased that hmiel will be involved.
but i won't be able to watch. any suggestions, jd?
- October 1, 2008 at 4:26 PM
- Anonymous said...
I looked at the airings in Baltimore, hoping that I would be able to catch it. So the first thing I saw was that it was scheduled against the Cup race on Sunday. I went to the stations web sites. The Fox station has a football game at the time listed, and the other station is showing a movie.
- October 1, 2008 at 4:55 PM
- Anonymous said...
Oops. I just posted about the Baltimore stations. The Fox station is showing Bullriding at the appointed time.
And I just posted this in the wrong comments too. Not a good afternoon.
- October 1, 2008 at 4:59 PM
- Karen said...
Tallahassee? That's it in Florida?
C'mon. Sunsports is here in Fl. JD, you and I won't be able to see it.
P.S. I like Shane Hmiel, too, and will even more if he's cleaned up his act.
- October 1, 2008 at 5:13 PM
- Anonymous said...
So...choose a guy who has been banned from NASCAR - for life - to commentate about the current drivers and races in NASCAR. And gosh, he's gonna answer our emails too!
Who is the rocket scientist who thought of this?
Uh-huh. Why would a sensible person care what Shane Hmiel thinks about anything? Good for him for recovering and all - I would never wish addiction upon anyone. But I don't need his expert (ha!) NASCAR racing analysis, unless he wants to compare the old NASCAR drug policy to the new one. And since he failed drug tests three times and was presumably high most of his NASCAR career, I just think and his old impressions would be questionable and he's not in the NASCAR garage, so how current would his new impressions be?
I swear, the quality of NASCAR TV gets worse every year - no lie.
- October 1, 2008 at 5:16 PM
- Daly Planet Editor said...
The whole point of getting some exposure for this program is to add some additional distribution.
I am going to nudge them toward an online viewing option, but they are still sorting out the station and Regional Sports Network grids.
It is on Sunsports in Florida and I have asked them to update the RSN listing as well.
Anon 5:16PM,
Who thought Jimmy Spencer would be on two national TV programs every week on SPEED?
The way TV works is you try to find interesting personalities that add a unique point of view.
Hmiel was brought up in the sport and still a family actively involved. Maybe if you would take a moment to read the SI article contained in the column, it would help you to understand the source of his previous problems.
- October 1, 2008 at 5:22 PM
- alex said...
I hope Shane is successful and can do well in this show. I was a fan of his and anything he can do to get closer to Nascar and improve his standing in their eyes is good news. Good luck to him.
- October 1, 2008 at 5:43 PM
- Anonymous said...
Happy to see Shane is getting his life back in order and is doing well. But NASCAR better not lift its lifetime ban on Hmiel. Three strikes and you're out. To get caught 3 times in a row is unacceptable and he should have done more with his bi-polar issue before he got back into NASCAR to ensure he wouldn't go back to his old ways. I wish him the best on his new show.
- October 1, 2008 at 5:53 PM
- VA NASCAR FAN said...
Thank you for pointing us to the SI article. Good luck to Mr. Hmiel, but I'm troubled by this portion:
Hmiel, who works for Billy Ballew Motorsports' Craftsman Truck team, doesn't believe NASCAR needs to change its drug testing policies.
"I think they do a fine job now," Hmiel said. "Everything they test, they bust. Reasonable suspicion works fine. Several guys have done it and several guys got busted. NASCAR is doing a fine job. Every time they test someone, they come back positive. They know what they're looking for."
Aaron Fike was the latest NASCAR driver suspended for violation of the substance abuse policy, admitting last week that he used heroin before he drove his final race last year.
"I think Aaron was in a bad place, too, and he's in a good place now," Hmiel said. "He's been honest. He's living proof we all make mistakes."
Doesn't Mr. Hmiel know the police caught Mr. Fike at an amusement park? NASCAR didn't know. Mr. Hmiel was caught three times. The second and third time, did NASCAR catch him the very first day he started using again? Or was it a few months into him relapsing?
I'm not sure I find him credible after reading his opinion on drug testing. But I do remember him having a very fiery personality, so perhaps he'll do well on television.
I'm also troubled by the simple fact that because he's "family" Mr. Hmiel gets yet another chance for racing from one of his dad's friends. And a television show. Lots of struggling racers get left behind in NASCAR's culture of nepotism: I know a few of them from my area. They have talent, but little money or connections.
- October 1, 2008 at 6:03 PM
- Daly Planet Editor said...
VA NASCAR fan,
I really don't think that question makes a lot of sense for Hmiel to answer.
NASCAR's own expert had to be persuaded by the pressure from the drivers after the Fike interview with ESPN.com to make the change.
NASCAR was content to hide in its shell.
- October 1, 2008 at 6:06 PM
- Anonymous said...
Why in the world does this show choose a driver who has been banned from the sport to talk about it?
Couldn't they get anyone else?
All this will do is alienate fans who know Hmiel's background and don't want to see him profit from NASCAR in any way. What he did was wrong. Wrong, wrong, wrong.
I also agree that if he didn't have a family connection with NASCAR, he'd be out entirely.
Which is where he belongs.
- October 1, 2008 at 6:13 PM
- Anonymous said...
I really don't think that question makes a lot of sense for Hmiel to answer.
But from what you wrote in your column, the reason for Shane to be on the show is to comment on NASCAR.
If he's not the right person to comment on the drug policy, who is? He gave an answer he appears to believe in, which is what I assume the show hired him for. What else is he qualified to comment on? He doesn't race in NASCAR and hasn't for a long time. I don't care who he's related to.
Count me out on this show. I didn't even check to see if it's shown on one of my channels.
- October 1, 2008 at 7:21 PM
- Dot said...
@Anon 6:13, I totally agree with you.
Does being bi polar make one disrespectful? Remember the incident with DJ when Shane flipped him off? That's what did it for me. Not that I liked him before that.
Even if the lifetime ban is lifted, what team would hire him? His NASCAR days are over, regardless.
- October 1, 2008 at 7:23 PM
- Daly Planet Editor said...
If you take a moment to read the article linked in my column you might come away with a very different opinion.
- October 1, 2008 at 7:47 PM
- Newracefan said...
I wish him well, not sure I would like to see him back in Nascar but I do not begrudge him making a living in racing as long as he stays on his bipolar meds and off the illegal/inappropriate use ones.
Hopefully the show will expand to other markets because I would love to see it.
- October 1, 2008 at 9:28 PM
- Dot said...
I reread the story. I guess being bi polar is a disease that made him do drugs and act like an a$$. He said that he was out of control. Now that he takes the correct meds, he's just fine. Why doesn't NASCAR reinstate him?
NASCAR didn't ban Bobby Hamilton from racing when he was ill. Ted Musgrave was still driving while dealing with his disease. Not sure if Steve Wallace takes anything for his Tourette's, but he's driving.
Shane should jump on the NASCAR lawsuit band wagon.
- October 1, 2008 at 11:53 PM
- yankeegranny said...
Having taught bi-polar students for many I can testify that: yes if you are off your meds you will act like an a$$, be mean and nasty and not be fit to be around. Dr Jeckyll and Mr Hyde is a good description of the bi-polar personality and a great number of them do end up using hard drugs as a way of coping. I never heard a lot about Shane Hmiel, but if he can trace hais addiction back to being bi-polar, why not give him another shot at the big time if he is really clean?
- October 2, 2008 at 7:54 AM
- Deborah said...
I think there might have been better choices than to go with Hmiel but being banned for testing positive for drug use doesn't mean that Hmiel doesn't have valid opinions on racing or Nascar. He does have knowledge about the sport. Just because he did something wrong doesn't mean that he should be written off forever from anything to do with the sport, though I do think that he shouldn't be allowed back as a driver.
- October 2, 2008 at 8:45 AM
- Anonymous said...
Everyone has a right to make a living but don't they want a recovering person to remove themselves from the surroundings which put them at risk in the first place? As for him being bi-polar I know from having dealt with a family member who is bi-polar any use of alcohol or drugs just supercharges the condition and if off medication makes them very very to deal with. Extreme aggression, combative or manic behavior and sometimes suicidal tendencies are just some of the symptoms displayed and not a great recipe for a long successful career in motor sports. It is however treatable problems most often occur when the individual decides on their own they don't want or need the medication and simply stop taking them just as in any drug there are side effects this will almost always lead to relapses on all fronts. If Mr. Hmiel has extremely good support group around him he can function and succeed as well as anyone. He must however understand this is something that will be with him the rest of his life. Any use of drugs or alcohol are things he will not be able to ever let occur again. He should however not be in denial and should have been more supportive of any new drug testing policies Nascar proposes or introduces when they finally get beyond their own denial. I wish him well in the future, it is a condition as I said I've had to deal with within my family and it can be very hard long road to recovery and will test the resolve of any family or group.
- October 2, 2008 at 10:42 AM
- penny said...
JD just wanted to let you know that I'm also in florida ,( Tampa Bay area ) and #wide life was on the Sun Sports Channel last night ( Wednesday @ 11 pm ) , also just watched another show of 3 wide life on Sun Sports at 1 pm this afternoon. After checking Sun Sports schedule it is on at a few different times during the week. So if anyone is intrested they can check the sun sports schedule to see when it is on.
- October 2, 2008 at 2:57 PM
- Karen said...
penny said...
JD just wanted to let you know that I'm also in florida ,( Tampa Bay area ) and #wide life was on the Sun Sports Channel last night ( Wednesday @ 11 pm ) , also just watched another show of 3 wide life on Sun Sports at 1 pm this afternoon.
Penny, was the show worth trying to find? I still haven't found it.
- October 2, 2008 at 6:17 PM
- darbar said...
BTW, those with DirectTV can find the SUN channel on 653. You have to have an extra subscription to the Sports Networks package in order to receive it. I just checked and the next showing of 3 Wide Life is Monday at 12am Eastern.
- October 3, 2008 at 4:33 PM
- Anonymous said...
JD....why all the pub on a independent, second-rate show that will be invisible from the time it hits air?
I know that you are beholden to ESPN and SPEED, since 99% of your commentary revolves around those two entities....but there are plenty of "legitimate" shows/networks that you simply refuse to mention, like FSN's "Around the Track" show, Joe Moore's "Raceline", etc....
Broaden your horizons!
- October 5, 2008 at 9:21 AM
- Mike said...
I'm glad for Shane. I'm from the same area as he, and see him out and about rather often. He has settled down with a cute girl which a friend of mine knows pretty well. I hear she's a good girl who would never put up with his past decisions & actions, so she's apparently been keeping him in line rather well. Every time I see him out he seems to be a much happier person, and he definitely seems to be living a better life!
I think he deserves another chance at NASCAR. Plenty of people say 'Well, he had three, and that's enough', BUT, this was all before he was diagnosed as bi-polar, and as many articles have said, as well as many comments on this page, that's not only a hard disease to overcome & live with, but it also makes it difficult for a person to make correct decisions when dealing with their life. I have to agree with Dot, and I hope Shane does take legal action with Nascar-it would be worth the try I would think. He was a great driver back in his day, and I'm sure he hasn't lost the talent!
I'm excited for the new show, and I hope it's a hit!
- October 8, 2008 at 1:14 AM
- Anonymous said...
For all of these comments about Shane: he obviously should never be anywhere close to NASCAR again, and please don't respond with a "please read the article" BS. I feel he is full of excuses as well as himself. And the new host, Brittney Cason- where is Emily? Or even Monica? Brittney was all over the place, didn't know what to do with her hands or body, and made me wonder why I was curious enough to watch in the first place. It was very obvious she has had absolutely no television experience whatsoever. Brittney Cason sucked. Producers: start the hiring machine up again.
- October 12, 2008 at 3:30 AM
- Anonymous said...
Yeah, the new host is horrible. Talks like she's 12 and flipped her hair about 4 times in the span of 30 seconds in one show. Haven't heard very good things about her. The show could be good, but I seriously can't watch it with this new host. Also don't get the whole Shane Hmiel thing at all.
- October 31, 2008 at 2:21 PM
- Anonymous said...
Shane is not bi polar he is just a coke head. Wonder how much his father paid that doctor.
- August 10, 2009 at 2:41 AM

subset: commoncrawl


text:
For the first time in 13 years, the Food and Drug Administration has approved a new drug to help people lose weight.
The FDA gave the green light to Arena Pharmaceuticals to sell Belviq, or lorcaserin generically, a twice-a-day pill that suppresses appetite and appears to affect metabolism by influencing levels of the brain chemical serotonin.
"Obesity threatens the overall well-being of patients and is a major public health concern," Janet Woodcock, director of the FDA's drug center, said in a statement. "The approval of this drug, used responsibly in combination with a healthy diet and lifestyle, provides a treatment option for Americans who are obese or are overweight and have at least one weight-related comorbid condition."
The drug was approved for obese people (those with a body mass index of 30 or more) and overweight people with a BMI of 27 or more who also have at least one weight-related health condition, such as high blood pressure, Type 2 diabetes or high cholesterol.
In studies sponsored by Arena, about half of patients taking Belviq lost about 5 percent of their body weight after a year. The most common side effects include headache, dizziness, fatigue, nausea, dry mouth, and constipation.
The FDA had rejected the drug in 2010 after a panel of experts advised the agency to give it a thumbs down because of safety concerns. Early studies indicated the drug might cause tumors in rats and possibly heart problems in people. Lorcaserin works the same way as one part of the fen-phen diet pill combination that was pulled from the market in 1997 because it caused heart valve damage.
But the company submitted new data aimed at alleviating those concerns, and the same panel endorsed approval in May. Some panel members, however, again expressed concerns about the drug's safety, especially the heart problems, as have some consumer advocates.
"Faced with this serious concern, it would be dangerous and unconscionable for you to allow the FDA to disregard the available evidence and subject large numbers of obese patients, already at risk for cardiovascular disease, to the added risk of damaged heart valves," wrote Sidney M. Wolfe of the Public Citizen Health Research Group, in a letter to FDA Commissioner Margaret A. Hamburg.
Arena will be required to conduct six additional studies to monitor the drug's safety, including one specifically designed to examine cardiovascular risks, the FDA said.
The company told Shots it doesn't yet know the price for Belviq or when it will be available in pharmacies.
Late Wednesday, Arena CEO Jack Lief said on CNBC that Belviq would cost about the same as a Starbucks venti latte in New York. TheStreet.com reported the drug is expected to be available in pharmacies in four to six months.
The agency has been under pressure to make it easier for weight-loss drugs to get to market. More than two-thirds of Americans are overweight, including about one-third who are obese.
Despite millions of dollars in research, only a handful of government-approved weight-loss drugs are on the market, and only one, Orlistat, can be used long-term. The FDA hasn't approved a new weight-loss drug since Orlistat came on the market in 1999. Although it's now available without a prescription under the name Xenical, that drug isn't all that effective and can cause unpleasant side effects, most notably diarrhea.
The once-popular weight-loss drug Meridia was pulled from the market in 2010 because of concerns about heart attacks and strokes.
In February, FDA advisers also recommended approval of Qnexa, another weight-loss drug. The FDA had rejected Qnexa in 2010 because of concerns about heart problems and birth defects.
But Vivus, maker of Qnexa, submitted additional data aimed at alleviating those concerns. In April, the FDA said it was delaying a final decision on Qnexa until July 17. Qnexa is a combination of two drugs that are already on the market: phentermine, a stimulant used for short periods to help control weight, and topiramate, which is used for migraines and seizures.
This is MORNING EDITION, from NPR News. I'm Linda Wertheimer.
And I'm Renee Montagne. The Food and Drug Administration has approved the first new weight-loss drug in 13 years. That decision comes after a series of disappointments in the hunt for new ways to help seriously overweight people lose that weight. NPR's Rob Stein reports.
ROB STEIN, BYLINE: The new drug is called Belviq. It works by triggering a switch in the brain that ends up suppressing appetite. Abraham Thomas. at the Henry Ford Hospital in Detroit, led a panel of experts that reviewed the drug's safety and effectiveness for the FDA.
DR, ABRAHAM THOMAS: On average, in most patients, it caused about 5 to 8 percent of weight loss. Some patients lost more than 10 percent.
STEIN: Based on that, the FDA approved Belviq for two types of patients - people who are obese, meaning they have a body mass index of at least 30; and people who are just very overweight but also have at least one health problem, like high blood pressure, high cholesterol or Type 2 diabetes. James Zervios is with the Obesity Action Coalition, which has been pushing for new weight-loss drugs.
JAMES ZERVIOS: There's 72 million adults affected by obesity. Now, they have something to look at, to combat this disease.
STEIN: With the obesity epidemic raging out of control, there haven't been many options. The last weight-loss drug the FDA approved, in 1999, doesn't work very well, and it has side effects. Diets and exercise only help a little. Surgery works, but it's pretty much a last-ditch option. Scott Kahan is at the George Washington University.
DR. SCOTT KAHAN: Of course, healthy eating and physical activity, is an important strategy. But on its own, that's not enough. We've been trying that for decades, and obesity rates have only increased.
STEIN: But not everyone is pleased by the FDA's decision. The big worry is safety. The FDA had rejected Belviq once before, because of safety concerns. The main worry is that it might damage people's hearts. Sidney Wolfe is with the Public Citizen Health Research Group, a consumer advocacy group.
DR. SIDNEY WOLFE: Some doctors who are treating people who are overweight - and unfortunately, the FDA - are so desperate that they seem to be throwing caution to the winds.
STEIN: Wolfe pointed out that earlier weight loss drugs, like fen-pfen and Meridia, were both pulled off the market for causing heart problems. And Belviq is similar to fen-pfen in some ways.
WOLFE: The history of diet drugs in this country is a grim history; of one after another coming on the market, and then having to be taken off the market after the damage that they cause was suspected.
STEIN: But the FDA concluded that the benefits of the drug outweighed the risks, which so far seem generally minor. Proponents argue that the FDA's decision marks an important shift when it comes to weight-loss drugs. They're not just diet pills that people take for cosmetic reasons. They're needed to treat a serious disease. So like drugs for heart disease and cancer, some risks might be acceptable. James Zervios again, with the Obesity Action Coalition.
ZERVIOS: This is a serious epidemic, and we have to do something about it. And I think that message is finally beginning to penetrate. This is about health. This is not a cosmetic issue.
STEIN: Abraham Thomas, who headed the FDA panel, agrees.
THOMAS: There's no medication that is 100 percent safe. And what we're trying to do is balance the risks of the medication versus the benefits of treating obesity.
STEIN: The FDA is requiring the company that makes Belviq to conduct six additional studies, to see if the benefits for treating obesity do, indeed, outweigh any risks.
Rob Stein, NPR News. Transcript provided by NPR, Copyright NPR.


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John Kimmins - 2010
The first President's Award was presented at the July 2010 bi-annual meeting of the National Dance Council of America in Dallas, TX to President, John Kimmins and Chairman, Philip Masters of Arthur Murray International.
The leadership of Arthur Murray International through its board of directors has done more for dancing worldwide than any other dance organization and we are extremely grateful for their generosity. On behalf of the National Dance Council of America and our dancers, we thank you for all you've done.
John Kimmins received the award on behalf of Arthur Murray Interenational from NDCA President, Brian McDonald.


text:
Valued at $399.99, this wonderful machine features an external adjustable stainless steel slicing disc, dual shredding disc, a large 13-cup leak-proof work bowl, along with a chef's bowl and mini bowl, an ultra-wide mouth feed tube that adjusts to three different sizes to accommodate foods of varying sizes, including whole potatoes and cucumbers, 17 precise food processing options for speed-controlled slice, shred, chop and puree functions, plus three maximized slice, shred and puree/chop blades, and bonus dough, egg whip and julienne blades and 4-speed functions.
Convenient, sleek, and perfectly suited for all of your cooking preparations. This is my own Christmas wish, though I don't qualify for the giveaway that one of my lucky readers does.
I always enjoy making hummus and a trusty food processor works much better than a blender. You might wish to try this tasty dip:
Hummus with Sun-dried Tomatoes, Goat Cheese and OlivesYou might also want to try this Holiday Slaw recipe from KitchenAid:
1 cup of dried chickpeas
5 - 6 sun-dried tomatoes
1/2 cup of pitted black olives, chopped
a few generous scoops of goat cheese
2 cloves of garlic, peeled and finely chopped
1 1/2 teaspoons of sea salt
juice from 2 fresh limes
2 - 3 tablespoons of tahini
1 teaspoon of ground cumin
1/2 teaspoon of cayenne
1 teaspoon of sugar
1 tablespoon of olive oil
2 tablespoons of parsley or cilantro, chopped, for garnishing
Soak the chickpeas overnight in enough water to cover. Drain, transfer to a medium saucepan, cover with water, bring to a boil, reduce to a simmer and cover and cook until the beans are soft - roughly 1 hour. Drain and set aside.
Soak the sun-dried tomatoes in hot water for 20 minutes. Drain, reserving the soaking liquid.
In a food processor, combine the cooked chickpeas, sun-dried tomatoes, olives, garlic, salt, lime juice, tahini, goat cheese, cumin, cayenne, sugar, olive oil, 1/4 cup of the reserved liquid from the sun-dried tomatoes and a bit of parsley or cilantro. Puree until you have a thick paste.
Garnish with the remaining parsley or cilantro.
Serves 4-6.
½ large green cabbage, cored
1 small fennel bulb, trimmed
8 large red radishes, trimmed
6 green onions, trimmed
1 green pepper, cored
1 cup (250 mL) dried cranberries
½ cup (125 mL) white wine vinegar
cup (75 mL) each oil and maple syrup
2 tbsp (30 mL) lemon juice
1 tbsp (15 mL) Dijon mustard
¾ tsp (4 mL) salt
Cut the cabbage into 5 or 6 wedges. Position the adjustable slicing disc in the work bowl and, using the thin setting on high speed, push the wedges through the feeding tube. Transfer to a large bowl. Switch to the coarse side of the reversible shredding disc. Cut the fennel into quarters. Push the fennel and radishes through the feeding tube; add to the large bowl.
Cut the green onion and green pepper into chunks. Use the multi-purpose metal blade to chop finely. Add to the cabbage mixture. Combine the cranberries, vinegar, oil, maple syrup, lemon juice, mustard and salt in a small saucepan set over medium heat; bring to a boil. Pour over the cabbage mixture and toss to coat. Chill for at least 1 hour or up to 4 days. Makes about 12 cups (3 L).


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Wednesday, 12 March 2008
Good nutrition is vital. People who have inadequate intake of diet and fluid do not get better. They deteriorate. They are at risk of impaired skin integrity. Wounds do not not heal as well when one is malnourished. I have seen renal failure, electrolyte imbalances, dry cracked painful lips, mouths and tongues on elderly people who are not given drinks. They are so confused that they often pull out their IV cannulas making hydration via IV fluids impossible. I have seen frail
elderly people get even skinnier in hospital to the point that they appear to be skin and bones. Pressure sores form. You can see muscles and bone as the sore is so deep. The become more disorientated. Renal failure courtesy of dehydration. They suffer. It sucks. It should never happen yet it frequently does.
We are constantly interrupted every thirty seconds during mealtimes. Everyone from relatives to pharmacy to doctors to physio does this. The registered nurses at my facility all got together and got on management's case. We pushed for protected meal times. We fought hard. Let's take the evening meal for example: At 6PM the domestics bring the food trolley out and it is the job of the nurses along with the help of the care assistants to get dinner served to every single patient. There are 25 patients and because we are a medical ward that has a high number of elderly patients most of our people are either too sick to feed themselves or too confused to just too old. Usually we have anywhere between 8 and 20 people who are identified as feeds. Each patient takes about 20 minutes to feed. Some are faster and some are slower but we will work with the average. Many have no appetite.
If I take 2 patients that is 40 minutes down. The other nurse takes 2 patients and that is 40 minutes down. The first HCA takes 2 patients and that is 40 minutes down. The other HCA tries to feed 2 but also tries and manage all the people asking for the toilet, ringing the bell during this time. There are 2 Registered nurses and 2 care assistants for 25 patients IF WE ARE LUCKY.
That means that the best case scenario is that 40 minutes after the trays have been dropped onto the bedside table only 6 people have been fed and the rest have had trays sat in front of them going cold for 40 minutes while they stared at it. And remember that the phone is ringing off the hook at this time and we have no ward clerk. Remember that pharmacy is showing up with controlled drugs and demanding that a Nurse instantly stop what she is doing to check those narcotics in....god forbid if the precious pharmacist gets delayed or GASP has to do it herself.
The example I wrote above is best case scenario. It really is. But the reality is this: People will become extremely unwell around mealtime unexpectedly causing me to have to haul some serious ass and stay focused on them in order to carry out the doctors orders and not harm them. If that situation occurs the doctor is going to have a shit fit if I leave him and his patient to run off and feed people. That leaves 2-3 to try and cope with all the feeds, and everything else.
The phone rings non stop during mealtimes. Non-fucking stop. We can thank the relatives for that as they get 5 people to ring for the same patient every hour. If you ask them to get one person to ring once day in order to minimize the nurses having to spend all shift running to the phone every 2 minutes they become nasty, abusive and most of all paranoid....accusing us of not wanting to share information. They also like to spend ages giving their dysfunctional family history i.e. "5 different people have to ring because so and so doesn't speak to so and so".
Ringing a ward during mealtimes when your loved one is stable and you have already rung 5 times during the day is very disruptive. The phone is a hell of a long walk away from the patients and the food trolley. I no sooner put the phone down and start the trek back up to my patient before the damn thing rings again. You have no idea how many problems we have with this. No goddamn wonder they have trays out of reach and food gets cold. If the patient is frail and confused we may leave the tray out of reach whilst hoping to get back and feed him in good time. Leave the tray where he can get it and he will choke himself and throw it onto the floor. We have to hand all the trays out before we can go back and feed. Have to. Without interruptions this takes 25 minutes. With all the usual interruptions it takes longer.
I can ignore the phone and try to carry on but the last time I did that management got a complaint from a relative about us not answering the phone for an hour and we got a disciplinary. No they won't fucking pay for a ward clark to be sat there on an evening answering the phone.
The other day the daughter of one of the 30 patients rang and demanded to speak to the Nurse immediately. I was trying to feed 3 patients at the time as well as monitor a patient with a head injury. She demanded that I come to the phone even though the HCA told her it was mealtime. She scared the HCA. I came to the phone. The woman wanted to me to answer 101 stupid questions and tried to keep me on the phone. I told her that I was trying to take care of patients and that it was mealtime it would be best if she rang back later. "How dare you, I have an appointment later and it would be very inconvienant for me to ring later" she said. I often tell my friends and family that you are in more danger from you Nurse's other patients' relatives than you are from a bad nurse or doctor. I managed to get off the phone with this bitch and when I got back down the ward my head injury patient was on the floor again.
One of the ways I try and sort this is I really start moving my ass at 4PM...or as soon as I finish sorting out all the things that should have been done during the day. If I have been lucky I have sorted out all the day shift problems by that time. It is a losing battle but I try.
I try and knock out every med /IV and otherwise that is due between 4:30 PM and 6:30 PM. There are tons of them each with a problem. Half the time the stuff isn't there and I have to leave my patients to leg it to pharmacy.
I also spend that hour and the half giving pain meds to anyway known to have pain. I ask everyone if they need anything. We try and get everyone toileted. We try to turn and reposition and clean everyone who needs it. I try to do a quick assessment of all my patients (usually about 14)to head off any problems that may rear it's ugly head at meal time. I try to ignore all the interruptions in order to do this and I pray that I will be able to focus on meals when that trolley shows up at 6PM. But relatives and non ward staff piss and moan when they walk onto a ward and interrupt a Nurse and she doesn't drop what she is doing immediately to service their non essential problem. What I am trying to accomplish is impossible but it doesn't stop us from trying. I just want to be able to focus on feeding patients. We all do.
So 6 PM rolls around, the domestic arrives with the food trolley and I don my lovely pinny and start getting trays out. Never mind that I have critically ill patients who need their meds. I did them an hour ago but they want more. We identify the patients who need help with coloured trays, but we already know anyway. I keep an eye on the health care assistants to ensure that they are bringing pureed diets to people with swallowing problems so that they don't choke to death etc etc. I make sure that the diabetics get a diabetic meal. I try to feed people. We run down to the kitchen getting stuff that patients want that are not on the food trolley.
Now despite that fact that we busted ass from 4PM to 6PM trying to sort everyone out, that wall now is lit up with call lights ringing. Absolutely lit up. We can keep trying to feed or we can answer the bells. I will try and send one care assistant off to get all of the bells while the 3 of us try and feed. Most people are ringing for things like an extra pillow or a blanket. Things they didn't think of before. Many of them are elderly and confused and to be honest they just forgot that someone already walked them to the toilet 20 minutes ago, or they need to go again because the good old bladder just ain't what she used to be. But man will they hit the ceiling and complain if they wait awhile for the nurse to come. Family members who rang at 4:30 ring back again to answer the same dumb questions. For the love of god we have no idea when the doctor is coming, when discharge will happen, when pharmacy will bring those meds or when the ambulance will come. FOR THE LOVE OF CHRIST THERE IS NO WAY FOR THE NURSES TO KNOW THESE THINGS.
The phone is ringing non fucking stop. I am ignoring it even if it means trouble later. I am determined to feed these people.
Five minutes after the domestic brought the trolley out the lady in bed 3 has had a bowel motion in bed and due to her dementia has spread it everywhere. This is a 4 time a day event with this poor lady. She is bedbound and weighs about 19 stone. Would you like the 4 of us (and it will take all 4) to take 20 minutes/probably more to clean her up and then go back to feeding? Or would you like me to leave her like that until I finish feeding the others? Who is feeding the patients whilst the 4 of us are trying to maintain the dignity of the lady who has had the accident? No one. The trays are going cold and the domestic will collect them back in. The bitch.
Oh oh. I do need to answer the phone at 6:10 because the sound of the ring tells me it is an internal call. It is pathology lab. The lady in bed 10 came in this afternoon and had blood taken. She looks like hell. But there is no obvious sign of bleeding. I haven't wanted to leave her side. She has an HB of 5 they say. Look it up. She'll die if I do not get a doc down now to assess her and probably order some blood. She needs obs doing, and tests etc. Then I have to go through a long and complex and time consuming process to get the blood and get it hung. If that was your mum would you want me waiting on that for another hour plus or so while I attempt to feed? Tell me what you think. She needs to be escorted off the ward for a test by a member of the ward staff. The endoscopy department does not care that this leaves 2 or 3 of us to do all these feeds. if we don't send an escort, they won't do the life saving diagnostic test. Now there are 2- 3 of us.
At 6:15 my cancer patient who is dying rings to say that the pain meds she has had isn't helping and you can tell by looking at her that the poor women is in excrutiating pain. It is safe for her to have some oramorph now. I will get it for her simultaneously with sorting the blood for the other woman. But what about the trays going cold?
The oramorph is a controlled drug. Two nurses have to go through a long and time consuming process in order to be able to access that medicine and give it to her. I will not make her wait. Fuck you for asking me too. I had to pull the other RN away from feeding a patient in order to access the oramorph (morphine). There is no way to access it without 2 registered nurses. Now one care assistant is trying to do all the feeds, the food is going cold and the domestic collects them back in.
But what is the most fucked up part about mealtime? Is it the fact that the domestics are on a tight time scale and will run down the ward collecting all the meals back at 6:30 whether they have been eaten or not? Is it the fact that the relatives will show up at 6:30 with venom shooting out of every pore of their being screaming at me wanting to know why grandpa has a cold, untouched tray in front of him?
No the most fucked up thing at meal time is the goddamn doctors. I look after 14 patients with 8 different doctors and they LOVE to show up at mealtime to do a ward round and demand that the nurse drop what she is doing and follow them around for a half an hour. The bastards do it every fucking mealtime. I hate them. When the nurses asked for protected meal times we begged the docs to try and do their rounds outside of mealtime. The response was that their ward round will get done when it is convienant for them, not the nurses. They also laughed right out loud at us for asking. And you can bet your ass that on every single mealtime we are sure to have 2 or 3 consultant doctors show up to do rounds. Remember that best case scenario I wrote about above? The one where we can at least get 6 people fed in 40 minutes if all hands are on deck. You can fucking forget it thanks to the docs. I can refuse to attend their ward round and keep on feeding. But it means getting screamed at in front of all the patients and a complaint about me going into management.
Whether we have 6 people who need to be fed or 16, the number of staff DOES NOT alter. We get 2 nurses and 2 healthcare assistants no matter what. If I get a contracter into my house to do some work, and it looks like the job is bigger than he anticipated he gets more staff. If a nursery takes more children than the normal numbers on any given day they get more staff. A hair salon has more staff in on their busiest days. This does not happen in nursing.
So I open the newspaper and I see comments galore accusing the nurses of not caring about feeding patients. They suggest coloured trays to identify vulnerable patients....as if we are too stupid to know. They all look the other way when the hospitals get rid of nurses and refuse to hire nurses. The coloured trays don't do shit. They don't help at all. You can take your coloured trays and shove them you your asses. Please help us instead of making things worse.
So we begged management for protected mealtimes. We begged them to help us tell the public not to ring at this time. We begged the docs to not do ward rounds at this time if they can help it. We asked a higher power to not allow anyone to crash or become extremely unwell, especially during meal times. We begged management to allow us to increase our numbers. We begged the domestics to not collect the damn meals in so quickly when we haven't had a chance to feed.
Their collective response has all pretty much been : Fuck you Nurse. Fuck you.
Thanks a lot for your fucking support.
The nurses will keep on trucking but if they only bit of help we get is a goddamn coloured tray...then I just don't see things improving.
77 comments:
- Zarathustra said...
Glad to see you're blogging again. I couldn't agree more with the sentiments of your post.
- 8 February 2009 at 02:44
- Mel Content said...
Outstanding!! Have you tried hitting a manager with one of the trays?
- 9 February 2009 at 07:29
- grumpyoldwoman said...
Wow! What a post. It should be compulsory reading for all hospital managers and doctors. When I was nursing (eons ago) we used to ask family members to come and feed their poorly relatives and the response was never good - after all, it was 'our job'.
More power to your elbow - dont give up the struggle for protected mealtimes.
- 9 February 2009 at 10:22
- SSS said...
Sounds just like me almost 20 years ago. Some things never change.
Excellent post. Really excellent.
- 10 February 2009 at 00:02
Wonderful, wonderful post. Although fucking shite, if you know what I mean. Don't suppose you work at Addenbrookes in Cambridge (Sorry, Cambridge University Hospitals Fucking Foundation Fucking Trust) do you? This 'world leading' shithole may even by marginally worse than you describe. In medical of course. Stupid fucking me for thinking 'it needs people who care'. Nearly killed me.
- 10 February 2009 at 15:49
No I don't work there. But it sounds pretty shit. I think my trust is the worst one in the country. It is probably worse than Cambridge. I'd bet money on that.
I have been keeping a diary of EVERYTHING over the past two years and that is what this blog is based on. I won't confirm or deny whether or not I am still working as an NHS nurse.
Thank you for reading!! We need to get our point of view across.
- 11 February 2009 at 00:39
- Happy1 said...
Nurse Anne.
You should delete all of the swear words in this post...and send a copy to every local and national newspaper in the country... honestly...I mean it.
The public need to understand how ridiculously impossible it is for us to do our jobs effectively..and rather than bloody critisizing US all the time they should know the TRUTH!
I am so glad I discovered your blog..and I have only read this one post. But you tell it exactly as it...and someone needs to.
Keep up the good work, shall enjoy reading your posts.
Happy1 (RN)
- 19 March 2009 at 12:18
- This comment has been removed by a blog administrator.
- 24 March 2009 at 01:04
- Happy1 said...
Ha ...the swearing...
We call it Industrial Tourettes...
Never suffered with it before nursing either...
- 24 March 2009 at 01:36
- PaedsRN said...
I mean... er, good post!
- 25 March 2009 at 14:52
Yes, seconding the suggestion that some version of this should be circulated round local newspapers - even local radio.
- 31 March 2009 at 12:28
- Nurse Anne said...
The media doesn't give a damn. It doesn't fit in with the agenda as to what they want to say about nurses.
Plus there needs to be more nurses than myself shouting out about this. If they cannot find any other sources they can't print.
- 2 April 2009 at 02:46
Excellent post. I'm a consultant geriatrician. Have managed to get protected mealtimes only on one of my two wards. I stop my ward round and leave at mealtimes and come back 45 mins later. Some of us doctors do realise how busy you are, mine are completely run off their feet. I don't ask a nurse to accompany me on my ward round, I'd rather they gave painkillers/morphine to patients in pain etc. I take the Kardex with me instead and then personally update the nurse in charge of the bay as I complete each bay. And I try to give every patient a drink on my ward round.
- 8 April 2009 at 14:24
- Happy1 said...
To the jolly good fella above. consultanat geriatrician > God bless you. Wish there were more like you. I bet you are a pleasure to work with.
- 9 April 2009 at 14:32
So true, I am a health care assistant and student nurse and this seems a major problem to me. It is so frustrating that you try to do your best for the patients but their are always staff shortages, interuptuions and that BLOODY phone! you should get this published in a nursing journal, At least I now know i'm not alone in these feelings. we can try as hard as we can to implement policies, legistation and protocol but they are not realistic goals. I would love for the fat cats to get off their arses and actually come down to shop floor level and work for a living!!!! I have come across doctors who have taken patients food away whilst eating to assess them; this is not acceptable behaviour. The doctor thought the protective meal times only applied to visitors not doctors!! how very egotistical!!!!!!!! she stood their and argued with me while the elderly malnourished patient sat with his tray out of reach because she had moved it away. The cheek of it! so much for patient dignity and protection eh!
This action prompted a meeting between the ward manger and consultant and medical team. But is still a problem. WE NEED MORE STAFF!!!!!!
- 8 January 2010 at 07:36
You MUST send a copy of this to all the major Newspapers! I am out of nursing now but that is how it was than and how it still is and how it will continue unless those who can fix it are made to listen. Get it into print NOW.
- 24 January 2010 at 06:29
- Nurse Anne said...
It's worse now with the increased patient acuity and through put. The phone doesn't stop at mealtimes and 7/10 it is management demanding that we identify patients to move out so that we can take more admissions that we cannot handle. If you do anything other than pander to them and their obsession with beds, targets etc there is hell to pay.
- 24 January 2010 at 07:08
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- 29 June 2010 at 01:29
- Anne said...
- This comment has been removed by the author.
- 15 July 2010 at 14:02
A lot of this seems to come down to the outsourcing of meals from what you say. As an ex-medium term patient (3 months) I can see exactly where you are coming from food wise (even with the PR stunt of that half-American guy) hospitals are dreadful for nutrition. Plus the 'god' complex of many doctors. I'm sure not all of the patients' families are as bad as your examples but I've certainly seen my share of apalling behaviour by some relatives. One thing I noticed was how hard the nurses were worked and the ridiculous expectations placed upon them. I even sympathised with the nurse who tried to get me to read Jehovahs Witnesses pamphlets. Apart from this she was a nice, hard-working and competent professional.
The nurses who did not come up to the usual expected standards of concern and sympathy seemed to be burned out by a system that has been taking advantage of their 'carer' role for far too long. I just hope I die in a car accident at the age of 75.
- 26 July 2010 at 06:16
- This comment has been removed by a blog administrator.
- 15 August 2010 at 12:14
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- 5 November 2010 at 07:30
- viagra online said...
I think they can prop up their own points, specially if they are mentioning the integrity topic, I've been reading this article and I also have seen the frail about all this, I mustn't forget the main point.
- 26 January 2011 at 12:02
- Keith Perch said...
Nurse Anne - Would you consider letting me run some of your writing in the Leicester Mercury? (yes, we would have to remove the swearing!)
- 21 February 2011 at 14:18
- leonora said...
Thanks so much for your post. I used to work as a hospital telephonist, but that was nowhere near as stressful as what you have just described. Oh yes, and we WEREN'T ALLOWED to put calls through to the wards during meal-times!!
- 21 February 2011 at 15:30
- Vulpine said...
This post is a revelation. I'm going to raise your points with my local hospitals trust, and see what they have to say. I work for a LINk - you probably view us as pretty powerless, but I'd rather try to make things better than not try at all.
- 21 February 2011 at 15:36
I am doctor and reading this is worth about 6 months of inter-professional learning. Never mind it being absolutely hilarious! I will try my best to make sure all my colleagues read it as well.
I though the new trays were for doing cannulas on?
Seriously though, get opposing these reforms!
- 21 February 2011 at 22:58
- JeffreyNewman said...
I don't know how I came across your post - but it's graphic. Next time there's negative press comment, I hope you can submit it (edited) for publication.
- 21 February 2011 at 23:51
we have protected meals times, and would enforce it. however this means we then have to do all our own bloods as the phlebotomy team will not return to ward, patients miss their physio,and being seen by specialists nurses, and try enforcing no visitors rule !!. if they helped I wouldn,t mind by usually its to interfere with every other patient and update their relatives on our uncaring attitude !. worst of all is six inches of snow on the ground, and the patient experience matron asking if we were making sure our patients were given a biscuit withe their drinks. . .i,d say roll up your sleeves and try hands on caring !!
- 22 February 2011 at 02:19
Not a nurse, and agree with a lot of this, and have had very ill relatives in hospital. One died there last year. A shame you seem to view relatives as mainly stupid and deliberately obstructive. Someare. But the reason many want a lot of contact is precisely because they can see clearly how frail the system is that their loved ones depend on, and are not confident it works.
- 22 February 2011 at 03:59
My daughter is an HCA working with elderly patients, she echoes your concerns and has tried to raise them with her managers. Despite all this she loves her job and was due to start her nursing training in September - she has now been told she will have to pay full fees, as a young mother on minimum wage this is clearly not possible. Another good nurse bites the dust!
- 22 February 2011 at 05:51
From reading the comments I'm confused about one thing - why no visitors during protected meal times? Surely the visitors would be able to help feed, and make sure the patients actually get their food. Or do they end up getting in the way of the nurses?
- 22 February 2011 at 07:00
An excellent, eye-opening post. It just makes me sad due to the funding cut s it is only going to get worse.
This needs to be posted everywhere. Not just traditional press. Stick it on Facebook, send it out on twitter, print it out and leave it in the doctors surgery or at your church or your mosque or your golf club or whatever. Just tell folk, and keep on telling them, because otherwise nobody will ever know since the papers don't print this kind of stuff.
- 22 February 2011 at 14:25
I was alerted to your blog by a work colleague I am a nurse in elderly psychiatric care and understand the difficulties you have only too well. I had not fuly understood exactly what you are up against with the diva doctors etc. But have always defened us nurses case. I agree with an earlier comment you should send to a paper if only for us nurses to redress the huge issue here.
- 22 February 2011 at 14:25
- 22 February 2011 at 14:27
- Luce said...
Been posting links to this blog all over the Internet today. It's fantastic and an entirely accurate description of the frustration and anger felt by frontline NHS staff trying to provide care for patients with inadequate resources. Am an A&E doc who resigned recently (after 20 years) following scandalous persecution after having repeatedly highlighted dangers and deficiencies in the services we try to provide. A lot of doctors are arseholes, and I hate them too, but the cause of the problem is inadequate resources and managers who don't give a flying fuck. Keep shouting. Good for you, I applaud you.
- 22 February 2011 at 14:34
- Josie said...
Excellent , At last , someone telling the truth . if you want this circulated I will happily do so . either / or to the press or onto every hospital ward in the country and then to the press with comments . thousands like you have here
I am a nurse but have become unwell and am disabled now . so have time on my hands to help
- 22 February 2011 at 16:27
And whilst all this goes on on the ward the non medically trained managers are having a meeting to decide what nurses should be doing.
There has always been 2 RGN and 2HCA on a shift the different now is their backup has gone.
The dreaded matron or nursing officers who struck terror into the eyes of anyone (I mean anyone!) who dared interfer with patient care has gone.
It used to be that patient visitors were vetted and drafted in at mealtimes to help feed patients - boy were they a wonderful lot. Doctors daren't be seen on a ward doing rounds at mealtimes - most of them had encountered the wrath of God descending on them from on high (well actually in the shape of a senior nurse who 'just happened' to appear from nowhere).
Nurses have a talent of being able to juggle 7 things all at once - IF they have support from their senior nurses.
You go girl - shout as loud as you can - you speak for all of us. Me? after 30yrs I'm getting out - I don't do meetings and I don't want to sit round a desk with management who have no idea about people, just knowledge of business - patients are not products and never will be. I am a clinical nurse specialist - no space for me now in the NHS
Oh yes - the phone........
You got 2 phone lines on your ward? Get a friendly person in works to make one an outside line - the other internal. It's amazing how that darn outside line lead to the socket gets detached during mealtimes!!!!!!!!
The matron of a hospital I trained at all those years ago said Nurses are the Eight Wonder of the World.
You are one of them my friend.
Take heart - take care - and smile - today will be yesterday tomorrow.
- 22 February 2011 at 17:21
Wow, what a post! I think this should be compulsory reading for the general public as well as hospital managers and doctors.
I got your link from the Traction Man's hospital food fight blog. I will promote you both everywhere I can...please keep blogging!
I recently had a stay in a ward where the average age was 70 - I am 26! So having my wits about my more than most I was able to observe the RN's and HCA's on the ward, and the difficulties faced by them, especially at meal times.
Much support to you.
- 23 February 2011 at 03:46
- Kevin said...
I'm a paediatrician and completely agree with you. Us docs do understand, but usually we have someone up our arses to get things done in unrealistic time frames too, and this sometimes mean we all end up pestering each other at the wrong time.
We should unite to bring these pen pushing fuckers down
- 23 February 2011 at 17:57
- Nurse Anne said...
Thank you so much for your support.
Would love to see this stuff in a newspaper.
I did some follow ups on on mealtimes here:
- 24 February 2011 at 01:39
- Julia said...
Interesting not many patients or visitor commenting here. I can see you are really angry and frustrated, and, as some one who spends a lot of time visiting a partner with on-going health problems who has required a lot of stays in hospital over many, many years we do realise that nurses are overworked and rushed off their feet. However, how much of this is really about meal times, and how much of it is about insufficient staffing all round - which means that things really are at breaking point by mealtimes?
Moreover, as one other person has already hinted, many patients and visitors have views on 'protected mealtimes' too and swear words could well come into it. A lot of visitors are horrified at seeing uneaten food whipped away too - food that they could have HELPED see that their loved one got some benefit from ... except that we are made to feel like some sort of vermin at meal times and often quite rudely excluded from the Ward. Last time I visited my partner he was woozy after coming round from an operation. After having not eaten all day he did not want the sandwiches he was given ... until, seeing he was dozing off again, I fetched us both something a bit better from the cafe and then we we were able a have little meal togther - like a normal civilised couple. (It was not an offical bloody P.M.T. so I was not cursorily thrown off the ward.) I watched one friend try to hold back the tears recently when she described how she was thrown off the ward rather than be allowed to eat with her husband who was dying of cancer. Eventually she was allowed to stay - and to help him eat, but only days before he died.
If visitors were allowed back in again to help we might get a bit of sanity into all of this.
- 25 February 2011 at 13:45
- Nurse Anne said...
Well Julia that would be because for every one nice, caring, sensible visitor there are about 20who are insane. It's a good question and my response will be in my next post.
- 28 February 2011 at 04:53
- RockHorse said...
Thankfully, I have not been an in-patient for a VERY long time but remember, on a medical ward, how hard it was for the nursing staff to do everything expected of them. That was in the old days of 'over-manning' but Matron, fire-breather that she usually was, stepped in to help where necessary and was far from afraid of getting her hands dirty or bloody. She led as much by example as by diktat. Doctors and Consultants alike quaked and fled at a glance but if a patient needed her care she exemplified the gentle caring and quiet competence she expected of those under her.
But even in those days of Matron, Ward Sisters, Staff Nurses, SRNs, SENs, Auxiliary Nurses, Student Nurses and Volunteers they were STILL over-stretched in trying to ensure that every patient was clean, fed and 'comfortable'.
Having also been a regular visitor for two very dear friends during their hospital stays more recently my admiration for nurses has increased even more. In the two very modern hospitals I found dedicated staff expected to handle far too many very ill, frail and confused patients with far too few staff - who do not seem to get meal times themselves, which is another thing most patients and relatives don't notice...
Swear as much as you like, Anne and colleagues. What is expected of you is fucking outrageous and I hope that my link to this blog via facebook gets you more support!
- 28 February 2011 at 18:11
o.O Wow! Now I understand why the nurse asked me to feed my grandma when she was dying. I felt a bit unconfident at first, but of course I straight away found it was easy, and then I felt really glad that I was able to do something to help care for my beloved grandma before saying goodbye. I had no idea that you nurses are under such astonishing pressure, it sucks, and I'll post your link on my facebook. Thanks for everything you do.
- 1 March 2011 at 06:08
- nikki said...
Fantastic blogpost with some VERY valid points - I was a doctor until about 10 years ago so can see both sides in terms of doctors rounds so pleased to see you asking doctors to avoid mealtimes "when they can" but can imagine most are oblivious to the issues . Another vote for having this published somewhere national and should be compulsory reading for all new and current doctors - and patients and their relatives.
- 1 March 2011 at 10:23
- lalouve said...
I remember being an orderly in a home for the elderly, where one family essentially moved in and took care of their dying mother/mother-in-law/granny. They fed her, kept her company, and looked after her hygiene for the last week or so, and then apologised for creating extra dishwashing for me...
I would have gladly washed ten times as many dishes for that help. The amount of work and guilty conscience this took off me is indescribable.
- 9 March 2011 at 01:03
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text:
Smolke:Journal Club
From OpenWetWare
Revision as of 18:31, 26 March 2014 by Stephanie Galanie (talk | contribs) (→Suggested Future Papers)
2014 Spring
Suggested Future Papers
This last HubMed link seems to work. Click on it to bring up all the abstracts. This should facilitate voting. To add your paper this way, get the pmid from pubmed, and follow the format when editing. The PubMed link doesn't seem to work. Anyone know why?
Comments on Papers
Voting on Papers
Vote for Apr. 21st, 2014
Vote for Mar 17th, 2014
Past Papers
Aged Out


text:
Callie Jo Parkhurst of Meeker and William Kyle Younger of Meeker announce their engagement and upcoming marriage.
Callie Jo Parkhurst of Meeker and William Kyle Younger of Meeker announce their engagement and upcoming marriage.
Callie is the daughter of the late Thomas Parkhurst II, formerly of Meeker, and Joanna Collins of Yucca Valley, Calif. She is the granddaughter of Thomas Parkhurst Sr. and the late Lillian Parkhurst, of Prague, and Vivian Jarrell of Yucca Valley.
She graduated from Meeker High School in 2002 and is currently employed as a payroll specialist at Finley & Cook, PLLC.
Kyle is the son of Emil Dale Younger Jr. and Angela Younger of Jacktown. He is the grandson of the late Emil Dale Younger Sr., the late Anna Mae Younger, the late Melvin Smith, and the late Evangeline Smith.
He graduated from Meeker High School in 2001 and is an armed security officer at Kickapoo Casino.
The couple will be married at 11 a.m., Saturday, Sept. 7, 2013, at Calvary Way Church, 2525 W. Main St., Prague. A reception will immediately follow the ceremony, and everyone is welcome.
The couple will have a honeymoon in Huntington Beach, Calif., where they will enjoy a whale and dolphin cruise, deep sea fishing, a day at Disneyland, a couple's massage, and more.
Upon returning from their honeymoon, they will reside in Meeker.


text:
Literally cocada is the ultimate in coconut bark. It's a Mexican/Latin America candy/cookie that is bark-like--just like what I've made. It's very sweet, very coco-nutty, and I've always wanted to add a nut to it for texture and crunch. I've also wanted to add a tiny bit of heat to it as well, hence the spicy pecan. It is an oven baked goodie that is supposed to be served at room temp for chewy texture. And yes, it is very chewy, almost caramel like texture. If you have any loose teeth or fillings, think twice on chomping down on this one. The bark is a bit difficult to cut, you need a sharp, wet knife. The edges of the cocada are the best part; they get the most caramelization of the condensed milk paired with the coconut. Add in's are endless on this one--whatever would work with caramel flavor and coconut really.
spicy-pecan cocada
adapted from http://scarlettabakes.com/cocada-simple-coconut-bark/
print recipe
2-14 oz. cans sweetened, condensed milk (approximately 3 1/2 cups)
1-14 oz. bag of sweetened, flaked coconut (approximately 5 1/2 cups)
1/2 c. light corn syrup
1 tsp. vanilla extract
5-7 oz of spicy, toasted pecans (optional but amazing)
Preheat oven to 350°.
Line an 11" x 17" baking sheet with parchment paper. This is a very sticky candy/bark; non stick spray will NOT work—use parchment paper. Make sure to completely cover the baking sheet.
In a large mixing bowl, stir the condensed milk, corn syrup and vanilla together until well-blended. Fold in the coconut and spicy pecans. Mix well.
Spread the mixture onto the prepared baking sheet.
Using a rubber scraper or wet fingers, push the mixture evenly across and into the corners of the pan. Bake for 25-28 minutes. Don't let it burn. Check the cocada at the 25 minute mark.
The cocada will bubble as it bakes and turn a deep golden brown, with the edges becoming especially dark – it is done baking when the top appears golden throughout.
Allow the cocada to cool at room temp for a couple hours. Then I put it in the fridge to harden a bit before slicing.
Using a sharp, wet knife, slice the cocada into squares, carefully remove each piece from the parchment lining, and enjoy straight away or store in an airtight container.
spicy pecan cocada
40 comments:
Its not nice to flash this deliciousness in front of the pregnant lady! I <3 coconut. Coconut in bark form? Sounds ridiculous good.ReplyDelete
I want this NOW! One question though, the ingredients list says condensed milk, but the directions say evaporated milk! I plan on making this tomorrow! Thanks for another mouth watering, tongue wagging recipe!ReplyDelete
erica you are pregnant you get to pig out!ReplyDelete
I'd love to eat a piece of this.ReplyDelete
This comment has been removed by the author.ReplyDelete
my question is where did you get the pecans? or what brand are they so I can look them up.ReplyDelete
bonnie- i got the spicy pecans at trader joes. you could make your own by toasting pecans in the oven that are coated with chili pepper/cayenne.ReplyDelete
oh my well this looks so chewy and yummy that its a good thing its at your house and not mine! This is the kind of yummy sweetness that I cannot resist!ReplyDelete
I probably wouldn't even bother to cut this. I'd just take bites out of it. Whole. What? I'm not sharing.ReplyDelete
Be still my beating heart, love these.ReplyDelete
This looks so temptingReplyDelete
my dentist is gonna hate you...ReplyDelete
Ooooh, those look addictive and so delicious! An addictive treat.ReplyDelete
oh wow, this is totally unique (at least to me!) and it sounds very yummy... right up my alley.ReplyDelete
I really need to bring a towel to the computer when I view your blog. I am tired of the drool on my keyboard. Another amazing creation my friend.ReplyDelete
Good grief. Sorry I dropped by today. Temptation personified.ReplyDelete
Coconut? Condensed milk? Nuts?
This is delightfulReplyDelete
Mmm, this sounds good. I'd prob make it less sweet, but still delish nonetheless.ReplyDelete
Oh my, how heavenly!ReplyDelete
I just want to tear off those lovely golden crisp edges and eat them all first. Is that wrong? LOLReplyDelete
you had me at "ultimate coconut bark".ReplyDelete
Whoa does that every look & sound good!ReplyDelete
Holy chewy goodness!ReplyDelete
mmmmm. yes please. My garbage mouth husband can not eat these. I swear he chips a tooth eating butter!ReplyDelete
Oh my heaven. I am such a sucker for anything coconut. Look at this craziness girl!! I wish I was your neighbor/taste tester.ReplyDelete
This looks amazing! I bet is so tasty, my test bud are feeling it.Can I have a bite?ReplyDelete
oh, swoon. this is like a chewy version of german chocolate cake frosting, which is clearly the best part of that creation. well done, dawn!ReplyDelete
Wow, this looks awesome!ReplyDelete
This looks so chewy and delicious! I'm afraid I wouldn't be able to stop at just one piece of this lovely confection. :)ReplyDelete
Oh my that looks real good. I have never heard of it. I am totally wanting to try it.ReplyDelete
i've never heard of this before! but i love coconut and this looks awesomeReplyDelete
Wow, that is a serious treat!!!ReplyDelete
I love coconut desserts. This looks phenomenal.ReplyDelete
Sometimes you think you've seen it all, and sometimes you find something really original and fabulous like this :). I am such a coconut lover, I'd totally be all over this.ReplyDelete
*kisses* HH
Such a delicious combination.ReplyDelete
I had never heard of a cocada before, but I am soooo grateful that I stumbled upon your blog to learn all about it. I absolutely cannot wait to make this, and it looks like it would totally be worth losing a few teeth over!ReplyDelete
These coconut cookies sound so good!ReplyDelete
I am totally going to have to feature this on my blog chica because it looks amazing. Especially love the added touch of the spicy nuts. Well done love.ReplyDelete
These sound sensational. I love all the ingredients. This is the type of treat I could eat in one sitting. YUM!ReplyDelete


text:
Enlarge / Alternate Images
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Material Safety Data Sheet / Safety Data Sheet


text:
Saturday, September 13, 2008
Craftsman Trucks On SPEED From Loudon
SPEED gets back to racing this Saturday with coverage of the NCTS race at 2:30PM ET. That is Ron Hornaday standing alongside of his Craftsman Truck pictured above.
Krista Voda will have The Set-Up pre-race show and then the race will follow at 3PM. This will be the first opportunity for fellow NCTS drivers to address the recent story from ESPN about Hornaday and his use of testosterone for health reasons.
Voda is a veteran TV host and she has not been shy about addressing controversial issues in the past where the NCTS is concerned. While the ESPN focus is always on the Sprint Cup Series, look for reaction today from the NCTS garage on this issue.
Rick Allen, Phil Parsons and Michael Waltrip will be the crew calling the action for the race. Down on pit road will be Ray Dunlap and Adam Alexander.
Loudon is flat and tough and that should once agan prove to be a good showcase for the rough style of the NCTS. A good combination of drivers are entered, so the action will be fun to watch.
This post will serve to host your comments on the NCTS race. Just click on the COMMENTS button below and follow the easy directions. The rules for posting are located on the right side of the main page. Thanks for stopping by.
49 comments:
- Sophia said...
Glad to see SPEED and krista kick off the show with the story.
Too bad my old tv had Kevins' face HALF OFF THE SCREEN along with SPEED logo..their tv guys need to remember most of us have 4.3 tv;s and fix the WIDESCREEN issue and set up accordingly.
- September 13, 2008 at 2:35 PM
- Anonymous said...
I posted in the other column first & am adding it here :)
Krista started the show with a fair even recap of the Ron Hornaday story.
Also repeated none of his championships were won during the period.
And then moved on. What a class report, not tabloid junk.
Good job Speed. The facts just the facts mam .
September 13, 2008 2:36 PM
- September 13, 2008 at 2:41 PM
- Sophia said...
What a difference a letter makes.
Four letter network = bad
Five letter network = Good
Well, on weekends anyway ;-)
- September 13, 2008 at 2:44 PM
- Sophia said...
A class act. No snarky under-the-breath comments about how things were written. Just moving on.
And as always so grateful for Kevin and Delana.
I love the Truck series...I hope it stays around a long time. :)
- September 13, 2008 at 2:47 PM
- Sophia said...
Most popular segment was cute! :)
Johnny B!! Funny about the camera comment at the banguet!
- September 13, 2008 at 2:50 PM
- PammH said...
sophia-I was also glad to see Speed tackle this situation right away. Also, if you email JD, he will give you my email addy & I can send you a link to listen to MRN on the computer. Covers truck, Busch & Cup!
- September 13, 2008 at 2:51 PM
- Anonymous said...
I enjoy this 1/2 hour pre race way more than 2 hrs of 4 letters!
@sophia 4 letter bad... LOL
- September 13, 2008 at 2:55 PM
- Sophia said...
You are a DOLL!! Thanks :)
- September 13, 2008 at 3:02 PM
- Anonymous said...
I thought both gave the facts, just ESPN has such a broader reach than a NCTS pre-race show on SPEED with maybe 1000 people watching it.
- September 13, 2008 at 3:03 PM
- Anonymous said...
That Bank of America 500 commercial was good!
- September 13, 2008 at 3:16 PM
- Sophia said...
Well it's true about 4 letter words! :)
- September 13, 2008 at 3:17 PM
- Daly Planet Editor said...
I think maybe Hornaday has a little something to prove today.
- September 13, 2008 at 3:31 PM
- haus20 said...
What a difference! Coverage throughout the field, great excitement in the coverage of the action on the track, actual discussion about what is going on out on the track not just naming the driver or calling out the truck number seen on the monitor.
- September 13, 2008 at 3:46 PM
- Anonymous said...
Isn't it nice to watch a race?
No techjunk, no sport min. just racin' ;)
Yup JD I think Grandpa has a point to grind on his ax.
- September 13, 2008 at 3:48 PM
- Daly Planet Editor said...
It could be a very interesting Victory Lane interview if Ron wins.
- September 13, 2008 at 4:17 PM
- Lisa Hogan said...
It's wonderful to be able to watch the actual race!
Thank you pit reporters for actually giving reports that are informative. Unlike others on that other network, who just talk from their notes made earlier in the weekend.
Thank you SPEED!
- September 13, 2008 at 4:25 PM
- haus20 said...
looks like reut is doing the "triple" this week as well
- September 13, 2008 at 4:32 PM
- ri88girl said...
I am so enjoying seeing a race and listening to some good PXP. Thanks SPEED.
- September 13, 2008 at 4:34 PM
- Anonymous said...
ok caution, so I have time to thank SPEED. Thanks for good solid relevant pit reporting, showing pit road & good solid PXP, wide angle shots of racing. No pre-recorded junk, no fillers, no celebs, no techno, no TB, just racing. Ain't it grand?
Thanks SPEED
- September 13, 2008 at 4:50 PM
- Anonymous said...
Ray's going to be busy with all those projects *giggle*
- September 13, 2008 at 4:53 PM
- Anonymous said...
Ray & his red goggles.
Hope he got the room done LOL
Ya think the comm'l. crew helped him?
- September 13, 2008 at 4:55 PM
- Sophia said...
THanks SPEED for a great truck race.
I love Mikey but sometimes he gets on my nerves when his voice gets high pitched...he has been FUN today...I loved his comment about the one wreck didn't look "sanitary" until they saw the replay, lol.
I hope this series stays around. It's the best racing on tv and best presentation.
Nice not to be hear complaining so much, too. :)
- September 13, 2008 at 5:20 PM
- Anonymous said...
YAY! Grandpa!
- September 13, 2008 at 5:27 PM
- Anonymous said...
Grandpa wins!!!!!Instant karma!
- September 13, 2008 at 5:28 PM
- Anonymous said...
Oooooooo........a fight!
- September 13, 2008 at 5:28 PM
- Anonymous said...
with all the contact and story line..why no in-car radios played back by SPEED....
- September 13, 2008 at 5:31 PM
- Anonymous said...
The 4 letter network wouldn't of had all that coverage!
Big penalties coming! I see it now!
- September 13, 2008 at 5:31 PM
- speedangel said...
Yay for Hornaday!
I'd call that a form of poetic justice.
- September 13, 2008 at 5:31 PM
- Anonymous said...
Great stuff they got the altercation and that makes Ron's problems disappear - something else to talk about. Great win though Ron
- September 13, 2008 at 5:34 PM
- Newracefan said...
To quote a friend Holy Sh... Batman. A lot a penalties this week, oh my. And more importantly Way to go Ron, spit in the eye of ESPN.
- September 13, 2008 at 5:34 PM
- haus20 said...
Could you imagine the other guys calling this altercation? Neither could I because they would already be at commercial.
- September 13, 2008 at 5:36 PM
- Lisa Hogan said...
- September 13, 2008 at 5:36 PM
- Anonymous said...
The other lot would be too anxious to get to football or whatever else they feel necessary to rush off to like Sportscenter (yawn)
- September 13, 2008 at 5:37 PM
- Anonymous said...
where's the interviews with Starr or David R. come on
- September 13, 2008 at 5:41 PM
- Daly Planet Editor said...
I think it should be interesting to see if ESPN addresses the post-race discussion on their later shows.
The network purposefully deleted any reference to the NCTS event this weekend and replaced that space with the NHRA race in Charlotte.
Nice job by SPEED of handling the race and the post-event festivities.
- September 13, 2008 at 5:42 PM
- Anonymous said...
No SPEED runs off to off-road racing
- September 13, 2008 at 5:42 PM
- Anonymous said...
Daly Planet Editor said:
"Nice job by SPEED of handling the race and the post-event festivities."
You really think they did good with post race interviews??? I just saw 2>
- September 13, 2008 at 5:44 PM
- stricklinfan82 said...
Thank you again to Speed Channel for televising a race and not mirroring ESPN's "coverage" model of following a script.
You would think that if one competent "suit" at ESPN took two seconds to watch a Truck broadcast and compare it to the garbage their network produces that major changes would be made immediately. Unfortunately it's obvious that such a competent suit doesn't exist at ESPN. If Friday was any indication changes have indeed been made... but for the worse as ESPN has added EVEN MORE bells, whistles, and other distractions to their coverage.
I can only envision ESPN's handling of the Truck Race highlights tonight. My guess would be conveniently skipping mentioning a single word about Ron Hornaday's win and showing the post-race fight and only the post-race fight.
Good luck to those of you that are going to eventually tune in to ESPN's TAPE-DELAYED by several hours coverage of anything but Happy Hour whenever it finally reaches the airwaves. I however will not be bothering with ESPN's practice/qualifying JUNK any longer. That train officially left the station for this fan after watching ESPN do the impossible and make their practice coverage even worse on Friday.
- September 13, 2008 at 5:45 PM
- Anonymous said...
The difference is SPEED was about 10 minutes over their alotted timeslot. The other network cut out with over five minutes left in the race timeslot.
- September 13, 2008 at 5:45 PM
- haus20 said...
Anon, they went 10 minutes past the broadcast window. That is 15 minutes longer than ESPN would have gone.
- September 13, 2008 at 5:46 PM
- haus20 said...
anon @ 545 - i guess great minds think alike
- September 13, 2008 at 5:47 PM
- Anonymous said...
I'm glad that Hornaday won and showed the boys that someone with Graves Disease can still win in dominating fashion ... Graves is a tough road to hoe ...
Harvick is repaying his debt to the Hornadays ... and has told Ron that he's got a job as long as he wants one ...
- September 13, 2008 at 5:47 PM
- Sophia said...
WOW! What an ending! LOL>
SO HAPPY FOR RON! Congratulations Ron..grace under pressure.
Bodine classy in interview after the crews went ballistic. And the state troopers line up at the hauler?A?A
The guys in the booth handled it all splendidly.
IF ONLY we could get rid of excess GRAPHIC/BOTTOM TICKER/SC UPdates/....we get no info from the booth/VIDEO over green flag racing crap On the four letter word station.
We saw what happened in the back of the pack, the middle while Hornaday held the lead.
GREAT production.
No need to watch the Cup race. Best racin' right here.
Kudos for the coverage AND GOING OVERTIME!!
Thanks, SPEED and love the guys in the booth.
- September 13, 2008 at 5:48 PM
- Anonymous said...
Anon @ 5:42 PM - SPEED only had the time slot booked til 5:30pm eastern for the Truck race ...
So, either they delayed the CORR race or cut out the pre-race stuff ...
And it's quite weird to hear the guys that would are on TNT during their 6 week run ... but with CORR, they're on SPEED ...
- September 13, 2008 at 5:55 PM
- HarpAmy/Amy in FL said...
Did they ever answer the trivia question? Just wondering because I wanted to hear the answer.
Nice job, Hornaday. I thought that he looked tired and relieved and humble. He seemed to handle this week with class.
What did the opening of the show say about the Hornaday? I missed the first segment.
I loved how they were going to go to a commercial and then when Michael Annett (#22) wrecked, they just stayed and analized what happened.
Keep up the great work SPEED on your truck broadcasts. Of course, I love Mikey.
An interesting side note is that when I was at Daytona for the Duels this past Feb., my dad and I were just getting to the track when the truck stuff was over and I passed Rick Allen and Phil Parsons as they were heading to the tv compound. Phil is at least 8-10 inches shorter than Rick. I believe that Rick is 6'6" and Phil must be around 5'7" or so. I say that to say that when you see Rick, Phil, and Michael in the booth shots and they all appear the same height, that Phil must be standing on a box or a stool or something.
- September 13, 2008 at 6:39 PM
- 3bud said...
Nice to see Old Ron put a period on that non story!!!! Hornady and the Harvicks have more class and dignity then all E$PN combined.I've been reading most all of you since the begining of TDP. The Hornady deal just made me want to add my 2 Cents. Thanks JD
- September 13, 2008 at 6:48 PM
- Sophia said...
Wasn't today's truck race priceless!!
The ending we all needed to a tough week, racing wise.
and to have it happen on SPEED where the sport is truly beloved by the guys who work in it and it shows.
I was counting down the last few laps and hoping "Karma" would make an appearance.
Nice to see a new name here moved to post.
When Ron thought the interview was over and bent over and pulled the cap over his face, I thought he was fighting back his emotions..then when the mic was still there for more questions, he did ok.
Never a smart aleck word one. Truly a class act. :)
I can't remember the last time I FELT SO GOOD after watching a NASCAR race!
- September 13, 2008 at 10:24 PM
- Anonymous said...
sophia said
Never a smart aleck word one. Truly a class act. :)
I can't remember the last time I FELT SO GOOD after watching a NASCAR race!
Amen to that it was so good to see the race end the way it did & the interview was awesome!
- September 13, 2008 at 11:02 PM
- Anonymous said...
West Coast Diane said:
Ditto to all the positive comments about today's Truck race.
All I kept thinking while watching was this is how all racing should be telecast. Know some don't care for Mikey, but those 3 guys in the booth today have so much "natural" enthusiasm for the sport. It comes through on the telecast. The same for Fox and this year TNT. Why does it seem that everyone from ESPN is reading off a script. And doing a poor job...rarely any excitement and no insight into anything. Just same old info over and over.
And the screen...race cars and one ticker. Oh...and race cars in front, in the middle, in the back...racing. It's funny, but Speed probably doesn't have the budget for the flash and dash stuff and puts on a great show. ESPN...save money...cut the crap that we don't want to see anyway. Then maybe you won't need ED commercials to fund your production...LOL.
Thank you Speed for giving us race fans something to smile about. Not just trucks, but practice/qual when you have it. And of course F1 where people who aren't even at the race can inject so much excitement and fun into calling the race.
For the first time I will use HotPass as my primary viewing vehicle for the race tomorrow. Too depressing thinking about watching ESPN.
- September 14, 2008 at 1:23 AM