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Monday, August 20, 2012
MiM Mailbag: Should I stay or should I go?
I finally had the chance to choose what I wanted, where, I wanted, etc and I found it totally overwhelming. Before medical school, in college, I spent a lot of time in OR's and doing clinical research. I was for sure I was going to be a surgeon. Within the first month of medical school, I had an OB shadowing experience and fell in love. Since that point, I continued clinical research in OB and had a fascination with the pathology, physiology, and academic side of OB. I did my surgical rotation 3rd year and hated it- except peds surgery which I thought was amazing. I then did OB, enjoyed the surgery part, but was less than charmed by the OB lifestyle, attendings' attitudes, and inherent "risks." I then did peds, loved the patients and parents, especially low risk, "pleasant" growth and development outpatient issues, but truly disliked inpatient and the "medicine" behind peds.
Then began the indecisiveness, peds ob peds ob, I weighed it back and forth a million times, ultimately deciding I would miss the children in my life too much not to do peds and regret the "lifestyle" of OBGYN and malpractice of surgery and deliveries if I chose OB. I didn't even know if I liked surgery, given that as a medical student we were lucky if we even got to gown and scrub much less try our hand on the instruments. Like many others, I was told, "If there is anything else you like, don't pick this." So, there was something else I liked, and I didn't pick OB. I thought, "How will this choice affect my future life and family?"
I am now an intern at a top program, I got my first choice, interviewed everywhere I applied, and even got married and graduated medical school. With each "celebratory" experience I had this sinking feeling that I had sold myself short. That I chose what I "thought" would be better. Chose what would be a "rosier life" where everyone looked happy and ate dinner with their children at night. But deep down as much as I tried to convince myself that I was happy, I was never really "sold" on academic pediatrics. Do I love reading peds articles and treatments? NO. Did I feel sad when I unsubscribed from the ACOG listserve because it was like a slap in the face each month when I got their mailings? YES.
So here I am, August of my intern year thinking, OH GOD, what did I do? I did inpatient for a month, NOT a good fit. I am doing ER now and like the pace, but cannot see myself in that ADD environment for my life, and I only like the quick, "This is a cold you will be fine," not the trached, g-tubed chronic kids because frankly, they break my heart. I just cannot get the gusto to pick up a peds journal and read the stuff, I have no interest in antibiotic choice for pneumonia, differentiating between nephritic and nephrotic syndrome on a CMP or UA. I just don't think I love pediatric medicine, but it makes me sad to think of leaving the patients, happy attendings, and lifestyle behind.
My husband and I laid out a beautiful plan: work hard for a year or max 2 in residency then have a baby and finish in three quick years, BUY a house and become real people with 2 real salaries and get rid of the med school debt. I want this plan. I like this plan, the banker and the happy, smiley little pediatrician wife. The only problem is, I am not sure I can be that person, Looking toward the next 2.8 years of residency looks like a long lonely road- 3+ months in a chronic care facility, LOTS of months on the floor for heme onc, neurology, and chronic GI patients. I want to like it, and there are some things I do like, but I am not sure I can fall in love with the medicine, more with the idea of it all.
I have felt a strong calling to switch to OB but every time I get close to doing it, I back away and convince myself not to. But am I crazy to leave peds at a top program for a specialty I am not sure is right? It seems so shiny and exciting but is it? Will I feel better or think, oh no, why did I leave peds? Is it work the risk? Should I just stick it out, finish peds, then do a second residency if I really feel that I need/want to? Is a second residency even a feasible option?
I don't like being the girl who cries all the time with a charmed life, being tormented by the coulda shoulda woulda bug. But I don't want to be the mom who wakes up in 10 years thinking "why did I switch?" or better yet "why didn't I?" I don't want to be the ONLY unhappy pediatrician anyone ever met because I was wishing I was something else.
Now, in the midst of intern year, I am trying to sort out- do I hate pediatric floor medicine and is that why I didn't like my first month? Was it just bad chemistry with my seniors and that made everyone unhappy? Do I hate pediatric medicine but like the patients? Should I give it the old college try and stick out a whole year before I make a hasty decision and switch because once I apply to switch, I am locked into that and out of this?
What is hardest for me in making this decision as that I love the children and the families. I love making them smile, laugh, and feel well. I love reassuring the parents, and it breaks my heart thinking of leaving them now. Truly breaks my heart. But academically it is just not there for me. I want to be that person, but I am concerned that I cannot get up enough interest to learn it all. Are most days in gen peds outpatient clinic happy and well or are they chronic, and labs test follow-up kind of stuff? Are the NP/s and PA's taking all of the pleasant easy patients away?
I am scared to switch and the uncertainty it brings. What if I don't like the OR? What if I have terrible hand eye coordination. What if I am scared and don't actually like the OB setting? I have heard that pediatric gynecology exists, but how many of these are sweet chubby babies and how many irresponsible teens?
If I leave peds, that will delay everything, life, children, etc.
I stand in limbo- should I stay or should I go?
36 comments:
Go. If you're doubting it that much, and are that unhappy, it isn't worth it. I'm an ob resident and can't imagine doing anything else. What about doing ob as a family doc? You get the straight forward ob patient, don't have to do ORs, and get to take the new babies on as patients. Good luck with your choice.ReplyDelete
Leave. Right now - don't wait out the year, try to find a program outside the much and go.ReplyDelete
I'm a PL-3 peds resident and I tell people all the time - it is not enough to find the kids cute and enjoyable. You have to love pediatric pathology. You will have to do at least 5 ICU months before you graduate by ACGME rules. You have to do at least one oncology and if the trach/GT kids in the ED freak you out, you will hate those months.
Jess' suggestion of family med is a really good one. My husband is a PL-3 FM resident and he does primary care for straight forward kids, has the option to run a service where he can admit otherwise healthy kids with asthma, cellulitis, etc. and delivers babies. And it sounds like the right pace for the lifestyle you want. Luckily, a lot of FM programs (even my husband's super prestigious, ivy-associated program) accept people outside the match.Replies
But should she really switch her entire lifetime career over six months of residency training that she won't like?Delete
I agree with Fizzy. Whatever residency you ultimately complete, there will be periods of time that you don't enjoy, and they shouldn't deter you from a career path that is going to be right for you in the long run. I'm an internal medicine resident from Canada, and I hate ICU, but it's worth going through two miserable months of it in residency in order to end up in the career I want. (At least, that's what I tell myself. I may feel differently when I start ICU on Thursday.)Delete
I've been through a tremendous amount of indecision about what subspecialty of internal medicine to go into, and in my experience major decisions like these can't be rushed. As unsettling as it is to not know what you're going to do with your life, my suggestion would be to sit with your decision for a while before making any major moves. You've been through less than two months of residency, which is hardly enough time to adapt to a new work situation/environment, let alone to really get comfortable with it. I'd at least wait until you're fully through that transition stage to make a decision about making a change. As well, I would suggest talking to as many people who are in the fields you're considering as possible. Talk to some practicing obs-gynes, pediatricians, and family physicians who focus their practice on obs-gyne/pediatrics to find out what the jobs are actually like and what things are good/bad about them.
Good luck!
It's not six months that she won't like - if she doesn't like the floors, and she doesn't like the ED, it will be six months she will absolutely hate, plus 9 months a year she won't like of floors and ED, every single year. And then, let me tell you, unless you are in the cushiest of all possible primary care practices, there is no getting to see only cute and healthy children - and if even picking out an antibiotic for pneumonia is painful, let me tell you, even the cute and healthy kids get pneumonia.Delete
Nobody here can really tell you what's right for you. Specialty choice is such a hard decision. Personally, I left my residency in IM to do PM&R, and there are some days I know it was the right decision, and other days when I wish I knew what happened if I did something else.ReplyDelete
It's only August and my impression is that you should wait a bit and see how you like future rotations. I think even if you didn't pick the wrong field, you may have picked the wrong program. If you hate really sick kids, you shouldn't have picked such an academic program. I'm sure there are tons of community programs where you would have done mostly outpatient.
As someone who has kids and has taken them to the pediatrician a LOT (especially this year), they are almost always seen by an MD, not an NP/PA. For well visits and mild sick visits. It's very possible (and probably most common) to have an outpatient pedi practice.
Maybe you should look into switching to a more outpatient-oriented pedi residency. Or possibly family med, as Jess suggested above. Of course, ob/gyn is an option, but I wonder how happy you'll be in it when you are filled with such uncertainty. Working your butt off is not a great thing to be doing when you're not sure if you even want to be doing that thing.
- AnonymousAugust 20, 2012 at 9:19 AM
Go. But before you go, be clear on what you DO like -- I'm not clear at all on that from your letter.ReplyDelete
I'd agree with the suggestion of family med, though be warned that you'll also see a lot of hypertension and COPD, so it may not be a good fit either. From what you're saying, I doubt you'll like ped gyn either.
If it's babies you like, you might try doing a rotation in the newborn nursery or even the NICU before you give up on pediatrics. I found that I liked OB but I gravitated to the baby more than the postpartum mom, which made me more a pediatrician than an OB-gyn. (Plus I hated gyn, but whatever.)
Every single medical specialty has its bread and butter. That's what you have to really LOVE. Every specialty also has its problem diagnoses or problem patients -- those you merely have to be able to tolerate with relatively good grace and patience.Replies
Hi I am the blogger who wrote the should I stay or should I go post and put this in the mailbag for some advice. I appreciate all the advice I have received and am not surprised that the replies vary as much as my own thoughts.Delete
I thought about family medicine, but adult internal medicine is definitely not for me. Yes I would get uncomplicated OB and peds, but a lot of other "stuff" that I really don't care for.
As for switching, some days I fly high thinking, "i'm gonna do it" then others I think "how can I leave after only one month?"
True, I know you need to put your time in during residency doing things you don't like before you get to focus on what you do. The truth is, the stuff I love most is the bread and butter outpatient peds. I have liked every peds outpatient shadowing and working experience I have had. I like guiding the families, giving anticipatory advice, and reassuring, "this will be fine." I do not like ICU, chronic care, etc party because it seems overwhelming, partly because it seems boring to be, and partly because so much of it is just so sad.
When I think about switching, it is a temporary high, and then its like I fall right back down to earth and think, I don't know that I want to be a general OBGYN- delivering babies seems like scary stuff to do forever. There is no gurantee to get a fellowship nor a gurrantee that I will be happier doing some dimension of OB and leaving peds. I was ambiguous about surgery, but now that I am NOT doing it I wonder if I should have. I Feel like I am in some way missing out. Then again, not ready to throw away the smiles and giggles even when I shimmy right up to the edge to jump.
I even think, well maybe pediatric and adolescent gyne would be cool, but you miss the developmental stuff, family relationships, but get the academic and intellectual curiosity dimension filled in.
I just don't know. I am a nurturer at heart, always wanting to "make people feel better" that is why I chose to be a doctor. Now I find myself confused as to where I want to focus that energy and if life beyond residency will be what I hoped, or if I will feel like a big fake for the next 3 years as I do now and beyond. I and not sure how much longer I can "feel it out" without missing my window, but then again I am not sure I want this window to close forever either.
When I went to meet with a member of the OB department to discuss this, I felt like I was flying, ready to jump but now, am back in my cocoon and scared to leave the nest.
It has been so many years in the making- school and more school- and now I feel lost and unfulfilled trying to do one thing all the while secretly watching the others and seeing what I missed albeit trying not to look.
Every day I wake up hoping I'll "just know" it hasn't happened yet and maybe never will. In the mean time, I would just like to feel like myself again, happy, normal and fulfilled. Finally feel like its ok to get pregnant, start my family, and adult life.
should I stay or should I go?
This is so similar to my situation.. after picking dental school.. now I'm between pediatric and Maxillofacial surgery. I like parts of both and I hate parts of both. I know my life will be great in pedo. I will have a fun practice.. I know I'm great with kids.. I know I want to go into Pediatric but it hurts everytime I see a surgeon. EVERY.SINGLE.TIME. So that is how I made the decision.. I already know I'm going to regret it but I'm atleast going to give surgery a shot. I cannot live with the regret if I didn't even try. Good luck with ur choice. Its going to be regret bothways.. so why not pick the one you will miss more?ReplyDelete
- AnonymousAugust 20, 2012 at 1:22 PM
I really dont think your experience is all that uncommon. First of all, the vast majority of interns question their decision during the 1st year. Whether the question their program, specialty, or medicine totally. Truth is I hated atleast 80% of my residency experience - but love fellowship. You owe it to yourself to complete your first year before you make any decisions. Second, as the year progresses, remind yourself that "work should feel like play", as my father used to say. You are going to be spending the next 30 years practicing medicine. If you dont select something you are truly passionate about you will be miserable. And when you are miserable at work, you will ultimately bring that home, and the whole family will become miserable. Third, it is not as hard to change residencies or specialities as one might think. If your program allows interns to do electives, try an elective in Peds Gyn.....it may help answer your question for you. I am married to a surgeon, and I have a surgeon mentality, and I love procedures. But we wanted a family, and I was able to find something that allowed me to use my technical skill, while still enjoying a family, and flexible hours. I do Peds EM, I cant imagine ever doing anything else, we are happy and have wonderful kids, and have an amazing lifestyle. This worked for me. BUT you need to do some soul searching AND figure out what will work for YOU. Good luck :)ReplyDelete
I am a sub-specialist pediatrician who loved looooved, but late in the MSIV game, made a decision to change to pediatrics (that's a different story). Not 3 days ago, I was chatting with 2 surgeon colleauges, & made a comment about what might have been. Both immediately said "If could have found it, I would have done something else…my 'life' sucks...but I just love surgery." No question, I work long difficulty weeks/weekends and have to sacrifice time from my family for my practice, but without a doubt, the life of a good surgical specialist demands far more. If you are willing to test the waters of the strain that being an OB/Gyn will put on your personal life, and you can be sure that you can't be happy as a pediatrician, than go for it.ReplyDelete
For anyone in your predicament, try to remember, there should be nothing easy about medical education training, regardless of your chosen specialty. The ACGME has standard credentialing requirements for very serious reasons. Being able to recognize the early stages of disease, preventing a further spiral can absolutely be life saving to a patient. And think about the impact you could have on so many patients & their families if you could prevent them from ever having to see the uglier sides of disease. You cannot begin to gain that experience without learning vigorously during residency training. There are rotations we all must suffer through, but there is always light at the end of that tunnel, be it the module or the program. Whether you decide peds or OB/Gyn, or for anyone choosing a career, your training program should be rigorous & demanding if you want/expect to be an excellent physician. The rewards of a nice lifestyle come later.
Goodluck...it's a tough decision!!!
As someone who continually questions my career within medicine I understand and empathize with your struggles. Before you switch I would consider perhaps a pediatric subspecialty--perhaps pediatric cardiology. It's a demanding field but you have a good relationship with families and have a positive impact on the children. It may be worth asking your PD if you can do an elective in a subspecialty that you think may excite you. Just because you dont like general pediatrics doesn't neccessarily mean that the field may not have other opportunities for you.ReplyDelete
I also want to add that as a person who did switch residencies, this is not a choice you need to make immediately. I didn't make the decision to switch until December and still found a spot for the next year. Take your time to investigate the situation thoroughly and maybe speak to some pediatricians in outpatient practice. I'm sure you know that you are likely going to face a huge amount of resistance if you attempt to break your residency contract and leave before the end of the year, so I think either way, you should resign yourself to finishing your intern year in peds, and then you'll have to repeat your intern year if you switch to ob/gyn.ReplyDelete
Try thinking about what are you drawn to, not repelled by. I feel for your predicament, and you sound like someone who cares for and about people and families.ReplyDelete
I'm a general outpatient (primary care) pediatrician for underserved kids, also heavily involved in medical education. I love much of what you wrote about, the helping children grow and develop, maximizing health even in difficult social situations. So I want to say STAY IN PEDS, but reading what you wrote, I'm a little worried about you staying in a field you will always feel saddened by, or left feeling like you should have done something else. I'll note that I also LOVE my pediatric journals (and caring for babies, kids, and teens.)
Internship in any field is difficult. Maybe as the straight through gal, you can instead take some time away/off/other for a little while. Being away might tell you what it is that you want to go back to (or switch into).
But the answer rests within you.
I will chime in here and tell my story:ReplyDelete
I was a MS3 in my 3rd rotation when I fell in love with Peds. I really had no clue what I wanted to do, but I totally dug all the kids, the pathology was neat, it was awesome.
Then I did my 4th rotation - OB/Gyn. And I fell harder. It was obvious peds had to go as my top choice. I loved OB because it was surgery AND clinic, helping women, delivering babies. And narrow pathology - become a specialist in one area of the body. What's not to like?
Then I scrambled. I thought I might go for a Peds spot, because, Hey! 2nd choice. But there were very few available. I ended up with an FP spot at a small community program. I was slightly hesitant because I felt like you did - unexcited about COPD/HTN/DM...ugh. So exhausting. The only slight excitement I felt before I started was OB. I would still get to deliver.
I spent my intern year delivering babies and learning ALLLLLL the crap ton of general medicine I clearly didn't know. In our program, you don't usually do OB past the first year, so I did it up. And I loved every minute. It was amazing. But then I finished first year. And I had one or two straggler OBs, but basically, I was done. And I didn't miss it anymore. I didn't crave it. I also did tons tons tons of general peds. And I loved it. Still absolutely love it as the bright point of any day. But no true pathology - which is great because my brain only holds so much. I had my son in the middle of my PGY2, and I really got over OB. Because I wanted to be home, not delivering babies in the middle of the night. And I still loved kids (Which I thought would change when I had one), but it was different. And the best part was that I really grew to love treating the adults, for so many reasons. Yes, I mostly still internally roll my eyes at COPD/HTN/DM. They are chronic and dull some days, and a complete PITA to get controlled. But it's still a joy to do, as I'm fairly sure EVERY medical specialty is on SOME day.
So, this is not really a plug for FP, but more a comment that, with time/life changes, you often change what you really want. I think others above me have said as much. That's not to say don't switch. Just be sure you factor in some other things (that I totally wouldn't have thought of had I not stumbled into my dream career). It's hard. It's hard to change, I can't even imagine doing it without being forced to. I wish you the best of luck!
What wonderful advice you've been given! For my 2 cents worth - I'm an Australian Obgyn trainee with 3 years left to complete the program. I'm currently cuddling a 3 month old who smells divine, trying to figure out how I'm going to make it all work.ReplyDelete
What I know is that I adore my family & I love my work, so everything will be fine. If I was more ambivalent about work, I think it would be infinitely more difficult. It sounds like you're a passionate person - find a career you're interested in. I think the rest will follow.
Someone advised me that you're trying to decide between two 'right' specialties, not a right and a wrong one. It helped ease my mind that there are ups and downs of every specialty and more than one way to be mostly happy with work.ReplyDelete
I switched out of OB. The lifestyle is pretty rough and I think you may be romanticizing it. Before you switch at least do yourself the favor of talking to some private ob attendings and DEFINATELY shadow some in private practice while they are taking the really long calls. I have the indecision bug too, I understand. But I loved the OR which made it harder to leave OB and even I switched out. The people I know who are happy with OB are the die-hard, this is #1 priority and I-can't-fathom-doing-anything-else type people. It takes that type of dedication and grit to do it bc it is SO demanding and stressful. I thought I would love it and I actually did love my intern year of OB, and even with that, I switched out bc I felt I was really missing out and would continue to miss out on my child's life. I think if you could imagine being happy in outpatient peds, stick it out. If you like well baby checks, 3 years from now you are going to be another happy pediatrician, and don't kid yourself! that is awesome. It is just as respected and cool as Ob. Moms will love you. You will see when you have your own baby. Having a good pediatrician is such a huge deal. I would get on an antidepressant too. I think some of it may be intern blues/depression. Hope you work it out and best of luck to you.ReplyDelete
btw, I regret not doing peds, FYI!!ReplyDelete
As a CPNP, I take offense to your comment regarding NP's/PA's taking away the "easy" patients. I manage very complex kids and, quite honestly, run circles around the interns I work with. However, they are smart enough to realize that I have 17 years of pediatric experience, and can teach them a whole lot. Do yourself a favor and embrace your NP's as part of the team...most of us have a lot to offer.ReplyDelete
Neither younpr your residency wants you to be there of you are not pleased w your choice. And you won't be the first to have your doubts or switch.ReplyDelete
Sit down w your program director and let her/him know what is going on. Can u take time off residency to do a solid month or two of OBGYN shadowing? If you stayed in Peds after that, you'd only end up a few weeks behind, and that would be time well spent making a decision. If you switch to OB, you know what you are getting into AND have your foot in the door at the program at which u shadowed.
I'd stay with your current program, and based on how my friends who are pediatricians describe their days, I think you'd probably prefer outpatient peds, ultimately.ReplyDelete
Reading your initial post, you like: low-risk, pleasant (mentioned twice), quick "you will be fine", easy, sweet patients.
You don't like: inherent "risks", an ADD environment, OB lifestyle, surgery (except peds, and not sure about OB), chronic heartbreaking patients, labs follow-ups, irresponsible patients, or the idea of delaying your life plans.
In general, you prefer peds colleagues to OB colleagues.
I'm a veterinarian, not a physician, but I recently changed my practice specialty (not as easy as those who are not veterinarians who have done this might think!) Why? After a number of years of career success while trying to convince myself I liked what I was doing, the James Herriot Dream, I finally had to admit I really didn't like it to the point it was making me and those around me miserable. I COULD do it - just as I have no doubt you could be successful in whatever specialty you select - but I didn't WANT to do it.
First, I had to mourn the death of my identity. Eventually, I realized all the pressure I felt to prove myself in my original, highly demanding specialty came from me. Yes, I could have stuck it out until retirement, only a few short decades away. But why?
My closest friend still works in my original specialty and teases that she wants to hire me per diem during her vacations because I'm exactly the colleague she'd trust with her clients. It's just a joke, though, because I've managed to find something I really like to do, and she knows it. The highs aren't as high, but the lows aren't as low, and the lows were the problem. I can get my highs from achievements in my private life.
My SO is relieved I don't come home sad or angry anymore.
Judge your chosen specialty by the worst days, not the best. You may love delivering healthy, cute, planned babies whose mothers are healthy with uncomplicated births, but I'm guessing patients with chronic pelvic pain, unintended pregnancies and infertility will wear you down, and don't forget the bad births and miscarriages. In outpatient peds, you'll see mostly healthy patients with routine complaints and develop relationships with families. Occasionally, you'll see a kid with something devastating like leukemia or CF, or one of your adolescents may become pregnant or contract an STD. It doesn't sound like a bad life, if you like that sort of thing (I don't!), which is why you have to decide for yourself. :-)
I think it's important to remember there can be multiple "right" choices as far as your career goes. What is it about OB that you miss? Procedures? Then how about a procedural Pediatrics specialty? You have to be ok with the bread and butter work of whatever you do. What is it that gets you up in the morning? What do you find meaningful? How important is a controllable lifestyle to you?ReplyDeleteReplies
Wow, so many good and helpful people have weighted in on my debate. I cannot thank you enough for your support and advice.Delete
It is quite true that there are many right choices and I think that is the problem- you cannot have it ALL. You have to pick one and move on and that has been the problem.
There are days when I go to work and the days seems endless, others when it flies by.
The only reason I like "pleasant peds" is because I don't like complicated peds. That being said, infertility, misacarriages, pelvic pain- none of that scares me. Working with women empowers me. That is partially why I picked peds for thw children's smiles and the filling of the mom's with confidence, you can do this, and "we will get through this" talks.
There are so many days I wake up thinking, if I wasn't married, tied to someone else, worrying that pursuing my dreams may ruin my marriage, delay my life, I think, it would have been no question, I would have gone into OB and done reproductive endocrinology. What I for so long found fascinating. There are just so many roadblocks- competitive fellowships, moving from city to city. When your life is tied to someone else's how can you just say, 3 years is up, lets move on. Needless to say, my husband says everyday, DO WHAT MAKES YOU HAPPY, I will support you 100% either way. I know this is true, I just hate dragging him through the mud with me, and let me tell you, this year has been muddy.
I think I am constantly beating myself up and looking back because I have been trying to fit into this mold I think I should fit into and truly want to fit into. Yes, I love children and talking to families, but intellectually, none of that tickles my fancy.
Talking to women about gynecologic conditions, reading, studying, teaching about that pathology interests me. All my research in medical school was gyne- why? because it was interesting to me. as simple as that. I love endocrinology and the hormonal axes, but, SIADH and DI, not so much, LH FSH and hyperprolactinemia, bring it on.
Yes, I was afraid that I didn't love surgery enough and being out of the OR its hard to say if I miss it- but how would I know, I have never "done it."
I only have one life, that is why this has been so hard, because I don't want to screw it up, but at the same time, I don't want to live the next 50 years thinking "I am doing the wrong thing."
What I just have to accept is that there is no perfect answer, and you can never have the cake and eat it too. You just have to find what lights your fire. Someone said, "work should be like play" and at this moment, yes, I do get to "play" with the kids, but then I have to listen to their little lungs and think " I have no idea if you are ok enough to go home" and yes, I want to snuggle the little peanut and take in her heavenly little scent, but sometimes, its the little one I want to cuddle and not the medicine I want to talk about.
So again, I will miss the little faces if I leave, as those are priceless and fill my heart with joy and day with light, but I know deep down I do not love the academic part, what I am supposed to be looking for and why.
I think it is time I just take a leap but like before I feel paralyzed, waiting for the lighting to strike and me to "finally know."
To clarify, I think I have to decide if my "academic" interest is more important, since I have come this far- I should train to do something I love, or is my "life"/"style more important? The life I "think" I want.Delete
DocInLimbo- I wish I had found this blog earlier. You sound 100% like me. I am currently in my intern year at my first choice peds program and have been debating about switching to Ob/Gyn too. Your thoughts, the debate in your head, the back and forth that you describe, I am the exact same way! I even spoke with my PD about this, and we decided I would stick it out a bit and if half-way through this year I still feel the same, then I'd have to start looking elsewhere. And while most days at work I am unhappy and constantly thinking about OB, I cannot and have not taken the plunge and re-entered the match and it annoys me that I haven't just figured it out by now! So it's been a few months since your last post, but I have to know (to help me as well) what did you decide? Reading your post put a smile on my face because it sounded like my own words on paper...Delete
malibuRN, I am still in my peds program . . . mostly happy but honestly jealous of anyone doing anything surgical... and still having second thoughts a lot of the time. I do love children, but I still don't think general pediatrics is 100% the right fit for me. Nor have I found any fellowships that make my heart sing. I think the best thing for me is to do a second residency in OBGYN . . . that way I will have the best of both worlds and a million options open.Delete
I need the OR and realize that as much as I thought I could live without it, I miss it, dearly. Much as I miss the comraderie of surgery-type people. I would love to talk to you in a private message but am not sure how to do this.
what did you decide? and did match day make you so sad this past week too?
- AnonymousJune 28, 2013 at 11:21 AM
Hey DocInLimbo!Delete
This is MalibuRu, it was nice to hear back from you! It still makes me laugh when I read your posts and I think about how you take the words out of my mouth each time...So I initially contacted the program coordinator at the hospital I did my ob/gyn rotation and she put me in touch with the program director of the residency there (before residency applications I had rotated at this hospital that tried to recruit me heavily, not knowing I was also thinking of peds at the time). He told me to reapply and they'd interview me and that he was suprised when he heard I went into pediatrics...I started to think of reapplying as well, began to rewrite a PS, spoke with my PD (did not tell PD that I wanted OBGYN but only that I was considering making a switch b/c i did not feel connected to residency so far). And then I froze too. I thought maybe I would begin to love it and see why I am so unable to move, and for a short while I started to look into ED fellowships in peds and have started to rekindle my love for global health, and now I am back to where i started- not loving my day to day at all and always thinking about and yearning for OBGYN. I cannot figure out why I can't make the switch and what is holding me back, but at the same time i feel like I am wasting time. Why would I do a second year of residency only to decide to switch still? I worry about the lifestyle also since that was a big reason I ultimately chose peds. But everytime I get a female adolescent patient wanting to talk about OCPs, I get excited, I love talking to moms with newborns about all the anticipatory guidance, I love talking to moms coming in to the hospital in premature labor while I'm on my NICU rotation...you would think that these things I get excited about would tell me without a shadow of a doubt that I should switch. I have co-residents tell me all the time how they could see me as an OBGYN which doesnt help me at all! I know I am indecisive and fearful by nature, but that should not hold me back. And then I worry what if I switch and I dont love that either? Although a year later I am still thinking about ObGyn and envious of those that have chosen to go into it. I miss using my hands and doing procedures, I get so tired of rounding and talking and rounding and talking.
Now I am just rambling, but I know exactly how you feel. I go back and forth all the time in my head and get annoyed when I begin to wonder why I didn't think this through more prior to residency applications. I start my second year with PICU and if I don't love that then I think I have to make the change...I have yet to be truly excited in residency. I love kids and I have made some great friends, but I just don't love the day to day and am coming to realize I am not as interested in the medicine behind all of this either...
Posting for reader:Delete
Hey DocInLimbo, its maliburu, just checking in to see how you've been doing with your second year of residency and your decision between ob and peds?
maliburu- are you still out there? its DocInLimbo,Delete
I am in third year now, planning to apply for neonatology as that seems the most appropriate next step and i like it, when im doing it, but I still feel pangs of physical sadness and jealousy when i see the ob residents buzzing around l and d. I have contacted some ob programs, even tried to arrange an away rotation during my IS month but chickened out ultimately.
oh and did I mention i had a baby? throw that into the equation.
i wish i could PM you but don't know how to find you!
what did you do?
Hey docinlimbo!Delete
So excited to see you posted on here!! I was scouring this blog for soo long after we both last posted to see where you ended up! What is so funny is that I, too, think I am going to apply for NICU fellowship! But my sentiments are identical to yours when I see ob residents...congrats on your baby!! i don't know how to de-identify myself on here so maybe you could facebook message me or something from my name ?
This comment has been removed by the author.ReplyDelete
I truly believe that. You may need to work at a different practice, maybe take time off, or move to an area with more options.Cialis OnlineReplyDelete
Wish my book was published (getting there) as a practical tool for you (it's a 6 step decision making method with an organic/non-systematic feel--i.e.: I hate formulas), but maybe my blog, along with a shortened version of my steps (found on left sidebar) might help: www.chickswithchoices.com. Mostly, listen to your own inclinations, not another voice (which can come in may forms like "tradition"--this is what my family would do). So often we make decisions based on what others want or a fear of rejection. A lot to it, but that's just a quick thought. Hope you stop by...ReplyDelete
Does anyone know how to get in touch with DocinLimbo? I'd be interested to see where she ended up...ReplyDeleteReplies
Hi there: This is docinlimbo. Given that it was match day this past week, I wanted to revisit this post as my indecision was creeping back into the picture. Although things have gotten much better, I talked to a counselor, and even my PD . . unfortunately, I am still in limbo . . . after this post, I created my application, talked to my PD, and cried every day . . . all I had to do was click submit . . . but again, I just couldn't do it... for the second time in a row.Delete
I basically came to the decision, that there had to be a reason that I didn't leave peds in the first place. So after thinking about it . . .over and over . . .I decided that since peds was so short, only 3 years, it made sense to complete the entire residency and then decide what I wanted to pursue next. With each passing day, I realize how much I miss the OR and doing procedures. Thus, I think I will just do a second residency in OBGYN when I am done. I have also thought more recently about pediatric surg but think that if I ever want to have babies, that the boat for 10 more years of training may have sailed . . .
either way, I am generally happier and relatively settled but feel panic at having to decide my next step as soon as this fall . . .fellowship in peds vs second residency vs graduate and get a job . . . the decisions are endless, but for now, I am working, learning, and taking care of babies . . . what could be better than that?


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2019 Ford Mustang GT Premium 5.0L V8 Ti-VCT RWD This vehicle has been serviced with a fresh oil and filter change, as well as new wiper blades and new air filter.
Wickstrom Auto Group, Expect the best experience the difference.
Used 2019 FordMustang GT Premium Convertible
- Stock: 191299
11 views in the past 7 days
- Odometer
- 18 miles
- Fuel Economy
- 14.0/23.0 mpg City/Hwy
- Exterior Color
- Magnetic
- Interior Color
- Ebony
- Body
- Convertible
- Transmission
- 10-Speed Automatic
- Drivetrain
- Rear-wheel Drive
- Engine
- 5.0L V-8 cyl
Ford Mustang
Detailed Specifications
- 4-wheel ABS Brakes
- 911 Assist
- ABS and Driveline Traction Control
- Aluminum dash trim
- Anti-theft alarm system
- Audio controls on steering wheel
- Automatic front air conditioning
- Braking Assist
- Bucket front seats
- Cargo area light
- Clock: In-radio display
- Coil front spring
- Compass
- Cruise control
- Cruise controls on steering wheel
- Daytime running lights
- Digital Audio Input
- Driver and passenger heated-cushion, driver and passenger heated-seatback
- Driver and passenger knee airbags
- Dual front air conditioning zones
- Dual illuminated vanity mirrors
- Dusk sensing headlights
- Electrochromatic rearview mirror
- External temperature display
- Front Ventilated disc brakes
- Front fog/driving lights
- Front reading lights
- Fuel Capacity: 16.0 gal.
- Fuel Type: Premium unleaded
- Glass rear window
- Headlights off auto delay
- Heated driver mirror
- Heated passenger mirror
- Independent front suspension classification
- Instrumentation: Low fuel level
- Interior air filtration
- Leather seat upholstery
- Leather shift knob trim
- Leather/aluminum steering wheel trim
- Machined aluminum rims w/ painted accents
- Manufacturer's 0-60mph acceleration time (seconds): 4.5 s
- Max cargo capacity: 11 cu.ft.
- Passenger Airbag
- Power convertible roof
- Power remote driver mirror adjustment
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- Power windows
- Privacy glass: Light
- Radio Data System
- Rear bench
- Rear spoiler: Lip
- Regular front stabilizer bar
- Remote activated exterior entry lights
- Remote power door locks
- Remote window operation
- Side airbag
- SiriusXM AM/FM/Satellite Radio
- SiriusXM Satellite Radio(TM)
- Speed Sensitive Audio Volume Control
- Speed-proportional electric power steering
- Stability control
- Surround Audio
- Suspension class: Regular
- Tachometer
- Tilt and telescopic steering wheel
- Tire Pressure Monitoring System: Tire specific
- Total Number of Speakers: 9
- Trip computer
- Turn signal in mirrors
- Vehicle Emissions: LEV II
- Video Monitor Location: Front
- Wheel Diameter: 18
- Wheel Width: 8
- Wireless phone connectivity
Dealer Notes
KBB.com Consumer Reviews
- 5.0
Who doesn't love a Mustang
By SD Jones on Saturday, August 10, 2019I was looking for something sporty that I can use as a daily driver that didn't have as stiff a ride as my outgoing Subaru WRX. I was drawn to the mustang for several reasons, but one was the current incentives. Once I test drove the car, I just fell in love with it. Awesome classic Mustang styling both on the interior and exterior. I love the 8 inch infotainment screen with the Apple CarPlay and voice activation. I choose a package with with all season Goodyear F1 tires and upgraded rims with black inlay over chrome . Great ride quality. 5 driving modes. Wet,sport,normal,track & drag. I got a great deal on a 19 left over. 5k off sticker. 0% financing for 72 months.
- 4.0
That's a lot of PERFORMANCE for only $26,000 bucks
By the next pony boy on Tuesday, July 16, 2019So out of the blue I decided to get a 2019 Mustang 2.3 coupe. I was not even considering a Mustang,but a great deal fell into my lap , and now I'm Pony boy...fun to drive with a lot of curb appeal. I don't want to here how the back seats are cramped,in this segment of cars all back seats have short comings....Besides the awesome performance, I was really surprised how well the fuel economy is in this beast, I avg 22 MPG overall, that's only 2 milles less per gallon then my prevoius car that had only 170 hp vs. the Stang at 310 hp.One more surprise, a huge trunk....PONY BOY OVER AN OUT.
- 5.0
Great Vehicle
By ZoomZoom on Sunday, July 21, 2019The combination of features, design and performance are unbeatable at this price point. I have a 2015 and it feels well built, especially for a launch year car after 30k miles. I still get walked up to at gas stations and admiration driving it, something not many much more expensive cars get. I think the EB is an excellent application, it goes when you want it to, or gets 28 MPG on the highway if cruising, it really is the best of both. With BLIS, cooled seats and full touchscreen it has everything you would want, and the styling has an endearing quality to it even after a refresh. Seats are comfortable if a little short, and the ride is firm. I have driven a Challenger and it feels so ponderous and huge by comparison, and a Camaro feels like driving a mail slot. If you're looking for a sporty car that wont break the bank or be on the side of the road look no further!
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subset: commoncrawl


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Roasted Broccolini With Winey Mushrooms
If you follow me on social media, it may seem like you've been hearing about my new Brassicas cookbook forever. (Sorry about that.) Bringing a cookbook to life takes a long time–two years in this case–and when release date approaches it's hard to contain the excitement. Well the time has finally come, and I'd like to officially announce the birth of my new baby, Brassicas: Cooking the World's Healthiest Vegetables. What are brassicas, you ask? I bet you already know them well. The group, sometimes referred to as the "cabbage family" or "cruciferous vegetables" includes familiar […]more


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It can be frustrating trying to get small business loans without collateral to qualify. This is especially difficult if your credit score isn't great. In addition, getting a bank loan takes time, so a loan without collateral can be even more difficult if you need the funds quickly. However, traditional bank loans are not the… Read more »
Posts Tagged: small business loans with no collateral philippines
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My name is Edward Henderson. I was born February 11, 1978 and grew up in Fort Myers, Florida. I was raised in the Episcopal Church but while attending Bishop Verot Catholic High School, began to understand the nature of "the Church" in a different way. I was nearly about to join the Roman Catholic Church when an Episcopal Priest recommend I "check out" the Orthodox and Byzantine Catholic Churches. This led me to find Holy Theotokos Monastery in North Fort Myers, which was a small men's monastic community in the Greek Orthodox Old Calendar Church, under Metropolitan Paisios. Upon graduating from High School in 1996, I was baptized. That Fall, I began my studies at Florida State University, where I eventually decided to Major in Russian (finding Ancient Greek too difficult) and minor in French. In 1998, our Old Calendar sect reconciled with "Canonical" Orthodoxy and went under the Ecumenical Patriarchate. That year I also made my first trip to Russia. In 2000, I graduated from FSU with a Bachelors' Degree. I then began graduate school at the same university, but began my studies at Moscow State University in Russia. I ended up spending 2 years in Moscow and rather than return to FSU to complete my MA, I moved to London, England to study in a Russian Studies MA Program at University College London, School of Slavonic and East European Studies. There I wrote my MA thesis: "Disharmony and Reconciliation in the Films of Andrei Tarkovsky". After completing my MA Degree, I eventually ended up back in Moscow where I am currently living and have been so since August 2004. I now work for English First, where I teach Business English to various companies in Moscow. I attend Church services at the Valaam Monastery Representation Church (Podvorija), where I also sing in the choir. In November, I will probably return to America, but nothing is ever certain.
Interests: Being a convert to Orthodoxy, the Church is my primary interest, but I am particularly attracted to the various traditions of Church Music which makes singing at the Valaam Podvorija such a blessing as they sing a mix of Byzantine, Valaam, and Znammeny Chant, with some Obihod and Georgian Melodies. I am also interested in the Pre-Nikonian Rites and have often thought about writing a paper connecting the Russian Old Believers with the Greek Old Calendarists. As far as modern Orthodox writers are concerned, I am most keen on the writings of Metropolitan Hierotheos Vlachos of Nafpaktos, Metropolitan Kyrill of Smolensk, Father John Romanides, and Hieromonk Seraphim Rose.
My second interest in language and linguistics, particularly Slavic languages. In University, I studied (but not always successfully) Russian, French, Ancient Greek, Old and Church Slavonic, Serbian, and Croatian. I also independently "dabbled in" Old English and Old Norse.
My other major area of academic study has been in Russian Literature. Despite agreeing with Dostoevsky, I prefer reading Tolstoy. My favorite 19th century Russian writer is Nikolai Gogol. Among the contemporary Russian writers, I prefer Victor Pelevin.
I am also a huge fan of J.R.R. Tolkien, J.K. Rowling, Stephen Fry, and of Norse Literature, particularly the Icelandic Sagas.
Living in Russia and England has given me great opportunities to travel. I have been to (and on usually a tight budget) France, Italy, Egypt, Sweden, Greece, Scotland, Wales, Denmark, Finland, Estonia, Turkey, and Ukraine. As an Orthodox pilgrim, I have visited Holy Trinity-Saint Sergius Lavra, Saint Alexander Nevsky Lavra, Optina Monastery, Mount Athos, and the Kiev Caves Lavra in addition many other lesser known communities in Russia and Greece. In America, I have been to 3 of Father Ephraim's communities in Florida and Texas, Saint Herman of Alaska Monastery, Holy Transfiguration Monastery in Boston, Christ of the Hills Monastery, and Glorious Ascension Monastery.


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Children Heckled While Singing Patriotic Song – Fox News
A group of New York City children banned from singing "God Bless the USA" at a graduation ceremony were heckled by adults when they sang the song at a nearby playground.
The protest had been organized by parents at PS 90 in Coney Island. They were outraged after principal Greta Hawkins banned kindergartners from performing the song at their graduation ceremony. Staffers said the principal was worried the patriotic anthem might offend other cultures.
She also feared that the Lee Greenwood song would not be age-appropriate for the youngsters – concerns shared by the New York City Dept. of Education.
Among those attending the protest was Rep. Bob Turner (R-NY) who had been invited by parents. Turner is running for the U.S. Senate against Sen. Kristen Gillibrand (D-NY).
"I thought it would be a great idea," Turner said. "The kids were a delight."
According to video of the incident, boys and girls were waving American flags and singing "God Bless the USA" when adults began swarming and shouting.
They were shouting down the kids as they were singing," Turner told Fox News Radio. "This was really bad form."
The website Politicker transcribed some of the protest.
"You Republicans come go to a Republican area and do that, we don't do that here," one of the hecklers said. "This is ridiculous, this is sad. This is so crazy. This is sad."
A Turner staffer can be heard off camera asking the protesters to stop – and to "let the kids sing."
"The kids don't even know what they're singing," the unidentified protester replied. "They got something you tell them to say. It's ridiculous. It's sad, sad, sad. You all are going to burn in hell. You all burn in hell. Shame on you. Shame on you."
At one point, a tattooed protester cursed.
"You got a right to make noise, I got a right to make noise," the protester said.
The video shows boys and girls as they began chanting, 'USA USA" in an attempt to drown out the protesters.
Turner accused the Gillilbrand campaign of orchestrating the hecklers. He said at least one "tracker" from her campaign was present filming the altercation.
"These people were doing some provocative things to get some sort of a news story," Turner told Fox News Radio. "We can have our political differences, but I thought this was over the top."
Glen Caplin, a spokesman for the Gillibrand campaign said it was outrageous to think that they had anything to do with the incident.
"This is a bizarrely-false claim," Caplin said in a statement to Fox News Radio. "No one from our campaign had anything to do with the mayhem of this event. Young schoolchildren know the difference between the truth and make-believe, so it's too bad Congressman Turner didn't learn anything from the kids."
Turner said Gillibrand needs to explain herself.
"That would be a good starting point," he said.


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Happy Birthday you crazy zombie.
its a stark departure
Not my doing. They didn't even get to confirm their email!
you tell me:
Current Activity
Viewing User Profile Psychotic
we're looking at each other. this is awkward.
Then come join us!!!! Send a message to Sarah and she'll give you the deets.
So many of us. SO MANY. Cuchi, Jojee, Shorty, Denmark, etc.
Join a lot of us in a super secret group on Facebook!
Haha, I like it! Although with that said, everyone needs a hobby and who am I to judge...?
Send an Instant Message to theundeadhero Using...
Last Exile
Who's scruffy lookin'?
Till we meet again!
Oh go on then
Feel the Bern


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Contribute to ReadWriteThink / RSS / FAQs / Site Demonstrations / Contact Us / About Us
ReadWriteThink has a variety of resources for out-of-school use. Visit our Parent & Afterschool Resources section to learn more.
Download the plug-in tools you need to use our games and tools, or check to see if you've got the latest version.
Home › Parent & Afterschool Resources › Games & Tools
Book Cover Creator
|Tech Requirement
Why Use This Tool
The Book Cover Creator allows users to type and illustrate front and back covers, and full dust jackets. Children can use the tool to create new covers for books that they read as well as to create covers for books they write on their own or with family and friends.
Here's What To Do
A variety of templates allow users to create just a book's front cover, front and back cover, or a full dust jacket. There are text tools to add formatting to titles and book notes, the ability to add shading to background areas of the cover, or draw original images to illustrate covers and dust jackets. Since this is an online tool, there are also Book Cover Planning Sheets, printable PDFs that children can use to draft and revise their work before creating and printing their final book covers or dust jackets. The sample book cover shows a simple front and back cover.
More Ideas To Try
- Learn about the parts and pieces of book covers and dust jackets using the Book Cover Guide, which doubles as an example to share with children.
- Recreate the cover of a favorite book.
- Design a new book cover or dust jacket after reading or listening to a book.
- Make a dust jacket or book cover after writing an original story.
- Use this tool to keep track of the number of books read during the summer or during the school year by making a book cover for each completed text.
Send Us Feedback
We invite you to share your experiences with this resource and provide us with any feedback on how it can be improved.
Tell us what you thought about this Game or Tool


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Goat's Cheese, Lentil and Brown Rice Rolls
- Butter, for greasing the baking dish
- 6 large Swiss chard leaves (about 1 1/4 pounds)
- Salt
- For the Filling
- 2 cups cooked short grain brown rice
- 1 packed cup baby rocket leaves, chopped
- 1 cup soft goat's cheese, at room temperature (8 ounces)
- 1 cup cooked green lentils
- 1/2 cup chopped fresh mint leaves
- 1/4 cup extra-virgin olive oil
- 1 teaspoon salt, plus extra for seasoning
- 1/2 teaspoon freshly ground black pepper, plus extra for seasoning
- 2 cloves garlic, minced
- One 26-ounce jar marinara or tomato-basil sauce
- 1/2 cup grated Parmesan (2 ounces) or vegetarian alternative
- 2 tablespoons olive oil, or unsalted butter diced into 1/4-inch pieces
Place an oven rack in the center of the oven. Preheat the oven to 200°C. Butter a 9 by 13-inch glass baking dish. Set aside.
Remove the thick stem from the center of each chard leaf. Cut each leaf in half lengthwise. Trim the ends from the leaves to make each leaf-half about 7 inches long and 5 inches wide. Bring a large pot of salted water to a boil over high heat. Add the chard leaves and cook for 10 seconds. Remove the leaves and rinse with cold water. Drain on paper towels and set aside.
For the filling: In a medium bowl, mix together the brown rice, rocket, goat's cheese, lentils, mint, olive oil, 1 teaspoon salt, 1/2 teaspoon pepper and garlic. Season with additional salt and pepper.
Spoon 1/3 cup of the filling onto the end of each chard leaf and roll up like a jellyroll.
Spoon 1 cup marinara sauce on the bottom of the prepared pan. Arrange the rolls, seam-side down, in a single layer on top of the sauce. Spoon the remaining sauce on top and sprinkle with the Parmesan. Drizzle with olive oil or dot the top with butter, if using, and bake until the cheese begins to brown and the rolls are heated through, about 25 minutes. Cool for 5 minutes and serve.
Recipe courtesy Giada De Laurentiis


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Online price may depend on your ZIP code
You know a shirt may be more expensive in Beverly Hills compared to your hometown, but did you know when you're shopping online, stores know what address your computer is registered to and you may be charged a different price depending on where you live?
It's quick! It's easy! And online shopping is supposed to be cheaper …right?
An investigation by the Wall Street Journal says some stores are raising or lowering their prices depending on where you log in, your ZIP code, and even which type of computer you use. In fact, on staples.com, a stapler was offered at $15.79 for one online customer, but another online customer was offered it for more than a dollar less.
The Journal reports staples.com changes online prices based on what it believes is your proximity to its stores. ZIP codes whose center was further than 20 miles from a staples competitor saw higher prices 67 percent of the time. But ZIP codes within 20 miles of a rival saw the high price only 12 percent of the time.
Staples.com showed higher prices 86 percent of the time when the ZIP code actually had a store nearby, but was far from a competitors' store. And although it doesn't seem fair, it's not illegal.
Another online marketing strategy to watch out for, the Wall Street Journal reports that hotel rooms found on orbitz.com were higher priced for Mac users because they're inclined to spend more money than PC users.
Copyright 2013 by Ivanhoe Broadcast News and News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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The vanity mirror is also called bathroom mirror.This mirror which can be bevelled and frameless are widely used for wall. Custom cut and design. Our company is direct manufacturer supplier and wholesales of this vanity mirror. This vanity mirror is used for a decorative wall mirror. it makes dark bathrooms seem bright and cheery.
Vanity Mirror is the decorative wall mirror used in the bathroom, which make the room seem to brighten and cheery. Our company Ginde Glass Co., LTD is the direct factory manufacturer and supplier of vanity mirror from China.
Our vanity mirror is made from the waterproof silver mirror or aluminum mirror, with an exact image, delicate design. Adopt anti-fog mirror sheet to defrost the fog on the mirror surface while bathing. The mirror can effectively prevent condensation of steam on the mirror surface, thus making the mirror surface clean and bright. This style of the mirror will make your bathroom and living room aesthetically pleasing. It is sprayed paint at the back of the silver glass mirror so that it can match the color of glass basin and wall-mounted cabinet. The vanity mirror can be made into a beveled edge, polished edge, flat edge, V&U grooved edge, many designs print, and lots of kinds of irregular shape mirror.
|Product Name
|Vanity Mirror
|double coated with fenzi paninted mirror glass
|Design Shape
|rectangle; round , oval, wave and so on
|carton with wooden crates
|Crate Size
|63*20*90cm for 30 sheets, 70*20*45cm for 15 sheest
|Color Avaliable
|green, blue , silver, champange, pink, bronze, purple, yellow
|flat edge polish
|pencil edge polish
|bevel edge polish
|miter edge polish
1 Is your company is trading or manufacturer for vanity mirror?
A: We are manufacturer factory
2. What is the MOQ?
A: Our company mainly does manufacturing and exporting. We are wholesales, not a retailer. The vanity mirror always shipped by container, so MOQ is one container. But the client can mix with other glass or mirror product.
3. How about the delivery time?
A: It is about 30 days
4. Where is your factory?
A: Our factory is located in DeSheng Industrial Park, Latitude 3RD, RD, ShaHe City, XingTai City, HeBei Province, China.
Ginde Glass Co., LTD is the manufacturer and wholesales of the vanity mirror from China. Welcome to contact us and visit our factory. we offer much more designs, cheap price and after-sales service of the vanity mirror.


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These games teach valuable skills and have a high fun and educational rating.
Your child develops spatial reasoning and strategic thinking skills by fitting blocks together to create rows in this game similar to Tetris.
Your child develops attention and focus by counting the number of sheep as they walk around the field in a set period of time.
Your child develops memory and matching skills by matching same colored balls.
Your child develops word and logic skills by unscrambling the letters to make a word.
Your child develops spatial reasoning skills by twisting the snake to match the pattern.
Your child develops music skills by listening to and choosing the correct musical note.
Your child learns about geography and how to recognize flags from around the world by clicking on the links and determining which flag corresponds with which country.
Your child develops advanced music skills by playing notes on a display keyboard as they roll across the screen.
Your child develops logical reasoning skills by collecting candy in a game with the computer.
Your child develops spatial reasoning and pattern recognition skills by placing family members around a Thanksgiving table and meeting their needs in terms of which people and food they are and aren't placed by.
Zoodles 11.8.7 Copyright (c) 2014 Inquisitive Minds, Inc. All rights reserved.


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Its important you do a risk assessment in the workplace and as long as its a lost risk environment then this is ideal for you and your company.
You can gain more information from the HSE website.
So want to know what we cover?
Role and Responsibilities of first aider:
Infection control Consent,
First aid equipment Incident reporting
Scene survey, primary survey, calling for help/information needed
CPR and AED
Recovery position
Management of a seizure
Choking casualty
Types, recognition and treatment
Bleeds and treatment
Small cuts Grazes Bumps and bruises small splinters Minor burns During the training your trainer will be assess you and you will have a multiple question paper.
We are busy having fun making these videos but they are not quite ready yet.
Whats happening? You will be able todo blended course on EFAW so you do 3 hours online then a trainer will come and finish the last few bits before assess your practical and carryout a small test paper.
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Sidestrand is a village and a civil parish on the coast of the English county of Norfolk.[1] The village is 23.7 mi (38.1 km) north of Norwich, 3.3 mi (5.3 km) south east of Cromer and 138 mi (222 km) north-east of London. The nearest railway station is at North Walsham for the Bittern Line which runs between Cromer and Norwich. The nearest airport is Norwich International Airport. From the Census 2011 the population was included in the civil parish of Trimingham.
The name Sidestrand is thought to derive from the old English word "sid", meaning broad or spacious, and the Danish "strond", meaning shore. The area was immortalised as "Poppyland" in the writings of the Victorian journalist Clement Scott.
office supplies close to Sidestrand
"MY EYES see FOR YOU; MY HEART BLEEDS THE pure -- MY liveliness ENTERS YOUR SOUL no question." ~ Jesus ~ My response: As I door my Bible I get the feeling someone is looking at me I point of view my head to see Who It is You, Jesus my Savior Your eyes see into mine I tone You can see into my soul silently You say me You adore me Thank You for monster willing to pardon me even while You look my sins even while I hurt You I character Your unstoppable pain caused by all my sins they're beating You in front of me I refuse to shout "Crucify Him!" later than the crowd yet I accept God's Will Thank You for taking my place It will not be simple to watch You die Will I have to close my eyes Will me mammal there comfort You I wish fittingly (Luke 23:21) Now I stare upon the One I have pierced I accept Your blood & water flowing healing my soul I'm sorry I love You, Lord I accomplish up venerating Your Cross (John 19:34-37) I stayed Where else would I go I saw Your Heart bleeding blood behind unmodified droplets of Gospel I hope I could have healed You then but this is above and more than a First Aid situation I needed all Your artificial Blood through Your wounds I am healed Thank You for transfusing my heart subsequently Your unconditional, Grace, cartoon (1 Peter 2:24) I wish I could withhold You in my arms but I know that is Your mother's role I stand by her side even though for moral support and she lets me support Your lifeless hand I'm red-handed and it's my fault I hope I could support it forever or never wash my hand again to prove my adore radical devotion But they are going to take You away from me into the cold tomb 3 days feels like suitably long to wait I wish I could hibernate in prayer too in there in the manner of you, sadly praying by Your body I just have to wait in imitation of trust I endure You will rise again next You told us After 3 days of insomniac hope I go past them my eyes see for You The tomb is already retrieve I hope they had let me stay I would have been let out they didn't admit but I believed You You search for my eyes We are reunited no one can take you away at least not forever You wash my still-red hand :) I know You love me me personally I withhold Your clean hand I kiss the nail mark Your rays of Divine Mercy now unbloody, unwatery later a touchless hug of classic Mercy with seeing The Light I trust You, Jesus totally! Jesus' respond to me (based upon Colossians 1:24) "BY take steps THE ABOVE -- REACHING UP... YOU unchangeable ME."


text:
San Juan
by: Andreas Seyfarth
Game Type(s):
Card Games,
City Building,
Players: 2 - 4
Age: 10 +
Available Languages
Status: Out of Print
Stock Number: 238
Puerto Rico's golden age returns. Through you! Players travel now to the capital city of this beautiful island. Who will build the most important buildings? Players build palaces, poor houses, silver smelters, gold mines, and many others - each with its own special features. The cleverest player will build well and win! As with the board game, players choose roles which can help all players, but the choosing player gets a special privilege with the role chosen. Players build buildings, produce and sell goods, and so on. The game is based on Puerto Rico, but different enough to give players new challenges and opportunities for fun and enjoyment.
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text:
The first outfit is quite simple, actually at first I wanted to wear only my oblivion jeans on the picture but I thought it was a little too racy so I opted for a bra acquired at The dressing room, and which comes from "the secret garden" store. But the jeans is signed. Evolve. and I love it! These patterned jeans are available in 6 different colors options or in a fatpack option.
My second outfit, this outfit so variegated that I love soo much ! I know this is not very proper for fall BUT I totally fell for these colors full of pep! On top of that the dress was matched with my wellies … a coincidence? These rain boots are cute and (like the jeans and dress) available in 6 different pattern option or in fatpack option. Its up to you. About this so cute little dress, actually this is a long tank top that you can wear as a dress or with trousers or leggings, it's your choice. This tank top is available in two options: The Winona or Harlow ( check out here to see both versions). I chose Harlow … because it is one of my favorite actress…
And now the good news: Cinema & The Costume Ball items are in .evolve. shop NOW !!!!
Each of these items are 50% off their usual pricing for this week only so hurry up! For details & pics of these items you should look here or here.


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Treatment Success and Failure in HIV-Infected Subjects Receiving Indinavir in Combination With Nucleoside Analogs: A Rollover Study for ACTG 320
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT00000885
Recruitment Status : Completed
First Posted : August 31, 2001
Last Update Posted : August 16, 2012
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Group A:
To compare the time to confirmed virologic failure (2 consecutive plasma HIV-RNA concentrations of 500 copies/ml or more) between the treatment arms: abacavir (ABC) or placebo in combination with zidovudine (ZDV), lamivudine (3TC), and indinavir (IDV). To evaluate the safety and tolerability of these treatment arms. [AS PER AMENDMENT 06/16/99: To compare the time to confirmed treatment failure, permanent discontinuation of treatment, or death between the treatment arms.] [AS PER AMENDMENT 12/27/01: Groups B, C, and D completed follow-up on March 4, 1999. Therefore, only information pertinent to Group A is applicable.]
Group B:
To compare the proportion of patients who achieve plasma HIV-1 RNA concentrations below 500 copies/ml, as assessed by the standard Roche Amplicor assay at Week 16, or to compare the absolute changes in plasma HIV-1 RNA concentrations at Week 16 across the treatment arms: ABC or approved nucleoside analogs and nelfinavir (NFV) or placebo in combination with efavirenz (EFV) and adefovir dipivoxil. To compare the safety and tolerability of these treatment arms.
Group C:
To monitor plasma HIV-1 RNA trajectory over time and determine the time to a confirmed plasma HIV-1 RNA concentration above 2,000 copies/ml on 2 consecutive determinations for patients treated with ZDV or stavudine (d4T) plus 3TC and IDV.
Group D:
To evaluate plasma HIV-1 RNA responses at Weeks 16 and 48. To evaluate the safety and tolerability of the treatment arms: ABC, EFV, adefovir dipivoxil, and NFV.
This study explores new treatment options for ACTG 320 enrollees (and, if needed, a limited number of non-ACTG 320 volunteers) who have been receiving ZDV (or d4T) plus 3TC and IDV and are currently exhibiting a range of virologic responses. By dividing the study into the corresponding, nonsequential cohorts (Groups A, B, C, D), different approaches to evaluating virologic success, i.e., undetectable plasma HIV-1 RNA levels, and virologic failure, i.e., plasma HIV-1 RNA levels of 500 copies/ml or more [AS PER AMENDMENT 12/27/01: 200 copies/ml or more], are explored while maintaining long-term follow-up of ACTG 320 patients. [AS PER AMENDMENT 12/27/01: Groups B, C, and D completed follow-up on March 4, 1999. Therefore, only information pertinent to Group A is applicable. This study will examine the question of whether intensification of therapy can prolong the virologic benefit in individuals whose plasma HIV-1 RNA concentrations have been below the limits of assay detection on ZDV (or d4T) plus 3TC plus IDV.]
|Condition or disease
|HIV Infections
|Drug: Indinavir sulfate Drug: Abacavir sulfate Drug: Nelfinavir mesylate Drug: Efavirenz Drug: Levocarnitine Drug: Adefovir dipivoxil Drug: Lamivudine Drug: Stavudine Drug: Zidovudine Drug: Didanosine
|Phase 2
|Study Type :
|Interventional (Clinical Trial)
|Enrollment :
|440 participants
|Primary Purpose:
|Official Title:
|A Phase II Study of the Prolongation of Virologic Success (ACTG 372A) and Options for Virologic Failure (ACTG B/C/D) in HIV-Infected Subjects Receiving Indinavir in Combination With Nucleoside Analogs: A Rollover Study for ACTG 320
|Actual Study Completion Date :
|June 2003
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|16 Years and older (Child, Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria
Concurrent Medication:
- Chemoprophylaxis for Pneumocystis carinii pneumonia for all patients with a CD4 cell count of 200 cells/mm3 or less.
- Treatment, maintenance, or chemoprophylaxis, including topical and/or oral antifungal agents unless otherwise excluded by the protocol.
- All antibiotics as clinically indicated, unless otherwise excluded in the protocol.
- Systemic corticosteroid use for 21 days or less for acute problems as medically indicated. Chronic corticosteroid use is not permitted, unless it is within physiologic replacement levels. Study team must be contacted in these instances.
- rEPO and G-CSF as medically indicated.
- Regularly prescribed medications such as [AS PER AMENDMENT 06/29/98: alternative, FDA-approved antiretrovirals not supplied by the study] [AS PER AMENDMENT 12/27/01: or unapproved antiretrovirals available by expanded access (when permanently discontinued from randomized study treatment)], antipyretics, analgesics, allergy medications, antidepressants, sleep medications, oral contraceptives, megestrol acetate, testosterone, or any other medications not otherwise excluded by the protocol, as medically indicated.
- [AS PER AMENDMENT 12/27/01: Supplemental and] alternative therapies such as vitamins, acupuncture, and visualization techniques.
Recommended as an alternative agent for chemoprophylaxis against Mycobacterium avium complex for patients randomized to EFV in Group B or D:
- clarithromycin or azithromycin.
Patients must have:
- HIV-1 infection as documented by any licensed ELISA test kit and confirmed by either a Western Blot, HIV culture, HIV antigen, plasma HIV-1 RNA, or a second antibody test by a method other than ELISA at any time prior to study entry.
Non-ACTG patients:
- Documented CD4 cell count of 200 cells/mm3 or less at the time of initiation of ZDV (or d4T) plus 3TC plus IDV.
- Signed, informed consent from a parent or legal guardian for patients under 18 years of age.
Prior Medication:
Non-ACTG 320 patients:
- At least 3 months prior therapy with ZDV (or d4T) plus 3TC plus IDV and continued receipt of ZDV (or d4T) plus 3TC plus IDV until enrollment. IDV and 3TC must have been initiated concurrently.
ACTG patients:
- Randomization to the ZDV (or d4T) plus 3TC plus IDV combination arm or receipt of open-label prior to unblinding and maintenance of that treatment as participation in ACTG 320.
Group D:
- Prior NNRTI-exposure.
Exclusion Criteria
Co-existing Condition:
Patients with the following conditions and symptoms are excluded:
- Unexplained temperature above 38.5 C for any 7 days or chronic diarrhea, defined as more than 3 liquid stools per day persisting for 15 days, within 30 days prior to study treatment.
- AIDS-related malignancy, other than minimal Kaposi's sarcoma that requires systemic chemotherapy. Minimal Kaposi's sarcoma is defined as 5 or fewer cutaneous lesions and no visceral disease or tumor-associated edema that does not require systemic therapy.
- Documented or suspected acute hepatitis within 30 days prior to study entry, irrespective of laboratory values.
Concurrent Medication:
- All antiretroviral therapies other than study [AS PER AMENDMENT 06/16/99: provided] medications, [AS PER AMENDMENT 06/16/99: unless approved by the protocol chairs] [AS PER AMENDMENT 12/27/01: while on original randomized treatment.]
- Rifabutin and rifampin.
- Investigational agents without specific approval from the protocol chair.
- Systemic cytotoxic chemotherapy.
- Oral ketoconazole and itraconazole. NOTE: Itraconazole may be permitted for Group B and Group D patients if fluconazole is not an option.
- Terfenadine, astemizole, cisapride, triazolam, midazolam, amiodarone, quinine, ergot derivatives, isotretinoin, [AS PER AMENDMENT 12/27/01: pimozide, St.John's Wort, and milk thistle.]
- [AS PER AMENDMENT 12/27/01: Concomitant use of lovastatin or simvastatin is not recommended because of potential drug interactions. Pravastatin or atorvastatin may be used after consultation with the Study Team.]
To be avoided:
- Herbal medications.
Prior Medication:
- Any prior protease inhibitor therapy other than indinavir.
- Interferons, interleukins, or HIV vaccines within 30 days prior to study entry.
- Any experimental therapy within 30 days prior to study entry.
- Rifampin, rifabutin, ketoconazole, or itraconazole within 14 days of study entry.
Non-ACTG patients:
- Acute therapy for an infection or other medical illness within 14 days prior to study therapy.
- NNRTI therapy prior to study entry (with the exception of Group D).
- Recombinant erythropoietin (rEPO), granulocyte colony-stimulating factor (G-CSF, filgrastim), or granulocyte-macrophage colony-stimulating factor (GM-CSF, sargramostim) within 30 days prior to study entry.
Caution should be taken in the consumption of alcoholic beverages with study medications.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00000885
|Study Chair:
|Scott Hammer
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
|Responsible Party:
|National Institute of Allergy and Infectious Diseases (NIAID)
|ClinicalTrials.gov Identifier:
|Other Study ID Numbers:
11333 ( Registry Identifier: DAIDS ES )
|First Posted:
|August 31, 2001 Key Record Dates
|Last Update Posted:
|August 16, 2012
|Last Verified:
|August 2012
Drug Therapy, Combination
HIV Protease Inhibitors
RNA, Viral
Treatment Failure
Reverse Transcriptase Inhibitors
Anti-HIV Agents
Viral Load
HIV Infections
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Adefovir dipivoxil
Reverse Transcriptase Inhibitors
Nucleic Acid Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-Retroviral Agents
Antiviral Agents
Anti-Infective Agents
Anti-HIV Agents
Cytochrome P-450 CYP2C9 Inhibitors
Cytochrome P-450 Enzyme Inhibitors
Cytochrome P-450 CYP2C19 Inhibitors


text:
Latest News
Other Resources
- CT Farm Bureau
- CT Nursery & Landscape Association
- CT Green Industries
- CT Tree Protective Association
- CT Grounds Keepers Association
- CT Christmas Tree Growers Association
- Northeast Organic Farmers Association of CT
- Am. Pomological Society
- CT Beekeepers Association
- The CT Horse Council, Inc.
- CT Community Gardening Association
- CT Chapter, American Society of Landscape Architects
- Maple Syrup Producers Association of CT
- New England Society of American Foresters
- Society of American Foresters
Director Dr. Jason C. White
The Connecticut Agricultural Experiment Station (CAES), established in 1875, is the first agricultural experiment station in the United States. The main mission of the CAES is research. Programs also exist to educate the public and to transfer new findings to people trying to solve agricultural, public health, and environmental problems.
About The Connecticut Agricultural Experiment Station
Social Media
The Connecticut Agricultural Experiment Station
123 Huntington Street
New Haven, CT 06511
Phone Number: (203) 974-8500
Toll-Free: 1-877-855-2237
Fax: (203) 974-8502


text:
The Roost @ Croft Cottage
Bed & Breakfast with 1 room £85 prpn
Government Guidelines advise against any non-essential travel and travelling to Herefordshire to holiday or visit your second home cannot be considered to be essential travel.
Please postpone your holidays or visits until a later date when we will be delighted to welcome you..
Croft Cottage,
Hom Green,
Croft Cottage is a comfortable and informal bed & breakfast, a home away from home you could say. We are located right in the heart of the Wye Valley countryside in the hamlet of Hom Green, just 2 miles south of Ross-on-Wye.
From the cottage you can enjoy walking, canoeing, bird-watching, stargazing, fishing and as well as visiting well? known attractions such as Symonds Yat, Hereford Cathedral, Monmouth, Gloucester Cathedral, Goodrich Castle and Tintern Abbey.
The Roost @ Croft Cottage is a self contained suite with its own private entrance and all the home comforts you would expect, such as: An en-suite bathroom, TV, hairdryer, tea & coffee making facilities, a separate seating area and a selection of books and DVDs.
Breakfast is a locally produced & home grown affair, with local sausages, dry cured bacon and black pudding as well as home grown seasonal fruits such as plums, rhubarb, strawberries, apples, pears, quinces, damsons and blackberries are used to make jams and seasonal fruit compotes. We also make all of our own bread, yoghurts and granola in the cottage kitchen and don't forget all of our eggs come from the 'girls' who free range around the cottage garden.
Sustainability is a way of life for us (wherever possible)! We have adopted a 'buy local' philosophy which supports local shops and businesses. We grow our own fruit & vegetables, we compost all the organic waste and recycle what we can. Nothing is wasted – if we don't eat it the hens, cat or ducks usually will.
A heat recovery ventilation system is used in the Roost which recovers 95% of the heat that you would otherwise lose through normal ventilation.?We also use low energy light bulbs, have solar tubes fitted to the roof to provide energy efficient hot water to all the bathrooms, so never any shortage of hot water for guests. We also have solar panels to generate electricity, this is then used in the cottage with any surplus produced being fed back to the Grid.
Cycle storage available. Children welcome from age 12.
Croft Cottage can be found 2 miles south of Ross on Wye. Take Archenfield Road out off Ross on Wye towards Hom Green. After approx 1 mile you will see Cubberley on your right, continue straight on. After a further 1 mile you will see a small chapel on your left. Take the lane down the side of the chapel into the orchard, Croft Cottage is the driveway on your left.
- Children welcome
- Radio
- Television
- Tea/coffee making in bedrooms
- Unlicensed
- Packed lunches provided
- Special diets available
- Lounge for residents' use
- Night porter
- Snacks/afternoon tea
- Private parking
- Garden
- Totally non-smoking
- Dogs/pets NOT accepted
- Central heating
- Television available
- Vegetarian diet available
- WiFi or internet access
- DVD player
- Air conditioning
- Single sex groups NOT accepted
- Evening meals
- Hairdryer
Cycle storage available. Children welcome from age 12.


text:
Turn delivers real-time insights that transform the way leading advertising agencies and marketers make decisions. Turn's cloud applications and Internet-scale architecture work together to provide a complete picture of customers, execute cross-channel campaigns, and connect with a worldwide ecosystem of more than 100 partners.
View more profitable creatives, landing pages and ad
Your ads and your competitors are a click away, get started for free


text:
sparrowandvine necesitaba un nuevo diseño de impreso o envases y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 75 diseños de 24 diseñadores freelance.
Sparrow and Vine
I'm the business owner. A specialist wine merchant with a background in many aspects of the wine industry, from high end restaurants to internet marketing to wholesaling and retailing. This is my new baby.
I have commissioned a couple of winemakers to produce 3 wine styles (a white, red and rose) that I think the market is demanding.
These are young, vibrant, fruit driven, dry wines. These ARE NOT your big, bold full bodied warm climate, soft Australian styles but rather at the other end of the spectrum, where grapes are picked earlier to retain zesty acidity and a naturally lower level of alcohol. No oak is used and they are designed to be consumed as young wines (all are from the 2010 vintage).
Ideally this wine will sell mostly through restaurants and wine bars to young(ish) (25 - 45yr old) drinkers who are up quite up to date with modern food and wine styles. This is a modern australian wine brand that needs to appeal to modern, food savvy buyers.
Brand name of the wine is Sparrow & Vine. There will also need to be text along these lines: : "Barossa Valley Grenache Rose 2010".
In small font (about 5) there needs to be legal text "12% alc, 7.1 std drinks, pres 220 added. Wine of Australia 750ml"
Also need additional text of approximately 60 words for a wine description.
This can be as a back label BUT IDEALLY as part of a single, perhaps wraparound label design.
As mentioned above, ideally a single label that would have main name and brand on one half with the other half containing additional text. (eg: 80/90mm high, 140mm wide).
Could also be front label with main info and a back with legal and additonal text. Size (and shape) flexible.
What we don't want:
No gold, no silver. Needs to be CMYK colours.
Typeface needs to be clear, not floral, old fashioned script but rather something clean and modern.
Final artwork as EPS files or .ai saved as illustrator 3 or earlier. I'll need to add description text to individual wines.


text:
Belladonna Light Fabric
Currently in Stock : 12 metres
Witch & Watchman fabrics are printed in England on a beautiful Cotton Half Panama, specifically chosen for its tactile quality and tight weave, perfect to show the detail in the design. Cotton Half Panama is suitable for upholstery, soft furnishings and drapery.
Price is per yard
Fabric measures 59" in width (150cm)
Pattern repeat: 19.5" (W) X 39" (L) (50cm x 100cm)
Usage: Upholstery, curtains and soft furnishings
Please note there is a 4-6 week lead time on fabric if out of stock
We regret that refunds can't be granted as orders are custom made
Rub test: 25,000 (Martindale test)
Printed in the United Kingdom
Back To Fabric Previous Product Next Product


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|Order Amount
|Shipping Charges
** Please note that Epicure ships via FedEx for all orders.
|Under $49.99
|$50.00 - $99.99
|Over $100.00
|11% of total order
Epicure takes pride in our top-quality products, services, and excellent customer experience.
We are committed to offering the finest-quality products and using the best ingredients available in today's world market. We strive to maintain the highest quality standards while continuing to meet and surpass your expectations.
We know you will love our products! If for any reason you are not completely satisfied with your Epicure products within 90 days of your purchase, we will exchange or fully refund your purchase. Please contact your Consultant or let our Customer Experience team help you. Or call us toll-free at 1-888-595-6363.
Extended guarantees apply to the following products, excluding products featured as Host or Customer Exclusives.
We promise that Epicure products will turn you into a better cook and that your cooking will get rave reviews from family and friends, or we'll refund your purchase. Contact your Consultant for full details to exchange or return any item!
Please contact your consultant or let our Customer Experience team help you by e-mailing email@example.com or by calling us toll free at 1-888-595-6363.


text:
Latest entries in my blog:
My name is Jochen Topf. I am a professional software developer, author and Open Source enthusiast.
I work as a freelancer. In a former life that work was mostly about Internet services, especially email servers and anti-spam measures. Today it is mostly about geographic information services and spatial data, particularly related to OpenStreetMap.
Over the years I have written a lot of software, sometimes for clients and sometimes just for fun. Where possible I have released it as Open Source.
Since 2006 I am involved in the OpenStreetMap project, collecting map data, writing software, and organizing events. Together with Frederik Ramm I founded the Geofabrik.
I am co-author of the first book on OpenStreetMap and wrote some articles. I often give talks, too. Occasionally I write about what I am doing in my blog.
I like travelling to far away places.


text:
Can you believe it's already December??? I'm amazed at how quickly this year has flown by. And as we're gearing up for the holiday season, I wanted to let you know that it's going to be a very happy December around here. I've got all sorts of giveaways scheduled for you this month, so check back often because, believe me, you won't want to miss out. I'm putting together four (yes, four!) big giveaways for you in December. There will be fabric, there will be notions, there will be books, there will be patterns and more. And, oh yeah, an Accuquilt GO! Baby Fabric Cutting System and your choice of three dies!
I'm absolutely thrilled to do this for you. It's been a whirlwind of a year for me and I'm so thankful to have you all along on the ride with me.
So, here's to a very happy December!! Are you excited? We are!!!


text:
The seasons are changing, y'all, and you know what that means! It's ugly sweater season and RIM is having its very own Ugly Sweater Contest on Twitter. Here's what you'll need:
- A twitter account that follows @BlackBerry
- A BlackBerry device
- Download the free BlackBerry Avatar Builder (boy or girl) from the App World
- Download the free Ugly Sweater Expansion Pack from the App World
- Your very own personalized avatar complete with its own ugly sweater
Once you've completed those easy steps, tweet your Ugly Sweater Avatar to @BlackBerry using the hashtag "#BBMUglySweater" as well as your most desired BlackBerry device of the holiday season. Lucky for y'all, you're able to actually enter this contest ten (10) times! How awesome is that? But you better hurry, the contest ends tonight at midnight, eastern standard time. Once the time is up, contest judges will pick 30 finalists based on previously decided criteria (i.e. creativeness, awesomeness, uniqueness..). If you're picked as a finalist, you will be contacted via Twitter. The winners will get two tickets to #BBMUglySweater Fan Night being held at the Silver Aspen Social Club in New York City on December 21, 2011. Once there, the winners will also receive their very own BlackBerry 7 device and a prize pack full of BlackBerry goodies! Of course, if you're lucky enough to win, you'll have to pay for your own transportation to and from this party. To be eligible to receive the BlackBerry 7 device and prizes, you must be present at the Fan Night. You can find more details on the @BlackBerry Twitter page or read the Official Contest Rules. Now pull out those BlackBerrys and start adorning your avatars in ugly sweaters!