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Product Description
Your loyal companion won't be able to resist PEDIGREE Meaty Ground Dinner with Chunky Chicken Dog Food. The hearty meal contains tender chicken for a taste your dog will really enjoy. The nutrient-rich dinner contains essential vitamins, including vitamin A, D3 and E supplements to promote good health.
- For adult dogs
- Made with chunky chicken for a flavor your dog will love
- Formulated to meet the nutritional levels established by the AAFCO dog food nutrient profiles for maintenance
- Made in USA
Feeding Instructions:Feed an adult dog 1/2-3/4 can daily per 10 lb. of body weight. To add in dry food, replace 1/4 can for each 1/3 cup of dry PEDIGREE Adult Complete Nutrition Small Crunchy Bites. Measurements based on an 8-oz. measuring cup. Refrigerate after opening for up to 3 days.
Sufficient Water for Processing, Chicken By-Products, Chicken, Meat By-Products, Liver, Wheat Gluten, Corn Gluten Meal, Citrus Pectin, Calcium Sulfate, Potassium Chloride, Calcium Chloride, Zinc Sulfate, Copper Sulfate, Potassium Iodide, Guar Gum, Vegetable Oil (source of Linoleic Acid), Sodium Tripolyphosphate, Carrageenan, Dried Yam, Tetrapotassium Pyrophosphate, Natural Flavor Blend, Onion Powder, Added Color, Bay Leaves, Vitamin E, A and D3 Supplements, D-Calcium Pantothenate, Thiamine Mononitrate (Vitamin B1), Biotin, Garlic Powder, Yellow #6 and Yellow #5Guaranteed Analysis:
Crude Protein (min) 8.0%, Crude Fat (min) 6.0%, Crude Fiber (max) 1.5%, Moisture (max) 78.0%, Linoleic Acid (min) 0.7%, Vitamin E (min) 25 IU/kg
*See menu selections above for sizes in stock and available online.
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Write and Draw Sight Words: Six
Learning sight words doesn't have to be boring. This worksheet adds in a fun drawing activity to get your child excited about learning to spell the word "six." First, he'll get to trace the word, then he'll write it all on his own.
Don't forget to print out more sight word worksheets here.
Updated on Aug 10, 2010
Education.com PLUS Benefits
- Access printable workbooks
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Max Payne 3: Launch Trailer just Released!
Well you are just going to have to choose what you'll be doing on May 15th. Will you be playing Diablo 3 or will you be playing May Payne 3. There's no escape, you are going to have to choose one. Obviously Rockstar are homping that you will give Max your love. I mean, come on he needs it!
In an attempt to persuade you, should you need to be pursuaded Rockstar have released a spanking new launch trailer made up entirely of in game footage. This really is hot off the press as the press statement only came through minutes ago. In a typically bombastic style, the viewer really gets the sense of what Max Payne 3 will be like. Admittedly the voice over is a little emo "Time moves on but nothing changes". But the action is second to none. Obviously what we are all most excited about is that multiplayer that Rockstar have been taunting us with. I never expected to see a multiplayer mode in a Max Payne 3 game while it was still under the loving care of Remedy entertainment. I have to say though, that since the title fell into the custody of Rockstar I have had every faith that Max will continue to be as badass as ever. And also that the series with benefit from the refinement that Rockstar will inevitably bring.
Have a little look at the trailer below and tell us what you will be playing on May 15th. Max Payne 3 or Diablo 3? Bring it on!


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Libya: British Foreign Minister William Hague announced the UK's official recognition of the Libyan Transitional National Council after the Libyan embassy staff was expelled from the UK. Hague said that the UK will deal with the Council as the only official authority, "as if it were the state of Libya." UN envoy to Libya Abdul al-Khatib said that the Libyan government and the Transitional National Council are still far from reaching an agreement to end the crisis in the country.
Yemen: Republican Guard tanks began withdrawing from the streets of Taiz, following an agreement between the Joint Meeting Parties and the Guard's leadership in the city. The Joint Meeting Parties have renewed their opposition to beginning a dialogue with the regime before the transfer of authority from President Ali Abdullah Saleh to Abdu Rabu Mansour Hadi. Yemen is also witnessing an unprecedented humanitarian crisis due to the absence of fuel, food supplies, and essential services.
Syria: At least ten people were killed and dozens injured by soldiers and members of the security forces in the town of Kanaker, southwest of the Syrian capital. Head of the Syrian Observatory for Human Rights Rami Abdul Rahman said that security forces arrested 200 to 300 people. Security forces continue to be deployed in a number of neighborhoods in the capital, including Rukn al-Deen, Barzeh, and al-Qadam where heavy gunfire was heard.


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Property | Value |
Name: | Chaar Vaisnava Acarya and Gaudiya-darshana |
Description: |
This book is a complete guide, both to the beginners and scholars, regarding all the four Vaishnavas sampradayas and their philosophy. It contains a brief life sketch of the four acaryas of the four Vaisnava sampradayas and also philosophical conclusions of each of these sampradayas. It also includes the acintya-bhedabheda siddhanta of Gaudiya Vaisnavism (Sri Brahma-Madhva-Gaudiya sampradaya), a special branch of the Madhva sampradaya, as given by Svayam Bhagavan Sri Caitanya Mahaprabhu. |
Filename: | ChaarAcarya_and_Gaudiya_Darshan.pdf |
Filesize: | 816.25 kB |
Filetype: | pdf (Mime Type: application/pdf) |
Created On: | 05/20/2011 03:30 |
Hits: | 5163 Hits |
Last updated on: | 08/19/2011 05:06 |


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Home > Wellness > Health Library > Coronary Artery Disease
Coronary artery disease occurs when fatty deposits called plaque (say "plak") build up inside the coronary arteries. The coronary arteries wrap around the heart and supply it with blood and oxygen. When plaque builds up, it narrows the arteries and reduces the amount of blood that gets to your heart. This can lead to serious problems, including heart attack.
Coronary artery disease (also called CAD) is the most common type of heart disease. It is also the number one killer of both men and women in the United States.
It can be a shock to find out that you have coronary artery disease. Many people only find out when they have a heart attack. Whether or not you have had a heart attack, there are many things you can do to slow coronary artery disease and reduce your risk of future problems.
Coronary artery disease is caused by hardening of the arteries, or atherosclerosis. Atherosclerosis occurs when plaque builds up inside the arteries. (Arteries are the blood vessels that carry oxygen-rich blood throughout your body.) Atherosclerosis can affect any arteries in the body. When it occurs in the arteries that supply blood to the heart, it is called coronary artery disease.
Plaque is a fatty material made up of cholesterol, calcium, and other substances in the blood. To understand why plaque is a problem, compare a healthy artery with an artery with atherosclerosis:
When plaque builds up in the coronary arteries, the heart doesn't get the blood it needs to work well. Over time, this can weaken or damage the heart. If a plaque tears, the body tries to fix the tear by forming a blood clot around it. The clot can block blood flow to the heart and cause a heart attack.
Usually people with coronary artery disease don't have symptoms until after age 50. Then they may start to have symptoms at times when the heart is working harder and needs more oxygen, such as during exercise. Symptoms include:
Less common symptoms include a fast heartbeat, feeling sick to your stomach, and increased sweating. Some people don't have any symptoms. In rare cases, a person can have a "silent" heart attack, without symptoms.
To find out your risk for a heart attack in the next 10 years, use this Interactive Tool: Are You at Risk for a Heart Attack?
To diagnose coronary artery disease, doctors start by doing a physical exam and asking questions about your past health and your risk factors. Risk factors are things that increase the chance that you will have coronary artery disease.
Some common risk factors are being older than 65; smoking; having high cholesterol, high blood pressure, or diabetes; and having heart disease in your family. The more risk factors you have, the more likely it is that you have coronary artery disease.
If your doctor thinks that you have coronary artery disease, you may have tests, such as:
Your doctor may order other tests to look at blood flow to your heart. You may have a coronary angiogram if your doctor is considering a procedure to remove blockages, such as angioplasty or bypass surgery.
Treatment focuses on taking steps to manage your symptoms and reduce your risk for heart attack and stroke. Some risk factors you can't control, such as your age and family history. Other risk factors you can control, such as high blood pressure, high cholesterol, and smoking. Lifestyle changes can help lower your risks. You will likely take medicines and may have a procedure to open your arteries.
Lifestyle changes are the first step for anyone with coronary artery disease. These changes may stop or even reverse coronary artery disease. To improve your heart health:
Changing old habits may not be easy, but it is very important to help you live a healthier and longer life. Having a plan can help. Start with small steps. For example, commit to eating five servings of fruits and vegetables a day. Instead of having dessert, take a short walk. When you feel stressed, stop and take some deep breaths.
A cardiac rehab program can help you make lifestyle changes. In cardiac rehab, a team of health professionals provides education and support to help you make new, healthy habits.
Medicines that are often prescribed for people with coronary artery disease include:
Procedures may be done to improve blood flow to the heart.
To stay as healthy as possible, it is important to:
Health Tools help you make wise health decisions or take action to improve your health.
Learning about coronary artery disease (CAD):
Being diagnosed:
Getting treatment:
What happens:
Living with heart disease:
End-of-life issues:
Coronary artery disease is caused by the buildup of plaque on the inside of your coronary arteries. Plaque buildup can begin early in life and happens over a lifetime.
Coronary artery disease typically begins when the inside walls of the coronary arteries are damaged because of another health problem, such as:
Plaque, which is made up of excess cholesterol, calcium, and other substances in your blood, builds up on the damaged inner walls of your coronary arteries. This process usually occurs throughout the body and is called atherosclerosis, or "hardening of the arteries."
Over time, plaque buildup narrows the coronary arteries and can lead to ischemia (insufficient blood flow to the heart muscle). Ischemia (say "is-KEE-mee-uh") can weaken the heart muscle, but it usually does not cause heart muscle cells to die.
But heart muscle cells can die if blood flow is severely reduced or completely blocked for a period of time. This can happen if plaque breaks apart and makes a clot that blocks an artery. This can cause myocardial infarction, or heart attack.
The most common symptoms of coronary artery disease are:
Unfortunately, sometimes a heart attack is the first sign of coronary artery disease.
Some people who have coronary artery disease and insufficient blood flow to the heart muscle (ischemia) do not have any symptoms. This is called "silent ischemia." In rare instances, you can even have a "silent heart attack," a heart attack without symptoms.
For men and women, the most common symptom is chest pain or discomfort. But women are somewhat more likely than men to have other symptoms like shortness of breath, nausea, and back or jaw pain.
Women are also more likely than men to delay seeking help for a possible heart attack. Women delay for many reasons, like not being sure it is a heart attack, or not wanting to bother others. But it is better to be safe than sorry. If you have symptoms of a possible heart attack that last for 5 minutes, call 911 right away.
Angina (say "ANN-juh-nuh" or "ann-JY-nuh") happens when there is not enough blood flow to the heart. Symptoms include:
Other symptoms include shortness of breath, nausea or vomiting, lightheadedness or sudden weakness, or a fast or irregular heartbeat.
Know what your angina feels like and what is typical for you so that you know when to call for help. You may feel symptoms of angina in areas other than the chest.
Stable angina has a typical pattern. You can likely predict when it will happen. It happens when your heart is working harder and needs more oxygen, such as during exercise. Symptoms go away when you rest or take nitroglycerin.
Unstable angina is a change in your usual pattern of stable angina. It happens when blood flow to the heart is suddenly slowed by narrowed vessels or small blood clots. Unstable angina is a warning sign that a heart attack may soon occur. It is an emergency. It may happen at rest or with light activity. It does not go away with rest or nitroglycerin.
Things that can increase your risk for coronary artery disease are called risk factors. Some risk factors, such as your gender, your age, and your family history, can't be changed. Other risk factors for heart disease are tied to your lifestyle and habits. These often are things you can change. Your chance of getting coronary artery disease rises with the number of risk factors you have.
Women have unique risk factors for heart disease. These include using birth control pills, using hormone therapy, and having pregnancy-related problems.
Smoking, high cholesterol, high blood pressure, and lack of exercise are risk factors you can reduce with lifestyle changes and medicine. Diabetes and obesity can sometimes be prevented when lifestyle changes are made early in life. To learn more, see Prevention.
Your doctor can help you find out your risk of getting coronary artery disease. If you know your blood pressure and cholesterol numbers, see the Interactive Tool: Are You at Risk for a Heart Attack? to calculate your risk of having a heart attack in the next 10 years.
Do not wait if you think you are having a heart attack. Getting help fast can save your life. Even if you're not sure it's a heart attack, have it checked out.
Call 911 or other emergency services immediately if you have symptoms of a heart attack. These may include:
After you call 911, the operator may tell you to chew 1 adult-strength or 2 to 4 low-dose aspirin. Wait for an ambulance. Do not try to drive yourself.
Nitroglycerin. If you typically use nitroglycerin to relieve angina and if one dose of nitroglycerin has not relieved your symptoms within 5 minutes, call 911. Do not wait to call for help.
Women's symptoms. For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms like shortness of breath, nausea, and back or jaw pain.
By calling 911 and taking an ambulance to the hospital, you may be able to start treatment before you arrive at the hospital. If any complications occur along the way, ambulance personnel are trained to evaluate and treat them.
If an ambulance is not readily available, have someone else drive you to the emergency room. Do not drive yourself to the hospital.
If you witness a person become unconscious, call 911 or other emergency services and start CPR (cardiopulmonary resuscitation). The emergency operator can coach you on how to perform CPR.
To learn more about CPR, see the Cardiopulmonary Resuscitation (CPR) section of the topic Dealing With Emergencies.
Many people are unsure whether they are having a heart attack, and so they take a "wait and see" approach. Heart attack symptoms often vary. People often discount their symptoms if they do not fit into the expected "extreme chest pain" scenario. Some people are embarrassed or don't want to bother others by calling for help if they think it may not be a heart attack. Even if you're not sure it's a heart attack, you should still have it checked out. Rapid treatment can save your life.
Call your doctor if:
To see if you are at risk for heart disease, have symptoms of coronary artery disease, or require long-term care for existing heart disease, see your family doctor or internist. For diagnosis of coronary artery disease, you may see a cardiologist. For ongoing care of stable angina, you will likely see your family doctor or an internist. For angioplasty or surgery, you will be referred to an interventional cardiologist or cardiovascular surgeon.
To find out if you have or are at risk for coronary artery disease, your doctor will do a physical exam and check your risk based on your health and risk factors.
You may then have several different kinds of tests to check your risk for getting heart disease. If your doctor thinks you have heart disease, you will need more tests to make sure.
The main tests your doctor uses to check your risk for getting heart disease include:
Your doctor will use your blood pressure, cholesterol, and other risk factors such as your age and if you smoke, to know your risk of heart disease.
If you know your blood pressure and cholesterol levels, you can check your risk for a heart attack:
Other tests may help your doctor find out your risk for heart disease, especially when they are considered along with your other risk factors. But these tests are not helpful for everyone. Such tests may include:
Sometimes doctors schedule routine tests because they think that's what patients expect. But experts say routine heart tests can be a waste of time and money. See the topic Heart Tests: When Do You Need Them?
If your doctor thinks you may have heart disease, you will need some tests to make sure. Most often, the first tests include:
Other tests may include:
Treatment for coronary artery disease focuses on taking steps to manage symptoms and reduce the risk of heart attack and stroke. For example:
Keep these questions in mind as you think about your treatment options:
Lifestyle changes are the first step for anyone with coronary artery disease. But sometimes lifestyle changes are not enough. You may also need medicines. If you take medicines, take them on a schedule and take the correct dose. Taking medicines properly can help you prevent a heart attack or stroke.
When you're first diagnosed with heart disease, your doctor will strongly advise you to make lifestyle changes. These include quitting smoking, eating a heart-healthy diet, and getting regular exercise. These healthy habits can slow or even stop the disease and improve the quality and length of your life.
Quit smoking and avoid secondhand smoke. Quitting smoking is the best thing you can do to reduce your risk of future problems. When you quit, you quickly lower your risk of a heart attack.1
If you smoke, try to quit. Medicines and counseling can help you quit for good.
Eat a heart-healthy diet. This can help you keep your disease from getting worse. A chart that compares heart-healthy diets(What is a PDF document?) can help you see what foods are suggested in each plan. A heart-healthy diet means:
Start an exercise program (if your doctor says it's safe). Try walking, swimming, biking, or jogging for at least 30 minutes on most, if not all, days of the week. You may need to start slow and build up to this amount. Any activity you enjoy will work, as long as it gets your heart rate up. In people with heart disease, exercise can help lower the chance of a heart attack.
One Man's Story:
Alan, 73
"I've had to work at keeping my weight under control, and that has really helped my cholesterol. When you have heart disease, you learn to eat better for the rest of your life. And if you don't, you're asking for trouble.—Alan
Read more about Alan and the lessons he's learned about diet and exercise.
Aspirin or other antiplatelets. Your doctor will probably recommend that you take aspirin or other antiplatelets every day. Antiplatelet medicine can reduce the risk of having a heart attack in people with heart disease.
Cholesterol. Your doctor may prescribe a medicine to lower your cholesterol, such as a statin.
Heart medicines. Your doctor may prescribe medicines that lower blood pressure or decrease your heart's workload. These medicines include:
Angina medicines. If you have angina, your doctor may prescribe medicine, such as nitroglycerin, to relieve your symptoms.
After you start treatment for coronary artery disease, your doctor will want to keep track of how you are doing. He or she will want to know if you've made lifestyle changes and if they have helped. For example, your blood pressure, cholesterol, and weight will be checked. These measures will help your doctor find out if lifestyle changes are working.
If you take medicines, your doctor will want to know if you feel any side effects. If you take medicine for angina (chest pain or discomfort), your doctor will want to know how well it works. Does the medicine ease your pain quickly? Do you get chest pain less often?
You will likely need to keep taking medicines that lower your cholesterol and blood pressure and that reduce your risk of having a heart attack. Your doctor will also want to check how well these medicines work for you. If they're not working, he or she may want you to try a different dose or take a different kind of medicine.
Talk to your doctor about cardiac rehabilitation. In cardiac rehab, a team of health professionals provides education and support to help you build new, healthy habits such as eating right and getting more exercise. For keeping your heart healthy and your arteries open, making these changes is just as important as getting treatment.
Sometimes coronary artery disease gets worse even with treatment. If you start to have abnormal heart rhythms (arrhythmias), your doctor might suggest a pacemaker or medicines to control your heart rate.
If your angina symptoms get worse even though you are taking medicines, you may need procedures to improve blood flow to your heart. They are also done when the coronary arteries are severely blocked. These procedures include angioplasty with or without stenting and coronary artery bypass graft surgery.
When deciding between bypass surgery and angioplasty, your doctor will think about several things, such as how many arteries are blocked and whether you have diabetes.
Coronary artery disease can lead to heart failure and the need for other medicines. These medicines can help you feel better and prevent your heart failure from getting worse.
If your coronary artery disease gets worse, you may want to think about palliative care. Palliative care is a kind of care for people who have diseases that do not go away and often get worse over time. It is different from care to cure your illness, which is called curative treatment.
Palliative care focuses on improving your quality of life—not just in your body, but also in your mind and spirit. Some people combine palliative care with curative care.
Palliative care may help you manage symptoms or side effects from treatment. It can also help you and your family to:
If you are interested in palliative care, talk to your doctor. He or she may be able to manage your care or refer you to a doctor who specializes in this type of care.
For more information, see the topic Palliative Care.
You can slow or even prevent coronary artery disease by taking steps towards a heart healthy lifestyle. Many people already have. More people are adopting healthy habits such as eating right, exercising more, and not smoking. Doing these things can also help reduce risk factors such as high cholesterol and high blood pressure.
To reduce your risk of heart disease, it's important to control your cholesterol and manage your blood pressure. Quitting smoking, changing the way you eat, and getting more exercise can help. But if these things don't work, you may need to take medicines as well.
If you're already at risk for heart disease, taking daily aspirin may reduce your chances of having a stroke or a heart attack. That's because a daily aspirin lowers your risk of getting blood clots. Blood clots can lead to a heart attack in people with heart disease. Clots can also cause heart attacks in people who have other problems that can lead to heart disease, such as diabetes, high blood pressure, and high cholesterol.
Taking aspirin has some risks. Talk with your doctor before starting aspirin treatment.
You can have coronary artery disease and not know it. Sometimes the disease is found during an electrocardiogram or stress test. Often a heart attack is the first sign of heart disease.
When you do know that you have heart disease, you may wonder how it spreads over time and what you can do to slow its progress. It's important to take care of yourself. Making healthy lifestyle changes can reduce your chances of heart attack and stroke. Take your medicines as your doctor prescribes.
If your heart disease gets worse, your arteries will narrow, and less blood will flow to your heart. You may start to have chest pain or discomfort (angina) when you exercise or feel stressed. This is called stable angina. Most people are able to control stable angina by resting or taking nitroglycerin.
In some cases, sudden and serious problems can happen. New blockages that form in the arteries of the heart can become unstable. They can suddenly tear and cause blood clots to form. These clots block blood flow to your heart, causing a heart attack or unstable angina.
If your heart disease is severe, or if your chest pain and other symptoms can't be controlled with medicines, you may need to think about other treatment, such as:
These treatments, along with making changes like eating right and not smoking, can help you live a longer, healthier life. If your disease becomes much worse, it can lead to serious medical problems. Many important end-of-life decisions can be made while you are active and able to communicate your wishes.
Over time, you may have other health problems caused by coronary artery disease. Low blood flow can make it harder for your heart to pump. This can lead to heart failure or atrial fibrillation. Atrial fibrillation increases the risk of stroke.
Narrow coronary arteries don't just cause problems for your heart. They can also affect blood vessels throughout your body.
Most often, problems occur in arteries that bring blood to your heart, brain, and arms and legs (peripheral arterial disease).
A diagnosis of coronary artery disease can be hard to accept and understand. If you don't have symptoms, it may be especially hard to recognize that heart disease is serious and can lead to other health problems.
It's important to talk with your doctor to learn about the disease and what you can do to help manage it and prevent it from getting worse.
Making healthy lifestyle changes can delay and maybe even reverse heart disease. Quitting smoking, eating a low-fat and low-cholesterol diet, getting regular exercise, and staying at a healthy weight are important steps you can take to keep your disease from getting worse.
To learn more, see Prevention.
Depression and heart disease are linked. People with heart disease are more likely to get depressed. And if a person has both depression and heart disease, he or she may not stay as healthy as possible. This can make depression and heart disease worse.
If you think you may have depression, talk to your doctor. Take this short quiz to check your symptoms: Interactive Tool: Are You Depressed? For more information, see the topic Depression.
Whether you are recovering from a heart attack or changing your lifestyle so you can avoid one, emotional support from friends and family is important. Think about joining a heart disease support group. Ask your doctor about the types of support that are available where you live. Meeting other people with the same problems can help you know you're not alone.
Family and friends can also offer practical help, such as help around the house or cooking meals.
It's also important to:
Many people have trouble correctly taking their medicines for coronary artery disease. Often, they need to take several medicines at different times of the day. And some people struggle to afford the medicines. But medicines are often a key part of treatment, and people who do not take them as prescribed have an increased risk of complications and death.
If you have symptoms of coronary artery disease, your doctor may prescribe some of the following medicines to control symptoms and, in some cases, slow the progression of the disease:
Stable angina can often be controlled with medicine such as:
For more help with controlling angina, see:
If angina symptoms become worse, your doctor may need to adjust your medicines. But if angina symptoms still get worse and medicines don't help, you may need angioplasty or bypass surgery. For angina that gets worse quickly or occurs at rest (unstable angina), you may need hospitalization and urgent angioplasty, stenting, or bypass surgery. For more information, see the topic Heart Attack and Unstable Angina.
Do not use erection-enhancing medicines such as sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra) if you take nitroglycerin or other nitrates for angina. Combined, these two drugs can cause a serious drop in blood pressure.
If you are taking an erection-enhancing medicine and seek treatment for angina, tell the doctor about your use of this medicine so you don't get nitroglycerin or another type of nitrate. There are other medicines that may work instead to ease your chest pain.
Aspirin, ibuprofen, and naproxen are all nonsteroidal anti-inflammatory drugs (NSAIDs) and can relieve pain and inflammation. But only aspirin will reduce your risk for heart attack or stroke. Don't substitute ibuprofen or naproxen for low-dose aspirin therapy. If you need to take an NSAID for a long time, talk with your doctor to see if it is safe for you.
The goals of surgery for coronary artery disease are to:
Many people with heart disease can be treated by lifestyle changes and medicine or angioplasty. But sometimes coronary artery bypass graft surgery is needed. It uses healthy blood vessels to create detours around narrowed or blocked arteries. Most of the time, bypass surgery is an open-chest procedure.
To learn more about angioplasty, see Angioplasty and Other Treatment.
Coronary artery bypass graft surgery improves blood flow to the heart. During this surgery, a doctor connects (grafts) a healthy artery or vein from another part of your body to the blocked coronary artery. The grafted artery goes around (bypasses) the blocked part of the artery. The bypass provides a new pathway for blood to your heart.
Your treatment will depend in part on:
Surgery isn't right for everyone. Making lifestyle changes and taking medicine or having angioplasty can work just as well for some people. And these carry fewer risks than surgery.
No matter what treatment you receive, you'll still need to make changes in the way you eat and how much you exercise. These changes, along with not smoking, will give you the best chance of living a longer, healthier life. A cardiac rehabilitation program can help you make these healthy changes.
If you're thinking about surgery, ask your doctor how many heart surgeries your surgeon and the hospital perform each year. Find out how that number compares with heart surgeries done at other hospitals. People who have bypass surgery at hospitals that do many heart surgeries tend to have better results.
The goal of angioplasty is to open blood vessels and increase blood flow to the heart. It is done when arteries are narrowed or blocked from coronary artery disease. Angioplasty can be done with or without a small, expandable tube called a stent.
Angioplasty is not surgery. It is done using a thin, soft tube called a catheter that's inserted in your artery. It doesn't use large cuts (incisions) or require anesthesia to make you sleep.
Most of the time, stents are placed during angioplasty. The stent keeps the artery open. When stents are used, there is a smaller chance that the artery will become narrow again.
Your doctor may use a bare metal stent or a drug-eluting stent. Drug-eluting stents are coated with medicine that helps keep the artery open after angioplasty.
Atherectomy might be done during angioplasty. But it is only done in certain cases. Atherectomy is done to shave away and maybe remove plaque in a narrowed artery.
Although treatment for coronary artery disease is increasingly successful at prolonging life and reducing complications and hospitalization, the disease can lead to a heart attack, a stroke, and other fatal conditions. It's a good idea to think about end-of-life decisions before these events happen, while you are still active and able to talk about your wishes.
When you are diagnosed with coronary artery disease, your doctor will discuss treatment options with you. If your heart disease is advanced and your life will most likely be shortened by the illness, your doctor may talk to you about whether you want to be revived (resuscitated) when your illness progresses and your breathing stops. You may want to learn more about aggressive life-sustaining medical treatment and whether it is right for you.
Many other decisions about end-of-life issues, such as writing a living will and estate planning, can be made in advance, leaving valuable time for spending with loved ones and on other important matters.
For more information, see:
The Society of Interventional Radiology is a national organization of physicians, scientists, and health professionals dedicated to improving public health through disease management and minimally invasive, image-guided therapies. Intervention radiology includes using X-rays, MRI, and other imaging to move a thin tube in the body, usually in an artery, to treat a disease. An example is angioplasty for heart disease. The Web site includes a section on patient information. This section gives information on therapies for various diseases and conditions. The Web site can also help you find a doctor.
The Society of Thoracic Surgeons provides patient information on surgeries of the chest and throat that are done by cardiothoracic surgeons. These surgeries include heart, lung, and throat surgery. The patient information section of the website describes diseases, surgeries, patient options, and what to expect after surgery. And using the website, you can search for surgeons in your area.
Visit the American Heart Association (AHA) website for information on physical activity, diet, and various heart-related conditions. You can search for information on heart disease and stroke, share information with friends and family, and use tools to help you make heart-healthy goals and plans. Contact the AHA to find your nearest local or state AHA group. The AHA provides brochures and information about support groups and community programs, including Mended Hearts, a nationwide organization whose members visit people with heart problems and provide information and support.
HeartHub for Patients is a website from the American Heart Association. It provides patient-focused information, tools, and resources about heart diseases and stroke. The site helps you understand and manage your health. It includes online tools that explain your risks and treatment options. The site includes articles, the latest news in health and research, videos, interactive tools, forums and community groups, and e-newsletters.
The website includes health centers that cover heart rhythm problems, cardiac rehabilitation, caregivers, cholesterol, diabetes, heart attack, heart failure, high blood pressure, peripheral artery disease, and stroke.
HeartHub for Patients also links to Heart360.org, another American Heart Association website. Heart360 is a tool that helps you send and receive medical information with your doctor. It also helps you monitor your health at home. It gives you access to tools to manage and monitor high blood pressure, diabetes, high cholesterol, physical activity, and nutrition.
The U.S. National Heart, Lung, and Blood Institute (NHLBI) information center offers information and publications about preventing and treating:
WomenHeart: The National Coalition for Women with Heart Disease is a nonprofit organization dedicated to reducing heart disease, death, and disability among women. The coalition also sponsors a network of support groups, a bulletin board, a newsletter, and other services.
Citations Roger VL, et al. (2011). Heart disease and stroke statistics—2012 Update: A report from the American Heart Association. Circulation, 125(1) e2–e220. U.S. Department of Health and Human Services (2010). A Report of the Surgeon General: How tobacco smoke causes disease: The biology and behavioral basis for smoking-attributable disease. Available online: http://www.surgeongeneral.gov/library/tobaccosmoke/report/full_report.pdf. Other Works Consulted Buckley DI, et al. (2009). C-reactive protein as a risk factor for coronary heart disease: A systematic review and meta-analysis for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 151(7): 483–495. Budoff M, et al. (2006). Assessment of coronary artery disease by cardiac computed tomography: A scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation, 114(16): 1761–1791. Chou R, et al. (2011). Screening asymptomatic adults with resting or exercise electrocardiography: A review of the evidence for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 155(6): 375–385. Drozda J Jr, et al. (2011). ACCF/AHA/AMA PCPI 2011 Performance measures for adults with coronary artery disease and hypertension: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures and the American Medical Association Physician Consortium for Performance Improvement. Journal of the American College of Cardiology, 58(3): 316–336. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents (2011). Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: Summary report. Pediatrics, 128(Suppl 5): S213–S256. Fraker TD, et al. (2007). 2007 chronic angina focused update of the ACC/AHA 2002 guidelines for the management of patients with chronic stable angina: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group. Circulation, 116(23): 2762–2772. Goldstein LB, et al. (2010). Guidelines for the primary prevention of stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. Published online December 2, 2010 (doi: 10.1161/STR.0b013e3181fcb238). Greenland P, et al. (2007). ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain. Circulation, 115(3): 402–426. Greenland P, et al. (2010). 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 56(25): e50–e103. Grundy SM, et al. (2001). Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA, 285(19): 2486–2497. Grundy SM, et al. (2004). Implications of recent clinical trials of the National Cholesterol Education Program Adult Treatment Panel III Guidelines. Circulation, 110(2): 227–239. [Erratum in Circulation, 110(6): 763.] Guyatt GH, et al. (2012). Executive summary: Antithrombotic therapy and prevention of thrombosis, 9th ed.—American College of Chest Physicians evidence-based clinical practice guidelines. Chest, 141(2, Suppl): 7S–47S. Hillis LD, et al. 2011 ACCF/AHA Guideline for coronary artery bypass graft surgery: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation, 124(23): e652–e735. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003). Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC Express (NIH Publication No. 03–5233). Bethesda, MD: U.S. Department of Health and Human Services. Kushner KG, et al. (2009). 2009 focused updates: ACC/AHA guidelines for the management of patients with ST-elevated myocardial infarction (Updating the 2004 guideline and 2007 focused update) and ACC/AHA/SCAI guidelines on percutaneous coronary intervention (Updating the 2005 guideline and 2007 focused update). A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation, 120(22): 2271–2306. Levine GN, et al. (2011). 2011 ACC/AHA/SCAI Guideline for percutaneous coronary intervention: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation, 124(23): e574–e651. Pearson TA, et al. (2003). Markers of inflammation and cardiovascular disease: American Heart Association and the Centers for Disease Control and Prevention scientific statement. Circulation, 107(3): 499–511. Redberg RF, et al. (2009). ACCF/AHA 2009 Performance measures for primary prevention of cardiovascular disease in adults: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures. Circulation, 120(13): 1296–1336. Smith SC, et al. (2011). AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: A guideline from the American Heart Association and American College of Cardiology Foundation. Circulation, 124(22): 2458–2473. Taylor AJ, et al. (2010). ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 – Appropriate use criteria for cardiac computed tomography: A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. Journal of the American College of Cardiology, 56(22): 1864–1894. U.S. Preventive Services Task Force (2008). Screening for lipid disorders in adults. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspschol.htm. U.S. Preventive Services Task Force (2009). Using nontraditional risk factors in coronary heart disease risk assessment. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspscoronaryhd.htm. U.S. Preventive Services Task Force (2012). Screening for coronary heart disease with electrocardiography: Recommendation statement. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspsacad.htm.
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Great results in the Transalp Challenge
760 Mountainbike die-hards from all over the world, a 580 kilometer course in 8 days, 18.000 meters up and down slopes: this is the Transalp Challenge, the world's hardest MTB challenge!
760 Mountainbike die-hards from all over the world, a 580 kilometer course in 8 days, 18.000 meters up and down slopes: this is the Transalp Challenge, the world's hardest MTB challenge! Great success for the teams equipped with Marzocchi forks. Karl Platt, Rocky Mountain team member, equipped with a Marzocchi Marathon fork was first in the Men's ranking. There was another fantastic result for the Rocky Mountain-Marzocchi girls' team too. Lesley Tomlinson and Gretchen Reeves yesterday got on to the podium after the longest and hardest stage of the Transalp race, from Nauders to Naturns (98 Km 170 m). An honourable mention as well for the good performance by the Marzocchi Fisher Team (Bryson Martin, vice president of Marzocchi USA together with MTB legend Gary Fisher) and the Marzocchi Germany Team (Wolfgang Beuer and Martin Listmann).
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The first race of IXS European Cup, held in Monte Tamaro (Switzerland) from April 27th until April 29th and sponsored by Marzocchi, was quite unusual due to the climate.
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Cafe Atlantico
Posted 28 May 2007 - 06:55 PM
1. If there is a minibar thread, I couldn't find it, so please feel free to move this inquiry over to that thread.
2. How does ordering at minibar work? I went to their website and looked up the menu. It's broken into three sections: "Flavors & Textures," "Snacks," and "Sweet Ends." There are no prices, and I would assume you just order a la carte, not unlike at a tapas bar. What confused me is the message on the main minibar homepage which says that as of May 15, the menu will be $120 (w/o tax/tip or drink). Can someone explain?
Italian tenor Enrico Caruso (1873-1921)
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Posted 28 May 2007 - 06:58 PM
Co-founder, Society for Culinary Arts & Letters, firstname.lastname@example.com
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Posted 28 May 2007 - 07:58 PM
Ahhh, thanks, FG.The Minibar topic is here. It's a single tasting menu of about 30 courses. There are only six seats, two sittings per evening.
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Posted 29 May 2007 - 04:11 AM
The mini-bar is a prix fixe (do we still use that phrase?) degustation. In for a dime in for $120, as the saying goes. Six folks sit down at the bar and two hours and 30-odd courses later you walk away, menu in hand, pondering.Excuse my ignorance.
1. If there is a minibar thread, I couldn't find it, so please feel free to move this inquiry over to that thread.
2. How does ordering at minibar work? I went to their website and looked up the menu. It's broken into three sections: "Flavors & Textures," "Snacks," and "Sweet Ends." There are no prices, and I would assume you just order a la carte, not unlike at a tapas bar. What confused me is the message on the main minibar homepage which says that as of May 15, the menu will be $120 (w/o tax/tip or drink). Can someone explain?
The price, unfortunately just went up this month. Regarding drink, btw, matching courses is more or less impossible, friends of mine and I decided (FWIW) that a bottle of fizz -- preferably the sparkling wine from New Mexico -- works best.
Thinking about the government.
Posted 19 August 2007 - 06:46 PM
Love to go to the minibar next time.
Posted 10 November 2007 - 03:23 PM
Well, Im here to say that we were blown away by the dim sum luncheon on weekends at the CA. Wow! Colette and I came one Saturday and expected what wed had before on weekdays, e.g., good fresh product, well done and pleasantly-served - but this meal far exceeded our prior experiences and expectations (it reminded us of Ze Kitchen Galerie in my home town, which is not Lake Woebegone. Wow again!) We were so impressed that we came back and over the two days had: the mango and jicima/sardines raviolis, scallops with orange, cigalas (with a charming burnt taste), shrimp with corn, huitlacoche and mushroom quesadillas, confit de canard, carne asado, chocolate and banana and baba au rhum desserts. Wow! Or did I say that before? The tariffs = $95.70 and 95.25. Wow!We had brunch here this morning - Latino Dim Sum. Loved almost all dishes. Duck confit with an passion fruit flavor was meltingly delicious. Fried egg in veracruz sauce just spicy enough, with a rich olive, caper, tomato flavor. Conch fritter were quite tasty, the liquid filling a perfect compliment. Also enjoyed the wild mushroom quesadillas.
Posted 12 March 2008 - 11:20 AM
First of all, when I do the food-tourist thing I generally try to make a good connection with my server right off the bat....we need to be good partners to make a meal all that it can be. My server last night was extremely friendly while still being honest about what her favorite dishes were and why....when they have a genuine emotional connection to the menu, THAT is the key to good service for me (forget to fill my water glass, step on my foot, knock my wine glass into my lap...all of that leaves me unphased). When dishes come to me with the highest, giddy recommendation, and I taste them and agree...its kind of like when your friend tells you about a great movie youve never seen, so you go and watch it and then debrief each other on what you thought were the finer points. That was my experience last night, so long story short...great service.
One thing worth noting for anyone who may be in the same post-bariatric surgery boat as me is that the chef was really happy to help me out. Until now there wasnt a chefs menu that could defeat me...26 courses at Manresa was mere childs play, but last night I had to tell my server Id probably just have to try a few small appetizers and why that was the case. Without me asking her to, she went and talked to the chef to see if a compromise could be reached that got me a tasting menu I could handle. Basically, instead of doing the two main courses towards the end, they gave me a much smaller version of one of the mains and added an appetizer that wasnt normally on the tasting menu (which happened to be the BEST dish of the night...or actually, the last two or so years).
And heres the food (no pictures, sorry, between having a crappy camera and the fact that worrying about photography takes too much away from my experience...I just dont do it).
Magic Mojito- Kind of a Mojito-tini ..the glass comes to the table with a huge wad of cotton candy, and the server pours the drink over it. Not normally my type of thing, but for some reason I needed a Carrie Bradshaw moment.
The wine I chose to enjoy during dinner was a wonderful just dry enough Rose Pinot Noir, Adelsheim, Willamette Valley, 2006
Minibar Treat- crispy beets- This little bite looked like a ball of saffron threads, and tasted like a sweet potato chip
Warm Oyster w/Pineapple and Miso- Hey, try to guess who I am ..Oh MAN! I could eat about six or fifteen of these!. I cant remember the type of oyster, but it was very small, kind of like an Olympia. A truly excellent bite of food, lightly cooked/warmed in the halfshell, sitting on a bed of wild puffed rice. The texture of the oyster, along with the warmth and sharp citrus notes (along with a tiny bit of ..cilantro?) made it a potentially addictive dish.
Foie Gras Soup w/Floating Islands of Corn- Imagine what cream of foie soup would taste like and you are halfway there. Three very rich pillows of corn flavored whipped cream floated on the top, and the bits of corn nuts added the textural component that it needed. Granted, there would have been NOTHING wrong with the cream of foie and corny whipped cream on their own, but the corn nuts rounded it out.
Grilled Octopus w/Warm Strawberries and Arugula- I enjoyed all of the dishes, but this was the first of two I need to make a dramatic statement plates of the evening. The dish is basically a whole (small, but not baby) grilled octopus ..and btw, it was by far THE most tender octopus I have ever eaten. It sat on top of a brush-stripe of squid ink and balsamic sauce. It was flanked by one large, roasted strawberry and one large, dehydrated strawberry. There was also some lime foam and arugula. It was just incredible...so my mandatory dramatic statement to the staff was something like If I were a regular here, this would be the dish you would know to automatically bring me...and it would be the dish I would make any of my squeamish friends try because it would absolutely win them over. And its true, the dish was complex (the smokiness and strawberry flavor worked more harmoniously with the Rose than anything else I ate), but it would also be a fantastic octopus for beginners plate. I think they said theyve only added this to the menu in the last couple of weeks, so check it out!
Unagi, Pineapple Wrap, Avocado Sauce- From what they told me this is new as well, so if Im the first person to give the scoop on this dish on eG, then I feel pretty special. This was the second of two mandatory dramatic statement dishes of the evening, and probably one of the best things Ive ever eaten. It consisted of three wide filets of eel, wrapped in pineapple (either it was some micro-thin pineapple, or the glaze consisted of pineapple, I was too into the dish to get all technical). It was topped with very crispy, toasted quinoa and was surrounded by an avocado/wasabi sauce, some frisee and a few sea beans. Umami...and again I say Umami. Eel with pineapple...I can see how people would think this could be even more candy-like than your standard glazed variety at any strip-mall sushi restaurant. There was a sweetness to be sure, but the texture of the fresh unagi against the crispy quinoa...set against the slight bitterness of the greens, and the spicy yet unctuous avocado-wasabi sauce...it reminded me of a comment I had about some of the dishes at WD-50. Basically, it is an entirely new preparation of items you are already familiar with, and the combination triggers something that reminds you of your favorite comfort foods. Biscuits and Gravy would be one of my most beloved comfort food dishes...and while the unagi is about as far removed from that dish as anything you could come up with, it triggered the EXACT same kind of sense-memory and became an instantaneous comfort food. But enough of that my proclamation for the plate was something like this is the kind of dish that could bring your biggest food nerd-tourists and your Outback Steakhouse loving housewives together in perfect harmony.
Scallop, Cocoa Butter, American Caviar, Cauliflower Puree (I think..my notes are illegible)- A masterfully prepared single scallop with white chocolate and a quenelle of roe. It was wonderful, it just should have come before the unagi. I mean, if someone gives you the best piece of foie gras youve ever eaten, and then they feed you the best loaf of bread on earth...I dont care if the loaf was one that Jesus fed to the multitudes...its not going to compete with the foie.
White Chocolate Mousse, Warm Over Cold- a good dessert, contrasting textures and temperatures, the biggest thing I remember about it was that it reminded me of something the young prodigy JWest at Bluestem in KC made last year a spin on baked Alaska that isnt going to be surpassed any time soon.
So surgery aside, they made me a lot of small courses I could manage. Unfortunately, I did have to leave a few bites of the octopus and half a piece of unagi, but I know my limitations. They slowed the pacing down a little bit for me, and in general made it a wonderful experience.
Lastly, I wouldnt chalk these things up to annoyances or failures, just funny observations that are probably more about me than them.......First, I ALWAYS fall for the water thing in restaurants.....as soon as they ask, sparkling, still, mineral, or.... I never wait until they say TAP, I just hear STILL and go with it. Then I laugh when I see the extra six bucks on my bill. Also, what is the significance or tradition behind the tableside guacamole preparation (I'm familiar with magic of the molcajete in Latin restaurants, but why here)? Are they being quirky, is it a long-standing tradition I dont know about, is it just THAT damn good....I just dont like tableside preparations and it didnt seem to go with the overall vibe of the place.
Anyway, a great way to blow my per diems for the trip.
Posted 02 June 2008 - 01:17 PM
The combination of the restaurants is really intriguing. Minibar, the restaurant within a restaurant, is one of the most creative, fun and exclusive restaurants in the country and beyond. I had a truly amazing meal there last time I was in DC. Cafe Atlantico, the host restaurant, serves creatively inspired Nuevo Latino cuisine. Both restaurants fall under the aegis of Jose Andres' Thinkfoodgroup with Katsuya Fukushima as the chef.
We were seated for our 8PM reservation adjacent to Minibar. Chef Katsuya had a special menu in mind for us, but we were asked if we or our sons, 16 and 8 years old, would prefer to order off the menu. My preference clearly was to eat what Chef Katsuya had in mind, but we wavered for a moment when considering our sons. Fortunately, I recalled our original objective and told them that we were all excited to see what Chef Katsuya had planned for us!
The meal ultimately consisted of a mix of the cooking from both restaurants, which pleased me greatly as we enjoyed some of the best of both worlds. We started with cocktails. The boys had non-alcoholic Dominicana Lemonades, concoctions composed of a mixture of various tropical juices, satisfying them. My wife and I started with some latino classics. She had a ...
Mojito, while I had a classic Peruvian...
Pisco Sour. Both were outstanding renditions of classics.
The meal started with a few elements from Minibar including the now classic and signature...
Olive Oil Bon Bon. It was fun to watch the smiles on my sons' faces as they ate these delightful morsels. This was why I wanted to bring them to Minibar!
With an obvious nod to Thomas Keller and his signature cornet, the next dish...
Bagel and Lox Cone also had salmon roe as an essential element. After the visual reference and the roe, the similarities ended as this was also a play on the classic NYC bagel with lox and cream cheese. Though neither of the boys eat their bagels with lox or smoked salmon, they liked this, the older more than the younger. He wasn't enamored of the roe, though I was happy that he tried it. The flavors matched those of a good rendition of the dish's inspiration, with an obvious and expected textural difference.
In his excellent report prior to this, Zeemanb enjoyed his ...
Tableside Guacamole, but wondered about its place at this restaurant. In the context of a Minibar meal it does seem odd, but in the Nuevo Latino context of cafe Atlantico it fits right in. It also happens to be some of the finest guacamole that I or my family have ever eaten. If there was a downside to it, it was that we ate too much of it, affecting some of us later on.
Not knowing what was coming, we asked Brian to select the wines for us. His first selection was a half bottle of...
Qupe 2007 Marsanne, which proved to be a fine choice.
Beauty was the hallmark of the next dish...
Beetroot Tumbleweed. The presentation was beautiful, but so was the flavor and the texture as these delectable morsels were popped into our eager mouths. This was one of my wife's particular favorites. Though the texture, technique and presentation was completely different, this reminded me of of the beetroot/yogurt/meringue profiteroles I particularly enjoyed last year at elBulli.
Another nod to elBulli followed, a dish that has become a part of the Minibar lexicon as it has that of elBulli, the famous...
Liquid Olives. It turned out that our 8yo really loved this, his first experience with spherification. It was ultimately his favorite dish of the night.
Though not the most impressive dish of the evening visually...
Warm Potato Mousse with American caviar and vanilla Oil, was a real knock-out. I can't recall having vanilla with potatoes before, but after having it here, it was a totally natural combination. This dish was perfectly balanced and absolutely outstanding!
The restaurant describes itself as Nuevo Latino, but in reality it incorporates elements from throughout the Caribbean and the Americas. One example was its ...
Liquid Conch Fritters. Outwardly, they appeared to be classic conch fritters, however, appearances can be deceiving. Tough they had the flavor of conch fritters and the external fried crunch, the interior was actually a warm liquid conch chowder. Though not my favorite flavor of the night, this dish was fun.
Perhaps the biggest conceptual stretch of the evening was the
Oyster "Pizza". This dish retained the texture of a fresh, just-cooked oyster while incorporating the flavors of pizza! While I found this dish to be brilliant and my family all liked it, I doubt that those who find fault with Wylie Dufresne's Pizza Pebbles would enjoy this dish either. It is not a dish for anyone who is an absolute purist when it comes to either oysters or pizza.
My older son really, really liked the ...
Boneless Chicken Wing Indian Flavor though the youngest found his too intensely seasoned for his palate.
Unfortunately, by this time, the majority of the table were really starting to get full, to which I informed the kitchen. Rather than turn what was an extremely positive experience into an ordeal, we thought it best to start limiting the output from the kitchen. I'm sure as a result that we missed some amazing things, but as it was we were not quite done yet.
The next course was for adults only. Another spherification, the...
Mojito Fizz was a great palate cleanser.
I'm glad that despite our collective appetite limitations, the kitchen did not hold back on
Foie Gras Cappucino with Corn Foam and Corn Nuts. This was liquid decadence with the corn nuts providing a nice textural counterpoint. By this time our youngest was really quite full and no longer particularly interested in savories. I ate his.
By the time the ...
Coconut Tuna Ceviche Wrapped in Avocado, Corn Nuts, Soy caramel, Lime Bubbles was served I was the only one who still had an appetite. This was unfortunate for the rest of the table, as this was simply outstanding. Along with the Potato Mousse, this was my favorite dish of the evening.
We still had another course to, the main course. They brought the same course for each of our sons and a different one for my wife and for myself. We had our second half-bottle of wine, this one a red, ...
Havens 2003 Borriquot a Cabernet Franc predominant blend from the Napa Valley.
My wife was served the...
Scallops with coconut rice, crispy rice, ginger, squid, squid ink oil , while the boys had...
Carne Asada with Malanga Puree and Chips. My wife and sons were able to eat their proteins but not much else through no fault of the dishes. I had...
Caramelized Duck Confit with Brussel Sprouts, Greek Yogurt and PX Reduction. By this time, even I was getting quite full. The confit was nicely done, though bits of the exterior that were caramelized were a bit to sweet for my taste. This was better when paired with the relatively bitter Brussel Sprouts and the dish improved for me once I realized this and ate accordingly.
Dessert was, for me, much better than what I had the previous night at Central. It was sweet, but not as aggressively so as the kit kat bar at Central. The...
Warm White Chocolate Mousse with Coffee Gelee and Muscavado Sugar Streusel held my interest with unique flavor and textural elements. This was a winner for all.
The meal culminated with a bit of fun.
Nitro Kettle Corn-Dragon's Breath were served to each of us directly out of a container of liquid nitrogen. While tasty and enjoyable to eat, the real fun came from watching one's dining partners snort out dragon's breath!
While we were served a few items from the Minibar cornucopia, the majority of our dishes came from the Cafe Atlantico kitchen. The creativity was the same for both. Anyone missing out on reservations for Minibar should be quite happy to have the opportunity to dine at Cafe Atlantico. It is simply too good and too much fun to be considered a consolation prize. The evening was everything I hoped it would be and more.
"Remember that a very good sardine is always preferable to a not that good lobster."
- Ferran Adria on eGullet 12/16/2004.
Docsconz - Musings on Food and Life
Slow Food Saratoga Region - Co-Founder
Twitter - @docsconz
Posted 02 June 2008 - 01:38 PM
What are your wife's scallops sitting in (the white creamy substance)?
Love the olive oil bon bon, it was one of the most memorable tastes for me last year.
I haven't had the Havens Borriquot, though their Merlot is one of the only palatable Merlots I've had recently. How did it pair with (which one(s) of) the dishes?
Italian tenor Enrico Caruso (1873-1921)
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Posted 02 June 2008 - 04:12 PM
And something about the usage of corn nuts and Fritos during the progression just hit the spot......
Posted 02 June 2008 - 07:27 PM
Nice report. Your son is absolutely adorable! Where did he come from?
What are your wife's scallops sitting in (the white creamy substance)?
Love the olive oil bon bon, it was one of the most memorable tastes for me last year.
I haven't had the Havens Borriquot, though their Merlot is one of the only palatable Merlots I've had recently. How did it pair with (which one(s) of) the dishes?
The scallops were sitting in a risotto-like coconut rice.
The Havens paired just fine with my duck confit. My wife seemed to enjoy it with her scallops too.
"Remember that a very good sardine is always preferable to a not that good lobster."
- Ferran Adria on eGullet 12/16/2004.
Docsconz - Musings on Food and Life
Slow Food Saratoga Region - Co-Founder
Twitter - @docsconz
Posted 02 June 2008 - 07:29 PM
Hi Doc, I was at minibar Friday night (just got home, report to follow soon....minus anything even remotely approaching your photography) and have to chime in on the bonelesss chicken wing that you were served.... it was one of my favorite dishes of the evening. I can see where it would be a bit much, but my friends and I had just done a KC bbq contest the weekend prior and it was just so....appropriate for my tastebuds at the time. Very intense.
And something about the usage of corn nuts and Fritos during the progression just hit the spot......
Hi Zeeman. Sorry that we missed each other! I agree that I have never experienced finer use for corn nuts and Fritos! Looking forward to your report.
"Remember that a very good sardine is always preferable to a not that good lobster."
- Ferran Adria on eGullet 12/16/2004.
Docsconz - Musings on Food and Life
Slow Food Saratoga Region - Co-Founder
Twitter - @docsconz


text:
This one family 63 Nova is a demonstration of commitment. This commitment is demonstrated by having the rare factory fender skirts that cover the... More
Stk. 1800 1963 Chevrolet Nova Wagon Detailed description coming soon. Call 800-650-1055 or visit our website at www.autobarnclassiccars.com for more information. ALL VEHICLES SOLD "AS... More
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In 1963 the Nova option for the Chevy II was available in a convertible body style, and a two-door hardtop. Like all Chevy two-door... More


text:
U.S. Representative Barney Frank, one of the first openly gay politicians in national office, confirmed this morning that he is planning to wed his long-time partner, Jim Ready. Frank's spokesman, Harry Gural, said he could not yet provide further details on the wedding, including the date and exact location. But the marriage will take place in Frank's home state of Massachusetts, the first in the nation to legalize same-sex marriage. The Supreme Judicial Court ruled in 2003 that same-sex marriage is a right under the state's constitution.
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I have been working at Amazon.com
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Yes, I would recommend this company to a friend
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Research finds that most young adults receive financial assistance from their family and that the average annual transfers is roughly $7,500. The paper, Familial Financial Assistance to Young Adults was published by the National Poverty Center and supported by the MacArthur Research Network on Transitions to Adulthood.
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text:
should (will) Red Wings retire their numbers? From my opinion it is definite yes as they defined a milestone for the team we are rooting for. From the other side we have Fedorov who contributed as much as Yzerman (13 seasons of pure magic) but left with some bad feelings... What do you think?
Henrik and Pavel
Posted 14 July 2013 - 05:21 AM
- offerfineex likes this
© mikah
Posted 14 July 2013 - 07:19 AM
Posted 14 July 2013 - 08:15 AM
Pav signing this extension should have wiped away any doubt, his number will be retired. Hank is well on his way but needs atleast a couple more good years and some more playoff success imo.
This for sure. They need to add another cup....
Posted 14 July 2013 - 08:19 AM
Datsyuk yes, Zetterberg is a maybe right now. I'm torn about Fedorov. He was supremely talented, but the way he left, and had been trying to leave for quite awhile before he did leave, probably disqualifies him in my mind. The Wings don't retire your number just because you were great with them, or a Hall of Fame player like some other teams. You need to be an icon here to have that honor. There are some teams that will retire your number just because they want the attention of retiring a number (Colorado). Detroit doesn't and shouldn't do that.
Really, they need a ring of honor type thing for the guys like Shanahan, Chelios, Probert, Konstantinov, the Grind Line, Fedorov, etc. Save the retirements for the players who defined the team like howe, Abel, Yzerman, Lidstrom, and now Datsyuk.
Posted 14 July 2013 - 08:38 AM
I think Hank and Dats are great players, not on par with Feds skill wise.
I think Hank and Dats are greater Red Wings than Feds, if that makes sense.
I think none of them belong in the rafters at the Joe.
Look at the last two names put up there, all world players and leaders, and two of the greatest Wings ever.
People forget not only was Yzerman the heart and soul of this organization, he has over 1700 points.
This is not Colorado or Buffalo, simpy being a great player and leader does not get you in the rafters, you need to be one of the best Wings of all time.
Unfortunately for Hank and Dats, they are in that class one step below that!
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"When I was looking for a captain, I wanted a guy with the Red Wings crest tattooed on his chest," said former Detroit coach Jacques Demers, who named Yzerman captain in 1986. "Steve Yzerman was that guy."
Posted 14 July 2013 - 09:01 AM
I think that Datsyuk and Zetterberg have not accomplished enough to have their numbers retired. At this point neither of them are on par even with Fedorov in terms of accomplishments and Fedorov's number will not be retired. Neither will Shanahan, Larionov, or even Osgood. And they have more Cups and personal accomplishments.
I think if the Wings were a less storied franchise and didn't have Howe, Sawchuck, and Lindsay up in the rafters right now they would have a better chance. But this isn't Columbus or Buffalo. Detroit has had giants, and while Datsyuk and Z have been huge for their team, they are not HUGE like those other names.
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"I think a tough team, a team that sticks together, is a lot better than leaving the onus on one guy to take care of business." - Brendan Shanahan
It still would be nice to have that one guy. (Jordin Tootoo, wish granted)
Posted 14 July 2013 - 09:47 AM
Seriously though, I think Pav has a chance, but I don't see Z getting there. He's just not a dominant player that can regularly take a game over. Nearly every number in the rafters was a guy who could single-handedly create wins.
Posted 14 July 2013 - 10:01 AM
The real question is....what numbers will future Wings have to choose from? I mean, obviously 11, 36, and 51 will be hung up there soon too.
Seriously though, I think Pav has a chance, but I don't see Z getting there. He's just not a dominant player that can regularly take a game over. Nearly every number in the rafters was a guy who could single-handedly create wins.
Like Datsyuk.
Posted 14 July 2013 - 10:06 AM
Yes, definitely on Pasha. Good possibility for Henrik, depending on how much of an impact he has from here on out. I doubt Fedorov will, simply because some parties have very long memories, and hold grudges forever.
Posted 14 July 2013 - 10:23 AM
I think the question is whether or not they get into the Hall of Fame. Isn't that one of the musts set down by Mr. Ilitch for the Wings to consider retiring a number? I believe that's one of the reasons given for taking Larry Aurie's number down from the rafters.
Posted 14 July 2013 - 10:34 AM
I think that Datsyuk and Zetterberg have not accomplished enough to have their numbers retired. At this point neither of them are on par even with Fedorov in terms of accomplishments and Fedorov's number will not be retired. Neither will Shanahan, Larionov, or even Osgood. And they have more Cups and personal accomplishments.
I think if the Wings were a less storied franchise and didn't have Howe, Sawchuck, and Lindsay up in the rafters right now they would have a better chance. But this isn't Columbus or Buffalo. Detroit has had giants, and while Datsyuk and Z have been huge for their team, they are not HUGE like those other names.
Pretty much this..
but we do have Zetterberg under contract for 8 more years. If he can captain the wings to a few more cups, he could assure himself a spot in the rafters.
Posted 14 July 2013 - 10:42 AM
If Datsyuk continues on the streak hes on now he will end up with over 1000 points when he retires (PPG player), and maybe a few more Selke's. If they win another cup before he retires I definitely say Datsyuk needs to get retired.
Posted 14 July 2013 - 11:00 AM
13 and 40 are contenders, but not there yet. 91 will not be retired.
I got ridiculed for saying this in other threads, but we basically have to win 1 or 2 more cups on the backs of Datsyuk and Zetterberg before their numbers will be elligible to hang in the rafters. All the other names up there are much more decorated and have won at least 3 cups with the Red Wings. Datsyuk has won two, but he was not the backbone of the team with the first one. If they can bring a couple more cups to this organization then you can make an arguement.
Edited by Seraph, 14 July 2013 - 11:05 AM.
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QUOTE (Amberoonie)
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Posted 14 July 2013 - 12:30 PM
I don't see either getting their numbers formally retired but maybe both as an unspoken rule. I think Zetterberg would have more of a chance considering he has a Conne Smyth and is the captain and will be captain until he retires.
Posted 14 July 2013 - 12:36 PM
Red Kelly and Norm Ullman weren't retired, two guys with higher all time NHL rankings.
Seems like the Wings only retire the most elite players in terms of rankings in NHL history. I don't think Pavel or Hank rise up to that level, unless the franchise wants to make exceptions to its previous standards.
Posted 14 July 2013 - 12:54 PM
People arguing points is kind of silly. It's a different era. Stevy Y would not have had the same amount of points had he started in 2001-2002 with Datsyuk.
I think Pavs has meant as much to the current era as Stevy did. Yes there is a crossover obviously, but Pavs was just rising when Stevy was finishing up. Hank to me is a little inconsistent. I think Pavs should go up there...not right away, but eventually.
I think Feds should go up too, but I doubt it will ever happen.
Posted 14 July 2013 - 01:35 PM
If Stu Grimson's number isn't retired, I don't know why Datsyuk or Zetterberg should be.
Posted 14 July 2013 - 01:41 PM
No, No and No. Number retirement is not for good players or even excellent players. Retiring a number should be reserved for legends only. I don't think any of the three qualify.
Posted 14 July 2013 - 02:39 PM
Datsyuk: 11 seasons with Wings
255 goals; 512 assists; 767 points
Stanley Cup 2002, 2008
All-Star 2004, 2008, 2009, 2012
Young Stars Game 2002
Selke 2008, 2009, 2010
Lady Byng 2006, 2007, 2008, 2009
Plus-Minus Award 2008
- needs to get to 1000 points; needs to win another cup (at least); needs to sign at least one additional one-year deal; needs to be inducted into HOF; with that I say YES
Zetterberg: 10 sesaons with Wings
263 goals; 408 assists; 672 points
Conn Smyth 2008
Stanley Cup 2008
All-Star 2007 & 2008
All Rookie Team 2003
NHL Foundation Award 2013
Captain [2013 to ]
- needs to play out his contract without a dropoff [he's only at 672 pts]; needs to win another cup (at least); needs to be inducted into HOF; even then it would be close
Federov: 13 years with Wings
400 goals; 554 assists; 954 points [with Wings only]
Stanley Cup 1997, 1998, 2002
All-Star 1992, 1994, 1996, 2001, 2002, 2003
All Rookie Team 1991
Hart 2004
Pearson 2004
Selke 1994, 1996
His 1994 season is one of the best ever by a Red Wing and I think he's a HOF for sure. If you take away the hold-out, his personality, and his departure from the Wings it's a YES. I love him, but in the words of Mike Singletary, "Can't Do it, Won't do it."
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