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Illustration copyright 2000 by Nucleus Communications,
Inc. All rights reserved. http://www.nucleusinc.com
Mitral valve stenosis is a heart
condition in which the mitral valve—which regulates blood flow on the left side
of the heart—fails to open as wide as it should. Although it has no immediate
effect on health, eventually mitral valve stenosis can cause the left atrium to
work harder to pump blood through the narrowed valve, leading to heart failure
and complications such as stroke, heart rhythm problems (such as atrial
fibrillation), fluid buildup in the lungs, and blood clots.
Last Revised:
November 18, 2011
Healthwise Staff
Medical Review:
Rakesh K. Pai, MD, FACC - Cardiology, Electrophysiology & John A. McPherson, MD, FACC, FSCAI - Cardiology
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HOUSTON - The debate over violent video games and their effect on children is once again raging.
Kindergarten Killers is a video game depicting the murder of young children at school. Another game called Super Columbine Massacre RPG re-enacts the Columbine school shooting. KPRC Local 2 talked with Houston area parents, mental health experts and a man who developed one of the games about what effects they have on the children who play them.
Jackie Francis is a mother and grandmother on a mission. After hearing the National Rifle Association news conference following the Sandy Hook shootings, Francis started researching the game referenced that day.
Francis said, "You're teaching them to kill, you're teaching them to steal, Francis said. "He mentioned a video game, Killing Kindergarten Kids, that was never brought out in the media. Around Christmas Eve, I Googled that game and I was totally appalled at what I saw."
Francis has done her homework and said one of the games today that most disturbed her was Super Columbine Massacre RPG.
That video game's creator, Danny Ledonne, defended his game and said there's no link between playing violent games and mass shootings.
Ledonne said, "Events like Newtown, however tragic, are statistically insignificant relative of the number of people in this culture today who play video games."
Video games are big business. Research firm DFC Intelligence forecasted the global market for video games is expected to grow from $67 billion in 2012 to $82 billion in 2017.
Psychotherapist Micki Grimland has harsh words for the industry as a whole.
Grimland said, "These games should not be legal. Look at what's happening in terms of our mass shootings. There's more and more depersonalization of the human life and kids younger and younger are killing people."
However, selling these games is legal. It's a freedom of speech issue. In 2011, the Supreme Court ruled a California ban on the sale of violent video games to minors was unconstitutional.
Grimland said parents should be aware of what their kids are playing and never allow them to play more than an hour of video games a day.
Ledonne thinks parents should be involved in their kids' gaming.
He said, "If anything, I think parents should play through the game with their children, if they're interested in doing so, and having discussion about school violence."
Grimland said a direct connection can't be made that these video games are causing these killings because there are many kids who play these violent games and don't kill anybody. However, she said of the ones who have been involved in killings, there has been a connection to electronics and video interactions.
Copyright 2013 by Click2Houston.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

subset: commoncrawl


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Yale Doubles Number of Free Online Courses
Eight new courses in history, economics, literature and biomedical engineering taught by leading faculty have been added to "Open Yale Courses," the University's free online education initiative.
The courses, which were recorded in their entirety as they were taught to Yale College students in the classroom, are available in video and audio formats. Closed captioning is offered for each course, and that feature has been added to the seven courses that were made available when the award-winning Open Yale Courses was launched in December 2007. In addition to complete, searchable transcripts, the Internet courses include syllabi, reading assignments, problem sets and other materials.
Anyone may download the video or audio files of Open Yale Courses or watch and listen to them streamed on the web at their convenience. There is no registration required and the courses are not for credit. Open Yale Courses may be accessed at:
Open Yale Courses is one of the most frequently visited Yale websites, with more than half a million unique visitors from 187 countries having accessed the site since its debut. Faculty members around the world are using Open Yale Courses to teach their students in such locations as the University of Bahrain, the Instituto de Tecnologia de Buenos Aires, Tec de Monterrey in Mexico and Bogazici University in Turkey.
"We are pleased that so many people from around the globe have explored Open Yale Courses, whether they are students, teachers or those who just have a passion for a particular subject," said President Richard C. Levin. "Making part of the Yale classroom experience accessible beyond the campus through the available technology is a significant emphasis of our growing digital presence."
The new courses and their instructors are:
- Frontiers of Biomedical Engineering, W. Mark Saltzman (BENG 100)
- Game Theory, Benjamin Polak (Economics 159)
- Financial Markets, Robert Shiller (Economics 252)
- Milton, John Rogers (English 220)
- The American Novel Since 1945, Amy Hungerford (English 291)
- The Civil War and Reconstruction Era, David Blight (History 119)
- Introduction to Ancient Greek History, Donald Kagan (Classics 205)
- France Since 1871, John Merriman (History 276)
"We now offer 15 courses reflecting the broad liberal arts education provided by Yale College to anyone with an Internet connection," said Diana E. E. Kleiner, Dunham Professor of the History of Art and Classics and the director of the project. "We are maximizing the use of these courses through a Creative Commons license and our outreach efforts to academic institutions around the world."
To encourage the widest possible use of the courses, the license that covers most of the lectures and other course material on Open Yale Courses is Creative Commons' Attribution-Noncommercial-Share Alike 3.0 license. This license permits the free use or repurposing of the Open Yale Courses material by others. Under this license, users may download and redistribute the Open Yale Courses material, as well as remix and build upon the content to produce new lectures or other educational tools. The only restriction is that commercial use of the Open Yale Courses material is not allowed.
Regional Educational Advising Coordinators for the U.S. State Department featured Open Yale Courses in their annual advising workshops. The department's American Corners program has made Open Yale Courses available throughout its network of more than 300 locations around the world.
The production of the free courses for the Internet was made possible by a grant from the William and Flora Hewlett Foundation. "The growth of Yale's Open Course offerings is a boon to learners everywhere and signals an important step toward the Foundation's goals when we helped launch the Open Educational Resources movement more than four years ago," said Hewlett Foundation President Paul Brest.
Yale plans to add more courses to the project in the coming years. The Open Yale Courses project is produced and supported by the Yale Center for Media and Instructional Innovation (CMI2), which promotes the innovative use of technology to enhance learning at Yale and beyond.
Yale will be presented with an Innovation Prize at the Connecticut Quality Improvement Award Partnership's 21st Annual Conference on Quality and Innovation in November. The partnership is a nonprofit corporation that brings together the private sector, state and municipal government, and the educational community to recognize organizations for their accomplishments.
Media members may download broadcast-quality video clips and high-resolution photos from the courses via the media kit on the Open Yale Courses website.
About the Faculty Who Teach the New Courses
David W. Blight is the Class of 1954 Professor of American History and director of the Gilder Lehrman Center for the Study of Slavery, Resistance and Abolition at Yale University. He is the author of numerous books, including "A Slave No More: Two Men Who Escaped to Freedom; Race and Reunion: The Civil War in American Memory" (for which he received the Bancroft, Abraham Lincoln, and Frederick Douglass prizes), and "Beyond the Battlefield: Race, Memory, and the American Civil War." He is also the co-author of the bestselling American history textbook, "A People and a Nation."
Amy Hungerford is professor of English and associate director of undergraduate studies in the Department of English at Yale University. She specializes in twentieth-century American literature with an emphasis on the period following the Second World War. The founder of the Post-Modernist Studies Association, she is currently the editor of Yale Studies in English. Professor Hungerford's articles appear in the Yale Journal of Criticism and Contemporary Literature. Her book "The Holocaust of Texts: Genocide, Literature, and Personification" was published in 2003 by the University of Chicago Press.
Donald Kagan is Sterling Professor of Classics and History at Yale University. A former dean of Yale College, he received his Ph.D. in 1958 from Ohio State University. His publications include "The Archidamian War," "The Peace of Nicias and the Sicilian Expedition," "Pericles and the Birth of the Athenian Empire," "On the Origins of War and the Preservation of Peace," and "The Peloponnesian War." In 2002 he was the recipient of the National Humanities Medal and in 2005 was named the National Endowment for the Humanities Jefferson Lecturer.
John Merriman is Charles Seymour Professor of History at Yale University. Specializing in French and modern European history, he received his Ph.D. from the University of Michigan. His publications include "The Agony of the Republic: The Repression of the Left in Revolutionary France, 1848-1851"; "A History of Modern Europe Since the Renaissance" and "Police Stories: Making the French State, 1815-1851." He is currently at work on "Dynamite: Emile Henry, the Café Terminus, and the Origins of Modern Terrorism in Fin-de-Siecle Paris." In 2000, Professor Merriman was the recipient of the Yale University Byrnes-Sewall Teaching Prize.
Benjamin Polak is a professor of economics in the Department of Economics and the School of Management at Yale University. He received his B.A. from Trinity College, Cambridge University, his M.A. from Northwestern University, and his Ph.D. from Harvard University. A specialist in microeconomic theory and economic history, he has published in Economic Letters, Journal of Economic Theory, Journal of Economic History, Journal of Legal Studies, Journal of Theoretical and Institutional Economics, and Econometrica. His current projects include "Inequality in Many Dimensions: Criteria, Preferences and Measures" with Chris Shannon and "Small Trades During the British Industrial Revolution" with Steven Berry.
John Rogers is a professor of English at Yale University and former Master of Yale's Berkeley College. Rogers received his B.A. and Ph.D. from Yale and is the author of "The Matter of Revolution: Science, Poetry, and Politics in the Age of Milton," which was awarded the Modern Language Association First Book Prize as well as the Milton Society of America's James Holly Hanford Prize for Best Book. He is currently working on a book on Milton's relationship to antitrinitarian heresy, entitled "Milton and the Heresy of Individualism."
W. Mark Saltzman is the Goizueta Foundation Professor of Chemical and Biomedical Engineering at Yale University. His books include "Drug Delivery: Engineering Principles for Drug Therapy" and "Tissue Engineering: Engineering Principles for the Design of Replacement Organs and Tissues," and his articles have appeared in Biomaterials and Nature Materials. The chair of the Department of Biomedical Engineering, Saltzman is also the recipient of numerous distinguished teaching awards from Yale, Johns Hopkins, Cornell and the University of Pennsylvania.
Robert J. Shiller is Arthur M. Okun Professor of Economics at Yale University and a Fellow at the International Center for Finance at the Yale School of Management. Specializing in behavioral finance and real estate, Shiller has published in Journal of Financial Economics, American Economic Review, Journal of Finance, Wall Street Journal and Financial Times. His books include "Market Volatility," "Macro Markets" (for which he won the TIAA-CREF's Paul A. Samuelson Award), "Irrational Exuberance" and "The New Financial Order: Risk in the Twenty-First Century."
In addition to the eight new courses, the original seven courses and their instructors are:
- Frontiers and Controversies in Astrophysics with Charles Bailyn (Astronomy 160)
- Modern Poetry, Langdon Hammer (English 310)
- Death, Shelly Kagan (Philosophy 176)
- Fundamentals of Physics, Ramamurti Shankar (Physics 200)
- Introduction to Political Philosophy, Steven Smith (Political Science 114)
- Introduction to Psychology, Paul Bloom (Psychology 110)
- Introduction to the Old Testament (Hebrew Bible), Christine Hayes (Religious Studies 145)
Media Contact
Tom Conroy: [email protected], 203-432-1345


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YOUNGSTERS from a Worcester school stepped out of the classroom and into the kitchen to try their hands at making pizzas.
The pupils from year four at RGS Springfield went to Pizza Express as part of their studies into all things Italian.
Teacher Neil Delaney said as well as studying the country, pupils had been finding out about food and its origins which had sparked the idea for a trip to see how pizza was made.
He said: "The class will be learning about volcanoes and Vesuvius so didn't want to miss the chance to experiment with Naples's signature dish."
The pupils from the Britannia Square school shaped the pizza dough and added toppings before sampling some of their hard work at the restaurant in College Street, Worcester, and taking some of their pizzas back to school.


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El Paso Mayor John Cook's popularity for his stance on domestic partner benefits may earn him the title of world's best mayor.
Cook's efforts were not forgotten when it came time to nominate mayors for the World Mayor 2012 competition, sponsored by London-based think tank City Mayors Foundation. Thirteen of the 22 who wrote in support of Cook mentioned the benefits fight, according to the El Paso Times.
The City Council approved DP benefits in 2009, but the vote was overturned in a ballot measure led by anti-gay Pastor Tom Brown in 2010. Cook cast the tie-breaking vote last year to restore DP benefits, stirring Brown to begin a recall effort. A county judge ruled in Brown's favor, but an appeals court later sided with Cook in February. Brown then appealed to the Texas Supreme Court but it's doubtful the court will hear the case.
Cook is among five North American finalists and 25 worldwide for the award that recognizes a mayor's achievements with a sculpture for commemoration. Votes and comments about the finalists' achievements will be taken into consideration by the organization.


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You exercise your body to stay physically in shape, so why shouldn't you exercise your brain to stay mentally fit? With these daily exercises you will learn how to flex your mind, improve your creativity and boost your memory. As with any exercise, repetition is necessary for you to see improvement, so pick your favorite exercises from our daily suggestions and repeat them as desired. Try to do some mentalrobics every single day!
When you are under stress try this short exercise to put things in perspective. It might make your problem seem less stressful.
Mentally rewind your life ten years and remember what you were like at that time. Try to imagine how your current problem would have seemed back then. Would it have been as important? Now fast-forward ten years into the future and imagine how your life might be like. How important is your current problem to your future self? Chances are your current problem may seem insignificant to your future self and this might change your perspective on how you view your problem today.
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Baby girl - Roena
12 February 1856 — Ash Grove, Greene, Missouri, USA
William and his wife (Louisa Walker or Jemima Anderson) had a baby girl on 12 February 1856, and his grandson, James Claude Blackwell, said he was told that his grandmother died from childbirth. The child was named Roena. James Claude Blackwell also remembered being told that his mother, Roena, was raised by a man named George Mathis (Mathews). William died when Roena was 8 years old. It must have been a difficult childhood for both Roena and her brother, Scot, who was about 14 years old at the time.


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Cosmetics and toiletries are taking new forms, with beauty products moving from tubes to foods. Interest in nutricosmetics has begun to grow alongside interest in functional products, leading to the addition of new products that are complementary to the traditional beauty industry.
Nutricosmetics have emerged as a segment of nutraceuticals, initially gaining popularity in Japan and Europe and now gaining ground in the U.S. The term derives from the combination of foods, pharma and cosmetics. Nutricosmetic products generally focus on three areas: skin, hair and beauty. In the skin segment, nutricosmetics address a range of problems—including skin repair, pigmentation issues, firmness, whitening, slimming and aging. For hair, nutricosmetic products claim to aid growth, restoration, nourishment and volume, while nail-specific products concentrate on improving strength and the overall appearance of nails. Nutricosmetics are available in pill, tablet, liquid and food formats. Foods and drinks positioned and marketed as beauty-enhancing are a newer concept, with added-value functional foods becoming the next logical step for innovation in the cosmetics and toiletries industry.
Competitive pressures in the cosmetics and toiletries, OTC health care, and food and drinks industries alike are seeing manufacturers expand their offerings with high added-value products. The introduction of nutricosmetic products in Europe remains problematic due to the lack of a regulatory system. As things currently stand, the regulatory environment for nutricosmetic products is more favorable in Japan, where an established system is in place for the approval of functional and nutricosmetic products. The likelihood of introducing similar legislative procedures in Europe and the U.S. could prove more problematic, thus making the introduction of new product innovations in these regions more difficult. In Europe, nutricosmetics would fall under both food and medicinal law, but the decision as to which applies varies by country.
Frequent media exposure and concerns about the adverse effects of beauty products on the skin and their general effectiveness are changing the attitudes of consumers, who, in turn, are increasingly turning to natural products. On the one hand, the rise in health and wellness and growing consumer appreciation of the role of nutrition in beauty is being spurred by the soaring obesity rate and media attention—television shows such as the U.K. produced You Are What You Eat are prime examples. In addition, pressure to look good and stave off the signs of aging is pushing consumers to pay a premium for added cosmetic benefits.


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The Crap We Missed – Friday 4.12.13
Welcome to Friday's The Crap We Missed which I shit you not is one of the weirdest galleries I've ever put together and not just because it has photographic evidence of Halle Berry's pregnancy advancing by an entire trimester in three days. I swear to fucking Christ though, if even one of you puts the word 'Renesmee' in that comment section, I'm going to turn this car around. There's also Andy Dick with another one of HIS CHILDREN??!!11, Ke$ha looking not at all amphibian, and Tara Reid appearing sober and standing upright unaided.
Wait, is that Ed Harris with Jennifer Nicole Lee? *throws up white towel,*
- Photo Boy
Click Here To Start The Gallery
Photo: Bauer-Griffin, Fame/Flynet, Getty, INFdaily, Pacific Coast News, Splash News, WENN


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We are REALLY excited to be in Disneyland for the next couple of days! Wish me luck, and if you have any tips, tricks, or advice to make our Disney experience better, lay 'em on me! XOXO.
I'm going in May with my 2 year old daughter. Can't wait to hear everyone's tips!
No tips, but tell Mickey Bliss says hi.
If you get an early day, run straight back to fantasy land and hit Dumbo/It's a Small World. Those are the WORST 2 lines in the park and we got on both on our early day with only a 5 minute wait 🙂
Running this is one of my post baby goals!! How awesome!!!! Gook Luck!!!
I'd highly recommend the Bibbity Bobbety Bouque for your girls… at least if they still like princesses. Bring a princess dress from home and princess shoes if you have it and just pay for hair to be done (and maybe nails its only $5 more) its total like a 3 hour experience that I think they will NEVER forget… the hair stylists address them as "princess Sophia" etc and its a totally fun experience (I think my nieces will remember this more than any other ride we waited hours for!)
Get Fastpass for the rides you can… wait in line at its a small world when fireworks/parades are going on (if you are going multiple days). Everything really dies down at night if youre willing to stay late.
Good luck! I don't know if this is your first marathon or not, but regardless, my advice is the same – trust your training, start out SLOW and respect the distance. After mile 20, the battle is mental vs. physical. Keep your mind strong and believe that you can do it! You can do it!!
Finishing a marathon ranks right up there with childbirth in my life as far as accomplishments go. Can't wait to hear about it!
We just went and loved it, your cute family will have so much fun!
I just saw the picture and wanted to tell you that you are looking so good, I can see a big difference already. Keep up the good work, I know its so tough!
With all your kids…..at the Carnation Plaza there is a family bathroom tucked back in the corner by the big gate where the cast members go back stage….hardly ever any waiting.
With all your kids…..at the Carnation Plaza there is a family bathroom tucked back in the corner by the big gate where the cast members go back stage….hardly ever any waiting.
Megan…no I am not running the Disneyland marathon. Ha ha. But being at disneyland with my four kids is a "marathon." 🙂
Oooh, I'll be there in a couple of weeks so update your blog with pointers for me! 🙂 Have fun!
You can have more than one Fastpass at a time. There's a time printed on the bottom and you can get another Fastpass from another ride after that time. That way you can have Fastpasses for rides that will be out of them later.
Plus, go left cos everyone normally goes right.
Have fun!
I highly recommend taking a break in the afternoon. Go back to your hotel and take a nap, restock snacks/water etc. Your feet will thank you! Make sure you tuck a little paper into all of your kids pockets with your phone number on it in case they get separated. Also, at night, there is a great spot to view the fireworks between the Matterhorn and Tomorrowland. Hardly anyone there, great view and you still see Tinkerbell flying etc. Also, there is something called a "No Strings Attached" voucher. If your kids ice cream falls to the ground or something, just find a cast member and they will fill out a voucher for you to get a replacement free! If you are going to California Adventure, too, go straight to Toy Story Midway Mania. It is SOOOO fun but the lines get freakishly long really fast. Have fun! I would LOVE to go to DL again, but it will probably be a few years before we get to go again.
Also, be forewarned that Snow Whites Scary Adventure really is quite scary, especially for littlies! And after the fireworks, there is a line to the side in front of Mr. Toad's Wild Ride and Peter Pan that is for both of those rides, not just the one it says on the sign. (I learned that the hard way). It takes them about 1/2 an hour to open up those rides, though, after the fireworks.
We took everything we needed for lunches in our car and went back to the car and relaxed and ate every day. We have 6 kids and so this saved us a TON of money. We ate one meal in Disneyland (desperation at the end of a LONG day) and it cost us $70, for nothing fancy, just burgers and a few fries with waters. That was more than we paid for lunches the whole rest of the time we were there. There are also lockers outside of Disneyland where you can store your food. I'm not sure how much they cost. But, there's a really nice picnic area on the West side by the lockers before you get to Downtown Disney. Have so much fun!
You are looking really good!!!! I am a new reader to your blog and I love it!!!
Wow, great tips we are going next week and I emailed these to myself!
Eat a corn dog from the red corn dog stand on Main street (on the right) DELICIOUS!
Brooke, You look AMAZING! I can totally see it in your face!! Keep up the good work!!!
Have a kid lose a tooth and ask city hall for something to put the tooth in. This happened to my son and not only did they give him a Tinkerbell envelope to put the tooth in, they wrote "lost a tooth" on a "I'm celebrating" button plus gave him a front of the line pass that we used to get our whole family onto the toy story midway mania ride without waiting the 60 plus minutes for it! If they have a loose tooth, really encourage them to get it out while at Disneyland!!
If your kids can tolerate being at park till closing, stay in line. All guests in line are allowed to ride even if the park is closed.
Ask for cups of water or refill your own bottles from drinking fountains. Go to the store and get the packs of single sized lemonade/crystal light and drink these instead of buying sodas in the park.
aaack I wish I would have remembered to call before you left. I've been to disneyland over 50 times with 3 years of season passes…. have so much fun! It's one of my favorite places.
haha. i totally knew you meant "marathon" with kids.. not an actual marathon. guess it's a mom thing 🙂


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I just realized I haven't posted anything I've cooked for a looong time and decided to post my favorite cook from the last 12 months or so. I've gotten really into butchering, and mostly buy primal cuts from either local farms or places like Costco. A friend of mine asked me to cook for 70 people late last fall and I decide to go with beef sirloins as the main dish.
I started with 3 full sirloins that I butchered into their 3 main parts:
I gave these a light rub of salt, guajillo powder, and garlic powder and let them sit overnight.
For the fire I set up a heavy duty grill of 1/2" bar steel to give a good sear over a hot oak fire and then set up a smaller diameter grill past that for slower cooking over the oak embers. I built a large oak fire that I pushed under the grills as needed.
After the sear and 20 minutes over the embers I held them for 15 minutes or so in a very low smoker while we got everything set up to serve. The final internal temp for all of them ranged between 130-135. I've found this range works really well for cuts that have some connective tissue in them. A tenderloin may work at 120-125, but a sirloin won't. A slow roast (higher than a smoke - 275 to 325) helps breaks down the tissue, while a good hot fire gives a nice sear to the outside at the beginning or end.
I served it with burnt tomatoes and chimmichuri on top. I wish I had more photos of the finished product, but when you're cooking for 70 the photography sort of takes a back seat. It was a huge hit, and a lot of the guys actually hugged me after trying it. This was a hunting trip, so it wasn't a very huggy group. Grown men cried tears of joy (although those guys were pretty drunk). I think it went over well!


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In this social media world, we've always been advised not to broadcast any behavior that we wouldn't want our employers to see. Well, someone at Seattle Department of Transportation (SDOT) didn't take this warning seriously.
On May 5, SDOT called its employers — in this case, taxpayers — "scumbags" on its Twitter feed (it was subsequently deleted, followed by apologies, after the uproar).
The "scumbags" name was in reference to a popular Internet character (or "meme") named Scumbag Steve, who wears an oversized, brown cap sideways. An SDOT staffer, updating the department's Twitter feed about traffic on the West Seattle Bridge, applied the brown cap on top of multiple vehicles in the traffic-camera view, where drivers were presumably gawking at an accident on the opposite side of the bridge.
"You get a scumbag hat, you get a scumbag hat, everyone gets a scumbag hat! Haha, I'm mean #sorry," read the accompanying text.
While there is room for humor in broadcasting official updates (the Seattle Police Department sometimes points out an incident's absurdity in its posts), not everyone will understand the references. In this case, most people read the word "scumbag" to mean the original definition of a contemptible person. Being stuck in traffic doesn't remotely qualify one for "scumbag" status.
At least it took drivers' minds off of Bertha's ever-growing tunnel-construction delays and impending Metro Transit service cuts for a while.…


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Bar Room TossProbability puzzles require you to weigh all the possibilities and pick the most likely outcome.
You are out one night having a few milkshakes when a shadowy figure approaches you. "Wanna play a game?" he inquires. "I'll toss two coins and look at them. If they are both tails then I'll show you both and we'll flip again. On the other hand, if they are not both tails, this is how we'll play. I'll slide one coin across to you. It has to be a head or a tail right? I'll give you $3 if it's a head and you give me $2 if it's a tail. Wanna play?"
Would you play with this stranger and if you decide yes, who will win or is it a fair game?
AnswerIf you play you will lose. Outcomes are TT (no play) HH HT or TH. In the last 3 cases the stranger will keep a head, sliding you a tail on two occasions and a head on one occasion. He will win twice as often as you. He will win $4 to your $3 so in the long run you will lose.
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|Main Index
|CA Index
|How To Support RootsWeb
Pennsylvania Dutch Family History - Dedicated to the genealogy, history and culture of those who came to America fro ... <<snip>>
California Genealogy - A state guide to California genealogy research
California Cemeteries - Burial records of person interred in California cemeteries are indexed here.
California Military Records - Online records of California military service men and women
California Census Records - Shows you where to find online California census records.
TABER, Facts_About_Your_Family(TREE) - PERSONAL RESEARCH
California Birth Index, 1905-10 - The database provides first, last, and middle names of those born; birth dates; ... <<snip>>
California Death Index, 1940-1997 - This database is an index to the death records in California from 1940 through 1 ... <<snip>>
See Also:
Obituary Daily Times
RootsWeb Surname List (RSL)


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Belfort Furniture offers White Glove in-home delivery and set-up by professionally trained personnel who will unwrap, place, and assemble your furniture in the appropriate room. Delivery is available Tuesday - Saturday. Once your delivery date is scheduled, you will receive a three hour delivery timeframe the day prior to your delivery.
Furniture may be picked up at our warehouse Monday-Saturday from 10AM to 6PM or Sunday from Noon to 5PM. Furniture that is picked-up may require assembly.
For delivery outside of our local metropolitan area, please contact us with your item(s) of interest for a delivery quote! 703-406-7600 or email@example.com
Showcasing a transitional elegance, this sleigh bed will offer beautiful character to any bedroom, whether it is your master bedroom or a guest bedroom. Reeded detailing, a classic sleigh shape, and framed panels create a sophisticated look. Support American craftsmanship by adding this sleigh bed to your home.
The French Market Transitional Full Sleigh Bed by Vaughan Bassett from Belfort Furniture. We proudly serve the Washington DC, Northern Virginia, Maryland and Fairfax VA area. Product availability may vary. Contact us for the most current availability on this product.
Furniture from this manufacturer is proudly made in America in Virginia and North Carolina. They are committed to manufacturing furniture in a responsible and environmentally friendly manner as a founder of the Sustainable Furnishings Council.
The French Market bedroom collection incorporates timeless Louis Philippe style into a master bedroom or youth bedroom. With a variety of style options and finishes available, you will be sure to find the pieces that intrigue you with their transitional appeal. What's more, each piece is made in America with quality craftsmanship.
The French Market collection is a great option if you are looking for Transitional furniture in the Washington DC, Northern Virginia, Maryland and Fairfax VA area.
These images are representative of this group as a whole and may differ from this item.
Browse other items in the French Market collection from Belfort Furniture in the Washington DC, Northern Virginia, Maryland and Fairfax VA area.
This item has been tagged as: Bed, Bedroom Furniture, Twin Size Bed, Full Size Bed, Queen Size Bed, King Size Bed, California King Size Bed, Bookcase Bed, Book Case Bed, Canopy Bed, Bed with Canopy, Captain's Bed, Daybed, Headboard and Footboard Bed, Headboard, Footboard, Headboard & Footboard, Pier Bed, Poster Bed, Sleigh Bed, Upholstered Bed, Wall Unit Bed, Double Bed, Day Bed, Storage Bed, Home Furnishings, Furniture, Bed frame, Furnishing For Bedroom, Bedroom Furniture Set
Nothing on this page may be copied or reproduced without explicit permission.


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"The spiritual, moral, social and cultural development of the pupils is excellent" ISI, 2014
"The established school culture is very positive and respectful and easily recognized as soon as one is on campus." NEASC, 2015
Students receive a high quality education in a supportive, warm & beautiful environment." NEASC, 2014
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"The teachers push you to find your potential, and everyone cares about you while you are at school, and after you leave. You always feel welcome at Kingham Hill." Former pupil
"More than just a school, Kingham Hill is a unique and inspiring community."
"A sustainable programme of philanthropy to provide the very best for future generations."
"The grades I am getting and aspire to are way above what I achieved before. I'm really proud of what I have accomplished." Year 13 pupil
"A vibrant community across the globe."
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Request a Prospectus


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Talk of U.S. wheat exports to China and frost damage to the domestic winter wheat crop seemed to send the grain and soy complexes higher Monday. However, the USDA Export Inspections report stated the weekly corn figure at just 10.1 million bushels, whereas a result in the 14-18 million was expected. That probably limited nearby futures gains and caused the slide in deferred values. May corn closed up 4.5 cents at $6.335/bushel Monday afternoon, while December fell 1.5 cents to $5.335.
The apparent confirmation of rumored U.S. wheat sales to China last week and talk of frost damage to the U.S. winter wheat crop also boosted soybean futures Monday. The legume market may also have gathered support from talk of excessive rainfall over Argentine fields as they try to harvest their bean crop. Palm oil strength may have spilled over into the soy complex as well. May soybeans surged 14.75 cents to $13.78/bushel at its Monday settlement, while May soyoil leapt 0.66 cents to 49.52 cents/pound, and May meal edged $1.2 higher to $393.0/ton.
Wheat futures rallied after a Chinese think tank stated Sunday evening that the Asian giant had bought 12-14 cargoes of U.S. wheat last week. Talk that late-March storms had damaged the winter wheat crop and predictions of a potential frost across the U.S. Winter Wheat Belt later this week seemingly encouraged buying as well. The Export Inspections report also appeared supportive. May CBOT wheat futures jumped 14.0 cents to $7.125/bushel by late Monday afternoon, while May KCBT wheat leapt 19.0 cents to $7.45 and May MGE futures added 12.25 cents to $7.9975.
Cattle futures rose moderately Monday, possibly in anticipation of seasonal cash and wholesale strength, since cattle and beef production remain seasonally low and grilling season demand usually accelerates around this time of year. The fact that noon beef prices were decidedly mixed likely limited gains. Feeder futures posted impressive gains despite the general grain/soybean strength. June cattle rose 0.52 cents to 122.02 cents/pound as the Monday pit session wound down, while December pushed up 0.50 cents to 128.55. May feeder cattle futures climbed 0.45 cents to 144.75 cents/pound, and August added 0.55 cents to 151.75.
Hog futures recovered somewhat from their big Friday breakdown Monday. Traders seemingly paid more attention to sizeable early-morning gains in the Iowa-Southern Minnesota area than to continued slippage in the Eastern Corn Belt. They may also have been hoping for seasonal strength in the days and weeks just ahead. The lightly traded May hog contract advanced 0.40 cents to 87.30 cents/pound at its Monday close, while June bounced 0.85 cents to 90.55.


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whoah! that's cool.
Wed 12 Sep 2007
Difficulties with The D-Word? If you can't find the right answers on our Help page, please post in this topic. Ideas for future D-Word releases or projects can be posted here as well.
Wed 12 Sep 2007
whoah! that's cool.
Wed 12 Sep 2007
Marj - as I said elsewhere, I think it doesn't like the "&" sign. We might have to rename the topic the Doc Bar and Grill.
Riley - I suspect this has to do with your sign-up for a third account after we already imported two different ones. Seems like Peter needs to do some database clean-up...
Wed 12 Sep 2007
you are probably right, Ben.
sorry about the headache.
bigger photo didn't work.
Ben I don't see the blue question mark... maybe only the hosts have it? I see the reply, link, and tag icons only.
Also, I'm all for a strikethrough function, but could it be changed to some other code-- so peeps using dashes don't do it accidentally?
Last but not least, D-Worders got mad memory skillz!!!! Yes, that's a pile of bananas my artist pal Doug Fishbone assembled in NY. (He's done them all over the world, actually.) It was a photo I had handy on my desktop. But if the peeps want the eyelid pictures, I can certainly oblige.....
Wed 12 Sep 2007
Margot - blue questions mark in the top right hand corner of this yellow posting box
Ahhh! thanks Marj
Wed 12 Sep 2007
I'll fix the formatting thing in due time. It's not meant to strikethrough unless there's white-space on either side so that you can still have a double-dash.
(Hidden section for the technically interested...)
So, this is a question re: public/private topics. This topic is public, right... but if there's a link in here to another thread that's in the private area, what happens when non-members click on that link?
Wed 12 Sep 2007
is there only a "Public" "introduce yourself" topic. Perhaps a private one would be good?
Thu 13 Sep 2007
In reply to Margot Roth's post on Thu 13 Sep 2007 :
If Enthusiasts visit a link to a Members-only topic they will not be allowed in.
Chris - Two "Introduce Yourself" topics would be too confusing for everyone. That's what we agreed on back in March when we discussed the specs with the community. And I think it works really well the way it is now.
Having said this, we didn't just merge the Intro topics of the previous Forum and Community conferences and made it public. We've always said that everything that was originally posted in a private topic will stay private. So if you need to access the old "private" Intros, they are here: OLD D-Word Community: Introduce (members-only link)
peter and ben thought of evvvvvverythinggggg...
Are you all aware of the My Topics options? You can totally customise your D-Word experience now by having an individual selection of topics and receiving email disgests (which still look a bit rough right now but we'll improve that).
Thu 13 Sep 2007
Awesome that links automatically get created, without having to do this anymore: <link>. Well done!
The <> was only to prevent long links from breaking when being wrapped.
I think you should upload a photo of the Westy as your profile pic, Danielle.
Thu 13 Sep 2007
You think so? Kind of small. But it is the only photo I have that is recent. Truthfully I'm not ready to put up a photo. Maybe later this week though...
Thu 13 Sep 2007
Edited Thu 13 Sep 2007 by Christopher Pavsek
Suggestion: on each particular topic page (like here, in Help) a little pop-up menu that lets gives you a list of all topics so you can jump directly to another one without going back to the Topics List Page.
I would also suggest, though I know it's been discussed, that a private intro topic would be nice nonetheless...i don't want to read every into from the enthusiasts and i imagine not everyone wants to introduce themselves to the enthusiasts; i don't know. i don't think it'd be confusing--it could appear in the social topics for the private one and in the public space for the public one.....
But frankly, as it all is now, this is very cool and i'd be happy with it with no changes at all..............
Peter, Ben, don't see anything in the Help section about doing html within a post. So, how does one do things like bold and italicize within the posts here?
Thu 13 Sep 2007
Click the blue question mark immediately to the right of your location >>>
Thu 13 Sep 2007
Thu 13 Sep 2007
I'm shocked, Doug. Have you not been paying attention at all? ;P
well i'll be durned. we were so focused on getting the Help section done that i didn't even see this.
Fri 14 Sep 2007
Edited Fri 14 Sep 2007 by Basil Shadid
I've got a question. I tried posting a link earlier that has underscores in it. The new D-Word reformatted the link. It took the underscores out and made one of the last two words italic.
Here's the link:
How would I post the full link without the formatting engine touching it?
Fri 14 Sep 2007
Sorry Basil, This is a "known issue" that I'm going to fix as soon as I have a chance...


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In May I was nominated to be the Mom Next Door for Sacramento Parents magazine…well after hearing my nomination, Sac Parents passed our story onto Dandelion Magazine (Sac Parents Special Needs Publication) as they felt I would be a good fit. Their editor, Melanie, contacted me immediately and asked if I would be willing to be in their fall 2011 issue…which of course I said "YES!" to! J
The issue is now out; it's free and located at most doctor's offices, therapy/counseling offices, rec centers, special needs schools, etc. You can also find it online at:
http://www.bluetoad.com/publication/?i=77071 (were on pages 32-33)
This is a great magazine and it's truly amazing to see what families out there have gone thru and what they are able to accomplish. I am so honored to have been able to be a part of it!
To quote a another mom from the fall 2011 issue "I really believe that if you set the bar low, that's as high as your child will go" (Maiddy Dunigan). Maiddy-I couldn't say it any better!


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Self-Contained Water Coolers: Xigmatek AIO vs. Evercool Silver Knightby Wesley Fink on 7/10/2007 2:00 AM EST
- Posted in
- Cases/Cooling/PSUs
26 Comments
Back to Article
mikelimtw - Thursday, July 12, 2007 - linkFirst off, I would like to thank everyone who has taken the time to weigh in on the product, be it positive or negative. We take user comments seriously because we care about what our customers or potential customers think.
I started reading this site when it first came online and have been a regular reader since. However, I also know that people like ourselves make up the top 10 percent of PC users who really know all the ins and outs of PC hardware. As such, it is also sometimes too easy for us to become jaded about products such as our AIO-S80DP cooler; especially when they don't meet our very high standards.
I will admit that this product won't necessarily appeal to the hardcore user because it does not possess the highest performance. However, I would like to present another point of view for your consideration; that is, the point of view from most average PC users who do not possess the skills or knowledge that many of us take for granted.
Xigmatek had a few considerations when creating this product:
1) Ease of use
2) Safety
3) Performance
4) Noise
5) Weight
Ease of Use:
We realized that traditional water cooling isn't meant for everyone despite the performance of such systems. I've read more than enough horror stories about inexperienced users putting together a water cooling system only to accidentally fry their PCs due to leaks.
The Xigmatek AIO-S80DP was designed to be easy to use and to bring the benefits of water cooling to the masses. The design integrates the best features of traditional air coolers and water cooling systems while providing reasonable performance. It mounts like a traditional air cooler but provides the near silent operation advantage of water coolers. Additionally, you can use our product for 2 years without the need for a refill - try that with a traditional water cooling system.
Unlike traditional water cooling systems where you are required to cut tubing, connect tubing to water blocks, pressure test for leaks, etc. etc., the all-in-one design assures that there are no leaks when using this product. This built in safety factor is what allows us to expand the user base. We can now include people who like the advantages of water cooling, but don't have the technical savvy to pull off assembling such a system.
Another added safety feature comes from the unique design and integration of the radiators to the resevoir. There is no tubing inside the radiators because they cut down the flow of water. We have implemented a unique free flow system that allows a massive 72 liters per hour of water circulation. The water continues to passive circulate in the cooler after the system (and therefore the pump) is shut down. This helps to continue to quickly cool your CPU thus extending its service life. This is also the reason why our 80mm design handily beats Evercool's 92mm unit in most performance metrics.
Again, it was shown in the review that this product was not the top performer. However, as noted by another user, it is well within the top 10 performers out of the extensive list of coolers tested. It's true that we gave up some performance to the top air coolers - but not much. The difference was just over 100MHz of core clock speed. I consider this a reasonable tradeoff for providing the ease of use and safety factors associated with this design - keeping in mind that hardcore users may not be the main target audience for this product.
This is a traditional strength of water cooling systems. While many of you may not mind the fan noise generated by top performing air coolers, I'd have to play Devil's Advocate and ask why water cooling systems exist in the first place. Water cooling exists not just for the performance but also for the silence. I think most PC users would prefer a quiet PC. Otherwise there's also no reason for ever larger air coolers using 120mm fans.
While our AIO product is not silent it is reasonably quiet, despite the fact that is is based on an 80mm design. Again, this was a compromise for weight, size and pump noise. Overall, however, I think we did a good job on the noise side, and Wesley seems to agree.
Nowadays, air coolers that are approaching 1Kg in weight are pretty commonplace, especially among the top air coolers which use a pure brute force approach to solving the thermal dilemma. By this I mean they use lots of large fins for surface area, lots of long copper heat-pipes and large fan units.
However, many people either don't care or don't realize the mechanical stresses placed on motherboards with such heavy coolers hanging off of them. The 80mm design was implemented to minimize weight in an effort to not subject your valuable motherboard to undue mechanical stress. This has been a big consideration in our new air cooler designs as well.
In summary, the key advantages that our flagship AIO water cooler brings to the table are:
• Multi-platform support: P4-478, LGA775, AMD K8 754/939/940/AM2 mounting
• Ease of installation: Unlike other water cooling kits, this mounts just like a regular air cooler without the hassle of cutting tubes, assembly, or risk of leaks
• Great Performance: 150W-200W+ thermal dissipation, well suited to existing dual core and upcoming quad core CPUs
• Extends CPU life: When the system is shut down, the unit continues to circulate coolant passively, continuing to quickly cool your CPU
• High-reliability: Highly reliable ceramic pump and 12V DC motor
• Easy to maintain: Coolant reservoir only needs to be refilled once every 2 years – no need to constantly check water levels of an external tank.
Michael Lim
Sales Director
Xigmatek Co., Ltd.
Wesley Fink - Wednesday, July 11, 2007 - linkXigmatek has provided updated updated company and product information as well as MSRP and likely street prices for the Xigmatek AIO. p.3 has been updated to include this new information. Reply
Justin Case - Tuesday, July 10, 2007 - linkThis has to be one of the dumbest concepts ever. The idea of water cooling is to reduce the number of fans by using a single large radiator and a very big, slow and silent fan (or two, at most).
By reducing the size of the radiator, you end up needing a fan as large as a normal air cooler's, and everything else (water, pump, etc.), is just making the cooler _less_ efficient than a well-designed heatpipe or plain copper-fin cooler.
In this house we obey the second law of thermodynamics. Unfortunately, in some houses, the laws of marketing carry more weight...
bigpow - Tuesday, July 10, 2007 - linkI'm keeping my Scythe Ninja B -stock-
Good nuf for my modest O/C & ears Reply
takumsawsherman - Tuesday, July 10, 2007 - linkNow that we finished expressing how unimpressive these are, when are you gonna get a review sample of the IFX-14? I eagerly await your results. Reply
ajramos - Wednesday, August 22, 2007 - linkI too am eagerly awaiting a review of the Thermalright IFX-14 cooler. Working on a new QX6850 set up and need to pick up a cooler.
Thanks for the hard work on the reviews...
ajramos Reply
erikejw - Tuesday, July 10, 2007 - linkWhen I look at the performance of a 3.83 GHz overclock it is rated 6th of the 20-25 collers with 56c. All the others are running on maximum fanspeed all the time.
Since the Xigmatek keeps a lower speed when it is not necessarry to work at maximum efficiency it will have higher rating in idle and at lower speeds.
I rather have a silent system than a system that is superefficient in idle mode.
To have a fair performance it would be great if you added temps when the Xigmatek fan is maxed in all scenarios.
Anyway Xigmatek is not a stellar performer but the idea is interesting.
Another note when I'm at it. I like to build as silent systems as possible and since your system base dB is high it is impossible to know which coolers is most silent since
50% of them are moresilent than your system.
It should be easy to add a category where you just plug the fan in a 12V supply out of a case and make the same 6" and 24" away measurements.
This cpu cooler series is awesome, keep up the good work guys.
Frumious1 - Tuesday, July 10, 2007 - linkOkay, I have to get this off my chest. Sorry. Please bear with me, because I do find the cooler tests somewhat useful, but they could be so much more!
First, the text is about what - 80% filler BS that gets repeated every time? Why not just do an article saying, "this is how we test coolers" and refer back to it for new readers? Cut out all the crap, which would allow space for....
First, screw the X6800 overclocking! I know, you love having that $1000 CPU (and will probably upgrade to the QX6800 for the new testbed?), but let's be honest: how many AnandTech readers have such high-end CPUs? I know I don't!
Actually, scratch that last comment somewhat. What I really want is MORE. There is a market for X6800 OC testing. There is also a market for E4300, E6600, and Q6600 (and hell, QX6800) overclocking! I bet for every X6800 OCer you have reading AnandTech, there are probable 100 people with something in the E4300 to E6600 range (maybe even 1000).
This is really important, because the OC results you're getting with your X6800 may not really apply to an E4300. Who buys a $120 CPU and pairs it with a $75 HSF, though? Well, me for one, or at most a $200 CPU. But temperatures seem to have a bigger impact on lower end CPUs, and where you go from 3.73GHz retail HSF to a maximum of 3.94GHz on air cooling with the Ultra-120 eXtreme, I would bet you could see a 400-600 MHz difference on some other CPUs.
Now, while we're at it, others bring up AM2 occassionally. Seriously, get some AM2 tests in there. I don't care if it's a minority platform; get at least one decent AM2 CPU into your cooling tests and we could all have one central location to get quality results. The Barcelona chips (er... Phenom I suppose) at the very least better be included when they become available.
I know, it's a lot more work for you. Let's be real, though: how long does it REALLY take to do all the tests for a single HSF? If we're going to get all these cooler reviews one at a time (or in rare cases two at a time), can't we at least get some more details on the real performance? Still, to keep it manageable, how about two CPUs, one high-end and one midrange? An E6600 would be a good choice now, although I'm very curious to see Q6600 as well (especially post-price-cuts). Then at least one AM2 CPU for comparison (which at this point would have to be midrange, given the most expensive isn't much more than $200).
Maybe you don't even need to do this for every HSF article, but at least one good comparison of say five or so HSFs with more than just the X6800 would be GREATLY appreciated. Let us see exactly how the results you're getting on the extreme end of the price spectrum might translate down to us mere mortals!
Cheers! Reply
Wesley Fink - Tuesday, July 10, 2007 - linkEvery time we do not repeat test procedures in the review we spend half the time in comments answering questions about how we test. We tried it, and it didn't work, because most readers will NOT go back to check how we test. Take a look back at the first Ultra-120 eXtreme review where we just reported results and referred to the original review for test methods. Almost all the comments are about how we tested which was clearly spelled out in the referenced review.
Second, the format is the same, but the repeat material is basically the Test Configuration page. We do have a paragraph or two that is basically test procedures repeat in other pages, but we always update every page with the data from the current review. Comments and analysis are also updated on every page, in addition to charts and graphs, to reflect the coolers or coolers being tested.
we have talked much more about AM2 fit in the recent reviews, and that should be obvious. Since overclocking is still very poor on current AMD processors (compared to C2D or C2Q) testing cooling capabilities is not particularly challenging or revealing of cooler performance with AMD. That is why many top AM2 coolers like the Zalmans did very well on AM2 test platforms, and not so hot on Core 2 Duo.
Last, we use the X6800 not because it costs $1000, but because it has unlocked CPU ratios. This allows much more flexibility in testing. The new test bed will likely use a 1066 Quad Core like the Q6600 on a P35 motherboard, and we will use the 1066-1333 options to make up for the lack of adjustable ratios. With the new pricing the Q6600 will be $266 at 9x1066 or 2.4GHz. A simple setting to 1333 gives 3.0Ghz at default voltage in our experience. That will match the fastest new 1333 CPU. OC will then push the FSB up from a 1333 setting. Reply
Frumious1 - Tuesday, July 10, 2007 - linkYou put way too much emphasis on the unlocked ratios. An E6600 with decent DDR2 RAM can easily hit maximum CPU overclock without running into problems using a 1:1 ratio. I at least never worry about unlocked ratios, unless the mobo for some reason doesn't support FSB adjustments (which wouldn't be the case on any true OCing mobo like the EVGA you use). Your mobo reviews always have FSB OC results, often pushing beyond 500 MHz at reduced multipliers. I doubt an E6600 is going to come anywhere near 500 FSB with the stock 9X multiplier.
But then, I'm only running an OCed E4300. That seems to top out at 3.0 to 3.3 GHz, but that's with a Thermalright SI-128; wish I would have purchased the Ultra-120 instead, now! I don't have the parts or the ability to run all the same tests you do. Which is why I'm asking about this stuff - you know, would that better HSF have improved my OC from 3.0GHz to something more?
Second, even if OCing isn't great on AM2, there's still a big question of temperatures and performance relative to the stock cooler. I doubt 6000+ will reach much beyond the rated 3.0GHz, but I the better HSFs have to cool such chips a lot more than the stock. Noise levels would also be good to know for the stock AMD coolers.
What I'm getting at is that you did an AM2 vs. Core 2 memory comparison a while ago showing that memory timings were typically about the same between the platforms (what ever happened to RAM reviews?), so that established a baseline where you could claim that whatever timings and voltages you could get with Core 2 Duo would usually translate over to AM2 without difficulty. We have never seen any indication of how AM2 performs. I realize to someone like you AM2 may be dead right now, but some of us still have such systems - or the occasional fanatic that refuses to buy Core 2 - and it would be nice to know how your results with an X6800 on temps compare to AM2.
Let's say one article, looking at the Thermalright Ultra-120 eXtreme and a stock AMD 6000+. If you want to put in a bit more effort, throw in the Tuniq 120 and a Scythe Ninja Rev. B. It's not a perfect solution in terms of getting us information we'd like to see, but at least we would have a better reference point. At stock load, the temperature delta between the Ultra eXtreme and the Intel Retail is a whopping 24C, and at the max stock HSF OC it's 28C.
What's the delta between retail AMD and the TR 120X? What's the noise level of a stock AMD vs. the TR 120X at load with a 6000+? For that matter, what's the power draw of a 6000+ vs. an X6800 - somewhat unrelated but still useful information. I don't know - at least not without looking at some competing websites - and I bet you don't either. I'd say that's a pretty useful piece of information, though!
Oh, while I'm going on, would it be too much to ask for some power draw figures for your test results? I'm not talking about on every review, but I'm very curious about how much the X6800 uses at 2.93 GHz, 3.75, 3.83, 3.90, etc. I'd assume you're ramping up voltages as the overclocks increase, so it would be interesting to see what's happening in power requirements. Could be very good information for OCers looking at a new power supply. Reply
razor2025 - Tuesday, July 10, 2007 - linkThe whole "self-contained" water cooling HSF is a joke. It's basically the same design as heatpipe HSF, but use water as the thermal conductor. In which case, traditional heat-pipe design will perform far more superior than these things.
The whole point of water cooling is allow a radiator MUCH larger than air cooling heatsinks to disperse the heat. Since a typical water cooling radiator have multiples times more surface area than typical air cooling heatsink, you can run a larger fan with lower RPM. With traditional water cooling, you would also have large reservoir that helps in keeping cool water running through the blocks. With "self-contained" units, you have very limited amount of water that is cycled back to the heat source. Thus, these units are nothing but creation of marketing department. It's not surprising that they weren't able to beat the heat pipe designs in term of cooling or noise. Reply
strikeback03 - Tuesday, July 10, 2007 - linkI'd guess part of the problem with these units is they contain far too little water to be a good thermal reservoir. At this size scale the typical heatpipes probably work better, as they can tailor the fluid to change phase from liquid to gas in the anticipated operating range, and take advantage of all the energy that absorbs. Reply
n7 - Tuesday, July 10, 2007 - linkSeeing as how a few hybrid style coolers have been reviewed now, are you considering reviewing a Coolit Freezone?
I realize its price tag is considerably higher, but it should best all the coolers presently tested, albeit loud at max, & pricey too. Reply
Wesley Fink - Tuesday, July 10, 2007 - linkYes, we have a Coolit Freezone in the lab. However, it will be several weeks before the review. Reply
n7 - Tuesday, July 10, 2007 - linkSweet!
Based on the results i had with it compared to my Big Typhoon it shouldn't have much trouble dominating at max fan speed.
The reason i didn't keep the Freezone was purely due to noise.
It was nice & quiet with the fan turned down, but then i found performance to be no better than air cooling.
Anyway, i look forward to the results with it!
Thanx. Reply
yyrkoon - Tuesday, July 10, 2007 - linkSeveral new "self-contained" water coolers have shown up over the past few months. Water cooling is another passive cooling method, like air cooling. The water temperature cannot drop lower than the room temperature, where TEC and phase-change can actually chill below the ambient temperature. This is why they are referred to as active cooling.
Actualy active cooling, or active whatever means to use electronics or mechanical means to do something. Passive means to use nothing of the sort (in this case, just a heatsink).
Active cooling includes, but is not limited to; a heatsink with a fan, water cooling, phase change, or anything that uses electronic or mechanical means.
Lets get it right guys ;) Reply
Wesley Fink - Tuesday, July 10, 2007 - linkA better description is ambient and sub-ambient cooling, which we used in describing the Vigor Monsoon II. We will make changes to our description to better describe the cooling method. Reply
asliarun - Tuesday, July 10, 2007 - linkSorry in advance for the extremely offtopic message, but I sincerely hope that AT reads this. AT, I can understand you need to make money through advertisements, and I do bear with the extremely flashy, distracting, and bandwidth hogging ads. I do this because I respect your content enough to overlook the distraction (can't it be less distracting though??)
However, the popup ads that you have started displaying take the cake! I am referring to the "Vibrant Ad" popups that popup whenever the mouse pointer moves over your double-underlined hyperlinks. It is really irritating because the popup firstly forces me to close the f**king popup, and also forces me to navigate through your page like a minefield! I literally have to zigzag my mouse pointer to avoid these landmines.
Can't you at least make the popup appear only if the user clicks on the hyperlink??
Sorry to say this, but in terms of usability, your site is currently sucking donkey right now.
A loyal reader,
asliarun Reply
Anand Lal Shimpi - Tuesday, July 10, 2007 - linkYou can disable those ads by visiting this link: http://www.anandtech.com/siteinfo.aspx?off=yes">http://www.anandtech.com/siteinfo.aspx?off=yes :)
Take care,
Anand Reply
SunAngel - Tuesday, July 10, 2007 - linkGood news! Thanks for the tip. Wouldn't it have been ironic that the very thing that made Anandtech prosper would have also been the same thing that brought it down? I actually like Anandtech and would have hate to see it lose patronage over something as silly as HTML ads. However, I can't say the same for DT. If those guys bit the dust...well, all I can say is, "Pabst Blue Ribbon for the masses." In fact, that is a suggestion. Dump them and find someone else. There are plenty out there to choose from. Reply
Spanki - Tuesday, July 10, 2007 - linkOff-topic or not... Woot!! Thanks much - I've always hated those mouse-over links. Reply
strikeback03 - Tuesday, July 10, 2007 - linkI never noticed them until I had to visit the site with IE. Guess AdBlock blocks those dumb underlined links too. Reply
asliarun - Tuesday, July 10, 2007 - linkThanks, Anand! This helps a great deal. Sorry if my rant sounded too much like a... rant. Reply
tuteja1986 - Tuesday, July 10, 2007 - linkI would like to see thermalright design a cooler like that with better result :) Some has to break the 4Ghz :( Reply
Griswold - Tuesday, July 10, 2007 - linkThis technique isnt going to take off no matter who makes it because it defeats the purpose of watercooling by design. Just stick to old fashioned aircooling if you want a somewhat space efficient cooling solution.
If you want high performance and silence, stick to "real" watercooling with a reasonably sized radiator and fan, not some mini-toy that crams everything in a small box and puts it on top of the CPU like this - and this article proves it. Reply
goinginstyle - Tuesday, July 10, 2007 - linkI think the air cooling reviews are just about played out unless we start seeing AMD results. How well does some of these units already tested work on a 6000+ X2 for example. When will we see reviews with true water cooling setups and products like CoolIt's Freezone? I think a lot people would like to know how well a $100 to $150 water cooling system compares to the top air coolers. How does a custom water cooling solution that might run over $250 work for instance and will your processor do 4.2GHz at acceptable temperature ranges with this type of setup. Otherwise, glad I did not buy one of these self contained hybrid units. It once again appears to be marketing over substance. Reply


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1 Doring Bay Lighthouse, West Coast
The Doring Bay lighthouse at the base of this little West Coast frontier village completes the romantic picture of a seaport and its ocean guardian. more
2 Cape Columbine Lighthouse, West Coast
If you're ever in the West Coast neighbourhood of Paternoster, Saldanha Bay and Langebaan, pay a visit to the Cape Columbine Reserve and its lighthouse. more
3 Green Point Lighthouse, Cape Town
The Green Point lighthouse in the Mother City is famous for its 'Moaning Minnie' foghorn, and has been guiding ships into Table Bay since 1824. more
4 Slangkop Point Lighthouse, Kommetjie, Cape Town
This rather majestically tall lighthouse on the Cape Point Route lies within the boundaries of the marine protected area of the Table Mountain National Park. more
5 Cape Point lighthouse
For great views of the southern seas, visitors climb the steps up to the Cape Point lighthouse, which has been in operation since the 1850s. more
6 Cape Agulhas Lighthouse
Be a part of the old South African lighthouse tradition and stay overnight at Cape Agulhas, where you can also enjoy the Agulhas National Park. more
7 Danger Point Lighthouse, Gansbaai
One of the world's most famous shipwrecks, that of the HMS Birkenhead, took place at sea near the spot of the present-day Danger Point lighthouse. more
8 Seal Point Lighthouse, Cape St Francis
One of the most interesting features in the vicinity of Seal Point lighthouse in Cape St Francis is the local penguin rescue and rehabilitation facility. more
9 Cape Recife Lighthouse, Port Elizabeth
For amazing sea tales and shipwreck legends, the zebra-striped Cape Recife lighthouse outside Port Elizabeth must rate as one of the best in South Africa. more
10 Great Fish Point Lighthouse, Eastern Cape
The Great Fish Point lighthouse near Port Alfred in the Eastern Cape is one of South Africa's smallest, but its powerful beam packs a huge punch. more


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Humanitarian aid
Fundamental principles of humanitarian aid
What is humanitarian aid? How does the Federal Foreign Office provide assistance? On which principles is German aid...
Cooperation with relief organisations
Who can receive assistance abroad within the framework of humanitarian aid? What are the Federal Foreign Office's funding principles? moreCooperation with humanitarian relief organisations
International cooperation
Cooperation with specialised relief organisations is essential for the practical implementation of humanitarian relief projects. Click here for more information on the funding principles. moreInternational cooperation
Humanitarian disaster risk reduction
The aim of disaster risk reduction is to limit the impact of extreme natural disasters before they occur. Risk analysis, disaster prevention and preparedness are all key elements. moreHumanitarian disaster risk reduction
Humanitarian mine and ordnance clearance
Every year, landmines and unexploded ordnance kill countless people around the world. Germany is actively working for the prohibition of anti-personnel mines, and supports a range of projects to this end. moreHumanitarian mine and ordnance clearance
Examples of projects
The Sahel region or Syria – a country where violence is continuing to take its toll – are just two... moreExamples of projects


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I am alive, recovering well and trying to slowly get back to normal. Thank you to those who never gave up on me.
I have some stuff that'll start updating on the 1st, I'll explain more as it gets closer.
I've been doing a bit better lately with new treatment, those who follow me on Google+ and Facebook have been hearing the progress. I'm still in pain, but managing it better and hopefully slowly healing the injury. I can't promise it, but working twoards it. I have been bit by bit updating Chapter 1 pages in colour though as training myself back into it. This image of Bob is the first complete new piece of art I've managed since October. Not much, but at least shows I am dedicated to returning.
Ugh, I promise the comic isn't dead. I've been doing webcomics since 2002 I think you can belive me there. But updates aren't happening until I am fully healed from my 1000 injuries. So check back!
Sporadic updates right now. If you really want to know more, read this.
Happy Halloween! Lookie an Eddie Pumpkin!
Okay so I am sick of not being able to draw, so I am going to try to get pages up twice a week still but I'm skipping on colour for a while. Also I am still having to use the slightly sloppyer inking method (which isn't as noticeable in the smaller format at least). Before pages go into the high res downloads and print I'll go through these pages and fix them up some once I can. Removed the filler pages from archives, you'll have to wait to see all of them until I can finish the book (which will have a digital version too).
Thank you again for the patience and the kind words for my recovery.


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L5 remote
Throw away those five remotes cluttering your darling coffee table and plug the L5 into the end of your iPhone or iPod. This tiny accessory and app works without WiFi, external power, or batteries and controls your TV, cable box, DVD, DVR, and most devices that come with a remote. Imagine designing a custom remote by dragging and dropping any buttons you want - brilliant! $49.99


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Street Chic: New York
Advertisement - Continue Reading Below
Color mixing is easy to master when you keep it all solid.
Name: Tenn
Similar Blazer: Theory or Aubin & Wills
Similar Coat: Reiss or Ted Baker
Similar Shirt: DKNY
Similar Pants: KOMODO or Comptoir des Cotonniers
Similar Shoes: Alexander Wang or Dolce Vita
Want to see more street style? Check out our Tumblr and Pinterest!
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FrameMaker 2015: Automatic insertion of table continuation variables
With Adobe FrameMaker (2015 release), you can automatically insert Table Continuation Variables as you create a table, or you can automatically insert this variable in all instances of selected Table styles. This means that you can ensure that all of your tables are prepped to indicate when you are looking at a 2nd, 3rd or 4th page segment when tables expand beyond one page. This one feature with FrameMaker (2015 release) can save your countless hours in your production.


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Brentford completed a dramatic Easter holiday with a 2-2 draw at MK Dons on Monday.
Defender James Tarkowski struck on the stroke of half-time to give the Championship-bound Bees a 1-0 lead at the break.
Striker Clayton Donaldson doubled his side's advantage before a controversial 80th minute Stephen Gleeson penalty and an injury time Izale Mcleod strike took a little of the gloss on a fine weekend.
Brentford, who secured promotion with a 1-0 win over Preston North End on Good Friday, go to Colchester United on Saturday.


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Youfit Health Clubs: Ten dollars doesn't go very far these days. A couple cups of coffee; a few gallons of gas; maybe two meals at a fast food joint.
People looking to work out, however, can get a one-month membership to a new fitness club in the Valley for that amount.
Rick Berks, president of Youfit Corporation, started his keep-it-simple company in April 2008 with the idea to "get people off the couch and produce a non-intimidating atmosphere" for them to become active and healthy.
Youfit health clubs, which really does charge just $10 month, has more than 23 locations throughout Florida, as well as two in the Valley. The first opened in Glendale in April. The second opened in Phoenix this past July.
Mike Zarrillo, Youfit franchisee and minority partner, runs both Valley locations. He has been in the fitness industry for more than 20 years and has been a part of other gyms, but none quite like Youfit.
"Youfit is really a low-price, high-value gym unlike any other health clubs around," Zarrillo says. "Youfit is such an affordable club. It appeals to people of all ages. The Glendale club even has a member who is in his 90s."
Just what can you get for $10 a month at a health club?
"We don't waste resources," Zarrillo says, "We just give people what they want."
At Youfit gyms, customers won't find typical health club amenities such as hot tubs, steam rooms, basketball courts, rock wall, etc.
Unlike expensive health clubs, Youfit was created for the average person to strictly get the exercise they need. Each membership is month-to-month, so people are not tied down to a contract.
"A majority (60 percent to 80 percent) of people that join Youfit have never been members at any other gym before," Zarrillo says.
Youfit makes its members feel comfortable from the second they walk in the door. It is marketed as a very "intuitive club" that is easy for anyone to navigate and use.
Upon entering Youfit, the unique purple and green color scheme takes over the custom-designed machines, inviting people to work out.
"A key aspect that makes the club easy to use is the fact that all of the green machines with purple accents are targeted toward working the legs, while the purple machines with green accents work other parts of the body," Zarrillo says.
Inspirational sayings and quotes on the walls add a warm feeling to the club and give people the extra encouragement they need.
Once inside, virtually every type of workout machine you could think of exists, except for the larger free weights one might see at other health clubs geared more toward bodybuilding.
"It has state-of-the-art fitness equipment with the newest technological advances in order to make the workout even more enjoyable," Zarrillo says. "All of the cardio machines have a personal television attached and even an iPod hookup."
Youfit is also environmentally friendly with its "green footprint," including high-efficiency air conditioning, lighting, and rubber flooring made from recycled tires and sneakers.
"Youfit has been getting amazing responses and will continue to expand," Berks says. "When the economy was better, of course the company was better, but the recession actually helped due to the commercial real estate opportunities it opened up."
Youfit Health Clubs will open a fourth location in Chandler at 4991 S. Alma School Rd. next week — with another 5-6 clubs to come this year (2012).
The third location opened at 1515 E. Bethany Home Road a few months ago.


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"Holly was professional and mature, the dogs loved her and were looked after excellently. we will..."
"Keelan took good care of my two pups. Will definitely recommend her to anyone:) everyone in her..."
"Attentive and kind sitter."
"Great stay from Lauren again "
"Donna had a great stay again. Thank you so much guys :)"
"Danielle was fantastic, she cared for our dog for a week, he was so happy and content when we went..."
"Our session with Cecelia proved to be very productive and informative and I would recommend this..."
"Ralf had a wonderful time. Kristy was great. Took him for 2 walks"
"Lisa and David are wonderful hosts. I don't think our Poppy wanted to come home. They have our..."
"Nat looked after our 2 boisterous labrador pups at our house for 3 weeks and did a wonderful job...."
"Our babies were very content when we got home!! It was nice knowing Charlotte was at home with our..."


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Results 1 to 6 of 6
Thread: Running 16-bit installers
Running 16-bit installers
Hello friends. I have a number of old games that I played on Windows 95/98 that I cannot play on my current 64-bit operational systems (old Oregon Trail games, Odell Down Under, etc) because I can't run the 16-bit installers. It's weird because I can play older games just fine via DOSBox, but the early Windows game (well, early-ish...I don't have any Windows 3.1 era games lying around that I want to play at this moment) are in a weird middle ground of too old to play, but not old enough to have a proper emulator.
I was thinking of just setting up a computer in a dusty corner of the house somewhere to run an older version of Windows, but then it was rumoured to me (I forget by whom) that Windows 8 might come with some capability to handle 16-bit applications. Or, perhaps, there is some other easy way to get around this problem, and perhaps it is not a problem at all.
I don't know things about computers. =P So how do you-all play games of this bygone era?The Secret of Gargoyle Manor, a browser point-and-click adventure about retrieving your lost hat whatever the cost, is something you could play!
(I am afraid that the only good answer will be to install the games on an XP-mode VM and then play it there or copy the installed game back to the computer...but I have found that to be annoying and only partially effective, so I was hoping for a *magical* solution =P)The Secret of Gargoyle Manor, a browser point-and-click adventure about retrieving your lost hat whatever the cost, is something you could play!
a few games have fan made patches released for them. If the titles you want to try don't have a patch, your best bet is either vmware or installing windows 98 in dosbox and loading your games from there. Both vmware and dosbox have pretty nice video scaling and filtering features, but dosbox loads the virtual os much more quickly. Hope that helps.Steam profile
PC Specs: I have a big e-peen
The problem is that 16 bit support has largely been dropped, especially for 64bit operating systems. Windows 8 32bit does support 16bit software, but any 32 bit Windows does the same thing. The 64bit versions do not support 16bit apps, including Windows 8. This is just how software progression works unfortunately.
As I understand it, the reason is because in running an x64 OS natively the CPU doesn't support executing 16bit software due to modern architectural differences - going back a few years it was sort of possible with NTVDM (on older WinNT x64 operating systems) but modern x64 CPUs don't support this anymore, so to get it to work on 64bit operating systems you'd need to emulate a 16bit CPU anyway. Different story running 32bit software on an x64 CPU. More stuff here and here.
As Mashy said, some people have developed patches for older 16 bit installers for some games but support is pretty patchy. If there isn't a patch available, I'd just do a Win98 VM for maximum compatibility (don't use XP unless the game is from the very late 90s or very early 2000s, XP being on the NT kernel wasn't perfect with Win9x compatibility). Chances are you've got more than enough processing power to handle it. It's not ideal, but unless you're willing to drop back to a 32bit OS, it's your best option.
EDIT: For my part I use a Win98 virtual machine in VMWare Player. It's not that difficult to set up, save for sound drivers because you need a particular kind of old Creative SoundBlaster driver. Getting it wrong causes Win98 to enter a BSOD loop, because the old Win9x kernels just threw a fit whenever something went wrong.Nalano's Law - As an online gaming discussion regarding restrictions grows longer, the probability of a post likening the topic to the Democratic People's Republic of Korea approaches one.
Soldant's Law - A person will happily suspend their moral values if they can express moral outrage by doing so.
That's because the 9x line of kernels were complete crap. And the rest of windows 9x as well. Did you know that the original Windows 95 and 98 had a bug that caused it to crash after 49 days? It took them like 4 years to even find that bug because Windows always puked on itself before that.
But yeah, a VM with 98SE would probably be your best bet for running 16-bit games. VM's are plenty fast enough for that. That is, if your game isn't on GoG.
- Join Date
- Apr 2013
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- Alabama
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I haven't had any trouble running Oregon Trail in DOSBox, so that's a little odd. DOSBox is nice because you can just drag and drop installations in and stuff like that.
VMs work as well. I've prefer VirtualBox and I've got several VMs with MS-DOS 6.22, Windows 3.1, Windows for Workgroups 3.11, and even OS/2 2.0 on my laptop. I've also got a 95 and 98 disk lying around waiting to be installed. You can pick up the floppies and CDs off ebay for a few dollars (which is what I did), or you can probably find some lying around, either in an attic or on the internet. I do play around with old hardware a lot and restore old computers so just buying the floppies made sense for me.
There's all kinds of tricks to getting these OSes to run in VirtualBox or VMWare, so if you get stuck just check out their forums.


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Reviews and First Looks
- Charcoal Grilled Arrachera at Mezquite Pollo Express (Chicago)
- Italian-Japanese at Dieci, Where Small Plates Make Big Moves (NYC)
- Empire of the Plantain: One Family's Mission to Make the New American Fast Food (NYC)
- For Now, Stick to the Sausage at Gyros on the Spit (Chicago)
- Tasty Lebanese Bites at Karam in Bay Ridge (NYC)
- New York's Best Pretzel is Made by an Italian in the Bronx (NYC)
- Grown Up Grilled Cheese at Blue Door Farm Stand (Chicago)
- Sandwich de Bistec at Cafeteria Marcela (Chicago)
- Illegal Food Is Making One of Atlanta's Best Burgers Out of a Tiny Bar Kitchen
- You Can't Beat the $5 Lunch Special at Rockfire Grill in San Diego
- High-Aiming Fusion Burgers and Ho-hum Patties at Double Dragon in Portland, OR
- Taste a Piece of New Orleans Burger History At Lee's Hamburgers, Est. 1901
- 14 of Our Favorite Double Burgers
- Lunch in the Loop: Try the Tot-zza Myza at Toppers Pizza (Chicago)
- North River's Adam Starowicz's Favorite Eats in Sunnyside, Queens (NYC)
- Adam Kuban's Bar Pie Pop-Up: Feeling Like a Proud Papa
- A Lighter Take on the Gluten-Free Cookie From Foragers City Grocer (NYC)
- The Heat (and Funk) Is on at Boiling Point, Seattle's Hot Pot Mecca
- Another Cool New Treat From Paris Baguette: An Almond-Rum Pastry (NYC)
- Dessert at Cafe Boulud Captures the First Taste of Spring (NYC)
- New Pastries From Dominique Ansel's Spring Line Up (NYC)
Guides and More
- Where to Go for Happy Hour in Washington, DC
- The Best Affordable Lunches in Midtown West (NYC)
- Portland Cheap Eats: 10 Great Dishes Under $10
- New Yorkers: Have You Tried These Regional American Sandwiches?
- Christina Olufson's Favorite Sweets in Los Angeles
- North River's Adam Starowicz's Favorite Eats in Sunnyside, Queens (NYC)


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Your gift to help a hardworking entrepreneur will double in impact thanks to a generous World Vision partner.
Soda is from Cambodia. She has 1 child. She needs a loan of $250 to purchase food and supplies .
Soda is from Cambodia. She has 1 child. She needs a loan of $250 to purchase food and supplies .
Soda has a business selling food at a stand near a historical site where tourists visit. Her business has potential, but has been only marginally sustainable because she lacks the capital she needs to expand and improve it. In the past, her only recourse to maintain her business was to borrow money from relatives on occasion. She wants to make her business more profitable so she can improve living conditions for her family.
With a loan from World Vision, Soda plans to purchase the food and supplies she needs to expand and improve her business. She will be able to offer more and better food, which will attract more customers. With the additional income she will earn from increased sales, she will be able to make a better life for her family and create a savings. As sales improve, she plans to continue to invest in and grow her business. Soda has one child.
In areas where the poor live alongside the more affluent, businesses in the service sector can be very successful. Services include flower cultivation, tailoring/sewing, transportation, repair work, beauty salons and barber shops, and restaurants. Loans are needed to begin, expand, or sustain business with tools and supplies. Loans given to entrepreneurs in the service sector account for around 7% of our loans.
More than 56,000 people make their home in Cambodia's Leuk Daek district. Located in Kandal province, improvements are needed in social services, healthcare, schools, and roads. Agriculture is the main source of family income, yet 37 percent of the population experiences food shortages for more than four months of the year.
World Vision established the Leuk Daek Area Development Program in 2000. Accomplishments include helping families establish home gardens, teaching farmers new agricultural methods, immunizing children, constructing calverts, and supporting a canal renovation. These changes have helped the Cambodian people to begin making improvements in their lives.
The World Vision-affiliated VisionFund Cambodia microfinance institution does things like educate entrepreneurs about microfinance, disburse loans, and manage repayments. This gives impoverished rural people a chance to back away from local moneylenders and begin sustainable employment opportunities.
Thank you for supporting a small business loan for Soda Hem to expand her food and retail business. After receiving the loan from World Vision, she invested the $250 to purchase food and supplies. Soda has been repaying her loan on time, making weekly payments of $4 with her new profits.
In addition to repaying her loan, Soda is using additional income to purchase food for her family and buy supplies in bulk. Soda's only child continues to study in school.
Thank you for supporting Soda and World Vision Micro!
Thank you for supporting Soda Hem's food and retail business through World Vision Micro. Soda invested her small business loan of $250 to purchase food and supplies. She has made weekly payments of $4 and has now fully repaid her loan.
With the profits from her business, Soda decided to purchase food for her family and buy supplies in bulk. Soda's goal for the future is to earn enough so that she can continue to send her children to school, start a new business and repair or expand their home.
Soda's 1 child remains in school. Because of your donation, Soda is able to provide a better future for her 1 child.
Thank you for providing Soda with hope and a future. These funds are now being recycled to support another hardworking entrepreneur in the same community.


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HOUSTON - If you're one of the millions of Americans who have received a letter from your doctor informing you they're changing things up to become a "members only" practice, you know the growth of so-called "concierge medicine."
A government commission recently found the number of such red-carpet practices has increased five-fold in the last six years.
Dr. Jennifer Chilek went into private practice eight years ago at Stone Creek Family Medicine in Montgomery. But, like so many doctors across the country, she's felt the pinch as overhead goes up and reimbursements go down.
Chilek said, "The insurance companies have handcuffed small practices."
The only way to make ends meet was to bring in more patients, which in turn means less face time with your doctor.
Chilek explained, "The health care system is destroying the doctor-patient relationship. I couldn't have kept going the way that it was."
So this year, Chilek joined an estimated 3,500 private practitioners who've switched to so-called concierge or boutique medicine, which has swept the nation the last decade. Patients pay an annual fee from $600 to $5,000, even $20,000, and insurance is not accepted.
Chilek chose a newer, more affordable model called practice membership that works with your insurance.
Sample practice membership fees are as follows:
- Individual: $1,200 per year; $100 per month
- Couples: $1,800 per year; $150 per month
- Families: $2,400 per year; $200 per month
Benefits include same-day or next-day appointments, more attention from your doctor, more communication by phone, text or email and custom wellness programs.
When the letters went out informing patients, many were understandable shocked at first.
Chilek recalled, "Some patients were angry and frustrated and thought they were losing their doctor. Others said, 'Hey, I'm on board. Sign me up now.'"
Some doctors who've switched to the membership model said they've been surprised by the patients who are jumping onboard. It's not the "one percent," but more often your average "nine to five-r" who just doesn't have the time to sit in a waiting room.
Donald VanOrden said, "I was 100 percent for it."
VanOrden owns a small company that buys and sells 18-wheelers. He said he can't afford to waste time.
He explained, "It's absolutely the worst thing and it's extremely frustrating. I have had to wait three hours to see a skin doctor and, at one point, I was about ready to get up and walk out."
VanOrden and his family were among the first to sign up.
He said, "You can't put a dollar amount to not have to wait in a doctor's office."
Chilek added, "There are terms like 'boutique' and 'concierge' that make you think it's this wealthy elite class that can afford this when truly it's not."
Of Chilek's 3,000 patients, nearly 400 have signed on.
Fees are guaranteed for the next three years, which Chilek said helps as the current health care system continues to evolve.
She explained, "If Medicare's 30 percent cut goes through next year like it's supposed to, I'll still take Medicare. I'll take what they give me, but ... this other part of the practice is what's going to keep my doors open and keep the doctor-patient relationship."
According to the American Academy of Private Physicians, the number of concierge doctors is expected to double every 12 to 18 months for the next three years.
The American Medical Association acknowledges concierge care may be a necessary component of health care, but adds if such practices become too widespread, they could "threaten access to care."
Copyright 2012 by Click2Houston.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.