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Hi all,
First of all I am so RELIEVED I found this site and there are others out there just like me. For months now I have been doing tons of research on BBL. This is a major surgical operation so I wanted to completely lay out all the pros and cons before making an executive decision with what I do with my body.
I have always been known as the chubby girl almost all my life. At 21, I was at my heaviest. I'm 5'6 and weighed in at a whopping 250 pounds. It was then that I realized that I had to do something about it. I've always had low self esteem as well. Being teased throughout the years can seriously damage a person.
For the last 3 years I have managed to lose 110 pounds. Before that I've been on all sorts of diets, cleanses, light exercise, fitness classes, but they never lasted long because I wasn't too serious about it so almost all times my numerous attempts to go on a diet failed. That was up until I was very serious about losing weight because I had gone to the doctor for a checkup and he told me I was Pre-diabetic. That if I didn't change my eating habits I would be diabetic. I was tired of being the fat girl. Tired of not being able to walk into a clothing store because I knew I couldent fit anything.
I'd like to go on and on about my weight loss story but this blog pertains only to my experience to getting a BBL...
So long story short. I am currently 150 pounds 5'6. I gained 10 pounds since the holidays and haven't been able to lose the extra 10. My goal weight was 130 but by the looks of all these reviews referring to BBL, the doctor WILL encourage you to gain weight. And the last thing I want is to go in and I am nothing but extra loose skin and bones. For now, I will keep my weight steady until I talk to the doctor and from there see how it goes. I am really hoping that since most of my fat is in my abs, flanks, and inner thighs, it wont be a problem. I worked so hard to shed this weight!
My original plan (Before all the research and finding realself.com) was to get to my ideal weight of 130. And be tightened and toned enough to be 100% comfortable in my skin. That way all that is left is my surgical prcedure. Boy, was I wrong. I've been going to the gym almost everyday for the past 2 months and when I found out that lower body exercises are not recommended, (squats,lunges, hip abductor machines, back extension, high intensity cardio for fat burning) I immediately stopped. From what I've read, Fat cells shrink when one loses weight and expands when one gains. LARGE FAT CELLS ARE NEEDED! I've been doing these lower body exercises for about a year now, not too intense except in the last 2 months but I hope it hasn't affected my chances of having the dream bubble butt I desire :( These exercises cause the glutes to get tighter and to my knowledge the looser the skin, the more fat they are able to insert into your butt. So for now I am still doing light cardio, and focusing more on my upperbody (Arms and upper back) Any recommendations on exercises I can do BEFORE and AFTER my surgery? Also, is exercise helpful after surgery? Can it produce better results?
**SX JULY 17,2013** Excited and anxious at the same damn time! - Suwanee, GA
Hi all, First of all I am so RELIEVED I found...
Hi all,
The process was quite quick for me. Maybe a week...
Anyway, days upon emailing the website.. I was contacted through email. It led me to another one of there websites that asked me to fill out further into and to create an account. There was also some videos on there to as to what I need to know about the surgery, general information of how a bbl is preformed, and how to prepare for the consultation. When I tried to book a consultation, it asked me to select date and there was nothing available so I couldent schedule one basically. But before that I had already requested a consultation through realself.com website and Dr.Jimersons main website (advancedplasticsurgerysolutions.com) a couple days prior. 2 days after that I recieved an email that directed me to the same website I created a login for. It was the same form I tried to fill out that wasnt letting me select a date. But this time, there was a date available. 3/28/2013 1030am (TOMORROW) I was at a loss for words. Is this really the consultation that people have been anxiously waiting months for? Or is this just to inquire and ask general questions? I also got 2 calls the next day from Sarah and she left a message to confirm my appointment. Of all days my phone was on silent so I missed them! (Stupid me) But I really didn't think I would get a call seeing that they are always so busy. Anyway, I called back and she was busy I think so I left a note with just my name and to confirm my phone consultation. No call back. But the next day I recieved another email asking confirmation again for my consultation and I confirmed it. When I looked on the login site as well the status for my phone consultation date was confirmed.
IM ANXIOUS! Ladies what kind of phone call is this? Is this the actual consultation?
In case, I've already prepared all my questions. Sent in my pictures. No wish pics yet. I never really knew the different types and shapes of butts. All I knew is that I wanted a slim body with a bangin booty hehe..
I've been on the computer for most of the week researching. Right now im doing extensive research as I type... I've been on the computer for maybe 5 hours now...because I really dont know what to expect..
Any advice would be very helpful!
Oh and ps. What are the actual terminologies for the different types of shapes of butts? So far I've heard.... square, box, bubble, shelf, no shelf, upside down heart......but I need specifics!
Ladies! How did you guys figure out your vision of what a perfect booty should be? Is it common to just browse random girls whether it be a friend of yours that is shaped nicely to famous celebrities/video vixens/models? THOUGHTS?
Yesterday I was sooooo bummed out.. My...
Today I saw my phone ringing and it was the...
Anyway, she explained my payment options and recommended I do a j-tuck as well in order to produce the best results. Which would make my grand total $14,950 but I said I would think about the j-tuck.....
ok im cramped for time...i'll be back to finish the rest of my story..until then toodles!
Hey all im back! Okay so to continue on about my...
Shelly basically gave me the whole run down about the procedure..She also answered all my questions I had jotted down in my notebook.. I had about 30 or so... She was very pleasant and put me at ease. I also got a chance to talk with Dr. Jimerson himself! We talked for about 10 minutes... He said he looked at my file and I basically explained to him I lost 110 pounds in the last 2 years...I also let him know how I've been going to the gym everyday and the areas I was working out. He told me to cut the high intensity cardio because i'm gonna need my fat cells to be large, not shrink or disappear. I also explained to him that Shelly recommended I get a j-tuck because of the excess skin on my belly. A tummy tuck wasnt recommended because I havent had any kids yet. A j-tuck is very different..he takes off excess skin on your belly from hip to hip.. Dr. J said to produce the best results that would be best but seeing that ive lost all this excess weight..if I was able to motivate myself after surgery to go to the gym to tone and tighten up my belly then I dont really need the tuck. OF COURSE i'm motivated! I managed to drop 110 pounds which was hard but discipline is all it takes. Anyway, we said our goodbyes and he put Shelly back on the phone. We started discussing surgery dates and she had mentioned that if I pay the full amount today I can be scheduled for April 24, 2013. (HOW AWESOME IS THAT) I really wanted to take the date but i'm a smoker and I have to quit smoking AT LEAST a month prior to surgery. I didn't want to take any chances so I had to turn it down :( Instead I paid my 500$ deposit and she gave me my sx date of January 17 2014. This is just my date FOR NOW. And that because there are many last minute cancellations I would call her on Monday. (Tomorrow) I'm looking for a specific date because my Mom will be going on a cruise May 25- June 10 then to the Philippines June 28 until October. She gave me a sucky time frame to book my appointment basically and I really don't want to wait until she's back. I'm hoping tomorrow there is a surgery date available from May 1-May 9. I'm ready to make the rest of my payment, I just cross my fingers I am able to get a date within that time frame. If all goes as planned I will book the flight and hotel the same day. It's about $220 one way from CA to GA..the hotel i'm not too worried about. As long as its walking distance from the Doctors office and the room has wifi i'm content.
The day I make my payment and book my official date (Hopefully tomorrow) will be one of the most accomplished days of my life. I've had this money saved for a while now.. I've just kept it saved up in case of an emergency, new car, expensive purse/shoes that I absolutely want and need :) I'm proud to say I actually found something I would be glad to blow all my money on...
until tomorrow, Ciao!
Hey all! Okay so i'm bummed I haven't called to...
Okay so i'm bummed I haven't called to make my payment nor request a new date. I emailed Shelly but i'm sure it will be awhile until she receives it. On a good note my Mom gave me a better time frame as to when I can schedule my sx date. May 4-May 10 or June 12- 20. ANY of those dates are perfect although I think i'm leaning more towards June because i'd hate to book flights and hotels last minute. It's really just more unnecessary expenses adding up and thats the last thing I need..I also have to quit smoking and I feel like a month isnt enough. I want to make sure I recover 100% without any complications as well...I was finally able to download the financial contract once I got on a desktop. Today I read over it and signed it.
Tomorrow I'm gonna give Shelly a call..let her know my available dates..and to send me a new invoice..as well as make my payment...
Once everything is confirmed ill be back to update..
Hey all! Gosh it's been so long since I updated!...
Let me try to sum it up as best I can..
So I guess my email never made it to Shelly because it was an automated email address. I ended up calling a week after. Told her my available dates (which was changed to June 12-20) She explained that she could not discuss dates until I paid in full And she had 20 girls on the waiting list whom of which 4 of those girls were able to get the June dates i needed. UGH. So this is exactly what I did. I felt uneasy about paying upfront and not being able to guarantee my date but she assured me that I would be on a fast track list. It's a list of cancellations and whoever has paid in full has first priority to select what date they want. A week passed.. No call. I decide to follow up with Shelly and she tells me there's nothing available yet and there is another patient ahead of me on the wait list. Which is weird because I know they get all types of calls and cancellations... It's hard to believe that it took over a week for one girl ahead of me to get a date. But the last week prior there was 20 girls on the list. Well there was really nothing I could do, she was nice about it and basically told me she would keep an eye out for my specified dates.
My grand total for the surgery was 1. 500$ deposit. 2. $10,300 + hips were an additional $1150 -$500 (discount when you pay full amount in cash) = $10,450
Last week I get a missed call from the office. I immediately call back only to find out Shelly was calling the girl ahead of me to offer her a date.. In these past few weeks I've been kinda depressed. Nothing is going as planned. I'm not getting my date as soon as I'd like. What I would hate is for them to give me a June Date last minute then I end up booking the hotel flight and car last minute. That's just more unnecessary expenses...
So ever since then I've been praying and keeping my fingers crossed.
Today which is May 1st I get a missed call from the office around 630am. I immediately wake up and call Shelly. She lets me know that there is a date available but it isn't for the date I selected. This is a problem for me because like I said I am bringing my Mom to watch over me and she has plans to go to the Philippines July 4th.. I asked what the chances were of my date brig available and she let me know Dr. Jimerson was taking 2 vacations in June and he is booked for that month already. Now I'm in a ugly predicament. I told Shelly to call me back in 5 minutes to decide while I call my Mom. I called my Mom right after and asked her thoughts on the date. LUCKILY she did not book her ticket yet so I guess she has no choice but to leave only AFTER I've had my surgery :)
A couple minute later Shelly calls back.. AND THE DATE IS OFFICIALLY CONFIRMED!!
*****My pre-op is scheduled for July 16 2013 1030am and my SX date is July 17 2013 1pm******
I can't believe this weight is finally off my shoulders!!
Now the hard part... I have to gain 10 pounds, (the healthy way, not a junk food binge) quit smoking/drinking at least a month prior, and have knowledge of exercise DOs and DONTs while I am prepping my body for surgery.
I looked up dates for flights to Georgia and Southwest is having a promotion for around $360 round trip per person. So I will definitely book the flights tomorrow. As for the hotel and car.. I will do some research..
My mom scored me a brand new boppy pillow, pillowcase included at a thrift store for 5$ so I'm also happy about that! They retail for like 50$ or so not including the expensive pillowcase they try to sell..
I've already made a list of everything that I need to bring/purchase so I will be gathering all these supplies from now until July..
A question I had that I forgot to ask was...
What is the limit of ccs the doctor allows cheek/hip? I sure hope there isn't one! But I will make sure to ask the next time I talk to Shelly. I also forgot to ask when my post op appointment is and when I should be okay to get back so I can also book the flights home..
That's it for now..
Ps. Did I write my review in the wrong category? I'm not getting much feedback at all and I'm really hoping there are others out there that can relate and give me pointers...
Hey RS! Sorry I havent been up on my blog like I...
About a month ago I was a gym freak and eating super healthy for almost 3 months. Ever since the Dr. told me to gain weight and cut down high cardio exercise..I Havent been doing much working out recently..in the past 3 weeks I've been eating whatever, smoking cigarettes like crazy (because i'll have to quit soon)
My body went back to being flabby after I stopped working out altogether that its not even funny. I hate how I cant do anything about it. I mean I should be going still and working out my upper body and arms but I've just been slacking..
I was told to quit smoking a month prior but to be on the safe side I want to be at least 2 months clean. Better safe than sorry! I've been doing some research and people that have gone through a dramatic weight loss have a longer healing time and more chance of infection. My weight loss is not that recent but in the past 2 years I dropped 110 pounds. I was 140 before the holidays..I was 155 when I sent my pictures and had my consultation. After speaking to Dr.J he encouraged me to gain 10-15.. Im currently 150 right now...crazy right?!?! When I wanna gain weight I cant, when I try to lose weight It takes a long while...I guess I will have to just drink Ensure or weightgainer (which he recommended) until I get to 165-170. I'm kinda mad I have to gain weight...because it took lots of dedication and work to get to the weight that I am today...but whatever I guess I gotta sacrifice..
I dont know what else to say right now...but that im quitting smoking in a week. I know i'm gonna be a total B the whole time but oh well....lol
I'll update again when I figure out my hotel and car situation...ciao
27 days away!!!! July 17th! Team Jimerson!
I apologize for neglecting my blog so much and I hope you all understand. I've been so busy getting my life together and just prepping myself mentally, physically, and emotionally for this surgery.
In a nutshell this is what I have accomplished so far:
-On the 18th I got my physical, EKG, Bloodwork, and Medical Clearance...Happy to say I passed!! On the 27th I will fax over my papers
-I've managed to get my weight up to 164 :) I'm trying to maintain my weight until July 17th but gosh food is just so yummy ever since I "let myself go" lol
-I stopped smoking about a 3 weeks ago.. the first couple of days were rough but now just a little whiff of cigarette smoke erks me! I use facemasks sometimes when i'm outdoors or in large crowds. I know I look like a weirdo with some kinda disease but hey i'm trying to keep myself away from second hand smoking as well as avoiding getting sick. A simple cold can result to RESCHEDULING YOUR SURGERY!!! Ladies keep that in mind. Your immune system should be at 100% or healing time could be delayed.
-I haven't booked my hotel yet but I have already decided on the Hyatt. I figured I would book last minute because they always have deals on rooms they need to occupy.
-I've slowly started to pack.. not much but just loose fitting dresses from when I used to weigh 250 (haha) They will be for recovery time when I'm in the hotel laying around in pain.
Things I need to do:
Take my measurements and ideally figure out what I'd like my results to be
Buy the rest of my supplies
Hotel/Shuttle book
Fax medical clearance
Stop drinking by next week (Yes I drink quite frequently since I cant smoke...ladies is this bad? I heard you are asked to quit drinking 2 weeks prior to surgery)
Any other ladies going to be in GA from the 15th-27th? I def would like to hook up, chat, and of course show off our new bottoms :) Message/comment me so we can exchange information...
That's it for now....I start my summer class next week and I plan to take an online summer course since I wont be able to sit on my highly anticipated ASS ;)
Until then!!!! oxoxxxo
11 days
7 days and I can sleep
Follow up
With summer school I have a lot on my plate!!
I hate how much I've had to gain.. Everyone has been noticing. My clothes don't even fit the same way.. My stomach is bigger than ever and I hate it
ATL shawty!!
Pre op JULY 16 1030am
ATL SHAWTY!! Preop 1030am July 16 2013
Kim finally called me in around 12. I had to sign a buncha paperwork electronically and we discussed all medication. The only thing that pissed me off is I was constantly asking for the prescription before I came to Georgia and I never got a call back. When I walked across the street to fill it, I JUST NOW ONLY FOUND OUT KAISER IS NOT COVERED. THE TOTAL IS 290$...wtf. I mean its not a problem but had I got my prescription before I left I could have had my general doctor prescribe it to me. So basically my whole day has been nothing but drama with the prescription. Ive been calling back and forth trying to figure out who can cover it. If it comes down to it I will just end up paying for it but I really dont want to.
Anyway, after speaking with Kim, I talked to Shelly again. She had to explain to my Mom about the whole adding hips thing since my Mom doesnt get why I need to add hips when my measurements are a 45' already. Its because I have NO curves, a flt shape. And also explained the difference between a tummy tuck and a j-tuck. At the end I got to talk to Dr. J. I have to admit I was a little shy..I think because I was starstruck. He seemed tired but very helpful. I basically asked him what my advantages were of getting the tummy tuck now or waiting until next time (only because I dont know how my body will react to surgery since this is my first time, and I didnt want too much stress on my body) He said there is no difference and if I wait and come back I can become curvier. It's just that my results now wont include a flat tummy. And im fine with that for the moment... He also said my fat looks like its hard to find but I have the same figure as Shelly so he will be able to work with it.
After my appointment my Mom and I walked to the Pharmacy across the st only to find out kaiser doesnt cover my meds (bullshit) My phone died so we finally called the shuttle to pick us up. They come quick!! The driver brought us to walgreens where she recommended we try to fill my prescription there. She offered to wait for us which was really sweet but we didn't want to keep her waiting so we said we would just call when we were ready. Walgreens couldent do anything because my temporary kaiser member # for Georgia is new and wont be in the system for 24-48 hours. Sadly we couldent fill it again but hey at least she tried and helped us get the answers we were looking for. The lady working at the pharmacy was very helpful too. Man now I understand the meaning of SOUTHERN HOSPITALITY! EVERYONE IS REALLY KIND AND HELPFUL OUT HERE :)
We went on to walk to Krogens..By the way. Walking sucks. YOU CANT GET ANYWHERE. If it wasn't for the shuttle or my RS sissy being so sweet to offer her car, I would go crazy. This is the first day and I've already been stressing because of the walking. The shuttle picked us up with our shitload of groceries and about an hour ago we just got back to the hotel
I bought a few days worth of groceries..but I'm gonna look into what I should be eating because I want to maintain a healthy diet still. Housekeeping brought up a microwave just now too. So we're good. Forgot to buy plastic kitchen utensils but I guess tomorrow my Mom can go while I'm in surgery. I'm supposted to stop eating at midnight tonight. and I'm gonna take off my nail polish and wash with hibiclens tomorrow morning. Until then I'm gonna be searching for a solution as to what I'm gonna do about my prescription.. and for the rest of the day i'll just be chillen until I go to bed
After pics
I hate realself sometimes
There are not enough hours in a day
Some brief pointers:
1. Don't know what I'd do without my female urinal. Ladies you will be peeing alot and this will prevent you from peeing all over yourself.
2. I was able to poop on the 2nd day.
3. No problem eating after surgery..they encourage you to eat cheese and meats high in protein. No junk food, soda, white starch, minimize wheats
4.Stay in the room the first 48 hours
5.I recommend you hire a caretaker the day you remove your garment. They usually do 4 hours minimum which is 80$ That way whoever is watching you can see how they clean the woulds, replace dressings, give injections, wash and dry the garment (because it sounds damn near impossible to dry it in an hour while your body is resting)
6.KEEP HYDRATED! I recommend drinking a gallon or more because everytime you pee, that liquid is leaving the body so you have to constantly rehydrate
8. Have a yoga block or stool of some sort to be able to get in/out of bed. Dr.J didnt have to get fat from my inner thighs and its still hard to push myself out of bed. You have to use your arms because you dont want to put pressure on your tummy
9. SHOWER COVERS on the bed is a must I also put a towel on top where I lay so it soaks up the blood. You WILL bleed the first couple of days.
other than that...my pain is at a 6. And this is my 2nd day. But I could be speaking too soon. Usually to avoid morning pain when I wake up my Mom gives me my paid meds and meds for dizziness. And I wait until they kick in and thats when I get up and have breakfast. Take your time getting up.
ok back to my homework..I'll update as soon as I can :)
Compression Garment Issues
1) When they released me from surgery the garment I left in was a 2x. Mind you im 5"6' 165pounds...what the hell
2) a day later I went back and told them how i'm not getting any kind of compression and they gave me a size smaller XL
3) I'm 3 days post op and the XL is giving me no type of compression to my stomach or thighs (even though he didnt need to get fat from my inner thighs)
I just feel I should be wearing a Large right now...and then before I make my way back to california I can go to lipo express to buy a medium. I just don't want to end up buying both a large and a medium...
Ladies! How will I know what size is best for me if I'm not even allowed to try it on? This blows.....seriously
BBL WARNING!!! WHAT THEY FAIL TO MENTION: Recent patient of Dr. Jimerson 7/17/2013
During my stay at the Hyatt this is what i've experienced so far..
1. 3 out of the 10 girls who stayed at the Hyatt during the same time as me were rushed to the hospital and recieved a blood transfusion. Ladies this is very dangerous and risky. Using another persons blood not knowing where it came from..you could catch aids. And if you don't have insurance this is VERY EXPENSIVE. Thank god I didn't need a blood transfusion. But I do have to wonder, why weren't any of us warned that this would happen? One of my RS sisters that went to the ER mentioned that the nurses were making smart ass comments such as "Let me guess you're one of Dr. Jimersons patients.." and when she asked "Why did I not get the memo?" They responded "Oh nothing.. we often have ALOT OF HIS PATIENTS coming in and out of here" REALLY?!?!?!?!? That's scary.
2. 8 out of the 10 girls (Including me) were diagnosed with having VERY low blood levels and suffering from dehydration. But upon asking the staff at APSS, they reply...."You're PROBABLY just dehydrated and have low iron" PROBABLY?!?!?!?!?!?? Probably is not a good enough answer for what I paid for don't you think?!?! And how the hell do I come out with low blood levels when Dr. Jimerson himself told me I didn't lose much blood???? Something is very fishy if almost everyone is going through this. It's funny because alot of girls don't mention this in their blogs at all.
3. Low blood levels can lead to fainting, dizziness, ending up in a hospital. So DON'T IGNORE IT just because you think you are on so many medications! IT'S CLEARLY NOT NORMAL. I almost fainted the first, second, and 3rd day. Good thing I got to a bed/couch quick. And Thank God I had my Mom with me.
4. DO NOT GO BY YOURSELF. I woulden't even recommend a caretaker. LADIES I CANNOT STRESS THIS ENOUGH. I am so thankful for my Mom. don't be one of those girls who thinks they can suck it up and take care of themselves. It's not possible. I got a BBL and he didnt even touch my inner thighs and I was STILL IN PAIN. I'm not one to whine nor have someone baby me but the first 3 days I would say are the most critical. Even the days that follow are crucial but day by day you will figure out how to do some things for yourself. Don't waste your money hiring a caretaker because you will just be asleep most of the time. The only time you'll need to get up for the first 48 hours is to use the bathroom (id say about 20 times or more considering all the water youll have to be chugging) ..everything else such as eating can be done in bed. You will also be bleeding ALOT. So don't forget the shower curtains as well. I reccomend placing a dark colored towel on top of the shower curtain because with all that blood it can easily flow all over the floor. There you go, another stupid expense from the hotel :/
5. I don't understand why lymphatic massages are so exaggerated. I watched one of my RS sisters get one. Honestly a 7 year old can do a better job. They dont even touch any of your lipo'd parts/ butt/ any areas touched during surgery. The massage isnt even enough to be classified as a massage. And this massage is supposted to "promote blood flow"?!?! Honey go home and get rubbed by a loved one/boyfriend/whoever! But don't even bother with this. I asked my patient coordinator Shelly that I've read on RS that it is recommended to get a few lymphatic massages before your SX. She said NO. Think about it...why would you have to get a massage beforehand if you've already been cleared for your medical clearance...your bloodflow is obviously fine. It's BS to get this massage before and after and frankly a waste of money. They typically charge 50$ if you buy 4 or more. Or 75$ an hour with an addition 20$ if they come to you. So thats $100+ INCLUDING TIP to be patted down??????? Honestly I think it's just a money scheme...
6. From experience I hired a caretaker( named Clarice or Claudia Stovall I forget her name...) for 4 hours (80$) So my Mom would have some knowledge on how to safely remove my garment, wash/dry the garment within an hour, bathe me, properly change dressings, and clean incision sites. She was the worst caretaker, all she really did was talk our ear off the whole time. And she is extremely bossy. I didn't like the way she talked to my mom. While cleaning around my wounds we used peroxide...I asked her will it sting? She replied "I tell my girls don't even bother asking me that because you have no option" UHHHHHHH, I ask so I can prepare myself if it's gonna sting or not. She is an elderly woman who mostly did all talking all while telling us what todo. Her excuse was "Let her do it or she wont learn on her own" I'm fresh out of surgery, do you even know the definition of a caretaker??? SO BASICALLY... All she did (with the help of my Mom) was change my dressings, yank my garment off without taking her time which hurt like hell, clean my incisions, and just talk the rest of the time. She even refused to bathe me in the places I couldent reach and help me clean up talking about "ohh no I dont do all that...you gotta do that on your own" ...Lady how do you expect me to even bend over when i'm in pain. She talked a good game saying she can do this and that and in the end all she was doing was giving instructions. STAY RETIRED you wasted my $80 bucks.
There is so much more i'd like to warn you women about but right now I will leave it at that. When I have the time I will write a full update on this as well as my experience with my SX. Other than that, as of right now I am 1 week post op so I can't tell you if its worth it. But in time, we will see. I just wanted to show the negative side of having a BBL because not most of you ladies post what happens after..... I don't mean to be so negative because my experience has had its good days and the staff I was involved with were helpful in most ways but this is just a warning to whoever is looking to get a BBL.
(Keep in mind this is from MY experience. Some of you can agree they've been through the same thing and some of you have been successful without complications. The purpose of this is not to bash nor hate on this institution. But to just BE CAREFUL!!)
No review for now just pics
Quick updates
-I ordered a medium garment from lipoexpress. Shit didnt fit had to get a large instead so I'm waiting until it comes in the mail..
-ordered a half foam roller hopefully I can start driving
-I use mederma and neosporin everyday on my scars
- been eating right maintaining weight
-weird because when I came home from GA I was 179.. Now I'm 170
- cant wait until I can tone up at the gym
- booty has dropped from a '48 (day of sx) to '45.. Not too dramatic of a drop considering I was swollen
-back sides and front tummy is still sore and tender to the touch
-I've even off my meds
-didnt start back on my birth control pills yet
-I take multivitamin and arnica and iron pills
-I usually eat a lot of meat and veggies/fruit only
Waist to Hip Ratio
I went online and checked my waist to hip ratio
it was .73
Im a happy camper thats all I can say :)
I cant wait until I start working out. My waist and back fat need to go...I was 34-36c before having to gain weight....My waist I cant expect it to be super tiny because realistically I went from a 250 pound body. But im confident I can shed a few off doing ab workouts standing up as soon as I'm in the clear to get it in at the gym
thats it for today!
Photoshop LOL
On that note I'm gonna laugh and catch zzzzs
I CAN'T GIVE A FULL RATING UNTIL 6 MONTHS POST OP.... But so far my experience with Dr. Jimerson himself is A+. He is super attentive and a sweetheart! I saw him 5 times during my visit and spoke with him on the phone even more. After countless nights of doing my homework, I am almost 100% confident that Dr. Jimerson is my go-to doctor! TEAM JIMERSON!


text:
As expected, it didn't take long for Lady Gaga to rebound from last month's Kanye West debacle.
The dance-pop weirdo, who was due to open for hip-hop's biggest jackass on an arena outing this fall, has quickly deflected fallout from its unsurprising cancellation and announced her own tour, with a stop Dec. 21 at Nokia Theatre in the downtown L.A. Live complex.
Breakout rap newcomer Kid Cudi, doing brisk business behind his debut disc Man on the Moon: The End of Day, will open. Tickets, $19.75-$79.75, go on sale Friday, Oct. 23, at 10 a.m. Also look for the pair to play Dec. 19 at San Diego Sports Arena.
Meanwhile, another self-sabotaging soul star is attempting a small-scale comeback.
Two months after being sentenced to probation and community service for beating former girlfriend Rihanna in February, Chris Brown (right) is setting out on a Fan Appreciation Tour of modest venues, including Avalon in Hollywood on Nov. 18. New Boyz will open. Tickets go on sale Friday at noon exclusively at LiveNation.com.
We mentioned last week that Papa Roach and Jet have teamed for an outing with Morningwood and Kill Hannah that stops Nov. 23 at Club Nokia. Now that tour has added a date closer to home: Nov. 25 at the Grove of Anaheim. Tickets, $25-$35.
Also at the theater: Three Dog Night, Nov. 20, $40-$55, on sale Thursday at 10 a.m. … that previously announced David Archuleta gig, a holiday show centered on his just-released album Christmas from the Heart, Dec. 2, $35-$40, on sale Saturday at noon … Led Zepagain, Dec. 11, $22-$25.50 … and the return of rap legend Ice Cube, Dec. 13, $36, on sale Saturday at noon.
Cube, by the way, also will perform Dec. 11 at House of Blues Sunset Strip. Also headed to the club: Less Than Jake and Fishbone with the Swellers, Dec. 4 … and Sweet and Tender Hooligans, Jan. 1. Those shows go on sale Saturday at 10 a.m.
Remember hearing how Julian Casablancas of the Strokes was going to do a month-long residency at the Palace Theatre in downtown L.A. to showcase his first solo album, Phrazes for the Young? Well, now we have dates: Nov. 6 (on sale Friday), 13 (on sale Monday), 20 (on sale Oct. 28) and 27 (on sale Oct. 30). The disc drops Nov. 3. Tickets are $35-$50 per show or $150 for a four-gig pass.
Willie Nelson & Family are headed back for a California run that includes a Dec. 8 show at Club Nokia. Tickets, $45-$125, go sale Friday at 10 a.m. For Willie fans who want to travel, the tour also stops Dec. 7 at the Majestic Fox Theater in Bakersfield ($59.50-$68.50, on sale Saturday at noon) and Dec. 9 at the Fred Kavli Theatre in Thousand Oaks ($65-$85, on sale Saturday at 10 a.m.). Asleep at the Wheel will open all dates.
It sure hasn't been promoted very well, but that Halos N Horns show at the OC Fair & Events enter IS happening, on Oct. 30. Korn will headline, with support from Shiny Toy Guns, Girl Talk, Shwayze featuring Cisco Adler, BassNectar, Iglu and Hartley … essentially a lot of the same people who turned up last month for the Sunset Strip Music Festival. Tickets are $40 for general admission, $70 for limited preferred seating, $150 for VIP packages.
We already knew Bouncing Souls were playing Oct. 28 at the Glass House in Pomona and Oct. 29 at House of Blues San Diego. Now the Jersey punks have added a two-night Halloween extravaganza, Oct. 30-31 at El Rey Theatre, with Bayside and Broadway Calls. Tickets, $20, are on sale now.
Meanwhile, NOFX will play Dec. 4 at the Fox Theater in Pomona, with the Mad Caddies and Dead to Me opening. Tickets, $27, go on sale Saturday at 10 a.m.
Brazilian star Bebel Gilberto, who issued her fourth stateside album (All in One) in August, will headline Dec. 9 at the Music Box at the Fonda, $25. Also at the venue: Anti-Flag with Aiden, Cancer Bats and Fireworks, $16. Both shows go on sale Saturday at 10 a.m.
That Anti-Flag bill also plays Jan. 24 at House of Blues Anaheim. Also coming to the Mouse House: Christmas in California, a Toys for Tots benefit, featuring Sugarcult, Call the Cops, Prima Donna and Venus Infers, Dec. 17. Both shows go on sale Saturday at 10 a.m.
Finally, demand for LMFAO's show Nov. 7 at the Wiltern has proven so inexplicably high that the gig has been moved to the Hollywood Palladium. All tickets for the Wiltern will be honored, or if you're simply offended by the upgrade, you can get a refund at point of purchase.
Previous Concert Announcements:
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subset: commoncrawl


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Be the first to rate this!
I love a woman who knows how to make an entrance. That's why I didn't mind when our hostess kept us waiting a while. I knew whenever she arrived, it would be worth our time.
Plus, is it really that awful to sit in the parlor of a luxurious French mansion? I didn't think so. But some of the other guests were growing impatient. Then, as though on cue, the mistress of the manner sauntered through the door in a shimmering pink dress. She grabbed a cocktail, and once that drink was firmly in place she glanced down at her watch and said, "Isn't it about time we got started?"
Her watch was impressive as the rest of the scene—a diamond-studded timepiece from the French luxury brand of every woman's dreams. The band's rosy hue matched her dress, and the face was etched with the utmost attention to detail. I know all this because I paid close attention as I took her hand at the end of the night to thank her for such a lovely evening.
As soon as I was back in the states, I set my designer to work. Now, you can feel free to show up casually late as well. With the Stauer Chantal Timepiece on your wrist, you're bound to make quite an entrance of your own.


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Girls on the Run of Southeastern Michigan 5k
Eastern Michigan Univeristy
Sun 05/19/2013
1000 Participants
Packet Pick Up & Registration Friday, May 17th 12:00pm - 7:00pm *Girls on the Run participants will receive their numbers from their coaches at the event on Sunday. They will not be available for pick up on Friday. Girls on the Run 5k and Celebration Expo Sunday, May 19th 7:30am - 8:30am Event day registration and packet pick up 8:00am - 8:30am Girls on the Run participants meet their coaches at their team signs to warm up and stretch 8:45am Opening ceremony 9:00am 5k event starts! 9:00am - 11:30am Celebration Expo in Convocation Center parking lot *Includes music, concessions, bounce house, photo booth, happy hair station, other family-fun activities and interactive sponsor booths!
- Address:799 North Hewitt Road,
Ypsilanti, MI 48197


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Washington (Oct. 17)
Blank check legislation for the admission of ? 75,000 to 150,000 DP's to the U.S. will probably be introduced in the next ?sion of Congress, Rep. Frank Chelf of Kentucky told reporters after a call at the ?te House today.
After his talk with the President, Chelf said he believed Truman would ? a statement on the question of DP's when Rep. James G. Fulton, who was chairman ? special House Foreign Affairs Sub-Committee that studied the problems of dis?ed persons in Europe this summer, returns to make his report. Fulton is now in ?ly and is expected to return to the Capitol November 25.
The new bill would authorize the U.S. representative at the I.R.O. to make a ?itment for accepting some of the refugees, Chelf stated. He said he thought ?re would likely be a ceiling set, possibly about 150,000.


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Details & Care
Modern brogue panels and a kiltie panel detail a buckle-closure slip-on set atop a stacked leather sole.
This is a special collection of hand-made shoes that come with special packaging (one shoe box with the shoes, a second shoe box with shoe trees- and one large box to hold both smaller shoe boxes), and also shoe trees and a saffiano USB key that has a short video of how the shoes are made.
- Leather
- Item #563668
- Shoe packaging reflects U.K. sizing.


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Washington, June 7 (ANI): Conservatives are more likely than liberals to identify mixed-race individuals as Black, according to a series of new studies.
The studies, carried out by researchers at New York University, findings which appear in the Journal of Experimental Social Psychology, suggest that there is a link between political ideology and racial categorization.
"A person's race is often thought to be clear-cut and fixed," Amy Krosch, a doctoral student in New York University's Department of Psychology and the lead author of the paper, explained.
"However, our research suggests that the perception of a person as Black or White is related to one's political views and beliefs about equality," he added.
The study also showed a link between nationality and racial classification. The study's U.S. subjects were more likely to identify as Black mixed-race individuals labeled as Americans than they were mixed-race individuals labeled as Canadians.
The study focused on the principle of hypodescent, which posits that multi-racial individuals are categorized according to their most socially subordinate group membership.
In the Journal of Experimental Social Psychology study, the researchers explored the possibility of a connection between political ideology and racial categorization of unknown individuals-and, if so, what might explain this phenomenon.
To do so, they conducted three experiments, two of which included only White American subjects; a third included a racially heterogeneous panel of American subjects.
Their results showed that, indeed, among conservatives, "opposition to equality" was a powerful predictor in the categorization of mixed-race faces as Black rather than White. However, this was not the case for "group-based dominance."
"These results suggest that conservatives may be categorizing mixed-race faces as Black to justify racial divisions that are part of the historical legacy of the social system in the United States," the researchers wrote.
They added that while the findings in this experiment were statistically significant for its White subjects, the sample size for non-White subjects was too small to draw any meaningful conclusions. (ANI)


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Ask a Lawyer and Get Answers to Your Legal Questions
I'm a contract hauler through Northwest Food Products LLC.. It was a driver of mine. Load was rejected at plant, which then needs to be disposed of. The lab at Foremost Farms, Marshfield, WI where the milk was delivered. I do not believe the acid was that high in the first place. Milk at 56 degrees will not spoil in a 8 hour period. They just did not want to cool it down. I met with NFPT this morning, he informed me that Foremost Supervisor did not tell him to load the milk. They are saying they figured it was already on the truck when the driver called. Which it was not. Once the milk is on the truck
it is our responsibilty. That is why I had the driver call the plant. Which now they are saying we did not go through proper channels.


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Spring is big time at home-improvement retailers, which are beefing up store staffing more than usual this year.
With consumers loosening their grip on their wallets, the big chains see rising demand for spring cleaning products, home organizing projects, quick fixups and new plants to replace ones that were flash-frozen.
"This is our Christmas holiday season," said Craig Fishel, a spokesman for Home Depot Inc.
Home Depot on Tuesday said it's hiring 60,000 temporary seasonal workers — 900 in the Tampa Bay area — to handle the spring rush, significantly more than a year ago.
Rival Lowe's, meanwhile, is adding 50,000 nationwide, about 16 percent more than a year ago. That includes many who will work just weekends year-round as part of a reorganization of the chain's standard store operations announced last week.
The seasonal hires work out to about 25 per Home Depot store and 30 per Lowe's.
Both chains are ramping up hiring now with the intent of being at full staff in mid March, when seasonal crowds are at their peak in Florida.
Home Depot treats spring very much the same way that mall and discount store retailers treat the Christmas holidays, when they bolster staffing by a fifth. Next month, the Atlanta-based chain will be promoting its own "Spring Black Friday" deals. And its 300,000-person permanent staff will be augmented by about 20 percent for three to four months.
Applications and job information can be found online at careers.homedepot.com or careers.lowes.com or on terminals at in-store kiosks.
Mark Albright can be reached at firstname.lastname@example.com or (727) 893-8252.


text: |The energy conversion and storage group focuses on charge-transfer processes, as well as the chemical environment in the vicinity of electrode surfaces. As the name indicates there are two main research directions. The energy conversion part focuses mainly on fuel cell reactions, with a special focus on the oxygen reduction reaction (ORR), in cooperation with several industrial partners. A better insight in the ORR through single-crystal work and the synthesis of novel nanoparticulate catalysts has led to an increase in activity and stability of fuel cell cathode catalysts with reduced noble-metal content. A new direction for the group is the energy storage part where the focus will be put on lithium-air batteries.


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NEW YORK (AP) — Prosecutors say a New York City police officer wanted to kidnap, torture and devour women in a twisted plot of cannibalism.
The accusations were made Monday during opening statements at the federal trial of Gilberto Valle (VAL'-ee).
Federal prosecutors in Manhattan plan to use e-mails and other evidence to show that the 28-year-old was a would-be killer. They say he even drew up a list of targets using a law enforcement database.
Defense witnesses are expected to describe how he lived in a secret, online fantasy world. The defense says participants role-play as cannibals, but never act on it.
Valle's wife is expected to testify against him later Monday.


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Fed Foreclosure Proposal Headed to New Consumer Bureau
A controversial Federal Reserve staff proposal that would make it harder for borrowers to prevent foreclosures will likely be punted over to the new Consumer Financial Protection Bureau amid pressure from lawmakers, consumer advocates and civil rights groups.
A senior Fed staffer this week announced at a lawyers' conference that the proposal, which would limit borrowers' "right of rescission," won't move forward at the Fed and will be taken up by the consumer watchdog agency, according to several people who were either at the conference or briefed on the matter.
Leonard Chanin, deputy director of the Fed's division of consumer and community affairs made the announcement Monday morning at an American Bar Association conference in Naples, Fla., these people said.
Transferring the rescission proposal from the Fed to the Consumer Financial Protection Bureau may ease some consumer advocates' concerns.
"Even if the rule is not being acted on now, this will still be an issue that will have to be addressed," said Alys Cohen, a staff attorney who works on foreclosure issues for the National Consumer Law Center. "But we're heartened that we won't have a change in rescission rules soon that will gut protections from homeowners. That would be a disaster."
A Fed spokeswoman didn't comment and Chanin didn't immediately respond to a request for comment.
The Fed's plan, announced in August, would make it harder to force lenders to refinance or modify loans because it would revise the right of rescission, which gives consumers three years to argue in court that lenders broke consumer protection laws by not providing adequate information about their home loans.
Mortgage bankers argued that the rescission proposal provided necessary updates and clarification.
"Uncertainty surrounding existing rescission requirements has led to erroneous holdings by some courts and unnecessary costly litigation, increasing costs to all borrowers," the Mortgage Bankers Association said in December 22 comments to the Fed. "For this reason, we support efforts by the board to provide clear guidance on rescission at this time."
But consumer groups and key lawmakers have steadily blasted the proposal and urged the Fed to withdraw the plan.
"The board's proposal would eviscerate the single most effective tool that homeowners have to stop foreclosures and avoid predatory loans," according to a Nov. 16 letter signed by hundreds of lawyers and advocacy groups. Signatories included the NAACP and the Service Employees International Union.
The Consumer Financial Protection Bureau, a centerpiece of the Dodd-Frank financial regulatory overhaul, is set to launch in July. The Federal Reserve and several other agencies will transfer key powers to the bureau at that time.
Even in this start-up stage, there are indications that the bureau has already been looking into the rescission issue. A public version of Warren's calendar shows that Warren discussed the rescission provisions with Fed staffers in November. Also, Warren has repeatedly said mortgage and credit card issues will be top priorities for the bureau. In addition, she has tapped Ohio Attorney General Richard Cordray, a vocal critic of the Fed's rescission proposal, to lead the consumer watchdog agency's enforcement division.
"I think it's more likely that they (the Consumer Financial Protection Bureau) would try to come up with a different proposal taking into account the comments the Federal Reserve received," said Kathleen Keest of the Center for Responsible Lending.
However, mortgage lenders that backed the provisions are concerned that the plan could be modified or delayed.
"The problem is that by delaying the rule there could be the misimpression that this somehow might not be the appropriate position," said Mortgage Bankers Association Regulatory Counsel Ken Markison. "If that were the case, that would be a bad thing. We think the clarification should be completed as quickly as possible generally as proposed. I think anyone who looks at this issue, what the board (Federal Reserve Board) proposed, and what the courts have done would make a judgment that this is the right way to go."


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NEW YORK ( TheStreet) -- The following stocks go ex-dividend Friday, meaning an investor must purchase the shares Thursday to qualify for the next dividend payment: Wisconsin Energy ( WEC), Mine Safety Appliances ( MSA) and CA ( CA). The three stocks received a buy rating from TheStreet Ratings. See the complete Dividend Calendar.
Wisconsin Energy The electric utility last week reported fourth-quarter earnings of $114.1 million, or 49 cents a share, down from year-earlier earnings of $125.6 million, or 53 cents. "WEC shares offer a 3.4% current return on the $1.20 annual dividend, 11% annual near-term dividend growth and 4-6% annual EPS growth," Gabelli analysts wrote in a report on Wednesday. "Shares trade at 15.6X, and 14.9X our 2012 and 2013 earnings estimates, which compares to peer group multiples of 14.5X and 13.5X. Given earnings growth, strong credit profile, top-tier management and low-risk, WEC deserves a multiple premium. Our 2012 and 2013 PMV estimates are $35 and $37 per share using a 9.5X enterprise value-to-EBITDA
earnings before interest, taxes, depreciation and amortization ratio." Wisconsin Energy has an estimated price-to-earnings ratio for next year of 14.63; the average among multi-utilities is 14.66. For comparison, Duke Energy ( DUK) has a forward P/E of 15.03 and Sempra Energy's ( SRE) is 13.01. Of the 19 analysts who cover Wisconsin Energy, 14 rated the company a hold; five gave it a buy rating. Forward Annual Dividend Yield: 3.5% Rated "A+ (Buy)" by TheStreet Ratings: The company's fourth-quarter gross profit margin increased from the prior year. Wisconsin Energy has very weak liquidity. Its Quick Ratio is 0.30, which demonstrates a lack of ability to meet its short-term cash needs. In the fourth quarter, stockholders' net worth increased 4.2% from the previous year. TheStreet Ratings' price target is $39.74.
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Wednesday, June 19, 2013 | 5:19 p.m.
For many underwater Nevada homeowners, the most important part of the New Year's Day fiscal cliff deal wasn't the assurance that their income tax rates wouldn't rise, but the guarantee that for the coming year, they could refinance their mortgages or short-sell their houses without owing income taxes on the money they saved.
But in another six months, that guarantee will expire — potentially setting back financially strapped homeowners by tens of thousands of dollars.
Now, senators from the two of the states hit hardest by the bursting of the housing bubble are trying to make sure Congress extends mortgage forgiveness tax relief for at least two years.
Nevada Sen. Dean Heller and Michigan Sen. Debbie Stabenow released a bill Wednesday that would extend mortgage forgiveness tax relief until the end of 2015.
"If Congress does not act this year, then thousands of Nevadans who are underwater in their homes will be forced to pay a tax at a time when what they need is some relief," Heller said. "This legislation is a common sense approach that will prevent Nevadans from being taxed on income they never received."
In 2007, Congress passed the Mortgage Forgiveness Debt Relief Act, which allowed homeowners to exempt up to $2 million of forgiven home mortgage debt to be written tax-free. Before then, the IRS taxed any debt that was waived as income.
The extension of the provision under the fiscal cliff bill provided significant relief to Nevada homeowners, about 60 percent of whom were underwater on their mortgages at the time of passage. In the first quarter of 2013, about 45 percent of Nevada mortgages are underwater — an improvement, but still enough to rank the Silver State as the worst in the nation.
As a "Hardest Hit" state, Nevada has federal money dedicated to encouraging banks and other mortgage service providers to reduce the principal on underwater loans. The idea of principal reduction is that by reducing the overall amount owed, it becomes more manageable for homeowners to pay off their debt and stay in their homes. Recipients of the assistance cannot earn more than one and a half times the area's median income — which was $48,927 in Las Vegas in 2011 — and cannot have a mortgage balance of more than $427,184 in Clark County.
Such principal reductions can be worth up to $100,000, according to the state's Department of Business and Industry — a significant amount to be taxed as income, should mortgage forgiveness tax relief expire.


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According to a former babysitter for Newtown, Connecticut mass murderer Adam Lanza, Nancy Lanza, Adam's mom, told him "to keep an eye on him at all times … to never turn my back, or even to go to the bathroom or anything like that."
The babysitter, Ryan Kraft, now lives in Southern California. According to Kraft, "Whenever we were doing something, whether it was building Legos, or playing video games, he was really focused on it. It was like he was in his own world." Kraft was a teenager and Lanza was 9 or 10 years old when he babysat for him.
This is just the latest indicator that Lanza clearly had mental instability problems, and that his family knew about it. Their failure to take proper measures had tragic consequences for the children of Sandy Hook Elementary School, as well as for Nancy Lanza.


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So was Kameron Chatman's decision to pick Michigan over Arizona really a surprise?
According to those around him, maybe not.
Chatman's father, Canaan, said the fact that Michigan was the first school recruiting him in 2012 and continued to show consistent interest made a difference in his decision making. Long Beach Poly coach Sharrief Metoyer told the Detroit Free Press that Chatman eventually felt "very, very comfortable" with Michigan and coach John Beilein.
Chatman said he was also impressed when he attended the Michigan-Notre Dame game with about 115,000 other people. (He did not visit UA during a football game weekend).
Canaan Chatman said he found it puzzling that there were so many people predicting Kameron would choose Arizona.
"We approached Arizona media just like we approached you guys. We didn't talk to anybody," Canaan Chatman told UMhoops.com. "So we got the information when everyone started forwarding us that it looks like Arizona, that Kameron's going to commit.
"Kameron and I looked at each other, like, 'I didn't talk to anybody, did you talk to anybody?' Our approach the entire time, we didn't comment taking visits nor did we comment after visits because we didn't want people predicting. We just wanted to make sure we kept it honest, steered clear and didn't lean either way."
FWIW, Canaan Chatman told me via email before his son's visit to Arizona last weekend that he would not discuss Kameron's recruitment and he has still not returned an email I sent Tuesday before Kameron's decision.
As expected by many, Grant Jerrett will start the season in the D-League, though there is enough interest from the Thunder that they worked out an agreement to keep his draft rights.
UA fans in Southern California who want to take a chance may consider buying NCAA tournament tickets for opening round games in San Diego and West Regional games in Anaheim, Calif. They'll go on sale Oct. 19.
The Wildcats will likely get an all-SoCal path to the Final Four if they can win the Pac-12 and the league tournament, and possibly if they win one or the other.
The Daily Wildcat looks at the Pennsylvania bond between T.J. McConnell and Rondae Hollis-Jefferson.
Derrick Williams says it's a big month for him, with the Timberwolves having until Oct. 31 to decide if they want to keep their $6.3 million option on him for 2014-15.
The Mercury's Diana Taurasi said she found having Russ Pennell take over as an interim coach with no WNBA experience to be refreshing.
Lorenzo Romar's status is one of seven questions the Seattle Times has about Washington entering this season.
Another blow for Washington State: Center Jordan Railey has been suspended for unspecified reasons. The Cougars are already without guard Danny Lawhorn.
Craig Robinson is hoping Oregon State can be a great story this year, though the Beavers have determined they will keep out Eric Moreland for 14 games and Devon Collier for one. However, Moreland will only miss two Pac-12 games (Utah and Colorado).


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|« Back to Calendar October 18, 2013 @ 8:00 am - 10:30 am
|Mass Medical Society
860 Winter Street
Waltham,MA 02451
|Add to Calendar Add to Google Cal
|Member Cost:
|$ 50
|Nonmember Cost:
|$ 85
|MassMEDIC Events
While shifts have been occurring for well over a decade, it is now clear that the balance of power in the Hospital is sliding rapidly from clinical decision-makers to those responsible for the bottom line. All companies, from start-ups to well-established organizations, are rethinking their sales and marketing strategies to reach this challenging target audience. Join us on October 18, as a panel of your peers collaborates in real time to develop a C-suite-centric approach to positioning and selling hospital products.
|7:30 a.m.
|Registration / Continental Breakfast / Networking
|8:00 a.m.
Overview Presentation: How the Affordable Care Act Will Change MedTech Sales and Marketing Practices and How to Articulate Your Value Proposition, Charles Mathews, Vice President, Boston Healthcare Associates
Panel Discussion:
Tom McCurdy, VP Sales and Marketing, NA Patient, Haemonetics
Carolyn Morgan, President, LehmanMillet
Dr. David Fairchild, SVP, Clinical Integration, UMass-Memorial Hospital
Bret Caldwell & Brian Sherwin, ZS Associates
|Program Concludes
MassMEDIC acknowledges the support of Pepper Hamilton LLP, corporate sponsor of this program.


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Artist description:
No description entered.
Flash Draw Created Jun 06, 2008 470 x 338px Unless noted Copyright 2008 BeckRocks44.
We encourage you to submit a comment and let the artist know what you think of this drawing. Please log in or join to post a comment.
Post a comment
Coollyawesomeistic (Yeah it's a word look it up in the Beckionary. [actully it probably won't be there I just wanted to say that.]) 5/5 hearts (no duh)
love him 10 *
saw him live this summer, he's good. nice draw of him.
Naic Lips
This looks like a water color. I love this.... 10
you r fantastic, i just don't undersatnd why ur drawins haven't been rated, imma giving u a 10
Excellent drawing! 10!


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Hello, hello!! How's everyone's morning going? Today is my Friday, so I'm feelin' pretty good I'm traveling this weekend because my cousin is getting married!!
I love weddings, and I love being with this side of the family so much. We were babies at the last wedding – so clearly we're due for another one 😉
Digital Diet Revisited
Wow! It looks like most of us are technology addicts to some degree 😉 I stayed true to my "diet" last night; I went to stay at Cory's and did not take my laptop. I always travel with Hank, my laptop. I'm not kidding when I tell you that the decision to leave my laptop at home took several minutes to make.
I need to blog.
I need to read blogs.
I need to check my email.
I need to tweet about something. (<– Newsflash: My life isn't that interesting that I need to update the world every hour)
I need to check if my old college friend finally posted her wedding pictures to Facebook.
Should I? Shouldn't I? Back and forth..back and forth…
When I left my apartment, I had the urge to tweet the fact that I was sans computer for the night, but I refrained.
I am, in a word, ridiculous.
I just thought it was absolutely insane how difficult it was for to semi-unplug for half a day, so I thought I'd share it with you 😉
This morning I was up and at 'em and headed to the gym for a strength training session. Because I'm not a trainer or any kind of fitness professional, I feel weird posting my workouts when I just ad-lib them.
And to be honest, today I didn't go in with a solid plan (that's a mistake) so I just did a hodgepodge of moves.
I had my beloved PB and Nutella oats this morning 😀
This really tastes like I'm eating a Reece's peanut buttercup for breakfast – and I don't hate it 😉
Okay friends, I'm off to day TWO of the new job! Once training is over I plan on filling you guys in on what I'm doing!
Let's chat –
When was the last wedding you attended? Who was it for? My roommate from college got married in November and it was a beautiful wedding!
Would you rather have a small wedding on a tropical island, or a big wedding in your hometown? To get away would be nice, but I'd be so sad if all my family and friends weren't there!


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Weather could affect some of these outdoor events today, so be warned.
Pit Lane Block Party: Help jump-start the 2010 Honda Grand Prix at 4 p.m. in area around Second Street and Second Avenue S, downtown St. Petersburg. Live music on two stages, food and drinks for sale and a ride in an Indy car for $20-$25.
Dunedin Wine and Art Walk: Get a $10 wristband and take in art, wine tastings, food and entertainment by Natural Blend, 5:30-8:30 p.m., Pioneer Park, Main Street and Douglas Avenue. More than 30 merchants with specials. Wristband makes you eligible for a drawing in the park. See 2ndFridayDunedin.com.
Cajun Zydeco Crawfish Festival: Chow down on "mudbugs" and two-step to the Porch Dogs, Geno Delafose and the French Rockin' Boogie and more. Starts 4:30 p.m. today ($12), noon Saturday ($15) and noon Sunday ($12). 10 and younger free. Vinoy Park along St. Petersburg's waterfront. (727) 892-5798.
Navy Week kickoff party: Free tours of the SS American Victory and music by the Navy's rock band, Pride. Starts about 5 p.m., 705 Channelside Drive, Tampa. Kickoff for next week as sailors take over the bay with events every day. For information, visit navyweek.org/tampa2010.
Maria Bamford: Alt-comedy goddess known for quirkily manic stage presence and vast array of voices and characters, offering unique take on her dysfunctional childhood and life. Shows today through Sunday, the Improv, 1600 E Eighth Ave., Ybor City. $14-$18. (813) 864-4000. improvtampa.com.
Tampa Bay Boat Show: Warm weather has been eluding us too long. When it finally arrives, the boat show has toys to tempt you outside. Tropicana Field today through Sunday. Main floor filled with boats, trailers, docking and safety equipment and many outdoor-related exhibits. Also a fishing school, with local captains giving tips on offshore fishing, cast netting guides and where fish are biting. Classes start at 11 a.m. each day and run throughout the day, see Tampabayboatshows.com for a schedule. It's free admission; parking $5.
Florida Strawberry Festival: Midway, strawberries galore and prize livestock. Best known for live music. Today at 7:30 p.m. catch Tracy Lawrence, part of commercial rise of rock-tinged honky tonk in early '90s. Reserved seats $10-$15. Gates open at 10 a.m. today through Sunday. Check flstrawberryfestival.com for closing times, daily specials. Grounds at 2202 W Reynolds St., Plant City. Admission $10; $5 age 6-12; Age 5 and younger free with paid adult.
Gordon Lightfoot: Folky Canadian singer (Sundown, The Wreck of the Edmund Fitzgerald) plays at 8 p.m., Mahaffey Theater, 400 First St. S, St. Petersburg. $35-$75. (727) 892-5767.
Who Do You Think You Are? 8 p.m., NBC: Dallas Cowboys and Gators legend Emmitt Smith finds his past winds from rural Alabama to Virginia, with a few surprises. His great-great-grandfather helped start the New York Giants.
Kitchen Nightmares, 9 p.m., Fox: Gordon falls asleep while waiting for his taste test. Could be an indicator why no one goes there.


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Destiny, the highly anticipated MMO-like shooter bears some resemblances to one of my favorite games of recent memory, Borderlands 2.
- Siren, Gunzerker and Commando?
Destiny pushes group play of varying classes and powers/skill sets, similar to Borderlands 2 six classes and varied skill trees for each class. The weapons are stat based and each bears it's own visual style. Gun loot is a major push and a reason to fight everything. The enemies are future sci-fi enemies with mini-boss's to complement and change up the gameplay. Allies that go down can be revived from a downed state, though it doesn't appear they can self-revive via fight for life.
The differences are of course visually worlds apart. While Borderlands goes for a more comedic highly colorful art style, Destiny is much more a serious post-apocalyptic setting with a more realistic goal than Gearbox's baby. Destiny also pulls from Guild Wars 2 with it's public events where a multitude of players join in for larger scale fights that occur randomly.
The most unique thing Destiny can pull off is it's seamless background matchmaking system. This game is from Bungie, the guys who paved the way for console matchmaking in all multiplayer games. And now with their new IP Bungie is introducing what they hope to be the next thing for online multiplayer. You can play alone like Borderlands 2 though it appears you live in a shared world that will constantly bring in people, ala a MMO, but not as large of scale. It's a very unique feature never really seen before, especially not with a FPS. However we still have to wait and see if Bungie can accomplish it all.


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BROOKSVILLE — One day last month, an estranged couple came to Brooksville City Hall with their teenage son to explain why the boy wasn't showing up at school.
A committee composed of representatives from the school district, the Hernando Sheriff's Office, the State Attorney's Office and the Florida Department of Juvenile Justice sat on the dais usually reserved for City Council members.
A school social worker laid out the case, and the parents had a chance to respond. By then, it was clear that the middle-schooler was caught between divorced guardians who blamed one another for failing to get him to school, recalled Lt. Cy Robinson, the Sheriff's Office committee member.
"It was kind of tough to watch," Robinson said. "They couldn't even stand at the same podium together."
In the end, the six-member committee opted to file a petition in Circuit Court to have a judge preside over the case. If the student's absences continue, the parents could be held in contempt of court.
The panel is part of a renewed effort to more efficiently tackle truancy in a county that has seen rates tick upward in recent years. The school district held similar truancy arbitration hearings in the 1990s. Now they're being revived, and last month's was the first.
The goal is to expedite cases that typically take months to resolve, said Jim Knight, director of student services for the school district and chairman of the truancy panel.
"I have a lot of frustration and so do my social workers," Knight said. "We're hoping by doing the (hearings), we'll get involved earlier and we'll get parents to understand it's serious."
A child who misses at least 15 days in any 90-day period is considered to be habitually truant. Statistics going back more than a couple of years weren't readily available. The district investigated 47 cases last school year, down from 60 the previous year, but Knight said truancy rates generally have shown an upward trend.
The district typically refers cases to Youth and Family Alternatives Inc., a contractor for the Department of Juvenile Justice that offers intervention services such as counseling to help families get children to school.
If that fails, the district can file a petition in Circuit Court, where a judge presides over the case and can fine noncompliant parents or order them to spend weekends in jail.
That can be a lengthy process, and such strong punishment has rarely been meted out, Knight said.
"We spend a lot of time getting kids through YFA and then to a judge, yet their attendance doesn't get better," he said. "When people don't feel there are consequences, things tend to get worse. That's what's happened to a large extent in our county, and that's why we started this back up."
Many truancy cases aren't eligible under the law for YFA services. They involve children younger than 10, or families with children between 10 and 17 who already have some kind of pending case with a state agency, such as the Department of Juvenile Justice or the Department of Children and Families.
Cases involving families ineligible for YFA services are primarily the ones the new truancy panel will hear. Instead of waiting until a student is absent 15 days out of 90, however, parents will be called to appear before the panel after 10 days.
"We're trying to catch them earlier and problem-solve to find out why the child is not in school," Knight said.
In addition to filing a Circuit Court petition, the panel has three main options after hearing a case.
One is to give families a last warning and monitor the student's attendance.
Another is for the State Attorney's Office to file criminal charges against the parents. The second-degree misdemeanor carries a sentence of up to 60 days in jail and a maximum fine of $500. That's exceedingly rare, though, said Assistant State Attorney Don Barbee, who also sits on the truancy committee.
Still another is to refer eligible families to YFA. Two staffers from the agency sit on the truancy panel. One of them is program manager Carolyn Kehr.
"What we find is school systems want to be more punitive because they have worked very hard before (a case) even gets to us," Kehr said. "We have a pretty good record, but it doesn't happen in 30 days."
There is a wide spectrum of reasons why students miss school, Kehr said. The younger the child, the more responsibility falls to the parent. Maybe the parents don't feel education is important, or maybe they're working 60 hours a week to provide the bare necessities to survive. Older students who are skipping school might be the target of bullies or suffer from mental health issues.
"If we haven't had a chance to work with families and they're eligible, we say, let us work with them," Kehr said.
The committee will certainly try to give eligible families the benefit of the doubt, members said.
"To gear up the criminal justice system and put someone in handcuffs, I would certainly use that as a last resort," Barbee said.
Knight agrees. But he notes that when cases in which a parent is fined or jailed hit the news, parents who had been ignoring the district's efforts to contact them about their child's truancy suddenly start calling.
Another powerful motivator for the students: School districts can notify the state Department of Motor Vehicles, which has the authority to prevent a habitually truant student from getting a driver's license.
In another case during the hearing last month, a single mother wasn't getting her daughter to elementary school. The mother was letting the girl stay up late during the week, even hosting sleepovers, members recalled.
The panel decided to give the mother time to get the girl's attendance record back on track.
"We told the mother there will be no more kids staying over during the week," said Robinson, the Sheriff's Office lieutenant.
There is a hope that parents and students who face a dais filled with authority figures will realize the gravity of the situation and take the initiative on their own, committee members said.
But that requires parents and students to be there.
On hearing day at Brooksville City Hall last month, only families involved in two of the four cases on the agenda showed up.
Tony Marrero can be reached at (352) 848-1431 or firstname.lastname@example.com.


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Redruth coach Ashley Morcom has announced that he will stand down at the end of the season.
Morcom, who took over from former director of rugby Adrian Edwards, cited work and family commitments as the reason behind his decision, but intends to remain involved with the club in a coaching capacity.
In a statement the club said it would begin the search for a succesor with the intention of having someone in place for the 2014/15 campaign."
It read: "Ash stresses that he regrets having to make the decision and that he still intends to remain active in a coaching role with the club next season assisting however he can.
"The club is very grateful to Ash for his hard work during what has been a testing season both on and off the pitch and we all look forward to his continued contribution.
"The recruitment process for a new Head Coach will start in the next few weeks with the aim of having someone in post by the end of the season to ensure continuity into the 2014/15 season."


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Slurpee Light marks first Slurpee-branded sugar-free drink. 7-Eleven Inc. is kicking off its "Flavors of Summer" campaign with Slurpee Lite Fanta Sugar-Free Mango, promising all of the flavor of a traditional Slurpee drink with 50% fewer calories. This marks the first Slurpee-branded, sugar-free drink and the first sugar-free frozen beverage to be available at participating
7-Eleven Launches Flavors of Summer
Iron Man Returns To 7-Eleven
After the first IRON MAN movie took 7-Eleven stores by storm in 2008, with customers clamoring to buy collectible cups and boosting Slurpee sales by double digits, Marvel Studios' IRON MAN 2 is returning to 7-Eleven to celebrate release of the Paramount Pictures' film on May 7. In both movies, Robert Downey Jr. plays Tony


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I am not doing any excursions on there island, is there anything else that I should want or need to see? If there is an excursion on one of there island that I should do please let me know. Thank
Dunns River Falls, is great. That's in Ocho Rios. If you prefer not to climb the falls themselves, you can go along the side. Climbing the falls is a blast, you need water shoes. The guides will hold your camera for you and take pictures on the way up. The water is cold and refreshing. The time we were to stop in Haiti, they rerouted us due to a military coup going on. This was years ago, so I can't help you there. You don't have to do the excursion to Dunns through the ship, though I highly recommend doing so. Jamaica is a beautiful country, but very poor. Stay in a group no matter what you do. It is one island I strongly urge people to do a ship's excursion. It's just not wise to go out on your own there. If you do, be sure to stay in the tourist areas.
I took this cruise in April, 07. No need to do an excursion in Haiti. It's a private beach owned by the cruise line. Your ship account card works there, like being on a private island. We did choose to take the walking tour. It's the only way you'll get any feeling for the culture and history of Haiti. But, if you're interested in beach style sun and fun, just go and enjoy.
Labadee has a new zipline if you're adventurous.
Cheers, Neil
Labadee was a great way to spend the day...Just lounging, swimming, and a great lunch served by the ship....You won't regret it...
Bob E
Word of caution, stan within the friendly confines of Labadee. It is well guarded and a beautiful, relaxing place to visit. Venturing outside of this area is done at great peril.
|All times are GMT -7. The time now is 07:58 AM.


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Norwalk Iowa Golf Courses
|Rolling Hills Golf Course
Additional Golf Course Reviews:
|Indian Hills Golf & Country Club -- Tough course to rate
|Review by: Burt Lappe
|Love the greens on this course...fast, smooth, and hold very well. But the overall course shape is very bad...fairways are not watered in the summer leaving basically cement, tee boxes are not well taken care of. Limted sand traps and the sand they do have is never raked. They added a back 9 about 5 years ago. They are very difficult holes that are fun to play if the course is in good shape...which is hardly ever.
|From Bloomington IL


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Washington: Can you imagine of a nano-machine that can navigate in water, sense the environment around them or even enter living cells to fight disease?
Researchers at the University of Cambridge have developed the world's tiniest engine, just a few billionths of a metre in size, which uses light to power itself.
This nanoscale engine could form the basis of future nano-machines.
The prototype device is made of tiny charged particles of gold, bound together with temperature-responsive polymers in the form of a gel. When the 'nano-engine' is heated to a certain temperature with a laser, it stores large amounts of elastic energy in a fraction of a second as the polymer coatings expel all water from the gel and collapse.
This has the effect of forcing the gold nano-particles to bind together into tight clusters. But when the device is cooled, the polymers take on water and expand, and the gold nano-particles are strongly and quickly pushed apart, like a spring.
"It's like an explosion," said Cambridge's Cavendish Laboratory's Dr. Tao Ding, who is the paper's first author.
Nano-machines have long been a dream of scientists and public alike, but since ways to actually make them move have yet to be developed. They have remained in the realm of science fiction. The new method, developed by the Cambridge researchers, is incredibly simple, but can be extremely fast and exert large forces.
The forces exerted by these tiny devices are several orders of magnitude larger than those for any other previously produced device with a force per unit weight nearly a hundred times better than any motor or muscle. According to researchers, the devices are also bio-compatible, cost-effective to manufacture, fast to respond and energy efficient.
Professor Jeremy Baumberg from the Cavendish Laboratory, who led the research, has named the devices 'ANTs' or actuating nano-transducers.
The study has been published in Proceedings of the National Academy of Sciences. (ANI)


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Skip to comments.Zimbabwe in danger of reverting to medieval-style feudal state in 2003
Posted on 01/08/2003 4:35:59 AM PST by Clive
As Zimbabwe enters 2003, the entire formal business sector is being driven underground and the elite of Robert Mugabes Zanu PF party are acquiring revered names on the company register at fire-sale prices; several hundred, perhaps several thousand, evicted white farmers surreptitiously try to keep some production going, risking jail terms; independent journalists live in a nebulous state; and the only daily newspaper not controlled by the state is in trouble.
In short, Zimbabwe is in danger of returning in 2003 to some form of mediaeval feudal system in which is it impossible to work any piece of ground, operate any enterprise, or pursue any livelihood except with this implicit clause: "You will be faithful in thought, word and deed to the ruling party and their claim to hold on to power at any cost."
The dire plight of many urban businesses is due to orders by the state to sell products at fixed prices despite hyper-inflation above 175 percent. The maximum prices in many instances exceed cost of procurement, particularly where there is some imported content.
Some businesses, whether under the new or the old owners, survive by hastily re-packaging their product. Margarine, for example, is labelled "spread", as if it were beef or yeast extract, which is not yet embraced by controls. Other businesses trade out of the back door. Some managers who are caught simply carry on, adding the fines to their under-the- counter prices as an extra charge on the customer.
Among the commercial farmers whose land has been seized, several hundred are simply waiting, hoping they will, somehow or other, be able to return and revive production on properties from which they were forcibly evicted although they received no formal "Section 8" seizure orders under the Land Acquisition Act.
Some were thrown out at a few hours' or even a few minutes' notice by violent mobs or by prominent members of the political elite who simply announced "We're taking over. If you don't go right away we'll kill your family."
Many of these properties are now derelict, the homesteads looted and vandalised, machinery and irrigation equipment stolen along with harvested crops in the barns.
Some farmers who did receive Section 8 orders are secretly trying to keep at least a bit of production going -risking jail sentences of up to seven years.
In theory, their land now belongs to the state, although whether any fair-minded court of law would uphold this is open to question.
They have based themselves in nearby towns and cities or on their neighbours' properties. They sneak out to plant or tend crops, both for themselves and for groups of squatters with whom they have reached a modus vivendi, and to look after livestock and infrastructure.
They hope the political clouds will break, perhaps as a result of food shortages and the threat of famine hanging over 8 million Zimbabweans - 70 percent of the 11,6m population.
Newspapers and periodicals were in the last batch of products to have their prices frozen, a move that threatens to bankrupt all privately owned media. (The regime might subsidise the titles controlled by its Mass Media Trust.)
We, as Zimbabwean journalists, exist in an even more nebulous state, having applied two months ago for accreditation for 2003 in terms of the newly-passed Access to Information and Protection of Privacy Act. We have neither received accreditation nor been categorically refused. Anyone working without accreditation after December 31 may be sentenced to up to two years' imprisonment.
On December 31, the state-appointed Media and Information Commission said that some time during the week beginning January 6 it would start issuing certificates to journalists, publications and publishing houses stating they had permission to operate in the coming year. It did not say when, or how, those refused permission would be notified.
The Commission chairman Tafataona Mahoso is a Marxist ideologue who lectures on politics at Harare polytechnic.
The Supreme Court has yet to rule on a petition brought by journalists to have the act ruled unconstitutional as a violation of entrenched rights of free expression.
Mahoso said his Commission was still processing additional information it had sought from some applicants, and compiling a list of "delinquent companies" which had not applied for registration.
Sources at the Commission say the group of correspondents for foreign media to which I belong is being "confrontational" because we submitted our US $50 application fees in Zimbabwe dollars, converted at the official rate, instead of in US dollar bills.
In a letter to the commission, our lawyers pointed out that it is illegal for Zimbabwean citizens and permanent residents (which we all are) to pay a Zimbabwean entity, such as the Commission, in foreign exchange. At the official rate, US$50 is Z$2,750. On the streets, the only place where most Zimbabwe residents can buy foreign exchange, the 50 American notes would cost Z$85,000.
If accreditation is granted, correspondents for foreign media have to pay a further fee of US$1,000 - Z$55,000 at the official rate, a cool Z$1.7 million on the black market.
Mahoso responded mid-December demanding copies of our contracts with our foreign media clients. We presume the Commission wanted to calculate a rake-off on our earnings. We replied that most of us don't have contracts - foreign or features editors simply phone and request contributions. Then Mahoso demanded attested copies of professional qualifications certificates, or articles published under our by-lines.
Independent journalists join so many Zimbabweans whose practice of an honest livelihood is sinking into illegality, while those who have committed robbery and murder have been shielded by the state and allowed to continue with impunity.
Zimbabwes sole independent daily newspaper has been the most high-profile casualty so far. The Daily News, launched in 1999 under founder- editor Geoff Nyarota, survived the January 2001 bombing of its presses immediately after Moyo declared it to be "an enemy of the state" that would be silenced. It managed to sustain publication, using contract printers, then imported new presses enabling it to resume an aggressive sales drive.
Despite violent intimidation of vendors in many rural centres, where ruling party militants declared The Daily News "banned", the rival Herald's circulation has dropped from more than 130,000 to 70,000 a day as it lost credibility.
The week before Christmas - as the price controls on publications were gazetted - the Daily News failed to appear because of a strike by workers demanding 150 percent pay rises that approached the rate of inflation.
Nyarota has reportedly been at loggerheads with new executive chairman Sam Nkomo. Management accused Nyarota of fomenting industrial action by advancing the strikers their month-end salaries and on December 30 announced his dismissal. Nyarotas deputy, Davison Maruziva, resigned in sympathy.
If the Daily News is forced to change its stance it will be a major blow for civil society. But the threat, now, is to the entire formal sector economy.
Flag of Rhodesia
Of their own free will they chose Mugaby and communism. The last I checked they gleefully chose to kick out the farmers providing food for their country, for the simple reason they were white... aka "racism". They and their mad leader stole these lands for their own and now those farms lie fallow producing NOTHING all because of their greed.
By and large the press and nations around the world remained silent while all this has happened because:
1) Most of them support communism and socialism.
2) Most of them support racism against whites.
"God is not mocked, whatever a man sows, that shall he reap." We are now viewing the consequences/fruit of the actions these people have willingly taken.
Do not expect those of us opposed to communism and racism (black, white or yellow) to any longer "feel their pain" or run to the rescue with dollars to prop up this wicked system. No matter how many pictures of starving masses presented on the "national news" or CNN. This has come about as a direct result of their own on-going choices. We are "tapped out" of unthinking emotionalism and cash.
We are also no longer willing to prop up wicked men like Mugaby so he can sustain his communist "workers paradise" of hate, aka GULAG. Nor are we willing to endure using our military as a "meals on wheels" or another "Black Hawk Down".
If they genuinely want our help, if they want our food aid, if they want our money, let them FIRST shoot their mad dog leader, renounce communism and racism. Then and ONLY then will we consider the situation.
The people enduring this self-imposed holocaust have within themselves the choice and where-with-all to change this horrific situation. That choice lies with them.
This may seem cruel and heartless but the truth is, the vast majority of us are no longer willing to prop up systems and peoples who hate us, want to destroy us and who ONLY love us for our money.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


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"I'll take neurology for 500" (Proceedings)
Staphylococcus is a common cause of discospondylitis. Spinal epidural empyema (i.e. abcess) is most often associated with E. Coli, Bacteriodes spp and S. Intermedius.1 Thus, antibiotic choice should be targeted at these organisms when a bacterial infection is suspected. Cephalosporins and amoxicillin/clavulanic acid are both good choices. A fluoroquinolone may be used if a therapeutic response is not initially seen with the previous antibiotic choices. Fungal discospondylitis can be difficult to diagnosis, as a bacterial cause is typically suspected. Aspergillus tereus, Cladophialophora and Paecilomycosis may also cause discospondylitis. Coccidiomycosis can cause vertebral osteomyelitis. Fungal serology and often times biopsy and culture may be required to diagnose fungal infections of the spine. Itraconazole or voriconazole should be considered for fungal discospondylitis and osteomyelitis. While fluconazole is often used for CNS fungal infections because of its penetration in to CSF, it has little activity against Aspergillus.2
Thoracic limb lameness is often initially thought to be of orthopedic origin. Degenerative joint disease, tendon injury, neoplasia, trauma and less commonly osteomyelitis and joint infection encompass non neurological causes for lameness. Neurologic causes are commonly overlooked initially. Significant muscle atrophy, ataxia, horner's syndrome and CP deficits may suggest a neurologic cause for the lameness. Neoplasia (Peripheral nerve sheath tumor and lymphoma) not uncommonly affects the brachial plexus. Pain may or may not be present on palpation of the axilla. Lateralized disc herniations may cause thoracic limb lameness and are often painful. Radiographs of the affected limb and thorax can help identify neoplasia. Spinal MR imaging that includes the brachial plexus is helpful in differentiating disc disease from neoplasia. CSF analysis is important to evaluate for lymphoma and inflammatory CNS diseases. Amputation of the affected limb may be of benefit when peripheral nerve sheath tumors are present. However, good margins are often difficult to obtain in the brachial plexus. Thus, the high likelihood of recurrence makes amputation of questionable benefit when the tumor is quite proximal, at the level of the spinal canal. While radiation therapy is of benefit in peripheral nerve sheath tumors, anecdotally it is of limited benefit when the brachial plexus is involved. Loss of the ipsilateral cutaneous trunci reflex occurs with traumatic brachial plexus injuries, in which avulsion of the caudal brachial plexus occurs. The prognosis with brachial plexus injuries is poor. Traction injuries without avulsion may improve with time and rehabilitation therapy.
Horner's syndrome most commonly occurs with lesions of the middle ear or with a lesion from T1-T3. A partial horner's syndrome may be present with a lesion a T1. The occurrence of an acute C6-T2 myelopathy with concurrent horner's syndrome is commonly associated with fibrocartilaginous embolism and less commonly neoplasia.Idiopathic cerebellitis (i.e. White Shaker Dog syndrome) occurs in small breed dogs of any coat color. Dogs classically present with tremors that worsen with movement. Cranial MR imaging is typically normal or may have very subtle changes in the cerebellum. CSF analysis typically identifies a mild pleocytosis. GME typically has a greater pleocytosis compared to idiopathic cerebellitis. However, at times GME can have a mild pleocytosis making differentiation difficult. The prognosis with idiopathic cerebellitis is typically good with immunosuppressive prednisone therapy. Dogs can often be tapered off of prednisone after a few months of therapy. Relapse can occur with premature withdrawal of prednisone therapy.
Anticonvulsant therapy for cats is often frustrating if phenobarbital is not successful. The use of potassium bromide is no longer recommended in cats due to the potential for asthma secondary to bromide therapy. Signs may resolve once bromide therapy is discontinued. The longer half life of diazepam in cats makes it a possible candidate for long term anticonvulsant therapy. However, the use of oral diazepam is limited due to the potential risk of severe liver disease in cats. Extensive studies regarding safety and efficacy of newer anticonvulsants in cats are lacking. Gabapentin may be used, however it has not been highly efficacious for seizures in small animals. Newer anticonvulsants such as levetiracetam 20 mg/kg PO TID and zonisamide 5-10 mg/kg PO SID in cats appear promising. Due to the limited number of studies and anecdotal experience (lower incidence of seizures in cats compared to dogs) care should be used when using these medications. Starting at the lower end of the dose range may be of benefit. Serial monitoring of the CBC and serum chemistry is recommended.


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Hi Guys,
The Overriding of template Files seems to be not working for me.
On my Silverstripe Installation I created an own template and was trying to override it by more specific code in the mysite/templates directory.
The strange thing was, that Silverstripe started to use the Page.ss from mysite/templates only after I deleted the Page.ss in the themes/themename/templates directory. This should actually be the other way around, shouldn't it? (For your background information: I use SilverStripe 2.3.3 on KUbuntu 9.04). Is there a way to (at least) debug this?


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Dec. 4, 2010
OXFORD,Ohio -- Miami senior Jason Hass is the RedHawk's top seeded male swimmer going into the last session of this weekend's Miami Invitational, held tonight at 6 p.m. at the Corwin M. Nixon Aquatic Center. Hass is seeded 7th in the 100-yard butterfly and 12th in the 200-yard individual medley.
The RedHawks other "A" finals qualifier, junior Chris Gunnels, will compete this evening in the 200-yard backstroke seeded ninth. Four teammates will compete in the "B" final of the same event.
Junior Brendan Melling is the top seed in tonight's 200-yeard breaststroke "B" final, cruising in just 8 hundredths shy of qualifying for the "A" final. Melling will also be competing in the "B" final of the 200-yard individual medley and 500-yard freestyle.


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Hi All, I recreated my database this morning with a dump size of 3GB, which after database creation occupied 3.5GB on disk. And in less than 8 hours it has bloated to additional 3.7GB (the disk size now is 7.2GB). There are quite a few DML operations which are happening on my DB. SELECT relname, relpages FROM pg_class ORDER BY relpages DESC; relname | relpages -------------------------------------------------------------+---------- < table1 > | 180676 < table2 > | 22828 < table3 > | 13469 < table4 > | 9174 < table5 > | 7246 < table6 > | 3865 < table7 > | 2384 < table8 > | 2013 < table9 > | 1836 < table10 > | 1356 < table11 > | 1349 < table12 > | 1025 < table13 > | 910 < table14 > | 896 < table15 > | 797 < table16 > | 708 < table17 > | 665 < table18 > | 601 < table19 > | 407 < table20 > | 374 Regards, Devendra -----Original Message----- From: Praveen Kumar (TUV) [mailto:praveen(dot)k(at)renaissance-it(dot)com] Sent: Wednesday, 11 June 2008 4:15 PM To: Devendra Singh Rawat; pgsql-admin(at)postgresql(dot)org Subject: RE: [ADMIN] Disk Space issue Hi, I think you have a lot DML operation in your database and you are not vacuuming your database . So try to execute command vacuum analyze <<table name >>; in your schema where you are facing problem. -----Original Message----- From: pgsql-admin-owner(at)postgresql(dot)org [mailto:pgsql-admin-owner(at)postgresql(dot)org] On Behalf Of Devendra Singh Rawat Sent: Wednesday, June 11, 2008 5:07 AM To: pgsql-admin(at)postgresql(dot)org Subject: [ADMIN] Disk Space issue Hi, We are using PostgreSQL 7.4.5 and facing issues with increasing disk space. Here is some information about our configuration. The data dump size is around 3 GB. And it is occupying around 120GB on the disk. When we recreate the database from data dump it takes around 3.5GB of disk space. But the database size increases by 1 GB daily though actual data added maybe in KB. We are not able to decipher as to what is causing this increase. Suggestions on the likely problems will be appreciated. Regards, Devendra **************** CAUTION - Disclaimer ***************** This e-mail contains PRIVILEGED AND CONFIDENTIAL INFORMATION intended solely for the use of the addressee(s). If you are not the intended recipient, please notify the sender by e-mail and delete the original message. Further, you are not to copy, disclose, or distribute this e-mail or its contents to any other person and any such actions are unlawful. This e-mail may contain viruses. Infosys has taken every reasonable precaution to minimize this risk, but is not liable for any damage you may sustain as a result of any virus in this e-mail. You should carry out your own virus checks before opening the e-mail or attachment. Infosys reserves the right to monitor and review the content of all messages sent to or from this e-mail address. Messages sent to or from this e-mail address may be stored on the Infosys e-mail system. ***INFOSYS******** End of Disclaimer ********INFOSYS*** -- Sent via pgsql-admin mailing list (pgsql-admin(at)postgresql(dot)org) To make changes to your subscription: http://www.postgresql.org/mailpref/pgsql-admin
Next: From: Michael Monnerie Date: 2008-06-11 07:43:04 Subject: Re: Postgres security issue - protecting datafiles Previous: From: Richard Huxton Date: 2008-06-11 07:07:28 Subject: Re: what gives: SELECT INVALID SELECT STATEMENT TO FORCE ODBC DRIVER TO UNPREPARED STATE