text:
For links to helpful Bell's Palsy-related sites, check out my Bell's Palsy Information and Resources page.
Day 4, BPP-1 (Bell's Palsy Post 1): Bell's Palsy and Me
Last modified on 2011-02-27 15:20:57 GMT. 4 comments. Top.
Hi, I'm David. Galindo.me is my personal blog. I was diagnosed on Wednesday, April 9th, 2008 with Bell's Palsy, a paralysis of the facial nerve. The result is that it's pretty much impossible for me to control the muscles on the right side of my face. In the few days since this appeared, I've researched several different informational sites and read other's stories of their experiences with Bell's Palsy. Among the many tips, suggestions and advice was the recommendation to document my progress with pictures. I figure I can do that here on my blog. That way, I can hopefully measure my improvement and share my frustrations and achievements. Also, if someone else with this condition comes along and reads this, maybe it will provide them with some helpful information.
Here is a picture taken of me last Sunday, April 6th. I was hiking the Wind Cave trail at Usery Pass in Mesa, Arizona.
Here's a not-so-brief timeline of my past week:
Sunday, April 6th, 2008
I have a slight headache in the morning, but the weather is great and the hike at Usery Pass is a lot of fun. Other than the headache, I feel great. Later in the day, I begin to notice that when I eat, I am losing my sense of taste on the right side of my tongue. It also kind of feels like that feeling after you burn your tongue on hot food, sort of numb and tingly. It is about this time that my headache comes back and the area at the base of my skull, behind my right ear, starts aching and feeling sore.
It's springtime here in the desert, with everything blooming like crazy so I figure maybe it's allergies (which I don't normally have), dust or the dryness that is causing the headache. I take some ibuprofen, which seems to help, and go to bed.
Monday, April 7th, 2008
Back to work on Monday. I work in the training department for a large domain registrar and hosting company in Arizona. Pretty much a normal day. Busy, with lot's of projects going on. Again, I'm feel pretty good most of the day. Near the end of today, the headache and aching return and I'm feeling pretty worn out.
Tuesday, April 8th, 2008
Wrapping up the final touches on a pilot project at work. A lot of time working at the computer with earphones in, listening to Pandora and NPR. I've got plans to meet some friends for happy hour at B-Dub's (aka Buffalo Wild Wings) after work, between 5 and 5:30pm.
I show up at happy hour, eat a dozen wings and have two Blue Moons (it's a beer). The loss of taste and numbness in my tongue seem a little more pronounced. I stay for a couple of hours. Before I leave, I'm laughing at someone's joke and I notice the muscles on the right side of my face are kind of sluggish. I'm starting to think maybe I have a sinus infection or something. I go home, watch American Idol and go to bed.
Wednesday, April 9th, 2008 – Day 1
I wake up in the morning and my face doesn't feel right. My right eye is dry and kind of "goopy". I make some coffee and I find I'm not able to drink very well. While getting ready for work, I look in the mirror and noticed that my right eye and the right side of my mouth are drooping down. This is when I start to get a little scared. I've been seeing several commercials lately about recognizing the signs of a stroke and it's the first thing that comes to mind. I finish getting ready, and brush my teeth, with obvious difficulty spitting out the toothpaste. I decide to go Urgent Care before going to work.
I get to Urgent Care, explain what I've been experiencing and that I think I might have some kind of sinus infection or maybe pink eye. The doctor looks at me and says, "I'm almost 100% sure you've got Bell's Palsy". He does some other tests to eliminate a possible stroke or other condition.
"This usually clears up on its in 8 to 10 weeks." Eight to ten weeks. That's two to two and a half months. Not what I was expecting. They're not sure what causes Bell's Palsy, but it's probably due to some kind of trauma or infection to Cranial Nerve 7.
I go to work, and as you can probably guess, I'm pretty self-conscious about how I look. I'm trying to talk to people with the "good" side of my face, and I feel the obligation to explain what's been going on. Most people say they wouldn't have noticed if I hadn't pointed it out. More on the experience at work later.
I've been prescribed an anti-viral medication, five times a day for the next ten days. I also need to follow up with my regular doctor next week. Since my right eye doesn't close on its own, I have to use artificial tears to keep my eye moist – letting it dry out can damage the cornea. In addition to the artificial tears, I've purchased an eye patch to wear whenever the eye gets tired. Plus, it gives me the opportunity to let out my inner pirate. Arrrggghhh!!
My head and the area behind my ear are still aching on and off. With ibuprofen, eye drops and my eye patch, I'm off to bed.
Thursday, April 10th, 2008 – Day 2
I must have rolled over while I was sleeping during the night and slept on the eye patch. When I woke up, the area around my eye was a little swollen and there was this nice ring around my eye from the patch. I'll have to be more careful with that going forward.
Today at work, it seemed that the loss of muscular control became a little more pronounced while I've been speaking. B's and P's are the letters that seem to cause the most problem.
I had a couple of training sessions that I was scheduled to facilitate. All I could do was suck it up and work through it. The people I work with have been incredibly supportive. That's one thing that I think is most important. Having a few people to confide in when the confidence and optimism takes a dip. Considering everything, it was a really good day.
Friday, April 11th, 2008 – Day 3
About the same as yesterday. There are moments throughout the day when I seem to feel small improvements. My right eye is much more sensitive to light so I have a couple of the fluorescent bulbs removed from the overhead lighting to dim my office a bit. I've been wearing glasses while working at the computer and that seems to help as well. Still, I find myself getting fatigued quickly and I end up going home early today. I'm hoping with the weekend to rest and recuperate that I'll feel better by Monday.
Saturday, April 12th, 2008 – Day 4
Here I am this morning with my first pictures since this all started. My goal is to take the same series of pictures throughout the recovery process. Hopefully I can see some progress soon.
I'll ask my doctor when I see him what level of paralysis I'm experiencing.
I'm still deciding how often to post progress pictures but probably not daily. It's kind of like the saying about "a watched pot never boils". I don't want to be discouraged by not seeing improvements fast enough. I also think about those that are trying to lose weight. If you look at the scale too frequently it can be a de-motivator. So , with that, maybe once or twice a week.
Aside from that, I'll share more as often as I can. The appointment with regular doctor is Monday morning and we'll see what he recommends.
Day 5, BPP-2: Sunday Morning Flying
Last modified on 2011-02-28 03:13:44 GMT. 0 comments. Top.
For the last four or five days, I've been coping with my Bell's Palsy. This is Day 5 and my 2nd Bell's Palsy Post (BPP-2). The whole process up to this point has been exhausting and at times, frustrating. Still, I'm feeling optimistic and hopeful. I should probably be resting more and that's something I'm going to work on in the days and weeks ahead.
That being said, I still want to get out and do stuff. I was invited to breakfast this morning with friends at the Hanger Cafe. The restaurant is close to home and is at Chandler Municipal Airport. I had a good and easy-to-eat breakfast of scrambled eggs, potato cubes and bacon strips.
After a breakfast, I was able to take a short flight in the friend's plane. It was windy and a little bumpy but definitely a fun flight. Now, you may be thinking that this site's [former] name, Flyinggalindo.com, implies that I'm a pilot. I am not. The story behind that is a longer story than I intend to tell right now. However, I actually was a "Flying Galindo" today. AND… as seen in the following pictures, I was ACTUALLY FLYING THE PLANE!
OK, so it was me basically making small turns and keeping the nose of the plane level but I was FLYING!
So, here I am, 5 days into Bell's Palsy and still able to have a good time.
Day 6, BPP-3: Doctor's Visit and Working With An Eye Patch
Last modified on 2010-02-21 17:26:02 GMT. 3 comments. Top.
Doctor's Visit
Today is Monday and a visit to my primary care provider. Last Wednesday, when I woke up with this facial paralysis, I went to a local Urgent Care center for my initial Bell's Palsy diagnosis. I was pretty happy with the service and attention there, but I still felt I should make an appointment to see my regular doctor fairly soon. So this morning, before work, I went to my appointment.
My doctor is a pretty cool guy. He happens to be from Michigan and from my home town of Tecumseh. It was about ten years ago , after an unfortunate mountain biking incident (translation: crash and bruised ribs), that I was referred to his office. Anyway, he has a good way of telling me everything's gonna be cool while compare stories of our last visits to the mittened-state.
So today was no different. We went over what had been happening over the last week and he recommended a slightly different course of action to help my recovery go a little smoother. Still, it's a matter of time and patience. Because I've got complete paralysis on the right side I'm still looking at several weeks. The good news is: he told me not to worry; that I'm going to make a full recovery. Then I'll be able to do things like this again!:
Working With An Eye Patch
Oh, I took more progress pictures today. I think it's too soon to notice any difference so I'm not going to post those here now. However, check this one out:
Nice look, huh?
I bought the eye patch last week. It's been really helpful when I've needed to let my eye rest and to keep wind and dust out of my eye. I think I mentioned before about the drying of my eye due to it not blinking or closing fully. After putting some artificial tears in the eye, the patch (along with a small gauze square underneath) makes it a lot more comfortable.
So you think I'd be dying to wear this cool pirate-looking thing out in public, right? No, not really. I've been pretty self-conscious about it. Until today, I either wore my reading glasses or just held the eye shut to help with the discomfort. When I tried to use the mouse at my computer with my right hand AND hold my right eye shut… you get the picture. I was all twisted up. I finally broke down and started wearing the eye patch at work today at work. It was still a long day, but it was easier to bear.
More than ever, I'm learning humility and to be humble.
Day 7, BPP-4: Dry Eye and a Dry Day in the Arizona Desert
Last modified on 2010-02-21 17:31:01 GMT. 0 comments. Top.
Today was dry day here in Arizona. Here are the current readings here in Chandler:
See the time and temperature? 80 degrees at 7:25 in the evening. See the humidity? 9% That's dry.
Now, you may be thinking , "Yes that's dry, but you live in the desert. Why do you bring it up?"
Normally, it's fairly dry. But this is REALLY dry. Everybody's been complaining of dry eyes and dry sinuses. For me, I've been sneezing a lot and had to take extra special care of my eye today. In addition to that, it's really windy today which only aggravates the situation. My eye patch and the gel eye drops really helped today.
Aside from that, not much else to report today, but I'm doing ok. I'll write more tomorrow on where I'm at with my BP.
Well, I think I'm going to relax and finish watching American Idol. And Vote for Jason Castro -he's of Colombian descent, like me. Got to support the heritage right?
Day 8, BPP-5: Karaoke Commuting and a Progress Report
Last modified on 2010-04-18 17:29:36 GMT. 0 comments. Top.
Wednesday, April 16th, 2008
It's been a week since I woke up and found my face wasn't working quite right. In that week, I've learned a lot about this condition called Bell's Palsy and I continue to learn more. I've found there's this world-wide community of people suffering from it. Still, it's surprising that outside of that community, not many people are aware of Bell's palsy. Or if they are, there are a ton of misconceptions, both good and bad.
The most important things I've learned are that having a positive attitude, being patient and just giving things time to heal are really the best and only course of action. In some ways, that's contrary to the way that I normally function…I tend to try to find ways to fix or mend things. That alone is teaching me something greater than I probably could have learned otherwise.
Driving to Work
Today I drove to my company's Scottsdale office to facilitate some testing classes I've been coordinating. The commute is 35 to 50 minutes depending on traffic. I sometimes like these drives before getting in front of a group because I get to spend a little more time listening to music. Music has always been important to me and one of my favorite bands, Journey, was in the CD player this morning.
Now, those that know me, are aware of the fact that I occasionally like to do a little karaoke now and then. And those that know me REALLY well, know that one of my more important hobbies is writing, singing and recording my own songs in my spare-bedroom studio.
In the last week, with the way my mouth was, or rather, wasn't working, I haven't really felt like singing a note. This morning on my drive to work, with Journey's "Don't Stop Believin' " playing loud over the speakers, I sang for the first time in 8 days.[audio:http://galindo.me/wordpress/wp-content/uploads/2010/04/dontstopbelievin1.mp3|titles=Don't Stop Believin']
It felt a little odd at first, trying to form the words and the hearing in my right ear getting "boomy" at times, but it went ok. All in all, it was a good release.
Progress Pictures
Before leaving for work this morning, I took the following pictures. I added a couple of profile pictures to illustrate my smile on both sides. I think that I notice a difference in how people react depending on the side they see first. Others tell me that's not the case. To be honest, I'm really not sure.
When I look at these pictures and compare them with my earlier post, things look much the same as they did then. One small but optimistic sign is that it appears my right eye is closing a little more. That's a big deal when you understand how much time I've been spending making sure my cornea doesn't dry out or get damaged.
|Straight Face
|Eyes Closed
|Raised Eyebrows
|Smile – Left Side
|Smile – Right Side
Tomorrow, I'm going to share pictures of what I'm beginning to call my "Bell's Palsy Survival Kit". I love Ziploc bags. They rank up there with Velcro and Nougat!
Day 9, BPP-6: My BP Survival Kit
Last modified on 2010-02-24 05:30:34 GMT. 0 comments. Top.
David G's Bell's Palsy "Survival Kit"
My temporary facial paralysis brings on some additional issues. My right eye doesn't fully close on its own and stay moist. My sinus on the right side has the a similar drying problem. Same problem with my lips. Here are a "few" things that have become part of my daily maintenance kit and travel nicely in a quart-size Ziploc freezer bag:
Thera Tears Lubricant Eye Drops, Saline nasal spray, Burt's Bee's Beeswax Lip Balm, tissues, Eye patch, Gauze pad (for under the eye patch).
In addition to these, at night I use: Thera Tears Liquid Gel Eye Drops (longer lasting for overnight use), more gauze and medical tape to close the eye over night. I admit it becomes a chore at times but these are things that have helped me feel a little more comfortable
Lunches for An Uncooperative Mouth
I try to take my lunch to work a few days a week. It only takes a little planning and usually ends up being healthier, more cost-effective and satisfying anyway. Right now, the right side of my mouth doesn't open as wide or control food in the same way. Having smaller, bite size options seems to work best:
Having straws and a good napkin come in handy as well. I can't wait until I can eat a big messy slice of pizza again.
Day 11, BPP-7: Comparative Progress Pictures
Last modified on 2008-04-19 22:44:48 GMT. 0 comments. Top.
Side-by-Side Progress Pictures #1
Today is one week since my first set of pictures. I thought it might be interesting to compare where I'm at today side-by-side with those I took last Saturday morning.
I'm not going to analyze them too much. For me, I know that most of the improvement is with my right eye. It's closing just slightly better which really helps with keeping it from drying out.
The pictures in the right column were taken Saturday, April 12th, 2008, with the exception of the side profile smiling photos. I decided to start adding that perspective on Wednesday, April 16th, 2008.
The pictures in the right column were taken today, Saturday, April 19th, 2008.
What's the Weather Like Where You Are?
It's still really dry here in Arizona, but you can't beat the temperature:
If you're someplace where it's cold right now, don't be too jealous. We're just a few weeks away from daily triple-digits!!
Day 15, BPP-8: Two Weeks and Signs of Improvement
Last modified on 2008-04-24 03:40:48 GMT. 0 comments. Top.
A Gift on My Birthday
It's been three days since my last post and four since my last set of pictures. With the busy week I've been having, I took a couple days off working on my computer at home. The good news is: I'm starting to get some movement back. It started as a twitch around my right eye Monday morning.
I'm feeling the ability to show a little more expression. However, I realize at the end of each day how much energy my body is using to recover and regenerate this nerve that's been damaged. For anybody reading that has experienced this, you can probably relate. I've been pretty tired at the end of each day where I can't wait to get home and just close my eyes for awhile. Today was no exception, but I'll take being tired if it means I'm getting better.
Guess what Monday happened to be? My 39th birthday. The improvement may have been small, but for me, was quite an impressive gift.
Side-by-Side Progress Pictures #2
As before, the pictures in the left column were taken Saturday, April 12th, 2008 (except the side profile smiling photos).
The pictures in the right column were taken this evening, Wednesday, April 23rd, 2008.
|Straight Face
|Straight Face
04/23/08 (Today):
More pictures…
04/23/08 (Today):
|Eyes Closed
|Eyes Closed
04/23/08 (Today):
|Raised Eyebrows
|Raised Eyebrows
04/23/08 (Today):
|Smile – Left Side
|Smile – Left Side
04/23/08 (Today):
|Smile – Right Side
|Smile – Right Side
04/23/08 (Today):
Day 18, BPP-9: Good, but still a way to go.
Last modified on 2010-04-18 18:14:41 GMT. 0 comments. Top.
Getting Better
Today is two weeks since my first set of pictures tracking my recovery from Bell's Palsy. I'm really glad I decided to take the pictures, even though I admit it was really hard for me to look at them at first. At the most difficult moments during the last 18 days, I was able to compare and notice the slight changes in the pictures. This made it was easier for me to keep my spirits up.
The muscles around my right eye are starting to respond more now. The right side of my mouth is turning up just ever so slightly – which is helpful when you're trying to smile. I went to wedding last night and, though I felt fairly good, it still feels awkward when I know that emotions like laughter and happiness don't appear like they should. The sense of taste on the right side of my tongue is still subdued (best way I can describe it). I'm hoping that comes back soon because food in general has tasted bland since this all began. My speech is pretty close to normal. However, the last couple of hours in the evening I started feeling really fatigued trying to say certain words. It reminds me that I still have a way to go.
Side-by-Side Progress Pictures #3
Today's pictures were taken after spending quite a bit of time working on my blog and its template. I notice my right eye in the "eyes closed" shot is slightly open – I'm going to have to let it rest for awhile after I finish this post.
The following pictures in the left column were taken Saturday, April 12th, 2008 (except the side profile smiling photos).
The pictures in the right column were taken this afternoon, Saturday, April 26rd, 2008.
|Straight Face
|Straight Face
04/26/08 (Today):
More pictures…
04/26/08 (Today):
|Eyes Closed
|Eyes Closed
04/26/08 (Today):
|Raised Eyebrows
|Raised Eyebrows
04/26/08 (Today):
|Smile – Left Side
|Smile – Left Side
04/26/08 (Today):
|Smile – Right Side
|Smile – Right Side
04/26/08 (Today):
Day 22, BPP-10: "Your Face Is Back!"
Last modified on 2010-04-18 18:17:07 GMT. 0 comments. Top.
A Wrinkle At A Time
As I walked into my office yesterday afternoon, a co-worker, after not seeing me for a day, exclaimed "David! Your face is back!" Prior to having Bell's Palsy and the way we playfully joke with each other at work, a comment like that would probably have been followed by a witty punch line. This time however, it was sincere. And it was nice to hear too.
The word on the street is that my smile is returning to the right side of my face. All the things that make a smile possible – mouth turning up, squinting of the eye, raising the eyebrow – are returning to normal, a wrinkle at a time. Who would have thought wrinkles were a good thing? I do now.
Side-by-Side Progress Pictures #4
After three weeks, I think the following pictures are a significant milestone. I'm doing my best to take natural-looking photos. If it looks like I'm smirking – I apologize.
Pictures in the left column were taken Saturday, April 12th, 2008 (except where noted on the side profile smiling photos).
Pictures in the right column were taken this morning, Wednesday, April 30th, 2008.
|Straight Face
|Straight Face
04/30/08 (Today):
More Progress Pictures…
04/30/08 (Today):
|Eyes Closed
|Eyes Closed
04/30/08 (Today):
|Raised Eyebrows
|Raised Eyebrows
04/30/08 (Today):
|Smile – Left Side
|Smile – Left Side
04/30/08 (Today):
|Smile – Right Side
|Smile – Right Side
04/30/08 (Today):
Still Recovering
As far as what still needs recovery:
I'm still waiting to get the full sense of taste back on the right side of my tongue. My right eye doesn't seem to water or tear up like my left eye yet. My right sinus seems to get drier than the left. Loud noises or me speaking in a loud voice causes a "booming" sound in my right ear – this is pretty uncomfortable. Right eyebrow raises partially. The muscle in my right cheek doesn't contract like the muscle in my left cheek.
Check back for an update!
Day 25, BPP-11: Lessons Learned
Last modified on 2010-04-18 18:17:45 GMT. 0 comments. Top.
This was one of those weeks that had a lot going on. It was exhausting, messy, sloppy, busy, hectic, discouraging, productive, challenging, fun and inspiring all wrapped together.
Here are a couple of lessons I learned this week:
Lesson 1: Be Patient and Don't Rush Recovery
This was a week I realized that, as amazing as our bodies are at healing themselves, recovery still takes time.
Even though externally my Bell's Palsy isn't as noticeable to others, the nerve functions to the BP-affected right side of my face and eyelid still have a lot of healing to do. Because of my recent improvement, I started to return to my normal work habits this week. I was running around, talking a lot and not taking the necessary time to rest.
The problem is, my right eye still doesn't fully blink or create tears like it should. In the last couple of days, I wasn't using the artificial tear drops as often or closing my eyes to let them rest as much. At the end of those days, I felt drained again, my right eye dry and aching, having to put my eye patch on just to let it rest.
As far as my speech goes, I thought it was completely back to normal. On Wednesday afternoon, I was conducting a brief, ten-minute training session in front of 40 or 50 people. As I was trying to project my voice, I still had those occasional "blow-out's" with words that have hard consonants that require you to purse your lips.
I'm going to try to remind myself to take it easy. The world won't fall apart if I stop to rest every once in awhile.
Lesson 2: Even the Small Things We Do Can Make a Difference
This week I received number of emails and comments on my blog. It's amazing the number of people around the country and world who have recently been diagnosed with Bell's Palsy. In many cases, they are unsure of what to expect and scared, the same as I was a few weeks ago. Often, they get little to no information, let alone reassurance, from their doctor. And I'm not blaming the doctors either. Bell's Palsy is pretty rare, and most doctors don't know what to do with it. Aside from prescribing medication to prevent further damage to the affected nerves, there really isn't much they can do.
In the emails and comments I've received, several people have told me, that by sharing my experience, I was helping them overcome some of their fear and giving them hope for recovery. I was really touched by this.
To those of you I have never met but wished me a speedy recovery, thank you. You made a difference too.
Side-by-Side Progress Pictures #5
Pictures in the left column were taken Saturday, April 12th, 2008 (except where noted on the side profile smiling photos).
Pictures in the right column were taken this morning, Saturday, May 3rd, 2008.
|Straight Face
|Straight Face
05/03/08 (Today):
More Pictures…
05/03/08 (Today):
|Eyes Closed
|Eyes Closed
05/03/08 (Today):
|Raised Eyebrows
|Raised Eyebrows
05/03/08 (Today):
|Smile – Left Side
|Smile – Left Side
05/03/08 (Today):
|Smile – Right Side
|Smile – Right Side
05/03/08 (Today):
Sort of an "easter egg"
This image didn't quite fit into the flow of my progress pictures above. So, here's a link to my "extreme smile photo". Just to give you an idea why I try to smile subtly these days.
Day 33, BPP-12: One Month Progress Report
Last modified on 2010-04-18 18:18:10 GMT. 0 comments. Top.
The effects of stress and fatigue.
It's been about 8 days since my last progress report. Originally, I was going to post on May 9th, a month to the day I was diagnosed with Bell's Palsy. With the busy and eventful week I've had, it had to wait until today.
I wasn't sleeping well this past week. I took pictures yesterday, with the intention of using those for an update, but I felt exhausted and had a headache. Instead, I decided to close my eyes, lie on the couch, and take a well needed nap. I really needed that.
I took pictures again today, after sleeping better last night. I decided to add another column below. Comparing the April 12th, May 10th and today's pictures, there is definitely marked improvement. However, I think the effects of fatigue and stress from this past week are visible in the pictures taken yesterday, May 10th.
So what was all the stress and stuff going on that was causing me not to sleep well? It doesn't really matter. What is important to recognize is how stress and not getting enough sleep make it more difficult for our bodies to take care of themselves.
I'll try to be more aware of that now.
Progress Pictures:
|Straight Face
|Straight Face
|Straight Face
05/11/08 (today):
More Pictures…
Day 50, BPP-13: My Bell's Palsy at 50 Days
Last modified on 2010-04-18 18:18:38 GMT. 4 comments. Top.
Since My Last Post
I don't know about everyone else, but for me, May has been an extremely busy month. I had been hoping to post more frequent updates on my recovery. Today is a big milestone though. It is 50 days since I was first diagnosed with Bell's Palsy. I'm going to try to quickly bring everything up to date here. Here's what's been going on since my last update on May 11th:
First, the right side of my mouth is beginning to turn upward again. I didn't notice it until I compared my recent pictures with the last set. Next, when I smile big, the sensation of tightness or laziness is going away. Plus, my right cheek is pulling back more naturally. Finally, when I raise my right eye, the creases and wrinkles have mostly returned to normal. I never thought I'd say this, but those wrinkles are a welcome sight!
If I had to put a percentage on my recovery, I'd say I feel like I'm somewhere around 85% recovered!
My Recent Doctor's Visit
I visited my doctor a little over a week ago for a follow-up appointment. He assured me that my progress was really good and that I look much better than my previous visit. I mentioned a few things I was still experiencing: my sense of taste not quite right (things on my right side tasted metallic), periodic pain in my neck and ear, occasional headaches. He's been good about covering the bases with each visit and not making assumptions. Although everything is returning to normal, he wants me to come back in mid-June to make sure the recovery continues before he releases me from care.
Progress Pictures
My most recent pictures were taken a few days ago. Comparing my smile between 5/11 and 5/25, it seems to look more natural now. And what about my "Smile – Right Side" photo near the bottom?
It seems the Bell's Palsy "snarl" that was my right profile has now mostly disappeared! I'm going to continue to take pictures even though the degree of change is not as noticeable.
I'll be watching for improvement in my smile and in my right eye not looking so "tired". All in all, I'm pretty pleased with where I'm at.
|Straight Face 04/12/08:
|Straight Face 05/11/08:
|Straight Face 05/25/08:
More Pictures…
Day 71, BPP-14: 10 Weeks and Counting
Last modified on 2008-06-19 04:40:48 GMT. 1 comment. Top.
As I sat down to post this update, I started doing the math on how long it's been since I was first diagnosed with Bell's Palsy. Wednesday, April 9th was when it all began and today is Wednesday June 18th. It's hard to believe it has only been ten weeks. Somehow it seems like much more time has passed.
Yesterday, I went to see my doctor for a follow-up appointment. On the surface, I look like I'm pretty much back to normal. He noticed that my eyebrows and smile aren't as symmetrical as they normally are – something I'm aware of as well. Still, most people can't see anything now. I mentioned to him that I still feeling some aching in the muscles where my chin meets my neck and a few other small areas around my face. He said that, although I'm taking a little longer than most to fully recover, I'm pretty close and that it should probably take care of itself. At this point I don't have any appointments scheduled to go back for a follow-up on this unless something changes and needs attention.
I've heard others say after recovering from Bell's Palsy that any pain or strange feeling around their face makes them wonder if it's returning. I have had that same experience recently. It may come back to stress. I get these aches and pains when I don't get enough rest or let the little things get to me. I'm going to try to be conscious about getting a little more exercise, eat well, and get enough sleep.
I've been pretty busy with some other projects lately. Because of that, I'm going to get back to writing some "normal" non-Bell's Palsy related posts. But don't worry – I'll update periodically on my progress.
Below: Progress pictures – taken Sunday, June 15th, 2008:
BPP-15: Bell's Palsy and Me – Three Years Later
Last modified on 2013-08-08 19:20:31 GMT. 7 comments. Top.
A quick summary.
It's been quite some time since my last post and update about my experiences with and recovery from Bell's Palsy. I was diagnosed on Wednesday, April 9th, 2008 with Bell's Palsy. During my own search for information on the internet I discovered good information was difficult to find. Bell's Palsy is not a condition most people are familiar with and
the word "palsy" in the name incorrectly makes some think of cerebral palsy, a much different disorder. Eventually I did find some great resources of information and support and after reading the experiences of others with Bell's Palsy, I felt I might be able to make my recovery easier to tolerate by sharing it with others. Shortly after my diagnosis, I begin writing about my experiences here on Galindo.me (formerly flyinggalindo.com). In addition to writing about my experiences, I began taking a series of photographs of my face to track my recovery over time. I'm really glad I did. The photographs showed me the small progress I was making that otherwise was hard to see as well as gave me hope in those tough, early days.
The response.
Since that time I have been amazed and humbled by the number of people from around the world who have visited my site and were either suffering from Bell's Palsy themselves or knew someone who was suffering from the condition. I received countless supportive comments and emails thanking me for sharing my experiences. These people were looking for information, advice and, mostly, just reassurance they would be OK and would get better. This response had a profound impact on me. (Thank you and my best wishes to each of you – DG)
What took so long?
I had intended to write an update several times in the last few years and have several batches of updated photographs showing my progress that have never seen the light of day. Rather than make excuses or go through all the reasons "why" it took me so long to post an update, let me just say it's "better late than never".
The remains of my Bell's Palsy.
Three years later, most external signs of me having Bell's Palsy are gone. In fact by September 2008, six months after the first onset, I got to the point where I am today. I say most external signs are gone but there are a few lingering after effects. Externally, my right eye still gets a little lazy at times. I sometimes feel a twitching in my right eyelid, primarily after stressful days or when I'm lacking sleep. When I smile big (and I'll admit I'm a big smiler – is "smiler" a word?) the right side of my mouth doesn't curve up as much as the left. You can see these things in my latest photos below but I think I may be the only one that notices them.
One strange side-effect of the healing and re-wiring of the facial nerve is how my tear ducts in my right eye and right side of my nose react when I eat. Because these nerves are so close the ones that control the salivary glands, it appears they now react by watering and running when I eat. It's now easy for people to see when I think food is good because it looks like my right eye is tearing up and I have to blow my nose! I admit, it's kind of strange, but it really isn't a big deal, and a small inconvenience considering where I was.
Updated photographs.
Aside from being three years older and having more gray hair, my face has returned mostly to normal, whatever that means. 😉 The left column in the following series of photographs are from April 19th, 2008. The pictures in the right column were taken April 12th, 2011.
April 19, 2008
April 12, 2011
I'd love to hear more comments or questions from anyone interested in my experience with Bell's Palsy. Thanks for following my progress!
|April, 2008
|April, 2011
|Straight face
Straight face
Eyes closed
Eyes closed
Raised eyebrows
Raised eyebrows
Smile – left profile
Smile – left profile
Smile – right profile
Smile – right profile


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MUMBAI, India - India's stubbornly high inflation eased to a three-year low of 6.6 per cent in January, a glimmer of good economic news that adds to expectations the central bank will further reduce interest rates to boost slowing growth.
The wholesale price inflation figure released Thursday was down from 7.2 per cent in December, according to the Ministry of Commerce and Industry. January was the fourth month in a row that inflation has receded.
The improved inflation picture gives the Reserve Bank of India more room to spur investment and spending, said Vidya Mahambare, an economist with the Indian rating agency Crisil. He said a fall in core inflation, which excludes volatile fuel and food prices, to 4.1 per cent is also reassuring for the central bank.
Worrisomely high inflation has been the main reason that the central bank has hesitated to cut interest rates to help revive Asia's third-largest economy.
India's economy is expanding at its slowest pace in a decade, with gross domestic product predicted to grow as little 5 per cent in the fiscal year ending in March. That's down from 9 per cent in early 2011, and it's paired with rising budget and current account deficits.
Many analysts say any interest rate cuts won't be large as inflation is still higher than the RBI would like. The bank has pledged to bring wholesale inflation down to below 4.5 per cent.
Manufactured goods led the drop in overall inflation, with price rises slowing to 4.8 per cent in January over a year earlier. Fuel and power costs were up by 7.1 per cent, but that was down from 9.4 per cent in December.
However, there were sharp increases in food costs. Overall food prices rose 11.8 per cent in January, the highest increase in six months. Pulses were up 16.9 per cent and potatoes surged 79.1 per cent.
"Food inflation remains high, which is not good news for the majority of Indians for whom expenditure on food is a major part of their budget," said Mahambare,
About 69 per cent of India's 1.2 billion people live on $2 or less a day, the World Bank estimates. Lifting its population out of poverty is one of the main reasons India needs faster economic growth.

subset: commoncrawl


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Breezers27 necesitaba un nuevo diseño de fondo de Twitter y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 24 diseños de 8 diseñadores freelance.
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You are on the old site. New site is here:
The site has been updated on the 24th December 2011. Please go there when you are finished with the archives.
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This tag "society" was created by VivoDePyre and has posts tagged with it.


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The Pentagon has just given the U.S. Office of Naval Research $36 million for what it calls a "futuristic" experiment in training soldiers to deal with terrorists by using immersive virtual reality scenarios.
The experiment, dubbed the Future Immersive Training Environment (FITE) Joint Capability Technology Demonstration (JCTD), will be, according to the ONR:
A critical, one-of-a-kind futuristic training program in which warfighters would train here at home in preparation for the types of small, urban and borderless conflicts that have spread throughout the middle east and other regions of the world . . . [it will be] a realistic, live-action virtual environment, that provides warfighter trainees feedback that allows for combined arms integration.
Apparently it will emphasize the "human" side of warfare, which is an odd assertion to make about a computer simulation.
Navy researcher George Solhan said the goal is to create "physically and mentally adaptable joint warriors winning and surviving in all phases of warfare." It's fascinating that as warfare becomes more virtual, via robots and UAVs, training also becomes more virtual. I'm curious about how Solhan believes a videogame-style simulation will create "physically adaptable" warriors - is this game sort of Guitar Hero-ish, or Dance Dance Revolutiony with a foot pad?
If $36 million sounds like a huge budget to you, consider that Grand Theft Auto IV cost $100 million. Final Fantasy XII cost $35 million.
SOURCE: Office of Naval Research
Image via US Dept of Defense
UPDATE: What might this virtual reality system look like? It may be similar to an immersive training program that the Navy created last year. Here's a description of that one:
Trainees use their regular tactical equipment, but weapons are modified to shoot special effects small arms marking system (SESAMS) rounds, which are similar in concept to paintball rounds. Trainees and role players use paintball masks for added protection. As the trainees move from room to room, they may encounter live role players or virtual characters. Occasionally, pyrotechnics are used to increase realism.
Read more about that via the US Navy. (Thanks to commenter Ghost in the Machine.)


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Quote: Do you think it is possible to believe something is morally wrong yet recognize that criminalizing it is bad public policy? That is what we are really talking about here: criminalization. The "pro-life" movement is really a pro-criminalization movement.
Quote: Making abortion illegal will not stop people from having them. People in the US had abortions before it became letgal; all over the world, wherever abortion is illegal, people still have abortions.
Quote: I alwasy want to ask: how much prison time would you have a women aerve because she got an abortion?
Quote:Making ANYTHING illegal never stops it from happening.
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Quote:As i said before i am all for people being licensed to carry. All i want is strict laws on issue and training.
Quote:In Israel are regular citizens (not soldiers or police) allowed to carry weapons? I've heard both yes and no.
Quote: That's a good question and in hindsight seems like a reasonable solution. But there is something wrong with the thought process, you double smash the innocent citizen.
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Morning Five: 05.22.13 EditionPosted by rtmsf on May 22nd, 2013
- Perhaps feeling green with envy that Louisville's Rick Pitino (championship, tattoo, Derby) and Kentucky's John Calipari (recruiting, NCAA) were receiving all the offseason college basketball attention, Duke's Mike Krzyzewski got himself back into the conversation this week with his comment to SI.com's Pete Thamel that he is considering a return to coach USA Basketball's men's national team again in 2014 (Worlds) and 2016 (Olympics). We're kidding about the jealousy bit — sorta — but coaches gotta coach, and everyone has trouble stepping away from doing the thing they love most. Mike DeCourcy writes that the numerous Duke haters who simply cannot endure anything associated with the four-time national championship head coach miss the point — Coach K (and certainly Jerry Colangelo) made the concept of preparing and competing for Team USA cool again. Prior to their involvement, players showed up and expected to win simply because, well, because they thought they could. Miserable performances in the 2002 Worlds (sixth) and 2004 Olympics (third) led to the system we now have in place, and for that Krzyzewski should absolutely be lauded and celebrated by every American who cares about USA basketball.
- It certainly doesn't have the ring or cachet of its predecessor at the Garden, but the inaugural AAC Tournament is beginning to look a lot like the old Conference USA Tournament (and the old Great Midwest Tournament; and the old Metro Tournament) in that it may be headed to Memphis. Don't get us wrong, the city of Memphis has a tremendous local fan base that loves college basketball and will fill the FedEx Forum with their beloved Tigers now in the new league. But can we liven this thing up a little bit in its first go-round — how about slotting in the top four seeds into the conference semifinals and leaving it at that? A semifinal round of Louisville, Cincinnati, Memphis and Connecticut next March wouldn't be awful, and we'll even allow you to throw in Temple in place of Cincy if the Bearcats falter. Deal?
- We're a big believer in second chances, especially when someone who has done wrong can show that they've learned from their previous mistakes. Still, we believe there should be limitations to those reprisals, and we're having a little trouble swallowing the Zay Jackson story at Murray State. You remember Jackson — he was the Racer guard who rather infamously ran over a man with his car in a Walmart parking lot last September — according to Andy Katz's report earlier this week, after serving 49 days in jail for hit-and-run, MSU's athletic department has decided to allow him back on the team. The school apparently (?) did not have a protocol to deal with situations like these, but how about a protocol of redemption and common sense? Again, we support the concept of a second chance. The young man served his time and by all indications hasn't caused any problems since his release. But wouldn't this be a situation where both parties would be better served by shaking hands with each other and walking away? Wouldn't Jackson want to have a fresh start at another school? Does Steve Prohm really want to endure the endless mocking and jeering his team will suffer as a result of this decision? At a minimum, how about ensuring that Jackson can keep his nose clean for an entire year (just school and practice) before allowing him the privilege of playing college basketball again? Poor form here, we're afraid.
- Depending on whom you ask, the voluminous and growing number of transfers is destroying the integrity of the collegiate game or finally shifting the balance of power back to the producers of all that money flowing to the schools — the players. But the coaches still have several dirty tricks up their sleeve when needed, and the power to "block" transfers from alighting to certain schools is one of the more nefarious ones. Sometimes the notion derives from a misguided but legitimate attempt to protect "trade secrets," but more often it just seems that the coaches are vindictively limiting the players simply because they can. Vanderbilt head coach Kevin Stallings' blockage of freshman Sheldon Jeter from transferring closer to his hometown school of Pittsburgh has the look and feel of exactly that. Pitt and Vandy are not in the same league, nor are they scheduled to play next season; in fact, they haven't played in over two decades. So what's the deal here? Why on earth would Vanderbilt care if a mediocre freshman wanted to play closer to home for the rest of his career — what possible reason could Stallings have other than "because he can." Remember, college athletics is about the student-athletes.
- Remember the San Diego/Brandon Johnson bribery incident a couple of years ago? That's OK, nobody else does either. For something that supposedly destroys the very integrity of a sport by its very existence, it sure seems as if incidents like these are quickly reported and summarily swept right on under the rug so as to not get in the way of moving right along. As this FBI narrative reports, Johnson was convicted of point shaving during four games in the 2009-10 season, and he was ultimately outed when the criminal enterprise that had recruited him was investigated for drug trafficking. The FBI report states that "tampering with sports events strikes at the integrity of the games; this kind of betrayal is not merely disappointing—it is criminal and worthy of prosecution," but the greater public has largely not seemed to care all that much. They still attend and watch games, fill out brackets, and enjoy all the other accessories of being a college sports fan. Maybe we're all so ambivalent to scandal that we've become accustomed to it — as a sort of new normalcy. Oh hey, IRS. How's it going?


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Huge rains in Bay area
Huge rains in Bay area
Brian - remember you can edit you own thread. The 'edit' link is hidden in the Tesla logo.
yes, slow down in the rain, be nice, we're just trying to get to work/home.
Speaking of this...how would a Tesla fair through a very deep puddle?
I assume the electric motor, battery, etc are waterproof?
What if you submerged a Tesla? I have heard that lithium and water can be a dangerous mix. I am sure Tesla engineered a lot of safety here but does anyone have any more info?
Batteries themselves have to be waterproof, otherwise they would die really fast. I think the major problem are connectors that are not waterproof. Car probably kills the connection between battery and rest of the car in case when it detect water in places where there should be none.
I'm not concerned about driving thru deep puddle. I'm more concerned about parking a car while shopping, getting a thunderstorm and noticing that that previously dry parking space is now a foot deep puddle of water, just deep enough that entire battery pack is now underwater. It's rare, but it happens often enough to be real concern.
Actually this a very good thread, resistance to flooding, sea-breeze (salty winds or spray) and hurricanes is very important to a large higher income population here in Florida and other similar coastal areas, remember that there is a huge pool of potential Tesla customers outside of arid California!!! A Tesla engineer should study these issues with the model S and keep them in mind for the design and refinement of all future models, an analysis would include testing and comparison to competitive products both traditional and hybrid (large high end sedan - read as model S - buyers also look at Jaguars, Mercedes-Benz, BMW, Saab, Lexus, Infiniti and Cadillacs in the traditional gas power category; Fisker and Porsche Hybrid Panamera in the hybrid category. Some well qualified buyers may very serious concerns about electric vehicles in regards to water hazards here (just like in the cold northern areas concerns about low temperatures impact on battery life and performance), adequate testing and consideration of these operational challenges leads hard data about model S (my guess is that it will compare favourably) and to better than all others performance in future models. This is not just useful for design engineers but also a great sales tool, your average model S buyer will love the great styling and performance, but needs to know that what they are buying can stand as well or better to the elements, not just in California but in the cold and the wet too.
Why do you assume that Tesla engineers have not already studied environmental issues and mitigated appropriately?
Question is the method of mitigation. I would like to know if I can drive my car off that parking lot after it has been soaking in the foot deep pool of water for some time. Or better drive it immediately (if I can open the doors without flooding the interior).
It's not a joke. It happens often enough to be concern, almost every year somewhere in Finland to someone (and we don't have really heavy rains here), and thinking worldwide that must be thousands of cars every year.
The battery is a sealed unit. The only part I'd worry about is the motor, and even that doesn't concern me much from the factory video.
I can not assume that the engineers did not run tests, but when I asked the Tesla employ the Hollywood service centre, he did not have any hard data other than what was said here (batteries are sealed). My Delorean did not handle a 'puddle' on US1 that did not look like anything but wet pavement that night (no hurricane, just heavy rains) but turned out to be 8 inches deep and hundred yards across and had to get towed out, was not a fun experience at all... Yes it is a real issue and they need to share the data (or at least the results) with the sales force.
Others will be asking.
That the impression I got from the blurred images from the Factory tour.
Our Finnish friend will likely be interested in some solid performance data in the cold too... Finland is by the Arctic Circle.
I can not stand snow and ice and generally stay away when the temperature goes below 65, but if I have to visit NY in the colder months to see relatives or deal with business I would like to know if the vehicle will maintain range and performance when it goes down to 40, 20, 0, -20 degrees. If Tesla tells me that performance and range drops by x amount at y temperture than it will not discourage me from buying the car, but I might not drive it up there in winter with it. I just want to know so I do not get stuck up in the frozen wastelands... hehe
But seriously these are valid questions... especially the flooding question, even some inland areas have flooding problems.
Remember that the Model S battery is liquid cooled/warmed, so it has to be sealed.
After reading up on older threads my temperature concerns are largely settled, Tesla learned a lot from the roadster and operating between -20F and 140F will be the same or better that ICE cars. Not sure I would want to drive across the Sahara with a Tesla but anywhere in North America, Asia and Europe I would want to go would not be a problem.
Salt would not be more of a problem than with ICE cars too, likely Model S will be a bit better even...
Still did not see info on flooding... So that is still a valid question.
More info will likely come as more S drivers report back into 2013. Personally I will probably be ready to buy when my heavy duty driver, Mercedes with 250K miles, becomes unreliable, I put on 35K miles on it last year, I drive about 50K miles a year.


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oliver1 necesitaba un nuevo diseño de logotipo y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 115 diseños de 36 diseñadores freelance.
The Future's Light
The Future's Light is a positive new info and advice magazine site and blog for dieters. The site contains profiles of all the major diets, from Weight Watchers to Atkins, South Beach to The Zone.
It also features articles on the psychology of dieting and how fitness plays its part in helping people tackle obesity and get into great shape.
Anyone who wishes to lose excess weight and get themselves looking and feeling great.
The logo should complement the existing colour scheme which is visible at http://www.thefutureslight.com
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I am interested in seeing designs that both spell out the name: The Future's Light and designs that use the domain name form; TheFuturesLight.com
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Scooped: Clementine Sorbet
I scream, you scream, we all scream for...
Get the Recipe
The cute size. The easy-peel rind. The discrete segments. All that and the delicately sweet flavor make clementines some of my favorite fruit. Sure, they're not the most exciting citrus, but you can eat them like popcorn and plow through a case without thinking about it. Which I do about once a week.
But even the most die hard winter clementine fans can get a little bored with eating the fruit straight, which is where this sorbet comes in. Unlike some other citrus sorbets, clementine juice churns up plenty creamy with minimal adulterations and not too much extra sugar. And when I say creamy, I mean sherbet creamy, as in, you're sure there's no dairy in this?
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In civil lawsuits, people frequently have their depositions taken. A deposition is a question and answer session under oath between a witness and at least one attorney. When the witness is testifying on behalf of one party, either the plaintiff or the defendant, Civil Attorney Near Me in Johannesburg the opposing party's attorney will do most of the questioning. Usually, the lawyers for all parties are in the room, although not all of the attorneys present choose to ask questions. There is usually a court reporter present taking down what everyone says on a stenotype machine. There are many reasons for lawyers to take legal depositions.
Here are just a few. Rules The most prominent reason someone has to give a deposition is because a lawyer is not allowed to simply call up a witness for the other side and start asking questions. In fact, Top Lawyers Near Me they are not allowed to speak to them about the case when that person has been designated as a witness for another party. Instead, it must be done in a formal setting. The witness is usually subpoenaed and the lawyer that has designated that person as a witness will usually be present.Information When an attorney believes someone has information that will lead to discoverable evidence in a civil case, they are allowed to take their deposition.
The witness is required by law to cooperate and answer fully and honestly any of the proper questions asked by the lawyers. Oftentimes, the lawyer may not know all of the important facts of the case. There may be people, objective third parties, who witnessed a car accident or that have factual information that is crucial to the case. Learning what they know about it may shed light on the case before it goes to court. This prevents one side from springing surprises on the other during trial.Intimidation On rare occasions, an attorney will take the deposition of a witness for the other side to intimidate or make the person nervous.
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This is more common in domestic dispute matters, such as child custody or divorce cases. It also happens more often to the plaintiff, Law Firm Jobs Near Me the party bringing the lawsuit. This is sometimes done to make sure the witness knows the lawyer means business. Playing hardball in a deposition is what happens when the attorney is purposefully trying to make the witness uncomfortable. This may be done to make sure they tell the truth and to find out if the person will drop the case, rather than have to go through similar questioning in court, as well if the case goes to trial.
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Advice from business attorneys in MichiganThe relationship between an attorney and a client is a unique one based on facts and information a client may not let many other people be privy to in normal circumstances. A client has a privileged relationship with his or her lawyer, meaning the information shared between them remains confidential and that both parties can choose which elements of the information shall be kept private and which may be disclosed in public.While attorney-client privilege is universally understood, certain types of lawyers are imposed with exceptions to this privilege based on their practice focus within the law. Transactional attorneys have a different type of attorney-client privilege than most lawyers and the extent of the confidentiality privilege to which they are entitled depends upon the nature of the services they provide to a business and the primary purpose of their services. What affects the confidentiality privilege of transactional attorneys?The type of services provided by a transactional lawyer to a company ranges depending on the company's needs. Services may range from being advisory and consultatory in nature, as in business planning and analyzing, to strict legal representation, as in business dispute litigation.If a business attorney is analyzing or advising on business strategy, managing transactions, or providing business consultations on maximizing assets without providing legal representation for a business, he or she is not entitled to attorney-client privilege. As such, he or she is not required to keep information shared by the client confidential.If a transactional attorney is managing or negotiating a business transaction in which legal issues are involved, he or she is serving as a legal representative for the company. He or she is consequently permitted to employ the confidentiality privilege.Why attorney-client privilege mattersThe confidentiality privilege between a lawyer and their client may not seem significant when your company hires a business law attorney to aid in business transactions, help close deals, and learn options for maximizing company assets. However, if a business dispute should happen to arise during or after a business transaction in which your lawyer was involved and he or she did not provide legal representation in his or her services, the information previously shared with the lawyer is not protected by this privilege and can be shared with the other entity involved in the business dispute. If the other side in the dispute attempts to learn the strategies and interactions of your company through an attorney who is not entitled to attorney-client privilege, this lack of confidentiality can serve as a threat to your business. Under business law, certain aspects of your case are not protected by attorney-client privilege.
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Litigation means a trial, right? So what does it matter if you hire a litigation attorney or a trial attorney? Can't they both perform the same functions? Not necessarily, which is why it's important to do your research before you hire an attorney to help you with a litigation lawsuit.Litigation AttorneysFirst of all, litigation does not automatically mean a trial is going to happen. The vast majority of the time, lawsuits are settled out of court without ever going to a jury. This is due to the work of the litigation attorney or litigator.Litigation attorneys handle all of the work that happens outside a courtroom. They file lawsuits, gather evidence, conduct legal research, meet with the client, file and argue motions and defend their clients. This is all done long before a lawsuit even gets close to going to a judge and jury. Litigators may even attempt mediation to achieve an out of court settlement but if a case looks like it is going to go to court, these lawyers can take depositions and prepare clients and their witnesses.Although there are differences between the two attorneys, those differences don't make one better than the other. They each serve different functions and perform different roles. Working with both types will give you the best of both worlds: an expert lawyer familiar with the ins and outs of your case and an expert presenter who can best argue your position in court if it gets that far. Many law firms have both litigators and lawyers on staff, giving you access to both types of specialists under one roof.If you prefer to have a single lawyer represent you through the entire process, be sure to ask about his or her experience in court and specifically if it has included cases covering the same legal subjects as yours. Then you'll need to decide if the attorney has the experience you need to carry your case through to the end or if you're better off starting out with a litigator and hiring a trial lawyer if and when your case gets to the courtroom.


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Interpreting Two-Level EFA Model Test...
Mplus Discussion
Exploratory Factor Analysis
Stacey Farber
posted on Tuesday, April 20, 2010 - 7:28 pm
I ran a two-level, EFA with categorical data. School id is used as the cluster variable.
The unrestricted within, 1 factor between has nice fit (CFI=.96, RMSEA=.04). The 4 factor within, unrestricted between has nice fit (CFI=.96,RMSEA=.05), and the four-factor solution seems to be most sensible with respect to interpretability and parsimony.
If I look at fit indices for a 4,1 model, however, results seem somewhat less certain (CFI=.92, RMSEA=.04).
Am I going about this in the correct manner? Also, can you recommend articles / manuscripts that might help me understand multilevel EFA?
Thank you in advance.
Linda K. Muthen
posted on Wednesday, April 21, 2010 - 9:00 am
It sounds like you have approached this correctly. I don't think CFI has been studied for this type of model so it is not clear if it behaves correctly here. A Monte Carlo simulation would be needed to study this. I also don't know of articles on multilevel EFA.
Stacey Farber
posted on Wednesday, April 21, 2010 - 4:56 pm
Thank you, Linda.
If I may follow-up with another question ... I noticed very high ICCs for a number of the variables used in my study (kindergarten reading language arts instruction), suggesting that schools or factors associated with the schools may heavily influence teacher instructional practice.
I was planning on regressing my EFA factors onto a number of school factors (between level) and teacher-specific factors (within level) to try to identify influencers of teacher practice.
Given your response above, I am wondering if something like this has been done. If so, might you be aware of examples to assist with my thinking? If not, would such an analysis be ill-advised at this point in time?
Again, many thanks.
Linda K. Muthen
posted on Thursday, April 22, 2010 - 8:43 am
You would need to move to a CFA framework to include covariates in the multilevel model. Covariates cannot be included in an EFA TWOLEVEL model.
Stacey Farber
posted on Saturday, April 24, 2010 - 11:22 am
Again, thank you, Linda.
Could you please tell me which fit statistics have been studied and deemed appropriate for a two-level, EFA with categorical items? If there are values (i.e., cutoffs) that suggest good fit, that would be great to know as well.
If there is documentation of this, I would appreciate the citation.
Again, many thanks!
Linda K. Muthen
posted on Saturday, April 24, 2010 - 11:52 am
I know of no such study or citation.
Utkun Ozdil
posted on Monday, March 07, 2011 - 5:08 am
I tried to run a two-level EFA with categorical data where class is the CLUSTER variable using the following syntax:
TITLE: Two-level EFA
DATA: FILE IS multiefa.dat;
VARIABLE: NAMES ARE class ques1-ques30;
USEVARIABLES ARE class ques1-
CATEGORICAL ARE ques1-ques30;
CLUSTER IS class;
However, the runtime of the analysis is taking more than half an hour and it never comes to an end...Is it normal that it takes too long with MPlus 6.1? Should I be patient or should I worry that something is not on the way?
I used the default estimator,, maybe WLS or WLSM would be more appropriate?
Linda K. Muthen
posted on Monday, March 07, 2011 - 6:56 am
Please send the input, data, and your license number to
Utkun Ozdil
posted on Monday, March 07, 2011 - 8:09 am
At last I reached an output but in the end of of 1,5 hours. May I send the input and data though?
1. I analyzed all the models crossed within 6 factors and observed that the unrestricted within solutions by between level factors always have the best fit indices (CFI/TLI). How can we interpret this? In other words, what is the essence in the "unrestricted solution"? Should we also go through the factor structures?
2. While interpreting a two-level EFA should we analyze all the models crossed at both levels and choose the best one; or should we focus on a specific one?
Bengt O. Muthen
posted on Monday, March 07, 2011 - 6:20 pm
Please send the input, data, and your license number to
1. In your case that means that even 6 within factors does not fit.
2. EFA is exploratory, so you should explore all models that you think are reasonable. Note that you typically have far fewer factors on between than on within. I have never seen as many as 6 between factors, typically only a few are needed.
luk bruyneel
posted on Friday, April 12, 2013 - 7:04 am
Hi Linda and Bengt. I read above that covariates cannot be included in an EFA twolevel model. Is this still the case? If so, is there a specific reason for this?
Linda K. Muthen
posted on Friday, April 12, 2013 - 9:02 am
TYPE=TWOLEVEL EFA does not use the MODEL command so covariates cannot be included. ESEM is not available for TYPE=TWOLEVEL but is available for TYPE=COMPLEX.
Bilge Sanli
posted on Wednesday, April 30, 2014 - 3:38 pm
Drs. Muthen and Muthen,
I am quite new to two-level factor analysis and the Mplus. I�d like to adopt a two-level EFA approach in my research on different dimensions of conceptions of nationhood, and their contextual and individual predictors. My cluster variable would be countries, and my variables are all at the ordinal level of measurement. I�d like to treat the factors I compute as dependent variables in a subsequent regression analysis wherein I regress them onto independent variables at both individual and contextual levels. My main question is: how can we incorporate within and between level factors as dependent variables in a follow-up multiple multilevel regression analysis? I read above that a two-level CFA is recommended if covariates are involved. However my research is exploratory in nature, and I am not testing a hypothesized factor structure. I am confused, therefore, as to how a CFA framework would fit my research purposes. I�d appreciate if you could shed more light on how to use factors obtained through two-level factor analysis in further regression analysis. Thank you very much.
Bengt O. Muthen
posted on Wednesday, April 30, 2014 - 7:17 pm
If it is an exploratory analysis, you may want to follow the 2-level EFA with getting the 2-level factor scores and then in a second analysis use them as DVs in 2-level SEM.
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