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Rebuilding What Was Lost
Chapter 10: Rebuilding What Was Lost
In the weeks that followed Blake's arrival into the Acolytes, Mystique and Magneto took him directly under their wing and began showing him the ins and outs of being a mutant and partaking in a secret war. And even though he was a new, unexpected recruit, he learned very quickly, most likely thanks to his enhancements. Working with Magneto, he learned that he could tap pretty much any kind of energy dense enough and metabolize it in his body so that he could use it as a deadly projected beam, make powerful shields, or increase his strength and muscles to an enormous level. Whatever energy he tapped, it was his to do with as he pleased. At first he could only tap to a certain extent, but as he grew more confident he could control energy many times greater. And thanks to his unique genetic makeup, he had the perfect balance of power and control...When he was in the right mindset at least. He still tried to remember his past and that always seemed to dampen his concentration no matter how advanced his blood was.
In addition to learning control from Magneto, Mystique had used the opportunity to teach him some of her vast knowledge in the skills of hand to hand combat. And just like he was with Magneto, he learned very quickly. His reflexes were fast, his muscles were strong, and his body was fit...Perfect for learning the arts of fighting. Unlike most of the others she worked with, Blake had shown a great willingness to learn all he could from the shape shifter. While he never directly said it, much of the reason had to do with what happened when he inevitably faced Sinister with the Acolytes once more. Like it or not, Sinister was the one who took his memories away from him and he was probably the only one who could give them back.
While Blake grew quite fond of Mystique and Magneto under their tutelage, he also became friends with many of the other Acolytes as well. Both Gambit and Colossus took to him quite well and even Pyro seemed to enjoy his company when he wasn't playing with lighters and burning things. Gambit had taken the time to teach Blake the arts of poker and other card games while Colossus helped teach him which of the techniques Gambit taught him were cheating. It was a rather humorous exchange at times, but Blake got the hang of it eventually. The only person he couldn't seem to connect with was Sabretooth. Every time he tried to talk to him, the angry, animalistic mutant would just comment on how he didn't like his smell for some reason. But despite this, Blake was assured that Sabretooth was always like that and wasn't exactly a 'people person.' He was only in this for the money.
When Mystique and Magneto weren't training Blake, they were keeping tabs on the world outside for any signs of Mr. Sinister and his activities. Ever since the attack on his facility, he had pretty much disappeared from all sight...Which was proof enough to Magneto, who knew him best, that he was up to something. But so far, he had no clues as to where Sinister was and all he could do was remain eternally vigilant in case he struck again. Mystique made frequent check ups on the Brotherhood as well, returning to the house for a day or so every now and then to ensure that they didn't destroy her house again and that they were attending school like they should. And if necessary, punish them for breaking any of the rules she had laid out. Knowing the Brotherhood, anything was possible. The Maximoff twins were still unruly towards her for working with their estranged father and Todd, Lance, and Freddy would act up every now and then at school when someone made a snide comment about them or mutants. It was a hard order for Mystique to impose while working two big jobs, one as housemother to a bunch of misfit mutants and the other as a soldier in the war against Sinister. However, she could make no complaints, because like it or not the Brotherhood was her responsibility and in the end it was up to her to make sure that they didn't get into any trouble.
It was in the late afternoon hours at the Acolyte's lair as Blake, Colossus, and Gambit played another round of poker. Pyro had been in the group as well for a while, but he ended up throwing a tantrum after losing to a pair of Queens and quit after only a few games. But that didn't stop the others from enjoying the game as Blake listened in on some of the stories that each fellow comrade had to tell.
"So then what happened?" asked Blake as he divided his attention between his cards and the story Gambit was telling him about what had happened around a year ago between him and a girl from the X-men named Rogue.
"Well after she touched Gambit, she pretty much tried to run off," said the Cajun mutant as he went over the story he had gone over in his head many times before, "So I was gonna have to get mon perè out myself against dozens of armed cold blooded killers. Trust me, it ain't as easy as it sounds, but it's just another day in the life of a Cajun thief."
"How did you succeed?" asked Blake as he took two cards and read his hand, contemplating his next move.
"Here it comes..." mumbled Colossus, having heard Gambit tell him this story many times before as he folded his hand.
"It wasn't easy mind you homme," said Gambit as he took two cards from the deck and prepared his next move while telling the part of the story he remembered most clearly, "But in de end...Rogue saw through dis Cajun's rugged outer appearance and came in to help save Gambit's perè. While she was plenty mad at me, I had a feeling she'd see de truth."
"What made you think that?" asked Blake.
"It's simple homme...Dat girl and I have been down de same roads in life," he said, sounding somewhat fond of those words and the memory it invoked, "I knew she had it in her...And she proved Remy right. She helped save mon perè even though Gambit was supposed to be an enemy...But she did it, and for dat, Gambit gave her his queen of hearts as a token of his thanks."
It seemed like a rather odd story that Gambit had overly romanticized to some extent, but Blake could find no reason not to believe that it hadn't happened. Besides, if it was a lie, Colossus would have said something by now and he had heard the story in the same exact way more times than he could count. For some reason, Gambit just loved telling that story. But even Blake, who was still fairly new, technically that is, even he could see that part of it had to do with this girl, Rogue...Who he always described in such vivid detail.
"You gave her a queen of hearts? Very symbolic Remy...But very subjective at the same time," said Blake as he shook his head in amazement at Remy's story.
"Its de truth homme," said Remy with confidence, "Dere are no lies in de story. It all happened dat way."
"Most of it at least..." quipped Colossus, earning him a rather dirty look from the Cajun.
"I'm sure it did..." said Blake as he turned his attention back to his cards, "So what do you got?"
"Three of a kind," said Gambit with a grin as he showed his cards to Blake.
"Damn...Two pairs," mumbled Blake as Gambit continued on his so called 'winning streak.'
"Looks like Gambit wins again," said the Cajun mutant as he gathered the cards and skillfully shuffled them for another round.
While he was doing that, Blake couldn't help but be curious about one more thing from Gambit's story. In it, this Rogue girl seemed to play a very big part...Not just in the story, that much was obvious, but for him as well. It was curious to Blake as to the way he talked about her and the way he described her. He didn't think he had any experience in such a matter, but for some reason it felt clear to him...But he pushed that aside, not thinking it was important as he felt the need to ask him one more thing about his story.
"So what happened to the girl?" asked Blake as Gambit continued to shuffle the cards.
"Well..." said the Cajun as he sat back in his chair, recalling once again the memory he had become so fond of, "She went back to de X-men with her family to my knowledge. Later on, she played a big role in stopping Apocalypse and pretty much stayed at de institute for one more year of high school. But I know her...I doubt she's gonna leave dat place anytime soon."
There was a hint of disappointment in the Cajun thief's tone as he said those words and Blake quickly picked up on it and couldn't help but laugh somewhat.
"You must really like her..." grinned Blake, provoking a reaction from Colossus.
"See Gambit...He heard the story only once and yet even he sees it," said the Russian born mutant, feeling vindicated in what he had long argued with Gambit over.
"Don't start dis homme..." groaned Gambit, not wanting to get into the same argument with Colossus all over again, "You know Remy don't like talkin' about it."
"Then we won't..." said Blake, stepping in and stopping the conflict before it grew, "But just answer me one last question Gambit...One that DOESN'T have to do with Rogue."
"Shoot..." said Remy, sounding somewhat relieved as he dealt the cards for another game.
"If you're still a thief, then why did you come back with Magneto after Apocalypse?" he asked as he got his cards and began to contemplate his next moves.
"For de same reason Colossus and de rest of us are...Incentive," answered Gambit as he took a look at the hand he got and inwardly grinned.
"What kind of incentive?" asked Blake, "For some reason...I get the feeling that it's more than just money."
Gambit stood mildly amazed at Blake's perception, but never the less gave him an answer since Colossus had already told him why he was here.
"Well dere is money involved," said Gambit, "But dere's more as well. Once dis war with Sinister is over, Gambit will have everything he needs and then some to pay off de debts he owes so dat I can leave New Orleans for good and start fresh. Bein' a thief has its perks, but sometimes...You find other things in life worth experiencing and I wanna have dat opportunity and freedom."
"Right...And I guarantee you the first thing he'll do with that freedom is try to get with that girl again," laughed Colossus.
"Hey...It ain't out of de realm of possibility homme," argued the Cajun, "Rogue already took and accepted Gambit's queen of hearts...Dat alone says it all."
"Yes...I'm sure it does comrade," replied Colossus, still not believing him and his strange logic.
Blake just laughed again as he took three cards this time and looked at the hand he had been dealt.
"Well I guess we'll both just have to wait and see what happens when the war is over now won't we?" said Blake, "Maybe then we'll know for sure if Gambit's logic is twisted...Or true."
"Thanks for de vote of confidence Blaze," said Gambit as he once again took two cards, "What about you homme? What are you gonna do when dis war is over?"
Blake took a moment to think about that. It was a sobering feeling, knowing that he was still unsure even if he would find his memories again after beating Sinister. For the most part, he had just been living day to day since he had woken up from his coma. He never really thought about the future. If he got his memories back, would he return to where he had come from? Or even if he knew, would he rather stay with Magneto and Mystique after they had done so much to help him? In times of uncertainty, he found it easier to remain distracted from the questions that he could not answer. However, eventually he would have to face them...If they could be Sinister that is.
"I don't know Gambit...I really don't," he admitted, "Having total amnesia is like a nightmare that you can't wake up from. Sometimes you feel as though you're at that point where you're going to just wake up in your bed, forget the dream, and get on with your life. But for me...Every time I think I'm at that point, everything still goes on. Who knows...Maybe this is all a dream in my head or maybe what I'm seeing is just something my mind is making real. But amnesia does crazy things to you...That much I know."
"But what if you get your memories back?" asked Colossus, also curious as to what this young man with so much potential would do if this war were to end in their favor.
"That's another matter in of itself Peter," said Blake, "From what I've already been told about my past...There really isn't much to go back to. And if I can't see any reason to return to such a life, then I guess I'll have to think of something else. Who knows...I may stay with Magneto and Mystique a little while longer. After all...They were the ones that saved me. I just hope that if I do remember...I won't want to forget it again."
"Well dat sure is a pessimistic outlook on things," said Gambit with a light chuckle, "But what if dere is something to go back to? It may not be much, but what if dere was still something out dere dat kept you goin before Sinister nabbed you? Who knows...Maybe you've got a girl out there whose worried sick about you and thinks your dead or something. Wouldn't that be enough?"
Blake was about to respond to this seemingly hypothetical question, but for some reason that he didn't quite understand...He froze at the notion. The file that Mystique had given him about his life had stipulated that he had no family, but it never said anything about a girl or any other friends out there. And if his life was so horrible before he lost his memories...Then what was keeping him alive in the first place? A strange feeling of uncertainty came over him...Almost as if someone had run a small shock through his system. As quick as his mind was, even he couldn't fully comprehend the notion of what effect something like what Gambit described would have on his decisions in the end.
As Colossus took his two cards, he and Gambit both noticed Blake looking as though he was in some kind of daze. Gambit hadn't expected his question to have that kind of an effect on him, but never the less...Something was causing him to think.
"Hey...You still with us over dere homme?" asked Gambit, waving his hands in front of his face.
Then, Blake managed to snap back to reality and shook his head clean of whatever it was that was confusing him.
"Yeah...Sorry, I guess I just spaced," he assured as he placed his cards on the table, "I fold."
"You sure you're okay comrade?" asked Colossus, sounding concerned after seeing the expression on the young man's face.
Blake responded by rubbing the temples of his head and forcing himself to collect his thoughts once more.
"Yeah I guess...I just got stuck in another one of those moments where I thought I was going to wake up...But I guess I didn't," he replied.
Satisfied with the response, Gambit showed his winning hand again and gathered the cards for another round. But in looking back at the young man's face, he could tell that he was still thinking about his earlier question.
"Well be sure to stay with us in de real world here homme," said Gambit, "We don't wanna lose our extra poker buddy."
"Don't worry Gambit...For the time being, it doesn't seem like you will," said Blake despite his uncertainty.
"And besides...Even if you didn't have a girl out dere waiting for you, I'm sure with your looks you'd be able to pick up any femme you wanted," grinned Gambit as he dealt the cards once again.
"Yes...As long as you stayed away from Rogue," joked Colossus, provoking another snide look from Gambit that only made the two other men laugh.
While the three men continued their game and Pyro remained on the couch, glued to the TV, Magneto was in the main monitoring room going over the readings of the day. Sinister was still proving elusive, but he would have to show himself sooner or later. The man may have been mad, but he was definitely not one to walk away from a fight or a conflict that he took so personally. Add to that, he still had Blake so if he wanted the fruits of his labor he would have to come through him in order to get it back.
For the most part, things had been relatively quiet for the last few weeks. Mystique was still out on her usual fact finding missions and Magneto remained glued to computer screens. Part of him actually welcomed this inactivity which seemed somewhat of a nice change compared to the intensive combat and tension wrought by close battle and tracking of Sinister. But the madman was still out there...That much was already too discomforting. While working with Blake had provided a nice distraction in many ways, Sinister's dark intentions were still prevalent in his mind and his worries over no longer having Xavier as emergency backup was not sitting well with him.
Last week he had sent Mystique there to see just how bad the death of Cyclops had been to the rest of the students there and from what she reported, it was just as bad as he had feared. Every one of the X-men was still in a state of mourning over their fallen friend and Xavier in particular was taking it hard. While on a lighter note, Mystique had said that they seemed to be getting back into their routine after a few weeks, they didn't look like they would be able to stay focused against Sinister.
And while she had not said it directly, she used this opportunity to check up on her kids as she so often had done after Apocalypse. But every time, she was very careful not to let them or anybody else see her. Having rejected her back in Egypt, she had no desire to see the look of scrutiny on their face and hear their angry cries towards her for using them. But this didn't stop her from wanting to see them and in looking at the sad expression on their faces from the loss they had suffered, she loathed the fact that she could do nothing to alleviate their pain.
Mystique was still out as Magneto let out a deep sigh and stretched his tired limbs. He knew his body was in need of sleep, but his mind just wouldn't stop working. Part of him just wanted to collapse before the computer screen, but there were just too many things to do and there was so little time to rest. Never the less, a break definitely did sound good, but as he got up from his seat, Mystique suddenly made her appearance in the doorway, not looking too thrilled judging by the look on her face.
"Raven?" the master of magnetism asked, curious as to her sudden appearance, "What are you doing back so soon? Did you find something?"
Mystique let out a deep sigh, hinting that she was just as tired as Magneto, but she tried not to let it show as she reported to him what she now knew.
"For the most part...I didn't find anything," she said in a rather pessimistic tone, "But in the end...I didn't have to. Something found me."
In her hand, the shape shifter had a crumpled up piece of paper. She handed it to Magneto, letting him see for herself just what she meant by her words. As the master of magnetism took it, he saw an all too familiar handwritten message and soon found himself reading it aloud.
"To my most pestilent enemies..." he read, "You have taken something of mine that I have worked a lifetime to attain. You have it...And I want it back. You have no idea what you possess and could never appreciate the true potential of the power my creation has. If you don't give back what you have taken from me...Then I shall take from you and your shape shifting bitch something far more valuable. You know you can't stop me...I've already shown that. You are still mortal...I am immortal. You're only delaying the inevitable. We once worked together...Now I will personally make sure that you suffer the most for your insolence. Kind regards...An old friend."
Crumpling up the paper in his hand, Magneto felt a new twinge of urgency. Sinister was back and ready to fight a lot sooner than he had hoped. It hadn't even been a month yet, but now he was back in full form once again. Part of him thought that maybe Sinister was bluffing, but he knew the man too well and he knew that he never made threats that he wasn't capable of carrying out.
"Now what do we do?" said Mystique, not liking the prospects any better than her friend.
"I'm not sure yet," said Magneto in all honesty as he contemplated how they were going to handle this new development, "How did you get this?"
"That's just it," answered Raven, "I'm not sure. I turn my back for one moment and suddenly, there's some unmarked card on my motorcycle. I tried to scour the area, looking for any hints of who it could be...But I found nothing."
"Damn it...Did you inform the others?" he asked.
"Of course not," she responded, "I know better than that, but I think Blake deserves to know. It's clear that he's the one they're after."
"I know...And we will tell him," said Eric, "But the part about Sinister wanting to take something just as valuable from us is most disconcerting to me. You know as well as I do that there is only one real thing of value that we possess in this world...And unfortunately Sinister knows it as well."
"I know...Our kids," she said, not liking it any more than Magneto, "So what do we do about it? Should we tell Xavier? And what about the Brotherhood?"
"I don't know yet...We'll think of something, but for now..."
Suddenly, he was cut off by a new presence standing in the doorway. It was Blake and apparently, he had seen the disturbed look on Mystique's face. Since he had arrived, he had shown a genuine concern for the two people that had saved him from Sinister. He took to their fight and learned from them quite well given his circumstances. And ever since they had told him about the man that had taken away his memories and his life, he could safely say that he was yearning for some payback.
"What's going on?" he asked, sensing the urgency in the room, "Has something come up?"
"Unfortunately it has Blake," said Magneto as he took the letter and showed it to the young man that Sinister had done so much to hurt, "See for yourself."
Blake quickly read over the letter and it didn't take too long for him to process.
"He's back..." said the young man, feeling a sense of anger surge through him.
"Indeed he is...And just as we suspected, he wants you back," said Mystique.
"Why am I not surprised?" scoffed Blake as he crumpled up the paper and threw it off to the side, "Do you know where he is?"
"Not this time around I'm afraid," answered Magneto as he shook his head, "We got lucky last time when we found you. Sinister got too careless and it cost him. Now, I doubt he'll make the same mistake twice."
"In addition...He's also threatened our kids just as we had feared," added Mystique, "I know this madman...He'll try ANYTHING to get what he wants."
"Then we'll stop him before he gets that far!" said Blake, now feeling more determined than ever to get the answers he so desperately wanted after everything Sinister had taken away from him.
"That's easier said than done Blake," said Magneto, "If we don't find him soon...He'll find us. And until then, my kids are very vulnerable along with the rest of the Brotherhood."
"And so are mine," said Mystique, not wanting him to forget about Kurt and Rogue.
"But they still have one advantage," argued Magneto, "They are still with Xavier. And I doubt that Sinister wants to bring him into this conflict and face two powerful enemies instead of one."
"Don't rule anything out Eric...You do know Sinister isn't exactly a poster boy for sound mental health," quipped Mystique.
"True...But he's also not stupid," replied Magneto, "He'll use what is most vulnerable and he'll let nothing stand in his way..."
"Then we'll just have to protect them," said Blake, "And since I want Sinister to find me...I'll do it. I'll watch over the Brotherhood."
The two older mutants looked back at the young man with mild amazement at his assertiveness. He had only known them for about a month and already he was willing to put his life on the line to protect the only valuable thing they had left in this world. In addition, he had just as big a steak in this as they did, for Sinister had already taken a lot from him. For all he knew, there was nothing left worth living for other than making Sinister pay and ensure that nobody else suffered from his madness.
"With your permission..." he went on, "I will ensure that no pasty faced psycho will lay a finger on Wanda and Pietro. I'll throw a nuclear bomb at him if I have to, but I owe both you and Raven for saving my life from a fate worse than death. Consider this my way of returning the favor."
Both Magneto and Mystique looked back at each other, contemplating whether or not they should let him do what he was promising. There were still many factors that they did not know about and Blake was still Sinister's main target now since his body contained all the information he needed to perfect his device. But from the looks of it, he didn't look like he was going to allow anything to keep him from carrying out what he had just promised. It was strange for Magneto and Mystique, for they had befriended this young man in a way that they had not done with the rest of the Acolytes and because of that, he was now just as loyal if not more so than anybody else on the team. Perhaps it was because they handled him in a way Xavier might have handled him...Or perhaps it was the promise of going up against Sinister again. Either way, it was clear that he wasn't about to back down from this, wanting desperately to thank those who had kept Sinister from controlling him and all the power he wielded.
"Blake...Are you sure you want to do that?" warned Magneto, "Keep in mind, you are still Sinister's main target. You may simply draw them to you..."
"That won't stop Sinister from trying to pay you back for taking me in the first place," reminded Blake, using the powerful logic in his mind to argue his case, "You can send anybody else to protect your kids...But it may not be enough. Let me do it...And he'll have to face the power of his own creation to even get near them. He can't destroy me...He needs me. And if you want to pay him back for all the trouble he's caused you, what better way than to use his own creation against him?"
Magneto thought about that...Still uncertain just how he should handle this situation. He didn't want to put Wanda and Pietro in danger. They hated him enough as it is and he didn't want to give them any more reason to by bringing them into this conflict. He had vowed that if he ever defeated Sinister, he would do everything he could to win them back. But defeating this madman was far more difficult than even he could have imagined. He was like a mini version of Apocalypse, but many times more annoying.
Mystique, who knew that she couldn't be there for the Brotherhood all the time, thought it was a good idea, but had a bad feeling that this would only bring things to ahead a lot faster than they would have liked. Last time, they had the capacity to plan an attack to stop Sinister. Now that the madman had shown that he had the resources to do what he had so frequently boasted, that would leave far less time for them to contemplate their moves against him...And greatly decreased their chances of taking him down for good.
Finally, as Magneto felt the stress of this grave development bearing down on him all the more harshly, he made his decision.
"I wish there was an easier way to do this...But things with Sinister are never easy," he sighed as he turned back towards the young man, "I never wanted to bring my kids into this conflict...I never wanted Sinister to use them as his trump card. They may hate me, but I still want to protect them. And if you wish to do so...Then all I can say is thank you...And good luck."
"I owe you one sir..." said Blake, glad that Magneto had accepted his offer, "And I promise...I won't let you down."
"So I guess that means I should set you up there," said Raven, "The less time we waste with the logistics, the better."
"Agreed..." said Eric, "Take Blake over to the boarding house and introduce him. Wanda may be easier to deal with because she listens to you, but I have a gut feeling that Pietro won't like the idea of having a body guard."
"Yeah...That could be a problem," said Mystique, knowing all too well the extent of Pietro's arrogance.
"Well let me worry about that," said Blake as he stepped in, "You two took me in and I trust you now because you gave me the chance. It may not be immediate, but if you just let me try...I think I can earn the trust of the Brotherhood in the same way you both earned my trust."
"Don't get too cocky Blake," said Mystique, speaking from experience, "One thing that has always set the Brotherhood apart from the X-men is their stubborn nature. It's taken me quite some time to get them to even remotely trust me...And even now, they still don't think too highly of me."
"Stubborn people require stubborn commitment," reasoned Blake, "Even if they don't trust me, they'll still need protection from Sinister. And if it's a challenge...So be it. Besides...What else do I have to lose?"
Magneto managed to smile somewhat at the young man's comment. Since his arrival, the effects of Sinister's memory wipe had shown on his psyche. It was still somewhat surprising that he would want to take on something this serious so quickly given danger of Sinister and the innate difficulty that the Brotherhood always presented. But in times of war and darkness, choices were few and far between. And when it came to protecting his children, he was not willing to take great risks.
"Well then Blake...I guess I have nothing left to tell you other than good luck," said Magneto, "If you do your part, I'll be sure to do mine and find Sinister before that madman can make his move. Just do one more thing for me while you're looking after Wanda and Pietro."
"Sure...What is it?" asked Blake.
"Let them know that I'm sorry...And I'm doing this because I only want what's best for them."
"I'll tell them...You have my word," said Blake as he and Mystique left the room and prepared to depart for the Brotherhood boarding house.
Mystique and Blake left the hidden Acolyte lair in a simple, inconspicuous car that Magneto had in store for others to use while not drawing suspicion. Mystique had used this car many times before in her scouting missions to find info on Sinister, but more often preferred the motorcycle. However, given the recent developments, there wasn't much of a choice involved this time around.
The drive to the Brotherhood house wasn't very long. Magneto had purposefully kept the lair within a reachable distance so he could be near his kids just in case they faced any danger. Mystique was still weary about the sudden development with Sinister. She had a gut feeling that if he made his move soon, there would be no other way to stop him other than by killing him...And he was nearly immortal. However, Blake didn't seem too concerned despite the challenge ahead of him. Protecting them against Sinister while also trying to gain their trust would not be easy to say the least, but if he was that determined to do it...She could only hope that he was not getting into more than he could handle.
"I must warn you Blake...The Brotherhood are not pushovers," said Mystique as she drove down the road leading off the highway and onto the smaller, less crowded roads where the boarding house resided, "They can be quite a handful at times."
"I know it won't be easy, don't think I haven't thought about that Raven," assured Blake, "But if I'm going do my duty, I'll have to work with them no matter how unruly they are."
Mystique couldn't help but laugh and shake her head, for she truly didn't know what was driving this young man to do something like this. If they had picked him up over a year ago, she doubted that they would have been able to earn his trust and his friendship like they had. And in this way, he proved to be more willing to take on challenges that she knew the rest of the Acolyte's probably wouldn't have touched with a hundred foot pole.
"Just don't expect too much at first," she warned, "I honestly don't know why you're this dedicated, but I guess we don't have the right, not to mention the capability, to stop you."
"Well to be fair...I don't exactly know why I'm doing this either Raven," answered the young man cryptically.
"What do you mean?" asked the shape shifter, not knowing what he was implying but such words.
Blake was silent for a moment as he attempted to explain what it was that even he couldn't completely fathom just yet.
"I'm not sure, but...Have you ever had the feeling that there are things about yourself that you know are true, but aren't sure why they're there?" he articulated, trying to find the right words.
"In some ways...I guess," replied Raven, thinking about how that related to her attitude both before and after Apocalypse.
"Well try to throw amnesia into that mix..." continued the young man, "Try to imagine feeling things about yourself that you have, yet not remember where the hell they came from in the first place. Try to imagine having feelings that you don't understand while at the same time being unable to escape them. I don't know if it has to do with who I was before Sinister captured me...But I'm determined to find out."
"Well don't worry...If all this ends and you still haven't got your memories back, I'm sure Eric and I will find some way of restoring them. He gave his word and I gave mine, but like I said...Learn to expect the unexpected in this line of work. Mutants are still highly feared by humans, but there are just some battles that they cannot fight whether they like it or not. And even if they knew about this war, I doubt they would hold a parade in our honor if we succeed."
"I couldn't care less if they did," replied Blake, "There are more important things at the moment for me that take precedence over gratitude...The Brotherhood being one of them."
As they neared the boarding house, Blake mentally prepared himself for handling more new surroundings. He had adapted well under Magneto and the Acolytes, but this was a different ball game. Mystique had told him as much about the Brotherhood as she could, but there was only so much that could be anticipated. But Blake had shown his strength and commitment thus far to this conflict and she was confident he would adapt, but it was the Brotherhood boys themselves that she was worried about. It took her months to regain their trust again and she still hadn't fully earned it in some ways, but she knew things like this took time...And it was something she had often negated because of her old stubborn qualities for impatience.
Finally, they reached the driveway of the boarding house and Mystique turned the car off. Blake looked ready to go and the shape shifter felt that they might as well get this over with. But before they left, there was still one last thing on her mind.
"Blake..." she began, her tone becoming more serious, "I know this won't be easy and I don't feel right saying this but...Can I ask you to do one more thing while you're here?"
"Of course," said Blake without really having to think about it, "What is it?"
"I know Wanda and Pietro are your primary concerns for protecting," she began as she took a deep breath, "But if at any point you have the time and means...Would you also keep an eye on my kids and check up on them at Xavier's if you can?"
"Sure...I promise I'll make sure they're okay too," assured Blake, "You have my word."
"Thank you..." said the shape shifter, grateful that he was so willing to do something like this for her. She would have done it herself, but she just became too choked up whenever she saw them. It was better somebody else do it rather than her risking an emotional breakdown.
As they approached the house, Mystique had told Blake to wait outside until she brought him in, that way there would be the least possible conflict. Knowing that it was better to get this over with now rather than later, she opened the door and stepped into the house.
"I'm home..." she said, quickly turning towards the living room where she was sure that the boys were seated like they always were.
"Yo Mystique..." said Todd "Toad" Tolensky as he hoped his way down the stairs, "You got some hours at that job of yours."
Just then, Wanda came out from the kitchen, apparently happy to see Mystique. Unlike the rest of the boys, she had developed a more personal friendship with the young woman whom she had rescued from the insane asylum and helped control her powers. She too felt somewhat better upon seeing a familiar face, but others weren't so enthusiastic.
"Great...So how long are you staying this time?" said Pietro with a hint of sarcasm as he dashed into the room at his usual high speeds.
"Just one night," she answered, obviously annoyed at the speedster's habit of running up behind her and surprising her just for kicks, "But I need you all in the living room. I have a very important matter to discuss...One that involves you Pietro as well as your sister."
"Yeah sure...I'm sure dad thinks we're THAT important," scoffed the speedster as he ran towards the living room.
Rolling her eyes, she turned to Wanda.
"What's with him? He seems more cynical than usual," said Mystique.
"When is he not..." replied the Scarlet Witch, "So what's this about?"
"Like I said...Something important," said the shape shifter, "But I'll tell you all what's going on. This is a major development so if anything...Please make sure that Pietro takes this seriously. I don't care how many times you have to hex him, but make sure he takes this seriously."
"My pleasure..." grinned Wanda as she joined the others in the living room.
The TV was still on and Pietro looked as impatient as ever as the other boys awaited the news she deemed to be so important. Upon walking into the room and seeing Lance, Freddy, and Todd on the couch and the Maximoff twins standing off to the side, she grabbed the remote and flipped off the TV.
"Hey! I was watching that!" said Freddy.
"You can keep watching it after this is over," said Mystique as she held on to the remote.
"Just cut to the chase lady," said Pietro, which earned him a punch in the shoulder from his sister to shut him up.
"Don't worry Pietro...This won't take long," assured the shape shifter, "As you know, there's only so much I can tell you about the line of 'work' I've been involved in with Magneto and the Acolytes. But from what I can tell you, just know that something serious has come up and it has forced us to take a few precautions."
"Precautions?" questioned Lance, who seemed somewhat more grumpy than usual for some reason, "What kind of precautions?"
"Precautions for your own good," said Mystique, "I don't care if you believe it or not, but Eric still has a genuine concern for the well being of his children and this Brotherhood."
"I find that hard to believe..." muttered Wanda under her breath, still very sore at her father for obvious reasons.
"But for now...Just know that both he and I have taken steps to ensure your safety and that's why I'm here tonight," she continued, "I know you've all made strides these past few months, but I feel that it's necessary to ensure that more leadership within this place remains while I'm gone so you don't end up trashing this place again."
"Leadership?" scoffed Pietro, "What's wrong with my leadership?"
"Oh, I could think of a few things," commented Lance, earning him a snide look from the speedster.
"Just a few?" grinned Todd.
"Oh shut up you two!" said Pietro, only growing more annoyed.
"I think you all have just proven my point," said Mystique, unable to hide her humored grin, "That's why Eric and I have chosen a new guardian for the Brotherhood. One that will protect you from the threats that you now face and will also serve as a new leader."
"New leader?" asked Freddy, "Just who is this guy? Is it that Gambit guy again?"
"No, it's someone else whom I feel is a bit more equipped to handle the lot of you," said Mystique as she turned towards her head back towards the entrance she had come in through, "Come on in!"
Then, the door opened and Blake proceeded to enter the living room. Some of the members looked at the tall, imposing young man with intrigue while others, namely Pietro, just scoffed. His appearance was commanding and the look on his face was stoic, showing that he wasn't afraid as he looked upon the group of renegade mutant teens that he would now be in charge of.
"Brotherhood...Meet your new leader," proclaimed Mystique, confident that this would have some positive benefits for this rag tag group that she wasn't always there to watch over, "He is Blake Hellstrom...Codename, Blaze."
AN: Well, I'll leave it there for now. He did well with the Acolytes, now he'll have to do the same with the Brotherhood! Do you think he's up to it? Naturally, it won't be easy, but it's necessary. Sinister is still out there and up to no good! There's plenty more to come and plenty more secrets to be revealed! So what do you think of this fic so far? Do you like it? Do you hate it? Please tell me! Send me your reviews via email or post them on the fanfiction website! All feedback is appreciated! Thank you all for reading this story thus far and I wish you all the best!
REVIEWS!!! SLICKY NEEDS REVIEWS!!!


What's at stake for Erdogan in the Khashoggi affair?
The killing of the journalist Jamal Khashoggi at the Saudi consulate in Istanbul could not have come at a worse time for Turkish President Recep Tayyip Erdogan. Economic troubles have forced him to mute his anti-Western rhetoric: the country faces a currency crisis, double-digit inflation, and an enormous current account deficit. Erdogan has to fix Turkey's badly damaged relationships with Europe and Washington, even while managing a fragile partnership with Russia in Syria. The prospect of a crisis with Saudi Arabia, which is a major investor in Turkey and with whose regime he has studiously tried to remain cordial, must have initially overwhelmed Turkey's strongman.
If anyone can turn a burden this size into an opportunity, it is Erdogan. In fact, the Khashoggi crisis has proved an unexpected opportunity for Turkey. At a time when its reputation has been tarnished by the jailing of journalists and the violation of other human rights, Erdogan has won praise for highlighting Khashoggi's plight. And by leaking evidence of Saudi official complicity, including by Crown Prince Mohammed bin Salman (known by his initials, MbS), he has dealt a major blow to Turkey's historic rival and driven a wedge between Washington and Riyadh.
But Erdogan is playing a difficult, and dangerous, game. He may be able to get even more out of Saudi Arabia and the United States if he can convince them he has incriminating evidence. If he does not, he could lose it all.


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text:
Divisional court finds duty to consult required crown to provide promised capacity funding
In Saugeen First Nation v Ontario (MNRF) ("Saugeen"),[1] the Ontario Divisional Court took the unprecedented step of recognizing that the Crown's duty to consult included an obligation to provide a First Nation with capacity funding to facilitate the consultation process.
Although the Court's specific holding in Saugeen is limited to the particular facts at issue (including the Crown's unfulfilled agreement to provide the funding in question), the Court's obiter dicta explanation of the reasonableness of the Saugeen Ojibway Nation's funding request provides a blueprint for future First Nation claimants to follow.
In February of 2008, T &P Hayes Ltd ("Hayes") applied for a license under the Aggregates Resources Act[2] to operate a limestone quarry on its land in the Bruce/Saugeen Peninsula ("the Project"). The Saugeen Ojibway First Nation ("SON") had previously claimed, inter alia,Aboriginal title and hunting rights to its traditional lands on the Bruce/Saugeen Peninsula, which included Crown lands abutting the Project.[3]
In 2011, SON contacted the Ministry of Natural Resources and Forestry ("MNRF") to assert its right to be consulted with respect to the Project, and to requesting funding for the experts, legal team, and staff that it would require to meaningfully participate in the consultation process.
What followed was nearly five years of correspondence in which MNRF repeatedly altered its position with respect to the existence and scope of its consultative obligations. Inter alia, in October of 2012, and following SON's submission of a $16,124 budget for consultation-associated costs, MNRF offered SON funding in the amount of $8,514, which it later increased to $10,914 but never paid. By February of 2016, MNRF was taking the position that it had discharged its obligations by after delegating them to proponent, Hayes. The Minister approved the license for the Project on March 8, 2016.[4]
SON sought judicial review of the Minister's decision to issue the license. At issue was whether the MNRF had adequately discharged its duty to consult before it approved the Project.
The Divisional Court's Decision
After identifying reasonableness as the appropriate standard of review on the question of whether the Crown has discharged its duty to consult, the Court found, inter alia, that it was unreasonable for the Crown not to provide the promised funding:
It would be open to the Crown, in an appropriate case, to reject a request for funding and to decide that a First Nation did not require expert assistance to participate adequately in consultations. Such a decision would be reviewed in this court on a standard of reasonableness. In this case, however, the Crown did agree to fund the cost of experts for SON. Having agreed to fund those costs, it was unreasonable for MNRF to then fail to do that. No new information emerged that would have borne upon the Crown's agreement to fund these costs. Thus, in finding that the Crown is obliged to provide this funding in this case, I do no more than find that the Crown is obliged to keep its word where there is no basis on which the Crown should be relieved of its agreement.[5]
Justice Corbett, writing for a unanimous panel, found the duty to consult had not been discharged, overturned the Minister's decision, and remitted the matter back to the Ministry for re-determination of the licensing application pending the completion of adequate consultations with the Nation.[6]
The Divisional Court's Obiter Dicta
Following the above conclusions, Justice Corbett made the following obiter remarks:
MNRF has agreed to fund preliminary consultation costs and SON has agreed to proceed on the basis of that funding, so it is not necessary to decide whether funding is required in the absence of agreement… There are two related points worth noting, however.
First, SON sought initial funding to help understand the issues raised by the Project, and to address those issues effectively with MNRF. SON did not ask to have all the technical work done over again by its own experts. SON's budget included modest legal costs. MNRF did not explain why it rejected and continues to reject funding for SON's reasonable legal costs to consult.
As noted above, SON is disinclined to spend its "community resources" to review someone else's project. That is a reasonable position.
SON has limited resources. It does not participate in consultations as a party to the Project. The expense of consultation arises as a result of a proponent's desire to pursue a project, usually for gain, and the Crown's desire to see the project move ahead. The Crown should not reasonably expect SON to absorb consultation costs from SON's general resources in these circumstances.
Second, clearly the process went "sideways" in this case. SON was put to considerable legal expense to make its case to MNRF that there is a duty to consult and that the scope of that duty includes funded experts. It will be for the parties to decide whether and to what extent the Crown should reimburse these legal expenses on a reasonable basis, taking into account (a) the legal costs to be paid to SON as a result of this decision; (b) the legal and other costs reasonably incurred by SON in its dealings with MNRF and Hayes over the Project to this point. [7]
These remarks, although not binding, may ultimately prove significant in two ways.
First, Justice Corbett's comments about what made SON's request for capacity funding reasonable may be generalizable for future First Nations claimants. That is, a future First Nation claimant could plausibly invoke Saugeen as a basis for a capacity funding request where:
it can be shown that meaningful consultation requires expertise the community lacks;
the First Nation has limited community resources; and
the costs associated with consultation are triggered by the decisions or desires of other parties.
Second, Justice Corbett also seems to suggest that the Crown's obstinacy with respect to the duty to consult could ground an obligation to reimburse "reasonable" legal expenses incurred while asserting a Nation's right to be consulted.
[1] Saugeen First Nation v Ontario (MNRF), 2017 ONSC 3456 (Div Ct) ["Saugeen"].
[2] Ministry of Natural Resources Act, RSO 1990, c. M.31, ss. 2 and 4; Aggregates Resources Act, RSO 1990, c. A.8, ss. 1 and 3(1).
[3] Saugeen at paras 39, 43.
[4] Saugeen at paras 112-114.
[5] Saugeen at para 127.
[6] Saugeen, supra at para 161.
[7] Saugeen, supra at paras 156-160.
Related Canada North
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17 October 2019 Thaidene Nëné National Park Reserve - EA process and questions of a double standard
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redpajama_set_name: RedPajamaCommonCrawl


This Digital Thermometer Hygrometer is a battery meter for measuring relative humidity and temperature.
The Thermometer Hygrometer can display three types of temperatures around the sensor's air via several convenient procedures: The ambient temperature, the dew-point temperature and the wet bulb temperature.
This MS6508 Digital Thermometer Hygrometer is a new type of digital temperature and humidity meter, which designed to combine the functions of humidity meter, temperature meter, wet bulb temperature and dew point temperature. And Dew point is a measure of how much water vapor actually in the air.
Dual Display Humidity and Temperature with Accurate Measuring: Humidity range: 0% - 100%RH. Temperature range: -20℃(-4℉) - 60℃(140℉). Dew point Temperature :-50℃(-58℉) - 60℃(140℉). Wet Bulb Temperature:-20℃(-4℉) - 60℃(140℉).
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Society6 Me & Paranormal You - James Roper Design - Ouija (white lettering) Duvet Covers Twin XL: 68" x 92"


text:
/*************************************************************************/
/*  rid_glue.cpp                                                         */
/*************************************************************************/
/*                       This file is part of:                           */
/*                           GODOT ENGINE                                */
/*                      https://godotengine.org                          */
/*************************************************************************/
/* Copyright (c) 2007-2021 Juan Linietsky, Ariel Manzur.                 */
/* Copyright (c) 2014-2021 Godot Engine contributors (cf. AUTHORS.md).   */
/*                                                                       */
/* Permission is hereby granted, free of charge, to any person obtaining */
/* a copy of this software and associated documentation files (the       */
/* "Software"), to deal in the Software without restriction, including   */
/* without limitation the rights to use, copy, modify, merge, publish,   */
/* distribute, sublicense, and/or sell copies of the Software, and to    */
/* permit persons to whom the Software is furnished to do so, subject to */
/* the following conditions:                                             */
/*                                                                       */
/* The above copyright notice and this permission notice shall be        */
/* included in all copies or substantial portions of the Software.       */
/*                                                                       */
/* THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND,       */
/* EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF    */
/* MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT.*/
/* IN NO EVENT SHALL THE AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY  */
/* CLAIM, DAMAGES OR OTHER LIABILITY, WHETHER IN AN ACTION OF CONTRACT,  */
/* TORT OR OTHERWISE, ARISING FROM, OUT OF OR IN CONNECTION WITH THE     */
/* SOFTWARE OR THE USE OR OTHER DEALINGS IN THE SOFTWARE.                */
/*************************************************************************/

#ifdef MONO_GLUE_ENABLED

#include "core/io/resource.h"
#include "core/object/class_db.h"
#include "core/templates/rid.h"

#include "../mono_gd/gd_mono_marshal.h"

RID *godot_icall_RID_Ctor(Object *p_from) {
	Resource *res_from = Object::cast_to<Resource>(p_from);

	if (res_from) {
		return memnew(RID(res_from->get_rid()));
	}

	return memnew(RID);
}

void godot_icall_RID_Dtor(RID *p_ptr) {
	ERR_FAIL_NULL(p_ptr);
	memdelete(p_ptr);
}

uint32_t godot_icall_RID_get_id(RID *p_ptr) {
	return p_ptr->get_id();
}

void godot_register_rid_icalls() {
	GDMonoUtils::add_internal_call("Godot.RID::godot_icall_RID_Ctor", godot_icall_RID_Ctor);
	GDMonoUtils::add_internal_call("Godot.RID::godot_icall_RID_Dtor", godot_icall_RID_Dtor);
	GDMonoUtils::add_internal_call("Godot.RID::godot_icall_RID_get_id", godot_icall_RID_get_id);
}

#endif // MONO_GLUE_ENABLED

redpajama_set_name: RedPajamaGithub


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text:
Business of Medical Practice
About our Book [3rd edition]
About Our Consulting Practice
Book Dr. Marcinko for Events
Book Forewords [1st, 2nd, 3rd]
Book Introduction & Preface
Book Reviews & Testimonials
Chapter 01: Health 2.0 Revolution
Chapter 02: Competitive Tensions
Chapter 03: e-Business Planning
Chapter 04: Strategic Operations
Chapter 05: Lean Office Staffing
Chapter 06: H.R. Outsourcing
Chapter 07: Workplace Violence
Chapter 08: Restrictive Covenants
Chapter 09: Insurance and Billing
Chapter 10: Medicare Compliance
Chapter 11: Get Marketing "Fly"
Chapter 12: Process Improvement
Chapter 13: IT, eMRs & GroupWare
Chapter 14: Quality Care Tracking
Chapter 15: I-Doctors I-Patients
Chapter 16: Cash Flow "Crunk"
Chapter 17: Expense Costing
Chapter 18: Mixed Accounting
Chapter 19: ABC Management
Chapter 20: Capitation Economics
Chapter 21: Contract Negotiations
Chapter 22: Neoteric AR Trends
Chapter 23: Contemporary IBNRs
Chapter 24: Revenue Cycles
Chapter 25: Internal Controls
Chapter 26: New-Wave R.O.I.
Chapter 27: Salary Compensation
Chapter 28: Financial Benchmarks
Chapter 29: Concierge Medicine
Chapter 30: Practice Value-Worth
Chapter 31: Sales Contracts
Chapter 32: U.S.A. Patriot Act
Chapter 33: Professional Relations
Chapter 34: Next-Gen Recruitment
Chapter 35: Leadership & Branding
Chapter 36: Participatory Ethics
Chapter 37: Collaborative Advice
Companion: Case Models CD-ROM
Companion: Checklists CD-ROM
Contact and Request Us
Free: Bonus Chapters & Samples
Handbooks and Glossaries
Health 2.0 Transformation Defined
Health Reform Act [circa 2010-13]
Message Boards for the BMP 3.0
ORDERS and Bookplates
Privacy, Terms and Conditions
Vote for the Book [3.0]
WELCOME TO THE FUTURE OF MEDICAL PRACTICE 2.0 [Official Blog and Community for Readers and Fans]
Cash Flow Analysis and Practice Enhancement
[Medical Practice Lifeblood]
By Gary L. Bode
By David Edward Marcinko
The Statement of Cash Flows (SCF) is the lifeblood of any medical practice. It is the movement of money into, and out of, your medical practice. And, it is the analysis of the cash inflow and outflow cycle that determines practice solvency; thriving, stable or moribund – Joseph Michael Fabiszak; CPA
The Statement of Cash Flows (SCF) is the lifeblood of any medical practice. It summarizes the effects of cash on office operating activities during an accounting interval.
In periods of rapid growth, as can occur with the acceptance of some managed care contracts, increased revenue actually equates to less cash and potential trouble in terms of practice survival.
Therefore, accurate Cash Flow Analysis (CFA) will allow the physician executive to determine the effects of past strategic business decisions in quantitative form. The accurate and proactive nature of this analysis may spell economic success or failure in the competitive healthcare 2.o environment.
More here: BOOK ORDERS [Pre-Release]: http://www.springerpub.com/shoppingcart
Dictionary of Health Economics and Finance: http://www.springerpub.com/prod.aspx?prod_id=02549
6 thoughts on "Chapter 16: Cash Flow "Crunk""
Dr. Marcinko says:
On Medical Payment Processing
http://www.recondotech.com
Accelerating the healthcare cash conversion cycle is a desirable business goal, especially if collection occurs at the point-of-contact. And, consumer-driven health care [CDHC], high-deductible health plans [HDHPs], medical and health savings accounts [MSAs/HSAs] are changing the rules of revenue cycle management for medical practices, clinics, outpatient and retail medical facilities, and hospitals.
In fact, compared to other industry segments; medical payment processing remains extremely inefficient. For example, the retail segment settles payments for less than two percent of revenue, and financial services settles payments for less than one percent. Some health economists even estimate that if health care could settle payments even for 10 percent of revenue, savings would exceed $100 billion.
Recondo Technology and its SurePayHealth™ Payment Processing system was formed to build tools that help hospitals, offices and medical clinics accelerate patient payments and streamline claims to payers; especially in the emerging CDHC and Direct Reimbursement model of US health care. The company is a pioneer in verifying patient information, financially approving and clearing patients, predicting payment accurately, and automating the Medicaid/ and charity approval process. It offers real-time access to information that ensures payment sources for services are properly identified prior to, during, and after care delivery. It also provides insurance and billing statement processing.
Dr. Marcinko
Dr. Bode says:
Doctors and Colleagues,
Most retail banks just raised cash management fees, on an industrial average, of 3.6% in 2010. So beware; lockbox services, ACH debit card transactions, and checking overdraft fees are higher, as well.
Dr. Gary L. Bode; MSA, CPA, CMP
For a list of medical accounting software vendors:
http://www.softwareadvice.com/medical/accounting-software-comparison/
Health Capital Consultants, LLC says:
Cash Flow and Reimbursement Information Sources
a. "Federal Register 42 CFR Parts 405, 413, and 415 (Vol. 56, No. 227, November 25, 1991): Medicare program, fee schedule for physician services." Department of Health & Human Services, Health Care Financing Administration. (410) 966-4494.
b. "Medicare RBRVS: the physicians' guide." (annual) American Medical Association. 515 North State Street, Chicago, IL 60610; (800) 621-8335. http://www.ama-assn.org.
c. "Annual Report to Congress." (annual) Medicare Payment Advisory Commission (MedPAC). 2120 L Street, NW, Suite 200, Washington, DC 20037; (202) 653-7220. http://www.medpac.gov.
d. "PMIC, Physician Fees: a comprehensive guide for fee schedule review and management. Practice Management Information Corporation (PMIC). Corporate Office, 4727 Wilshire Blvd., Los Angeles, CA 90010; (800) 633-4215.
e. "Reforming the Health Care System: State Profiles." (annual) American Association of Retired Persons. 601 E Street, NW, Suite 600, Washington, DC 20049; (202) 434-2277.
f. "St. Anthony's CPT Guidebook for Managed Care." (annual) Ingenix. 2525 Lake Park Blvd., Salt Lake City, UT 84120. (801) 982-3000. http://www.ingenix.com
Gary Bode, CPA says:
The Statement of Cash Flows is under utilized in practice management. Perhaps because the format isn't intuitively obvious to Docs. But, the nomenclature can be modified. Combined with budgeting, this Financial Statement turns into a great managerial tool. http://cpawilmingtonnc.org/
Gary Bode, CPA
Editors says:
Physician Cash Flow Bogged Down by New Standards
New federal standards designed to streamline electronic insurance claims are instead slowing them down, hurting physician cash flow and pushing some practices into financial distress.
Susan Turney, MD, the president and chief executive officer of the MGMA, urged HHS to postpone enforcement of the HIPAA Version 5010 standards for electronic claims and other billing transactions such as requests for claims status until at least June 30. In the meantime, physicians and insurers should be allowed to do business electronically based on the earlier Version 4010 standards.
Ann Miller RN MHA


Are you thinking about becoming a Beachbody coach? Here's what happened my first week as a Beachbody coach! Update: I am no longer a Beachbody coach. Read why in this post.
Guys, if you read my post about why I decided to become a Beachbody coach, you'll be interested in this post for sure.
I am just about one full week into my journey as a Beachbody coach and I want to share it ALL with you.
The reason I want to share all of this with you is that I have been as SKEPTICAL as you can be when it comes to Beachbody. I basically passed up Beachbody coaching as a way to earn money from home for YEARS because I thought it was a scam.
All of those times I was desperate for purpose, desperate to be my own boss, and have my income…ugh.
Anyway, I have spent several years researching this type of thing (earning from home), and I have EXTENSIVELY researched Beachbody.
However, just a week ago, I finally took the plunge after getting nowhere in my existing business and getting the invite from someone trustworthy.
And since I am less skeptical about it, I want to share my journey with you.
But before I talk about what happened my first week as a Beachbody coach, let's go over some backstory.
I figure that since you're probably one of those people who likes to do a lot of research and get all of the nitty-gritty details, I can tell you a little more. I'll try to keep it short for this post, but if you want to read more, check my about page.
I've been a stay-at-home mom for almost 5 years.
I abandoned my projected career of elementary school teacher and dropped out of college after 5 years of schooling.
I have been blogging for over 4 years.
I'm mom to a little man that is 10 months old and a girl that is 4.
Because they are important parts of the story!
My family (of 6 now) has been living on one income for several years. And though I'm a personal trainer, I don't have the heart to subject my two little ones to the crazy schedule that trainers have. So Beachbody seemed like the perfect fit. Plus, I want you to know who I am in case you can relate to being any of those things and think you might be a good fit for my team.
Okay, anyway, here's what happened my first week as a Beachbody coach.
It was exciting! I felt more committed to fitness than ever. I still do. I ordered my challenge pack (this is the one I got), which waived my business startup fee, plus a sampler pack of Shakeology. I was so excited about the fact that I could get a whole year of workouts plus tools to help me on the nutrition side for less than the price of three months at my local gym. Holla!
Anyway, then I jumped into training. There are ton of business growth trainings provided and getting into those was kind of fun. This week has been a whirlwind of personal development and working out!
Both Beachbody and my team offer a TON of training for new coaches. For most people, this is a good thing. For over-achievers, this basically leads to overwhelm. I barreled through what was meant to be two 30-day trainings (one from my team and one from Beachbody) in TWO days.
I will say that I learned a lot – the income and commission structure finally made sense and the Beachbody lingo was finally something I understood.
But man, did I get overwhelmed.
Actually, I had a mini panic attack and cancelled my coaching account. I was worried I couldn't do Beachbody and be a personal trainer at the same time.
I had a conference call with her and hit her with my notebook full of questions. That made me feel so much better and I restarted my biz account. Whew!
If you join as a coach on my team, I PROMISE to help you get through those doubts and questions.
I knew from the beginning that I only wanted to become a coach if it would work with my current business (this blog). If you don't run a blog or some other business, don't even worry about it. For me, in order to make Beachbody work, I did have to make some modifications to my site. Things like update my disclosure, add a few legal tidbits, add a coach inquiry page, etc.
I also had to update my social media accounts to include links to my Beachbody coach website. I also invited some people to my first challenge using the accountability app, and I'm excited to get more people involved!
I think that these are probably my absolute favorite thing so far. Beachbody has a challenge app where I can invite people to join, then set a goal or do a program with my challengers. I can see who has logged a workout, who drank Shakeology, who is doing certain programs, and I can chat with my people. You can also upload before & after pics, weight, measurements, and a personal bio.
I've been using this to check in with women who wanted accountability and motivation, and I have 10 people in my first challenge!
If you want a taste of how these challenges work and what the app is like, join my challenges and take a peek at this post!
During my first week as a Beachbody coach, I was pleasantly surprised. So many of my misconceptions were busted! At some point plan on writing an entire post about that, but the two biggest surprises were the team aspect and the flexibility.
The team attitude and support (everyone helps everyone) and how we're all in it together is really attractive. I like that my team is all women supporting women. Like that just gets me so excited to have my own tribe in that way.
I was also surprised that the business is truly flexible. You can just be a coach for the discount on Shakeology if you want! If I you want to hustle your way to 6 figures, you can!
I thought that to be a Beachbody coach, I had to be a hard sales type of person. I thought that I didn't make a certain quota, I couldn't participate. These aren't true!
While you are encouraged to invite people to participate in fitness challenges or to coaching, you can do it however you want and as often as you like.
Honestly, these things will probably happen to you, too! If you've been researching ways to make money from home or side hustles for moms, you might go through the same things!
I have been constantly researching and testing ways to make money on my own schedule since my daughter was born in 2014. I literally went through so many blog posts about Beachbody income, the workouts, Shakeology, and more.
And it took me a LONG time to finally take this leap.
It was a huge leap of faith but I felt compelled to take it!
If you're in that spot of "I just don't know," I want you to know that I'm here to answer your questions!
You can either leave me some comments below, or check out the FAQ by using the form below.
I hope that sharing what happened to me in my first week as a Beachbody coach helped you somehow!
Disclosure: Beachbody does not guarantee any level of success or income from the Team Beachbody Coach Opportunity. Each Coach's income depends on his or her own efforts, diligence, and skill. See our Statement of Independent Coach Earnings located at http://tbbcoa.ch/TBB_SOICE for the most recent information on our Coaches' actual incomes.


Our performance timber alternative window not only looks stunning, it offers a host of unique energy saving benefits and beautiful design touches. Evolution windows really do have to be seen to be believed, with the intricate detail and handcrafted elements really make these windows stand out from the rest. Low maintenance, energy efficiency, beautiful design lines and over 200 colour options to choose from. With simple minimalist lines, Evolution windows suit both traditional and period homes as well as newer properties where the simple lines complement more modern house styles.
The Evolution Storm 2 takes storm-proof window design to a whole new level; a quite remarkable timber inspired window collection.
Offering the trademark robustness you would only normally associate with authentic timber, the Storm 2 window also has the same delicate styling touches of a wooden equivalent. It more than excels when it comes to thermal efficiency too as it can achieve an A+13 rating as standard and is effortlessly adaptable as it can accommodate a triple glazed unit or acoustic glass if noise insulation is a major priority. And that's far from all!
Storm 2 is hugely practical thanks to the inclusion of egress/easy clean hinges and it provides a simple escape should fire ever break out. Protection is also an integral feature of the design. Inclusive of multi-point shoot bolt security locks and security bolts and claws, the Storm 2 promises to keep your home and your family safe.
Whatever your property's style or age, Storm 2 will look right at home as it delivers on all fronts – aesthetically-pleasing, energy efficient and ultra-secure.
The Storm 2 certainly lives up to its billing when you assess its many features.
Elegant array of door furniture (handles, peg stays), all made in the UK.
Evolution Flush, a most traditional window.
The new Evolution Flush range varies slightly from storm-proof windows as their immensely slender window lines fit perfectly flush into the window frame. This creates an understated and visually enticing window style.
Traditionally, flush fitting was the dominant window effect, but the development of modern windows has changed things. You would also normally only find a flush fitting in authentic timber windows, that's until we tasked our clever designers and craftsmen to replicate a flush fitting in a contemporary window offering.
The popularity of flush windows for period residences and cottages remains strong; however we have witnessed a surge of interest in flush windows amongst those living in new-build properties and conservation areas due to their pristine, sharp lines.
Exquisite UK-made door hardware available e.g. handles, working peg-stays.
Insufficient window insulation is a very common cause of heat loss in the home; indeed it could be responsible for over a third of heat loss. The full Evolution range will bring excessive heat loss to a permanent halt as it consists of some of the marketplace's most thermally efficient contemporary window designs. The Storm 2 and Evolution Flush offer an A+ rating and are double glazed as standard, exceeding expected thermal performance levels.
Never again will the inside of your home feel icy cold in winter or overly in hot in summer as the Storm 2 has a 1.3U value and WER of A+13 as standard, while the Evolution Flush boasts a 1.3U value and WER of A+11 as standard. You really cannot go wrong no matter which window from the Evolution range most appeals.
It's lovely to be spoilt for choice and have an array of handle styles to choose from. We know only too well how varied people's tastes can be and how some like to choose a sole handle design or a mixture of different handles for their entire set of windows.
It's also nice to have a wide selection of colours at your disposal. You certainly get that as in addition to our standard colour range, we have a number of colourful options for our contemporary 360 and teardrop handles from the Ventiss range or traditional monkeytail and bulb end handles.
Our most daring customers will adore our mixed finish Ventiss Designer range as you have the possibility of mixing and matching finishes. A total of 5 colour combinations for both our teardrop and 360 handle options have been developed. We also have matching working or decorative peg stays available for each handle and you will also be supplied with a 10 year warranty.
The Evolution range can be enhanced further with the addition of elegant Georgian bars. Our craftsmen make an immense effort to create these traditional hand-fixed Georgian bars with supreme precision and painstaking detail. The end product certainly testifies to that.
Customers also have their pick of glass, including coloured and leaded glass. Leaded glass tends to be favoured by those residing in a period home as it emphasises the traditional character of their property.
The rising cost of household fuel has sparked a growth of interest in energy efficient windows amongst UK householders. Every double glazed window from the Evolution range offers phenomenal energy efficiency, but if thermal efficiency is your top concern you can upgrade the design to ensure your home benefits from the optimum standard of thermal efficiency.
We live in a noisy world and when noise infiltrates your living space it can become annoying. It's so nice to be able to shut out that noise and you will be able to do that if you stipulate the inclusion of acoustic glass. Compatible with Storm 2 and our Flush window, the acoustic glass we use can minimise the amount of external noise you hear indoors by up to 30%.
Acoustic glass differs from a standard double glazed window as it is a laminated glass with a noise reduction interlayer. It's this layer that stops the noise generated by passing trains, traffic and people causing an unwanted disturbance for occupiers and it does it without light transference or thermal performance being affected whatsoever. If all you want is a bit of peace and quiet, acoustic glass is definitely worth the investment.
Triple glazing will make a noticeable difference to energy efficiency as it raises the energy rating of a Storm 2 window to A+14 and Flush window to A+12. When you analyse the energy savings you will make it is worth some serious consideration. The U value of the window will also change with a triple glazed unit.
A standard double glazed Storm 2 window offers a U value of 1.3 but a triple glazed Storm 2 window has a lower U value of only 1.1. When you do your calculations this means that a triple glazed version is more than 15% more energy efficient than a double glazed equivalent. Talk through whether double glazing or triple glazing is best for your circumstances with one of our knowledgeable consultants.
Evolution comes in so many colours. Pick your favourite out of 10 standard timber-effect finishes and 1 smooth gloss finish – there's something for everyone. Viewed close-up or from afar, the timber grain effect and colour chosen will leave people in disbelief that your new Evolution windows aren't authentic timber windows as they look so much like them.
Need further possible coloured finishes?
Because we utilise the Kolorbond system we are capable of colouring Evolution in over 200 RAL colours. You will be totally overwhelmed by the number of colour choices available and are certain to find a finish that beautifully complements your home.


text:
Symptom Control Disease Site
Select Disease Site
Study Title
Emotion and Symptom-focused Engagement (EASE): A Randomized Controlled Trial for Individuals with Acute Leukemia
Leukemia is the 6th most common cause of cancer death in Canada, with adult acute leukemia (AL) being the most fatal form. Despite the rapid onset and life-threatening nature of AL and its treatment, little research on its psychological and physical effects and the interventions to reduce them have been done. Preliminary evidence has showed that an integrated psychosocial and early palliative intervention (e.g. EASE) reduces physical and psychological distress as compared to usual care (UC).This large, unblended phase 3 randomized controlled trial of EASE vs. UC will tests its effectiveness in reducing and preventing psychological and physical distress in adults with newly-diagnosed or relapsed AL.
Complexity Level: 2
Eligibility: Patients with newly-diagnosed acute leukemia (AL) within 2 weeks of admission who will be receiving induction chemotherapy with curative intent. Patients must be fluent in English and must pass the cognitive screening test.
Objectives: PRIMARY OBJECTIVE: To determine the effectiveness of EASE vs. usual care (UC) to reduce psychological distress and physical symptom severity in adults with newly diagnosed acute leukemia after 8 weeks of implementation. SECONDARY OBJECTIVE: (1) To determine the effectiveness of EASE vs. UC to reduce psychological distress and physical symptom severity after 4 and 12 weeks, 6 months, and 1 year; (2) to determine the effects of EASE vs UC on other domains of health-related quality of life; and (3) to conduct post-trial, an economic analysis of EASE to determine the cost-effectiveness of EASE delivery in relation to its effect on reduction of distress in individuals with AL compared to UC.
NCT Registration ID (from clinicaltrials.gov): NCT04224974
Participation: Limited to invited centres
NCI US Affiliation: No
Clinical Trials Application (Canada): No
Coordination: CCTG Led Trial
Status: Open to Accrual
Activation Date: December 23, 2019
Chair: (Canada) Dr. Camilla Zimmermann, University Health Network, (416) 946-2135, (Canada) Dr. Gary Rodin, University Health Network, (416) 946-4504
Open to Accrual
A Randomized Phase II/III Study Comparing Stereotactic Body Radiotherapy(SBRT) versus Conventional Palliative Radiotherapy (CRT) for Patients with Spinal Metastases
Eligibility: Patients with tumours (excluding seminoma, small cell lung cancer and metastases from hematologic malignancies) who have MRI-documented spinal metastases, suitable for receiving radiation therapy, and fulfill the following criteria: (a) Pain secondary to spinal metastases requiring treatment; (b) <=3 consecutive spinal segments involved by tumour to be included in the target volume
Objectives: PRIMARY ENDPOINT: Phase II study: The ability to accrue 54 patients over an 18 month period to a study that randomizes patients with spinal metastases to Stereotactic Body Radiotherapy (SBRT) or Standard Conventional Radiotherapy (CRT) within a Canadian multicentre setting. Phase III study: To assess complete pain response in the treatment area at 3 months post-radiation. SECONDARY ENDPOINTS: (1) Complete pain response in the treatment area at 6 months post-radiation; (2) Radiation site progression-free survival (RSS PFS) at 3 and 6 months; (3) Spinal Instability Neoplastic Score at 3 and 6 months; (4) Overall Surivval; (5) Adverse event profile; (6) Healthe-related Quality of Life; (7) Economic Analysis; (8) Radiotherapy Quality Assurance (RTQA) compliance. TERTIARY ENDPOINTS: (1) Radiomics; (2) Biobanking for future correlative studies TERTIARY ENDPOINT: Biobanking for future correlative Studies.
Participation: Open to member centres
Status: Closed to Accrual
Activation Date: July 28, 2015 Closing Date: September 27, 2019
Chair: (Canada) Dr. Arjun Sahgal, Odette Cancer Centre, (416) 480-4834
Closed to Accrual
A Study of the Efficacy of Lethium in Preventing Infections in Patients With Acute Leukemia
NCT Registration ID (from clinicaltrials.gov): no NCT
Coordination: NCIC CTG Led Trial
Status: Permanently Closed
Activation Date: December 01, 1979 Closing Date: June 01, 1982
Protocol for the Management of Febrile Granulocytopenic Patients. Tobramycin/Ticarillin versus Moxalactam/Ticarcillin as Initial Treatment for Febrile Granulocytopenic Patients
Activation Date: March 31, 1981 Closing Date: October 31, 1982
Comparison of Azthreonam Plus Antistaphylococcal Therapy, Azthreonam Plus Aminoglycoside, or Moxalactam Plus Aminoglycoside for the Therapy of Febrile Neutropenic Episodes in Cancer Patients Undergoing Cytotoxic Chemotherapy
Activation Date: January 27, 1983 Closing Date: April 01, 1985
IC6 (46852)
Empiric Antibiotic Therapy for Infection in Febrile Granulocytopenic Patients. A Prospective, Randomised Evaluation of Ceftazidime Plus Amikacin versus Ceftazidime Plus Amikacin Plus Vancomycin
Coordination: Intergroup Led Trial
Activation Date: July 01, 1986 Closing Date: December 21, 1987
A Multicentric, Randomized Study to Evaluate the Safety and Efficacy of Ofloxacin versus Ofloxacin Plus Rifampin versus Norfloxacin in the Prevention of Fever and Sepsis in Patients Expected to Become Neutropenic
Activation Date: July 14, 1989 Closing Date: June 30, 1992
A Comparison of Methylprednisolane Sodium Succinate and Metoclopramide Hydrochloride in the Prevention of Nausea and Vomiting Produced by Cancer Chemotherapy
Activation Date: October 30, 1982 Closing Date: March 01, 1984
A Randomized Controlled Phase III Trial of Clodronate in the Treatment of Bone Pain Due to Metastatic Cancer
Activation Date: March 27, 1992 Closing Date: January 31, 1994
Chair: (Canada) Dr. David Warr, Univ. Health Network-OCI/Princess Margaret Hospital, (416) 946-4501 Ext. 2260
A Phase III Double-Blind Comparison of Dolasetron Mesylate With Ondansetron and an Evaluation of the Additive Role of Dexamethasone in the Prevention of Acute (IV) and Delayed (Oral) Emesis Due to Moderately Emetogenic Chemotherapy
Activation Date: May 05, 1993 Closing Date: January 27, 1995
A Phase III Study of an Assessment of the Efficacy of Dexamethasone in the Prophlaxis of Radiation Induced Emesis
Activation Date: March 27, 1995 Closing Date: September 29, 1997
A Phase III Double Blind Study of Theophylline versus Placebo for the Treatment of Dyspnea in Cancer Patients
Activation Date: March 24, 1998 Closing Date: November 08, 1999
A Phase III Trial of Single versus Fractionated Thoracic Radiation for Palliation of Symptoms in Patientswith Non-Small Cell Lung Cancer
Activation Date: August 01, 1997 Closing Date: January 23, 2001
Chair: (Canada) Dr. Andrea Bezjak, University Health Network, (416) 946-2132
A Double Blind Phase III Study of Oral Pilocarpine for Opioid-Induced Dry Mouth.
Clinical Trials Application (Canada): Yes
Activation Date: May 22, 1998 Closing Date: November 08, 1999
A Phase III Double-Blind Equivalence Study of Two Different Formulations of Slow-Release Morphine Followed by a Randomization Between Dextromethorphan or Placebo Plus Statex Sr for Chronic Cancer Pain Relief in Terminally Ill Patients
Eligibility: Patients requiring morphine for the treatment of chronic cancer pain who have been managed by a stable dose of MS contin.
Objectives: To compare the efficacy of statex SR with that of MS contin and to assess the analgesic potential of dextromethorphan with morphine SR.
Participation: Limited
Activation Date: June 11, 1998 Closing Date: July 23, 2001
Chair: (USA) Dr. Eduardo Bruera, M.D. Anderson Cancer Centre, (713) 792-6085
SC18 (989255)
Phase III Double-Blind, Placebo-Controlled Randomized Comparison of Megestrol Acetate (Megace) versus an N-3 Fatty Acid (EPA) Enriched Nutritional Supplement versus Both for the Treatment of Cancer Cachexia and Anorexia
Eligibility: Histologic or cytologic proven cancer other than brain, breast, ovarian, endometrial cancer or prostate cancer. If the patient has multiple primaries or an unknown primary, the currently active cancer cannot be known to be of brain, breast, ovarian, endometrial, or prostate cancer. Patient must be able to take oral medication reliably, and have a history of losing at least 5 pounds over the preceding two months or less.
Objectives: To compare the appetite-stimulating properties of megestrol acetate versus an eicosapentaenoic acid-enriched supplement versus both for the treatment of cancer-related (and cancer treatment related) cachexia and anorexia by following patient weight, rate of weight change, and appetite. To evaluate the effect of these treatments on nausea and vomiting in patients with advanced metastatic disease.
Participation: Limited to centres with a current CPA #.
NCI US Affiliation: Yes
Activation Date: September 11, 2000 Closing Date: August 15, 2002
A Phase III Study of Ondansetron and Dexamethasone versus Ondansetron and Placebo in the Prophylaxis Against Radiation-induced Emesis
Eligibility: Patients at risk of developing radiation-induced emesis secondary to a fractionated course of radiotherapy consisting of at least 15 fractions to a field encompassing the upper abdomen.
Objectives: To compare the effectiveness in complete protection from radiation-induced emesis and nausea using a 5-day regimen of prophylactic ondansetron and dexamethasone versus ondansetron and placebo. To compare the toxicity of the regimens and quality of life of patients in the two groups.
Participation: Not limited.
Activation Date: February 28, 2001 Closing Date: January 31, 2004
Chair: (Canada) Dr. Rebecca Wong, University Health Network, (416) 946-2126
To Evaluate the Efficacy of Methylprednisone Acetate (Depo-Medrol) in Maintaining the Anti-nauseant Effect of Methylprednisone Sodium Succinate (Solu-Medrol) in the Prevention of Nausea and Vomiting Produced by Cancer Chemotherapy
SC20 (SC20)
A Phase III International Randomized Trial of Single Versus Multiple Fractions for Re-Irradiation of Painful Bone Metastases
Eligibility: Patients with painful bone metastases after previous palliative radiotherapy had been given to the diseased bone.
Objectives: To assess the factors that influence response to re-irradiation and to determine the incidence of severe radiation side effects.
Activation Date: January 07, 2004 Closing Date: May 24, 2012
Chair: (Australia) Dr. Daniel Roos, Royal Adelaide Hospital, (8) 8222-4000, (The Netherlands) Dr. Yvette van der Linden, Radiotherapeutic Institution Friesland, (58) 286-6667, (USA) Dr. William Hartsell, Advocate Good Samaritan Cancer Center, (630) 275-2300, (UK) Dr. Peter Hoskin, Univ. College of London Clinical Trials Unit, (1923) 844533, (France) Dr. Jean-Leon Lagrange, Assistance Publique Hopitaux de Paris (APHP), (14) 981-4524, (Canada) Dr. Jackson Wu, Tom Baker Cancer Centre, (403) 521-3095, (Canada) Dr. Edward L.W. Chow, Odette Cancer Centre, (416) 480-4998
SC20U (SC20U)
A phase III study of the effect of re-irradiation for bone pain on urinary markers of osteoclast activity.
Eligibility: Patients with painful bone metasteses after previous palliative radiotherapy had been given to the diseased bone.
Objectives: To correlate the response of re-irradiation to the change of urinary markers of osteoclast activity.
Participation: Patients randomized to SC.20 in selected centres in Canada and the United Kingdom.
Activation Date: July 06, 2004 Closing Date: May 24, 2012
Chair: (Canada) Dr. Edward L.W. Chow, Odette Cancer Centre, (416) 480-4998, (UK) Dr. Peter Hoskin, Univ. College of London Clinical Trials Unit, (1923) 844533
A Phase I Study To Determine The Dose of Methadone As A First Line Agent In The Treatment of Chronic Neuropathic Cancer Pain.
Eligibility: Patients with chronic neuropathic cancer pain who need to be started on strong opioids or require an increase in their opioid dose and are currently taking opioids at a dose less than or equal to 75mg daily oral morphine equivalent.
Objectives: To determine the optimum starting dose of methadone as a 'first line' opioid in the treatment of chronic neuropathic cancer pain. To assess parameters of pain control achieved with methadone as a 'first line' opioid in the treatment of chronic neuropathic cancer pain including: number and timing of BTA usage, number of episodes of breakthrough pain, total daily dose of methadone, average pain score. To determine the safety and adverse event profile of methadone as a 'first line' opioid in the treatment of chronic neuropathic cancer pain. To assess the frequency and severity of sleep disturbance associated with the use of methadone. To determine the feasibility of recruiting patients with chronic neuropathic cancer pain in a reasonable time frame for a future phase III study of methadone versus morphine.
Participation: Limited to Canadian centres with a physician licensed to prescribe methadone.
Activation Date: April 17, 2009 Closing Date: May 16, 2011
A Phase III Double-Blind Study of Dexamethasone Versus Placebo in the Prophylaxis of Radiation-Induced Pain Flare Following Palliative Radiotherapy for Bone Metastases.
Eligibility: Cancer patients requiring treatment with radiotherapy in a single fraction of 8 Gy for bone metastases in one or two painful areas.
Objectives: - To compare the effectiveness of prophylactic dexamethasone versus placebo in protecting against radiation-induced pain flare associated with a single 8 Gy course of treatment by examining the difference in incidence of pain flare in the first 10 days after therapy. - To compare in patients treated with dexamethasone versus placebo: the incidences of pain flare occurring on Days 0-5 and Days 6-10; the nature, severity and frequencies of adverse events; and quality of life. - To validate the EORTC QLQ-BM22 module with the EORTC QLQ-C15-PAL. - To investigate if pain flare following palliative radiotherapy is correlated with a surge of inflammatory cytokines and baseline levels of the bone turnover markers pyridinoline and N-telopeptide. - To investigate if dexamethasone prophylaxis is mediated through a decrease in inflammatory cytokines and if prophylaxis failure is due to rapid metabolism of drug, intrinsic glucocorticoid recepter defects or variations in SNPs.
Activation Date: November 22, 2010 Closing Date: December 12, 2014
Chair: (Canada) Dr. Alysa Fairchild, Cross Cancer Institute, (780) 432-8516, (Canada) Mr. Carlo De Angelis, Odette Cancer Centre, (416) 480-6100 Ext. 1085, (Canada) Dr. Edward L.W. Chow, Odette Cancer Centre, (416) 480-4998
A Double Blind Assessment of the Antiemetic Efficacy, Tolerance and Safety of BrL 43694a in Comparison With High Dose Metoclopromide, Dexamethasone and Diphenhydramine in Patients Receiving Highly Emetogenic Cisplatin Chemotherapy
Activation Date: April 08, 1988 Closing Date: July 31, 1989
A Double Blind Assessment of the Antiemetic Efficacy, Tolerance and Safety of BRL 43694a in Comparison With Dexamethasone and Prochlorperazine in Patients Receiving Moderately Emetogenic Chemotherapy
Activation Date: April 08, 1988 Closing Date: March 03, 1989
An Assessment of the Antiemetic Efficacy, Tolerance, and Safety of GR38032f versus Dexamethasone Plus Metoclopramide in Patients With Breast Cancer Receiving "CMF" Chemotherapy
Activation Date: July 20, 1989 Closing Date: November 02, 1990
A Randomized Double-Blind Efficacy, Safety and Pharmacokinetic Study of Six Doses of the Antiemetic BMY-25801 and Methylprednisone Among Out-Patients Receiving Moderately Emetogenic Chemotherapy
Activation Date: February 14, 1989 Closing Date: February 16, 1990
A Double Blind Comparator Study for the Prophylactic Use of Granisetron Both Alone and in Combination With Dexamethasone Over a 7 Day Period in Controlling Nausea and Vomiting Associated With High Dose Cisplatin Therapy in Patients With Malignant Disease
Activation Date: March 25, 1991 Closing Date: June 20, 1994
An Assessment of the Effect of Schedule and Maintenance on the Antiemetic Efficacy and Safety of Ondansetron Combined With Dexamethasone as Acute and Maintenance Therapy in Patients Receiving Moderately Emetogenic Chemotherapy
Activation Date: March 01, 1991 Closing Date: August 02, 1991
Chair: (Canada) Dr. Leonard Kaizer, Credit Valley Hospital, (905) 813-1100 Ext. 5135


A fantastic opportunity to acquire this extended three bedroom detached property, situated on a secluded plot just off the Beach Road leading to Seatown Chideock. The property layout boast:- Porch, entrance hallway, extended family room, dining room, study, fully fitted kitchen, utility room and ground floor shower room. To the first floor is three bedrooms with the master being en-suite and a family bathroom. Outside are well landscaped gardens with a sweeping driveway leading to a good size garage with electric roller door and a separate carport.
The property is accessed via a five bar gate.
The property is offered for sale with NO forward chain.
Please note that the property benefits from mains water and gas.
Suit comprising of shower cubical, hand wash basin, low level w.c, rear aspect double glazed window, inset spot lights, extractor fan and heated towel rail.
coved ceiling, front aspect double glazed box bay window and front side and rear aspect double glazed windows, twin aspect double glazed French doors leading to garden, radiator, brick built fireplace housing wood burner and log storage, built in book shelves, t.v/sky/telephone points.
Coved ceiling, side and rear aspect double glazed windows, radiator.
A range of wall and base units with roll edge work surface over with inset sink drainer, fitted double oven and hob with extractor fan over, integrated fridge and dishwasher, glass fronted display units with lights, tiled splash back tiles, rear and side aspect double glazed windows with side aspect door leading to garden, radiator.
A range of wall and base units with roll edge work surface over, inset sink drainer, plumbing for washing machine, space for fridge and freezer, loft access, rear aspect double glazed window and door leading to garden.
Rear aspect double glazed window, radiator, telephone point.
Electric roller door. power and light, over 2.5m hight with open loft space.
Suit comprising of panelled bath, w/c hand wash basin, inset spot lights, half tiled walls rear aspect double glazed window, radiator.
Front aspect double glazed window, radiator, built in wardrobes.
Suit comprising of panelled bath, hand wash basin, w/c, rear aspect double glazed window, radiator, inset spot lights.


text:
ESPN President John Skipper resigns due to substance addiction
Sara Fischer, author of Axios Media Trends
AP Photo/Mark Lennihan, File
ESPN President John Skipper announced Monday that he is resigning as the network's president and co-chairman, a position he has had since 2012.
Why it matters: Skipper's resignation comes at a tumultuous time for ESPN. The network has faced two rounds of 100+ person layoffs this year and has been at the center of investor concerns for Disney's cable networks business. Disney announced last week that it would acquire most of 21st Century Fox's assets, including its regional sports networks, which add to the scope of the ever-changing role of ESPN at the network.
Former ESPN president and executive chairman George Bodenheimer will take over as acting chairman for the next three months while Iger finds a replacement, ESPN reports. Skipper has been with the network since 1997.
In a statement, Skipper thanked Disney President Bob Iger for the "human understanding and warmth" that he displayed during his time at the network:
"I come to this public disclosure with embarrassment, trepidation and a feeling of having let others I care about down."