The morning out routes are designed to help visitors discover the most interesting aspects of the city and find all the little hidden secrets that make Alicante such an enjoyable place to visit. The routes have been designed to take no more than a morning and each includes focal points of interest as well as attractive locations in which to stop off and enjoy some local gastronomy.
Route 2 shows some of the most picturesque elements of the older quarters of the city, the true essence of Alicante, taking visitors past some of the most important buildings and plazas, then up through the scenic Ereta park, offering spectacular views of the city, and down through the oldest and most picturesque streets of the oldest quarter of El Barrio de Santa Cruz on the slopes of Mount Benacantil.
This is a fabulous route for good views, does requires uphill walking and is to be enjoyed at leisure, stopping off in scenic and atmospheric streets, shops and bars. Take your camera on this one!
The route starts in front of the cruise ship port, at the top of Calle Muelle de Levante. From this start point, cross the main road on the main pedestrian crossing with the Paseo de la Explanada on the left hand side. This colourful 'paseo' is one of the most iconic locations in Alicante city and is also one of the most famous maritime promenades in Spain. It's tempting to wander off down here immediately, but is best saved until the end of the route for an ice cream and a sit in the shade to look through the images on the camera!
Continue straight on through the archway directly ahead on Calle Cervantes that leads to the Plaza del Ayuntamiento. This is an important square for some of the main fiestas and cultural events celebrated in Alicante city, including New Years Eve, when residents unite in this square to do the final countdown into the New Year. If visitors are lucky they will see the 'dancing' water fountains shooting up from different holes in the ground across the square.
Opposite the plaza is an attractive, imposing building, which is the Ayuntamiento, or town hall, built in an elegant baroque style and dating back to the 18th Century. It is also a tourist information point, so visitors could even pop inside and request a map on route. On each side of this is an archway. Walk through the right hand archway, which is called Calle Pasaje Pórtico II del Consist, leading onto the Plaza de Santisima Faz, which is behind the town hall.
The Plaza de la Santísmia Faz is a popular place among Alicante locals to sit and relax on the benches shaded by tall palm trees, and at night the area is transformed into a bustling square as the surrounding restaurants open up their large terraces onto the square.
From here, turn right onto Calle Mayor. Take the first left onto Calle Lonja de Caballeros and then at the end of the road is a plaza, called the Plaza Virgen del Remedio. In the far left hand corner is a set of steps. Walk up these and cross the street, continuing upward via a set of zigzagged steps painted in colourful stripes. These steps lead to Plaza del Puente, where the main entrance to El Parque La Ereta can be located on the left.
El Parque La Ereta is an attractive urban park situated on the slopes of Mount Benacantil, boasting an abundance of exotic flowers, olive groves, orange trees and scattered grass, making it an ideal place to rest whilst taking in the spectacular views of the city port and the Mediterranean Sea. Due to the sloped terrain of the park it is formed by many sets of tiered stone steps leading up to different levels. On each level there are benches and wooden slatted undulated benches allowing visitors to recline under the shade of the trees.
Right next to the park gate is the Museo de Aguas, Alicante's water museum, constructed around the ancient 'pozos' (wells) of Garrigós. The 'pozos' visible today date back to around the 16th Century, although the original wells in this site were built by the Moors who occupied southern Spain between the 8th and 13th centuries. Before entering the park visitors can easily fit in a short visit to the water museum and walk inside the rock cavities to see the wells that once held huge volumes of water.
After visiting the museum, visitors can walk up to the different sections of the park by following the logical flow of the steps or ramps, heading in the direction of the attractive roof canopy and continuing this way up to the highest point of the park where there is a large sandy plaza.
At the highest level of the park, cross over the large sandy plaza and take the steps that lead up to a much smaller plaza. Visitors could go to the castle on foot from here by taking the steps leading up to the right past the Ereta restaurant and following the zigzagged sloped path that leads up to the fortifications. However, it wouldn't give you as much time to enjoy the rest of the route at a leisurely pace, so on this route we are going to descend straight away into the highest point of the old barrio of Santa Cruz.
The narrow, pedestrianized streets of the barrio de Santa Cruz sit on the slopes of Mount Benacantil, and are home to old, colourful painted houses and decorative flower pots, giving this area an authentic, antique charm incomparable to the rest of the modernised parts of Alicante city.
At the second, smaller sandy plaza take the steps that lead down to the left, past the Casa de Santa Claus. These steps lead down to the highest point of Calle San Rafael (Zaragoza). From here visitors can walk along Calle San Rafael, which branches off onto Calle San Antonio, located further down on the right.
This is a nice area to explore, starting first with Calle San Antonio. Along Calle San Antonio there are blue, clearly marked sign posts leading to La Ermita de Santa Cruz, a beautiful chapel dating back to the 18th century. Next to the chapel is a viewing point for some stunning views of the city, port, castle and the sea. The chapel is also the starting point for the Hermandad de La Santa Cruz processions that take place during Semana Santa (Holy week, or Easter week).
Whilst exploring this area look out for the interesting plaques dotted around on the walls. These carry small verses of poetry, some of which tell the journey of the 'costaleros' (float bearers) who carry the 'pasos' (religious statues) on their shoulders representing scenes of the Passion of Christ during the Holy Week Processions. Along the same route visitors can also see paintings and figures representing Jesus and the Via Crucis. As an act of worship, members of the brotherhood follow this route prior to the Semana Santa celebrations.
If walkers then return back to Calle San Rafael, and head down, continuing to explore, at the bottom of the road is a square called la Plaza de Carmen. From here turn left onto Calle Toledo and continue along the road into the tiny Barrio de San Roque, home to more attractive narrow streets with quaint little houses. Here is also the oldest chapel in Alicante, La Ermita de San Roque, which can be accessed via the steps upwards on the left on Calle Pedro Sebastia, with more blue signs showing directions to the chapel.
Return back down to Calle de Toledo via the same steps and take some time to explore the street at leisure, making sure not to miss the pretty murals along some of the walls with lines of poetry, the antique art shop and the traditional Spanish tabernas, where a stop off for a drink or a bite to eat could be enjoyed before finishing the route.
Finally follow the road round to Plaza del Puente (park entrance) and make the descent back to the city port via Calle Mayor, following the same route taken at the start of the day. (From Plaza del Puente turn right down steps, then the second set of steps into Plaza de Virgin del Remedio. At the far left corner turn left onto Calle Lonja de Caballeros, and then turn right onto Calle Mayor.
If visitors want lunch, there are plenty of places to eat along Calle Mayor and in the nearby plazas of Santisima Faz and Abad Penalva. This area is a very popular food district with an abundance of restaurants offering typical Alicante dishes including tapas and 'arroz' (traditional rice dish).
Turn left at Plaza de Santisima Faz through the arched passageway called Calle Pasaje Pórtico, cross over the plaza del Ayuntamiento and finally walk through the next archway on Calle de Cervantes. The city port can be seen straight ahead).
Click for Alicante City Route 1, which visits the Castle of Santa Bárbara, ascending via a lift, and then walks down through the Parque Ereta.


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Jim brown an ex National Football League player spoke out against Tiger Woods the other day. A Golf Channel telecaster said that Tiger's opponents should lynch tiger because he is so good. Jim Brown said that Tiger should have come out and talked about how racist that telecaster was. Jim Brown said that Tiger should have stood up for African Americans around the world.
I think this is ridiculous. The lady said she did not mean anything by it. Tiger and she are friends and she would never want that to happen. She apologized to Tiger and he accepted the apology. I do not think it is Jim Brown's business to get into. It had nothing to do with him and he has no reason to criticize anyone. I do see where he is coming from, but he is an outside opinion.
I don't think that the announcer really wanted Tiger to be hung, so why would everyone take that out of proportion. I think this world is getting kind of ridiculous about how everyone takes everything so personal. On the race topic why does Jim Brown automatically come out saying that the announcer was being racist? I do not understand why when some one says something everyone in the world automatically goes to race.
I think that Tiger Woods should stand up for his self because he's a good black athelete making millions and you just can't sit there and don't do anything. Tiger Woods is a nice guy that doesn't bother anyone, who has a positive mind, real nice to people, and a good sports athelete, but there are always going to be some jealous or predjudice people around watching you do well rather you like it or not. So all Tiger Woods have to do is to stick up for himself, try not to let no one run off him and talk and don't do anything about it.
I think Tiger knew she didnt mean anything about the remark. Maybe it sounded better in her head or just came out the wrong way?? Tiger seems like the kind of guy that doesnt let too much bother him when he has his mind set on bigger things. Speaking of he has just been killing it this year. I realy think he will get the grand slam this year.


text:
Ron Masak
Ron Masak (MAY-SACK) was born in Chicago, Illinois, the son of a salesman/musician (Floyd L.), and a mother (Mildred), who was a merchandise buyer. Ron attended Chicago City College, and studied ... read full biography
Known for Murder, She Wrote (1985-1996), Ice Station Zebra (1968), Tora! Tora! Tora! (1970), Harper Valley P.T.A. (1978)
Jul 1, 1936 (age 83) | 6' 1" (1.85m) & 5 more performer profile details
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Many play mats for baby and toddlers are made of EVA foams. Although EVA foam mats are inexpensive, EVA foam is a toxic material. EVA foam is found to off-gas formamide which is toxic. Formamide is a known carcinogenic chemical. It can be absorbed into the body by inhalation of its fumes but also through the skin and by ingestion. It can damage central nervous system or reproductive health. Therefore, EVA foam mats are not safe for babies and toddlers.
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Read my review on CremeHaus Folding Play Mat.
Read my previous posting 'Why You Should Consider a Non-Toxic Play Mat For Your Baby'.
If you are looking for a non-toxic gift for a baby, read my previous posting, 'Non-Toxic Holiday Gift Guide – 30 Non-Toxic Gift Ideas For Babies'.
Amazon.com is also having Cyber Monday Sale on Toys and Baby Products! Check out their Cyber Monday Sale!


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Home › Perspectives › Field Notes
Debby Ng forayed into journalism following failed attempts at becoming a world-class equestrian. A wildlife crime investigator, underwater photographer, dive master and founder of a marine conservation organisation, she spends what remains of her time writing about the environment, its wildlife, and its people.
Contact Debby
www.debbyng.net
www.pulauhantu.org
Poverty is a State of Mind
By DEBBY NG
Special to asia!
Is poverty a state of mind or can it be quantified? This is the first of three blog posts that attempts to address a simple, yet profound question.
The definition of poverty is highly variable. Is it possible then, that is it a state of mind?
An old friend of mine who's an author and a lecturer, is working to put a paper together. He sent me three questions that stem from his attempt to confront the definition and issue of poverty. Here's my response to his first question: What is your idea of poverty?
Poverty exists when people feel dis-empowered. I believe it is a state of mind. That notion may seem disillusioned and naive, but consider this: I met a girl (let's call her Sabina) in Nepal who had dropped out of school because her family could no longer afford it. She was the oldest amongst her 3 siblings, which meant that her two siblings would not have been able to go to school as well. Her father was an alcoholic despite being the most educated in her family - he graduated from college. Her mother worked desperately as a janitor to keep things together, but things were falling apart. They didn't own a home. They were one family amongst millions in Nepal who were grappling with life.
Then, providence. Sabina's situation was picked up by a social worker working with a foundation that offered scholarships to underprivileged women. After an assessment, Sabina was accepted as a recipient of the scholarship. She was put into a school, but that wasn't it. Staff at the foundation didn't just give Sabina a scholarship, they mentored her. They encouraged her to work hard, instilled belief in herself, nurtured her being and her soul. They empowered her. Just as her world as falling apart, Sabina suddenly had hope. Quantitatively, she was by all definition, "in poverty", but qualitatively, she was enabled and empowered. She could once again dream of a future. A future was possible, although the present was pathetic.
With her empowerment, Sabina brought her education home, educating her illiterate mom, and teaching her to read and write. She taught her sisters too. She also taught her educated father, encouraged him to give up alcoholism and work to support the family. Ten years on, the family that was about to live off the streets, now own a two story apartment in the outskirts of Kathmandu, renting out the lower level for extra income. Sabina is a nurse, her sister teaches at an elementary school, and her mother works as an administrator at a school. If you quantified their present collective income, they might still be considered to be living in poverty on many scales, but to the family, they have achieved more than they ever dreamed of. They are not rich. They can't afford luxuries. They still have to be thrifty. But they are happy, they are at peace, and they can afford to dream.
Read the second part of this three-part exploration.
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News: Fossils
Was Darwinius a little longer in the tooth than previously thought?
New model proposed for famous primate fossil based on dental eruption sequence
A famous fossil of an early primate shares more in common with modern lemurs based on how its teeth erupted, according to new model developed at University of Toronto Scarborough.
The model, developed by PhD student Sergi López-Torres and Associate Professors Mary Silcox and Michael Schillaci, re-examined the interpretation of Darwinius, the best preserved fossil primate known to exist.
By looking at the sequence in which adult teeth come in – known as dental eruption – in primates, they found it had more in common with lemurs than squirrel monkeys, the model species used by the researchers who discovered Darwinius.
"Every species has a particular pattern by which their teeth come in and this allows us to estimate the age of fossils that died before their adult teeth could emerge," says López-Torres." It seems that the pattern of dental eruption for Darwinius is more similar to that of lemurs than to that of monkeys."
Before looking at Darwinius, López-Torres did a large study of 97 living and fossil primates in order to get a clearer picture of how different species compare through patterns of dental development. He found that the three most primitive ancestors – the ancestor to lemurs and lorises, the ancestor to monkeys, apes, and tarsiers, and the ancestor to all primates – share the same eruption sequence with each other. That pattern shares some similarities with the dental eruption sequence found in Darwinius.
"The major difference is we found that anthropoids (ancestors to monkeys, apes and humans) are characterized by a late eruption of the third molar, which is something Darwiniusclearly doesn't show," he says. "One idea that still stands links Darwinius to anthropoids, but since it doesn't show this late eruption, it looks more like a modern lemur."
Their model also suggests Darwinius was a little older at the time of death and would have weighed slightly less as an adult than the original estimates predicted.
The team that originally discovered Darwinius argued the 47-million-year-old fossil was more closely related to haplorrhines, the group that includes anthropoids (monkeys, apes, and humans) and tarsiers. Subsequent studies by the same group suggested Darwinius was specifically related to anthropoids, the primate lineage in which humans belong.
Other researchers argue that Darwinius is more likely a strepsirrhine, meaning it belongs to the opposite branch of the primate family tree, closer to lemurs and lorises.
"Our findings don't entirely support the strepsirrhine hypothesis, but it's certainly consistent with it," says López-Torres. "We can say for certain it's not consistent with the anthropoid hypothesis."
While the new model proposes only a slight change in adult weight and age at death – 622-642g and 1.05-1.14 years compared to original estimates of 650-900g and 9-10 months – the findings are significant in terms of figuring out what Darwinius was actually like.
"It may seem trivial going from 9 or 10 months to a little over a year, but if you consider that, for example, some species of lemur can reproduce at a year old, this difference could mean a major change in what the life of this animal was like," notes López-Torres.
"Our goal as palaeontologists is to bring these animals back to life. It's the best preserved fossil primate. It even has stomach contents, so there's a lot of potential for understanding its biology," adds Silcox.
"We want to be able to answer broader evolutionary questions, but we also need to have a nuanced view of what this particular animal was like."
The model is explained in a new research published online in the journal Royal Society Open Science.
Fossil reveals tiny Cambrian sea creature mystery
Inauguration of the Karditsa Archaeological Museum
An app that will change museums?
The Neolithic Settlement of ''Toumba Kremastis Koiladas'' (Part 2)
The systematic excavation at the Peak Sanctuary of Vrysinas


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Spacewalkers configure new robotic arm components on ISS
Expedition 67 Flight Engineers and Russian cosmonauts - Oleg Artemyev and Denis Matveev - configured new robotic arm components on the Nauka multipurpose laboratory module at the International Space Station (ISS) during yesterday's spacewalk.
The duo began their spacewalk at 11:01 a.m. EDT and concluded it after 6 hours and 37 minutes at 5:37 p.m. EDT. The duo's primary tasks were to install and connect a control panel for the European robotic arm and remove protective covers from the arm and install handrails on Nauka.
Spacewalkers Oleg Artemyev and Denis Matveev configure new robotic arm components on the station 257 miles above the Pacific Ocean. https://t.co/yuOTrYN8CV pic.twitter.com/Tx6HwZY3Lc
The April 18 spacewalk was the 249th spacewalk for space station assembly, maintenance, and upgrades. The Russian duo will venture outside the space station again on Thursday, April 28, for more robotics work. During the upcoming spacewalk, Artemyev and Matveev will jettison thermal blankets used to protect the arm during its July 2021 launch with Nauka. The duo will also flex the arm's joints, release launch restraints, and monitor the arm's ability to use two grapple fixtures.
Live coverage of the April 28 spacewalk will air on NASA Television, the NASA app, and the agency's website.


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Complications are mounting in environmental litigation as the federal government hobbles through its partial shutdown.
Justice Department lawyers defending federal agencies in scores of environmental cases have sought to delay deadlines, frustrating advocates trying to fight the Trump administration in the courtroom.
The federal courts, too, are running out of gas. The judiciary has enough money to keep paid operations running through the end of next week. Then, the system that fields more than 260,000 new civil cases and more than 50,000 appellate cases annually will have to curtail services and staff.
Environmental lawyers say the litigation delays aren't just an inconvenience; they're an injustice (Greenwire, Jan. 2).
"We are at an inherent disadvantage because we are trying to use the courts, and go through the process, follow the rules and make sure that the laws are enforced," said Earthjustice attorney Thomas Cmar.
DOJ staff defended EPA on an average of about 155 cases annually as of 2010, according to a 2011 Government Accountability Office report that is likely outdated by the flood of challenges to Trump administration moves.
In a legal battle over EPA's decision to freeze Obama-era standards aimed at reducing climate-warming hydrofluorocarbons, for example, DOJ has asked for a monthlong extension to file a key legal brief.
States fighting EPA on the issue say a courtroom delay would effectively prolong what they consider an illegal suspension of the HFC standards.
"For as long as it remains in effect, EPA's unlawful suspension of the HFC rule will result in the release of significant quantities of HFCs," newly minted New York Attorney General Letitia James (D) told the U.S. Court of Appeals for the District of Columbia Circuit last week.
She noted that a 30-day extension for the government's brief could delay oral argument in the case, "potentially lengthening the period of ongoing harm." The court hasn't yet decided what it will do.
The Interior Department, which is another litigation magnet, is similarly hindered by the partial shutdown.
Tomorrow, for instance, was the deadline for a federal government response to a lawsuit filed by the Mashpee Wampanoag Tribe in Massachusetts challenging an Interior decision affecting land held in trust. DOJ attorneys, citing the partial shutdown, pleaded for more time.
"Absent an appropriation, Department of Justice attorneys and employees of ... Interior are prohibited from working, even on a voluntary basis, except in very limited circumstances, including emergencies involving the safety of human life or the protection of property," DOJ noted in a brief.
District Court Judge Rosemary Collyer, based in Washington, D.C., rejected the government's request for an open-ended stay that would last as long as the shutdown but agreed to extend the deadline until the end of the month.
Many other Interior actions likewise face legal challenges now complicated by the shutdown. Pending lawsuits cover everything from the Trump administration's shrinking of national monuments in Utah to Interior's limiting of Migratory Bird Treaty Act protections (Greenwire, Sept. 6, 2018).
Briefs on the government's motion to dismiss the Migratory Bird Treaty Act challenge, for instance, were originally due this Friday. Citing the shutdown, New York-based U.S. District Judge Valerie Caproni let DOJ off the hook but kept in place the Jan. 11 deadline for the environmental groups challenging Interior's actions.
Environmental groups have raised similar complaints about delay requests in the HFC case and other lawsuits.
"Earthjustice has many ongoing cases against the federal government where the federal government is breaking the law and we are suing to stop it from doing so," Earthjustice attorney Suzanne Novak said.
"And now that same government is shutting down, and specifically not providing funding to defend those actions, and forcing 'stays' so that it can continue breaking the law," she said.
Judges have granted many of the government's requests to delay proceedings because of the shutdown.
One of Collyer's D.C.-based colleagues, for instance, granted DOJ's shutdown stay request in a high-stakes lawsuit filed by the Ute Indian Tribe staking claim to more than 2 million acres in eastern Utah. Justice had previously sought a Jan. 23 deadline for filing a response.
"Counsel will notify the court as soon as Congress has appropriated funds for the department," government attorneys assured Judge Royce Lamberth.
But in Sacramento, Calif., a federal judge rejected a DOJ request to postpone an oral argument Thursday in the Klamath-Siskiyou Wildlands Center and Western Environmental Law Center's time-sensitive bid for a temporary restraining order to stop a Klamath National Forest timber sale.
"Usually, we try to accommodate the situation, because it's not really Justice's fault that they're in this pickle," WELC staff attorney Susan Jane Brown said today. "But in my case, logging has been ongoing and I'm seeking emergency injunctive relief, so in this case I was not comfortable in accommodating [DOJ's] request."
Environmental litigation has been particularly affected, with more than half of DOJ's Environment and Natural Resources Division employees considered "excepted" from furlough (Greenwire, Dec. 28).
In litigation over EPA's coal ash rule, the D.C. Circuit has agreed to a short extension of an upcoming deadline. At issue is whether EPA must promptly enforce Obama-era deadlines for closing problematic coal ash impoundments.
Cmar pointed out a Freedom of Information Act case that's also time-sensitive. Earthjustice is seeking records from the Army and Air Force related to the siting of migrant family detention centers on military bases with toxic contamination.
The case is on hold thanks to a blanket order from the district court hearing the litigation, but the Trump administration can move forward with its plans for the detention sites in the meantime.
"So in effect, what's happening here," Cmar said, "is that the Trump administration, by unilaterally forcing a government shutdown over immigration, has slowed down our efforts to shed light on the dangerous risks that its policies would impose on families and children who would be detained at these military bases if its plans go forward."
"Our whole job, everything we try to do at Earthjustice, is make sure that the laws that are on the books are enforced by the courts that are there to protect people from government or private misbehavior," he added. "When the courts are slowing down and the agencies aren't there on the job, that doesn't help us."
But not all federal courts are allowing the shutdown to disrupt litigation schedules.
In the high-profile kids' climate case, for example, the 9th U.S. Circuit Court of Appeals yesterday granted youth plaintiffs' motion to fast-track briefing, despite a filing from government lawyers noting the lapsed appropriations for DOJ and other agencies the case affects. The first brief is due Feb. 1 (Greenwire, Dec. 21, 2018).
Other courts have rejected government delay requests more directly. In a long-running dispute over water quality in the Everglades, a district court judge in Miami tersely denied the government's bid to put off deadlines.
Similarly, a federal judge in West Virginia has rejected delay requests in all cases assigned to him, writing last week that "the government should not be given special influence or accommodation in cases where such special considerations are unavailable to other litigants."


Obsessed with Suboxone Diversion? Raise the Cap!
Last week, HHS Secretary Sylvia Burwell announced that the cap on buprenorphine patients will be raised above the current limit of 100 patients per doctor. This move, should it actually occur, will potentially save tens of thousands of young lives per year, given that over 30,000 people die from narcotic overdose each year. But instead of cheering the good news, some doctors used the occasion to rant about diversion. Those doctors get on my nerves, and I'll explain why.
Buprenorphine, the active ingredient in Suboxone, prevents opioid withdrawal in heroin addicts while at the same time blocking the effects of heroin and narcotic pain medications. Many heroin addicts keep a dose or two of buprenorphine handy for times when the heroin supply, or money to buy heroin, runs low. Other opioid addicts use buprenorphine in attempts to detox off opioid agonists. Their efforts almost always fail, as freeing one's self from addiction is much more complicated than getting through withdrawal. But the statistics don't keep addicts from trying, over and over again. After all, the belief in personal power over substances is part of the addictive mindset.
Buprenorphine is viewed as just one more drug of abuse when viewed through the superficial lens of news reporters. Even some buprenorphine prescribers fail to understand the important differences between buprenorphine and opioid agonists. But the differences are important. While over 30,000 people die from overdose of opioid agonists each year, less than 40 people die each year with buprenorphine in their bloodstream. Of those deaths, most were caused by opioid agonists, and would have been prevented by more buprenorphine in the bloodstream!
I admit to a great deal of irritation when I hear doctors who should know better spreading ignorance and stigma about buprenorphine—an ideal medication for the current epidemic of overdose deaths. To you doctors: Really? 40 deaths per year—deaths not even caused by the drug— are the horrible cost to society that you are complaining about? The same number of people die from lightning strikes! Maybe, while you are at it, you should complain about tall trees on golf courses!
I think of fields of medicine where doctors take the lead to guide society to do the right thing. Getting insurers to treat AIDS was the right thing. But when overdose is the biggest killer of young adults, my colleagues spread fear about buprenorphine?!
Buprenorphine diversion is a complicated issue. Contrary to the media-propagated image of addicts getting 'high', opioid addicts always, eventually, become desperate and miserable. Some miserable addicts learn about buprenorphine, a medication that almost instantly blocks the desire to use heroin or other opioids. When buprenorphine was approved for treating addiction, a cap was placed on the number of patients treated by each physician. Reasons for the cap range from a desire to prevent 'treatment mills' to political compromises. But whatever the reason, treatment caps and other restrictions prevent doctors from prescribing buprenorphine. In the absence of legitimate prescribers, addicts purchase buprenorphine at a street price determined by supply and demand.
Some patients sell their prescribed buprenorphine medications. Such sales are against the law, just as selling Oxycontin or Vicodin is a crime. But in a world where heroin can be purchased more cheaply than Suboxone, and where pain pills kill tens of thousands of people each year, I'm sorry if I don't get hysterical about the 'buprenorphine problem'. If there was any evidence or suspicion that buprenorphine serves as a gateway into opioid dependence (there isn't), I'd think differently. But use of buprenorphine, at this point anyway, is confined to miserable heroin addicts looking for a way out of active addiction, who can't find legitimate prescribers of the medication.
So to the people who wrote on government websites over the last week that 'it makes no sense to treat one addictive drug with another': You don't have a clue. Buprenorphine has unique properties that treat the essence of addiction—the compulsion to use 'more'. And addiction is a chronic illness that deserves treatment as much as any other chronic illness.
And to the doctors who prescribe buprenorphine products and get their undies in a bundle about greater access to buprenorphine: With all due respect, you must be doing something wrong. I have 100 patients right now who tell me, at each visit, that I saved their lives. I credit the medication, since the unique properties of buprenorphine are far more important than anything I have to say! But I know that something saved their lives, because their former friends are dead, and they are alive– working jobs, raising families, and occasionally reaching out to lucky friends who survived long enough to hear them talk about the wonders of buprenorphine.
To those same doctors: How can you not be excited by a medication that has saved so many of your patients? If you don't have such patients, I suggest you give some thought to what you're doing wrong! In this field, with this medication, saving lives isn't that difficult. After 20 years in medicine (including 10 years as an anesthesiologist), I've never had the opportunity to benefit human life as much as with these patients, with this medication.
I hate to mess up a passionate article with talk about neurochemistry, but a couple facts deserve clarification. Diverted buprenorphine is not a 'pleasure' drug. I've heard stubbornly-ignorant doctors compare buprenorphine to heroin, as if their stubborn beliefs alone can turn an opioid partial-agonist into an opioid agonist. Surely they know that if someone with a tolerance from regular use of heroin takes buprenorphine, the drug will precipitate severe withdrawal?! And if the same person injects buprenorphine, the withdrawal will be even more severe! On the other hand, if someone addicted to heroin goes without heroin for over 24 hours and then injects buprenorphine, the buprenorphine will reduce the withdrawal. But since the maximum effect of buprenorphine is far below the maximum effect of heroin, there is no way for the person to get 'high' from buprenorphine. This is all simple neurochemistry! When a person injects buprenorphine, opioid withdrawal will be relieved more quickly. But that's a far cry from thinking that buprenorphine causes a 'high' similar to the effects of heroin!
After treating hundreds of patients over the years and talking at length about every aspect of their drug use, including their use of buprenorphine products intravenously before they found prescribers of the medication, I have always heard the same thing: that buprenorphine relieved their opioid withdrawal.
When I ask why in the world they injected buprenorphine, I hear the same reason– because the drug is expensive, and lasts five times longer if they inject it. That answer, by the way, is consistent with the 25% bioavailability of submucosal buprenorphine.
How depressing that patients with addictions are treated like idiots… when they have a better understanding of neurochemistry than some doctors!
Author adminPosted on September 27, 2015 Categories Addiction, Buprenorphine, Public policy, SuboxoneTags addiction treatment, cap on buprenorphine, heroin, HHS raises cap, overdose deaths, suboxone diversion, suboxone treatmentLeave a comment on Obsessed with Suboxone Diversion? Raise the Cap!
In the middle of an already-hectic schedule, my office received a call from a pharmacist at Roundy's Pharmacy, Sheboygan WI saying that he couldn't fill a script for oxycodone without the patient's ICD-9 number. The ICD-9 is soon to be replaced by ICD-10, a system that applies numbers to every medical illness under the sun. The numbers are used for billing under Medicare, Medicaid and insurance networks.
She had a point… but I get frustrated as layer after layer of regulation squeezes the life out of the medical profession. One more thing to attend to is not a huge deal; the extra 3 minutes that it takes to look up a number for each prescription will simply mean that patients have 3 fewer minutes to ask questions. But this is just one little example of one script and one pharmacy. Another pharmacy now requires patient diagnoses to be written on every controlled substance for Medicaid prescriptions.
I called the pharmacist and asked why he needed the code. I'll mention at this point that the patient, a man in his early-60's, needs an opioid agonist for severe bilateral leg pain that forced him into early retirement. Nobody—not myself, and not the many other docs who have consulted on his care—have been able to determine the reason for his pain, despite countless tests and imaging studies. But I've known the gentleman for years, and his suffering is genuine.
The Roundy's pharmacist said that 'the DEA is all over us, and they require us to ask for it.' Nice try, I thought to myself. He was lying. I asked him to refer me to the web site or register where the law is listed or described, explaining that I've never heard of such a rule. He said that the rule isn't ACTUALLY a DEA rule—but it probably WILL be. He said that for now, Roundy's has a policy that ICD-9 codes are written for any scripts for immediate-release oxycodone.
I asked how requiring an ICD-9 number reduces diversion. He answered that with what is going on out there, it can't hurt. I asked how he knew that the number a doctor wrote on the script was accurate? Did he have any way of checking to see if the diagnosis was correct, and not just made-up? Did he know that people interested in obtaining opioids illicitly could use the same internet that I used to make up their own codes? He again pointed out that nobody else complains, and suggested that I have too lax an attitude toward narcotics. At this point I had to get back to my patients, so I gave him the all-important number: 338, Chronic pain. Don't we all feel a bit safer now?
Beyond the hassle, I am surprised at how little people care about their privacy these days. I gave the pharmacist the most general code I could, but most ICD codes are far more specific. When I asked the Roundy's Pharmacist if he thought it right that everyone who views the script would know a patient's diagnosis, he acted insulted and said that HE was part of the patient's health care too—so HE had as much 'right' to know the diagnosis as I did. But it isn't just the pharmacist; the script will be seen by other pharmacy staff that live in the same small town. Should the person who collects the script at the Rx drop-off window know that Mr. Jones has cancer of the pancreas before he tells his family? Should the tech who transcribes prescriptions know that Mrs. Jackson has genital warts?
I read today about the lack of security of private data in the US Government's foray into health insurance—cracks in data protection that would never be accepted from a private corporation. But even if or when the software gets fixed, I'm amazed how few people are concerned that their diagnostic codes will be floating through the IRS, of all places. I am amazed that the same country that elected people who passed HIPAA in 1996 would be so open with their health information with both the public and private sector.
I'm getting off-track; there are so many areas where things have changed, and I want to stick with the pharmacist, since he is the person who got me riled up earlier today. What do readers think? Do people know that pharmacists are demanding their diagnostic codes? Do they care? Are you comfortable standing in line to pay for your medication when the pharmacist says, loud enough for everyone in line to hear, 'Oh– I see you are treated for opioid addiction!' Do you think we will swing back to the era where healthcare data was considered intensely private?
And after viewing the attached chart—are you happy with the growing number of healthcare middle managers who add layers and layers of costs, without seeing a single patient?
Good Topic Dr. Junig, I personally and because I feel so strongly about my privacy, refuse to even use my company provided insurance. I pay out of pocket for my office visits and meds. I even have my Dr. write the script so the label on the bottle reads that it is taken for pain. I hate nosy people, much less government. I am neither ashamed or proud of my condition, but it is that…."MY" condition that's most important to me. I will share it with who "I" want and that's all. When the day comes when I am on medicare or medicaid, I guess my privacy will go out the window.
Had virtually the same conversation with a pharmacist at Costco, including the lie about it being required by the DEA, patient privacy, verification of the accuracy of the diagnosis and appropriate use of opioids for the condition, and how giving a pharmacist an ICD-9 code prevents misuse or diversion. Then I realized how pointless the argument was. Called the patient and advised that he use a different pharmacy, but the patient was without prescription coverage and desperate for the best price. Called the pharmacist back and gave him the ICD code for lumbago.
Bangor to Maine: Too Much Suboxone Treatment!
As I read about the moratorium on buprenorphine treatment programs in Bangor, Maine, I thought about the scene from the movie Titanic where the people who found safety in lifeboats struggled to keep those in the water from climbing aboard. The Bangor city council recently voted to impose a moratorium on expanding buprenorphine treatment programs for 180 days, at least in part because of concern that Bangor had become 'port in the storm' for heroin addicts with nowhere else to turn.
I haven't been to Bangor, but I live in Bangor-like conditions. Bangor clinics treat more than the city's share of people addicted to opioids. The city has three methadone clinics, treating a total of 1500 people, many of whom travel from outside the city for treatment. Numbers on buprenorphine treatment were not provided in the articles I've read, and so I don't know if buprenorphine/Suboxone prescribers in Bangor carry the same heavy load. Some editorials about the Bangor situation have suggested that buprenorphine treatment is unfairly targeted because of the large number of methadone patients. The two types of treatment are often confused, especially since methadone clinics now dispense buprenorphine to some patients and methadone to others. But buprenorphine-based products differ from methadone in that they can be prescribed for addiction treatment, whereas methadone can only be dispensed—initially on a daily basis. The medications are similar in that both are the most reliable methods to cut the number of overdose deaths from pain pills or heroin.
By 'Bangor-like', I'm referring to the lack of buprenorphine-certified physicians in northeast Wisconsin and the Michigan Upper Peninsula, and the need for residents of those regions to travel in my direction to see a buprenorphine-certified provider. There are also regions of the Upper Peninsula where pharmacies have stopped providing Suboxone. The exit of one pharmacy created greater pressure on remaining pharmacies, creating a death spiral that ended with no pharmacies dispensing Suboxone across a wide region.
To people without addictions, I suspect that large numbers of opioid addicts lining up for care look like the people who tried to climb into the Titanic lifeboats. People who have lost everything to addiction can seem a bit desperate with their dated clothes and late-model cars. Newcomers to treatment look rough after weeks of lousy sleep and the lack of toiletries that go with living in a car. A group of patients outside a methadone clinic are less picturesque than a Starbucks shop.
But there is nothing pretty about blocking treatment facilities that could save lives, out of concern that the good city of Bangor is doing too much good for the surrounding area. It is always revealing to apply attitudes toward addiction to other diseases. If Bangor was a Mecca for cancer treatment, with several hospitals to attract patients from miles around, would the city council be concerned? Success rates with buprenorphine rival cancer treatment success rates; is it more important, or more rewarding, to save the life of one patient over another?
I am frustrated that the regulations for treating opioid dependence keep more doctors from helping carry the load. I'm frustrated that the 'systems' that have taken over much of the healthcare landscape discourage buprenorphine-certification of their employed physicians. I find it ironic that almost all hospitals requires ACLS certification for their staff physicians, but none require buprenorphine certification—even though most doctors will rarely if ever have to run a 'code', while patients seeking help for addiction are plentiful—and ignored.
But a surplus of doctors willing to navigate the maze of regulations to offer methadone treatment or willing to sign on to random DEA inspections to prescribe buprenorphine medications is a good thing. An even better thing would be for a city council to take pride in not turning away people struggling with an epidemic that has become the number one killer of young adults in much of the country. We all agree that opioid dependence is a disease. Let's hope that in 180 days, Bangor will decide to treat it like one. The solution, in 1912, wasn't to have even FEWER lifeboats.
Author adminPosted on November 28, 2014 Categories Addiction, Buprenorphine, Public policy, Suboxone, treatmentTags addiction treatment, ban on buprenorphine treatment, opioid overdose deaths, suboxone limitsLeave a comment on Bangor to Maine: Too Much Suboxone Treatment!
I recently accepted a young man as a patient who was addicted to hydrocodone (the opioid in Vicodin), prompting a discussion about treatment options for someone who hasn't been using very long, and who hasn't pushed his tolerance all that high. Perhaps it will be informative to share my thought process when recommending or planning treatment in such cases. In part one I'll provide some background, and in a couple days I'll follow up with a few more thoughts on the topic.
Most people who have struggled with opioids learn to pay attention to their tolerance level—i.e. the amount of opioid that must be taken each day to avoid withdrawal or to cause euphoria (the latter about 30% more than the former). For someone addicted to opioids, the goal is to have a tolerance of 'zero'—meaning that there is no withdrawal, even if the person takes nothing. That zero tolerance level serves as a goal, making having a high tolerance a bad thing, and pushing tolerance lower a good thing.
Tolerance is sometimes used as part of the equation when determining the severity of one's addiction. But looking at tolerance alone can be misleading. Tolerance is a consequence of heavy use of opioids, and also a cause of heavy use of opioids. Tolerance usually goes up over time, so having a high tolerance probably correlates with length of addiction in some—- but not all— cases. Tolerance is also strongly related to drug availability. A person with a severe addiction, who only has access to codeine, will likely have a lower tolerance than a person with a more mild addiction, who has free access to fentanyl, oxycodone, and heroin.
I think it is more appropriate to measure the 'severity of addiction' by the degree of mental obsession that the patient has for opioids. Tolerance is one piece of information in determining that obsession, but tolerance alone can be misleading.
To get a sense of the obsession for opioids, I look at many factors. Has the person committed crimes to obtain the substance? Violent crimes? What has the person given up for his addiction? Has he been through treatment? How many times? How long did he stay clean after treatment? Have his parents or spouse thrown him out of the house, and if so, does he still use? Did he choose opioids over his career? Over his kids?
Answers to these questions provide a broad understanding about the addicted person's relationship with the substance—an understanding that is necessary when considering the likely success or failure of one treatment or another. It is also important to consider the person's place in the addictive cycle—i.e. early, likely in denial, cocky, with limited insight– or late, after many losses, more desperate—and perhaps more accepting of treatment.
I am a fan of buprenorphine as a long-term treatment for opioid dependence, as readers of this column know. I consider opioid dependence to be a chronic, potentially-fatal illness that deserves chronic, life-sustaining treatment— and buprenorphine, in my experience, is a very effective treatment in motivated patients. But tolerance becomes a factor, when considering buprenorphine for THIS patient.
Buprenorphine has a 'cap' or 'ceiling effect' that allows the medication to trick the brain out of craving opioids. In short, as the blood or brain concentration of buprenorphine drops between doses, the opioid effect remains constant, as long as the concentration is above the ceiling level. In order to achieve the anti-craving effects of buprenorphine, the dose must be high enough to create 'ceiling level' effects. If buprenorphine is prescribed in lower amounts—say microgram doses— the effect is identical to the effects of an agonist, since the dose/response curve is linear at lower levels.
Buprenorphine is a very potent opioid, and the effects of the medication are quite strong at the ceiling level. Comparisons to other opioids will vary in different individuals, but in general, a person on an appropriate dosage of buprenorphine develops a tolerance equivalent to that of a person taking 40 mg of methadone per day, or approximately 60-100 mg of oxycodone per day.
A person taking even a dozen Vicodin per day has a much lower tolerance to opioids. Such a person who starts buprenorphine treatment will obtain a very significant opioid effect from the drug— unless the dose of buprenorphine is raised very slowly over a number of days. And in that case, the person's tolerance level would be pushed much higher.
So if our current patient starts buprenorphine, he will have a much higher opioid tolerance if/when the buprenorphine is eventually discontinued. I receive emails now and then from patients who are angry at their doctor for starting buprenorphine, feeling trapped by the considerable threat of withdrawal from stopping the drug. But at the same time, taking hydrocodone and acetaminophen in high amounts creates the risk of liver damage from the acetaminophen, as well as the considerable risks from opioid dependence.
And so the dilemma. Should buprenorphine be considered in such a case?


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Chronograph Quartz
Analogue Quartz
Analogue-Digital
Watches Blog
10 Rolex Day-Date Alternatives
The Rolex Day-Date, a watch that commands unparalleled prestige and fame.
A favorite of the world's powerful, influential, and elite, this Rolex icon elevated to a status symbol over the decades. As the name suggests, the Day-Date showcases the date and the day, spelled in full. As a result of its stature, the Rolex Day-Date commands a staggering price.
Owning this exclusive watch today can set you back by over thirty-three thousand USD for the most economical configuration. In other words, this watch is out of reach for many. On the other hand, there are watches out there from different brands that are great alternatives to the Rolex Day-Date.
In this article, we will recommend alternatives that offer the Day-Date feature, Rolex like styling, and alternative luxury brands. These homages, affordable, or brand alternatives will include details on features offered but, before we get to it, let's take deep dive into the Rolex Day-Date.
The Day-Date is also called the Rolex "President", or "Presidential" (after President Dwight D. Eisenhower)
A true jewel and a power statement in every sense, the Rolex Day-Date debuted in 1956. It made history as the first waterproof and self-winding watch to showcase date and day, spelled in full. This timeless Rolex watch soon became a favorite of the powerful and influential. As more presidents preferred the Rolex Day-Date, it earned its 'President's Watch' identity. Consequently, many advertisements for the watch boasted its connection with the who's who of the world.
The current Rolex Day-Date is available in two sizes – 36mm and 40mm. With a Rolex watch, you can only expect the ultimate material, craftsmanship, and design. As a result, these watches are available in only 18-carat gold or 950 platinum. In addition, the iconic President bracelet is emblematic of the watch's prestige. Powered by the newly developed, in-house calibre 3255 self-winding mechanical movements, the watch guarantees superior reliability and precision.
Water-resistant up to 100m, the model also offers resistance against shocks, pressure, and dust. Above all, Rolex's configuration options ensure unrivaled exclusivity. From gem-set bezels, language options for the day, case material to bejeweled dial options, the price only skyrockets.
The Rolex Day-Date is simply a legend on its own and it is no surprise that it costs as much. More importantly, now that we know why here is our list of alternatives.
Best Affordable Rolex Day-Date Alternatives
Bulova 98C127 and 96C127
A subsidiary of Japanese watch brand Citizen, the Bulova brand traces its origin back to 1875. Founded by Joseph Bulova in New York, the brand offers two alternatives to the Rolex Day-Date from its Classic collection. 98C127 and 96C127 – Both these models share a similar design to the Rolex. However, the case remains a clean and rounded one as opposed to the flute edged Rolex.
The 39mm stainless steel case hosts the day/date feature in the same position as the Rolex. Under the silver-tone hands and markers, a quartz movement powers the watch. In addition, these models are water-resistant up to 30m and come with a 3-year limited warranty.
Hamilton Jazzmaster Day-Date Auto
Hamilton combines American craftsmanship with Swiss precision in their timepieces. Founded in 1892, the brand has now moved from Lancaster, Pennsylvania to Biel, Switzerland. Well regarded for its stylish models, the brand offers the Jazzmaster Day-Date Auto as an affordable alternative to the Rolex.
The 40mm stainless steel case hosts H-40 automatic movement under the sapphire crystal. While the day display remains similarly placed like the Rolex, the date display is at 6 o'clock. Furthermore, the dial features sharper and refined indices. In addition, the model is water-resistant up to 50m.
Tissot Couturier Powermatic 80
Luxury watchmaker Tissot offers a great Swiss alternative to the Rolex Day-Date at a much smaller price tag. Founded by Charles-Félicien Tissot and his son, Charles-Émile Tissot, it is now a subsidiary of the Swiss Swatch Group. The brand's T-classic collection features the Couturier Powermatic 80, our recommended alternative.
Made of 316L stainless steel, the 39mm case features a date and day display. The day, spelled in full at 12 and the date at 6. This bestows the dial with a balanced and refined design. Under the dial, Swiss-made Powematic 80.121 automatic movement powers the watch. This movement is visible through the see-through case back. In addition, the watch is water-resistant up to 100m, and Tissot offers 2 Years of warranty. Also, the watch is available in a leather strap and rose gold coated case options.
Rotary Men's Havana
Watch brand Rotary makes a great case as a Rolex Day-Date alternative with its watches from the Havana collection. Specifically, models GB02661/20 and GB02662/06. The brand itself took off in 1895 at La Chaux-de-Fonds, Switzerland. Currently headquartered in the United Kingdom, the brand's recommended models share a striking resemblance with the Rolex Day-Date.
Details like the magnified dome on the date display, flute edged bezel, dial design are almost alike. In addition, the 38mm stainless Steel Case features a Rolex like a bracelet. Powered by Quartz movement, the Havana model is available in Rose Gold and Gold finish. The brand offers a 2-year guarantee on these watches.
Tudor Glamour Date+Day
Where better to look for a Rolex alternative other than its closest brand. Founded in 1926, Swiss luxury brand Tudor is a sister concern of Rolex. As a result, Rolex like quality and craftsmanship remains guaranteed. The brand's Glamour Date+Day collection features an array of watches for you to choose from, all great alternatives.
As the name suggests, these watches are nothing short of glamorous. Like Rolex, this collection offers dial, strap, material, and gem-set options. The 39mm case hosts self-winding Calibre 2834 mechanical movement under the sapphire crystal. The positioning of the day and date display too matches that of the Rolex. In addition to 100m waterproofness, Tudor offers a five-year guarantee.
Orient Contemporary Collection
In 1959 Shogoro Yoshida founded the Orient Watch brand. Currently owned by Seiko Epson, the Japanese brand primarily manufactures mechanical watches. Orient's Contemporary collection offers timepieces that work as good alternatives.
The Orient's dial shares similar design elements with the Rolex Day-Date. Most notable, the placement of the day and date window on the dial. The 41mm watch runs on the Japanese made Cal.46E45 mechanical movement. In addition, the case features a crystal glass clear rear and is water-resistant up to 100m. Seiko's ownership ensures affordable and trustworthy technology making these good Japanese alternatives.
Peugeot Bedford
For the Rolex look at an incredibly small fraction of the price, consider the Peugeot Bedford. Established in 1957, the American brand moved from luxury timepieces to affordable fashion watches in 1982. This was the outcome of rising gold prices. As a result, Peugeot watches are affordable and make our list with its Bedford model.
Almost alike to the Rolex Day-Date in every way, it is hard to tell them apart. For instance, the Bedford model shares the Rolex's fluted edge bezel, presidential style bracelet, and dial design. The 40mm gold-tone case features a date and day display at 3 o'clock and w12 o'clock respectively just like the Rolex. Powered by the Japanese quartz movement, the model is available in steel finish also. In addition, the affordable brand also offers a lifetime warranty on their products.
Charles Hubert Paris Classic Collection
The three-decade-old brand based out of the United States manufactures affordable homage watches. Models like the 3400-OY, 3400-OB, 3400-OH, and 3401 are good alternatives to consider. The 36mm stainless steel case holds the Japanese quartz movement and looks very much like the Rolex Day-Date.
For instance, the dial design, day/date positing, flute edged bezel, overall look mirror that of the iconic Rolex. If its only looks that you are after, Charles-Hubert Paris remains a good bet. The four models include three gold-colored and a dual-toned (silver & gold) option. Furthermore, the watches are water-resistant up to 30m. Additionally, the brand offers a limited lifetime warranty on these models.
Casio Enticer
Japanese Multinational brand Casio remains well renowned for offering well built and technically capable watches at affordable prices. The Tokyo based brand offers a few models to this list – MTP-1381D-7AV, MTP-1381D-1AV, MTP-1381D-9AV, MTP-1381G-1AV, MTP-1381G-9AV to name a few. Like the Rolex Day-Date, the Enticer models showcase the day, spelled in full at 12 o'clock. However, the date window is at 6 o'clock.
The dial and overall design of the watch echo elegance and style. The 39.9mm ion-plated case hosts a quartz movement under the mineral glass. In addition, these models are water-resistant up to 50m and come with a two-year warranty. Casio also offers this alternative with genuine leather straps if steel bracelets aren't your preference.
Alpha Day-Date
Founded in 1993, watch brand Alpha focuses on the production of Homage watches. The Hong Kong-based company recreates designs from Swiss brands under the Alpha name at affordable prices. The Alpha Day-Date model shares incredible similarities with the Rolex design.
This includes the bulge over the date window, the day display at 12, dial design, and the flute edged bezel. The 39mm case features an automatic movement and is water-resistant up to 3ATM. The bracelet also shares the Rolex's president design but, can be flimsy. Furthermore, the brand offers a one year warranty and mentions the watch has undergone testing using 'sophisticated Swiss instruments'.
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One Sunday morning Liza woke up with a start when she felt arms laid heavy on her chest. Mrs. Burress was kneeling there, her head on the bed. She stood up, picking up a little suitcase. The catch opened and a potted Easter Lily fell out. The pot cracked, spilling dirt all over the floor. Mrs. Burress took hold of the bloom and raised the plant high. Dirt dropped off of the roots and onto the bed. "What God hath joined together let no man put asunder!" she cried loudly, "I'm going back to my husband! God blesses marriage. We are still married, and he wants me back!" That said, she returned to her room.
Liza ran downstairs and called Mr. Burress. He came right over, and together they persuaded the woman to check into the nearby rest home. Liza went to visit her for three days, then the lady in charge said, "We couldn't handle her anymore, had to tie her to the bed, so we sent her to the insane asylum."
"There but for the Grace of God, go I," Liza whispered.
June 2016 was a good month for bad news. A co-worker, Barbro, lost her battle with cancer... I thought for sure she was too stubborn to let go. Mary, another co-worker, lost her husband to cancer within a couple of weeks of Barbro's passing. Orlando Florida lost 49 souls at the Pulse nightclub terrorist attack, the deadliest attack in US history. A couple of days later a two-year old boy was pulled into a lagoon by an alligator at a Disney World resort, and in spite of his father's valiant efforts to save him, was killed - his body recovered days later.
And then we have our personal daily life obstacles and burdens. Judy Kay was reluctant to talk to her sisters about any of her job related stress - she figured her problems were not as abysmal as my marriage dissolution, or as agonizing as Kathy Beth's rheumatoid arthritis. I really didn't want go on and on about my endless, bizarre arguments with my meth-damaged husband - everybody else seemed to have much bigger miseries to bear. That's the humanity in us, I suppose, to feel empathy and sympathy for our fellow humans and critters when they are suffering and sad. While I usually don't think, "There, but for the grace of God, go I"... the first words to myself are often, "My troubles aren't that big..." Until Kathy Beth told me and Judy Kay about a conversation between her and her RA doctor concerning Kathy's close friend, that went something like this: "She had just been diagnosed with RA and I told him I felt bad for her, that she would have to deal with the pain and all that goes with RA. He patted my leg and said, 'Kathy, very few people have RA as bad as you do'. I'm glad for her!"
Yes!!! That was my reaction. Let me explain... The doctor's simple mention of the severity of Kathy's RA was an affirmation of sorts - that yes, it's a deep trouble.
Hand-Made by Mom, with love.
A few months ago I had the bright idea of incorporating material from our old dresses - prom, bridesmaid, school clothes - even baby clothes (if there was enough material). My plan was to use bits and pieces as yokes, collars, panels or pockets. I have lots of old patterns from the 70's, and have become quite retro as I age. Anyway, I came across this box of dresses that Mom had made for her three little girls - and was whisked back in time as I washed, sorted and ironed the tiny creations. I imagined Mom at the iron (at least 54 years ago), and had small flashes of memories - especially while pressing my favorite gold and black dress. Dad had left before I turned four, so I imagined there were a lot of tears shed while doing such domestic work, on top of her job at Sears, and while ironing clothes for neighbors, and caring for her daughters on one income. Mom was an excellent seamstress, and I marveled at the perfection of every detail. So - I won't be cutting into these dresses any time soon... I really miss Mom, and am comforted to hold onto pieces of her love.


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"Hey buddy you have any LAMPS?!"
Read more: Moth Meme Makes Everyone Ask: Why Are They Really Drawn to Lamps?
Nobody knows why moths are attracted to light, although theories like the one above — or a combination of all of them — may possess some truth. No matter why moths are attracted to lights, they sure make good comedic fodder.


Learning to live with a disability can undoubtedly be extremely difficult; however, there is help out there.
Local authorities are required by law to offer a free counselling service to disabled people on a confidential basis. Each session is tailored to individual requirements, ensuring the most effective and personal service possible. Here, individuals can seek advice on issues such as education, benefits, employment, housing and legal rights as well as psychological and emotional support.
In addition to local authority schemes, there are a number of independent counselling services that offer specialised advice to disabled people. The DUKH, for example, is an impartial consultancy agency that deals with clients on a one to one basis and offers free advice on legal matters and citizen's rights.
The Government service, Direct.Gov (http://www.direct.gov.uk) offers help and guidance on a diverse range of practical matters including finding work, training schemes, housing, benefits and advice on discrimination in the workplace. There are also links to local services from this website.
There are also a number of charities and organisations devoted to providing support for disabled people and their families. Although there are several national foundations, many are local trusts which focus on the provision of care and support for local residents and their families; these can be easily located via the internet or telephone directories. If it is too difficult to discuss issues face to face, many of these charities offer advice over the telephone on a strictly confidential basis. There are also several online forums where disabled people can talk with others.
Whatever your situation, there is a wealth of free information, support and advice online or a phone call away.


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Evaluating global ocean carbon models: the importance of realistic physics (bibtex)
by S. C. Doney, K. Lindsay, K. Caldeira, J.-M. Campin, H. Drange, J.-C. Dutay, M. Follows, Y. Gao, A. Gnanadesikan, N. Gruber, A. Ishida, F. Joos, G. Madec, E. Maier-Reimer, J. C. Marshall, R. J. Matear, P. Monfray, A. Mouchet, R. G. Najjar, J. C. Orr, G.-K. Plattner, J. L. Sarmiento, R. Schlitzer, R. D. Slater, I. J. Totterdell, M.-F. Weirig, Y. Yamanaka, A. Yool
Evaluating global ocean carbon models: the importance of realistic physics (S. C. Doney, K. Lindsay, K. Caldeira, J.-M. Campin, H. Drange, J.-C. Dutay, M. Follows, Y. Gao, A. Gnanadesikan, N. Gruber, A. Ishida, F. Joos, G. Madec, E. Maier-Reimer, J. C. Marshall, R. J. Matear, P. Monfray, A. Mouchet, R. G. Najjar, J. C. Orr, G.-K. Plattner, J. L. Sarmiento, R. Schlitzer, R. D. Slater, I. J. Totterdell, M.-F. Weirig, Y. Yamanaka, A. Yool), In Global Biogeochem. Cycles, volume 18, 2004.
@Article{	  doney.ea_2004,
author	= {Doney, S. C. and Lindsay, K. and Caldeira, K. and Campin,
J.-M. and Drange, H. and Dutay, J.-C. and Follows, M. and
Gao, Y. and Gnanadesikan, A. and Gruber, N. and Ishida, A.
and Joos, F. and Madec, G. and Maier-Reimer, E. and
Marshall, J. C. and Matear, R. J. and Monfray, P. and
Mouchet, A. and Najjar, R. G. and Orr, J. C. and Plattner,
G.-K. and Sarmiento, J. L. and Schlitzer, R. and Slater, R.
D. and Totterdell, I. J. and Weirig, M.-F. and Yamanaka, Y.
and Yool, A.},
title		= {Evaluating global ocean carbon models: the importance of
realistic physics},
doi		= {http://dx.doi.org/10.1029/2003GB002150},
journal	= {Global Biogeochem. Cycles},
volume	= {18},
pages		= {GB3017},
year		= {2004}
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