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[Press Release] Austin's Matt Fajkus Architecture Launches Second Year of MFxWORKSHOP to Challenge Typical Summer Intern Experience
Last summer, Austin-based practice Matt Fajkus Architecture (informally known as MF Architecture) launched a new collaborative identity, MFx, as an extension of the firm. MFx was founded to explore unknown variables in the field of architecture and beyond, with the intention of adding a new dynamic branch to the everyday practice of the office. MFxWORKSHOP is included in this branch as an alternative to the traditional "internship" experience.
Matt Fajkus, Founder and Principal Architect, states, "Since the inception of the firm, we have been working toward expanding the relevance of the architectural discipline beyond our circle of peers, reaching out to the general public and within popular culture. Architecture is perpetually behind the curve of culture, not readily adapting as technology evolves, including digital engagement and social media. Is architecture becoming less relevant? How can we increase its relevance and affect more positive change though design? That's what MFxWORSKSHOP was created to explore."
The educational and discursive intent of the program is influenced by Fajkus' role as an Associate Professor and Director of the Graduate Program in Sustainable Design at The University of Texas at Austin School of Architecture. In 2016, the inaugural MFxWORKSHOP initiative was comprised of 11 student collaborators from various schools of architecture from around the United States, including UT-Austin, Rice University, Rensselaer Polytechnic Institute, and Cornell University. In addition to working on applied production, the program notably developed conceptual designs for a "University Island" as part of a competition hosted by the Young Architects Competitions (YAC). The design brief called for teams to transform an abandoned island off the coast of Venice into an innovative and revitalized center for research and education.
The 2016 MFxWORKSHOP's schemes included an "UN-versity" comprised of beacon-like data towers and a vast digital network that spanned the globe; a complex system of canals designed to respond to rising waters and preserve sections of the island for field research; and a campus designed specifically for those with autism that capitalized on the unique existing features of the island.
The wide range of ideas generated for this competition and other projects over the course of the first summer encouraged MF Architecture to expand the scope of the MFxWORKSHOP. This experimental arm of the firm will pursue installations, exhibits, events, research and development projects, in addition to proper live architectural projects to be built. "The aim to learn from the firm's built and unbuilt projects in an experimental loop was creating a workflow that allowed the office to think more experimentally, creatively, and critically," explains Fajkus.
The program is continuing and advancing under the supervision of MF Architecture team member, Sarah Wassel, as the Director of MFxWORKSHOP'17. Choosing the team involved a rigorous selection process, with several layers of reviews and interviews to select candidates from among many applications. This summer's team again includes students hired from across the country. The University of Texas School of Architecture contributes three team members: Tim Petersen, Savannah Simenhoff, and Yee Sang (Fiona) Wong. Additional MFxWORKSHOP'17 members are Charlie Hart of Washington University in St. Louis, Jessica Huang of Syracuse University; and Elijah King of Carnegie Mellon University.
"The 2016 MFxWORKSHOP transcended the typical 'internship' role to great effect. The buzz of creative energy in the office last summer was consistently inspiring and utterly unique within a professional office. We look forward to the exciting discoveries and opportunities of this summer's MFxWORKSHOP team," says Wassel.
"The most unique component of the program is the fact that each member of the workshop is allowed to both learn through performing diverse tasks and, simultaneously, have a voice in ongoing dialogs about the shaping of the firm. We have therefore found that the enthusiasm and ideas generated by MFxWORKSHOP are just as valuable to the firm's work as our mentorship is to MFx participants," concludes Fajkus.
MFxWORKSHOP'17 runs June 5 – Aug 11. Check the MFx website for updates about future opportunities.
MFxWORKSHOP'16 Members
← Autohaus featured in the Wall Street JournalIan M. Ellis and Frances Peterson receive AIA Brooklyn + Queens Design Awards →


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Home > Location > Columbia > D.A.R.E. graduation said to be a first for Muslim school, nationwide
D.A.R.E. graduation said to be a first for Muslim school, nationwide
W. Thomas Smith, Jr.
Columbia, Community Leaders, Education, Interfaith, law enforcement, Northeast Columbia
By W. Thomas Smith Jr.
COLUMBIA, S.C. – The Richland County Sheriff's Dept. (RCSD) and the RCSD's D.A.R.E. (Drug Abuse Resistance Education) program made history last week with what officials say is the first-ever D.A.R.E. graduation in a Muslim school, nationwide. The ceremony, held at the Islamic Academy of Columbia, Fri., May 19, also marked the first such graduation in the first American Muslim school in which D.A.R.E. was formally introduced and established.
"The Richland County Sheriff's Dept. is not only responsible for serving and protecting all citizens in our diverse communities, but we are equally committed to education and outreach," says Richland County Sheriff Leon Lott. "And together with D.A.R.E., we are striving to help all of our children learn how to make good decisions."
Maj. Stephany Snowden, RCSD's director of Community Initiatives, says, "Encouraging our young people to make good choices and to take a stand against drugs and alcohol are messages which transcend race, religion, and ethnicity; and I am pleased to participate in this interfaith collaboration with the leadership of the Islamic Academy of Columbia."
Snowden adds, "This [graduation] is unprecedented."
D.A.R.E. – a multi-week education program aimed at deterring youth from drug use, gang activity, and related violence – was founded by the Los Angeles Police Dept. in 1983, and was deemed so successful that other law enforcement agencies began establishing D.A.R.E. programs in schools around the country.
Today the D.A.R.E. curriculum is being taught in classrooms by specially trained law-enforcement officers in all 50 states. According to D.A.R.E.'s website, "15,000-plus D.A.R.E. officers and deputies are in over 10,000 communities nationwide educating America's youth and serving as the first line of defense in America's schools." Moreover, D.A.R.E. has been introduced into classrooms in nearly 50 countries around the world.
The RCSD facilitates all statewide training for the D.A.R.E. program.
– For more information, please visit http://www.rcsd.net/dare/.
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D.A.R.E., Islamic Academy, Leon Lott, Richland County Sheriff's Department, Sheriff, Stephany Snowden
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USC dedicates new vault and scanning center for Marine Corps film collection
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WOW Productions Presents Award-Winning & Explosive Stage Play Exploring the Internal Struggles of Black Police Officers
RCSD deputies accept HOT COPS CHALLENGE
Richland County Sheriff's Dept. unveils 14 of 16 new patrol cars
A veteran U.S. Marine Corps infantry leader and retired field-grade officer (S.C. Military Dept.), W. Thomas Smith, Jr. is a professional writer, military analyst, military technical consultant, and a New York Times bestselling editor. Visit him at http://uswriter.com.

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Retail price (USD): $25.24
My Grandmother's Hands: Racialized Trauma and the Pathway to Mending Our Hearts and Bodies
By: Resmaa Menakem, MSW, LICSW & SEP
Narrated by: Cary Hite
In this groundbreaking book, therapist Resmaa Menakem examines the damage caused by racism in America from the perspective of trauma and body-centered psychology.
The body is where our instincts reside and where we fight, flee, or freeze, and it endures the trauma inflicted by the ills that plague society. Menakem argues this destruction will continue until Americans learn to heal the generational anguish of white supremacy, which is deeply embedded in all our bodies. Our collective agony doesn't just affect African Americans. White Americans suffer their own secondary trauma as well. So do blue Americans—our police.
My Grandmother's Hands is a call to action for all of us to recognize that racism is not only about the head, but about the body, and introduces an alternative view of what we can do to grow beyond our entrenched racialized divide. It paves the way for a new, body-centered understanding of white supremacy—how it is literally in our blood and our nervous system. My Grandmother's Hands is a call to action for all of us to recognize that racism is not about the head, but about the body, and introduces an alternative view of what we can do to grow beyond our entrenched, racialized divide.
"My Grandmother's Hands is a revolutionary work of beauty, brilliance, compassion and ultimately, hope. With eloquence and grace, Resmaa Menakem masterfully lays out the missing piece in the puzzle of why, despite so many good intentions, we have not achieved racial justice. Yes, we need to understand white supremacy, but as Menakem so skillfully explains, white supremacy is not rational and we won't end it with our intellect alone. White supremacy is internalized deep into our bodies. We must begin to understand it as white body supremacy and go to the depth of where it is stored, within our collective bones and muscles. To this end, My Grandmother's Hands is an intimate guidebook toward racial healing, one that achieves that rare combination for its readers; it is deeply intellectually stimulating while also providing practical ways to engage in the process of repair, even as we read. I believe this book will change the direction of the movement for racial justice."
Robin DiAngelo, Racial Justice Educator and author of White Fragility
"My Grandmother's Hands is a gripping journey through the labyrinths of trauma and its effects on modern life, especially for African Americans. In this important book, Resmaa's penetrating insight into trauma is profoundly impactful, but even more powerful and useful are his strategies for addressing it―for healing. A brilliant thinker, Resmaa is able to bring a multitude of research and experience together to guide us in our understanding of how trauma affects our lives; how trauma is a part of all of our lives; and of how the history and progression of trauma has produced a culture in which no one is immune. This is essential reading if we are to wrest ourselves from the grips of trauma and discover the tropes in which our bodies and our minds are free of it. "
Alexs Pate, author of Amistad and West of Rehoboth.
"Resmaa Menakem cuts to the heart of America's racial crisis with the precision of a surgeon in ways few have before. Addressing the intergenerational trauma of white supremacy and its effects on all of us―understanding it as a true soul wound―is the first order of business if we hope to pull out of the current morass. As this amazing work shows us, policies alone will not do it, and bold social action, though vital to achieving justice, will require those engaged in it to also take action on the injury, deep and personal, from which we all suffer. "
Tim Wise, author of White Like Me: Reflections on Race from a Privileged Son
Resmaa Menakem, MSW, LICSW, is a therapist with decades of experience currently in private practice in Minneapolis, MN, specializing in trauma, body-centered psychotherapy, and violence prevention. He has appeared on the Oprah Winfrey Show and Dr. Phil as an expert on conflict and violence. Menakem has studied with bestselling authors Dr. David Schnarch (Passionate Marriage) and Dr. Bessel van der Kolk (The Body Keeps the Score). He also trained at Peter Levine's Somatic Experiencing Trauma Institute.
"Dr. W. E. B. Du Bois put his finger on African American consciousness when he wrote 'one ever feels his twoness―an American, a Negro; two souls, two thoughts, two unreconciled strivings; two warring ideals in one dark body.' But even Du Bois never addressed the process of healing the psychological wounds of the 'two-ness.' In My Grandmother Hands, Resmaa offers a path of internal reconciliation for a Person enduring the generational trauma of American racism, and gives us all a chance to dream of a healing from it."
Keith Ellison , Member of Congress and Deputy Chair of the Democratic National Committee
"My Grandmother's Hands invites each of us to heal the racial trauma that lives in our bodies. As Resmaa Menakem explains, healing this trauma takes courage and a commitment to viscerally feel this racial pain. By skillfully combining therapy expertise with social criticism and practical guidance, he reveals a path forward for individual and collective healing that involves experiencing the sensations of this journey with each step. Are you willing to take the first step? "
Alex Hayley, Assistant Professor at the University of Minnesota's Earl E. Bakken Center for Spirituality & Healing
Visit Resmaa's website
Listen to Resmaa on the Lord Jamar podcast
Read Resmaa's article in Psychology Today
Author Resmaa Menakem, MSW, LICSW & SEP
Narrator Cary Hite
Publisher Central Recovery Press
Publication date November 13, 2020
Genres Nonfiction
Genre rank #104 in Nonfiction


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A tradition of quality
OHO glue
AERO BALKAN seriously lasts for more than 70 years, although founded on April Fools' Day. The company was founded on April 1, 1947 in Belgrade under the name BALKAN, by uniting the production of several small workshops.
BALKAN was engaged in the production of: aniline paints, pastes for shoes and parquet, candles, inks, drawing inks, indigo and carbon papers, typewriter ribbons, pencils, cosmetics, or products that were then necessary in industry and household.
BALKAN concentrates production on the location of Viline vode. The factory of cosmetic products DALIJA stands out. In those years, BALKAN was the first in the production of consumer goods in Serbia and Belgrade, and the third in Yugoslavia .
Brands which have been synonymous with quality for decades, even today, were created in the sixties. The long tradition of making products from quality waxes has resulted in shoe pastes BRILIJANT and BELI MEDVED
4ASA, REFLEX P and REFLEX N for wood surface care, were created on the same basis. There was no housewife who didn`t take care of the parquet and furniture with our products. Due to its high quality, 4ASA has even been used to impregnate log cabins.
BALKAN's team of experts has won new products that have become a mark for cleanliness to housewives for all times. TEP-TIH for carpet washing and SUPER RER for oven cleaning are just some of them. And the cars got their cosmetics.
BALKAN also developed its own adhesives. It created a brand that surpassed its own creator - everyone knows about it, no one knows who produces it: OHO glue has been around for more than 60 years, it is synonymous with school-office universal glue.
A new modernized factory was built in the industrial zone of Krnjača, where AERO BALKAN is still located today. The production was supplemented by a program of spray products, which had a significant place on the market of consumer goods.
REFLEX N for furniture care, as well as SUPER RER, received their own spray version. Balkan already had products ahead of their time: TAJFUN spray for the absorption of unpleasant odors and BALKANCID spray for room disinfection.
AUTOLAKOVI and ANTI-LED spray were only part of the offer of aerosol products for car maintenance and care. BUM insect spray - a brand that has left an indelible mark in time - an episode of the cult domestic series bears its name.
BALKAN, following the needs and demands of the market, returned to the production of cosmetics. GRACIJA hairspray was an indispensable part of the hair styling set. In the 1990s, in line with environmental trends, freon was expelled from aerosol products.
The new plant for the production of self-adhesive tapes, according to the turnkey system, was built by the company TESSA Beiersdorf. The capacity of this plant ranked the BALKAN (then part of PRVA ISKRA BARIČ) among the leading factories of self-adhesive tapes in the country.
BALKAN produced self-adhesive tapes on different substrates, in several different dimensions, as well as the shape and size of the packaging. Self-adhesive tapes are best known to consumers under the GRMEC trademark and were marketed under that brand in the 1990s.
Namely, the factory became part of PS GRMEČ AD. In addition to the existing ones, BALKAN won the production of new ones and completed the offer of Grmeč's construction adhesives. At that time, insulation tapes were also leaders in their field of application.
BALKAN's production program also became famous for the advertisement: »I only have ten seconds« (PS GRMEČ TV commercials). A line of VINEX floor cleaners, care and maintenance has also been developed.
After leaving PS GRMEČ, considering that BALKAN has been one of the leading producers of self-adhesive tapes for decades, the merger of the company AERO DD from Celje was a logical consequence, as well as the takeover of the production of AERO packaging tapes in 2015.
And after 50 years, we are in the same place! The polar bear, a trademark created when BALKAN was founded, "stood" on the front of the new factory back in 1969 and is still proudly in the same place.
Our loyal consumers have been with us for decades. Because of them, but also because of new users, who know how to appreciate quality, and in accordance with the identified needs, we will continue to strengthen and develop our products in the field of adhesives, self-adhesive tapes and household chemicals.
Copyright © 2020. Aero Balkan d.o.o.
Developed by Digital Tribe
Commerce contact
Phone : +381 11 2712 341
Email : prodaja01@aerobalkan.co.rs
prodaja02@aerobalkan.co.rs
Email : info@aerobalkan.co.rs
Pančevački put 85, Belgrade, Serbia
Tax ID: 100207989
ID no: 17357301


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Eastglen is the only affordable option for me to continue swimming due to the proximity and price point of Eastglen versus the other recreation centres. What other options are there for me?
As established through the Approach to Community Recreation Facility Planning in Edmonton, a guiding principle is to provide reasonable and equitable access to community recreation facilities. At the same time, the intent is for recreation facilities to be both sustainable and distributed throughout the City.
Specific to proximity, the Commonwealth Community Recreation Centre and the Hardisty Fitness & Leisure Centre are both also approximately 3km away; the ACT Aquatic and Recreation Centre is approximately 5km from the Eastglen Leisure Centre. All three of these alternate facilities offer amenities such as a swimming pool.
In terms of affordability, the City of Edmonton offers the Leisure Access Program (LAP). The LAP Annual Program provides unlimited access to participating facilities (including Commonwealth Recreation Centre) and includes discounts on registered programs (daycamps, art classes, swimming lessons etc) through an Annual Program or Monthly Pass. An individual may qualify for the LAP Annual Program depending on multiple criteria.
Free Annual Program:
Is currently on AISH
Has an income below the low income threshold
Is a recently landed immigrant or refugee
LAP Monthly Pass provides a subsidized pass for low-income Edmontonians near the low income threshold. The monthly passes are $20/month, while family passes are available for $70/month.
More information about the Leisure Access Program can be found here: https://www.edmonton.ca/programs_services/leisure-access-program.aspx
In addition to LAP, the Edmonton Federation of Community Leagues has partnered with the City of Edmonton to offer the Community League Wellness Program offering admission incentives to enjoy the City's sports and recreation facilities.
Further admission programs are available to companies through the Corporate Wellness Program, which requires a minimum pass purchase for employees.
Only when Council's budget deliberations have concluded in December will Administration know for sure how many of these recommendations will be enacted over time. Any decisions regarding City of Edmonton recreation centres will include detailed public information sessions as we determine our next steps.
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The crazy onslaught of home video releases right before Christmas had more than a few of us playing catch up on the latest and greatest releases that have hit the store shelves in the last few days. Available now on DVD & Blu-Ray is the visceral action ht of the late summer that puts us right into the thick of things on the hectic and often mean streets of New York. Brace yourself for the "Premium Rush".
In "Premium Rush" dodging speeding cars, crazed cabbies, open doors, and eight million cranky pedestrians is all in a day's work for Wilee (Gordon Levitt) the best of New York's agile and aggressive bicycle messengers. It takes a special breed to ride the 'fixie'; super lightweight, single-gear bikes with no brakes and riders who are equal part skilled cyclists and suicidal nutcases who risk becoming a smudge on the pavement every time they head into the gladiatorial arena know as New York traffic. This guy who's used to putting his life on the line is about to get more than even he is used to when his last envelope of the day; a routine "premium rush" run turns into a life or death chase through the streets of Manhattan when a dirty cop (Shannon) will stop at nothing to get a package back and Wilee needs to lean on his moniker just to survive the day.
You can throw out any misguided notions of depth, plot logic and emotional character development in this film because this is purely about pretty people and the eternal chase, and what an eye popping chase this film truly is. Co-Writer/Director David Koepp and cinematographer Mitchell Amundsen keep us zipping through the streets of New York at high speeds and with some slick and understated visual effects they effectively keep us in the moment as we duck and dodge through the city streets with our heroes. The plot does have a couple of holes that you can drive an entire Tour de France race through, but it doesn't matter as it is a lean and mean thrilling 91 minutes, and Koepp is highly adept at telling stories that aren't necessarily all that weighty but fly across the screen with exceptional ease. Without the right cast, this film could have fallen flat really fast but Gordon Levitt and Shannon really go all out to make this film feel special.
Joseph Gordon Levitt who is becoming Hollywood's most unlikely action hero is a lot of fun as Wilee. Stepping into the role of the sage former law student looking for something different in life as he risks life and limb navigating the traffic of one of the busiest cities of the world, Gordon Levitt manages to balance some emotional development through the course of the story while still rocking the vibe of being crazy and beautiful along with his fellow bike couriers. We see his wheels turning as he ducks and dodges the arrogant and dirty cop throughout the city streets who thinks he is smarter then everyone. As the cop, Shannon chews the scenery around him as he trades one-liners and zingers with Gordon Levitt and everyone else. His character manages to be a little bit menacing while also being the biggest buffoon and hands down the funniest character in the film making for a very entertaining on screen villain that will have you bust a gut while he does something horrible on screen all at the same time. Both men played off of each other incredibly well, and that is really where the magic lies in this kinetic chase picture.
A film that was built for Blu-Ray, "Premium Rush" looks and sounds stellar as the action flies across the screen. Special features on the Blu-Ray include "The Starting Line"; a cast and filmmaking featurette and "Behind the Wheels" a look at the Action and Stunts in the film.
It ain't high art, but "Premium Rush" is a high octane popcorn flick that will push you to edge of your couch for a visceral 91 minutes of pure fun and don't forget your bike helmet…you'll need it for this flick.
"Premium Rush" is now available for rent on DVD and Blu-Ray at video stores all across the land as well as via all major on demand services. You can also find it for purchase at all major retailers like iTunes, amazon.ca and HMV.


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Great cigar art. Any dealers?
Finally a good website with a gallery of cigar art. I especially like Manuel lunardi's "Moments To Enjoy".
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Q: Attaching a HDMI screen to my Macbook interferes with Network access I have a Macbook Pro and an USB-C Adapter where I can attach a HDMI screen.
Without a screen attached:

*

*on the iPad remote I press the Play button turns green

*Once I press the Stop button the Play button instantly goes back to white and the Stop button changes into a Skip Back button

Now I attach a HDMI screen and the Remote now is either responds sluggishly or can't even connect to Logic Pro.
The problem is reproducible so in order for the Remote to work I need to unplug the HDMI monitor.
Update
I am using a Macbook Pro TocuhBar 13". The USB-C Adapter I'm using is from Satechi. However
I realised that attaching the monitor via HDMI it will generally affect my network connectivity. I had troubles with both, connecting to my Wifi and also browsing the web.
When the screen is attached it takes approx 12 seconds to load google.com.

As soon as a the screen is removed it takes less than half a second.

A: USB-C to HDMI adapters are known to heavily interfere with WiFi adapters in MacBooks, when they are located close to each other.  So, what you can do:

*

*Use DisplayPort cable and USB-C to DisplayPort adapter instead of HDMI (if your display has a DisplayPort socket)

*Plug you USB-C to HDMI adapter into a USB-C socket at the other side of your MacBook (if your MacBook has such a socket on the other side)

*Wrap your USB-C to HDMI adapter with tin foil, and then with isolation tape (in case there is a cable segment between the adapter and the USB-C plug)

I personally used the third option and if works fine for me.

redpajama_set_name: RedPajamaStackExchange


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John McCain's Advance Directive
September 3, 2018 • By Dr. M Sara Rosenthal
This month started out with a remarkable advance directive on display: John McCain's funeral, which he meticulously planned and choreographed. Bioethicists frequently recommend that patients and their families fill out advance directives to guide end of life care. But an important part of death and dying is the closure that comes with marking a death: burial and ritual. How typical is it for those at the end of life to plan their funerals? Well, funeral directives are becoming more common, and there are different state laws surrounding how much control you have over your funeral in every state. In the State of Arizona, laws surrounding self-directed funerals are very specific, and John McCain surely was familiar with them. In Arizona there are legal protections that ensure you can control your burial and and funeral proceedings. (See: https://funerals.org/?consumers=legal-right-make-decisions-funeral).
John McCain's beautiful funeral was a unique example of how end of life wishes are not completed with one's last breath; Senator McCain was able to speak to the country directly through surrogate voices that clearly knew his values, wishes and preferences. Aside from his tragic illness and death from glioblastoma – passing on the 9thanniversary of Senator Ted Kennedy from the same illness – we knew that John McCain had moral distress over what he must have viewed as a growingly mean-spirited country and congress that was becoming crippled. John McCain's advance directive was intended to remind the country about moral community and moral leadership. Remarkably, he clarified in his arrangements that a sitting President of the United States was not invited, and not be allowed to speak on his behalf. Instead, he chose the last two Presidents of the United States, indicating that he does not recognize the sitting President in that same role. By doing so, John McCain gave the country something it hasn't had in a long time: a day of silence from vitriol, and a day to remember what moral leaders supposed to look like. He openly shamed his Republican colleagues in Congress by forcing them to listen to voices of reason, but more importantly, to rejoin the moral community.
John McCain's funeral can be used as an example in end of life discourse that crucial conversations and closure can still go on, and patients can still control what happens and what is said in their name. The "Who Will Come to my Funeral" scenarios that often occur when patients are confronted with life-threatening illnesses can also be about "Who should NOT Attend my funeral". Undoubtedly, Senator McCain envisioned that his passing would prompt a national mourning befitting of a Presidential Eulogy. Once he considered that, he took control of which Presidents would deliver his eulogies. In the end, it was his daughter who said it best: "John McCain was not defined by prison, by the navy, by the senate, by the Republican party or by any single one of the deeds in his absolutely extraordinary life. John McCain was defined by love."
Based on the coverage and analysis of his funeral, it seems the country heard his voice loud and clear:
https://www.washingtonpost.com/politics/mccains-funeral-was-a-melancholy-last-hurrah-for-whats-been-lost-in-trump-era/2018/09/01/156784c6-ad46-11e8-b1da-ff7faa680710_story.html?utm_term=.0d63a5382dca
https://www.esquire.com/news-politics/politics/a22893069/john-mccain-funeral-service/
https://www.theatlantic.com/politics/archive/2018/09/inside-the-pomp-and-circumstance-at-john-mccains-funeral/569197/
Crisis of Conscience
January 31, 2018 • By Dr. M Sara Rosenthal
This month, the Trump Administration introduced a mechanism through HHS for healthcare providers to object to performing procedures they find morally distressing or objectionable based on their religion, or as reported: to "ease the way for doctors, nurses or other medical professionals to opt out of providing services that violate their moral or religious beliefs" (See: https://www.washingtonpost.com/news/to-your-health/wp/2018/01/18/new-hhs-civil-rights-division-charged-with-protecting-health-workers-with-moral-objections/?utm_term=.81912e085354).
HHS will soon create the Conscience and Religious Freedom Division — an entire division devoted to conscientious objection. The vast majority of bioethicists find this announcement to be cause for concern because it introduces further barriers to healthcare for many groups already disenfranchised or vulnerable, including women needing reproductive healthcare or transgender patients. But it also violates what bioethicists see as clear duties of care inherent in the medical profession (See: https://www.reuters.com/article/us-usa-healthcare-religion/u-s-government-to-shield-health-workers-under-religious-freedom-idUSKBN1F7262).
I have mixed feelings about this new division, which may become a cautionary tale for the Trump Administration. Moral diversity and "moral objection" swings many directions, and by creating an official conscientious objection division, the Trump Administration must now allow for a wide range of moral protections for practitioners. In some ways, this could provide unanticipated protections for the very groups the Administration seeks to inconvenience.
First, most hospitals already have these institutional policies in place. As a clinical ethicist, I invoke these policies frequently to protect and preserve the moral integrity of healthcare providers involved in care plans they find objectionable. I have rarely invoked these policies, however, for objections on religious grounds. I have mostly used them to relieve moral distress over medically inappropriate care plans in which limits to autonomy have not been properly asserted or championed by the institution, such as in situations where surrogates are demanding treatments that make no medical sense, and practitioners feel they are crossing ethical lines to appease surrogates. I have also invoked these policies to excuse practitioners from being forced to care for patients who have personally threatened them or their families, which sometimes includes situations where patients or surrogates are making personally racist statements, or when hateful misogynists make statements against their female doctors. In the Trump Era, healthcare providers newly exposed to racist comments are immigrants with accents from all parts of the world – many of whom are permanent residents or U.S. citizens.
In many of these cases, conscientious objection has worked well; in most institutional policies, there is a mechanism for transfer of care or referral, and in extreme situations, transfer care to the Chief Medical Officer. Thanks to the Trump Administration, practitioners who experience racist patients, can now use the HHS' new division to "object to care" on moral grounds. White supremacist patients, or patients who are anti-immigration, may be in for a shock when their practitioners "object" to caring for them because the patients' personal views violate their moral integrity. Alternatively, practitioners who don't believe women are equal based on their religion, for example, may decide that they don't want to work with female colleagues in a secular environment and invoke "conscientious objection" to having to converse with another female colleague. The Trump Administration may become mired in all kinds of sticky cases arising from conscientious objection that has nothing to do with reproductive care. Could LGBT practitioners "object" to being forced to caring for patients who don't support LGBT rights? Or, in a politically divisive country, perhaps Democrats can now morally object to caring for Republican patients, or vice versa. What might count as a legitimate claim of moral objection? Good luck with that.
A 2012 law review piece by Paul-Emile suggests that we should make every effort legally and ethically to accommodate any patient's request to see a different practitioner — even if the grounds are racist (See: https://www.uclalawreview.org/patients'-racial-preferences-and-the-medical-culture-of-accommodation/) as neither the practitioner nor patient is served when there is a breakdown in patient-practitioner trust.
Transfer of care or referral is an important caveat in any ethical conscientious objection policy, and the HHS' new division will be no exception. In cases where the objector refuses to transfer care because of claims of "moral complicity", this is where such policies become unworkable. I'll be looking carefully for that "parachute clause" in the division's language.
So, in response to the new HHS entity: conscientious objection swings both ways. Most of the care providers will object to care plans that probably have nothing to do with reproductive care. This new, controversial division may lead to a tsunami of moral assertions that block access to care for its most enthusiastic supporters because they may not realize that some of their own moral assertions may not be shared by the practitioners they will confront in the real world.
Price Fixing: Lessons in Moral Integrity
September 30, 2017 • By Dr. M Sara Rosenthal
This is an "I told you so" that ethicists have seen many times. When you find ethical integrity problems once with an individual – especially a physician — it is indicative of a larger pattern. To that end, Dr. Price's ethical misconduct surrounding his extravagant travel tastes should come as no surprise to anyone — considering that he already was found to be self-dealing when he was a member of congress. He held stock in drug companies that he personally helped as a legislator. (See: http://www.wsj.com/articles/donald-trumps-pick-for-health-secretary-traded-medical-stocks-while-in-house-1482451061.) Typically, the laws of politics should have prevented his confirmation, but that didn't happen. He was confirmed as Secretary of HHS by a Republican congress despite his glaring conflicts of interest, questions raised by the Office of Government Ethics (see: http://www.cnn.com/2017/01/18/politics/tom-price-conflicts-interest-oge-ethics-office/index.html), and concerns about his ethical integrity raised during his hearing (see: https://www.nytimes.com/2017/02/10/us/politics/tom-price-health-and-human-services.html). But he was not even unique. Just about everyone in this Administration's cabinet has something to hide, and is either openly self-dealing or suspected of such. All political ethical norms have been shattered in this Administration, leaving those of us in the ethics business so morally upended, "moral distress" doesn't seem like an apt definition anymore.
The only thing about Dr. Price's resignation as Secretary of HHS that is unique is that the laws of political gravity seemed to work in this situation. Secretary Price, who, as it turns out, was not a particularly effective cabinet member, and did not mesh well with the President, was seen as disposable. He made the President look bad, which seems to be the reason he was asked to resign (See: https://www.theatlantic.com/politics/archive/2017/09/tom-price-resigned/541608/). Had the President liked him, and Dr. Price had been successful in helping to gut our healthcare system by leaving millions of Americans at the bottom of the sea, his tenure would have been considered a success, and his travel misdeeds would have surely been excused. I was genuinely concerned that Dr. Price would prove competent in his role, and do the damage he was hired to do (see: http://endocrineethicsblog.org/putting-a-price-on-healthcare/). Dr. Price's own self-interest and hedonistic tendencies were his Achilles heel. Since he's an orthopedic surgeon, maybe he can see an orthopedic colleague for that problem.
We will need to do a Price Comparison on his successor, and see if he or she can will end healthcare for millions, or actually heal it, as the Washington Post is hoping for (see: https://www.washingtonpost.com/opinions/the-opportunity-in-tom-prices-resignation/2017/09/30/f4c722f8-a5ee-11e7-b14f-f41773cd5a14_story.html?hpid=hp_no-name_opinion-card-c%3Ahomepage%2Fstory). I predict this Price Fix is only temporary.
December 31, 2016 • By Dr. M Sara Rosenthal
As we begin to reflect on the chaos of 2016, there is only one major bioethics story for healthcare providers: the fate of American healthcare access. Again. As December began, the picture for 2017 was beginning to fill in – particularly with the Cabinet pick of Dr. Tom Price as HHS secretary. Here are some alarming facts in a compelling piece published in the New England Journal of Medicine: (See: http://www.nejm.org/doi/full/10.1056/NEJMp1615714)
The authors, who both formerly served as Assistant Secretaries at the Department of HHS, make these points:
"…Price's record demonstrates less concern for the sick, the poor, and the health of the public and much greater concern for the economic well-being of their physician caregivers."
Price supports changing the Medicare and Medicaid systems so substantially that it would "shift financial risk from the federal government to vulnerable populations."
"Price has also been a vociferous opponent of the Affordable Care Act (ACA) and a leader of the repeal-and-replace movement." Essentially, Price endorses a dismantling of the American healthcare system with a "regressive" plan that "offers much greater subsidies relative to income for purchasers with high incomes and much more meager subsidies for those with low incomes."
In essence, Price opposes any cost-sharing subsidies, which could "doom millions". See: https://www.washingtonpost.com/national/health-science/trump-could-quickly-doom-aca-cost-sharing-subsidies-for-millions-of-americans/2016/12/21/05349066-c2fc-11e6-9a51-cd56ea1c2bb7_story.html?hpid=hp_hp-top-table-main_costsharing-10pm%3Ahomepage%2Fstory
Price is a polarizing figure for American doctors. Although the American Medical Association endorsed Dr. Price as a pick, many of its members were dismayed. Over 5,000 doctors have signed a petition opposing him, while many AMA members have spoken out, or not renewed their memberships. (See:
http://www.nytimes.com/2016/12/26/us/tom-price-hhs-donald-trump-cabinet.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=first-column-region&region=top-news&WT.nav=top-news
Price also is a member of the Association of American Physicians and Surgeons (AAPS), which has been coined a "crank medical society" by Scienceblogs.com. The AAPS is noted for its anti-vaccine stance. (See: http://nymag.com/scienceofus/2016/12/tom-price-belongs-to-a-really-scary-medical-organization.html)
Advocates of women's health are concerned that even the most basic contraception for women would become a challenge because "the extremity of Mr. Price's views on women's health." For example, he was a co-sponsor of legislation that defines life at conception, arguing that "common forms of birth control constitute a murder weapon." (See: http://www.nytimes.com/2016/12/28/opinion/how-donald-trumps-health-secretary-tom-price-endangers-women.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-right-region&region=opinion-c-col-right-region&WT.nav=opinion-c-col-right-region&_r=0
It gets worse. Price has alarming conflicts of interest according to a Wall Street Journal Report. He has all kinds of ties to the pharmaceutical industry, having traded over $300,000 in big pharma stock while in Congress. See: http://www.wsj.com/articles/donald-trumps-pick-for-health-secretary-traded-medical-stocks-while-in-house-1482451061
https://www.statnews.com/2016/12/02/tom-price-hhs-stock-portfolio/
Of course, the HHS Secretary cannot, alone, repeal the ACA. That is an act of Congress, which has made clear that it's the first thing on its agenda in 2017. That is sending "red flags" (no – not the Russia hacking thing) across the healthcare spectrum. For example, as the New York Times reported:
"In a letter to Mr. Trump and congressional leaders this month, the two biggest hospital trade groups warned of 'an unprecedented public health crisis' and said hospitals stood to lose $165 billion through 2026 if more than 20 million people lose the insurance they gained under the law. They predicted widespread layoffs, cuts in outpatient care and services for the mentally ill, and even hospital closings." See:
http://www.nytimes.com/2016/12/28/health/hospitals-medicaid-obamacare-trump.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=first-column-region&region=top-news&WT.nav=top-news
It's clear to any bioethicist that the new GOP-led Congress is about to step into the mire of what scholars call a "wicked problem". Anyone who looks closely at the muckiness of the U.S. healthcare system will see that there are two options: a market-based system, which basically looks like the ACA, or some form of a single-payer universal healthcare system, which is what every other democracy has. So for the GOP, it's a wicked problem of BernieCare of ObamaCare, because voters will not like any of the voucher-based plans they have been discussing for years, which do not resolve distributive justice problems.
The GOP Congress, in recognition of this "wicked problem" has come up with a "neither fish nor fowl" solution, called Repeal and Delay. But that has problems, too, according to the Urban Institute, which estimates that "repeal and delay" would "increase the number of uninsured by 4.3 million people near immediately". (See: https://www.brookings.edu/research/why-repealing-the-aca-before-replacing-it-wont-work-and-what-might/)
As for the Trump voters, they don't want to see the ACA repealed, either, which makes their vote for Trump perplexing. In two of the poorest states (one of them, mine), the uninsured rate has fallen from 25 percent in 2013 to 10 percent today. One reporter decided to investigate the paradox of the Trump voter and ACA-lover, and took a deep dive into my own state of Kentucky (See: http://www.vox.com/science-and-health/2016/12/13/13848794/kentucky-obamacare-trump.) Voters who understood that their Kentucky healthcare of "Kynnect" was "Obamacare" simply didn't take Trump seriously about taking it away. They thought he was kidding, proving the adage of "taking him seriously but not literally". Other voters who love their healthcare in Kentucky, didn't understand that what they love, is in fact, Obamacare, proving there is a wide gap in understanding the law. (See: https://www.washingtonpost.com/opinions/trump-voters-didnt-take-him-literally-on-obamacare-oops/2016/12/20/46ef3cae-c6f3-11e6-bf4b-2c064d32a4bf_story.html?hpid=hp_no-name_opinion-card-c%3Ahomepage%2Fstory&utm_term=.0decc010c34c )
Patients who voted for change are going to get it in 2017. It just may not be the change they want. And many bioethicists fear some may have unwittingly voted for their own executioner if their healthcare goes away.
November 30, 2016 • By Dr. M Sara Rosenthal
On November 9, 2016, as the stock market fell 800 points and the Canadian immigration website crashed, we elected what other countries call a "dangerous" and "unthinkable" President. Here is Germany's take: http://www.spiegel.de/international/world/spiegel-editorial-trump-is-a-dangerous-president-a-1120925.html. Canada had this to say: https://www.thestar.com/news/world/uselection/2016/11/09/donald-trump-wins-america-elects-an-unthinkable-president.html.
In the U.S., more than half the population of this country (particularly those who work in the areas of bioethics, health law, healthcare, or human rights ) compared waking up on November 9th to waking up in a nightmare. Here's a sample of the editorials from that morning:
http://www.nytimes.com/2016/11/09/opinion/were-near-the-breaking-point.html?action=click&pgtype=Homepage&clickSource=story-heading&module=span-abc-region&region=span-abc-region&WT.nav=span-abc-region
https://www.washingtonpost.com/opinions/a-prayer-for-america/2016/11/08/05fee4d2-a5e8-11e6-8fc0-7be8f848c492_story.html
In terms of national and global impact, the reality of a Trump Presidency is only comparable to 9/11. What some are calling "mourning in America"; "11/9"; "Trumpocalypse" or an "electoral catastrophe", the United States under a President Trump will be, for many, like watching a car crash in slow motion. Aside from the risk of global and climate disasters at the hands of a President who does not believe in climate change, can still be "baited with a tweet", and has declined (as of this writing) his daily intelligence briefings, bioethics in the United States is about to go through a hostile takeover. There are four main categories that will be affected once the transfer of power is complete.
Healthcare access. Repeal of the Affordable Care Act as well as repeal or reform of Medicare and Medicaid are on the agenda. This seems especially likely with the pick of Tom Price for Health and Human Services Secretary. See: http://www.nytimes.com/2016/11/30/opinion/tom-price-a-radical-choice-for-health-secretary.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-right-region&region=opinion-c-col-right-region&WT.nav=opinion-c-col-right-region&_r=0
http://www.nytimes.com/2016/11/28/us/politics/tom-price-secretary-health-and-human-services.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=a-lede-package-region&region=top-news&WT.nav=top-news&_r=0
Reproductive justice. Attempts to defund Planned Parenthood, not cover contraception, and repeal of Roe v. Wade are all on the 2017 menu. Although Trump's first SCOTUS appointment does not necessarily guarantee revisiting Roe v. Wade, challenges to the law are sure to come. If abortion law returns to the jurisdiction of individual states, there could be access in blue states, but most of the country is currently under Republican rule. So we could be looking at more stories like this: http://www.nytimes.com/2016/11/29/us/tennessee-woman-accused-of-coat-hanger-abortion-faces-new-charges.html?module=WatchingPorta
Human rights violations. Since the election, white supremacy hate crimes – especially targeting Muslims, Hispanics, African Americans and Jews – have skyrocketed. How will we navigate the intersection of healthcare and human rights? For example, will Muslim healthcare providers feel safe in a post-Trump America? Will Muslim patients? What about the prospect of "sanctuary hospitals"? With a reported "white nationalist" appointed as Chief White House strategist (see: http://www.nytimes.com/2016/11/15/us/politics/donald-trump-presidency.html) and an Attorney General pick with a documented history of racism (see: http://www.cnn.com/2016/11/17/politics/jeff-sessions-racism-allegations/) things are getting morally uncomfortable. Here is the ACLU's position on some of these issues: https://www.aclu.org/letter/aclu-letter-president-elect-trump-published-new-york-times
Conflicts of Interest. The President-Elect has a dizzying and multi-layered thicket of conflicts of interest that violate the Emoluments Clause, even if his children run his business instead. How can any healthcare provider be expected to adhere to conflicts of interest policies when POTUS 45 could openly use the Presidency to enrich himself? See:
http://www.nytimes.com/2016/11/26/us/politics/donald-trump-international-business.html?_r=0
http://www.nytimes.com/2016/11/25/opinion/donald-trumps-caldron-of-conflicts.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-left-region&region=opinion-c-col-left-region&WT.nav=opinion-c-col-left-region&_r=0
http://www.huffingtonpost.com/entry/donald-trump-conflict-of-interest_us_58349547e4b09b6055ff367d?section=us_politics
More veterans. With the pick of Michael Flynn for the NSA, we may see a fresh ground war and a draft. (But — perhaps a decline of obesity in those we draft.) See: http://www.nytimes.com/2016/11/19/opinion/michael-flynn-an-alarming-pick-for-national-security-adviser.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-left-region&region=opinion-c-col-left-region&WT.nav=opinion-c-col-left-region.
Presidential Capacity. With a President who struggles with impulse control, shows clear signs of narcissistic personality disorder, and questionable competencies to run the country, there may indeed be a need for invoking the 25th Amendment, section 4. Let's see what happens in December before I go into this.
One thing is clear: we'll certainly have a White Christmas in a Trump Administration.
The most dominant ethics story this month is the unfolding public health and pediatric ethics disaster caused by unethical and incompetent actors in Flint, Michigan.
The saga and health consequences of the decision to switch Flint's water source to the Flint River is nicely outlined in the Time cover story published January 21, 2016: (See http://time.com/4188328/the-poisoning-of-an-american-city/) . If you can't get past the "pay wall" to "The Poisoning of an American City", here are other good reviews of the crisis:
http://www.nytimes.com/interactive/2016/01/21/us/flint-lead-water-timeline.html?_r=0
http://www.nytimes.com/2016/01/21/us/flint-michigan-lead-water-crisis.html
http://www.motherjones.com/environment/2016/01/flint-lead-water-crisis-timeline
The consequences of lead poisoning to endocrine development can be explored here, although more research is clearly needed within the pediatric endocrine context: http://www.ncbi.nlm.nih.gov/pubmed/19411819
Flint is an organizational ethics story that became a health disparities story. In this case, shortsighted decisions were motivated by budgets and greed. There was no consideration of potential environmental or health consequences of switching water sources, which is the hallmark of competent decision-making. Such considerations are especially critical when children's health is at stake, as special protections in public health decision-making need to be in place for our most vulnerable populations.
What makes this a health disparities story is that once the water was switched, the complaints from a poor community were disregarded, as those who became ill from the water were disenfranchised.
This isn't the first time poor American children have been lead poisoned this century. Researchers were called out in 2001 for exposing poor children to lead in an infamous paint study: (See: http://www.nytimes.com/2001/08/24/health/children/24LEAD.html)
Baltimore has had a particularly shady history of lead exposure in poor communities: http://fivethirtyeight.com/features/baltimores-toxic-legacy-of-lead-paint/
For more on lead poisoning and race, see: http://www.motherjones.com/kevin-drum/2016/01/lead-and-race-flint—and-everywhere-else
Although the Flint water crisis has been compared by others to Hurricane Katrina, this crisis is more comparable to the terrible decisions made in the early 1980s surrounding the public blood supply. In the early days of AIDS, the blood industry decided it was too expensive to screen potential blood donors, which led to the unnecessary spread of HIV/AIDS into the public blood supply, but particularly into the pediatric population. We are still recovering from those decisions. The Executive Summary of the Institute of Medicine Report, HIV and the Blood Supply can be seen here: http://www.ncbi.nlm.nih.gov/books/NBK232406/
Flint echoes many painful health disparities and global health episodes in which members of a disenfranchised community were not heard.
What may be the most instructive about the Flint saga are the moral heroes of the story. (See: http://www.motherjones.com/politics/2016/01/flint-water-crisis-lead-heroes ). Of note is Dr. Mona Hanna-Attisha, who demonstrated moral courage and spoke up on behalf of her vulnerable patients and their families.
Ultimately, this infamous public health disaster we will now always refer to as "Flint" is about sickening business decisions and a failure of accountability.
Editing Ourselves: 2015 and CRISPR
The biggest bioethics story of the year was the breakthrough in human genome editing using CRISPR-CAS9. As one bioethicist put it, long-term employment is here to stay for all bioethicists in light of these new, truly slippery slope technologies (See: http://ieet.org/index.php/IEET/more/caplan20151210).
While it's nice to know that bioethicists will have job security, I'm not sure the bioethics community is comfortable about the reason.
Fears of human genome editing were simmering by Spring 2015, after multiple studies published by various research groups around the world surrounding gene editing using the technology CRISPR-CAS9 (See: http://motherboard.vice.com/read/germline-engineering). In response, there was a call for a moratorium on gene editing of human germ lines because there were concerns that the science was ahead of the ethical implications (See: http://www.nature.com/news/don-t-edit-the-human-germ-line-1.17111 and http://www.sciencemag.org/content/348/6230/36.short).
But it was too late; a Chinese team of researchers published in April 2015 that they had performed such an experiment on human embryos. (See: http://link.springer.com/article/10.1007%2Fs13238-015-0153-5 ).
And then the debates raged regarding the ethical implications:
http://www.nature.com/news/chinese-scientists-genetically-modify-human-embryos-1.17378
http://www.nytimes.com/2015/04/24/health/chinese-scientists-edit-genes-of-human-embryos-raising-concerns.html?_r=0
http://www.scientificamerican.com/report/customized-human-genes-new-promises-and-perils/
The year closed with an historic summit on human gene editing held December 1-3, 2015. This summit was comparable to the 1975 Asilomar conference, in which the scientific community felt that self-regulation about recombinant DNA technology was necessary (See: https://en.wikipedia.org/wiki/Asilomar_Conference_on_Recombinant_DNA).
The International Summit on Human Gene Editing held December 2015 led to moral consensus on three key issues:
Refrain from research and applications that use modified human embryos to establish a pregnancy.
Caution in development of clinical applications until we know more about safety and efficacy, and the risks of inaccurate editing.
Moratorium on 'germline' editing — the deletion of a gene prenatally in an effort to erase an inherited disease from an embryo and prevent it from being passed on to future generations.
Here is the position paper:
http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=12032015a
See also this summary of the position paper in Nature: http://www.nature.com/news/gene-editing-summit-supports-some-research-in-human-embryos-1.18947
Other summaries of the Summit are here:
https://www.washingtonpost.com/national/health-science/its-too-early-for-gene-editing-of-human-reproductive-cells-experts-conclude/2015/12/03/d251c39a-99fc-11e5-94f0-9eeaff906ef3_story.html
http://www.nytimes.com/2015/12/04/science/crispr-cas9-human-genome-editing-moratorium.html?ref=health&_r=0
http://www.nature.com/news/global-summit-reveals-divergent-views-on-human-gene-editing-1.18971
http://blogs.plos.org/synbio/2015/12/07/international-summit-on-human-gene-editing/
A good perspective on the Summit authored by one of the organizers is here:
http://www.nature.com/nature/journal/v528/n7580_supp/full/528S6a.html
Although the Summit concluded with a moratorium on germ line editing, reproductive endocrinologists already use PGD to eliminate genetic diseases, which some argue should be the superior method to deal with genetic disease in which there are some normal embryos (See: https://www.ipscell.com/2015/04/crispr-versus-pgd/). I blogged about PGD in July 2015 (see: http://endocrineethicsblog.org/preimplantation-genetic-diagnosis-safe-sex-in-a-gattacan-world/).
Jumping ahead, what are the basic ethical implications of human gene editing? Well, that's the problem – we just don't know. Based on the questions raised by PGD, it's not just about access issues, "super race" or designer babies, but we could be eliminating "defects" from the genome that are, in fact, attributes, or introducing "attributes" that wind up changing the human condition in unfathomable ways.
Some food for thought with your champagne tonight!
Lessons About Death and Dying on 9/11
On this 14th Anniversary of 9/11, healthcare providers of all disciplines should remember the lessons about death and dying on 9/11, elucidated in my 2013 paper: "The End-of-Life Experiences of 9/11 Civilians: Death and Dying in the World Trade Center." (See: http://www.ncbi.nlm.nih.gov/pubmed/24416875)
The powerful lesson from those trapped and dying in the World Trade Center 14 years ago this morning was truth-telling. These tragic civilians still had decisions to make, and needed the truth so they could make decisions about where to die and how to die. In the North Tower, civilians who called emergency operators by dialing 9-1-1 were told: "Stay where you are", which was a high-rise fire script that was completely inappropriate for what was unfolding on impact floors. Trapped civilians — who realized they were at the end of life — made other decisions: they exercised their right to palliative approaches to an imminent death by breaking windows (when they were told not to) and jumping. Some made the choice to call loved ones and guarantee that their coordinates and circumstances were known. These were short calls, as time was short, with a consistent message: they told a loved one that they were trapped in a fire; they couldn't get out; and they loved them. Voicemails later became critical forensic evidence in deaths that were classified as homicides.
In the South Tower, hit second, but first to collapse, civilians had a close-up view to the horrors unfolding in the North Tower, and perceived their lives were threatened in the 16 minutes prior to their own tower being hit. Despite hearing an intercom message that their building "was secure" and to "return to your offices", many made autonomous choices to self-evacuate and leave the building, saving themselves from being trapped on impact floors. Some made a different choice in those 16 minutes: they made "reassurance calls" to family members with a consistent message that they were in the "other building" (Tower 2), and they were safe. Some of those calls delayed evacuation, but illustrate that connection and communication was a priority. Those in the South Tower who were trapped also made calls to 9-1-1 operators demanding to know whether firefighters would get to them in time as their environment deteriorated, but they were denied proper end-of-life dialogues. Instead of being asked by a skilled responder: "Is there someone I can call for you?" when callers explained they could no longer breathe, they were asked to spell their names, and even transferred or put on hold. This interfered with critical closure calls many would have made to family members instead of dying on hold with a 9-1-1 operator. Some callers simply called family and died on the phone with their loved ones. Several of these calls are available in the public record: (http://www.nytimes.com/packages/khtml/2006/03/31/nyregion/20060331_TAPES_AUDIOSS.html
and http://www.nytimes.com/2006/04/11/us/11cnd-moussaoui.html?_r= )
The lessons learned about death and dying on this terrible morning on September 11, 2001, are not new: they reinforce what end of life experts have known for over 40 years (See: Kubler-Ross, E., 1969 On Death and Dying. New York: Macmillan). People at the end of life want the truth so they can make choices about how to die and where to die.
In recent years, endocrinologists have found themselves in the position of needing to have end-of-life discussions. Especially those who deal with end-stage renal patients who are not transplant candidates, or patients with devastating diagnoses such as anaplastic thyroid cancer (See http://www.ncbi.nlm.nih.gov/pubmed/23130564). If you can't tell the truth, reach out to a colleague who is expert in end-of-life dialogues so you can allow patients to make critical decisions. Trapped civilians who were in the towers teach us that even in the most imminent and dire circumstances, we can still make a myriad of end-of life decisions so long as we are told the truth.
The Aftermath of Hurricane Katrina: A Disaster for an ENT Surgeon
Imagine learning that the surgeon who performed the total thyroidectomy on your thyroid cancer patient was being charged with homicide for deliberately euthanizing ICU patients ?
Ten years ago today (September 1, 2005), one ENT surgeon, Anna Pou, found herself in the eye of the storm's crippling aftermath, and instead of relying on her surgical skills, was thrust into the role of having to make disaster ethics triage decisions for a group of very sick ICU patients – most of whom were ventilator-dependent, who had been stranded in Memorial hospital in the wake of Hurricane Katrina.
Is this part of the training of an ENT surgeon? No. And that proved disastrous for Anna Pou, who had to endure, along with two of her colleagues, charges of homicide consequent to evidence of euthanasia. (She was never indicted, and the charges were eventually dropped.)
Here is the 60 Minutes clip which originally aired 9/24/06 chronicling the ordeal of Dr. Pou and her nurse colleagues: http://www.memorialhospitaltruth.com/VTS_01_1.m4v
In 2013, Sheri Fink's Five Days at Memorial (See: http://www.nytimes.com/2013/09/04/books/five-days-at-memorial-by-sheri-fink.html?_r=0), which won the 2013 Pulitzer Prize, chronicled the events that went on at Memorial Hospital during the catastrophic flooding following Hurricane Katrina, in which 19th Century medicine needed to be practiced at the turn of the 21st Century.
Many of the same challenges played out again during Hurricane Sandy: (See, for example: http://www.npr.org/sections/health-shots/2014/11/13/363606765/hurricane-sandy-stranded-dialysis-patients-lessons-learned and this: http://www.huffingtonpost.com/2012/10/30/hurricane-sandy-hospitals_n_2044000.html
What these events teach us is that Disaster Ethics has to be taught in medical schools and residency programs. We're living in a time of climate change, a future of more powerful and frequent hurricanes (See: http://news.nationalgeographic.com/news/2014/03/140331-ipcc-report-global-warming-climate-change-science/), combined with vulnerable infrastructures (see: http://www.cbsnews.com/news/falling-apart-america-neglected-infrastructure/
Every healthcare provider in training or practice today is at risk of being in the eye of a storm as weather will only get worse, and vulnerable populations will only increase. Weather is predicted to get far more severe, and hospitals will need to ride out hurricanes, flooding, tornadoes, blizzards, and ice storms. All of these weather systems can and wreak havoc on aging infrastructures, and knock out power, but the power grid itself is vulnerable even in the absence of extreme weather (see: http://www.weather.com/science/environment/news/climate-change-power-grid-risk-climate-central and http://www.wsj.com/articles/SB10001424052702304020104579433670284061220
2020: THE AMERICAN HOLOCAUST
75 Years of the Atomic Age: What it meant for thyroid cancer
Journal of the COVID Spring: Overview
Journal of the Covid Spring, Part 4: June 2020. "Juneteenth": Systemic Racism, Moral Awakening and Tulsa
Journal of the Covid Spring, Part 3: May 2020. "American Carnage": Covid and Health Disparities
Endocrine Research
Reproductive Endocrinology
Transgender Medicine


text:
Ridgefield's
Lamont Activates State Emergency Operations Center, Implements Tractor Trailer Ban Ahead of Severe Winter Storm: Governor Ned Lamont today announced that as a severe winter storm with blizzard conditions is anticipated to impact Connecticut, he is implementing a travel ban on tractor trailers for all limited access highways statewide effective at 3:00 a.m. on Saturday, January 29,
RVNAhealth's Nurse-Family Partnership Moms and Babies Get Valentine's Day Love from NCL Ridgefield: A HUGE thank you to the National Charity League - Ridgefield! They generously donated their time to create "Luv You Bags" for RVNAhealth's Nurse-Family Partnership moms and their babies for Valentine's Day. We are so grateful to all of you! Nurse-Family Partnership
LOVE Rocks at The Ridgefield Playhouse Valentine's Day Fundraising Event with Rock & Roll Hall of Famer Darlene Love on: Rolling Stone has called Darlene Love "One of the Greatest Singers of All Time" and the Grammy Award winner and Rock & Roll Hall of Famer shows no signs of slowing down! After wowing crowds with her sold out holiday shows featuring the legendary
Ridgefield Police Raise More Than $22,000 for Special Olympics of Connecticut!: The Ridgefield Police Benevolent Association (PBA) would like to recap the past year's Special Olympics fundraising. With the support of many of our residents, businesses and other Ridgefield organizations, we were able to collect $22,086.00. All funds raised went directly to the
A Few Bits from RPS Superintendent Da Silva: BOE Budget, Upcoming Math Placement Workshop, and More: Friday BITS from Ridgefield Public School Superintendent Dr. Susie Da Silva Board of Education The early part of our week was busy! We had our full-day budget workshop on Saturday. You can watch the full-day meeting here. On Monday, our Board of Education learned
Town of Ridgefield Winter Storm: Prepare for Strong Gusty Winds: Town of Ridgefield Winter Storm Preparation We are facing a winter storm with strong, gusting winds, and as we know from experience, these storms can create disruption. First Selectman Rudy Marconi is reminding residents to be prepared and "plan for the
Ridgefield Public Schools partners with Project Resilience for Online Workshop on February 7: Ridgefield Public Schools partners with Project Resilience to offer a series of workshops, "Parenting the Selfie Generation". On February 7 at 7:00 pm, experts will present "Executive Function Skills: The Building Blocks for Success in Life." Learn the basics of instilling
Ridgefield Library CLOSED Tomorrow Due to Impending Snowstorm: Due to the impending snowstorm, the Library building will be closed on Saturday, January 29th. The Library is open until 6:00pm on Friday, January 28th. Stop by and stock up on books, DVDS, puzzles, games and more! We're here for you online, even
Wooster School Establishes Teaching Fellowship Program: Wooster School in Danbury, CT is excited to announce the establishment of a Teaching Fellowship Program with an emphasis on contributing to efforts to prepare more college graduates of color for roles as teachers in independent schools. Of particular interest
Lamont Announces Launch of Website for the Newly Formed Connecticut Hate Crimes Advisory Council: Governor Ned Lamont today announced the launch of a website for the recently formed Connecticut Hate Crimes Advisory Council. Located at portal.ct.gov/hatecrimes, the website provides state residents with information regarding the group, which was created as a result of legislation that
Ms President US - Enrollment Open!
Published on Sunday, 12 August 2018 11:20
Written by Liz Fleuette
Girls entering grades 4th to 8th in September are invited to enroll in the Ms President US program.
The mission of Ms President US is to inspire and prepare girls to aim for the highest civic leadership positions and to know that they can achieve them.
The program accomplishes this by introducing the girls to students and women who are leaders in their community, state, and on a national level. The girls then have a chance to interact with the leaders, and engage in activities that help them develop their own leadership skills. Each session is facilitated by High School girls who serve as Mentors throughout the program.
Session topics include:
Civic Leadership / Public Service
Meet & Greet Local, State, and Federal Leaders
Women's History and Leadership
Public Speaking & Debate
State Capitol Visit
The program culminates in a campaign and election whereby participants have the opportunity to create their own campaign and run for "Ms President US" of their town. The winner is invited to appearances throughout the year.
There are 7 sessions, each of which is held on a Friday after school, from October through March. In addition, there is a field trip to the State Capitol, and an Election. To enroll or learn more, visit mspresidentus.org and select "Enroll."
High School girls with leadership experience are encouraged to apply to be Mentors. Visit the Mentor page of the website to learn more.
Ms President US - Parent Orientation on August 28th
Parents and interested others are invited to learn about Ms President US:
The Parent Orientation will take place from 6 to 7pm on Tuesday, August 28th in the Dayton Program Room of The Ridgefield Library (472 Main Street, Ridgefield CT).
The Orientation provides an overview of the program, the role of parents and family, background about the initiative, and an opportunity for questions and answers. Refreshments will be served.
All are welcome, regardless of enrollment status. Girls outside of Ridgefield are encouraged to enroll. Scholarships are available. To attend the Orientation please register here.
Ms President US is a 501(c)(3) nonprofit organization whose mission is to inspire and prepare girls to aim for the highest civic leadership positions and know they can achieve them. Contributions to Ms President US are tax-deductible.
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'Thor: Ragnarok' Expected to Reach a Whopping $400 Million Worldwide by Sunday
Published on November 3rd, 2017 | Updated on November 3rd, 2017 | By FanFest
When the first reviews for Thor: Ragnarok started rolling in, fans were more excited for the film than ever before. It's being called one of the MCU's best films to date and we have to say we agree. We saw the film already and one word being used around the internet, and in our opinion, to describe it is 'witty'.
Fans have flocked to theaters to see the movie and last weekend it opened to $109 million in 36 markets as reported by Deadline. That amount doesn't include the US/Canada, Japa, Germany, Mexico, China, or Russia which will most certainly push the revenue beyond $400 million.
Deadline also reported that Thor's first film had a worldwide total of $449 Million but that was six years ago. So this film is big in a number of ways, and one of those is showing how the MCU has grown in the demands of what fans want.
Fans can expect to see more of Waititi's work if it's up to him, and we think this film will ensure it. In a recent interview, he hinted that he'd love to return for more Thor films if the MCU is welcome to the idea.
'I would like to come back and work with Marvel any time because I think they're a fantastic studio, and we had a great time working together, and they were very supportive of me, and my vision. They kind of gave me a lot of free reign but also had a lot of ideas as well. A very collaborative company. I'd love to do another Thor film because I feel like I've established a really great thing with these guys, and friendship. And I don't really like any of the other characters.'
Have you seen Thor: Ragnarok yet? If so, what is your take on it? Let us know.
'The Bold Type' Star Melora Hardin Talks…
So You Want to Start a Comic Book…
Interview: Star Zachary Levi, Director…
Home » Featured » 'Thor: Ragnarok' Expected to Reach a Whopping $400 Million Worldwide by Sunday


I love the idea of working on myself. I have no problem creating a goal and trying to stick with it. I've accomplished MANY things in my life that way. I am proud of the hard work I've put into myself, always trying to improve, always trying to do the right thing, always trying to do better.
I think you are the same way. You are on a mission to improve, too.
But, many of the mamas who reach out to me either in The Abundant Mama Project or in private coaching, struggle with one very important thing — how in the world to get the rest of the family on board!?
And that's when I often return to … you can only change yourself, and that is mostly true.
However, I do believe there is one way to get everyone on the same page — or at least in the same chapter — and that's by setting family goals.
In my last post, I gave you a framework to identify those areas in your house that might be a roadblock in having that peaceful, loving house you've been longing for. Now, we're going to take action.
There is no hurry here on accomplishing these goals. They are just a post to aim for in the distance. They are something to keep your eyes focused on as you travel along as a family.
Setting family goals can be a pretty simple process if the children are in a good place. Allowing them to do other things while you talk about these things is a great idea, especially for younger children but even older kids might feel more comfortable drawing or playing a game.
It's been a while since we've started a brand new family tradition in our house and I love that we've begun official family meetings by working on what we can do to always aim to do our best.
STARTING — The best way for this to work is to sit down as a family — perhaps around a meal or special treat — and talk about what's working and what's not working.
NOTE TAKER — Appoint someone — a child, preferably — to be your family note taker. If you have a child that longs to be a teacher this is a great job for them.
PLEASE NOTE — This is not about blaming or shaming. Simply about trying to be our best. That's when each person can decide what their ONE goal should be to focus on over the next month.
HAVE FUN — Write down each goal after each person's name. Draw pictures of clues that will help everyone remember their action steps to reaching the goal. Use silly faces. Ask the kids to color the spaces around their goals and you do the same. Make it fun and memorable.
DISPLAY IT — Hang your goals in a place where you can all see it all the time.
REVISIT — Families should revisit those goals and celebrate the victories and guide and support the not-so-victorious.
Anytime families create a tradition together they automatically feel closer. Family traditions are a touchstone for raising confident, happy children. And, by EVERYONE in the family working toward their own goal it no longer puts the emphasis on just one person's flaws. It goes from being a ME problem to a WE challenge.
If you want to learn more about family meetings, my friend Zina from Lasso the Moon wrote a fabulous post on how to host a successful family meeting.
You might also want to check out how to write your own family manifesto during one of your meetings.
What goals do you or your family have to work toward right now? I'd love to hear some of them — along with the baby steps you are using to accomplish them!
Shawn Fink is a family wellness coach and founder of The Abundant Mama Project community and online program. She is also the author of The Abundant Mama's Guide to Savoring Slow and The Playful Family. She recently created the program Rise and Shine, a 10-Day Challenge to help you sleep more, rise early and take care of yourself before your world wakes.


text:
Things to do in Derbyshire
More than 10,000 people expected to turn out to Ashbourne Show
This year's event president will be the Duchess of Devonshire and feature a host of arena entertainment
Gareth Butterfield
Ashbourne show, held at Osmaston Polo ground, enjoying the cows, from left, are Michael Allen, Dan Holland, 3,Sian Allen and Billy Holland, 18 months.
Sign up to our new Peak District newsletter and never miss a big story
The biggest event in Ashbourne's agricultural calendar, Ashbourne Show, takes place tomorrow at Osmaston Polo Ground and organisers are promising another fun-filled, family day out.
The annual one-day event, which celebrates the best livestock, produce and countryside sporting achievements of the year, attracts around 10,000 people and offers everything from competitions to craft stalls.
And this year the Ashbourne Shire Horse Society, have announced a special guest will be attending, not just to watch on as a member of the public, but taking on the show's prestigious role of president.
The Duchess of Devonshire, of Chatsworth House, has been invited to support the 126th show and she says it was a "great honour" to be asked and that she was looking forward to the "big day".
The society's treasurer William Stevenson explains: "Last year the weather wasn't kind, but nevertheless the crowds were good, but this year we've got a very special president.
"We've had many dukes in the past and we've had the dowager duchess as president, but we thought it was time the current duchess was invited.
Paul Hollywood and Mary Berry to appear at same Derbyshire country fair after GBBO split
"This year has turned out to be an incredibly busy year for her but she's found time to be there for us and to support us." This year the organisers have arranged a series of animal-based attractions for the main ring, and all the usual livestock classes are expected to be on show.
Equestrian stunt show Guido Louis will be among the star attractions, along with Bob Hogg's sheepdog display and sheep racing and the return of the popular horse-driven carriages.
Mr Stevenson said: "We're trying to maintain the focus and not go the way of other shows and become more of a fun-fair – we're trying to keep to our roots. So while we welcome the ability to have trade stands and other stalls that are doing well, we enjoy having the opportunity to let the local farming community come together to show their cattle and sheep, with horses and families competing and people coming to enjoy a day out.
"We're trying to keep current, but not moving away from traditions and what the show is.
"And especially when the weather's fine it's a lovely day out."
Find out which former boy band star will be putting on his wellies for the 2017 Chatsworth Country Fair
All the usual classes, tents and stalls are remaining largely unchanged this year.
Ashbourne Camera Club will be pitching its usual tent, as will the Women's Institute groups. As usual, there will be pet and poultry classes, goats, horticulture and handicraft and a field given over to the light horses.
Entries are being taken for the show's mainstay, the shire horses, and a food tent and craft marquee are due to be set up.
This year's tickets are priced at £10 if bought online, or £12 on the day. Advance children's tickets are priced at £4 or £5 at the gate and under-fives are admitted free.
Ashbourne Show held at Osmaston Park
Membership to the society, which includes admission for a family of four, costs £25 and offers access to the closed-off members' area and grandstand.
Once again this year a bus service will be running to and from the show, from Ashbourne.
The service will start from 9.30am and stops include Waterdside Park, the Bus Station in King Edward Street and the top of Derby Hill opposite Preston's Garage.
The last bus from the site will be at 5pm.
To find out more or to book tickets, visit www.ashbourneshow.co.uk.
Follow DerbyshireLive
Fasting 5:2 diet inventor Michael Mosley says cutting two food types will boost weight loss
HealthThe doctor widely credited as the inventor of the 5:2 fasting diet has suggested cutting out two food types to speed up weight loss.


text:
// Copyright (c) Microsoft Corporation. All rights reserved.
// Licensed under the MIT License.
// Code generated by Microsoft (R) AutoRest Code Generator.

package com.azure.resourcemanager.edgeorder.models;

import com.azure.core.annotation.Fluent;
import com.azure.core.util.logging.ClientLogger;
import com.fasterxml.jackson.annotation.JsonIgnore;
import com.fasterxml.jackson.annotation.JsonProperty;
import java.util.List;

/** Represents product details. */
@Fluent
public final class ProductDetails {
    @JsonIgnore private final ClientLogger logger = new ClientLogger(ProductDetails.class);

    /*
     * Display details of the product
     */
    @JsonProperty(value = "displayInfo")
    private DisplayInfo displayInfo;

    /*
     * Hierarchy of the product which uniquely identifies the product
     */
    @JsonProperty(value = "hierarchyInformation", required = true)
    private HierarchyInformation hierarchyInformation;

    /*
     * Quantity of the product
     */
    @JsonProperty(value = "count", access = JsonProperty.Access.WRITE_ONLY)
    private Integer count;

    /*
     * Double encryption status of the configuration. Read-only field.
     */
    @JsonProperty(value = "productDoubleEncryptionStatus", access = JsonProperty.Access.WRITE_ONLY)
    private DoubleEncryptionStatus productDoubleEncryptionStatus;

    /*
     * list of device details
     */
    @JsonProperty(value = "deviceDetails", access = JsonProperty.Access.WRITE_ONLY)
    private List<DeviceDetails> deviceDetails;

    /**
     * Get the displayInfo property: Display details of the product.
     *
     * @return the displayInfo value.
     */
    public DisplayInfo displayInfo() {
        return this.displayInfo;
    }

    /**
     * Set the displayInfo property: Display details of the product.
     *
     * @param displayInfo the displayInfo value to set.
     * @return the ProductDetails object itself.
     */
    public ProductDetails withDisplayInfo(DisplayInfo displayInfo) {
        this.displayInfo = displayInfo;
        return this;
    }

    /**
     * Get the hierarchyInformation property: Hierarchy of the product which uniquely identifies the product.
     *
     * @return the hierarchyInformation value.
     */
    public HierarchyInformation hierarchyInformation() {
        return this.hierarchyInformation;
    }

    /**
     * Set the hierarchyInformation property: Hierarchy of the product which uniquely identifies the product.
     *
     * @param hierarchyInformation the hierarchyInformation value to set.
     * @return the ProductDetails object itself.
     */
    public ProductDetails withHierarchyInformation(HierarchyInformation hierarchyInformation) {
        this.hierarchyInformation = hierarchyInformation;
        return this;
    }

    /**
     * Get the count property: Quantity of the product.
     *
     * @return the count value.
     */
    public Integer count() {
        return this.count;
    }

    /**
     * Get the productDoubleEncryptionStatus property: Double encryption status of the configuration. Read-only field.
     *
     * @return the productDoubleEncryptionStatus value.
     */
    public DoubleEncryptionStatus productDoubleEncryptionStatus() {
        return this.productDoubleEncryptionStatus;
    }

    /**
     * Get the deviceDetails property: list of device details.
     *
     * @return the deviceDetails value.
     */
    public List<DeviceDetails> deviceDetails() {
        return this.deviceDetails;
    }

    /**
     * Validates the instance.
     *
     * @throws IllegalArgumentException thrown if the instance is not valid.
     */
    public void validate() {
        if (displayInfo() != null) {
            displayInfo().validate();
        }
        if (hierarchyInformation() == null) {
            throw logger
                .logExceptionAsError(
                    new IllegalArgumentException(
                        "Missing required property hierarchyInformation in model ProductDetails"));
        } else {
            hierarchyInformation().validate();
        }
        if (deviceDetails() != null) {
            deviceDetails().forEach(e -> e.validate());
        }
    }
}

redpajama_set_name: RedPajamaGithub


text:
Chipotle opens at Lincoln Mall
Less than 24 hours before opening day of the Chipotle at Lincoln Mall, apprentice Laura Graham and general manager Cameron Ossing said they're excited to become part of the community in Lincoln. (Breeze photo by Nicole Dotzenrod)
IHOP on its way
By NICOLE DOTZENROD, Valley Breeze Staff Writer
LINCOLN – Calling all burrito lovers: Chipotle Mexican Grill opened its newest store at the Lincoln Mall on Tuesday.
The fast casual-style eatery serves up Mission-style burritos, tacos and other Mexican-American cuisine. The new restaurant is part of a new building recently erected on the Lincoln Mall property between McDonald's and Santander Bank.
Chipotle's general manager, Cameron Ossing, and apprentice Laura Graham were at the restaurant Monday preparing for opening day, while crews trained the store's future employees. During the course of Monday's training, the restaurant had to turn away nearly 300 people who noticed the activity happening inside.
Graham said her hope for the restaurant is to be a "staple of the community."
"I'm excited to welcome the people of Lincoln here," she said, and to provide a place for people to come for a good meal, as well as opportunities for employment for number of local residents. With Black Friday coming, Graham said Chipotle looks forward to feeding a lot of people who visit the shopping plaza, including store employees and hungry shoppers.
Chipotle will be open daily from 10:45 a.m. to 10:05 p.m.
"We stay open for an extra five minutes to give the stragglers some time to get in … the people who are caught in traffic and arrive in the parking lot at 9:58," she said.
In the same building as Chipotle, another restaurant is aiming to open by the end of the month. IHOP is currently building out its space and is planning to open before Thanksgiving, according to Lincoln Building Official Roger Pierce. First founded in 1958, IHOP is best known for its pancakes, but serves up a variety of other breakfast, lunch and dinner dishes.
Prior to opening, Pierce will do a final inspection on the breakfast restaurant. He said the Rhode Island Department of Health will also need to complete an inspection of the space at 622 George Washington Highway.
According to the restaurant's page, the restaurant is a "family owned and operated small Rhode Island business. Our mission is to create local jobs, serve great cooked-to-order food and provide service that goes beyond expectations to all our guests – while being an active part of the community."
Lila Delman Real Estate
Hanna's Color Center
Ryan's Lawn Care
Fastcash Pawn & Checkcashers, Inc.
Nu-Look Seal Coating


The House of Lords is being asked to approve the proposed prevention orders as part of the government's Offensive Weapons Bills.
why is this happening ? is there a reason to it.
Does this make it okay to carry a knife? Why might some people say this makes the problem worse?


Stephen Frears' The Queen leads the nominations for the The Orange British Academy Film Awards, or BAFTAs. The film was recognised in 10 categories.
Following closely were Bond film Casino Royale, which drew nine nominations and Guillermo del Toro's Pan's Labyrinth with eight. Babel followed with seven nominations.
The awards will be presented on February 11 at the awards' new home, the Royal Opera House in Covent Garden, London.
The British director Stephen Frears will be honoured with a retrospective at this year's Munich Filmfest, which will be held from 26 June - 4 July.


Your little one will fall asleep dreaming of the stars on our deluxe 300 thread count 100% organic certified sheet set. Featuring our sweet Starlight design on both the fitted and flat sheets, the sets fit a standard or Boori cot. The sheets are packaged in our Starlight drawstring bag – handy for carrying all the things that your little star needs.
Your little babe will sleep sweetly on our soft 300 thread count 100% organic certified sheet set. With our delectable pretty pink Gumnut design featuring on the fitted sheet and our lovable Spotty design on the flat sheet, the sets fit a standard or Boori cot. The delightful Gumnut drawstring bag the sheets come in is also handy for carrying all the things that your baby needs.
Your little one will cuddle up in luxury on our deluxe 300 thread count 100% organic certified sheet set. Featuring our vintage-inspired Village design in the fitted sheet and our classic Ticking Stripe design on the flat sheet, the sets fit a standard or Boori cot. The sheets are packaged in our Village drawstring bag – handy for carrying all the things that your little munchkin needs.


In preparation for the RWAC tour (which starts this Thursday in NYC), I teamed up with my tour-mate Mega Ran on a brandUn DeShay produced beat to talk about the good old days. Yep, the same brandUn DeShay who's produced heat for Danny Brown and Mac Miller among others! Listen to our brand new track entitled "Gone" below, in which we chat about our respective college experiences and how little we appreciated them until they were all over. Special shout-out to my grad school friends who helped me to realize that the only thing you REALLY need in life is a solid crew and some good video games. Head to my Bandcamp page HERE to pay-what you want for the track and throw some change into the RWAC tour bucket. Annotated lyrics can be found here.


Hand-sewn black and gold brocade and lace Victorian Style choker. This piece is adorned with a substantial Filigree Golden Cross, 2" long by 1 1/2" wide. This choker is created for the romantic at heart. The golden rose brocade ribbon motive adds elegance to any ensemble. The lace has a feminine touch of whimsy. Satin ribbons secure this choker around the neck allowing for personal fit and comfort adjustment. This choker is one of a kind, hand sewn and not a reproduction.


Jerry C. Kolbusz, age 78 of Algonquin, IL passed away peacefully on Tuesday December 4, 2018 at Sherman Hospital, Elgin, IL. He was born on May 22, 1940 in Chicago to Chester and Caroline (nee Jarosz) Kolbusz.
Jerry was a veteran of the United States Army and was a machinist by trade. On April 28, 1962 he married Christine (nee' Mischke) Kolbusz in Chicago.
Survivors include his wife Christine, his three children Paul (Jennifer) Kolbusz, Algonquin, Gay (Geoff) Pahios, Lake Zurich, and Tony (Donna) Kolbusz, Oakwood Hills; his seven grandchildren Thomas and Joshua Kolbusz, Kali, Allison and Garett Pahios, and Anthony and Matthew Kolbusz. He was preceded in death by his parents, his stepfather, Emil J. Rogus, and his in-laws, Thomas and Alexandria Mischke.
Private services for the family were held on Saturday December 8, 2018 at the Willow Funeral Home & Cremation Care, 1415 W. Algonquin Rd., Algonquin/Lake in the Hills.