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Dr. Jeff Hersh: Myelodysplastic Syndrome — bone marrow disorder
Q: My sister-in-law was diagnosed with Myelodysplastic Syndrome. What is this?
A: The three major types of blood cells are produced in the bone marrow and include red blood cells (RBCs) that carry oxygen, white blood cells (WBCs) that fight infection and platelets that help the blood clot to prevent excessive bleeding. Myelodysplastic Syndrome (MDS) is a disorder of the bone marrow, so this disease manifests as inadequate amounts of one or more of these cell types.
MDS is thought to occur when a progenitor blood cell (a cell that can differentiate into any type of blood cell precursor) mutates into an abnormal cell; several different genetic mutations that may lead to MDS have been identified. About one third of MDS patients "progress" into acute myeloid leukemia (AML), showing that there is overlap in these diseases.
Although more than 80 percent of MDS cases arise spontaneously (that is, no cause is identified), having been treated with certain chemotherapy drugs or radiation therapy, exposure to certain chemicals (such as benzene), certain viral infections, certain genetic syndromes and smoking have all been identified as risk factors that may trigger a cell mutation leading to MDS.
MDS is diagnosed in about four to five per 100,000 Americans every year. It becomes more common as people age, and it is more common in men than women.
Many people with early MDS have no symptoms, but when symptoms manifest they are driven by which cell lines are involved. Low RBCs may cause fatigue and even shortness of breath, low WBCs may predispose someone to acquiring infections and low platelet counts may make them bleed more easily. If any of these are severe they can be life threatening.
Since MDS affects blood cells and how they are produced in the bone marrow, when someone has symptoms suggestive of it (or has low counts of one or more blood cell types noted when a blood test is done for some other reason) a complete blood count, evaluation of the bone marrow (with a bone marrow aspiration and bone marrow biopsy) and genetic evaluation of the affected cells are done to diagnose the condition.
Several different scoring systems have been designed to characterize (stage) MDS; these are useful to help guide treatment decisions and to assess a patient's prognosis. These systems score the type and severity of a patient's MDS depending on how many cell lines are involved (for example if only the RBC count is low or if there are other cell types affected as well), what percent of the bone marrow is infiltrated with abnormal cells (called blast cells) and what genetic mutation is identified (the patient's karyotype).
Low-risk patients (with lower scores) have a median survival from time of diagnosis of about six years, very high-risk patients have a guarded prognosis with median survival of half a year and intermediate risk patients have a prognosis between these. The average time for MDS to "transform" into AML also correlates with the risk level as assessed by these scoring systems.
Many patients do not require any specific treatment except supportive care, which may include transfusions of RBCs and/or platelets as needed. Antibiotics may be needed if an infection develops. Some patients may be treated with supplemental iron, copper and/or vitamin B12 if they are deficient in any of these, and all patients should be vaccinated as needed to help prevent infections. Selected patients may benefit from medications that stimulate their own production of specific blood cells lines.
In addition to supportive care, some patients may require treatment with chemotherapeutic agents, treating their MDS just as certain types of cancer are treated. The specific chemotherapy agent utilized depends on the specifics of the patient's condition.
Bone marrow transplantation (BMT) is a treatment option for some carefully selected patients (those who would likely be able to tolerate this aggressive treatment regimen), and is the only treatment with a potential to "cure" their condition. BMT involves eradicating the cells in the patient's bone marrow with aggressive chemotherapy then transfusing them with bone marrow cells from a matched donor to repopulate their bone marrow. This aggressive treatment option carries with it a significant mortality (up to 20 percent), and 10-40 percent of patients relapse despite an initial response to treatment.
Patients with MDS should be closely followed by a specialist to assess what treatments are best for them and if/when their treatment plan should be modified. Even patients who have responded to a BMT need close follow-up to determine if they have relapsed and if further treatment may be indicated.
Jeff Hersh, Ph.D., M.D., can be reached at firstname.lastname@example.com.


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I am doing research today for an upcoming article on limited edition books for the column I co-author with Darius Himes in the Photo-Eye Booklist, and was remined about the value of the website for the International Fine Print Dealers Association (IFPDA).
There is a terrific resource for artists within the site: LEARN ABOUT PRINTS, which offers a summary of techniques, glossary of terms relating to prints/editions, and a bibliography. I encourage all my readers to check this out, and print for your reference library. (I mentioned this as a resource within the chapter on "Estate Planning Consideration for Artists" in my book The Business of Photography: Principles and Practices (2007).
Be sure to mark NOVEMBER 1-4th on your calendar – these are the dates for the IFPDA Print Fair 2007 in NYC. As I'm sure you are aware, an increasing number of galleries that represent works of art on paper are adding photographers to their rosters, translating to more opportunity for you and your work. Review the member's roster on the website to begin research for yourself, and continue to learn about these dealers by visiting this art fair.
From the website:
"The annual IFPDA Print Fair is unique among the world's major art fairs for its focus on fine prints from all periods. All dealers exhibiting at the Fair are members of the International Fine Print Dealers Association (IFPDA). The IFPDA's thorough vetting of its members assures collectors of each exhibitor's expertise and professionalism, and of the authenticity and condition of artwork available for purchase.
The Fair is the highlight of New York Fine Art Print Week, an annual series of exhibitions, gallery talks, demonstrations, and expositions in New York during the week of the Print Fair."

subset: commoncrawl


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The show floor hasn't quite opened yet, but crack Jalopnik operatives have dressed in our special trash can costume (a trash can with feet holes) and got photos that prove that Mazda's new SKYACTIV-D diesel engine will, in fact, be an option for the Mazda 6. This was widely speculated, and now we have proof it's going to happen.
The engine, the SKYACTIV-D, is a 2.2-liter "clean" diesel engine, making 310 lb-feet of torque. Or, if you want to go on some signage scraps seen by the car, a far more exciting 445 lb-ft of torque at 3600 RPM. Also available for the 2014 Mazda6 are 6-speed transmissions in both manual and auto flavors, the i-ELOOP regnerative braking system that sounds like a friendly alien pal's name, and, of course, "KODO Soul of Motion Design," which is at the top of any saavy car buyers list. Seriously, don't settle for Soul of Immobility-based designs. You're worth it.
Another diesel option in the US is very welcome, and I can see a diesel Mazda 6 Wagon being a really desirable car (hint hint Mazda). Hopefully we'll get to drive one soon.


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Regular price $19.95
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- Brotherhood Of First Responders Ceramic Mug
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- Measures 3.75 inches tall
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Treatment of brand new Instruments
Brand new instruments must be cleaned before the first sterilization or use. Protective caps and protective films must be removed completely, for example in the case of chisels, respirators or micro-surgical instruments
After Use
1- For machine cleaning, place instrument in a wire basket suitable for the cleaning process (make sure
cleaning solution and rinse water from machine comes into contact with all parts of instrument)
2- Preferably dry disposal.
3- Microsurgical instruments and instruments with fine working ends should not be treated with ultrsound.
They should be cleaned either manually or in the washing machine. In case of cleaning in a machine
please use a suitable storage rack.
Manual Cleaning/Disinfection
1- Place instrument into a suitable disinfectant with active cleaning properties so that all surfaces, inner
cavities, lumens and openings come into contact with the solution.
2- After chemical disinfection, always rinse thoroughly with clear, flowing water.
3- Remove any dirt still clinging to the instrument with a soft synthetic brush. Do not use a scouring or
metal brush.
4- Clean any lumens and conduits with soft, round, synthetic brushes. Please note, the lumen and the
brush must have the same diameter.
5- Final rinsing to be done with distilled or deionized water.
6- Dry instrument with an absorbent, soft and lint-free cloth.
7- Dry lumens and conduits with compressed air.
Machine Cleaning/Disinfection
1- Select the program according to the material (e.g. stainless instrument steel, aluminium) of the
instrument to be cleaned.
2- Final rinsing to be done with deionized water.
3- Leave sufficient time for drying.
4- Remove the instrument from the machine immediately after the program is done.
1- Let instrument cool down to room temperature.
2- Lubricate movable parts (e.g. joints and ends) slightly with special sterilization-capable, vapor-permeable
3- After each cleaning, disinfection process, check the instrument to make sure it is clean, it functions
properly and it has not suffered any damage, e.g. bent, broken, factured or worn parts.
4- Discard any damaged and defective instruments and replace.
1- Steam sterilization must be carried out according to a validated stream sterilization process.
2- When using the fractionnal vacuum method, use the 134°C/2-bar program for sterilization with a
minimum hold time of 5 minutes.
1- Lubricate all instruments which have any "metal to metal" action such as scissors,hemostats, needle
holders, self-retaining retractors, etc.
2- Put instruments up for autoclaving either individually or in sets.
After Cleaning
If instruments are to be stored, let them air dry and store them in a clean and dry environment.


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Southwest Medical is proud to bring you our extensive catalog of Pride Mobility parts complete with all the Pride scooter, wheelchair and lift chair parts you need.
These Pride Mobility parts are shipped direct from the manufacturer in Pennsylvania and can take up to 48 hours to be processed before shipping. This guarantees the highest quality and lowest price possible.
To find your specific part(s),simply locate and select your Pride Mobility model number in the dropdown here or via the product breakout below to view detailed part diagrams that can further assist in finding exactly what you need.


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33 Kick-Ass Websites for Your Inspiration
Websites are the most powerful sources of getting inspired from. They are such great sources because they contain a lot of space. This space is usually filled with tehniques, skills and knowledge that the designer knows. Below are gathered 33 beautiful, modern, elegant, kick-ass and hand-picked websites that will be a great source to boost your inspiration. The websites collected below contain different styles in it, so if you're looking for some inspiration to keep your fresh and adapt to current web trends – you're at the right place.
Hey Indy
Premium Pixels
Icon Moon
Need Style
Tvl Corp
Logic Design
Key Fruit
Shuzzle App
DRK Rush
Aaron Rudd
Camp Craze
Paramount (Themeforest Template)
Creative Mints
Design Zoom
Rockstar New Media
Denis Echandler
Mitch Designs
Green Planet Solutions
Cloud Networks
Latte Sole
The Monk
National Money Help Line
Allison Nold
After you took a look at this numerous number of beautiful websites compiled above, you're inspiration should be already enhaced. For more great websites inspiration you may take a look at other articles listed below:
Other Resources
- 25 Websites with Beautiful Backgrounds
- 40 Textured Websites for Design Inspiration
- 88 Single Page Website Designs for Inspiration
This entry was posted on Wednesday, November 10th, 2010 at 11:13 and is filed under Inspiration. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
5 Responses »
Glad to see few new ones. Thanks for the list!!!
Thanks for the feature, I really appreciate it! My name is spelled Allison Nold, though 🙂 No biggie!
I'll definitely be returning for more inspiration.
Great collection of websites they are really inspiring
Good collection =) Thank you.


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What Is Engagement And How Do We Measure It?
Jason Falls helps readers maximize their social media success by understanding the importance of defining "engagement" before applying it to their social strategies.
Women Warm Up to Brands on Social Sites
EMarketer.com highlights some very interesting statistics from the recent SheSpeaks "Annual Social Media Study" - showing a large increase in brand activity among females across online social networks.
SEO tips for smarter social media
Geary Interactive CEO, Andreas Roell, explains how social media efforts and SEO go hand-in-hand, while providing some tips to make sure you are maximizing your efforts.
Is 2010 Your Year for a Mobile App?
Interactive Media Strategist, Tessa Wegert, shares statistics and examples of why 2010 just might usher in a trend of mobile-focused marketing campaigns.
Seven Tools to Better Manage Your Social Networks
CIO Staff Writer, Kristin Burnham, shares this list of seven tools to help you streamline your social media interactions. This post gets my vote for introducing me to five new tools I wasn't aware of yet!


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Davis Bee Sanctuary
Founded in Spring 2011 Located west of the Domes/south of the Orchard Park Apartments
Join the Davis Bee Collective Video about intention behind the Davis Bee Sanctuary!
RECENT PICTURES OF THE ABUNDANT FLOWERS, BEES, and COLORS OF THE DAVIS BEE SANCTUARY, JUNE 2014!!!
Recent Reflections by Permaculture Designer and founder of Davis Bee Sanctuary
Locally Sourced Honeybees (rescued swarms from Davis) Wood-Only Top-Bar Hives No-Treatment Beekeeping (No Sugar, Chemicals, or Essential Oil used) Allowing for Natural Selection Leading to Adapted Survivor Bees Solar Beeswax Melter Habitat, Food, and Water for 70 different native bee species in Davis Permaculture Demonstration Garden Water-Saving Hugelkultur Garden Beds Healing Herbs for Medicine Making and Soil-Building Workshops and Garden Parties Organized by the Collective Care of the Earth...Care of People...Redistribution of Surplus
The Davis Bee Sanctuary is a solution—a solution to the problems faced by the bees, and ultimately faced by ourselves. It was conceived by members of the Davis Bee Collective and Davis Bee Charmers in 2011 with the intention of fostering a community of people willing to create a more harmonious relationship with our friends, the bees (honeybees and 60 other Davis bee species!).
For so many years—100 million in fact!—the honeybee-ing thrived on its own, building its beautiful hexagonally patterned homes in trees for the most part while collecting pollen, nectar, propolis, and water, while performing an astonishing service to the diversity of life on this planet through their pollination of flowering plants. It is true our very lives depend on beekeeping — about a third of the food we eat (most vegetables, nuts, and fruits, as well as all the dairy—think alfalfa!) would not be available without the services of the honeybee.
In the last 100 years, in conjunction with the rise of industrial agriculture, the honeybee has been treated as a honey-making-and-monoculture-farm-pollinating machine, to the point that one person will "manage" 60,000 hives, trucking them over several thousand miles per year to farms with only one type of nectar, robbing them of honey and feeding them sugar water, dousing them with more and more "treatments" such as miticides to control the varroa mite (in effect creating supermites), and queen breeding for docile traits to the point there is little genetic diversity left — Rudolf Steiner predicted in 1923 that if humanity continued to cultivate the honeybees by artificial means, we would, within eighty years, witness the mass disappearance of the bees. His prediction has come true. In 2006, Colony Collapse Disorder, which continues to this day to wipe out colonies all over the world, has awakened the consciousness of people all over the world to rethink our relationship with the bees.
As demonstrated by the film "Queen of the Sun", there are natural and biodynamic beekeepers all over the world creating bee sanctuaries and helping us to heal our relationship with the bees! Be part of the solution and get involved with your local beekeeping group; for those in Davis, that would be the Davis Bee Collective!
The Bee Sanctuary provides a place for members of the Davis Bee Collective to keep bees safely using no chemicals or treatments. Inspired by Serge Labesque in Sacramento, the following principles provide an easy basis for keeping bees naturally:
-making the bee species an overarching priority over any single hive
-not to interfere with the process of natural selection
-using bees from the local population
It includes a large permaculture designed labyrinth shaped, nectar/pollen providing flower garden to demonstrate the best plants to help our pollinator friends. It provides habitat for some of the 70 native bee species that call Davis home. Here's a more thorough list of what you can expect to find there:
Several observation (with windows you can look into) top bar honeybee hives managed naturally, "treatment free" by members of the Davis Bee Collective
Native bee habitat for some of Davis' 70 native bee species
Solar Wax Melter for purifying beeswax from hives for use in making healing medicine balms and candles
Shared Beekeeping equipment and materials for maintaining the gardens and site
CA native flower garden with year-round blooming times to provide bees with nectar and pollen throughout the year
Demonstration of permaculture gardening techniques such as "hugelkultur" (for irrigation free gardening!)
Medicinal herbs throughout
Shady rest areas for the hot summer days
Biointensive Compost piles
Curvy labyrinth walkways
Peach, Almond, Quince trees, raspberry and blackberry bushes
To those sensitive to bees and for everyone's reference, please note we have a First Aid box mounted on a tree at the entrance to the apiary with an antihistamine packet (to help with inflammation should you ever get stung). Please keep that in mind and share with anyone you see in that area. People allergic to bee venom should carry an epi-pen at all times. We have designed the gardens to have flowering shrubs and perennials that will direct the bees up and over...these plants are still getting established.
Though the Bee Sanctuary bees are friendly, here are some suggestions should you not want to attract bees to you:
Wear lighter colored clothing
Avoid wearing perfumes or strong scents,
Never eat bananas around bees
Calm your mind with mindful breathing
If you are opening up a bee hive, make sure your awareness is with the bees — they are amazing!
THE GRAND OPENING CEREMONY WAS HELD SATURDAY MARCH 31st with over a hundred attendees!,...please join the Bee Collective google group" to stay up to date on the latest workshops and parties and other bee related events. Many newspapers in the area and several area radio shows covered the opening ceremony. Aggie article" "bug blog article"
Resources shared at this apiary include beekeeping equipment, beekeeping suits, extractors, jars, books, and smoker materials, so the usually expensive hobby of keeping bees can be affordable to all. In January 2011, members of the Davis Bee Collective and Davis Bee Charmers hosted a workshop to build top bar hives from scratch...the cost was under $40 for a hive...other materials needed to maintain the hives is shared and free to use at the apiary. Many of these hives are occupied by bees at the Bee Sanctuary.
The Bee Sanctuary provides an ideal opportunity for students and Davis residents to learn how to keep bees...no prior experience is necessary, just a passion to learn. Every week through the spring and summer, there are Sunday 11-4pm workparties (or other days announced to the Bee Collective google group") to tend to the apiary and the flower garden. People who keep hives there take care of the apiary. If you are a student graduating and leaving town, we can make sure to find someone new to adopt the hive...this is a place of learning and many are interested to learn the craft.
See the evolution of the Davis Bee Sanctuary:
Spring 2012
Summer 2012
Fall 2013
Spring 2014
"RECENT PICTURES OF THE ABUNDANT FLOWERS, BEES, and COLORS OF THE DAVIS BEE SANCTUARY, JUNE 2014!!!"


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Hey kiddos, just dropping a quick post to some nifty links to stuff around town, and the greater internet suburbs.
First up, it was cool to see a list of 10 cool things to do around The Gravy Cave South aka Lodi, California, that listed my favorite place to score comics The Launchpad. If you're in the Central Valley area, check it out here.
Looking for a cool monster comic? Check out Monstrous from Greg Wright, Ken Lamung and Travis McIntire. They have reached what they set out to on Kickstarter but that's no reason for you not to check out the book here.
Over at the awesome Longbox Graveyard, Paul is taking a look at all the new #1's from Marvel Comics. All of them. Stop by and check out all the reviews here.
It wouldn't be a post from me without getting distracted by some sort of musical instruments or something music related. It what has to be one of the most talked about new gear announcements in ages, Korg is releasing an analog poly synth for about $500! Check out the specs, videos, and more over at Synthtopia.
I'll be back with Omega: The Unknown and more soon. Love you, baby bird.


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Studded boots and fur combine for a glam-rock look.
Name: Chanel
More From ELLE
Coat: French Connection (shop similar: River Island or Nasty Gal)
Pants: Rag & Bone (shop similar: DL1961 or Paige Denim)
Bag: Céline (shop similar: Ted Baker or Tommy Hilfiger)
Boots: Chloé (shop similar: Messeca or House of Harlow 1960)
Want to see more street style? Check out our Tumblr and Pinterest!


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Sally KiddWashington Bureau Reporter
Sally Kidd came to the Washington news bureau in September 2004 from Orlando, Fla., where she worked as a reporter for our sister station, WESH-TV for 7 years.
She spent much of her career working at TV stations in the Sunshine State, including reporting and anchoring jobs in Fort Myers, Pensacola, Gainesville and Panama City.
But her roots are in Cajun country. Sally received her degree in broadcast journalism from Louisiana State University. She landed her first job in radio, broadcasting traffic reports from an airplane in the skies above Baton Rouge.
Sally lives in Washington with her pet beagle, Boudreaux.


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Hi again everyone. Well here I am, rejoicing at the outcome of yesterday's eye operation. Thanks so much for all your good wishes. I now have such amazing vision in my reading eye, that I can even read the classified ads in the local paper, and more importantly, the instructions on my eye drops bottle, which are written in miniscule type. I could never understand why manufacturers should have directions on bottles, which are impossible to read, and why these letters had been reduced in size over the years. Now I know, that it was not a conspiracy, just that my eyes were at fault.
The procedure was painless and quite quick. The young anesthetist introduced himself as "Dr Savage," which I thought rather an unfortunate name for a doctor. He was however, anything but savage, and so gentle with that needle, I could have kissed him. My eye surgeon, who goes by the nice gentle name of, "Carey," looked really dashing in his surgical scrubs, favoring a sunny-yellow hat rather than the usual blue or green. I hadn't been allowed to eat or drink since the previous evening, and of course, all the ads on the TV in the waiting area, were food ads, with one in particular showing some woman enjoying a huge bacon and egg breakfast. My tummy was rumbling, but I consoled myself with the fact that there would be a chicken mayonnaise sandwich and a glass of juice waiting for me after the op.
I was awake throughout the procedure, but thankfully, didn't feel a thing. I just saw lots of bright lights flashing, but not so pleasant, was the feeling of water running over my face, into my right ear and trickling around the back of my neck to soak my hair. I had been really happy about the fact that I didn't have to undress at all, but just put the gown over my jeans and T-shirt. I certainly could have done with a shower cap though, as when I was finished and wheeled back into the ward, It looked as though the right side of my hair had been under the shower. I was hoping that when hubby arrived with my handbag, I could at least comb my sodden locks into some semblance of a style, but that was not to be. He'd left it in the car thinking I wouldn't need it. Men just haven't a clue about how essential our handbags are to us women, in absolutely every situation.
Anyway, not to worry. When there's a large plastic shield taped over one eye, who cares if the rest of you resembles Longfellow's " Wreck of the Hesperus."
Hospitals are definitely not places to encourage any sort of vanity, are they? Pride of appearance flies out of the window as soon as you submit yourself to their mercy. It's difficult to look glamorous, bare faced and wearing a hospital gown, and of course if half your hair is sopping wet, there's just no hope at all.
I went back this morning for a checkup, and he said that everything's perfect. I can't wait for next Tuesday to get the other eye done. I feel a little unbalanced at the moment, but it's great to be be able to see without contacts or glasses. What miracles they're able to perform these days. I'm so grateful to be living in this era of amazing medical technology, rather than to have to slowly go blind as my Gran did. I was also reading that in the 'olden days', a cataract op involved prolonged hospitalisation and total immobilisation, with the person having to lie flat on their back for two weeks. So I'm very fortunate to be up and about in no time at all, and able to sit here at my computer, writing to you all.
Have a great day, everyone. Chat again soon.


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Worral Creek Aggregation
AU - Talwood, QLD
268.55 km²
Moore River South is the largest oceanfront master-plan approved development opportunity currently available for sale in Australia. Moore River Company Pt Ltd, which has owned the property for more than 50 years has completed all planning and services approvals necessary to enable development to proceed to detailed design. This is a world class property which offers an opportunity to deliver a landmark master-planned community development along one of Australia's most breath-taking and pristine stretches of coastline. This is a truly rare generational master-planned development opportunity with the potential to create your own vision of an idyllic coastal community only an hour from the Perth Central Business District (CBD). Moore River South is 2,103 ha with 557 ha zoned future development having initial approval for 1,953 lots. The property is currently utilized as a cattle farm delivering holding cost benefits with no other comparable opportunity currently available within the Australian market. Moore River South's sheer size, scale of development and pristine beach and river frontages make it truly unique and irreplaceable.


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Looking for a specific make, model or year of motorcycle, and how it compares to the competition? Looking to design your own? Use our Bike Finder, below, to get everything you need.
2011 Big Dog Chopper MotorcyclesBig Dog Motorcycles is an American manufacturer based out of Wichita, Kansas. Established in 1994, Big Dog has become the world's largest manufacturer of custom motorcycles. Every Big Dog bike features a V-Twin 117 cubic inch engine, 6-speed transmission, one-piece steel tank and right side drive, but what sets Big Dog apart is customization. Numerous paint and graphic options are available, as are custom seats, exhausts, grips, windshields and more.
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Each took a different path, but eventually, and maybe inevitably, they all led to the law and the University of Houston Law Center for members of the Mandola family.
The patriarch, Anthony Mandola, turned his interest in law and politics into a successful , and varied, legal career; his wife, Genevieve, a former teacher, pursued her J.D. over several years while working as a bookkeeper; their daughter, Anne, somewhat reluctantly turned to law after studying Theater and English at Texas A&M University, but is happy she did; and her husband, Kyle, is a third-generation lawyer.
Armed with an M.A. in Political Science from the University of Houston, Anthony enrolled at what was then the University of Houston School of Law in 1965. In its early years, the law school was housed in several locations on campus, including temporary classrooms and the basement of the M.D. Anderson Library.
"My affinity for law and politics led me to choose what, for me, was a more practical pursuit and skill for the job market," Anthony said. "It was a great decision. I thoroughly enjoyed my time in law school. I had been rather shy and retiring - not lawyerly traits. In law school, I was forced to participate and found that I could."
Anthony graduated in 1968 and embarked on what he describes as an "erratic" career path. "I spent two years as a Law Clerk to Federal District Judge John V. Singleton," he said. "Then, in turn, I was with a large law firm; I was a solo practitioner; and I worked for a title company. Finally, in 1981, I settled into a position with my current employer, Exxon Mobil Corporation."
In 1975, Genevieve began her journey at the UH Law Center. At the time, she was working as a bookkeeper after leaving the teaching field. She had been a high school history/government teacher in the Houston Independent School District. She attended the Law Center as a full-time night student for 3 1/2 years.
"It was a really tough few years," Genevieve said. "When I was there, night students were all full-time working stiffs who had a few years in the real work world under their belts. I was glad then and am still happy to see a night law school at a ranked university for those of us in the world without the luxury to be full-time day students."
Genevieve graduated in 1978 and began balancing her career with family. "It never occurred to me to go the associate or firm route or a bank or big corporation," she said. "I did the mommy track. I worked for title companies and small law firms and have worked for myself as a solo -- all geared toward having total flexibility to raise my children."
In November, newly-wed Anne Mandola Jones continued the family tradition with her husband Kyle Jones when they were admitted to the State Bar of Texas. A third-generation lawyer, Kyle, like Anne, seemingly has law in his blood. The pair met during new student orientation at the Law Center and married a month and a half after sitting for the July bar exam.
"I came to UHLC because it was a sound financial choice and because I knew it was a diploma that would have meaning in the Houston legal community," Anne said. "It took me a long time to decide that law was the right path for me, but my parents always knew it was where I would end up. I'm grateful for their support and grateful they let me find my own way to law."
4170 Martin Luther King Blvd
Houston, TX 77204-6060
713-743-2100 General
713-743-2094 Legal Clinics
Fraud & Non-Compliance Hotline
Office of Equal Opportunities Service


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A List Too Small – My Favorites of 2012
Thank you to all the artists and record labels for such wonderful and diverse music.
This is one list of many, it's my list, and it leaves off many other favorites that I have enjoyed over the year in addition to the thousands of other albums and single tracks that make up music throughout the World. What has helped me arrive at this list is what I have always loved about music: Does it move me? In addition, is it creative, well recorded and produced with a degree of care that makes me pay attention to it? There was a time when I was obsessed with highly produced and tightly engineered works, then I learned about artists such as East River Pipe and Sparklehorse, and many other genres of music were opened to me.
If you don't see your favorite album on this list (or even your own album), it doesn't mean a thing. If an album has been reviewed on my website this year, it's meaningful to many others and me, but this is only a very, very small slice of the music world. Often people ask me about new music, and what I recommend. When I started this website in late January, 2012 it was first a means to write about music that I enjoyed, but also to get to know other artists and learn about new music that they create, so I could pass it on. Often, the best new music is that referred by a friend. Please feel free to send me your comments and recommendations.
Special note: There are still three or four late 2012 releases that are either enroute to me, have yet to be released or have just arrived. I need to spend proper time listening to and absorbing these albums. Rather than delaying this list further, and if after listening to those last 2012 releases I feel that they hit a sweet spot, I'll review those albums in early 2013. I know of at least two 2012 releases that I'll likely not receive until 2013.
I have three categories: Albums (12), Individual Tracks (6), and Special Releases (3) that don't necessarily fit into a category.
Albums (Artist – Album Title – Record Label)
1) Twigs & Yarn – The Language of Flowers – Flau
2) Lambchop – Mr. M – Merge Records
3) Zammuto – Zammuto – Temporary Residence
4) Steve Hackett – Genesis Revisited II – Inside Out Music
5) Taylor Deupree – Faint – 12k
6) Billow Observatory – Billow Observatory – Felte
7) Gareth Dickson – Quite A Way Away – 12k
8) Pill-Oh – Vanishing Mirror – Kitchen. Label
9) Brambles – Charcoal – Serein
10) Almost Charlie – Tomorrow's Yesterday – Words On Music
11) Cody ChesnuTT – Landing On A Hundred – One Little Indian
12) Stick Men – Deep – Stick Men Records
Individual Tracks (from other albums)[vimeo http://vimeo.com/46499688]
1) Library Tapes – Sun peeking through (from the album Sun peeking through) – Self Released
2) Cock & Swan – Orange & Pink (from the album Stash) – Lost Tribe Sound
3) Alex Tiuniaev – Daylight (from the album Blurred) – Heat Death Records
4) Kyle Bobby Dunn – In Praise of Tears (from the album In Miserum Stercus) – Komino
5) Kane Ikin & David Wenngren – Chalk (from the album Strangers) – Keshhhhhh
6) Olan Mill – Bleu Polar (from the album Paths) – Fac-ture
Special Releases
1) Celer & Machinefabriek: Maastunnel/Mt. Mitake, Numa/Penarie, Hei/Sou – Self Released
2) Birds Of A Feather: Michael Frommer – The Great Northern Loon, Porya Hatami – The Black Woodpecker, Darren McClure – The Black Kite, The Green Kingdom – The Great Blue Heron – Flaming Pines
3) Simon Scott, Corey Fuller, Marcus Fischer, Tomoyoshi Date and Taylor Deupree (Recorded live in Japan October, 8, 2012) – Between (…The Branches) – 12k
Record Labels Noted Above
Flau: http://www.flau.jp/
Merge Records: http://www.mergerecords.com/
Temporary Residence LTD: http://temporaryresidence.com/
Inside Out: http://www.insideoutmusic.com/
12k: http://12k.com/
Felte: http://www.feltesounds.com/
Kitchen. Label: http://www.kitchen-label.com/
Serein: http://www.serein.co.uk/
Words On Music: http://www.words-on-music.com/
One Little Indian: http://indian.co.uk/shop/landing-on-a-hundred-1.html
Stick Men Records: http://stick-men.net
Library Tapes: http://librarytapes.com/
Lost Tribe Sound: http://www.cockandswan.com/ Note: I have not listed the weblink to the record label as Google has noted that the website MAY be compromised.
Heat Death Records: http://www.heatdeathrecords.co.uk/
Komino: http://kominorecords.com/
Kesh (Simon Scott's label): http://www.keshhhhhh.com/
Facture: http://www.fac-ture.co.uk/
Machinefabriek & Celer: http://machinefabriek.bandcamp.com/ & http://www.thesingularwe.org/fs/
Flaming Pines: http://flamingpines.com/
Twigs & Yarn – The Language Of Flowers
Flau28 CD – Time: About 43 Minutes (Also available in 12" vinyl LP)
Artists Website: http://www.twigsandyarn.net Record Label Website: http://www.flau.jp
Mastered by: Nick Zammuto: http://www.zammutosound.com
Tracks (*Note: Track order according to iTunes readout appears to be in reverse order, although the music order is correct. The track order that follows is properly sequenced with the sound files on the CD and has been confirmed with the artist.)
1) Laverne; 2) Static Rowing; 3) If Were An Artery; 4) Conscious Strings; 5) Mermaid Wetness; 6) An Honest Moment; 7) Rosy Cheeked Pumpkin; 8) Bristle Of Mundane; 9) Flowers Thirsty; 10) Marigold Ride; 11) Strings Of Complacency; 12) Learning To Glisten
I sometimes listen to shortwave radio, late into the night, or in the early morning, as signals and sleep drift; voices and sounds emerge and disappear. Every so often my radio will lock in on a clear signal, and for a time there are voices from foreign lands, interesting new music, field correspondents reporting, or the strange sounds of open carrier frequencies waiting for a signal to fill them.
The Language Of Flowers is the enchanting (and often quirky) new album by Twigs & Yarn, and it has some parallels to late night radio listening, a mixing of familiar sounds, music and fleeting recollections. Both artists and musicians, Stephen Orsak resides in Texas, and Lauren McMurray is in Japan, and their work takes shape over the airwaves, satellites and international cables via computers and ftp servers. I didn't discover Twigs & Yarn on my own; I have Michael Cottone of The Green Kingdom to thank for introducing me to their works. I come across new artists by exploring record label websites, visiting the few record shops that are left and (often the best method), word of mouth from musicians and friends. I don't yet have the LP version, but the CD is packaged in a letter-pressed hand decorated collage (each one is slightly different).
The album opens with the mysteriously diaphanous Laverne, which shimmers like filtered sound-light on a bright morning, then passes quickly into the gentle swaying of Static Rowing. The fourth track Conscious Strings is both the clear reality of a solo acoustic guitar, combined with the meandering voices of a daydream. Some tracks seem to blend together as observations shift, and there is peaceful warmth in the sounds of a given day, whether inward looking as in Mermaid Wetness (with ingeniously repeated cadenced sound-samples) or outward as in the strangely discordant An Honest Moment which merges into street sounds, bells, voices, and then into a tranquil music box and electric guitar reflection in Rosy Cheeked Pumpkin reminiscent of Daniel Lanois' pedal steel work on his album here is what is.
Bristle Of Mundane is an unexpected contrast, which opens with a heavily-distorted music box, eventually settling into gentle waves. The experience of late night radio listening is present in Flowers Thirsty, tuning in and out from pop-music radio samples to a distant ebb and flow of music and whispers, the mind drifts late into the night, until being awakened by the radio-alarm (this is my favorite piece on the album, mysterious and great keyboard sounds). The gentle pulsing organ of Marigold Ride contains a soft repeated vocal, flowing into acoustic guitar of Strings Of Complacency (sounding a bit like some recent solo guitar work of Ant Phillips combined with light treatments from Eno's Julie With from the album Before And After Science). Learning To Glisten is the postlude to the album, the purest of all the tracks, with little sonic movement, and is a soothing close.
The Language of Flowers is like rotating a radio tuning knob late at night, or peering into a window overlooking a secret garden, or ephemeral visions in a dream. It's an assemblage of existence all around, from the broadest landscapes down to the tiniest whispers, and even memories of childhood games as in the gently spirited and delightfully melodic third track, If I Were An Artery. The music, field recordings, samples and instrumentation are assembled with an idiosyncratic aplomb that yield a very cohesive and soothing quality, like a less energetic, more contemplative version of works by The Books combined with gossamers of the dearly departed Sparklehorse. So, it makes complete sense that Nick Zammuto (ex-Book) mastered this album; a symbiotic chemistry.
Static Rowing
Mermaid Wetness
Marigold Ride
The Green Kingdom – Incidental Music
Tench – TCH03: CD Time: 39:58
Record Label Website: http://www.tenchrec.com/
More on this release: http://www.tenchrec.com/TCH03.html
Artist Website: http://thegreenkingdom.wordpress.com/
Available at: http://darla.com/
1) Three Friends Of Winter; 2) Backyard Epiphany; 3) Over Treetops; 4) Cherry Theme; 5) Slow Bloom; 6) Green Theme; 7) Floatation Themes; 8) rshda; 9) Whispered Through Pines
Whether in a conscious state of reverie or in the pre-waking hours when fleeting visions come forth into the camera obscura* of the mind, there are moments where hanging onto the edges of dreams is perhaps more desirable than even slumber. And after the dreams end, in the glistening haze of the morning, The Green Kingdom's latest album, appropriately titled Incidental Music, is the soundtrack for this quietude.
My first experience with Michael Cottone's work was on the Home Assembly's #HAM004 album from 2010 entitled Prismatic, and his more recent album Egress on Nomadic Kids Republic #011. Incidental Music holds time in suspension with subtle rhythms, and gentle yet tangible instrumentation (crystalline guitars, keyboards, kalimba and minimal processing) that encourage a calm wandering state of mind. Although different and original in his approach, there are some similarities in the feeling and sound in Cottone's work to Dictaphone's recent album Poems From A Rooftop (Sonic Pieces) and The Boats album Ballads Of The Research Department (12k), two albums that I like very much. It is evident that great care was taken in the recording of this album, and it has been beautifully mastered by Tench's M. Ostermeier.
Three Friends Of Winter is the placid introduction, a point of awareness without a concrete reality. Backyard Epiphany is serene in its sense of movement and passage of time. Over Treetops is the beginning of a gentle awakening. There are Satie-esque moments of allure as in Cherry Theme and Green Theme, even after a chimed nudge opening in Cherry Theme. Slow Bloom and Floatation Themes blur the sense of time. rshda is the most ethereal track on the album; the moment before stirring, where reality is still beyond reach. The album closes with a gentle awakening in Whispered Through Pines.
There was a place-holder for album #TCH03 at Tench Records for some time. Now the mystery is solved, and the void filled with these delightfully tranquil scenes and halcyon musings from The Green Kingdom.
* Tip of the hat to Mr. Williamson.


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A scientific study of the problems of digital engineering for space flight systems,
with a view to their practical solution.
"We've taken a hit, but we're back." Enter klabs.org original home page
Best with audio on and full screen.
Send me your suggestions for pictures or articles/papers to post.
I am replacing mailing lists and augmenting my What's New Page with twitter at http://twitter.com/klabsorg
NASA has stopped funding the server for klabs.org so I have purchased space on a different server. I have uploaded almost all of the content but I still have a bit of cleanup work to do. Feel free to send me information about any broken links, or material or ideas that you have for klabs.org. Rich Katz (firstname.lastname@example.com)


text:
LED strobe controllers
LEDs are current driven devices, so to be able to precisely control intensity and timing you need to be able to accurately control the current that drives the LEDs. The following controllers offer precise current control (strobe, pulse or continuous control) to ensure stable and repeatable illumination for Machine Vision Lighting and Image recognition systems. Available in 1, 2, 4, 8 and 16 channel modules (depending on the model) these controllers allow users to precisely control an LED light module on each channel.


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When I first started this blog back in the summer of 2007 I was about to fall into one of the darkest times of my life. As I look back at the first several posts, I can see I was still fighting it, still trying to find cheerfulness around me and write about it, even though inside I felt a growing desolation and despair. I had created a category that I called "Wrestling the Tigers" to describe my struggle with migraines, something that I had been dealing with since I was a kid. But a deep depression was settling in as well, and I soon started writing about that under the tigers category. The migraines were to worsen, the depression become debilitating, things in the community get progressively harder, my job as a minister to international students fall apart, and my felt-relationship with God disappear. But in 2007 and 2008 I was still fighting it. I was still trying to find a way to figure out work, to talk through things at the community, to medicate the migraines and the depression, and to re-find the connection I'd had with God.
By the end of 2008 things were falling apart. I moved from one house in the community to another, to try to relieve the strain of one of the difficult relationships, but that triggered more stress and difficulties. I had a scary reaction to a migraine medication and had to miss a work retreat, and when I was scolded and threatened with being put on probation because of it, I finally realized that I was not going to be able to make the job work, and I quit. I tried to rally and choose another career — applied to nursing schools and took a statistics class as a prerequisite. But after a few weeks of struggling to take the two trains to my class every week I realized that going back to school wasn't feasible. I took a full time nanny job but had to quit after three weeks because I felt so sick. In 2009 I finally gave into the depression and migraines, and collapsed into bed. I stayed there for ten months, getting up only once or twice a day to go downstairs for coffee or food. I hardly left the house or had social interactions beyond a few strained words with my housemates and community-mates. It was next to impossible to chat about normal things when I was in so much pain, both physical and mental, and people soon grew tired of hearing me talk about how bad I was feeling. I don't blame them. I was sick and tired of talking about it, too. It was easier to be alone.
The worst part about that time, though, was feeling like I'd lost all the ways of connecting with God that used to be so precious to me. Reading the Bible had been as much a part of my day as my morning coffee, but now the words were empty of the power and beauty they used to hold. But it was worse than that: I would read the empty words and remember how much they used to mean, and feel that loss so intensely that I couldn't bear it. It was too hard. Sometimes I read them anyway, and just cried. Prayer was hard, too. I used to find such solace in prayer, pouring out my heart to my best friend and giving my life to him daily. But now I just felt emptiness. All I could feel was the depression and the constant pain of the migraines.
Then, one day on a whim, I bought a little crucifix online. I was raised in the Protestant tradition and remember being told that Catholic theology was wrong because they kept Jesus on the cross, whereas Protestant crosses were empty, representing the resurrection. When the package came, and I took out the little plastic Jesus it seemed so strange — a little Jesus doll when what I wanted was the real man, present in my heart, mind, and spirit, as he used to be. But one day, when the pain was at its worst, I placed my fingers on the nails in his hands, studied his face and his body, and wept with understanding: Jesus was in pain, too. He was suffering, too. I might not understand why it was happening to me, or why he wouldn't answer my prayers to take it away, but now I knew that He was in it with me. For the days and months to come I lay in bed, clutching the crucifix to me and crying. Here's what I wrote one night:
This did not go at all as planned, if I ever had a plan. It had something to do with impressing everybody, but doing it without appearing to, effortlessly, the way I tell jokes,without smiling, looking away afterwards, leaving people to laugh or not, too cool to acknowledge my own cleverness.
But I was broken out of my intellect, my intention, my talent by the brokenness of my body, and though I wanted to relate to Christ in his witty repartee, his compassion, his healing, I now relate most to his twisted form on the cross, eyes shut in pain, not yet dead, not yet resurrected, not yet ascended. My Lord, the suffering, naked, four inch plastic form on the eight inch wooden cross.
I am not making a theology out of this. Far be it from me. I am telling you what I do not know, not what I know. I am in pain all the time. I am dizzy, nauseous, exhausted, and this is before the side effects from the medications kick in.
Jesus' features are not twisted in agony. If you didn't know better you might almost think he looked peaceful. But I think that I recognize the movement inward that a long-suffering spirit makes. It is close to meditation. You have less to do with the world, with what is going on around you. Physical and emotional sensation take over and then, somehow, you sink below that, to a place deeper than that.
The contemplatives teach that at our very center the Spirit is constantly praying; that our act of prayer consists of joining in awareness with that ongoing prayer. This is the only kind of prayer I can hope for, now.
I place a finger on each nail and press the wooden cross to my heart, the broken body of Christ against my own.
The dark time lasted for six years, all told. Those two years, from the end of 2007 to the end of 2009 were the worst of it; after that I found a better (for me) migraine doctor and better meds, was able to start working a little bit and exercising, and learned what I needed to do to support my mental health. I still have migraines — almost every day, in fact — but they're not as bad, and I know how to manage them. The depression has gotten slowly but continually better — these days it only visits occasionally, and I know what to do: Slow down, breath, meditate, do yoga and centering prayer. The spiritual stuff took the longest, though. I've written about that elsewhere, and I'm writing more. But for today I wanted to share this post about what the crucifix meant to me in that dark time, in case it might be helpful for someone who is in the darkness now. I don't know why your prayers for healing have not been answered, or if the answer is, "no" or "not yet." But I know the God that loves you is with you, and knows how you feel. He suffers with you, as he suffered with me back them. You are not alone.


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Late Bee Gee Robin Gibb hailed in native Britain
LONDON – One day after he succumbed to cancer, Bee Gee Robin Gibb was hailed in his native Britain Monday as a master musician whose interests went far beyond the recording studio.
The distinctive singer, who wrote and arranged numerous hits for other major artists, was also recognized for his work on behalf of British veterans and his interests in politics, history and the Titanic.
Former Prime Minister Tony Blair, a longtime friend of Gibb, said the singer had a "wonderful open and fertile mind" and offered condolences to Gibb's widow, Dwina, and their family.
"Robin was not only an exceptional and extraordinary musician and songwriter, he was a highly intelligent, interested and committed human being," Blair said.
Gibb suffered a lengthy illness and had appeared extremely gaunt in his rare public appearances during the last year. He was forced to cancel most of his engagements after he suffered an alarming weight loss and required emergency intestinal surgery.
He did find the energy, however, to compose "The Titanic Requiem" with the help of his son, RJ. But Gibb lapsed into a coma and was too sick to attend the gala premiere with the Royal Philharmonic Orchestra last month.
The classical composition about the loss of the Titanic marked a new direction for the multi-talented Gibb, who along with his brothers Barry and Maurice created an enduring performing and songwriting team.
Gibb was a history buff who had worked overtime in his last few years to help create a permanent memorial to the flyers and crew who served during World War II. He also served for four years as president of the Heritage Foundation, a group that promotes British culture, backing a number of projects.
Heritage Foundation Chairman David Graham said Monday that Gibb was the natural choice for the job.
"He was so enthusiastic about the whole thing," Graham said. "He loved history, and he was a lovely fellow. We're going to miss him so much. He was always interested in the good of others."
The formal unveiling of the memorial in London's Green Park is scheduled for next month. The Bomber Command Association said in a statement that the project would not have succeeded without Gibb's help.
"It is a tragedy that Robin will not see the finished article," the group said. "But Robin did his bit for all who served in Bomber Command and on the behalf of the veterans and the relatives of those who died in World War II, we would simply like to say, thank you."
Casual listeners knew the Bee Gees best for the innovative disco sound they created with the "Saturday Night Fever" soundtrack, but music industry insiders viewed the brothers Gibb as extremely versatile music makers. Songs they wrote for other artists include "Islands in the Stream" by Dolly Parton and Kenny Rogers, "Heartbreaker" by Dionne Warwick and "Woman in Love" by Barbra Streisand.
Former Beatles drummer Ringo Starr, whose band competed against the Bee Gees for top chart spots in the 1960s, praised Gibb's musical legacy.
"The Bee Gees from our era were quite important, especially the harmonies," Starr said Monday. "He had a great voice and they wrote great songs."
BBC broadcaster Paul Gambaccini, who has covered the music scene for decades, said the Bee Gees have left an impressive body of work.
"The Bee Gees are second only to (John) Lennon and (Paul) McCartney as the most successful songwriting unit in British popular music," he said. "Their accomplishments have been monumental. Not only have they written their own number one hits, but they wrote huge hit records for Barbra Streisand, Diana Ross, Dionne Warwick, Celine Dion, Destiny's Child, Dolly Parton and Kenny Rogers. The list goes on and on."


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Saturday, August 28, 2010
Get confident, stupid!
The latest was yesterday, when I asked one of my patients if she recognized me and she said, "Of course. You're that little one that everyone thinks looks like a student."
My usual response is, "I'm older than I look." Inevitably, the patient will then ask me how old I am because when you're either older than 80 or younger than 10, you can ask whatever the hell you want. My reply is, "I'm in my thirties and I have a child." That usually satisfies them.
Now don't get me wrong. I like being told that I look young. What woman doesn't? I mean, if it really bothered me, I'd stop yanking out those gray hairs, right? Sure, we sit around and complain about how "annoying" it is when patients tell us we look young, each trying to top one another with our stories. One of us will complain that a patient thought she was in college, another will complain a nurse thought she was a high school student, and another will say that at her last delivery, nobody could tell her apart from the newborn. We're all secretly flattered though, trust me.
I've also noticed that men don't complain nearly as much about being told they look young, possibly because the Doogie Howser comments actually bother them, not just fake bother them like us.
So in summary, I don't mind being told that I look young. (Or thin. That's okay too. Thanks, Woman With Hip Replacement.) But I am bothered by the lack of respect that seems to accompany some of these comments. When an inpatient I've been seeing for weeks calls me "kiddo," that makes me think I'm not being particularly respected.
I suspect it's a matter of confidence. Confidence makes you seem older. As a brand spankin' new attending at an unfamiliar hospital, my confidence is not super high and I'm not good at faking it.
I'm not sure what I can do to build my confidence. I see other physicians (usually men) who have less experience than me under their belts saunter into the room and act like they know it all. Do they truly think they know it all? Do they know more than I do?
And then I see other physicians, older ones, who are so effortlessly confident. They know the answer to every question I ask... or if they don't know the answer, they can tell me why there is no answer. I wonder if I'll ever be like those attendings and have that level of confidence and knowledge. Is it just a matter of time and experience? When does it happen?
*Cartoon cross-posted to my blog, A Cartoon Guide to Becoming a Doctor
11 comments:
I have this bad habit of telling pediatricians they remind me of my baby sister. They do. They're all young, fit-looking, peppy, naturally pretty, and have ponytails.ReplyDelete
They give me a funny look until I tell them that said baby sister is also a pediatrician.
Maybe if you just said they reminded you of your sister and not your "baby sister"... :)ReplyDelete
To appear confident, talk less. Speak slowly and deliberately. Don't end your sentences like questions.ReplyDelete
My mentor does both of these things, and appears completely in control at all times, and like he knows everything about everything. As I've gotten to know him, I've realized this isn't the case -- it's just what he projects.
It's entirely possible that these things might make people think you're a) a know it all, and b) a bitch, but these names get thrown around all the time when women appear confident, even if they're neither a know it all or a bitch. I think we (women) are socialized to appear less confident because it's more likable and less intimidating. Isn't that lame?
Repeat to yourself: I am Fizzy and I am an ass-kicker. Grrr! You'll be projecting more confidence in no time.
I get comments on my age all the time. At the hospital where I volunteer, everyone thinks I'm a high school student until I mention something about one of my kids, then there is a collective dropping of the jaws. Looking young doesn't bother me, but I do think people take me less seriously when they assume I'm 15 and that can be a problem.ReplyDelete
What a great topic.ReplyDelete
I suffered so long from that (what I think of as) Southern woman kiss-ass and constantly apologize for your every action in order to survive. That blows! I remember wearing my hair down deliberately in Autopsy Conference so my burning ears wouldn't show when I got stymied by a question.
I remember watching a male colleague, who is still my colleague on partner track with me in my group (and a good friend and consultant) prepare a fraction as much as me and come of smelling like a rose because of the image he managed to project to the attendings. I studied him letting attending's moods wash over him like water off a duck's back while I internalized it all and realized that he was moving through life much easier just by the way he approached it, much like Rock Star MD's mentor she mentioned above.
When I started my job three years ago, one of my partners who was going part-time said, "So I guess you feel like you're in the big leagues now." I replied quietly, maybe he didn't even hear me, "No, I feel like I am starting junior high all over again." Navigating a new world, with major responsibility, was scary as hell to me.
While I am much more confident now (and that did take time, more than a couple of months) I kind of enjoy being reminded every once in a while that I am human, and even we do make mistakes. It gives me the drive to dive into the books and discover that no matter how much I have trained and how well I am keeping up with CME, no one knows everything. By the nature of what we do, it is our responsibility to remain humble and retain our student status somewhat for the rest of our career.
I too love being told that I look young, thin, and even some patients say pretty. That won't happen forever, so I'll enjoy it while I can. I strive to find the balance between lack of confidence and the know-it-all bitch described above. I like to think I have, most days. It doesn't come easy, that's for sure.
- IndyMomAugust 29, 2010 at 10:16 AM
Somehow, people find me intimidating. They say i exude confidence. I do not know how this happened. At one point I was just a pathetic high school grad who had no plan for college and got fired from countless jobs because I would stay up all night partying, and now I am an older medical student (probably your age fizzy) finally pursuing my dream with a husband and more than a few kids in tow. I am kind of a loser in a way (kind of a winner too). I think my confidence comes from the fact that if anyone tells me why I do not deserve to be here, I can tell them ten more reasons why I don't and yet I still am, so kiss my a$$.ReplyDelete
IndyMom -- You rule.ReplyDelete
- DR. NANAAugust 29, 2010 at 5:55 PM
Old MD Girl has good point about speech pattern. I mentor medical students in my private practice, and many female medical students have a pattern of ending every sentence, even declarative sentences, up in the air as though it's a question. Sounds more Valley Girl than professional. Then, when leaving the patient, instead of a firm handshake and "good bye", they say "good -luck". What's that - "good luck, hope your four vessel cabbage works out?"ReplyDelete
Hey, I say "good luck" when my patients get discharged... I don't think there's anything wrong with it :)ReplyDelete
I do think I need to sound more confident when I speak though. I probably do that "question" thing sometimes.
I say good luck too. I like it better than good-bye. Even if I just looked at cancer under the scope and the patient has no clue (I leave the diagnosis handling to the doctor that has the treatment plan and that is not me - usually tell the patient it takes 24 hours to process the material) - I am still wishing them luck. A cancer diagnosis is not always the end of the world these days and I figure they will need it during their treatment.ReplyDelete
I call all kinds of people kiddo. It has nothing to do with age, but everything to do with it being a term of endearment. :PReplyDelete


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King Arthur Seated Ancient Warrior w/ Sword & Griffon Helmet Bronze Statue Sculpture Decor
Total Dimensions: Height 25'' x Width 8'' Approximate Weight: 38 LBS Original Reproduction: ReproductionThis Ancient Greek emperor sits up straight and proud as his portrait is chiseled out for him. He wears his full royal armor and holds his sword displaying it proudly. His helmet covers right to his brows and all the way down his neck. On top of his helmet there is a sculpture of a griffon one of the most feared beasts to man. The Griffin was a creature that had the wings of an Eagle and the legs of a Lion. The Griffon can be a great asset to humans if fighting on their side because they are very fierce. These huge creatures can easily carry a human being through the air. The Griffin was very sacred to Apollo and was the suns guardian. When the Griffin spread its wings it blocked out the sun. The emperor sits with a shirt and a long robe skirt like bottom, as his cape drapes down his back. This bronze sculpture was casted using the "Lost was Method" and has a brown patina. It is mounted on a marble base and is handmade.
Let customers speak for us
As shown, quick delivery, good quality. Highly recommend.
Oh my gosh what an amazing statue! It is so much more seeing it in person than just online. I love it! From the time I ordered it to when I received it the company was in continued communication I was able to follow the shipment from NY to CA.
Also before it shipped i was sent pics of my statue to make sure it was exactly what I wanted. Everything turned out great! Thank you! Thank you!
My customer was very pleased with quality
Shaman eagle dancer is just the decor touch for my coffee table.
As always I am so pleased with this bronze and every bronze I have received from you
I have purchased over 12 sculptures from this studio. Each has been cast with great attention to detail. I am very pleased with each addition.
Nice piece ... will by more ...
Will purchase again ...
.. just as shown.
I now have a collection of six male nude statues from this artist;
I am most pleased with all of them. Thank you.
Kind regards,
I now have a collection of six male nude statues from this artist;
I am most pleased with all of them. Thank you.
Kind regards,
I now have a collection of six male nude statues from this artist;
I am most pleased with all of them. Thank you.
Kind regards,
AWESOME. accents the man cave and completes the room LOVE IT
I am very pleased with my purchase, The product is perfect as expected and I just love her. The price (at half price) was a good deal. Thank you
Beautiful piece , there is a thrilled to have it
What material are your sculptures made out of?
All of our sculptures are made from100% hot cast bronze, and handmade in the ancient lost wax casting method. We never sell cheap cold cast sculptures or resins!
What is the difference between hot cast and cold cast bronzes?
Hot cast bronze is created by pouring a molten metal mixture into a mold. Before the metal can be poured, our artists must first create the mold on a medium such as clay, rubber, or wood. Each mold allows for a limited number of pours, and therefore a limited amount of sculptures can be created in any given round of production before the mold is destroyed and the artist must create a new mold.
Cold cast is actually made from resins and plastics which are painted over. They are cheaper, lighter, and less durable.
Generally speaking, hot cast bronzes are very time consuming and limited in their production, whereas cold cast resins can be mass produced and are inexpensive to create.
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(CNN) - CNN Monday turned the important battleground state of North Carolina from "lean Romney" to true "toss up" on its Electoral Map, following the release of a new CNN/Time Magazine/ORC International poll that indicated the race for the state's 15 electoral votes was a dead heat.
The move by CNN comes one week before the Democratic convention kicks off in Charlotte, North Carolina.
- Follow the Ticker on Twitter: @PoliticalTicker
- Check out the CNN Electoral Map and Calculator and game out your own strategy for November.
The poll, released earlier on Monday, indicates it's all knotted up in the Tar Heel state, with 48% of likely voters supporting Republican challenger Mitt Romney and 47% backing President Barack Obama.
Other polls from other organizations conducted earlier this summer also indicated a close contest in North Carolina.
"It's hard to imagine the perfect storm that helped then Sen. Obama narrowly carry the state in 2008. But at the moment the polling shows a tossup, and both campaigns say their numbers are in the same ballpark as our survey," says CNN Chief National Correspondent John King. "That, plus all the attention Democrats are about to give the state, gives us ample reason to move North Carolina to tossup."
"It's a must win for Romney, and even top Obama aides privately say it is a lot harder to see it going blue this time. But Romney can't take it for granted and the poll backs up what we see in the recent ad wars in North Carolina: It's a tight battleground," adds King.
Obama was the first Democrat to carry the state in a presidential election since 1976.
North Carolina now becomes the ninth state CNN considers a true toss up, joining Colorado, Florida, Iowa, Nevada, New Hampshire, Ohio, Virginia and Wisconsin. CNN considers Michigan, New Mexico, and Pennsylvania as states that lean towards Obama, with Arizona, Indiana, and Missouri as states that lean towards Romney.
With North Carolina's move to true "toss up," the CNN Electoral Map now suggests Obama leading in states with a combined 237 electoral votes, Romney ahead in states with a combined 191 electoral votes, and states with 110 electoral votes are up for grabs. Two-hundred and seventy electoral votes are needed with win the White House.
- CNN's Political Editor Paul Steinhauser contributed to this report.
I live in NC, and this state is definitely going blue in 2012!
PPP had Obama up by 3 in it's last NC poll, and what will really do it... the convention.
Final night will be held at the HUGE Panther Stadium/Bank Of America Stadium in Charlotte, NC.
the difference between obama supporters and romney supporters is that romney supporters sign their checks on the front and obama supporters sign their checks on the back.
Obviously, Obama has many more paths to 270 and will most likely win the election.
Obama has not failed. Bush is the one that failed and left a problem so complex no one understood it. No one understood how complex the problem was and how far it reached untill a couple years after Bush left office. Now of course the Republicans would like to have voters believe Obama has created the problem but sensible voters know what is going on and can see thru the Republican lies and deceptive advertisements.
Why do you libs always call conservatives "birther" ? Why doesn't Oblame-O show the birth certificate or his foreign student aid application to Occidental College where he lists Indonesia as his birth places. Unless he is God, and most of you libs beleve he is, a mortal person can only be born once. Please explain.
I'm one of the 67% that think the country is going in the wrong direction. This has nothing to do with Obama and more to do with the lack of cooperation by Republicans. I certainly wouldn't vote for Mitt.
The local tv channel, 13 wlos, did a poll and Obama lost. Asheville NC is the most liberal place in America. Obama has almost no chance of winning the election with out NC. Asheville is set in their liberal ways and it's awesome to see what progressive thinking and college loans has done to hippies. It's not against the laws for gay people to only hire gay people. so, If your not gay. Your out of work in that town and on welfare. It also is one of the first places Our President Visited on his Campaign.
Let's all bend forward for Obama!!!!!
Like the Mayans said "Obama 2012"
It's surprising to me as I live in NC and there is very little support for Obama this time around. Couple that with the Democrats screwing up the State House and the Republican victories in 2010, I just don't see Obama having much of a chance.
Come on Old South states and rest of USA, save us from Obaam Jim Jones Kool aid mix. You want that socialist left leaning, policies another 4 years?
This country is headed in the right direction with the current president, the choice is up to the elderly and women. your health and your body. for the elderly I have been in the health care industry for nine years I have witness folks overcharge on their bills all the time so believe me 6,500 dollars will not last a year, when it's out after 2 visits then what?????????, for the woman your body is your body to have a complete stranger to tell you what you can and can't do hey if this okay with you so be it????????? for the birth-er any question on who's AMERICAN just remember Mitts dad was MEXICAN an we know how they came in the USA.
Why would any working class American even have a second thought about voting for a Republican.
The Republicans are not, never have been or ever will be for working class Americans - it's never been more obvious.
If the DNC convention planning is any sign – Dems are in big trouble in NC. They had to cancel an event at the Motor Speedway as they couldn't fill it to justify the cost of using it, many Unions are boycotting the DNC since we don't have union hotels here (right to work state), the DNC is making protestors stay far away from the event to protect themselves (so much for free speech) and they have to apply for permits to protest in designated areas (our of sight). Then our democratic governor Bev Purdue is a joke both here in NC and country wide every time she opens her mouth so they have had to hide her away until after the convention. The ex 7 terms mayor of Charlotte, a republican, is in position to take over as governor so that shows Charlotte is not really democrat friendly. And our state's unemployment just went up again. The Dems have an uphill battle in NC.
Steve...."no one has gave a crap"? I don't agree but if your going to say it, it's "no one has given a crap".
Romney is bad for America, even the real conservatives know it, their hatred for any minority is the ONLY thing pushing them toward Romney.
Yay North Carolina! Progressive state. Happy to hear it.
The OBama team is very worried right now, states they thought they had in 2009 are now turning to toss up or lean Romney. As people get to know Romney better and realize how he will help this country you will see more states going Red. Between giving away welfare with out work and throwng seniors to the dogs by raiding Medicare to support his Obama Care it is going to cost him dearly with the voters. Not to mention the trillions in debt and the high unemployment rate.
Obama has consistently led in the polls for most of those states, with Florida and North Carolina recently becoming toss ups. States like Nevada, Ohio, and New Hampshire are really not toss ups at all, as Obama has generally held solid leads there.
Come election night, look for results from Virginia, Ohio, and Florida to come in. If Obama only wins one, it could be a long night for both candiates. If he wins two, it's game over!
People don't like to admit that they will not vote for Obama, but wait and see. Romeny will win by a landslide.
Michigan all the way for Romney/Ryan