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IT'S HARD TO SAY which was the biggest clue about the character of our group grabbing lunch at Stewart's Seafood Restaurant on the main drag in Eastham. The young waitress may have been onto us the moment gray-haired Linda informed her that our party of nine would require eight separate checks. Or maybe she overheard Carolyn with the funky eyeglasses talking about the production of Freud's Last Session being staged at the Cape Playhouse. Or perhaps it was when Nancy, a bubbly retiree with braces on her teeth, ordered the roasted beet salad and a glass of water, and then, like some power-of-suggestion experiment, three other people in the group ordered the exact same thing.
In retrospect, I think the big tell may have happened just as we arrived at the restaurant. As I walked in with our group's co-leader, Patricia Gerbarg, we found Nancy already there. She relayed word from the hostess that we could choose to sit either indoors or out on the patio. Dr. Gerbarg, a petite psychiatrist, turned to Nancy and, in a tone that would command an analysand's attention, asked, "How do you feel about that?"
It's summer on the Outer Cape, and that means the shrinks have once again returned. Each year, between Memorial Day and Labor Day, thousands of psychiatrists, psychologists, and other species of mental health professional bypass the bustle of the Mid-Cape to get to the comparative quiet of Wellfleet and its surrounding towns. It's a natural phenomenon as reliable as the swells rising off Coast Guard Beach.
The therapists come here for various reasons, but a big one is that so many people in their line of work have come here before — going back three generations. The group I've joined on this day in late June evokes the summer excursions that Sigmund Freud himself took to Bavaria and the Swiss Alps a century ago, vacationing with his eager psychoanalyst students, who in turn were trailed by some of their patients.
But instead of Freud and his followers, at this sticky picnic table we have Gerbarg and her husband, Dick Brown, leading students in a lunchtime discussion. Although both are practicing psychiatrists and Gerbarg trained as a psychoanalyst, their approach these days is a world apart from the traditional five-times-a-week, tell-me-again-about-your-childhood therapy sessions from Woody Allen movies. In that way, the couple reflect the profound changes in the wider mental health world brought about by everything from insurance reimbursements to advances in brain science, crosscurrents that can be acutely detected during summer on the Outer Cape.
While some locals shrug off talk of this curious migration of mental health professionals, others are fascinated by how the flock affects their stretch of rugged coastline, and how the region in turn affects the flock. Sky Freyss-Cole, a 28-year-old Wellfleet native born to hippie parents and raised in a yurt — her full first name is November Sky — tells me she never fully appreciated her eclectic town's reach until she moved to Copenhagen several years back. There, the consultant met bright lights in the field who knew all about her tiny hometown (year-round population: 2,750). "I had to move to Denmark," she says, "to learn how big a place Wellfleet was on the international therapist map."
GIL LEVIN WALKS THE OPEN CAMPUS of Nauset Regional High School, a series of '70s-style buildings with weathered siding in Eastham, just up the road from Nauset Light Beach. He has a white beard, round glasses, and a round stomach on which he tends to rest his folded hands whenever he is sitting. He is 79 and calls to mind the Richard Attenborough character from Jurassic Park. Like him, Levin strolls slowly and with evident satisfaction with his remarkable creation. In Levin's case, that creation is the Cape Cod Institute, a series of professional workshops he has run for 34 years.
"Masters and Johnson came here to speak," he says, "before and after they were divorced."
And Levin wasn't even the earliest therapist to draw a crowd to this area. The first beachhead appears to have been established by Clara Thompson, a New York psychoanalyst who became a summer fixture in Provincetown in the 1940s. In the Freudian tradition, a coterie of Thompson's disciples followed her on vacation, mixing easily with P-town's avant-garde community of artists and poets, gay and straight. Eventually, the shrink summer population radiated to Truro, Eastham, and especially Wellfleet.
In the 1970s, husband and wife Edwin and Sonia Nevis arrived from Cleveland and began holding workshops in a series of Outer Cape motels. Over time, they developed an optimism-focused therapeutic approach they called "the Cape Cod Model," and their tourist operation became a year-round enterprise, the Gestalt International Study Center in Wellfleet. In the 1980s, the Boston Graduate School of Psychoanalysis began heading to the Cape for its annual summer conference, something it will do again in August when it sets up camp in the Wellfleet Elementary School.
Although Levin wasn't the first, it's hard to think of anyone who has done more to cement the bond between therapists and this area. The clinical psychologist started the Cape Cod Institute in 1980, when he was on the faculty of the Albert Einstein College of Medicine in the Bronx. Since its inception, the series of weeklong seminars has offered psychotherapists and others the chance to get the continuing-education credits they generally need to maintain their licenses while also enjoying a relaxing, tax-deductible vacation. He devised the formula early on and has stuck with it. He lines up notable speakers from psychology, psychiatry, and organizational behavior, who each teach five weekday sessions, from 9 a.m. to 12:15 p.m. After that, participants get the rest of the day to swim in the ocean, cycle the bike trail, or doze off in the dunes.
Levin seems to grasp that the enduring power of the Cape springs in large part from the rhythm of familiarity. That's why people tend to go to the same places, year after year, for ice cream or fried clams — often regardless of quality — rather than seeking out new ones. At the Cape Cod Institute, they've been serving the same kind of egg salad at the morning break for as long as anyone can remember, and people still look forward to it. ("The secret," Levin confides, "is industrial-strength mayonnaise.")
As much as Levin has leveraged the familiar, he and his assistant director, social worker Molly Eldridge, have worked to adapt to changes in the field. Traditional psychoanalysts were there at Levin's first summer session, which was called "Therapies for the '80s." But the speakers whose classes I attended during my stint at this year's institute were decidedly nontraditional. One, a social worker, specializes in something called Accelerated Experiential Dynamic Psychotherapy, or AEDP, which engages the therapist as an active participant in the process. And the husband-and-wife psychiatrist pair of Pat Gerbarg and Dick Brown have replaced the analyst's couch with, among other things, intense breathing exercises.
At one point, the Harvard-trained Gerbarg described her own harrowing ordeal when what turned out to be neuro-Lyme disease went undiagnosed by conventional medicine. "I was an invalid,'' she told me when I joined some of her students in the lunch discussion group. She went so far as to begin seeing her patients while she was the one lying down on a couch, instead of them.
Antibiotics helped, but she credits more of her complete recovery to the alternative medicine and advanced breathing techniques championed by her more alternative-geared husband, a longtime associate clinical professor at Columbia.
As the AEDP workshop breaks for egg salad, an assistant reminds the participants that they have to sign out on a clipboard near the back of the room. There is a good deal of grousing from the group of mostly middle-aged professionals. Clearly, they resent being treated like the high school students who use this music room during the rest of the year. But those are the rules if they want to end the week with their full 15 continuing-education credits for 15 hours of classroom time.
And the grousing tends to fade fast. The seminars, after all, remain very popular, drawing attendees from around the world. While I was there, I met a psychiatrist from Panama, and this summer has seen participants from Japan, Ukraine, and the island nation of Mauritius, though the typical profile is of an American psychologist or social worker from the Northeast. Many participants come every year, making a summer tradition of it.
Levin's approach has been a winner — both critically and financially — from the start. And that didn't go unnoticed. In 1984, four years after he started his operation, Levin came across a brochure for a new seminar series. The brochure was the same size, and similar in design, to his. Whereas his operation was called the Cape Cod Institute, this one was called the Cape Cod Summer Symposia of the New England Educational Institute. Like his, this brochure was mailed around the country and advertised big names who would lecture on weekday mornings from 9 to 12:15, giving attendees the rest of the day off. The operation was even to be held in the Sheraton in Eastham, the same hotel where Levin had once housed his institute.
Levin was incensed, seeing this not as friendly competition but rather as a cynical attempt to confuse people into attending a facsimile of his institute. His employer, Albert Einstein med school, filed a trademark infringement suit in federal court against the new competitor, Boston University-trained psychiatrist Robert Guerette.
Two years later, a jury rejected the claim by Levin and his medical school. In the three decades since the heat of that six-day trial, a cold war has simmered between Levin and Guerette and their respective operations. Levin tells me he doesn't like to talk about it, but when he does, he airs old grievances as if he's stinging from a fresh cut. As we sit in the cafeteria, a representative of a whale watch company sits at a table nearby, selling participants tickets for an upcoming excursion. Levin complains that Guerette still tries to confuse people, often going so far as to schedule his group whale watch on the same night as Levin's.
IT'S A SUNNY, BREEZY EVENING as I hurry up the Provincetown pier to board the Dolphin IX. Levin's staff had told me that some Cape Cod Institute attendees would be passengers on this whale watch, though none of the ones I'd already met, so I had planned to arrive early to find them.
As it turned out, I made it to the pier just minutes before the boat got underway. In the distance, the East End waterfront house where psychoanalyst Clara Thompson had lived during the 1940s and '50s still stands. I was late getting onboard because I'd been moored in a different place in the past. Earlier that afternoon, I had made my way to the home of Robert Jay Lifton, a man who may well constitute the oldest living tie to the history between psychiatry and Wellfleet.
Lifton lives in a rustic house on a cliff overlooking the beach in his secluded multi-acre swath of the Cape Cod National Seashore park. I met him in his book-lined study, with his white standard poodle Jingly lying at his socks-and-sandals-covered feet. The psychiatrist has big glasses and a head of shoulder-length white hair that is unusually full for an 88-year-old. As leaves rustled outside his study door, he told me, "Once you come here, the place gets a hold on you."
In 1966, the same year Lifton and his wife moved into their Wellfleet place, he and his mentor, the noted psychoanalyst and development expert Erik Erikson, hosted a meeting of psychologists, psychiatrists, sociologists, and historians here in Lifton's study. The convening of this Wellfleet Group became an annual tradition. And, in this perch overlooking the Atlantic, they hatched the academic discipline of psychohistory, which explores history through the lens of psychology and psychoanalysis. Lifton had blended these fields in his own pioneering research into everything from Chinese thought reform to nuclear disarmament, and issues of war and peace have generally dominated his group's discussions.
In the fall, he will once again host his annual meeting, nearly a half century after the first one. "There's something about the ocean and the dunes that lends our discussions a cosmic dimension," he explained. Even for non-psych types, all this deep thinking seeps into the area, giving Wellfleet what Lifton calls "intellectual ambience." It's not enough that this tiny town supports two bookstores, but even the small grocery store on Main Street devotes a full aisle to quality books. Instead of mini-golf, the go-to evening entertainment is a lecture series at the Wellfleet Public Library. As librarian Elaine McIlroy told me, "Around here, serious sells."
By the time I make it onboard for the whale watch, though, I have to set aside the past for the present and try to find some of the students from Levin's institute. When the Dolphin IX starts to rock dramatically from the suddenly rough seas, I spot a middle-aged woman sitting in front of me, desperately trying to steady herself. I decide to take a chance. "Are you from the Cape Cod Institute?" I ask.
"Yes," she nods. "Are you?"
Her name is Joanne Thomas, and she's a clinical social worker from Binghamton, New York. She says the ocean swells were giving her the chance to employ the meditation tips she'd been learning at the institute. "Even if we're about to tip over," she smiles, "I'll remain calm!"
I ask her which class she is in. She says the one being taught by Siegel, a name I don't recognize from all the time I spent at the high school in Eastham with Levin. Then it dawns on me what may be going on.
"Are you at the institute being held at the high school or at the Sheraton?" I ask.
"The Sheraton," she replies, clutching the seat back in front of her. "Are there two of them?"
Later in the whale watch, I bump into a group of three from Dayton, Ohio. "Any chance you're from the Cape Cod Institute?"
"Yes," says one of them, a psychologist named Nancy Milam. Just then, the boat PA system crackles with the voice of the tour guide, announcing the spotting of a humpback that is "fluking," prompting a flood of camera-clutching passengers to race to the other side of the boat.
"Which session?" I ask Milam, trying not to get trampled.
"Mindfulness Meditation, with Siegel."
Suddenly I hear the outraged voice of Gil Levin resounding in my head.
LEVIN'S NEMESIS WALKS AS QUICKLY AS HE TALKS. Actually, as he moves through the halls of the Four Points by Sheraton in Eastham, Rob Guerette doesn't so much walk as glide. Leveraging his French Canadian heritage, he chats briefly in French with a Canadian attendee, pats the back of another, and then summons an assistant to relay from his tiny notebook all the matters that need attention.
Guerette, who is slim and sports a gray goatee, departs from the "Cape casual" dress everyone else seems to follow at the Cape Cod Symposia he's been running for 30 years. Instead, he wears a jacket and tie. At one point, as I try to keep up with his movements, he stops abruptly and says, "If you had to pick one word to describe me" — something I hadn't asked him to do — "it would be impresario."
Guerette freely admits that he got the idea to build a therapist continuing-education program on the Cape from Levin. But he says the initial idea to enter the therapist education business actually came from somebody else.
In 1981, Guerette, then a practicing psychiatrist, attended a weekend training seminar at the Sugarbush ski resort in Vermont. He sat in class for a couple of hours in the morning, hit the slopes, and then returned to class for another couple of hours in the evening. He enjoyed himself so much that he started a competing seminar the following year — at Killington.
Years later, when Guerette ran into the organizer of that original Sugarbush seminar, the man testily told him, "I almost sued you." Guerette, though, didn't think he had done anything wrong. He felt he'd simply taken someone else's idea, put his own twist on it, and built a successful business. And once he came to the Cape, he found a whole new level of success.
Although he beat Levin in court, Guerette says it cost him about $140,000 in legal fees. (A native of Beverly, he maintains his North Shore accent, rendering the number 40 as "faughty.") Yet within a few years he had recouped those losses, and his Cape program was pulling in more therapists than Levin's.
Guerette built his program with an obsessive attention to detail. Two of his two daughters used to work for him, though one ended up quitting, telling him, "Dad, I love you as a father, but I hate you as a boss." He also employed some brass-knuckled tactics. If Levin had speakers who drew big crowds, Guerette would poach them for his program the following summer. He'd offer them bigger paychecks and other perks, like providing showplace beachfront homes for them and their families to use during their stay. "Whatever it takes," Guerette says. His philosophy: "They're shrinks, but they're still human beings."
Levin, who took over ownership of his program after he retired from teaching, pays his speakers the same rate no matter how many people sign up for their lecture. But Guerette often offers more money to the speakers who fill the most seats — incentivizing extra hustle on their part.
I try to keep up with Guerette as he walks through the heated swimming pool area of the Sheraton to get to a ballroom in the back. There, he introduces me to one of his notable repeat speakers, psychologist Ron Siegel, a Harvard Medical School assistant professor who's been leading about a hundred students through morning sessions all week. He's the man behind the Mindfulness Meditation class I'd heard so much about on the whale watch.
After a brief chat, Siegel, a pleasant guy with an elaborate mustache and his hair parted in the middle, excuses himself to use the men's room. A few minutes later, he returns and begins his class. "Maybe this is oversharing," he tells the crowd, "but I just had a moment in the bathroom where I thought, 'Wow, I'm here in the bathroom.' " That, he says, is real awareness. Achieving it can be the difference between spending a week walking the beautiful beaches of Cape Cod while still trapped in regular-world worries or one where you're truly able to notice "the waves and the sand."
Siegel leads the crowd through an exercise that he warns will be intense, telling his students to find some anxiety inside them and refuse to let it go. When he says things like "It's my old friend fear. I know you!" he sometimes comes across like a Christopher Guest character.
After he rings his bell to end the exercise, a woman with a thick Eastern European accent takes the microphone and says: "I couldn't hold on to it. Can you explain why the anxiety disappears when you have to have it?"
The question draws big, knowing laughs from the crowd. Siegel smiles and then apologizes for answering this question for a female-dominated crowd using a male-focused simile. "The mind is like a penis," he says. "Anything you try to do, it will do the opposite." Then he offers a couple of examples. "You're in the junior high locker room, and the one thing you don't want is an erection?" Pause. "Well." Pause. "You're on an important date, and the one thing you want is an erection?" Pause. "Well."
Siegel moves on to his own personal medical story. He once suffered a herniated disk that caused back pain so immobilizing that he was forced to meet with patients while he was lying down, rather than the other way around. He went to a series of conventional doctors who recommended surgery yet admitted his chances for full recovery were small.
But mindfulness meditation and vigorous exercise got Siegel his life back. He tells the crowd what he found from years of research: Back pain is directly correlated with stress, and that people's low job satisfaction is a much bigger predictor of it than whether they sit hunched over a computer at work.
Siegel's story — of a highly credentialed medical professional being radicalized after mainstream medicine failed him — brought flashbacks from Levin's institute and Gerbarg's discussion of her Lyme disease.
During the morning break in Siegel's talk — hummus instead of egg salad — I spot Joanne Thomas, the social worker I'd met on the whale watch. She tells me she's been enjoying his class all week. "He offers an optional meditation session until 2 o'clock, but I left at 12:15," she says. "We're on the Cape, after all. I needed the beach!"
THE SUMMERING PSYCHOTHERAPIST has traditionally been an easy-to-spot species both on and off the beach. When Gwynne Guzzeau, who grew up on the Cape, spent her college breaks waitressing at the Lobster Pool in Eastham to help pay her way through Wellesley, she found there were two reliable ways to identify her shrink customers. First, the men usually sported the profession's stereotypical beards and glasses. Second, they would never simply ask what her college major was. They would follow it with open-ended questions like "And what do you hope to do with that?"
Guzzeau admits these questions could be annoying, especially on busy nights. But she thought differently after years of working as a lawyer at a big firm in Washington, D.C., and then following her heart home to the Cape. Today, she serves as executive director of the Gestalt International Study Center.
That permanent outpost, whose founders had begun their Cape operation roaming from motel to motel, sits in an airy building just off Route 6, across from a cemetery.
Although the center still relies on its Cape Cod Model, which seeks to address people's problems by starting with what they do well, it has had to adapt to the times in other ways. While the Gestalt center initially focused on training therapists, it is increasingly drawing life and executive coaches. This fast-growing field of self-improvement professionals doesn't carry the baggage of traditional psychotherapy. A CEO who would never admit to needing therapy or asking his company to pay for it wouldn't think twice about getting company-underwritten training from a mentor-like executive coach. Meanwhile, insurance companies have continued the squeeze on traditional therapists by repeatedly reducing their reimbursement rates. Around the Gestalt center, there's a new running joke: "What's the difference between a coach and a therapist? About $250 an hour."
These market forces have also affected the dueling institutes. At its height in the 1990s, Levin's Cape Cod Institute attracted more than 1,300 students a summer. That figure will be closer to 1,100 this year, a modest dip Levin attributes to the fact that professionals can now get their continuing-ed credits through online classes, with tuition that's considerably less than what he charges, $599 for each weekly course (not including lodging). But he remains confident that the market for the experience he's offering will remain robust. "Even though the ballgame is on TV," he says, "there will always be people who want to go to Fenway Park to watch it."
Across town, Guerette's Cape Cod Symposia is roughly the same size as Levin's, though it once drew nearly twice as many attendees. To attract customers, both have added speakers addressing the latest trends in mental health, such as brain science advances. Yet Guerette has had to scale back his summer schedule, from 10 weeks to seven, and now runs two five-day classes a week rather than three.
Guerette has seen the industrywide changes reflected in his bottom line, too, including the rise in cheap or even free online courses, the reduction in employer travel reimbursements, and the way that Freudian psychoanalysts who see patients four and five times a week are a dying breed outside of big cities. (One of the sessions at this August's Boston psychoanalysis conference in the Wellfleet Elementary School will be entitled, rather defensively, "Why the Need to Declare Psychoanalysis Dead?") Because insurance companies won't pay for that kind of treatment, Guerette says, most psychiatrists focus on what they do get reimbursed for: pharmacology, or doing medication checks. A lot of the "talk" therapy has fallen to social workers, whose reimbursement rates are low enough for insurance companies to cover them.
Still, he agrees with Levin that there will always be a healthy supply of customers for their kind of continuing education. In fact, he offers a familiar metaphor. "There will always be people," he says, "who want to go to Fenway to see Dustin Pedroia play."
Nevertheless, after three decades of battling Levin from their separate corners of town, Guerette says enough is enough. "I'm going to be 65 soon," he says, "and Gil is even older than I am." It's time to let things go — or maybe even collaborate, which could be good for business. But Guerette says Levin has rebuffed the modest peace overtures he's made in the past. Offhandedly, he asks me if I can try to broker a summit between him and the other titan of summer shrinktown.
SIX SUMMERS AGO, Guerette slipped onto the campus of Nauset Regional High School for some espionage, although he prefers to call this practice "corporate benchmarking." Both sides say that over the years they've spotted spies from the other camp trying to infiltrate their seminars. On this occasion, Guerette did it himself rather than dispatch a proxy. He planted himself on a bench on Levin's turf, with his only disguise being an open newspaper in front of his face. Eventually, Levin came over and sat beside him.
"He asked me where I got the newspaper. He didn't even notice that it was me," Guerette recalls, shaking his head. "He's such a narcissist."
Later, I make my way back to the Cape Cod Institute's high school campus. As soon as I arrive, Levin greets me with a smile. But when I mention the olive branch I'm carrying from Guerette and ask if he'll join us both for lunch, the smile tightens.
"If that happens, it will be between me and him," Levin says.
"So you're not interested in sitting down with him?" I ask.
"I didn't say that," he says chidingly. "I said it's not of your concern. And I don't wish to say any more about this subject."
Gingerly, I try to explain that since he's rebuffed the previous peace overtures, it sounds as though he's adopting the same stance.
Levin changes the subject. But for some reason he ends up talking about one of his favorite speakers from years past and how that man used to say, "Anything worth doing is worth overdoing."
I'm not sure how to take that. It's tough playing psychological games with a master psychologist. I explain that even though he's telling me to drop the summit idea, the message he seems to be giving me by quoting his late friend's aphorism is that I should keep pressing it.
"Yes, I guess that would suggest that you should persist," he says, chuckling. But he repeats that he doesn't want to discuss the matter any further.
I remember Guerette's parting words, when he warned me not to get my hopes up in trying to play peacemaker between him and Levin. "He can't let it go," Guerette had said. "He needs some therapy, man."
Given their long feud, maybe the two men should sit down together for a few sessions with a couples therapist. They both know where to find a good one.
More coverage:
- Broad Institute receives $650 million mental research gift
- The best of Cape Cod and Island restaurants
- Seeing the Cape Cod Canal by bike path
- Things to do around New England every weekend of summer 2014
Neil Swidey is a Globe Magazine staff writer. E-mail him at email@example.com and follow him on Twitter @neilswidey.


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Hernia Surgery
A hernia is a bulge or swelling that happens as an inner body part pokes through a weak area of muscle or tissue wall.
What is a hernia?
A hernia means something coming through. It most frequently occurs when an organ or internal tissue pokes through a hole or weakness in your abdominal muscle wall.
In many cases, people have no or very few hernia symptoms. You may notice a swelling or lump in your stomach area or groin. Often you have no hernia pain.
If your hernia causes sudden pain and especially if it can't be pushed back in, you should seek urgent medical care. It may mean that your hernia is trapped or tightly pinched where it pokes through the muscle wall (obstruction) and in extreme cases it may cut off the blood supply to your intestines and tissues in your abdomen (strangulation).
A hernia is not usually a serious condition but it will not go away without hernia treatment known as a hernia repair.
What does the hernia surgery involve?
Hernia repair surgery is the world's most common surgical procedure. Hernia surgery can help to relieve pain, return the hernia abdominal organs to their correct place and, strengthen the weak muscle area.
A hernia operation usually takes around an hour as a day case procedure. It can be performed by:
• Open surgery – under local or general anaesthetic, an incision usually around 2.5 to 3 inches is made to your skin near your hernia and your surgeon will push your hernia back into your abdomen. The incision is then either stitched closed or much more commonly a mesh is placed over the hole and fixed using fine stitches. The mesh acts like a scaffold and your own tissue will grow through the mesh to reinforce the weakened area without putting tension on the surrounding tissues.
• Keyhole (laparoscopic) surgery – under general anaesthetic, several smaller incisions are made to allow your surgeon to use a less invasive technique using various special instruments including a tiny telescopic camera to repair your hernia. A mesh may then be used to strengthen your abdominal wall.
If hernia surgery is recommended, your surgeon will advise on the most appropriate type of surgery based on the location and severity of your hernia.
Are there different types of hernia?
Most hernias are found in the abdomen. Areas of weakness in the abdominal wall where hernias are commonly found include the groin, upper stomach, belly button and, where you have a surgical scar.
The most frequently seen types of hernia include:
• Inguinal hernias – the most common hernia, seen more in men, causes a bulge in your groin. The inguinal hernia appears through your inguinal canal, a narrow passage that blood vessels pass through in your abdominal wall and, may reach your scrotum.
• Femoral hernias – also a bulge in your groin, relatively uncommon and seen more in women. The femoral hernia happens at the hole in your abdominal wall where the femoral artery and vein pass from the abdomen into your leg.
• Hiatus hernias - occur in your upper chest area when part of your stomach pushes up into your chest by squeezing through a gap in your diaphragm called the hiatus.
• Umbilical/periumbilical hernias – occur at the umbilicus, a natural weakness in your abdominal wall, when fatty tissue or a part of your bowel pokes through your abdomen near your naval.
• Incisional hernia – occurs through a scar from past abdominal surgery as tissue pokes through the weak healed site in your abdominal wall.
What complication can happen after the hernia surgery?
Hernia surgery is a routine procedure, but as with all surgeries there are risks of complications. These may vary depending upon the exact hernia operation you have and your health. Your surgeon will discuss these with you in detail.
Often the greatest complication risk is a reoccurrence of the hernia. Other hernia surgery side effects include: build-up of seroma or a fluid-filled sac under the surface of the skin, inability or difficulty urinating, organ or tissue damage, wound infection and, rejection of the mesh.
What is the cost of the hernia surgery?
If you decide to pay for your treatment, Ramsay offer an all-inclusive Total Care package, where a single one-off payment at a pre-agreed price, delivering direct access to all the treatment you need for complete reassurance. You can also spread the cost of your treatment with finance options available.
A hernia surgery may be covered by your medical insurance policy. We advise you to check directly with your insurance provider and get written confirmation before commencing treatment.
How soon will I recover after the hernia surgery?
Recovery time after hernia surgery is usually two to three weeks. Most patients will return to normal daily activities and go back to work within a week. You should not do any heavy lifting for at least six weeks. Your surgeon will talk to you about what you can and cannot do for your specific hernia operation.
You'll have sixty days of post discharge outpatient care commencing the day you leave a Ramsay Hospital including a follow up with your surgeon to check on your hernia as part of your aftercare package.
Hernia surgery with Ramsay Health Care
Across the Ramsay Health Care hospitals, we have performed many successful hernia repairs. Our expert consultants offer rapid access to hernia treatment and routinely perform hernia surgery at your local Ramsay hospital.
Contact us now to book your appointment.

subset: commoncrawl


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User Reviews & Ratings - Kaletra oral
Read user comments about the side effects, benefits, and effectiveness of Kaletra oral.
Overall User Ratings17 Total User Reviews
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Reviewer: Richard Covenant, Male (Patient)
Ease of Use
I was cured of HIV with the use of natural herbs. I love herbs so much. Most times, injection and drugs are just a waste of time. I was cured 8 months ago, i suffered from HIV for 5years but with the help of Doctor OKITI medicine, i was cured within few weeks of drinking the herbs he sent to me through courier delivery service. This same doctor also cured my Aunt from herpes, as soon as i heard sh ... Show Full Comment
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Reviewer: Kate2888, 25-34 on Treatment for 1 to less than 2 years (Patient)
Ease of Use
Started on Atripla had really bad side effects. Then my dr put me on kaletra and I haven't had any issues.
Reviewer: 45-54 Male on Treatment for 10 years or more (Patient)
Ease of Use
take Kaletra with Truvada. Some gastro issues but controllable. wish it had more of an impact on my cd4 count.
Reviewer: HAPPY 2 B ALIVE, 55-64 Male on Treatment for 10 years or more (Patient)
Ease of Use
I FIRST STARTED ON KALETRA BEFORE IT WAS APPROVED BY THE FDA, ON CLINICAL TRIALS. MY VIRAL LOAD BEFORE KALETRA WAS SUPER HIGH AND I WAS SICK ALL THE TIME. THE TRIAL WAS A LAST DITCH EFFORT TO SAVE MY LIFE. WITH IN 3-4 MONTHS I WAS UNDETECTABLE AND STILL REMAIN SO AFTER ALL THESE YEARS. I STILL WORK FULL TIME, (40-50 HOURS A WEEK). BEST OF ALL, I HAVE HAD NO SIDE EFFECTS WITH KALETRA. I AM CONCERNE ... Show Full Comment
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Reviewer: ut1ou2, 55-64 Male on Treatment for 5 to less than 10 years (Patient)
Ease of Use
taking kaletra,viread,and ziagen for 5 years. only problems-kaletra causes high cholesterol-so taking pravasatin. the 4 pills are large and nto easy to swallow. undetectible and incredible CD4 counts for over 5 years. no nausea with kaletra for me.
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Wow. Sense of entitlement much?Jazz Girl wrote: Wow, judgement much. I bear equal cost and responsibility in all activities in which I engage. I never said there should not be boundaries. In fact, I'm a big believer in boundaries and rules. However, my inclination is to say that providing alternatives is preferable to forcing your beliefs on others before summarily removing their freedom of experience. [/color]
You bear absolutely no cost nor responsibility should FF.net undergo legal action or be completely shut down because of content.
And you have no right (I'm using that in the correct sense) to demand that anyone be allowed "freedom of experience" (what IS that, anyway, I can't seem to find it in the US Constitution). You have no "right" either to demand alternatives to something that is essentially a courtesy service.
Don't let it stop you from demanding the same, however. It's so very American, the sense that once something is given to you, it's a "right."
This just makes me LOL. Seriously. It's like a kid getting caught for breaking a rule, yelling "HE TOLD, HE'S A FINK!" If people followed the rules of the site--however laxly they may have been enforced--there'd be nothing to police. If people want to play cyber cop, that's no more immature nor morally repugnant than those who flout the rules and then whine when they're caught.I place complete and total blame on the person or persons now playing FanFiction Morality Police. That is who I am angry with. That is who is infringing on my rights to read and enjoy that which I deem appropriate for me. If I have to go to a different site or do whatever, that makes no never mind for me. But, it is not at all the right or responsibility for anyone other than me to decide what is right for me or any other individual to read.
The top 20 fandoms alone on ff.net have over 1,451,524 stories. How the heck are they supposed to "fairly" monitor a site that size? They're dependent upon people obeying the rules, and when they don't, on others reporting objectionable content.


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What to know about stretch cars ahead of prom season
Following October's deadly limousine crash that left 20 dead in Schoharie, N.Y., Gov. Andrew Cuomo has laid out several proposals aimed at improving safety in the industry.
Chad Arnold, Staff Writer
ALBANY, N.Y. – Last year's deadly limo crash in upstate New York may be a watershed moment for the industry as it continues to face scrutiny over the safety of its vehicles.
New York has vowed to pass a new round of regulations in the hopes of preventing another tragedy.
And the crash, which killed 20 people, has raised new questions over whether consumers should rely on regulators to ensure the limos they ride in are being properly inspected – particularly as the season nears for proms, wedding and wine tours.
A review by the USA TODAY Network New York found a scattershot system of oversight across the country. States often develop their own rules with limited enforcement over limos that are cut and "stretched" aftermarket and lack the same safety features as passenger vehicles.
"When it comes to stretch limousine construction and oversight, there is an element of Frankenstein involved," said Deborah A.P. Hersman, president and CEO of the National Safety Council, a nonprofit in Illinois, and a former chair of the National Transportation Safety Board.
The cause of the October crash that killed 17 passengers, its driver and two pedestrians outside a popular country store in Schoharie, a small town outside of Albany, remains under investigation by the National Transportation Safety Board.
It was the most deadly transportation crash in the U.S. in nearly a decade.
Safety advocates are now warning riders to take extra precautions before they use limos, and businesses that benefit from the trips, such as tourist spots and wineries, are hopeful any backlash won't hurt their number of visitors.
Jan. 15: New York wants to ban stretch limos following deadly crash that killed 20
Dec. 20: Shocking revelation in NY limo crash: Federal investigators can't access vehicle
The crash is on consumers' minds. Sangita Patel, a parent in Brighton, said she still thinks a limo is a good option for her daughter, Aarya, heading to the senior prom this year.
But the Schoharie crash has her thinking more about the limo company she chooses.
"Before I think we took limos for granted," she said. "We thought, 'Oh, they're a limo driver, they're a professional driver, and that's the safest option.' But I think the crash last year made you think, 'We just have to do a little more due diligence.' "
What caused the crash?
In the Oct. 6 crash, the vehicle – a modified 2001 Ford Excursion – had failed multiple state inspections in the months leading up to the crash, and its driver did not have the proper certification to drive the automobile.
The vehicle's operator, Nauman Hussain of Prestige Limousine in Saratoga County, has been charged with criminally negligent homicide. A criminal investigation is ongoing, as is a probe by the NTSB into the reason for the crash.
Now New York Gov. Andrew Cuomo and the state Legislature are looking at a series of new laws as part of the state budget for the fiscal year that starts April 1.
"This crash was a horrific tragedy that shocked this state to its very core," Cuomo said Jan. 15.
Nov. 19: First lawsuit filed in horrific New York limo accident that killed 20
Oct. 12: 10 unanswered questions in horrific New York limo crash
"We are advancing reforms that will give aggressive new powers that will allow authorities to take dangerous vehicles off the roads without delay, hold unscrupulous businesses accountable and increase public safety in every corner of New York," he said.
Chief among them was Cuomo's call for a ban on all stretch limousines from being registered in the state.
But the proposal was scaled back last month amid questions over whether it was legal and concerns that it would bankrupt the limo industry in New York.
Robert Palencar, owner of Uptown Limousine Service in Binghamton, called it a "major knee-jerk reaction to a major incident."
"It's unfair to many. How would we feel about paying taxes and employing people and now being outcast and banned – that's unfair."
Instead, Cuomo now hopes to ban limousines that do not comply with federal standards and impose hefty fines and felony charges against operators who skirt the state's inspection laws.
"This proposal has been and continues to be focused on increasing public safety – and that has not changed," Jason Conwall, a Cuomo spokesman, said.
'An element of Frankenstein'
Stretch limousines have a different set of safety standards than regular passenger vehicles, said Raul Arbelaez, an engineering expert with the Insurance Institute for Highway Safety, a Virginia-based group funded by the auto-insurance industry.
The vehicles, he said, aren't required to meet the same front and side crash protection standards as regular passenger cars and do not have to undergo any crash testing.
Oct. 10: Troopers arrest operator of limo company after deadly New York crash
Oct. 10: Limo in deadly New York crash 'should have been in the scrapyard': AC didn't work; it had painted duct tape
That's because the vehicles are not constructed as stand-alone units.
They begin as regular vehicles that are essentially cut in half and extended.
Original equipment seats are removed, and new seating is added that typically changes passenger orientation from front-facing to side-facing.
The Schoharie limo began its life with seating for nine. When it crashed, it could accommodate 18.
In the modification process, the side rollover pillars, airbags and other features required in passenger cars to help absorb impact forces and protect interior occupants are frequently removed and not replaced.
"Even though they're roadworthy, it doesn't mean they offer the same crash-worthiness protection as the non-modified vehicle," Arbelaez said.
Some manufacturers, including Ford and General Motors, have strict programs that ensure vehicles are modified according to the standards of the original manufacturers.
But there are no laws mandating that limousines meet those specifications, and most coach builders make custom vehicles based on customer preferences, according to the trade group Luxury Coach and Transportation.
Oct. 10: What we know about the 20 victims of the New York limo crash
Oct. 9: 'I lost the love of my life,' says widow of New York limo driver involved in crash that killed 20
Critically, the Schoharie limo was missing its Federal Motor Vehicle Safety Standard tag listing the name of the company that modified the original vehicle, records show.
While there has so far been no indication that structural failure was a factor in the deadly October crash, federal rules passed in 2005 say that coach builders are legally responsible for certifying their vehicles to meet federal safety standards.
Additionally, limos often aren't required to have safety features mandated for other large vehicles, such as emergency exits or fire extinguishers.
Improving enforcement
The Schoharie crash has changed the perspective of how the industry is viewed, at least in New York – which already had among the strictest standards in the nation.
Limousines in New York must undergo safety inspections from the state's Department of Transportation every six months.
A failed inspection can be triggered by anything from a broken tail light to faulty brakes. Depending on the severity of the defect, an out-of-service sticker is placed on the windshield and the vehicle is prohibited from use until a repair can be made and the vehicle passes inspection.
Oct. 9: Safety of intersection called into question after deadly N.Y. limo crash
Oct. 9: Man who owned limo in fatal N.Y. crash had informed on terrorists for FBI
But therein lies the rub.
The limo involved in the Schoharie crash had an out-of-service sticker, but it was later removed and put back on the road without being properly inspected.
Gary Buffo, president of the National Limousine Association, questioned why the vehicle was never impounded – a criticism the state transportation department has faced in the months since the crash.
"That vehicle should have never been on the road," Buffo said.
The Department of Transportation said in a statement the department took "aggressive action" to remove the vehicle from service, but its operator purposefully broke the law.
"The owners of Prestige knowingly and willfully operated this vehicle in violation of state law. Period," the statement read.
It is unclear how the transportation department currently ensures a vehicle that has failed inspection remains off the road.
The agency declined to comment, citing an ongoing criminal investigation into the crash. There is also at least one civil lawsuit from a victim's family.
Nevertheless, Cuomo wants to seize the license plate of any vehicle deemed unsafe by the agency and increase the fine for operating a vehicle that has not passed inspection to $25,000.
He also wants to make it a felony to remove an out-of-service sticker from a vehicle.
All that would either need to be approved in the budget by the Legislature, or as a standalone bill.
The industry reacts
Gov. Andrew Cuomo said the limo involved in the fatal crash in upstate New York failed inspection and shouldn't have been on the road.
Joseph Spector, Albany Bureau Chief
The new proposals have been received more kindly by industry insiders than Cuomo's initial call for an outright ban.
But they also have faced pushback from state lawmakers. The budget proposals by the Senate and Assembly stripped most of the measures sought by Cuomo.
Many industry leaders said they want greater enforcement to crack down on operators seeking to circumvent the industry's regulations.
"The best outcome that can come out of this accident is for the state to come down and just hammer these operators that want to skirt the rules and regulations," Buffo said.
Oct. 8: A wedding, a birthday, a tragedy: Stories of the New York limo crash victims
Oct. 8: Upstate New York limo crash is among the deadliest road accidents in US history
From a statistical standpoint, limos are generally safe, records show.
Just 93 limousines – 11 in New York – have been involved in fatal crashes between 1994 and 2016, according to data from the National Highway Traffic Safety Administration.
More than 40,000 passenger cars and light trucks were involved in similar incidents across the U.S. in 2016 alone, the latest year NHTSA data is available.
And 31 golf carts were involved in fatal crashes that same year, according to data.
"We've been a safe industry since I've been in the industry – very little accidents, very little incidents that happen, very little passengers that have been injured," Buffo said.
Other proposals
New York State Police Superintendent George Beach briefs the media on the arrest of Nauman Hussain, the son of the owner of Presitge Limo.
Jon Campbell, firstname.lastname@example.com
Passengers in limousines are currently not required to wear seat belts under federal law.
In fact, there is no requirement that such equipment even be installed in the vehicles.
Cuomo is seeking to change that, proposing all passengers, regardless of vehicle, wear seat belts.
It's a point that the limousine owner's lawyers tried to make this month in its response to the civil suit, arguing that "the plaintiffs' injuries, if any, were increased or caused by plaintiffs' failure to use or wear seat belts at the time of the occurrence."
Requiring seat belts to be worn in all vehicles, including limos, has been backed by AAA, the Insurance Institute on Highway Safety and the National Safety Council.
"The seat belt is the No. 1 life-saving device in the vehicle," Arbelaez, the IIHS engineer, said.
Oct. 8: Limo in fatal New York crash failed inspection; driver lacked 'appropriate' license: Cuomo
Oct. 8: 'My heart is sunken:' Tight-knit Amsterdam rocked by N.Y. limo crash that killed 20
But enforcing the proposal is easier said than done, Arbelaez said.
Seat-belt use across the country is at 90 percent, an all-time high, but a majority of passengers in limousines and ride-share vehicles don't buckle up, even if a seat belt is available.
Cuomo also is seeking to ban limousines from making U-Turns, an idea that has the backing of AAA.
Good for business
Wineries in the mid-Hudson Valley and elsewhere in New York said the business that comes from the limo industry is invaluable to their success. And they fear any new laws or stigma against the industry could trickle down to their operations.
David Bova, the general manager of Millbrook Vineyards & Winery, said in the summer and fall seasons the winery will see limos most weekends.
Oct. 8: Victim texted limo was in 'terrible condition' minutes before crash killed 20 in New York
Oct. 8: Hiring a limo service or van tour? 5 tips to ensure a safe trip
Many different groups, from bachelorette parties to couples parties, take a limo to the Dutchess County winery to avoid anyone drinking and driving, he said.
He said parties with limousines have gotten a bad rap because of a separate deadly crash on Long Island in 2015 and the Schoharie crash.
"It's good business," he said of limousines. "We need all the business we can get."
But customers have been more cautious of the vehicles in the wake of the crash, said Linda Smith, the owner of Your Day Your Way Wedding Planning in East Greenbush, a suburb outside Albany.
"I wouldn't say they're more concerned and hesitant, they're just asking more questions," she said. "They're being more proactive."
Smith is proactive herself, referring customers only to a handful of local limousine services she has personally checked out.
"Most of the couples realize that the tragedy that took place in October was from a company that took short cuts and tried getting around the laws," she said.
What to look for
Consumers should be on the lookout to ensure they are getting into a safe vehicle, said Robert Sinclair, a spokesman for AAA in New York.
"I would look for the year, make and model of the vehicle," he said. "I think the newer the better."
Oct. 8: New York limo crash raises safety, regulation questions for industry
Oct. 7: 'Horrific' limo crash kills 20 in upstate New York
Customers also should check the safety record of the company and inspect it to see whether the vehicle is equipped with seat belts.
Another thing to look for: a sunroof, which could provide an alternative exit in the event of an emergency.
"Look at any and everything that affects safety as it relates to these vehicles," Sinclair said.
Contributing: Joseph Spector, USA TODAY Network Albany (N.Y.) Bureau; Meaghan McDermott and Sarah Taddeo, Rochester (N.Y.) Democrat and Chronicle; Matthew Steecker, Ithaca (N.Y.) Journal; and Jack Howland, Poughkeepsie (N.Y.) Journal. Follow Chad Arnold on Twitter: @ChadGArnold
Read or Share this story: https://www.usatoday.com/story/news/investigations/2019/03/14/fatal-crash-limousines-what-know-before-riding-limo/3159917002/


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Even though he has a bad boy rep, it seemed like Jesse James was totally in love with Sandra Bullock (the guy had tears in his eyes when she claimed her Oscar.) That's why we were shocked to find out he had not a just fling, but an 11-month affair with a trashy tat-covered model/stripper.
Read Cosmo Editor-in-Chief Kate White's advice to Sandra!
So heinous! But sometimes it's worth giving a cheater another chance. So we want to know if you think she should take him back or dump him.
Of course, Sandra isn't the first A-lister that's been totally screwed (and we mean that in a bad way) by her guy.
Photo courtesy of Getty Images
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Buy Printed Nylon Cable Ties 4.8mm 370mm Fluorescent Pink
Printed Cableties
We offer 3 options for printed cable ties.
- Text: This allows you 36 characters- Just type your requirements in the text box, text is printed in upper case only.
- Text & Number: This allows you 24 characters followed by a 7 digit sequential number, starting number of your choice
- Number: This allows you to have a 7 digit sequential number only, starting at the number of your choice
Please allow 10-12 days approx for delivery
Select your options below
Select a Colour
UL Approved Nylon 6/6 94V-2
Operating Temperature of -40°C to +85°C
Printed Cable Ties 370mm x 4.8mmFluorescent Pink
|Item description
|Price per pack of 100
1+ Packs
10+ Packs
Box (of 90) Packs
100+ Packs
Pallet (of 1350) Packs
Total price £14.67
Product DetailOffered in three widths and a full range of colours and lengths, our printed cable ties can be customised with your chosen text and sequentially numbered. Printed using a hot foil process, our cable ties are the ideal solution for specific applications such as the identification of electricity cables and the differentiation between utilities pipes. Printed cable ties are valuable for use in the healthcare industry (clinical waste disposal), food industry (traceability), police/fire service (evidence classification and tamper safety) and utilities industry. Our printed cable ties offer the perfect answer for anything requiring clear and succinct identification.
It takes about 10-12 days to deliver.
Great for tracability of clinical waste


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McALLEN, Texas (AP) — The Texas fertilizer plant that exploded last month, killing 14 people, injuring more than 200 others and causing tens of millions of dollars in damage to the surrounding area had only $1 million in liability coverage, lawyers said Saturday.
|Texas A&M University freshman Heather Warfield collects baseball cards Saturday, May 4, 2013, from a nearby apartment complex in West, Texas, that was damaged due to the explosion at a fertilizer plant in West on April 17. More than 124 students donated their time to help cleanup parts of West devastated by the fertilizer plant explosion. The plant exploded during a fire, killing at least 14 people and injuring about 200. (AP Photo/Waco Tribune Herald, Rod Aydelotte)
Tyler lawyer Randy C. Roberts said he and other attorneys who have filed lawsuits against West Fertilizer's owners were told Thursday that the plant carried only $1 million in liability insurance. Brook Laskey, an attorney hired by the plant's insurer to represent West Fertilizer Co., confirmed the amount Saturday in an email to The Associated Press, after the Dallas Morning News first reported it.
"The bottom line is, this lack of insurance coverage is just consistent with the overall lack of responsibility we've seen from the fertilizer plant, starting from the fact that from day one they have yet to acknowledge responsibility," Roberts said.
Roberts said he expects the plant's owner to ask a judge to divide the $1 million in insurance money among the plaintiffs, several of whom he represents, and then file for bankruptcy.
He said he wasn't surprised that the plant was carrying such a small policy.
"It's rare for Texas to require insurance for any kind of hazardous activity," he said. "We have very little oversight of hazardous activities and even less regulation."
On April 17, a fire at the West Fertilizer Co. in West, a town 70 miles south of Dallas, was quickly followed by an earth-shaking explosion that left a 90-foot wide crater and damaged homes, schools and nursing home within a 37-block blast zone. Among those killed were 10 emergency responders.
State and federal investigators haven't determined what caused the blast.
The plant had reported just months before the blast that it had the capacity to store 270 tons of ammonium nitrate, but it was unknown how much was there at the time of the explosion.
Roberts said that even without a conclusive cause, negligence lawsuits can proceed.
"The law allows courts to presume negligence when something happens that would not ordinarily occur but for negligence," Roberts said. "A fire might be an unavoidable accident, but an explosion of this magnitude resulting from a fire is not an unavoidable accident."
Lawyers will look for any other assets the company might have and search for other responsible parties, he said.


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So Embarrasing: Chubby Lil Boy Gets Trapped Inside A Skate Bowl! (While Other Kids & Adults Watch)
Sad. Gotta be atleast 100 people their.
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Floyd excited about progression during rehab
Right-hander throwing curveballs, aiming to pitch live batting practice
LAKE BUENA VISTA, Fla. -- As Gavin Floyd attempts to return from reconstructive elbow surgery, he will continue to be cognizant of the fact that a premature return could negatively affect his future. But the Braves right-hander can't help but be excited about his progress, which has allowed him to remain hopeful of joining the rotation in May.
"I'm just super thankful," Floyd said. "You hear a bunch of stories and testimonies about how different guys have recovered and how guys have recovered. I've had my soreness and stuff. But for some reason, I've recovered well and fast."
Floyd began throwing curveballs last week and was cleared to begin mixing in some sliders during a 75-pitch bullpen session he completed on Friday. The 31-year-old right-hander will continue throwing both his breaking balls as he increases each of his pitch counts during his next two bullpen sessions.
If Floyd continues to make pain-free progress, he'll be cleared to begin throwing live batting practice at some point during the early portion of March. As he increases his workload and endurance with these exercises, he'll be moving toward being cleared to begin a rehab assignment, which will essentially serve as his Spring Training.
"It's been flying by," Floyd said. "It's crazy to think maybe a month from now, I'll maybe be pitching in a game. It's pretty cool."
Floyd's excitement is also a product of the fact that this is the best his elbow has felt in more than two years. He endured two disabled list stints after the 2012 All-Star break and then pitched through pain before undergoing surgery in May to repair tears to his ulnar collateral ligament and flexor tendon.
After the surgery, the White Sox indicated Floyd would need 14-19 months to recover. But encouraged by the medical reports they reviewed, the Braves signed Floyd in December with the belief he could join their rotation in May, which would be 12 months after the surgery.
"He's fine," manager Fredi Gonzalez said. "I think he's right where he's supposed to be. He just needs to keep hitting those marks the trainers set and keep progressing from there."


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Richard Dean Anderson signed STARGATE photo CAT #19746
DetailsThis 8x10 Stargate photo of 'Jack O'Neill' has been personally autographed by Richard Dean Anderson as part of his charity autograph project. It is supplied with a Certificate of Authenticity and the shipping cost is $12.50 worldwide. If you are purchasing additional photos, up to 5 of them can be shipped for the one shipping cost.


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The study responds to the call for more academic research on the individuals that perform audits by examining a jurisdiction where audit partner identification is mandatory. Using the Taiwan market, the results show that engagement partner identification provides informational value to capital market participants. From a regulatory perspective, regulators believe that providing information that allows for investor evaluation of the audit partner's past engagement performance is helpful for investment decision-making. This study provides support for the regulators' views.
Aobdia, D., C. Lin, and R. Petacchi. 2015. Capital Market Consequences of Audit Partner Quality. The Accounting Review 90 (6): 2143–2176.
This study uses engagement-level audit partner data, to analyze whether audit quality is driven by client importance at the office- or partner-level. Overall, the results contribute to evidence showing that investor protection rules and laws at the country-level are associated with engagement-level audit quality. This indicates the importance of strong investor protection regulations. These results may be of interest to shareholders and securities market regulators, especially in developing economies, transitional economies, or economies where such regulations are weak. Additionally, these results may be of interests to auditors in countries with such economies. Finally, to the extent that audit firms serve clients with investors that receive varying levels of protection (i.e. public vs. private or a "well-known seasoned issuer"), these results may indicate opportunities for such firms to enhance audit requirements for certain non-public engagements.
The results of this study also suggest that audit accountability at the individual level makes auditors more sensitive to the costs of audit failure. This result may have implications for auditor accountability from a regulatory standpoint, as well as an audit firm policy standpoint.
Chen, S., S. Y. J. Sun, and D. Wu. 2010. Client Importance, Institutional Improvements, and Audit Quality in China: An Office and Individual Auditor Level Analysis. The Accounting Review 85 (1): 127-158.
Requiring engagement partners to sign their names to audit reports appears to result in increased audit quality, earnings informativeness, and audit fees, suggesting that the signature requirement emphasizes personal accountability for engagement partners. Requiring the identification of engagement partners in audit reports would likely have similar effects. Thus, there are both costs and benefits that the PCAOB should consider in making its decision regarding partner identification.
For more information on this study, please contact Chan Li: email@example.com.
Carcello, J. V. and C. Li. 2013. Costs and benefits of requiring an engagement partner signature: Recent experience in the United Kingdom. The Accounting Review 88 (5): 1511-1546.
This discussion emphasizes significant caution when interpreting the results of the study. Mainly, it is unclear if results of the study can generalize to the broader public company market in the US. Furthermore, if the results are misinterpreted (i.e., individual auditors are not systematically aggressive but, instead, high quality auditors are systematically assigned the riskiest clients) then regulation requiring audit partner identification could actually have overall negative effects on overall audit quality.
Kinney, W.R. 2015. Discussion of "Does the Identity of Engagement Partners Matter? An Analysis of Audit Partner Reporting Decisions". Contemporary Accounting Research 32 (4):1479-1488.
These findings should be of interest to policy makers in China because, among other implications, the results suggest that Chinese regulators should pay attention to the switching of audit partners before they reach tenure limit for mandatory rotation. Partner-level opinion shopping could be more difficult to detect in markets in which the identity of the engagement partner is not disclosed, and it may therefore be prevalent in those markets, such as the United States.
Chen, F., A. Peng, S. Xue, Z. Yang, and F. Ye. 2016. Do Audit Clients Successfully Engage in Opinion Shopping? Partner-Level Evidence. Journal of Accounting Research 54 (1): 79-112.
The authors contribute to the literature on mandatory partner rotation by showing that it has a beneficial impact on audit quality even in the absence of mandatory audit firm rotation. The findings are important given that many countries currently require partner rotation, but not audit firm rotation. The authors infer how mandatory rotation affects audit quality by examining the impact on audit adjustments. The authors contribute to the existing literature on the determinants of audit adjustments by showing that mandatory partner rotation increases the frequency of adjustments during the partner's final year of tenure and during the replacement partner's first year of tenure.
Lennox, C. S., Wu, X., & Zhang, T. 2014. Does Mandatory Rotation of Audit Partners Improve Audit Quality? Accounting Review 89 (5): 1775-1803.
Auditor aggressive/conservative reporting style may be a systematic audit partner attribute and non-randomly distributed across engagements. Particular market participants (in this case, lenders) appear to recognize and price these differences in reporting style. While the particular mechanism through which these different reporting styles occur is not possible to determine, the results suggest the importance of individual audit partners in influencing audit reporting decisions. Therefore, current regulations in both the US and EU to identify the individual partner's identity could potentially offer valuable information to market participants.
Knechel, W. R., A. Vanstaelen, and M. Zerni. 2015. Does the Identity of Engagement Partners Matter? An Analysis of Audit Partner Reporting Decisions. Contemporary Accounting Research 32 (4):1443-1478.
The conclusions in this paper are relevant to audit firms and audit partners, as both are directly affected by the PCAOB's proposal to identify partners on the audit report. The paper models the impact of partner identification on the choices of partners on engagements with inconclusive audit evidence, showing that partners are more likely to make decisions that decrease firm profitability in order to reduce the risk of reputational damage. They suggest that this will be more detrimental to large audit firms since the difference between the partner's share of firm risk and overall firm risk is greater relative to small firms.
Carcello, J., and R. Santore. 2015. Engagement partner identification: A theoretical analysis. Accounting Horizons 29 (2): 297-311.
The study results are important to regulators and audit practitioners as they show the consequences of initial year audit fee low-balling on the performance of the audit. Lower audit quality occurs when an audit firm change includes a change to both audit partners along with a reduction in audit fees. This indicates that retaining one or both of the former audit partners in the new audit firm can offset the reduced audit quality effect in the initial years of the audit engagement.
Huang, H.-W., K. Raghunandan, T.-C. Huang, and J.-R. Chiou. 2015. Fee Discounting and Audit Quality Following Audit Firm and Audit Partner Changes: Chinese Evidence. The Accounting Review 90 (4): 1517–1546.
This study provides useful insights into how audit-partner quality affects engagement-level quality and underscores the importance of audit-partner identification; furthermore, this study could lead to future research which can explore whether audit-partner quality affects the cost of equity and debt capital above and beyond audit-firm and audit-client characteristics with the hopes of deepening the understanding of auditor performance and the market perception of auditor reputation at the audit-partner level.
Wang, Yanyan, Lisheng Yu, and Yuping Zhao. 2015. The Association between Audit-Partner Quality and Engagement Quality: Evidence from Financial Report Misstatements. Auditing: A Journal of Practice and Theory 34 (3): 81-111.


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Discussion in 'Equipment' started by Stumpalump, Sep 2, 2012.
This a nifty new tool. Top right of page.
Thanks but 205 a few times.
I'd never seen it before, just came in from mounting and balancing 4 tires. Looked interesting, I'd like to have one to play with....
What does that mean?
205 means...
Some people seem to enjoy using 205 but it's mostly a doucebag move. I never would have seen that tool if you hadn't posted it and I'm in the Garage often.
Verry eenterestink! But am wundering if tool help deesmount tire ass vell?
Und iss awailable in U.S.A.?
That guy makes it look too easy. Wheres the bloody/greasy knuckles?
ok that's interesting, where can I get one in the US?
Yep, same here; that doohickey looks like it would beat spooning a tire on any day. No need for rim protectors and it can't pinch-flat a tube. 99 Euros plus international shipping might have your wallet going though.
I like it too, might even have enough Delrin to make one of them.The ratchet part is nice but not all that necessary once you have the idea.
Really....205???? So much stuff on this site, not because someone may have seen that before here that they should put that stoopid thing up. Maybe a link to where it was, could show a proper tool test from the ones that have actually used one.
Thanks Mr.Stumpalump !
Guys in tire mounting videos always look like magicians to me. Is that tool really that good? If so, it seems awesome.
And, it's a pretty simple design- I can't believe this wasn't invented a long time ago.
That's what gets me. I would imagine that the guy in the video is an expert and he struggled getting the second bead on. I mean, not as much as I do with spoons - but he did struggle a bit. How tough would it be for me to use it? The part I really like is that you can't pinch the tube. Nothing like dismounting a freshly mounted tire to replace your brand new tube. Been there.
very slick, indeed . . . .thanks for posting that . . . . . . .
I think the ratchet just compensates for different size rim diameters. Looks like a very cool tool for the shop.
Putting the tire on is the easy part, does that gizmo work for taking the old tire off?
If it does, I'll order one!
Oh, I'm sure that I could find a way...
It's a slick setup, but you still have to remove the old tire, and it requires a certain range of axle sizes: 20-28mm.
I'd like to get one to play with. I emailed the company, looks like 99 EURO is 126 USD right now. Asked about shipping charge and any discount for quantities > 1
I have one on the way, one of the vendors over on CafeHusky.com did us a favor of organizing a group buy. When I get a chance to use it, I'll comment on how well it works.


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Strike King Pro-Model 6XD Series Crankbait - Pearl Black with Chartreuse Belly. This crankbait easily reaches depths of 18-20 feet and has the right wobble & shimmy to entice the deep bass to bite. Very well balanced, it casts like a bullet and has a super-steep dive. Assorted colors available.


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Here's a warning for middle-aged women that might sound straight out of a science fiction novel: If a high level of fluorescent particles show up in your blood under a special light meter, then you may be more likely to develop heart disease in the future – and the more the glow, the higher the risk.
Testing for this, of course, is more high-tech than holding a black light to your skin.
The screening involves a special machine that measures the amount of light emitted by particles when those particles are exposed to light from another source. In this case, it specifically looks for light given off by fluorescent oxidation products, or F1OP.
The key word is oxidation, which can damage and even destroy cells. It may lead to coronary artery disease.
The word fluorescent is where the glowing comes into play. A new study showed the brighter the glow, the more likely it is for a woman to develop heart disease five or more years after her blood is taken, thus making F1OP a potential tool for identifying women who should step up heart disease prevention efforts.
The study also showed that F1OP levels were higher for women who consume more alcohol, have high blood pressure and high cholesterol, and are current smokers.
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The Legend Of Zelda Wii
Nintendo: Iwata's comments on new handheld were "misinterpreted
Nintendo of America has told Kotaku that comments made last week by Nintendo president Satoru Iwata were "misinterpreted".
The Legend Of Zelda Wii headlines
Fils-Aime: Zelda Wii needs to be "perfect"
Nintendo of America president Reggie has said in an interview with Nintendo Week (via CVG) that the new Zelda in development for the Wii must be "perfect".
Iwata: New Zelda to be out by the end of the year
Megaton.Speaking with a Japanese newspaper The Asahi Shimbun, Nintendo president Satoru Iwata has apparently confirmed that the next Wii Zelda will release by the end of the year.
Watch the batshit insane reveal of Zelda: Twilight Princess from E3 2004
After the break. It's a video of the reveal of The Legend of Zelda: Twilight Princess from E3 2004.It's Reggie's first E3, and where the DS was first revealed as well. Of course, this was almost certainly the highlight. Even Miyamoto comes out at the end.Imagine, this is going to be what it's going to […]
Aonuma: We want to give Zelda fans a "fresh surprise"
Zelda producer Eiji Aonuma has said in an interview that he wants to give Zelda fans a "fresh surprise" in the new game in the series for the Wii, but only if they don't follow the "same structure again and again.""It is something we used to talk about with Mr Miyamoto, and he and I […]
The Legend Of Zelda Wii latest


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Fish are aquatic cold-blooded vertebrates with fins and scales. Many species of fish are often kept as pets in containers known as aquariums. Fish are generally divided into two groups: freshwater-dwelling and saltwater-dwelling, and fish from one group are generally unable to survive in the environment of the other. There are, however, a small number of species that move between saltwater and freshwater at different stages of their lives.
The largest freshwater fish ever found was a 646 pound giant catfish found in the Mekong River in Thailand in 2005. [1]
Types of fish
What the Bible says about fish
FISH. Creation of, Gen. 1:20-22. Appointed for food, Gen. 9:2,3. Clean and unclean, Lev. 11:9-12; Deut. 14:9,10. Taken with nets, Eccl. 9:12; Hab. 1:14-17; Matt. 4:21; Luke 5:2-6; John 21:6-8; hooks, Isa. 19:8; Amos 4:2; Matt. 17:27; spears, Job 41:7. Ponds for: in Heshbon, Song 7:4; in Egypt, Isa. 19:10. Traffic in, Neh. 13:16; John 21:13. Broiled, John 21:9-13; Luke 24:42. Miracles connected with: Jonah swallowed by, Jonah 1:17; 2; Matt. 12:40; of the loaves and fishes, Matt. 14:19; 15:36; Luke 5:6; 9:13-17; coin obtained from mouth of, Matt. 17:27; great draught of, Luke 5:4-7; John 21:6; furnished to the disciples by Jesus after his resurrection, Luke 24:42; John 21:9-13.
- "Which of you fathers, if your son asks for a fish, will give him a snake instead? Or if he asks for an egg, will give him a scorpion? If you then, though you are evil, know how to give good gifts to your children, how much more will your Father in heaven give the Holy Spirit to those who ask him!" Luke 11:11-13. [2]
Today there are over 10,000 species of fish, which is far more diversity that all other land vertebrates. This diversity pattern can be explain by the notion that fish, being aquatic, survived the <<Great Flood>>, while many land vertebrates went extinct during this catastrophic event[1]


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Tag: Concealed Chokmah
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Torah Reading – Vayishlach
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Even in a concealment within a concealment, he is there
17th Kislev 12/3/2020
Rabbi Yosef Yozel Horowitz
Rabbi Yosef Yozel Horowitz (Hebrew: יוסף יוזל הורוביץ), also Yosef Yoizel Hurwitz, known as the Alter of Novardok (1847–1919), was a student of Rabbi Yisroel Salanter,
18th Kislev 12/4/2020
Rabbi Avraham ben HaRambam
Son of the RAMBAM.
18th Kislev 12/4/2020
Rabbi Boruch of Medzhybizh
Rabbi Boruch of Medzhybizh was a grandson of the Baal Shem Tov. Reb Boruch was the first major "rebbe" of the Hasidic movement to hold court in Mezhbizh in his grandfather's hometown and Beis Medrash, which he inherited.
19th Kislev 12/5/2020
Rabbi Dov Ber of Mezeritch
Rabbi Dov Baer ben Avraham of Mezeritch, also known as the Maggid of Mezritch, was a disciple of Rabbi Yisrael Baal Shem Tov, the founder of Hasidic Judaism, and was chosen as his successor to lead the early movement


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|Send me directions
|Map it
Nicci and Samantha are super cool to work with!
Easy access, clean unit, wonderful support from the manager Nicci Faria. A very pleasant experience in the difficult world of moving and storing our belongings while finding a new home.
very nice fast and friendly
Storage Solution is a good place to do business. The service is good! Alway there to help in anyway they can. Kimik Nicholas, is patient, courteous to the customer. She is pleasant and knowledgeable about her job. The place I clean and safe. Thank for being kind to my mother. Diana
Have been using their facility for more than 6 months. Great customer service by the staff they have been really helpful, very secure location.
Very helpful.. Was referred to them, and they treated me right. Gave me a great deal on storage rent.. which I needed. I like the gates and alarms. Tried to rent a uhaul, but unfortunately they wouldn't let me due to age... but I guess that's not their fault. they at least let me move in at night and not during office hours!
Kimik was so helpful, honest, and had all the solutions for our needs. This is the second time I have used this location and both times were awesome. Highly Recommended....
This place is clean! Who ever owns this business has a great manager in Kimik! You could not find a better place for service and affordability.
Hey just signed up with the company...efficient, friendly manager. clean secure facility...I'm loving the space and the staff. #1 storage facility
I've had an excellent experience with this business and I'd recommend them to anyone. Great facilities, well maintained, secure location, courteous staff. Their online presence and website have grown so much over the year I've been a customer, which shows me that they care about their business and developing their brand in the modern age. When you sign up, they'll lock in your rate for at least a year before any prices changes will affect you, and they're usually offering some sort of sign-on bonus as well as their referral program. Can you get a better rate somewhere else? I'm sure you can, but can you get a better value? Peace of mind is important to me, and I definitely have that here.
This storage unit is incredibly clean. The staff is amazing! When I needed a letter from them verifying my payment history as an alternate form of credit, they did not hesitate to write it for me, even though they were informed I needed it to move into a house, thus ending my need for their services. They put my needs first and I sincerely appreciate that! Over the years I have used several storage places in the AV. This is the ONLY one I would go back to!
The best storage place
I've always had a good experience here and the staff is always so amazingly great to deal with. I love them! I'd recommend them to anyone!
i would just like to say moving is always stressful. i just want to say thank you to you guys made my move aloteasier. i would recomend storage solutions to everyone. :)
it was KOOL! Thanks!! 5 stars!
5 star experience! It was very wonderful and friendly.
5 stars! Veronica spent time on correcting my paper work which had some mathmatical issues. She went above and beyound for me.
5 stars! Veronica worked hard to fix milage and save me a lot of money. Almost over paid by 130 $.
My experience was very good and the lady that helped me was very nice
Excellent customer service
Great customer service! Great place! A++ Keep up the good work
My experience was very good and the lady that helped me was very nice
Clean facility; Friendly people
Awesome - very polite. Very proactive in explaining everything.
Recommended: Yes
Pipe broke - forced us out of house for 3 1/2 months Oct 2010. Hard to finish remodel and organize move back in . Kim was very helpful from day 1. Helped me realize I could downsize storage unit and oper large one for someone else that needed it. ALWAYS KIND - HELPFUL - CLEAN!!
Enjoyed my experience...
Excellent customer service, friendly staff whom were attentive and very accommodating to my needs, offered competitive pricing, clean, spacious and secure storage units, after hour access was made available, there were even U-haul trucks on site available for rental. I appreciate the fact that they really made my difficult task of moving so such easier!! I would recommend their services to all and I will defiantly use them in the future if need be. Sincerely, Satisfied Customer :)
Excellent, polite customer service. Nicciis great as representing storage solutions. Clean property, extended office hours. Will recommend to everyone.
Excellent service
Great staff! The place is always clean and festive! Never had any issues with them and plan on staying!
Friendly Management, Very Professional. Clean facility with easy access to the units.
Very happy I went to storage solutions. Was treated very well and helped me with my storage problems. THANK YOU
They have the greatest customer service!
I love storage solution! I had just gone through a horrible break up with my ex-boyfriend so when I showed up I was a little distraught. Nicci ensured that I clearly understand the paperwork that I was signing and made the whole experience as painless as possible. Heather helped me choose the right size storage unit for the furniture I was moving in. These girls are amazing and I am quite satisfied that my stuff is safe and secure. The units I was shown were clean and in great condition thank you Nicci and heather you both helped me out when I had no hope left.
Great Staff, very clean place &,a Safe place to store your things, great prices too... The two ladies work here at storage solutions &,are always ready to help with your storage need's I have told Friends when they have asked me where they mite find a safe place for their things, I recommend this place.
Love the service I get her always go back. Always friendly even though they have switched people in the front still great been on off customer for at least 6 years.
Always clean and very courteous staff.
I have been using Storage Solution for almost 2 years now, and I think it's about time I write a review. I can honestly say that I have had nothing but a friendly, and professional relationship with both Maribel and Armando. They are always pleasant to deal with, and I would recommend Storage Solution to my friends, because of there friendly and professional ethics.
The girls are friendly and helpful and keep the place clean
YOU are great I've been with you for a while and I wouldn't know what to do without you..... Keep up the great work.....
Thanks to Nicci & Marible I had many storages in my days an I can say I was very pleased with Storage Solutions on 4th st in Lancaster ca. I would recommend anyone that needs their stuff stored. Slept with ease knowing my stuff was elsewhere as I slept.. no problems what so ever. Thanks again to your staff
YOU are great I've been with you for a while and I wouldn't know what to do without you..... Keep up the great work.....
Maribel is a sweet lady. You'll enjoy the facility but you will feel at home with Maribel. If she's only single I'll date her.
desire went out of here way to help me . she took the time to show me thing . i'm new out there so that little help made my move easy and no stress
Great place for storage excellent customer service.. An most important great prices.. Will recommend to everyone
My father Robert Phillips wanted me to leave a review on his behalf to say that Maribel is extremely professional and understanding.He highly recommends other people doing business with them
I'm a new tenant at storage solution and I was helped by both Leslie and Maribel. They were both so extremely helpful and kind. They walked me through each step and went above and beyond. Definitely grateful I was attended by the best staff possible and made my experience at storage solution so much more pleasant!
Everytime we go in to storage solutions Maribel and Leslie are the always the most sweetest and politest girls you will ever meet.! If we have any issues or questions they're always have the answers for us. Great place to come and store your belongings.
Not a bad place to store now that there is new management
Rented a u-haul different location didn't have the size truck I needed.
Not sure I'm liking the new management they are not at all welcoming like the old owners. Prices went up and they make you feel like you need to hurry up and get out. They kept some of the old staff which was nice and they are welcoming and still helpful.
If I could give 0 stars I would this place is horrible they charge wayyy too many fees and you can never get back in your unit once you are late even one time I wouldn't recommend anyone in their right mind go here I'm am currently paying up so I can rent elsewhere and they will tell you that you are good and they won't do anything with your stuff and the next hour you will get an email talking about an auction I was only one month behind
The only reason why were still with them is because were out of state. Theyve double charged my grandma causing her checking account to go out of balance. Being a senior citizen, it was a hard blow to her bank account. I asked for for an explanation from the owner and was blown off. Maribel is an angel though and their only saving grace. There are better places to store your things that wont rip you off.
I'm a new tenant at storage solution and I was helped by both Leslie and Maribel. They were both so extremely helpful and kind. They walked me through each...
I can't say enough good things about this place. The owner was really flexible when it came to parking a GIGANTIC trailer on her property. The customer...
You want to know what makes a business great?! Its not so much the product but more of the customer service! This location has amazing customer service, the...


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For what? They have a very nice building on Madison Avenue. Are they full there already?
Originally Posted by kliq6
Its to soon of course to speculate, but im hearing that Bear Sterns os looking strongly at this building
For what? They have a very nice building on Madison Avenue. Are they full there already?
Originally Posted by kliq6
Full on Madison and even though they just reupped in Metrotech, they need about 400,000 sf for expansion.
Why wouldn't they shop for space closer to their HQ though in Midtown?
Not alot left in midtown, in terms of the size of space they need, only 5 spots with 200,000 sf or more in all of Midtown, two of those spaces are almost signed for
British architect returns to the W.T.C. to design new tower
Architect Norman Foster said he wants to design a building that will liven up Church St.
By Josh Rogers
World-renowned architect Norman Foster, whose two bended, kissing towers reminiscent of the Twin Towers lost out to Daniel Libeskinds site plan for the World Trade Center site three years ago, will design the sites first Church St. tower.
Foster said that as he sets out to design the building, he will keep in mind that it could be the sites only office tower on Church St. for a year or two. I think youre conscious of the fact that for some time its going to be a stand-alone building, Foster told Downtown Express last Thursday, the day developer Larry Silverstein and Gov. George Pataki announced that the British lord would be designing Tower 2, between Church, Vesey, Greenwich and Fulton Sts.
Pataki, Assembly Speaker Sheldon Silver, Community Board 1 and others have emphasized the importance of speeding up the development of Church St. in order to bring a feeling of life back to the street.
Silverstein hopes to begin construction on the 65-story building in 2008 and open the building in 2011.
Foster, 70, said he wants residents and workers to have a welcoming feeling as they walk past the building. Its something that brings life, he said in an interview at 7 World Trade Center, where he will set up his New York office. Its not just a blank wall. Its not a private, corporate keep out, so Id like it to be inviting. Id like it to be lively.
He hopes there will also be plant life in front of the building on Church St.
Silverstein said the 2.4 million square-foot building will also have about 130,000 square feet of retail space on the street, above ground and underground and will be connected to the Santiago Calatrava-designed train station on Church St. The buildings address will be 200 Greenwich St.
Pataki has told Silverstein he can have the states remaining $1.67 billion of tax-free Liberty Bonds, conditioned on Silverstein resolving his remaining disputes with the Port Authority, which owns the site and leased the Trade Center complex to Silverstein two months before 9/11. Pataki shares control of the Port with New Jersey. The agency is negotiating with Silverstein on the sites retail configuration and is reportedly trying to get him to give up control of Towers 3, 4 and 5. Silverstein still hopes to build all five towers on the site and he is negotiating with Mayor Bloomberg for about $1.67 billion in Liberty Bonds to help him do that.
The Port Authority must do excavation work and build slurry walls before construction can begin on Church St. and the Tower 2 site is expected to be the first site ready.
Foster has done some initial private sketches, but said he has not begun to design the building.
In December 2002, he was one of seven finalists and he proposed two towers, which kiss and touch that scored well in public opinion polls. His proposal did not make the next cut and lost out to Libeskind early in 2003. He reportedly was angrier than the other architects who lost, but last week he said he had no ill feelings.
You win some competitions, you lose some, he said. You move on. I wouldnt be here if I had any of those negative feelings.
Three years ago he imagined a memorial being in a void at the Twin Towers footprints, which turned out to be consistent with the Michael Arad design that was subsequently picked.
You look into the void and never see life, Foster said then. He imagined a child going from there to the top of the tower. The little girl looks out and sees forever.
He said his previous work gives him a good understanding of the site, but he will put that aside when he designs the new building. Like the 1,776-foot Freedom Tower, it will be on Fulton St.
Foster, based in London, has designed the new German Parliament in the Reichstag in Berlin, Hong Kongs Chek Lap Kok International Airport, and the Hong Kong and Shanghai Bank, also in Hong Kong. In 1999, he won architectures top prize, the Pritzker. He was knighted by the Queen of England in 1990 and received a Life Peerage in 1999, becoming Lord Foster of Thames Bank.
Pataki praised his accomplishments and said you belong here at the World Trade Center site.
Fosters 2002 design for kissing towers at the W.T.C. site.
We missed out on a great set of buildings with the Foster World Trade Center proposal. Infinitely more recognizable and unique than our current David Childs one.
At least we get one Foster building though, we can be greatful for that. And 65 stories isn't bad.
Sounds like Larry has another tenant. Maybe it was a condition of the comission.Originally Posted by DOWNTOWN EXPRESS
It was probably for free. Who would pass up free space?Originally Posted by Stern
I know I wouldn't. Larry, if you still want to give away some free office space, I'll take a floorOriginally Posted by antinimby
How tall do you guys think this tower will be? It's my understanding that 2 WTC will be at least 1,000 feet tall.
Foster is actually sort of know for having very high floor heights. Also, the fact that there is signficant retail in the base should push the height up. Also, the site could easily handle some large trading floors which also have a very high floor height. So, although it is slated to be 65 floors it could be a very tall 65 story building.
It will probably be done like FT, the base will not count towards the floors so there will be 65 OFFICE floors and a couple extra for mechanical. It will probably be over 1000 feet yes.
You guys may not be too far off, at least in comparison to the FT in this model (I know, it is based on Libeskind's outdated model but it gives a hint to the scale). Just curious, what is that building between the FT and 200 GS?
I have no magic ball but my guess is we will see 1200 feet, especially if Foster retains the slanted roof, which I think will go now that FT has jettisoned it.