Bamboo siding

http://www.dassousa.com/XTR_Siding.html

Comments about Life by 70's and older

"The happier ones divided time into (somewhat artificial) phases. 
They wrote things like: There were six crucial decisions in my life. 
Then they organized their lives around those pivot points. 
By seeing time as something divisible into chunks, they could more easily stop and self-appraise. 
They had more control over their fate."


"Beware rumination. 
There were many long, detailed essays by people who are experts at self-examination. 
They could finely calibrate each passing emotion. 
But these people often did not lead the happiest or most fulfilling lives. 
It’s not only that they were driven to introspection by bad events. 
Through self-obsession, they seemed to reinforce the very emotions, thoughts and habits they were trying to escape."


"You can’t control other people. 
David Leshan made an observationthat was echoed by many: “It took me twenty years of my fifty-year marriage to discover how unwise it was to attempt to remake my wife. ... 
I learned also that neither could I remake my friends or students.”


"On the other hand, some of the most inspiring stories were about stepparents who came into families and wisely bided their time, accepting slights and insults until they were gradually accepted by their new children."


"Lean toward risk. It’s trite, but apparently true. Many more seniors regret the risks they didn’t take than regret the ones they did."

"Measure people by their growth rate, not by their talents. The best essays were by people who made steady progress each decade. Regina Titus grew up shy and sheltered on Long Island. She took demeaning clerical jobs, working with people who treated her poorly. Her first husband died after six months of marriage and her second committed suicide."




Src: http://www.nytimes.com/2011/11/29/opinion/brooks-the-life-reports-ii.html?_r=1&nl=todaysheadlines&emc=tha212

10 Totally Cool and Incredibly Useful Medical Gadgets and Apps

http://www.medscape.com/viewarticle/742609?src=ptalk

Anesthesia match

http://anesthesiology.matchapplicants.com/viewprofile.php?id=22
Match Experience
Some schools never responded until you contact them. This is of no consequence to me because I ultimately got my first choice.


St. Luke (http://slranesthesiology.org/education/note_from_the_chiefs.php)
Interview Experiences
 terrible, 20 or so applicants crammed in a small room. PD didn't try to sell anything
 Seems to be good program. New chairman is excellent. Apparently instituting changes to decrease resident hours (was told currently avg 55hrs/wk and going down). New categorical program. Bizarre interview format. New chair emphasizes research by residen
 standard
 Interesting PD, doesn't really try to sell the program but just outlines his teaching philosophy and says take it or leave it. Great housing right across the street in a great location in Manhattan. Excellent regional experience. I ranked this #3 but d
 Presentation in the beginning, lunch, then take turns getting interviewed by the PD and an attending. Really laid back. Make sure you bring questions.

Program Advantages
 not sure, didn't get a good feel
 Nice facility. Great chairman and Program Director. Subsidized housing next to hospital (decent enough).
 good hours
 Pays well. Good overall experience

Program Disadvantages
 residents seem overworked
 no didactics
 Residents were working long hours.


Temple U.
Interview Experiences
 UGGH! On my interview day one of the residents asked me if I walked from the parking garage to the interview. when I said yes she told me that I could have gotten killed. I didn't notice anything else for the rest of the day.

Program Advantages
 Didn't matter given the above.


 UMDNJ-New Jersey:- Rotated at this institution
- Applied
- Attended interview
- Interview Experience:

Interviewers were friendly, basically chatted.

- Program Advantages:

Residents get great fellowships. New Chair (Delphin) has been bringing in some great faculty from excellent institutions (MGH, Columbia, Sinai, etc). Great research opportunities, and amazing pain management experience.

- Program Disadvantages:

Not very competetive, older attendings not very good   UMDNJ-New Jersey:- Applied - Attended interview - Interview Experience: Saturday interview. Very well organized. PD gave tour. - Program Advantages: Train ride away from NYC - Program Disadvantages: Out in Newark New Jersey, rotate at 4 different sites  Cleveland Clinic Found: - Applied - Attended interview - Interview Experience: Horrible. 4 interviews with Faculty and residents each 5 min long. - Program Advantages: Networking - Program Disadvantages: Surgery factory.  UMDNJ-New Jersey: - Applied - Attended interview - Interview Experience: Half day.... - Program Disadvantages: University Hospital is a hole and they totally know. PD spent 40 min going over an online tour of Hackensack Hospital to show how beautfiul it was.

$7 Billions net worth, Rank 39 in US, Only physician in Forbes top 400: Patrick Chan Soon-Shiong

Billionaire Patrick Soon-Shiong Wants To Remake The U.S. Health Care System

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Patrick Soon-Shiong is a rarity. He is the only physician on the Forbes 400 list to have made billions in biotech. He developed a new delivery method to administer Paclitaxel, a widely-used breast cancer drug. His net worth is estimated at $7 billion, which he made by selling two drug companies within the past three years. Altogether, he is one of only three biotech billionaire entrepreneurs in the U.S.   

Soon-Shiong has now turned his focus to something as complex and elusive as a cancer cure: The U.S. health care system. His highly ambitious plan calls for establishing a national health information network that connects scientists around the country working on breakthrough medical research with doctors and their patients, and pushing for rewarding doctors based on a patient’s outcome, instead of the number of procedures they perform.  

Where Are Biotech's Billionaires? Matthew Herper,Forbes Staff

So far, he has invested a total $400 million on projects and companies through his non-profit Chan Soon-Shiong Institute for Advanced Health, and his newly-formed holding company NantWorks. He has also partnered with the University of Arizona, and Arizona State University to establish the Healthcare Transformation Institute. Soon-Shiong and his wife Michele Chan have already pledged $1 billion for health IT projects. 

Other deep-pocketed entrepreneurs before him with grand scale visions of fixing a disparate health care system have thrown money at the problem and failed. Netscape co-founder Jim Clark was as passionate about it, forming Healtheon, which set out to connect doctors, insurance companies, and patients over the internet. Healtheon was eventually folded into WebMd, a company that is now seemingly in need of rescue. AOL founder Steve Case had the same disruptive vision when he formed Revolution Health in 2005. The company is now more modestly part of online consumer health site Everyday Health, a competitor to WebMd. 

Timing could work in Soon-Shiong’s favor. There’s a government-mandated push to implement electronic health records, and to encourage the establishment of accountable care organizations—hospitals, doctors, and payers the government rewards not on a fee-for-service basis, but on how well they manage the wellness of a Medicare patient by reducing readmission rates, for instance. There’s also the creation of so-called health information exchanges, health care providers that have the ability to exchange patient information. None of those initiatives existed when Healtheon and Revolution Health were formed. 

One of Soon-Shiong’s first moves was to take over the National Lambda Rail, the high speed link which connects academic centers throughout the country, but is also used by NASA and institutions working with the Large Hadron Collider. NLR was running out of money, and Soon-Shiong offered to write a $100 million check in July to upgrade the entire network. He is talking to genome sequencing centers about linking up, and has picked cancer as his institute’s first focus. The Institute for Advanced Health is based in Arizona, where patient sequencing data is stored in two data centers in Phoenix and Scottsdale, and crunched on a supercomputer in Phoenix that was launched last month. 

It sounds futuristic, but Soon-Shiong wants to make the genomic information available in real time to doctors so they can tailor treatment, circumventing the twelve or more years it takes a drug to reach the market. One example he gives, is newly-emerging information that not all women with breast cancer who have cancerous lymph nodes in the armpit need to have them surgically removed. Scientists can look for telltale DNA markers in tumors to see which women can escape surgery. A doctor can then administer a blood test that helps him make that decision. 

Soon-Shiong is still putting the pieces of the puzzle in place to implement his slew of ideas. He has invested in a dozen companies. Here are some of his partnerships, and companies: 

–Vitality: Maker of GlowCaps. Reminds patients to take their meds by lighting up the bottle cap which also plays music or rings a phone. 

–Dossia: Maker of personal health records. 

–Ziosoft: Visualization technology that enables clinicians to build multi-dimensional images of internal organs and tumors. 

–Toumaz: Remote monitoring of patients. 

–Vodafone: Partnership to develop mobile health services. Identifies and invests in health IT start-ups.

From: http://www.forbes.com/sites/zinamoukheiber/2011/11/10/billionaire-patrick-soon-shiong-wants-to-remake-the-u-s-health-care-system/

Good ICU progress note

http://www.ccmtutorials.com/problems/clinical/06_plan.htm

The top 1%

Citizens for Tax Justice, a research group that's been studying tax issues from its offices in Washington since 1979, provides the information we need. When all taxes (not just income taxes) are taken into account, the lowest 20% of earners (who average about $12,400 per year), paid 16.0% of their income to taxes in 2009; and the next 20% (about $25,000/year), paid 20.5% in taxes. So if we only examine these first two steps, the tax system looks like it is going to be progressive.

And it keeps looking progressive as we move further up the ladder: the middle 20% (about $33,400/year) give 25.3% of their income to various forms of taxation, and the next 20% (about $66,000/year) pay 28.5%. So taxes are progressive for the bottom 80%. But if we break the top 20% down into smaller chunks, we find that progressivity starts to slow down, then it stops, and then it slips backwards for the top 1%.

Specifically, the next 10% (about $100,000/year) pay 30.2% of their income as taxes; the next 5% ($141,000/year) dole out 31.2% of their earnings for taxes; and the next 4% ($245,000/year) pay 31.6% to taxes. You'll note that the progressivity is slowing down. As for the top 1% -- those who take in $1.3 million per year on average -- they pay 30.8% of their income to taxes, which is a little less than what the 9% just below them pay, and only a tiny bit more than what the segment between the 80th and 90th percentile pays.

What I've just explained with words can be seen more clearly in Figure 6.

The Wealth vs. the poor

Shows I am following

Learn English:
New Girl
--Phil Collins' A Groovy Kind of Love
The Big Bang Theory

Ideal BMI

One place for special needs

http://www.oneplaceforspecialneeds.com/resources_online/resource_online_results.html?words=cerebral+palsy+therapy+resources

http://prehealthfig2008.wikispaces.com/kaitlyn_cerbral_palsy

Mobility solutions

Exercise: for individuals who cannot turn the wheel, we can add handles similar to cross-country skis. Maybe some assisted electrical power to distribute even stroke between the two wheels.

Transfer from:
1) Bed to commode + eating tray (9am) + how to wipe (11am)
2) Commode to floor/stretch exercise (11-12pm)
3) Floor to wheelchair
4) Wheelchair to dinning table (12-1pm)
5) Feeding
6) Wheelchair to exercise chair (1-5pm)
7) Exercise/ duty chair with push backward capacity and cross-country ski handles to move forward + vit. D
8) Duty chair with function to roll in mud, sand, and narrow spaces
9) Ramp
10) Wheelchair to car
11) Car to wheelchair
12) Wheelchair to bath (5-6pm)
13) Bath to wheelchair
14) Wheelchair to commode
15) Dinner (7-8pm)
16) Education (8-9pm)
17) Commode + brush teeth (9-10pm)
16) Sleep (10pm)

www.freedomofmovement.com

Nice eye makeup

Liu Shi Hah

Silly ways that ruin relationships

1. Being too nice and not expressing things you do not like. You will become more distant with the partner
2. Trying to do more. Once the relationship passed the dating phase, a lot of couples spend time at home, cooking and watching movies. It is normal.
3. Not doing your own thing

Your boyfriend cannot be your entire social life. In the very beginning stages, you want to see each other all the time. But that’s when you have to make a serious effort to still go see your friends and be away from your guy. If you don’t, you’ll regret it once the relationship settles. By default, you will be spending all of your time with your guy because your friends stopped inviting you out. Not only that, your guy might feel suffocated.

4. Putting pressure on sex

A little lull is normal. You can’t keep up at that 4 times a day rate forever. I’m not saying you should just accept it if sex falls out of your relationship. But the first few times, in the beginning of the lull, when your guy just wants to go to sleep, don’t throw a fit. Don’t even throw a passive aggressive fit. Just try with all of your might to smile and say “that’s fine” because showing anger about it only makes it worse. And then he will feel like he has to have sex with you. Honestly, just one little fit about it will linger with him for a while and your lull might last longer than it was meant to.

5. Comparing your relationship

Some couples are the adventurous type, constantly planning trips and taking salsa-dancing classes. Some couples are extremely domestic, always hosting dinner parties and spending their Saturdays wondering around Bed Bath and Beyond. Your relationship isn’t unhealthy because you don’t do those things. You and your partner are two completely different individuals than the couple who goes skydiving or rock climbing every weekend. That’s why you’re with your man, instead of somebody else’s. If things feel fine, then they’re fine. Don’t start asking “why don’t we do more ______ like they do?”

6. Trying too hard

If you suddenly start wearing sexy lingerie every time he comes home from work, and making candle lit dinners every single night, he is going to feel pressure to do just as much. His thought process is “I already won her over! Can’t I just be myself now?” You should absolutely continue to do nice things for each other and surprise each other, but, don’t go into a panic mode and start doing something like that every day. It will actually begin to stress your partner out more than anything. He will feel like a jerk if he doesn’t keep up.

7. Becoming insecure

Saying, “I love you” for the first time feels amazing. And it feels pretty damn amazing saying it the next couple hundred times, too. Sending and receiving cute little texts throughout the day isn’t bad either. But, as your relationship continues, you’ll start sending little texts like that and saying, “I love you” obsessively, less. Not because you don’t love each other or like each other as much, but because you feel secure enough in the fact that you love one another that not as much needs to be said. At least, you should feel secure. Of course you should continue to say nice things to each other, but don’t think he doesn’t love you because his text messages went down from 25 to 5 a day. That 25 rate just wasn’t sustainable. If you begin asking him “do you still love me?” or “why don’t you text me as much any more?” he will find that insecurity unattractive.

http://madamenoire.com/86537/7-silly-ways-you-are-ruining-your-relationship/8/

Everyone loves the warmth of another body, someone that makes you feel secure in who you are and provides affection. While you can get these things from many different places, very often you find yourself looking for them in a man’s arms. There’s nothing wrong with this in of itself but there is something wrong with needing a man to feel secure in who you are. Likewise, the need for love and affection should not keep you in a relationship that’s going nowhere.

These kinds of insecurities make it all too easy to hold on to Mr. “Right Now” or continually “work through” someone who continually lies or cheats. All the while, you’re missing countless opportunities to find someone truly worthy of being your man. Why not be single and give your self time to find him. Better still, strike out on your own and work on finding yourself.

Sometimes we’re unsure if what we have is a good thing. But there are always signs to look out for. If any of the following ring a bell, you should definitely give being single some strong consideration.

He thinks bros come before–you know.

Any guy in pursuit of passion will slip out on his boys for the object of his affection. If you’re his main squeeze, he wants to be doing that regularly. So he’ll pass on many (not all!) a night out with the fellas to kick it with you. If he doesn’t, you might as well end it. He’s going to break up with you soon anyway.

He says, “I don’t want to be with you.”

If this sounds way to obvious to you, consider yourself fortunate. You would be surprised how many women are still with a man who’s admitted this. Sometimes it takes a while to seep in but some people just block it out. A guy may say hurtful things because he’s a jerk or angry and still want to be with you. But he’ll never say he doesn’t want you if he doesn’t mean it.

You don’t feel uplifted.

Sometimes you take one awesome person and another awesome person, put them together and they become a horrible couple. It’s always hard to accept if this is your relationship. It makes sense that two awesome people would make a double-awesome. But for whatever reason, a man’s energy, mouth or way of life just brings you down. Life is hard enough. You deserve someone that makes you want to climb Mount Everest. Get out of this relationship. It’s no ones fault.

You just got out of a relationship. Some of us have serial romances. You put one down, you pick one up. While that keeps your juices flowing, it doesn’t give you anytime to reflect. It’s likely that your last relationship ended because many mistakes were made. You need some time to breath, understand the choices you made and use those lessons to make better decisions next time around. Jumping right back in the saddle puts things on the back burner.

http://madamenoire.com/80836/7-signs-you-should-be-single/