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Health Datapalooza 2012: Throw Your Hat Into the Ring!

It’s a phenomenal time to be an innovator at the intersection of data and health care improvement. I’m incredibly excited by the rising tide of innovations we’re seeing – new products, services and features being invented by entrepreneurs across the country, fueled by open health data.

And coming soon is the latest opportunity to showcase and learn about many of those innovations: the 2012 Health Data Initiative Forum– aka the Health Datapalooza — being held in DC at the Washington Convention Center on June 5-6, 2012.

For all of you who have been creating value from health and health care data – this is your opportunity to showcase your brilliance for the nation to see!  Led by the amazingly talented folks at Health 2.0, the Health Data Consortium is sponsoring a national competition for the best new apps and services created using health and health care-related data.  Entry applications for the competition are due March 30th.

Innovators will then go through an “American Idol”-style process in which panels of consumers, health care professionals, and community leaders will judge innovations submitted. The innovations that best demonstrate benefit and value for health and care improvement will be featured and demoed at the June Datapalooza.

So if you’ve built or are building something terrific with the aid of health data, throw your hat into the ring! Submit your entry form by March 30th, and may the best innovations win!

Todd Park is the CTO of HHS and has just been appointed CTO of the Federal Government

(Full disclosure: as is obvious from the article Health 2.0 is involved as a sub-contractor helping with Health Datapalooza 2012)

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A New Edition of Health Wonk Review—Does Barack Obama Remind You of Richard Nixon? . . . Will Most States Expand Medicaid? Do All Non-Profit Hospitals Deserve a Tax Exemption? Why Didn’t Anyone From J&J Go to Jail?

Brad Wright has hosted the most recent edition of Health Wonk Review http://www.healthpolicyanalysis.com/2013/11/07/if-you-like-the-health-wonk-review-you-currently-have-you-can-keep-it/, a round-up of some of the best recent healthcare posts in the blogosphere. It’s an excellent read.

Wright begins with a post by John Goodman, published at the NCPOA Health Policy Blog, and titled “The Selling of Obamacare.” There, Goodman acknowledges, “As for the president himself, he is a complete enigma to me. I’ve never felt that I understood him.’  Goodman goes on to prove his point by comparing Barack Obama to Richard Nixon.

According to Goodman, when “the President suggested that most people will be completely unaffected by the new health law . . . he was lying.” After all millions who buy their own insurance in the individual market place are now getting cancellation notices. The President “looked directly into the TV camera and said something that was blatantly untrue . . . over and over and over and over again. You have to go all the way back to Richard Nixon to find something comparable.”

That’s one way of looking at things,” Wright observes, “but it’s certainly not the only way. Over at the Colorado Health Insurance Insider,/ Louise Norris counters with these words:

“Much has been said recently about how the ACA is causing a tidal wave of policy cancellations, and resulting in people losing coverage that they would prefer to keep.  The frustrating part about this – as has generally been the case with every big uproar about the ACA – is that we’re not really getting a complete picture of what’s going on, and it’s hard to see the reality through all the hype and hysteria.

I agree.

Here is the larger picture: in fact, most Americans will not be affected by Obamacare. The vast majority are insured by their employers. Medicare, Medicaid or the military. Of the 311 million people who now live in the U.S., just 15 million purchase their own insurance. They represent 5% of the population. And only some of the 5% who buy their own coverage are getting those cancellation letters,

We are talking about less than 3% of the population –far from “most people.”

The folks I worry about most are those who should qualify for Medicaid under the Affordable Care Act, but live in states that have refused to expand the program. (Often they are not eligible for Medicaid simply because they don’t have children, no matter how poor they are.)

Wright offers hope by spotlighting Joe Paduda’s post on Managed Care Matters. There, he asks: “What’s happening with Medicaid Coverage?”

Continue reading

Doctors Sue Hospitals to Protect Patients; A University Buys Insurance that Doesn’t Protect Students; What Gay Marriage Laws Mean for Gay Coverage . . . . and More

The newest Health Wonk Review has been posted. This time around, Colorado Health Insurance Insider’s Louise Norris is the host, and it’s an excellent read.

A few highlights:

                                 Doctors Sue Hospitals, Protect Patients

Over at Healthcare Renewal, Roy Poses digs into how doctors are pushing back against hopsitals who put profits above everything else. His article describes two recent lawsuits filed by physician groups alleging that the hospital systems they worked for were sacrificing patient welfare in the name of profit.

As Louise observes, “the details are sickening to read:  One hospital group encouraged its docs to exaggerate the severity of patient conditions and needlessly admit patients from the ER to hospital beds in order to bill more for their treatment.  Another hospital group that owns three hospitals and also partially owns an ambulance company was making patient transfers (using their own ambulance company despite slower response times) a top priority – to the extent that a doctor’s transfer rate was a factor in bonuses and performance reviews.  An admin email stated that “the performance we are looking for are transfers.”  Wow.  Transfers just for the sake of racking up revenue – patient welfare had nothing to do with it, and was likely compromised when the slower ambulance company was used in cases where the transfer was actually warranted.”

I’m just skimming the surface of the corruption Roy exposes. You really should read his entire post.

Often doctors are afraid to stand up to greedy hospital administrators.  But by banding together, physician groups can stand up for patients.

I would add that, in the past  two doctors— working at separate non-profit hospitals—have told me about hospital administrators pressuring physicians to admit ER patients, even when they did not need to be hospitalized. This is how some hospitals “put heads on beds.”

                 When Universities Buy Inadequate Insurance for Their Students

On his blog, Duncan Cross tells the story of the Arizona State graduate student who died because his Aetna plan (a student plan purchased through the university) capped how much the insurer would pay out over the course of a lifetime at $300,000. It also didn’t cover prescription drugs.  One might be tempted to blame the insurance company,
Continue reading

Health Wonk Review –Waste, Warnings and the Future

Last week I hosted Health Wonk Review for HIO.  This round-up of some of the health care posts published over the past two weeks includes:

–  A piece by Managed Care Matter’s Joe Paduda that takes a hard look at “Flu season and Tamiflu,” and asks “Which one’s more hyped?”

 – A investigative post on Health Care Renewal that reviews “The Tragic Case of Aaron Swartz,”  the young computer activist who faced criminal charges for downloading thousands of scientific scholarly articles from the site JSTOR. After being pursued by a “tough as nails, relentless federal prosecutor,” Swartz committed suicide. Yet blogger Roy Poses notes, this same U.S. Attorney has been “soft as a marshmallow when dealing with top executives of health care corporations.”

– A post by The Hospitalist Leader’s Brad Flansbaum questioning the ACA’s assumption that a high rate of hospital readmissions signals waste. Just how many were preventable?

 –  In  a provocative post on Health Business Blog, David E. Williams asks why Cincinnati hospitals are furious because some employers have signed up for an insurance plan that would pay all hospitals just 40% more than Medicare pays for the same service.  The Hospitals claim  that isn’t enough. Moreover, each hospital would like to set its own prices—quietly. (This allows brand-name hospitals to charge far more than some of their competitors, for exactly the same services. )

 – On Wright on Health, Brad Wright describes a new rule, proposed by the Department of Health and Human Services that could prove “disastrous” for patients on Medicaid: “HHS is now attempting to woo states into participating in the Medicaid expansion by allowing them to increase cost-sharing in Medicaid” for all but the poorest of the poor. (More bloggers and reporters might want to write about this. The proposed rule will be open for comment until Feb. 13.)

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L.A. Clean Water, Clean Beaches Update

Update Clean Water, Clean Beaches, trash, Pico/Kenter stormdrain

The Los Angeles County Board of Supervisors voted Jan. 15 to postpone a vote on placing a stormwater parcel fee on the ballot. After hearing public comment, the board directed Public Works staff to offer revisions to the proposed measure, which aims to raise nearly $200 million annually to fund multi-benefit stormwater infrastructure projects and programs. L.A. County property owners would be assessed an annual fee based on the amount of runoff their parcel generates.

Board directed staff to report back within 60 days on the duration of the parcel fee, effects on local school districts and credit programs for property owners who already have implemented stormwater mitigation improvements, among other issues. Heal the Bay staff will continue to consult with Public Works staff and our environmental partners to make improvements to the measure and bring it to voters as soon as possible.

Stay up-to-date on our clean water advocacy work, follow us on Twitter.


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Dr. John Garrett, MD Visit Healthgrades for information on Dr. John Garrett, MD. Find Phone & Address information, medical practice history, affiliated hospitals and more.

Specializes in Orthopedic Surgery • Male • Age 73

5671 Peachtree Dunwoody Rd Ste 700
Atlanta, GA 30342
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Dr. Dr James L. Chappuis F A C S, MD
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Profile Photo of Dr. Shirish T. Patel, MD

Dr. Shirish T. Patel, MD Visit Healthgrades for information on Dr. Shirish T. Patel, MD. Find Phone & Address information, medical practice history, affiliated hospitals and more.

Specializes in Cardiology • Male

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St. John's Regional Medical Center
1600 N Rose Ave
Oxnard, CA 93030
St. John's Pleasant Valley Hospital
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Camarillo, CA 93010

See All 3 Hospital Locations

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Patients’ risk of dying during a hospital stay for heart bypass surgery could be 85.2% lower, on average, at a hospital rated 5 stars compared to a hospital rated 1 star for that procedure. Choosing the right hospital is critical to your health. View Slideshow

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More Newsbites 7-14 volume 2 - Fat Tax, Obese Kids Suffer

Here is your next installment of the week's foodie news:

British researchers urge the government to impose a tax on high fat foods - They claim such a tax will prevent 3000 cardiovascular deaths a year. Their findings are modeled after the resultant decreased consumption of cigarettes due to a Value Added Tax (VAT) in that country. Of course the food industry doesn't like this idea, but would you expect them too? Interestingly enough, did you know the Brits have already added a 17.5 cent tax to some sweets, ice cream, savory snacks and most drinks? But, it doesn't look like the British government will act on the fat tax recommendation. They put the cabash on the proposal claiming a fat tax would be unworkable. Shucks... (published in the Journal of Epidemiology and Community Health).

Quality of life for obese kids similar to kids with cancer - The intense stigmatization obese children suffer is too blame. This according to a review of childhood obesity stigmatization studies conducted over the last 40 years. And it's not just from other kids teasing or rejecting them at school. Parents, teachers and the media are also to blame. Parents often perpetuate the problem and teachers don't necessarily come to the defense of an overweight child when he is being bullied by his classmates. The authors conclude that weight discrimination is as a great a problem as race discrimination and more emphasis must be placed on protecting these children in addition to implementing more pediatric weight management programs around the country. I couldn't agree more. Stigmatizing the overweight only makes the problem worse.

Let's be careful what we say about other people's bodies and encourage our children to be more sensitive too. (For more on this study go to the July issue of the Psychological Bulletin)

Wait, there's more.....
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About the Author

Registered dietitian Andrea N. Giancoli is a nutrition advocate, consultant and educator.


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 Minerals: Iron
Iron deficiency anemia is a well-known and all-too-common problem, even with our modern knowledge about the condition and the attention given to preventing it. The preanemia state is not easy to diagnose. Decreasing iron stores and a relative decrease in serum iron levels and protein-bound iron may cause symptoms before low tissue iron levels or anemia are measurable. More of this important mineral is needed during growth; iron deficiency is more common in infancy, childhood, adolescence, and pregnancy. Even the elderly may become deficient due to poorer absorption and diet. Women in their reproductive years have a greater problem with iron deficiency because of losses in menstrual blood and higher requirements. Minority and low-income people tend to have a higher incidence of low iron-related problems, primarily caused by dietary deficiency. Women in their childbearing years require at least 18 mg. of iron daily, but more than 25 percent of them probably obtain less than this amount. Usually, when the body needs more iron, absorption improves through an increase in iron-carrying proteins in the blood, called iron transferrin.

Iron absorption from the intestinal tract is a very subtle process; poor absorption is one of the main reasons, along with low-iron diets, that iron deficiency is so prevalent. Along with calcium, which is also difficult to absorb, iron and zinc are the minerals most commonly deficient in our diet.

Average iron absorption is about 8-10 percent of intake. All vegetable sources contain the "nonheme" form of iron, which is poorly absorbed and utilized. "Heme" iron, a special formulation of iron, is found only in flesh foods, beef and liver being the best sources. Between 10 and 30 percent of heme iron is absorbed. Combining heme foods with nonheme foods improves the absorption of iron from the nonheme foods. This is why complete vegetarians have trouble obtaining sufficient iron from the diet alone. Phytates present in whole grains and oxalates found in certain vegetables may bind up some of the iron and make it unabsorbable. Meat foods improve absorption, possibly by stimulating increased stomach acid production and by the fact that the iron contained is already bound into muscle and blood tissue, the iron proteins myoglobin and hemoglobin.

Iron absorption is a slow process, usually taking between two and four hours. The food-natural ferrous (+2) ion is absorbed much better than iron in the ferric (+3) form. Vitamin C in the gut along with iron converts any ferric iron to ferrous and thus improves absorption. Iron absorbed into the blood is usually bound to the protein transferrin and goes mainly to the bone marrow, where it can be used to make red blood cells. Some also goes to the liver and spleen. About 25 percent of body iron is stored bound to the protein ferritin and as the iron complex hemosiderin. Ferritin has good iron-binding capacity. A fully saturated ferritin molecule, which is actually ferric oxide surrounded by the protein apoferritin, can contain about 4,000 iron atoms. Ferritin stored in the liver, spleen, and bone marrow, for example, provides a good reserve of iron to meet body needs. Measuring serum ferritin levels is a fairly new medical test that provides a good indication of iron storage levels. A normal value is 15-200 mcg. A level below 15 mcg. suggests very depleted iron reserves. Iron toxicity may show ferritin levels in the thousands.

About three-quarters of the iron in our bodies is active. Of that, about 70 percent is in hemoglobin, 5 percent is in myoglobin (muscle oxygenating protein), and the rest is part of iron cofactors and enzymes such as catalases, peroxidases, and the cytochromes. Some is also in transition, attached to transferrin, which transports iron to the bone marrow, liver, and other tissues for its functions in processing hemoglobin, myoglobin, and various enzymes. Fortunately, the body conserves iron very well, though this increases the possibility of toxicity. Toxicity has not been a great concern until recently, when the possibility of liver irritation and the increased risk of heart disease in men and postmenopausal women due to the oxidant effect of iron was suggested. About 1 percent of red blood cells are recycled each day (their average life span is 120 days), and we use the iron from them (about 30-50 mg. daily) to manufacture new cells. The recycled iron provides about 90 percent of the iron required to make new cells and to carry out other functions; therefore, we need only a little more for full functioning, unless, of course, there is blood loss.

Iron lost from the body must be replaced through dietary iron, but this often takes time and requires a regular source from food or supplements. A pint of blood contains about 200 mg. of iron. Even though iron absorption increases with increased need, it can still take several months to replenish the iron lost when we donate blood. About 30-40 mg. of iron will be lost during an average female menstrual cycle; this is why menstruating women need a consistently higher iron intake than men, a minimum of 18 mg. per day. During breast-feeding, the nursing mother will lose about 1-2 mg. per day. In pregnancy, the mother transfers 500-1000 mg. of iron to her growing baby, most of that (500-700 mg.) during the last few months. Since there are usually less than 500 mg. stored in the bone marrow and other tissues, the mother needs a regular, good dietary and supplemental intake of iron, or she will become very depleted and will be less able to obtain the extra oxygen she requires during pregnancy, labor, and delivery of her baby. After delivery, iron depletion could cause her to feel run-down and to have difficulty caring for her infant.

Many factors can increase iron absorption from the intestines and improve our chances of maintaining adequate body levels. Absorption improves when there is increased need for iron, as during growth periods, pregnancy, and lactation or after blood loss. Acids in the stomach, such as hydrochloric acid, and ascorbic acid (vitamin C) in the small intestine help change any ferric iron to the more easily absorbable ferrous form. Citrus fruits and many vegetables contain vitamin C and therefore help our iron absorption. The animal flesh foods have the more easily absorbed "heme," or blood, iron and also provide amino acids, which stimulate production of hydrochloric acid in the stomach. Cooking with an iron skillet will add iron to the food and make more of it available for absorption. Copper, cobalt, and manganese in the diet also improve iron absorption.

Likewise, many factors can reduce the body's iron absorption. Low stomach acid or taking antacids or other alkalis will diminish iron absorption. Rapid gastric motility reduces the chance to absorb iron, which is a slow process anyway. Phosphates, found in meats and soft drinks; oxalates, in spinach, chard, and other vegetables; and phytates, in the whole grains, all can form insoluble iron complexes or salts that will not be absorbed. Soy protein is being researched, as it may also reduce iron absorption. The caffeine and tannic acid in coffee and tea lower absorption of iron. Low copper in the gut and in the body reduces iron absorption, and high calcium can compete with iron. Supplementing calcium with iron may create a more alkaline digestive medium, which further reduces iron absorption. Iron absorption usually decreases with age as well.

Factors Affecting Iron Absorption

Increased by:

  • Body needs during growth, pregnancy, and lactation
  • Hydrochloric acid
  • Vitamin C
  • Blood loss or iron deficiency
  • Meats (heme iron)
  • Protein foods
  • Citrus fruits and vegetables
  • Iron cookware
  • Copper, cobalt, manganese

Decreased by:

  • Low hydrochloride acid
  • Antacids
  • Low copper
  • Phosphates in meats and soft drinks
  • Calcium
  • Phytates in whole grains
  • Oxylates in leafy green vegetables
  • Soy protein
  • Coffee and black tea
  • Fast gastrointestinal motility

Any unabsorbed iron is eliminated in the feces. Otherwise, only minute amounts are lost in the urine, sweat, nail clippings, and hair. Other than through blood loss, most body iron is retained fairly well. Normal iron loss in the average person is about 1 mg. per day.

When we have plenty of iron, we can say we're "in the pink." Usually we will have good circulation, with rosy cheeks, pink earlobes, and pink tongue. (Yet we can also be "too pink" or red, with excess iron and blood cells.) If the tongue or the mucosal lining of the mouth is pale, we should look for anemia, so it is good for us to know what we can about iron, especially where we can find it in our foods.

Sources: Some of our soil is iron deficient, so the plants grown or the animals grazed there may contain relatively smaller amounts, though this is not yet a major concern. The milling of grain removes about 75 percent of the iron present in whole grains, as much of the iron is found in the outer bran and germ. The fortified or enriched grain foods, such as cereals and breads, contain some iron (plus vitamins B1, B2, and B3), but this iron is in the poorly absorbed ferric state. Cooking in iron pots or skillets will add absorbable iron to food, but if this is done excessively over time, iron toxicity is a possibility.

Heme iron, as found in meats, is generally thought to be the iron that is best absorbed, several times more absorbable than the nonheme iron found in the vegetable kingdom. This does not mean that we need to eat meats in order to get sufficient iron, though that is often recommended in cases of iron deficiency. The 18 mg. of iron a day needed by a woman in the childbearing years is not always easy to obtain through diet. Though eating 22 slices of whole wheat bread or 13 cups of cooked kale would supply 18 mg., these are obviously not desirable ways to get it. In addition to beef, liver, and other organ meats that have relatively high amounts of absorbable iron, pork, lamb, chicken, and shellfish such as clams and oysters contain reasonable iron levels. Egg yolks are fairly good sources, and salmon is the best of the other seafood.

From the vegetable world, whole grains are the overall best source. Wheat, millet, oats, and brown rice are all iron-containing grains. The legumes-dried peas and beans-are good; lima beans, soybeans, kidney beans, and green peas are examples. Nuts, such as almonds and Brazil nuts, and most seeds contain iron. Green leafy vegetables such as spinach, kale, and dandelion are good sources, as are broccoli and asparagus. Dried fruits such as prunes, raisins, and apricots have a good amount of iron. Prune juice often gives us additional iron. Unsulfured molasses is concentrated in iron; one tablespoon contains about 3 mg. Tomatoes, strawberries, and many other fruits and vegetables contain some iron, so it is possible to obtain adequate amounts of iron from dietary sources without consuming a lot of meat by eating wholesome foods, especially whole grains, green vegetables, and the legumes, nuts, and seeds.

Functions: The primary function of iron in the body is the formation of hemoglobin. Iron is the central core of the hemoglobin molecule, which is the essential oxygen-carrying component of the red blood cell (RBC). In combination with protein, iron is carried in the blood to the bone marrow, where, with the help of copper, it forms hemoglobin. The ferritin and transferrin proteins actually hold and transport the iron. Hemoglobin carries the oxygen molecules throughout the body. Red blood cells pick up oxygen from the lungs and distribute it to the rest of the tissues, all of which need oxygen to survive. Iron's ability to change back and forth between its ferrous and ferric forms allows it to hold and release oxygen. Each hemoglobin molecule can carry four oxygen molecules. This large protein molecule makes up approximately 30 percent of the RBCs. Amazingly, there are some 20 trillion RBCs in the average human body (men have more than women), and about 115 million red blood cells are made every minute. As mentioned before, approximately 90 percent of the iron needed to make those cells comes from recycled RBCs that are normally destroyed by the spleen at the end of their 120-day life span.

(Excerpted from Staying Healthy with Nutrition ISBN: 1587611791)
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 About The Author
Elson Haas MDElson M. Haas, MD is founder & Director of the Preventive Medical Center of Marin (since 1984), an Integrated Health Care Facility in San Rafael, CA and author of many books on Health and Nutrition, including ...more
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 Therapies: Alternative/Complementary Cancer Therapies
Richard Walters ©
This year, one million Americans will learn they have cancer. Roughly two out of three cancer patients will die of the illness (or related therapy) within five years of diagnosis. While the news media periodically announce major cancer breakthroughs, the cures are occurring mainly in the press releases. The "war on cancer. has been a colossal failure despite hundreds of billions of dollars spent on research and treatment.

The three "proven" methods of treating cancer-chemotherapy, radiation, and surgery-may actually shorten your life in many instances. Each of these treatments is invasive, has devastating side effects, and treats only symptoms. Each can cause the spread or recurrence of cancer. While these immunity-damaging approaches may at times be necessary, their successes have mostly been limited to relatively rare forms of cancer or the early stages of the disease. For most adult cancers, the orthodox therapies are virtually noncurative, though they may buy some time. For many patients, the standard therapies shorten the life span: "Most cancer patients in this country die of chemotherapy," observes Dr. Alan Levin of the University of California Medical School. "Chemotherapy does not eliminate breast, colon, or lung cancers. The fact has been documented for over a decade.... Women with breast cancer are likely to die faster with chemotherapy than without it."1

Only 2 to 3 percent of the nearly one-half million Americans diagnosed of cancer every year are being saved by chemotherapy, according to Dr. John Cairns of the Harvard University School of Public Health.2 Yet over half of all cancer patients routinely receive chemotherapy drugs, which can cripple a person's chance of survival. All chemotherapy drugs are toxic and many are carcinogenic-they can cause cancer. The overuse of chemotherapy-a $750 million-a year racket in drug sales alone-is a national scandal.

Disillusioned with standard cancer treatments-which often have devastating side effects and typically cost $30,000 or more-thousands of patients are turning to alternative or nontoxic therapies. Often called complementary, unorthodox, or nonconventional, these therapies include nutritional, herbal, metabolic, immune-enhancing, biologic, nontoxic pharmacologic, and psychological-behavioral approaches. While the alternative therapies exhibit great variation, all of them are rooted in the idea that a truly healthy body will not develop cancer. Alternative practitioners believe the cause of cancer is often found in a disorder of the immune system or a bodily imbalance that allows the tumor to develop.

Alternative therapies share certain common features. They are relatively nontoxic, unlike chemotherapy and radiation, which destroy normal cells. They aim to cleanse the body, to stimulate its natural defenses and tumor-destroying capacity. They have relatively high safety levels compared to the orthodox treatments. Many or most alternative therapies combine special diets; supplementation with vitamins, minerals, and enzymes; detoxification; oxygenation measures; immune stimulation; and psychological or spiritual regimens to promote gentle healing.

To mainstream doctors, cancer is a localized disease, to be treated in a localized manner. By cutting out the tumor, irradiating it, or flooding the body with toxic (and often carcinogenic) drugs, the orthodox physician hopes to destroy the tumor and thus save the patient. But all too often, the cancer is still present and has metastasized (spread elsewhere). The allopathic, conventional approach, for all its high-tech trappings, is based on a primitive medical philosophy: aggressively attacking an "enemy" disease. Often, the patient is devastated in the process, while the cancer and its underlying causes remain.

(Excerpted from Options: The Alternative Cancer Therapy Book ISBN: 0895295105)
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In 1867, Peter Wycoff Minor and his brother Abrahm were making the long trek back from the Civil War to their home in Interlaken, New York. As they walked, they envisioned starting a company that hand-crafted quality shoes and boots for men and women that helped them stay on their feet, kept them comfortable and productive. Four generations later, the Minor family is still at work building comfort and precision fit into every pair of P.W. Minor shoes. Today, P.W. Minors are the shoe of choice for people looking for the ultimate comfort in footwear. That's because each pair offers the support and proper weight distribution you need coupled with a custom fit that could help relieve foot sensitivities. But don't be misled ... people with perfectly healthy feet love the fit, feel and comfort too! One of our footwear buyers negotiated an unbelievable deal and was fortunate to secure a limited inventory of these women's Winner shoes that feature all the right stuff for conquering foot discomfort. If they awarded gold medals for footwear, these shoes would be on the winner's stand. They have the great fit, comfort and support you want. Features athletic leather upper, Nylex lining, full-length removable polyurethane inlay with Dri-lex cover, EVA midsole, TPU rear foot stabilizer and compression molded rubber outsole. Black. Extra wide width. Womens Size 12XW

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Strategy focus: Global long/short managers stumble out of the gate

Mon Mar 3, 2008

January afforded global equity managers no time to rest on the laurels of a strong 2007, when the median gain for such funds was 13.37%. As economic conditions worsened and investors began to accept that the global economy was slowing, the broad equity markets plunged, pulling long/short funds down with them....

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Fortress sees Asian macro fund gaining momentum

Tue Aug 7, 2012

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Star hedge fund manager Adam Levinson expects the size of assets managed under the group’s Asia-focused macro fund "to grow substantially" by year-end from $235 million in the first half of the year.

The head of Fortress’s Asia-focused macro strategies, who is also co-CIO of its global macro funds, says the build-up of Fortress Investment Group’s trading platform in Asia is proceeding smoothly.

"It’s panning out as we had planned," he told AsiaHedge when asked on the progress of building the Asian platform since he relocated to Singapore from New York more than a year ago.

Year-to-date, the Fortress Asia Macro Fund has delivered an 8.5% return, after a 1.5% net gain in July.

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Weiss Europe team preps New York-based LL Capital launch

Thu Sep 27, 2012

Former Weiss Multi-Strategy Advisors portfolio manager Matt Goldsmith and his European long/short equity team of analysts are setting up LL Capital Management and hope to begin trading with an estimated $150 million to $250 million in the first quarter of 2013, according to people familiar with the situation.

The team worked together at the $1.3 billion hedge fund affiliate of brokerage George Weiss Associates, but left the New York based firm this summer as their strategy did not match new...

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Qbasis Invest, the Liechtenstein-based managed futures specialist, is expanding its London marketing operations with the appointment of Alistair Evans as director sales, UK.

Evans has eight years’ experience in the alternatives sector.

Most recently, he was partner and co-founder of GLS, a hedge fund marketing business.

Prior to that he worked at UBS and Merrill Lynch, where he focused on the intermediary and wealth manager market.

He began his career in 2002 at the US investment bank Laidlaw and then moved to the ECU Group, a former subsidiary of ED&F Man.

Evans will concentrate on promoting Qbasis’ new exchange-traded fund, the Qbasis Futures Fund, which commenced trading on the Hamburg stock exchange on 1 April. The ETF replicates the investment strategy of the principal Qbasis managed futures fund, also called the Qbasis Futures Fund, but will be accessible to retail investors.

“We are very pleased that Alistair will be spearheading our marketing in the UK,” says Philipp Pölzl, the co-founder of Qbasis. “The new ETF will offer UK-based investors constant high diversification with strict risk control, low correlation to traditional investments and enable them to profit from rising and falling prices.”

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Friday, March 23, 2012

Picnic at the park

The kids are downstairs watching a movie and here I sit, ignoring the mess in the office, and wishing that Andrew was online. He is. But he's not actually there. He's probably going out to dinner again (*sigh*). Last night his hosts took him to a Middle Eastern restaurant and he saw a BYU Arabic professor there—they both did double takes because why would a BYU professor see a BYU student in a restaurant in North Carolina in the middle of the semester? Turns out she was there for a conference on teaching Arabic. We all know why Andrew's there.

It seems like he's loving it out there so far but I'll wait to write about it until he gets back.

But I will say that when he was in Bloomington he went to a restaurant, which he described as a hippie restaurant, where every dish was prepared from 100% local things. They told you the name of your cow and what field s/he grew up in. They told you the name of your fish and what river s/he was caught in. They told you where your lettuce was grown and where your tomatoes came from. It reminded me of Portlandia. Anyway...

Today was supposed to be a lovely, warm day, but it ended up being overcast and windy. But still warm enough. The girls spent the morning destroying the house while they changed clothes and played with the dress ups and danced in the living room. There are clothes scattered all over their room (and the office) and yet Miriam is sitting downstairs in her underwear watching the movie. Silly girl.

I told the girls we could go to the park after I finished cleaning the bathrooms.

I'm a realist when I make my to-do lists (at least when I'm pregnant) and today's list said: toilets and towels. My friend said on facebook, "Yay! I got two things crossed off my to-do list," and I was like, "Ha! I only put two things on my to-do list!"

So I felt like a hero when I cleaned the entire bathroom and washed the towels. Because that's more than two—toilets and counters and floors and towels? That's four things.

While I was cleaning the bathrooms, though, the girls decided on a picnic and raided the pantry to pack lunches for us. Since they were already packed and ready to go (we're talking shoes and jackets on) I consented to the picnic.

It would have been far better to eat at home, really, because we picked up a friend on the way and then a little ways down the street were joined by another little family in our neighbourhood who spotted us walking to the park. We don't mind being joined by friends at the park but I was beginning to wonder if our cheese and crackers and strawberries would stretch far enough to share. I was ravenous by the time we got to the park and tend to be a little overprotective of my food when I'm pregnant, especially this pregnancy because I have two little vultures circling me at all times and have been prone to fainting spells so I act a bit like a mother brear: "No! This is my food! Let me eat it before I fall over! Rawr!"

We set up our blanket and got out our food. Miriam, the thoughtful child, had packed enough fruit snacks to feed a small nation so we shared those, as well as a bit of our cheese and crackers, before I announced that I was going to eat, children be darned!

I didn't feel too bad about not sharing all of our food (like the few strawberries we brought—even though little Emily came up and watched me eat my strawberry, saying, "Hey—I didn't get a strawberry. I didn't get a strawberry. Hey—I didn't. get. a. strawberry!") because I knew all the other kids had already eaten their lunch (so I'd just say, "Sorry. You already ate lunch. Now it's our turn. Run and play.").

It was a much pleasanter experience at the park after we had finished eating, that's for sure.

And can you believe that I didn't take a single picture of my kids playing in the sand or Miriam swinging or anything? Believe it!

Miriam sat in every swing on the swingset—there are six of them. She's say, "I'm tired of swinging. Will you get me down?" and then she'd immediately ask to swing on the next swing over. Silly girl.

Rachel and her friends were involved in a reenactment of the story of Make Way for Ducklings, which both Rachel and Leslie had read yesterday (Emily hadn't but she quickly caught on). They called my friend Mrs. Mallard and they all had names—Nack, Mack, Quack, Pack...I can't remember which ones they were—and spent their time building nests in the sand and sliding down the slide water fountain and flying on the swings (on their stomachs). They had fun.

It was a good day. I just wish it were a little sunnier out.

Now to make dinner and tidy up the office...

Oh, my friend posted a funny card from, which I found hilarious: - Why do they want dinner every single night?

I reshared it on facebook and my cousin-in-law Lindsey commented, "And can you believe that they actually want to [be] bathed too? Gosh, such selfish behavior!"

Speaking of realism...I only bathe my kids once or twice a week. I can't even imagine getting them in the tub and through a bath before bed every single night. Sometimes I like to think of it as my own little act of water conservation...

  1. We had a picnic at the overcast park as well today. It was SUPPOSED to be super nice and sunny. Oh, well.
    And think of baths twice a week as a way to save their skin, too. They don't get as dried out that way. Yet another reason. :)

  2. That is the reason my mom always states for not bathing kids everyday, too! :) It's a great reason. And kids just don't get as oily as grown ups so bathing them more frequently isn't necessary, in my opinion. If they're too dirty to put to bed we pull out a washcloth.

    I'm glad you got to the park—it was still beautiful...just not as sunny as I hoped. But I still got sunburned...but I think that's just because I've been cooped up for winter far too long.

    I hope you're holding up well with your husband gone—and I have to admit that those pictures of Andrew with our girls brought tears to my eyes, too, since I looked at them for the first time after he'd left again. I also blamed the tears on pregnancy. :)


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Welcome to Comox Valley Farmers' Market. We are a year round market comprised of your friends & neighbors. We strive to offer you the freshest & most delicious bounty grown or produced right here in the fertile Comox Valley. Please come & fill your basket at our market where you will find beautiful produce from our gardens, locally made artisanal foods that reflect the diverse heritage of our members, excellent fresh-baked breads & pastries, fish from local fishers, tender lamb; beef; goat & pork fed on valley grains & grasses.

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A trusted non-profit guide to mental health and well-being

Help for Adult ADD / ADHD

Tips for Managing Symptoms and Getting Focused

Adult ADD / ADHD Self-Help In This Article

If you have ADD/ADHD, everything from paying the bills on time to keeping up with work, family, and social demands can seem overwhelming. But it’s possible to get focused and turn chaos into calm. By taking advantage of self-help techniques, you can become more productive, organized, and in control of your life—and improve your sense of self-worth.

Managing adult ADD / ADHD: What you need to know

Adult ADD/ADHD can present challenges across all areas of life, from getting organized at home to reaching your potential at work. It can be tough on your health and both your personal and on-the-job relationships. Your symptoms may lead to extreme procrastination, trouble making deadlines, and impulsive behavior. In addition, you may feel that friends and family don’t understand what you’re up against.

Fortunately, there are skills you can learn to help get your symptoms of ADD/ADHD under control. You can improve your daily habits, learn to recognize and use your strengths, and develop techniques that help you work more efficiently, increase organization, and interact better with others. Change won’t happen overnight, though. These ADD/ADHD self-help strategies require practice, patience, and, perhaps most importantly, a positive attitude.

Adult ADD / ADHD self-help myths

You may be holding onto misconceptions about how much you can help yourself with adult ADD/ADHD.

MYTH: Medication is the only way to solve my ADD/ADHD.

  • FACT: While medication can help some people manage the symptoms ADD/ADHD, it is not a cure, nor the only solution. If used at all, it should be taken alongside other treatments or self-help strategies.

MYTH: Having ADD/ADHD means I’m lazy or unintelligent, so I won’t be able to help myself.

  • FACT: The effects of ADD/ADHD may have led to you and others labeling you this way, but the truth is that you are not unmotivated or unintelligent—you have a disorder that gets in the way of certain normal functions. In fact, adults with ADD/ADHD often have to find very smart ways to compensate for their disorder.

MYTH: A health professional can solve all my ADD/ADHD problems.

  • FACT: Health professionals can help you manage symptoms of ADD/ADHD, but they can only do so much. You’re the one living with the problems, so you’re the one who can make the most difference in overcoming them.

MYTH: ADD/ADHD is a life sentence—I’ll always suffer from its symptoms.

  • FACT: While it is true that there is no cure for ADD/ADHD, there is a lot you can do to reduce the problems it causes. Once you become accustomed to using strategies to help yourself, you may find that managing your symptoms becomes second nature.

Adult ADD/ADHD self-help: Tips for getting organized and controlling clutter

The hallmark traits of ADD/ADHD—inattention and distractibility—make organization perhaps the biggest challenge adults with the disorder face. If you have adult ADD/ADHD, the prospect of getting organized, whether it be at work or home, may leave you feeling overwhelmed.

However, you can learn to break tasks down into smaller steps and follow a systematic approach to organization. By implementing various structures and routines, and taking advantage of tools such as daily planners and reminders, you can maintain organization and control clutter.

Develop structure and neat habits—and keep them up

To organize a room, home, or office, categorize your objects, deciding which are necessary and which can be stored or discarded. To organize yourself, get in the habit of taking notes and writing lists. Maintain your newly organized structure with regular, daily routines.

  • Create space. Ask yourself what you need on a daily basis, and find storage bins or closets for things you don’t. Designate specific areas for things like keys, bills, and other items that can be easily misplaced. Throw away things you don’t need.
  • Use a calendar app or day planner. Effective use of a day planner or a calendar on your smartphone or computer can help you remember appointments and deadlines. With electronic calendars, you can also set up automatic reminders so scheduled events don’t slip your mind.
  • Use lists. Make use of lists and notes to keep track of regularly scheduled tasks, projects, deadlines, and appointments. If you decide to use a daily planner, keep all lists and notes inside it. You also have many options for use on your smartphone or computer. Search for “to do” apps or task managers.
  • Deal with it now. You can avoid forgetfulness, clutter, and procrastination by filing papers, cleaning up messes, or returning phone calls immediately, not sometime in the future. If a task can be done in two minutes or less, do it on the spot, rather than putting it off for later.

Tame your ADD/ADHD paper trail

If you have adult ADD / ADHD, a major part of your disorganization might be with paperwork—in endless piles or strewn across your kitchen, desk, or office. Take an afternoon to set up a paperwork system that works for you.

  • Set up a filing system. Use dividers or separate file folders for different types of documents (such as medical records, receipts, and income statements). Label and color-code your files so that you can find what you need quickly.
  • Deal with mail on a daily basis. Set aside a few minutes each day to deal with the mail, preferably as soon as you bring it inside. It helps to have a designated spot where you can sort the mail and either trash it, file it, or act on it.
  • Go paperless. Minimize the amount of paper you have to deal with. Request electronic statements and bills instead of paper copies. You can also reduce junk mail by opting out of the Direct Marketing Association's (DMA) Mail Preference Service.

Adult ADD / ADHD self-help: Managing your time and staying on schedule

Trouble with time management is a common effect of adult ADD/ADHD. You may frequently lose track of time, miss deadlines, procrastinate, underestimate how much time you need for tasks, or find yourself doing things in the wrong order. Many adults with ADD/ADHD spend so much time on one task—known as “hyperfocusing”—that nothing else gets done. These difficulties can leave you feeling frustrated and inept, and make others impatient, but there are solutions to help you better manage your time.

Time management tips for adult ADD/ADHD

Adults with attention deficit disorder often have a different perception of how time passes. To align your sense of time with everyone else, use the oldest trick in the book: a clock.

  • Become a clock-watcher. Use a wristwatch or highly visible wall or desk clock to help you keep track of time. When you start a task, make a note of the time by saying it out loud or writing it down.
  • Use timers. Allot yourself limited amounts of time for each task and use a timer or alarm to alert you when your time is up. For longer tasks, consider setting an alarm to go off at regular intervals to keep you productive and aware of how much time is going by.
  • Give yourself more time than you think you need. Adults with ADD/ADHD are notoriously bad at estimating how long it will take to do something. For every thirty minutes of time you think it will take you to get someplace or complete a task, give yourself a cushion by adding ten minutes.
  • Plan to be early and set up reminders. Write down appointments for fifteen minutes earlier than they really are. Set up reminders to ensure you leave on time and make sure you have everything you need ahead of time so you’re not frantically looking for your keys or phone when it’s time to go.

Prioritization tips for adult ADD/ADHD

Because adults with ADD/ADHD often struggle with impulse control and jump from one subject to another, completing tasks can be difficult and large projects can seem overwhelming. To overcome this:

  • Decide what’s first. Ask yourself what is the most important task you need to accomplish, and then order your other tasks after that one.
  • Take things one at a time. Break down large projects or tasks into smaller, manageable steps.
  • Stay on task. Avoid getting sidetracked by sticking to your schedule, using a timer to enforce it if necessary

Learn to say no

Impulsiveness can lead adults with ADD/ADHD to agree to too many projects at work or make too many social engagements. But a jam-packed schedule can leave you feeling overwhelmed, overtired, and affect the quality of your work. Turning things down may improve your ability to accomplish tasks, keep social dates, and live a healthier lifestyle. Check your schedule first before committing to something new.

Adult ADD / ADHD self-help: Managing money and bills

Money management requires budgeting, planning, and organization, so for many adults with ADD/ADHD, it can be a true challenge. Many common systems of money management don’t tend to work for adults with ADD/ADHD because they require too much time, too much paper, and too much attention to detail. But if you create your own system that is both simple and consistent, you can get on top of your finances and put a stop to overspending, overdue bills, and penalties for missed deadlines.

Get in the driver’s seat to control your budget

An honest assessment of your financial situation is the first step to getting budgeting under control. Start by keeping track of every expense, no matter how small, for a month (yes, thirty days). This will allow you to effectively analyze where your money is going. You may be surprised how much you’re spending on unnecessary items and impulse purchases. You can then use this snapshot of your spending habits to create a monthly budget based on your income and needs.

Figure out what you can do to avoid straying from your budget. For example, if you’re spending too much at restaurants, you can make an eating-in plan and factor in time for grocery shopping and meal preparation.

Set up a simple money management and bill paying system

Establish an easy, organized system that helps you save documents, receipts, and stay on top of bills. For an adult with ADD/ADHD, the opportunity to do banking on the computer can be the gift that keeps on giving. Organizing money online means less paperwork, no messy handwriting, and no misplaced slips.

  • Switch to online banking. Signing up for online banking can turn the hit-or-miss process of balancing your budget into a thing of the past. Your online account will list all deposits and payments, tracking your balance automatically, to the penny, every day. You can also set up automatic payments for your regular monthly bills and log on as needed to pay irregular and occasional ones. The best part: no misplaced envelopes or late fees.
  • Set up bill pay reminders. If you prefer not to set up automatic payments, you can still make the process of bill paying easier with electronic reminders. You may be able to set up text or email reminders through online banking or you can schedule them in your calendar app.
  • Take advantage of technology. Free services such as Mint and Manilla can help you keep track of your finances and accounts. Both services take some time to set up, but once you’ve linked your accounts they automatically update. Manilla consolidates your statements and bills from all of your accounts into one place. Mint tracks all of your bank account and credit card transactions, and also offers budgeting and other financial analysis tools. Both tools can make your financial life easier.

Put a stop to impulse shopping

Impulsivity from ADD/ADHD and shopping can be a very dangerous combination. It can put you in debt and make you feel guilty and ashamed. You can prevent impulsive buys with a few strategic tactics.

  • Shop with cash only—leave your checkbook and credit cards at home.
  • Cut up all but one credit card. When you shop, make a list of what you need and stick to it.
  • Use a calculator to keep a running total when shopping (hint: there’s one on your cell phone).
  • Stay away from places where you’re likely to spend too much money.
  • Throw away catalogs as they arrive.

Adult ADD / ADHD self-help: Tips for staying focused and productive at work

Tips for staying focused and productive at workADD/ADHD can create special challenges at work. The things you may find toughest—organization, completion of tasks, sitting still, listening quietly—are the very things you’re often asked to do all day long.

Juggling ADD/ADHD and a challenging job is no easy task, but by tailoring your workplace environment you can take advantage of your strong points while minimizing the negative impact of your ADD/ADHD symptoms.

Get organized at work

Organize your office, cubicle, or desk one manageable step at a time. Then use the following strategies to stay tidy and organized:

  • Set aside daily time for organization. Set aside 5 to 10 minutes a day to clear your desk and organize your paperwork. Experiment with storing things inside your desk or in bins so that they don’t clutter your workspace as unnecessary distractions.
  • Use colors and lists. Color-coding can be very useful to people with ADD/ADHD. Manage forgetfulness by writing everything down.
  • Prioritize. More important tasks should be done first. Set deadlines for everything, even if they are self-imposed.

End distractions

Let your workmates know you need to concentrate, and try the following techniques to minimize distractions:

  • Where you work matters. If you don’t have your own office, you may be able to take your work to an empty office or conference room. If you are in a lecture hall or conference, try sitting close to the speaker and away from people who chat mid-meeting.
  • Minimize external commotion. Face your desk towards a wall and keep your workplace free of clutter. To discourage interruptions, you could even hang a "Do Not Disturb" sign. If possible, let voicemail pick up your phone calls and return them later. If noise distracts you, consider noise-canceling headphones or a sound machine
  • Save big ideas for later. All those great concepts that keep popping into your head? Jot them down on paper for later consideration.

Stretch your attention span

As an adult with ADD/ADHD, you are capable of focusing—it's just that you may have a hard time keeping that focus, especially when the activity isn't one that you find particularly engaging. Boring meetings or lectures are hard on anyone, but for adults with ADD/ADHD they can be a special challenge. Similarly, following multiple directions can also be difficult for those with ADD/ADHD. Use these tips to improve your focus and ability to follow instructions:

  • Get it in writing. If you're attending a meeting, lecture, workshop, or another gathering that requires close attention, ask for an advance copy of the relevant materials—such as a meeting agenda or lecture outline. At the meeting, use the written notes to guide your active listening and note taking. Writing as you listen will help you stay focused on the speaker’s words.
  • Echo directions. After someone gives verbal instructions, say them aloud to be sure you got it right.
  • Move around. To prevent restlessness and fidgeting, go ahead and move around—at the appropriate times in the right places. As long as you are not disturbing others, taking a walk or even jumping up and down during a meeting break, for example, can help you pay attention later on.

Adult ADD/ADHD self-help: Tips for managing stress and boosting mood

Due to the impulsivity and disorganization that often accompany ADD/ADHD, you may struggle with erratic sleep, unhealthy eating, or the effects of too little exercise—all issues that can lead to extra stress, bad moods, and feeling out of control of your emotions. The best way to stop this cycle is to take charge of your lifestyle habits and create healthy new routines.

Eating well, getting plenty of sleep, and exercising regularly can help you stay calm, avoid mood swings, and in many cases fight the symptoms of anxiety and depression. Healthier habits can also reduce ADD/ADHD symptoms like inattention, hyperactivity, and distractibility, while regular routines can help your life feel more manageable.

Exercise and spend time outdoors for adult ADD/ADHD

Working out is perhaps the most positive and efficient way to reduce hyperactivity and inattention from ADD/ADHD. Exercise can relieve stress, boost your mood, and calm your mind, helping work off the excess energy and aggression that can get in the way of relationships and feeling stable.

  • Exercise on a daily basis.
  • Choose something vigorous and fun that you can stick with, like a team sport or working out with a friend.
  • Increase stress relief by exercising outdoors—people with ADD/ADHD often benefit from sunshine and green surroundings.
  • As well as relieving stress, relaxation exercise, such as meditation, yoga, or tai chi, can teach you to better control your attention and impulses.

Get plenty of sleep for adult ADD/ADHD

Sleep deprivation can increase symptoms of adult ADD/ADHD, reducing your ability to cope with stress and maintain focus during the day. Simple changes to daytime habits go a long way toward ensuring solid nightly sleep:

  • Avoid caffeine late in the day.
  • Exercise vigorously and regularly, but not within an hour of bedtime.
  • Create a predictable and quiet “bedtime” routine.
  • Take a hot shower or bath just before bed.
  • Stick to a regular sleep-wake schedule, even on weekends.

Eat right for adult ADD/ADHD

Eating healthfully can reduce distractibility, hyperactivity, and decrease stress levels dramatically.

  • Eat small meals throughout day.
  • Avoid sugar as much as possible.
  • Eat fewer carbohydrates, while increasing your protein intake.

More help for ADD/ADHD in children

ADD/ADHD Help Center: Find ways to stay focused, turn chaos into calm, and manage the symptoms of distraction, hyperactivity, and impulsivity.

Lifestyle changes for adult ADD / ADHD

Resources and references

Self-help tips and tools for adults with ADD / ADHD

Seven Helpful Habits for ADDers – Article for adults with ADD/ADHD describes how to uncover your special talents and use them to achieve important goals. (ADDitude)

Managing Money (PDF) – Practical ADD/ADHD-specific tips on how to improve your money management skills, follow a budget, and stay on top of bills. (National Resource Center on AD/HD)

A Guide to Organizing the Home and Office (PDF) – Explains why adults with ADD/ADHD have trouble with organization how to improve organizational skills at the home and office how to stay organized. (National Resource Center on AD/HD)

Time Management: Learning to Use a Day Planner (PDF) – Tips for adults with ADD/ADHD on choosing the right day planner and using it for both short and long-term planning. (National Resource Center on AD/HD)

Adult ADHD: Free Printables – Explore and download free tip-filled handouts about managing adult ADD/ADHD. Includes information on getting organized, bringing bills under control, and staying focused. (ADDitude)

Adult ADD / ADHD in the workplace

Top Ten ADD Traps in the Workplace – Covers the top workplace stumbling blocks for people with ADD, and strategies for avoiding them, written by Dr. Kathleen Nadeau. (Attention Deficit Disorder Resources)

ADD at Work: Job Success with Adult ADD – Advice for getting organized and focused at work and maximizing your effectives. (ADDitude)

Succeeding in the Workplace (PDF) – An information-packed guide to succeeding at work despite adult ADD/ADHD. (National Resource Center on ADHD)

Adult ADD / ADHD and relationships

Interacting with Others: Tips for Adults with AD/HD – Learn how the symptoms of ADD/ADHD can result in social and relationship issues and find out how to improve those interactions. For the complete guide, see Social Skills in Adults. (National Resource Center on ADHD)

Finding support for adult ADD / ADHD

Find Local CHADD Chapters – Searchable directory of support groups that focus on both children and adults with ADD/ADHD (Children and Adults with Attention Deficit Hyperactivity Disorder)

What other readers are saying

“For a few months now I have suspected that I have ADHD. My child has it and I started seeing that I had a lot of the problems he's having now. I have read the article and taken notes, made a report of my symptoms to take to my doctor so I don’t forget anything. I felt like I was reading a report about myself. For so long now I have thought I was a bad person. I hated myself. Not anymore. It’s such a relief knowing what I have and that there is treatment for it.” ~ Florida

“Great advice. Quite a confidence boost as well. I was diagnosed with ADHD at 6. Now 24 . . . If only everyone knew these things!” ~ United Kingdom

“This is probably the most comprehensive website on the subject of Adult ADD I have ever read. I just wanted to thank you and let you know that it was very helpful. I am in the process of getting diagnosed at 52 years of age. My physician does not believe in Adult ADD, so I'm out on my own. I've been compensating all my life — wish I'd found your website a lifetime ago.” ~ Delaware

“Thanks to the website I actually got organized and did some jobs and exercised. I do feel good in myself tonight.” ~ United Kingdom

Authors: Robert Segal, M.A., and Melinda Smith, M.A. Last updated: August 2015.


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HelpMeFind Roses, Clematis and Peonies
Roses, Clematis and Peonies
and everything gardening related.
ProfilePlants  BredPlants DiscoveredPhotosComments
Warriner, William A.

We do not have ANY photos of this Breeder!

If you have an appropriate photo, please share it with HelpMeFind - see the UPLOAD PHOTO button on the Photos tab.

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Rose breeder   Listing last updated on 13 Sep 2013.
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[From Cut-flower Roses, by Rayford Reddell, p. 95:] Bill Warriner [is Reddell's] all-time favorite (so far) hybridizer...

[From Botanica's Roses, p. 117:] Bill Warriner, who died in 1991 at the age of 69, is credited with the raising of well over 150 varieties during his 25 years with the Jackson & Perkins company.

[From Modern Roses 10, p. 738:] William A. Warriner, Tustin, California.

1974 The Rose Annual, UK.
p67. Nigel Raban. The Men Behind the New Roses. William Warriner.

© 2015


text:
Discrete Components

Despite the expansion of any number of integrated circuits, there is always a need for supporting discrete packages. As with almost all semiconductor devices, environmental protection is mostly afforded by epoxy-based mold compounds. Depending on the component, internal die placement is generally with a solder or silver die attach material, with non-conductive pastes also being used in selected areas.

Discrete components form the largest number of components in any electrical or electronic application.

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Snohomish County Career Fair - September 10
The Herald of Everett, Washington
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Death at jail ruled a homicide

Everett man died of heart problems after a struggle with jail staff

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By Rikki King
Herald Writer
  • Bill Williams, 59, of Everett died in September at the Snohomish County Jail.

    Courtesy of KIRO- TV

    Bill Williams, 59, of Everett died in September at the Snohomish County Jail.

EVERETT -- The death of a man at the Snohomish County Jail in September has been ruled a homicide.
Bill Williams, 59, of Everett, died from heart problems after a physical struggle with jail staff, the Snohomish County Medical Examiner's Office said Thursday.
Williams had been shocked twice with a stun gun just minutes before he died Sept. 14, according to police.
His death has been under investigation by the Snohomish County Multiple Agency Response Team, a cadre of homicide detectives who handle officer-involved deaths.
Homicide is a medical term that means a person died as a result of another's actions. It is up to police and prosecutors to decide whether those actions may constitute a crime, such as manslaughter or murder, or were legally justified.
SMART spokesman and Everett police officer Aaron Snell wasn't immediately available for comment Thursday evening.
Police officials last week said the case remained under active investigation. Completed SMART cases typically are reviewed by prosecutors to determine whether charges should be filed.
Williams, who had long struggled with mental illness, reportedly got into a confrontation with jail staff that night. He'd been booked by Everett police for investigation of theft.
Williams was booked into jail at 10:17 p.m. Police said he was combative. He was shocked twice with "little result," Snell said at the time.
Williams then was placed into an isolation cell. At 10:34 p.m., he was found in medical distress. Jail staff summoned medics and began resuscitation efforts.
Williams spent much of his life in Skagit County but moved to Everett in recent years, where he was receiving services, according to his family. He had suffered from bipolar disorder and schizophrenic episodes since his 20s.
Williams had good years in his life but also could lose touch with reality, his family said.
His relatives still are trying to get through everything that's happened, his daughter, Trina Blau, told The Herald on Thursday.
They're hopeful people will pay more attention to mental illness, and find ways to prevent additional deaths, she said.
"He was a good person who just had issues with mental illness," she said.
They learned of the medical examiner's ruling on the cause and manner of Williams' death in recent days.
"Our family is just trying to absorb the news," Blau said. "We knew in our hearts that was the case as soon as we got the call that morning. Right now, we're processing through it."
Williams' funeral was held in October at the Port Susan Chapel in Tulalip, she said. About 50 people attended.
"That was one of his favorite places," she said. "It was a really nice service."
Rikki King: 425-339-3449;
Story tags » EverettCrimePolice

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Snohomish County Career Fair - September 10
The Herald of Everett, Washington
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Glacier Peak off to Tacoma

'Visiting' Grizzlies build big lead, hold off Enumclaw in fourth quarter

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  • Glacier Peak's Taylor Baird (10) shoots over Enumclaw's Danielle Saltarelli (22) during their Hardwood Classic 3A regional game Friday at Glacier Peak...

    Genna Martin / The Herald

    Glacier Peak's Taylor Baird (10) shoots over Enumclaw's Danielle Saltarelli (22) during their Hardwood Classic 3A regional game Friday at Glacier Peak High School. The Grizzlies won 47-40.

SNOHOMISH -- Technically, the Glacier Peak girls basketball team was a guest in its own gymnasium Friday night.
Enumclaw came into the 3A state tournament regional game, played at Glacier Peak High School, as the a higher seed and was listed as the home team, not that it mattered. The "visiting" Grizzlies made sure the Hornets didn't feel welcome, beating Enumclaw 47-40 to advance to the round of eight Thursday at the Tacoma Dome.
"It was a little bit different," Glacier Peak head coach Brian Hill said of the "away" designation. "We sure had a great crowd. These regionals games are fun. There's a lot of pressure on everybody."
Glacier Peak ensured its season would continue with some big 3-point shots and its signature defense, which held up when it needed to at the end of the game. Enumclaw outscored Glacier Peak 14-8 in the final quarter.
But by the time the Hornets made their push in the final eight minutes, Grizzlies held a comfortable 13-point lead, built on some clutch long-range shots by Sophia Gaffney and Kianna Garner in the third quarter.
"We made some big shots," Hill said. "We had some open 3's and we made them."
Gaffney and Garner both finished with nine points apiece -- all coming on 3-pointers. Nicole Fausey led a balanced Glacier Peak scoring attack with 10 points.
"We're pretty balanced. We're a tough team," Hill said. "Who are you going to stop? We have a lot of talent. Lots of weapons."
Fausey was one of those weapons. The 6-foot-4 post stood five inches taller than anybody on the Enumclaw roster and the Grizzlies took advantage of her height, both offensively and defensively, The junior had five blocked shots to go along with her 10 points.
"We were trying to pound it in on them," Hill said. "Stretch where Nicole scored twice in a row. Our post play definitely helps in games like today."
Glacier Peak (18-6 overall) had a 39-26 lead at the end of the third quarter but Enumclaw (19-7) opened up the fourth with a 6-0 run. The Grizzlies countered with a 6-2 run of their own, punctuated by Fausey's back-to-back baskets under the rim.
The Hornets continued to attack, causing Glacier Peak to foul and put Enumclaw in the bonus with 2:47 to play in the game. Enumclaw was 10-for-11 from the free throw line in the second half of the game.
"I kind of got on them a little," Hill said of the final minutes. "The losers are going home. You've got to close out. It's not over. You have to keep going."
The victory sends Glacier Peak to the Tacoma Dome for the second time in the past three years. The Grizzlies lost to Lakeside 48-38 in last year's regionals.
Glacier Peak will find out its next opponent after a draw on Sunday.
"It's not as easy as everyone thinks it is (to get to Tacoma)," Hill said with a smile. "Anytime you have the opportunity to get to the Tacoma Dome, it's special. Only eight teams make it there."
The Grizzlies ended the 2012-2013 season for Enumclaw, a team with which Glacier Peak was familiar. The two schools attended a camp at Gonzaga three years ago. Hill always finds a school to "buddy up" with, and at that particular camp, Enumclaw was that school.
"It was nice to reconnect a bit," Hill said. "? What a great team. They came in here with a lot of heart."
Enumclaw senior Julia Myers scored a game-high 19 points and grabbed eight rebounds before fouling out with 1:36 reamaining in the game.
"I'm glad (this game is) over. I'm glad we still got another week," Hill said. "Enumclaw is a great team. (Myers) what a fantastic game she had. She played hard and came at us. Someone's season had to end tonight."
At Glacier Peak H.S.
Glacier Peak 13 12 14 8 -- 47
Enumclaw 6 12 8 14 -- 40
Glacier Peak–Taylor Baird 4, Nicole Fausey 10, Sophia Gaffney 9, Kianna Garner 9, Victoria Goudreau 0, Sawyer Manning 0, Sadie Mensing 4, India Smith 6, Sarah Smith 2, Allie Weathersby 3. Enumclaw–Kimmy Aubert 2, Hannah Calvert 3, Katie Carlson 0, Tallie Carlson 0, Samantha Engebretsen 0, Katie Holland 8, Nadine Huff 2, Julia Myers 19, Noelle Putman 0, Calli Remitz 0, Danielle Saltarelli 1, Jessica Snoen 5. 3-point goals–Gaffney 3, Garner 3, Myers 1, H. Calvert 1, Snoen 1. Records–Glacier Peak 18-6 overall. Enumclaw 19-7.

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TV cooking show films in York County

U.K.-based show follows history of Scots-Irish Americans

Crew filmed at several locations in York County this weekend

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Preparing for a feast to mark Orthodox Christmas

January 7, 2013

STEUBENVILLE — A warm fire and the camaraderie of men preparing a Christmas feast were evident as soon as the visitor walked up to the large barbecue pit where three pigs and a number of chickens......

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Jan-08-13 6:09 AM

Meery Christmas too all of our orthodox friends. May God bless you all during this season and in the new year.

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Jan-07-13 1:22 PM

That is your front page? Pigs roasting pigs. How about talking about the rape and the cover up story. Your newspaper is a joke.

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