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Zika and colombia

Llorenç Quintó, Alberto L García-Basteiro, Azucena Bardají, Raquel González, Norma Padilla, Flor E Martinez-Espinosa, Myriam Arévalo-Herrera, Eusébio Macete, Clara Menéndez
The present article examines the impact of the current limitations of the microcephaly definition in the context of the Zika virus outbreak. It highlights its dependence on the method used for determining gestational age and other anthropometric parameters, and includes original results of prevalence of microcephaly in four countries from two different continents (Mozambique, Brazil, Guatemala and Colombia). Alternative definitions of microcephaly are proposed to allow the identification of true cases of microcephaly in a more accurate manner...
March 10, 2017: Journal of Tropical Pediatrics
Daihai He, Daozhou Gao, Yijun Lou, Shi Zhao, Shigui Ruan
Zika virus (ZIKV) disease outbreaks occurred in French Polynesia in 2013-2014 and in Brazil and Colombia in 2015-2016, respectively. Using our recently developed ZIKV disease model, we simulated the reported ZIKV infection cases from French Polynesia, Colombia and the State of Bahia of Brazil. Moreover, we estimated that the infection attack rates were 78.0% (95% confidence interval (CI): 63.5-86.3%) in French Polynesia which closely matches a previous serological study; 20.8% (95% CI: 1.1-50.0%) in Colombia which suggests that the attack rate was most likely less than 50%; and 32...
March 21, 2017: Scientific Reports
Jorge Acosta-Reyes, Edgar Navarro, Maria José Herrera, Eloina Goenaga, Martha L Ospina, Edgar Parra, Marcela Mercado, Pablo Chaparro, Mauricio Beltran, Maria Luz Gunturiz, Lissethe Pardo, Catalina Valencia, Sandra Huertas, Jorge Rodríguez, Germán Ruiz, Diana Valencia, Lisa B Haddad, Sarah C Tinker, Cynthia A Moore, Hernando Baquero
We report the results of pathologic examinations of 2 fetuses from women in Colombia with Zika virus infection during pregnancy that revealed severe central nervous system defects and potential associated abnormalities of the eye, spleen, and placenta. Amniotic fluid and tissues from multiple fetal organs tested positive for Zika virus.
June 15, 2017: Emerging Infectious Diseases
Misael Oviedo-Pastrana, Nelson Méndez, Salim Mattar, Germán Arrieta, Luty Gomezcaceres
BACKGROUND: The first autochthonous Chikungunya virus transmission in Colombia was reported in September 2014. Three months later, every town in the Caribbean region was affected, including the bordering towns of Ovejas and Corozal, in the department of Sucre. The objective of the study was to analyze and compare the temporal dynamics of the outbreak of Chikungunya in two towns of the department of Sucre. METHODS: Households with suspicious cases with clinical symptomatology for Chikungunya were enrolled...
2017: Archives of Public Health, Archives Belges de Santé Publique
Juan-Manuel Anaya, Yhojan Rodríguez, Diana M Monsalve, Daniel Vega, Ernesto Ojeda, Diana González-Bravo, Mónica Rodríguez-Jiménez, Carlos A Pinto-Díaz, Pablo Chaparro, María L Gunturiz, Aftab A Ansari, M Eric Gershwin, Nicolás Molano-González, Carolina Ramírez-Santana, Yeny Acosta-Ampudia
We have focused on the epidemiology and immunobiology of Zika virus (ZIKV) infection and factors associated with the development of Guillain-Barré syndrome (GBS) and other neurological syndromes in Cúcuta, the capital of North Santander department, Colombia. Data of patients with ZIKV disease reported to the national population-based surveillance system were used to calculate the basic reproduction number (R0) and the attack rates (ARs) as well as to develop epidemiological maps. Patients with neurological syndromes were contacted and their diagnoses were confirmed...
February 2017: Journal of Autoimmunity
Esther Liliana Cuevas, Van T Tong, Nathaly Rozo, Diana Valencia, Oscar Pacheco, Suzanne M Gilboa, Marcela Mercado, Christina M Renquist, Maritza González, Elizabeth C Ailes, Carolina Duarte, Valerie Godoshian, Christina L Sancken, Angelica Maria Rico Turca, Dinorah L Calles, Martha Ayala, Paula Morgan, Erika Natalia Tolosa Perez, Hernan Quijada Bonilla, Ruben Caceres Gomez, Ana Carolina Estupiñan, Maria Luz Gunturiz, Dana Meaney-Delman, Denise J Jamieson, Margaret A Honein, Martha Lucia Ospina Martínez
In Colombia, approximately 105,000 suspected cases of Zika virus disease (diagnosed based on clinical symptoms, regardless of laboratory confirmation) were reported during August 9, 2015-November 12, 2016, including nearly 20,000 in pregnant women (1,2). Zika virus infection during pregnancy is a known cause of microcephaly and serious congenital brain abnormalities and has been associated with other birth defects related to central nervous system damage (3). Colombia's Instituto Nacional de Salud (INS) maintains national surveillance for birth defects, including microcephaly and other central nervous system defects...
December 16, 2016: MMWR. Morbidity and Mortality Weekly Report
María Claudia Atencia, María De Jesús Pérez, María Cristina Jaramillo, Sandy Milena Caldera, Suljey Cochero, Eduar Elías Bejarano
The main strategy for the control of Aedes aegypti, vector of dengue, chikungunya and Zika viruses, is based on the use of insecticides to reduce its populations. However, their use has led to insect resistance to these chemicals. Objective: To determine the presence of the F1534C mutation associated with cross-resistance to DDT and pyrethroids in A. aegypti in Sincelejo, Colombia. Materials and methods: We studied nine specimens of A. aegypti that showed resistance to lambdacyhalothrin in bioassays developed by the Secretaría de Salud de Sucre...
September 1, 2016: Biomédica: Revista del Instituto Nacional de Salud
Sherry Towers, Fred Brauer, Carlos Castillo-Chavez, Andrew K I Falconar, Anuj Mubayi, Claudia M E Romero-Vivas
BACKGROUND: In 2015, the Zika arbovirus (ZIKV) began circulating in the Americas, rapidly expanding its global geographic range in explosive outbreaks. Unusual among mosquito-borne diseases, ZIKV has been shown to also be sexually transmitted, although sustained autochthonous transmission due to sexual transmission alone has not been observed, indicating the reproduction number (R0) for sexual transmission alone is less than 1. Critical to the assessment of outbreak risk, estimation of the potential attack rates, and assessment of control measures, are estimates of the basic reproduction number, R0...
December 2016: Epidemics
Marta Díaz-Menéndez, Fernando de la Calle-Prieto, Dolores Montero, Eugenia Antolín, Ana Vazquez, Marta Arsuaga, Elena Trigo, Silvia García-Bujalance, María de la Calle, Paz Sánchez Seco, Fernando de Ory, Jose Ramón Arribas
INTRODUCTION: A considerable increase of imported Zika virus (ZIKV) infection has been reported in Europe in the last year. This is the result of the large outbreak of the disease in the Americas, along with the increase in the numbers of travellers and immigrants arriving from ZIKV endemic areas. METHODS: A descriptive study was conducted in the Tropical Medicine Unit of Hospital La Paz-Carlos III in Madrid on travellers returning from an endemic area for ZIKV from January to April 2016...
October 12, 2016: Enfermedades Infecciosas y Microbiología Clínica
Alfonso J Rodriguez-Morales, Maria Leonor Galindo-Marquez, Carlos Julian García-Loaiza, Juan Alejandro Sabogal-Roman, Santiago Marin-Loaiza, Andrés F Ayala, Guillermo J Lagos-Grisales, Carlos O Lozada-Riascos, Esteban Parra-Valencia, Jorge H Rojas-Palacios, Eduardo López, Pío López, Martin P Grobusch
OBJECTIVE: Geographical information systems (GIS) use for development of epidemiological maps in tropical diseases is increasingly frequently utilized. Here, we apply this technique to map the current Zika virus (ZIKV) outbreak in Colombia. METHODS: Surveillance cases data of the ongoing epidemic of ZIKV in Valle del Cauca department and its capital, Cali (2015-2016), were used to estimate cumulated incidence rates (cases/100,000 population) to develop the first maps in the department and it municipalities...
February 2017: Infection
Beatriz Parra, Jairo Lizarazo, Jorge A Jiménez-Arango, Andrés F Zea-Vera, Guillermo González-Manrique, José Vargas, Jorge A Angarita, Gonzalo Zuñiga, Reydmar Lopez-Gonzalez, Cindy L Beltran, Karen H Rizcala, Maria T Morales, Oscar Pacheco, Martha L Ospina, Anupama Kumar, David R Cornblath, Laura S Muñoz, Lyda Osorio, Paula Barreras, Carlos A Pardo
Background Zika virus (ZIKV) infection has been linked to the Guillain-Barré syndrome. From November 2015 through March 2016, clusters of cases of the Guillain-Barré syndrome were observed during the outbreak of ZIKV infection in Colombia. We characterized the clinical features of cases of Guillain-Barré syndrome in the context of this ZIKV infection outbreak and investigated their relationship with ZIKV infection. Methods A total of 68 patients with the Guillain-Barré syndrome at six Colombian hospitals were evaluated clinically, and virologic studies were completed for 42 of the patients...
October 20, 2016: New England Journal of Medicine
Jorge Enrique Machado-Alba, Manuel E Machado-Duque, Andrés Gaviria-Mendoza, Viviana Orozco-Giraldo
No abstract text is available yet for this article.
October 2016: International Journal of Infectious Diseases: IJID
Freddy Ruiz-López, Ana González-Mazo, Andrés Vélez-Mira, Giovan F Gómez, Luisa Zuleta, Sandra Uribe, Iván Darío Vélez-Bernal
INTRODUCTION: Aedes aegypti is the main vector of urban yellow fever, dengue, chikungunya and Zika viruses. The biogeographical distribution of this species has expanded due to global warming, and socioeconomic and cultural factors. The changes in the altitudinal distribution patterns of this vector and its natural infection are priority fields of research to develop entomological, virological and public health surveillance strategies.  OBJECTIVE: To evaluate the presence of A...
June 3, 2016: Biomédica: Revista del Instituto Nacional de Salud
Arturo Arias, Lilian Torres-Tobar, Gualberto Hernández, Deyanira Paipilla, Eduardo Palacios, Yahaira Torres, Julian Duran, Sebastian Ugarte U, Adriana Ardila-Sierra, Gabriel Castellanos
PURPOSE: Zika virus (ZIKV) infection is an emerging global threat and a public health problem in the Americas. Guillain-Barré syndrome (GBS) has been recently associated to ZIKV. This report presents a case series of GBS possibly associated to ZIKV. METHODS: Clinical and demographic data from patients with GBS treated in 5 intensive care units and with recent history of ZIKV in Cúcuta, Colombia were collected from December 1 2015 to April 30 2016. Electrophysiological examination, lumbar puncture, and reverse transcriptase-polymerase chain reaction for ZIKV were performed in 14, 10, and 1 patients, respectively...
February 2017: Journal of Critical Care
Patrice Bourée
Zika virus is a flavivirus isolated in non human primates in 1647, then in humans 1954 (Uganda). It emerged on Micronesia (island af Yap) in 2007, then in French Polynesia in 2013-2014, in South America (mostly in Brazil and Colombia) in 2015 and in French West Indies in 2016. It is transmitted by the bite of Aedes mosquitoes. Zika virus infection is symptomatic in only 20% of cases and clinical presentation is associated with mild illness. But several neurological complications are reported (as Guillain-Barré syndrome: 48 cases in French Polynesia) and congenital malformations (microcephaly)...
June 2016: La Revue du Praticien
Wilmer E Villamil-Gómez, Alfonso J Rodríguez-Morales, Ana María Uribe-García, Edgardo González-Arismendy, Jaime E Castellanos, Eliana P Calvo, Melchor Álvarez-Mon, Didier Musso
The clinical findings of a pregnant woman from Colombia with a triple co-infection caused by dengue, chikungunya, and Zika viruses are described. Weekly obstetric ultrasounds from 14.6 to 29 weeks of gestation were normal. She remains under follow-up and management according to the standard guidelines for the management of Zika virus-infected pregnant women.
October 2016: International Journal of Infectious Diseases: IJID
Joan A Caylà, Ángela Domínguez, Elena Rodríguez Valín, Fernando de Ory, Ana Vázquez, Claudia Fortuny
Infection with Zika virus (ZV) has become a new epidemic, with great impact on the media, and is having a strong effect in Latin American countries. Its possible association with microcephaly and Guillain-Barré syndrome prompted the World Health Organization (WHO) to declare on 1 February 2016 that this epidemic is a public health emergency of international concern. Epidemiological data show an increasing incidence in countries like Brazil and Colombia, and that the epidemic is still expanding in many other countries...
November 2016: Gaceta Sanitaria
Tulin Demir, Selcuk Kilic
Zika virus (ZIKV) is a single-stranded RNA virus in the Flaviviridae family and transmitted to human through infected mosquitos (Aedes aegypti and Aedes albopictus). Virus is closely related with other flaviviruses; dengue virus, yellow fever virus, West Nile virus, and Japanese encephalitis virus phylogenetically. Due to the possible relationship between virus and clinical features including microcephaly, ventricule, and eye deformities, Guillain-Barre syndrome increases the interest on this virus gradually...
November 2016: Folia Microbiologica
Martial L Ndeffo-Mbah, Alyssa S Parpia, Alison P Galvani
Background: Because of the risk for Zika virus infection in the Americas and the links between infection and microcephaly, other serious neurologic conditions, and fetal death, health ministries across the region have advised women to delay pregnancy. However, the effectiveness of this policy in reducing prenatal Zika virus infection has yet to be quantified. Objective: To evaluate the effectiveness of pregnancy-delay policies on the incidence and prevalence of prenatal Zika virus infection...
October 18, 2016: Annals of Internal Medicine
Diana Patricia Rojas, Natalie E Dean, Yang Yang, Eben Kenah, Juliana Quintero, Simon Tomasi, Erika Lorena Ramirez, Yendi Kelly, Carolina Castro, Gabriel Carrasquilla, M Elizabeth Halloran, Ira M Longini
Transmission of Zika virus (ZIKV) was first detected in Colombia in September 2015. As of April 2016, Colombia had reported over 65,000 cases of Zika virus disease (ZVD). We analysed daily surveillance data of ZVD cases reported to the health authorities of San Andres and Girardot, Colombia, between September 2015 and January 2016. ZVD was laboratory-confirmed by reverse transcription-polymerase chain reaction (RT-PCR) in the serum of acute cases within five days of symptom onset. We use daily incidence data to estimate the basic reproductive number (R0) in each population...
July 14, 2016: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
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Smell from donor site of gum graft?

I had a gum graft 3 days ago. Doctor put a piece of collagen on the donor site on my palate, and I have been wearing a plastic retainer, made by the doctor's office, to protect it. The site appears to be healing well and pain is minimal- but it smells horrible, kind of a rotten meat odor, and has a foul taste. Is this normal?

Doctor Answers 1

Gum graft healing

Fishy smell after surgery, bad taste in the mouth could be indication of infection

Usually this could be treated in early stages by taking a stronger antibiotic

If left untreated and infection worsens,  the graft will need to be taken out or might even slough off by itself.

Toronto Periodontist
5.0 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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This is my third rhinoplasty, took a cartilage from ear to make my nose look straighter (Photo)

and use a part from it in my right nostrils today i complete 10 days and i know still too early to judge but i can see that i have small bump and the nostrils are asymmetric. therefore, i dont like my left nostril but the surgeon said we cant make it bigger, the only option is to make the right side similar to it which never happened .1. Bump will disappear ?2. the nostrils will improve .3. how long needs to take for the cartilage to take its place .

Doctor Answers 2

Implants and Revision Rhinoplasty

When we use implants whether it is man made or your cartilage, it takes time for your body to go through the healing process. I would wait a year before you can fully evaluate your results.

Atlanta Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Perfect nose

It is almost impossible to achieve a perfect nose.  The small abnormalities or asymmetries that you notice can cannot be completely corrected in some cases.Most minor changes settle down with time as the healing continues.  You should give it more time.

Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 105 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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Extra Skin Above Belly Button?

I had a tummy tuck 5 weeks ago and wanted a full tuck but the doctor did a mini.. Anyway, I still have scar and skin above my belly button. I am thrilled with the scar tissue and recover etc but I am really not happy about the belly button area. The surgeon says there is nothing that can be done but I wondered if there actually was?

Doctor Answers 5

Excess skin above belly button after a mini-tuck

is quite common but it really depends on whether your belly button was released and pulled down or transposed or whether it was simply pulled down, remaining attached to your abdominal wall.  Regardless, if it remains a major issue, you do have options ranging from a reverse tummy tuck (scars under your breasts) to a re-do tummy tuck.  If the problem isn't excessive and your skin quality is good, perhaps liposuction could be considered but whatever plan is suggested will require a physical exam.  So the answer is things can always be done but it will cost more too.

Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

MiniTummy Tuck Converted to a Full Tummy Tuck

    I perform very few minitummy tucks as very few women qualify.  In addition, I can usually remove about three times as much skin with a short scar tummy tuck, which has the same length scar as a minitummy tuck.  These minitummy tucks can usually be converted to full tummy tucks, but you would have to be examined.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 483 reviews

Extra Skin Above Belly Button #tummytuck

I think that few patients qualify for a mini tummy tuck. I limit this operation to the patient who has only loose skin below the belly button but who has a perfect abdomen above the belly button. Most patients shy away from having the larger scar, and the result of not relocating the belly button and lifting all of the abdominal skin is the residual skin above the belly button that you describe. I would need to see your pictures so you should post them if you want the best opinion from us, but if you have extra skin above the belly button that hangs down over the belly button the only thing I know to do for that is a full tummy tuck. This allows for the belly button to be relocated and the excess skin above the belly button to be pulled tight. There is no procedure that I am aware of that can tighten up that skin above the belly button. Again, not having pictures really limits my ability to give you the best advice.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 49 reviews

Loose upper abdomen after mini tummy tuck

A mini tummy tuck usually has no effect on the upper abdomen because the belly button is not moved. Its not clear why you had a procedure that you didnt want. If you had a disagreement on the treatment plan with your surgeon, perhaps it would have been best to get a second opinion. Hopefully your surgeon explained what the mini would accomplish and what it wouldnt accomplish. At this point, the only thing that may work is a full tummy tuck. Without photos, its impossible to give you advice specific to your case. Best of luck.

Paul Wigoda, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Extra Skin Above Belly Button?

This really cannot be answered without photos. Pre-ops would be helpful, but current photos essential to comment on the possibilities for improvement.

Please consider reposting your question with those pictures. All the best.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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Will Steroid Injections Help with Swelling 1 Year Post-Op Rhinoplasty?

I had rhinoplasty 12 months ago . I had quite a complex revision with fascia graft and rib grafting . The Dr placed fascia graft all over my nose , not just in areas where there was irregularities . My problem now is that my nose feels very "spongy" to touch and I think there is edema . My nose appears very puffy and wide !!! Will steroid injections help bring this down ???

Doctor Answers 4

Steroid Injections 1 Year Post-Op Rhinoplasty

It is very difficult to answer your question without examining you or at least seeing your pictures - for complex revisions swelling is still present at 1 year

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 218 reviews

Steroid injections may be helpful 1 year after Rhinoplasty Surgery, depending on your condition.

It sounds like you had an intricate, complex revision rhinoplasty surgery, and swelling may still be present 12 months post-op. In my experience, persistent swelling may reside just above your tip, and dilute triamcinolone acetonide injections may be helpful. You should consult your revision rhinoplasty surgeon for specific advice about your nose.

Hope this is helpful.

Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 413 reviews

Will Steroid Injections Help with Swelling 1 Year Post-Op Rhinoplasty?

 IMHO, you really need to have this discussion with your Rhinoplasty Surgeon after such a complicated Revision Rhinoplasty.  He/she's the only one that knows what was done to your nose.  Everyone else is just guessing.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Steroid injections to the nose for swelling may help even after a year.

I think steroid injections are overused by many doctors who do rhinoplasty.  I use them, but only occasionally.  With the complexity of the work done on your nose, swelling at a year is not unexpected.  Steroids might be of benefit but I am not suggesting that your surgeon should necessarily use them.  Discuss the issue with the surgeon.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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Bye Bye Bags - San Antonio, TX

I inherited great hair and great big bags from my...

I inherited great hair and great big bags from my father. I've been wanting to do something about the bags since my 20's. I turned 48 last month and I decided it was time. I did a lot of research on this site, interviewed Dr. Young, who has a good reputation, and scheduled the date for 7/10. I don't know if I can change ratings after I post, so I'm putting all high ratings. So far so good and I think staying positive about the outcome will help.

My doc gave me vitanins, bromelain and arnica tablets to take 10 days before the operation. I was also instructed to only take Tylenol for pain (which is useless to me, oh well). I didn't get my surgery time until the night before. A nurse called and went over the list of what to do pretty fast. I missed wash your hair the night before and don't wear any hair products. I didn't wash my hair and had to brush out the mousse from the day before. I have curly hair and the final look was not pretty. I didn't put anything on my body--no lotions, deodorant, makeup, jewelry--nothing,

Supplies--a reading wedge pillow, Vaseline, gel wetting eye drops (generic Target). saline eye drops (generic), tissues by the bed, IMAK eye mask from Amazon (very soothing when it is cold), my meds prescribed by the doctor, straws for drinking, Bio-oil, pineapple, washcloths, ice bag (the kind with a screw on lid-very handy since you can pour cold water/ice or hot water in when you need it) and lots of pillows.

Day of Surgery

First I took a pregnancy test. Negative of course. Anything other than negative would have been a BIG problem. I stripped done to my underwear and put on a lovely hospital gown. The nurse gave me a lidocaine injection for the IV. How did she know I was a weenie about needles? I waited about an hour with the IV dripping saline. Then I really had to pee. *Hint: you can carry your IV bag into the restroom with you. I talked to the surgeon while he drew all over my eyes with a marker. Then I talked to the anesthesiologist. The nurse gave me something in my IV for to relax me.

"How long before this takes effffff....Neber minnndd"

The anesthesiologist put a mask over my face. "This is just oxygen--"
"Wake up, Veronica you're husbands here to take you home."
"My eyes hurt. My throat hurts."
"Well, here's a sip of water and some morophine through your IV. how's that?"
Ahhh. Zzzzzz.

Going Home

They wheeled me to the front of the building in a wheelchair. I wore my huge Elton John sunglasses and my hubby bundled me up in the car.

Got home. I ate a couple of crackers and took some meds. Fell onto my pre-made nest of pillows.

Just after surgery

Day After

First 24 hours

Lots of sleeping. Little pain (thank you morophine injection). Ate some crackers-- nom nom nom. Drank some water. I recommend sipping with a straw. Slept off and on. Eyes got all gunky. I used lots of eye gel drops (much better than the regular watery kind) and the chilled eye mask I got from Amazon. Ahhh. I also slathered on arnica gel under my eyes after icing. That felt nice. My eyes felt achy, heavy with some stinging when I wasn't on meds.

Then the Vicodin wrath hit about midnight. I was itchy, constipated and wired. I took half a phenergan. Zzzzzzz. No more Vicodin for me, thank you.

Day 3 (2 days after surgery)

48 hours

More swelling, little bruising that I had turned yellow. Changed from Vicodin to tramadol. When I was able to fall asleep on the Vicodin, my dreams were vivid and exhausting. It was like being awake while dreaming. The tramadol is smoother and more relaxing. I used an ice pack that you can fill with water and ice. I highly recommend it. My eyes were gunky after sleeping and I had to wash them with gel drops. I recommend the gel over liquid artificial tears. The gel doesn't go all over the place, which means more stays in your eyes. What little pain I had felt like burning on my lids, like when you put too much sunscreen on your eyelids. The tramadol took care of that. My eyes still felt swollen and heavy,

Day 4 (3 days after surgery)

Woke up with the usual gunky eyes. Cleaned them out with a lot of artificial tears. Looked at my eyes after cleaning. WHAT! Where did this freaky indented scar come from on my inner eye near my nose? I hope it's from swelling because that wasn't there a few days ago. Took pictures , worried about it until I figured there is nothing I could do. If it wasn't there right after the surgery then it should go away. Right? I think the stitches are pulling that area a bit out of shape as it heals. Decided to try only Tylenol for pain. My left eye said --LOL, good try, Slick.Let me remind you that you have STITCHES across your eyes. I popped a tramadol and chided myself for foolish, yet well-meaning attempt. I've been doing Weight Watchers for 3 months and lost 10 pounds. I've eaten half the points I'm supposed to for the last four days. All right, hello another pound loss. I hopped on the scale. No way! Up a pound and a half. I was ready to suck down another tramadol to drown my sorrow. Wait, do these cause weight gain? Well crap.

Day 5 (4 days after surgery)

Less gunk this morning. Eyes felt gritty, itchy and achy. I'm a wimp, I freely admit it.; I took a pain pill, after I ate some bread. The puffiness has gone down and the bruising is turning yellow. I am beginning to look human again and my son has stopped calling me zombie mother. LOL. I switched to warm compresses last night. The blood around the stitches has mostly washed away and the redness has faded a little more. The weird indentation in the inside corner of my eye seems to have receded. It looks like the skin is pulled too tight, but I suppose it's due to a combination of swelling and stitches. It is really easy to freak out when you see something weird. These are your eyes and you wonder if it the defect is permanent. I spent a few hours out of bed and even did some small chores around the house. I'd say day 4 is the turning point of when things start to get better. I'm keeping a thin coat of Vaseline on my stitches to keep the skin supple. My PS didn't tell me to do this, but I read that it's not good to let the skin dry out and scab. I'm still depending on my pain pills. I know Tylenol has never been a super pain reliever for me. Even Tylenol with codeine doesn't do much for me.

Day 5 A Little Better

5 Days Post Surgery

Ugh. Woke up with totally swollen eyes. I looked like I lost a fight. After washing them with saline so I could pry my lids apart, I noticed my right iris was a big bubble. Not cool. My eyes were watering like crazy and the right eye drainage was pink. Called the nurse and took a quick trip to my PS's office. She said my sclera was irritated and swollen. She called in some drops and my hubby went to pick them up (he's such a great husband). The nurse said 4 to 5 days post surgery can be the peak of swelling. I sure hope so; they get anymore swollen, I won't be able to see a thing. If this is because I had mild picante sauce last night, this is going to be a problem. I'm Hispanic and live in San Antonio! Eating spicy food is practically a requirement to live in SA. I guess I'll try bland and salt free for the next couple of days. Yuck.

6 days post op w/chemosis

The bubbly white of my eye is chemosis, which happens to 20% of the patients who get lower eyelid surgery. The swelling around my eyes went down and moved onto my cheeks. This is how I looked when I swelled up during pregnancy. Oh joy. My eyes are still watering and they get blurry from that. But I'm only taking a pain pill every twelve hours. I'd probably be off of them if the chemosis wasn't irritating the heck out of both my eyes.

9 days post op Hello Bags, I See You're Still Here

Had the ends of my stitches pulled a couple of says ago. I said to the nurse, "I thought these were dissolvable."
"We'll, they are and aren't."
What's that supposed to mean? I'm an information hound and cryptic words are only my friends when I read mystery novels.
So, the swelling is going down and I look less like The Godfather every day. The process is s-l-o-o-o-o-w. if someone says you can be back to work in 3 or 4 days (or even out of the house in 7), you'd better be some young 20 year-old or those numbers just don't apply. Yesterday was the first day I could even see without my eyes watering. And that stinking chemosis (in both eyes now) is just starting to go down. I won't even get started on the HUGE bags under my eyes. Well that was $4,000 well spent. I'm just plain grumpy that I still look like crap. This should get better. Correction, this better get better.

19 days post op Looking Better

When I said I wanted younger eyes, I didn't mean I wanted them to have pimples. But, that's what I'm fighting right now. It seems eyelids love to get little pimples as they heal. Oh well. At least I'm starting to be happy with my operation. There is still some swelling and one eye looks a lot better than the other as far as the bags are concerned. Hopefully the other will catch up as more swelling subsides. My vision is no longer blurry and I've been driving for about a week. There is no discomfort left, but my eyelids feel numb when I put on mascara.

3 months post op

Things are still getting better. My scars have faded to red lines- almost unnoticeable. I still have some malar funkiness going on. Boo hiss. But the doc says he believes it will go away. So far I'm pretty happy with the results. One eye looks better than the other, but my lids look FABULOUS. $4,200 worth of happy? Not yet, more like $3,500 worth of happy. But maybe in another 3 months everything will smooth out completely. Update in 3 months.

Dr. Young was quick and to the point. He checked out my eyes and said, "Yep, you could benefit from quad eyelid surgery." I didn't plan on getting an upper lid lift, but Dr. Young recommended it. I'm glad he did because they were all saggy and the staff said you may as well-- a lot of woman come back later to do the uppers and why go through the expense and down time twice? Seemed legit. He answered all my questions to my satisfaction and he had a confident manner that spoke of experience. The price for all four lids was reasonable, and you simply can't ignore the fact that the surgeon's name is Young. His staff is very nice and helpful. I think they all got an office discount for boob jobs because all the ladies had breasts to be proud of. Now that's the best kind of advertisement--an office staff happy with their enhancements.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
Was this review helpful? {{ voteCountOthers + ' other' + (voteCountOthers == 1 ? '' : 's') }} found this helpful


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Sarah Lee

Member since 7/20/2012

  • 3 total posts

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It's such a great review that I called Dr. Cox's office, but the office is closed until Monday. I want these implants out. I need a upper blepharoplasty too and a couple of other things if I can afford it. Thank you so much for... READ COMMENT

What is the doctor's name? How much did he charge for the explantation? I'm in the area of Louisiana, Texas, Arkansas, Tennesee, it's all good. Thank you. READ COMMENT


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Location: Argentina, AR
Member since 4/23/2014

  • 23 total posts
  • 1 review
  • 2 questions

Reviews & Stories

I'm happy 3 weeks Out, sore, breathing already better, shape improved

I had a huge nose as a girl, and at 25, i had it done by Dr Ristow in SF, who's supposed to be great...but my nose didn't work out right. He did 2 small revisions, and then i moved away. Meanwhile, my left side breathing became terrible and i was told by an ENT that a severe septal spur on my left septum could be at fault for the breathing and headaches. So, now living in Argentine, I found... READ MORE

Questions from wonderingifwhen

 I have bags/ folds of skin under my eyes, would you recommend Eyelid Surgery or fillers? (photos)

I've always had 'folds of skin'/bags under my eyes...not fat bags, but actual little folds of skin. I'm going to have revision rhinoplasty and the doctor suggested a... READ MORE

3 weeks post op of Revision Rhinoplasty, I have swelling on inside of nostril. Does the grafts get bigger before smaller?

Hello - i had my revision rhino 3 weeks ago, and all seems well, but in the past week, the insides of my nostrils seem to have gotten fatter - and i can feel what i think are... READ MORE

Recent comments from wonderingifwhen

From your picture on the most recent post - i promise you, that you don't look deformed! your nose looks nice - natural READ COMMENT

Wow - you had the 2 worst surgeries that i've ever had at once! i had the tonsillectomy at 32 years old and it was the most painful thing i've ever been through!!! You're at day 5, so the worst is over, but WOW _ you did it!!! And, i... READ COMMENT

You look great! you were pretty before, and i would not have said you had a big or ugly nose, but this surgery really has opened up your face and how beautiful you are!!! i'd be thrilled!!! READ COMMENT

Thanks D! I just looked at your blog about your nose - it's so cool to see! Your nose is beautiful, and natural and it was really helpful to see the process. Thank you. READ COMMENT


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Connecting to LinkedIn...

Property Recruitment Team Manager

Job Title: Property Recruitment Team Manager
Contract Type: Permanent
Location: Chester
Salary: £21000 - £25000/annum superb benefits
Reference: 204980429
Contact Name: CV-Library
Job Published: November 19, 2016 05:22

Job Description

There are two of the same roles being recruited, one a permanent position and also a maternity cover of six months. The ideal candidate will have: - good track record in managing people - excellent ability to drive and deliver KPIs - proven results through sales and conversion - ability to nurture talent and also manage performance effectively - superb communication skills - proven ability to drive change The candidate's previous team management experience is essential to this role and the client is seeking to welcome their ideal candidate as soon as possible. The key responsibility in this role is to drive the conversion rate through effective sales process through a driven, engaged, informed and highly motivated team that are living the company values and vision. The company will consider all management backgrounds that have incorporated conversions and the team are interviewing shortly. This is a fantastic opportunity to be part of one of Chester's fastest growing, award winning organisations at an exciting time of considered expansion. If you have previous team management experience and proven ability to drive sales effectively then I would love to hear from you! Adecco UK & Ireland are an Equal Opportunities Employer. Adecco UK & Ireland are acting as an Employment Agency in regard to this vacancy. Adecco is acting as an Employment Agency in relation to this vacancy. The Adecco Group UK & Ireland is an Equal Opportunities Employer


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Does creatine make you bigger?

Quick Answer

Creatine is a natural substance that can be taken in supplement form, which, according to WebMD, can help increase muscle mass by providing energy for high-intensity, short-term movements, such as weight lifting. Consuming creatine increases muscle volume by swelling cells with water and encouraging the increase of muscle-building protein enzymes, according to Muscle & Strength.

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Full Answer

Creatine is produced by the body and also comes from high-protein foods, such as fish and meat, according to WebMD. Supplement powders, capsules, nutrition bars, and drinks containing creatine are readily available in nutrition stores, supermarkets and on the Internet. As with any supplement, creatine should be taken according to label instructions to avoid side effects.

Some potential side effects listed on WebMD include weight gain, anxiety, nausea, diarrhea, headache, fatigue, and fever. WebMD also notes the potential for dangerous drug interactions with creatine, and that creatine should be avoided when taking "diabetes medications, acetaminophen, and diuretics."

When used properly in accordance with a healthy diet and exercise program, creatine is safe and beneficial; as Muscle & Strength reports, creatine is helpful to bodybuilders and athletes as well as vegetarians, who may develop a creatine deficiency since most natural sources, except for cranberries, are meats and fish.

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What are some of the negative effects of smoking?

Quick Answer

Negative effects of smoking include harm and damage to bodily organs and the body's systems, explains the National Cancer Institute. Smoking diminishes overall health and can cause cancers of the mouth, throat, kidney, bladder, stomach and lungs. People who smoke are also at risk for cancers of the pancreas, colon, rectum, cervix, larynx and esophagus.

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Full Answer

Smoking can cause an aortic aneurysm, stroke, chronic obstructive pulmonary disease, diabetes and heart disease, according to the National Cancer Institute. People who smoke are at risk for osteoporosis, cataracts, asthma symptoms, rheumatoid arthritis and age-related macular degeneration. Smokers also have a higher risk of developing airway infections, tuberculosis and pneumonia. Smoking can lead to impairments in the immune system and inflammation.

Women who smoke may have difficulty getting pregnant, explains the National Cancer Institute. Pregnant women who smoke have a higher risk of a premature birth, miscarriage, ectopic pregnancy, low birth weight and a baby born with a cleft palate or cleft lip. Males who smoke have an increased risk of developing erectile dysfunction.

Smoking can impact and reduce fertility because it affects men's sperm, which increases the risk for birth defects, warns the Centers for Disease Control and Prevention. People who smoke are also at risk of tooth loss due to deterioration of the teeth and gums.

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What is 150 milliliters in fluid ounces?

Quick Answer

When converted, 150 milliliters is equal to 5.072 fluid ounces. One milliliter is equal to approximately .034 fluid ounces in U.S. measurements.

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A fluid ounce is a form of measurement that is commonly used in U.S. and British measuring systems. An ounce is equal to 30 milliliters and a fluid ounce is used only to measure liquids. Throughout history, there have been many definitions of an ounce. It was primarily used in England and in Scotland to measure both wine and water. When it was used to measure these things, the measurement of the ounce varied depending on the liquid that was being measured. For example, an ounce of ale would be a different amount of liquid than an ounce of wine.

The fluid ounce that is used in the U.S. is somewhat different than the ounces that are used in Britain. The fluid ounce is around 4 percent larger than the imperial ounce that is commonly used in Britain. The fluid ounce is based on U.S. gallons, which are slightly different than gallons that are used in the imperial system of England. Unlike the ounces in Britain, the U.S. fluid ounces make up 29.57 milliliters, instead of exactly 30.

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RPublishing's Annual 50% OFF Sale

November 14, 2011 1:19 pm

Tags: Annual, MarketPlace Promotions, November, RPublishing, Sale

RPublishing's Annual Storewide Sale!

Are you fan of RPublishing? If so, you're going to like this!

We've once again reached that time of year that comes highly anticipated by those looking to stock up on digital content from RPublishing! From now through Saturday, November 19th RPublishing is offering a 50% discount on every product in their store! If you haven't visited their storefront in a while, now's the time to do so as they have over 300 items to choose from.

Sale ends November 19th @ 11:59pm!

A savings opportunity like this only comes around once a year so consider this your chance to save BIG during this week long sales event!

Click Here to visit RPublishing's Store.

Take a look at some of the products you can find right now in RPublishing's Store.

Amazing Poseable Braid Hair by RPublishing
Amazing Poseable Braid Hair
V4 to G3F Add-On pack for Texture Transformer by RPublishing
V4 to G3F Add-On pack for Texture Transformer
F Tractor (poser, obj) by RPublishing
F Tractor (poser, obj)
50s Hollywood Hair by RPublishing
50s Hollywood Hair
M4 to G3M Add-on Pack for Texture Tranformer by RPublishing
M4 to G3M Add-on Pack for Texture Tranformer
Elven Desire Outfit V4, A4 & G4 by RPublishing
Elven Desire Outfit V4, A4 & G4

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Article Comments

Cimaira ( posted at 1:12AM Thu, 17 November 2011

Great sale, but I wonder, why is Anarchy for VAG4 featured here, but no longer on sale?? lol

-dragonfly3d- ( posted at 11:37AM Thu, 17 November 2011

Fantastic products and sale!! Thank you!!

CittiZate ( posted at 9:40AM Fri, 18 November 2011

One of my favourite artist's stuff on sale? Wow, I love it!!!


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Restoration Local Advantage

  • Free Estimates!
  • Available 24/7
  • 30 Minute Rapid Response
  • Fully Licensed And Insured Professionals
  • We Work With Your Insurance Company.

Haddonfield, NJ

Whether it be water damage, smoke & fire damage, sewer backup or mold removal we have got you covered. Restoration Local has provided water damage services in Haddonfield, NJ for years. Our certified and trained technicians can assist with virtually any restoration need you may have. We are proud to be part of the New Jersey community and would be happy to assist you with any of your restoration needs.

Call now for a FREE estimate

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The Restoration Local
Proven Process

Home Damage

If your home has damage caused by water, fire or mold it is time to act. Postponing could cause more damage to your home and poses a health risk to you and your family.

24/7 Phone Call

Home emergencies don't happen on your time table. By calling day or night you are connected with a technician who can answer your questions and take care of your needs.

30 Minute Response

We take home damage very seriously which is why we have a 30-minute response time. We will be at your home in less than 30 minutes to assess the situation.

Once we make it to your home our technicians will assess the home damage and provide a FREE no obligation estimate for you to review.

Our technicians are certified, licensed and insured professionals and will work with your insurance company. Our customers are our #1 priority.

Before & After

Before Restoration Local
After Restoration Local

Our Top Water Damage and Other Restoration Services Provided In Haddonfield, NJ

  • Water Damage
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  • Mold Removal
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  • Sewage Cleanup
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Call Now: 1-888-443-3110

Our contractors and technicians are licensed and insured professionals. At Restoration Local we ensure that when we do a job that we do it right. In case of an emergency we respond within 30 minutes and are available 24/7. All of that coupled with our FREE estimates means you have nothing to lose and everything to gain.

You can count on us to bring what was lost, back to like new condition. With extensive experience in water damage, basement flooding, mold removal and fire damage we are confident in restoring back what was lost.

Water Damage Restoration

Water damage to property in Haddonfield, NJ

Water damage mitigation is the process by which you try to reduce or even prevent the amount of damage caused by floodwater in your residence. By observing water mitigation, one can be able to stop any additional damage that is likely to be caused by the leakage. Major causes of water damage include plumbing technicalities, heavy rainfall or a storm, leaking roofs and burst pipes. After this unfortunate occurrence, water damage repair is required. You can call us to help you with the water removal. Call: 1-888-443-3110

As a homeowner, after a flood, burst pipe or storm that puts your life and others in danger, you need to move with speed and contact us right away. This is a way to ensure that the water damage home repair services commence immediately. Water damage restoration services, once engaged, can serve to prevent an impending catastrophe in the affected residence.

Steps to take in fixing water damage

  • Call us to be directed to an experienced technician right away
  • Close the main source of water into the house. In case of floods, try as much as possible to keep extra water from entering the house
  • Switch off the mains in your electricity line. Identify all electrical appliances and ensure there is none connected to power
  • Keep all books and papers at a higher place, which is obviously safe

Flooded Basement Services

water in flooded basement in Haddonfield, NJ

Flooded basement restoration services will be needed after moisture accesses a space following a rainstorm or snowstorm. Usually, after ice melts and soaks the ground next to a basement, hydro static pressure builds up. This process occurs when the moisture that’s found outside a home exceeds the pressure that’s present in a basement.

The weather patterns greatly influences how frequently flood repair services will be needed in a basement. Whenever major storms impact your area and cause flooding, restoration and flood damage cleanup services should be pursued quickly in order to preserve highly valuable items. As dedicated service technicians, we always work hard throughout basement flood cleanup and basement restoration jobs. You’ll benefit from using our basement water damage services because the strategic restoration techniques that we use help us eliminate all water in basement seams that can lead to a mold infestation.

You’ll need to learn the common signs of a leak so that you can seek our services before mold impacts your basement. If the pipes in your basement are leaking quickly, there will be damp spots in certain areas on the floor. When a pipe leaks slowly, the signs won’t be dramatically noticeable on the floor because the foundation will dry rapidly. However, you can still detect this kind of leak on time and seek basement water removal services by examining the floorboard. If the leak is severe, the water will make the paneling buckle.

Kitchen with mold damage in Haddonfield, NJ

Mold is not just an ugly nuisance, but can be a serious health risk. Some types of mold are quite toxic. All mold produces airborne spores. It usually begins as black spots. These can show up on almost any surface, and continues to grow if untreated. Mold cleanup is especially important inside walls or ceilings where it can continue to spread, increasing health risks, creating foul odors, and rotting away damp wood.

Mold is particularly especially dangerous to anyone with severe allergies or asthma. Almost any home can get mold even under ordinary conditions. All it takes is a little pocket of moisture such as a dripping pipe along with some mold spores from outdoors. It can survive in temperatures as low as 40 degrees Fahrenheit. Ordinary mildew is usually on the surface only and can usually be killed and cleaned up with special cleaners or ordinary bleach.

If you suspect you have a mold problem, it’s important to call in trained inspectors as soon as possible. They’ll be able to identify infected areas and being mold remediation. They may recommend cleaning or replacement of building materials. If the mold is severe, local authorities may decide the property is not suitable for living until the mold removal is complete.

Fire Damage Repair

home roof after fire damage in Haddonfield, NJ

Fire accidents are among the most devastating experiences due to the ability of fire to spread fast and cause huge damages over a short period. Fires can also consume pillars and other structural important parts of the house. Fire is known for clearing nearly anything that stands in its way.

It is then important to deal carefully with fire damage cleanups and restorations. The services of a competent company and supervisor are needed to ensure that the damage parts are restored properly so that all the hazards are rectified. First, a cleanup is done to remove all the damaged things, any salvages remaining and finally the removal of harmful soot. The house is then restored to ensure that safety and reliability are restored. Owners of fire-prone places are also advised to install fireproof equipment.

Sewage Cleanup & Restoration

When sewage water and debris backs up into your home, our sewage cleanup services can be very beneficial. Our crews tackle sewage-related projects by carefully removing all sewage and water from the premises. Then, we lift and haul away any flooring pieces, carpets, or furnishings that are contaminated.

Drywall, Ceiling, and Floor Water Damage Restoration

contractor and customer fix water damage in Haddonfield, NJ

The aftermath of water damage can leave unsightly marks on your ceiling, hardwood floor, carpet, and drywalls. Water damage mitigation is a service carried out to prevent more damage.

Some of the repair services that characterize damage mitigation include replacement of drywalls. The service is important since a drywall absorbs water rapidly and can grow mold, thus posing some health risks. We may also need to replace water damaged ceilings and water damaged floors.

Our restoration services help restore your building to its normal condition, improve its aesthetics, and prevent the attack of diseases that result from mold and contamination. A reliable restoration service provider like us have the necessary equipment to handle various situations. We also have the right skills to not only identify and fix a problem but also prevent its future occurrence.

5 Facts About Water Damage and Mold Damage

  • A small 1/8 in crack in a pipe can leak up to 250 gallons of water a day
  • Water damage accounts to billions of dollars in lost property each year
  • Water damage accounts for approximately 23% of all homeowner property damage in the US
  • There are more than 100,000 different types of mold that exist
  • Over 50M suffer from mold and allergies each year

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Ervin R: Efficient and excellent personnel and service. I recommend them highly.

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Chis A: Super responsive, and very helpful during a stressful, not-fun situation. His crew did a great job with the clean-up. Highly recommend!

Jonboy F: We had a sump pump failure in our basement. They worked with our insurance company keeping the costs under our cap and did great work.

Matt C: Came late on a Friday night and working into the early morning hours until the water was removed. The guys were very pleasant and helpful.

Lyndsey E: They’re very personable and know what they’re talking about. They’ll even work with your insurance and give up front pricing over the phone.

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Flooding in basements is unfortunately common, and it can leave behind costly damage for homeowners to contend with. Because basements lie below ground level, moisture in the soil can easily penetrate through basement walls and enter the space. Repairing the damage from a flooded basement…

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God Gave Rock and Roll and Still Alive To You

Maybe Black Mesa. Haha, fat chance, they're a fictional science insitution that accidentally caused an alien invasion.

Frankly very tired of all the shouty nonsense rock on Guitar Hero III (really, it should have just consisted of Paint It Black 32 times over), I began to crave other musical delights for my ruined hands. I don’t know why I didn’t think of looking for this before. Frets on Fire isn’t bound by such tiresome conventions as rock songs and guitars. If it’s a song, you can play it on your little plastic guitar (or keyboard or gamepad or Strategic Commander) – regardless of whether there’s actually much guitar in it. And hence I found myself merrily playing these two fine pieces of Valve-related music…

That’s more like it. Though clearly practice is required. In my defence, I will say that FRAPS churning away in the background and chewing up the framerate complicates matters somewhat, but then that’s a bit like claiming the only reason your genitals look so tiny is because it’s very cold in here.

Want to try it yourself? Filefront are hosting a user-made pack containing both of ’em here. So it’s their fault if it’s completely illegal, not ours. But if this link is quietly edited out soon, it’s probably because I’ve been killed.

If you don’t already have Frets On Fire, then a) shame on you and b) it’s here.

From this site

  1. Nick says:

    The Still Alive one didn’t seem to sync up to anything for most of it. Other than that, very cool.

  2. Alec Meer says:

    There’s actually a different version of Still Alive to the one in the video in the linked download. But I found it too monstrously hard to possibly want to record myself playing it.

  3. Faust says:

    I may be missing something, but is the download purely songs, and if so, where does one get the actual game from? I can’t seem to find an .exe anywhere….

  4. Faust says:

    Check that, I’m an unobservative idiot.

  5. Stew says:

    One day I’ll learn how to use the wii guitar with the OS X version of FoF. Moo hoo ha ha ha.

  6. Al says:

    for frets on fire, I’d really have to recommend against typing something like “frets on fire guitar hero” into torrentspy or isohunt. It would be a very, very bad thing to do.

  7. Lu-Tze says:

    Where did you get the skin for FoF?

  8. yns88 says:

    Where’s that monstrously hard version of Still Alive? Because those look too easy for me.

  9. Scott says:

    Lu-Tze, that’s the GH mod for the latest version of FoF. It’s somewhere on fretsonfire.net

  10. po says:

    Oooh. I’ve got a strategic commander. I use it for text editing, when I can’t be bothered with regular expressions :D

  11. Saskwach says:

    I don’t have Frets on Fire because it chews up my internet and spits it out with much contempt. Plus I’m too lazy to find the problem.

  12. acne treatment says:

    acne treatment…

    Hello.This post was very fascinating, especially since I was looking for ideas on this topic final Tuesday….


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Rock's Backpages Library Rock's Backpages
Rock's Backpages

Evan Dando: Baby I’m Bored (Setanta)

Jim Irvin, MOJO, March 2003

AS FRONTMAN OF the Lemonheads, Evan Dando displayed several striking talents: Writing deceptively plain songs that slipped beneath your skin and often concealed a profound punch. Looking like a preppy-hippie dreamboat. Acting like a total doofus.

Total word count of piece: 1507


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home biodiscographymerchandisecontact

Music legends aren't born easily. It has to be just the right band, with just the right sound, coming along at just the right time. That band was Montrose, and that sound was heavy, melodic, no-holds-barred rock and roll.

The critics called them "a scorching outfit…" "incredibly impressive…" "part [Jeff] Beck, part Led Zeppelin, and three-fourths nitroglycerin…" "sheer rock and roll ecstasy."

The original Montrose remains the stuff of rock and roll legend, the ultimate stateside power trio with vocals. The songs are a virtual greatest hits of American hard rock: "Rock the Nation," "Bad Motor Scooter," "Space Station #5," "I Got the Fire," "Jump On It," and the immortal "Rock Candy." The fans have been begging for more ever since.

But Montrose has always followed his heart. Ever anxious to take his music to the next level, in 1979 he founded the trailblazing band Gamma, a group whose trio of ahead-of-their-time albums were an explosion of guitar and synthesizer pyrotechnics anchored by a bluesy edge.

Between and beyond these band forays, Montrose the player devoted himself to exploring instrumental guitar music on landmark albums like Open Fire and The Speed of Sound.

© 2011 ~ 2017 Ronnie Montrose - Ronnieland/RoMoCo


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Arabic Cyrillic Foundry news Greek Release Renaissance arabic book client story cyrillic foundry news greek indic insight lecture licencing miscellaneous open-source optical sizes release update webfonts

Skolar Sans 2.3 Vietnamese & Yoruba

Good news! We just released Skolar Sans version 2.3. The main addition is the support for Vietnamese and Yoruba in all weights and styles. The new addition was done by Sláva Jevčinová and David Březina with consultancy from Vietnamese type specialist Pham Đam Ca.

Designing for Vietnamese has its pitfalls, since it combines accents, which change base characters with marks which denote tonality. These often stack atop each other and need to create a harmonious whole on both the ‘accent’ as well as the ‘tonal’ levels.

We also updated the vertical metrics, and fixed minor bugs in the polytonic Greek, and the automatic mark positioning of the PE version. Apart from the Gothic letters, the character set of Skolar Sans PE is now nearly identical with Skolar Sans PE.

The update is free for existing customers of Skolar Sans and Skolar Sans PE, and the additional language support for Vietnamese and Yoruba is included in both. Keep in mind that the layout could reflow, and make a backup of your old fonts before replacing them with the new ones.

Sherpa Sans is now Gitan

Due to a dispute about the naming of one of our typefaces, Sherpa Sans, we were forced to rename the project. This included re-engineering of all fonts for all available formats, change the web & PDF specimens, edit all relevant texts, update existing customers with the new version, redesign parts of our printed promotional material, and issue of this statement. But what was most painful, was parting with a name that matched the project so well.

Despite our efforts to resolve the issue with Jo de Baerdemaeker, who asked us to change the name and stop all promotional efforts, he went on to submit a trademark registration. This is, it must be stated, for an unpublished design, with non-existing visual references of the font. Should the registration go through, it could potentially prevent us from promoting and distributing our typeface. We would rather design and have a good night sleep then fight foolish legal battles.

Finding a new name was tough. The name we have eventually chosen is Gitan. We and the author are very happy with it and hope it conveys the idea behind the design as well as its predecessor.


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Looking for the Best Hip Orthopedic Surgeon? Look No Further.

Fabio R. Orozco, M.D. August 3rd, 2016

If you looking for the best hip orthopedic surgeon to handle your hip replacement, then Rothman Institute is the place to stop.

We don’t often stop to think about what an important role our joints play in our daily lives--that is, until they stop working properly. If your hips start to give you trouble and cease to respond to your every request the way they once did, you may suddenly become aware of just how much we simply take for granted. Every simple movement suddenly becomes a reminder of the value of those hip joints. Rothman Institute specialists can help determine the best course of treatment to alleviate your pain. If the condition is detected before too much damage is done to the cartilage, then more conservative treatment options may be possible. Weight loss, change of activity, or anti-inflammatory medication may be helpful alternatives to surgery.

If the damage should be too much for these more conservative methods to be successful, then  hip replacements can help restore the functionality and quality of life that you are now missing out on. If you or someone you love is suffering with hip pain, you may be already looking for a hip orthopedic surgeon to help you through this process. Since the hip is such an important part of the body, you will want to be sure to have the best care available.

Finding an expert hip orthopedic surgeon is very important--but it doesn’t have to be difficult. Some of the nation’s best hip orthopaedic surgeons are available right here at Rothman Institute.

Why Choose Rothman Institute For Your Hip Orthopedic Surgeon?

  • Our physicians are highly specialized.

At Rothman Institute all of our physicians are highly specialized in their given areas. Seeing hundreds of patients each year means they are uniquely experienced at utilizing the best and most advanced treatments and technologies in their procedures. If you are looking for a specialized hip orthopedic surgeon, then Rothman Institute is an excellent place to begin.

  • We use the latest technology.

Having the best and latest technology is important for obtaining the most effective treatment. As you look for a hip orthopedic surgeon, you will want one who is connected to an institution that is known for its technological advancements. This guarantees that your surgeon will have access to the best technology currently available.

You can rely on Rothman Institute for the highest level of advanced care. Rothman Institute is looked to locally and around the world for instruction and guidance in technological progress. We have an excellent team of researchers who work tirelessly to continually find better methods and treatments for all varieties of conditions. With Rothman Institute you can be assured that as soon as a technological advancement is available we will move towards utilizing in our treatments.

  • Our physicians are trained in the most advanced treatments.

At Rothman Institute we are dedicated to always searching for better, more effective forms of treatment. The hundreds of procedures our physicians perform each year utilize the best and latest of the medical treatments available. When undergoing a hip replacement procedure you will want to be able to return to your normal functioning as quickly and completely as possible. If your surgeon is trained to perform the most advanced treatments available, then you will have the best opportunity for the quick and complete recovery you desire.

  • Rothman Institute is highly recognized for clinical excellence.

Rothman Institute is annually recognized as the best in the Delaware Valley by US News and World Report. We are also consistently voted for in having the great number of “Top Docs” in Philadelphia and South Jersey Magazines.

These types of recognition and our leading role in the medical community demonstrates our level of success and reliability for expertise and high quality care.

As you make this important decision of which hip orthopedic surgeon to trust with your procedure, know that Rothman Institute is here for you. We believe that better understanding your condition and the options available to you is an important step on the road to recovery. We want to offer you the answers you are looking for. For more information, please visit us here or contact us at 1-800-321-9999.

Related Physicians

Related Programs

  • Hip Arthroscopy Program

    Hip Arthroscopy Program

    Rothman Institute is one of the nation’s leaders in the growing field of hip arthroscopy. Ours is the only Hip Arthroscopy Program in the Delaware Valley with experienced board certified surgeons in both New Jersey and Pennsylvania.
    Read More
  • Injury Prevention Program at the Rothman Institute

    Injury Prevention Program at the Rothman Institute

    The Injury Prevention Program at the Rothman Institute is dedicated to the prevention of injuries from athletic participation, particularly youth sports.
    Read More
  • Rothman Institute Cartilage Restoration Center of Excellence

    Rothman Institute Cartilage Restoration Center of Excellence

    This is a center where patients can go the have their disabled joint biological resurfaced, realigned, and stabilized without having the joint replaced by artificial materials such as metal and plastic. It is well known that the outcomes of patients under the age of 50 undergoing artificial joint replacement are not as good as we would like. Therefore we feel the future of Orthopaedics is to try to restore a joint back to its original anatomy by realignment, ligament reconstruction, and cartilage restoration.
    Read More
  • Sports Concussion Program

    Sports Concussion Program

    Concussion care is a special focus of Rothman's sports medicine program. We've developed the most advanced multi-disciplinary evaluation and treatment techniques based on research done by the concussion specialists here at Rothman Institute.
    Read More

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Relief for Hip Arthritis in Philadelphia

December 10th, 2015

Arthritis of the hip can have a profound effect on your daily life, including your ability to walk, sit or stand comfortably, climb stairs, perform housework, and enjoy your daily routine. If you or someone you love suffers from hip arthritis in Philadelphia, here are a few tips from

Rothman Institute for finding relief and getting back to the activities that you love.

Lifestyle Changes

There are some basic lifestyle changes that can, with supervision from your physician, help to prevent or reduce the symptoms and discomfort of hip arthritis. These include:

·         Maintaining a healthy weight: While not considered to be a cause of arthritis, added weight on the body’s frame can worsen its symptoms through the increased wear on joint cartilage. Check with your doctor for healthy weight loss suggestions.

·         Building exercises to your daily routine: While arthritis symptoms may tempt you to cease exercising, studies show that physical activity is actually one of the best ways to combat the pain and stiffness associated with arthritis. Strength-training your muscles can help to reduce the load on your joints, thereby reducing inflammation and arthritis pain.

·         Adjusting activities to minimize stress on the hip: If possible, trade high-impact sports and hobbies like, jogging, and cardio workouts for more gentle practices, such as walking, cycling, or swimming.

Non-surgical Treatment Options

Once diagnosed, there are many non-surgical treatment options for patients with hip arthritis in Philadelphia:

·         Physical therapy or low-impact exercise programs to improve flexibility, build strength, and maintain muscle tone

·         Supporting devices such as canes or walkers to make it easier and safer for you to get around

·         Anti-inflammatory medications to reduce pain and swelling

Surgical Solutions for Hip Arthritis in Philadelphia

For some patients with more severe hip arthritis, surgery can help to reduce pain, enhance quality of life, and improve the ability to perform everyday activities with fewer or no restrictions.

Osteotomy surgery may be appropriate in less severe cases. Hip osteotomy surgery repositions the joint to allow the healthy part of the hip joint to bear most of the body’s weight.

Only a select number of patients are candidates for osteotomy surgery.

Total hip replacement may be the best choice for a severely injured hip joint. In a hip replacement procedure (or arthroplasty), the injured parts of the hip joint are removed and replaced with new, prosthetic parts which function like the original joint.

When trying to decide how to treat hip arthritis in Northeast Philadelphia, patients should always begin by consulting with their physician. For more specialized help, they should see a hip expert at Rothman Institute. Our physicians are some of the most experienced specialists for hip arthritis in Northeast Philadelphia, and they can offer comprehensive and caring treatment for your hip.

Call Rothman Institute today to schedule an appointment at 800.321.9999.

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Come Back, Little Sheba - Movie Reviews - Rotten Tomatoes

Come Back, Little Sheba Reviews

Page 1 of 1
June 2, 2006
In this adaptation of Inge's play, Daniel Mann, a specialist of melodramas, gets a good performance from Shirely Booth as a self-pitying housewife but a misguided one from Burt Lancaster.
Full Review | Original Score: C+
August 21, 2005
Nothing comes alive at you. Nothing roots us to the Delaneys, and in turn nothing grounds them in any world except that of Inge's creaky schemata.
Full Review | Original Score: C
October 16, 2004
This is Booth's movie as was the Broadway production. Dynamic.
Read More | Original Score: 5/5
June 26, 2004
among the best of several booze-obsessed Hollywood melodramas of the 1950s
Full Review | Original Score: 4/5
August 4, 2005
Read More | Original Score: 3/5
February 15, 2005
| Original Score: 3/5
Page 1 of 1


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A truly classic and iconic design, the Dogtown Bull Dog T-Shirt comes in a slick black colourway with a white Dogtown cross logo at the left chest and a large multi-coloured graphic on the back.

Made from 100% cotton from Dogtown. Locals only!

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RPGWatch Forums - View Single Post - InXile Entertainment - Fargo on Wasteland 2
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February 16th, 2012, 22:40
Originally Posted by Majnun View Post
Uh, didn't he do the "remake" of Bard's Tale?

That kinda sucked.

This is like hoping that Interplay would make a good Fallout game. You know before the last stuff that kinda ended that (thank god).

Wasteland is one of the first games that blew me away. I doubt this tool will do anything remotely good with it.
this is my concern of a Wasteland 2 from him

The other problem is I hated Wasteland 1. So what if it was "out of the dungeon" - the quality IMO then and now is that it was worse than Questron - just another (bad) Ultima 3 clone.

I know Corwin will take issue with me on this…
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Risky enterprise of investing in Georgia

Israeli investor Rony Fuchs is owed $100 million by the Georgian government for pulling out of a deal. But instead of receiving the massive payout in Tbilisi, Fuchs was seized and told he faced corruption charges.

Major global news networks are blazing with hundreds of  “Invest in Georgia" ads. Georgia spends millions trying to get the world to know it is on a mission to crush corruption.

But it did not go straight for Fuchs. In March 2010, he won a $98 million payout from the Georgian government for a breached agreement on the construction of an oil pipeline. No payment was made; instead, Fuchs was arrested and has spent over six months in jail without bail.

The only motive was to avoid paying $100 million, which they were instructed to pay by and International Arbitration Process, which was conducted by the World Bank,” claimed Yochanan Zangen, Fuch’s close friend.

Tbilisi is alleged to have set up a sting – arresting Fuchs on bribery charges after luring him on a visit to Georgia, allegedly to end his 15-year-long dispute.

I was shocked, I didn’t understand what was happening. I thought it would take a few days before it’s over and he would be back, but then I understood that there is a plot behind it,” said Zangen.

What Fuchs thought was a trip to Georgia, on the official invitation of the country's prime minister, turned out to be a one-way ticket to prison.

There was in fact a cooperation between four important ministries of the government and probably with the approval of the president: the Ministry of Finance, the Ministry of Justice, the Ministry of the Interior and the Prime Minister’s Office – all of which came together with the plan to entrap Rony Fuchs,” argued Greg Craig, the head lawyer for the jailed businessman.

After the businessman was arrested, what could be called a demand for ransom was put on the table.

Fuchs was then informed through diplomatic channels that he would not be released until the arbitration award was waved,” said Craig.

A Georgian human rights activist blamed a broken system that is cracked at the top for Fuchs’ predicament.

Saakashvili does not want an independent court system. The Prosecutor’s Office dominates the law and the police are the main power and political pressure instrument in the country,” said Eka Beselia, head of the political movement Solidarity with Illegal Prisoners.

This sentiment is echoed by Fuch’s US lawyers.

"The odds of him succeeding in Georgia are very slim – less than 0.01 percent. So it’s a good warning to businessmen who are thinking of investing in Georgia that they should think twice and they should beware,” said Craig.


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Couristan Elegance Aurelia Area Rug

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Dusty Blue/Beige
Select A Size:
2' x 3'9" Rectangle
2'2" x 9' Rectangle
4'7" x 6'4" Rectangle
5'6" x 7'8" Rectangle
6'6" x 9'8" Rectangle
8'2" x 11'3" Rectangle
9'10" x 12'11" Rectangle

$ 179.00

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Brand: Couristan

Collection: Elegance

Style Number: 4517/0501

Material: Wool

Construction: Power Loomed

Pile Height: 0.354" (approx.)

Origin: Belgium

For those who appreciate extraordinary classic style, Couristan’s Elegance Collection offers an array of fashions idyllic for timeless interiors in need of a little glamour. Cross-woven on Wilton looms, these posh, ultra-soft area rugs are woven of a one-of-a-kind blend of European and New Zealand wool. The wool material acts as a natural air purifier, creating higher indoor air quality for those who adorn their floors with this exceptional collection. Featuring elegant traditional design motifs in calm, effortless colors, Elegance area rugs create a foundation of relaxed luxury. Resistant to stains and easy to care for, this versatile collection can be used in a variety of spaces in your home, adding a touch of grace to any room.

30 Day Full Refund Guarantee:

If you receive your rug and decide you don't like it, or for another reason change your mind about a purchase, we understand! You may return it to us for a Full Refund.

Simply email us for a RA# and the shipping address for your returns, and send your item back within 30 days. You are only responsible for the shipping cost back to us.

For more information on our return policy, ordering process, and payment process, please visit our FAQ page.

Price Match Guarantee:

If you find this rug for less, we will beat any competitor's advertised price. During business hours, please contact us by chat or call 1-877-893-7847 or use our Price Match Form.

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Couristan Five Seasons South Padre Area Rug

Select A Color:
Select A Size:
2' x 3'7" Rectangle
2'5" x 11'9" Runner
2'5" x 7'10" Runner
3'11" x 5'6" Rectangle
4'11" x 7'6" Rectangle
5'10" x 9'2" Rectangle
7'10" x 10'9" Rectangle
9'2" x 12' Rectangle

$ 39.00

10% OFF over $149

15% OFF over $299

20% OFF over $499

Use code for discount

Certain brands are excluded from this sale. Please call 877-893-7847 if you need help with your order

Need Help?
1 (877) 893-7847

Brand: Couristan

Collection: Five Seasons

Style Number: 3071/0123

Material: Polypropylene

Construction: Power Loomed

Origin: Turkey

Varying motifs, ranging from graphic stripes to patterned shapes, take center stage in the Five Seasons Collection. Taking its cue from the surrounding environment, this power-loomed collection can be used to create tranquil retreats for the home. The collection's structured, flatwoven construction allows its versatile style to complement both outdoor and indoor settings. Power-loomed of 100% heat-set Courtron™ polypropylene, each of the dynamic patterns offer a highly durable pile that affords superior comfort and fuss-free maintenance. Designed specifically to withstand outdoor elements, Five Seasons is mold and mildew resistant, as well as UV stabilized to ensure each color, from cool to warm tones, retains their vibrancy even after months of exposure to the sun and other weather conditions. Replicating nature’s eclectic mix of inspiring colors and forms, Five Seasons provides an infinite range of style options wherever it is showcased, from casual to transitional indoor living areas and outdoor spaces in need of some spicing up.

30 Day Full Refund Guarantee:

If you receive your rug and decide you don't like it, or for another reason change your mind about a purchase, we understand! You may return it to us for a Full Refund.

Simply email us for a RA# and the shipping address for your returns, and send your item back within 30 days. You are only responsible for the shipping cost back to us.

For more information on our return policy, ordering process, and payment process, please visit our FAQ page.

Price Match Guarantee:

If you find this rug for less, we will beat any competitor's advertised price. During business hours, please contact us by chat or call 1-877-893-7847 or use our Price Match Form.

10% OFF over $149
15% OFF over $299
20% OFF over $499

Discount reflected automatically at checkout.

No coupon code needed.