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24 August 2020: Articles
Challenging differential diagnosis, Unusual or unexpected effect of treatmentPhilip R. Schalow1ABCDEF*
Am J Case Rep 2020; 21:e923943
BACKGROUND: Music performance is a highly stressful activity, requiring skilled neuromuscular dexterity. A lack of reported strategies for musicians suffering performance-related musculoskeletal disorders (PRMDs) exists. Papers investigating the role that postural distortions or spinal structural anomalies that could play a role in setting the stage for PRMD do not exist. The purpose of this paper was to provide a description and discussion of the use of a specialized upper cervical manual correction at the cranio-cervical junction (CCJ) to treat a violist who had disabling pain in her wrists, arms, neck, and hip. Differential diagnoses are required regarding possible confounding elements within the cervical spine.
CASE REPORT: After 40 years of music performance, a violist experienced severe pain while attempting to play the simplest student musical pieces. Early retirement seemed imminent. To determine appropriate chiropractic approach, the patient’s clinical assessment included active range of motion, chiropractic tests, palpation, and radiographic study. Postural distortions, hypertonic muscles, joint pain, arthritis, and ponticulus posticus (PP) were noted. Upper cervical spine orthogonal radiographic series were used to develop a correction strategy. These images identified excursion of the cervical spine away from the vertical axis and C0–C1–C2 misalignments. After performing low-velocity, low-force manual correction to the CCJ, the patient experienced immediate relief of wrist pain. Over a 9-month follow-up period, the patient reported gradual decrease of pain and increased stamina while performing. Upon completing chiropractic care, the violist’s career was restored.
CONCLUSIONS: This case supports the hypothesis that evaluating and correcting spinal structures proximal to painful extremities may represent an efficient and long-lasting solution for PRMD.
Keywords: Cervical Atlas, Chiropractic, Neck Pain, Wrist Injuries, Cervical Vertebrae, Musculoskeletal Diseases, Music, Pain
Performance-related musculoskeletal disorder (PRMD) is universally recognized as common phenomena amongst professional orchestral musicians, with career-ending potential [1–6]. Between 39% and 69% of musicians have pain affecting playing capacity, and nearly 12% are forced to permanently retire . One author found that 93% of musicians who responded to a survey reported musculoskeletal symptoms . These disorders create a significant financial burden to individuals and orchestras and lead to serious consequences to musicians’ performance and ultimately, career. The most common symptoms of PRMD include pain, weakness, numbness, and/or tingling that interfere with the ability to play an instrument at the level to which the musician is accustomed [9–11]. Anyone may be susceptible, but gender, age, static muscle loading, repeated movements, poor posture, and poor fitness stand out as contributing risk factors . Unhealed injuries, micro-trauma from repetitive loaded movement, instrument change, posture, technique, and performance stress contribute to playing-related disorders [9,11]. Risk factors also include sudden increase in practice time, physical environment, instrument weight, and average playing hours per week. Postural muscles, ligaments, joint capsules and synovium can be involved . Paresthesia, such as burning or tingling, tiredness, or heavy limb sensations are frequent initial symptoms [10–14]. Even mild neurologic deficits have serious consequences for string players due to the high demand for extraordinary neuromuscular dexterity. A lack of reported strategies to reduce injuries in this population is readily apparent [3,15]. Most studies of musicians have focused on questionnaire methodology and have not documented physical findings . This author has found no studies that investigated hidden factors including trauma, structural anomalies of the spine, or osteoarthritis as contributors to PRMD.
It has been hypothesized that upper cervical correction of mis-aligned structures of the cranio-cervical junction removes interference to the central and peripheral nervous systems, thus restoring the ability of the body to successfully adapt to stressful conditions [16–20]. The purpose of this paper was to provide a description and discussion of the use of an upper cervical chiropractic procedure to treat a career violist with heavy limb sensation and disabling pain in wrists, arms, neck, and hip of 1-year duration. An additional purpose was a discussion of unrecognized elements in this case that have the potential to contribute to PRMD.
EXAMINATION: To establish the presence of the spinal subluxation, the National Upper Cervical Chiropractic Association (NUCCA) protocol was used for her evaluation. The supine leg check (SLC) showed the right leg was ¼ inch short. With the patient turning her head left, the legs became even. This finding alone indicated the presence of the atlas subluxation complex (ASC) . Upon further investigation of the patient’s condition, active range of motion tests revealed right lateral flexion of the neck producing right neck pain, with range of motion moderately restricted in right and left lateral cervical flexion and right cervical rotation, and unrestricted left cervical rotation. Palpation tests were positive for hypertonic muscles of the left scalenes, left levator scapula, left trapezius, left lumbar erector spinae, and a posterior ilium on the left. Investigation of cranial bone motion revealed occipital bone shift and left parietal bone shifted left.
RADIOGRAPHIC STUDY: Radiographic study of the neck following standardized NUCCA protocol showed the following characteristics: lateral cervical film revealed left-side complete ponticulus posticus (PP), severe disc degeneration at C5–C7, exuberant osteophyte formation from C5–C7, and loss of cervical lordosis (Figure 2). Nasium (frontal) film revealed relative positions of the skull, atlas (C1), axis (C2), and cervical spine in relation to the vertical axis. The atlas shifted right 2 degrees, the cervical spine shifted into right frontal plane 3.75 degrees, and skull correctly positioned on vertical axis (Figure 3).
Using NUCCA protocol, corrective manual adjustments were delivered, employing a low-force, low-velocity method without taking the joint to its physiologic limit. The patient was positioned left side down on the adjusting table with her head supported in a neutral position on a stationary headpiece. The corrective force delivered at the right atlas transverse process with the clinician’s body stance and line of drive was established from the radiographs.
OUTCOME: After performing the correction, immediate tests demonstrated the reduction of hypertonic muscles, pelvic twist, SLC, and cranial distortions. Initial immediate post radiographs showed reduction of the misalignment to 1 degree, a 50% reduction. To be consistent with NUCCA protocol for a more favorable long-term outcome, reduction of at least 80% is desirable. After more corrective adjusting with the same strategy, the second post radiographs at the same visit showed a complete reduction with all elements balanced optimally on vertical axis (Figure 4).
The patient reported immediate sense of relief from wrist pain. Over the next 2 days, neck pain was slightly aggravated 10% according to the patient report completed at day 3. This was the only time an aggravation of neck symptoms occurred throughout the period of care. The patient’s low back and hip pain reduced immediately and only recurred mildly and briefly 6 months later. Over the first 9 weeks there were 15 visits. On 7 of those, adjustments were performed when indicators were present. Initial frequency of follow-up visits were twice a week for 4 weeks, then once a week for 5 weeks. Progress examination at 8 weeks showed improved active range of motion in all directions and no pain elicited with right lateral cervical flexion. Symptom change occurred over the first 9 weeks as indicated by data points at 1 week intervals (Figure 5). Symptoms gradually reduced over time and were all either at a minimum (90% improved neck and low back) or completely better by month 9 (arm, wrists, and hip). Especially significant is that month 9 was December when the full holiday musical engagements were performed without discomfort or relapse. The patient has been able to continue her teaching and playing career over the last 7 years.
THE UPPER CERVICAL CHIROPRACTIC FRAMEWORK: As the healing profession undergoes stratification into specialties, the chiropractic profession also reflects that movement. Over the past 8 decades, empirical observation has served to unify upper cervical chiropractic procedures around the theory that primary misalignment or subluxation occurs in the CCJ. These procedures follow 1 of 2 conceptual frameworks: the articular model, focusing on atlas (C1) in relation to skull and axis (C2), and the orthogonal model, focusing on the relation between skull, atlas, axis, and cervical spine below both in relation to each other and in relation to the vertical axis . The NUCCA procedure used for this patient is considered orthogonal. The scope of practice of the chiropractor is to diagnose spinal subluxation, not to ignore the patient’s condition, but to focus attention on a strategy to improve the patient’s condition through correction of the spinal misalignment.
Upper cervical chiropractic practice consistently uses the established term chiropractic subluxation, defined by the World Health Organization as follows:
A lesion or dysfunction in a joint or motion segment in which alignment, movement integrity, and/or physiological function are altered, although contact between joint surfaces remains intact. It is essentially a functional entity, which may influence biomechanical and neural integrity (emphasis added) .
The upper cervical chiropractor specializes in the CCJ misalignment detection and correction. In this patient case, the CCJ subluxation was detected, analyzed, and corrected. However, to be able to ascertain causality between CCJ misalignment and PRMD, stricter controls on the case would have been necessary.
ELEMENTS OF THE CASE REVEALED ON RADIOGRAPH: Radiographic elements of this patient’s condition have been described, with severe osteophyte formation in the cervical spine and the presence of the PP on the atlas, which have been associated with neck pain [24,25]. According to the published literature, no diagnostic significance of cervical curve alteration in relation to neck pain exists . With the chiropractic care provided, neck pain gradually subsided after an initial aggravation of 3 days, which is the most common adverse event of upper cervical correction . Even more interesting, the pain in the left wrist ulnar nerve distribution vanished immediately after the initial correction. Those patient-reported events support the hypothesis that the upper cervical subluxation was the causative factor in this individual’s neck and radicular pain apart from the PP and arthritic changes. These findings call for greater study in this area; it is not the intent of this paper to establish causality in this case due to the lack of controls.
It has been noted that the set of symptoms described as PRMD can occur outside of the scope of standard orthopedic and neurologic tests . Given the fact that there is no gold standard for diagnosing musculoskeletal disorders, developing a specific medical diagnosis would not have been more helpful than simply observing the totality of symptoms expressed in the general diagnosis of PRMD . Radiographic studies of PRMD patients do not exist. Outcome measures specific to the musician are available and clarify the level of functional disturbance of PRMD symptoms. Nordic Musculoskeletal questionnaire (NMQ), International Conference of Symphony and Opera Musicians (ICSOM) questionnaire, and the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM) represent 3 outcome measures that appear in the literature [9,26,27]. Ancillary procedures such as biofeedback, Feldenkrais technique, and remedial lessons in the FM Alexander Technique have been suggested for amelioration and prevention of nerve compression symptoms . Developing kinesthetic awareness and rehabilitation of movement patterns characteristic of this training seem to require more than 10 weeks to achieve success in complex activities such as viola performance . Changes in this musician’s equipment such as chin rest and shoulder rest, or remedial interventions such as sessions in Feldenkrais or the FM Alexander technique were not discussed in order to focus on correction of the spinal subluxation. In the upper cervical chiropractic office, the 2 main points for the clinician involve the severity of the complaint and the presence or absence of the spinal subluxation. As a result, outcome measures are focused in relation to the subluxation. In this case, for example, the supine leg check displayed the functional short leg, and the palpation tests displayed taut and tender muscle fibers and joint motion restriction. Outcome measures also used in the upper cervical chiropractic office may include thermography, posture analysis, force platform, and prone leg check. In this case, quality of life outcome measures or the musician questionnaires would have provided greater depth of understanding. If health issues resist timely resolution, the patient is referred to the appropriate practitioner. With rapid resolution of symptoms for this patient, other procedures were not considered.
This report details the evaluation of an injured string player and measurement of outcomes using a low-force, low-velocity correction of the ASC. Restored ability in this one patient followed the measured change at the CCJ. This possibly suggests that degenerative disc disease and the PP may not be significant contributors to reported symptoms for the musician in this case.
One weakness of this case report was that the use of a standardized quality of life questionnaire (such as NMQ, MPIIQM or ICSOM questionnaires, or the RAND-36 quality of life index) may have supported the outcome more robustly. Another weakness was the limitation of upper cervical outcome measures in the standard clinical setting. In a research setting, performing in-depth neurologic tests and spinal posture tests on sagittal and transverse planes using chosen osseous points and recording with calibrated imaging software would enhance our understanding of the link between spinal imbalance and neurological signs .
Future research is clearly warranted to include a longitudinal study investigating the relation between uncorrected postural distortions, spinal subluxations, and PRMD. Testing the hypothesis that body awareness techniques can be associated with improvements in spinal distortions and PRMD symptoms is warranted . Finally, evaluating structural and functional characteristics of the upper cervical spine may hold promise in the evaluation and treatment of musicians with PRMD.
FiguresFigure 1.. This violist depicts the use of a pillow under the left axilla to assist the effort of left arm abduction and external rotation. A healthy violist will not require assistance. Figure 2.. The lateral cervical radiograph shows ponticulus posticus on the atlas and degenerative joint disease throughout. The bucky has lead lines marking vertical and horizontal axes as true reference points for evaluating patient positioning. Figure 3.. The frontal (nasium) radiograph depicts excursion of the cervical spine into the right frontal plane, creating an acute angle between the atlas (C1) and the skull (C0). The right side of the patient is on the right. On the right of the center line is recorded the elements of the misalignment: AT (atlas) right 2 degrees, OD (odontoid) right 3 degrees, BC (C2 body center) right 2 degrees, SP (spinous process of C2) right 0 degrees. To the left of center line is the calculated correction vector designed to restore the system to the vertical axis. Figure 4.. The post adjustment frontal (nasium) radiograph depicts the return of the cervical spine to the y-axis directly underneath the skull and effective reduction of the acute angle between the atlas and the skull. N (normal atlas-skull relationship), L1 (describes tilt of the head to the left 1 degree off the vertical axis, not a misalignment component). Figure 5.. Patient-reported data points on a numeric 0–15 scale, 10 indicating original level of pain, 0 indicating no pain, 11–15 indicating levels of aggravation above initial pain level.
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Did Melania Trump blatantly break the law by arranging a bogus marriage to get a green card in 2001?
If she did, she and her husband Donald are the greatest hypocrites since Newt Gingrich impeached Bill Clinton despite carrying on a secret affair himself.
While the pair were railing against illegal immigrants, including about 50,000 Irish, was she one herself who broke the law?
Melania Trump was definitely married before she met Trump -- that is what Michael Wildes, a top immigration attorney who worked for the Trump Organization, told Univision's investigative unit. He stated that she married Donald Trump in 2005 but had obtained a green card four years earlier in 2001, “based on marriage.”
If so, she clearly broke the law by having a bogus marriage simply for the green card which allowed her to stay in America. If so, who was this secret husband? When were they divorced?
Who is Michael Wildes, the immigration attorney making this new charge? He is a former federal prosecutor and Democratic mayor of Englewood, New Jersey. He also worked for the Trump organization.
Wildes certainly has an intriguing client list including many superstar models; Gisele Bundchen, Tom Brady’s wife, is one. His father got John Lennon his green card in what was considered a very difficult case.
Here is what Wides told Univision in a phone interview recorded by the channel:
Wildes said he acted “on behalf of Trump models” and handled legal work to obtain visas and green cards for Miss Universe when Trump owned the pageant.
He told Univision that he had been authorized by the Trump Organization “to speak on the matters concerning Melania.”
He said he could not comment on how Melania Trump became a U.S. permanent resident.
“Ms. Trump received citizenship in 2006 and prior to that she had a green card based on marriage,” he said in a recorded interview by phone. “Before that, she had a work visa and was in full compliance on her visas and never disrespected any of them. That has been made clear to me.” Melania Trump has said she came to the United States on a legal visa in 1996, got a green card in 2001 and then became a U.S. citizen in 2006.
Melania and Donald Trump were not married until Jan. 22, 2005 at Bethesda-by-the Sea Episcopal Church in Palm Beach, Florida. She has stated that was her only marriage. Wildes has now contradicted her.
Let's go back to the start. Melanie it seems had a tourist B1 or B2 visa which is also a temporary business visa when she first came here which did not entitle her to work but did entitle her to stay for up to six months at a time and sort out employment opportunities.
That explains her story that she went back and forth to keep renewing that visa. It seems very likely she worked for pay sometime between 1996 and 2001 thereby breaking the visa rules as she never changed her status.
More serious however is how did she get the green card in 2001? Wildes says it was by marriage. Yet she told Anderson Cooper her marriage to Donald Trump was her first in 2005. Who did she marry in 2001 if Wides is correct and there seems no reason why he would make it up as a respected attorney and former prosecutor?
This seems to be leading to a negative conclusion for Melania and a huge blow to Trump if it does.
For the past year he has been screaming his head off about undocumented immigrants and those who break the system, calling them murderers, rapists, etc.
What if he was sleeping with the enemy and Melania was one of them, that dreadful horde he castigates and calls out every day?
Nothing in this screwy campaign should surprise us at this point, but I am prepared to be shocked once again.

domain: politics


Doctor who taped cop asking for bribe attempts suicide
A south-Mumbai based doctor who had accused a police sub-inspector of harassment and intimidation earlier this year was found lying unconscious at a Dongri guesthouse last afternoon. Doctors suspect that he tried to commit suicide.
Dr Fayzan Khan (30) was staying alone at the Zam Zam guesthouse in Dongri. Fayzan was discovered when an employee of the guesthouse failed to receive a response after knocking on the door to his room. They broke into the room and found him lying unconscious. He was later admitted to J J Hospital.
Doctors at the hospital found marks on his neck and suspect that he may have tried to hang himself first, and then consumed a poisonous substance.
Earlier this year, Khan had accused a sub-inspector from Pydhonie police station of demanding a bribe of Rs 25,000 from him. On February 3, 2012, MiD DAY reported that Dr Fayzan had lodged a written complaint to the then police chief against Sub-inspector Suddam Sanab of Pydhonie (‘Give me Rs 25,000, or I will brand you a terrorist’). He even provided video footage of the policeman asking him to pay a bribe of Rs 25,000 or face arrest in a fake currency racket.
Cops investigating the matter say that they haven’t yet managed to trace any members of Fayzan’s family.
T P Lahane, dean of J J hospital said, “The patient had consumed poison and also tried to hang himself. He was very uncooperative when he was brought to the hospital. He was refusing to be treated and refused to speak to cops as well.”
Police Inspector Sudhir Mali of the Dongri police station said, “We cannot reveal anything as we are yet to take a statement from Fayzan. He is now in a stable condition and is undergoing several check-ups. We are still unsure whether he attempted suicide.”
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As a kick off to the beginning of St. Ann's Warehouse season, Tony Award nominee Sahr Ngaujah and the band from the Broadway production of Fela! will perform a free concert on Pier 1 of Brooklyn Bridge Park on Oct. 4. That's today.
Accompanying Ngaujah will be the music director for Fela! Aaron Johnson and the Afrobeat band from the show.


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To Be Myself – Original Painting
And Being in Love For the First Time, I Made A Phrase (Virginia Woolf) – Download
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domain: artistic


Conway: White House Spokesman Gave 'Alternative Facts' on Inauguration Crowd
Donald Trump adviser Kellyanne Conway said Sunday on NBC's 'Meet the Press' that White House press secretary Sean Spicer gave 'alternative facts' when he falsely claimed the president drew the 'largest audience' ever for his inauguration. Spicer slammed the media on Saturday for reporting that the number of attendees at Trump's inauguration appeared significantly smaller than Barack Obama's in 2009.
Sun, 22 Jan 2017 16:00:00 GMT
Left in the Lurch: Democrats' Curious Decline
When President-elect Donald Trump replaces Barack Obama on Friday, the Democratic Party will find itself more removed from power than at almost any point since the party's creation. The Democratic coalition young, multiethnic, educated and urban proved to have major demographic and geographic handicaps that have been hollowing out the party for years. NBC News takes an in-depth look at how the party transformed radically in recent decades and what it needs to do to win again.
Wed, 18 Jan 2017 11:08:00 GMT


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And in order to reduce property insurance costs, especially for Floridians living near the nation's second-longest coastline, Crist expanded, and vetoed reform of, the state's reckless version of a property insurance "public option." It is government-run insurance that, by offering rates lower than rational assessments of risk would dictate, has driven private insurers to limit their business or even stop doing business in the state. When a huge hurricane hits, Florida -- and U.S. -- taxpayers might have to foot the bill, by which time Crist plans to be in Washington.
Rubio, who is 38 and in a decade might look that old, says Crist will not be there. Crist, says Rubio, "never thought he'd have to run in a Republican primary again." Probably only about 20 percent of Florida's 4 million registered Republicans will vote in the closed primary in late August in a nonpresidential year. So, about 450,000 votes might win it. That many can come from Republicans who are attentive to politics even in late summer because they are ideologically driven.
As is Rubio, which is why National Review, the bimonthly encyclical of the church of conservatism, had him on a recent cover and why the Club for Growth, a group that contributes to Republicans friendly to free markets, should support him. Crist has a large lead in name recognition, and hence in polls. But where Rubio and he are both known, they are neck and neck.
A Catholic and father of four, Rubio, whose parents fled Cuba in 1959, says, "It is hard to be apolitical when you are raised by exiles." He worries that his children's generation "will be the first to inherit a diminished country." His preventive medicine includes limited government, tax reform, spending restraint and removal of all impediments to the entrepreneurship that makes America a place "where poor people can put billionaires out of business."
Florida will not soon be pushed back under the ocean by the weight of its expanding population. For the first time since the Second World War, the state lost population -- 58,000 people -- in a 12-month period (April 2008 to April 2009). In January 2011, one Floridian will leave for the U.S. Senate. He is unlikely to be a former governor at odds with his party's nominating electorate, or the probable Democratic nominee, Kendrick Meek, a hyper-liberal congressman. Rubio intends to prove that "in the most important swing state, you can run successfully as a principled conservative." He probably will.
10 Tips to Survive Today's College Campus, or: Everything You Need to Know About College Microaggressions | Larry Elder

domain: news


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Renbrook School is pleased to announce that we will host One Renbrook Community Table, our signature community-building and fundraising event, on Saturday, April 10, 2021. Everyone is invited to be a part of One Renbrook! There is no charge to participate, but registration is required. Community Table Dinner packages, sponsorships, and advertising opportunities are available.
Gifts to Renbrook School are tax deductible to the extent allowed by law. Renbrook School is a not-for-profit educational institution welcoming students of every race, religion, national and ethnic origin, sexual orientation, and gender identity.

domain: sociology


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“I beg you, to have patience with everything unresolved in your heart and to try to love the questions themselves as if they were locked rooms or books written in a very foreign language. Don’t search for the answers, which could not be given to you now, because you would not be able to live them. And the point is to live everything. Live the questions now. Perhaps then, someday far in the future, you will gradually, without even noticing it, live your way into the answer.”
― Rainer Maria Rilke, Letters to a Young Poet
I used to think there was such a thing as an adult.
At first, the adults were my parents and my teachers. They gave me answers in absolutes; this is the right thing and that is the wrong thing. That made me feel safe, and also freed me from my own opinions. If mine didn’t match theirs, it must be wrong. They were older and smarter and more experienced.
Then I got older and met more adults, and some of them seemed even more expert than my parents and teachers had been. Some were as sure of themselves as my former “adults” had been. It was terribly confusing to learn that the things I’d taken for gospel were, in fact, debatable. Some of these adults were gentle in sharing their wisdom, offering it alongside the wisdom I’d held before, calling it not the choice but a choice. That made me feel unsteady; how could I choose the adultiest adults, the rightest choices, the smartest smart people? If they all disagreed, did that make my original parents and teachers right? wrong? neither? WHO WERE THE REAL ADULTS?
It wasn’t until my youngest daughter got sick that I realized that there is no such thing as an adult. Continue Reading…
In 2005, there was no Facebook.
In 2005, there were no smart phones or tablets or ways to send audio and video to anyone.
In 2005, if you were like me: alone with your preschooler and your baby and your empty house and almost no friends with children, the only way to connect to parenting wisdom, camaraderie, and a stolen moment of sanity several times a day was Mothering Magazine’s online forums. They were called the “Mothering Dot Commune,” and, for me, they served the purpose that smart phones and social media and texting serve now. They were, in a lonely world, a lifeline of support and connection. I relied on them for everything from pregnancy support (August 2005 Due Date Club!) to toilet training ideas to vegetarian recipes. I was steeped in gratitude during my pregnancy with my second daughter, but never more so than after she was born, when a regular user of the site who I’ll call Shanti helped set the course of my parenting in a way I’ll never forget. Continue Reading…
A list of contradictions:
- I am incredibly grateful that my once-sick child is now healthy, and I am sometimes resentful that I worked so hard to become the mother she needed only to have her needs change entirely.
- I feel strong in my conviction that telling the story of my family’s trials and eventual happy ending is important, and I sometimes wonder if there’s anything interesting or unique enough in that story to sustain the interest of my future memoir readers.
- I know that the terrible things that happened to my daughter because a doctor didn’t read her chart are the fault of the doctor, and I sometimes look back and see every single time that I failed to push hard enough for better answers.
- I know that ending my career in order to care for my daughter has given me the immeasurable gift of being present every morning and afternoon throughout both daughters’ entire childhoods, and I sometimes resent what I know will be a painful and lonely transition when they leave home.
- I feel confident that our story’s core lesson — that childhood illness requires attention and respect be paid to the family supporting that child — is a crucial one for doctors and caregivers, and I sometimes question whether I, personally, am really worthy of attention and respect.
These are real conflicts in my head, competing with each other every single time that I sit here, tapping away at my computer to tell this story. Every time I sit down to write, I question all of those things in addition to whether or not this moment is the right time to be writing or whether anything will ever come of my writing or whether the enormous pile of magazine rejections is a message from the universe about my writing or whether what I’m writing is generous or self-indulgent. The arguments inside my head are loud and frustrating. Sometimes they are paralyzing.
So I’m leaving.
I’m leaving my home, I’m leaving my country, and I’m leaving the internet, entirely, for six days on a retreat in the Andes mountains. It will be another series of contradictions: too isolated and too communal; too beautiful and too distracting; too much time alone and too little time to myself. I won’t know what I need until I need it. It won’t be too hot, but it might be too cold. I will come back with my book manuscript complete, however complete is defined when I feel it.
I release myself from the outcome. I release myself into the contradictions and the mystery. Send me love.
Last month, my daughter texted me from school to ask me if she could buy a panini press.
“Where would you buy a panini press?” I asked her, mentally picturing the route home from school which includes only an indoor play space for toddlers and a gas station.
“At the school store,” she answered. “With my points!”
It turned out that, against all odds, there was a panini press at the school store where students can “buy” things with the points they earn for good behavior. I tried to figure out how it fit in with the erasers and plastic jewelry and school swag and soccer balls, but I gave up. Maybe it was a toy.
“Sure,” I tapped back into my phone.
By the time she came home, I had already forgotten, but there she was, grinning broadly beneath cheeks flushed with the cold, clutching a gift bag that sagged with the weight of a used panini press. She’d spent half of her points for it, and the teacher who’d packed it away had asked her if it was a gift for me.
“I told her no, it’s for me. I love paninis!” my girl told me triumphantly, hoisting it up onto the kitchen counter. Continue Reading…
Clean eating. Boot camp. Paleo diet, no-processed-sugar-January, new year cleanse. Slim down, tone up, burn it off, amp it up!
To all of this, I say: you’re worse for children than pornography.
I spend a lot of time thinking about the danger of asking people — mostly women — to think so hard about their bodies. I think about it every time I see pseudo-food being peddled near in the grocery store — “low carb” bars and no-calorie salad dressings and lettuce proudly labeled “gluten free!” as if lettuce could ever contain gluten. Once, I did my best to listen respectfully while a member of my family described donuts as “absolute poison.”
Around this time of year, the everyday drone of insistence on vilifying foods and hating our bodies gets louder. Every January, the ads on the internet and TV and in magazines and the newspaper start preying on the women who have not managed to set — or follow — new year’s resolutions to love themselves harder, no matter what. I think about it all the time, and fight its imprinting on my brain with my whole heart, but this week, I got involved in a Twitter thread that reminded me — in case I wasn’t anxious enough about how this would all affect ME — that there’s a population even more vulnerable than adult women.
That population is teenagers. Continue Reading…

domain: literature


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domain: medical


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We’re still celebrating the Supreme Court’s decisions regarding health care and marriage equality from last week. But, we’ve also now taken time to evaluate just what these decisions mean—together. In other words, how do the Affordable Care Act and marriage equality interact to shape whether LGBT consumers have access to equitable, affordable, and comprehensive health insurance and health care?
Kaiser Health News predicts that the marriage equality ruling will likely result in more consumers accessing employer-sponsored coverage because they will now be able to rely on their partners’ coverage. In addition to workers gaining coverage from their employers, the answer also lies in special enrollment periods and Medicaid coverage.
- Special Enrollment Periods (SEP): After the end of open enrollment, particular qualifying life events enable consumers to enroll in Marketplace coverage—in State Based and Federally-facilitated Marketplaces. One of these qualifying life events is marriage. However, prior to the marriage equality ruling, this left some consumers out of the running. The Federally-facilitated Marketplace could only recognize a same-sex marriage as a SEP so long as the marriage occurred in a state where it was legal. If a couple couldn’t travel to a marriage equality state to get married (place of celebration), and their home state (place of domicile) didn’t allow same sex marriage, they were out of luck, and forced to apply for Marketplace coverage as individuals during the open enrollment period.
Now, with marriage equality standing as the law of the land, it seems plausible that we’ll see an increase in marriages between same-sex couples, many likely occurring outside of the open enrollment period. So now, regardless of where a same-sex couple resides, their marriage will qualify them for a SEP if it happens outside the open enrollment period. LGBT and consumer health advocates in Georgia have already launched a new “Say ‘I Do’ to Healthcare” campaign to encourage same-sex couples who get married this summer—or any other time outside of the November 1, 2015 to January 31, 2016 open enrollment period—to apply for coverage through a SEP.
- Medicaid: While the federal Marketplace previously recognized married same-sex couples as eligible for tax credits and Marketplace coverage, the same is not true for Medicaid. Because Medicaid is a shared state and federal program, it was left up to each state to determine if same-sex married couples were eligible to apply for Medicaid coverage together. Not surprisingly, those states that didn’t have marriage equality weren’t likely to allow same-sex couples married in other states to apply for Medicaid together in their home state. However, the Supreme Court’s ruling changes this; same-sex couples in all 50 states should now also be able to apply for Medicaid together.
This doesn’t, however, mean that the fight to close the coverage gap is over. We know that LGBT people, and especially LGBT people of color, are disproportionally lower income. In fact, more than 60 percent of LGBT people with incomes under $47,080 (400 percent of the federal poverty level) would qualify for Medicaid expansion. LGBT people across the country need all state governments to expand their Medicaid programs.
However, sweeping discrimination still exists for many lesbian, gay, bisexual and especially transgender people—in many states, for example, same-sex couples can now get married but can also still be legally fired for their sexual orientation. One way we can begin to counter disparities and discrimination in areas such as health care access, housing, and the workplace is by collecting data on the experiences of LGBT people.
Community Catalyst and the Center for American Progress teamed up to create a compilation of data collection opportunities that advocates can use around the country. For example, advocates can encourage states to begin to include sexual orientation and gender identity questions on their Marketplace applications. Many states also conduct population surveys that should collect LGBT data—for example, the Behavioral Risk Factor Surveillance System (BRFSS) now has a question set on sexual orientation and gender identity that states can choose to use, and in 2014 alone more than 15 states added this question set to their BRFSS questionnaire.
While we continue to celebrate the Supreme Court’s decisions from last week, we know there’s much more work to be done.


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Poker is a card game in which players compete for chips. Each player is dealt seven cards, one at a time, and the highest-ranking hand wins the pot. Most games feature a standard 52-card deck with four of each kind and four different suits. Most poker games also feature chips instead of cash, because chips are easier to count, keep track of, and make change with. In fact, most players prefer trading chips over cash, because each chip represents a different dollar value.
There are hundreds of ways to play poker, and the rules of the game vary from casino to casino. The most common game is Texas Hold’Em, and each player must ante, or buy-in, to play a round of the game. The ante is usually a small bet such as $1 or $5. After the ante is placed, the dealer deals each player two cards, and the player will decide whether to bet. Players may check, fold, or match their opponents’ bets.
Poker is a card game that involves betting on the best hand. There are several variations of the game, including Texas Hold’em, Omaha, Razz, Seven Card Stud, and Five Card Draw. Many players play this game for fun, but you can also play it for real money.

domain: entertainment


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Neither the named Representatives nor Broker/Dealer gives tax or legal advice. All information is believed to be from reliable sources, however, we make no representation as to its completeness or accuracy. Please consult your Financial Representative for further information. Registered Representatives of and securities offered through Berthel Fisher & Company Financial Services, Inc. (BFCFS). Member FINRA/SIPC. Investment Advisory Services offered through BFC Planning, Inc, Berthel Financial Strategies, BFCFS, and BFC Planning, Inc. are independent entities.
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domain: economics


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Press Release Summary:
Made of one-piece rubber body and pressure-relieving system integrated into glass-filled nylon core, Test-Tite® Pneumatic Test Plug are available in 1-1/2 in. , 2 in., 3 in. and 4 in. sizes in 6 and 12 pack case configurations. Units are designed is such a way that excess air is relieved into atmosphere before the deformation of plug.
Original Press Release:
Test-Tite® Pressure Relief Pneumatic Test Plug Reduces Risk of Over-Inflation
IPS® Corporation, the trusted leader in innovative plumbing solutions, announces the release of the new, fully redesigned patent-pending Test-Tite® Pressure Relief Pneumatic Test Plug. These unique test plugs incorporate exclusive features not found on any other test plug in the plumbing industry.
Unlike standard test plugs, Test-Tite’s PR plugs are manufactured with a one-piece rubber body that contains no seams or bonded parts and a patent-pending pressure-relieving system that is integrated into a glass-filled nylon core for protection and extra rigidity in the field.
“IPS is confident the new PR test plug will prove to be a safer and longer lasting plug than any plug on the market today,” says Matt Willard Test-Tite product manager.
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Infield duo flash leather with style.
OMAHA, Neb. - Oregon State offered the best and the worst of itself defensively Saturday night in beating Cal State-Fullerton 3-2 in an opening game at the College World Series.
First, the play that both coaches felt affected the outcome of the game, a 6-4-3 double play in the fourth inning executed by the Beavers.
`What a spectacular double play,' Titans coach George Horton said.
With one out and a runner on first, Evan McArthur grounded to OSU shortstop Darwin Barney, who had to make an off-balance throw to second baseman Joey Wong. In a relay worthy of the highlight video, Wong caught Barney's throw as the runner was sliding into the base and made the sidearm throw to first baseman Jordan Lennerton to end the inning with the Beavers leading 2-1.
`That gave us a lift,' OSU coach Pat Casey said.
Asked about the enthusiasm for the play expressed by both coaches, Barney expressed some surprise.
`I didn't realize it was such a good play,' he said. `I'm just trying to get the ball to Joey and he's going to make a good turn. I got it off as quickly as I could, (but) that play is tough, catching it on your left foot and throwing off your right, and the transfer (from glove to throwing hand) wasn't perfect."
`It's what you have to do in the infield; it's just that touch feel you have as an infielder.'
Barney was less than pleased with a play in the ninth inning, when OSU was charged with its first error in three games. There were two outs when McArthur lofted a fly to left that Barney went back on, and then turned away from as he heard John Wallace, the left fielder calling `ball, ball,' meaning the outfielder would make the catch.
Instead, Wallace missed with a lunging effort, and the baseball fell to the grass and kept the Titans alive.
`Wallace feels bad on it, but I floated on it and he peeked at me,' Barney said.
The pitching change
OSU starting pitcher Jorge Reyes left after six innings but almost didn't make it that far. After recording the second out of the sixth inning, the freshman right-hander seemed to be trying to stretch his right leg, which prompted OSU pitching coach Dan Spencer and trainer David Stricklin to hustle toward the mound.
`There was kind of a big hole in the mound, and my cleat must have gotten stuck and I felt a little pull,' Reyes said.
He was asked to throw a pitch to test the leg.
`They asked me if I was OK, and I said yes,' Reyes said, which maybe was not quite true.
`I didn't want to go out of the game,' he pleaded in his defense.
As he ended the inning, Reyes again felt slight pain at the top of his calf muscle and, after being tested in the runway behind the dugout as the Beavers batted, Stricklin recommended a pitching change.
`Every time I put my foot down it would tighten up a little bit,' Reyes said of the calf muscle. `We iced it and now it feels good.'
He had warning
Barney, a teammate on the USA team last summer with Cal State-Fullerton pitcher Wes Roemer, received a warning via text message on his cell phone before the game.
`I'm sorry if I have to hit you,' Roemer texted to Barney. `Don't take it personally. I won't throw it hard.'
Sure enough, in the sixth inning with Barney crowding the plate, an inside pitch thudded into his left thigh.
Barney trotted down the line and traded barbs with CSF first baseman Matt Wallach.
`He beaned you because he's scared of you,' Wallach yelled.
`I said, `that is not true,' ' Barney responded.
The missing Beaver
Mike Lissman, who gave the Beavers a 1-0 lead with a homer in the first inning, declined to meet with the media after the game.
He was apparently upset over continuing coverage of his status with the team in light of pleading guilty to theft for improper use of funds belonging to a relative.
Though his mother was convicted of a felony - because more money was involved - Lissman's case was handled as a misdemeanor, and after entering a guilty plea, Lissman was sentenced to probation and community service.
OSU took no official action against the senior.
`I wish that everybody could sit down and have all the information,' Casey said. `I'm not able to share those things with you.
"That's a family situation that they're involved with.'
Asked specificially about Lissman not being suspended over the matter, Casey said `I have no comment.'
A Duck presence
Dave Heeke, the former associate director of athletics at Oregon, is a regular presence on the field and in the press box at Rosenblatt Stadium.
When Heeke took over 18 months ago as the AD at Central Michigan, he also inherited a spot on the NCAA baseball committee. In that role, he was one of the 10 committee members who selected the field and set the bracket, and here at the World Series, Heeke helps administer the event.
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|Title Annotation:||Sports; Barney and Wong turn dazzling double play in fourth inning for big lift|
|Publication:||The Register-Guard (Eugene, OR)|
|Date:||Jun 17, 2007|
|Previous Article:||Win One is a gripper.|
|Next Article:||Host club reaches Legion title game.|


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Another person was also injured in the accident, York Regional Police said.
Hours before final leadership debate, Kevin O’Leary pulls out of race and throws his support behind Bernier
Navy’s lack of ballistic missile defence capability troubling as U.S. warns North Korea against another test and pressures country to back off nuclear program.
If you don’t know what to make of a guaranteed basic income, you’re not alone.
Government pledges funds for child-care subsidies to improve affordability for families in announcement on eve of budget.
Four killed in helicopter crash in Moosonee, Ont., on May 31, 2013.
Officials at UC Berkeley said last week they feared more violence on campus if Coulter followed through with plans to speak.
Tenants evicted for criminal activity must be accommodated if they reapply, and some could even move to the top of the waiting list.
Yiannopoulos blamed Berkeley for forcing Ann Coulter to scrap an appearance she was planning at the university, and he criticized the university for how it handled his visit to campus on Feb. 1.
The child died of blunt force trauma to his stomach, which caused his intestines to rupture.
As part of an alliance opposing oil sands expansion and pipelines across North America, Grand River First Nation instead focuses on green energy solutions.
Joshua Cody Mitchell, 22, faces a number of charges that include second-degree murder, in the June 2015 death Maryam Rasidid, 35.
The fraud involved moving donated items from a Salvation Army distribution centre to another warehouse to be sold for profit.
Victim died of injuries received when she was pushed by another resident of the hospital, police say.
Manslaughter trial had heard that nurse Joanna Flynn had pressured Leblanc to allow wife to be taken off life support.
Suspect pointed gun at clerk, demanding cash, when Mohamad Nakib-Arbaji, a self-employed taxi driver for over 20 years, stepped in.
Police release photos of man who took the Pomeranian/Shih Tzu from where it was tied up outside a McDonald’s late Wednesday.
Leonard Pinnock, 33, was found without vital signs in a parking lot near Dufferin St. and Eglinton Ave. W.
The event would put Montreal on the map and is remembered fondly by those who attended as drawing them into a futuristic fantasy world.
Kevin O’Leary’s abrupt exit may have saddened more Liberals than actual Conservatives, many of whom are relieved that their party has dodged a bullet.
Adam Malcolm hopes to eventually raise the funds for a greenhouse.
A group of activists in Ontario has launched a petition demanding that the province adopt a new and improved version of the International Symbol of Access.
A discipline hearing involving a Kenora lawyer for residential school survivors was stopped this week when both sides came to an agreement.
“It’s overwhelming the response I’ve received,” said Jamie-Lee Ball, who spent five days on a gurney in hallways at Brampton Civic Hospital. “A lot of people are realizing they can share their stories.”
At Coup, customers are given tokens when they buy drinks. They put the tokens in jars labelled with names of organizations like the American Civil Liberties Union and Planned Parenthood.
Speaking to reporters at the Pentagon, United States Air Force Col. John Dorrian said the U.S. is concerned that Turkey didn’t co-ordinate the strikes with the U.S.-led coalition against Daesh.
Baz Luhrmann’s 1992 film is now a musical opening April 26 in Toronto with new songs by current pop stars.


Norfolk paramedics and the Canadian Coast Guard are grateful it has been a comparatively quiet summer as far as water emergencies are concerned despite several spells of hot, humid weather.
It is not unusual at this point in the summer to have had two or three drownings in local waters. Whether through good fortune or a heightened awareness of water safety, paramedics and the Coast Guard hope the lucky run continues into the fall.
tap here to see other videos from our team.
But Norfolk paramedics and the Coast Guard know there will be serious emergencies ahead even if they don’t happen this year.
In anticipation of this, they have co-ordinated their training so each knows what to expect of the other when the time comes to hand off individuals who’ve been injured while enjoying themselves in Lake Erie.
The latest round of training took place Aug. 7 in Turkey Point.
Three members of the coast guard and three senior paramedics participated.
“We’ll put what we’ve learned into a training package and take it back to our members,” Joe Estrela, an acting commander with Norfolk County Paramedic Services, said Friday.
“It’s been a quiet summer on the lake but we want to be prepared for the most extreme emergencies. We’ve been fortunate so far that nothing has happened.”
There have been no drownings in the local area this summer but Norfolk paramedics have attended to individuals who have been seriously injured.
A perennial hazard involves people who dive head first into murky water not knowing what lies beneath.
Estrela said this is a danger most everywhere in Long Point Bay because sandbars form in random locations. Victims of careless diving can wind up permanently disabled or worse.
On the south side of Long Point in the open waters of Lake Erie, undertows and rip currents are major threats.
“On windy days, the undertow can be strong,” Estrela said. “Weaker swimmers need to be aware of the potential. It will pull you under.”
The coast guard and Norfolk paramedics issued the following statement following the Aug. 7 training exercise:
“The public should be reminded that water safety is imperative. Wearing life jackets, carrying required boating safety equipment, boating responsibly and soberly, refraining from diving in shallow water, being cautious of undertows, and having weaker swimmers kept near a responsible person are all examples of being vigilant around the water.”


text:
Guerrero: I once fell for the fantasy of uploading ourselves. It’s a dangerous myth that’s been popularised by a whole generation of artists who assumed that the moment they released their work into public consciousness, it had already been accepted by everyone. There was a brief moment in my early career when I saw this as a chance to do that, to release it into public domain, and to get everyone’s attention. And I thought: why not? The last time I’d really done anything like that, the most famous musician in Britain, the Beatles, were on their way to a stadium in Hamburg with an album they had just finished, yet there was no one there. And if a billion people had paid money to see the Beatles play at Hamburg’s Hofbräuhaus – a venue which, at that time, only had a capacity of 500 – then the whole world would have come. But they didn’t, because they were already in America and the press had given them a great platform.
The myth that had been born was, ‘Oh, it’s been accepted. Let’s take ourselves out of public eye.’ It was a naive little fantasy, of course. Public acceptance was never what we were looking for at the time. We were looking for a kind of notoriety, fame, and for a different kind of publicity, where there was something to write about.
With my work, I don’t believe that it’s been accepted. That myth of self-release is the most persistent of all. I mean, for me there was something that always made me feel as though I was playing a game of football – not just playing in a game of football but playing a game that I couldn’t hope to win. I did believe, though, that people did seem to be enjoying the music, which was a great relief for me. But this is a very selfish motive. I don’t just do it to have a nice life, and you know that. I’m doing it because it’s good for the music.


text:
A sinkhole has opened up on the White House North lawn and, no, this is not a metaphor.
Voice of America reporter Steve Herman reports that the swamp now has a new drainage system, it's a result of the ground beneath this administration rapidly crumbling, again it is not a metaphor, and—like Robert Mueller probe—it is expanding.
According to Herman, a second sinkhole—a vice sinkhole, if you will—opened up next to the first in celebration of Gemini season. Both holes have set up GoFundMe accounts to support their progress in rapidly opening up the gates of Hell. At the timing of this writing, both GoFundMe campaigns had exceeded their goal.
It's a bold but unsurprising resistance action on the part of the planet Earth, one of the Trump administration's biggest enemies.
Experts expect Trump to declare war on the planet at some point before the midterm elections, so presumably this sinkhole is a preemptive first strike. We reached out to the sinkhole for comments. "Not to get too political," the sinkhole said, "but I'm really looking forward to swallowing this entire White House into the molten lake of lava that sits in the middle of this planet, next to the dragon cave and the Starbucks."
The unexplained rapid dissolution of the ground on which the White House stands is, again, not metaphorical but actually happening and hopefully will be captured on a live webcam. Is there anything more American than tuning in in real-time to watch the once-hallowed halls now trod by creeps and Dick Tracy villains tumble into the abyss like a Bluth Company model home?
It's all happening. And by that I mean, The Happening. The Happening is happening.
Breaking: the sinkhole just inked a multi-year sitcom deal to star in a revival of What's Happening?
The good news for the president is that a live cam of the sinkhole would probably give him the best ratings of his life, so things are looking up for everyone. The bad news is that the sinkhole currently has a 98% approval rating.
It's also being reported that Robert Mueller has recently brought a spelunker on to his team and will be following the investigation where ever it leads him, up to and including the La Croix-filled, left-leaning, atrophying core of the planet.
Follow R. Eric Thomas on Twitter.

domain: geography


text:
Home' Trinidad and Tobago Guardian : May 28th 2017 Contents news For breaking news, call 225-4465 Exts 2032, 2033 or email us at email@example.com
Sunday, May 28, 2017 guardian.co.tt
NIB will have to reform
or sell off assets
Please do not panic. This is the
plea from executive director of the
National Insurance Board (NIB)
Niala Persad-Poliah as she tried to
allay the fears of citizens following
recent revelations that if changes
are not made to this country’s na-
tional insurance system, funds will
be completely depleted by 2030.
The Ninth Actuarial Review of the
National Insurance System was pub-
lished in June 2015.
It covered the three-year period
up to June 30, 2013, and presented a
projection of the financial situation
of this country’s national insurance
system for the next 50 years.
“From 2019-2020, assets will rap-
idly decrease and the NIS funds will be
completely depleted in 2029-2030 if
nothing is modified in terms of con-
tributions or benefits,” the actuarial
Workers contributing to NIS have
been expressing concerns about their
However, Persad-Poliah sought to
assure the public that this was not
cause for concern as this country’s
national insurance system is “strong”.
Reform of the system is, however,
“There is no need for fear and panic
in the minds of citizens at this time.
The NIS is strong but reform is needed.
Contributors who are paying into the
system, those who are yet to receive
benefits and even those who are in
receipt of benefits should not be con-
cerned. But we must all recognise that
reforms are needed to the system so as
to preserve the fund for generations
The actuaries have sounded warn-
ings that urgent action is required to
update the system and ensure it is rel-
evant to the income security needs of
They projected that the number of
people at pensionable age in the coun-
try will grow to over 400,000 by 2063,
up from the current figure of 200,000.
The working population between 16
to 59 who supports the retirees through
their contributions will decrease by al-
most 25 per cent over the same period.
To address these issues among the
recommendations made in the review
is that the country’s retirement age be
increased to 65 and an increase in the
contributions made by citizens.
The three short-term changes rec-
ommended by the actuaries are an in-
crease of the maximum insurable earn-
ings (MIE) which is the band of income
of an insured person that is currently
insured from $12,000 to $13,600, an
increase in the contribution rate from
12 per cent to 13.2 per cent, and a freeze
in the $3,000 minimum pension.
The MIE has already been increased
and a gradual increase of the contri-
bution rate already began last year,
These two short-term measures
have pushed back the date of the
system being completely depleted by
six years to 2036, she said.
The long-term changes recom-
mended by the actuaries are an in-
crease in the retirement age gradually
from 60 to 65 over the period 2025 to
2060, a further increase in the contri-
bution rate to 22.8 per cent by 2061,
and the implementation of a mecha-
nism to automatically adjust system
parameters namely the minimum pen-
sion, the earned pension, the MIE and
the contribution rates.
NIB will have to reform
or sell off assets
Persad-Poliah said the time for re-
form was now. If not, the NIB may
need to start selling off its assets to
foot the bill, she said. The NIB’s as-
sets up to 2012 was $22 billion.
“The time for reform is now. The
system projects that we will need to
start selling assets by 2020 in order
to meet shortfalls between income
and benefit payments.
“Although we have assets to meet
shortfalls until 2030, any sizeable
sale of assets has the potential to dis-
rupt our fledgling securities markets
and we wish to avoid this.
“We therefore recommend that
further contribution rate increases
be considered in the near future,
the minimum pension continue to
be frozen, and the retirement age be
increased over time,” Persad-Poliah
According to the conclusion of the
actuarial review, the $3,000 mini-
mum pension from national insur-
ance is “too generous”.
Persad-Poliah said no recommen-
dation has been made to reduce this
“The minimum pension of $3,000
represents 115 per cent of the min-
imum wage. Internationally, the
norm for minimum pensions range
between 40 per cent-80 per cent of
“No recommendation has been
made to reduce this amount but it
is recommended that it be ‘frozen’
over time to ensure that it reverts to
its original intent of protecting the
most vulnerable retirees.
“This must also be viewed in the
context of cost. The contribution rate
now required to cover expenditure is
13.2 per cent versus approximately
8.5 per cent if only earned pensions
were paid,” Persad-Poliah said.
Persad-Poliah said the recommen-
dation to increase the pensionable
age over time to 65 would have a
negligible impact in the short term.
“Increasing the retirement age still
allows persons the option of retiring
at age 60 with a reduction in their
earned pension. This reduced pen-
sion will still be subject to the min-
imum of $3,000,” she said.
“The only persons who will be
immediately impacted are those
who qualify for pensions above the
minimum.” This currently stands at
three per cent of all retirees.
“Given this negligible impact in
the short term, we can even con-
sider a more aggressive timeline
for increasing the retirement age,”
The NIB is seeking the support of
all citizens to ensure that the rec-
ommendations are implemented and
she assured that everything will be
done above board and in a transpar-
“Please do not panic. We need the
support of all citizens, all stakehold-
ers—Government, business and la-
bour to make the changes. We wish
to also assure the public that the NIB
is well-managed, well-governed,
transparent and accountable. We
have shared with the public all the
recommendations before us for
consideration and will continue to
do so,” she said.
“Any changes being made to your
NIS will involve you and will be done
with your knowledge and with ad-
vanced notice,” Persad-Poliah said.
Over the last financial period, the
NIB collected $4.2 billion in contri-
bution income and paid out $4.5 bil-
lion in benefits.
“We must continue to place em-
phasis on our compliance efforts
aimed at maximizing our collections
and ensuring that what we collect is
wisely invested. We are also looking
toward technology to reduce oper-
ating costs, while at the same time,
enhancing our efforts at service and
ease of doing business with the NIB,”
The NIB’s financial statements for
the last three years have not been laid
in Parliament as yet and therefore are
not available to the public.
“The annual reports for 2013, 2014,
2015 and 2016 were all completed on
time and submitted to the Minister
of Finance to be laid in Parliament
within two months of his receipt in
accordance with the National Insur-
ance Act. All our statutory commit-
ments of reporting to the Minister of
Finance have consistently been met
over the years,” Persad-Poliah said.
“These documents can, howev-
er, only be made public when they
are laid in Parliament. We recog-
nise the need for these reports to be
made public and for the all citizens
to have access to these reports, and
will continue to work with the Min-
ister of Finance for these to be laid
in Parliament,” she said.
(See Pages A10, A11)
Executive Director of the National
Insurance Board Niala Persad-Poliah.
"Any changes being made
to your NIS will
involve you and will be
done with your
knowledge and with
ABOUT THE NIS
•This country’s national insur-
ance system was introduced in
•The system is financed by
contributions from employers
and employees and is designed
to cover employees against
events of age, invalidity, death,
sickness, maternity, occupational
accidents and injury.
•The number of contributors
to the system in 2016 was esti-
mated at over 516,000 people,
representing 80 per cent of this
country’s labour force.
•The NIS pension is currently
$3,000 and there are currently
155,000 beneficiaries, including
PNM: Local Govt reform one step closer
Local Government reform is
one step closer as the Govern-
ment has a policy paper and is
in discussions with the Chief
Parliamentary Council to bring
This was one of the issues dis-
cussed at the People’s National
Movement (PNM) general council
At a media briefing shortly after,
PNM MP Stuart Young said the
party expected to bring legislation
to Parliament between September
and December of this year.
“At government level we com-
pleted our consultation process.
The Government now has a pol-
icy coming out of those 14 public
consultations on local government
Young said the party’s general
council also discussed the rebuild-
ing of Balisier House. They are still
raising funds for construction. The
project will include constructing
a new building in the parking lot
of the property and refurbishing
the current structure.
He noted that party members
had used yesterday’s meeting to
pay respects to the late Rennie
Dumas, thanking his family and
Additionally, the party dis-
cussed the PNM’s Sports and
Family Day which will take place
on June 11.
Links Archive May 27th 2017 May 29th 2017 Navigation Previous Page Next Page


text:
Trust me, I'm not so bad! | TangShooters
Mulan in the HOUSE!
" Style is a reflection of your attitude and your personality"
Last edited by blazer_workz; 8th January 2008 at 01:15 AM.
This is an electronic post which requires no signature.
Ai ya PRO-- always show one shot. to see more, u need to pay. HAha
Think of concepts and work towards it.
Haha wah Nira shoot got all the pros and gears..
Hmm i was talking to Mulan the other day regarding having a studio shoot for those inexperienced with studio lighting to learn more..
Portia would be ideal - March studio shoot anyone? Lol. So many activities...


Wednesday, February 4, 2009
Living Fabric: Weaving Among The Nomads Of Ladakh Himalaya
This is the first study of the tradition of weaving among the nomadic pastoralists of Rupshu, in eastern Ladakh. Weaving touches all aspects of life in Rupshu, where both women and men weave, each on a different type of loom. Local narrative states that the craft of weaving was bestowed upon Rupshu by the gods, and thus all feats related to it have a close connection to the sublime. This book documents and analyses the ways in which fibers, weaving, and textiles are symbolized, constructed, and experienced in Rupshu where themes such as gender, kinship, hierarchical and spatial relations find ready expression through the design and making of cloth. Through her work the author traces the relationship between livestock, weaving, social and symbolic structures in order to understand the multitude of contexts within which wool-oriented activities exist. Richly illustrated, this book will appeal to those with an interest in textiles, nomads, gender studies, and the Himalaya.
About the Author
Monisha Ahmed has been visiting and writing about the Himalayan region of Ladakh since 1987. She is co-founder of the Ladakh Arts and Multi-cultural Outreach Trust, a non-government organization that works with the arts in Ladakh and is in the process of establishing a locally based arts resource center in Leh.