Fwd: New York City to Restrict Powerful Prescription Drugs in Public Hospitals’ Emergency Rooms - NYTimes.com

<nyt_text style="color: rgb(51, 51, 51); font-family: Georgia, serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px;"><div id="articleBody"><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">Some of the most common and most powerful prescription painkillers on the market will be restricted sharply in the emergency rooms at New York City's 11 public hospitals, Mayor <a href="http://topics.nytimes.com/top/reference/timestopics/people/b/michael_r_bloomberg/index.html?inline=nyt-per" title="More articles about Michael R. Bloomberg." class="meta-per" style="color: rgb(102, 102, 153); text-decoration: initial;">Michael R. Bloomberg</a> said Thursday in an effort to crack down on what he called a citywide and national epidemic of prescription drug abuse.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">Under the new city policy, most public hospital patients will no longer be able to get more than three days' worth of narcotic painkillers like Vicodin and Percocet. Long-acting painkillers, including OxyContin, a familiar remedy for chronic backache and arthritis, as well as Fentanyl patches and methadone, will not be dispensed at all. And lost, stolen or destroyed prescriptions will not be refilled.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">City officials said the policy was aimed at reducing the growing dependency on painkillers and preventing excess amounts of drugs from being taken out of medicine chests and sold on the street or abused by teenagers and others who want to get high.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">"Abuse of prescription painkillers in our city has increased alarmingly," Mr. Bloomberg said in announcing the new policy at Elmhurst Hospital Center, a public hospital in Queens. Over 250,000 New Yorkers over age 12 are abusing prescription painkillers, he said, leading to rising hospital admissions for overdoses and deaths, Medicare fraud by doctors who write false prescriptions and violent crime like "holdups at neighborhood pharmacies."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">But some critics said that poor and uninsured patients sometimes used the emergency room as their primary source of medical care. The restrictions, they said, could deprive doctors in the public hospital system — whose mission it is to treat poor people — of the flexibility that they need to respond to patients.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">"Here is my problem with legislative medicine," said Dr. Alex Rosenau, president-elect of the American College of Emergency Physicians and senior vice chairman of emergency medicine at Lehigh Valley Health Network in Eastern Pennsylvania. "It prevents me from being a professional and using my judgment."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">While someone could fake a toothache to get painkillers, he said, another patient might have legitimate pain and not be able to get an appointment at a dental clinic for days. Or, he said, a patient with a hand injury may need more than three days of pain relief until the swelling goes down and an operation could be scheduled.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">Dr. Rosenau said that the college of emergency physicians had not developed an official position on the prescribing of painkillers in emergency rooms and that he appreciated Mr. Bloomberg's activism in the face of a serious public health problem. But he said pain clinics in states like Florida and California, states where prescription drug abuse is rampant, as well as the household medicine cabinet, were probably a more common source of unneeded painkillers than emergency rooms.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">City health officials said the guidelines would not apply to patients who need prescriptions for cancer pain or palliative care, and drugs would still be available outside the emergency room. They said that in this era of patient-satisfaction surveys, doctors were often afraid to make patients unhappy by refusing drugs when they are requested, and the rules would give those doctors some support when they suspected that a patient might be faking pain to get drugs.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">"There will be no chance that the patients who need pain relief will not get pain relief," said Dr. Ross Wilson, senior vice president and chief medical officer of the Health and Hospitals Corporation, which runs the city's public hospitals.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">Similar rules have been adopted in Washington State and Utah. Dr. Thomas A. Farley, the city's health commissioner, said opioid painkillers were not much different from highly addictive and more taboo street drugs like heroin. He called them "heroin in pill form."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">More than two million prescriptions for opioid painkillers are written in New York City each year, the equivalent of a quarter of the city's population, Dr. Farley said, and about 40,000 New Yorkers are already dependent on painkillers and need treatment. Painkillers were involved in 173 accidental overdose deaths in New York City in 2010, a 30 percent rise from five years earlier.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">Officials could not say how many prescriptions were written at emergency rooms. Libby Holman, a spokeswoman for Purdue Pharma, which manufactures OxyContin, declined to comment.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">Dr. Farley said the city lacked the regulatory authority to impose the new guidelines on its 50 or so private hospitals. But several private hospitals, including NYU Langone Medical Center in Manhattan and Maimonides Medical Center in Brooklyn, said they would adopt them voluntarily.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px;">Dr. Hillary Cohen, medical director of emergency medicine at Maimonides, said that even now, OxyContin was rarely prescribed in the emergency room.</p></div></nyt_text><a href="http://www.nytimes.com/2013/01/11/nyregion/new-york-city-to-restrict-powerful-prescription-drugs-in-public-hospitals-emergency-rooms.html?hp&_r=1&&pagewanted=print">http://www.nytimes.com/2013/01/11/nyregion/new-york-city-to-restrict-powerful-prescription-drugs-in-public-hospitals-emergency-rooms.html?hp&_r=1&&pagewanted=print</a>

Fwd: New York City to Restrict Powerful Prescription Drugs in Public Hospitals’ Emergency Rooms - NYTimes.com

Some of the most common and most powerful prescription painkillers on the market will be restricted sharply in the emergency rooms at New Yo...

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Smooth out your week with the Pareto Saturday Principle #productivity

<p><span style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); "> You are the air traffic controller for all of the planes in your life. You decide what lands, what takes off, and what doesn't leave the runway. The more planes you have in the air, the more planning and automation you have to orchestrate - you have to plan the flight path. Otherwise, you will crash and the things that are important to you: your health, your family, your life will crash too.</span></p> <p>Pareto's principal is that 20% of the causes have 80% of the effects. So, there are tasks that you can do weekly that will impact 80% of whether you'll have a smooth week next week. Also, 20% of the things give you 80% of the headaches. If you can identify those things, you can structure a Pareto Saturday that will help your next week go so much more smoothly.</p> <h2>Meet your new lifeline: Pareto Saturday</h2> <p>Pareto Saturday is taking time every Saturday to do the things that will help you the most the next week. It never fails, if I do these things the Saturday before, the week is usually a MUCH BETTER week than the harem scarem, topsy turvy, cliche inducing week that I have if I don't. Some call it planning but it is more than that.</p> <div class="separator" style="clear: both; text-align: none;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggApscKH51mvD4744hW_VtghNQT842ZEqGDUVAjhxcdaUth5mJVIzi_Hf2L_upetv9f60Suf6809eRC4gJXwBqPl4uzpuf9h_RL_TA4-NPDJHJyg2BprylMP80F4biKjfNMbX8eMqo9Zl9/s1024/Photo%252520Jan%25252011%25252C%2525202013%25252C%2525208%25253A15%252520PM.jpg" target="_blank" style=""><img alt="" class="alignnone" height="667" id="blogsy-1357955179266.1138" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggApscKH51mvD4744hW_VtghNQT842ZEqGDUVAjhxcdaUth5mJVIzi_Hf2L_upetv9f60Suf6809eRC4gJXwBqPl4uzpuf9h_RL_TA4-NPDJHJyg2BprylMP80F4biKjfNMbX8eMqo9Zl9/s500/Photo%252520Jan%25252011%25252C%2525202013%25252C%2525208%25253A15%252520PM.jpg" width="500"></a></div> <p>The biggest issue is that any one of the tasks I need to do for Pareto Saturday can cause a time suck vortex never to release me, so I use the 30/30 app which allows me to put items in a list and sort of "race" through these tasks. I can always PAUSE if I have to, but I keep the app open and in my face to help push me through it. I also use this app for daily planning and other tasks including my morning routine to help me focus and get things done. It is great for a person like me who has no sense of time.</p> <h3> Items on my Pareto Saturday List:</h3> <h4>1. Read over goals - 2 minutes</h4> <p>I have a note in Evernote that I can read on my ipad. If you want to achieve you must first conceive. You must conceive the goal and write it down. Then you must retrieve it and put it in top of mind. These need revision every so often, but Pareto Saturday isn't the time to do that.</p> <h4>2. Master List - Evernote - 7 minutes</h4> <p>As I shared in my last post, I use the <a href="http://www.thesecretweapon.org/" target="_self" title="">secret weapon</a> Evernote method to keep track of my active tasks. I use this time to go over all of my active projects and just review them quickly so I have them top of mind.</p> <h4>3. Trello (FCP) - 5 Minutes</h4> <p>I review the current task list in <a href="http://www.flatclassroomproject.net" target="_self" title="">Flat Classroom</a>. While many of these have evernote cards, workflow is vital when you're collaborating with teachers everywhere. I check in here to see current tasks and big projects that may need to be on my schedule for the week. </p> <p>(<em>Note, I have this organization on the side from what I do at school, which is why I do it on Saturdays, you most likely would want to keep work separate and skip this step unless you want to spend this time handling money or reviewing a major organization you may work with like a church or civic organization.)</em></p> <h4>4. Master Calendar - 3 minutes</h4> <p style="-webkit-tap-highlight-color: rgba(26, 26, 26, 0.296875); -webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); ">I review my master calendar in my iPad but with my Levenger Circa planner OPEN as I compare and schedule things. If it is important enough, schedule it. I have 6 things I always schedule as shown in the clip from my Laminated "action sheet" that I keep on a clipboard in the kitchen. (I keep this action sheet in my face to make sure I've done it.)</p> <div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjC_brrGWPklN4LjWLbR_vY9cTYlEgXAQYGEcVp2wW5gDjPkd0aS8MckFO__JYwWrccNykYpjkpFBzUxTP2Y7lr-C-OJ2AADk3k6Y_dkUH5JorPIddXLPfT9OdVWHRlhKILKPfK8bjdK2cb/s960/Photo%252520Jan%25252011%25252C%2525202013%25252C%2525208%25253A24%252520PM.jpg" target="_blank" style="margin-left: 1em; margin-right: 1em;"><img alt="" class="aligncenter" height="667" id="blogsy-1357955179345.1057" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjC_brrGWPklN4LjWLbR_vY9cTYlEgXAQYGEcVp2wW5gDjPkd0aS8MckFO__JYwWrccNykYpjkpFBzUxTP2Y7lr-C-OJ2AADk3k6Y_dkUH5JorPIddXLPfT9OdVWHRlhKILKPfK8bjdK2cb/s500/Photo%252520Jan%25252011%25252C%2525202013%25252C%2525208%25253A24%252520PM.jpg" width="500"></a></div> <h4> 5. Levenger Updated (3 minutes)</h4> <p>Make sure that each day is planned including the Routines that are vital as shown in the chart above. I have to see it to do it. The process of setting an appointment with myself increases the likelihood I'll do it 100 fold.</p> <h4>6. Wall Calendar Updated (2 minutes)</h4> <p>I have 2 months of dry erase calendars on my wall that are color coded by the type of event. School events are in orange (our school colors), family in blue, important birthdays in green, Kip's travel schedule in purple, and so forth. This helps me communicate clearly with my family (and my teenagers that don't listen well) what is happening WHEN.</p> <h4>7. Menu Plan (5 minutes)</h4> <p>I plan my menus for the week. What we'll eat when, include eating out. I try to cook more at the beginning of the week, when I usually have a bit of energy and when I know I'm going to be exhausted by the end of the week or will have a rough day, I go ahead and plan the days we'll eat out - then I can relax and not stress.</p> <h4> 8. Write the goals for the week (2 minutes)</h4> <p>I write down on a whiteboard in the office and in an evernote note (sometimes I just take a picture of the whiteboard) my 3 (or sometimes 4) big goals for the week. So, if everything goes nuts, if I can shoot for them, I've accomplished something. The process of writing goals makes a huge difference.</p> <p>The timer stops -- then, if I can, I do one thing that makes a TREMENDOUS difference in how fast I can get dressed in the morning. I can save 10 minutes if I:</p> <h4>9. Lay out clothes for the week</h4> <p>I just clear a place in my closet and go ahead and hang the pants and clothes together. If I know the week is rough or Kip will be out of town, I always just go ahead and do this. There's no last minute ironing or anything.</p> <p>To you naysayers out here:</p> <p>I take time management books from those without kids, or with a spouse at home to attend to their every need, or unmarried under advisement. I know they have a lot to add, but really, what is there to manage? Career. Sure. But I have a job at school, 3 kids to handle, feed, and clean up after, a wonderful husband that I love to cook breakfast and dinner for, a blog to write, Flat Classroom projects to manage, books to author, 3 businesses, and a nonprofit to manage as well as making sure I know how much money we have since I have the money black hole reaching into my wallet -- 2 teenagers of driving age - or as I call them teenangers ;-) And that's not to mention what happens if someone leaves a roll of toilet paper out and the new kitten decides to make snow!</p> <p>Some of you don't think you have to do it all ahead because you're doing just fine, but I would think that there are things you can do to have more time.</p> <p>But for those of you who feel like you literally almost hyperventilate you're running so fast from place to place, this is a lifeline that will change your life.</p> <h4>Try it once and see what happens the next week</h4> <p>You can do Pareto Saturday any day, but if you give it a whirl - even if you write the checklist down, it will change your life. Note that I also apply this in my classroom with a checklist that I do on Fridays to make sure I'm ready for the next week.</p> <p>Remember your noble calling... whoever you are and especially you educators. You Rock. Let me know if this helps or if you already do something similar that works, tweet me or leave a note in the comments. </p> <p> </p><div style="text-align: right; font-size: small; clear: both;" id="blogsy_footer"><a href="http://blogsyapp.com" target="_blank"><img alt="Written by Vicki Davis, author - Flattening Classrooms, Engaging Minds - Posted with Blogsy from my iPad" height="20" src="http://blogsyapp.com/images/blogsy_footer_icon.png" style="vertical-align: middle; margin-right: 5px;" width="20" />Written by Vicki Davis, author - Flattening Classrooms, Engaging Minds - Posted with Blogsy from my iPad</a></div>

productivity Smooth out your week with the Pareto Saturday Principle #productivity

You are the air traffic controller for all of the planes in your life. You decide what lands, what takes off, and what doesn't leave th...

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Fatally Ill, and Making Herself the Lesson - NYTimes.com

<base href="data:"><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><nyt_text style="color: rgb(51, 51, 51); font-family: Georgia, serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; "><div id="articleBody"><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">It was early November when Martha Keochareon called the nursing school at <a href="http://www.hcc.edu/" style="color: rgb(102, 102, 153); text-decoration: none; ">Holyoke Community College</a>, her alma mater. She had a proposal, which she laid out in a voice mail message.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"I have cancer," she said after introducing herself, "and I'm wondering if you'll need somebody to do a case study on, a hospice patient."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Perhaps some nursing students "just want to feel what a tumor feels like," she went on. Or they could learn something about hospice care, which aims to help terminally ill people die comfortably at home.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"Maybe you'll have some ambitious student that wants to do a project," Ms. Keochareon (pronounced CATCH-uron) said after leaving her phone number. "Thank you. Bye."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Kelly Keane, a counselor at the college who received the message, was instantly intrigued. Holyoke's nursing students, like most, learn about cancer from textbooks. They get some experience with acutely ill patients during a rotation on the medical-surgical floor of a hospital. They practice their skills in the college's simulation lab on sophisticated mannequins that can "die" of cancer, heart attacks and other ailments. But Ms. Keochareon, 59, a 1993 graduate of Holyoke's nursing program, was offering students something rare: an opportunity not only to examine her, but also to ask anything they wanted about her experience with cancer and dying.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"She is allowing us into something we wouldn't ever be privy to," Ms. Keane said.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">So it was that a few weeks later, two first-year nursing students, Cindy Santiago, 26, and Michelle Elliot, 52, arrived at Ms. Keochareon's tiny house, a few miles from the college. She was bedbound, cared for by a loyal band of relatives, hospice nurses and aides. Both students were anxious.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"Sit on my bed and talk to me," Ms. Keochareon said. The students hesitated, saying they had been taught not to do that, to prevent transmission of germs. What they knew of nursing in hospitals — "I'm here to take your vitals, give you your medicine, O.K., bye," as Ms. Santiago put it — was different, after all.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">They had come with a list of questions. Ms. Keochareon was suffering from pancreatic cancer, and they had researched the disease ahead of time. They were particularly curious about why she had survived for so long. She had lived with her illness for more than six years — an extraordinary span for pancreatic cancer, which often kills within months after diagnosis.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Why, the students asked, had she managed to keep eating and keep on weight? What was she taking for the pain? How long had it taken for doctors to give her a diagnosis?</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"They ask good questions," Ms. Keochareon said one morning, her lips stained red from the liquid <a href="http://www.drugs.com/oxycodone.html" style="color: rgb(102, 102, 153); text-decoration: none; ">oxycodone</a> she was sipping frequently between doses of other drugs. "I forget half the stuff I learned as a nurse, but I remember everything about pancreatic cancer. Because I'm living it."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">For Ms. Keochareon, this was a chance to teach something about the profession she had found late and embraced — she became a nurse at 40, after raising her daughter and working for years on a factory floor.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"When I was a nurse, it seemed like most of the other nurses were never too happy having a student to teach," she said, lying in her bedroom lined with pictures of relatives, friends, and herself in healthier times. "I loved it."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; "><strong>A Last Project</strong></p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Now, her disease had left her passing the days watching Animal Planet, reading a book about heaven and calling friends — so much that her cordless phone never left her side. She also was planning meticulously for her death, down to the green wool cardigan and embroidered shirt she would be buried in. But Ms. Keochareon wanted more as she prepared to die. The project she envisioned would be not just for students, but also for her — a way to squeeze one more chapter out of life.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Spending time with the dying is not fundamental to nurse training, partly because there are not enough clinical settings to provide the experience. The <a href="http://www.aacn.nche.edu/elnec" style="color: rgb(102, 102, 153); text-decoration: none; ">End-of-Life Nursing Education Consortium</a>, a project of the American Association of Colleges of Nursing, has provided training in palliative care to some 15,000 nurses and nursing instructors around the nation since 2000, focusing not just on pain management but also on how to help terminally ill patients and their families prepare for death.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">In addition, some students do rotations with hospice nurses, said Pam Malloy, the project's director. But Ms. Malloy said that nursing schools still do not focus on end-of-life care nearly as much as they should. "We live in a death-denying society, and that includes nursing," she said. "People have begun to understand it's important, but we're nowhere where we need to be at this point."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">In their conversations with Ms. Keochareon, the students learned that her symptoms had included a burning sensation after eating, for which doctors prescribed an acid blocker. Then came wrenching abdominal pain, which she said doctors dismissed as psychosomatic. She also developed diabetes, another potential sign of pancreatic cancer, and itchiness, possibly from blocked bile ducts.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">In 2006, after she had felt sick for several years, a doctor finally ordered a CT scan, and the cancer was diagnosed. Ms. Keochareon was 53 and working at a hospital in Charleston, S.C. She was told that she would probably die within a year or two.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Ms. Santiago and Ms. Elliot were outraged on her behalf. But they were surprised, they said, to learn that instead of anger or shock, the first emotion that Ms. Keochareon felt after her diagnosis was relief because she finally knew what was wrong with her.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">The best advice she could give future nurses, Ms. Keochareon said in her reedy voice, was "to just dig a little deeper — you know?"</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Ms. Keochareon — who had several unhappy marriages before finding her current husband, Joe — also offered some personal advice. "Don't yell at each other unless the house is on fire," she told the students.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Perhaps more than anything, the students were learning about the challenge of managing late-stage cancer pain in a patient who had outlived her prognosis. Ms. Keochareon's cancer had spread, and there were tumors in her bones and around her throat. By early December, the pain had grown unbearable; Ms. Keochareon was hospitalized for nearly a week while doctors assessed how to control it.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; "><strong>'Let the Patient Talk'</strong></p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">At her request, the students kept visiting. The sessions provided a brief respite for Ms. Keochareon's caretakers, including Roy Christensen, a cousin who moved back from Texas last year to help, and Peggy Casey, her favorite aunt. Seeing their exhaustion, the students learned another lesson: "The patient isn't Martha per se," Ms. Keane said, "it's the entire family."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">At Ms. Keane's urging, the students eventually stopped asking questions and practiced what she called "therapeutic communication" instead.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"The way we've learned in school, and haven't applied enough, is just saying, 'I'm glad to be with you; you must be frustrated; you look uncomfortable,'" Ms. Keane said. "And let the patient just talk and talk and talk, and see where they're at."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">On a bright day shortly before Christmas, Ms. Keochareon had less to say than usual as Ms. Santiago perched on her bed.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"You look good," Ms. Santiago said softly after they had chatted for a bit. Ms. Keochareon was clearly in pain; she mustered a brief smile and closed her eyes.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"I'm ready to go," Ms. Keochareon told her, opening her eyes again.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Ms. Santiago paused. "Aw," she said, patting Ms. Keochareon's hand. "Well..."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"Don't feel bad," Ms. Keochareon added.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"I know," Ms. Santiago said, shaking her look of concern into a smile. "I know."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">She wept after leaving the room. Her father has prostate cancer that has spread, she said; Ms. Keochareon's declaration had left her thinking about him.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"I kind of wanted to break down," she said. "I know I'm going to get there with my dad eventually."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Ms. Santiago said she was afraid of death. Ms. Elliot, having seen it in her job at a local hospital, was less troubled by it. She is a licensed practical nurse who is pursuing a registered nurse degree to advance her career. Still, Ms. Elliot said that when her 81-year-old mother recently asked if she would accompany her to a funeral home to "pick stuff out and get everything ready," she recoiled.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">The new drugs that doctors had prescribed during Ms. Keochareon's hospital stay failed to keep the pain at bay. She was trying another combination when Ms. Santiago visited again, shortly before Christmas, but with little relief. Ms. Santiago watched, arms tightly crossed, as Ms. Keochareon grimaced and moaned.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"In school they always teach us that pain management is the biggest thing — like, you know, we have to treat the pain," Ms. Santiago said. "With her it's like, how do you treat it? Like, you've tried everything. What else is there to try?"</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">She rubbed an anesthetic gel on Ms. Keochareon's back and, with Ms. Keane's help, tried to position her hospital bed to be more comfortable. Sunlight streamed through the window into the small, warm room; birds flitted around a feeder just outside. Ms. Keochareon briefly felt better and wanted Ms. Santiago to see her portfolio: a binder that contained her résumé, nursing licenses and letters of recommendation.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Learning from books was good, she said; learning from patients was better.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"When you look back," Ms. Keochareon said, "you associate a certain person with a certain diagnosis."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Ms. Santiago planned to return two days later. But Ms. Keochareon seemed to be saying goodbye.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"I'm sorry I went downhill so fast," she said. "I thought I could teach more."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; "><strong>Running Out of Time</strong></p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Later that afternoon, Mr. Christensen, her cousin, called with an update. Ms. Keochareon had asked for an intravenous sedative that would make her sleep, delivering her from the mounting pain. That morning's visit, it turned out, had been the last.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Ms. Elliot, who had planned to visit Ms. Keochareon after her shift that day, regretted not having asked more about how she felt about death.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"She already seemed to be at that spot where she had that inner peace about it," Ms. Elliot said that evening. "You want to ask them the questions: So what does it feel like to be dying? Do you know something we don't know?"</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">Ms. Keochareon died nine days later, in the evening on Dec. 29. Mr. Christensen had asked her to wait for snow; nearly six inches fell that night, the first of the season. Only her husband was there for her death — a consequence of the weather, but perhaps also part of her plan, Mr. Christensen said.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">At the funeral, Ms. Keochareon's sister Ruth Woodard spoke in her eulogy about "just what prompted Martha to offer her situation up as a teaching tool." Ms. Keochareon deeply wanted nurses to understand her illness from the patient's perspective, she said. But that was not all.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"I notice that every time that Martha gave of herself she received far more," Ms. Woodard said. "In fact, she received a few moments of less pain and I suspect that she received life itself — a few more hours, even days, with purpose."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">When the new semester starts this month, Ms. Santiago and Ms. Elliot will return to more conventional coursework: a pharmacology class, for example, and rotations in maternity and acute care. But they will also present to their classmates what they learned in the little house in South Hadley. Ms. Santiago said she would remember Ms. Keochareon "until the day that I die" — especially her resolve.<strong></strong></p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; ">"Who in her situation, to be like that, would call up and say, 'Hey, I want to teach a student about my cancer?'" she said.</p><nyt_correction_bottom><div class="articleCorrection" style="margin-bottom: 2.8em; "></div></nyt_correction_bottom><nyt_update_bottom></nyt_update_bottom></div></nyt_text><span style="color: rgb(51, 51, 51); font-family: Georgia, serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none; "></span></div><a href="http://www.nytimes.com/2013/01/11/us/fatally-ill-and-making-herself-the-lesson.html?pagewanted=all&_r=0&pagewanted=print">http://www.nytimes.com/2013/01/11/us/fatally-ill-and-making-herself-the-lesson.html?pagewanted=all&_r=0&pagewanted=print</a><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><br class="webkit-block-placeholder"></div>

Fatally Ill, and Making Herself the Lesson - NYTimes.com

It was early November when Martha Keochareon called the nursing school at  Holyoke Community College , her alma mater. She had a proposal, w...

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Crunch Master

<h2 style="text-align: center;"><u><span style="font-family: Verdana, sans-serif;">Crunch Master</span></u></h2><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzTnt5BcP6zl4a8Fy37h2Nle4mPCg-k-HYbrvA37_FXv3L_QIivemlCYv5E0_rXH7zBPVkzap50cCu9jZAAPcyR3SidM5Qc-EN6tme6foNhQjeO_2plTxzQlom2a6d37EV1jC-WgPj4kk/s1600/Crunch+Master.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzTnt5BcP6zl4a8Fy37h2Nle4mPCg-k-HYbrvA37_FXv3L_QIivemlCYv5E0_rXH7zBPVkzap50cCu9jZAAPcyR3SidM5Qc-EN6tme6foNhQjeO_2plTxzQlom2a6d37EV1jC-WgPj4kk/s320/Crunch+Master.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">I was sent these delightful crispy snacks from <a href="http://crunchmaster.com/home.aspx">Crunch Master</a> to review.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Their snacks are gluten free, all natural and much better for us to snack on.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Made with quinoa,California rice, sesame, amaranth and flax seeds.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">No artificial flavoring added at all.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Beware though I admit they are addicting!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><u>Multi-seed Crackers:</u></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><u><br /></u></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Baked with sesame and Quinoa seeds.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">You know how when your eating crackers and they crumble upon biting into them?</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">These don't do that at all, they are crispy and so good!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">You can add any kind of cheese or spread to them such as jam.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><u>Cheezy Crisps:</u></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><u><br /></u></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Made with real cheddar cheese.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Baked to cheesy perfection!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Love the bite sized crackers.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">You can pop them right in your mouth, use them as nachos, add some to your favorite soups or crumble some up and add them to a salad!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Great cheese taste!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">So good you'll want to get your hands on them!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">The kids will love them!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">More cheese please! </span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Interested in their line of products?</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Check them out online.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><a href="https://www.facebook.com/crunchmaster">https://www.facebook.com/crunchmaster</a></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><a href="https://twitter.com/#!/luvcrunchmaster">https://twitter.com/#!/luvcrunchmaster</a></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><br />

Crunch Master

Crunch Master I was sent these delightful crispy snacks from  Crunch Master  to review. Their snacks are gluten free, all natural and much b...

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Brook Side Chocolates

<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjx2uMU0L-ZKaS2xCcYwBWXP2v58TVALLq4S5jXRVLmtUXniLa8TI0a6RTa7DnOSjavYeLm9zsEVecrbZJMwl0h1QDbAO0Ef20Tgb6nMV32IHNc2bt-hjG6RTfRr8-I2emlTI7Ygpf4RyU/s1600/klout+chocolates.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjx2uMU0L-ZKaS2xCcYwBWXP2v58TVALLq4S5jXRVLmtUXniLa8TI0a6RTa7DnOSjavYeLm9zsEVecrbZJMwl0h1QDbAO0Ef20Tgb6nMV32IHNc2bt-hjG6RTfRr8-I2emlTI7Ygpf4RyU/s320/klout+chocolates.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Since I am a member of <a href="http://klout.com/#/dashboard">Klout</a> (site based on influence) to try out products for free and was influential in the topics needed.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">I received a bag of these chocolate covered blueberries.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">I am a big fan of chocolates and fruit! </span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">What better way to eat fruit when it's covered in chocolate right?!</span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Not a blueberry fan they have other chocolate covered fruits to choose from like Pomegranate or cranberries. </span></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;">Great chocolate taste and what can I say I am in love! </span></div><div class="separator" style="clear: both; text-align: center;"><span style="font-family: Verdana, sans-serif;"><br /></span></div><div style="text-align: center;"><br /></div><div style="text-align: center;"><br /></div><div style="text-align: center;"><br /></div>

Brook Side Chocolates

Since I am a member of  Klout  (site based on influence) to try out products for free and was influential in the topics needed. I received a...

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SYRIA'S CHEMICAL WEAPONS TAKEN OFF US TABLE

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1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTfOCFkLOOrx9HZQfCmnVvcRDRJ3OfDK8EvykWxDifa_1Bwn6-n6NwzediYBeYFb9AjsO7uMf7PM4g98Yt0LypAoZrbM0UEOt5h0WqyL6Dh_atHp5AZFGu8Lhqh5cch5ohmvOQU_pgAmuU/s320/imgHandler.ashx.jpg" width="320" /></a></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br /></span></b></div><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br /></span></b></div><div class="MsoNormal" style="line-height: normal; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"><span style="font-size: x-large;"><span style="color: red;">PANETTA, DEMPSEY CLEAR PENTAGON DESK OF US MILITARY OPTION FOR SYRIA</span></span> </span></b></div><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><br /></div><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Via DEBKA<i>file</i> </span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><br /></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;"><span style="font-size: large;"><span style="color: blue;"><b><span style="font-family: "Times New Roman","serif";">US ASSESSMENT: ASSAD CANNOT BE STOPPED FROM USING CHEMICAL WEAPONS IF HE CHOSE TO DO SO</span></b></span></span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">At a joint news conference, retiring Defense Secretary Leon Panetta and Chairman of the US Joint Chiefs, Gen. Martin Dempsey, cleaned the Pentagon’s SYRIAN desk ready for incoming Secretary Chuck Hagel.  Boiled down to essentials, their triple message was that Bashar Assad could not be stopped from using chemical weapons if he chose to do so, that securing the CW sites after Assad’s fall was the job of the “international community” and that no US ground troops would be sent to SYRIA.</span></span></div><div class="MsoNormal" style="line-height: normal;"><br /></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Panetta and Dempsey essentially confirmed a fact first reported by debkafile in the third week of November: US naval, air and marine forces were withdrawn from SYRIAN offshore waters following the White House's decision to stay clear of military involvement in the SYRIAN conflict. After extending SYRIAN opposition forces diplomatic support for nearly two years, the Obama administration is dumping the Assad headache in the laps of SYRIA’S immediate neighbors, TURKEY, JORDAN and ISRAEL, and casting the rebels adrift.</span></span><br /><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";"><span style="color: blue;"><span style="font-size: small;"><u><i><b>Background Information:</b></i></u></span></span> </span></span></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><br /></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><span style="color: blue;"><i><b><span style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Geopolitical Analysis and Monitoring</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> </span></b><span style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">indicated already in June 2011</span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">: <a href="http://news-these-days.blogspot.com.ar/2011/06/nato-rules-out-military-intervention-in.html">http://news-these-days.blogspot.com.ar/2011/06/nato-rules-out-military-intervention-in.html</a></span></b></i></span></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><br /></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><span style="color: blue;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> <a href="http://news-these-days.blogspot.com.ar/2011/06/syrian-regime-likely-to-survive-upraise.html">http://news-these-days.blogspot.com.ar/2011/06/syrian-regime-likely-to-survive-upraise.html</a></span></b></i></span></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><a href="http://news-these-days.blogspot.com.ar/2011/06/syrian-regime-likely-to-survive-upraise.html"><span style="color: blue;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br /></span></b></i></span></a></div><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="color: blue;"><b><span style="font-family: "Times New Roman","serif";">UNITED STATES IS NOT CONSIDERING SENDING IN GROUND TROOPS</span></b></span></span><br /><br /><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">This decision was spelled out with crystal clarity by Panetta and Dempsey at a joint Washington press conference in Washington:</span></span></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">“The UNITED STATES is increasingly focused on how to secure SYRIA'S chemical weapons if President Bashar al-Assad falls from power,” said the outgoing defense secretary. In reference to the problem while Assad is still in place, Panetta emphasized that the UNITED STATES is not considering sending in ground troops.<br />At one stroke, he refuted Western and ISRAELI media claims of AMERICAN and ISRAELI Special Forces operating at the chemical weapons sites.</span></span></div><div class="MsoNormal" style="line-height: normal;"><br /></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="color: blue;"><b><span style="font-family: "Times New Roman","serif";">US TO ASSAD: NOT USING SYRIA’S CHEMICAL ARSENAL, ENHANCE HIS CHANCES OF STAYING IN POWER</span></b></span></span></div><div class="separator" style="clear: both; text-align: center;"></div><div class="MsoNormal" style="line-height: normal;"><br /></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">His words also broadly hinted to Bashar Assad that, if he kept his hands off using his chemical arsenal, he would enhance his chances of staying in power, because after AMERICA’S exit from the war scene, no other military force would be around to help the opposition remove him.<br />Panetta was less clear about the so-called “international community” – an amorphous entity in every sense. He said: "I think the greater concern right now is what steps the international community takes to make sure that when Assad comes down, there is a process and procedure to make sure we get our hands on securing those sites. That I think is the greater challenge right now." </span></span></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">The US government was discussing the issue with ISRAEL and other countries in the region, he said, but ruled out deploying AMERICAN ground forces in any "hostile" setting. He repeated: "We're not talking about ground troops."  </span></span><br /><br /></div><span style="font-size: large;"><span style="color: blue;"><b><span style="font-family: "Times New Roman","serif";"><span style="font-size: large;">SYRIA </span> CANNOT BE STOPPED FROM USING CHEMICAL WEAPONS IF <span style="font-size: large;">IT</span> CHOSE TO DO SO</span></b></span></span><br /><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;"><br /></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">The defense secretary did not say exactly how this international coalition would function or whether it would go into action if Assad himself embarked on chemical warfare. Neither did he refer to the claim leaked by BRITISH intelligence this week that the SYRIAN stock of 50 tonnes of un-enriched uranium, enough for weapons grade fuel for five nuclear devices, had gone missing and may have passed to IRAN.</span></span></div><div class="MsoNormal" style="line-height: normal;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgICQsGo7c3HJ6kN4zoVXukGHzjbSInjjeo_qBtpJQX6XQVEadAtTk8OWtD04T2OUYTRagDiJ6HL3qDgya2OQ0BkUJ_y6vL2LzRSKANKBkH-K3cC5ujRmM5dId5GPm8gjKx_SPxpiJcya5k/s1600/chemweapon.gif" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgICQsGo7c3HJ6kN4zoVXukGHzjbSInjjeo_qBtpJQX6XQVEadAtTk8OWtD04T2OUYTRagDiJ6HL3qDgya2OQ0BkUJ_y6vL2LzRSKANKBkH-K3cC5ujRmM5dId5GPm8gjKx_SPxpiJcya5k/s200/chemweapon.gif" width="200" /></a></div><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Gen Dempsey, addressing the same press conference, spoke about the current problem: He said that if Assad chose to use his chemical stockpiles against opposition forces, it would be virtually impossible to stop him. Preventing the launch of chemical weapons "would be almost unachievable,” he said “... because you would have to have such clarity of intelligence, you know, persistent surveillance, you would have to actually see it before it happened."</span></span></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><br /></div><div class="MsoNormal" style="line-height: normal;"><span style="color: blue;"><span style="font-size: small;"><b><i><u><span style="font-family: "Times New Roman","serif";">Background Information: </span></u></i></b></span></span></div><div class="MsoNormal" style="line-height: normal;"><span style="color: blue;"><span style="font-size: small;"><b><i><u><span style="font-family: "Times New Roman","serif";"><br /></span></u></i></b></span></span></div><div class="MsoNormal" style="line-height: normal;"><span style="color: blue;"><span style="font-size: small;"><b><i><span style="font-family: "Times New Roman","serif";">SYRIA – ASSAD – FIRM IN SADDLE</span></i></b></span></span></div><div class="MsoNormal" style="line-height: normal;"><span style="color: blue;"><span style="font-size: small;"><b><i><u><span style="font-family: "Times New Roman","serif";"><a href="http://news-these-days.blogspot.com.ar/2013/01/syria-assad-firm-in-saddle.html">http://news-these-days.blogspot.com.ar/2013/01/syria-assad-firm-in-saddle.html</a></span></u></i></b></span></span></div><div class="MsoNormal" style="line-height: normal;"><span style="color: blue;"><span style="font-size: small;"><b><i><u><span style="font-family: "Times New Roman","serif";"><br /></span></u></i></b></span></span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="color: blue;"><span style="font-size: small;"><b><i><span style="font-family: "Times New Roman","serif";">GEOPOLITICAL ANALYSIS AND MONITORING</span></i></b><b><i><span style="font-family: "Times New Roman","serif";"> wrote <u>March 08^th 2012</u> that: Contrary to the weapons of mass destruction hoax fabricated by the USA in order to justify the IRAQ invasion, SYRIA really posses such lethal arsenal and <span style="background: none repeat scroll 0% 0% yellow;">probably will not hesitate to use them when cornered. </span></span></i></b></span></span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="color: blue;"><span style="font-size: small;"><br /></span></span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="color: blue;"><span style="font-size: small;"><b><i><span style="font-family: "Times New Roman","serif";">See full article: <a href="http://news-these-days.blogspot.com.ar/2012/03/given-fact-syria-does-possess-chemical.html">http://news-these-days.blogspot.com.ar/2012/03/given-fact-syria-does-possess-chemical.html</a></span></i></b></span></span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="color: blue;"><span style="font-size: small;"><br /></span></span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="color: blue;"><span style="font-size: small;"><b><i><span style="font-family: "Times New Roman","serif";">US INTELLIGENCE: ASSAD FIRMLY IN CHARGE IN SYRIA</span></i></b></span></span></div><div class="MsoNormal" style="line-height: normal;"><span style="color: blue;"><span style="font-size: small;"><b><i><u><span style="font-family: "Times New Roman","serif";">http://news-these-days.blogspot.com.ar/2012/03/syria.html</span></u></i></b></span></span></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br /></span></u></i></b></div><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">He added that “messaging” to the SYRIAN ruler publicly warning him that the use of chemical weapons would cross a red line, established a deterrent, because “he might think it would prompt outright US or international intervention leading to his downfall. But that’s different from preemption.”<br />Dempsey was repeating Panetta’s implied message to Assad that avoiding chemical warfare would extend the life of his regime, say our sources.</span></span></div><div class="MsoNormal" style="line-height: normal;"><br /></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">US military sources later told reporters that, while Dempsey and Panetta believe sarin gas will break down after 60 days – “That’s what the scientists tell us,” Dempsey said, US government sources have suggested that “SYRIAN sophistication with chemical weaponry may leave the combined, weaponized sarin deadly for up to a year.” Sarin, they say, is exceptionally hard to dispose of.<br />debkafile reports: This confusion is compounded by the decoys used by the SYRIAN army to conceal its chemical weapons stocks, which are now believed to have been distributed among different SYRIAN Air Force bases.</span></span></div><div class="MsoNormal" style="line-height: normal;"><br /></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="color: blue;"><b><span style="font-family: "Times New Roman","serif";">WIND OF CHANGE: DEFENSIVE POSTURES AMONG SYRIA’S NEIGHBORING COUNTRIES ?</span></b></span></span></div><div class="MsoNormal" style="line-height: normal;"><br /></div><span style="font-size: large;"> </span><br /><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">ISRAEL has responded to the US withdrawal from the SYRIAN arena with a decision announced by Prime Minister Binyamin Netanyahu that ISRAEL has started erecting a special security fence along its 57-kilometer boundary with SYRIA.</span></span></div><div class="MsoNormal" style="line-height: normal;"><br /></div><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrptJBWva9Km09yZQ_MOJ1Oh8LUbJhUaR6A7knvFlYF9dUrgM3-pvBXDMcRbbb4eOHUt1XEV2DkpomA21h40fMJAEUC6VKCvTumvwJt_BvHhSnji2bxo5VH0jnch5ZW17J0uMY3kVEvkUL/s1600/LIBYA_Chemical-containers-in-th-007.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="192" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrptJBWva9Km09yZQ_MOJ1Oh8LUbJhUaR6A7knvFlYF9dUrgM3-pvBXDMcRbbb4eOHUt1XEV2DkpomA21h40fMJAEUC6VKCvTumvwJt_BvHhSnji2bxo5VH0jnch5ZW17J0uMY3kVEvkUL/s320/LIBYA_Chemical-containers-in-th-007.jpg" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Chemical storage facilities in Libya </td></tr></tbody></table><div class="MsoNormal" style="line-height: normal;"><span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Ankara's response has been to segregate TURKEY from the SYRIAN conflict behind the six Patriot anti-missile batteries provided by NATO and place them on the border of its embattled neighbor in defensive array.<br />Indeed, both countries have retreated to defensive postures. However, neither the Patriots nor the wall will be much use should chemical weapons fall into rebel hands, including the Islamist terrorists in their ranks, and they decide to use them</span></span></div><div class="MsoNormal"><br /></div>

SYRIA'S CHEMICAL WEAPONS TAKEN OFF US TABLE

PANETTA, DEMPSEY CLEAR PENTAGON DESK OF US MILITARY OPTION FOR SYRIA Via DEBKA file US ASSESSMENT: ASSAD CANNOT BE STOPPED FROM USING CHE...

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Sr Systems Design Engineer (Define system & subsystems | scoping | budgeting | scheduling | integration) (#108789)

<div dir="ltr" style="text-align: left;" trbidi="on"><div class="WordSection1"><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Job Title: </span></b><span style="font-family: "Arial","sans-serif";">Sr systems Design Engineer<o:p></o:p></span></span></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Location:</span></b><span style="font-family: "Arial","sans-serif";"> Milpitas, CA<o:p></o:p></span></span></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Duration:</span></b><span style="font-family: "Arial","sans-serif";"> Fulltime<o:p></o:p></span></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Job Description:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">The selected engineer will work on the next generation product covering all aspects of product development. This includes system and subsystem requirements, concepts, designs, development and integration planning, prototype testing, release process, and support in the manufacturing and the field. The engineer must possess strong sense of purpose and be self-driven to continually improve self, others, and processes. Future improvements include cost cutting, operational efficiency, creating new technologies and ideas, and new structures and ways of doing business. Work requires interaction with many disciplines as the system engineer plays the central role in the product development throughout different phases. Strong communication skills both oral and written are required for this job. Some travel might be required. We are looking for future leaders, so we are looking for candidates who are looking for growth and can demonstrate leadership attributes.<o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Additional details regarding key responsibilities:<o:p></o:p></span></b></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">1.Work on product concepts and understand what the market requirements are and what solutions can be offered to meet market demand. This leads into roles in architectural designs, building models, and system and subsystem budgets to meet the required performance.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">2.Participate and drive subsystems and system planning. This includes scoping, budgeting, and scheduling.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">3.Lead and participate in subsystem and system integration and testing. This leads to product acceptance testing and devising iterative system and subsystem improvements and redesigns if needed. This also includes communicating the status of the integration and testing on a daily or weekly basis.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">4.Driving product introduction. This includes training operations and field personnel, creating and driving procedures and checklists, and solving technical and non-technical problems that can impede product introduction.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">5.Being and agent of change – Semiconductor industry is a fast-paced industry with constant change and ever increasing speed of new product introductions. Successful candidate is expected to adopt and drive new ideas and new ways of doing things. Successful candidate must have clear sense of urgency and adaptability to fast moving and highly competitive industry.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">Desired Skills & Experience<o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Desired Skills & Experience:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">1.PhD degree in Physics, Optics, Electrical Engineering, Systems Engineering, or related field.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">2.Experience in the area of optoelectronics, sensor technology, microscopy, optics design are highly desirable.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">3.Experience in driving and completing projects that include system concept, integration and testing.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">4.Experiences in lithography and semiconductor manufacturing.<o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-size: small;"><b><span style="font-family: "Arial","sans-serif";">Basic Qualification:<o:p></o:p></span></b></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">Bachelor's Level Degree with at least 10 years of experience.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">OR<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">Master's Level Degree with at least 6 years of experience.<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">OR<o:p></o:p></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;">Doctorate (Academic) with at least 5 years of experience.</span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;"></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;"></span></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;"><o:p></o:p></span></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><span style="font-family: "Arial","sans-serif"; font-size: small;"><o:p><b>Please send in your resumes to vinod.sanker@kla-tencor.com</b></o:p></span></div></div></div>

Sr Systems Design Engineer (Define system & subsystems | scoping | budgeting | scheduling | integration) (#108789)

Job Title: Sr systems Design Engineer Location: Milpitas, CA Duration: Fulltime Job Description: The selected engineer will work on the n...

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Teach This! Teaching with lesson plans and ideas that rock 01/11/2013

<ul class="diigo-linkroll"> <li> <p class="diigo-link"> <a href="http://blogs.acpsk12.org/virtualbookclub/">Virtual Book Club - Flat Classroom projects</a> </p> <p class="diigo-description">Kyle Dunbar is running a virtual book club. The first book is Flattening Classrooms, Engaging Minds. This website includes a blog that talks about the takeaways and the recordings that they are discussing. Please feel free to join in and mark your calendars - they are meeting on Tuesdays at 7:30 pm. I hope you'll join in. It is vital that you and I both connect with other classrooms around the world. Students are the greatest textbook ever written for each other - they need to connect and learn from each other. You'll meet other educators and model the kind of learner you want your students to be. If you want your students to innovate YOU must be innovative. If you want your students to collaborate YOU must be collaborative. Here's the schedule: January 7th – Meet the Flat Classroom, Chapters 1 & 2 January 21st – Connection and Communication, Chapters 3 & 4 February 4th – Citizenship, Contribution and Collaboration, Chapters 5 & 6 February 18th – Choice and Creation, Chapters 7 & 8 March 4th – Celebrating, Designing, Managing a Global Project, Chapters 9 & 10 March 18th – Rock the World</p> <p class="diigo-tags"> <span>tags:</span> <a href="http://www.diigo.com/user/coolcatteacher/education">education</a> <a href="http://www.diigo.com/user/coolcatteacher/news">news</a> <a href="http://www.diigo.com/user/coolcatteacher/flatclass">flatclass</a> <a href="http://www.diigo.com/user/coolcatteacher/teaching">teaching</a> <a href="http://www.diigo.com/user/coolcatteacher/tumblr">tumblr</a> <a href="http://www.diigo.com/user/coolcatteacher/evernote">evernote</a></p> </li> </ul><p class="diigo-ps">Posted from <a href='http://www.diigo.com'>Diigo</a>. The rest of my favorite links are <a href='http://www.diigo.com/user/coolcatteacher'>here</a>.</p>

Teach This! Teaching with lesson plans and ideas that rock 01/11/2013

Virtual Book Club - Flat Classroom projects Kyle Dunbar is running a virtual book club. The first bo...

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Create Checklists in Evernote to Save Time

While I use the <a href="http://www.thesecretweapon.org/the-secret-weapon-manifesto/a-better-way">"Secret Weapon" method</a> of organizing <a class="zem_slink" href="http://www.evernote.com/" rel="homepage" target="_blank" title="Evernote">Evernote</a>, I wanted to give you a glimpse of taking those tasks you do just once or twice a year and making them so much easier. As a teacher, sometimes I procrastinate because I just don't want to take the time and energy to find things.<br /><br />As I've been reading <a class="zem_slink" href="http://gawande.com/the-checklist-manifesto" rel="homepage" target="_blank" title="The Checklist Manifesto">the Checklist Manifesto</a>, I'm now taking time to start creating checklists to make life easier. Included in the checklist in Evernote, I'm linking and embedding the files so that I can easily take care of business.<br /><br />If you look at the tasks I have to do in the Evernote note below, they have files attached to them and information. Instead of searching for that email I used last year to welcome parents, and finding that file, it is all in one place. I uncheck the boxes so I can start over this year.<br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEij_B-vVgdrUaCKLCGgkcRErikBSE-Danve3v1gFJ4e5SQitc07LRghcr3U5rbV8aM3VecEMK6ui4mvTIg6gXZh61UM11ntX9HoNei06AfSru7PRyvd1KSzgaV4Trf4-DEZ7hAf_aLbJqr5/s1600/evernote-keyboarding-example.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="332" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEij_B-vVgdrUaCKLCGgkcRErikBSE-Danve3v1gFJ4e5SQitc07LRghcr3U5rbV8aM3VecEMK6ui4mvTIg6gXZh61UM11ntX9HoNei06AfSru7PRyvd1KSzgaV4Trf4-DEZ7hAf_aLbJqr5/s640/evernote-keyboarding-example.jpg" width="640" /></a></div><br /> <div class="zemanta-pixie" style="height: 15px; margin-top: 10px;">This is very helpful for those PowerSchool queries for the academic banquet and very geeky things I Have to do infrequently for Flat Classroom. Since this is the beginning of the semester, it is a GREAT time to make these checklists and embed these files. Note that sometimes I just make a shortcut to a file and put that in the note, but I do pay for premium evernote, so I have the space to attach the files. I'm still curious as to exactly HOW evernote embeds the file.</div><div class="zemanta-pixie" style="height: 15px; margin-top: 10px;"><br /></div><div class="zemanta-pixie" style="height: 15px; margin-top: 10px;"><br /><a class="zemanta-pixie-a" href="http://www.zemanta.com/?px" title="Enhanced by Zemanta"><img alt="Enhanced by Zemanta" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_c.png?x-id=0de32b5b-f301-4d3b-9804-6f70ec293ba1" style="border: none; float: right;" /></a></div>

Create Checklists in Evernote to Save Time

While I use the "Secret Weapon" method of organizing Evernote , I wanted to give you a glimpse of taking those tasks you do just ...

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Mmmmm soup!

<p>It's soup weather!  Very cold here in Ireland with snow and sleet expected on Sunday.</p><p>Next door to my work is the Draiocht Arts Centre with a theatre and gallery.  Betelnut Cafe is based in the Draiocht and the do delicious homemade soups.  Today they have Butternut squash with coconut & lime (I chose this one!) or Leek, potato & rosemary. Delicious!</p><div class='separator' style='clear: both; text-align: center;'> <a href='https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzl9fXeXJcfkAwg4nb0fys1QdM1Ubusus3uoG51i1dSoRqITRQQkZcJRzwHBsUkzfOncTBcUMEWnRbxFCd7tpSjXrtcmUdGYZu-0w5BwetJoN24L3QiGOQseV4_K1tL7ZlLw3prMo1qFyH/s1600/20130111_124350.jpg' imageanchor='1' style='margin-left: 1em; margin-right: 1em;'> <img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzl9fXeXJcfkAwg4nb0fys1QdM1Ubusus3uoG51i1dSoRqITRQQkZcJRzwHBsUkzfOncTBcUMEWnRbxFCd7tpSjXrtcmUdGYZu-0w5BwetJoN24L3QiGOQseV4_K1tL7ZlLw3prMo1qFyH/s400/20130111_124350.jpg" /> </a> </div>

Mmmmm soup!

It's soup weather!  Very cold here in Ireland with snow and sleet expected on Sunday. Next door to my work is the Draiocht Arts Centre w...

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Qualcomm Tricorder X PRIZE | Healthcare in the palm of your hand

Imagine a portable, wireless device in the palm of your hand that monitors and diagnoses your health conditions. That's the technology envisioned by this competition, and it will allow unprecedented access to personal health metrics. The end result: Radical innovation in healthcare that will give individuals far greater choices in when, where, and how they receive care.<br /><br><br /><br>The Qualcomm Tricorder X PRIZE is a $10 million global competition to stimulate innovation and integration of precision diagnostic technologies, making reliable health diagnoses available directly to "health consumers" in their homes.<br /><br><br /><br>The dire need for improvements in health and healthcare in the U.S. has captured the attention of government, industry, and private citizens for years. But a viable solution has yet evaded one of the most technologically advanced, educated and prosperous nations on the globe. Integrated diagnostic technology, once available on a consumer mobile device that is easy to use, will allow individuals to incorporate health knowledge and decision-making into their daily lives.<br /><br><br /><br>Advances in fields such as artificial intelligence, wireless sensing, imaging diagnostics, lab-on-a-chip, and molecular biology will enable better choices in when, where, and how individuals receive care, thus making healthcare more convenient, affordable, and accessible. The winner will be the team whose technology most accurately diagnoses a set of diseases independent of a healthcare professional or facility, and that provides the best consumer user experience with their device.<br /><br><br /><br><a href="http://www.qualcommtricorderxprize.org/">http://www.qualcommtricorderxprize.org/</a>

Qualcomm Tricorder X PRIZE | Healthcare in the palm of your hand

Imagine a portable, wireless device in the palm of your hand that monitors and diagnoses your health conditions. That's the technology e...

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