Analysis: Fiscal cliff could hit economy harder than many expect

WASHINGTON (Reuters) - The United States runs the risk of a recession far deeper than many investors and policymakers may think if lawmakers fail to avert looming tax hikes and cuts to public spending.

Absent action by Congress, the country will face the so-called fiscal cliff at the start of next year, a combination of lower spending and higher taxes that is expected to extract about $600 billion from the economy.

Many economists think every dollar of deficit reduction will subtract nearly the same amount from economic growth.

By that measure, the current course could cause the economy to contract by 0.5 percent in 2013, according to estimates by the Congressional Budget Office (CBO) that have been largely embraced by Wall Street and the U.S. Federal Reserve.

But research by economists in academia and at the International Monetary Fund suggests a dollar of deficit reduction could drain as much as $1.70 from the economy, making the prospective belt tightening much more dangerous.

"You can take that 0.5 percent contraction and double it," said Barry Eichengreen, an economist at the University of California, Berkeley.

These researchers suspect fiscal contractions take a bigger-than-normal bite from economies when interest rates are very low, as is the case at the moment in the United States and in much of the developed world.

One explanation, Eichengreen said, is that when rates are higher, central banks can easily lower them to provide a counterweight to austerity. But when rates are near zero, as they are in the United States, it's harder to ease the pinch.

Historical data suggests higher taxes or lower government spending normally lead households to cut back on purchases only modestly. In the three decades through 2009, a dollar in government austerity would suck only half that from the economy, according to IMF research published this month which examined fiscal policy in 28 countries.

But economies around the world appear to be acting differently since the Great Recession. The IMF said it appeared that every dollar of recent fiscal consolidation has drained anywhere from $0.90 to $1.70 from economies.

The IMF said this suggested central banks have been having difficulty offsetting the impact from tighter budgets.

That could well be the case in the United States as well. The Fed pushed overnight rates to near zero in December 2008 and has resorted to the unconventional policy of purchasing government and housing-related bonds to revive the economy.

The central bank's chairman, Ben Bernanke, has acknowledged he would not be able to fully offset the pain if the economy runs into the "fiscal cliff."

With the U.S. jobless rate at 7.8 percent and the recovery still shaky, the possibility of a greater-than-expected hit to activity might be food for thought for lawmakers, who will be looking to cut some sort of deal on the budget before year end.

LET'S MAKE A DEAL

There's little room for error. Forecasters expect economic growth next year of just 2.1 percent, with the jobless rate edging down only slightly.

As it is, economists believe even the level of danger outlined by the nonpartisan CBO will be enough to propel lawmakers, who are deeply divided over taxes and spending, to reach an accord, although signs have yet to emerge that a deal is starting to gel.

"No political party wants to go down in history as the one that triggered the second half of the worst recession since the Great Depression," said Paul Dales, an economist with Capital Economics in London.

Capital Economics expects Congress will allow just under $100 billion in fiscal tightening, which it thinks would knock the same amount off gross domestic product (GDP).

Yields on U.S. government debt suggest investors as a whole are betting on even less tightening next year, according to research by analysts at Bank of America.

Bank of America itself expects lawmakers will allow much of the fiscal cliff to transpire, leading to about $325 billion in budget tightening, enough in their view to stall job growth.

Like Capital Economics and many other research units in the financial world, Bank of America presumes every dollar of tightening would drain the economy by about the same amount, although it says a bigger effect is possible.

"The economic impacts could be worse than our baseline assumptions," said Michael Hanson, an economist with the bank in New York.

Eichengreen and others who have studied economic data from the Great Depression, another time central banks were constrained, found the drag from a tightening of fiscal policy was much higher at the time. Eichengreen thinks currently the so-called multiplier is about 1.7, in line with the upper range of the IMF's estimate.

If he is right, even avoiding just half of the fiscal cliff would not be enough to steer the economy clear of recession.

Earlier this month, Senate Republican leader Mitch McConnell argued for not "a penny less" than $109 billion in budget tightening next year. But even a tightening in the budget of that magnitude would have an outsized effect if Eichengreen and others are on the mark.

"It would make more sense to assure a strong self-sustaining recovery before embarking on significant fiscal consolidation," Goldman Sachs economists said in a recent report that summarized research pointing to heightened risks of budget slashing.

(Reporting by Jason Lange; Editing by Tim Ahmann and Sandra Maler)

Source: http://news.yahoo.com/analysis-fiscal-cliff-could-hit-economy-harder-many-174247877--business.html

sweet home alabama etch a sketch the host hoodie hoosiers temperance world bank

In All Probability The Residents Will Complaint If ... - Elder Law Library

In All Probability The Residents Will Complaint If They Aren't Well-treated.

Posted by Editor on Oct 28, 2012 in Medicaid

The data below is restricted to Medicaid planning in Florida and is passing and general in nature. This info shouldn't been taken as legal services or Medicaid Planning directions. ICP Medicaid is a Federally sponsored programme which each State may administer differently. For that reason, Medicaid rules change from 1 state To another. Dining Room The dining room is where a great amount of movement happens when put next to other activities that happen in a stipulated home. This sort of care home furniture is typified by being extremely manoeuvrable, with the absolute minimum of widths being used so that folks can be set before their dining tables easily. There are numerous special devices that are in the world of nursing or residential care center furniture that may be invested in to make the dining process as simple as practicable for resident and carer alike.

There are several firms supplying the special retirement home furniture and apparatus needed to make such an establishment function efficiently and smoothly. This is part of the staff?s job, to guarantee all of the residents are safe and well sorted, that all their wishes are being met. If the old folks placed in the retirement home by their family, they're expecting they're going to get all the care wanted to help them stay healthy and satisfied. This includes monitoring liquid intake, because it's so crucial. This is also a situation that must be watched closely and if the nursing staff doesn't correct their behaviour, they have to be held accountable for not providing correct care. Staffing can be different at various times of the day, and on weekends. Ask if the inadequacies noted have been corrected. ? Don't be scared to pose questions. Figure out if the care home is Medicare / Medicaid certificated, if there's a list, and what their visiting policies are.

To make these programs successful, there are particular systems that we should focus upon. Potential care home residents should be concerned in the decision making process if feasible. Most likely the residents will complaint if they're not well-treated. First, a practical quality guarantee system should be established. Apart from making improvements to the regulatory standards, the care home authorities should tighten up their enforcement also. Next, if you're privy to the nursing home?s trend, you'll find out the most urgent problem is inadequate of manpower.

Source: http://www.elderlawlibrary.com/in-all-probability-the-residents-will-complaint-if-they-arent-well-treated/

slither slither naacp glen campbell jerusalem artichoke bud shootout aretha franklin

Topeka Kansas Considering City Funds for Local CME - Policy and ...

Over the past year or two, we have written several times about the economic and practical difficulties both continuing medical education (CME) providers and physicians are having.? For example, commercial support for CME decreased by 11.1%, by $93,776,050 less than 2010.? Commercial support now represents 32% of the total CME funding, down from 46% of total funding in 2007.?

With commercial funding of CME dropping by hundreds of millions of dollars in the past four years, there has been fewer grant dollars available, the number of providers has fallen, and there are fewer hours of instruction being produced.?

Moreover, the impact on the decrease of commercial support of CME has affected hospitals, state-accredited CE providers, universities, and even the federal government.? For instance, the Department of Defense (DOD) announced that its Continuing Education Office (CHE) will be disestablished in FY12.? Similarly, the University of North Carolina School of Medicine, decided to close its CME Office on campus, as a result of state budget reductions.??

Now, the rising costs of continuing education for medical professionals have prompted the Shawnee County Community Health Center, in Topeka, Kansas, to request a new policy.? The Shawnee County Commission will consider the revised policy at an upcoming meeting.? The current Credit for Medical Education policy was passed in July 2006.?

According to the Topeka Captial Journal, the proposed revisions call for an additional $620 to be added to four employee classifications ? medical director, physicians, advanced practice registered nurses and physicians assistants ? for continuing medical education costs.?

Only eight employees qualify for the benefits, bringing the total increase to $4,960, said Alice Weingartner, director of the Community Health Center.?

The credits are necessary to maintain licensure and organization membership and will help the county health agency and community health center retains quality health care providers, a memo in the meeting?s agenda packet states.?

The policy also outlines days the positions are allowed for continuing education ? 10 for the medical director and seven for the other positions ? however, those amounts aren?t different than the current policy, Weingartner said.?

The health center also has asked the county commission for authority to replace the Health Services Team Leader position with another registered nurse for the Primary Care program. The team leader position recently became vacant because of a retirement, Weingartner said.?

The change would result in a lower salary. The team leader had a starting wage of $19.03, while an RN starts at $17.07, according to a memo.

The health center also wants to create, open and fill a part-time program medical assistant position. The salary for the position would range from $10,021 to $16,075, Weingartner said.?

The union-based position would include ordering, stocking and rotating medical supplies, cleaning and maintaining medical equipment and processing correspondence, among other responsibilities.?

Discussion?

With recent surveys showing a decline in the quality of CME; that physicians are paying more for CME; and physicians are spending more time and effort locating appropriate CME, this news is troublesome.? Moreover, with the number of accredited providers in states dwindling, and more economic woes from industry and the overall economic status of America, it is likely that more towns and cities may face similar difficulties.? This is just one example of how commercial support, used by accredited CME providers, can fill in the gap for small towns, to ensure patients receive the most up-to-date treatment and care.?

Source: http://www.policymed.com/2012/10/topeka-kansas-considering-city-funds-for-local-cme.html

st louis cardinals Steelers Schedule tory burch Al Smith Dinner Herman Melville Books American Horror Story Kyna Treacy

Hurricane Sandy puts 50M people at risk

Residents up and down the East Coast are preparing for what forecasters predict could be the worst storm in two generations as Hurricane Sandy is strengthening, putting 50 million people at risk.

The eye of Sandy is forecast to make landfall late Monday night in Atlantic City, N.J., bringing with it life-threatening storm surges, forceful winds and rainfall that could cripple transportation and leave millions without power. But the force of the storm was already evident as powerful winds and high seas already began lashing the coast Sunday night.

The size and power of the storm are almost without equal as several systems will combine to wreak havok on a large section of the nation -- from North Carolina to New England as far west as the Great Lakes.

Hurricane Sandy: Live Storm Tracker

Hurricane Sandy's maximum sustained winds increased to 85 mph overnight. As of 5 a.m., Sandy was centered about 385 miles southeast of New York City, and moving north at 15 mph, according to the National Hurricane Center.

On the East Coast, a storm surge is expected along a 600-mile stretch of the Atlantic along with rainfall in places of 6 to 10 inches and even more, and waves 20 to 25 feet are possible on the south side of Lake Michigan Monday night into Wednesday.

"We want to prepare people for the worst," New Jersey Gov. Chris Christie said Sunday, warning that some residents could be without power for more than a week.

As of 6 a.m. today, Jersey Central Power and Light was reporting 4,671 customers without power in northern New Jersey, according to ABC News' New York station WABC-TV.

Christie urged people in the path of Hurricane Sandy to "remain calm and listen to instructions."

Hurricane Sandy: Live Updates

A wind gust of 64 mph was recorded just south of Wilmington, N.C., shortly before 5 a.m. today. The highest rainfall total recorded was almost six inches in Dare County, N.C.

Tens of thousands of people in coastal areas have been ordered to evacuate their homes before Hurricane Sandy pounds the eastern third of the United States.

States of emergency were declared from North Carolina to Connecticut. Coastal communities in Delaware were ordered to evacuate by 8 p.m. Sunday night, and all non-emergency vehicles were ordered to stay off the state's roads beginning at 5 a.m. Monday.

"While the predicted track of Hurricane Sandy has shifted a number of times over the last 24 hours, it has become clear that the state will be affected by high winds, heavy rainfall, and flooding, especially along the coastline for a several day period," Delaware Gov. Jack Markell said. "These factors, along with the potential for power outages, have convinced me that the prudent thing to do is have people leave most of our coastal communities."

Sandy is expected to bring potentially life-threatening storm surges on the coast, ranging from several feet to potentially as high as 11 feet in the Long Island Sound area of New York, said Rick Knabb, director of the National Hurricane Center.

Hurricane Sandy: Full Coverage

Sandy will meet up with cold front coming from the northwest and a high pressure system from Greenland, fueling it with enough energy to make it more powerful than the so-called "Perfect Storm" in 1991, meteorologists say.

"The size of the storm is going to carve a pretty large swath of bad weather," Knabb said. "This is not just a coastal event."

The first rainfall from the megastorm already began to hit the coast of Virginia, Delaware and New Jersey Sunday night and forecasters warn it could bring inland flooding around Maryland and Pennsylvania. A blizzard warning was issued for portions of West Virginia, where Sandy could bring up to two feet of snow.

FEMA administrator Craig Fugate urged people in Sandy's path to take the storm seriously and to heed any evacuation orders.

"The time for preparing and talking is about over. People need to be acting now," Fugate said.

New York City transit officials shut down the subway system, the largest rapid transit system in the world at 7 p.m. Sunday. Sandy could potentially create a storm surge capable of overtopping the Manhattan flood walls, filling the subway tunnels with water.

New York City Mayor Michael Bloomberg ordered the evacuation of areas of lower Manhattan and the Rockaways.

"If you don't evacuate, you are not only endangering your life, you are also endangering the lives of the first responders who are going in to rescue you," Bloomberg said at a news conference. "This is a serious and dangerous storm."

New York City Schools will also be closed Monday, Bloomberg said.

Given its size and expected duration of two to three days, Sandy could turn out to be comparable to 1991's Hurricane Grace, also known as the "Perfect Storm," and a cyclone that struck near the Appalachians in November 1950, FEMA administrator Craig Fugate said. But, Fugate said, officials don't try to make historical comparisons until after a storm hits.

7 Devastating Hurricanes: Where Will Sandy Rank?

Power Outages

Power companies are being proactive before Sandy makes landfall, trimming trees and putting equipment place to hopefully minimize the number of people left without power after the storm.

Last year, Hurricane Irene left 7 million homes without power in the same area Sandy is expected to batter with wind and rain.

Hurricane Sandy: Supplies You Should Have

"The best thing is to be prepared, and I think that's where we are. We're prepared for what the worst will bring," said Vince Maione, who has been with Atlantic City Electric, a company serving south New Jersey, for 28 years.

Travel Woes

Sunday also brought more than 1,000 flight cancelations, with 5,559 expected for Monday and 613 cancelled for Tuesday, Flight Aware reported. The most affected airport today was Newark with 305 cancellations.

ABCs of Hurricane Sandy Travel

People scheduled to fly to or from the eastern third of the country are encouraged to check their flight status.

ABC News' Russell Goldman, Sydney Lupkin and Genevieve Shaw Brown contributed to this report.

Also Read

Source: http://gma.yahoo.com/hurricane-sandy-put-50m-people-risk-030719171--abc-news-topstories.html

karen handel hangout todd haley kareem abdul jabbar karl rove miramonte elementary school mark jenkins

Living a Satisfying Life While Having a Chronic Illness ? Part 1 ...

Donald M. Friedman, MD

Receiving a diagnosis of a chronic disease that is treatable, but not curable, manageable, but not always completely controllable, can be a devastating experience.? There frequently is an immediate sense of being threatened, not only in terms of one?s very life, but more often in terms of one?s ability to continue living life as one is used to.? Diseases such as diabetes mellitus, rheumatoid arthritis, coronary artery disease, emphysema, and multiple sclerosis are examples where symptoms can be alleviated and daily functioning can be greatly improved, but the diseases themselves never completely go away.? Diagnoses such as fibromyalgia and chronic fatigue syndrome are even less understood as to origin and disease mechanism, and yet the symptoms can be quite pronounced and debilitating.? Patients with any long term illness can often feel helpless and even hopeless in their capacity to cope with the changes thrust upon them by their disease.? In fact, the emotional disability a chronic disease can engender may be even more debilitating than the physical disabilities the disease may produce.

?

There is little doubt, both experiential and in the medical literature, that the approach a patient takes toward his/her chronic illness has a significant and often profound effect on both the course of that illness and how well the patient adapts to the changes related to that illness.? Being positive and proactive is key, and while there will still be ups and downs, difficult moments and good periods during an illness, one?s attitude can be the force that gets one through, so that a satisfying and meaningful life can still be lived.

?

The words of Kathleen Lewis from her book, Successful Living With Chronic Illness (Kendall/Hunt Publishing Company, 1994), summarize the issues very powerfully ? ??the emotional response to chronic illness can be more crippling than the illness itself; being disabled doesn?t mean you fall off the end of the earth never to return to the land of the living, for there are abilities within a disability; life does go on and can be full even though a former life style is erased almost completely by a chronic illness? (p. Xll).? I?ll discuss in three separate columns over the next few months some of the issues that having a chronic illness raise, ideas and values that are important to remember, and approaches that may help one cope in the face of illness and even allow one to grow and transform within the context of that illness.

?

Know About Your illness

The most important first step is to know all you can about the disease you have.? Some patients choose to take the opposite approach of not wanting to learn about the origin and disease mechanisms, symptoms, signs, treatments, and outlook of their illness.? That may partly be due to denial that they even have a disease, or it may be secondary to fear of what may happen to them.? My own feeling is that having knowledge of your disease enables you to be a more active participant in your treatment.? If you can understand the disease and its symptoms, you are better prepared to recognize changes that need attention, progress when it occurs, what to expect in the long range, and how to set reasonable goals.? You would also be better prepared to discuss with your doctor the treatment options available and the best way to deal with and adapt to your symptoms.

?

Knowing your disease can also give you a realistic framework in which to plan your activities and understand the limits you may face in accomplishing what you feel is important.? Being prepared for what may physically happen does not mean that you have to live your life in anticipation of what may actually occur.? It just means that you have a general concept of how you life is now and how it might be changed, so that if there are life changes related to the disease, you will be prepared to function as best you can within a new set of guidelines.? Finally, I think that knowing about your disease can give you a sense of power, not only in participating with your doctor in your own care, but also in helping you determine how you can still live a meaningful life within the context of life changes a disease may impose.

?

Find the Right Doctor

Another important step is to establish a good, supportive, and enriching doctor-patient relationship.? In previous columns, I have discussed the potentially powerful and even sacred nature of this relationship.? The first step is to find a physician in whom you have confidence and with whom you are comfortable enough to completely be yourself, share whatever information you need to, and never feel that you will be judged. ?The best source for a good physician referral is another doctor who has knowledge of the physician choices available or a relative or friend who has had direct experience with the physicians you?re considering.? To me, it all comes down to your gut reaction while and after you spend time with the physician you pick.

The most renowned doctor or the doctor who is best recognized in his/her field may not necessarily be the one who is the right doctor for you.? If you don?t feel completely at ease with the physician, especially if you are about to embark on a long-term relationship because of a chronic disease, it is not a good match.? You may have to discuss many issues, some of them very personal, with your physician over a number of years.? In a chronic illness, new challenges and new situations can occur at any time, and you must feel that your doctor will always be there for you.? A trusted and caring physician can help a patient get through disease flare-ups, not only because of his/her medical knowledge, but also because of his/her presence, concern, and support.? There are many physicians who may not be as well known or well recognized in medical circles, but whose knowledge and expertise are nonetheless extremely competent and whose interactions with patients can be healing.

?

Acceptance of the Illness

One of the most difficult tasks in having a chronic illness is acceptance of the fact that one indeed does have that illness.? Denial is a potent mechanism of coping for many of us, especially when facing an illness.? Many people don?t pay attention to early symptoms and wait until these symptoms worsen or even become life threatening.? You can?t deal with a chronic disease until you know and accept that you have it.? Then you can get the medical information you need from your physician, and even accumulate information about the disease on your own that you can verify with your physician.? Accepting you illness and also learning about it, as mentioned above, can give you sense of power because you are better equipped to make decisions that have the most positive effects on your health.

?

If the diagnosis cannot be well established at first, which may not be unusual in some chronic diseases, acceptance may involve the recognition that the clinical picture is not clear at the moment and that accurate diagnosis may take time.? This situation introduces the element of acceptance of uncertainty as well, making the challenges even more difficult.? Even with an established diagnosis and indicated treatment, the course of the disease may still be uncertain.? While I?ll discuss mystery in the face of illness in a later column, a certain acceptance of the unknown can be helpful in these unclear clinical situations because it opens a broader range of possibilities that may help one have more of a sense of hope.

Self-Acceptance

A big part of acceptance of a chronic disease is self-acceptance.? This can be a very difficult challenge, especially if one has impossibly high standards for oneself.? Many regard having a disease as a failure, something which demeans them in their own eyes and the eyes of others.? I think an important thing to remember is that your illness is only a part of who you are.? Defining yourself solely by your disease overlooks all the other aspects of who you are.? Because you health is not the same as it was doesn?t mean you?re a failure.? It also doesn?t mean you have to give up being you, enjoying aspects of your life that you still can, and living life as fully as possible within your new restrictions.? It is essential that you maintain your selfhood and still think positively about yourself, even though some physical aspects of your being have changed.

?

In addition, as Kathleen Lewis points out in Successful Living with Chronic Illness, ?Acceptance needs to be on an intellectual and emotional level? (p.76), meaning that acceptance isn?t just how you think about yourself, but also how you feel about yourself as well.? Ms. Lewis goes on to list some ?hallmarks of acceptance? with a chronic illness (p75-77).? Here are some of them:

?

??when the illness only becomes a part of your life and not the main focus.?

?

?The illness blends in as only a part of your total identity.?

?

?Being able to identify with people who have similar conditions shows acknowledgement of changes seen in the self.?

?

?Feelings of bitterness, defensiveness, and anger are released when you

no longer see yourself as a victim, but as a participant, and assume responsibility for yourself.?

?

??shed self-pity and become comfortable with yourself and those around you.?

?

?Accept the reality of your limitations and learn to ask for help in an assertive way??

?

?Set new goals when old ones are no longer realistic.?

?

?See yourself as being no different from others,?handling your problems as well as possible ? not martyr, saint, or anyone special.?

?

?Be able to identify with the similarities of others and not just with your differences.?

?

?See yourself as a person of value as you are right now.?

?

?Learn to listen to, understand, and trust yourself.?

?

Self-acceptance of who you are despite the changes an illness might bring is a productive step toward wholeness within a new reality and a productive alternative to giving up on yourself.? You will stand a better chance of finding joy and balance in your life, and even restoring hope.? Self-acceptance creates a space for further personal growth and evolution

as a response to new challenges and life situations.

?

Dealing with Grief and Loss

Coming to terms with a chronic illness also involves the grieving process and recognition of a sense of loss.? A person with a chronic illness may have many new losses that are evident immediately or emerge over time.? The losses may be permanent or temporary, depending on the disease progression and response to treatment.? The important thing is to recognize the losses and grieve for them.? It is similar in importance to grieving after the death of a loved one, the loss of a significant relationship or job, a treasured material possession, or a valued life situation that is no longer possible.? Grieving within the framework of an illness recognizes the pain inherent in the loss of one?s former physical wellness.? Anger and sorrow may also be a part of the process.? Grief, obviously, is not pleasant to go through, but recognizing the uncomfortable emotions associated with it can help one accept the loss and the reality of what it means, so that one can move on from the past to the present moment.

?

Getting through the grief over what one has physically lost with the onset of a disease also helps one realize what strengths are still left, what joys are still possible, and how one might still participate in life as fully as possible.? Avoiding the pain and anger of grieving may prevent one from moving on to create and establish a new way of finding a fulfilling and meaningful life.? Also, unresolved grief and the underlying anger and sorrow can leave to depression, flare of disease symptoms, or the appearance of new symptoms that may be emotionally based.? Grieving is not easy, even though it is part of a natural response to loss.? If one has difficulty grieving the personal losses from a physical disease or moving on from that grief, consulting with a therapist or a grief counselor is a good approach that can be very helpful.

?

Building a Support System ? Friends

Rachel Naomi Remen, MD

The last topic of this section of living with a chronic illness is building a support system to help you function the most effective way you can.? Rachel Naomi Remen, M.D. so poignantly observes, ?Oftentimes the will to live is weakened more by isolation than by disease.?(Hematology/Oncology Clinics of North America, 2008, p.771)? A chronic illness can often lead to loss of relationships with friends, community, and even within one?s family.

Good personal relationships with others are so sustaining, nourishing, and valuable even when does not have an illness, but they become even more so and more necessary when an illness threatens with the isolation Dr. Remen mentions.? Part of the problem may be how friends and family handle illness in another person.? With friends, the illness you have may remind them of their own vulnerabilities, and so they may choose avoidance of any contact with the friend who is ill so they don?t have to face their own insecurities.? Also, as Kathleen Lewis points out, ?Close friends may ignore you because they can?t express their feelings.?? (Successful Living with Chronic Illness, p.10)? But the support, caring, and encouragement of friends can be so instrumental in how well one adapts to and copes with a disease that these issues should be addressed.

?

The first step is to work on being comfortable with your disease.? As Lewis states in her book, ?Until you are comfortable with yourself, others can?t be comfortable with you.? (p.10)? If one has difficulties with this process, counseling can be very helpful in overcoming the negativity you may be projecting as a constantly sick person.? Also, one has to choose the friends who are understanding, can relate to your physical situation, and are willing to support you, both emotionally and when you need help with things you can?t physically do for yourself.? Even then, it is important to do as much as you can for yourself so that you do not appear totally dependent and helpless.? It is important to be as positive as possible, even in the face of a disease, as friends will respond more positively and comfortably to you.? You may even have things to teach them about adaptability, acceptance, and self-compassion.

?

Finally, it is important to ask your friends how they are doing and what is new in their lives.? Maybe you can even do something for them that they would appreciate, keeping the friendship on a healthy ?give and take? basis.? While friendships can be altered by a chronic disease, they still can be fulfilling.? And even if friends can?t visit all the time, the phone and email are sources of connection you may use.? Finally, if friends don?t call or visit when you wish they would, don?t assume they?ve lost interest.? It?s so easy to make negative and damaging assumptions about others ? they may just be busy or distracted with their own issues or problems.? Give them a call yourself to reestablish contact and strengthen your support system of friends.

?

Building a Support System ? Family

The support of family members is also crucial, but the issues within the families of someone with a chronic illness may be very complex.? As Kathleen Lewis points out, ?Your family unit and individual family roles may be altered and may have to be rebuilt along different priorities and

guidelines, as ongoing illness becomes part of your daily lives.? (Successful Living with Chronic Illness, p.15)? The most important aspect of coping with a family member?s illness is honesty in dealing with the changes an illness brings to family life.? The amount of care an ill family member may require, the expected roles that the family member may no longer be able to fulfill, hidden resentments, grieving for a family way of life that can no longer be as it was can all bring out frustrations, anger, sadness, denial, and inappropriate and non-supportive behavior in family members.? It?s important that the family?s reactions and thoughts be aired, acknowledged, and worked with to achieve an effective family coping mechanism so that the family members can all function together and interact well with the patient.? Sometimes healthier family relationships and dynamics can result from this; other times, the situation may deteriorate to the point that counseling for the entire family or for individual members may be necessary to restore any degree of family functioning.? There are also many services available to caregivers to give them some relief and direction, especially when caregiving to the ill family member is a full time commitment.

?

The point to remember is that a person with a chronic illness who is living with or has a significant connection to his/her family cannot live isolated from that family?s dynamics and the thoughts, feelings, and reactions of other family members.? Part of a good support system is a family who honestly confronts the illness of the involved member, deals with the negativity and painful emotions that result from the diagnosis of that member, and then finds a resilient way of coping that works for everyone concerned and supports the patient fully.

?

Next month I?ll talk about other issues that are related to living with a chronic illness including self-care, living in the moment or mindfulness, hope, anger, and finding joy despite physical difficulties and limitations.

?

Donald M. Friedman, M.D.
Spirituality and Health
Philadelphia, PA.
www.DrDonFriedman.com

?

Source: http://jewishsacredaging.com/2012/10/28/living-a-satisfying-life-while-having-a-chronic-illness-part-1/

zac brown band aubrey born to run pranks pregnancy test april fools day 2012 ja rule

Reconnecting With Bones's Lost Doc, Eric Millegan | ComicBook.com

At the New York Comic Con earlier this month, ComicBook.com caught up with Eric Millegan. Millegan is an accomplished actor on television and stage, but is best known to fans?and especially to the convention crowd?as Dr. Zack Addy from the hit Fox series Bones.

Millegan was a fan-favorite character on that series?brilliant, socially awkward and intensely likable, the actor made Addy relatable, likable and half of one of the best non-romantic relationships on TV (with T.J. Thyne?s Jack Hodgins). As a character who didn?t always know what to say, Millegan mastered the art of using timing and sparse dialogue to his advantage, turning silence into a powerful tool and making his occasional monologues and pseudo-scientific explanations even more effective. After he left, the chemistry on the show has never quite been the same, with showrunners and writers strugging to fill the hole left by his character?s departure with a rotating cast of recurring characters rather than attempt to replace Millegan with a new series regular in the role.

With Bones seemingly nearing its end in the next couple of years, a number of fans came up to Millegan at the show lamenting the loss of his character (who was written out of the show in 2008 and has returned infrequently since) and asked whether he might be return someday in the future.

?That would be cool? was his stock answer to most fans, indicating that he either didn?t know of any such plans or at least was playing them close to the vest.

Millegan?s character was written out in one of the show?s more divisive plot twists?revealed to have been the secret apprentice to a cannibalistic serial killer, Addy was arrested for murder after injuring himself in a well-intentioned attempt to destroy evidence without hurting anyone else in the lab.

He confessed and was sentenced to a psychiatric ward, only to return in a later episode and reveal that, while he did help the killer, he never killed anyone himself. Most fans have expected his comeback for a while, and it?s hard to imagine the show going off the air without at least one more visit from Addy, whose most recent appearance involved him breaking out of the asylum to provide assistance to the forensic team at the heart of the series.

Millegan gave us a few minutes during a signing appearance on the show floor to talk about his character, his craft and what?s next for one of the most conspicuously-absent television actors in recent years.

You?re best known for television, but have taken a bit of a sabbatical since you left Bones to work mostly in theater. I haven?t seen you in a feature film?did I miss one?

I?ve done two movies. One of them never came out but my main movie I did was a movie called On Line. It was a small, independent film but we played at Sundance and the Berlin Film Festival. It ultimately was released in 2003. It?s on DVD and I highly recommend it. It?s a good movie?a little racy, it?s not for children?but I think it?s really sweet, but definitely an adult film. You can get it at Amazon.

Now, what brings you to the New York Comic Con? You?re purportedly a pretty laid-back guy and this is?well, an insane environment.

It is! I came here because my friend Marco owns the company [where I'm signing] and he asked if I would be willing to do it. I said, ?Absolutely! It?d be fun.? I just did a convention in Paris, so I?m just getting?this whole convention thing is new to me. Even though I lived in L.A. for years, I never went to Comic-Con in San Diego, so this is fun. I like meeting fans.

Wasn?t there a Bones episode that was at Comic-Con?

There was a Bones episode at Comic-Con? Was I in that episode? There was a comic book episode, in which Zach got really into comic books, but I?m not sure I was in that one.

Now, obviously you?re best known for Bones. That became a very interesting character over time, didn?t it?

He did a lot. A lot happened to him.

Well, and you did a lot of growing as a character?then even once they wrote you out of the show, your return was a Hannibal Lecter thing, helping them find Buffalo Bill. Was that a very different challenge, playing from the other side of the table a bit?

Yes, and I welcomed that challenge. One of my favorite episodes to shoot was the episode in which you find out that I?m the Apprentice, because it was very emotional, and very challenging, and I liked the challenge.

Not every episode does your character have one of the main stories, because I was a supporting character. So some episodes I?m just straight-on helping them solve the case and you don?t learn much about the character. So I always liked the episodes in which you did, and that was one of them, definitely.

Well, and you?ve done a lot of stage work but the things I remember the most about your character is all the nonverbal acting, the stuff that wouldn?t come across as much on stage. It?s an interesting dichotomy, I think.

It?s always about telling a story. Saying your lines on cue, arriving on cue and telling the story. I always feel like that?s the same no matter what kind of acting you?re doing. Certainly you don?t have to project when you?re doing film like you do on stage, but even on stage nowadays you?re heavily miked so you don?t have to work as hard vocally on stage anymore, either.

And what are you doing next?

Well, just last night, I did a cabaret show in town, which I worked on all year. There?s a bunch of music that I?d never done before and it was with a band?it was so much fun.

I just did a film called Lady Peacock, which was shot in August. It?s a small, independent film and so I don?t know what?s going to go on with it or when it?s going to come out?or if it will even be called Lady Peacock whenever it comes out, since titles change.

I?m in New York right now, but I?m going to go back to L.A. for pilot season and try to get another series. That?s my next goal.

GD Star Rating
loading?

GD Star Rating
loading?

Reconnecting With Bones?s Lost Doc, Eric Millegan, 10.0 out of 10 based on 3 ratings

Source: http://comicbook.com/blog/2012/10/28/reconnecting-with-boness-lost-doc-eric-millegan/

declaration of independence 4th Of July 2012 Zach Parise Spain Vs Italy Euro 2012 tiger woods erin andrews erin andrews

25 Amazing Android Photos From Around the World

{ttle}

{cptn}","template_name":"ss_thmb_play_ttle","i18n":{"end_of_gallery_header":"End of Gallery","end_of_gallery_next":"View Again"},"metadata":{"pagination":"{firstVisible} - {lastVisible} of {numItems}","ult":{"spaceid":"7665149","sec":""}}},{"id": "hcm-carousel-65213489", "dataManager": C.dmgr, "mediator": C.mdtr, "group_name":"hcm-carousel-65213489", "track_item_selected":1,"tracking":{ "spaceid" : "7665149", "events" : { "click" : { "any" : { "yui-carousel-prev" : { "node" : "a", "data" : {"sec":"HCMOL on article right rail","slk":"prev","itc":"1" }, "bubbles" : true, "test": function(params){ var carousel = params.obj.getCarousel(); var pages = carousel._pages; // if same page, don't beacon if(("_ult_current_page" in carousel) && carousel._ult_current_page==pages.cur) return false; // keep track of current position within this closure carousel._ult_current_page = pages.cur; return true; } }, "yui-carousel-next" : { "node" : "a", "data" : {"sec":"HCMOL on article right rail","slk":"next","itc":"1" }, "bubbles" : true, "test": function(params){ var carousel = params.obj.getCarousel(); var pages = carousel._pages; // no more pages, don't beacon again // if same page, don't beacon if(("_ult_current_page" in carousel) && carousel._ult_current_page==pages.cur) return false; // keep track of current position within this closure carousel._ult_current_page = pages.cur; return true; } } } } } } })); }); Y.later(10, this, function() {(function() { try{ if (Math.floor(Math.random()*10) == 1) { var loc = window.location, decoded = decodeURI(loc.pathname), encoded = encodeURI(decoded), uri = loc.protocol + "//" + loc.host + encoded + ((loc.search.length > 0) ? loc.search + '&' : '?') + "_cacheable=1", xmlhttp; if (window.XMLHttpRequest) xmlhttp = new XMLHttpRequest(); else xmlhttp = new ActiveXObject("Microsoft.XMLHTTP"); xmlhttp.open("GET",uri,true); xmlhttp.send(); } }catch(e){} })(); }); Y.later(10, this, function() {Y.namespace("Media").ywaSettings = '"projectId": "10001256862979", "documentName": "", "documentGroup": "", "ywaColo" : "vscale3", "spaceId" : "7665149" ,"customFields" : { "12" : "classic", "13" : "story" }'; Y.Media.YWA.init(Y.namespace("Media").ywaSettings); }); Y.later(10, this, function() {if(document.onclick===YAHOO.Media.PreventDefaultHandler.newClick){document.onclick=YAHOO.Media.PreventDefaultHandler.oldClick;} }); }); });