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Lil Wayne’s “Carter V” Album Is Finally Here!

After the long awaited and highly anticipated announcement from Lil Wayne earlier this week about his album “Carter V” dropping, The bomb has finally been dropped and is taking storm through the net at lightning speed. Of course if you are like us at the HQM family, alot of people have been pumped and on their heels for this project to release since Wayne’s last encounter with Birdman. The “Carter V” features artist such as Kendrick Lamar, Travis Scott, Nicki Minaj, XXXTentacion and production from the likes of Mannie Fresh, Boi-1da, Vinylz, & more! Check below to stream!

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Warm Hearts, Cold Everything Else

I’m not off to a very good start in 2015 blog-wise. I’ve fallen way short of my newly set goal of posting weekly or at least bi-weekly. I guess I could blame it on the weather—that seems to be the catch-all for all that’s gone wrong so far this year. Alas, I’ll chalk my failure up to lack of priority and plan to improve in the weeks ahead.

Backing up to January, our Hawaiian refueling stop the first half of January well prepared us to embrace the frigid temps and warm hearts that greeted us at West Point January 16-17.  Tom and Cheri Austin, directors of Officers Christian Fellowship, rolled out the red carpet for us at the OCF bed and breakfast, and facilitated our speaking to faculty and staff on Christian parenting and marriage Friday night and Saturday.  I’ll never get used to seeing “Go Army - Beat Navy” signs everywhere, but that aside, our time was rich and rewarding.  A return trip is in the offing.

Tom and Cheri Austin, directors of OCF at West Point,
extended warm hospitality to us when we spoke at West Point.

Home for only 4 days, we managed to do a full day of counseling, consult with a group of leaders from Cambridge Christian Fellowship Church on family and marriage ministry, unpack and repack, and then we flew to California on January 22 to begin a two-week junket.  The first major blizzard to hit New England arrived two days after we left, and, though most people thought we’d be thrilled to have dodged that bullet, we sorta hated to miss the historic event.

But we didn’t hate walking on beautiful California beaches, and being committed to making the most of wherever we are, we took full advantage.

How we love walking on the beach … and Pismo is one of the best.

The weekend was spent in Arroyo Grande, where Grace Bible Church hosted a marriage conference Friday night and Saturday.  This was our third conference in four years with this great group of people and we enjoyed reconnecting with “old” faces as well as meeting many new faces.  It was a great time of ministry, evidenced by encouraging feedback.  Paul preached on Sunday to wrap up our time there and then off we sped to Santa Clarita to “do ministry” with our grandchildren, Brandon and Ana, while their parents went on a pastors’ retreat with their church staff.

Some wonderful friends who helped make the marriage conference happen
for Grace Bible Church in Arroyo Grande, California.

What fun filled the next couple of days!  Grandparenting is much more FUN than parenting, honestly, because the only thing on our agenda was keeping everyone safe and satisfied.  That’s it!  So we played from morning ’til night.  Walks to the park.  Baseball in the backyard.  Visiting the fish pond at the outdoor mall, and getting mini-donuts at The Coffee Bean since we were there.  Riding the merry-go-round.  Eating at Chick-Fil-A.  Picking and eating grapefruit from the tree in the backyard.  Building things with Legos.  Cooking in the play kitchen.  Wrestling with Papa.  Reading books. Baking scones and cookies.  Building memories.  Gabe and Kari had a fantastic getaway and we had a 48 hours of joyful bonding.  Everyone wins.

Papa, Brandon, and Ana having fun at the park.

Brandon and Ana helping Gigi bake scones.

Sibling love.

Nathan, who clearly isn’t in New England, says “I really like chocolate syrup!”
As we’ve hit records with cold and snow, our children in Africa
have been sweltering during dry season with high temps and no rain.

Back up to the Gold Coast of California Wednesday to speak at Grace Church of San Luis Obispo that evening.  Tim Thuele (lead pastor) and Ken Peet (family pastor) put together a teens and parents evening, focusing on relationships.  It was a first for them, and they hoped to have 75-100 out for the event. Everyone—including the dinner prep team—was shocked when over 200 showed up!  We spoke to the parents for the first hour, who were most receptive to some tips on navigating the tricky waters of preparing their teens to make God-honoring choices regarding relationships—and then the teens returned and the conversation continued.  Great energy, great attentiveness, great night.  Great thanks.

Ken Peet welcomes the crowd at Grace Church who
came out for the parents/teens talk on relationships.

Next stop, Sacramento!  We welcome any opportunity to return to Sacramento and were honored to accept Bayside Midtown’s invitation to spend the weekend with them.  But first, we had lunch with some of our dearest friends and partners in ministry, Ray and Carol Johnston.  Not only did we have a great catch-up time over lunch, but Paul came away transformed fashionably through the efforts of Ray, Carol, Christy, and Leslie.  Since Paul has lost 35 lbs. in an attempt to get healthy, the Johnstons took one look at his over-sized jeans and deemed them “unfit.”  Thus began a crash course in “jean”-ology.  An hour spent in Nordstroms did the trick and Paul is now stylin’ in a way he’s never styled before.  Let’s just say that the cost of the jeans will definitely motivate him to keep the weight off.  :)

Ray, Carol, Christy, and Leslie Johnston give Paul a lesson about buying jeans.

The male models . . .

The Bayside Midtown conference Saturday was energizing.  We love to speak to audiences that speak back.  Interaction is good.  A great crowd showed up, representing ages and stages across the board. A mid-afternoon lunch with lead pastor Bob and Letty Balian and others was full of reflection of how God met us at the conference.  We taught at the church services on Sunday morning—Super Bowl Sunday, that is.

Bob and Letty Balian lead the ministry at Bayside Midtown and are dear friends.

We managed to stay very focused at church, but as soon as we hit the road in Sacramento our focus switched to making it (faster than humanly possible) to San Francisco to watch the Super Bowl.  Unfortunately, it seemed that the Super Bowl wasn’t a priority for far too many California drivers who were clogging  the freeway between Sacramento and SF, so we laboriously and frustratedly navigated the traffic and arrived to our chosen destination as the first quarter was ending.  If you’re gonna miss a quarter, best it be the first and not the last (especially of this game, as it turned out). We thoroughly enjoyed watching the game with fellow Pats’ fans and dear friends John and Marilyn Nugent, especially after Malcolm Butler made his game-saving interception in the end zone.  Unforgettable in such a happy way, driving out the unforgettable memories of the last two Super Bowl heartbreaks.

Red-eying it to Charlotte, North Carolina, after the game, we were behind mics just after noon on Monday, Feb. 2,  at Covenant Day School, speaking to the whole senior class on making God-honoring choices in relationships and sexuality.  We were pleasantly surprised by their attentiveness, interaction, and thoughtful responses expressed directly to us.  That was the first of four days of us addressing each high school class and right down to the freshman class the final day, all were delightful.  It was a bonus to have some time with the Head of School Mark Davis, who formerly served as headmaster of Lexington Christian Academy.

Hosted by Dan and Susan Yardley, we also spoke to a Couples’ Date Night while in Charlotte.  In a beautiful ballroom setting, the Yardleys served a wide spread of homemade desserts and we presented on marriage.  It was a lovely evening with a delightful group of couples.

Dan and Susan Yardley hosted the lovely couples’ dessert night in Charlotte.

In between the five speaking engagements, we hung out with the Yardleys, had lunch with Paul and Kate Wylie, and ate dinner with Thomas and Margaret Austin.  Great times.  Canceled and delayed flights cost us some sleep on our return to Boston late Thursday night, the 5th, but we made it in the wee hours of the 6th, little worse for the wear.

That weekend was dominated by performing the wedding of Matthew and Shahrzad Slater.  Such a privilege to celebrate the sacrament of marriage for these two who are sold out to Christ and whose walk matches their talk. Their desire for a God-honoring, gospel-centered ceremony was fulfilled at the church and a joyous celebration followed at a downtown Boston hotel.

With this crazy record-setting winter that Boston is experiencing, it’s surprising that our first event cancellation happened Feb. 8, as the third storm in as many weekends invaded the area, dumping 16” of snow over a period of 36 hours.  We were really happy to not miss this great storm that left everything blanketed with beautiful, crystalline snow.  We were sorry that the couples’ date night in Newburyport had to be postponed to April, but that’s how the snow falls.

Valentines Day was celebrated at the Black Rock Retreat Center in Quarryville, Pennsylvania, speaking for Summit View Church’s first marriage conference.  We were most impressed with this group who pulled off the retreat after their former pastor, who had booked us, resigned in the fall.  Rather than cancel, they carried on and we were all glad they did.  It was a very successful weekend.  On the way out of town, we “broke bread” with Bill and JoAnn Shore, one of our treasured mentoring couples who set the bar high for being “salt of the earth.”

Part of the Summit View Church retreat attendees at Black Rock Retreat Center.

While in Pennsylvania, another storm brought yet another foot of snow to our area, and we were anticipating arriving home to a driveway full of snow—not a great thought, since our arrival was to be around 9 pm.  Imagine how loved and relieved we felt when we drove home to a driveway that had been completely and meticulously cleared.  An angel in the form of Tommy Devlin had spent hours insuring that we’d be able to park in our driveway painlessly.  What a sacrificial gift of love! Blessed beyond.

This past weekend we drove south again, this time to Havre De Grace, Maryland, where we spoke for the second annual Restore Church marriage conference. That three-year-old church plant is exploding with growth! They hold services at 4 campuses and have just purchased 26 acres of property to build a central campus.  Jess and Elizabeth Bousa are providing great leadership and vision for this church which offers the hope of Jesus to the broken and hurting. We love partnering with these guys. A major snowstorm (there is a theme!) arrived midway through the Saturday conference, but we pressed on to finish and then struggled to make it back to the hotel. Two of the four church services were canceled due to the 8” of white stuff, but by the time we drove out Sunday afternoon, the sun was shining and the snow was melting.  There was no appreciable snow in Boston this weekend, but frigid temps did welcome us home late that night. It was -13 degrees on Monday morning.  Our 4’ stand of snow is going nowhere at this point.

Jess and Elizabeth Bousa work tirelessly to serve the growing needs of their church plant, Restore.

Paul preaching at Restore Church … in his new, cool jeans.

In between the many schedules to keep, important life happens.  We bring meals to our neighbor whose husband is dying. We grieve with the Hayner family when Steve breathes his last on earth Jan. 30.  We eagerly await the next post of Kara Tippett’s blog Mundane Faithfulness and continue to pray for God to miraculously spare her life.  We pray for health to return to grandbabies fighting viruses.  We listen to UCLA women’s basketball games long past our bedtime.  We visit friends in hospitals.  We sled down snow-packed hills.  We get our 10,000 steps in the mall because of dangerous cold outside.  We prepare for upcoming events, including our family trip to Uganda mid-March.  We enjoy being snowbound and make a bit more progress purging our excess.

So we’re off and running in this new year and if the start is any indication, we’ll be running (sledding?) to keep up.

May Flowers

Does anyone else feel like May has vaporized? I’m stunned that we’re at the end of the month and we’re hurtling towards summertime with the speed of an out-of-control freight train!

Before we get there (it’s just under three weeks until we depart for our summer ministry on Catalina Island), let me reflect on this past month. It’s been full and varied.

Right after returning from our last California ministry tour April 28, we were honored to present at the final chapel for Lexington Christian Academy’s Class of 2008. Gregg Meserole invited us to speak on God’s design for relationships (no arm twisting needed), and we spent an energetic hour interacting with a very engaged and respectful group of seniors. We were really thankful for the privilege and for the experience. Having two alums of LCA (Lisa ’01 and Julie ’03), we are honored to partner any time with those who have had such a critical and growth-producing impact on our daughters.

Our second book signing was held at Christian Book and Supply in Burlington, on Saturday, May 3. The always gracious Linda Camp (store manager) was a delight to work with and accommodated us well. Once again Paul’s chocolate chip cookies were big “sellers.” If only you could sign a cookie . . .

That night we addressed a lively group at Trinity Church of Bolton on the subject of parenting. Carl and Kathy Blatchley and Norm and Debbie Nielsen hosted the evening and did a lovely job of making spring seem real by setting beautiful tulip-adorned tables and serving delicious homemade strawberry shortcake. The evening tied in with an adult Sunday School class they are facilitating that is using the parenting DVD curriculum Paul and I recorded last year.

Early Sunday morning I flew off to Washington, D.C., to co-host a surprise fiftieth birthday party for my baby sister, Laura Leach. What a joy to see her complete shock when she walked into a room teeming with her best friends and later to hear them give accolades to her as they each contributed a flower to her “we love and respect you, Laura” bouquet.

The following weekend (May 9–11) was the Camp Berea Mother-Daughter weekend, and eldest daughter Kari flew in from California to speak with me for this great event. Anoli Bragdon, in her first solo flight as Program Director, did a wonderful job designing the retreat, which was arranged around the theme of the Wizard of Oz. Kari and I tied in to the woeful “If only” laments of the scarecrow (“If I only had a brain”), the tin man (“If I only had a heart”), and the cowardly lion (“If I only had the nerve” (courage)), by teaching out of Deuteronomy’s classic “Love the Lord your God with all your heart, soul, mind, and strength.” We loved interacting with all the precious moms and daughters, who ranged in age from 5 to well beyond 60. Of course, what I most treasured in my heart was the joy of partnering with Kari, who speaks in a way that people listen to and whose wisdom far exceeds her years. What a gift for me to serve with her. Who would’ve thought when she was a challenging seven-year-old . . . God is good!

Paul was making his own appearances around the country during this same time period. He flew to Denver to surprise our daughter Julie at her first WDIA (women’s lacrosse) National Tournament appearance as a coach. She played for Cal Poly’s team the past four years as they secured four national titles, but it was a vastly different experience for her to be a part of the coaching team this year. Paul was able to cheer her on as Poly fought through the quarter- and semi- final rounds victoriously. He missed the title game in order to honor his commitment to present a seminar at Iron Sharpens Iron in Worcester, and Poly went down in defeat in double overtime. Fortunately, Paul felt the Iron Sharpens Iron conference was a great place to be and thoroughly enjoyed his experience there. And Julie is still happily stunned that her dad made such a herculean effort to support her in Denver.

May 16–18 we made a return visit to Church of the Savior in Wayne, Pennsylvania, to do an all-day Saturday parenting conference. COS’s Children’s Ministry Director, Ellie Greenhalgh, put together a blockbuster weekend for kids and parents alike, and it was inspiring for us to see her creativity and hard work make such a difference! Ellie, grandmother of 7-going-on-8 herself, makes the Energizer Bunny look low on voltage! We loved working with her and sharing such common passions. Sunday morning we partnered with our dear friends John and Marilyn Nugent by teaching on marriage to a number of adult education classes at COS. Though our time in Wayne was short (we zoomed out after teaching Sunday morning to fly back to Boston to teach that night), it was both professionally and personally uplifting.

Home briefly for counseling and reading mail before taking off to New York City for a 36-hour soiree honoring (and very much surprising) my dear friend Patty, who will soon hit the big 5-0. Our little group of three women hit the Big Apple with great enthusiasm as we explored Central Park (which was glorious in her Spring apparel), took in a phenomenal production of Wicked, and meandered over to Ground Zero the next day. It was a magical, unforgettable tour celebrating one of my heroines in life.

Memorial Day weekend was spent at Myles Standish State Park, camping with eighteen other families for our annual Family Tenting Camp. Blessed with perfect weather, we enjoyed the beauty of God’s creation in both nature and in each other. Biking, swimming, and exploring filled the days, and the nights were centered around a common meal (prepared by Jim and Sue Martis, H.I.M.’s personal chefs!), a time of worship (led by Rich and Sue Musacchio), and a time of devotions (led by Paul). The grand finale each night centered around the camp fire, and required graham crackers, chocolate bars, and marshmallows. Nothing like a good s’more!

One of our campers wrote to us afterwards:

Thank you very much for a awesome weekend. It was a memorable experience and just a great time with the kids. My words really can not explain how great (fulfilling with God's great Grace) this time was for our family. As we drove from the park on the way out, to see Gods great beauty revealed in such a beautiful place and in the relationships He gives us in our families was amazing—I almost came to tears thanking the kids and God for a great time together. [My son] was 6 or 7 when we first started this tradition where back then the focus was camping and "making fires." Now I see him serving, focusing on God and relationships.
Thank you for making these traditions—Adventures for our families where God is an irreplaceable part!

There were many highlights of our long weekend together, but the “highest” for us was having Thora Eames join us for Saturday evenings’ festivities. Ninety-year-old Thora expressed the delight of a young school girl to be surrounded by eighty kids and adults eating, worshiping, and learning together in such a set-apart venue. And what a joy it was for all to have her among us. A gift for all!

We are thankful that Focus on the Family has chosen to carry Raising a Trailblazer as one of their recommended resources. Paul, Kari, and Lisa will also be on the Focus on the Family Weekend Magazine with Dr. Bill Maier each weekend in June discussing Letters to My Daughters. You may find the times and stations or listen online by going to

The next weeks will be full as we wrap up our Partnership training program, speak at a pastor’s conference in Connecticut, have a reunion with our Trinidad team, and tie up loose ends before a ten-week summer at camps. We are so thankful that our confidence is in a God who goes before us!

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According to Kaivalya Upanishad:

He(Supreme Brahman) alone is all that was, and all that will be, the Eternal. Knowing Him, one transcends death. There is no other way to freedom.

We know Supreme Being is God. As stated below from Kaivalya Upanishad.

He is God, He is The Absolute, He is Heaven, He is Eternal, the Supreme, the Self-luminous, He alone is All, He is Breath, He is Time and Fire, He is the Moon.

If God alone is all that was,and all that will be , then isn't every being a God? Isn't every act an act of God ? Isn't every speech an speech of God?

Every being infact every thing is Brahman.

"You are the woman, You are the man, You are the boy, (and) You are the girl too. You are the old man tottering with a stick. Taking birth, You have Your faces everywhere."

(Svetasvatara Upanishad 4.3)

"You, indeed, are the blue bee; You indeed are the green parrot having red eyes; You indeed are possessed of lightning in Your womb. You indeed are the seasons and the seas. You indeed are without beginning; You exist as the Omnipresent, from whom have sprung all the worlds. "

(Svetasvatara Upanishad 4.4)

Krishna says in the Gita, chapter 9, verses 4-6 (Swami Nikhilananda translator):

By Me, in My unmanifested form, are all things in this universe pervaded. All beings exist in Me, but I do not exist in them.

And yet the beings do not dwell in Me--behold, that is My divine mystery. My Spirit, which is the support of all beings and the source of all things, does not dwell in them.

As the mighty wind blowing everywhere ever rests in the aksha, know that in the same manner all beings rest in Me.

Yes, everything is God. Even right now, in whatever condition you are, in this condition also You are God. Supreme Shiva involves in five activities -

  1. Emanation (Srishti).
  2. Re- Absorption (SamhAra).
  3. Concealment (Vilaye).
  4. Maintenance (Sthiti).
  5. Grace (Anugrah).

Now, Even after forgetting his real nature, Lord Shiva in the form of Jiva keeps doing these 5 activities.

Even in this condition (of the empirical self), he (the individual) does the five krtyas (deeds) like Him (i.e. like Siva). Pratyabhijna Hridyam Sutra 10.

Commentary by AchArya KshemrAj: When the great Lord who is consciousness (lit. whose form is consciousness) entering into the sphere of the body, prana etc. on the occasion of the attention becoming external, makes objects like blue etc. appear in definite space, time etc. then with reference to appearance in definite space, time etc., it is His act of emanation (srastrta). With reference to the appearance of the objects in another space, time etc., it is His act of withdrawal or absorption (samhartrta). With reference to the actual (continuity of the) appearance of blue etc., it is His act of maintenance (sthdpakata). With reference to its appearance as different, it is His act of concealment (vilayakarita). With reference to the appearance of every thing as identical with the light (of consciousness), it is His act of grace (anugrahitrta). As to how the Lord is always the author of the fivefold act, I have extensively demonstrated in Spandasandoha. Thus this authorship of the fivefold act occurring within one's own personal experience, if pursued steadily with firm understanding, reveals the Lord's greatness to the devotee. Therefore, those who always ponder over this (fivefold act of the Lord), knowing the universe as an unfoldment of the essential nature (of consciousness), become liberated in this very life. This is what the (sacred) tradition maintains (ityamnatah).

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Con Chapman

Con Chapman is a lawyer and writer in Boston. He is a former news and sports reporter and is the author of "The Year of the Gerbil," a history of the 1978 Red Sox-Yankee pennant race. He has also written a novel and other plays in addition to "The Little Theatre." Like one of the characters in the play, he stuttered as a youth.
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  The Little Theatre

Drama by Con Chapman

22 pages

2 m, 2 w, 1 flexible

Four speech and drama students and their coach are preparing for a tournament. Charles is the team's supremely confident extemporaneous speaker. Patty is the group's entry into the category of original oratory. Cathy is both a debater and, at least in her own mind, a talented actress. And then there's Chris Higgins, a former football player whose mother is forcing him to participate in public speaking as a way of overcoming his stuttering problem. Unable to join in the athletics that used to bring him glory, he's reluctantly joined this group, a group which h...


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Curbside Consult with Dr. Jayne 5/31/11

May 30, 2011 Dr. Jayne No Comments

Dr. Jayne Interviews KC Frank, EVP, Document Imaging Systems Corp.

KC Frank is executive vice president of Document Imaging Systems Corp. (DISC) of St. Louis, MO.

5-30-2011 6-35-45 PM

Give me some background about yourself and DISC.

DISC has been in business since 1958. Originally founded as a microfilm company, DISC has evolved into a document management solution provider focused on improving our client’s business processes. In 2007, DISC was acquired by The Flesh Company, a 98-year-old print solutions provider. I joined DISC as vice president in 2003 and have helped develop new solution offerings, strategic relationships in healthcare, and growth strategies. I am a long-time member of MGMA, AIIM, AIIM, ARMA, and TAWPI and recently received an AIIM Distinguished Service Award for accomplishments in the Information Management industry.

One of your marketing campaigns, which has been mentioned on HIStalk, is “No hybrid EMRs.” What do you mean by this?

A hybrid EMR is one where providers rely on both an electronic and paper chart post-EMR implementation. I have heard countless stories of physicians walking into encounter rooms with both a paper chart and a tablet PC. Managing patient care in a dual environment is both incredibly inefficient and frustrating. Without a solid strategy to eliminate the paper charts, the hybrid EMR will be a reality for physician groups as they migrate to EMR.

Many practices I talk to think they can scan their documents cheaper or better themselves. What’s your experience?

If organizations truly understood the process of conversion before starting, they would probably all outsource. About 50% of the clients we work with have tried to scan on their own first. Most organizations underestimate the time, difficulties and costs associated with converting their paper charts. It’s been proven many times over that a scanning process managed and executed by inexperienced staff results in double and sometimes triple the cost of outsourcing to an expert service provider.

It’s common sense. Businesses get better each time they execute a process. DISC has converted over a billion documents in our history. Physician groups may have never scanned a single chart when they start planning their implementation. Service providers like DISC are converting documents using technology designed for large batches of scanning, including scanners that cost in the hundreds of thousands of dollars. With better technology and processes built on experience, it’s difficult to imagine a healthcare organization that could scan cheaper and better.

How is working with outpatient medical practices different from working with a hospital, or say an academic medical center?

There are subtle differences such as project design, chart setup, document types, chart access needs, and workflows. Ultimately, with strong project management by the client and service provider, the differences are negligible.

Do you just work with local clients? What’s the farthest client or most exotic locale you’ve visited to convert charts?

We typically provide services on a regional basis. Since we are certified by both Allscripts and NextGen to provide services in the central region of the United States, the majority of our clients reside in an 18-state central region of the US. We’ve provided services as far west as California and as far east as North Carolina. Do they practice medicine in Hawaii? We’re still waiting for that call.

Thinking of some of your more difficult customers, what are some pieces of advice for practices preparing to convert from paper charts to an EHR?

First, decide on a conversion strategy. Will you outsource or attempt an in-house conversion? Will you scan all charts prior to go-live or scan by the schedule after go-live? Will you scan the entire chart or just a portion of the chart? All key strategic questions. Many times organizations lean on providers like DISC to help understand the pros and cons of each of the strategies.

Pick a strong project manager. Many times the HIM or medical records director is the right choice. Make sure the person you choose cares about the success of the project. Do not hire temp staff to manage the project.

If you choose to outsource, choose a partner that has experience with medical record conversion and the EMR you are migrating to. A service provider that doesn’t have experience with your EMR system may not be able to get the documents filed appropriately in that system.

If you plan to scan yourself, do time tests to determine how long it’ll take to scan a chart. This is critical. If an organization plans to scan by the schedule, meets with 200 patients per day, and can scan a chart in 20 minutes, it’s simple math to determine that it’ll take about 66 hours per day (8 FTEs) to keep up on that project. Don’t be caught off guard.

DISC does more than just scan old paper charts. What other solutions do practices need to manage the mountains of paper they’re used to moving? Will you go out of business when all the old charts are scanned?

If we relied solely on scanning historical charts, we would be out of business in five to seven years. Fortunately, we have developed other solutions in both document and content management to evolve with our clients. Although paper is slowly being eliminated from business processes, the volume of electronic documents and content continues to increase.

Today, we are offering solutions such as Daily Go-Forward Scanning, Revenue Cycle Document and Content Management, Accounts Payable Automation, Electronic ROI, and Business Intelligence. We also offer a variety of solutions in other vertical markets, including finance, manufacturing, education, and government. We plan on being around another 50 years.

Does it make a difference whether a scanning vendor partners with an EHR vendor?

Absolutely. Having intimate knowledge of the system the healthcare organization is implementing allows the scanning vendor to automatically load the electronic charts directly into the patient chart within the EMR. Without the auto load, healthcare organizations may be left with electronic charts stored and retrieved in a third-party system or internal network drive. This, of course, is not optimal since providers have to work within two systems to find charts instead of just the EMR.

Both Allscripts and NextGen realized the importance of this integration and put certified programs together to support their clients. DISC is a part of both of those programs.

You’re located in the Midwest, an area hit hard recently by floods and tornadoes. Any great “saves” with your clients during these disasters?

We actually did have a client this year ask us to scan hundreds of boxes of records stored in the first level of their building due to flood concerns. Unfortunately, natural disasters have a history of reducing the historical content of a business to rubble; specifically all the important documentation which resides in a paper format. Fortunately, companies like DISC can digitize that critical information so disaster recovery of those documents is as simple as reloading a backup.

Any final thoughts?

Another common strategic discussion we have with clients is whether or not they should scan the entire chart or just a portion. We have seen successful projects on both ends. Understand that the benefits many organizations expect when going to an EMR, such as eliminating chart filing labor costs and reusing paper chart storage space for revenue-generating opportunities, will not be realized until the entire chart can be removed from the chart room. This decision is typically made with one of two goals in mind – to satisfy clinical needs (partial scan) or to satisfy business needs (full scan).

E-mail Dr. Jayne.

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Morning Headlines 1/15/14

January 14, 2014 Headlines 4 Comments

NantHealth Unveiled at J.P. Morgan 32nd Annual Healthcare Conference

Healthcare billionaire Patrick Soon-Shiong, MD, launches his long awaited healthcare IT startup NantHealth. Soon-Shiong spent $800 million on 60 acquisitions in preparation for the launch. His company will focus on population health management, cancer care coordination, care transition management, in–home monitoring, and personalized wellness.

Navicure Announces Key Findings from Second ICD-10 Readiness Survey

A new ICD-10 readiness survey of physician practices finds that 74 percent have not started their ICD-10 preparations, with 27 reporting that they are unsure of how or where to start preparing for the transition.

Providers seeking more strategic integration of CDS tools

KLAS evaluates clinical decision support systems which survey respondents reported are not integrated enough with core EMR systems to deliver the kind of strategic direction providers are looking for.

New Peer-Reviewed Study Shows Mixed Results in ACO Medication Readiness To Achieve Quality, Cost Goals

A new study published by the Journal of Managed Care Pharmacy questions whether ACOs are ready to be held accountable for medication prescribing and adherence, as the report finds that most ACOs do not have policies in place to prevent duplicate medications from being prescribed, and do not have the ability to notify physicians once prescriptions have been filled.

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Currently there are "4 comments" on this Article:

  1. This whole thing feels like McKesson, AllScripts, GE and others…

    “This is the first operating system of its kind in health care that is based on supply chain principles and grid service oriented architecture that integrates the knowledge base with the delivery system and the payment system enabling 21st century coordinated care at a lower cost.”

    Just because you bought a bunch of companies, does that really mean this is an “architecture” or an “integrated system” a “grid”?

    Or, is this just a rich guy, with a huge ego and without a clue?

    This is a rich guy who bought a bunch of orphan companies and hasn’t really done any of the hard work to reconcile platforms at this point. If he just came out and said that, I’m guessing he’d convince many more intelligent investors. Or, wait, why does a guy with 7 Billion dollars present at an investor conference? Does he need “OPM” – Other People’s Money – to make customers happy or do sales? Hmmm… Maybe a 7 Billionaire wants to be a 100 Billionaire (like Mark Zuckerberg) on the back of other people’s money.

    When is enough enough?

  2. Second link on ICD-10 readiness was timely and helpful. Thanks.

    “The survey results also indicated practices have a general sense of optimism about their readiness despite lack of know-how, communication from vendors or action taken to prepare for the transition.”

    Wonder where the optimism comes from?

  3. Nant Science response – It is just like McKesson. Look what happen to MCK. The IOS is vaporware. They have been working on the data analytics, since 2010 and can’t launch. Sr. Sales is an obese, pot smoking with his underlings, and if you didn’t partake you get fired, Jamaican trip non-effective leader. Strategy is to hire sales force to sell all products, but the solutions have all different buyers. Patrick has no idea what is happening below him. Bad leadership all around. We will see turnover, and maybe 1 or 2 sales for suckers that don’t do their homework, or get it “for free” to be a development partner. If I wanted GloCaps – why would I buy an EMR? Soon-Shiong needs to get in the weeds, or his investment won’t bring the returns he anticipates.

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HIStalk Interviews Adam Cheriff, MD, CMIO, Weill Cornell Physicians

January 20, 2014 Interviews 2 Comments

Adam Cheriff, MD, is chief medical information officer of Weill Cornell Physicians of New York, NY.

1-20-2014 8-28-26 AM

Tell me about yourself and the organization.

I am the chief medical information officer for Weill Cornell Physicians. I’m a part-time internist, the rest of the time responsible for the clinical health information technology and clinical operations for our physician organization. Weill Cornell Physicians is 950 multi-specialty faculty physicians associated with New York-Presbyterian Hospital.

You recently went live with Epic. How’s that going and what are the most important lessons that you’ve learned so far?

We have been an Epic ambulatory customer for many, many years, since 2001. We have a great deal of experience with ambulatory clinicals. What we did most recently was convert our legacy practice management system, which had been GE-IDX, to Epic. We’re very happy with how that’s gone.

We gave it a lot of careful consideration as to what the motivations were for doing it. For us, it was really about trying to consolidate onto a single platform for our administrative and clinical systems; the patient experience and improving it via self service; and lowering the training burden for our staff and faculty. We had an eye towards the future, where we knew we were going to have to do more advanced analytics, and being able to seamlessly move between the clinical and the administrative was a big deal. We had a hope that in doing this that we would lower some of our long-term operating costs.

We went into it with what we thought was good justification. I thought we were thoughtful in terms of how we restructured organizationally from an administrative business unit standpoint in order to support the implementation. That really was a lot of matrixing of the IT and clinical staff that knew the Epic clinicals and knew how to manage that relationship, the business office that were the core revenue cycle domain experts, and our finance office. I think that matrixing really helped a great deal.

Some organizations, particularly on the hospital side, have struggled with the conversion to Epic from a revenue cycle standpoint. What’s been your impact?

We feel very fortunate, obviously. I think the press seems to have a little bit of a selection bias in terms of seizing on, unfortunately, the missteps. I can completely see how these things would happen. They’re extremely complicated projects.

We have felt very, very fortunate about how things have gone. I should say that our implementation methodology may have predicted some of our success. Despite the fact that Epic would like to see organizations do this big bang — and I think that there are reasons for that in terms of not necessarily bleeding this out and being trapped in two worlds — we did this in a series of pilots leading up into a big bang. That gave us just enough experience with the new tools, so that with each phase of it, we got stronger.

The high-level summary of our financials is that for one cohort, we’re about six months into this. For the two-thirds of our business, we’re about three months, or one quarter, into this. We are 10 percent year to date increased in our receipts. Now it’s unfair to attribute that all to Epic, because obviously we have a lot of other growth initiatives. But if you look at it from the standpoint of what we budgeted in terms of anticipating that growth, we’re still three percent up, which you can fairly attribute to the Epic effect.

The main efficiencies that we’ve gained is that Epic is great in terms of transparency and accountability, for working charge edits and claim edits, and really has a great task management system to do that. Our pre-AR, we’re working much more aggressively than we were pre-Epic.

When you converged onto the single Epic platform, what goals and metrics did you hope for as an outcome?

We looked at the classic revenue cycle metrics. Those are all important. Days in AR , and this might be somewhat Epic-speak, but days in pre-AR as well, claim edits, denials.

Epic does a fairly good job of being prescribed and doing a fair bit of hand-holding with tools to be able to look at those metrics as you’re making the transition, even including some of the legacy practice management statistics as you make that implementation. We are also very interested not exclusively in the revenue cycle side, but also on the access and front-end side — registration quality, patient duplicates, the number of patients that make online appointments, our access metrics in terms of how long people have to wait to get appointments, and so forth.

When you mentioned patient self-service, were you primarily referring to self-scheduling?

Yes. Self-scheduling and online bill payment were the two features of MyChart that we were able to unlock with the conversion to practice management.

What kind of feedback do you get from patients?

It’s a little early for us to have amassed a lot of formal feedback. Anecdotally, we think that patients love it and that it is definitely helping our brand. Although I will say that given our marketplace in New York City, we have to keep up in that. Many of the other big academic centers are using similar if not identical platforms. Patients really like the convenience that is afforded in sectors other than healthcare.

Culturally, from a physician organization standpoint, we still have a ways to go. While the consumer is definitely demanding it and the patients want it, the physicians are a little bit slow and guarded about the degree to which they’ll give open access to scheduling. But I think we will evolve.

You mentioned that Epic is part of your brand just as it was for Kaiser Permanente, who named their implementation HealthConnect. Do you see that as a competitive advantage and a way to enhance your brand with patients?

Yes. We did something similar right down to the name in that we branded MyChart as Weill Cornell Connect. The patient engagement strategy is so important. From a regulatory standpoint, it’s become increasingly important in terms of all the Meaningful Use objectives around engagement and how you need to communicate with the patient.

From a branding standpoint, the patients really do feel connected. Part of it is the transparency and the visibility of the record, which, of course is something else that the physicians slowly have to wrap their heads around.

But it’s really the interactivity. It’s the ability to, in an asynchronous way, reach out to the practice for all the things that people need to reach the office for. Not being on these endless phone queues is a real patient satisfier.

You mentioned that having both sides of the house on Epic gives you some new opportunities. What are you doing or what will you be doing in terms of analytics and population health management?

We are pretty energized about this. Clearly we’re moving from the phase where it’s less about the adoption of the technology, even to some extent less about optimization, although that is going to occur forever. It’s more about now that we have had critical massive adoption, what do we do with all this great data that we have been collecting? We, like most Epic clients, rely heavily on the relational model of Epic’s data, which is Clarity. We have pretty sophisticated report writers and business intelligence tools, including both Business Objects and Cognos, that sit on top of that.

We are very eager to see where Epic continues to develop in this arena. They have done a good job of recognizing that in order for us to effectively manage populations, we’re going to need more than just the data that’s within Epic. The Epic data warehouse that they’re building towards that will allow us to take in outside claims data and patient satisfaction data is very intriguing to us.

Have you gained insights from having all that data available?

We engage in the same kinds of clinical outcomes and chronic disease management metrics that most large institutions engage in. We understand how our diabetics are being managed and our CHF patients and COPD and the chronic disease markers.

We have struggled, like many organizations, to drill into that from a utilization and cost containment standpoint. That’s why it will be critical for us to start to marry those clinical data, which have become ubiquitous in our system, with the claims data that will be generating now that we have the practice management system.

How do you see practices changing both in terms of the changes prescribed by the healthcare environment and the availability of the technology like you’ve implemented?

Oh, boy, that’s a good one. The technology absolutely changes our culture and our practice patterns. I can give concrete examples over our life cycle.

The first thing that the electronic health record did is it made us function more as a group model. We are a group. We’re a federated group of clinical departments. But sharing the single patient record with the focus changing from the provider’s record to the patient’s record was a real paradigm shift in the way that you can’t help but promote communication. That has promoted better outcomes.

The next major paradigm shift was the rise of the patient portal, that level of transparency and really getting providers to understand that in many ways the patient owns the data and being as transparent with the results. The self-service model and the online scheduling. Even the rumblings of the OpenNotes project, where people will expose their clinical documentation.

These are all things that are going to be profound drivers of the way we practice and probably will predict better outcomes because you’ll have a class of patients that’s much more engaged in their care.

Are you implementing more evidence-based medicine and standardized care protocols along the way?

We have. We have made use of fairly standard decision support tools that are available in Epic, particularly around Health Maintenance Rules. For certain populations of patients or certain chronic diseases, making sure that we have the data-driven schedule of what should be done for those patients. We use decision support alerts to support that. I think it’s been very effective, actually. We probably have, at this point, dozens of rules that are keeping track of that information.

Is there more interest, or could there be more interest, in patients taking a more active role in their healthcare and their health than they have previously?

Yes, because it’s more accessible. If you go back even just a few years pre-portal, it’s pretty difficult for patients to really access their information. What they’re left with is what they can absorb in a hurried clinical interaction, which is often exceedingly difficult for patients. As the word says, a portal is a window into what’s going on with them.

The fact that we’ve been able to embed patient-friendly education that directs people to do further learning about their conditions, I really do. Where Epic is developing some of the tools that we’ve implemented is that for chronic diseases, that there are tools for patients to engage. Whether that’s blood glucose monitoring for the diabetic or blood pressure monitoring for the hypertensive, that’s a way for them to engage in their health and to promote that communication back with the provider.

If you look ahead two or three years, where do you see the most important IT-related priorities that will impact your organization?

It may have become a cliché at this point, but the past couple of years have really been about keeping up with regulation. Unfortunately I don’t see that necessarily dying down. Meaningful Use, ICD-10, and all these things that we really have to do. A lot of good that has come out of it, but in many ways, it has stifled innovation.

The next couple of years are going to be about usability and trying to refine these user interfaces. Clearly interoperability is where we’re headed. The goals of some of this regulation is consistent with promoting the this interoperability, but many of us at the ground level have not seen that realized. T think that’s going to be incredibly important.

Locally, and this is true of many organizations like us, growth is going to be a big driver. The fact that we’re probably going to extend into a larger provider network to take care of larger populations, we’re going to have to find ways to spread our technology and to be reasonably agile about that.

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Currently there are "2 comments" on this Article:

  1. Great interview! I’ve known Dr. Cheriff for a long time and always found how he looks at healthcare IT interesting. I think more people should be paying attention to what Weill Cornell is doing with Epic and what Dr. Cheriff is promoting.

  2. “The next couple of years are going to be about usability and trying to refine these user interfaces.” Glad someone in Dr Cheriff’s position is pointing this out. Clinicians would happily be vendor partners instead of vendor antagonists if this one issue could be addressed.

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Morning Headlines 12/13/16

December 12, 2016 Headlines No Comments

Building A System That Works: The Future Of Health Care

HHS Secretary Sylvia Burwell publishes a blog in Health Affairs outlining the achievements made since the passage of ACA, and her vision for the road ahead.

Improving the Quality of Care for Medicare Beneficiaries by Increasing Patient Engagement

CMS will test two patient engagement strategies from the CMS innovation Center, the Shared Decision Making Model and the Direct Decision Support Model, both of which offer a variety of patient-focused decision support tools to help create more educated and engaged beneficiaries.

Medicare Value Based Payment Models: Participation Challenges and Available Assistance for Small and Rural Practices

A GAO report finds that small and rural practices considering participation in value-based payment programs face financial challenges associated with EHR interoperability, and staff expertise challenges associated with optimizing EHRs and analyzing population data.

In five years, machine learning will be a part of every doctor’s job, Vic Gundotra says

Former Microsoft and Google executive and current AliveCor CEO Vic Gundotra argues that artificial intelligence will become a critical tool for physicians within the next five years.

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Joey Myers - Hitting Performance Lab

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Thank you Coach! Your stuff is great! My son got his first home run 2 weeks after reading your book. Keeps getting more and more distance now.

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I’ve spent 11+ years in the corrective fitness industry, and have too many alphabet-soup certifications to bore you with.I also played four years of Division One baseball at Fresno State from 2000-2003.

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The Peterhouse Bequest

Rodney M. Thomson (University of Tasmania)

On 29 June 1414, John Neuton added a lengthy codicil to his will of 4 May, disposing of those of his books that he had not already bequeathed to York Minster. Among them was a group of law books, numbering 35 titles, to be kept in a chest in the Cathedral's vestry, for the use of future male descendants of his brother Thomas, if they should become clerics and study the law. If his brother had no male issue, or if his male heirs should wish to remain as lay persons, then the books were to revert to the Cathedral library. Of the remaining books, 16 titles were left to Neuton's old college, Peterhouse, where he had been Master 1382-1397 (1). The fates of these bequests were quite different. Of all the books left to the Minster (35 volumes), plus those to be kept there in a chest, possibly four of the law books are to be found in the library now (suggesting that his brother either did not have any male heirs, or that they did not claim them). Of those left to Peterhouse, a dozen survive plus another not destined for the college in his will. This last title, Bartolus de Saxoferrato on the Digestum Infortiatum, does appear in the will, but amongst the law books to be kept in the cathedral's vestry. It is unlikely (though not impossible) that Neuton owned two copies (doubtless large and expensive) of the same work, and so one presumes that his executors either made an error or a deliberate change, and this book was diverted to Peterhouse. It is a good deal more splendid than the other volumes of Bartolus surviving at York (MSS XVI. P. 5-7), thought to have been part of his bequest: they are on paper, this on parchment, they have little or incomplete decoration, this had 88 initials (most since cut out), the survivors at least by the well-known Bolognese commercial illuminator Nicolò di Giacomo di Nascimbene, who operated c. 1360-70 (Fig. 1).

All but one of the books which make up the Peterhouse bequest figure in the college's library catalogue of 24 December 1418 (2). Their titles show that they were an interestingly varied group. The Bartolus is the only law book (and the only survivor with notable illumination). Otherwise there are five books of patristic and medieval theology: Augustine, Bernard of Clairvaux and Hugh of St Victor, the Opus imperfectum, Peter Lombard's Sentences, and Thomas Waleys, Pierre Bersuire and Malachius Hibernicus. The remaining ten volumes contained classical, late antique and medieval 'classicizing' literature. Among them, history is prominent: Cassiodorus' Historia Tripartita (Fig. 2), Justin's Epitome, Hugh of Fleury and Martinus Polonus. Frontinus and Vegetius represent the ancient arts of warfare, and the rest cover what may loosely be described as 'belles lêttres': Seneca the Elder's Dialogues with the commentary of Nicholas Trevet, Seneca the younger's letters, philosophical works of Cicero, Macrobius and Martianus Capella, Solinus, Valerius Maximus, extracts from Pliny's Natural History, Sallust, Boethius' Consolatio philosophiae, again with Trevet's commentary, and Alan of Lille's De Planctu Naturae. Probably the titles were chosen with reference to the wishes of the Fellowship, to fill gaps in their collection. None of the volumes are mainstream curriculum textbooks, of which the college doubtless already had a full complement. On the other hand, there was a notable interest in the Latin classics among some of the fifteenth-century Peterhouse Fellowship (John Yotton, John Warkworth), perhaps influenced by the 'new learning' from Italy.

The surviving books from Neuton's bequest reveal a little of how they came to him. They range in date from the twelfth to the early fifteenth century; the earlier ones, then, reached him at second hand. Of those made within his lifetime, three are Italian, the rest English and so possibly commissioned by him, although there are no obvious 'family likenesses'. One wonders whether he acquired those dated around the turn of the fourteenth and fifteenth centuries specifically to use as bequests.

(1) The bare facts of Neuton's biography are laid out in A. B. Emden, Biographical Register of the University of Cambridge to 1500 (Cambridge: Cambridge University Press, 1963), pp. 421-422. His will is printed in Testamenta Eboracensia..., ed. by J. Raine, Surtees Society 4, I (London: Nichols, 1836), pp. 364-371. The section relating to Peterhouse is printed in Corpus of British Medieval Library Catalogues 10: The University and College Libraries of Cambridge, ed. by P. Clarke and R. Lovatt (London: The British Library, 2002), pp. 721-722.

(2) The catalogue of the Peterhouse library, 24 December 1418, is printed in Corpus of British Medieval Library Catalogues 10: The University and College Libraries of Cambridge, ed. by P. Clarke and R. Lovatt (London: The British Library, 2002), pp. 449-548 (UO48). I am preparing a new descriptive catalogue of the Peterhouse manuscripts.

How to cite

Rodney M. Thomson, 'The Peterhouse Bequest', in Hanna Vorholt and Peter Young (eds), 1414: John Neuton and the Re-Foundation of York Minster Library, June 2014, https://hoaportal.york.ac.uk/hoaportal/yml1414essay.jsp?id=15, accessed 20 July 2019


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Comparing Holiday’s

The key to finding your perfect holiday at a affordable price is to visit a compare holiday website and enter your ideal holiday search criteria

  1. Book as early in the year as most holiday firms offer early DISCOUNTS & Also Free Child Places
  2. Most holiday firms prices rise and also fall so dont book to early if you dont need to guarantee a Free Child Place
  3. The bigger the group the bigger the saving
  4. Parts of Spain have now introduced a Tourist Tax charge which will be payable at your hotel

Places To Visit

Spanish food can be found all over the country, however top tourist destinations such as Costa Brava and Costa del Sol have turned all existing traditions upside down. Meaning that drinks are generally more expensive (about double) and quality is at its lowest. It is difficult to find proper Spanish food in the tourist centers.

Instead, you will get Schnitzel, original English breakfast, Pizza, Donner, and frozen fish. However, if you are prepared to look a little harder, then even in the busiest tourist towns, you can find some exceptional traditional Spanish restaurants. If you are on the coast then think fish and seafood and you won’t be disappointed.


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How to Care for Frigidaire Window Unit Air Conditioners

Performance and energy-efficiency specifications for any window air conditioner come with a caveat: They are based on the assumption of proper routine maintenance. Cooling capacity and energy consumption may suffer if maintenance tasks are neglected. Indeed, most of the performance and efficiency improvements you expect to gain by replacing an old clunker with a more advanced air conditioner may be entirely negated by failure to regularly maintain the new unit. One of the most critical parameters in an air conditioner is proper airflow over the evaporator and condenser coils. In addition to recommended cabinet care, ensuring adequate airflow by keeping the filter clean is one of the few maintenance tasks a do-it-yourselfer can perform on a Frigidaire window unit.

Filter Maintenance

Unplug the air conditioner.

Push the vent control handle below the left vent all the way inward to close the vents.

Open the front panel by pulling it outward to unsnap the upper catches, then swivel the panel downward.

Grasp the center of the air filter inside the front panel. Pull it upward and outward to remove it from the panel.

Wash the filter in a solution of dishwashing soap and warm water. Rinse it completely with warm water.

Shake the filter gently to remove excess water. Allow the filter to dry completely.

Position the filter inside the front panel so the tabs on the upper part of the filter engage with the slots in the front panel.

Close the front panel and snap the latch shut.

Plug in the air conditioner.

Cabinet Care

Unplug the Frigidaire window air conditioner.

Dust the cabinet with a dry, oil-free cloth. Alternatively, wipe the cabinet with a cloth moistened in a weak solution of water and dishwashing soap. Ensure to wring all excess water from the cloth.

Plug in the air conditioner.

Things You Will Need

  • Mild dishwashing soap
  • Clean rags

  • Failure to sufficiently wring out the cloth before cleaning close to the controls may cause water damage to the electronics.

About the Author

Gus Stephens

Gus Stephens has written about aviation, automotive and home technology for 15 years. His articles have appeared in major print outlets such as "Popular Mechanics" and "Invention & Technology." Along the way, Gus earned a Bachelor of Arts in communications. If it flies, drives or just sits on your desk and blinks, he's probably fixed it.

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How to Decide on a Citrus Tree to Plant

Citrus trees (Citrus spp.) grow in U.S. Department of Agriculture plant hardiness zones 8 and above. There are numerous varieties of citrus, including lemon, lime, grapefruit, orange, kumquat, mandarin and others. Each variety has its own cultivars. Dwarf varieties grow up to 15 feet tall, while the others grow up to 30 feet tall. Some citrus trees are seedless, grown on grafted rootstock. All citrus are self-fertile. Choosing a tree to plant can be made easier by evaluating the environment available in your landscape.

Taste the citrus varieties. The best tree for you to grow is the one that you will most like to eat, if you are growing them for their fruit rather than for decoration. If you prefer the taste of grapefruit, for example, choose among the grapefruit cultivars.

Decide whether seed-bearing citrus are acceptable, or if you would prefer to grow a seedless variety. There are seedless versions of all the citrus except kumquats.

Determine how much space you have to devote to your citrus tree. Dwarf varieties are shorter and have a smaller footprint than standard citrus trees. If the space available is near a building, driveway or other hard surface, dwarf varieties can be planted closer to the area than full-sized trees. Standard trees need to be planted a minimum of 12 feet from these structures.

Note the temperature where you live. Lemons and limes are much more affected by freezes than oranges, mandarins and kumquats. Lemons and limes produce better fruit in moderate temperatures than mandarins and oranges that need a bit more heat to attain a sweet flavor.

Choose the time of year you would like to harvest fruit. Mandarins often fruit in the winter or early spring, lemons and limes in the fall, grapefruit and kumquats in the winter, while oranges fruit in all seasons depending on the cultivar.

Select a young tree with leaves the entire length of the trunk. Find one with bright, undamaged wood. If it is grafted the wound should be healed and the graft must be at least 6 inches above the root flare.

About the Author

Jill Kokemuller

Jill Kokemuller has been writing since 2010, with work published in the "Daily Gate City." She spent six years working in a private boarding school, where her focus was English, algebra and geometry. Kokemuller is an authorized substitute teacher and holds a Bachelor of Arts in English from the University of Iowa.

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Garlic Mashed Potatoes Recipe

Thanksgiving is one of those great American holidays that no matter what religion or non-religion you are, we can all celebrate it. It’s a time to give thanks for all we have and for those we have in our lives to share it with. Every year since I was about 6 years old, my immediate family and I have spent our Thanksgivings with close family friends. A few years ago, I decided that I wanted to pitch in and make some of my own dishes for our huge pot-luck style meal every year.

With begrudging approval from the moms (I’m not being sexist, it’s just a fact that they do all the cooking at my Thanksgivings), I was allowed to make mashed potatoes and stuffing (inspired by one of the moms a year earlier anyway). What I learned from that experience is that every year when I’m thankful for my friends, family, and even the good eats, I never really understood what it took to prepare those amazing meals. Frankly, it’s hard and time-consuming. I only contribute a couple of dishes a year now, while our poor mothers prepare an entire table and side table (we have a lot of food) of delicious dishes. Even that one dish that no one likes every year (there’s always at least one) often takes a lot of time!

Keeping that in mind, this run of Thanksgiving recipes goes out to the moms who don’t need these recipes and to those of us who should be thankful enough to maybe lend them a hand in the future.

Makes enough for 12 people at ~285 calories per serving.

Fluffy, Creamy Garlic Mashed Potatoes

  • Servings: 12
  • Difficulty: Easy
  • Print

Mashed potatoes garnished with chives and cheese.

  • 4 to 6 pounds (about 1 bag) of Russet or Yukon gold potatoes (about 1400 calories)
    Note: Russets make fluffier potatoes and Yukon Golds make denser, creamier potatoes.
  • 1.5 cups of heavy cream (about 1200 calories)
  • 1 stick of unsalted butter (800 calories)
  • 4 to 6 cloves of crushed/pureed garlic, but you can add more to taste
  • Salt
  • Optional: 2 tablespoons of diced chives
  • Optional: Shredded mild cheddar cheese

  • Large pot for boiling
  • Cutting board
  • Potato/vegetable peeler
  • Knife
  • Hand-held potato masher / potato ricer /  or other way to mash the potatoes
  • Small sauce pot
  • Wooden spoon or other spoon to mix the cream and butter
  • Large bowl

  1. Potatoes: Peel the potatoes and place them into a large bowl or pot filled with water so that they don’t brown. Peeling Mashed Potatoes to Make Mashed Potatoes
  2. Cut the potatoes into quarters and place them into a large pot filled with water and a teaspoon of salt. Boiling Potatoes to Make Mashed Potatoes
  3. Bring the water to a boil and then simmer until the potatoes are “fork tender” (about 15 to 20 min).
  4. Drain the potatoes and let them cool for a few minutes. Draining Boiled Potatoes
  5.  Put the potatoes back in the pot and use a potato ricer (recommended), large fork, or hand-held masher to mash the potatoes.
    Note: DON’T mash them with a food processor or hand blender or stand mixer or anything mechanical like that. Otherwise, you’ll end up with a really thick paste rather than fluffy potatoes. Use a hand-held grated potato masher.
  6. Cut up one stick (8 tbs) of butter into small 1/2 inch cubes and add them to the potatoes lightly mixing them in.
  7. Add the 4 crushed cloves of garlic to the potatoes.
  8. Add the 1.5 cups of cream to the potatoes in 1/2 cup increments and fold everything together until well incorporated. Don’t over mix them or the potatoes will turn into paste. The key is to keep them light and fluffy.
  9. Add salt to taste. I would suggest adding a 1/2 teaspoon at a time and fold well before tasting. Add more if you want after that.
  10. Once done, top the mashed potatoes with chopped chives and/or cheese as a garnish.
  11. Serve up some mashed happiness. Garlic Mashed Potatoes Recipe by Man Fuel

One more Pro Tip: Mashed potatoes are best served immediately when they’re hot and at maximum fluffy creaminess. So often, there’s stress about when to make them. Some people make them ahead of time and let them sit until the rest of dinner is ready. That usually leads to dense, cool potatoes. Others make them at the last minute in the chaos of negotiating other dishes at feasts like Thanksgiving. My go to method now is to make the potatoes ahead of time on the same day as the event to free me up for other things, but I will place them in a plastic bag and into a hot water bath controlled by an immersion circulator set to 150 degrees F. They can stay that way for up to a day, but I recommend no more than 4-6 hours. When ready to eat, those potatoes will come out of the bag as if they were freshly prepared and as creamy as ever!

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4 thoughts on “Garlic Mashed Potatoes Recipe

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  1. Nice recipe…we have mixed feeling on garlic mashers at Thanksgiving, we like them but have a few “holdouts”…roasted garlic also good…

    1. Garlic isn’t for everyone… although I suggest that it should be! The recipe works without the garlic for a more standard mashed potato. A friend of mine uses wasabi instead, so you can also swap it our for something else if plain mashed is too boring. Even just adding a little black pepper can change it up a bit.

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From left, Jillian Sommerville, Amy VanderStoep, Elyse Maley, head coach Becky Schmidt, Anna Lynch and Jenna Grasmeyer

The national champion Hope College volleyball team tops the final American Volleyball Coaches Association 2014 NCAA Division III poll of the season.

Coach Becky Schmidt's Flying Dutch totaled 1,574 points to lead the rankings.

Hope finished ahead of No. 2 Emory, Georgia, with 1,506 points, No. 3 Calvin with 1,451 points, No. 4 Wisconsin-Stevens Point with 1,356 points and No. 5 Wittenberg, Ohio, with 1,316 points.

Click here to see the entire AVCA poll.

Hope received 62 of 63 possible first-place votes. The other first-place vote went to Calvin.

The Flying Dutch finished the 2014 season with a school-record 34-2 overall record. They defeated Emory in five sets to claim their first national championships.

Hope earned its third regional championship and a share of its 13th Michigan Intercollegiate Athletic Association title this season.


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Colleen Weber

Oro Station, ON, L0L 2E0

Colleen’s relationship with horses started at a young age when her weekend adventures would take her to a local field.  There she would climb the fence and sit on a salt lick, waiting patiently for the horses to come to her.  Time stood still in the company of the horses, slowing life down for integration.  Colleen didn’t realize the impact that horse connection would have until much later in life.

The petro chemical industry was the start of Colleen’s career which included extensive travel and an international posting to Kuwait.  During her travels to Kuwait, Amsterdam, England, Caribbean Islands, United States and Canada, Colleen experienced so many opportunities for learning that it sparked her curiosity for wanting to understand her world and herself at a deeper level. On that note, she turned her attention to upgrading her education in Accounting, Bookkeeping and Cash Management through attending night courses at college.  With over twenty-five years experience in Accounting and Bookkeeping, Colleen learned the importance of attention to detail while maintaining the overall view of the bigger picture.  Colleen applies this same methodology to personal life experiences today.   Colleen’s travel also brought a new found understanding of history and culture that changed her world view, bringing a greater understanding and tolerance for the things in life that appeared to be different.

Through all these experiences on Colleen’s life journey, she continued to gain knowledge and understanding of the world around her. Taking her personal development to a new level, Colleen stepped onto a Shamanic Spiritual Path of personal healing.  This Metis path combined the knowledge from both the Native American Indians and the white worlds.  The teachings within this path have inspired Colleen to seek a higher awareness of how she lives in the world.

The stream of her spirituality and personal healing has meandered around many corners, and within this journey she awoke to the pursuit of oneness.  It has culminated in a resourceful toolbox, with a strong connection to Grandmother Earth and all those that inhabit her, healing techniques, the modalities of Reiki, Aromatherapy and Crystal work.  Colleen is proud to be a Pipe Carrier within the lineage of shamanic teachings which she continues to practice.  Sweat lodge ceremony and gathering together circles of women is her passionate commitment.

Horses have been the carriers of freedom in many forms to the Native American Indians and Colleen learned about their willingness to teach personal freedom to each of us.  The path to her pursuit of wholeness became very clear when she stood in front of Lady, a beautiful chestnut mare.  Lady was being herself and with total clarity Colleen saw, beauty, grace, strength, empathy, and physical acceptance, the very characteristics she wanted to walk out in the world for herself.  Working with the non-verbal, non-judgmental communication of the horses opened the door of freedom for Colleen to understand and hear her inner communication with self.  The more she listened, the more she learned and understood the next step on her path was to partner with these horse teachers to help people to relate to themselves in a non-verbal, non-judgmental way.

Colleen can share her understanding of the communication of the horses and how they want to relate to you, as a certified FEEL (Facilitated Equine Experiential Learning) facilitator.  The horses have taught Colleen to stay open to the space of possibilities, experiencing their ability for expanded awareness she has learned that anything is possible and the horses will communicate what is needed in the moment.

Colleen wants to share her vision of weaving your human experiences with the wisdom and beauty of the horses, assisting you to learn your own non-verbal, non-judgmental communication with yourself, helping you to live a happier life.  She offers individual and group workshops through Horse Spirit Connections in Tottenham and Blue Heron Stables in Minesing.

FEEL Training Program

Now taking registrations for June 2016

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Ebony Steele gave statistics on office gift giving for the holidays which sparked a conversation on what Rickey Smiley was going to get the cast this year. They weren’t that impressed with their past gifts, so Gary With Da Tea made it easy by letting him know exactly what he wanted. Listen to the audio player to find out what Gary wants this year!

Listen to “The Rickey Smiley Morning Show” weekdays from 6-10 am EST!

RELATED: See What Jay-Z Gave Rihanna For Christmas! [PHOTO]

RELATED: Top 5 Things You Should NOT Do At The Office Christmas Party [EXCLUSIVE]

RELATED: The 12 Days Of Hood Christmas [EXCLUSIVE AUDIO]

What Gary With Da Tea Wants For Christmas [EXCLUSIVE AUDIO] was originally published on

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Travelodge by Wyndham Chatsworth

Self Rated: 2.5 out of 5
21603 Devonshire St, Chatsworth, CA, 91311, United States of America
2.5 out of 5 rating 342 reviews TripAdvisor Rating: 2.5

Price Beat Guarantee*

Find a lower comparable hotel price online and we'll beat it by 10%. Find out more.

*Conditions Apply

Property Details

Property Location

With a stay at Travelodge by Wyndham Chatsworth in Chatsworth, you'll be within a 15-minute drive of California State University-Northridge and San Fernando Valley. This motel is 20.2 mi (32.6 km) from Six Flags Magic Mountain and 5 mi (8.1 km) from Westfield Topanga.

Make yourself at home in one of the 72 air-conditioned rooms featuring refrigerators and microwaves. Complimentary wireless Internet access keeps you connected, and cable programming is available for your entertainment. Private bathrooms with shower/tub combinations feature complimentary toiletries and hair dryers. Conveniences include desks and complimentary weekday newspapers, as well as phones with free local calls.

Take advantage of recreation opportunities such as an outdoor pool, or other amenities including complimentary wireless Internet access and gift shops/newsstands.

A complimentary continental breakfast is included.

Business, Other Amenities

Featured amenities include a business center, dry cleaning/laundry services, and a 24-hour front desk. Free self parking is available onsite.

Distances are displayed to the nearest 0.1 mile and kilometer.

San Fernando Valley - 0.1 km / 0.1 mi
Westfield Topanga - 8.1 km / 5 mi
Westfield Promenade Shopping Mall - 9.2 km / 5.7 mi
California State University-Northridge - 9.4 km / 5.8 mi
Corriganville Park - 9.9 km / 6.1 mi
Leonis Adobe Museum - 14.1 km / 8.7 mi
Providence Holy Cross Medical Center - 15.3 km / 9.5 mi
Los Angeles Pet Memorial Park - 15.6 km / 9.7 mi
Simi Valley Cultural Arts Center - 17.3 km / 10.8 mi
Van Nuys Golf Course - 17.4 km / 10.8 mi
Anthony C. Beilenson Park - 17.7 km / 11 mi
Wildlife Learning Center - 18.2 km / 11.3 mi
Lost Canyons Golf Club - 18.4 km / 11.4 mi
Simi Valley Town Center - 18.7 km / 11.6 mi
Nethercutt Museum - 19.7 km / 12.3 mi

The nearest airports are:
Van Nuys, CA (VNY) - 19.2 km / 11.9 mi
Burbank, CA (BUR-Bob Hope) - 30.4 km / 18.9 mi
Santa Monica, CA (SMO-Santa Monica Municipal) - 44 km / 27.3 mi
Los Angeles, CA (LAX-Los Angeles Intl.) - 53.8 km / 33.5 mi
Hawthorne, CA (HHR-Hawthorne Municipal) - 60.1 km / 37.3 mi

The preferred airport for Travelodge by Wyndham Chatsworth is Los Angeles, CA (LAX-Los Angeles Intl.).

Check-in time starts at 3pm. Check-out time is 11am.
Property Policies

Extra-person charges may apply and vary depending on property policy.
Government-issued photo identification and a cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.

If you are planning to arrive after 7 PM please contact the property in advance using the information on the booking confirmation.

Important Information

Please note, there is important information about this property to know before you arrive.

You'll be asked to pay the following charges at the property:

  • Cash deposit: USD 100.00 per stay

We have included all charges provided to us by the property. However, charges can vary, for example, based on length of stay or the room you book.

The following fees and deposits are charged by the property at time of service, check-in, or check-out.

  • Early check-in fee: USD 25.00 (subject to availability)

The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.

  • -Free breakfast
  • -Safe-deposit box at front desk
  • -24-hour front desk
  • -Smoke-free property
  • -Elevator/lift
  • -Gift shops or newsstand
  • -Free WiFi
  • -Outdoor pool
  • -Dry cleaning/laundry service
  • -Free self parking
  • -Business center
  • -Total number of rooms - 72
  • -Number of floors - 3


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Ole Miss Basketball to Compete in 2019 NIT Season Tip-Off at Barclays Center

By Adam Brown
Sports Editor

Devontae Shuler celebrates a two-point basket for the Rebels. Photo by Joshua McCoy/Ole Miss Athletics.

The Ole Miss men’s basketball team will take the court this season against Penn State as a part of the 2019 NIT Tip-Off at the Barclays Center, an arena in New York City. The matchup will take place Wednesday, Nov. 27 at 4 p.m. on ESPN 2.

The Rebels will be in the Big Apple during the week of Thanksgiving as the NIT Season Tip-off returns to the home of the Brooklyn Nets and New York Islanders for the fifth straight season.

The Friday (Nov. 29) third-place game will air at 6 p.m. CT on ESPN2, ESPNU or ESPNEWS, and the championship follows at 8 p.m. CT, on ESPN2 or ESPNU.

During the 2013-14 season, Ole Miss took part in the Barclays Center Classic. They defeated Georgia Tech 77-67 and Penn State 79-76 to bring home the title.

Ole Miss and Penn State have faced off on the hardwood three times, and the Rebels hold a 3-0 advantage all-time in the series.

The 2019-20 season begins for head coach Kermit Davis and his squad on Nov. 4 with an exhibition game against Mississippi College. Then, on Nov. 8, the Rebels welcome to the Pavilion the Arkansas State Red Wolves.

Sign up to receive Hottytoddy.com morning and evening headline emails HERE!

Follow HottyToddy.com on Facebook (If You Love Oxford and Ole Miss...), Instagram, Twitter and Snapchat (@hottytoddynews).

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However, finding a reliable home cleaning service in Jersey Metropolis is just not as straightforward as chances are you’ll assume. Not all can give you satisfying results that you just search. Contemplating these tips is usually a massive step on finding the one that fits all of your wants.

Jeff Becker Paradise Home Improvement

Like what was mentioned earlier, tankless methods don’t come with storage tanks. They perform by the use of passing by means of coils inside the unit to heat the water. When you flip the tap or the bathe to hot, the water begins to go by these coils and warms the fluid. The method takes a short while and the necessity is met immediately, so you will not have to wait. These techniques, depending on the mannequin, can produce as much as three.5 gallons of heated water per minute, that means you’ll never run out of supply.

Home Improvement Reference Center

Probably the most vital issues that should be taken care of in a construction work is that it must be accomplished inside a stipulated time-frame. Extending the time inevitably makes the venture find yourself needing extra money and more labor. This isn’t a thing the traders could be too happy about. Nonetheless, timely completion of the venture must not imply that the quality of the materials or the work as an entire will be compromised. It is due to this reason that the mechanization of the work stands as one of the important elements. It’s right here that the machines like used concrete trailer pumps come into much use. The concrete line pump is of much use too. These are best for taking the liquid concrete to a spot which is hard to succeed in as it is at too much peak or is behind and obstacle. These are used to a big extent in the construction of roads and flyovers too. They aren’t solely gas environment friendly but are additionally extremely sturdy too.

The Home Depot Home Improver Credit Card

Right this moment, if we see round us, there are enormous number of devices and tools which we use virtually on each day foundation to carry out certain duties in better way making certain similar quality in lesser time requiring lesser effort or human intervention. So, our scientifically enriched minds really helped us to think in a extra constructive and better method to enable in an effort to make this place a greater, habitable and cozy one. Hence, our lives became easier in terms of actions performed on every day basis as compared to earlier days when people used to do nearly all day by day work on their own which requires a lot power and dedication. Fashionable amenities which embody newest devices and instruments additionally conform to the same story catering necessities or completely different conditions. Because of this we are able to see around us numerous instruments and machines grew to become integral part of our each day lives.

All Seal Home Improvement

Whether or not it’s a residential or business setting, it is very important have clear and hygienic environment. Although the buildings are being cleaned frequently but loads of mold, dust and grime is more likely to get collected. Therefore hiring seasoned strain washing services a couple of times in a yr is a good idea to make your setting look great.

Paradise Home Improvement Columbia Sc

The classifications are primarily dependent upon the type of scientific bodily action the machine performs with a purpose to meet the demand. Designs, generally decide of which material they will be made and what should be carried out to make sure high quality at lesser worth, downtime, upkeep value. Among the times, they are more dependent upon necessities of the shoppers. Moreover, they are accessible out there in different types and configurations to cater the necessity of the purchasers.

Disclosure of This Case

They will do quicker jobs than the others and are fairly environment friendly to do jobs for longer period of time. These merchandise include no harsh chemicals, and are protected for both your well being and the environment! There is a in style saying that as you present, so that you reap. There are a lot of situations of such that in mining, real estate, development, agriculture and many others. it has each favorable and unfavorable penalties.

About Writer

23 yr old School Principal Mcqueeney from Quesnel, enjoys pets, . and yoyo. Has signed up for a global contiki trip. Is quite excited in particular about visiting Chhatrapati Shivaji Terminus (formerly Victoria Terminus).