Archive for October, 2008

Interview With Shireen Jeejeebhoy, Author of “Lifeliner - The Judy Taylor Story”

Friday, October 31st, 2008

Today, Tyler R. Tichelaar of Reader Views is pleased to be joined by Shireen Jeejeebhoy, who is here to talk about her new novel “Lifeliner: The Judy Taylor Story,” iUniverse (2007), ISBN 9780595445448.

Shireen Jeejeebhoy was born in London and spent her formative years in India. In 1968, she arrived in Canada where she attended local public schools before attending the University of Toronto, earning a degree in psychology. She has also been deeply interested in medicine, her father Dr. Jeejeebhoy being the doctor who treated Judy Taylor. Her new book “Lifeliner” is about his work helping Judy. Shireen personally knew Judy and is the perfect person to tell the story of Judy and her father’s relationship trying to solve Judy’s digestive problems using Total Parental Nutrition. Shireen is an accomplished writer with many articles to her credit. “Lifeliner” is her first published book.

Tyler: Welcome, Shireen. I understand this book shows your father’s role as the doctor to Judy Taylor. Will you begin by telling us about your father and his own medical background?

Shireen: It’s wonderful to be here, Tyler. Thank you. My father was born in Burma and fled to India with his family during WWII. His grandmother, who trained as a medical doctor, inspired him, and he decided to study medicine. He was accepted into medical school at a very young age, too young to enter right away, and so he studied economics at university for a couple of years before attending Christian Medical College in Vellore, India. His training there included comprehensive studies in anatomy and physiology, which translated into him understanding the whole human body even though his specialty is in gastroenterology. This knowledge has given him a leg up on most specialists who know their one area well but not the rest of the human body; since our organs do not function independently of each other, it means he can take into account how a patient’s intestinal problems affect their liver or their heart or even their psychological functioning or vice versa.

His training also included treating patients in the community around Vellore, not just seeing them in the sterile environment of a hospital. He saw how a person’s lifestyle impacted his or her health. For example, the College is located in the south of India where the diet is vegetarian. However, in one region, there were many widows, whereas in another both men and women lived long and well. It turned out that the difference between the two regions boiled down to the fact that the area where men died young used coconut oil in their cooking; the other did not. From noticing that one fact, Dr. Jeejeebhoy’s mentors were able to research why coconut oil had a deleterious effect on a person’s heart, and he learnt how valuable what one sees in the field is to research progress. As a result, when he became a consultant, he drew from his clinical practice when coming up with grant ideas and research projects; he continued the legacy of observing trends in his patients and then looking into it. In 40 years, he didn’t have one grant rejected. His research also included basic science.

After graduating First Class from Medical College, he went to London, England, for residency and earned his Ph.D. in albumin metabolism at London University in record time. Already by that point in his training, he was interested in the basic science of nutrition and gastroenterological disease. He had always wanted to work in India, and with his wife and new baby (me), he moved to Bombay. He quickly became known for his ground-breaking research in areas such as lactose intolerance, and he started travelling the world on speaking engagements. But he found the conditions in India stifling; when he was offered a job in Toronto, he jumped at it. He passed his licensing and Specialist exams and drove to Sioux Lookout, Ontario to see patients in remote areas within months of starting as a gastroenterologist on staff at Toronto General Hospital and hasn’t looked back.

Tyler: Would you tell us more about Judy Taylor’s illness and the remedy that was created for it?

Shireen: Judy was a healthy young woman when she developed severe stomach pains. She put off going to the doctor and put off going to the doctor until she finally could not stand up for the agony. She had emergency surgery, and they discovered a small amount of her bowel had died. They didn’t know what had caused the necrosis, but felt that they had solved her problem. A week later, her pain became worse, and again they operated on her. This time the surgeons had to remove all of her intestines, leaving her with no way to digest food. Facing starvation, she begged her surgeons to help her live; fortunately, they learnt of the research Dr. Jeejeebhoy was doing on artificial feeding and sent her to him.

When she arrived on his ward, Dr. Jeejeebhoy, working with the hospital pharmacist, had to come up with a nutritionally complete solution that could be infused into her veins as she could no longer digest food. Basically, he had to find an alternative to her intestines. They had to consider protein, carbohydrate, fat, vitamin, and trace mineral requirements. His surgical colleague had to invent a permanent entranceway into her large vein in the chest that feeds into the heart. They had to figure out how to feed her this solution over 12 hours instead of 24, and then they had to figure out how she could manage this at home all on her own, far away from the hospital and the doctors. But before all that, they had to cure the rampant infection in her abdomen, for, you see, the rumps of her bowels were leaking and causing a mess inside her; they also had to ensure all her stomach juices went out of her body, instead of leaking inside it, and into a leg bag that masked any odours. Curing the infection was relatively easy; the Gastrostomy tube that went from her stomach into a leg bag never did work quite right, and they hoped for the best with this new alimentation, or TPN as it later came to be called, but when they sent her home on it, none of them knew how long she would live or what her quality of life would be like. As far as Judy was concerned though, life itself was good enough, and anyway she had no intention of lying on a couch all day. She had things to do. Dr. Jeejeebhoy had given her a second chance, and she was running with it.

Tyler: What was her quality of life for the twenty-one years she lived with the TPN? What did she do rather than lie around on the couch all day?

Shireen: After prolonged hospitalization, it usually takes one month to recover for every month in hospital. But once Judy started to get her legs under her again, the first thing she did was learn to drive. She needed to enroll her daughters in such programs as 4-H. To get them to their extracurricular activities, she needed to know how to drive. She was not a swift driver, but when she set her mind on doing something, she was going to do it.

Aside from some nutritional deficiencies in the early years that Dr. Jeejeebhoy cleared up, Judy was active, vital, and gave no hint to her neighbours and friends of having been very ill and being dependent on medical technology. Sure, she didn’t hide the fact that she didn’t eat at church dinners; instead, she would joke about it and be the first to volunteer to bring something. Most people found out about her being on TPN through the grapevine.

In addition to looking after her family, which she considered her core role, she volunteered in her community and in the hospital helping new patients adjust to TPN. She took an active role in a patient group in Toronto, travelled to the U.S. for Oley Foundation conferences, and to Sweden to talk about what it was like being on TPN and to meet the eager European press.

She boated with Cliff along the waterways in Ontario, went on road trips, and, of course, hosted her famous annual barbecues for her doctors and nurses and fellow lifeliners.

Unfortunately, the last few years of her life were not as healthy as the first: the price of being the guinea pig for TPN. And so she had to scale back her activities. However, she continued to help people in whatever capacity she could right to the end. For Judy, it was all worth it.

Tyler: How exactly does Total Parental Nutrition (TPN) work to feed someone?

Shireen: The usual method is that a surgeon implants a large catheter, referred to as a central catheter, into the veins in the neck and chest. One tip is threaded down until it is at the edge of the atrium of the heart. In that spot, the blood volume is high and fast enough to prevent clots from forming and blocking that end of the catheter. The other end is threaded out of the vein, under the skin, and finally emerges low enough down the chest for the patient to be able to see it.

The pharmacy provides a nutritionally complete solution, containing proteins, carbohydrates, electrolytes, and minerals to the patient. They also supply a fat solution in separate bags, and vitamins (and medications if necessary) in vials. The patient follows a prescribed routine to inject the vitamins into the protein-carbohydrate solution. They infuse this solution every night for about 10 to 12 hours a night into their central catheter. Following pharmacy instructions, they will also infuse the fat solution prior to the regular one on some nights. That will lengthen the feeding time by about a couple of hours. Although Judy never used a pump to push the solution into her catheter, most people do today.

Part of what the patient has to do every night is prepare the solutions and warm them up to room temperature, so that they are not cold going into the body, then connect the line from the solution bags to her own central catheter. They sleep during most of the feeding time. During the day, they must keep the catheter clear with a heparin block when the TPN is not connected up, and the skin around it clean. It took Judy only 15 minutes to do all this! Patients in other countries may have a different way of doing it, but the method devised by Dr. Jeejeebhoy is safe and allows the patient the most freedom and functionality in their daily lives. None of his patients have been invalids because of having to go on TPN. They run businesses, practice a profession, raise children, etc., and they always feel healthier as a result of going on it. For most, it means a brand new life, just like for Judy.

Tyler: How did your father, Dr. Jeejeebhoy, arrive at the idea for Total Parental Nutrition?

Shireen: The Europeans had been studying this idea for decades. Prof. Arvid Wretlind talks about this very topic in his Foreword to “Lifeliner” far better than I can. My father came into it after he settled down in Toronto, Canada. The patients sent his way were so sick, they were sometimes terminal. Since he wasn’t interested in all his patients dying on him, he looked into alternative ways of feeding them. A well-nourished body can fight disease and infection better than a starved or malnourished one.

Ever since I can remember, my father Dr. Jeejeebhoy has always had stacks of journals and photocopied articles piled on his desk. He reads slower than my mother, but he reads widely and extensively, not just limiting himself to human studies, but also animal studies and articles outside his field of specialty. From this continual feeding of his curiosity and from his drive to discover better ways to help his patients, he would have heard of what the Europeans and Americans were doing in the development of alimentation, as it was then called. He would have thought about what his patients were facing and looked for solutions in either his own basic science research in his laboratory at the University of Toronto or in the stack of medical journals. He would have asked himself if his patients’ stomachs and bowels couldn’t do the job of nourishing them, then perhaps feeding vitamins and minerals and carbohydrates and proteins directly into their bloodstream would.

He started working on this idea with his surgical colleague soon after he arrived in Toronto. His colleague wanted to nourish his post-operative patients in the short term while they recovered from their operations. That would speed their healing. Dr. Jeejeebhoy worked on doing just that. In those days, people took much longer to recover, and hospitals kept patients in much longer than they do now. Dr. Jeejeebhoy was basically still at this stage when Judy came into his care.

Tyler: I understand your father worked with Judy for twenty years through trial and error. Will you tell us a little about the process and the changes he made to TPN along the way?

Shireen:”Lifeliner” tells the big stories of the evolution of TPN from the time Judy first went on it until 1991 and of some of the nutritional discoveries made because of Judy’s experience, discoveries that would alter the composition of the TPN solutions. But in a nutshell, the process went like this: Judy would walk into Dr. Jeejeebhoy’s office and say, “Jeej, I have a problem. Fix it.” He’d say, “OK. What’s the problem?” She’d tell him, he’d send her for tests, sometimes he’d send her bloodwork to the U.S. for analysis as Canada didn’t have the facilities, sometimes he’d conduct tests most people haven’t heard of, and finally he would call her back into his office and say, “I don’t know exactly what the problem is. I’ll need to research it more and get back to you.” She would go home, joke to her friends and family about walking on pins and needles, and wait for his call back. In the meantime, she lived life to its fullest and not worried about whatever was ailing her (because of a nutritional deficiency). Jeej was looking after things, as far as she and her husband Cliff were concerned.

Eventually, Jeej would have an Ah-ha moment and ask Judy to come into the hospital where he wanted to try something out. Judy would tell Cliff, “Jeej wants me to be a guinea pig again.” Usually, Jeej’s hunch was right, and her problems would clear up, sometimes immediately and dramatically. Through this process, they made major nutritional discoveries, which we all benefit from today, and honed TPN into a much better system that fully nourishes anyone needing it.

Tyler: What was the timeframe during which your father treated Judy Taylor. How have medical treatments for Judy’s illness changed since that time?

Shireen: Judy was on TPN from October 7, 1970 until February 22, 1991. Although there have been attempts at bowel transplants, the best method of nourishing a person with no intestines remains TPN. The medication that caused her bowels to die in the first place has been refined so that now it is much safer to use.

Tyler: Tell us about your own memories of Judy Taylor. How aware were you of your father’s work during this time?

Shireen: I write in “Lifeliner” about the first time I remember meeting Judy. I was 10 years old and in awe of this woman who could bake delicious cookies yet did not eat any of them. I couldn’t imagine anyone wanting to bake something that they couldn’t eat. But Judy did, and I liked her for that.

My father had been taking me down to his office or to his lab outside of office hours since I was about 8 years old whenever he needed to pick up files from his office or check up on patients or the progress of his research. It was a way to spend time with my father even when he had work to do or his patients needed him. Even so, I stayed quietly out of the way while he was actually working (or I like to think I was quiet). I was pretty inquisitive, and he would explain things to me, sometimes to my satisfaction, sometimes not. I had some idea that he helped a lot of people and knew that he was the hub of much activity, and seeing “Lester,” the pole that Judy’s TPN hung from, helped me understand more about the kind of medicine he was practicing. As I grew older, I learnt more about nutrition through him and met more of his patients. Talking to his patients was revealing. They revered him because he had not only saved their lives, but given them back quality of life. Some of them became part of our social life, inviting my parents to weddings or parties, and I saw the positive effect he had on their lives.

Tyler: Shireen, what would you say has been your father’s influence on you. Did it interest you in medicine?

Shireen: I’m told that I became interested in medicine when my grandfather had a heart attack and he was lying in the CCU. I was 11 years old, and I remember looking at all the machines around him in awe, trying to understand what they were doing, hating him being sick.

Like his grandmother did for him, my father taught me about good thoughts, good words, good deeds-the Zoroastrian creed. He taught me about drive and tenacity, about curiosity (although I needed no lessons in that really, being constantly in questioning mode it seemed) and about broadmindedness, about reading outside your area of expertise and about finding answers in unusual places. And he always entertains with stories of life in India or stories from the lab.

I decided in the end that medicine was not for me. I was far more fascinated by psychology and really enjoyed writing stories.

Tyler: How successful was the treatment for Judy-how long did TPN prolong her life?

Shireen: I calculate that TPN prolonged Judy’s life by 20 years, 4 months, 3 weeks, and 6 days. In that it allowed her to live and to live that many more years, it was successful. In that it allowed her to meet her goals and to inspire other people and to help thousands, it was more successful than anyone could have imagined back in 1970!

Tyler: How did Judy die? Did her stomach problems get the best of her eventually despite the TPN?

Shireen: She died from infection, probably one that started in her Gastrostomy tube, a tube she would not have needed if there had been enough bowel left to connect the two ends and create a natural exit for her stomach juices. Ironically, the area around her Gastrostomy tube healed in the last few weeks. The TPN though was her friend to the end.

Tyler: I understand “Lifeliner” depicts Judy’s personal struggle along with her medical one. What lessons would you say she learned and wanted to impart about her struggle?

Shireen: She believed passionately that “living with Lester, or your pump or whatever, is a whole lot better than the alternative,” namely death. She believed that life was worth fighting for and that faith and a sense of humour got you halfway there to coping with whatever life throws at you. Her sense of humour certainly helped her cope. Being able to joke about things that made her afraid enabled her to get through them. They say laughter is the best medicine, and she certainly proved that right!

She also told people that “you’ve got to live through today, not yesterday and not tomorrow, but just through today.” Those are wise words to live by for anybody. Worrying about what has happened in the past or what will happen in the future can really paralyse a person in the present and prevent them from just smelling the roses or enjoying the challenges that the day may bring.

Tyler:Shireen, what kind of response have you received so far from readers?

(For the response to this question, please see www.readerviews.com/)

Tyler: Shireen, you had your own medical issues while you were in the process of writing “Lifeliner.” Will you share that struggle with us? Did you find it ironic that you underwent a medical trauma at the time you were writing about one?

Shireen: Ironic and frustrating, to say the least. I was within sight of finishing “Lifeliner” when boom, a couple of drivers drastically changed my plans. But in a way the book helped me cope. Having the book as a goal kept me at my rehab, working as hard as I could to get better. Reminding myself of the words of Rev. Ed Bentley, Judy’s minister, in particular, while I was writing “Lifeliner” brought light to the issues I was grappling with.

This period of my life all started when I ventured out into 905-land for a simple errand in early Y2K. I should have known better. A 416er, a Toronto gal, should only enter the suburbs in an armor-plated car with inertial dampers and force field surrounds. Thump… BANG… Bang! Two high-flying cars shoved our stopped car into the car in front; my brain made like jello inside its solid skull, my neck like a whip. The final tally was a neck sprain, two shoulder sprains, impairment of blood supply into right arm (and a bit into left), ulnar nerve problems in the left arm, and a closed head injury.

It was the closed head injury in particular that changed my plans for a very long time. It slowed my processing down to a crawl (even today I still respond slower than normal); it destroyed my concentration and ability to focus and refocus after an interruption; I can no longer multi-task; I went from having a photographic memory to a poor one; I had trouble communicating, whether speaking or listening; I struggled with reading and learning, me who had started reading at age 2 or 3; I developed olfactory hallucinations; I lost myself; and I became very, very tired, a fatigue made worse by any mental or physical effort.

At the time of the crash, I was writing “Lifeliner: The Judy Taylor Story.” I had completed the research and three chapters and was in the middle of writing a chapter. I was on track to finishing it that year. After the crash, I thought I’d be able to get back to it within a few months. Needless to say, I couldn’t. It took me a long time to understand fully what a brain injury meant, and although I started outpatient neuro-rehab about 8 months after the crash and about when a brain scan showed abnormalities, it was many more months, if not years, before I accepted in my heart that I really had sustained a brain injury. And, as well, as my functioning improved bit by bit over the years, leading to doing more in the day, I would then bump into new problems with my cognition. The one that made me redouble my efforts to find treatment, as opposed to just learning how to compensate, was when I discovered I had lost the kind of problem solving abilities one uses in day-to-day work or social life. That was in 2005, over 5 years after the injury. Up to that point, the medical model had taught me compensating strategies for my cognitive difficulties, suggested taking a writing course to relearn how to write, and minimally helped me adapt to my new life, my new personality, and all the losses that I’d sustained as a result of the injury. But none of this actually healed the brain; that was left up to the brain to do on its own. Exercise and some supplements I took, as well as acupuncture, may have helped the brain heal, but not enough to make it possible for me to write “Lifeliner.”

Since I thought that the brain injury felt like ADD, I started to search for ADD treatment (I had been searching for brain-injury treatment or therapy for about 2 years at this point, with no results) and found the ADD Centre in Mississauga, a city on the west side of Toronto. God must have agreed this was the place I needed to go because first, the medical doctor who does the EEGs answered the phone when I rang, which was unusual. And second, an appointment in about 3 weeks had just opened up, and so I didn’t have to wait the usual 4 months. They assessed my functioning with computer tests and a 19-point EEG, and then they devised a treatment plan, using brain biofeedback. Basically, brain biofeedback is when the client has an electrode placed on a pre-determined spot on the head and then uses their brain to manipulate what’s on the computer screen in order to promote or depress certain brain waves.

These treatments made it possible for me to write “Lifeliner.” After two years of exhausting brain biofeedback treatments, some of which was experimental and which involved two electrodes placed on the head to improve coherence between two parts of the brain, I have regained a lot of my cognitive functioning. I can focus far better, I can write more words within my limitations (I still cannot write 16,000-word chapters like I used to, but it’s no longer as low as 800 words either), I’m more alert, I’m aware, my processing speed has increased measurably, and my speech is for the most part no longer flat but has prosody. I continue to use a neurofeedback unit at home to stimulate certain brain waves, and I still have enormous problems with, among other things, my stamina and with my reading-that is, understanding what I’m reading, remembering what I have read up to the point of where I’m at, learning from what I’ve read, and synthesizing it with previous knowledge-as well as other areas. But right now I’m taking a hiatus from the treatments while I market the book; I intend to return in the fall or early 2009. We’re also seeing how much spontaneous healing will occur during this time off.

However in spite of the large strides I made with the treatments by early 2006, I still needed “human resource” help, as my rehab team put it many years ago, in order to write my manuscript. I needed someone to be my lost organizational abilities, and Miriam Taylor found that person for me. Between the time I finished my manuscript and the time I decided to go with iUniverse, I healed more, to the extent that I was able to work with iUniverse’s editors in 2007 to add more to the story under their direction. I decided to go with iUniverse because I had already lost 7 years, and I didn’t want to wait any longer to see it in print. I had also heard good things about iUniverse and wasn’t disappointed.

I am pleased with the results. I have accepted the fact that the book I wrote is different from what I had planned; I hit the highlights of Judy’s life. Plus it is finished.

Tyler: Shireen, you have had such a diverse background in science and in writing. What made you decide to focus on Judy Taylor’s story for your first full-length book?

Shireen: A friend of Judy’s and mine suggested to me that someone should write her story. A light bulb went off in my head. I had been writing short stories for a few years at that point, and Judy Taylor’s story seemed to me a good way to get into writing books. Hers was a fascinating life, I knew the characters personally, and it excited me to write on a subject that no one had. So often we tell the same stories in different ways, but in this case no one had written about TPN for the general population, and no one had written about this Canadian pioneering duo of Judy and Jeej. I started immediately.

Tyler: Do you think you will write any more books, despite the difficulties your injuries have caused you, or what do you plan to do next in your life?

Shireen: Writing is my love and my passion. I may have limitations, but I cannot foresee a future without it.

Tyler: Shireen, how does your father feel about your having written his and Judy’s story?

Shireen: Very pleased! He was delighted and supportive that I took the trouble to do it, particularly to write the story from Judy’s angle.

Tyler: Thank you for joining me today, Shireen. Before we go, will you tell us about your website and what additional information may be found there about “Lifeliner”?

Shireen: It was my pleasure Tyler. My website is at http://jeejeebhoy.ca/ and visitors can find a wealth of information there. I have a sneak peek into “Lifeliner,” reviews, a blog, relevant links, pages on me and Dr. Jeejeebhoy, photographs of Judy and her lifeline, articles translated from the original Swedish on Judy, references, a Guestbook, and direct affiliate links to purchase “Lifeliner” at the big online bookstores in Canada, the U.S., and Europe. Visitors can also subscribe to the site to be notified of any upcoming events or news about “Lifeliner.” I update it regularly and have in the pipeline some new features I want to add, like questions for book clubs and more stories.

Tyler: Thank you, Shireen, for sharing Judy, Dr. Jeejeebhoy and your story with us. I hope it inspires many people.

Shireen: Thank you Tyler.

www.readerviews.com/www.readerviews.com/

Volleyball Drills For Youth

Friday, October 31st, 2008

Choosing the Best Youth Volleyball Drills

When coaching youth volleyball it car donation program important to select debt advice line drills based on your players’ current skill sets and those that need improvement. Running drills that are too easy or too difficult for your players is not nearly as beneficial as selecting drills that your players can master with much practice and skill improvement. Please feel free to integrate the following volleyball drills for youth at your next practice.

Four annuity loan Pepper

When selecting volleyball drills for youth, make sure to choose fast-paced drills that emphasize fun as much as skill building to hold your players’ attention. The first of these drills is a variation on the classic pepper drill that my players love. Pepper is an excellent drill because it builds concentration while improving a number of skills including multiple types of hits and ball control. This drill borrows the form of the pepper drill and adapts it for a four Neurontin version.

First off, divide your team into groups of four. Each player assumes a different role in the game: player 1 is the hitter, players 2 and 3 are diggers and player 4 is the setter. Each group has one ball. At the start of your whistle, the drill begins with the hitter tossing the ball into the air and hitting it to one of the diggers. The digger pops the ball up to the setter who sets the ball up to the hitter, who continues the rotation in a similar fashion.

There are multiple ways to up the ante for this drill. You can enforce a rule where if any of the players miss their designated hit and the ball touches the ground, either the player or the team is eliminated from play. The last one or ones standing are victorious. Also, you can run the drill for 8 minutes, having the players switch roles every 2 minutes at the sound of your whistle, which gives each player a chance at each of the skills.

Zip it Up

One crucial skill that should be in any volleyball player’s arsenal is the zipper pass. The next of the volleyball drills for youth teaches how the proper positioning for the zipper pass and how to use it during game play.

For the zipper pass, the first thing to know is the proper body position for correct execution. First, the feet should be slightly wider than the shoulders with one leg slightly in front of the other, the knees are to be bent, and the arms should be locked at the elbows. The ball should come in to contact with the arms directly in front of where the zipper is located at the front of a pair of jeans. Have your players practice transitioning from their regular stance to this zipper pass stance before moving on to the zipper pass drill.

For the drill, have a row of passers stand on one side of the net with the coach or another player standing on the opposite side of the Neurontin The coach tosses the ball to the players one by one. As the ball reaches the passers, they are to assume the zipper pass stance and instead of passing the ball, catch it exactly at the zipper level.

Larry Reid has been coaching volleyball for well over a decade. You can get instant access to his championship www.volleyballpracticeplans.com/oi/drills-access.html”>volleyball practice plans by visiting his website:

www.volleyballpracticeplans.com/www.volleyballpracticeplans.com/

Swim Your Way to Fitness

Thursday, October 30th, 2008

Are you spending hours after hours in the gym trying to get fit, why not try swimming as an alternative. Swimming is Viagra questions great alternative to your regular exercise, and it will help your conditioning. In this article I will give you a few great tips and a suggestion on a weekly schedule.

Okay, so now you’re ready, you are at the pool. But before you go in, here is a few reminders. Do not eat a big meal before any type of effexor that includes swimming. Instead, try eating a power bar or a protein shake. If you eat to much before exercising your blood will rush from your muscles into your stomach, and that is not a good thing. Take a few minutes to stretch and get mentally prepared for your exercise.

The difference between swimming and weight training is with weight training, you can only work different muscles so much before they get sore. With swimming, you can exercise every day of the week. In the beginning we recommend you go swimming four to six times a week. If you don’t have the time, refinance home equity mortgage or two times a week is also fine. education loan consolidation have to find a way so that it works with your schedule.

Monday, start with long distance swimming. Swim for 30 minutes and see how far you get. Make a note of it. The goal here is to swim further in the specified time every week. When starting out, find a good rhythm for you. You do not want to get burn out in your first week.

Wednesday, go for a high intensity workout. On Wednesdays, you should be focusing on interval training with more focus on speed and time. The idea is to swim as fast as you can for one minute, then slower for two minutes and then go faster again for one minute. Then repeat. Try to swim for at least 30 minutes. Increase the intensity of the workouts as the weeks progress.

Friday, this is medley day. On Fridays, you should try to swim “medley”. This is when you swim using different techniques.

Saturday, this may not be the most fun day. Select the technique you feel needs the most improvement and work on that.

Try this program for six weeks. May find that you want to change to schedule a little bit, that’s fine. Again, make sure the schedule works for you. Also, make sure you eat right and stick to schedule.

Good luck, I wish you all the best!

To learn more about different exercising techniques or get more ideas on how to exercise, visit: www.freehealthinfonow.comwww.freehealthinfonow.com

Shopping For New Online Contacts

Wednesday, October 29th, 2008

Businesses everywhere are looking for new cash for structured settlement and go to great lengths to find them. The general circle of friends and family quickly run out and Homeowner consolidation loans need for new contacts increases to a near emergency. Without new contacts it is impossible to generate revenue, therefore leaving the business stranded. This stand still of not building new contacts or customers can devastate the entire focus of the business. List building online can not only increase business contacts, but also share information that is relevant to both parties.

List building is commonly used through a technique of directing traffic to a squeeze page. This squeeze page is intended to gather the future contact of the visitor in return for something they want. Many websites offer college student loan consolidation e-books, informational articles or membership to some type of database. Content such as newsletters, updates and specials may be sent out on a consistent basis to give the consumer something that they want.

Some websites run more than one list building technique and they are generally separated into different areas or categories. This may be different classifications that the clients may desire, for example they may want more information on a particular line of products, but another contact list may be for a company newsletter only. Visitors are allowed to sign up for which ever they desire and are not obligated or penalized for joining one, but not the other. These lists are highly marketable and can really increase the sales level of the site in general. List building is not difficult and can be completed on any website, regardless of type or size.

Are you really interested in driving marijuana facts traffic to your website?

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Can You Get An Ex - Girlfriend Back

Tuesday, October 28th, 2008

When it comes to getting an ex-girlfriend back who broke up with you, don’t count on it.

She broke up with you because conference call services thinks that she can do better than you.

The only way that she will come back is if she changes her mind on thinking she can do better than you.

Now, I know that you might be thinking to yourself; what if I change myself into the better man she is looking for?

You can change yourself into a better man sell structured settlement payments matter what, however getting her to believe it is an entirely different story.

Once a woman loses attraction for a man it is gone and it isn’t coming back.

What happens a lot is women break up with a man in an attempt to get something more out of the relationship (marriage, moving in, or control).

Yet, if you maintain control of yourself and act as if her breaking up is okay, she will come running back with her attraction level even greater than it was before.

Failure to maintain control of yourself by choosing to run back to her with you willing to accept any changes she wants, can only lead to 1 of 2 things.

  1. Her saying it is too sell structured settlements and maintaining the breakup.
  2. Her accepting you back with no attraction from her part.

Running back to an ex-girlfriend, puts you in a “lose-lose” situation with yourself.

You lose is she doesn’t take you back.

You lose if she does because the dynamics of the relationship have discover financial and whatever was great about the relationship before no longer will be.

In the end, it is important to remember that when it comes to getting an ex-girlfriend back if you make too strong of a weak move you might get your ex-girlfriend back but it won’t be as automobile insurance quotes as it was before.

Teddy Shabba is a Dating Coach for Men who has a daily newsletter that provides you with a wealth of information on how to be more successful with women. You can sign up for the Teddy Shabba www.dating-advice-coach.info/datingadvicenewsletter.htm”>Dating Advice Newsletter for Men now.

Also with over 500 articles from a variety of dating experts just for men our www.dating-advice-coach.info/DatingandSeductionArticles.htm”>Dating Advice and Seduction Article Database is the perfect place for any man.

To learn more about How To Attract Women visit our article section www.dating-advice-coach.info/attractwomen.htm”>Attract Women Today

No Experts Needed - Book Review

Monday, October 27th, 2008

No Experts Needed is a refreshing collection of true stories of inspiration and introspection. Author Louise Lewis, faced Kansas Lemon Laws being “set free” from corporate America and yet still having bills to pay, set forth on a magnificent personal journey of self-reflection. Searching data raid recovery herself, a spiritual unfolding occurred as she searched for that ever elusive, “what is the meaning of life?” Following a particularly poignant epiphany in the San Jose airport, Lewis decided to follow her “Spirit’s” advice and get done with the pity party, dust herself donate car to charity and pick up a pen. What follows is her discovery of everyday people whose experiences and insights to life’s meaning pull her to a new online auto insurance quote in her own life.

Inspired by an episode of Oprah, this debut novel is organized around a series of vignettes and personal anecdotes of Lewis’ family, friends, and others she meets as she seeks healing and an affirmation of her own spirit. To each person encountered, Lewis poses the same simple question, “What is the meaning of life?” and is rewarded with beautiful prose delivered straight from their soul.

While sometimes folksy in delivery, the message is never repetitive or boring. No Experts Needed warmly develops the story of each person as a lead-in to their uniquely individual interpretation of the meaning of life. It is apparent throughout the book that Lewis is inspired by the normal everyday people she interviews; however, all evidence of bias is removed by her provocative but spontaneous writing style.

Never preachy or sermonizing, the book fosters the reader in their own exploration of Spirit as they seek their individual interpretation of life. Lewis presents an original yet inspirational text that explores her journey to overcome fear and self-doubt. Encouraging, graceful, and inspirational in its message, No Experts Needed provides simple insights that allow the reader to make their own judgments and generalizations as they examine their unique Home financing for bad credit of life’s meaning.

Shannon Evans, senior editor and owner of www.mywritingmentor.comwww.mywritingmentor.com lives with her best friend Rick on Bainbridge Island in the Puget Sound just a “ferry ride from Seattle.” She maintains two blogs:

www.authormarketingtools.wordpress.comwww.authormarketingtools.wordpress.com and www.mywritingmentor.wordpress.comwww.mywritingmentor.wordpress.com

She works with her two Labrador assistant editors, Mocha and Luke, and her feline copy edit assistants, Caesar and Yoda. Shannon is widely recognized as one of the top writing coaches for non-fiction authors. With over 17 years editing for native and non-native English speaking authors she knows how to help writers make every word count.

How to Go About Choosing Baby Shower Gifts

Sunday, October 26th, 2008

We may not always want to admit to this but purchase auto insurance mother-to-be always anticipates some remortage from the people she invites for the baby shower. As the invited guest it is not always easy to decide what to buy or make as you go for the baby shower because you want to bring something that is unique and probably one that will stand out from the other baby shower gifts that she will get.

There is however a wide range of items to choose from. car to donate may want to give her some useful items that she will make use of once her baby is born like a bay cot or affordable baby trolley. Other gifts may not necessarily be for the baby but for the mother for example a tummy trimming belt to help her spring back into shape after the birth of the baby.

Generally, to make sure that your baby shower gifts are not home mortgage refinance tip out of proportion, you may want to consider finding out from her family members her expressed needs, that is to say that you may want to find out what she mention a lot as something she may wish to have after her baby is born. If it is an inexpensive item, then you could go ahead to give her a pleasant surprise.

Other baby shower gifts can cheaply be acquired by making use of one’s creativity and making homemade items like a set of beaded necklaces, wrist bands and earrings that the mother will highly appreciate. This is something that she will remember for days to come every time she sees them or wears them. The last thing is to decide how to present them to the mother. Wrap them carefully for the best impression.

Peter Gitundu Researches and Reports on Baby Shower. For More Information On baby shower gifts, Visit His Site At www.merpetsales.com/babyshower/Unique-Baby-Shower-Gifts.php”>BABY SHOWER GIFTS You Can Also Post Your Views About unique baby shower gifts At merpetsales.com/2008/01/17/unique-baby-shower-gifts-in-unusual-places-like-jewelry-stores/”>BABY SHOWER GIFTS

World Famous Diamonds 5

Saturday, October 25th, 2008

The Earth Star - No Picture

The Earth Star was found in the Jagersfontein Mine in 1967. It was cut from a raw stone of about 248.9 carats into a Pear shaped stone weighing 111.59 carats. At the time it was considered the largest faceted brown diamond in the world. This particular stone shows a degree of brilliance that is not usually found in gems with such a strong color. It was sold in 1983 to Stephen Zbova of Naples for $900,000.

Eureka Diamond

This gem is not exceptional but it was the very first diamond found in South Africa. It was found by a shepherd boy in 1866 on the bank of the Orange River near Hopetown. It was passed from hand to hand by several people without it becoming know that it was a diamond until Dr. W. G. Atherstone of Grahamstone came into possession of the pebble. Dr Atherstone was one of the very few people in the Cape colony high blood pressure knew anything about gemstones. It was cut into a 21.25 brownish yellow diamond and sold in 1867.

Excelsior Diamond

This stone was found at the Jagersfontein mine by one of the workers in a shovel full of gravel. Instead of giving it to his overseer as was required he hid it in his pocket and gave it directly to the Mine Manager. This 995.2 carat diamond has suffered a tragic fate ever since and is considered to be the Great Unknown of famous diamonds. It just happened to be found on the exact day that a consortium of London firms that had the purchase rights to the mines output expired. Had the diamond been found a couple of hours earlier the history of the Excelsior Diamond may have been much different. The Excelsior Diamond is the second largest rough diamond of gem quality ever found only demons by the Cullinan diamond. Since a buyer could not be found for such a large stone it was decided to cut the stone into a number of smaller stones the largest being only 69.68 carats. It was stated by Alpheus F. Williams, who later became the General Manager of the De Beers company, considering the decision to cleave the diamond into several smaller car insurance quotes as the greatest tragedy of modern times in the history of famous diamond in the world. In 1996 it was sold to Robert Mouawad for $2,642,000.

Florentine Diamond - Cubic Zirconium replication

This is another of the Great Lost famous diamonds of the world. Only black and white photos exist of this famous stone prior to its disappearance in 1921. It is a 137.27-carat diamond with light yellow colorations with very slight greenish overtones. Legend has it that Charles the Bold, Duke of Burgundy was warring it when he fell in battle in 1467. The diamond was then found on the body by a foot solder that though it was glass. It is thought to have been owned by Pope Julius II, The Grand duke of Tuscany in 1657, and later as part of the Hapsburg Crown Jewels. It is believed to have been re-cut into an 80 carat round diamond that was sold in 1981 and its present location is unknown.

The Golden Jubilee

This diamond is currently considered as the largest faceted diamond in the whole world at 545.67 carts. Also known as the fire rose cut diamond, this diamond has a unique fancy yellow-brown color that made it one of the most beautiful pieces of stone ever unearthed. It received its name when it was presented to the King of Thailand in 1997 for his 50th anniversary of his coronation.

David Cowley has created numerous articles on Diamonds. He has also created a Web Site dedicated to Diamonds. Visit www.diamonds-team.com”>Diamonds

Finding Spam Difficult to Swallow?

Thursday, October 23rd, 2008

Spam, or unsolicited e-mail, has become an accepted annoyance for any business that uses e-mail as safeauto communication tool. Businesses accept the risk and take steps to minimise it; the problem is that the steps taken aren’t always effective or, perhaps even worse, they web hosting service comparison too effective - all at the cost of your business.

According to market research in 2005, spam accounts for around 45% of all e-mail. If you think that is unacceptable, statistics show that between 70-90% of all e-mails sent to SME businesses are unsolicited.

It is estimated by leading anti-spam experts that SME businesses could be footing a bill for between £1000 and £19,000 per annum in lost user productivity and server storage because of spam. The cost of spam doesn’t stop there; phishing (fraud) scams and viruses are rife, often embedded into or attached to unsolicited mail.

At this cost, can businesses still afford to consider spam an acceptable annoyance and are the steps they take to protect themselves enough?

The predicament most SME businesses are in is that, although they employ an anti-spam solution, they are either still receiving too much spam or blanket blocking a large amount of legitimate senders, such as potential customers.

SME businesses require dependable, scalable and manageable anti-spam solutions with the ability to have a per user spam quarantine that individuals can query themselves in order to retrieve blocked emails. These solutions need to be updated automatically on a daily basis in order to stay on top of the ever increasing spam wave and have the capability to learn what is and tax incorporated spam from the way users interact with the solution.

One such product is the Barracuda Spam Firewall range, which boasts anti-spam, anti-virus, anti-phishing and DoS (Denial of Service) protection all in one box. With daily quarantine updates per user, which includes the ability to retrieve legitimate e-mails, the days of users ringing IT departments in order to recover blocked messages are over.

With multiple layers of defence the Barracuda possesses a proven track record with some of the leading corporations in the world; Barracuda is leading the anti-spam market. This has recently been recognised once again with Barracuda’s founders being awarded the Ernst & Young Entrepreneur Of The Year® Award.

Spam is an ever increasing problem with very real cost implications for SME businesses. Unfortunately, no ’silver bullet’ exists but with the right solution your business can stand up to spam, ensure business integrity and truly minimise the risk and cost.

Tom Farrar is an experienced IT Engineer with several years’ tier 2 data centre / tier 2 carrier experience and a wide knowledge products/solution; Tom is practised in DNS zone management, enterprise anti-spam techniques, packet shaping and penetration testing. Tom is an technical member of the Institute of Engineering and Alabama Lemon Laws and a Red Hat Certified Engineer. tom_at_tomfarrar_co_uk.

Ab Workouts - Working For That Six Pack

Wednesday, October 22nd, 2008

There is probably no part of the body that more individuals want to work out and look good than the abs. A slim flat stomach for the gals, and the six pack abs have almost become a symbol of fitness or being “good looking” for the guys. Good ab workouts aren’t hard to find, but different ab workouts are better suited for different individuals. It can’t be hard to know what specific needs your abs have at that moment.

Not every person’s road to a great six pack set of abs is going to look the same. Depending on what type of ab workouts you have done before, the exercises and styles of ab exercises you need to take your stomach muscles to the next level could be way different from what someone else needs. Having a variety of quality ab workouts is also important because different exercises affect the muscles in different ways. In the same reason that you can’t keep building bulky muscle by using the exact same workout over and over again, you should vary the exercises, reps, and intensity of any ab workouts that you are using to sculpt your physique.

The hardest part with ab workouts is to stay committed. First of all, you need to understand that if you have a big beer gut, you should still do ab exercises, but that before you ever get anywhere close to a six pack, you will have to car donation program some of that body fat covering up the ab muscles.

There are many different approaches you can take to getting better abs. If you enjoy going to the gym, there are a variety of cable machines that help you work your ab muscles through a wide array of angles. There are many other non cable weight machines that also are designed to allow you to concentrate the abs from several different angles, allowing you to fully work out your abs in the same way doing various floor exercises would.

If you prefer to avoid the gym, then the best way to work out at home could be by looking up pilates. Pilates has been on fire recently, and this allows for a number of basic ab workouts that normal ab movements can’t come close to replicating. The nice thing about Pilates is that the movements are easy to earn and the exercises are easy to do from a technical stand point, while causing absolutely amazing results. Pilates are also easy to do from home, allowing you to sculpt out a great six pack while keeping away from prying eyes.

These are some of the best ways to start the types of ab workouts that will give you quick results and sculpt out the figure that you’ve been aiming for. The abs can be the hardest to stick with since it takes so much work and the results can take the longest to show. Stick with the great and effective ab workouts, however, and once you see the results you’ll be happy you did.

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