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Reunion Dinner Part 4

graynut — Thu, 03 Jul 2008 12:33:55 +0000

This series is getting really boring. So, I've decided to wrap it up with the next post instead of continuing it for another four entries with photographs accompanied by witty comments which I am seriously running out of. The remaining photographs will be stored here, along with those that I've posted before this.

Here goes.

The loaded Fortune Deity giving out moolah while shaking hands with recipients a la VIP.

No, this photo was not smeared. It was the steam rising out of the pot.

Somehow this shot reminds me of those couples shot. Okay, that was so wrong.

Wen Yi and Dinesh in discussion. Dinesh was the only non-Chinese to join us. I am not being racist here. Rather, I was disappointed that he was the only non-Chinese there.

You can see Adrian showing er, whatever sign that means.

Mr. Ho helping himself to those fresh crustaceans while Mr. Leong looked on.

Shin En caught unaware.

The guys were having a great time exchanging news among each other. Don't forget about the bullshitting part too when Chun Ho was in the photo. Trust him to blow your logic away with his mind numbling stories with the occasion help from Wye Hon.

There was one incident during the dinner that warrants a special mention here. First, have a look at the incident.

Unfortunately, this is not a guess-what-it-is game. This is the clearest shot I could get of that incident

Just in case you still can't figure out what's that, those are oysters. In a cup of Chinese tea. How did those oysters get into the tea? I'll leave that to your imagination. It was totally unintended though.

Stay tuned for the last part. Adieu, graynut signing off.

CodeCampSA 2008 12-13th July Prelim Program

stepp0 — Thu, 03 Jul 2008 06:55:36 +0000

http://www.acs.org.au/index.cfm?action=event&area=9005&temID=eventdetails&eveID=10109365592870

Saturday

8:30:00Register

9:00:00 Jeremy Huppatz VSTS 2008 Database Edition

has been on an EDS professional development program for the last 3 months (including 2 months in Seattle) working with Visual Studio Team System 2008 Database Edition.

Jeremy will walk through the SDLC phases that the various features of DB Edition addresses and some of the productivity benefits on offer

10:00:00 Allan Baird Welcome UniSA

10:15:00 coffee

10:30:00 Daniel Brown Sharepoint

11:10:00 Alan Boldock

11:50:00 Simon Holman DNN

12:30:00 Lunch

13:10:00 Peter Cornish

13:50:00 Paul Turner Branding a Publishing site in Microsoft Office SharePoint Server 2007

14:30:00 David Gardiner Microsoft Sync Framework.

15:10:00 coffee

15:25:00 Jason Stangroome/ Jim Burger Microsoft's Team Foundation Server and the open-source Subversion alternative.

16:05:00 Nigel Spencer/ Jason Schluter Videoing Demo apps

16:35:00 QUIZ - Prize MSDN Team Suite 2008 Subscription

17:00:00 Break

18:00:00 Marcellina’s Restaurant

20:00:00 Close

Sunday

8:30:00 Paul Stovell Reactive Programming with Bindable LINQ

9:10:00 Tatham Oddie Business Considerations for the ASP.NET MVC Framework

9:50:00 Mike Duhne Welcome from Microsoft

10:00:00 Coffee

10:15:00 James Chapman-Smith

10:55:00 Greg Low

11:35:00 Shane Morris

12:15:00 Ben Mackie

12:55:00 lunch

13:35:00 Corneliu I. Tusnea CLR Production Debugging

14:15:00 Adrian Downes? business intelligence - to be confirmed

14:55:00

15:35:00 Close

What is the optimal dose of clopidogrel in ACS ?

drsvenkatesan — Wed, 02 Jul 2008 07:15:49 +0000

Aspirin confusion spreads to clopidogrel !

It all started with 75 mg clopidogrel in CURE study and others.

It went up to 150, 300, 600, and in some centres 900 mg.

No body knows how much clopidogrel optimally inhibits the platelet.

Aspirin had the same story three decades ago. It started from 40mg went up to 1200mg

and finally settled at 162mgs.

Why this confusion?

It is because there is no simple platletlet function tests available in bedside.

and also the wide safety margin of this drug.At what level clopidogrel is unsafe

is also not clear !

Answers are expected soon .

CAPTIM study - Ambulance crew better than interventional cardiologists ?

drsvenkatesan — Wed, 02 Jul 2008 06:55:21 +0000

The forgotten "Gem of a study" from lancet 2002 .

The fight between Primary angioplasty and thrombolysis was actually over in 2002 itself.

But the cardiology community failed to , rather reluctant to accept the truth.

A bolus of thrombolytic agent (TPA/RPA) can do almost the same if not better than a

highly complex procedure called Primary PCI with lots of logistics issues and most important

an unacceptable early procedure related hazard.

It is an irony, a simple intravenous push of a drug (Thrmbolytic agent) very early after an

STEMI can save many patients . But because it is simple , it is considered inferior .

In this era of medical commerce and simple , cheap , and effective treatment can never compete with sophisticated , glamorous , less effective treatment modlities !

Read the full version of CAPTIM and comments

Comparison of Angioplasty and Prehospital Thrombolysis in Acute Myocardial Infarction (CAPTIM) study group, are published in the September 14, 2002 issue of theLancet.

Primary angioplasty "no better" than prehospital fibrinolysis: CAPTIM

London, UK - In a finding that would appear to go against the swelling tide of support for primary angioplasty as the treatment of choice for acute MI, investigators comparing primary angioplasty with prehospital administration of alteplase with rescue angioplasty have concluded that the 2 strategies are comparable. The results, from the Comparison of Angioplasty and Prehospital Thrombolysis in Acute Myocardial Infarction(CAPTIM) study group, are published in the September 14, 2002 issue of theLancet.1

"Our findings indicate that primary angioplasty is no better than prehospital fibrinolysis followed by transfer for possible emergency coronary angioplasty in patients presenting within 6 hours of an acute myocardial infarction," the researchers, led by Dr Eric Bonnefoy and Dr Paul Touboul(Hopital Louis Pradel, Hospices Civils de Lyon, Lyon, France), write.

However, they point out that cessation of funding during the trial resulted in a lower-than-expected enrollment, 840 of 1200 planned patients, reducing their statistical power. "The CI (confidence interval) for the primary end point shows that there could be a real difference in the treatment effects," they write.

Still, the researchers feel their conclusion is valid. "This was and is for us a very pragmatic question for our care system in France," Bonnefoy told heartwire. "Is our current management, with prehospital thrombolysis with transfer, in a time when primary angioplasty is promoted as the best-of-the-best treatment, still sufficient? Even if the power of the study is lower than expected, we think that we have our answer, and we can go on with that practice."

The strategy also means less strain on their cath labs, Bonnefoy added, since only 1 in 4 patients underwent rescue angioplasty. A cost analysis comparing the 2 strategies is currently being carried out.

Earlier thrombolysisPrevious studies comparing primary angioplasty with in-hospital thrombolysis have shown a "definite, albeit modest" benefit of angioplasty over thrombolysis, with lower rates of recurrent infarction and higher patency rates, Bonnefoy et al write. However, it does impose additional treatment delays, and "delay to treatment is an essential consideration for any revascularization strategy."

In France, where this multicenter trial was carried out, ambulance crews include a physician, and so thrombolysis with intravenous tPA is possible in the prehospital setting. In this trial, they randomized MI patients to either prehospital administration of accelerated alteplase or primary angioplasty and transferred all of the patients to a center where emergency angioplasty could be carried out if it were determined that thrombolysis had not been successful.

The primary end point was a composite of death, nonfatal reinfarction, and nonfatal disabling stroke at 30 days, with analysis by intention to treat.

Of the 840 patients, 419 were randomized to prehospital fibrinolysis and 421 to primary angioplasty. Rescue angioplasty was used "liberally," they write, in 26% of patients assigned to fibrinolysis.

Time to treatment, as expected, was longer in the primary angioplasty group: the median delay between onset of symptoms and treatment was 130 minutes in the prehospital fibrinolysis group, and time to first balloon inflation was 190 minutes in the angioplasty group.

At 30 days, there was no significant difference in the primary end point between groups. Overall mortality was lower than expected, they note. Deaths were fewer in the prehospital thrombolysis group, but mortality was not significantly different between groups. There was a trend toward less reinfarction and less disabling stroke favoring the primary angioplasty strategy.

CAPTIM: Primary end point

Outcome	Prehospital fibrinolysis	Primary angioplasty	Risk difference (95% CI)	p
Composite end point	8.2%	6.2%	1.96 (-1.53-5.46)	0.29
Mortality	3.8%	4.8%	-0.93 (-3.67-1.81)	0.61
Reinfarction	3.7%	1.7%	1.99 (-0.27-4.24)	0.13
Disabling stroke	1.0%	0	1.00 (0.02-1.97	0.12

To download table as a slide, click on slide logo below

Among secondary end points, the researchers noted a nonsignificant trend toward a higher frequency of cardiogenic shockthe most common cause of death in this studyin the primary angioplasty group, noting that cardiogenic shock between randomization and hospital admission occurred only in that group.

The CAPTIM results were first presented at the European Society of Cardiology Congress in September 2001 and reported by heartwire.

Strong wordsIn an accompanying commentary, Dr Gregg W Stone (Lenox Hill Heart and Vascular Institute, New York, NY) calls the CAPTIM results "the latest salvo in the 'primary PTCA vs thrombolytic therapy wars'," a "well-designed and carried out" trial.2

"Unfortunately," because of funding issues and slow enrollment, the trial ended before the planned recruitment of 1200 patients that would have been required to show a 40% reduction in the primary end point with primary PTCA, he writes. "Nonetheless, the results demonstrate a trend toward a 24% relative reduction in the occurrence of adverse events favoring the interventional strategy, driven by strong reductions in reinfarction and stroke (which would be expected, after all, to be largely independent of reperfusion time)," Stone notes.

He attributes the lack of mortality benefit from primary angioplasty to the lower-than-expected mortality risk in this population, since the survival benefit of primary angioplasty is seen primarily in the highest-risk patients, the elderly and those with anterior MIs or shock. The lack of mortality benefit, though, "does not diminish the clinical relevance of fewer strokes, reinfarctions, a reduction in urgent revascularization procedures, and the shorter hospital stay" seen with the interventional strategy in this and other studies, he writes.

Perhaps the most novel finding is the reduction in early-onset cardiogenic shock with prehospital thrombolysis, a result that "adds fuel to the fire calling for facilitated primary PTCA trials." However, several trials of the combined approach to date have shown it to be either inferior to or no better than primary PTCA, he notes. Even in CAPTIM, prehospital thrombolysis was supported by rescue angioplasty in 26% of patients, and Stone speculates these patients may have been "better off" if they had simply been transferred for routine immediate primary PTCA.

"Thus, until the large trials of facilitated PTCA are completed (none of which have even begun enrolling), the best therapy for most patients with evolving AMI should no longer be debated; administer antiplatelet therapy (aspirin, a thienopyridine, and possibly abciximab), withhold thrombolytic therapy, and transfer the patient for primary PTCA, regardless of whether the nearest catheterization suite is 3 floors or 3 hours away," Stone concludes.

"To do less should no longer be considered standard care. Strong words, yes, but it is time for a wake-up call."

CAPTIM researchers respondAsked to respond, Bonnefoy pointed out that "Dr Stone is surely a primary angioplastician and very convinced, but it's quite ideological. CAPTIM is quite pragmatic. His arguments are acceptable, but they are not convincing; that is his opinion rather than scientific data."

Bonnefoy asserts that no study has clearly demonstrated the superiority in terms of mortality of primary angioplasty over prehospital thrombolysis. "And in CAPTIM, we have the surprise and intriguing observation to have lower mortality in the prehospital thrombolysis groupit may be hazard, but it is present."

Moreover, while high-risk patients may benefit from primary angioplasty, high-risk patients do not represent the majority of the MI population. In patients such as those in the CAPTIM study, he said, "our conclusions are quite valid."

Sources

Primary angioplasty versus prehospital fibrinolysis in acute myocardial infarction: a randomized study2002; 360:825-829
Primary angioplasty versus "earlier" thrombolysis--time for a wake-up call2002; 360:814-815

Ever wanted to be pyridazine? Now is your chance!

finolagraves — Tue, 01 Jul 2008 19:30:48 +0000

in front of chemistry museum construction

Originally uploaded by ACS Island

Our SL builder, the beautiful and talented Hiro Sheridan, created these adorable pyridazine avatars for us to waddle around as. No need for jealousy, dear readers, these avatars will be made freely available to ACS Island visitors soon.

This snapshot is of us (don't ask me which is which...) standing in front of our partially constructed as-yet-to-be-named chemistry museum. The chemistry museum is slated to open prior to our upcoming 236th National Meeting, to be held in Philadelphia, August 17 - 21.

Reunion Dinner Part 2

graynut — Sun, 29 Jun 2008 12:49:32 +0000

This is the 2nd entry on the previous reunion dinner. The first post can be found here.

As the clock ticked away, more and more arrived. I was really glad that so many people turned up in spite of the short notice. However, we were really had a lot of empty seats until the very last minute. In the end, the number that turned up was nearing 30, way beyond my expectation. You can say that I have low expectation or whatsoever, but then again you don't really know what kind of responses I got from some of those that I've invited.

'Nuff with the boring details, and feast your eyes upon these sub par photographs.

Wai Kit chattering away with Pn. Kwan before dinner began.

The guys were doing the same across the tables.

Chun Ho and Hou Zzan, with hint of excitement in their eyes, though you can't see Chun Ho's from this angle.

Wai Kit indulging himself in university entrance guide.

Pn. Kwan and Mr. Leong. They are this friendly all the time mind you, not just in front of the camera.

Wye Hon, it was hard to get a good shot on you despite all your previous efforts until now. Really.

Wai Kit may seems reluctant being alone in front of the camera, but it's different when he's with others.

Yin Teng with, er, some meat (?) between her chopsticks. Abymsal focus, this one, yes.

The two Koks, Adrian Kok and Kok Wee Keng. Close buddies since young.

Everybody was busy sinking their teeth into something.

These guys prefer a la carte, and so they have to wait while those eating steamboat feasted non-stop. Chun Ho was peering over his university entrance guide, while Hou Zzan tried to catch a look.

So, that's the end of this entry. It is not even half way yet.

Stay tuned. Adieu, graynut signing off.

Reunion Dinner

graynut — Sat, 28 Jun 2008 15:43:08 +0000

Class 6AB ACS Ipoh of 2007 threw a reunion dinner on last Sunday. More information below.

Venue       : Moven Peak Steamboat Buffet
Time         : 7pm
Date         : 22nd June 2008
Dresscode : Smart Casual

Anyway, the dinner was not restricted to students from that class. We had people from other classes as well. Heck, we even had people who were no longer ACSians since Form 5 in 2005.

Less words, more photographs. I think I'll need about 8 entries to cover the whole thing, 10 photo at a time.
Dial-up friendly, eh? Anyway, for those who want the original version of the photographs, please inform me. I'll upload them to you once I have true broadband unlike pseudo broadband that I am using now.

From front : Yin Teng, Edmund, Pui Yee and Chong Yi (hidden)

Ms. Chang, Kar Chun, Shi Wei, Wee Keng and I were first to arrive. It was already 7 by then. It seemed like MRT (Malaysian Rubber Time) was in effect again. Oh bother. Punctuality was not emphasized this time. Attendance was.

From right : Wee Keng, Ms. Chang and Mr. Leong

So, we while away waiting for the rest to arrive. Yin Teng showed up in a short while. Glad she did, because she mentioned that she might not make it in time from KL. Mr. Leong, Kah Meng, Edmund, Pui Yee and Chong Yi arrived soon after that.

From front : Edmund, Kah Meng (hidden), Pui Yee, Chong Yi (hidden) and also Moven Peak service crew :-P

From front: Edmund, Yin Teng, Kar Chun and Shi Wei

From left: Pn. Kwan, Mr. Leong, and Ms. Chang

Pn. Kwan too arrived soon after. By then we already have 3 teachers with us, with Mr. Ho on his way.

From left: Ms. Chang, Wee Keng, and Chong Yi

Sitting from left : Edmund, Kah Meng and Pui Yee
Standing from left : Kar Chun and Shi Wei

From left : Do I need to repeat myself? :-D

Standing from left: Hou Zzan, Kar Chun, Shi Wei, Jason and Deenie
Sitting from left: Edmund, Kah Meng, Pui Yee and Wai Yew

7.30pm, and there were still missing faces.

I think I have repeated names enough. Perhaps one or two were not in the photographs before. Far left, donned in orange , Adrian, while on the far right, donned in beigi, Chun Ho.

So, what happened after that? Would more turn up? Or would the dinner come short of expectation?

Stay tuned. Adieu, graynut signing off.

Is there a Time window for intervention in unstable angina /NSTEMI ?

drsvenkatesan — Thu, 26 Jun 2008 17:27:10 +0000

ACS is the most common cardiac emergency . Management of STEMI is relatively straight forward. The only decision that to be taken is the modality of reperfusion. (Primary PCI or thrombolysis.) There is no need to risk stratify STeMI on arrival. All STEMI patients are considered high risk on admission. Whereas NSTEMI consists of a heterogeneous population. They need to be triaged into low intermediate or high risk categorizes on arrival. To be continued . . .

just wanna say sorry to mybestfriend

irrrr — Wed, 25 Jun 2008 09:25:54 +0000

maaf banget, di hari bahagia lo, gw malahan harus pergi jauh dari kota ini. walau cuma sebentar, tapi jadinya gw ga bisa liat lo bersanding dengan dirinya menjadi raja dan ratu sehari --kata orang2 sih gitu :P --

Rencana yang dah di susun jauh2 hari berantakan. Rencana gw dateng ke nikahan lo bareng ma anak2 the penampakanz pun kmungkinan besar ga akan terwujud. Tadinya gw kirain om gw merit di bulan juni, jadi di bulan juli bisa hadir di nikahan lo, tapi ternyata nikahan om gw dan nikahan lo beda sehari.
Meskipun masih beda sehari, tapi tetep aja gw ga mungkin dateng, walaupun cuma sekedar hadirin akad nikah nya aja --sesuai permintaan lo-- karena di tanggal 4 nya ada peringatan setahun meninggalnya almarhumah nenek gw. Bukan masalah peringatannya itu, tapi karena di saat itu, sodara2 gw kumpul semuanya. Sodara2 yang ketika lebaran pun belum tentu kumpul. So,,, i don't wanna miss this one.... dan nyokap pun pasti akan kecewa kalo gw ga bisa dateng.

Jadi maafkan gw yah teman. Walau pun gw ga dateng, kbahagiaan gw slalu ada bersama lo --ko aneh yah bahasanya?? ahh,, bodo :P -- Gw doakan smoga lo bahagia bersama dia. Salam buat ade lo yang nge fans ma gw itu :P hahaha.....

There's nothing you can teach me that I can't learn from Mr. Hathaway

athenasmom — Wed, 25 Jun 2008 04:42:16 +0000

Several of my comrades have emailed me the following story:

Report Assails Political Hiring in Justice Dept.

By ERIC LICHTBLAU

Published: June 25, 2008

Justice Department officials illegally used “political or ideological” factors in elite recruiting programs in recent years, tapping law school graduates with Federalist Society membership or other conservative credentials over more qualified candidates with liberal-sounding résumés, an internal report found Tuesday.

The reports of conservative bias in honors program hiring at the DOJ is all over the news. But because my friends are all liberal, the only newspaper they read is the New York Times. The Post is for wrapping up aborted fetuses.

One rejected candidate from Harvard Law School worked for Planned Parenthood. Another wrote opinion pieces critical of the USA Patriot Act and the nomination of Samuel A. Alito Jr. to the Supreme Court. A third applicant worked for Senator Hillary Rodham Clinton and posted an unflattering cartoon of President Bush on his MySpace page.

I guess I should not have organized that FISA roundtable discussion, and then bragged about it in my cover letter. I know, I know--it was a boneheaded move discussing my knowledge of the US Constitution when applying to the Justice Department. Actually having read the thing would have put me at a distinct disadvantage in ignoring it.

It's not like I discussed my love of the Geneva Convention in my cover letter.

Investigators reviewed e-mail messages from Ms. McDonald in which she indicated that “leftist commentary” or “buzz words like ‘environmental justice’ and ‘social justice’ ” were grounds for rejecting applicants. Membership in liberal organizations like the American Constitution Society, Greenpeace or the Poverty and Race Research Action Council was also seen as a negative mark, the report said.

I can safely assume my membership in that rogue terrorist group--the ACS-- is why I did not get a summer job with the DOJ. You should have seen the guy I had to work for instead.

Even if I had been in bed with the Fedies during law school, I doubt my application would have made it past the initial screening. My BA is in liberal arts. Four years of studying Hegel is letting the terrorists win.

It's sad, really--the DOJ could really have used me. I mean, look at what happened to Sonnenschein after they passed over my resume.

30K Zyngo & RFL Kiosk

cursed419 — Mon, 23 Jun 2008 14:30:04 +0000

The *~ Cursed ~* Zyngo's jackpot is now over L$30,000 & climbing, and a Relay For Life kiosk is now available!


A picture of the Zyngo on the morning of 06.23.08

How often do you get a chance to win $107.52 USD for only 35 cents? Well at this very moment, that's exactly what you could do if you played and won the *~ Cursed ~* Zyngo Wyld!, which is located directly to the right of the Landing Point. For only L$100 you can play for a chance to win over L$30,000 if you beat the score of 94999; and each time you play, 50L is added to the jackpot, so it just keeps growing and growing!

If you've never played before, the object of the game is to click every number on the board without getting a devil (which appear randomly). You can get detailed instructions of the game by clicking the blue part of the game console. It's easy to get the hang of and really quite fun to play.

And for those of you who think it's impossible to score 95k or over on Zyngo Wyld!, may I remind you that Aazy (the game's creator) has an identical setup on his Sim, with the exception of a higher score to beat, and 6 people have already won a combined L$554,350 ($1,938.29 USD) with an average of over 99,000 points just this year. So yes, it IS very possible to win big!

And speaking of winning big, *~ Cursed ~* now has a Relay For Life kiosk so you can now donate to the American Cancer Society to help win big against cancer!

The kiosk is located on the other side of the Jewelry Store steps from the Zyngo game. *~ Cursed ~* is a part of the Giant Snail Races Team, as Cujo Mayo and Syarra Hebert (both *~ Cursed ~* Designers) participate in the Giant Snail Races.

Each month, RacerX Gullwing hosts a cross country Giant Snail Race which covers 42 Mainland Sims and all proceeds are donated to the Relay For Life campaign! Cujo and Syarra have finished 1st and 2nd, respectively, in each of the last two races, and will look for the trifecta on July 12th when the last race will be held for this year. The 30 meter tall trophy in front of the water fountain is what is given to the 1st place finisher.

You don't have to be a Giant Snail to donate however, and every L$ counts, so please donate to the kiosk if you can so we can help fight cancer!

If you are interested in becoming a Giant Snail, please visit http://snailracers.blogspot.com and/or contact RacerX Gullwing, Cujo Mayo, or Syarra Hebert for more information.

You can view the last RFL Giant Snail Race here: http://slcn.tv/giant-snail-races-relay-life-june-edition

Moven Peak Gathering

graynut — Sun, 22 Jun 2008 04:26:24 +0000

Arvin called for a gathering before everyone part ways, and I answered.

So, at approximately 2.15pm on 21st June 2008 (it was Ren Shen's 20th Birthday by the way), I went to Moven Peak Steamboat Buffet with Kar Chun and Shi Wei. Once there, we joined the organizer, Arvin, who were chatting with Hou Zzan and Jien Wey.

Siew Vern, Wai Yee, Chee Yan and her boyfriend soon after that. The lasts to arrive were, as expected, Chun Ho, Wye Hon and Hon Yuen.

Knowing that everyone was there already, I went on to take group photograph.

Standing, from left : Hon Yuen, Hou Zzan, Wye Hon, Chun Ho, Arvin

Sitting, from left : Chee Yan, Jien Wey, Siew Vern, Wai Yee

As my primary objective there was to get a group photograph, besides doing a bit of catch up, duly achieved, Kar Chun, Shi Wei and I left since the two have other things to attend to and they did not have any intention of joining in the first place.

The next reunion dinner to attend to will be the Class 6AB of 2007 Dinner.

Venue       : Moven Peak Steamboat Buffet

Time         : 7pm

Date         : 22nd June 2008

Dresscode : Smart Casual

Contact me for further information.

Although the dinner serves as a reunion for class 6AB of 2007, anyone from other classes is still and very much welcome to join us. In fact, bring along your friends. We believe in "the more, the merrier".

Stay tuned for entries on the next reunion. Adieu, graynut signing off.

Lately ...

madamemaracas — Sat, 21 Jun 2008 17:06:52 +0000

I've been good. Been getting out socially a little more, mostly dragged out by friends and family, it's true but I'm going vs. staying in and obsessing. So that's good. I feel better every day, my knees, me in general too. Most of the time the changes are subtle, but every so often there's kind of an "Ah Ha!" moment when something feels significantly easier to do.

I've been hanging out in Plurk and Age of Conan a lot, recharging my batteries for Second Life (tm) and the ongoing fund raising benefiting the American Cancer Society (ACS) via the Relay For Life (RFL) campaign. The campaign is going well, and we're in the home stretch toward the 24 hour Relay itself this July 19 - 20th. We've surpassed last year's grand total already (over 118,000 U.S. dollars collected via direct donation and over 30 million Linden dollars gathered in-world)!

Team RadioRadio has done it's part and has it's next big event coming up at 5 pm (Pacific) on July 10, 2008, DJ Chet "Spanky" Neurocam will be spinning while racers drive in support of BOTH ACS and United Spinal Research (USR). Earlier this month, we participated in a 5 team, 3 station event, that doubled Team RadioRadio's total and altogether raised just over $8,700 USD in 15 hours! Nothing like the power of cooperation and motivation to get things rolling!

At the end of the month I'll have some tests done to see where we stand on the next big procedure, which will give me an indicator of what the rest of my year is gonna be like. I've been DJing 2 nights a week, Fridays 9 pm - midnight (Pacific) and Saturdays 5 - 8 pm (Pacific). Also I'm collaborating with an SL buddy Xugu Madison on building a website for the guild we're both members of in Age of Conan. We built a wiki site for Tiny Empires last year and I'm looking forward to seeing what we come up with this time!

Why Abxicimab is very useful inside cath lab but dangerous outside cath lab ?

drsvenkatesan — Wed, 18 Jun 2008 17:45:39 +0000

2b -3a antagonists have revolutinised ACS management .

But the irony is Reo pro is approved to be used only inside cath lab or on the way to cath lab !

when PCI is done .

If PCI with stenting is planned then subsequently cancelled due to

minimal coronary lesion or spontaneous reperfusion

what will be the effect of Abxicimab on outcome ?

Message 1

Abxicimab (Reopro,Faximab)

Useful only if PCI and stenting is done.

Dont use it for regular managment of UA/NSTEMI

Abbotsford Christian School Celebration Night BBQ

alyssaschroeder — Tue, 17 Jun 2008 03:54:45 +0000

On the last week of May, Abbotsford Christian School hosted its annual Celebration Night BBQ. Here are a couple photos I shot of the band's performance.

David Seymour at the Abbotsford Christian School Celebration Night BBQ

Megan Thiessen performing at the Abbotsford Christian School Celebration Night BBQ