While you're fishing in Iowa, check out the other places to see at the Iowa Tourism Bureau's website!

The Iowa Lake Fishing Guide (6.5 MB pdf) lists lakes across Iowa. Looking for a great place to fish close to home? Check out the following information on lakes in your part of the state.

• Northwest Iowa (120 KB pdf)
• Southwest Iowa (130 KB pdf)
• Northeast Iowa (63 KB pdf)
• Southeast Iowa (109 KB pdf)

IOWA FISHING REPORT
Last Updated: August 28, 2008

The Iowa Department of Natural Resources will be releasing the weekly fishing report on Thursdays in an effort to provide the latest information heading into the weekend. The weekly fishing report is compiled from information gathered from local bait shops, angler creel surveys, and county and state parks staff.

For current information, contact the district fisheries office. Phone numbers are listed with each district report.

Printable Copy:
Report for August 28, 2008,*.pdf

Choose a district:

• Northeast, office in Manchester
• Northwest, office in Spirit Lake
• Southwest, office in Lewis
• Southeast, office in Brighton

Mentored Outdoor Experience:
Deer Hunt

November 21 - 23, 2008

Designed to allow inexperienced deer hunters the opportunity to obtain the knowledge to allow them to fully appreciate their activity, as well as participate in a controlled deer hunt with a mentor.

This has been an extremely successful combination!

Don't miss this opportunity...register now!"

To me, this sounds like a GREAT way to get your child out in the woods and a GREAT experience for them.  You should try it out and let me and others know what you think of it.

LDFRP Editor

WHAT IS THE Lake Delton Fisheries Restoration Project?

On June 9, 2008, at approximately, 10:00 AM Lake Delton's weakest link broke.  Six hundred million gallons of water, covering 267 acres, carved its own return path to the Wisconsin River, emptying the lake in just under 45 minutes.

Four homes, a 200 feet wide section of Highway A, the livelihood of dozens of area businesses, the hopes and dreams of every home owner on the lake and ... the fish.

Yes, the fish.   No water. No lake. No fish.

All levels vowed to do what they could to restore Lake Delton, but no one knew how they were going to do this.

No budget existed to deal with such an unlikely natural disaster. Everyone knew something had to be done. Just WHAT ... and more importantly - HOW - was the real mystery to be solved.

Ben Hobbins, CEO of IronClads - Lake Resources Group had been thinking about this problem and wondering what he could possibly do to help. Ben came up with an idea and made a call. Ben called his friend Dan Small, TV/Radio show host and nationally recognized outdoor writer, to ask him to join in developing the idea Ben had for Restoring the Lake Delton Fishery. Dan immediately jumped at the opportunity and the genesis of the Lake Delton Fisheries Restoration Project was begun.

Ben and Dan hosted a press conference [ Online write-up ] [ TV video report ] on Thursday 28 August, 2008, at the site of the breach on Lake Delton, with the greening lake bottom looming in the distance.

Repairs to the dam are underway. The cleaning of the lake and related expenses are likely to be met, just barely.  There will exist not a single penny for restocking of the Lake Delton fishery. There are just no monies for restocking. If it happens, the money will need to come from somewhere else.

This is where the Lake Delton Fisheries Restoration Project comes to play. Ben's  idea is to raise the necessary capital investment to rebuild the fishery through donations by the local public, sporting clubs, organizations, businesses and corporate donors.

The campaign will rest solely upon the generosity of the fishing and recreation public.  Those who want to continue the outdoor recreation heritage, of which fishing played such a large part, of Lake Delton, Wisconsin.

The RLDF believes help will come from where ever the Love for Wisconsin lives. Local, state, national and international.

We may never fish the waters of the great state of Wisconsin, but we see the value of being a part of keeping the heritage of fishing alive. Our action today, keep the heritage alive for future generations.

Please do your part and support the Lake Delton Fisheries Restoration Project . Show your support by donating to the cause.

Your action today will be something your grandchildren can be proud to know you had a hand in rebuilding.

WHO IS BEHIND the Lake Delton Fisheries Restoration Project?

Ben Hobbins, CEO of IronClads - Lake Resources Group had been thinking about the economic problem facing the restoration of the Lake Delton fishery. Ben had an idea and made a call.

That call went to to his friend Dan Small, the nationally honored outdoor communicator who hosts MPTV's Outdoor Wisconsin and the Dan Small Outdoors Radio show.  Ben asked Dan to join in developing the idea Ben had for restoring the Lake Delton fishery.

Dan, knowing the importance of the fishery to the local community and to Wisconsin, enthusiastically jumped on board and the genesis of the Restore Lake Delton Fisheries Project was begun.

These two men started the ball rolling.  But a number of others, public, corporate and private individuals are also involved.

Then there's YOU!  Without YOU, the outdoor enthusiast, recreationalist, this project could not succeed.  We thank you and applaud you for your help in this effort.

WHY SHOULD I GET INVOLVED?

1. Have a hand in lake restoration history: Lake Delton is the first lake in the U.S. to be fully restored following a natural disaster.

2. If you've been to the Wisconsin Dells area and have enjoyed the beauty or fishing feeound on Lake Delton then you'll want to be a part of the effort to restore it for future generations.

3. As an avid outdoors enthusiast you will understand the need to return Lake Delton to a status of quality fishery.

4. This is community development and action in it's basest formation. Get involved for change.

WHAT WILL MY DONATION DO... REALLY?

Donations are available in $15 increments. Your donation will allow you to:

• ADOPT a Natural Rock REEF
  • $15 purchases 1 cubic yard of natural rock reef structure
  • Consider an entry level Endowment of $1500. Name the Reef and receive its GPS coordinates.
• ADOPT a Fingerling
  • $15 will purchase, on average (depending on the specie of fish [list]), three (3) fingerlings
• ADOPT an entire SCHOOL of Fish
  • A $210 (minimum) donation allows you to adopt an entire school of fish and name them!
• ADOPT a FISH CRIB
  • A $15 (minimum) donation allows you to adopt a CRIB.
  • Consider an entry level Endowment of $450.  Name the Crib and receive its GPS coordinates.
• ANYONE can make an OPEN DONATION
  • Donations are made in $15 increments - no limit

Clubs, Companies and other Organizations

• ENDOW ENTIRE REEFS
  • Entry level Endowment is $1500
  • You can - with Endowments
    • Name the Reef
    • Receive the GPS location coordinate

• ENDOW ENTIRE SCHOOLS of Fingerlings!
  • Entry Level Endowment is $210
  • You can - with Endowments
    • Name the School
    • Specify specie (from the list of approved species)
    • Receive the GPS release coordinates

• ENDOW ENTIRE FISH CRIB Groups
  • Entry Level Endowment is $450
  • You can - with Endowments
    • Name the Crib Group
    • Receive the GPS location coordinates

IMAGINE!

WHAT BENEFIT DO I GET FROM MAKING A DONATION?

Personal Satisfaction and Reward in KNOWING...

• You made the difference between a vibrant fishery in Lake Delton and nothing.
• Your contribution saw that no local services were cut to restore the fishery.
• Your caring action will rebuild the fishing heritage for generations to come.
• The return of a vibrant fishery to the reconstructed and restored Lake Delton is for you, too.
• The returns in fishing enjoyment, harvest and heritage continuance exceed the investment.

IS MY DONATION TAX DEDUCTIBLE?

Contributions to the Restore Lake Delton Fisheries Project are not tax deductible. Lake Delton Fisheries Restoration Project is a nonprofit public benefit arm of Lake Resources Group, but we have chosen not to register as a charitable organization at this time. 100% of all donations will go toward the costs of restoration of the Lake Delton Fishery.

OK, I WANT TO DONATE. HOW and WHERE DO I DO SO?

1. Go to ANY ASSOCIATED BANK (300 banking locations across Wisconsin, Illinois and Minnesota) and deposit money directly into the:

Lake Delton Fisheries Restoration Project

2. Go ONLINE via any PayPal Badge like this

- and make your donation selecting you payment method.

These badges will soon be found on numerous sites, blogs, forums and podcasts around the Internet.  Please let those who are helping to promote the LDFRP cause know you appreciate their involvement.

3. If you would like to host an LDFRP PayPal Badge on your web presence, click HERE for details. Thank you for your interest!

NO DONATION WILL BE REFUSED!

WHOM DO I CONTACT ?    - Real People Please!

Ben Hobbins

Email : jbhobbins@yahoo.com
Phone : 1(608) 512-9183

Dan Small

Email: dansmalloutdoors@gmail.com
Phone: 1 (414) 588-4082

USPS Mailing Address

Lake Delton Fisheries Restoration Project
c/o Ben Hobbins and Dan Small
PO Box 10
Waunakee,  WI 53597 USA

General Site and Information Questions

• Email: restorelakedeltonfisheries@gmail.com

NO DONATION WILL BE REFUSED!

“Our local fire department volunteers are true heroes of their communities, and we are thankful for their steadfast dedication to helping their neighbors,“ said Governor Martin O’Malley. “These grants ensure that these local heroes can continue to safely protect their neighbors and local businesses from wildfires.”

Grant funds received by DNR from the USDA Forest Service funded 37 applications for $90,112 in match funding to fulfill local wildlfire suppression and preparedness needs totaling $286,039 this year. The maximum grant award was $3,000 per department. Grant applications were very competitive and funding was only available to assist 61 percent of the volunteer fire departments that applied this year. Applications are ranked based on project description, local financial support, population, protection area, and other factors.

“We are thankful for the fire protection provided by local volunteer fire departments,” said Monte Mitchell, DNR State Fire Supervisor. “The grants help rural fire departments increase their effectiveness and safety in combating wildland fires in Maryland.”

Church Creek Volunteer Fire Department of Dorchester is using their $2,670 grant for purchasing new forestry hose, improved appliances and tools, and new pagers for volunteers, while Clear Spring Volunteer Fire Department of Washington County is using their $2,980 grant to buy much-needed new wildland and forestry firefighting equipment.

The following is a list of 2008 awards:

For more information on the VFA program in Maryland, go to the Forest Service Wildland Fire Management website at http://dnr.maryland.gov/forests/wfm.asp and click on Volunteer Fire Assistance.

“Atlantic sturgeon existed historically along the entire Atlantic coast and at one time, played an important ecological role in the Chesapeake Bay ecosystem,” said DNR Secretary John Griffin. “Mirant’s funding and continued support of this fishery restoration project offers hope that the once abundant sturgeon can grow and prosper in its natural habitat again in the future.”

Overfishing, degraded water quality and man-made stream blockages drastically reduced the Atlantic sturgeon’s population. By 1928, sturgeon were rarely caught north of the Potomac River. Research by the USFWS-Maryland Fishery Resources Office concluded in 2004 that Atlantic sturgeon restoration in Maryland would not likely occur without hatchery supplementation.

“We are so proud of our successful partnership with DNR, and we believe wholeheartedly that these mutually beneficial partnerships are an important component of all Maryland’s fish restoration efforts,” said Misty Allen, External Affairs Manager at Mirant Mid-Atlantic LLC. “We recently expressed our steadfast commitment to the project for the next five years to continue sturgeon restoration.”

DNR and Mirant first began a pilot culture trial on the Potomac River in the summer of 2006. Positive findings from the effort led to larger scale culture trial in 2007. Mirant Mid-Atlantic LLC provided funding for manpower, materials, culture space and water supply, while DNR designed and constructed the research facility.

“The overarching aim of our restoration project is to culture a healthy, captive brood stock of genetically diverse sturgeon adults that will provide larvae and juvenile fish for restoration stocking,” explained Brian Richardson, DNR Fisheries Restoration Manager.

The facility will also serve as an education and outreach tool since it is included on plant tours.

For Help to Prevent Future Harmful Algal Blooms

Mattawoman, Md. - Routine water quality monitoring by the Maryland Department of Natural Resources and the Morgan State University Estuarine Research Center recently identified high concentrations of toxic blue-green algae, Microcystis, in Mattawoman Creek off of the Potomac River.

“Excessive nutrient pollution in the water fuels these algal blooms, which are not uncommon in the freshwater and low salinity waters of the Potomac River. Harmful algal blooms such as these can be prevented if more people living in the Potomac River watershed take steps to reduce run-off pollution,” said Tom Parham, DNR DNR DNR assessment director. “Some easy and affordable backyard solutions include planting native trees and rain gardens, using rain barrels, and refraining from fertilizing in the spring.”

After learning of algal toxin levels higher than typical acceptable standards for human and animal contact in water samples from Mattawoman Creek, Charles County issued a health advisory for the area encouraging people to take precautions to reduce the risk of illness or discomfort related to blue-green algal blooms:

• The public should not swim in areas where a blue-green algae bloom is evident.

• Do not drink water from any area with the appearance of a blue-green algae bloom.

• If contact is made with problem water, simply wash off with fresh water.

• In some cases, skin irritations may occur after prolonged contact. If irritations persist, see a physician or local health care provider.

• Keep pets and livestock away from bloom areas.

• Blue-green algal blooms may contain toxins that could be harmful or fatal to pets and livestock.

• Do not eat internal organs of fish caught in blue-green bloom waters.

• Inhalation exposure to blue-green algal bloom waters may result in irritation of the eyes, ears, nose and throat with extended recreational activity on such waterways.

Please note that illness associated with harmful algal blooms is a reportable illness and physicians should be reporting these to local health departments.

“We will continue to monitor the algal bloom,” added Parham.

For up to date information on all of Maryland's harmful algal blooms and water quality, please visit DNR's Eyes on the Bay website at www.eyesonthebay.net.

The Ceremony is timed to coordinate with National Marina Day (Aug. 9) to recognize marinas as family friendly gateways to boating and stewards of the environment. The following newly certified clean marinas will receive Governor’s Citations:

Anchor Yacht Basin of Edgewater, Md. (Anne Arundel County);Atlantic Marina on the Magothy of Pasadena, Md. (Anne Arundel County); Baltimore Marine Center of Baltimore City; Buzz’s Marina of Ridge, Md. (St. Mary’s County);Cedar Hill Marina of Bivalve, Md. (Wicomico County);Chesapeake Yacht Club of Shady Side, Md. (Anne Arundel County);Clark’s Landing Shady Side of Shady Side, Md. (Anne Arundel County);Clark’s Landing of West River, Md. (Anne Arundel County);Riverside Marine of Baltimore, Md. (Baltimore County) and Tidewater Yacht Service Center of Baltimore City, Md.

Since its establishment in 1997, the Maryland Clean Marina Initiative has certified 130 marinas. The initiative, coordinated in partnership with the Marine Trades Association of Maryland, promotes voluntary adoption of pollution prevention measures and seeks to certify at least 25 percent (roughly 150 marinas) of Maryland’s marinas. Marinas are certified by DNR as “Maryland Clean Marinas” after they adopt recommendations in the Maryland Clean Marina Guidebook and pass a site inspection by DNR and industry representatives.

A complete list of certified Clean Marinas and program information can be found at www.dnr.maryland.gov/boating.

OSHA regulates workplaces. The EPA and DNR regulate outdoors. Why is this important? because OSHA is tasked with protecting worker's health and safety and does so in an objective manner. It's all about science where OSHA is concerned because OSHA recognizes that there is something called reality and if we bend reality to acomodate all of the goons out there, we would halt the wheels of this country.

The EPA and DNR, on the other hand, are run by hard-core zealots who will stop at nothing to eliminate pollution of any kind. They generally don't care about the overall well being of an economy or often times of the human race. It is rare that I see regulations stem from these organizations and think to myself "gee, that makes perfect sense!" In fact, it's usually the opposite as I roll my eyes and wonder why these people hate the human race so much.

So this all makes perfect sense. Recently both LaCrosse and Wausau have had studies done that cite back to air pollution stadards set forth by the WIDNR, which struck me as odd. After all, we're comparing apples to oranges here, yet it's cited as if they're one in the same. But now it makes sense.

The DNR's standards reflect a far lower threshold for what is considered "polllution" than OSHA does. To further that, the DNR does not differentiate between different forms of respirable suspended particles (RSP), which is incorrect in itself. If you go to OSHA and try and find a permissible exposure limit for RSP, you will find nothing. The indoor air quality section and the air contaminants sections breaks down each contaminant but gives no particular limit for RSP. So now we have to get into the actual composition of the smoke's RSP and how much of what is actually there. Good luck.

But then we go to the WIDNR, they lump all particles into a single catagory and set a limit based on that. There is no distinction between types of particles despite the fact that OSHA specifically states that different compositions have different effects (and by default then, different permissible exposure limits).

So why, then, are we now using the DNR's standards for workplace air quality? It's taking an orange and calling it an apple - and even though we know it's an orange we don't question it because the "experts" tell us so.

It's this sort of thing that is allowing the nannies to run roughshod over us.

For more on RSP and air quality in bar, check out the ORNL report.

WARNING:

This story can be disturbing and emotionally traumatic. I recommend you stop reading it if you cannot handle painful truth that hurts, even if you do not know the patient. This case happened in an intensive care unit. I happened to take care side by side with the primary nurse who took care of this 20 years old expectant mother. Reader discretion advised.

SYNOPSIS

This young mother had a history of malignant lymphoma and underwent successful treatment. She was visiting cancer specialists often and all scans and blood test showed she had no cancer. She was in cancer remissions for over 3 years and never took anything for granted. Here is the story.

The shift started as usual and assignments allocated by intensive care unit charge nurse. We all took assignments and one nurse was assigned to this 20 years old expectant mother. The fact that she was expectant, young and medically needy made her to be of higher acuity. This warranted 100% attention from top qualified registered nurse.

The 20 years old had been in cancer remission for over three years. She underwent serious testing before she became pregnant. Gynecologists and cancer specialists closely monitored her pregnancy every month. Her scan 2 months before she was admitted in ICU was clear and she was cancer free.

Few weeks after her previous negative scan, she started to develop a cough, and something that she assumed was normal. After all, who doesn’t develop a cough no and then, especially when pregnant? The cough persisted and this time, she started developing shortness of breath. She immediately called her gynecologist who advised her to go to emergency room immediately. The gynecologist followed up with her in the emergency room and a scan showed an egg size lymph node tumor in her chest area.

Radiological scans like x-rays are not recommended for pregnant mothers but when the mother life is on the line, it is better to take the risk than not at all. The severity of breathing difficulty was getting worse by the hour. She was taken for CT scan that revealed multiple lymph nodes swellings, including 2 more golf ball size around the neck region. These two had the potential to obstruct the airway, something that could make it a deadly medical emergency.

She was admitted to intensive care unit and after series of top qualified physicians and gynecologist, they decided to start her on radiation therapy the following day. These tumors were inoperable because her platelets level was critically low. She was admitted in ICU to receive intravenous platelets and stabilize her electrolytes levels in order to start radiation therapy and emergency surgery if needed.

All consent had been signed and it was just a matter of few hours before she could begin aggressive cancer treatment, this time, to save her life.

It is a common practice in intensive care unit to secure the airway by intubation to patient with poor oxygenation and those with a potential of losing their airway. Her case was one of those that required intubation. Several attempts to intubate her were unsuccessful because these cancer tumors were blocking the airway. However, she still could keep her oxygen saturation at 100% on 40% oxygen.

In ICU, the emergency anesthesia team was paged STAT to re-attempt the intubation as it was becoming harder by the minute for her to maintain oxygen saturation above 92%. This time, she was on 100% non-rebreather mask and still could not maintain good oxygen saturation. Her family was by bedside holding her hands as bags of platelets infused to bring up her platelet level. Without normal platelet levels, any attempt to operate could have made her to bleed to death.

When attempting to intubate, doctors discovered something even more serious. Those tumors had a pulse of their own, making them even harder to operate especially to a patient with low platelets level.

There was no way to save the 26 weeks baby in her uterus with platelet levels <2,000. Her urine was pink, indicating spontaneous bleeding from her bladder and urethra. Her eyes were bleeding despite how fast platelets were transfused. Her cancer was growing by the minute.

She started gasping for the air, only a few hours after being admitted in the ICU. Every hospital in the state she had ever gone had recommended she go to a level #1 cancer and trauma hospital. She was in the right place for this condition.

2200: Oxygen saturation was in high 80’s, already lower than what is required to maintain acidity and alkalinity balance of the blood. An emergency meeting was held between the surgery, medical, oncology and gynecology teams. They came up with no answers.

2100: Breaking news: There is nothing medically possible that can be done at this time to save her life. The neck region tumors were swelling by the minute. That explained why it was becoming harder and harder for her to breathe by the minute.

2200: The fetal heart rate this time was becoming slower and slower. Again, there was nothing that could have been done that soon. The attempt to remove the baby would have been bleeding to death.

2300: bleeding was evident even from the vagina. Vaginal bleeding obviously indicated intrauterine bleeding. In a few minutes, we lost the fetal heart rate. Nothing could have been done. Everyone around could not avoid bursting in tears including us the nurses and doctors themselves.  The gynecologist pulled the family in a private room.

2400: Breaking news. We have lost the fetus! It was too late to do anything and the rate by which we were losing the ability to breathe was too fast to maintain fetal oxygenation. But the mother was still conscious and fighting for her dear life

0100: heart rate was in 150’s and blood pressure was trending downwards. Oxygen saturation was getting worse by the minute. Attempts to breathe were becoming harder by each breath. She could be heard gasping for breath from a distance.

0200: breaking news: She became unresponsive but the monitors could show heartbeats and a low blood pressure. The heart rate this time is coming down slowly. The heart is about to give up without oxygenation. The tumors had also blocked the access for emergency tracheotomy.

0300: The family signed does not resuscitate order (DNR) despite their denial and painful impeding and irreversible/unstoppable loss.

0330: No chest movement of breathing could be detected by visualization or by the monitor. It was just a matter of minutes before the heart could stop.

0350. The heart stopped with her whole family holding her hands. She was dead. The curtains were drawn to give the family some privacy and time to digest the loss.

We all tried our best to save her life. The obvious was impossible due to speed at which these events were happening and underlying conditions. The 20-year-old American girl and a 26 weeks old fetus were dead. A life lost to cancer.

The most disturbing thing was, we helplessly watched her suffocate to death! Painful!

Update: I have had a lot of mixed reactions from the readers of this article and it is expected. It is a disturbing story. A lot of people are asking why the baby was not saved at a viable age of 26 weeks gestation. Others are stating that there is no way cancer can grow that first.

First about the baby. Medical procedures like those requires consents from the patient. Where the patient is not able to sign such consents, a legal next of kin can do it with witness. If Next of kin cannot be reached and the patient cannot sign the consents, two phycisians from different team can sign the concent, something you may hear being called "double doc".

1. The patient immediate family wanted the mother to be saved but there was no concent available for such procedures.
2. The hemodynamics for the mother were severely compromised and in such events, the fetal circulation from the mother shunts all resources to the vital organs to save the mother, hence, the reason why the baby died first.
3. On CT-scan, The baby was nodular (I forgot to mention that), a reason good enough not to attempt the surgery.
4. The risks of attempting a surgery were higher than not doing it!
5. ... and yes, some types of cancer can worsen in a few hours.

Greg. RN

Calma, não estou depressiva, suicida, nem nada. Obviamente repudio assassinatos. Apenas parei pra refletir sobre o direito que cada um de nós possui de decidir sobre a própria existência.

A eutanásia, proibida no Brasil, não seria uma maneira digna de acabar com o sofrimento de alguém que não suporta a dor e a agonia de sua respiração? O pedido de alguém para não ser ressucitado em casos gravíssimos, deveria ser levado em consideração? E o caso da senhora alemã, infeliz, que preferiu terminar sua vida a ser colocada num asilo, merece ser discutido?

Pesquisando na internet, encontrei alguns textos espíritas e muitos textos legais tratando do direito de morrer. Um amigo sugeriu a leitura do "Suicídio do Jovem Werther", o qual ainda não tive a oportunidade de ler.

Se alguém aí quiser discutir esse assunto, vamos lá. Se não, pelo menos dividi com vocês algo que estive pensando nas últimas semanas...

IOWA FISHING REPORT
Last Updated: July 17, 2008

The Iowa Department of Natural Resources will be releasing the weekly fishing report on Thursdays in an effort to provide the latest information heading into the weekend. The weekly fishing report is compiled from information gathered from local bait shops, angler creel surveys, and county and state parks staff.

For current information, contact the district fisheries office. Phone numbers are listed with each district report.

FLOODING IMPACTS ON FISH

The unprecedented volume of water in many areas during the flood will minimize the impact from any chemicals, waste or other toxins mixed in with the water. Nothing in the water is going to hurt the quality or the edibility of the fish. These fish are safe to eat.

In general, more water means more fish. Growth of fish is great in expanded habitats when lake and stream water levels are high. It is expected the flood conditions in many streams will have an adverse impact on smallmouth bass reproduction this year. The floods will rearrange the habitat in streams with some deep holes filling in while others are created.

A larger issue is that of sediment washing into streams, lakes and ponds, covering and reducing habitat and causing water quality problems.

Printable Copy:
Report for July 17, 2008,*.pdf

Choose a district:

• Northeast, office in Manchester
• Northwest, office in Spirit Lake
• Southwest, office in Lewis
• Southeast, office in Brighton

The look book came as a folded newspaper a la WWD. I love the concept.

More images can be seen here.

Photos via Lee Clower.

Model Garrett Neff, who's the face and body of Calvin Klein and Calvin Klein Jeans (remember the billboard for CK Man Fragrance?),  is set to be hitting billboards and magazines again this autumn for the new Calvin Klein's Body and Body Stretch underwear.

According to DNR, "Shot on location in Miami by renowned photographer Bruce Weber, who shot Calvin Klein Underwear’s first ad campaign 25 years ago, the sexy black-and-white images epitomize the very clean yet sensual aesthetic that Calvin Klein has become so well known for. Neff, who is the face of the company’s fragrance, Calvin Klein Man, was featured alongside Kate Bosworth in the spring ad campaign for Calvin Klein Jeans. He succeeds Academy Award–nominated actor Djimon Hounsou as Calvin Klein’s latest body."

What's your favorite spot to hunt?

Anna Wintour stopped by Men's Fashion Week in Milan, in support of Men's Vogue and DNR got to do a micro-mini Q&A with her, the full Q&A will be in Monday's DNR. When asked about how Men's Fashion Week compared to women's, Ms. Wintour stated "It's much smaller in scale, which makes it very charming. It’s easier to see people and just to get around." For now at least, I bet Men's fashion is gonna grow and be as big as the ladies, or bigger! For the full scoop, check out the article at DNR.

Kažkur septintą valandą važiavau su dviračiu iš MRU treniruoklių salės. Važiavau lėtai, po treniruotės šiek tiek pavargau, be to, šios savaitės pabaiga buvo nelabai lengva. Taigi, važiuoju sau ramiai netoli Rygos g. ir Buivydiškių g. sankryžos ir jau prie "Širdies chirurgijos centro" nutariau pasukti į dešinę ir per mašinų stovėjimo aikštelę sutrumpinti sau kelią. Bet nepatikėsite, tikrai ne mašina į mane atsitrenkė, netgi ne stulpas pasimaišė, o kažkoks dviratininkas, lekiantis dideliu greičiu. Didelių traumų negavau nei aš, nei mano dviratis, na, man šiek tiek kliuvo į alkūnę, o dviračiui šonu pasisuko vairas. Į mane atsitrenkė iš galo. Vaikinui, kuris atsitrenkė, berods sulūžo priekinis žibintas, nes tiesiog iššoko iš vairo, ir pats jis vos nenukrito.

Iš karto paklausiau vaikino ar jam viskas gerai, ar nieko nenutiko dviračiui, tiesiog parodžiau susirūpinimą. Kartu pasijuokėme, pasiaiškinome, kas buvo šiuo atveju neteisus, ir nuvažiavome savo keliais.

Taigi, jei priešais save, važiuodami dviračiu, matote kitą dviratininką, lenkite jį atsargiai, nes ne visi turi šoninius veidrodėlius, o atgal pažiūrėti ne taip jau ir paprasta.

I agreed to come, not as a formal pain consultant (since my boss was already technically on the case), but as someone that might visit with the family and offer another perspective.  This was mainly a psycho-social consultation.  I did meet briefly with the patient, but spent most of my time in the family room with the father, the rabbi, and the primary care physician.  When I arrived, they were on the verge of signing Do Not Resuscitate/Do Not Intubate orders, and the father wanted to make sure that in spite of signing the paperwork, the family would still have a voice in the medical care.

This, of course, was easy.  I assured him that these measures simply meant we would not take aggressive measures to unnaturally prolong his daughter's life.    They absolutely would not change the quality or quantity of their interaction with their physicians.

I spent the next thirty minutes asking about their goals and expectations, listening to their fears and frustrations, and assuring them that we would in no way abandon them in the face of the daughter's rapidly deteriorating health.  I say "them" because in this case, my role of physician seemed to explicitly extend to include the patient, her parents, and the rabbi.  We clearly definited several goals: comfort & pain control, avoiding sedation, tolerating oral medications, being able to go home.

Tangibly, I was rewarded by being able to accomplish what the primary team and the regular Palliative Care Team had been unable to do, that is, to adjust the pain regimen that might facilitate comfort and be a step closer to home.  I attribute this not to any special skill, but to being