How to get kamagra in the us

How to get kamagra in the us

How to get kamagra in the us

How to get kamagra in the us

I love a great adventure. The anticipation, the rush of getting ready, the exhilaration of pushing your comfort zone and experiencing all that is foreign adds to the thrill. There’s nothing that compares to stepping into the great unknown and pushing your boundaries to the limit. That excites me. So at any given moment I’m always ready for the chaos that comes with being spontaneous. It’s my nature.

How to get kamagra in the us

Last Friday, I got the call. Steve in Little Orleans, MD had heard about me four years ago when I rode through his town, in the western part of Maryland, during my cross-country trek on horseback. Steve tracked me down on Friday. Did I know of anyone with a horse trailer who would trailer a horse to West Virginia?

It seems a long rider had left his lead horse with Steve for six weeks while the horse healed. In due time, the rope burn on the horse’s hock had finally healed and the horse was ready to be reunited with its owner.

The long rider, whom Steve described as a short Atilla the Hun and whom I’ll call Jack, started his cross-country trek in Harpers Ferry with a lead horse, a pack horse, and two other men and their horses.

How to get kamagra in the us

It probably took Jack five days, give or take a day or two, to journey the 100 miles to Little Orleans. A trip that would normally take an hour and 38 minutes by car takes five days for a long rider on horseback. The long rider’s horse is imperative to the success of the journey. Trying to make 4000 miles over the long-haul, means the long rider needs his horse to pace at 20 miles a day. For me, that averaged out to be three miles an hour—with breaks, fan fare, interviews and the like, I was in the saddle for eight or nine hours a day. Long hard days, but there’s nothing like seeing America at three miles an hour.

The first three weeks of any long rider’s journey are the hardest. Those weeks make or break the long rider, the horse and the journey. It’s not an adventure for the faint of heart. Jack’s companions bailed on him when they arrived in Little Orleans. After three weeks of staying with Steve while his horse was healing, Jack made the decision to push on with his pack horse, alone. Would it be possible for Steve to make arrangements for the horse to meet up with Jack when the horse healed?

How to get kamagra in the us

That’s where I came in. Did I know of anyone who would trailer the horse to Jack? You betcha. Me. It was a fellow “wanna-be” long rider in need. So I texted my partner, who was in the Doctor’s office on a late Friday afternoon. Did he want to join me? The Plan—to head out with the truck and trailer with an overnight stop at the Little Orleans Lodge, au gratis, from the owner Steve. In the morning we would load Jack’s horse and head out to Davis, WV where Jack and his pack horse were staying overnight. The trip would take a total of ten hours. Five there. Five back. I had no choice. I had to “pay it forward” for everyone who had been so kind-hearted in my time of need on my journey. This I had to do for them. Plus, I love a good adventure.

My partner, being the great sport that he is, was game. He’d be ready to leave in two hours. With a spring in my step, I packed up, made a picnic dinner to eat in the car and grabbed a great bottle of red, two wine glasses and a corkscrew. After all we were going to be staying in a rustic bed and breakfast for the night.—why not take full advantage of the evening?

How to get kamagra in the us

We arrived well into the evening, greeted by Steve, an affable retired post master, who had worked on the lodge since buying it for his wife and children back in the early 70s. When he retired, Steve turned it into a B&B on the C&O canal, a 184.5 mile long trail that winds around the Potomac River following the towpath of the Chesapeake and Ohio Canal. Steve was happy to host the eclectic group of trail-goers who by chance stumbled into his lodge on foot, bicycle or even horseback. Over a glass of wine, he shared the stories of those in his register: hippies, loners and couples, all who had set out on a journey to find themselves.

After a morning breakfast of two eggs over easy, sausage, potatoes and the most mouth-watering, sweetest biscuits I ever had, we loaded up Jack’s horse and headed on down the road to Davis, WV to meet up with the long rider, Jack.

How to get kamagra in the us

Steve was wrong. Jack looked more like Johnny Depp in the Pirates of the Caribbean. He acted like him too. In spite of himself, you couldn’t help but like him. Jack was a 31 year-old man with a black bandanna and tongue piercing, trying to figure life out from a horse’s point of view. He was ecstatic to have his lead horse back. I knew the feeling. Rocky, my lead horse, had injured himself when another horse kicked him in Illinois. I had to leave him behind to heal. Parting with him ripped my heart out. When we were reunited three weeks later, the joy in having him back defied description. I was lost without him. I knew the elation that Jack experienced in being reunited with his horse on their great adventure.

Before leaving, Jack asked me to write in his journal, to offer him advice or wisdom that I had garnered on my solo trek. I simply wrote, “Discover the joy, discover the journey, discover yourself.” Because that’s what it’s all about—on any adventure.

How to get kamagra in the us

Tomorrow I head out on another adventure. Australia. For two weeks. Part of the journey will be a 4WD trip to the Outback where I’ll be backpacking, tenting and dining with the Aborigines. Wish me luck and hope that I discover the joy, the journey and perhaps even myself. When I return from this Aussie Adventure, I’ll certainly share with you. Till then, G’day mate.

How to get kamagra in the us

When someone loses a pet and says to me in grief, “I know it’s not the same as losing a child, but it hurts so much,” my heart aches. Not because I know the pain of losing not one, but two children, but because I also know the pain of losing a dearly loved animal.

How to get kamagra in the us

Nothing, and I mean, nothing compares to the pain of losing a child, but that doesn’t diminish the heartache of any loss. Human or animal. The void in life after loss is incredible. Where there was once life, a huge black hole looms when death takes over. Where there was once love, heartache. Smiles. Sadness. Happiness. Loneliness. The loss of life fills your heart with an overwhelming emptiness and pain. The moment of loss—that incredible moment of pain—in the passing of life is unavoidably deep. It rips your heart out. Loss causes heartache and there’s just no getting around that. It’s a part of life.

How to get kamagra in the us

This past February I had to put down Eric’s beloved Shadow. It was so painfully hard, perhaps extra so, because it was Eric’s dog, my living link to my dead son. Shadow was the kindest, gentlest black lab I’d ever known. He had a huge heart with big soulful brown eyes. When the decision came to put him down, I left that to my surviving son, Peter. He had taken over Shadow’s care in Eric’s passing.

Shadow had developed brain cancer with severe epileptic seizures and it was Pete’s responsibility to ensure Shadow’s comfort in his final debilitating days. Pete rose to the occasion and gently helped Shadow every time he experienced a seizure. Pete was also there in the middle of the night to clean up the blood and excrement from Shadow’s thrashing. And Pete found the courage to tell me it was time to euthanize him. As Shadow’s big black head with the soulful eyes lay quietly in Peter’s lap as the vet administered the needle, my heart screamed in pain at yet another loss in our lives. Shadow. Eric’s big black lab with the soft soul. My heart ached and I cried.

How to get kamagra in the us

I was so thankful he didn’t die alone; Shadow deserved more than that. Nothing should die alone. Any—no all–life deserves more than that.

How to get kamagra in the us

This past spring, I was headed down York Road and had to come to a creeping crawl to avoid the growing crowd on the shoulder of the road. Some members of the crowd were crying, others didn’t know what to do, but all eyes looked toward the middle of the road. My eyes followed their gazes. In the middle of the road was a beautiful brindle pit bull, smashed and dying on York Road. No one was near him; he was dying alone. God no. I pulled over and ran to him. “Has anyone comforted the poor thing?” I screamed. “No,” came their replies in unison. “We didn’t know if he’d bite.” I was spitting mad with grief, pain and tears as I watched the poor dog hold on to dear life. Where was their compassion? I didn’t understand. As I knelt down and stroked the dog’s big beautiful head, his blood spilling over onto my knees, his tail gave a tiny wag as he tried to look at me. I held him, comforted him, and loved him in his final moments.

I was so thankful he didn’t die alone. I didn’t know him, but he deserved more than that.

How to get kamagra in the us

Monday morning I headed to the farm to tend to my two horses and the other ten horses I’ve cared for over the past five years. My routine always starts out the same. I whistle for my horses and say hi to the others gathered at the gate. Where was Blaze, the leader of the herd? I headed into the stall barn to dish up the grain. Still no Blaze. That’s odd. Where was she? I called for her. No Blaze.

After putting the other 11 horses in their respective feeding stations. I shlepped through the field, over the bridge, over the stream, and into the 50 acre field to find Blaze. There, just beyond the stream, she lay—struggling to get up, bloated, and covered with flies. She had colicked sometime during the night and the others had left her for dead. My God. My God. No. No. No. The poor thing. Tears streamed down my face as I knelt beside her. She moved her head and laid it on my foot, looking at me through bleeding eyes as she let out a soft whinny.

I fumbled for my cell phone and called my girlfriend, leaving a terrifying message, “Call the vet. Call the vet now!” I screamed through my sobs. Then I crumpled beside Blaze in the field and stroked her big beautiful brown head with the white blaze. She labored to breathe. “Hang on. Hang on.” I whispered in her ear. “He’s coming. He’s coming.”

The vet arrived but couldn’t get his SUV across the stream. Could we get her up? Blaze tried, oh she tried so hard, but she didn’t have enough left in her. With a heavy heart the vet returned to his car to get the needle to euthanize her.

“Blaze, get up. Get up. You can do it. Everyone’s waiting on the other side. Don’t die her alone. Come on honey….get up.” I sobbed in her ear. With one valiant effort the gentle leader rose off her barrel belly onto her buckled knees and stood. With painful, labored steps this beautiful beast made her way to the stream where her herd was waiting. It took her fifteen minutes but she finally crossed to the other side where she was greeted with whinies and neighs from her delighted followers. She grew stronger with every painful step through the support and love of her herd, owners and caretakers, and finally made it to the paddock where she was enveloped and loved as she was laid to rest.

An imperial leader, of the gentlest nature, Blaze. I loved Blaze and was thankful she didn’t have to die alone. She deserved more than that, as do all creatures, great and small.

Rest in Peace Blaze, our gentle leader

Rest in Peace Blaze, our gentle leader

How to get kamagra in the us

When something turns out way better than expected it brings such joy to life. I love pleasant surprises and this 4th of July weekend has been full of them.

Friday night kicked the weekend off with one. I was driving home from work and saw crabs for $20/doz. at what I thought was a local down and dirty pub with a bad reputation. Or at least that’s what I had been told. Twenty dollars for a dozen crabs was worth the risk of a bad reputation.

How to get kamagra in the us

Arriving home, I asked my partner if he wanted to go out for the deal. The catch? He had to at least look the part of a red neck. He couldn’t walk into the down and dirty bar as a prep. Could he do it? He tried. He came bounding down the stairs in an old worn out t-shirt. Perfect. Till my eyes rolled to his bottom half. The crease in the jeans still gave him away. No matter how hard he tries he just can’t look down and dirty. I guess that’s not really a flaw though. I smiled; he tried. He then looked me up and down and said, “Well you’re not really down and dirty either. “Ah, but no,” was my reply, “I just need to look good to a red neck guy.”

When we got out of the car in the parking lot and headed for the bar door, a Harley roared by. My partner said “Man, he couldn’t keep his eyes off you.”  I laughed, “Actually he couldn’t take his eyes off the crease in your jeans.”

How to get kamagra in the us

We pulled the door open, expecting the worse. To our pleasant surprise the restaurant was cute, the bar great, and the prices were fabulous. The owner came out, engaged us in conversation, and threw four extra crabs into our to-go bag. We’re definitely going to hit that down and dirty pub up for our weekly cheap date night. Pushing one’s comfort zone is grand.

How to get kamagra in the us

Saturday, the 4th of July, started out with a 5:45 am wake up call for me to get ready for my first parade in the Cavalry. My partner, coming along for pure support, rolled out of bed at the ungodly weekend hour to help me get Rocky, my horse, ready for the 4th of July parade in Takoma Park in Washington, DC.

Our first pleasant surprise came as we arrived in Takoma Park. Expecting an urban area with lots of noise, cars and pollution, we were greeted with a charming bedroom community with tree-lined sidewalks stretching in front of historic homes. Lawns were filled with a thousand or more  children, parents and grandparents decked out in red, white and blue, waving flags of all sizes. The weather was perfect and the air was filled with a patriotic hum, no matter which side of the political fence the flag was flying on.

In fact one long-haired silver woman in a purple tye-dyed flowing skirt came up to me in my military dress blues as I was mounting up on Rocky. She leaned in and thanked me for protecting her right to her far different views. She smiled as she pointed to the flower in her hair. I smiled back, knowing what she meant, and thanked her. Two different sides of the fence coming together as Americans to enjoy a parade in a small home-town.

How to get kamagra in the us

As we assembled for the parade, the Sergeant who was supposed to be carrying the flag for the hour-long parade was suffering from the flu. He grew weezy and weak and, unfortunately, had to withdraw. My commander turned to me and Rocky and said, “Step up, it’s your honor.” My second pleasant surprise. As we started off with the large flag flapping over Rocky’s ears, the crowd stood and erupted into cheers and applause. My heart surged, filling with pride and patriotism. I whispered to my commander, “I’m going to cry sir. I’m going to lose it.” “Hold on PFC Losey. Hang in there.” And I did, for the hour long ceremony as we paraded through the streets to thousands of red-blooded Americans celebrating our independence. Truth be told, tears streamed down my face, as we celebrated as one.

How to get kamagra in the us

After arriving home, we had no plans. So we took an afternoon of leisure hanging out in the pool, swimming side-by-side and then tying two floats together as we held hands and napped. Totally unlike us, and it felt so good, another pleasant surprise. I told my partner it would be a perfect day if I could once again hear the squeal of children playing in a pool. The phone rang.

My sister-in-law from my first marriage, whom I’ve been friends with for 27 years, was at Wegman’s. “Hey,” I said, “Why don’t you grab a 5 lb. bag of Sahlen hot dogs and bring the kids on over for a picnic and swim?” “I already have the hot dogs in the cart, along with cole slaw, strawberries and stuff to make shortcake. Game?” she asked.”You bet I am.” I replied. I ran upstairs and uncovered the goggles, the flippers, the frisbee and ball that Eric and Sam used to play on the beach with Cara and Peter far too many years ago.

How to get kamagra in the us

When my in-laws arrived, we baked the shortcake and headed out to the deck to grill the dogs, drink, and listen to the squeal of children once again playing in the pool. I sighed perfectly contented with my weekend full of patriotism and pleasant surprises. God I love the small joys of life.

Takoma Park Parade, July 4th 2009

Takoma Park Parade, July 4th 2009

How to get kamagra in the us

Driving the 350 miles up to my hometown of Buffalo for my nephew’s high school graduation, revealed to me an “aha” moment: people handle driving the way they handle life. Lead, follow or get out of the way! Please.

How to get kamagra in the us

As I was driving on an open stretch of route 15 in Pennsylvania, a silver Kia sedan sped up as it approached my rearview mirror. As it passed me, I noticed the twenty-something girl behind the wheel, who immediately slowed down once she pulled back into my lane in front of me. As I then pulled out to pass her, she immediately sped up, only to slow down again when I resumed my position behind her. She slowed down. I went to pass. She sped up. I’d pull back in. She’d slow down. This went on for a number of miles, when the “aha” moment hit me. She wanted to lead, but didn’t have the courage to be the leader.

How to get kamagra in the us

Along the way, the highway was strewn with state troopers pulling people over as they sped by. The twenty-something girl flying by me wanted to be in the lead but didn’t have the courage to be the lead driver. She wouldn’t commit. She wasn’t willing to take the risk of being pulled over for speeding. But she wanted to BE the leader, forcing the other drivers to either drive her speed or pass her. It was an unsafe practice for those following. Speed up. Slow down. Speed up. Slow down. It was an accident waiting to happen. She was not lead driver material. She needed to be following at a safe speed. I’m confident her approach to driving was the same as her approach to life. A young girl be-bopping along, accelerating, de-accelerating, pulling in and passing, trying to find the rhythm of her life.

When it comes to driving and life, I’m a leader but have no problem following—IF I’m behind a confident leader who makes good decisions. If not, get out of the way, ’cause I’ll take over and pass. I don’t have a lot of patience for hesitant leaders or drivers. Commit. Make a decision or move over and let someone else lead.

How to get kamagra in the us

En route to Buffalo, I encountered fierce thunderstorms with pelting rain and winds. Hail storm like conditions, just shy of hailstones coming down. As a pretty fearless driver, severe winter storms don’t stop me, let alone a little rain. Yet people were driving 25 mph hour on an interstate with their flashers on. People, please. It’s a little rain. Well a lot of rain. Eventually most of the drivers pulled over. Ah, relief. An open road where I could go. I led the drivers, confidently, to salvation, er, sunshine. It just took someone willing to commit and lead. I have no problem stepping up if need be. That’s who I am as I driver and who I am in life.

How to get kamagra in the us

My partner has an interesting approach to driving and to life. He meanders in both. If there’s a straight line to get from point A to E, he’ll drive from A to D to K to N back to C over to J and eventually he’ll make it to E, his end destination. This is his approach to most things in life. In the meantime, he’s made a lot of stops, said hi to many people and eventually accomplished what he sets out to do. If I’m on a mission and need to get from A to E in record time, and I’m with him, I have to restrain myself from pushing down on his knee to accelerate to 65 mph. It drives me bonkers. But if I’m not on a mission, and willing to meander, it makes for a very pleasant journey. That’s why I think we make good partners—one forces the other to stay on task, the other forces the other to stop and smell the roses.

How to get kamagra in the us

Although I stay on task, I am an adventurer. I love the journey, the drive, the discovery, the ability to make choices. My brother has a GPS named Lucille. I hate her. No, I will not turn because you told me to. I’ll turn because I choose to. No wait, I WANTED to go to the Ben and Jerry’s. It’s an unscheduled stop, don’t recalculate. Shut up. Stop it. Let me drive. Let me choose. Let me discover their new Mission to Marzipan flavor. Stop it. Stop it. Stop it. I don’t want to stay on task I want to stop and smell the roses. But she won’t let me, without giving me a huge headache. Big mouth Lucile shows no restraint. Recently, someone stole her. God Bless them.

How to get kamagra in the us

Did you know a study recently stated that people with lots of bumper stickers on their cars are aggressive drivers? I find that hilarious, because the cars that I usually see plastered with bumper stickers are Subarus touting world peace.

You’ll be happy to know that I don’t place bumper stickers on my vehicles. But if I were to sport a bumper sticker on my 4×4 F-150 it would simply be, “Visualize whirled peas.”

visualize-whirled-peas-bumper-sticker-5781

How to get kamagra in the us

“When the going gets tough, the tough eat donuts”–Ziggy

I love Ziggy. Do you remember him—the fat little bald guy in the 70’s comic strip by Tom Wilson? Ziggy had a “woe is me” perspective on life but offered simple words of wisdom.

The cartoon quote from above was lovingly cut out of the paper by my dad and taped to my mirror when I was 18. I’m sure it’s now tucked away in an attic box piled on top of other boxes from far too many moves. Every time I think of Ziggy, I think of my dad who passed away at an early age of 59, fifteen years ago.

How to get kamagra in the us

My dad didn’t cut that cartoon out to suggest I was getting fat. He simply cut it out because the humor struck a chord with him. When I was 18 I worked in the deli of a local grocery store. Oftentimes, at the end of the shift, I had to box up the fresh donuts from the bakery to be put out for the “day old” dollar sale the next day. So each night I’d box them up–and then buy ‘em. My particular favorites were the peanut donuts. Oh my, they were good. But, alas, they are not made anymore because of all the peanut allergen sufferers out there. Sigh. I loved a good peanut donut. The memory of biting into a fresh donut with falling nuts and crumbs waiting to be scooped up, filling my nose with the warm, nutty sensation, still makes my mouth water.

How to get kamagra in the us

The humor that my dad found in the comic strip was that I was a love-sick teen who had just broken up with my first forever boyfriend, who brought home a box of donuts at the end of the night to eat away the pain. When the going got tough, I ate donuts. My dad was trying to get me to move through the “woe is me” attitude from the teen-age breakup with humor. I loved that about my dad—he moved through life with humor and I couldn’t help but be sucked into it.

How to get kamagra in the us

That particular Ziggy cartoon was based on the quote from Joseph P. Kennedy, father of our 35th president John F. Kennedy, “When the going gets tough, the tough get going.” I’m sure the fiercely ambitious businessman and political figure, who thrived on competition and winning, gave that fatherly advice to his 9 children with a stern striking of his fist with emphasis on every word.

Not my dad. He cut out cartoons from the paper and taped them to my mirror. He peeled off Chiquita banana labels and pasted them somewhere in my school lunch box for me to discover with love. He’d sneak away early from work and show up unexpectedly for the last 15 minutes of my soccer game. He didn’t rule with an iron fist, rather with respect, love and humor.

How to get kamagra in the us

The humor that he used to get me through my first forever boyfriend break-up still makes me smile to this day. He was letting me know that life goes on, it’s what you make of it, it’s how you choose to move through it that makes all the difference.

How to get kamagra in the us

I had to stop eating donuts, not because they landed on my hips, but because I got sick of them. To this day I have a hard time eating donuts because I ate too much of a good thing way back when. As Marie Lloyd so simply states, ” A little of what you fancy does you good.” The lesson from Ziggy and my dad: taking it to the extreme is not necessarily a good thing. Although I have to admit when I see a “Hot Donuts Now” sign flashing at a Krispy Kreme, my car automatically pulls into the drive-thru. I’m just taking them home to the kids. Honest.

“A LITTLE of what you fancy does you good.” For sure.

Ziggy

Ziggy

How to get kamagra in the us

Sock. Shoe. Sock. Shoe. No. Sock. Sock. Shoe. Shoe. I do sock, sock, shoe, shoe. How do you approach your morning routine?In the end does it really matter? In Ted Menton’s After Goodbye, he tells the story of two children in the throes of cancer arguing in the cancer ward about which is better. Sock. Shoe. Sock. Shoe. or Sock. Sock. Shoe. Shoe.

How to get kamagra in the us

In spite of the cancer scenario, I find it amusing that two children facing the fight of their lives still find their individual routine’s worth fighting about. Sock. Shoe. vs. Sock. Sock. I have never been a routine person. Not me. In fact, if you ever placed me into a box, I’d scrape and claw my way out of it.

All my life, I’ve been known for my spontaneous nature. Until my children died. Then, I took great comfort in my routine. It was what got me up in the morning. Linda, first put on your sock, then your shoe. Nope. Put on your sock. Now put on your other sock. Okay, put on your shoe. Now your other shoe. Now put one foot in front of the other. Now take a step. Okay. Move the other foot. Move forward. Step by step. Move through the pain. You can do it. Sock. Sock. Shoe. Shoe. Move. Move. And that’s how I’ve moved through the passing pain of losing two children.

How to get kamagra in the us

Most of you know Monday marked the five year anniversary of Sam’s passing. My 10 year old son. I have been in a routine for the past five years in learning how to live again through the loss. Sock. Sock. Shoe. Shoe. Move. Move. Don’t you take that routine away from me. Like the children on the cancer ward, I took great comfort in owning my routine. It was the only thing I had control over. God forbid I put on Sock. Shoe. Sock. Shoe. It didn’t feel right. Just like my life without my children. Come to think of it, before the passing of my children I think I did Sock. Shoe. Sock. Shoe. But I couldn’t go back to the same routine. It wasn’t right. I needed a new routine. It was new, but a routine, just the same. Just like living and breathing without half my family. I had to learn to do it all over again. The basics of living.

How to get kamagra in the us

Know how I celebrated Sam’s anniversary? The “non-celebration,” as it were, ended up in my mowing the lawn. Now my partner prides himself on the perfectly parallel lines in the lawn. I never got that. I don’t. To me a lawn is a lawn. And this just isn’t a lawn; it’s a field, a three acre field next to a stream. It deserves to be a field. But nope. He wants it to be a lawn. Not me. I want it to be a field with dancing grass blowing in the breeze, next to the stream. I want it mowed three times a season. He wants it mowed once a week. Now I love to mow, so I took on the chore. On Sunday, I started running the perfectly parallel lines of the routine. Sock. Sock. Shoe. Shoe. Up. Down. Up. Down. Forty-five inches over from whence I started. Now another 45 inch wide mowing deck over. Then a dragon fly landed on the dancing grass next to the stream in the field I was cutting into a routine.

How to get kamagra in the us

Sam followed me across the country on my horse trip. Thousands of dragon flies followed me. They had my back. As Sam did. I wear a dragon fly bracelet as a remembrance of Sam. So I couldn’t do it. I couldn’t cut the field in parallel lines. I couldn’t cut the field so the dragon fly had no where to land. I couldn’t cut the field by way of routine. So in honor of Sam, I cut whoopsi-doodles. No rhyme or reason. Just by happen-chance, I have a field full of perfectly un-parallel lines. Perfect whoopsi-doodles where dragon flies can land on the missed grass of the 45 inch mowing deck. In the outskirts of the circles where 45 inches didn’t meet the other 45 inches. Where shoes come before socks. Where dragon flies land before parallel lines are cut. Where routines are lost and spirits soar. Where perhaps even socks are worn without shoes. For in the end, it just doesn’t matter.

How to get kamagra in the us

“Wow, Linda, you look fabulous and fit!” was the statement I heard Tuesday night at my Toastmaster’s meeting. Little did that person know I have, over the past 4 months, unintentionally dropped 1/5 of my weight.  Now, I’ve never had a problem with weight. I had four children and managed to stay relatively thin chasing after them through the years. But I found it truly ironic that I’m the thinnest I’ve ever been—even before my high school years—and was being rewarded with a “Wow, you look fit and fabulous.”  I didn’t feel it.

How to get kamagra in the us

Yesterday I nearly collapsed at work, drove to a 24/7 healthcare center, to be told I’m severely anemic. This coupled with the five other symptoms that have crept up on me over the past four months and the doctor scared me with the big C.

My dad died of cancer and it wasn’t something I was prepared to hear. Now lots more tests need to be done, so don’t get all melodramatic on me. I have lots of years left to live, I know that, and feel that, with every fiber of my being. The point to all of this is that you just don’t know what the day may bring. Are you living the life you were born to lead?

How to get kamagra in the us

“Always be a first-rate version of yourself, instead of a second-rate version of somebody else.”
–Judy Garland

This from a woman who played somebody else for 45 of her 47 years. This from a woman who attempted suicide numerous times throughout her tragic life. This from a woman who struggled with insecurities and addictions. This from a woman who was told by her producers that she was unattractive and overweight. This from a woman who died at 47, the same age I’m about to turn in three weeks. Was Judy Garland ever a first-rate version of herself?

Judy Garland will always be remembered as Dorothy in the Wizard of Oz, with her ruby red slippers, clicked three times, as she closed her eyes and chanted,  “There’s no place like home. There’s no place like home. There’s no place like home.” Ironically, Judy Garland never felt at home anywhere. I can only imagine why she never revealed her true self, always hiding it away—for fear that her adoring fans would cast aside the real Judy. They always wanted Dorothy. The cute little, pig-tailed girl from Kansas.

How to get kamagra in the us

I also imagine that Judy Garland did live the life she was born to lead. She was a wonderful actress and a beautiful singer with her deep contralto voice. No one does honor to Somewhere Over the Rainbow the way Judy performed it half a century ago. But she never believed she deserved to be Judy Garland and all that she achieved. She was just Frances Ethel Gumm from Grand Rapids, MN. When she was pushed into acting, Frances’ confidence was sucked out of her and for years she was only able to portray a second-rate version of somebody else.

When the big C is thrown at you, your life hits replay over and over again in your mind. “Have you lived the life you wanted? Have you achieved what you set out to achieve? What more do you have left to do?”  It begs the question, “What is your legacy?”

How to get kamagra in the us

So what is your legacy? If you were to die tomorrow, did you live the life you were born to lead? Will you leave behind something to remember? Did you live a first-rate version of yourself?

I hope I have.

I know my youngest son Sammy did. On Monday, he’ll be gone 5 years. On June 22. But I still remember his great grin. His aqua blue eyes. His mischevious sense of humor. And his terrific hugs. In his short 10 years, Sammy was a first-rate version of himself. There will never be another.  In the end, all you have are memories, and the ones spent with family and friends are the ones you treasure most.

So as I remember Sammy and Frances Ethel Gumm, who co-incidentally also died on June 22, as I head into the doctors for a follow-up visit to the big C scare, I hope to see a rainbow smiling down on me.

Somewhere Over the Rainbow (click, for a beautiful version by 6 year-old Connie Talbot on YouTube)

Somewhere over the rainbow
Way up high,
There’s a land that I heard of
Once in a lullaby.

Somewhere over the rainbow
Skies are blue,
And the dreams that you dare to dream
Really do come true.

Someday I’ll wish upon a star
And wake up where the clouds are far
Behind me.
Where troubles melt like lemon drops
Away above the chimney tops
That’s where you’ll find me.

Somewhere over the rainbow
Bluebirds fly.
Birds fly over the rainbow.
Why then, oh why can’t I?

If happy little bluebirds fly
Beyond the rainbow
Why, oh why can’t I? 1

I hope we all live the life we were born to lead—the way Sammy did, so beautifully and innocently with a verve for life and love. Love and miss you tons, my little Sammer Dam.

Sam Losey, 3/29/94 - 6/22/2004

Sam Losey, 3/29/94 - 6/22/2004

1 Somewhere Over the Rainbow, music by Harold Arlen and lyrics by E.Y. Harburg

How to get kamagra in the us

Many moons ago, when my mother was the age I am now, and I was but a girl of 16, my father came home one memorable day and announced to us that we were moving. To a farm. Although I was a tomboy with three older brothers, I was a city girl through and through. It’s all I had known.

As a family, we would be moving to a 10 acre farm, next to 3000 acres of state land, to a public school with a graduating class of 32.  Yep, I was downsizing as president of my class of 400, to 32 classmates, and upsizing from an 1/8 of an acre lot in the city, to thousands of acres in my backyard.

In order to get me to go without kicking and screaming, my father bribed me with a horse. He was a smart man.

Most of you know that horses are a huge part of my life and I have no problem getting down and dirty with ‘em. And others know me as a gussied up artist, author, and speaker. As Kippling writes, “Never the twain shall meet.” My wardrobe is determined by the activity of the day, yet whatever I’m wearing on the outside, doesn’t change the me I am on the inside. The old idiom, “Don’t judge a book by its cover,” is, well, cliché-like, but, it’s still relevant today.

How to get kamagra in the us

A month after we moved to the farm, on a blazingly hot summer day, my father ordered manure from our neighbor’s farm to fertilize the small garden he was tilling. I remember the moment the manure arrived. The fresh droppings reeked and steamed. But that’s not what I remember the most. Our neighbor’s ten year old daughter was sitting plop on top of the manure pile, with a wide grin, happy as a pig in….well you know.

My mother, father and I grabbed our shovels to start pushing the manure off the wagon into the garden. The little girl with the huge smile sitting in the stewing cow chips, looked at my mother incredulously. “What are you afraid to get them rings dirty?” she asked as she pushed the shit off with her bare feet. My mother stared back in horror.

Now my mother is not an outdoor person per se, but she did a great job of humoring her five children and outdoor-loving husband through countless camping trips, homeless animals, moves to the country, etc. But I don’t think I could ever picture her shoveling dung with her feet. On the other-hand I don’t think that grinning girl on top of that manure mountain would ever sit still in a theater either. But I don’t know, I lost track of her. Who am I to judge that she couldn’t or wouldn’t?

How to get kamagra in the us

On my solo cross-country journey by horseback, I did a lot of wilderness camping and would go days without eating or showering. Yep, I reeked, I’m sure, like the compost on that hot summer day, but there was something about the solace of the wilderness that helped to heal me on that long journey.

One stop in particular reminded me of that long-ago judgment day with my neighbor’s little girl. Camping for two days in a park outside of a penitentiary in rural Indiana, I was sitting under a tree journaling when a truck hauling a two-horse trailer arrived. I paid them no mind and continued writing. After tacking and mounting up, the owners made their way to me. They were retirees out for a late-summer ride and had never before encountered in their horse park a wild-haired, dirty, lone woman parked under a tree writing with two horses grazing beside her. Was she an escapee from the penitentiary—or worse yet, waiting to help a convict escape on her other horse? Still I paid them no attention as they inched in closer with their mounts—until the wife leaned over and whispered, “Is that a boy or a girl?” I looked up with a smile and said, “I’m a girl with a Master’s and perfectly good hearing.” But I sure didn’t look it.

How to get kamagra in the us

Last night, as I was mounting up for a high profile event with my horse, I had to pee. With no facilities around, I sheepishly entered my horse trailer, closed the door, and had to make do sitting plop on top of a manure bucket with freshly steaming dung, just like that little girl from my childhood. Who knew that would be me someday?

This morning after getting all-gussied up for work, I had to stop by my partner’s office to drop something off. He introduced me to the office cleaning lady, a nice enough woman, who totally misread me. She leaned over and said to him, “She’s very pretty, but it looks like she’s afraid to get those nails dirty.” He laughed, “Of anybody I know Linda has no problem getting down and dirty, but she cleans up real ‘purdy!’”

How to get kamagra in the us

Although the idiom, “Don’t judge a book by its cover” came about in the journal, American Speech in 1944, the idea has been around for centuries. Heed these wise words written by François Rabelais in La vie de Gargantua et de Pantagruel, “But it’s wrong to be so superficial when you’re weighing men’s work in the balance. Wouldn’t you yourself say that the monk’s robes hardly determine who the monk is? Or that there are some wearing monks’ robes who, on the inside, couldn’t be less monkish? Or that there are people wearing Spanish capes who, when it comes to courage, couldn’t have less of the fearless Spanish in them? And that’s why you have to actually open a book and carefully weigh what’s written there.”1

You have to actually open a book and carefully weigh what’s written there… Relevant words an incredible five centuries later. God, I love words! Down and dirty, but real “purdy!”

1 Wikipedia

Kamagra oral jelly online shop

SummaryEach year, the New Zealand Ministry of Health releases national estimates of the prevalence of diabetes based on the Virtual Diabetes Register kamagra oral jelly online shop (VDR). The VDR monitors the prevalence of diabetes and kamagra oral jelly online shop supports national and local clinical quality improvements. This web tool presents both estimated numbers of people registered as having diabetes, as well as the estimated prevalence of diabetes per 1000 people, across different demographic groups in the population. The data presented in this tool can be explored by year, ethnicity, sex, district kamagra oral jelly online shop health board of residence, deprivation quintile and age group. View the Virtual Diabetes Register web tool.

Key findings from the 2020 Virtual Diabetes Register In 2020, about 277,800 people in Aotearoa New Zealand were estimated as having kamagra oral jelly online shop diabetes. The estimated rate of diabetes was 40.0 (95% kamagra oral jelly online shop CI. 39.8, 40.1) per 1000 population. Over the last ten years, there was a statistically significant increase in the estimated rate of kamagra oral jelly online shop diabetes, from 34.3 (95% CI. 34.2, 34.5) per 1000 population in 2011 to 40.0 (95% CI.

39.8, 40.1) per 1000 population in kamagra oral jelly online shop 2020. In 2020. the Pacific population had the highest estimated rate of diabetes (114.9 (95% CI kamagra oral jelly online shop. 113.8, 116.1) per 1000 kamagra oral jelly online shop Pacific population), followed by the Indian population (100.0 (95% CI. 98.7, 101.4) per 1000 Indian population) and the Māori population (67.7 (95% CI.

67.1, 68.4) per kamagra oral jelly online shop 1000 Māori population). The European or other population had the lowest estimated rate of diabetes (29.1 (95% CI. 29.0, 29.2) per 1000 European or other population) Counties Manukau District Health Board had the highest estimated rate of kamagra oral jelly online shop diabetes (68.5 (95% CI. 67.9, 69.1) per 1000 population), while Nelson Marlborough District Health Board had the lowest estimated rate of diabetes (24.6 (95% CI. 24.0, 25.2) per 1000 population) the estimated rate of kamagra oral jelly online shop diabetes increased with increasing deprivation quintile.

Those living in the most deprived areas—deprivation quintile 5—had rates of kamagra oral jelly online shop diabetes 2.5 times higher than those living in the least deprived areas (deprivation quintile 5. 65.9 (95% CI. 65.4, 66.3) per 1000 kamagra oral jelly online shop population. Deprivation quintile 1. 26.0 (95% kamagra oral jelly online shop CI.

25.7, 26.3) per 1000 population) the estimated diabetes rate of males (42.9 (95% CI. 42.7, 43.1) per 1000 population) was higher than that of females (37.3 (95% kamagra oral jelly online shop CI. 37.1, 37.5) per 1000 kamagra oral jelly online shop population). Disclaimer This web tool presents data to the latest year for which data is available for publication. We have quality checked the collection, extraction, and reporting kamagra oral jelly online shop of the data presented here.

However, errors can occur. Please contact us through the kamagra oral jelly online shop Data Services team at the Ministry of Health if you have any concerns regarding any of the data or analyses presented here. The Ministry of Health makes no warranty, expressed or implied, nor assumes legal liability or responsibility for the accuracy, correctness or use of the information or data in this tool..

How to get kamagra in the us

Kamagra
Zudena
Super p force jelly
Sildigra
Over the counter
Yes
No
Depends on the weight
Yes
Take with high blood pressure
100mg 12 tablet $35.95
$
100mg + 60mg 28 jelly $153.95
$
Free samples
Yes
Online
No
No
How often can you take
In online pharmacy
In online pharmacy
Register first
Register first
Best price for brand
100mg 20 tablet $49.95
$
100mg + 60mg 28 jelly $153.95
$
Cheapest price
Online Pharmacy
At walgreens
Nearby pharmacy
At walgreens
Side effects
At walmart
Order online
RX pharmacy
At walgreens

A Gateway to Coverage for Immigrants The report how to get kamagra in the us includes a new http://www.ec-cath-lipsheim.site.ac-strasbourg.fr/le-coin-des-artistes/decouverte-des-instruments-de-lharmonie/ tool -- Immigrant Eligibility Crosswalk -- Eligibility by Immigration Status-- designed to help advocates and policymakers sort through the tangle of immigrant eligibility categories to determine who is eligible for which health care programs in 2014 and beyond. The report was made possible with support from the United Hospital Fund and benefited from the advice and input from many of our national partners in the effort to ensure maximum participation of immigrants in the nation's healthcare system as well as experts from the New York State Department of Health and the Centers for Medicare and Medicaid Services. SEE more about "PRUCOL" immigrant eligibility for Medicaid in this article. "Undocumented" immigrants are, with some exceptions for pregnant women and Child Health Plus, only eligible for "emergency Medicaid."NYS announced the 2020 Income and Resource levels in GIS 19 MA/12 – 2020 Medicaid Levels and Other Updates ) and levels based on the Federal Poverty Level are in GIS 20 MA/02 – 2020 Federal Poverty Levels Here is the 2020 HRA Income and Resources Level Chart Non-MAGI - 2020 Disabled, 65+ or Blind ("DAB" or SSI-Related) and have Medicare MAGI (2020) (< how to get kamagra in the us. 65, Does not have Medicare)(OR has Medicare and has dependent child <.

18 or <. 19 in how to get kamagra in the us school) 138% FPL*** Children <. 5 and pregnant women have HIGHER LIMITS than shown ESSENTIAL PLAN For MAGI-eligible people over MAGI income limit up to 200% FPL No long term care. See info here 1 2 1 2 3 1 2 Income $875 (up from $859 in 201) $1284 (up from $1,267 in 2019) $1,468 $1,983 $2,498 $2,127 $2,873 Resources $15,750 (up from $15,450 in 2019) $23,100 (up from $22,800 in 2019) NO LIMIT** NO LIMIT SOURCE for 2019 figures is GIS 18 MA/015 - 2019 Medicaid Levels and Other Updates (PDF). All how to get kamagra in the us of the attachments with the various levels are posted here.

NEED TO KNOW PAST MEDICAID INCOME AND RESOURCE LEVELS?. Which household size applies?. The how to get kamagra in the us rules are complicated. See rules here. On the HRA Medicaid Levels chart - Boxes 1 and 2 are NON-MAGI Income and Resource levels -- Age 65+, Blind or Disabled and other adults who need to use "spend-down" because they are over the MAGI income levels.

Box 10 on page 3 are the MAGI income levels -- The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New how to get kamagra in the us Yorkers. People in the "MAGI" category - those NOT on Medicare -- have expanded eligibility up to 138% of the Federal Poverty Line, so may now qualify for Medicaid even if they were not eligible before, or may now be eligible for Medicaid without a "spend-down." They have NO resource limit. Box 3 on page 1 is Spousal Impoverishment levels for Managed Long Term Care &. Nursing Homes and Box 8 has the Transfer Penalty rates for nursing home eligibility Box 4 has Medicaid Buy-In for Working People with Disabilities Under Age 65 (still 2017 levels til April 2018) Box 6 are Medicare Savings Program levels (will be updated in April 2018) MAGI INCOME LEVEL of 138% FPL applies to most adults who are not disabled and who do not have Medicare, AND can also apply to adults with Medicare if they have a dependent child/relative under age 18 or under 19 how to get kamagra in the us if in school. 42 C.F.R.

§ 435.4. Certain populations have an even higher income limit - 224% FPL for pregnant women and babies how to get kamagra in the us <. Age 1, 154% FPL for children age 1 - 19. CAUTION. What is counted as income may not be what you think how to get kamagra in the us.

For the NON-MAGI Disabled/Aged 65+/Blind, income will still be determined by the same rules as before, explained in this outline and these charts on income disregards. However, for the MAGI population - which is virtually everyone under age 65 who is not on Medicare - their income will now be determined under new rules, based on federal income tax concepts - called "Modifed Adjusted Gross Income" (MAGI). There are good changes and bad changes how to get kamagra in the us. GOOD. Veteran's benefits, Workers compensation, and gifts from family buy kamagra online with free samples or others no longer count as income.

BAD. There is no more "spousal" or parental refusal for this population (but how to get kamagra in the us there still is for the Disabled/Aged/Blind.) and some other rules. For all of the rules see. ALSO SEE 2018 Manual on Lump Sums and Impact on Public Benefits - with resource rules The income limits increase with the "household size." In other words, the income limit for a family of 5 may be higher than the income limit for a single person. HOWEVER, Medicaid how to get kamagra in the us rules about how to calculate the household size are not intuitive or even logical.

There are different rules depending on the "category" of the person seeking Medicaid. Here are the 2 basic categories and the rules for calculating their household size. People who are Disabled, Aged 65+ or Blind - "DAB" how to get kamagra in the us or "SSI-Related" Category -- NON-MAGI - See this chart for their household size. These same rules apply to the Medicare Savings Program, with some exceptions explained in this article. Everyone else -- MAGI - All children and adults under age 65, including people with disabilities who are not yet on Medicare -- this is the new "MAGI" population.

Their household size how to get kamagra in the us will be determined using federal income tax rules, which are very complicated. New rule is explained in State's directive 13 ADM-03 - Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010 (PDF) pp. 8-10 of the PDF, This PowerPoint by NYLAG on MAGI Budgeting attempts to explain the new MAGI budgeting, including how to determine the Household Size. See slides how to get kamagra in the us 28-49. Also seeLegal Aid Society and Empire Justice Center materials OLD RULE used until end of 2013 -- Count the person(s) applying for Medicaid who live together, plus any of their legally responsible relatives who do not receive SNA, ADC, or SSI and reside with an applicant/recipient.

Spouses or legally responsible for one another, and parents are legally responsible for their children under age 21 (though if the child is disabled, use the rule in the 1st "DAB" category. Under this rule, a child may how to get kamagra in the us be excluded from the household if that child's income causes other family members to lose Medicaid eligibility. See 18 NYCRR 360-4.2, MRG p. 573, NYS GIS 2000 MA-007 CAUTION. Different people in the same household may be in different "categories" and hence have different household sizes AND Medicaid income how to get kamagra in the us and resource limits.

If a man is age 67 and has Medicare and his wife is age 62 and not disabled or blind, the husband's household size for Medicaid is determined under Category 1/ Non-MAGI above and his wife's is under Category 2/MAGI. The following programs were available prior to 2014, but are now discontinued because they are folded into MAGI Medicaid. Prenatal Care Assistance Program (PCAP) was Medicaid for pregnant women and children under age 19, with higher income limits for pregnant woman and infants under one year (200% FPL for pregnant women receiving perinatal coverage only not full Medicaid) than for children ages 1-18 (133% FPL). Medicaid for adults between ages 21-65 who are not disabled and without children under 21 in the household. It was sometimes known as "S/CC" category for Singles and Childless Couples.

This category had lower income limits than DAB/ADC-related, but had no asset limits. It did not allow "spend down" of excess income. This category has now been subsumed under the new MAGI adult group whose limit is now raised to 138% FPL. Family Health Plus - this was an expansion of Medicaid to families with income up to 150% FPL and for childless adults up to 100% FPL.

New York's kamagra oral jelly online shop Exchange Portal learn this here now. A Gateway to Coverage for Immigrants The report includes a new tool -- Immigrant Eligibility Crosswalk -- Eligibility by Immigration Status-- designed to help advocates and policymakers sort through the tangle of immigrant eligibility categories to determine who is eligible for which health care programs in 2014 and beyond. The report was made possible with support from the United Hospital Fund and benefited from the advice and input from many of our national partners in the effort to ensure maximum participation of immigrants in the nation's healthcare system as well as experts from the New York State Department of Health and the Centers for Medicare and Medicaid Services. SEE more about kamagra oral jelly online shop "PRUCOL" immigrant eligibility for Medicaid in this article.

"Undocumented" immigrants are, with some exceptions for pregnant women and Child Health Plus, only eligible for "emergency Medicaid."NYS announced the 2020 Income and Resource levels in GIS 19 MA/12 – 2020 Medicaid Levels and Other Updates ) and levels based on the Federal Poverty Level are in GIS 20 MA/02 – 2020 Federal Poverty Levels Here is the 2020 HRA Income and Resources Level Chart Non-MAGI - 2020 Disabled, 65+ or Blind ("DAB" or SSI-Related) and have Medicare MAGI (2020) (<. 65, Does not have Medicare)(OR has Medicare and has dependent child <. 18 or kamagra oral jelly online shop <. 19 in school) 138% FPL*** Children <.

5 and pregnant women have HIGHER LIMITS than shown ESSENTIAL PLAN For MAGI-eligible people over MAGI income limit up to 200% FPL No long term care. See info here 1 2 1 2 3 1 2 Income $875 (up from $859 in 201) $1284 (up from $1,267 in 2019) $1,468 $1,983 $2,498 $2,127 $2,873 Resources $15,750 (up from $15,450 in 2019) $23,100 (up from $22,800 in 2019) NO LIMIT** NO kamagra oral jelly online shop LIMIT SOURCE for 2019 figures is GIS 18 MA/015 - 2019 Medicaid Levels and Other Updates (PDF). All of the attachments with the various levels are posted here. NEED TO KNOW PAST MEDICAID INCOME AND RESOURCE LEVELS?.

Which household size kamagra oral jelly online shop applies?. The rules are complicated. See rules here. On the HRA Medicaid Levels chart - Boxes 1 and 2 are NON-MAGI Income and Resource levels -- Age 65+, kamagra oral jelly online shop Blind or Disabled and other adults who need to use "spend-down" because they are over the MAGI income levels.

Box 10 on page 3 are the MAGI income levels -- The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT on Medicare -- have expanded eligibility up to 138% of the Federal Poverty Line, so may now qualify for Medicaid even if they were not eligible before, or may now be eligible for Medicaid without a "spend-down." They have NO resource limit. Box 3 on page 1 is Spousal Impoverishment levels for Managed kamagra oral jelly online shop Long Term Care &. Nursing Homes and Box 8 has the Transfer Penalty rates for nursing home eligibility Box 4 has Medicaid Buy-In for Working People with Disabilities Under Age 65 (still 2017 levels til April 2018) Box 6 are Medicare Savings Program levels (will be updated in April 2018) MAGI INCOME LEVEL of 138% FPL applies to most adults who are not disabled and who do not have Medicare, AND can also apply to adults with Medicare if they have a dependent child/relative under age 18 or under 19 if in school.

42 C.F.R. § 435.4 kamagra oral jelly online shop. Certain populations have an even higher income limit - 224% FPL for pregnant women and babies <. Age 1, 154% FPL for children age 1 - 19.

CAUTION kamagra oral jelly online shop. What is counted as income may not be what you think. For the NON-MAGI Disabled/Aged 65+/Blind, income will still be determined by the same rules as before, explained in this outline and these charts on income disregards. However, for the MAGI population - which is virtually everyone under age 65 who is not on Medicare - their income will now be determined under new rules, kamagra oral jelly online shop based on federal income tax concepts - called "Modifed Adjusted Gross Income" (MAGI).

There are good changes and bad changes. GOOD buy kamagra jelly uk. Veteran's benefits, Workers compensation, and gifts from family or others no longer count as income. BAD kamagra oral jelly online shop.

There is no more "spousal" or parental refusal for this population (but there still is for the Disabled/Aged/Blind.) and some other rules. For all of the rules see. ALSO SEE 2018 Manual on Lump Sums and Impact on Public Benefits - with resource rules The income limits increase with the "household size." In kamagra oral jelly online shop other words, the income limit for a family of 5 may be higher than the income limit for a single person. HOWEVER, Medicaid rules about how to calculate the household size are not intuitive or even logical.

There are different rules depending on the "category" of the person seeking Medicaid. Here are the 2 basic categories and the rules kamagra oral jelly online shop for calculating their household size. People who are Disabled, Aged 65+ or Blind - "DAB" or "SSI-Related" Category -- NON-MAGI - See this chart for their household size. These same rules apply to the Medicare Savings Program, with some exceptions explained in this article.

Everyone else -- MAGI - All children and adults under age 65, including people with disabilities kamagra oral jelly online shop who are not yet on Medicare -- this is the new "MAGI" population. Their household size will be determined using federal income tax rules, which are very complicated. New rule is explained in State's directive 13 ADM-03 - Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010 (PDF) pp. 8-10 of the PDF, This PowerPoint by NYLAG on MAGI Budgeting kamagra oral jelly online shop attempts to explain the new MAGI budgeting, including how to determine the Household Size.

See slides 28-49. Also seeLegal Aid Society and Empire Justice Center materials OLD RULE used until end of 2013 -- Count the person(s) applying for Medicaid who live together, plus any of their legally responsible relatives who do not receive SNA, ADC, or SSI and reside with an applicant/recipient. Spouses or legally responsible for kamagra oral jelly online shop one another, and parents are legally responsible for their children under age 21 (though if the child is disabled, use the rule in the 1st "DAB" category. Under this rule, a child may be excluded from the household if that child's income causes other family members to lose Medicaid eligibility.

See 18 NYCRR 360-4.2, MRG p. 573, NYS GIS 2000 kamagra oral jelly online shop MA-007 CAUTION. Different people in the same household may be in different "categories" and hence have different household sizes AND Medicaid income and resource limits. If a man is age 67 and has Medicare and his wife is age 62 and not disabled or blind, the husband's household size for Medicaid is determined under Category 1/ Non-MAGI above and his wife's is under Category 2/MAGI.

The following programs were available prior to 2014, but are now discontinued because they are folded into MAGI Medicaid. Prenatal Care Assistance Program (PCAP) was Medicaid for pregnant women and children under age 19, with higher income limits for pregnant woman and infants under one year (200% FPL for pregnant women receiving perinatal coverage only not full Medicaid) than for children ages 1-18 (133% FPL). Medicaid for adults between ages 21-65 who are not disabled and without children under 21 in the household. It was sometimes known as "S/CC" category for Singles and Childless Couples.

This category had lower income limits than DAB/ADC-related, but had no asset limits. It did not allow "spend down" of excess income. This category has now been subsumed under the new MAGI adult group whose limit is now raised to 138% FPL.

How should I take Kamagra?

Take Kamagra by mouth with a glass of water. The dose is usually taken 1 hour before sexual activity. You should not take the dose more than once per day. Do not take your medicine more often than directed. Overdosage: If you think you have taken too much of Kamagra contact a poison control center or emergency room at once. NOTE: Kamagra is only for you. Do not share Kamagra with others.

Kamagra shop deutschland

Stay-at-home orders for adults who have received both doses of the erectile dysfunction treatment kamagra shop deutschland treatment will be lifted from the Monday after NSW passes the 70 per cent double vaccination target, under the roadmap to freedom released Lasix online in canada today. The roadmap is subject to further fine-tuning and health advice if circumstances change drastically or if cases within a designated area remain too high. Premier Gladys Berejiklian said we are well on the way to hitting kamagra shop deutschland the 70 per cent double dose milestone which will allow the state to open up for those who have received both doses of a erectile dysfunction treatment. "I cannot stress enough how important it is for people to get vaccinated – if you have not had both doses of the treatment by the time we hit the 70 per cent milestone, you will not be able to take advantage of these freedoms," Ms Berejiklian said. Deputy Premier John Barilaro said kamagra shop deutschland the NSW Government has worked with industry to design this roadmap, which is our biggest incentive to get vaccinated, to reach the 70 per cent target as soon as possible.

"Our roadmap outlines the freedoms that twice vaccinated people will enjoy once we reach 70 per cent double dose which means a meal with loved ones or a drink with friends is just around the corner," Mr Barilaro said. Only fully vaccinated kamagra shop deutschland people and those with medical exemptions will have access to the freedoms allowed under the Reopening NSW roadmap. The freedoms for vaccinated adults will come into effect on the Monday after NSW hits the 70 per cent double dose target and include. Gatherings in the home kamagra shop deutschland and public spacesUp to five visitors will be allowed in a home where all adults are vaccinated (not including children 12 and under). Up to 20 people can gather in outdoor settings.

Venues including hospitality, retail stores and gymsHospitality venues can reopen subject to one person per kamagra shop deutschland 4sqm inside and one person per 2sqm outside, with standing while drinking permitted outside. Retail stores can reopen under the one person per 4sqm rule (unvaccinated people will continue to only be able to access critical retail). Personal services such as hairdressers and nail salons can open with one person per 4sqm, capped at five clients per premises. Gyms and indoor recreation facilities can open under the one person per kamagra shop deutschland 4sqm rule and can offer classes for up to 20 people. Sporting facilities including swimming pools can reopen.

Stadiums, theatres and major outdoor recreation facilitiesMajor recreation outdoor facilities including stadiums, kamagra shop deutschland racecourses, theme parks and zoos can reopen with one person per 4sqm, capped at 5,000 people. Up to 500 people can attend ticketed and seated outdoor events. Indoor entertainment and information facilities including cinemas, theatres, music halls, museums and kamagra shop deutschland galleries can reopen with one person per 4sqm or 75 per cent fixed seated capacity. Weddings, funerals and places of worship Up to 50 guests can attend weddings, with dancing permitted and eating and drinking only while seated. Up to 50 guests can attend funerals, with eating kamagra shop deutschland and drinking while seated.

Churches and places of worship to open subject to one person per 4sqm rule, with no singing. TravelDomestic travel, including trips to regional NSW, will kamagra shop deutschland be permitted. Caravan parks and camping grounds can open. Carpooling will be permitted. Non-vaccinated young people aged under 16 will be able to access all outdoor settings but will only be able to visit indoor kamagra shop deutschland venues with members of their household.

Employers must continue to allow employees to work from home if the employee is able to do so. There will be revised guidance on isolation for close kamagra shop deutschland and casual contacts who are fully vaccinated, with details to be provided closer to the reopening date. MasksMasks will remain mandatory for all indoor public venues, including public transport, front-of-house hospitality, retail and business premises, on planes and at airports. Only hospitality staff will be required to wear a mask when kamagra shop deutschland outdoors. Children aged under 12 will not need to wear a mask indoors.

Treasurer Dominic Perrottet said the easing of restrictions would come as a huge relief to struggling businesses and workers, who just want to get their kamagra shop deutschland lives back on track, safely."This roadmap gives us the light at the end of the tunnel we all want and will enable our economy to start firing again, driving our state back to prosperity," Mr Perrottet said. Health Minister Brad Hazzard said the government will continue to be guided by the health advice, and may still require targeted restrictions to deal with outbreaks. "As we work toward reopening NSW, it is vital people continue kamagra shop deutschland to come forward and get vaccinated to help protect the community and reduce transmission of the kamagra," Mr Hazzard said. When NSW hits the 80 per cent double dose target, the government intends to open up further freedoms around international travel, community sport, major events and other areas. If you are not booked in for a erectile dysfunction treatment, please book an appointment as soon possible.

For the latest information visit NSW government website - erectile dysfunction treatmentPeople across NSW who have received both doses of a erectile dysfunction treatment will be allowed more freedoms next month after NSW hit the target of six million jabs.This is the first step in the roadmap and further freedoms will follow for those who have had the jab when the state hits kamagra shop deutschland new vaccination targets of 70 and 80 per cent. Following consultation with Dr Kerry Chant and her team, as well as the NSW Chief Psychiatrist Dr Murray Wright, the following individual freedoms will be allowed for adults who have received both doses of the erectile dysfunction treatment.From 12.01am, Monday, 13 September:For those who live outside the LGAs of concern, outdoor gatherings of up to five people (including children, all adults must be vaccinated) will be allowed in a person’s LGA or within 5km of home.For those who live in the LGAs of concern households with all adults vaccinated will be able to gather outdoors for recreation (including picnics) within the existing rules (for one hour only, outside curfew hours and within 5km of home). This is in addition to the one hour kamagra shop deutschland allowed for exercise. Premier Gladys Berejiklian thanked the millions of people across NSW who came forward to receive their treatment, helping hit the six million doses target.“We are so grateful for every person who comes forward to get vaccinated because the more jabs we get into arms, the sooner we can lift restrictions,” Ms Berejiklian said.“We appreciate the community’s patience in the lead up to 13 September, this additional time will allow the recent surge of treatments to take effect.”As part of the roadmap when the following targets are hit, freedoms will be as follows:70 per cent full vaccination. A range of family, industry, community and economic restrictions to be lifted for those who are vaccinated.80 kamagra shop deutschland per cent full vaccination.

Further easing of restrictions on industry, community and the economy.The government is also investigating trials of certain industries in coming months, as a proof-of-concept measure to prepare the businesses to open up and operate in a erectile dysfunction treatment-safe way.Deputy Premier John Barilaro said this roadmap is our path to freedom and is our biggest incentive yet to get vaccinated so we can return to a level of normality. €œThe roadmap announced today outlines kamagra shop deutschland a clear pathway forward in which a range of family, industry, community and economic restrictions will be lifted for those that are fully vaccinated when NSW hits 70 per cent,” Mr Barilaro said. €œHaving a meal with loved ones, or having a drink with friends is just around the corner, but to get there, we need to keep up momentum in the vaccination rollout.” Health Minister Brad Hazzard said two doses of the treatment not only helps protect people from hospitalisation and death, but also helps reduce transmission.“Two treatment doses leads to around a 90 per cent overall reduction in transmission of the kamagra,” Mr Hazzard.If you are not booked in for a erectile dysfunction treatment, please book an appointment as soon possible.There are several options to receive your ‘proof of erectile dysfunction treatment vaccination’:Download your erectile dysfunction treatment digital certificate via the Express Plus Medicare mobile app or your Medicare online account through myGov. You can add your erectile dysfunction treatment digital certificate to your Apple Wallet or Google Pay.Instructions kamagra shop deutschland are available on the Services Australia website. If you can’t get proof online, your vaccination provider can print your immunisation history statement for you.Call the Australian Immunisation Register on 1800 653 809 (Monday to Friday 8am to 5pm) and ask for your statement to be sent to you.

It can take up to 14 days to arrive in the post.If you’re not eligible for Medicare you can call the Australian Immunisation Register and request your certificate be mailed to you or add your erectile dysfunction treatment certificate to your digital wallet using the Individual Healthcare Identifiers service (IHI service) through myGov.For the latest information visit the NSW Government website..

Stay-at-home orders for adults who have received both doses of the erectile dysfunction treatment will be lifted from the Monday after NSW passes the 70 per cent kamagra oral jelly online shop double vaccination target, under the roadmap to freedom released today. The roadmap is subject to further fine-tuning and health advice if circumstances change drastically or if cases within a designated area remain too high. Premier Gladys Berejiklian said we are well kamagra oral jelly online shop on the way to hitting the 70 per cent double dose milestone which will allow the state to open up for those who have received both doses of a erectile dysfunction treatment. "I cannot stress enough how important it is for people to get vaccinated – if you have not had both doses of the treatment by the time we hit the 70 per cent milestone, you will not be able to take advantage of these freedoms," Ms Berejiklian said. Deputy Premier John Barilaro said the NSW Government has worked with industry to design this roadmap, which kamagra oral jelly online shop is our biggest incentive to get vaccinated, to reach the 70 per cent target as soon as possible.

"Our roadmap outlines the freedoms that twice vaccinated people will enjoy once we reach 70 per cent double dose which means a meal with loved ones or a drink with friends is just around the corner," Mr Barilaro said. Only fully vaccinated people and those with medical exemptions will have access to the freedoms allowed under the Reopening kamagra oral jelly online shop NSW roadmap. The freedoms for vaccinated adults will come into effect on the Monday after NSW hits the 70 per cent double dose target and include. Gatherings in the home and public spacesUp to five visitors will be allowed in a home where kamagra oral jelly online shop all adults are vaccinated (not including children 12 and under). Up to 20 people can gather in outdoor settings.

Venues including hospitality, retail stores and kamagra oral jelly online shop gymsHospitality venues can reopen subject to one person per 4sqm inside and one person per 2sqm outside, with standing while drinking permitted outside. Retail stores can reopen under the one person per 4sqm rule (unvaccinated people will continue to only be able to access critical retail). Personal services such as hairdressers and nail salons can open with one person per 4sqm, capped at five clients per premises. Gyms and indoor recreation facilities can open under the one person per 4sqm rule kamagra oral jelly online shop and can offer classes for up to 20 people. Sporting facilities including swimming pools can reopen.

Stadiums, theatres and major outdoor recreation facilitiesMajor recreation outdoor facilities including stadiums, racecourses, theme parks and zoos can reopen with one person per 4sqm, capped at 5,000 kamagra oral jelly online shop people. Up to 500 people can attend ticketed and seated outdoor events. Indoor entertainment and information facilities including cinemas, theatres, music halls, museums kamagra oral jelly online shop and galleries can reopen with one person per 4sqm or 75 per cent fixed seated capacity. Weddings, funerals and places of worship Up to 50 guests can attend weddings, with dancing permitted and eating and drinking only while seated. Up to 50 guests kamagra oral jelly online shop can attend funerals, with eating and drinking while seated.

Churches and places of worship to open subject to one person per 4sqm rule, with no singing. TravelDomestic travel, including trips to regional NSW, will kamagra oral jelly online shop be permitted. Caravan parks and camping grounds can open. Carpooling will be permitted. Non-vaccinated young people aged under 16 will be able to access all outdoor settings kamagra oral jelly online shop but will only be able to visit indoor venues with members of their household.

Employers must continue to allow employees to work from home if the employee is able to do so. There will be revised guidance on isolation for close and casual contacts who are fully vaccinated, with details to be provided closer to the reopening kamagra oral jelly online shop date. MasksMasks will remain mandatory for all indoor public venues, including public transport, front-of-house hospitality, retail and business premises, on planes and at airports. Only hospitality staff will be required kamagra oral jelly online shop to wear a mask when outdoors. Children aged under 12 will not need to wear a mask indoors.

Treasurer Dominic Perrottet said the easing of restrictions would come as a huge relief to struggling businesses and workers, who just kamagra oral jelly online shop want to get their lives back on track, safely."This roadmap gives us the light at the end of the tunnel we all want and will enable our economy to start firing again, driving our state back to prosperity," Mr Perrottet said. Health Minister Brad Hazzard said the government will continue to be guided by the health advice, and may still require targeted restrictions to deal with outbreaks. "As we work toward kamagra oral jelly online shop reopening NSW, it is vital people continue to come forward and get vaccinated to help protect the community and reduce transmission of the kamagra," Mr Hazzard said. When NSW hits the 80 per cent double dose target, the government intends to open up further freedoms around international travel, community sport, major events and other areas. If you are not booked in for a erectile dysfunction treatment, please book an appointment as soon possible.

For the latest information visit NSW government website - erectile dysfunction treatmentPeople across NSW who have received both doses of a erectile dysfunction treatment will be allowed more freedoms next month after NSW hit the target of six million jabs.This is the first step in kamagra oral jelly online shop the roadmap and further freedoms will follow for those who have had the jab when the state hits new vaccination targets of 70 and 80 per cent. Following consultation with Dr Kerry Chant and her team, as well as the NSW Chief Psychiatrist Dr Murray Wright, the following individual freedoms will be allowed for adults who have received both doses of the erectile dysfunction treatment.From 12.01am, Monday, 13 September:For those who live outside the LGAs of concern, outdoor gatherings of up to five people (including children, all adults must be vaccinated) will be allowed in a person’s LGA or within 5km of home.For those who live in the LGAs of concern households with all adults vaccinated will be able to gather outdoors for recreation (including picnics) within the existing rules (for one hour only, outside curfew hours and within 5km of home). This is in addition to the kamagra oral jelly online shop one hour allowed for exercise. Premier Gladys Berejiklian thanked the millions of people across NSW who came forward to receive their treatment, helping hit the six million doses target.“We are so grateful for every person who comes forward to get vaccinated because the more jabs we get into arms, the sooner we can lift restrictions,” Ms Berejiklian said.“We appreciate the community’s patience in the lead up to 13 September, this additional time will allow the recent surge of treatments to take effect.”As part of the roadmap when the following targets are hit, freedoms will be as follows:70 per cent full vaccination. A range of family, industry, community and economic restrictions to be lifted kamagra oral jelly online shop for those who are vaccinated.80 per cent full vaccination.

Further easing of restrictions on industry, community and the economy.The government is also investigating trials of certain industries in coming months, as a proof-of-concept measure to prepare the businesses to open up and operate in a erectile dysfunction treatment-safe way.Deputy Premier John Barilaro said this roadmap is our path to freedom and is our biggest incentive yet to get vaccinated so we can return to a level of normality. €œThe roadmap announced today outlines a clear pathway forward in which a range of family, industry, community and economic restrictions will be lifted for those that are fully vaccinated kamagra oral jelly online shop when NSW hits 70 per cent,” Mr Barilaro said. €œHaving a meal with loved ones, or having a drink with friends is just around the corner, but to get there, we need to keep up momentum in the vaccination rollout.” Health Minister Brad Hazzard said two doses of the treatment not only helps protect people from hospitalisation and death, but also helps reduce transmission.“Two treatment doses leads to around a 90 per cent overall reduction in transmission of the kamagra,” Mr Hazzard.If you are not booked in for a erectile dysfunction treatment, please book an appointment as soon possible.There are several options to receive your ‘proof of erectile dysfunction treatment vaccination’:Download your erectile dysfunction treatment digital certificate via the Express Plus Medicare mobile app or your Medicare online account through myGov. You can kamagra oral jelly online shop add your erectile dysfunction treatment digital certificate to your Apple Wallet or Google Pay.Instructions are available on the Services Australia website. If you can’t get proof online, your vaccination provider can print your immunisation history statement for you.Call the Australian Immunisation Register on 1800 653 809 (Monday to Friday 8am to 5pm) and ask for your statement to be sent to you.

It can take up to 14 days to arrive in the post.If you’re not eligible for Medicare you can call the Australian Immunisation Register and request your certificate be mailed to you or add your erectile dysfunction treatment certificate to your digital wallet using the Individual Healthcare Identifiers service (IHI service) through myGov.For the latest information visit the NSW Government website..

Kamagra 4 uk

Will it be worth have a peek here the expense? kamagra 4 uk. Fortunately, in the US, most movie theaters "must provide a means for delivering closed captioning and audio description," according to the Hearing Loss Association of America (HLAA). These rules were issued in 2018 under the Americans with Disabilities Act by the Department of Justice. By law, movie theaters are supposed to makemovies accessible to kamagra 4 uk people with hearing loss.

The change in the law is good news for people who have severe hearing loss, as it makes it easier to enjoy going to the movies. First, if you wear hearing aids More good news. Most people who wear kamagra 4 uk hearing aids will not need any extra help. "Many people with mild-to-moderate hearing loss find that they hear quite well in movie theaters when wearing their hearing aids," notes Susanne Jones, a hearing instrument specialist and customer support manager for Healthy Hearing.

"In my clinical experience, most hearing aid wearers felt that they understood speech at the movie theater better than they did while watching TV or movies at home. This is likely due to the volume, sound system quality and speaker placement." kamagra 4 uk If you're worried the theater volume may be too loud, Jones advises adjusting the volume of your hearing aids slightly, to a more comfortable level. Modern hearing aids have loud noise suppression to keep your hearing safe. If hearing aids aren't enough If you have more severe hearing loss or are Deaf, you may need to find out what accessibility options your local movie theater offers.

Arrive early so you can request the equipment you need kamagra 4 uk. Also, give yourself time to set it up before the movie starts. If things don't go well, don't be afraid to ask for your money back. Here's an overview of what may be offered kamagra 4 uk to you, and what to expect at major theater chains.

Caption options at the movies Movie theaters generally offer two types of captioning. Open and closed. "Open captioning" is when the text appears on the screen, for kamagra 4 uk everyone in the the theater to see. "Closed captioning" refers to a system where the captions are private, transmitted via a personal device.

Open caption screenings are not very common. Sometimes, movie theaters offer special "open caption" viewings for anyone who wants to watch movies with kamagra 4 uk subtitles/captions, or if you have a large group and request a special screening. And of course, most foreign films screened in the US are subtitled in English. For closed captions, you must request a device that displays the captions at your seat.

The type kamagra 4 uk of device, technology and availability will vary by movie theater chain, so your first step is to figure out which movie theater chain you're going to be visiting and plan ahead with a little research. You may want to call ahead of time and ask. What can I expect?. Here's what we found from major theater chains kamagra 4 uk on their websites or from online articles.

Regal Theaters Regal provided the most information, including a helpful accessibility page on their captioning and descriptive video available to customers. They even provide a state-by-state listing of theaters and what accessibility options are available to you locally. Regal exclusively offers Sony kamagra 4 uk Access eyeglasses with open captions, so viewers can have captions in their direct line of sight. These can be worn over regular eyeglasses.

Regal recommends checking with your local theater to make sure you will have the help you need. Look for kamagra 4 uk movie descriptions that say "accessibility devices available." AMC Theaters On AMC's accessibility page, this major theater chain says they provide several options. Amplified headsets and assistive listening devices to better hear the audio. A CaptiView device, which attaches to your seat's cupholder and displays the movie's closed captions in front of you.

Cinemark We couldn't kamagra 4 uk find an accessibility page for Cinemark. Based on online reports, it appears they may offer patrons CaptiView closed captioning devices. This man's 2011 CaptiView review is a good description of the pros and cons of using the device (which may have been updated since his post). Landmark Theaters On their accessibility page, Landmark lists which theaters have assistive listening equipment and kamagra 4 uk also what they use, which varies by theater, but generally includes.

CaptiView or CCR-100 personal closed captioning devices Wireless amplified headphones audio system Hearing loop technology (only in a handful of theaters) Marcus Theatres This large chain offers similar assistive technology to Landmark. Assistive listening device (ALD) systems Even if your local theater doesn’t have the newest captioning technology, they may offer some type of assistive listening device system for people with some residual hearing. Since the enactment of the ADA in 1990, all theaters with fixed seating for 50 patrons are required to provide an ALD system kamagra 4 uk. Three different systems may be available.

FM/DM systems use radio frequencies to transmit amplified sound through a special receiver customers can borrow for the duration of the film. Infared light systems transmit sound to kamagra 4 uk a special receiver, which can be adjusted to the desired volume. When available, these receivers are loaned to the patron for the duration of the film. Induction loop systems receive the sound signal through the t-coil in your hearing aid or cochlear implant.

If your theater is wired for induction loops, you’ll want to switch your hearing kamagra 4 uk instrument to t-coil to enjoy the show. Check with your hearing healthcare professional to see if they can recommend the movie theater in town with the best access options for you. If your hearing impairment has been keeping you away from the movie theater, it may be time to venture out. With a http://bendwild.com/blind-pig-ipa-from-russian-river-brewing-company-santa-rosa-calfornia/ little research and new technology, kamagra 4 uk a night at the movies can be an enjoyable event for everyone in the family.

Share your tips Please contact us if you have advice or tips to share with fellow movie-lovers who have hearing loss, and we can add them here.While life-saving, many cancer chemotherapy drugs come with serious side effects. These include hearing-related side effects such as hearing loss, tinnitus (ringing in your ears) and balance problems. While sometimes these side effects kamagra 4 uk are temporary and get better after treatment ends, often they’re permanent. If you’re about to undergo cancer treatment—or have a child in those circumstances—here’s what you need to know.

Cancer treatment typically relies on a trio of treatment options. Radiation, surgery, and chemotherapy, often performed in conjunction—for instance, a person may kamagra 4 uk have surgery followed by a course of radiation and chemotherapy. All three cancer treatment options have the potential to damage hearing, depending on the location of the cancer. Surgery If you have a form of cancer that requires surgery in the brain, ear, or auditory nerve, hearing problems could occur, according to the Canadian Cancer Society (CCS).

Removing a cancerous tumor, for instance, might cause damage kamagra 4 uk to the ear. Radiation During radiation treatment, high-energy waves or particles are used to destroy or damage cancer cells. If radiation is needed anywhere in the head and neck, it can potentially lead to two types of hearing loss. Conductive hearing loss, a type of kamagra 4 uk hearing loss that happens when sound doesn’t make its way to the inner ear, may occur.

This is due to the ear canal being narrowed, the eardrum thickening, or other ear changes caused by radiation, according to a 2019 article published in the Journal of Neurologic Surgery. A condition called otitis media with effusion (OME), where fluid collects in the middle ear, occurs in nearly half of people who have radiation therapy in the head and neck, per the article. Sensorineural hearing loss, which arises with damage to the inner ear or auditory nerve, can also occur as a kamagra 4 uk result of radiation. Higher doses of radiation are more likely to cause hearing loss, according to the journal article.

People under age 3 and over age 50 are at a higher risk for this type of hearing loss, as are people being treated with the chemotherapy treatment cisplatin (more on that in a moment). This type of hearing loss is kamagra 4 uk permanent. Chemotherapy and hearing loss Chemotherapy refers to the use of powerful chemicals that are capable of killing cancer cells. In some cases, chemotherapy drugs can be "ototoxic," which means they are harmful to hearing.

About kamagra 4 uk half of all patients who receive the chemotherapy drug cisplatin develop hearing-related side effects including hearing loss, tinnitus and vertigo. This is known as ototoxicity. Platinum-based chemotherapy (cisplatin) This is especially the case for chemotherapy known as platinum-based therapy (that is, chemo meds containing the element platinum). The most kamagra 4 uk ototoxic platinum-based chemotherapy is cisplatin, according to a review article in Cancer Chemotherapy and Pharmacology.

This medication is used to treat bladder, testicular, and ovarian cancer, according to the National Cancer Center. "Not only hearing loss, but also tinnitus and imbalance are common in patients who receive platinum-based chemotherapy, and can cause debilitating effects upon quality of life," the review article states. Hearing-related side effects kamagra 4 uk to this medication appear fairly common. Permanent hearing loss occurs in about half of all patients who take cisplatin, ASHA notes.

It usually causes high-frequency hearing loss. Scientists are still working to understand why cisplatin damages hearing—it may be because it easily enters the inner ear (while other drugs are kamagra 4 uk blocked) but doesn’t seem to exit it, according to ASHA. Once in the inner ear, the medications may cause damage to hair cells, which are vital to the hearing process. Other platinum-based chemotherapies that treat solid tumors, such as carboplatin and oxaliplatin, are less likely to damage hearing, although they can still cause issues.

For instance, carboplatin can cause ringing in kamagra 4 uk the ears (tinnitus), notes the Mayo Clinic. Other chemo drugs There are other chemotherapies that don’t fall into the platinum-based category that can still cause hearing problems or tinnitus. They include vincristine, doxorubicin, gemcitabine, cyclophosphamide, oxaliplatin, and farmorubicin, notes a 2016 study published in the Brazilian Journal of Otorhinolaryngology. Radiation treatment kamagra 4 uk combined with these ototoxic chemotherapy medications increases the risk for hearing-related issues.

With higher doses of chemo meds, there’s a greater risk for hearing problems, according to CCS. Non-cancer drugs can also cause problems Keep in mind, other medications besides chemotherapy taken during cancer treatment—such as pain medications, anti-nausea meds, or antibiotics—can also lead to hearing problems. There are at least 200 medications kamagra 4 uk linked to hearing loss, including over-the-counter medications like aspirin. Hearing loss more likely among kids Seventy-five per cent of patients five years old and younger had cisplatin-related hearing loss three years after starting therapy, a 2021 University of British Columbia study shows.

“Young children [are] particularly vulnerable to the ototoxic effects of cancer therapies,” affirms a 2016 review article in the journal Cancer. This is because the brain and ears are still forming in young childhood, the article kamagra 4 uk notes. Not only is hearing loss more common in children who take cisplatin, but it’s also more severe, per ASHA. Plus, even small amounts of hearing loss in high frequencies are a big deal to younger children acquiring language.

How to weigh the risks Regular hearing check-ups are importantfor current and former cancer patients whoreceived treatment linked to hearing loss. Cancer is a life-threatening disease, which is why doctors use powerful treatment methods, despite the host of known side effects. Knowing the potential risks is helpful, since it can help you assess if the risk is worth it to you personally. Talk to your doctor about the drug's side effects and if there are any alternatives.

ASHA recommends following these steps if you are taking known ototoxic medications. Check your hearing. Ideally, do this before the treatment to have a baseline record of your hearing.

These rules http://www.ec-vergers-illkirch-graffenstaden.ac-strasbourg.fr/deuxieme-exercice-alarme-incendie-le-2-fevrier-2021/ were issued in 2018 under the Americans with Disabilities Act by the kamagra oral jelly online shop Department of Justice. By law, movie theaters are supposed to makemovies accessible to people with hearing loss. The change in the law is good news for people who have severe hearing loss, as it makes it easier to enjoy going to the movies. First, if you wear hearing aids kamagra oral jelly online shop More good news. Most people who wear hearing aids will not need any extra help.

"Many people with mild-to-moderate hearing loss find that they hear quite well in movie theaters when wearing their hearing aids," notes Susanne Jones, a hearing instrument specialist and customer support manager for Healthy Hearing. "In my clinical experience, most hearing aid wearers felt that they understood speech at the movie theater better than they did while kamagra oral jelly online shop watching TV or movies at home. This is likely due to the volume, sound system quality and speaker placement." If you're worried the theater volume may be too loud, Jones advises adjusting the volume of your hearing aids slightly, to a more comfortable level. Modern hearing aids have loud noise suppression to keep your hearing safe. If hearing aids aren't enough If you have kamagra oral jelly online shop more severe hearing loss or are Deaf, you may need to find out what accessibility options your local movie theater offers.

Arrive early so you can request the equipment you need. Also, give yourself time to set it up before the movie starts. If things don't go well, don't be afraid to kamagra oral jelly online shop ask for your money back. Here's an overview of what may be offered to you, and what to expect at major theater chains. Caption options at the movies Movie theaters generally offer two types of captioning.

Open and kamagra oral jelly online shop closed. "Open captioning" is when the text appears on the screen, for everyone in the the theater to see. "Closed captioning" refers to a system where the captions are private, transmitted via a personal device. Open kamagra oral jelly online shop caption screenings are not very common. Sometimes, movie theaters offer special "open caption" viewings for anyone who wants to watch movies with subtitles/captions, or if you have a large group and request a special screening.

And of course, most foreign films screened in the US are subtitled in English. For closed captions, you must request a device kamagra oral jelly online shop that displays the captions at your seat. The type of device, technology and availability will vary by movie theater chain, so your first step is to figure out which movie theater chain you're going to be visiting and plan ahead with a little research. You may want to call ahead of time and ask. What can I expect? kamagra oral jelly online shop.

Here's what we found from major theater chains on their websites or from online articles. Regal Theaters Regal provided the most information, including a helpful accessibility page on their captioning and descriptive video available to customers. They even provide a state-by-state listing of theaters and what accessibility options are available to you locally kamagra oral jelly online shop. Regal exclusively offers Sony Access eyeglasses with open captions, so viewers can have captions in their direct line of sight. These can be worn over regular eyeglasses.

Regal recommends checking with your local theater to make sure you will have the kamagra oral jelly online shop help you need. Look for movie descriptions that say "accessibility devices available." AMC Theaters On AMC's accessibility page, this major theater chain says they provide several options. Amplified headsets and assistive listening devices to better hear the audio. A CaptiView device, which attaches to your seat's cupholder and displays the movie's closed captions in front kamagra oral jelly online shop of you. Cinemark We couldn't find an accessibility page for Cinemark.

Based on online reports, it appears they may offer patrons CaptiView closed captioning devices. This man's 2011 CaptiView review is a kamagra oral jelly online shop good description of the pros and cons of using the device (which may have been updated since his post). Landmark Theaters On their accessibility page, Landmark lists which theaters have assistive listening equipment and also what they use, which varies by theater, but generally includes. CaptiView or CCR-100 personal closed captioning devices Wireless amplified headphones audio system Hearing loop technology (only in a handful of theaters) Marcus Theatres This large chain offers similar assistive technology to Landmark. Assistive listening device (ALD) systems Even if your local theater doesn’t have the newest captioning technology, they may offer some type of assistive listening device system for people with some kamagra oral jelly online shop residual hearing.

Since the enactment of the ADA in 1990, all theaters with fixed seating for 50 patrons are required to provide an ALD system. Three different systems may be available. FM/DM kamagra oral jelly online shop systems use radio frequencies to transmit amplified sound through a special receiver customers can borrow for the duration of the film. Infared light systems transmit sound to a special receiver, which can be adjusted to the desired volume. When available, these receivers are loaned to the patron for the duration of the film.

Induction loop systems receive the sound signal through the t-coil in your hearing aid kamagra oral jelly online shop or cochlear implant. If your theater is wired for induction loops, you’ll want to switch your hearing instrument to t-coil to enjoy the show. Check with your hearing healthcare professional to see if they can recommend the movie theater in town with the best access options for you. If your hearing impairment has been keeping you away from the movie kamagra oral jelly online shop theater, it may be time to venture out. With a little research and new technology, a night at the movies can be an enjoyable event for everyone in the family.

Share your tips Please contact us if you have advice or tips to share with fellow movie-lovers who have hearing loss, and we can add them here.While life-saving, many cancer chemotherapy drugs come with serious side effects. These include hearing-related side effects such as hearing loss, tinnitus directory (ringing in your ears) kamagra oral jelly online shop and balance problems. While sometimes these side effects are temporary and get better after treatment ends, often they’re permanent. If you’re about to undergo cancer treatment—or have a child in those circumstances—here’s what you need to know. Cancer treatment typically relies on a kamagra oral jelly online shop trio of treatment options.

Radiation, surgery, and chemotherapy, often performed in conjunction—for instance, a person may have surgery followed by a course of radiation and chemotherapy. All three cancer treatment options have the potential to damage hearing, depending on the location of the cancer. Surgery If you have a form of cancer that requires surgery in the brain, ear, or auditory nerve, hearing problems could kamagra oral jelly online shop occur, according to the Canadian Cancer Society (CCS). Removing a cancerous tumor, for instance, might cause damage to the ear. Radiation During radiation treatment, high-energy waves or particles are used to destroy or damage cancer cells.

If radiation kamagra oral jelly online shop is needed anywhere in the head and neck, it can potentially lead to two types of hearing loss. Conductive hearing loss, a type of hearing loss that happens when sound doesn’t make its way to the inner ear, may occur. This is due to the ear canal being narrowed, the eardrum thickening, or other ear changes caused by radiation, according to a 2019 article published in the Journal of Neurologic Surgery. A condition called otitis media with effusion (OME), where fluid collects in the middle kamagra oral jelly online shop ear, occurs in nearly half of people who have radiation therapy in the head and neck, per the article. Sensorineural hearing loss, which arises with damage to the inner ear or auditory nerve, can also occur as a result of radiation.

Higher doses of radiation are more likely to cause hearing loss, according to the journal article. People under age 3 kamagra oral jelly online shop and over age 50 are at a higher risk for this type of hearing loss, as are people being treated with the chemotherapy treatment cisplatin (more on that in a moment). This type of hearing loss is permanent. Chemotherapy and hearing loss Chemotherapy refers to the use of powerful chemicals that are capable of killing cancer cells. In some cases, chemotherapy drugs can be "ototoxic," which means they kamagra oral jelly online shop are harmful to hearing.

About half of all patients who receive the chemotherapy drug cisplatin develop hearing-related side effects including hearing loss, tinnitus and vertigo. This is known as ototoxicity. Platinum-based chemotherapy (cisplatin) This is especially kamagra oral jelly online shop the case for chemotherapy known as platinum-based therapy (that is, chemo meds containing the element platinum). The most ototoxic platinum-based chemotherapy is cisplatin, according to a review article in Cancer Chemotherapy and Pharmacology. This medication is used to treat bladder, testicular, and ovarian cancer, according to the National Cancer Center.

"Not only hearing loss, but also tinnitus and imbalance are common in patients who receive platinum-based chemotherapy, and can cause debilitating kamagra oral jelly online shop effects upon quality of life," the review article states. Hearing-related side effects to this medication appear fairly common. Permanent hearing loss occurs in about half of all patients who take cisplatin, ASHA notes. It usually causes high-frequency hearing kamagra oral jelly online shop loss. Scientists are still working to understand why cisplatin damages hearing—it may be because it easily enters the inner ear (while other drugs are blocked) but doesn’t seem to exit it, according to ASHA.

Once in the inner ear, the medications may cause damage to hair cells, which are vital to the hearing process. Other platinum-based chemotherapies that treat solid tumors, such kamagra oral jelly online shop as carboplatin and oxaliplatin, are less likely to damage hearing, although they can still cause issues. For instance, carboplatin can cause ringing in the ears (tinnitus), notes the Mayo Clinic. Other chemo drugs There are other chemotherapies that don’t fall into the platinum-based category that can still cause hearing problems or tinnitus. They include vincristine, doxorubicin, gemcitabine, cyclophosphamide, oxaliplatin, and farmorubicin, notes a 2016 study published in kamagra oral jelly online shop the Brazilian Journal of Otorhinolaryngology.

Radiation treatment combined with these ototoxic chemotherapy medications increases the risk for hearing-related issues. With higher doses of chemo meds, there’s a greater risk for hearing problems, according to CCS. Non-cancer drugs can also cause problems Keep in mind, other medications besides chemotherapy taken during cancer treatment—such as pain medications, anti-nausea meds, or antibiotics—can also lead kamagra oral jelly online shop to hearing problems. There are at least 200 medications linked to hearing loss, including over-the-counter medications like aspirin. Hearing loss more likely among kids Seventy-five per cent of patients five years old and younger had cisplatin-related hearing loss three years after starting therapy, a 2021 University of British Columbia study shows.

“Young children [are] particularly vulnerable to the ototoxic effects of cancer therapies,” affirms a 2016 review article in kamagra oral jelly online shop the journal Cancer. This is because the brain and ears are still forming in young childhood, the article notes. Not only is hearing loss more common in children who take cisplatin, but it’s also more severe, per ASHA. Plus, even small amounts of hearing kamagra oral jelly online shop loss in high frequencies are a big deal to younger children acquiring language. How to weigh the risks Regular hearing check-ups are importantfor current and former cancer patients whoreceived treatment linked to hearing loss.

Cancer is a life-threatening disease, which is why doctors use powerful treatment methods, despite the host of known side effects. Knowing the potential risks is helpful, since it can help kamagra oral jelly online shop you assess if the risk is worth it to you personally. Talk to your doctor about the drug's side effects and if there are any alternatives. ASHA recommends following these steps if you are taking known ototoxic medications. Check your kamagra oral jelly online shop hearing.

Ideally, do this before the treatment to have a baseline record of your hearing. Track changes. An audiologist can help you monitor hearing and balance during treatment, so that you can catch any issues quickly—it’s not always possible, but you may be able to pause or switch treatments.

How to get kamagra in the us

How to get kamagra in the us

I’ve never understood striving for perfection. It’s unattainable. It’s the pinnacle I never want to reach. For if it’s attained, what more is there to achieve?

How to get kamagra in the us

Most know that working and working to achieve perfection is a waste of time, but somewhere along the way striving for perfection was drilled into us. It’s at the very core of our existence. When we were young, we worked and worked at achieving something for the accolades we knew would be coming our way. If only we did it right. If only we worked more, we’d hit the mark and hear our praises sung. Our self-worth became dependent on the compliment or two thrown our way. But in doing so, we hung onto the words of others and worked our hands raw, because as children the mark kept moving higher. You could never, ever truly hit the mark. You just kept working and working toward perfection. As an adult I’m telling you, perfection is unattainable. The mark never stops moving.

How to get kamagra in the us

Striving for perfection is an addiction. Most perfection addicts falsely believe that achieving perfection indicates excellence. But perfection and excellence are two different things.

The Merriam-Webster Dictionary states perfection as a) freedom from fault or defect, flawlessness, b) the quality or state of being saintly, c) an unsurpassable degree of accuracy or excellence. Excellence on the other hand is a) very good of its kind, b) eminently good, c) first class. Two similar, but totally different degrees in terms.

Who wants to be saintly or flawless anyway? Not I. No siree. I like being a little devilish, a little flawed. Ok, depending on who you ask, quite flawed. Regardless, I don’t demand perfection, but I do demand excellence.

How to get kamagra in the us

The driving force of my excellence comes from within. I know I want to be eminently good. First-class. First rate in anything I do. But I could care less what other people demand of or expect from me. I don’t live for them. I live for me. I answer to my own higher conscience, and if it’s good enough for me, then by golly, I’ve hit my mark. If it’s not good enough for them. No worries, they can spend the time to work it and work it to get it perfect. No skin off my nose.

How to get kamagra in the us

As a member of Toastmasters International, a public speaking club, in both my leadership and speaking roles, I strive for excellence to the best of my abilities. And therein lies the difference between excellence and perfection. To the best of your ability.

I was terrified when I stood up to give my first speech. Just tell the audience a little bit about myself. If I had strived for perfection that first time up, I never would have gone back to Toastmasters. I would have run out the door with my tail between my legs, or my hand over my mouth, never to look back. In expecting perfection, I never would have become president of the club, nor gone onto win public speaking contests. But because there were goals outlined in the manual, for newbie speakers, I just wanted to hit the mark for those goals. And I did. I had attained excellence for what I was aiming to achieve that night. Looking back now, I’m sure there were countless ums and ahs, long pauses and stuttering in that first speech. But in the end, who cares? I wasn’t laughed off the stage. I hit my mark. I achieved excellence. But not perfection. And that’s ok. If I had walked off that stage as Little Miss Perfect, I would have missed out on so much in learning from others, in pushing my comfort zone, and in becoming a better speaker.

How to get kamagra in the us

A fellow Toastmaster gave his third speech this past Tuesday. Was it perfect? Hell no. But was it excellent? You betcha. Even the content of the speech was right on the mark. He said in this day and age, if you ask an audience how many members believe they give 100% at work, guess how many people raise their hands? One hundred percent raise their hands. Know what that means? The average Joe gives 100%. Everybody does. Or so we think. With those odds, in order to be noticed or to move forward, then you better be giving 110%. Do you need to be perfect? Nope. But do you need to demand excellence? Absolutely.

Excellence I can handle. But I don’t ever want to be perfect. No siree, not me. I rather like being Little Miss un-Perfect.