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[joshunken]

Avenue south residence brochure

Are you in the market to buy a home in Chicago? Do you know where you plan to live? Chicago's many neighborhoods have their own unique identities and customs. Which Chicago property is right for you? The only way to know is get out and view some Chicago real estate in different areas. Here are a few communities to visit in your Chicago properties search.

Skokie - Chicago Real Estate

Skokie (formerly Niles Centre) is a suburb of Chicago about 15 miles from the famous "Chicago Loop". If you are looking for a Chicago property it's a great place to live. There are about 65,000 people in area. Have your Chicago real estate agent show you homes on Old Orchard Road, Golf Road, Dempster Street, Main Street and Touhy Avenue. Also, check out people that want to sell a home in Chicago on Skokie Boulevard, Crawford Avenue, and McCormick Boulevard. Major diagonal streets are Lincoln Avenue, Niles Center Road, and Gross Point Road. Happy house hunting

Rogers Park - Chicago Real Estate

Rogers Park began as a farming Avenue south residence brochure  community in about 1830 with immigrants from Germany. There are excellent Chicago properties that reflect German, English, Irish and Jewish families that moved to Rogers Park. The 2000 census showed Rogers Park is one of the most diverse American communities. If you're into diversity, have your Chicago real estate agent arrange some house showings in Rogers Park.

Oak Park - Chicago Real Estate

Oak Park offers easy bus and train service to downtown Chicago, a good place to start your Chicago real estate quest. About 50,000 people live in Oak Park. Some famous Oak Park residents are Carl Rogers, Ernest Hemingway, Betty White. Got that? There's going to be a test when you close on your Chicago property! (just kidding)

Evanston - Chicago Real Estate

Evanston is located right on Lake Michigan just north of Chicago also belongs on your Chicago real estate house hunting list.... It's close to Wilmette, another popular place for buying a Chicago property. A few famous people from Evanston include Marlon Brando, John Cusack, Joan Cusack and Charlton Heston. As soon as you close on your Chicago property, I'll add you to the list.

[joshunken]

Avenue south residence price list

Why aren't more surgeons performing the thermal fusion (tissue welding) tonsillectomy? This is a question that I get a lot because I am the only surgeon in the area performing this low-pain technique for tonsillectomy. I can only make an informed guess. I think that it comes down to several factors.

First, the technique is not taught in the residency training programs. It's hard to know if the company that manufactures the equipment has made attempts to get the academic centers that train surgeons in tonsillectomy to try this. Tonsillectomy is a relatively basic, very low-prestige procedure, and in my training experience, it is often the senior residents teaching the first-year residents the technique that is used at that institution. If there is no effort to get the teachers of residents to adopt the procedure, then there may not be the accelerated adoption of this.

But almost every physician alters their approach to surgical technique once they get in practice. This is usually via two avenues. First, some more experienced surgeons that the younger surgeon (or it could flow the other direction) works with might demonstrate some advantage-greater speed/efficiency or fewer complications-in a surgical technique as they work together or discuss cases. The younger surgeon might adopt the Avenue south residence price list  different technique then. I went from a cold tonsillectomy with cautery bleeding control (the worst of both worlds) to a pure cautery tonsillectomy on the advice of a colleague after a few discussions.

The second way a surgeon may alter their technique would be if an equipment rep makes a visit to their office to tout the advantages of a new product/method. This is quite common, and there is a distinct mercenary aspect to this. There has to be an advantage over the previous technique to be able to sell this-greater speed or fewer complications. The pain from a cautery tonsillectomy is notorious, so I was eager to try things like laser--stupid because one had to still use lots of cautery for bleeding and there was the danger of fires and complexity of set-up. Another one was harmonic scalpel-hated the technique and had early complications. However, I did think that the radio frequency technique ("Coblation"), which I adopted in 2000 was a distinct advantage with less swelling and quicker healing. I wasn't totally convinced about better pain control.

When the same rep that taught me the radio frequency tonsillectomy came to see me in 2011 about thermal fusion tonsillectomy, I wasn't really open to changing--not at all. But he wore me down, and the fact that I had a relationship with him before was probably the deciding factor. The technique was very tedious and slow with a lot of hand fatigue on pressing the tips of the fusion forceps together.

I really was going to abandon this after about five cases, but both my staff and I realized that I wasn't getting any desperate phone calls from adults complaining of severe pain after the procedure. Maybe I should believe the studies. Also, a "meta-analysis" came out in 2011 showing an academic comparison of all tonsillectomy techniques. They called the thermal fusion technique "vessel sealing system"-what a mouthful! Anyway the VSS demonstrated superiority.) So I stuck with it.

But he didn't! Evidently I was his only success story. (In this world, the best doesn't always triumph commercially as the Sony Betamax and the Apple Macintosh sagas would confirm.) That rep quickly switched to a company that made balloon sinuplasty equipment. There is a big lesson there. Sinuplasty is a high-revenue and therefore high prestige procedure. And the balloon technique is a way of getting the same surgical fee for a lot less effort. A huge winner! And anyone who listens to the radio and is overwhelmed with "Smart Sinus" commercials would attest to this.

[joshunken]

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Enlightenment in the form of prison reform is finally taking root. After fifty years of scapegoating, the politicians and their failed war on drugs, are realizing that the choice between viewing drug addiction as primarily a criminal offense or a psychological illness is a no brainer. It is now painfully obvious that long term incarceration is prohibitively expensive in addition to too often reinforcing the negative behavior and attitudes it was intended to correct. Additionally is the unfairness and injustice of the penalties imposed disproportionately on minorities, youths, and the poor compared to those imposed on the rich, and people in power.

Fifty years ago (1967) as a budding psychologist I experienced my baptism of fire at a therapeutic community - the original Odyssey House - an innovative treatment center treating heroin addicts in New York City. At the time there was an epidemic of heroin addiction with only minimal treatment. In the air were some radical ideas about treating addicts in therapeutic communities but setting one up was largely experimental. Led by a psychiatrist- and lawyer of thirty one years old with a caring small staff of five professionals and a determined group of ten hardcore heroin addicts desperately wanting to get themselves together, plus a few benefactors who gifted an old building on 6th street and first avenue on the lower east side, plus an all- out dedication to learn what works to enhance effective treatment - Avenue south residences condo  vthe first Odyssey (mother) House was born. In the first six months the program expanded to over one hundred heroin addicts. The population consisted of one third white, one third black, and one third Puerto Rican - about two thirds males, and one third female - all hard core heroin addicts with extensive rap sheets, and virtually all of them suffering from severe psychological problems.

The program was structured to enable each of the residents to learn how to create a self - structure. A typical day consisted of each resident assigned to a job to maintain the integrity of the house (cooking, cleaning, repair, construction, transportation etc.). The afternoon was dedicated to group therapy. The night offered opportunities to learn various skills. The program was structured according to five levels. The first was induction in which a new addict had to be willing to come into the house for six months with no contact with the outside. They had to go cold turkey (usually in three days suffering nothing more serious than flu like symptoms and anxiety)- and agree to follow the rules of the house. Then they would begin to ascend the various levels gradually learning how to become an ex addict leader. During this time there would be endless groups including twoday marathons where the residents learned to trust themselves and others, learn what makes them tick, move from being reactive (impulsive) to reflective (informed choices) as they gradually learned how to bear increasing dosages of anxiety, frustration, depression, stress, not knowing, feeling overwhelmed, weak, confused, ambivalent, helpless, hopeless, and all the rest of so called inevitable life limitations without the use of drugs. In focusing on this task virtually all of the residents who persisted began demonstrating significant attitudinal and behavioral changes in as little as six months.

Although we were largely improvising we rapidly learned what worked and what did not. Although there were a number of negative staff members the more positive ones had a greater influence on treatment outcome. I worked first as a psychologist and then as an Assistant Director. By the time I left after 17 months there were notable treatment successes. Some forty years later when I followed up treatment outcomes there were a number of original core group members who not only were solid tax paying citizens but who had become leaders of their own or others addiction treatment programs. The point of this summary is to clarify some important issues which are - some fifty years later - in the glare of a shift in public priorities.

The following lessons have been learned (1) - The core motivation for taking heroin and abusing other drugs is quite simply an escape from the inevitable limitations of real life. The major problem is a lack of a solid identity coupled with ego weakness combined with a lack of basic trust. Effective treatment is providing the conditions and psychological tools for creating psychological infrastructure. Heroin addicts are dominated by the pleasure principle (the conventional measure of childhood success) - I want what I want when I want it and I hate the word no - no limits, no limitations, no hard work, no intimacy, no responsibility. In this light, a major goal of treatment is to help the addict how to grow up - to combine the pleasure principle with the reality principle - that adult success is obtained by mastery of the task at hand by a dedication to struggling with struggle. Crucial for treatment success is that those who administer and treat must be trustworthy, caring, empathic, tough and tender, fair and reasonable. Thus there must be accountability, managed training, constant evaluating the good or bad effects of all interventions. (2) The excuse of we don't know what to do is a thinly veiled justification for laziness and ignorance. Much knowledge of effective treatment is known. (3) It is good that finally a measure of justice seems to be rapidly happening with the talk of prison sentence reform. But the ex "offenders" and the public at large should be warned. Many of those who will be getting early release need a positive structured transitional experience.

[joshunken]

Avenue south residence

The second decade of this century has borne witness to the birth of a new and directed form of Mexican travel; mezcal tourism. Spirits aficionados, entrepreneurs, photographers and documentary film makers, and students of the diversity of rich Mexican cultures, have been converging on primarily the southern state of Oaxaca. They come to buy, to learn and understand, to expose to the rest of the world, and in some cases to financially benefit from the back-breaking work of agave (maguey) growers, artisanal distillers (palenqueros), and their respective families. Of the nine states in Mexico which in 2018 have been legally able to call the agave spirit "mezcal," Oaxaca is by far the poorest using any reasonable criteria. And so here in the state where Mexico's native son, Benito Juaréz was born and raised, we have an obligation to ensure that mezcal tourism is ethical, responsible, sustainable, and respectful of both the environment and the lives of the people who eke out a modest living cultivating and harvesting agave, and distilling mezcal. But how do we accomplish such lofty goals while at the same time ensuring that those who bolster the Oaxacan economy are rewarded in their travel experiences?

Whether we move towards understanding mezcal pilgrimages to Oaxaca in terms of ethical, responsible, sustainable or environmentally friendly, or any combination of the foregoing tourism classifications, we need a starting point. Most of the more succinct definitions are subsumed in the World Travel Market's adoption of the 2002 Cape Town Declaration of responsible tourism:

(1) minimizes negative economic, environmental and social impacts; (2) generates greater economic benefits for local people and enhances the well-being of host communities, improves working conditions and access to the industry; (3) involves local people in decisions Avenue south residence  that affect their lives and life changes; (4) makes positive contributions to the conservation of natural and cultural heritage, to the maintenance of the world's diversity; (5) provides more enjoyable experiences for tourists through more meaningful connections with local people, and a greater understanding of local cultural, social and environmental issues; (6) provides access for people with disabilities and the disadvantaged; (7) is culturally sensitive, engenders respect between tourists and hosts, and builds local pride and confidence.

The key players in mezcal tourism are growers, distillers, communities, government, industry regulators, brand owners and representatives, and visitors to Oaxaca. Also included are the guides, drivers and others who purport to be able to effectively provide appropriate services to those arriving in Oaxaca for any one or more goals.

On virtually a weekly basis while leading mezcal excursions, almost everything I hear which has anything to do with ethical mezcal tourism is about the current "agave shortage," a misnomer in and of itself simply because there is in fact enough maguey to go around. The issues are the dramatic increase in price per kilo over the past several years, and palenqueros and growers harvesting espadín which are smallish, years prior to when they should be harvested in order to produce the best mezcal with the optimum yield. As long as demand grows, tourism, in terms of those travelling to Oaxaca to buy for personal use or to advance an export project, is only to a limited extent able to address that issue within the context of industry sustainability.

Brand owners including palenqueros should not begrudge their growers, especially those in a subsistence lifestyle, of wanting to reap the benefit of the gravy train. They must recognize the cyclical nature of the industry; the decent income being derived from agave sales today, may evaporate in a few short years.

Similarly, visitors should not deny the distillers an opportunity to sell for a fair price. Some mezcal aficionado clients recognize that they are paying a fraction of what they would be paying back home; no middle men, no transportation costs, and often no taxation. Virtually none of this group of pilgrims try to bargain with the palenqueros, and in fact some insist on paying a little more. They see the standard of living of some of the families of palenqueros to which I take them to visit, and they have a conscience. Perhaps it is a function of the type of visitor who retains me, or that I typically tend to visit predominantly small mom and pop artisanal distilleries peppering the Oaxacan hinterland, or a combination of the two. Even if your discount buying mezcal directly from a small artisanal palenque only saves you 50% of what you would otherwise pay back home, who would you prefer to see profiting? The exporter? The distributors or retailers be they American, British, or even Mexican? Or the Oaxacan family which toils day in and day out?

Many tour operators believe that their customers are not prepared to pay more on their vacations to ensure that the residents of the host region get a better shake. Yet a survey by the Association of British Travel Agents found that two thirds of visitors to a foreign land who were on package tours would be prepared to pay an extra 10 to 25 pounds towards environmental or social improvements. A survey conducted by the aid agency Tearfund found that 59% of respondents were prepared to pay more for their holiday if it would ensure decent wages for locals and help protect the environment. This supports what I have found when leading mezcal excursions. Many travelers visiting Oaxaca for mezcal, "get it."