#dental bridges in north carolina

[dentalbridgesguide]

All About Dental Bridges: Types, Methods, Advantages, and More

Introduction

In the realm of dentistry, dentists in Whiteville, NC, dental bridges are vital tools to restore the beauty and functionality of a smile. Whether you've lost a tooth due to injury, decay, or age-related factors, dental bridges offer a reliable solution. In this comprehensive guide, we'll explore the different types of dental bridges, the methods involved, their advantages, and critical considerations for those considering this dental procedure.

Understanding Dental Bridges

Dental bridges are prosthetic devices designed to bridge the gap created by missing teeth. They consist of two main components – the abutment teeth on either side of the gap and the pontic, the artificial tooth or teeth replacing the missing ones. Dental bridges are crafted from various materials, including porcelain, ceramic, and metal alloys, ensuring durability and a natural appearance.

Types of Dental Bridges

Traditional Dental Bridges:

The traditional dental bridge is the most common type, involving the creation of a pontic held in place by dental crowns on the adjacent teeth. This method is suitable when natural teeth are on both sides of the gap.

Cantilever Dental Bridges:

Cantilever bridges are used when only one adjacent tooth supports the pontic. While less common, this type can be effective in specific situations.

Maryland Dental Bridges:

Dental bridges in North Carolina, or resin-bonded bridges, consist of a pontic held in place by a metal or porcelain framework bonded to the back of adjacent teeth. This type is commonly used for front teeth.

Implant-Supported Dental Bridges:

Implant-supported bridges are a modern solution involving dental implants as the foundation. This method is highly stable and mimics the natural tooth structure closely.

Methods Involved in Dental Bridge Placement

Consultation and Examination:

The dental bridge process begins with a thorough examination and consultation with a dentist in Whiteville, NC. Your dentist will assess your oral health, discuss your options, and create a personalized treatment plan.

Tooth Preparation:

For traditional and cantilever bridges, the abutment teeth are prepared by removing a portion of enamel to accommodate the crowns. This step is crucial for ensuring a proper fit.

Impressions and Bridge Fabrication:

Precise impressions of your teeth are taken to create a mold for the dental bridge. The bridge is then custom-made in a dental laboratory, using high-quality materials to match your natural teeth.

Temporary Bridge Placement:

While waiting for the permanent bridge, a temporary bridge may be placed to protect the exposed teeth and maintain functionality.

Final Bridge Placement:

Once the permanent bridge is ready, it is carefully fitted, adjusted, and cemented into place. Your Whiteville, NC, dentist ensures a comfortable fit and natural appearance.

Advantages of Dental Bridges

Aesthetics:

Dental bridges restore your smile, enhancing your facial appearance and boosting confidence. The materials used closely mimic the look and feel of natural teeth.

Functional Restoration:

Missing teeth can affect your ability to chew and speak properly. Dental bridges provide a functional solution, restoring the full range of mouth functions.

Prevents Shifting of Teeth:

A gap left by a missing tooth can lead to adjacent teeth shifting out of place. Dental bridges prevent this movement, maintaining proper alignment and bite.

Longevity:

With proper dental bridge care and regular dental check-ups, dental bridges can last many years, providing a durable and reliable solution for tooth loss.

Improved Speech:

Missing teeth can impact speech patterns. Dental bridges restore proper speech and pronunciation, enhancing communication.

Balanced Bite:

Dental bridges distribute the force of biting and chewing evenly, preventing excessive stress on remaining natural teeth.

Cost-Effective:

Compared to other tooth replacement options, dental bridges are a cost-effective solution, offering aesthetic and functional benefits.

Minimizes Bone Loss:

Implant-supported bridges, in particular, help maintain jawbone density, preventing the bone loss that can occur with missing teeth.

Considerations for Dental Bridges

Oral Hygiene:

Maintaining good oral hygiene is crucial for the longevity of dental bridges. Regular brushing, flossing, and professional cleanings help prevent decay and gum disease.

Follow-Up Care:

After the bridge placement, follow-up appointments with your dentist in Whiteville, NC, are essential to ensure proper fit and function. Your dentist will monitor the bridge and address any concerns.

Lifestyle Factors:

Certain habits, such as teeth grinding or chewing on complex objects, can impact the longevity of dental bridges. It's important to discuss lifestyle factors with your dentist in Whiteville, NC, to ensure the success of the treatment.

Choosing a Dentist for Dental Bridges

Selecting the right dentist in Whiteville, NC, is paramount when considering dental bridge procedures. Look for a dentist with experience in restorative dentistry, a commitment to patient comfort, and a focus on using the latest technologies for optimal outcomes. Reading patient reviews and seeking recommendations can help you make an informed decision.

Conclusion

Dental bridges offer a transformative solution for those dealing with missing teeth. From traditional to implant-supported bridges, the variety of options ensures a personalized approach to each patient's unique needs. As you embark on restoring your smile, understanding dental bridge types, methods, and advantages empowers you to make informed decisions. Consult with your dentist in Whiteville, NC, to explore the best option for oral health and regain the confidence that comes with a complete and beautiful smile.

[urbanfamilydentalusa]

Creating Bright Futures: The Role of Charlotte Family Dentistry

Introduction

In the vibrant city of Charlotte, North Carolina, the significance of family dentistry extends far beyond oral health. Family dentistry serves as a cornerstone in the quest for overall well-being, offering comprehensive care that caters to every member of the family, from toddlers to seniors. This article explores the pivotal role of Charlotte family dentistry, the range of services it encompasses, and how it contributes to creating bright futures for individuals and their loved ones.

The Essence of Family Dentistry

At its core, family dentistry embodies the essence of holistic healthcare. It goes beyond treating individual dental issues and focuses on fostering a culture of oral health within families. The goal is to establish a lifelong commitment to regular dental care, preventive measures, and early intervention. Family dentistry recognizes that optimal oral health is a journey that begins in childhood and continues throughout various life stages. By providing care that is accessible, comprehensive, and tailored to different age groups, family dentistry plays an integral role in promoting not only dental health but also overall quality of life.

Comprehensive Care for All Ages

The scope of family dentistry encompasses a wide range of services tailored to meet the diverse needs of every family member:

Pediatric Dentistry: Pediatric dentists specialize in the unique needs of children, providing a welcoming and child-friendly environment that sets the foundation for positive oral health habits. From routine check-ups to guidance on proper brushing and flossing techniques, pediatric dentistry ensures that children start their oral health journey on the right foot.

Preventive Care: Preventive measures are the cornerstone of family dentistry. Regular dental check-ups, cleanings, and screenings help identify potential issues early, allowing for timely intervention and reducing the risk of more serious problems in the future.

Orthodontics: Orthodontic services within family dentistry address teeth misalignment and bite issues. Whether it's braces or clear aligners, orthodontic treatments not only enhance aesthetics but also contribute to improved oral function and long-term oral health.

Restorative Dentistry: Family dentistry offers solutions for addressing dental problems such as cavities, chips, and fractures. Restorative procedures like fillings, crowns, and bridges help restore teeth to their natural form and function.

Cosmetic Dentistry: While focusing on oral health, family dentistry also recognizes the importance of aesthetics. Cosmetic procedures like teeth whitening and veneers enhance smiles, boosting self-confidence and improving overall well-being.

Senior Dental Care: As family members age, their dental needs change. Senior dental care caters to age-related oral health concerns, ensuring comfort, function, and oral health for older individuals.

The Significance of Continuity

One of the key advantages of family dentistry is the sense of continuity it offers. From childhood to adulthood, individuals can receive care from the same dental practice, building a strong and trusting relationship with their dentist. This continuity not only simplifies logistics but also allows the dental team to have a comprehensive understanding of the family's oral health history, making it easier to identify patterns, address hereditary concerns, and provide personalized care.

Benefits of Family Dentistry

Convenience: Family dentistry offers a one-stop solution for the entire family's oral health needs. This eliminates the need to visit different practices for various family members.

Early Intervention: Regular family dental visits facilitate early detection of dental issues, enabling prompt intervention and reducing the risk of complications.

Education: Family dentists play a vital role in educating patients about proper oral hygiene practices, dietary choices, and lifestyle habits that contribute to oral health.

Preventive Focus: By emphasizing preventive measures, family dentistry helps families avoid oral health problems before they arise, reducing the need for extensive treatments.

Promotion of Positive Habits: Encouraging children to visit the dentist from a young age promotes positive oral health habits that can last a lifetime.

Choosing the Right Family Dentist

Selecting the right family dentist is a crucial decision. Consider the following factors:

Qualifications: Research the dentist's qualifications, education, and professional affiliations to ensure they meet industry standards.

Reviews and Reputation: Online reviews and recommendations from friends or family members can provide insights into the dentist's reputation and quality of care.

Range of Services: Opt for a family dentist who offers a comprehensive range of services, ensuring that the diverse needs of all family members can be met.

Child-Friendly Environment: If you have children, choose a practice that fosters a child-friendly atmosphere, making dental visits enjoyable and stress-free for kids. READ MORE-Top Reasons to Choose Family Dentistry in Charlotte: Comprehensive Care for All Ages

conclusion

Family dentistry in Charlotte, NC, plays a pivotal role in cultivating bright futures for individuals and their families. Beyond providing oral health services, family dentistry promotes a holistic approach to well-being by instilling positive oral hygiene habits, encouraging preventive measures, and offering comprehensive care for patients of all ages. By choosing family dentistry, families not only invest in healthy smiles but also in the long-term health and happiness of their loved ones. Through accessible care, early intervention, education, and the promotion of a culture of oral health, family dentistry contributes to creating bright, confident, and thriving futures for generations to come.

[shardafamilydentistry]

At Sharda Family Dentistry, our experienced team pairs modern technology with patient-first service. We are also glad to offer a wide range of dental services in Creedmoor, North Carolina. Because our comprehensive services are provided by our dentists in Creedmoor NC, you don’t have to “shop around” for treatment. At our Creedmoor NC family dental practice want each patient to look forward to visiting with our dentist.

Sharda Family Dentistry 2552 Capitol Drive, Suite 101, Creedmoor, NC 27522 (919) 528-9500

My Official Website: https://shardafamilydentistry.com/ Google Plus Listing: https://www.google.com/maps?cid=7947003255080290573

Service We Offer

Dentist Dental Bridges Dental Crowns Dental Fillings Dental Implants Dental Inlays & Onlays

Follow Us On

Linkedin: https://www.linkedin.com/company/sharda-family-dentistry/ Facebook: https://www.facebook.com/shardafamilydentistry/ Twitter: https://twitter.com/ShardaDentistry Instagram: https://www.instagram.com/shardafamilydentistry/ Pinterest: https://www.pinterest.com/ShardaFamilyDentistryNC/

[atdavis1119]

Macro-post #2

The biggest part of our practicum is to advocate for policy change in North Carolina to expand the scope of dentists. This coincides with team oral health competency F14 which states, “Advocate for political, social or economic policies and programs that will improve health in diverse populations”. Our goal is to create a change in policy that will allow dentists to give vaccines, in particular HPV vaccines. 

Currently, only three states allow dentists to give vaccines; however, the limitations for each state differs. Oregon is the most progressive state. In 2019 Oregon was successful in getting a policy passed that allows dentists to administer any vaccine to a person of any age. Illinois and Minnesota are more similar in the sense that they only allow dentists to administer flu vaccines to adults. The slight difference is Illinois dentists are only allowed to give vaccines to people 18 years or older, whereas in Minnesota patients must be 19 years of age or older. There are many benefits of allowing dentists to administer vaccines. 

Allowing dentists to give vaccines could help bridge gaps regarding access to care. You may be wondering how can dentists play a significant role in increasing access to care. If people aren’t even going to their primary care providers, why would they go to a dentist? In fact, I had this exact thought at the beginning of our practicum and with all of my outspokenness actually asked my preceptor *facepalm*. Over the course of this practicum experience, I have done a lot of research and found data that answers that question. Studies have shown that in 2017 more than 31.1 million people sought services from a dentist but not a physician, which is approximately 9% of the population. This could have a significant impact on vaccination rates, which is arguably the most important benefit. 

Vaccination rates have continuously decreased over the past decade. Research showed that there was a significant decrease in vaccinations among school-aged children between 2009-2018. A  consequence of the decrease in vaccinations was the major measles outbreaks, a disease that was essentially eradicated. In 2017 there was a measle outbreak in Minnesota that resulted in 44 cases, and in 2019 there was an outbreak in Washington resulting in 87 cases. These outbreaks resulted in the highest number of measles cases in 3 decades. This policy change could also help prevent the transmission of the flu and potentially eradicate certain other infectious diseases, such as COVID-19. During times of national emergencies pertaining to infectious diseases in the past, many states made it mandatory for all healthcare providers (including dentists) to administer vaccines. If a dentist is going to be required to administer a vaccine during a national emergency then it would be wise to make it a normal part of their practice so they are not administering vaccines for the first time during a crisis. It is evident that there are many benefits to allowing dentists to give vaccines. However, many people have concerns about insurance, competency, and immunization schedules. 

Currently, dental insurance doesn’t cover vaccinations. However, that doesn’t mean that dental insurance plans can’t expand in the future, but it is important that we have the necessary support before this is an option. The competence of dentists to administer vaccines is another frequent concern. I think this is largely due to the fact that many people are unaware of the training that dentists undergo as well as the tasks they routinely perform as a normal part of their job. Dentists attend medical school with physicians for the first few years of their education, so they learn the same things about medications and adverse reactions. Additionally, you may be surprised to find out that dentists give vaccines more frequently than their medical counterparts and arguably in more difficult areas. The mouth is a very difficult area to inject. If the dentist can inject regions of the mouth why can’t they give a shot in a person’s arm? Also, many people and physicians have concerns that allowing dentists to administer vaccines will interrupt the schedule of other immunizations such as polio, MMR, etc. This is a reasonable concern, but it is likely that people wouldn’t get the majority of their shots at a dentist anyway. Also, many dentists don’t want to interfere with basic immunizations that babies and children receive on a schedule. This is why we plan to limit the vaccinations dentists are allowed to give in our policy proposal. 

Additionally, this change in policy could create a sense of convenience making it easier to stay healthy. Typically dental cleanings are scheduled every 6 months, which happens to work well with the HPV vaccine schedule. There are 3 doses of the HPV vaccine, which should be scheduled at 0, 2, and 6 months. If a person went to a dentist for cleanings and their primary care provider for HPV vaccines, then they would have a total of 5 visits. However, if a person went to a dentist for cleanings and HPV vaccines then they would only need 3 visits, and two out of three of the visits would be a “2-in-1” service. This could also help people save money since they would have fewer medical visits. 

HPV is an important issue in the United States. Approximately 79 million Americans are infected with Human Papillomavirus (HPV), which is the most common sexually transmitted infection (STI). HPV infection can result in a number of negative health outcomes as it is highly associated with genital warts, cervical cancer, and oropharyngeal cancer. Approximately 70% of all oropharyngeal cancers are linked to HPV. As previously stated, cervical cancer is also another significant implication of HPV. However, Australia has nearly eradicated the threat of cervical cancer by mass HPV vaccinations. Since evidence has shown that cervical cancer can be decreased significantly, it would negligent not to do more to increase the accessibility and awareness of HPV vaccines. 

The first 6-7 weeks of our practicum was spent doing independent research, but now we are starting to work together on our advocacy campaign. This pertains to team oral health competency F16 which states, “Apply principles of leadership, governance, and management, which include creating a vision, empowering others, fostering collaboration and guiding decision making”. We just started brainstorming ideas that we can use for our advocacy campaign which included social media polls, flyers, and infographic FAQs. We are currently in the drafting stage of this process. Hopefully, I can give an update of our official advocacy campaign materials by the next macro-post.

[commonwealth-dentistrysuffolk]

Our Practice

Commonwealth Dentistry is now serving patients in Suffolk, VA!

If you live in Suffolk, VA area and are in need of a general and cosmetic dentist for your entire family, then come visit us at our Suffolk office. Our office provides quality dental care to Chesapeake, Portsmouth, Smithfield, Suffolk, and the Tidewater Area, and all surrounding Virginia and North Carolina areas.

Our Services Include:

Regular checkups and cleanings

Cosmetic Dentistry

Porcelain Veneers and Bonding

Crowns and Bridges

Laser Dentistry

At our Suffolk office, we provide patients with comprehensive general and cosmetic dental care in a comfortable, professional environment. Our goal is to give you a healthy, beautiful smile that not only restores your dental health but also improves your confidence!

[urbanfamilydentalusa]

Friendly Dentistry in Charlotte, NC: Providing Personalized Care for Your Smile

When it comes to maintaining good oral health, finding a friendly and reliable dentist is key. Your dental provider should not only be skilled in the latest techniques and technologies, but also make you feel comfortable and at ease during your visits. If you're looking for a dentist in Charlotte, NC who prioritizes personalized care and a friendly atmosphere, Urban Family Dental is the place for you.

About Urban Family Dental

Urban Family Dental is a family-oriented dental practice in Charlotte, NC that is dedicated to providing comprehensive, high-quality dental care for patients of all ages. Led by Dr. Duc Tang and his team of dental professionals, Urban Family Dental offers a range of dental services, from routine cleanings and exams to cosmetic dentistry and emergency dental care.

At Urban Family Dental, the team understands that every patient is unique and requires individualized attention. That's why they take the time to listen to your concerns and goals, and work with you to develop a personalized treatment plan that meets your needs and budget.

Friendly and Professional Staff

One of the things that sets Urban Family Dental apart from other dental practices is the friendly and professional staff. From the moment you walk in the door, you'll be greeted with a warm welcome and a smile. The team at Urban Family Dental knows that going to the dentist can be a nerve-wracking experience for some patients, and they do their best to put you at ease.

The dental professionals at Urban Family Dental are also highly trained and experienced. Dr. Tang is a graduate of the University of North Carolina at Chapel Hill School of Dentistry, and has been practicing dentistry for over a decade. He and his team stay up-to-date with the latest techniques and technologies in dentistry to provide the best possible care for their patients.

Comprehensive Dental Services

Urban Family Dental offers a comprehensive range of dental services to meet the needs of patients of all ages. Whether you need a routine cleaning and exam or more advanced restorative or cosmetic procedures, the team at Urban Family Dental has you covered.

Some of the services offered at Urban Family Dental include:

Routine cleanings and exams

Teeth whitening

Crowns and bridges

Dental implants

Invisalign clear aligners

Emergency dental care

The team at Urban Family Dental also understands the importance of preventive care and patient education. They work with you to develop good oral hygiene habits and provide tips and advice for maintaining good oral health between visits.

State-of-the-Art Technology

At Urban Family Dental, the team uses state-of-the-art technology to provide the best possible care for their patients. From digital X-rays to intraoral cameras, the technology used at Urban Family Dental allows for more accurate diagnoses and treatment planning, and minimizes discomfort and time spent in the dental chair.

Comfortable and Relaxing Atmosphere

Going to the dentist doesn't have to be a stressful experience. At Urban Family Dental, the team goes out of their way to make sure patients feel comfortable and relaxed during their visits. The practice features a welcoming and modern office space, with amenities like TVs in the treatment rooms and complimentary refreshments.

Conclusion

When it comes to finding a friendly and reliable dentist in Charlotte, NC, Urban Family Dental is a top choice. Led by Dr. Duc Tang and his team of dental professionals, Urban Family Dental offers personalized care, state-of-the-art technology, and a comfortable and relaxing atmosphere for patients of all ages. Whether you need a routine cleaning and exam or more advanced dental procedures, the team at Urban Family Dental is dedicated to helping you achieve a healthy and beautiful smile.

Related Searches:

Emergency Dentists in Charlotte, NC: Providing Quick and Effective Treatment When You Need It Most

[tallpoppy-canada]

Cash Cab (Dare Devil Bonus)

AN: Just a small bonus scene from Dare Devil where Matthew and Alfred end up in the Cash Cab.

"Just call a cab!" Kuma growled covering his ears. The brothers were currently standing outside the Vancouver international airport arguing.

"Good idea little buddy!" Alfred said reaching out to pet him, but Kuma swiped at him and tucked his head under Matthew's arm.

"Fine. You're paying though." Canada said hailing a cab. One pulled over and Matthew opened the door letting his brother climb in before following.

"Where you guys going?" The cabby asked. Matthew recognized him and bit his lip to keep from laughing.

"To the city hall, please." The American said. Lights on the ceiling started to flash and Alfred blinked looking up.

"Mattie, your cabs are weird." Alfred mumbled looking over confused.

"You're on the cash cab!" Adam Growe yelled excitedly.

"The what now?" The American asked.

"I'm gonna ask you general knowledge questions along the way. They'll start off easy, and they're gonna get harder as you go. As long as you answer the questions correctly, you'll gonna win cash all the way to your destination. Here's the catch: If you get three wrong, that's three strikes and you are out; which means I'm gonna pull you over on the spot, right wherever we are, and you lose everything." He took a breath. "What do you say do you want to play?"

“Sure.”  Alfred said suspiciously.  Canada just smiled and nodded.

“Okay, What’s your names?”  Adam said pulling away from the curb. 

“Alfred.”  The american replied.

“Matthew.”  He said.  Kuma knew enough to stay quite.

“Alright, we’ll start you off easy.”  The cabbie said.  “First question is worth twently five bucks.  What is the name of the dog from the 1960s television cartoon The Jetsons?”

“Isn’t Aro?”  America mumbled.  Matthew shook his head.  “No wait, Astro!”

“It was definitely Astro.”  The Canadian nodded confirming their answer.

“And you’ve won twenty five dollars!”  Adam said excitedly.  Alfred cheered while Matthew smiled.  “Another worth twenty five.   Jack the Ripper is the name given to an unidentified serial killer that terrorized what city in 1888?“

“London.”  The twins said in unison. 

“That’s right!  You’ve won another twenty five bucks.”  He said with a smile.  “Last twenty five dollar question: Mario Kart is a video game series publish by which company?”

“Nintendo owns Mario, eh?”  Canada asked.  He really didn’t have any idea when it came to video game things.

“Yes, yes they do.”  Alfred said pinching the bridge of his nose.  “Mario Kart is published my Nintendo.”

“That’s correct!  You’re at seventy five bucks!  Time to move up to the fifty dollar questions.”  Adam said.  “They’re a bit harder.  The Statue of Liberty was a gift to the United States from which country?”

“Dude, I thought you said they were supposed to be harder.”  America laughed.  “France gave it to the US.”

“Are you sure about that?”  The cabbie asked and Alfred nodded.  “That correct for fifty bucks!  Next fifty dollar question: Who was the United States’ leading fighter pilot of WWI?”

Matthew smiled and looked over to Alfred.  He raised an eyebrow and gave him the ‘I know this, do you?” face.  The American shrugged.  “Billy Bishop, right?”  He asked raising an eyebrow.

“No, he was Canadian.”  Canada shook his head.  “The US’s top ace was Eddie Rickenbacker.”

“You sound confident.”  Adam commented.

“You sure, bro?”  Alfred asked.  “I mean, you are the expert.”

“Yes, I’m sure.”  Matthew confirmed.  “It’s Eddie Rickenbacker.”

“He most certainly is the expert!  That’s correct for another fifty bucks.”  Adam announced.  Matthew smirked and Alfred stuck his tongue out.  The taxi pulled o a stop at a light.  “It’s time for a red light challenge! This question is worth seventy five dollars, there's no wrong answers. Name six of the original US states."

"If we name all thirteen, will you double it to one fifty?" Alfred asked raising an eyebrow.

"Sure, but you can't give a single wrong answer for it to double." Adam said.

"Deal." The brothers said in unison.

"I'll leave this one too you then, Alfie." Canada said and America nodded.

“Delaware, Pennsylvania, New Jersey, Georgia, Connecticut, Massachusetts Bay,”  He paused taking a breath.  “Maryland, South Carolina, New Hampshire, Virginia, New York, North Carolina, and Rhode Island.”

“Y-yes, that’s correct.”  Adam said slowly.  America smiled happily while Canada wondered if they were technically cheating.

“Ha!  Get rekt!”  The american cheered and Matthew snorted.

“Well then, lets move you up to the one hundred dollar questions.”  Adam said with his own smirk.  “Your total so far is three hundred and twenty five bucks.  Not strikes so far.  For your first one hundred dollar question: Who sang the song ‘Non, je ne regrette rien?’”

“You know french bro, who sung it?”  Alfred said poking his arm.  Matthew frowned trying to think of the name.  He’d heard the song before, but couldn't remember the artist.

“The only name I can think of is Josephine Baker, but I don't think she was a singer.”  Canada said. 

America shrugged.  “I’ve got nothing.  It’s the only thing we got.”

“I guess we’re going with Josephine Baker?”  Matthew said slowly.

“Sorry, this incorrect.  You’ve earned your first strike!”  The cabbie said and Canada sighed.  “Édith Piaf was the correct answer.  Moving right on to the next question: which beetle was worshiped by the ancient Egyptians?”

“I can picture it.  Was it a dogbane leaf beetle?”  Alfred suggested.  “Did they have those in Egypt though?”

“I don't think so.”  Matthew said still thinking.  “Was it a dung beetle?”

“There’s a lot of different dung beetles.”  Alfred said biting his lip.  “I mean, we can go with dung beetled because if it is a type of it then we’re technically not wrong.”

“Fair enough.”  Canada shrugged.  He couldn’t really argue with that logic.  “I guess we’ll go with dung beetle.”

“Well you’re technically not wrong.”  Adam shrugged.  “The correct answer is scarab which is a type of dung beetle.  I’ll give it to you because you’re technically not wrong.”  He said with a shrug.  “And last question as we’re pulling up to you’re destination: What decade did the ‘ILOVEYOU’ virus began infecting computers worldwide?“

“I remember the creeper virus in like the seventies.”  Matthew said thinking outloud.  “The lehigh was in the eighties.”

“Why do you know computer virus and years, but not easy video game things?”  Alfred asked raising an eyebrow.  Canada just shrugged.  “Not sure how this helps, but baza was in the nineties.”

“We’re eliminating decades.”  The Canadian shrugged.  “I remember it being quiet a while ago.  I’d say early two thousand’s, late nineties.”

“We already named one for the nineties so lets go with two thousand’s?”  America suggested.

“Might as well.”  Canada said as they finally pulled into city hall.  “We’ll go with two thousand’s.”

“Two thousand’s is right for another hundred bucks!  You’re total is five hundred and twenty five dollars.”  Adam paused grabbing the money and showing to to them.  Alfred when to grab it, but the host took the cash back. “Now, you can take this or you could double your money with the video bonus question.”

“Bro.”  Alfred said excitedly eyes wide with excitement.

“No, Alfred, just no.”  Matthew said shaking his head. 

“Come on dude.”  America said giving him puppy dog eyes.  Matthew sighed and shrugged.

“Fine.”  Canada grumbled.

“Yeet.”  The american cheered and Adam smiled.  He gestured for them to watch the monitor in front of them.

“These cats typical known for their round face, round eyes and forward-folded ears Giving them an owl like appearance.”  Adam started as the video of an adorable kitten played.  “What country are these cats named after?”

“Uncle Scotty’s got one.”  Matthew said.  “They’re Scottish folds.”

“They’re named after Scotland then.”  America said smiling wide.  “We’re so lucky bro.”

“No kidding.”  Canada sighed.  “The answer is Scotland.  They’re named after Scotland.”

“That’s the answer you’re going with?”  Adam asked and the twins nodded.  “That’s correct!  You’ve just doubled your money for a total of one thousand and fifty dollars!”  He said handing the brother the money.  Alfred went to grab it again, but Canada’s reflexes were quicker.  America pouted as he opened the door to step out.  The brothers thanked Adam as they left the cash cab.

“So what you going to buy bro?”  Alfred asked as they walked up to the city hall.  Matthew split the money and handed half to America. 

“Probably buy a new radiator for my spitfire.”  Matthew said.  “The one it has is getting pretty old.”

“That’s boring.  I’m going to buy all the candy.”  America said bouncing like a kid. 

Kuma was staring at him annoyed by his loudness.  “You might want to buy some dental insurance as well.”

Alfred yelled completely ignoring the cub as they started to climb the steps to Vancouver city hall.  "Dude, that was awesome!  Your cabs are amazing!"

"They're not all like that."  Matthew laughed.  "At least we didn't have to pay."

AN:  Loved the excuse to watch a bunch of cash cab.  No spell check/editing on this...

[ka43270]

Fertility Services Market 2021 future outlook of statistics on industry growth

Market Analysis and Insights: Fertility Services Market

Fertility Services Market, By Infertility (Male infertility, Female infertility), Procedure (Assisted Reproductive Technology (ART), In-Vitro Fertilization, Artificial Insemination, Surrogacy, Others), Services (Donor, Non-donor), End-User (Fertility Clinics, Hospitals, Clinical Research Institutes, Surgical Centers), Country (U.S., Canada, Mexico, Germany, Italy, U.K., France, Spain, Netherlands, Belgium, Switzerland, Turkey, Russia, Rest of Europe, Japan, China, India, South Korea, Australia, Singapore, Malaysia, Thailand, Indonesia, Philippines, Rest of Asia- Pacific, Brazil, Argentina, Rest of South America, South Africa, Saudi Arabia, UAE, Egypt, Israel, Rest of Middle East & Africa) Industry Trends and Forecast to 2028.

Fertility services market is expected to gain market growth in the forecast period of 2021 to 2028. Data Bridge Market Research analyses the market to grow at a CAGR of 9.20% in the above-mentioned forecast period. Rising continuous decline in fertility rates drives the fertility services market.

Download Exclusive Sample PDF at: https://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-residue-testing-market

Fertility services are the services taken by people who are not capable of conceiving naturally. These fertility services help single parents, LGBT community and infertile couples for procreating and to start a family. Fertility services involve several techniques which are used for treating genetic issues and infertility problems to help out in conception.

Rising delayed pregnancies in women is the vital factor escalating the market growth, also increasing technological advancements with respect to fertility treatment, increasing success rates associated with ICSI-IVF in case of poor sperm morphology, poor sperm motility and low sperm count in men and rise in accessibility and availability of healthcare facilities and increase in healthcare and research expenditure are the major factors among others driving the fertility services market. Moreover, rising technological advancements and modernization in the healthcare sector and rising research and development activities in the healthcare sector further create new opportunities for fertility services market in the forecasted period of 2021-2028.

However, increased treatment costs of ARTs in developed countries and rising inadequate reimbursement policies are the major factors among others which will obstruct the market growth, and will further challenge the growth of fertility services market in the forecast period mentioned above.

This global fertility services market report provides details of new recent developments, trade regulations, import export analysis, production analysis, value chain optimization, market share, impact of domestic and localised market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on fertility services market contact Data Bridge Market Research for an Analyst Brief, our team will help you take an informed market decision to achieve market growth.

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Global Fertility Services Market Scope and Market Size

Fertility     services market is segmented on the basis of infertility, procedure,     services and end-user. The growth amongst these segments will help you     analyse meagre growth segments in the industries, and provide the users     with valuable market overview and market insights to help them in making     strategic decisions for identification of core market applications.

On     the basis of infertility, the fertility services market is segmented into     male infertility and female infertility.

Based     on procedure, the fertility services market is segmented into     assisted reproductive technology (ART) and in-vitro fertilization, artificial     insemination, surrogacy and others. In-vitro fertilization has been     further segmented into Intracytoplasmic sperm injection (ICSI) and     pre-implantation genetic diagnostics (PGD). Artificial Insemination has     been further segmented into intrauterine insemination, intracervical     insemination and others.

Based     on services, the fertility services market is segmented into donor     and non-donor. Donor has been further segmented into fresh and frozen.     Non-donor has been further segmented into fresh and frozen.

The     fertility services market is also segmented on the basis of end-user into     fertility clinics, hospitals, clinical research institutes and surgical     centers.

Fertility Services Market Country Level Analysis

Fertility services market is analysed and market size insights and trends are provided by country, infertility, procedure, services and end-user as referenced above.

The countries covered in the fertility services market report are U.S., Canada and Mexico in North America, Germany, France, U.K., Netherlands, Switzerland, Belgium, Russia, Italy, Spain, Turkey, Rest of Europe in Europe, China, Japan, India, South Korea, Singapore, Malaysia, Australia, Thailand, Indonesia, Philippines, Rest of Asia-Pacific (APAC) in the Asia-Pacific (APAC), Saudi Arabia, U.A.E, South Africa, Egypt, Israel, Rest of Middle East and Africa (MEA) as a part of Middle East and Africa (MEA), Brazil, Argentina and Rest of South America as part of South America.

Europe dominates the fertility services market due to lower fertility rate and growth in the median age of motherhood, and increasing obesity cases and increasing IVF tourism in Spain. Asia-Pacific is the expected region in terms of growth in fertility services market due to declining fertility rates in the region.

The country section of the fertility services market report also provides individual market impacting factors and changes in regulation in the market domestically that impacts the current and future trends of the market. Data points such as consumption volumes, production sites and volumes, import export analysis, price trend analysis, cost of raw materials, down-stream and upstream value chain analysis are some of the major pointers used to forecast the market scenario for individual countries. Also, presence and availability of global brands and their challenges faced due to large or scarce competition from local and domestic brands, impact of domestic tariffs and trade routes are considered while providing forecast analysis of the country data.

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Healthcare Infrastructure growth Installed base and New Technology Penetration

Fertility services market also provides you with detailed market analysis for every country growth in healthcare expenditure for capital equipment’s, installed base of different kind of products for fertility services market, impact of technology using life line curves and changes in healthcare regulatory scenarios and their impact on the fertility services market. The data is available for historic period 2010 to 2019.

Competitive Landscape and Fertility Services Market Share Analysis

Fertility services market competitive landscape provides details by competitor. Details included are company overview, company financials, revenue generated, market potential, investment in research and development, new market initiatives, global presence, production sites and facilities, production capacities, company strengths and weaknesses, product launch, product width and breadth, application dominance. The above data points provided are only related to the companies’ focus related to fertility services market.

The major players covered in the fertility services market report are Olympus Corporation, Cook, The Cooper Companies Inc., Instituto Bernabeu, Virtus Health, CooperSurgical, Inc., Vitrolife, CARE Fertility, INVO Bioscience, Monash IVF, Fertility Focus, Carolinas Fertility Institute, Apollo Hospitals Enterprise Ltd., Merck KGaA, LABOTECT GMBH, Genea Limited, Medicover,  The Johns Hopkins Hospital, Progyny, Inc., CryoChoice, LLC., Millendo Therapeutics, Inc., FUJIFILM Irvine Scientific, A CooperSurgical Fertility Company and IVFtech ApS. among other domestic and global players. Market share data is available for Global, North America, Europe, Asia-Pacific (APAC), Middle East and Africa (MEA) and South America separately. DBMR analysts understand competitive strengths and provide competitive analysis for each competitor separately.

Customization Available : Global Fertility Services Market

Data Bridge Market Research is a leader in advanced formative research. We take pride in servicing our existing and new customers with data and analysis that match and suits their goal. The report can be customised to include price trend analysis of target brands understanding the market for additional countries (ask for the list of countries), clinical trial results data, literature review, refurbished market and product base analysis. Market analysis of target competitors can be analysed from technology-based analysis to market portfolio strategies. We can add as many competitors that you require data about in the format and data style you are looking for. Our team of analysts can also provide you data in crude raw excel files pivot tables (Factbook) or can assist you in creating presentations from the data sets available in the report.

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[shirlleycoyle]

Scientists Discover 24-Million-Year-Old Megashark Hunting Ground in South Carolina

There are few animals in nature that capture the human imagination as vividly as predatory sharks, such as the modern great white or the extinct and humongous Megalodon. We tend to picture these apex hunters at their most intimidating adult stage, but even the largest known sharks started small as young pups, often learning the ropes of predation in marine nurseries.   

Paleontologists have now discovered dozens of juvenile teeth near Summerville, South Carolina, that belong to an extinct species of megatoothed shark called Carcharocles angustidens. The find suggests that the fossil bed may have been a haven for shark pups some 24 million years ago, according to a presentation entitled “Baby Megashark: Do Do Do Do” last week at the meeting of the Society of Vertebrate Paleontology.

Shark nurseries have been found before in places like Panama and Chile, but the new discovery is the first shark nursery confirmed by fossils in North America as well as the first large population of juvenile C. angustidens that has been unearthed.

A predecessor and close relative of the famous Megalodon, C. angustidens flourished during the Oligocene epoch, some 34 million to 23 million years ago. The shark could grow to lengths of nine meters (29 feet) from nose to tail fin, according to Addison Miller, who led the new research while pursuing an bachelor’s degree in geology at the College of Charleston before graduating in May.  

“We still know very little about the ecology and distribution of C. angustidens owing to the limited numbers of Oligocene shark-bearing fossil sites worldwide,” said Robert Boessenecker, a research fellow at the Mace Brown Museum of Natural History at the College of Charleston and Miller’s advisor on the study, in an email.

A range of teeth from South Carolina assemblages. Image: Addison Miller

Boessenecker noted that paleontologist Robert Purdy had speculated in 1996 that fossil beds in South Carolina might contain an ancient shark nursery, but that “it was never followed up.” 

“We were able to test his hypothesis, and found support for it, from two different assemblages of teeth,” Boessenecker said. “This study also helped clarify some of the variation in dental features used to identify these teeth—which is usually only possible with large sample sizes like this.” 

The new research, which is not yet published in a peer-reviewed journal, is based on 84 teeth collected from the Chandler Bridge Formation, as well as three teeth from the nearby Ashley Formation. Miller calculated the expected size of the sharks based on these fossils, and found that about 90 percent of them were juveniles, with the remaining tenth split between adults and newborns. 

A graph expressing the range of estimated shark body lengths based on tooth size. Image: Addison Miller

In addition to providing evidence that the assemblages preserve a (relatively) safe haven for baby megasharks, the team also found that the C. angustidens population at this site is the largest known in the fossil record, at 8.85 meters in length. 

These details are important because there are major gaps in our knowledge of C. angustidens, including how it grew, what it ate, or the size of its global range. 

“One question that I would be interested in pursuing in the future would be the total body length (TBL) minimum of a C. angustidens neonate or newborn,” Miller said in an email. “Since we have proposed and defended a new TBL maximum of 8.85 meters, it would be wonderful come full circle and propose a possible minimum TBL as well!”

The new finds also shed light on the evolutionary trajectories of megasharks over the past 30 million years or so, when these enormous predators were more common in Earth’s oceans.

“These teeth are late in the Oligocene, and share some features with teeth of the species it evolved into during the early Miocene—Carcharocles chubutensis,” Boessenecker said. “So, we were able to document a little bit about 'evolution at work' in addition to the nursery details.”

“These questions can all be answered provided that enough fossils are discovered,” Boessenecker said. 

Scientists Discover 24-Million-Year-Old Megashark Hunting Ground in South Carolina syndicated from https://triviaqaweb.wordpress.com/feed/

[ethereallad]

My mother, Willa Broome Gidney, died on December 10. The funeral service is this Saturday. I am in mourning and expect to be for a while. But I will share the long-form obituary I co-wrote with my older brother.

Obituary for Willa Broome Gidney January 29, 1931 – December 10, 2017

Willa (“Billie”) Mae Broome Gidney was born on January 29, 1931 in Gastonia, North Carolina to James Laurance Broome, a stone mason, and Stella Segines Broome, a seamstress. She was the youngest child of that marriage, which included her siblings Stella Constance Broome Fuller, Donald Broome , James Broome Jr., and Bettye Broome Poe.

Her mother, Stella Segines, died when Billie was ten years of age, and that tragic event briefly separated the family as her widowed father looked for steady work in the North. Willa was taken in and raised by Mrs. Rosie B. Thompson and her husband from ages 11-17. During this time, she excelled academically, in spite of the challenges of being separated from her family. Willa moved to Philadelphia, PA along with the rest of her family when her father remarried Ms. Frances Glasco (known to all as “Mama Frances”).

Willa attended Temple University in Philadelphia where, in addition to her studies in French and education, she joined the Alpha Kappa Alpha sorority and was one of Temple University’s first African-American cheerleaders. She also wrote a weekly column in the university newspaper entitled, “The Broome Sweeps Clean.”

After graduation, she became third-grade teacher in Philadelphia. During the summers of 1957-59, Willa earned her Masters of Education at Harvard University Graduate School of Education. It was at this time that she began courting Calvin Gidney, who would be her husband of nearly 40 years. She met him in her childhood in Newton, North Carolina, where they were both in the same third grade classroom. They wed in 1958. Billie and Calvin lovingly raised three children: Calvin Leroy (III) “Chip” , Craig Laurance, and Evan Lionel. Billie was immensely proud of her three sons, her daughter-in-law Tiffany Ricci (Gidney) and her grandchildren Calvin Lionel Gidney and Eleanor Shea Gidney.

After Calvin Gidney Jr. completed his Doctor of Dental Surgery at Meharry Medical College , the couple moved down to Washington, D.C., where Calvin set up a dental practice on Kennedy Street and Billie began working for the D.C. Public Schools, first as an elementary school teacher, and then as an administrator for the DCPS as the school system’s Cultural Coordinator. In this role, Billie oversaw cultural enrichment programs for the entire DC Public School system. She also managed to complete the coursework towards a Doctorate in Education (Ed.D.) at Nova University.

In addition to her many academic and professional achievements, Billie participated in many volunteer and social organizations. She served a couple of terms as the president of the Carter Barron East Neighborhood Association (CBENA), the neighborhood group she co-founded with Mrs. Louise Whitney. Her work with many local and national clubs including the Emeralds, the Arrowettes, Just Good Friends, Girl Scouts of America, and Christ Lutheran Church enriched the lives of many in the community.

Billie spent the last twelve years of her life living at Riderwood Village, a continuing care community in Silver Spring, MD. There, she took full advantage of the many opportunities for travel, learning, cultural enrichment, physical activities, and games (at which she excelled). She was a beloved member of the Riderwood community – loved and respected by residents and staff alike.

Billie had many talents and interests. She was a voracious reader, an expert bridge player, and an unbeatable Scrabble player. She was a musician – a skilled pianist and vocalist – a gift she shared with her sons Chip and Evan. She was a skilled orator and sometimes performed her own poetry. She was a talented and funny raconteur: her stories live on in the books of her son Craig. She was always impeccably dressed and had a flair for accessories; while at Riderwood, she would even adorn her walkers to the delight of other residents.

Billie was, first and foremost, a beautiful soul – kind, wise, smart, and gentle. She lived a marvelous and long life with grace and dignity. She touched all who knew her.

For the life of Willa B. Gidney, we are eternally thankful!

  My Mother’s Obituary My mother, Willa Broome Gidney, died on December 10. The funeral service is this Saturday. I am in mourning and expect to be for a while.

[aglfagan]

Advocacy is a necessity in public health. Advocacy provides support and recommendations for specific causes, and this is needed in public health as we recognize the specific needs of individual groups and populations. Often times, these populations of interest have a difficult time advocating for themselves, and therefore rely on the public health system, their friends and family, and other community members to advocate for them.

The Medicaid Transformation is a topic of extreme interest to Team Medfest as it will directly impact individuals with intellectual and/or developmental disabilities in large-scale ways. The first day we met with our preceptor Ellen, we met an awesome member of the Special Olympics team who went into tremendous detail about the difficulty of obtaining sufficient health, vision, and dental care as a person with IDD. Unfortunately, this is a shocking reality of many individuals with IDD. Team Medfest chose to use a social media campaign to advocate for social and political policies which will improve our population of interest: individuals with intellectual and//or developmental disabilities. We created an instagram account and used daily Instagram highlights and Instagram posts to provide information about the Medicaid transformation, the ways that it will affect this specific population, and the steps that North Carolina should take to make the transformation more inclusive to better serve IDD individuals. Our campaign changed slightly as the platform we intended to use was no longer available to us, but we feel the week of social media content was still as success! Although the reach on our newly-founded Medfest Instagram account may not have been as broad as we intended, we hope our preceptor, Special Olympics organization, and future Medfest events may be able to use the content we brought together to provide information to individuals in the future.

Throughout our time on Team Medfest, our group spoke almost weekly with Ellen about the impact the Medicaid transformation would and will have on individuals with intellectual and/or developmental disabilities. We quickly became aware of just how little information was dispensed to affected families and individuals about what this transition would mean for them. Unfortunately, information that was provided may not necessarily have been in easily-comprehensible terms, and therefore Medicaid users may not have had adequate background to make informed choices about their plan of care when they were required to. Lack of adequate information was also observed in the rural population we served during Medfest. Teachers and parents had questions about when insurance was required, what services might be covered, and how covered services might be utilized. Additionally, several covered services for IDD individuals required a significant amount of time for transportation, and are therefore not utilized in ways meant to serve families and individuals with IDD. The move to managed care, implemented in the Medicaid Transformation, appears to be a significant step forward in bridging gaps to appropriate care and services for individuals with IDD. From the research our team conducted, we feel the Medicaid transformation is a positive step forward, and has the potential to give individuals access to more thorough care as covered benefits will fall under one of five plans individuals can choose from. Additionally, the Medicaid Transformation plan outlines services and benefits specifically for plan-members with intellectual and/or developmental disabilities. While the plan is in favor of our population of interest, it was clear to our group the information IDD individuals needed to make informed decisions about their care was not well-dispersed. We hoped our social media campaign would serve to disperse information more efficiently.

While the transformation is moving in the right direction, simply providing packets by mail to Medicaid members does not give affected members all of the information they need. This system assumes people are able to read and interpret policies put in place by government officials, and then make important decisions about their health care plans. Our group felt the need to break Medicaid Transformation down in the best way we could, to make it more easily interpreted by the individuals who need it. Additionally, we believed Medicaid Transformation information would be enhanced by offering opportunities and resources for people to seek counsel and ask questions about what the Medicaid Transformation means for them. How should individuals know which plan works best for them if the plan details are written in terms deemed difficult to understand by public health Masters students? Health care providers, teachers, families and IDD individuals should all have a mutual understanding of the changes that are being put into effect in the near future.

Although our advocacy week for the Medicaid Transformation just barely skims the surface of the impact this transition in Medicaid will have for members, we hope it serves as a foundation for basic information. We used social media as it is easily accessible, widely-available, and creates an eye-catching information brief for a perpetually “busy” audience. Unfortunately, if we are all honest, a lot of us do not have time to sit down and read pages and pages of policy, especially if the pages are full of sentences and ideas that are difficult to understand. To better advocate for our friends with intellectual and/or developmental disabilities, we sifted through information and found key elements about the Medicaid Transformation to share. We support the Medicaid Transformation, but feel the need for those affected to be better-informed, and therefore chose to show public support and recommendations for information-share. Due to the long-term nature of advocacy work, we hope our efforts will serve as a good first step in the spread of information. We can only hope Medicaid members and their families will utilize the information we synthesized and reach out to the resources we suggested if they have further questions. (F14)

[callioope]

Tagged by @magalis​, thank you thank you :) 

Rules: Answer the questions in a new post and tag 20 blogs you would like to get to know better. 

A - Age: 29

B - Birthplace: Ohio 

C - Current Time: 11:31 a.m.

D - Drink You Last Had: water

E - Easiest Person To Talk To: Fuz, Jess 

F - Favourite Song: “All This And Heaven Too” by Florence + the Machine. I mean a song about love and how language can’t encompass that feeling (”words were never so useful”) sung by the wonderful most magnificent Florence Welch ... sigh ... 

G - Grossest Memory: eh not sure

H - Horror Yes or Horror No: Horror NO! I get nightmares from horror movie trailers. I can count the number I’ve seen on one hand.

I - In Love?: yep

J - Jealous of People?: Yea sometimes

L - Love At First Sight Or Should I Walk By Again: I have always been super anti-“love at first sight” and will go on rants about Romeo & Juliet, but tbh I did have a “feeling” about my bf when I first met him. It wasn’t love, certainly not, but it was a very serious “I Notice You and You Seem Interesting” type feeling.

M - Middle Name: June

N - Number of Siblings: One sister

O - One Wish: that instead of working I could just travel the world and write

P - Person You Called Last: not sure, probably Fuz. Possibly someone at work. Phones are the worst.

Q - Question You Are Always Asked: "What do you want for dinner tonight?” Fuz and I have a competition on our commute home to see who will be the first to remember to ask this question because we both hate making decisions and want to make the other decide.

R - Reason to Smile: my dog, music, rainbows, sunshine

S - Song You Sang Last: “Dog Days Are Over” by Florence + the Machine

T - Time You Woke Up: 10ish. I’m kinda annoyed about it. I used to love sleeping in, but now it just messes up my sleep cycle. #gettingold 

U - Underwear Colour: pink

V - Vacation Destination: Next one is possibly North Carolina for a graduation, if I get the time off. Also I’m tentatively planning a trip with my sister to go back to Germany for my 30th. Neuschwannstein, I am coming back and I am going to cross the Marienbrücke and I will not be afraid of that damn bridge!

W - Worst Habit: getting caught up into tumblr when I should be doing other things

X - X-rays: Nope, unless you count dental x-rays I guess, or a CAT scan

Y - Your favourite food: Chocolate chip cookies

Z - Zodiac Sign: Capricorn

I will tag @rxbxlcaptain, @latinaspitfire, @lustfulpasiphae, @thenewleeland, @operaticspacetrash and anyone else who sees this and wants to do it, consider yourself tagged! 

[newstfionline]

The painful truth about teeth

By Mary Jordan, Kevin Sullivan, Washington Post, May 13, 2017

SALISBURY, Md.--Two hours before sunrise, Dee Matello joined the line outside the Wicomico Civic Center, where hundreds of people in hoodies, heavy coats and wool blankets braced against a bitter wind.

Inside, reclining dental chairs were arrayed in neat rows across the arena’s vast floor. Days later, the venue would host Disney on Ice. On this Friday morning, dentists arriving from five states were getting ready to fix the teeth of the first 1,000 people in line.

Matello was No. 503. The small-business owner who supports President Trump had a cracked molar, no dental insurance and a nagging soreness that had forced her to chew on the right side of her mouth for years.

“It’s always bothering me,” she said. And although her toothache wasn’t why she voted for Trump, it was a constant reminder of one reason she did: the feeling that she had been abandoned, left struggling to meet basic needs in a country full of fantastically rich people.

As the distance between rich and poor grows in the United States, few consequences are so overlooked as the humiliating divide in dental care. High-end cosmetic dentistry is soaring, and better-off Americans spend well over $1 billion each year just to make their teeth a few shades whiter.

Millions of others rely on charity clinics and hospital emergency rooms to treat painful and neglected teeth. Unable to afford expensive root canals and crowns, many simply have them pulled. Nearly 1 in 5 Americans older than 65 do not have a single real tooth left.

Over two days at the civic center, volunteer dentists would pull 795 teeth. A remarkable number of patients held steady jobs--a forklift operator, a librarian, a postal worker--but said they had no dental insurance and not enough cash to pay for a dentist.

Matello had both problems, adding to her frustration about being cut off from a world that many wealthier Americans take for granted.

“The country is way too divided between well-off people and people struggling for everything--even to see the dentist,” she said. “And the worst part is, I don’t see a bridge to cross over to be one of those rich people.”

Matello voted for Barack Obama in 2008, thinking he offered the best option for working people, but she sat out the 2012 election. Last year, she rallied behind Trump after listening to him talk about “the forgotten men and women of our country, people who work hard but don’t have a voice.”

“I’m running to be their voice,” Trump said repeatedly.

What Matello heard was a promise “to restore pride to the working poor.”

A big part of that promise was Trump’s assurance that he would build a “beautiful” health-care system to serve every American, a system that would cost less and do more. But nearly four months into Trump’s presidency, Matello sees Trump backing a Republican health care plan that appears to leave low-income people and the elderly worse off.

“I am hearing about a number of people who will lose their coverage under the new plan,” Matello said. “Is Trump the wolf in grandma’s clothes? My husband and I are are now saying to each other: ‘Did we really vote for him?’”

Matello said she has no option but to keep hoping Trump will devise “a plan so we can all feel the benefits of a better economy.” But since he took office, Trump has focused on so many other things--most recently, his decision to fire the FBI director--that Matello has begun to wonder about his promises to the working class.

Straight, white teeth are associated with social success--just about everyone on TV or with a big job has them. People drop $2,000 per tooth on porcelain veneers to hide the smallest imperfections. Trump has unusually perfect, snow-white teeth, prompting numerous cosmetic dentists to publicly note that he seems to have had expensive work done.

“If I see someone with perfect teeth, I think, ‘Oh, man, they’re out of my league,’ “ Matello said. “Us poor people ‘status’ each other. We’re like, ‘Ah, dude, you don’t have any teeth!’ Or if you see someone with little jagged yellow stubs, you think, ‘Oh, man, you have lived here your whole life, haven’t you?’ “

“Here” is Maryland’s Eastern Shore, the poorest part of one of the country’s richest states. It’s a region famous for chicken farms: Perdue’s national headquarters is here in Salisbury, a town of 30,000. Matello lives 20 miles north, in Laurel, Del., near fields that sprout corn, watermelons and soybeans.

In these rural areas, even the water can work against people. Many homes, including Matello’s, rely on well water. Unlike water from public systems, well water is not fluoridated. Nationwide, 25 percent of Americans are not connected to a fluoridated water system, and therefore, are missing out on what the Centers for Disease Control and Prevention called one of the 10 great health advances of the 20th century.

“It’s all well water, no fluoride,” said Patricia Higgins, one of the dentists volunteering at the Salisbury clinic. “In these places, we see people with a different level of dental problems.”

George Acs, director of the dental department at Chesapeake Health Care, a clinic near Salisbury, said people with oral pain and infections are inundating hospitals. Last year, more than 2 million U.S. emergency room visits were attributed to neglected teeth.

“What I am seeing is absolutely horrifying,” said Acs, who recently testified about the problem before the Maryland state legislature.

Although those hospital visits cost an estimated $1.6 billion a year, the ER is generally not equipped to fix dental problems, Acs told lawmakers. So ER doctors just medicate people with “a perpetual cycle of antibiotics and opioids.”

That cycle is feeding a nationwide epidemic of opioid addiction. Meanwhile, Higgins said, Americans’ increasing reliance on all kinds of drugs is further ruining their teeth. Many drugs cause dry mouth, which leads to more cavities. When she started her practice 35 years ago, she said, people took far fewer prescription drugs. Now patients hand her computer printouts with long lists of them.

Matello’s problem wasn’t complicated: A molar shattered years ago. The 46-year-old mother of three had not seen a dentist in nine years. When parts of her tooth broke off, she knew fixing it could cost hundreds of dollars, and other bills were always more urgent.

Then she heard on TV that the nonprofit Mission of Mercy was coming to the Eastern Shore to host one of the free dental clinics that had drawn overnight crowds in Nebraska, North Carolina and other parts of the country. So she decided to take Friday off.

Matello and her husband own a small vending-machine business called DeeLicious, spending their days restocking 69 machines installed in factories, schools and office buildings. They offer granola bars and other healthful snacks, but Snickers sell best.

Life was easier before the recession hit in 2007. Her husband managed a furniture warehouse, making more than $70,000 a year, and she sold fishing boats, adding to their income. But then people stopped buying big-ticket sofas and boats, and they both lost their jobs.

So they started buying vending machines and earn about $47,000 a year. Matello said she doesn’t know if the country’s rich-poor divide is worse now, but it sure feels more “in your face.”

“I am just fed up with it,” she said. “I don’t do Facebook. It’s ‘I went on this trip’ or ‘I got this new thing.’ You know, I really don’t need to see how great you are doing. It puts me in a state of depression.”

She said people judge success based on what people wear or where they live, and she even catches herself doing it. Washington, for example, is just 150 miles west, but to Matello it feels a planet away, totally out of reach.

“It’s a beautiful city to drive through. But I could never live there. I wouldn’t fit in,” she said. “I don’t have the toys, the education, the money to live there. We have nothing in common. That divide is why you see lower income people rising up, being mad at affluent people.”

And teeth, she said, “are the telltale, visible sign of wealth.”

The Washington region has one of the greatest concentrations of dentists in the world, with many offering high-end services in offices that resemble luxury spas. More than 50 million Americans, by contrast, live in areas officially designated by the federal government as Dental Health Professional Shortage Areas. A great many of them are working poor.

“It’s completely skewed. You have the fewest dentists where the need is greatest,” Acs said. He recently sent a patient here with impacted wisdom teeth 120 miles to find a dental specialist who accepts Medicaid.

Louis Sullivan, a physician who was secretary of health and human services under President George H.W. Bush, said “broad systemic problems” block access to dentists.

First, new dentists often start out with significant debt, and they gravitate toward wealthy areas where they have a better shot at making money. The typical graduate from a four-year, post-collegiate dental school owes $260,000--more than the average medical student.

Then they set up solo practices, shouldering pricey overhead--equipment, office space, a receptionist--that accounts for much of a patient’s bill. While younger dentists are more likely to join groups that share costs, the century-old model of the solo practice has resisted change.

Then there’s the matter of payment. Teeth generally are treated separately from the rest of the body, a tradition that dates to dentistry’s origins as a specialty of barbers, who performed oral surgery and pulled teeth. Today, many public health officials view that division as a mistake. Poor oral health can lead to heart disease and other serious medical problems, and tooth loss can lead to depression and difficulty eating and speaking.

The separation extends to insurance. Even Medicare, the federal health program that covers 55 million seniors and disabled people, does not cover dental problems. For that, people must buy dental insurance, which typically limits annual benefits to about $1,500 per person--an amount that has barely budged in decades, even as costs have risen.

The price of employer-provided plans varies greatly, and can cost a family $500 a year or more, industry experts said. For those whose jobs don’t offer dental benefits, it can be even more expensive. So tens of millions go without: More than a third of American adults have no dental coverage, according to the ADA’s Health Policy Institute.

Children’s coverage has been improving. All states are required to provide dental benefits to children on Medicaid and the Children’s Health Insurance Program. Obama’s Affordable Care Act currently requires medical plans to offer dental care to those younger than 19. But that requirement--and the dental benefits of 5 million adults newly covered under the ACA--are jeopardized by the Trump-backed health overhaul now being debated in Congress.

Adults who are poor enough, and live in certain states, can get coverage through Medicaid, the state-federal health program for low-income Americans. But only about 38 percent of dentists accept Medicaid--about half the rate of physicians--in part because of low reimbursement rates. On average, Medicaid covers about 37 percent of the bill, according to a recent ADA analysis. Dentists who don’t accept Medicaid also complain of bureaucratic hassle and high rates of canceled appointments.

In a handful of states, Medicaid offers no dental coverage for adults. Delaware, where Matello lives, is one of them. Which is why, on a damp Friday morning, she found herself lining up with hundreds of other people with aching teeth.

At 9:44 a.m., five hours after arriving in Salisbury, Matello finally made it inside the civic center and began to warm up.

“What do you need done?” she asked an older veteran in a wheelchair.

“Need nine teeth pulled,” he said. “My wife works at Rite Aid, and we don’t have any insurance.”

A little after noon, Matello’s number was called. A volunteer took her temperature; she was running a slight fever but not high enough to stop treatment.

Two more hours. Finally, she was waved over to an X-ray machine under a basketball hoop.

Just as Matello expected to be called for her turn in the dentist’s chair, a volunteer announced in a loud voice: “Those up to number 500 will be seen today. The rest will have to come back tomorrow.”

“You have to be kidding!” yelled a frustrated woman behind Matello. “I have to do this all over again?”

Matello’s eyes filled with tears. She had been waiting 10 hours.

A volunteer gave her a wristband that would put her at the head of the line the next day. So she drove home in her 18-year-old Jeep, ate dinner chewing only on the right side yet again, and set her alarm.

By 7 a.m. the next day, she was finally in one of the reclining chairs, with a dentist pointing a bright light into her mouth.

Robert Testani, a volunteer dentist from Catonsville, Md., examined Matello and checked her X-ray before easing a syringe of novocaine into her mouth. He prepared to pull her broken molar.

“Don’t worry. This is routine,” he said. He paused and looked around. “Except for the setting.”

Over two days, 116 dentists treated 1,165 patients, providing $1 million worth of fillings and other care, according to the Mission of Mercy. Matello was grateful. She was told her panoramic X-ray and extraction would have cost $600 to $800 in a regular office.

She looked at some of the others who had come here, despite working for a living cutting down trees, building homes, minding a town library, running small businesses.

“We are not staying home, not sleeping and living off the government,” she said.

She wondered why there wasn’t a better system for people like her. She tried not to look at the 51-year-old truck driver lying next to her who had three teeth pulled, his mouth stuffed with bloody gauze.

“I am trying to think that this is not demeaning,” she said as she cleared the chair for the next person in line. “But it is. It’s like a Third World country.”

[atlantisdentistrync-blog]

About Atlantis Dentistry

You Got This!Our expert dentists in Greensboro, NC and Durham, NC give your child a head start in life.

Led by our husband and wife dental duo, our caring team is like an extended family. We love working in the pediatric dental field and strive to help kids develop positive memories of the dentist. At both our modern locations in Durham and Greensboro, NC, we explain the process for outstanding dentistry and seek to empower optimism and self-confidence within each child.

Using our vast experience, we take time to educate both kids and parents about oral hygiene, and adapt to your child’s personal needs. We look forward to meeting you and your family!

We speak both English and Spanish at Atlantis Dentistry and Carousel Dentistry.

Meet Drs. Rachel and Gregory Perentis

Serving up fun and exciting kids' dentistry since 2001.

Dr. Rachel West Perentis

“The biggest fear for my patients is the fear of pain. Talking to them, distracting them, and just getting them through it with little or no discomfort at all is what gains their trust. When we tell them we won’t hurt them and then we don’t, that gains us the best kind of trust.”

Fast Facts:

More than 18 years experience in North Carolina dentistry

Aims to make each child’s experience a happy and positive one

Believes working in dentistry for children is the perfect occupation

Dr. Gregory Joseph Perentis

“When children are nervous or apprehensive and everybody around them is happy, smiling, and relaxed, then they will feed off of the positive energy. Like Anne Frank stated, ‘Whoever is happy will make others happy too.’ That’s what I aim to do with the awesome patients we see every day – share the joy!”

Fast Facts:

Knew he wanted to be a dentist when he was just a child

Goes the extra mile to make kids laugh and smile

Member of the American Pediatric Dental Association

Dentistry for Kids

Treatments designed for children and approved by parents.

Comprehensive Exams

Hygiene

Sealants

Nightguards

Mouthguards

Metal-Free Fillings

Crowns & Bridges

Extractions

Space Maintainers

Pediatric Partials

[travelswithsnowbirds]

Christmas 2019

Merry Christmas 2019!  It’s been quite an adventurous year, one I don’t want to repeat.   Lots of fun things, lots of sad things, but in the end I lead a good life and am happy.  Part of the reason I live in southeast North Carolina is the gorgeous beach close by.  It truly is my happy place.  It’s where I go to talk to God and know he listens.  Read on for some highlights.

Starcastle’s Royal Icing, aka Winston, crossed over the rainbow bridge not to long ago. Old age, bad teeth, arthritis, and I think a few mini strokes, caught up with him.  He passed peacefully in my arms. He is missed.  My loyal companion, camping enthusiast, kid lover, high jumper, messy kisses, and all.  No plans for a new dog until spring 2020.

In March I went on a tour of Ireland,Dublin to Dublin,a big circle around the country.  Perhaps Ireland is my favorite place to visit; the people, the scenery, the history.  Cliffs of Moher selfie

Giants Causeway

Trinity College Library

The girls of Ireland; Marilyn Kat, Barb, Lynn.  It was often cold and damp, but oh the sights.  Ireland is just so lush and green and he people are so friendly.  My ancestry DNA says I am 67% Irish.  I knew it was high, just never expected that high.  

Blarney Castle.  Barb was the only one to climb

Drinking a pint at the brewery

Kristine and family came for a two week stay in this Wrightsville Beach duplex.  It is such a good time.  Grandson, #3 Ben, on the dock. 

#1 Lilly, Gretchen, #3 Ben

One of the benefits of a beach house on the intracoastal is lots of time to float in the warm, calm water

#3 Ben loves BBall and is on his school team.

Sassy #1 Lilly participates in school Field Hockey and Lacrosse

#1 Lilly turns 16 this year and takes her driving test 12/31

#3 Ben is always a big help to Nana; he cleans the gutters and trims bushes, and picks up pine cones!!  

Tim and Gretchen and #1 Lilly and #3 Ben continue to enjoy their lives in a beach town. Tim competed in an Ironman competition as well as other multiple event races and often did well for his age category.  

#4 Sutton loves his soccer

#4 Sutton and dad, Jeff, pursuing their hiking passion

#4 Sutton, Autumn, Jeff.

#6 Lucie and Kristine

NanaKat and #6 Lucie, filtered

#2 Maggie

#5 Hudson on the first day of kindergarten announcing his high school graduation date

Uncle John getting some quality time with #6 Lucie

Family summer vacation adventure to the nearby Escape Room.  I was absolutely no help, but the teens were amazing.  L-R bottom:  Lilly, Gretchen, Maggie, Samantha, Kristine, me, Ben.  L-R Top Richard, Lisa, Bobby John, Louis.

I love #5 Hudson’s slick hair

Leftovers for dinner. Clockwise from  #6 Lucie, #3 Ben John, Me, Tim, Gretchen, #2 Maggie, #1 Lilly, Richard, Lou

#2 Maggie still gets time to ride

Soon there will be 4 babies here!l Kristine and Lou will be adding to their family with the birth of their #4, my #7 in June.  I never thought I would live to see one grandchild and soon I will have 7.  

#5 Hudson loves his NC beach time

John and I still try to travel when we can.  He has a second home here in Wilmington and visits at all school breaks and over the summer. We all hope he retires, soon.  We spent a few days in New Bern NC.  Here we are doing what we do best.....

I volunteer at two theatres in town.  Here I am manning the Guest Relations desk at The Wilson Center

Had a great RVing trip to northern NC and found this little gem, The Big Foot museum.  Who knew??

A great memory.  Me, Martha and Jeannie got stuck in the elevator at Kristine and Lou’s beach house for an hour.  We were rescued by the fire department who had to haul us out as we were stuck between floors.  

2019 was my year for medical issues from hernia surgery, lung scare with resulting negative biopsy, bilateral cataract surgery, knee injections, basal cell skin cancers, multiple dental appointments and on and on and on.  I am anxious to get 2019 over and start a clean slate with 2020.  Getting old ain't for the weak, for sure.

Kat between oldest and youngest.  We missed middle Jeff and his family at our annual reunion.

I had a lot of down time in 2019, I set one of my bedrooms up as an office/craft room and I learned some new skills.  This was a first attempt to see if I liked quilting.  Small stuff is ok.  I don’t like big projects, I need to see quick results.

Many baby afghans were completed.  I now have one for each future great grandchild put safely away in a bin.  The parent of the first one born gets first pick, etc until each of my grandkids has one for their first child.

Wilmington had its fair share of hurricanes over the past 2 years. Tim is all set up and ready for anything as Dorian approaches

  This is flooding from Dorian in John’s neighborhood.

I love my garden!  I spend a lot of time in the spring and fall keeping it neat.  Summer is too hot to do any real work.  

The kids have so much fun with these silly pictures.  

The annual family reunion picture on Tim and Gretchen’s porch.  This years’ includes extended family.

L-R bottom to top

Row 1. Nathan Renye, #3 Ben, Gates Vaughan, Kristine, #6 Lucie, Louis

Row 2.Amanda Renye, #1 Lilly, #2 Maggie, Samantha Scoutelas Talbot

Row 3. Heather Renye, Tim, Gretchen, Bobby Talbot

Row 4. John Coughlin, NanaKat, #5 Hudson

Row 5. Lisa, Richard, Heath Vaughan, Deb Scheibel, Mason Vaughan, Adrienne Vaughan, Denise Zastaury, Bruce Zastaury

 Renye: Gretchen’s sister and her family

Talbot:  Richard’s daughter and her husband

Zastaury:  Gretchen’s dad and stepmom

Coughlin and Vaughan/Scheibel:  Those family friends that should be relatives

[jobsearchtips02]

Can’t Afford Dental Insurance coverage? Right here’s How you can Discover Dental Take care of Much less

Positive, going to the dentist is horrifying. 

Who needs sharp steel objects jammed inside their mouth? Or these suction issues — yikes! It’s no surprise numerous us keep away from the annual appointment, regardless of frequent suggestions to repeatedly go to the dentist.

What’s worse, although? The value of going to the dentist.

About 17% of kids aged 5-19 years and practically 32% of adults aged 20-55 years have untreated dental caries, in keeping with the Nationwide Heart for Well being Statistics. 

Moreover, practically 15% of kids aged 2-17 and 36% of adults 18-64 had not seen a dentist within the earlier 12 months, in keeping with 2017 knowledge. 

What Are Your Choices for Inexpensive Dental Care?

The common working-age grownup spends simply over $300 on dental care per 12 months, in keeping with the American Dental Affiliation. 

That may shortly add as much as 1000’s of .

When the youngsters want braces, you’re taking a look at 1000’s of extra.

Your well being plan or Medicaid could cowl a part of the price of braces for kids below 18. When you pay out-of-pocket, the price could possibly be tax deductible.

However when none of those choices can be found, what’s your plan? Chances are you’ll not have the ability to cowl 1000’s of out-of-pocket, however you continue to need the most effective dental care attainable in your children and your self.

Dentists and orthodontists know this. In addition they know their companies are sometimes not properly coated by insurance coverage and are cost-prohibitive for a lot of households. They’ve come collectively in numerous methods to offer care to these in want.

Sponsored Take care of Youngsters

Although you’ll see some take care of adults, most sponsored or free dental care exists to assist kids from low-income households. 

These companies assist cowl main prices like braces or smaller ones just like the semi-annual check-up your children want to take care of wholesome tooth.

1. Smiles Change Lives

Smiles Change Lives gives braces to kids ages 7 and up. (Folks ages 19-21 can apply, however they need to bear in mind that placement with a supplier is way more tough at that age.) You’ll be chargeable for a non-refundable $30 utility charge and an out-of-pocket $650 for the braces.

You could find out if you’re financially eligible for Smiles Change Lives through the use of this device. 

Candidates should submit a private essay about why braces are crucial and the way getting them will influence the kid. Letters of assist are elective however inspired.

2. Donated Orthodontic Companies

The American Affiliation of Orthodontists offers an inventory of Donated Orthodontic Companies. It’s restricted to pick states, however these present care to kids who don’t have insurance coverage protection or don’t qualify for help.

They serve residents in 9 U.S. states:

Illinois Indiana Kansas Michigan New Jersey North Carolina Rhode Island Tennessee Virginia

three. Smile for a Lifetime

The Smile for a Lifetime Basis is a non-profit, charitable group that gives orthodontic therapy for underserved sufferers ages 11-18. Charges embody a $20 for the applying, in addition to a $480 funding charge

To take part in this system, a baby should meet all of the on this web page, together with:

Having a household revenue that doesn’t exceed 200% of the federal poverty stage. Having had a dental hygiene check-up inside the earlier six months. Being concerned with the group via extracurriculars or volunteer companies. Letters of advice from lecturers or group leaders.

Functions are obtainable on-line in each English and Spanish.

four. Give Children a Smile

Began in St Louis in 2002, Give Children a Smile was adopted by the American Dental Affiliation and have become a nationwide program in 2003. The group brings volunteers and dental professionals collectively to offer care and schooling to underserved kids. 

Nationwide GKAS Day is the primary Friday of February every year. Companies embody screenings, oral well being schooling and therapy. 

To search out taking part packages in your state, contact your native dental society.

5. A Smile for Children

A Smile for Children (ASK) goals to enhance the standard of life for low-income, at-risk kids in Oregon. 

The group serves kids in sixth grade to 11th grade who’re “suffering from ridicule and low self-esteem due to severely crooked teeth” — children who’re being teased or bullied due to the way in which their tooth look.

This program is referral-only;there’s no on-line utility. 

To encourage these receiving help to “pay it forward,” ASK requires that the kid receiving orthodontic care volunteer of their group every month. The mother or father/guardian pays a month-to-month charge to the orthodontist.

6. Youngsters’s Dental Well being Affiliation of San Diego

As its identify suggests, these companies are solely obtainable in San Diego. However they’re price a glance when you’re within the space.

The Youngsters’s Dental Well being Affiliation funds an area Youngsters’s Dental Well being Heart. Their College-Based mostly Program additionally visits native low-income faculties to offer exams, screenings and sealants to kids on-site.

Sponsored Dental and Orthodontic Take care of Adults

Many low-income dad and mom merely decide out of dental take care of themselves. As an alternative, they put their vitality and into discovering help or paying out-of-pocket for his or her kids’s care.

However your tooth want care, too!

Dental and orthodontic help for adults will be laborious to return by, but it surely exists. Verify for packages in your state, and see if both of those are a match:

7. Dental Lifeline Community: Donated Dental Companies

The Dental Lifeline Community’s nationwide Donated Dental Companies serves low-income individuals who have a incapacity, are aged or are medically fragile. 

The donated companies cowl oral care, dentures, bridges, crowns and different tooth restore. Qualification necessities and availability of companies differ by state. Verify to make sure you qualify and that the group is accepting functions in your state and county.

eight. Low cost Plans from :DentalPlans

If free companies aren’t obtainable in your space, otherwise you don’t qualify for sponsored care, a reduction dental plan might prevent some huge cash.

For dental care with out insurance coverage, have a look at DentalPlans.com. The positioning doesn’t present free companies or insurance coverage protection; as an alternative it means that you can obtain discounted dental care.

For an annual membership charge of $79.95, you’ll get a 10 to 60% low cost on most dental companies. You’ll pay out-of-pocket for the companies, however a lot lower than with out the plan.

Packages by State

When you haven’t discovered what you want right here, your state would possibly provide further packages. Verify this record from the American Affiliation of Orthodontists (AAO) to seek out out what’s obtainable in your state.

Dental Faculties

When your solely choice is to pay out-of-pocket, you possibly can go to close by dental faculties for discounted companies. 

After years of coaching, college students act as apprentices below the supervision dentists and orthodontists to carry out dental procedures, identical to a personal observe.

Discover an accredited dental college close to you.

Dana Sitar (@danasitar) is a former editor at The Penny Hoarder.

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