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realcube · 4 years

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YOU GOT: KENMA KUZOME

matchup for @suchagoodgirlxoxo

‘My hobbies include watching anime(mainly action) , playing on my switch I play a some games but mainly supersmash bros(not often), listening to music(more slower sad music and lo-fi), I like to draw (mainly anime but I do do realistic and conceptual also more traditional than digital ), I love to read like crime fiction, I write poetry and also fanfic but it isn’t great, I like to try cooking new things and I like to sing as well.’

♡ kenma likes to watch whatever animes you recommend to him lol- like seriously, he’s not picky, as long as it’s interesting 🤷‍♂️ he had a phase where he watched a bunch of animes but since then, he’s kinda fell out of it and the only ones he watches now are the ones you speak highly of or the ones that are paired with games (danganronpa, naruto, etc)

♡ sometimes when you are raving to him about an anime you adore atm, he’ll pretend like he’s not listening but in reality, he’s all-ears and plans on binging the anime as soon as you leave just so he can talk to you about it 🥺

♡ just bc you are his lover doesn’t mean he is gonna go easy on you in smash ✋ he brings his a-game every single time so if you aren’t ready to get your ass beat, don’t ask him to smash

♡ also he lowkey kinda likes it if you get pouty when you lose- like he thinks it’s so cute and he’ll sit there with the smuggest smirk on his face

♡ if you beat him, on the outside he’ll be like ‘gg 😐’ but on the inside, he’s either really proud of you and celebrating, or he’s bawling his eyes out – one or the other.

♡ we’ve already established that kenma listens lo-fi and vaporwave (occasionally hyperpop) so whenever y’all hang out and just chill together in his room, not really talking but just relishing in each other’s presence, he’ll put on lo-fi music on his speakers as background noise

♡ kenma also went through a phase of trying to draw but it seriously didn’t work out for him so whenever you draw literally anything, he’ll hype you up as if you just made a masterpiece

♡ ‘woah! that’s awesome, (y/n). you’re so talented.’ he hummed, peering over your shoulder to admire the art sat in front of you that you were working on, leaning down to press a kiss to your temple.

♡ ‘kenma..’ you muttered, twisting your neck around to shoot him a perplexed look, ‘this is just the sketch..and i’ve not even finished it yet.’

♡ anyway, kenma pretends to be disinterested in the fact you write fanfiction but secretly, he stalks your account and consumes your content like it’s his lifeblood

♡ he has never really been one to cook anything besides instant noodles – like if it was up to him, he’d just order pizza every night – but if you cook, that’ll give him the motivation to join you and try learn a few new things as well

♡ he’s very competitive though so let’s say you’re making pasta and you’re complaining about how you’ve put in all the spices that the recipe listed but it still didn’t taste nice; kenma would push you aside like ‘let the pro handle this’ and start pouring in random-ass spices as if he knew what he was going

♡ and that was the story of how kenma accidentally dropped a whole tub of red pepper flakes into the pasta 🤠

︵‿︵‿୨♡୧‿︵‿︵

‘My love language is physical touch and acts of service. I love a good cuddle sesh and like just making people happy. I also love quality time sucker for a home movie date with food and cuddles. Or cooking together. For fun fact lets just say I have a pretty sharp tongue and good a comeback. I’m pretty blunt at times but will also feel super bad if I hurt your feelings.’

♡ kenma’s love languages are gift-giving and physical touch ^^ he loves having you cuddled up under his arms while he plays on his switch, or when you sit on his laps as he games on his PC. he’s convinced himself that he just plays better when you are around 🥰

♡ once a week, it’s become a custom for you both to snuggle up on the couch together and watch random nostalgic movies while eating either take-out or the food y’all just cooked

♡ omg if you have a sharp tongue then lev, yamamoto and kuroo would all be shaking when you walk into the gym by kenma’s side bc they know one of them is going to be ridiculed

♡ kenma is shown to be quite blunt too but he has developed somewhat of a soft-spot for you. also, there is not much you can do to hurt his feelings- but like since you are his s/o he trusts you and cares about what you think of him so if you were to turn to him and utter in a genuine tone of voice, ‘i’m disappointed in you’ on the outside he’ll deadpan but on the inside he is bawling (ಥ _ ಥ)

︵‿︵‿୨♡୧‿︵‿︵

‘Some random things that may be too personal but imma just add it is I’m apparently a gifted kid burnout, I’m bi, also genderfluid, I can go long periods doing nothing because it’s honestly kinda hard to get stuff done for me I might not be able to like socialize a lot either also I’m majoring in Information Technology and have a really random dirty sense of humor [...] i do karate.’

♡ kenma isn’t really the best at getting things done either but i’d like to think that y’all encourage each other to complete task bc you just want the best for one another 🥺 so you’ll both just be laying on the bed, so tired with no motivation to do anything until kenma utters, ‘you said you have a report due.’ and you’re quick to reply, ‘and you said you have emails to send.’

♡ then it becomes a battle of ‘who’s thing is less important?’ until one of you finally suggests, ‘how about we both just do our work so we can cuddle in peace afterwards?’ then you both reluctantly crawl out of bed

♡ he isn’t really a social-butterfly either but ever since he’s started streaming, you’ve noticed he’s became less introverted so that means whenever y’all go to restaurants, he talks to the waiter so you to don’t have to 😩🙏 (also he pays for the meal bc he’s a king-)

♡ you and kenma are so powerful together bc he has somewhat of a dirty mind too KJXIDGH like kuroo will just be talking to y’all (even though neither of you are paying attention) then he’ll snap his kitkat in half and offer you a finger-- then get confused as to why you and kenma are caCKLING 💀

♡ he is highkey so proud that you know a martial art and you can defend yourself like he thinks it’s so badass- also when you were watching ‘karate kid’ with him, he’d pause the movie every few seconds to be like ‘so do you know that move? show me.’

︵‿︵‿୨♡୧‿︵‿︵

for @suchagoodgirlxoxo: ooft it was lowkey hard to choose but i hope you like kenma 🥺🙏 also you said ur ideal guy is taller than you but erm kenma is the same height as you ‘:) but that way, y’all can share clothes!!

#hq matchups #haikyuu matchups #haikyuu!! matchup #haikyu matchups #💗lets date!#💗matchup

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happyacademia · 5 years

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Sometimes it’s not our fault. Most of the time we do it unconsciously, and we simply forget basic things we need to do in order to keep our body in a healthy state while being busy taking care of our brains and working it constantly for our assignments, exams, and so on. Still, remembering to do a few things every now and then every day, or pushing yourself to create new and uncomplicated habits can help you immensely on the long run - by making sure we’re healthy, we’re making it easier for our brain to retain information and focus for a longer period of time.

This post contains a few tips followed by a series of resources that will helpfully aid you get your healthy habits on track!

Drinking more water

This might not be a priority while you’re revising for your subjects, but while it won’t take you more than a few seconds every now and then to take a sip or two from your water bottle, it can also bring you a bunch of benefits. You’re losing great amounts of water every day, so you need to replace it by drinking it back - it will help you think more clearly, relieve fatigue and keep concentrated.

It can be hard if you’re not used to it, so you can start small, with 1 liter a day (33 oz).

Try to slowly increase you intake to 2 liters (which is about eight 8-ounce glasses of water, and hence why people say you should drink about 8 glasses of water per day)

Keeping a water bottle with you to track your intake is the best way to go about it!

Using apps such as the Drink Water app is really useful so you remember throughout the day how much you’ve drank and how much you still have left. This app is my favorite but is only available for iOS, but there are tons of similar apps for any kinds of devices out there!

Eating healthier

You don’t need to change your entire diet overnight and suddenly start incorporating veggies to every meal (but, if you already do, great!), but you can always do a few things that will slowly improve your diet without having to spend a lot of money or having to learn how to cook complex recipes.

Try switching soft drinks during meals with water more often - this way you’ll also help achieving your daily water intake goal faster

You don’t have to stop eating junk food - just leave it for the weekend

If you don’t have a lot of time to prepare meals, instead of eating instant food like ramen all the time, try healthier alternatives such as sandwiches which are really easy to prepare and that can contain a bunch of nutritional ingredients

Another idea for students who don’t have a lot of time to prepare meals, you could try meal prepping (further reading + resources on this bellow)

Use your favorite fruits as your quick, to-go snack instead of processed snacks

Meal Prep 101

38+ Meal Prep Easy Ideas

19 Healthy Sandwiches with 5 Ingredients or Less

Exercising

By exercising I don’t mean that you have to start going to the gym a few times a week or going for a run every day. However, moving your body a little more every week can help you tremendously. Exercising can help reduce anxiety and stress and increases your energy levels. By increasing you heart rate, you’re aiding the flow of oxygen and blood to your brain, and it later can help you relax and improve your sleep, too. There’s a few easy ways that you can start moving around more without having to go hardcore or even leaving your home:

Try pilates! There are so many quality youtube channels online that have great videos on apartment-friendly pilates workouts, and most of them are pretty quick too

Yoga is also a good alternative - it works your muscles and flexibility and there are a bunch of yoga routines that have the aim of specifically helping with anxiety, stress, insomnia, and other things you might be going through because of school

If you’re not a fan of running, you can always try power-walking (or just regularly walking, if you prefer) around your neighborhood or at the gym for an hour or so, every day or a few days a week

If you wish to join and gym and complete full, heavy workouts but don’t find the time to do so, remember that exercising two days a week for an hour - or even less than that - can also bring you benefits and you don’t have to sacrifice a lot of time. By keeping a healthy diet throughout the week and working out two days a week, you can also achieve your fitness goals without compromising your school time!

Youtube Channel: blogilates (pilates)

Youtube Channel: POPSUGAR Fitness (pilates)

Youtube Channel: Yoga with Adriene (for yoga, obviously - one of my fave channels!)

Improving your sleep

Sleep has a major influence in our day since it affects our mood and our energy levels. If you have trouble falling asleep at night, here are some tips:

Bit obvious, but don’t consume caffeine drinks later in the day, even if you have to stay up a little bit later to complete an assignment - once you’re done and ready to sleep, you’ll find that you can’t!

You can power-naps, but remember to keep them short (not longer than 30min) and not frequent

Try to keep a consistent sleeping pattern - your body will get used to it if you start going to sleep and waking up at the same time every day

Don’t use your phone/computer before going to sleep. Try to stop using your devices an hour before going to bed, because the bright lights might affect your sleep. If absolutely necessary, turn on the night shift on your phone, and you can also download F.lux for your device, which automatically “warms up” your computer display as it gets nearer to your bedtime, so the blue lights exposure is not present and therefore doesn't hurt your eyes.

If you think you’re suffering from insomnia or any other kind of sleep disorders, please seek professional help - this way you can treat it clinically if necessary

Having fun and relaxing

Getting away from our work every now and then is an important step to keep motivated and focused. If you only study and revise every day, even if breaks, but don’t have any distractions, hobbies or other “light" ways to spend your time, please consider taking some time off for yourself. This will help you avoid burnout, and you’ll be able to keep on track for longer!

Going out every weekend with your friends is not a bad thing. Outings one day per week won’t harm you, as long as you don’t have anything crazily important for the start of the following week.

On the same note, socializing is very important for our mental health, so make sure you’re in contact with your family and friends and meeting them every now and then, in case it’s something you forget to do

Choose a specific part of your day to have a longer break so you have the time to work on a hobby, watch your favorite TV show, or even take the time to prepare a full meal! Anything you consider pleasurable and relaxing other than academic-related things

Taking part in clubs with other students might also be a great way of working on your academic life while having fun with other people - it can be something related to sports, arts, and so on!

Relaxing is also important - choosing one day of the week to wake up a little bit later or do something else that will help you relieve stress is essential to avoid burnout

Hope this has been helpful! :-)

original posts / instagram (new!)

#studyblr #studyspo #study tips #study advice #studygram #students #mental health #study motivation #studyinspo #study inspiration #tips #advice #ref #resources #original

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drylip0-blog · 6 years

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Macadamia Shortbread Cookies

When the month of December rolls around my kitchen and my mind go into Christmas Baking Gear! I love Christmas Baking and there is no nicer gift you can give to a family member, friend or neighbour than something which you have baked just for them!

One thing I like to bake for Christmas are shortbread biscuits/cookies. In all truth they are probably my favourite of all the Christmas cookies.

I also adore Macadamia Nuts. I know they can be a bit pricey, but hey, it's Christmas! I found this recipe for Macadamia Shortbread Cookies in a Christmas book of mine, entitled Christmas Cheer from Leisure Arts. (I have had it for a very long time!)

Shortbread cookies? Macadamia Nuts??? You CAN'T lose!

I know that Macadamia nuts can be a bit pricey, but what the heck it's Christmas!

I think shortbread cookies are about the simplest Christmas Cookie you can make, so long as you are not having to roll them out. I have always made Whipped Shortbread Cookies every year, using a recipe I got many Christmas's ago from my friend Leona.

They are so easy to make, as easy as beating together your ingredients and dropping them onto baking sheets and baking. Simple and delicious.

These are also very simple. You just beat together butter and brown sugar, with some vanilla and then stir in a mixture of flour and finely ground macadamia nuts.

You then roll the dough into balls and place them onto your baking sheets . . .

pressing a whole Macadamia nut into the top of each ball of dough . . .

They bake for about fifteen minutes . . . spreading out a tiny bit as they do and getting gilded golden brown at the edges.

The nut decoration on top turns golden brown and all toasty. I love toasted nuts and I love shortbread cookies. These are winners all round. Short and buttery and oh so addictive!

Yield: 5 dozenAuthor: Marie RaynerPrint Recipe

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Macadamia Shortbread Cookies

prep time: 10 minscook time: 15 minstotal time: 25 mins

If you love Macadamia nuts and shortbread cookies, you will adore these Macadamia Short breads. A beautiful addition to your holiday cookie trays.

ingredients:

280g plain flour (2 cups all purpose)

395g whole macadamia nuts, divided (14 ounces)

1/4 tsp salt

240g butter, softened (1 cup)

100g soft light brown sugar (1/2 cup packed brown sugar)

1 tsp vanilla extract

instructions:

Preheat the oven to 180*C/350*F/ gas mark 4. Line several baking sheets with baking paper. Set aside.

Measure the flour, 170g of the nuts (1 cup) and salt into a blender or food processor. Blitz until finely ground. Set aside.

Cream the butter, sugar and vanilla together until light and fluffy. Stir in the flour mixture to combine. Shape into 1 inch balls and place 2 inches apart on the prepared baking sheets. Press

one of the remaining nuts into the top of each cookie.

Bake for 12 to 15 minutes or until the edges are golden brown. Cool completely on a wire rack. Store in an airtight container.

The hardest part of making these is grinding the nuts. You don't want the ground nuts to be granular. You want them as fine as flour, which is really quite easy to do if you have a good blender, food processor or coffee/spice grinder.

This is what I used. My CookHouse 800W Multi-Blender, which also has a bonus Coffee/spice/nut grinder attachment. With three speeds and a pulse option it did a great job of grinding my nuts. I used the Coffee/Spice grinding attachment to do this.

This is what they looked like when I popped them into the grinder along with the flour and salt . . .

And this is what they looked like when they were done. It took about 20 pulses. Macadamia nuts are a lot harder than they look! But as you can see they were as powdery as the flour was. I am really in love with this machine and it has pride of place in my kitchen.

✔ 800W HIGH POWERED BLENDING - Not your average blender, this powerful machine can handle any task, from smoothies & protein shakes to juices, mixes, soups and even meat ✔ BONUS COFFEE/SPICE GRINDER & FOOD CHOPPER - it comes with a chopper attachment that lets you coarsely chop nuts, spices, meat, frozen foods, and ice for all your recipes ✔ EASY TO CLEAN - The jar and blades are removable for easy and safe cleaning - the stainless steel base is easy to wipe and stays looking beautiful in your kitchen. ✔ 3 SPEEDS & PULSE FUNCTION - this blender has 3 different speed options plus a pulse setting let you perfect any recipe, no matter how thick or hard the ingredients. ✔ SAFETY LOCK SYSTEM & OVERHEAT PROTECTION - this blender has been designed to be safe and long lasting - the blender won't start unless locked securely in place, and no overheating or burnout will occur, guaranteed!

I used the blender part the other day to make a simple and quick Hollandaise sauce which I served with some Salmon. Blender Hollandaise is such a simple version of this classic sauce and is pretty much fail-proof and hard to mess up. The blender attachment is easy to use and cleans like a dream. Both options clean easily. I love this machine!

To make the Hollandaise you just put egg yolks, seasoning and lemon juice into the blender and run it for a few seconds and then you start drizzling in melted butter whilst keeping the motor running. It comes together like magic . . . thick, silky and rich.

Perfect for serving with Eggs Benedict . . . this is simply half an English Muffin, toasted with some sauteed spinach on top, some bacon and a perfectly poached egg . . .

Friday night we enjoyed this easy Hollandaise sauce with some grilled Salmon that I cooked on our grill along with some oven chips, asparagus and grilled tomatoes . . . it only looked complicated, but was a really delicious and simple supper to throw together. When you have high quality equipment to use, cooking becomes so much simpler.

Yield: Makes about 1 cupAuthor: Marie RaynerPrint Recipe

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Blender Hollandaise Sauce

Mmmm... deliciously buttery hollandaise sauce, made in just a few minutes, with all the ease of pushing a few buttons. Turns out perfect every time.

ingredients:

2 large free range organic egg yolks (Save the whites to make some meringues at a later date. They freeze very well) 2 1/2 tsp fresh lemon juice 2 1/2 tsp white wine vinegar 125g butter (1/2 cup) sea salt freshly ground black pepper

instructions:

Heat the vinegar and the lemon juice in a small measuring cup in the microwave for about 30 seconds or so, just until the mixture starts to bubble and simmer. In the meantime, place the egg yolks into your blender and season with a smidgen of salt and a few grinds of black pepper. Blend for one minute. Turning the blender on, add the lemon juice/vinegar mixture to the egg yolks in a thin stream, very slowly. (You can do this through the hole left in the lid after you remove the little plastic cap) Turn the blender off and melt the butter in the same measuring cup you used to heat the vinegar and lemon juice in until it is slightly foaming. Turn the blender back on and very slowly add the hot butter in a thin stream to the beaten egg yolks, once again through the little hole in the top of the lid. The slower you add it, the better. Turn the blender off and scrape down the sides with a rubber spatula, then put the lid on and blend again for a few seconds. Set aside.

This simple Blender Hollandaise is also a must when making my Scrambled Eggs Benedict, which are probably even more delicious than the traditional option. I love these!

To see more photos and options for the CookHouse Blender check out the Amazon page for it. You can also see my review of this great machine there as well. I find that as I am getting older I am becoming a bit more discerning about what equipment I choose to have in my kitchen. I don't want objects taking up space that I am not going to use. I want them to be highly functional, attractive and things that I know I am going to use all the time. This machine falls within all of the parameters of my guidelines for equipment and appliances that belong in my kitchen. Bon appetit!

Source: https://theenglishkitchen.blogspot.com/2018/12/macadamia-shortbread-cookies.html

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archaeologysucks · 7 years

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Oh, good! At least it's not just me thinking 35 was a lot. "Potential candidates should expect to excavate up to 35 shovel tests per day in rugged, hilly and brushy terrain." Is exactly what they said. It's the Oklahoma one on archaeologyfieldwork.

I’ve heard of the company, but have no direct experience with them. I think they are one of my bigger companies for the Midwest. I don’t have much experience working in the Midwest, apart from a brief stint in Colorado, but from what I remember, it’s pretty rough. They worked us hard, the pay was shitty, we were in the middle of nowhere, and no one ever seemed to take breaks. It’s a recipe for quick burnout, if you ask me.

#archaeology #u.s. archaeology #crm #employment

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lauramalchowblog · 5 years

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9 Healthcare Companies Who Changed the 2010s

By ANDY MYCHKOVSKY

In order to celebrate the next decade (although the internet is confused whether its actually the end of the decade…), we’re taking a step back and listing our picks for the 9 most influential healthcare companies of the 2010s. If your company is left off, there’s always next decade… But honestly, we tried our best to compile a unique listing that spanned the gamut of redefining healthcare for a variety of good and bad reasons. Bon appétit!

1. Epic Systems Corporation

The center of the U.S. electronic medical record (EMR) universe resides in Verona, Wisconsin. Population of 13,166. The privately held company created by Judith “Judy” Faulkner in 1979 holds 28% of the 5,447 total hospital market in America. Drill down into hospitals with over 500-beds and Epic reigns supreme with 58% share. Thanks to the Office of the National Coordinator for Health Information Technology (ONC) and movement away from paper records (Meaningful Use), Epic has amassed annualized revenue of $2.7 billion. That was enough to hire the architects of Disneyland to design their Google-like Midwestern campus. The other amazing fact is that Epic has grown an average of 14% per year, despite never raising venture capital or using M&A to acquire smaller companies.

Over the years, Epic has been criticized for being expensive, non-interoperable with other EMR vendors, and the partial cause for physician burnout. Expensive is probably an understatement. For example, Partners HealthCare (to be renamed Mass General Brigham) alone spent $1.2 billion to install Epic, which included hiring 600 employees and consultants just to build and implement the system and onboard staff. With many across healthcare calling for medical record portability that actually works (unlike health information exchanges), you best believe America’s 3rd richest woman will have ideas how the country moves forward with digital medical records.

My very first interview out of undergrad was for a position at Epic. I chose a different path, but have always respected and followed the growth of the company over the past decade. In a world where medical data seems like tomorrow’s oil, a number of articles have speculated whether Apple or Alphabet would ever acquire Epic? I don’t buy it. I’m thinking it’s much more likely that 2020 is the first year they acquire a company. How you doing Athenahealth?

2. Theranos

No one can argue Theranos didn’t change the game in healthcare forever… for the worse. I do my best to give all healthcare founders the benefit of a doubt, but Elizabeth Holmes and Ramesh Balwani make that nearly impossible. Turns out that an all-star cast of geopolitical juggernauts on your Board of Directors and the black turtleneck of Steve Jobs is not the recipe for success. Founded by 19-year Elizabeth Holmes, Theranos raised over $700 million at a peak valuation of $9 billion. In retrospect, they have become the poster-child for Silicon Valley’s over-promise and under-deliver mantra. The only problem is that instead of food delivery, their failures resulted in invalid blood testing that could’ve really hurt people.

Despite this failure, the mission and purpose would’ve been tremendously impressive. Cheaper blood tests that require only 1/100 to 1/1,000 the amount of blood that LabCorp or Quest Diagnostics needed. I think the craziest part of the whole saga was that seemingly sophisticated healthcare leaders thirsted for the new technology to beat competitors and improve patient convenience. Before the technology was proved defunct, Theranos convinced Safeway to invest $350 million to retrofit 800 locations with clinics that would offer in-store blood tests. Theranos convinced Walgreens to invest $140 million to develop a partnership that would help beat CVS. Theranos partnered with Cleveland Clinic to test its technology and was working with AmeriHealth Caritas and Capital BlueCross to become their preferred lab provider.

To be clear, they weren’t the first, and won’t be the last healthcare company to fail. I only hope that this extremely well documented (thanks Hollywood) experience has re-focused founders and investors towards building sustainable growth companies that actually help patients live higher quality lives, not just make people money as quickly as possible.

3. One Medical

Thanks to Tom Lee and the One Medical crew, primary care is now investable. Whether you’re talking about private equity or venture capitalists, many have dived head first into the space in search of value-based care treasure. One Medical is the most well-known tech-enabled primary care practice, with 72 clinic locations across seven states, and new locations opening in Portland, Orange County, and Atlanta. The Carlyle Group liked the company so much that it invested $350 million in August 2018, at a reported $1.5 billion valuation. This has led to a number of primary care focused companies (ChenMed, Iora Health, Forward) to amass significant valuations that historically would’ve seemed optimistic. However, the elevation of the primary care provider from the “punter” to the “quarterback” of a patient’s medical journey has lifted all boats.

Interestingly, One Medical has unique differentiators over the traditional primary care competitors. For example, One Medical limits doctors to seeing 16 patients a day, versus the average physician seeing 20-30 patients a day. One Medical also built its own medical records in hopes of a more user friendly experience, instead of outsourcing to practice-based EMRs. One Medical charges $199 annually to each patient to help make up for lower volume, and in return provides same-day appointments, onsite lab draws, and a slick app that allows online appointment scheduling and telehealth consults with providers 24/7. They are also adding capabilities and services to cover mental health and pediatric services to increase revenue.

This change is remarkable. Historically, primary care has been a low-margin business with high administrative and staffing costs, along with physician burnout and regulatory burden. One Medical pioneered the concept of a more modern primary care experience, and I am looking forward to their initial public offering (IPO) targeted for early 2020 and whatever Tom Lee is cooking up at Galileo.

4. Centene

Centene is my favorite health plan to study over the past decade. You would never know that the second largest publicly-traded company headquartered in Missouri was originally started by Elizabeth “Betty” Brinn in Milwaukee, Wisconsin. Under-hyped, which is rare in healthcare nowadays, Centene has quietly grown to become the largest player in both the Medicaid managed care and Affordable Care Act (ACA) exchanges. Under Michael Neidorff’s leadership, Centene now serves 32 states with over 15 million lives and 53,600 employees. They were most recently ranked #51 on the Fortune 500 list. In addition, they are about to grow with the $17.3 billion acquisition of WellCare. Here’s a brief rundown of some major events that demonstrate why I’m so bullish on Centene dominating another decade:

April 2018: WellCare and Centene awarded Medicaid managed care contracts in Florida.

July 2018: Centene acquires Fidelis Care and their 1.6 million New Yorkers for $3.75 billion. This single-handedly gives Centene the leading Medicaid share in the state.

September 2018: WellCare acquires Meridian Health Plan and their 1.1 million lives in Michigan, Illinois, Indiana, and Ohio, for $2.5 billion.

February 2019: Centene and WellCare awarded Medicaid managed care contracts in North Carolina.

December 2019: WellCare awarded Medicaid managed care contract in WellCare (re-procurement underway)

In addition, Texas Medicaid is set to award their STAR contracts for 3.4 million lives between Medicaid and CHIP, of which Centene already won a contract to serve the STAR+PLUS (aged, blind, and disabled population). Seems like a pretty solid guess that Centene will fair pretty well in the STAR RFP rankings. Next decade, I look for Centene to significantly increase their efforts to recruit Medicare Advantage (MA) lives, and I wouldn’t bet against them.

5. Mylan

One word. EpiPen. Mylan, the $10 billion market cap pharmaceutical manufacturer and producer of the epinephrine auto-injector product, EpiPen, became the lightning rod in a consumer and political drug pricing debate in 2016. For those who were living under a rock, here’s the quick recap. Epinephrine auto-injectors are used to treat anaphylaxis (severe allergic reaction). Prior to 2016, Mylan held absolute dominant share of the auto-injector market, hovering around 90% for the first half of the 2010s. The only real competitor was Adrenaclick, produced by Lineage Therapeutics, but they were barely considered a competitor despite having cheaper prices. In 2016, news outlets caught wind of Mylan’s 500% list price increase over a decade ($100 to $600) and a nationwide discussion about drug prices began.

If you asked the Mylan CEO, Heather Bresch, she would tell you that the reason brand EpiPen’s list price increased 500 percent over 7 years is because they invested billions of dollars to significantly increase access in schools and employers across America. These efforts increased the number of EpiPen prescriptions in the U.S. from 2.5 million to more than 3.5 million between 2011 and 2015. She would also tell you that there is a big difference between wholesale acquisition cost price (list price) and net price. This part is often misunderstood by media. The net price takes into account discounts, prescription savings cards, and rebates that Mylan provides to purchasers (PBMs, Employers, Plans). The exact negotiated rebate or discount is different by line of business and organization. However, safe to say that Mylan made a good amount of profit with increasing volume.

At the end of the day, Mylan settled with the U.S. Justice Department for $465 million over claims it overcharged the government. Mylan kept their $600 list price brand EpiPen product with rebates, and added a generic version of EpiPen for $300 list price without rebates and requiring commercial insurance. According to a GoodRx analysis in 2018, the epinephrine auto-injector market now looks much different, with 60% of the market moving to the generic version of EpiPen, 10% of the market remaining with brand EpiPen, and 30% of the market switching to the generic version of Adrenaclick. However, whether generic or brand EpiPen, Mylan makes strong profits and American will continue to discuss the best strategy forward to control drug spend.

6. Evolent Health

First let me caveat. I’ve worked for Evolent Health for the past 5 years and seen it grow from a Series B startup to a publicly-traded company (NSYE: EVH). However, the reason they’re on this list is because Evolent Health has forever changed the game for future value-based care startups. When Frank Williams, Seth Blackley, and Tom Peterson founded the company in 2011 with the help of UPMC Health Plan and The Advisory Board Company, concepts like the Medicare Shared Savings Program (MSSP) did not even exist. Fast forward a decade later, and Evolent Health now serves approximately 3.7 million lives across 35 different U.S. healthcare markets. The mission of Evolent Health is to, “Change the health of a nation, by changing the way healthcare is delivered.” To do this, you need both the technology, clinical, financial, and operational capacity to empower providers to confidently move away from fee-for-service towards fee-for-value.

With the implementation of MACRA and the continued perseverance of CMS under this new administration, value-based care is still full steam ahead (good luck incoming CMMI Director, Brad Smith). Despite the naysayers of value-based care, find me a better way to control medical inflation that is accepted by nearly all healthcare institutions and doesn’t negatively impact patient outcomes, and we can talk. I will mention the importance of “significant” downside risk to actually change provider culture, strategy, and operations. I don’t want the primary purpose of setting up a clinically integrated network (CIN) to be negotiating higher fee-for-service commercial rates for independent physicians aligned to tertiatiary academic medical centers.

I wholeheartedly believe that providers will continue to seek partner options (not vendors with high fees independent of performance) who are not wholly-owned by the large for-profit health plans (Optum…). Of all the available options, Evolent Health is the market leader across a variety of areas. In 2020, I look forward to watching how the 3,000+ Evolenteers push the boundaries of downside risk value-based care with both payers and providers.

7. Livongo

To me, Livongo represents Daenerys Targaryen in Game of Thrones. Not the blood-thirsty character towards the end, but the only person to bring back dragons to the world of Westeros. Except in this example, the dragon is a successful digital health IPO. This was a big deal. Going public rewarded early investors who believed in the nascent digital health and chronic condition space. It allowed public investors an opportunity to peak under the hood of the financials and get comfortable with future economics of the industry. And it provided a legitimacy and a peer valuation to other leading digital health companies like Omada Health. All-in-all, 207,000 members use Livongo for Diabetes management solutions, including a connected glucose monitor, unlimited test strips, and personalized health coaching. This number is expected to grow significantly, with the announcement of a new, two-year diabetes contract with the BlueCross BlueShield Federal Employee Program (FEP). They anticipate the partnership will add an additional $50-60 million in revenue across 2020 and 2021

Livongo has done a brilliant job marketing itself as building a full-stop solution for the 147 million Americans with a chronic condition. According to their estimates, their immediately addressable markets for managing diabetes and hypertension represents a $46.7 billion opportunity. Digging into the unit economics, Livongo estimates that diabetes is worth $900 per patient per year and $468 per patient per year. Since they’re focused on chronic conditions, the business model is subscription-based. In the Q3 quarterly report, Livongo provided full year guidance of $168.5 million on the low end and $169 million on the high end. In either scenario, FY2019 Adjusted EBITDA is projected to lose around $26 million for the year.

Livongo has smartly started with addressing diabetes, given the downstream health impacts of mismanagement of blood sugar and the ability to impact spend with regular insulin, diet, and exercise. They also are very smart to efficiently sell into self-funded large employers using existing channel partners like Express Scripts, CVS, Health Care Services Corporation (HCSC), Anthem, and Highmark BCBS. I know that the stock is down 35% since IPO, but I fundamentally believe chronic conditions are not going away and over time, Livongo will add supplementary clinical programs to expand revenue growth.

8. Optum

UnitedHealth Group is the single largest healthcare company in the world with a $280 billion market cap. It owns UnitedHealthcare, the country’s largest private insurer serving Medicare Advantage, managed Medicaid, employer-sponsored insurance, and ACA exchanges. And yet in 2020, more than 50% of the company’s earning and $112 billion in revenue will come from the lesser known side of the business, Optum. It is difficult to describe Optum because they do so much, but they technically split their business into three units: OptumHealth, OptumInsight and Optum Rx. OptumHealth provides care delivery (primary, specialty, urgent care) and care management to address chronic, complex, and behavioral health needs. OptumInsight utilizes data, analytics, and clinical information to support software, consulting, and managed services programs. OptumRx is a pharmacy benefit management (PBM) to create a more streamlined pharmacy system. In total Optum estimates the U.S. addressable market for its services to exceed $850 billion. If that wasn’t enough, here’s some fun facts why they made the list:

Works with 9 out of 10 U.S. hospitals, more than 67,000 pharmacies, and more than 100,000 physicians, practices, and other providers.

Added 10,000 physicians in the past year, growing its network to 46,000 physicians.

Includes 180,000 team members and serves 120 million customers.

Serves 80% of health plans to reduce total cost of care.

Works with 9 out of 10 Fortune 100 companies.

Pretty remarkable for a business unit that was only technically created in 2011, by merging existing pharmacy and care deliver services into one brand. As chronic disease increases and value-based care is here to stay, Optum is focused on comprehensively treating patients and coordinating their care to improve quality and lower costs. With UnitedHealthcare under the corporate umbrella, Optum has the adequate scale to test any new clinical initiatives before rolling out to other health plans.

9. Purdue Pharma

Purdue Pharma is a privately owned drug company owned by the Sackler Family and most well known for creating OxyContin in 1996. OxyContin represents 90% of Purdue Pharma’s revenue and was aggressively marketed to doctors for use in patients with chronic pain. According to court records, Purdue Pharma has grossed an estimated $35 billion. This is the same prescription painkiller that many experts say fueled the U.S. opioid crisis that has resulted in more than 130 deaths each day after overdosing on opioids. To be clear, the deaths are caused by prescription pain relievers, heroin, and synthetic opioids (fentanyl), however, the initial addiction to opioids is often caused by OxyContin and other prescription drugs. All but two U.S. states and 2,000 local governments have taken legal action against Purdue, other drug makers and distributors.

The Sackler family is the 19th richest family and is well known for supporting the fine arts, including the Sackler Wing at the Metropolitan Museum of Art in New York City where the Ancient Egyptian Temple of Dendur sits. I’ve seen a number of articles persecuting the entire Sackler family, but I want to be a little more nuanced. In 1952, three Sackler brothers (Arthur, Raymond, and Mortimer) bought a drug company called Purdue Frederick. Arthur’s branch of the family got out of the company after his death in 1987. The Raymond and Mortimer branches of Sacklers, who own it, founded affiliate Purdue Pharma in the early 1990s. According to a 2017 article from The New Yorker, there are 15 Sackler children in the generation following the founders of Purdue. Some family members have served on the Board of Directors, while others (most notably descendants from Arthur Sackler who died before OxyContin was invented), have distanced themselves from the company and condemned the OxyContin-based wealth.

Purdue Pharma filed for bankruptcy in September 2019 as part of a tentative settlement related to misleading marketing of the controversial painkiller. The settlement requires the owners of Purdue Pharma and the Sackler family to pay out $3 billion of their own fortune in cash over the next seven years. The only problem is that some family members have reportedly moved $10.7 billion from Purdue Pharma to trusts and holding companies across the world between 2008 and 2017. And all we’re left with is a complicated web of holding companies and offshore bank accounts, ravaged communities, and the leading cause of injury-related death in the U.S.

Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.

The post 9 Healthcare Companies Who Changed the 2010s appeared first on The Health Care Blog.

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kristinsimmons · 5 years

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9 Healthcare Companies Who Changed the 2010s

By ANDY MYCHKOVSKY

1. Epic Systems Corporation

2. Theranos

3. One Medical

4. Centene

April 2018: WellCare and Centene awarded Medicaid managed care contracts in Florida.

July 2018: Centene acquires Fidelis Care and their 1.6 million New Yorkers for $3.75 billion. This single-handedly gives Centene the leading Medicaid share in the state.

September 2018: WellCare acquires Meridian Health Plan and their 1.1 million lives in Michigan, Illinois, Indiana, and Ohio, for $2.5 billion.

February 2019: Centene and WellCare awarded Medicaid managed care contracts in North Carolina.

December 2019: WellCare awarded Medicaid managed care contract in WellCare (re-procurement underway)

5. Mylan

6. Evolent Health

7. Livongo

8. Optum

Works with 9 out of 10 U.S. hospitals, more than 67,000 pharmacies, and more than 100,000 physicians, practices, and other providers.

Added 10,000 physicians in the past year, growing its network to 46,000 physicians.

Includes 180,000 team members and serves 120 million customers.

Serves 80% of health plans to reduce total cost of care.

Works with 9 out of 10 Fortune 100 companies.

9. Purdue Pharma

Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.

The post 9 Healthcare Companies Who Changed the 2010s appeared first on The Health Care Blog.

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gethealthy18-blog · 6 years

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Sheet Pan Dinner: Tangy Za’atar Chicken with Veggies

New Post has been published on http://healingawerness.com/news/sheet-pan-dinner-tangy-zaatar-chicken-with-veggies/

Sheet Pan Dinner: Tangy Za’atar Chicken with Veggies

Want a healthy and hearty dinner without all the work? This Tangy Za’atar Chicken with Veggies is made entirely on a sheet-pan for easy clean-up and quick cooking that the whole family can enjoy. Don’t forget the spicy yogurt sauce!

Long time no talk! Besides a few podcasts posts, I’ve taken the last 3 weeks off from blogging. Likely the longest I’ve ever gone in the last 6 years. I don’t have real reason for it other than to say that burnout is real and after a pretty hectic holiday season, I just needed a break. But I’m happy to report that after a few weeks off I’m feeling much better and excited to be back!

Despite things being silent over here, I have in fact been working hard behind the scenes. Tanya and I have been amping up the launch of some exciting new projects with Camp Wellness and I’ve also been taking some time to review old THM posts and think about ways to create a more valuable space for you. It’s led me to take a walk down memory lane and review the over 1000 posts I’ve shared here on The Healthy Maven.

I’ve discovered many things along the way. Firstly, I’ve grown up A LOT since starting this space. It can be painful at times to read some of the things I’ve shared on the internet but also comforting to know I’m no longer the 23 year old living in her parent’s basement (true story). Second, the internet has changed about as much if not more than I have. While I still want to keep this space personal and share bits and pieces of my life, internet content has collectively shifted towards a more “value-first” mentality. I truly believe this is a good thing. So as much as I’d like to believe you care as much about my weird life anecdotes as you do about this Tangy Za’atar Chicken and Veggies I’m fairly certain the latter will win out.

There are three words responsible for this: Search Engine Optimization. New to SEO? It’s basically how to get to the first page of Google search results. This isn’t something I normally care too much about but I’d like to believe the recipes and other posts around here are pretty awesome and I’d like to have as many eyeballs as possible take them in. This means making sure that every post I create for you guys is as easy-to-read, organized and as clear as possible. A pretty solid goal if I say so myself.

It also means making sure recipes are made with ingredients you can get access to using techniques that are manageable and easy to achieve at home. To be fair, most of my recipes are pretty simple but it’s something that I am making a priority this year. And of course, it also means working with brands who I love and use and truly believe you will love and use as well. Stonyfield I’m looking at you!

Which brings me to today’s recipe for an easy Sheet-Pan Dinner. What is a sheet-pan dinner you ask? It’s pretty much as simple as it sounds: a recipe that can be entirely cooked on a single sheet pan. Yes, that means your whole meal only requires one cooking sheet and can be done entirely in one run in the oven.

The Tangy Yogurt dressing of course requires one other bowl, but let’s be real, meals are all about the sauce and this one is no exception. I used the Stonyfield Organic Probiotic Yogurt for an extra dose of probiotics. Of course, yogurt naturally has probiotics but the newest whole milk yogurt has an added 1 billion of the culture BB-12. It’s brand new and now that it’s available you can easily swap it in for Stonyfield greek or your yogurt type of preference. I mean who doesn’t want an extra healthy gut?!

But before I drop the recipe here are a few details to know about this sheet-pan dinner:

How to Make this Tangy Za’atar Chicken and Veggies

Bone-in, skin-on chicken thighs are preferred but not necessary. We ended up using boneless chicken thighs in this version (to test) and it turned out great.

Feel free to replace the squash and brussels sprouts with other veggies if you have different preferences.

Good quality za’atar is key. We like this version.

Don’t skimp on the yogurt! The tanginess mixed with the spices makes for a delicious dressing. We had leftovers and added it to recipes all week long.

Let’s get cooking…

Sheet Pan Dinner: Tangy Za’atar Chicken with Veggies

Author: Jess @ The Healthy Maven

Prep Time: 10 minutes

Cook Time: 40 minutes

Total Time: 50 minutes

Yield: 4 servings

Ingredients

4 chicken thighs, bone in skin on preferred (about 2lbs)

1 medium butternut squash, peeled and cubed

1 lb brussels sprouts, trimmed and halved lengthwise

1/4 cup za’atar spice blend

2 tbsp olive oil

salt and pepper

1/2 cup of Stonyfield yogurt

¼ lemon, juiced

2 tsp olive oil

1.5 tsp hot sauce

To Serve:

4 medjool dates

4 handfuls of arugula

1 handful parsley

Instructions

Preheat oven to 425 F.

Place cubed squash and brussels sprouts on a sheet pan and toss with oil, salt and pepper.

Nestle the chicken thighs into the veggies and coat with a little oil. Sprinkle the za’atar over the sheet pan, making sure to focus on coating the chicken thighs. Season the chicken with salt and pepper.

Place in the oven and roast for about 40 min. If you use boneless, skinless chicken thighs they will take only about 20 min to cook through. Simply remove them and continue to cook the vegetables for the remainder of the time.

While the chicken and vegetables cook, prepare the yogurt sauce.

In a bowl, combine the yogurt, lemon juice, olive oil, hot sauce. Season with salt and pepper and set to the side. The yogurt can be made ahead and left the fridge.

Slice the dates, pick and wash the parsley leaves, wash the arugula.

Once the squash is caramelized, the brussels sprouts are crispy and the chicken skin is nice and golden, remove from the oven. Sprinkle with the dates and parsley.

Serve with the arugula and yogurt sauce.

Disclaimer: This post is sponsored by Stonyfield. I was compensated for my time, however all opinions expressed are 100% my own. I’m so excited for our partnership and appreciate all your support for THM.

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lenaglittleus · 6 years

Text

Sheet Pan Dinner: Tangy Za’atar Chicken with Veggies

But before I drop the recipe here are a few details to know about this sheet-pan dinner:

How to Make this Tangy Za’atar Chicken and Veggies

Bone-in, skin-on chicken thighs are preferred but not necessary. We ended up using boneless chicken thighs in this version (to test) and it turned out great.

Feel free to replace the squash and brussels sprouts with other veggies if you have different preferences.

Good quality za’atar is key. We like this version.

Don’t skimp on the yogurt! The tanginess mixed with the spices makes for a delicious dressing. We had leftovers and added it to recipes all week long.

Let’s get cooking…

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Sheet Pan Dinner: Tangy Za’atar Chicken with Veggies

Author: Jess @ The Healthy Maven

Prep Time: 10 minutes

Cook Time: 40 minutes

Total Time: 50 minutes

Yield: 4 servings

Ingredients

4 chicken thighs, bone in skin on preferred (about 2lbs)

1 medium butternut squash, peeled and cubed

1 lb brussels sprouts, trimmed and halved lengthwise

1/4 cup za’atar spice blend

2 tbsp olive oil

salt and pepper

1/2 cup of Stonyfield yogurt

¼ lemon, juiced

2 tsp olive oil

1.5 tsp hot sauce

To Serve:

4 medjool dates

4 handfuls of arugula

1 handful parsley

Instructions

Preheat oven to 425 F.

Place cubed squash and brussels sprouts on a sheet pan and toss with oil, salt and pepper.

While the chicken and vegetables cook, prepare the yogurt sauce.

In a bowl, combine the yogurt, lemon juice, olive oil, hot sauce. Season with salt and pepper and set to the side. The yogurt can be made ahead and left the fridge.

Slice the dates, pick and wash the parsley leaves, wash the arugula.

Once the squash is caramelized, the brussels sprouts are crispy and the chicken skin is nice and golden, remove from the oven. Sprinkle with the dates and parsley.

Serve with the arugula and yogurt sauce.

The post Sheet Pan Dinner: Tangy Za’atar Chicken with Veggies appeared first on The Healthy Maven.

from News About Health https://www.thehealthymaven.com/sheet-pan-dinner-tangy-zaatar-chicken-with-veggies/

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happy2bmyownboss · 6 years

Text

honestly don’t even know what all we did last week. It seemed to have went by in such a blur. I do know that I had put out a few different posts and here are the links in case you missed them:

Midweek Progress: Coming Back From An Organizing Burnout

A Pocket Full of Pennies

Choosing The Right Fit For School

Square Dancing Could Add Years To Your Life

Family Fun Day: Books, Elvis, Ice Cream, and Another Huge UPS Delivery

Becoming Debt Free One Bill At A Time

Favorite Lemon Meringue Pie

A Completely Honest Review Of Our First Hello Fresh Box!

I hate how I sit down to write a quick little post and my internet acts up and makes it take foreverrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr…………………

But anyways let’s get back to what all we did last week…

We did get more packages from UPS and Fed Ex… the drivers pretty much know me by name and recognize me when I am out and about now… I guess that’s a good thing?

**This post does contain some affiliate links that help to support our blog.

We got lots of more school supplies like the ones below:

The kids are really loving their new Add & Subtract Abacus by Melissa & Doug!

I am also loving this little book right here:

My kids know that their brother has special needs but they don’t really know how to explain it to others. They are also very accepting of other children they meet who have special needs. I am hoping that this book along with a couple others I have ordered will help them.

We got quite a few FREE samples in the mail last week:

I’ve posted most of the links for these on my Kirby’s Koupons page on Facebook @kirbyskoupons.

We had a great time on Friday at the Silver Stars Club in Ft. White, FL. I know the lighting was really bad in this photo.

Then on Saturday we went to a Christmas in July benefit dance for Shriner’s Children’s Hospital. I keep trying to upload the video clip but this internet isn’t letting me… you can check it out on my Facebook here. Here are a couple of screenshots though.

I love those ruby red slippers and they always get so many compliments but they don’t work quite like Dorothy’s in The Wizard of Oz. We just picked up this movie to watch with the kids too.

We went to Walmart to check out a few items and to get our weekly groceries. Mr. Awesome was with me, which doesn’t happen too often, and he was HUNGRY so we went a little off budget.

We did get a TON of fresh fruit which I cut up and stored in various containers in the fridge so we would have some quick and easy snacks through the week. I even cut a few apples with our favorite apple slicer and then put a rubber band around them to keep them fresh. The kids love apples but they seem to waste quite a bit when they aren’t cut up.

While at Walmart I did a little ‘window shopping’ for some new shelves that I might want when we get around to that special project I mentioned a couple of months ago… yes, I’m a little discouraged that it hasn’t happened yet and I am afraid that procrastination has taken hold of someone and it may not happen… sniff, sniff.

I looked at some planners too but the prices on what they had were CRAZY so I think I’ll look around online or just use something I already have.

I still haven’t gotten around to making those Haystack Cookies but I plan to make those after lunch which will be after I finish this post. I’ll post my recipe too when I get them made. The kids are playing some different board games right now while I blog a little.

I really wanted to try to do a vlog or two this week but I don’t know if that is gonna happen. My phone has been messing up and our lighting is not that great so my tablet doesn’t make videos very well nor does my laptop. We’ll see how that goes.

One thing I wanted to a vlog on was our curriculum for the upcoming year and the supplies we have gotten specifically for that. We have gotten a ton of other supplies that I have been stashing in the once uncluttered homeschool area… yep, it’s pretty full again but at least it’s organized!

As for this morning it has been a little bit busy trying to get our chores done. I have also been working on a new magnetic chart for the kids… it’s still a work in progress but I’ll post a picture of that soon. I did get through most of my routine and in the process I decided to cut back my poor little plant.

Pitiful isn’t it?

After I cleaned the kitchen a couple of months ago I had moved my pretty plant to the top of the cabinet. Well, I kept forgetting to water it and it was looking a bit sad. This morning everything seemed dead so I cut it back and managed to find a couple of green areas so fingers crossed it will come back.

Last week our cleaning zone was in the Kitchen where I didn’t really do anything special. This week is the Bathroom and Another Room which happens to be the Office this time around. I don’t have an office so I’m gonna just try to work on getting me a better work area fixed up. I do plan on trying to get a deep cleaning done in the bathroom because it really needs it.

We have a special dance to attend tonight so I need to work on getting our outfits ready for that. I love the garment steamer that I got a few weeks ago. It works well on freshening up my outfits even the delicate lace trim on some of them. It also works well on Mr. Awesome’s pants and keeps us looking so well put together! It is much easier than using the steam press I have set up in the tiny bathroom as well.

I’m gonna keep the steam press around because it will be really useful when I get an area set up for sewing, I am trying to work on that this week too. I have a couple of ideas in my head but I haven’t actually gotten out my measuring tape or put pen to paper yet to see if it will work.

I’ve also been working trying to work on getting some lessons planned out and ready to go for the new school year. This has been a bit frustrating as our internet is once again not working well and the kids just get so excited when they see me working on stuff and printing out things.

Whew! This has taken me way longer than I intended… the internet keeps flipping in and out and my pics keep getting taken out of the post. I better stop while I am ahead right now as I still have a lot of things to finish up before lunch time.

I hope you all have a great day… What are your plans for the week?

A Look Back On The Past Week And A Peek Ahead To This Week honestly don't even know what all we did last week. It seemed to have went by in such a blur.

#benefit dance #easy snacks #featured #homeschool #House cleaning #Square Dance #weekly plans #window shopping

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oovitus · 6 years

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Weekend Reading, 6.3.18

It’s been another weekend of Kleenex, Netflix, and soup—i.e., another lousy cold. I say “another” because colds have been pretty constant this year so far, though this one was definitely the worst I’ve had (bad enough that I got a rapid strep test; the doctor at urgent care also saw me with the sprained wrist a few weeks ago, and we had a laugh about how this isn’t my body’s month).

When I wrote about being run down in April, I mentioned the importance of respecting my body wherever it is—whether I’m exhausted or energized, sick or well. I also wrote about how feeing ill, especially for prolonged periods of time, can sometimes summon up my orthorexic tendencies, challenging the part of me that still struggles with my body not being as I’d like it to be.

The last two days have definitely brought all of this up. I’d been feeling better since graduation and hoping that leaving behind the past semester and all of its associated stagnancy and burnout would bring me back to “normal.” I put quotes around this word because I understand intellectually that bodies are always changing with time, and our baseline senses of normalcy are bound to evolve. But the truth is that I’m still clinging to an old vision of what health looks like for me.

I don’t mean that I’m ready to accept constant sniffles and feeling run down as the way things need to be or will always be—in other words, I don’t perceive the way I’ve been feeling lately as my new norm. It’s communicating weariness, and there’s a spiritual dimension to all of this, too, a soul sickness that I’m working through and have been for some time.

But it’s time to accept that what it takes to keep me healthy—as I understand and experience health—has changed dramatically in the last decade. I have to be a lot more careful than I used to be about how I take care of myself. I have to heed my body’s cues sooner and more sensitively than I did in the past, because ignoring even small signals tends to place me in the hands of some bug or another. I need more sleep than I used to. I’ve had to completely redefine what a reasonable day’s workload looks like. And while I’ve always enjoyed being mindful of nutrition because nutrition and food fascinate me, I need solid nutrition now because my well-being depends on it.

I’ve known this for a while; when I was leaving DC, having dealt with several major viral and bacterial infections in only a couple years—not to mention chronic lack of sleep—I could already sense that I’d been physically changed by my post-bacc experience. How true that premonition was, but a part of me still wants to ignore it. Long after I gave up my anorexic attachment to lightness and smallness, I retained an attachment to being lively and quick, which I fueled by pushing my limits and ignoring the warning signs of fatigue.

Just as I’ve learned to maintain and nurture an identity that isn’t confined by the underweight body I used to feel at home in, I’m now learning to inhabit a body that demands more of my attention and care. Once again, I’m being asked to be comfortable with the idea of physical necessity and hunger—not for food, but for whole body nourishment.

I hope that over time I won’t perceive this as inhabitation so much as true embodiment—really being in and of my body. Right now, there’s still some curiosity, confusion, and feelings of distance as I befriend a physical self that is slower and much more sensitive than the one I’m used to. That’s OK. Friendships can be built gradually.

On that note, it’s time for soothing food, rest, some fun TV, and another pint or so of tea. And some beautiful recipes to gaze at, because I experience all things culinary as medicine!

Recipes

Oh, this is my kind of snack: wholesome, whole grain vegan blueberry muffins, made with spelt flour and rolled oats.

I’m loving my friend Alexandra’s mustardy new potato and asparagus salad (just look at the crispiness of those spuds!).

June isn’t exactly pot pie season in my part of the world, but Joscelyn’s vegetable pot pie looks so hearty and delicious that I just may need to try it soon.

Clearly, I need to get on the BBQ waffle iron tofu bandwagon—a totally genius idea from Susan of FFVK.

I spied Alexandra’s Moroccan carrot salad with harissa and avocado a few weeks ago, and I’ve been dying to make it ever since, and then to slather it on a piece of her wonderful bread.

Reads

1. I’m not sure how separate I think acedia is from depression and vice versa—at least for me—but I’d never even heard of the term until I read this article. The apathy and inertia Benjamin Sledge describes are certainly familiar components of my own experience of depression, and it was interesting to read about how commonplace they seem to be.

2. Outright potassium deficiency is incredibly dangerous, and I’ve never come across it in my work, but potassium insufficiency is a lot more common. Here are 6 telltale signs.

3. I’m always surprised at how little media attention and constructive advice is devoted to Binge Eating Disorder (BED), which is the most common type of ED in the United States by far. I like Christy Brissette’s tips for dealing with it, and I definitely echo her emphasis on regularly paced, nourishing mealtimes and snacks, as well as quitting restrictive and hypocaloric diets.

4. A new randomized trial with a large sample size suggests that lower fat eating patterns are associated with better breast cancer survival rates in women. In real world dietary terms, this would almost definitely mean placing a greater emphasis on plant foods.

5. A new health study examined the cost efficiency of plant-based diets as well as their appropriateness for overweight patients who were seeking to healthfully lose weight. As it turned out, plant-centric eating patterns were economical as well as effective for weight management. It’s great to see cost examined directly here, as fear of higher grocery bills is a big concern for many folks who are trying to eat lower on the food pyramid.

One upside of having a cold is the creamy, tasty cauliflower turmeric soup I made yesterday, which I’ll be blogging about soon. But first, this week, I’m sharing the simple balsamic tahini dressing that I’ve been calling my “everything dressing” lately, for obvious reasons.

Till soon!

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northshorehealthandfitness · 7 years

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the easiest homemade cauliflower tots (gluten-free, low carb)

Hey hey! Happy Tuesday! How’s the day treating ya? Hope you’re having a great one. I’ve got an easy cauliflower tot recipe for you below!

Yesterday ending up being a busy one over here! In addition to the Monday shuffle, I taught a morning barre class, caught a quick Peloton 30-minute cycling class (to country music! It would not be my #1 music genre of choice, but I loved it!),

(Source. I had to borrow a pic since the one I took on my IG stories disappeared already)

and also spoke at an event centered around Aging Well. The owner of Art + Soul (<— where the yoga studio is located) asked me to speak a while ago. While I loathe public speaking -I can teach fitness classes all day but ask me to talk to a group and I turn into a shaky, awkward goober- I decided to go for it. I love Angela (the owner) and wanted to help out, plus, you can’t get better if you don’t practice, right?

Here’s a little snippet of my 15-minute breakout session on health and fitness:

(Writing this post helped me practice what I was going to say! It was actually pretty challenging for me to put together because there’s SO MUCH I wanted to talk about, but I had three 15-minute rounds, and wanted it to be something that wasn’t super technical.)

Let’s start off with a question: raise your hand if you think health and fitness is easy.

[No one raised their hand.]

That’s exactly right. Living a fit and healthy lifestyle can be really HARD.

We have jobs, families, social lives, friends, chores,

and there’s a lot of conflicting information out there. It can be really confusing to hear that you need to be Paleo, gluten-free, vegetarian, Keto, whatever, all in the same day.

But when you strip down the fluff from some of the most successful diet and eating plans, they actually have a lot in common, and I’m going to break it down for you.

They focus on real food: food that comes from the earth, not from a factory.

They focus on some type on movement, whether it’s strength training, cardio, Pilates, yoga, or a mix of different training strategies.

They focus on steps that you can maintain consistently.

Whenever I make a health and fitness change, I ask myself if it’s something I want to do forever. If the answer is no, then it probably isn’t a good idea. If it’s too hard to maintain on a long-term basis, it will likely lead to burnout and feeling like a “failure.” So often I hear people say that they “fell off the wagon.” There is no wagon! And usually it’s because they were trying to do something that wasn’t maintainable for the long haul.

Consistency is the key to long-term success.

When you want to make a change, start with one thing, and build onto it each week.

Some things you can do right now:

1) EAT. Eat whole, healthy foods. Eat like a PRO, with an emphasis on PROtein and PROduce in each meal and snack. Try to have green veggies or a salad at least once a day for fiber and nutrients. Try to eat the rainbow, with a variety of colors and textures.

2) MOVE. If you’ve been sitting at the desk or watching your favorite show for an hour, take a break to walk around, have a little dance party or stretch.

[We did the desk stretches from this post as a way to show we can still be moving while we’re seated.]

Try wearing a Fitbit or something similar to count your steps. Even if you don’t officially work out -you don’t have to scan your key card at the gym for it to count as a workout- you may be getting in plenty of movement.

3) SLEEP. Focus on getting quality sleep each night. Some people need 7 hours, others need 8 hours, some people need 10. (I personally love 10, but my kids don’t agree with me on that one.) Quality sleep will enable the body to repair and restore itself. When you don’t sleep enough, it can increase cortisol which encourages the body to hold onto fat.

Along with consistency, another key factor is motivation. Make sure that you’re doing the things you LIKE to do, and you’re much more likely to stick with it. If you hate kickboxing, don’t sign up for a kickboxing gym thinking you’ll go everyday. Sign up for the dance class that makes you excited, or even just walk for 20-30 minutes each day listening to an audiobook. Friends and family members can be awesome for motivation, too. They make great workout or cooking buddies!

I opened the floor up for questions (we talked a lot about crash dieting, easy goals to set, extra ways to get in veggies, and why macro counting can be a bad idea), and then spent the rest of the evening gabbing and eating snacks with all of the ladies.

It was an amazing event, and I was so grateful to be included in the fun.

Easy Baked Cauliflower Tots

For today, I have a new snack recipe for ya! I’ve seen these homemade veggie tots floating around the Pinterest machine, and decided to try and make my own. When I made them, I thought about how I’m the only person in our family who likes cauliflower, so more for me?

A lot of the cauliflower tot recipes floating around involve two things that I don’t love: chopping cauliflower in the food processor, and shredding cheese. Ain’t got time for that.

Thank goodness for the cauliflower convenience packs popping around everywhere. This one is the winner: it has cheese already in it. (which would also make this cauliflower bread sandwich extra convenient!)

All I had to do was heat it up to melt the cheese, stir in some almond flour, spices, roll into cute little tot shapes,

and bake it up.

They were so easy to make, and P and I ended up eating the entire batch!

I was trying to take pictures, and her little hand snuck into the frame.

And then she said, “These are mine now.”

They’re so cheesy, gluten-free, low in carb, and an awesome way to get in extra veggies. We dipped ours into Primal Kitchen goddess dressing (from Thrive Market) but they would be bomb with some marinara sauce.

Here’s the quick and easy recipe if you want to give it a try!

EASY Baked Cauliflower Tots

2017-09-19 10:51:51

Yields 12

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Ingredients

1 frozen pack of riced cauliflower with cheese- 10 oz

1/2 cup almond flour

1/2 teaspoon oregano

1/2 teaspoon garlic powder

Salt and pepper

Instructions

Preheat oven to 350

In a large saucepan, heat a little oil on medium and add the riced cauliflower mix. Heat through until the cheese is melted- don't let it get too hot.

Remove from heat and stir in the almond flour and spices.

Make little tot shapes and place on a greased baking dish or cookie sheet.

Bake for 25-28 minutes, until lightly browned.

Serve with Ranch dressing, marinara or Buffalo sauce!

The Fitnessista http://ift.tt/2gJS44w

Public speaking: yay or nay?

Country music while working out: yay or nay?

Current fave veggie side?

Have a wonderful day and I’ll see ya soon!

xoxo

Gina

PS. Don’t forget to sign up for Barre Bootcamp here!

The post the easiest homemade cauliflower tots (gluten-free, low carb) appeared first on The Fitnessista.

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endlessarchite · 7 years

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Announcing Contributors to the UDH!

Hey folks! I wanted to pop in today to announce a new twist on the blog that I’ve never done before: I’m adding a couple of fellow bloggers to the UDH team.

… Ok, so right away, I realize that’s kind of a lie, because I already posted one of Caroline’s posts this past month: 13 Must-Haves for Outdoor Spaces…

But I wanted to do it properly with an actual announcement too, to let you guys know more about what’s going on, and that other contributors are also in the pipeline.

Why Add Contributors to The UDH?

I realize how pretentious it is to both ask myself a question and answer it, but it did seem like I should in this case (maybe). It might seem like a random decision, which would then be fair to question. The answer has many personal reasons (that’s one of the answers, actually, ha!).

To better deal with unanticipated (or anticipated) hiccups.

The first reason is that mainly, from time to time, I get busy with a project that I am working on, but I have nothing worth posting about it until it reaches the next step. Or a project gets interrupted by something unexpected, like a plumbing problem, and while I’m putting out that fire (dude, I hope not literally), I have nothing to say (both because the frustration of it has made me silent/drunk or I’m internally panicking). Or for the first time since deciding to run the blog full-time, I am planning a vacation that will involve totally disconnecting from the backend duties of running the site (I tried to take a vacation last year and it was a disaster; I was gone for two weeks but didn’t really get more than a couple of true days “away”, and the mess I had to juggle when I got back added more stress than I relieved… pretty sure the site actually crashed, too, but I’ve blacked it out).

As a control freak, I also want to keep a somewhat regular flow of content on this site. When I first started blogging, there weren’t things like Instagram or Pinterest, so it made it less odd to have really short posts mixed into the longer tutorials; that doesn’t fit as well now. And simply being the nature of DIY home improvement tutorials needing to be somewhat long to go through steps properly (especially home repair), I spend a good deal of time whenever I work on the lengthier pieces (trying to make sure I’m accurate with instructions, if I have to look up manufacturer’s recommendations, etc.). The only way to make both sides of that coin happy (in my opinion), is to add a few more small DIY projects in advance. I could go ahead and try to create those myself for rainy days, and I am to a degree, but having enough of that requires a little more time than I seem to have anymore (someone, please tell me how I managed to renovate, go to grad school, run this blog, and have a regular job??… I can’t seem to remember how all that space existed). So, the simple solution is to add a great blog contributor (or two) who have some awesome ideas of their own to share. Thankfully, they’ve agreed to do that, and you’ll see these projects about once a month as long as I keep my shit together (I fully anticipate that this will be a learning process for me).

I like to experiment.

(My brain is already going to weird places; I’m tired.) Throughout this blog, I’ve thrown random things into the mix to see what works. I like trying new tools, new designs, new trends, new products. My writing style pretty much always reflects those moods. Doing these things is really the only way the blog has ever grown or kept me motivated to try again; some things work, and some things don’t. But I learn, and that’s fun for me. This is one of those things where I think it could be cool to add to the blog and see what happens… out of plain curiosity.

(I also wrote about a similar concept a long time ago, when I was in grad school; I read a book that really resonated with me that was all about taking these small steps to see where things go. Through experimenting, you can find momentum in the strangest places and build on it. I’ve tried it before, and that led me to invest time in my blog, to starting my own business, and more. It’s taught me to not be as afraid to try something and see if it works — paint my countertop: why not? turn a bowl into a light fixture? let’s see what happens!)

Also, on any given day, I will come up with an idea for a post but don’t have the time to research it well enough, such as a new design trend. That’s where my pal Caroline can come in. She will find cool design ideas, or a new artist, or take a new twist on a craft idea she did with a friend. Just seeing what she picks out of the same concept versus what I do has been really refreshing.

Burnout is just a thing; might as well embrace it.

As an enthusiastic home improvement addict with slight nerd tendencies, I love getting to do this. Every day. It’s ridiculously fun and cool. Even when it’s hard or things in my house break or it seems a lot more like a job than I ever realized (conference calls, signing contracts, constantly learning new tools as an entrepreneur, Facebook and Pinterest changing their rules or algorithms again, etc.). I don’t plan on jumping ship or totally burning out, but that’s not really a thing you can plan for either. In my heart of hearts, I’m a writer. I love storytelling. I love the journey this house has taken me on. I love connecting with people who are nuts for DIY like I am (both bloggers and non-blogging readers alike, despite how awkward I am to meet in person!). But writer’s block is a thing that still happens regardless of your efforts sometimes, and I’ve never found a successful way to avoid it completely. I can sense a difference in myself, my writing, and my creativity when I’ve had a chance to take a break and refresh. I need to feel inspired and sort of flush out the bad blockages that occur from time to time (ok, that metaphor was just plain gross and probably made you assume I was talking about plumbing again — mental blockages is what I mean).

I think adding some new, inspiring projects to the site will be fun. Fun for me to feel inspired from, and fun for you guys to get some fresh ideas!

I’ve started cooking.

*record scratch*

I know. Hell hath frozen over, and I bought an Instant Pot. Or the plain reality is that I’ve been wanting to save more money by cooking at home, and scrambled eggs on toast will only be delicious for so long (who am I kidding — it will be awesome, always). I have a few quick recipes from when I was in college and studied abroad — I had cravings for food I couldn’t find anywhere, and it created some things I still eat for dinner to this day when I am short on time. I have old recipes from my family, handwritten and handed down, and I’d really like to start learning them all, too. It was one of the things my Granny loved to do most when she was alive. And since I’m doing all of this anyway, why not share it from time to time?

great grannys handwritten cookie recipes

This blog has always been a very personal one, where I share a lot of ins and outs about what’s going on in my life. Cooking is something new I’ve added to that mix, but since it’s so new, I offered for one of my blog design clients to contribute some of their recipes as well (since my new Recipes page will be quite sparse by comparison to the 1200+ posts I have written so far about DIY). This will just give people who come to the site looking for food ideas to have a little more substance.

from Visiting Kit’s Black Feather Farm

Plus, she’s also giving me some new cocktail ideas to try. You know… for when that unanticipated renovation problem happens and I just really need to solve it with something other than beer or wine (or you know… throwing things).

To make room.

I guess in some ways, this is a way to try to bring some “balance” into time I’m at home for work/DIY versus time I’m at home to just enjoy my home. I’ve been setting annual goals with similar intentions and this is part of realizing that. Working from home is awesome, except when you have a really difficult time pulling yourself away from work. I’m pretty bad at shutting the computer off.

And that’s how I wind up having to wear things like this.

As my home and each room reaches more and more of a completed state (and no longer needs as many huge overhauls from where I first started), I’m going to be looking for the next big project. It’s on my mind a lot. I expect that this will also mean new homes to renovate, or investment properties, or maybe even something a little more unconventional than that. But I need room to do those things, to think about these things, both as a business and for my own sense of what the future holds. So, adding contributors is one of the ways I can make that space and breathing room to figure out what’s next (it’s more of a mental thing than anything else).

What this doesn’t mean…

There are marketers, PR email lists, and freelance writers who email bloggers in droves to ask to “contribute helpful articles” as a means to advertise for free. This isn’t what I’m intending to do with contributors. I consider that “fluff” content and hate reading generic info guides; I am a blogger, but also a blog reader, and I don’t want to put things on the site that I wouldn’t want to read myself. You’re only going to see the small number of people I have personally hand-picked to contribute their own trend posts, DIY tutorials, or recipes, similar to how I post things from my own point of view.

What this means for you

I know I’ve said it before, but it really can’t be said enough: I really like you guys (*virtual hug* – or if you’re not the hugging type, *awkward side-hug and a dorky high five*). As much as writing a blog like this is a very personal thing, I also know that this blog wouldn’t be successful without your support and encouragement. It means a lot. A kind comment has the power to make my whole day/week/month. So, I also decided to add contributors to give you guys more inspiration and give you guys more great content. And I hope you’ll enjoy that and embrace these folks who are adding their awesome DIY and recipe ideas to the mix at the UDH. You rock. And they do too. Y’all should meet.

What this means for the site

In the coming days/weeks, you’ll be seeing posts that introduce these folks to you as well as their first posts that are getting rolled out. You’ll also see a new link at the top in the menu bar to add Recipes as its own thing and one of my favorite recipes that I may even be eating tonight (it doesn’t make much sense to have it in the Project Gallery, anyway). You’ll also be able to discover a new Contributors page when that gets finalized (I still need to add a few links and then you’ll see info on everyone), which will have contributor bios and links to their blogs. This will be a way to organize posts for each person (so that you can see the posts that belong to a specific contributor if you decide you like them and want to see more of what they’ve done).

That’s all for now… I have a coffee pot with my name on it and some dogs who need snuggling. I’ll have some new DIYs for you very soon (including the bathroom mood board!) and hope you’re having a wonderful and productive week!

The post Announcing Contributors to the UDH! appeared first on The Ugly Duckling House.

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chocdono · 7 years

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Announcing Contributors to the UDH!

Hey folks! I wanted to pop in today to announce a new twist on the blog that I’ve never done before: I’m adding a couple of fellow bloggers to the UDH team.

… Ok, so right away, I realize that’s kind of a lie, because I already posted one of Caroline’s posts this past month: 13 Must-Haves for Outdoor Spaces…

But I wanted to do it properly with an actual announcement too, to let you guys know more about what’s going on, and that other contributors are also in the pipeline.

Why Add Contributors to The UDH?

To better deal with unanticipated (or anticipated) hiccups.

I like to experiment.

Burnout is just a thing; might as well embrace it.

I think adding some new, inspiring projects to the site will be fun. Fun for me to feel inspired from, and fun for you guys to get some fresh ideas!

I’ve started cooking.

*record scratch*

great grannys handwritten cookie recipes

from Visiting Kit’s Black Feather Farm

To make room.

And that’s how I wind up having to wear things like this.

What this doesn’t mean…

What this means for you

What this means for the site

The post Announcing Contributors to the UDH! appeared first on The Ugly Duckling House.

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sherlocklexa · 7 years

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Announcing Contributors to the UDH!

Hey folks! I wanted to pop in today to announce a new twist on the blog that I’ve never done before: I’m adding a couple of fellow bloggers to the UDH team.

… Ok, so right away, I realize that’s kind of a lie, because I already posted one of Caroline’s posts this past month: 13 Must-Haves for Outdoor Spaces…

But I wanted to do it properly with an actual announcement too, to let you guys know more about what’s going on, and that other contributors are also in the pipeline.

Why Add Contributors to The UDH?

To better deal with unanticipated (or anticipated) hiccups.

I like to experiment.

Burnout is just a thing; might as well embrace it.

I think adding some new, inspiring projects to the site will be fun. Fun for me to feel inspired from, and fun for you guys to get some fresh ideas!

I’ve started cooking.

*record scratch*

great grannys handwritten cookie recipes

from Visiting Kit’s Black Feather Farm

To make room.

And that’s how I wind up having to wear things like this.

What this doesn’t mean…

What this means for you

What this means for the site

The post Announcing Contributors to the UDH! appeared first on The Ugly Duckling House.

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kristinsimmons · 5 years

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9 Healthcare Companies Who Changed the 2010s

By ANDY MYCHKOVSKY

1. Epic Systems Corporation

2. Theranos

3. One Medical

4. Centene

April 2018: WellCare and Centene awarded Medicaid managed care contracts in Florida.

July 2018: Centene acquires Fidelis Care and their 1.6 million New Yorkers for $3.75 billion. This single-handedly gives Centene the leading Medicaid share in the state.

September 2018: WellCare acquires Meridian Health Plan and their 1.1 million lives in Michigan, Illinois, Indiana, and Ohio, for $2.5 billion.

February 2019: Centene and WellCare awarded Medicaid managed care contracts in North Carolina.

December 2019: WellCare awarded Medicaid managed care contract in WellCare (re-procurement underway)

5. Mylan

6. Evolent Health

7. Livongo

8. Optum

Works with 9 out of 10 U.S. hospitals, more than 67,000 pharmacies, and more than 100,000 physicians, practices, and other providers.

Added 10,000 physicians in the past year, growing its network to 46,000 physicians.

Includes 180,000 team members and serves 120 million customers.

Serves 80% of health plans to reduce total cost of care.

Works with 9 out of 10 Fortune 100 companies.

9. Purdue Pharma

Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.

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