Tag Archives: 苏州桑拿

Word Cloud 2.0: The Spatial Dimension

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first_imgWord clouds: No doubt you’ve seen these graphic representations of the most commonly used words in a body of text, floating around the internet. They are especially popular after big political speeches. Thanks to IBM researcher Jonathan Feinberg’s web site Wordle.net, word clouds are easy for anyone to create. To draw a loose analogy: Wordle has been to text analysis what Blogger or Facebook has been to online publishing – great tools to democratize what used to be an elite skill. Are there substantial limitations to this word cloud format that need to be taken into consideration, though?New York University PhD student of political science Drew Conway thinks there are. Conway hosted an interesting debate on his blog this week about one of the key concerns about word clouds and he offered an alternate model for understanding bodies of text. He calls word clouds “spatial visualization wherein space is meaningless.” That’s hard to argue with. Check out one of the models he proposes as a possible next step of the word cloud’s evolution. Top Reasons to Go With Managed WordPress Hosting Above, Conway’s visualization of words used by both President Obama and Sarah Palin in their speeches about the shooting of Congresswoman Giffords in Tucson. On the left, words used by both but more by Palin, on the right, words used by both but more by Obama. Click to view full size.The big picture here is that space, both the x and the y axes, are opportunities to convey something important.Conway explains what he did:To understand how these speeches compared I first needed to create a term-frequency matrix, which contained only words used in both speeches. After removing common English stop words and the word ‘applause’ (Obama’s speech was in front of a live audience), and retaining only words contained in both speeches at least once, I was left with 103 words to visualize.To show how the two speeches contrasted, I decided to use the x-axis position to pull words used more by one politician closer to either the left or right of the plot. Words used more by Palin are to the left, and likewise words to the right were used more by Obama. The color reinforces this information, making words Palin words darker red, and Obama darker blue…While this is a very simple extension of the traditional word cloud, much more can be learned from it. For example, both politicians used the words “congresswomen,” and “america” equally but also frequently. While the word “tragedy” is used often in both speeches, but slightly more by Obama. The edges are most interesting. Palin repeated the shared terms “ideas,” “debate,” “victims,” “values,” and “strength,” while Obama focused on “people,” “lives,” and “life.”Conway acknowledges that this visualization has its own limitations, specifically that the words not intersecting between both speeches aren’t represented here. He posts the Wordle charts for both speeches as well in his blog post. Tags:#Analysis#design#web Related Posts marshall kirkpatrick A Web Developer’s New Best Friend is the AI Wai… Why Tech Companies Need Simpler Terms of Servic… 8 Best WordPress Hosting Solutions on the Marketlast_img read more

Alaska hires Altamirano, Ildefonso as new coaches

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first_imgKammuri turning to super typhoon less likely but possible — Pagasa Perasol welcomes solid support from alumni: ‘It gives us pressure to deliver’ “Danny Ildefonso is both one of the best players and best men to ever have played in the PBA. He has always had a tremendous work ethic and has detailed knowledge on how to play the game as a big man. He will surely have a tremendous impact on the development of our big men,” said Compton.Rounding out the new hires for Alaska is Tony dela Cruz, who has now shifted to the coaching after retiring last month.“Tony Dela Cruz has always been one of the smartest players in the PBA and he knows the ins and outs of our system as well as any of our coaches. He is an excellent communicator who has a great relationship with everyone on the team and he will make a very smooth transition into coaching,” he said.ADVERTISEMENT Photo by Tristan Tamayo/ INQUIRER.netAfter losing key deputies in the offseason, Alaska has enlisted the services of Eric Altamirano, Danny Ildefonso, and Tony dela Cruz to assist coach Alex Compton this upcoming season.“I am really excited about the new coaches we have added to our coaching staff,” said Compton, who lost deputies Louie Alas and Topex Robinson to Phoenix.ADVERTISEMENT MOST READ Typhoon Kammuri accelerates, gains strength en route to PH John Lloyd Cruz a dashing guest at Vhong Navarro’s wedding Stronger peso trims PH debt value to P7.9 trillion Read Next Brace for potentially devastating typhoon approaching PH – NDRRMCcenter_img Japan ex-PM Nakasone who boosted ties with US dies at 101 Compton will be renewing his partnership with Altamirano, both of whom formed the grassroots program National Basketball Training Center (NBTC).“Coach Eric Altamirano is a proven winner at every single level he has coached at including the PBA. Alaska gets a veteran coach with tremendous experience and character in Coach Eric, truly a man of excellence,” he said of the seasoned mentor, who last called the shots for Flying V Thunder in the PBA D-League.FEATURED STORIESSPORTSWATCH: Drones light up sky in final leg of SEA Games torch runSPORTSSEA Games: Philippines picks up 1st win in men’s water polo SPORTSMalditas save PH from shutoutIldefonso, meanwhile, boasts a decorated career being a two-time PBA MVP with San Miguel, before finishing his career with Meralco.He is currently serving as a big man coach for the NU Bulldogs under coach Jamike Jarin. QC cops nab robbery gang leader, cohort CPP denies ‘Ka Diego’ arrest caused ‘mass panic’ among S. Tagalog NPA LATEST STORIES Trending Articles PLAY LIST 00:50Trending Articles00:50Trending Articles00:50Trending Articles01:37Protesters burn down Iran consulate in Najaf01:47Panelo casts doubts on Robredo’s drug war ‘discoveries’01:29Police teams find crossbows, bows in HK university01:35Panelo suggests discounted SEA Games tickets for students02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games Don’t miss out on the latest news and information. View commentslast_img read more

Pacio unfazed by last-minute opponent change

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first_imgPhoto by Mark Giongco/INQUIRER.netJoshua Pacio is likely on his way to a title shot if he goes on to hurdle his Chinese opponent Min Qiang Lan in the co-main event of ONE: Global Superheroes on Friday.But as much as the Filipino strawweight contender wants to get his hands on the gold, he doesn’t want to get ahead of himself especially with a big bout coming up against a dangerous opponent.ADVERTISEMENT NEXT BLOCK ASIA 2.0 introduces GURUS AWARDS to recognize and reward industry influencers Read Next Brace for potentially devastating typhoon approaching PH – NDRRMC Kammuri turning to super typhoon less likely but possible — Pagasa Injured Nadal out of Australian Open; Cilic into semifinals LATEST STORIES Typhoon Kammuri accelerates, gains strength en route to PH Slow and steady hope for near-extinct Bangladesh tortoises 2 ‘newbie’ drug pushers fall in Lucena stingcenter_img Globe Business launches leading cloud-enabled and hardware-agnostic conferencing platform in PH “Of course, I want the belt but for me, right now, I’m not thinking about getting a title shot just yet,” Pacio told INQUIRER.net in Filipino on Tuesday.“I still need to gain more experience for me to get to the level of champions,” he added.FEATURED STORIESSPORTSWATCH: Drones light up sky in final leg of SEA Games torch runSPORTSLillard, Anthony lead Blazers over ThunderSPORTSMalditas save PH from shutoutPacio is supposed to fight Pongsiri Misatit, but the Thai was forced to withdraw due to an injury.ONE announced the opponent change on Friday, giving Pacio’s camp less than two weeks to adjust their game plan. Don’t miss out on the latest news and information. ONE CEO believes Joshua Pacio won the fight PLAY LIST 00:52ONE CEO believes Joshua Pacio won the fight04:36Joshua Pacio is the new ONE Strawweight world champion00:50Trending Articles01:29Police teams find crossbows, bows in HK university01:35Panelo suggests discounted SEA Games tickets for students02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games01:44Philippines marks anniversary of massacre with calls for justice01:19Fire erupts in Barangay Tatalon in Quezon City MOST READ View comments John Lloyd Cruz a dashing guest at Vhong Navarro’s wedding But Pacio isn’t concerned with the sudden change.“I’m not worried because fighters in the international stage are expected to cope up with the changes and that’s how fighters’ mentality should be,” Pacio said.Pacio said there are similarities between his initial foe and replacement in terms of their strengths which is striking, but added that Lan is the more lethal striker than the two.“We saw a video of one of Lan’s fights and he’s better than Pongsiri in striking so I prepared really hard in training and that’s what I’m going to showcase on Friday.”ADVERTISEMENTlast_img read more

NATIONAL INDIGENOUS ADVISORY COMMITTEE FORMED

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first_imgTFA would like to announce the formation and appointment of the TFA 2007/08 National Indigenous Advisory Committee members. The formation of the charter for the committee is still in the preliminary stages of development, but the committee will be focused on a number of initiatives in Indigenous areas, including the attendance of an Australian team at the 2009 Indigenous World Cup.The Committee members are:Cameron Costello (Chairperson)Aaron AppoBo De La CruzBarry DrawsJo-Ann ShawMichael ZithaTFA would like to congratulate all members on their appointment, and wish them luck for the 2007/08 period.last_img

9 months agoAC Milan coach Gattuso: We’re not taking Coppa Italia lightly

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first_imgAC Milan coach Gattuso: We’re not taking Coppa Italia lightlyby Carlos Volcano9 months agoSend to a friendShare the loveAC Milan coach Gennaro Gattuso says they’ll take their Coppa Italia tie with Sampdoria seriously.Milan also face Juventus next week in Jeddah for the Supercoppa.Gattuso said, “We’re not going on vacation to Genoa, we are taking part in a competition that we really care about.“Last season, we reached the Final of the Coppa Italia and that was a huge disappointment. “It’s true, we are facing a Sampdoria side in stunning shape, but we too will use the best team available to go through.” About the authorCarlos VolcanoShare the loveHave your saylast_img

Hispasats control centre Spanish satellite operat

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first_imgHispasat’s control centreSpanish satellite operator Hispasat is renaming its satellites to establish a more logical system of designation based on location and order of arrival in that slot.Satellites that changes position will be redesignated according to their new slot.The change means that Hispasat 1C will become Hispasat 84W-1, while the two satellites at 30° West, Hispasat 1D, 1E and 1F, will become, respectively, Hispasat 30W-4, Hispasat 30W-5 and Hispasat 30W-6.Hispasat AG1 at 36° West, will be known as Hispasat 36W-1.Intelsat 34, for which Hispasat has a capacity agreement with Intelsat, will be known as Hispasat 55W-2.Hispasat’s Amazonas satellites will retain their existing designation, although Amazonas 4A will now be known as Amazonas 4.last_img

Today we are learning the language in which God c

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first_img“Today we are learning the language in which God created life.” That’s a quote from US President Bill Clinton on June 26, 2000 when a rough draft of the human genome was announced to widespread, international fanfare. Clinton was certainly not the only one to make big claims about the Human Genome Project (HGP). Journalists and politicians throughout the developed world heralded that the results would lead to “the end of disease.” Of course, things are never that simple. Little did the community know at the time that the project would only uncover a small portion of what’s really going on in our genes. They were only scratching the surface. What the architects of that project once dismissed literally as junk surrounding our genes is proving far more vital than anyone ever expected—in fact, it may hold the very keys to understanding evolution itself. When scientists began the HGP, they were expecting to find approximately 100,000 protein-coding genes to account for the complexity of our species. What they found instead was that humans only have about 25,000, about the same number as fish and mice. In fact, according to biologist Dr. Michael Skinner, “the human genome is probably not as complex and doesn’t have as many genes as plants do.” That’s sort of a problem, because if we humans are supposed to be the complex species we hold ourselves out to be, then why don’t we have as many genes as an oak tree? Maybe because genes are only part of the story. Clinical geneticist Marcus Pembrey thought so… and long before the genome was ever mapped. Back in the early 1980s, Pembrey headed the clinical genetics department at Great Ormond Street Hospital for Children in London, where he treated families with unusual genetic conditions. According to Pembrey, “We were constantly coming across families which didn’t fit the rules and didn’t fit any of the patterns that genetics were supposed to fit.” The most tantalizing example was the paradox shown by two incredibly rare and separate genetic disorders: Angelman syndrome, and Prader-Willi syndrome. These two completely different diseases were eventually chased down to their genetic roots. Astonishingly, they were both caused by the same genetic defect, a certain sequence of DNA that was deleted from chromosome 15. How could this be? How could the same deletion, the same genetic abnormality, cause two completely different diseases? When Pembrey dug into the inheritance pattern for the conditions, he came across something remarkable. It was the origin of the mutation, not the change alone, that determined which disease would manifest itself. We all receive a set of chromosomes from each of our parents. If the deletion was on the chromosome 15 that the child inherited from the father, then he or she would be born with Prader-Willi syndrome. If, however, the deletion was on the chromosome 15 that the child inherited from the mother, he or she would be born with Angelman syndrome. It’s as if the chromosome 15 knows where it came from. This might not sound profound. But what Pembrey stumbled upon showed for the first time in humans that there is more to inheritance than simply the coded sequence of DNA, and that something other than genes was being passed between generations. Discoveries like Pembrey’s helped spawn a budding area of science—epigenetics—that aims to answer just how much of “us” comes from outside our genes. Epigenetics could help explain how a complex human, capable of language and mathematics and philosophy, can be created with only 25,000 genes. It could help us better understand what causes disease and provide us with a wealth of new opportunities for drug discovery and development in areas such as cancer, diabetes, and neurodegenerative disorders. The best way to begin to explain epigenetics, which literally means “on or above genetics, is with an analogy. Think of your genome—your DNA—as like the hardware of a computer. Your epigenome is much like the software, which tells the hardware what to do. It’s the epigenome that tells our cells what sort of cells they should be – a skin cell, a heart cell, etc. All these cells have the same genes, but your epigenome decides how much or whether some genes are expressed in different cells in your body. Here’s a very simplified explanation of how this works: The human body contains billions (if not trillions) of cells. Each of these cells (apart from red blood cells and reproductive cells) contains your DNA, the blueprint of your genetic code. But just because the cells have the DNA doesn’t mean that they know what to do with it. So they receive outside instructions from organic compounds called methyl groups. The methyl groups bind to the DNA in different ways and tell it things like “don’t express this gene” or “do express this gene.” They also bind differently to a skin cell versus a heart cell, for example; that’s one of the ways that a skin cell knows it’s a skin cell and a heart cell knows it’s a heart cell. In addition to methyl groups, epigenetics is also controlled by histones, proteins that function basically like spools that the DNA wraps itself around. These histones can change how tightly or loosely the DNA is wound around them. The more tightly wound, the less the gene can express, and vice versa. In other words, methyl groups act like gene switches, turning them on and off, while the histones are more like a dial that controls the volume (i.e., the degree to which the gene is expressed). Distinct methylation and histone patterns exist in every cell to tell it what to do, which constitutes a sort of second genome that we call the epigenome. What’s particularly interesting about the epigenome is that, unlike the genome, it’s dynamic. While epigenetic instructions do pass on as cells divide, they can change throughout your life based on environmental factors, what we eat, and how we live—and these changes can apparently (though not conclusively proven yet) be passed on to our children and our children’s children. Since these epigenetic tags decide what genes get expressed and to what degree, the implications of a dynamic epigenome are profound. As geneticist Randy Jirtle puts it: “We’ve got to get people thinking more about what they do. They have a responsibility for their epigenome. Their genome they inherit. But their epigenome, they potentially can alter, and particularly that of their children. And that brings in responsibility, but it also brings in hope. You’re not necessarily stuck with this. You can alter this.” At the end of the day, epigenetics might sound like sort of a buzzkill because if the current thinking is right, it would make it tough to ever enjoy another guilt-free French fry, cocktail, or fine cigar. But with the bad comes the good. For example, mounting evidence suggests that certain types of cancer and other diseases are caused by misplaced or missing epigenetic tags; scientists are hard at work developing drugs to silence some of those “bad” genes that were supposed to be turned off in the first place. We’re already seeing the archaic days of genetic modification give way to much more subtle and precise forms of genetic medicine, like the temporary genetic suppression available in the first generation of RNAi therapies just now coming to market—a trend we have followed to great profitability in Casey Extraordinary Technology. Now, we can only hope that epigenetics follows the same amazing curve of advancement that the HGP unleashed for genetics. If it does, the possibilities are extraordinary.last_img read more

What is Caseys Club Let me first share the evo

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first_imgWhat is Casey’s Club? Let me first share the evolution of Casey Research and why I think if you’re a serious speculator, you need to be part of Casey’s Club. A little over a decade ago, I was a Casey subscriber. At the time, there was only the International Speculator, and the firm was made up of only Doug Casey and David Galland. But as I got to know the power players in the industry, I learned that the savvy speculators made their millions investing via private placements (PPs) and clip and collect warrants. Out of the gates, investors in PPs have an advantage over investors who buy in the open market. First off, you pay no buying commission to your broker when you buy via a private placement. More important, by buying into a PP, the investor gets exposure to warrants. A warrant is essentially the right to buy a stock for a predetermined period of time at a fixed cost. In the Casey Energy Confidential, we recommend both buying in the open market and private placements. In an energy market where investors are getting slaughtered, we made money in 2014. How? Warrants. And we don’t even include the warrants in our portfolio performance until the warrant position is sold and gains are realized. In 2014, I sent out 59 alerts to Casey Energy Confidential subscribers. Let’s use an example of a stock we made great money on in 2014. On October 29, 2013, I sent out an alert for subscribers to buy Blackbird Energy (BBI.V) in the open market under C$0.06 or in the private placement. The PP units were priced at C$0.09 with a full, five-year transferable warrant priced at C$0.15. In the summer of 2014, Garth boarded a bus with other industry experts, including Frank Holmes, Stephen Quin, Marcel de Groot, Nolan Watson, Amir Adnani, Paul Matysek, and many others, along with many Casey’s Club members, for a day trip that I organized to two operating mines in British Columbia. During this trip, I put together a booklet of every company and president who joined me on the bus trip that day. The Casey’s Club members who joined the trip literally got to sit beside and watch the best in the business talk about their companies, their goals and challenges, and most important, got to know the key players in the industry. I put together that trip not because it’s my job, but because I love this business, and it was a fun way to spend a Saturday in the summer. Now, the only oil and gas executive I invited on this specific trip was Garth Braun, and as with all the executives, I called up Garth and asked him to give his pitch to everyone on the bus. I stated while on that bus that I believe Garth’s company, Blackbird Energy, would at least double, and everyone should consider investing in it. I clearly explained that we took a big chunk of the late-2013 financing, and our subscribers made over 300% gains in a choppy market, including the warrants. Garth’s stock went up over 100% shortly after that bus trip, and the only people on the bus who had heard of the company were the Casey’s Club members who read the Casey Energy Confidential alert in late 2013, and the subsequent updates. I think BBI will go higher, for all the reasons you will see on the video link above. Our Casey Energy Confidential subscribers made a good score on an early-stage oil company in a market where energy stocks have suffered. When you join Casey’s Club, you get access to all of my favorite PPs that Doug and I are writing checks for at the same price as not only us, but other industry experts. This is how retail investors, stock brokers, and fund managers can get exposure to what I’m doing in the resource sector. Some may look at what Casey’s Club costs and think it’s pricey. I see it as completely the opposite. I would have paid many times the price a decade ago to have access to what Rick Rule, Doug Casey, and other industry experts are doing with their own money. It didn’t exist then, so I started including the best available private placements in addition to the other services the alerts provide. The first newsletter in the world to recommend participating in PPs in the junior resource sector was mine, which I started in 2007. If you’re a serious speculator, I believe you owe it to yourself to try out Casey’s Club and see what I’m doing. The markets are awful, but it’s your choice if you want to make the markets work to your advantage and get exposure to full five-year warrants like the Blackbird example above. You may think you’re a contrarian, but to succeed you need to take action, and I’m offering you a chance to get in on the deals that I am doing, at the same price. It’s your portfolio, so do yourself a favor and try it out. Here’s a video with the president of Blackbird Energy, Garth Braun, for everyone to see not only the current success the company has achieved, but how Casey Research was the first firm to initiate coverage on Blackbird Energy.last_img read more

Low oil prices are destabilizing the financial sys

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first_img Low oil prices are destabilizing the financial system. Things could get ugly: fewer stocks are participating in S&P 500’s advance to new highs, and momentum indicators have dropped to their lowest reading in 16 years. China plans to use gold as a primary currency along the new Silk Road. Airbus is suing the NSA for stealing its tech secrets after it came out the US used German spies for industrial espionage. Bitcoin’s original appeal was that it could not be controlled by any government. Now it may be regulated out of existence. George Soros spent $33 million on Fergusson protest groups. The amazing race to invest in Iran has begun. Each year around this time, the spring thaw in northern Canada creates a buying opportunity in mining stocks. Miners must wait for the mud to dry before they restart their drills, so progress is slow and news is sparse. Impatient investors lose interest and sell their shares. This year’s “shopping season” could be epic. Miners have cut exploration budgets to the bone, and it’s unlikely that gold production can keep up with demand. Our Senior Precious Metals Analyst Jeff Clark just reviewed gold producers’ year-end reports, and he found that reserves are already falling. (“Reserves” is a mining term for ore that is economically mineable.) Clark discusses three developments that “paint an ominous picture for new gold supply.” Exploration won’t pick up until gold prices are significantly higher. With the stock market on the brink, that day may not be far off. The West Wants to Impose Oppressive Taxation on Everyone Bankrupt western governments need every penny they can steal tax. That’s why they’re obsessed with eliminating “unfair” competition from tax havens. Powerful western nations are now vilifying tax-friendly countries like the Isle of Man, the British Virgin Islands, and Bermuda. How dare a government let people keep more of their own money. What this all boils down to, says Jeff Thomas, is that governments want to destroy our economic freedoms and make us their prisoners. Eliminating tax havens would be a dangerous step in that direction. Robo Advisors Are No Substitute for Judgment Relying on a computer program to build and maintain your portfolio is the hot new thing. But these “Robo Advisors” are no substitute for human judgment, warns Money Forever’s Dennis Miller. There’s no one-size-fits-all investment blueprint. Mimicking stock market indices, for example, might work for a twenty-six year old. But a near-retiree can’t afford to risk his entire nest egg in the stock market. If you want to try automated investing, make sure your robo advisor understands your financial goals. Blips & Bogeys The sudden plummet of LinkedIn’s share price is making tech investors nervous. Zerohedge has forced the CME to bust two traders for “spoofing” the gold market Is Apple screwing the US economy? Russia signs up to $100 billion BRIC ‘IMF-style’ reserve fund. Is the world on course for the biggest mass default in history? Pebble plans to win the smartwatch Wars. But are smartwatches just 21st-century electric can openers? The reshoring of manufacturing jobs could be a boon for US miners. The UK faces Internet rationing, as capacity can’t keep up with demand. Greek ruling party economist says consensual exit from the euro is the only option left. 3D printing stocks crash. Big oil companies crush earnings estimates, leaving energy bears scratching their heads.last_img read more

This year I joined the ranks of 40 million America

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first_imgThis year I joined the ranks of 40 million Americans who are family caregivers as I began to care for my 81-year-old father. As a physician, taking on this role has given me the chance to experience what so many of my patients and their families encounter.As I’ve learned, no one is prepared to become a caregiver. It just happens.My dad had been in good health until this past February when he had two disastrous falls, resulting in a subdural hematoma which nearly killed him. Fortunately, a neurosurgeon was able to drain out most of the blood under his skull, beginning a long, slow recovery process.For several weeks my dad was “complete assist,” meaning he required help for everything: changing position in bed, dressing, eating, and bathing. He couldn’t even stand up, let alone walk.Fortunately, this stage mostly played out in both the hospital and at an acute rehabilitation facility — so there were many hands on deck in the help department. But as my father improved, and was transferred to lower levels of care (skilled nursing followed by assisted living), it became clear that family members would have to pick up the slack.We’ve been fortunate that many of Dad’s friends learned of his condition and have made genuine offers of help. The outpouring has been overwhelming enough that my family and I reflexively went into ‘cocoon mode,’ trying to shield my father from overexertion and fatigue so that he can focus on recovery.Say yes to helpOne thing I’ve learned is that when help is offered, it’s important for caregivers to accept it.”Make sure you ask for a little bit of help as soon as the crisis hits,” says Katy Butler, journalist and author of the memoir Knocking on Heaven’s Door, about her journey assisting her elderly mother in caregiving for her father. He’d suffered a major stroke at age 79.”Right after a crisis, friends and family rush in and say, ‘Is there anything I can do?’ And you’re often so overwhelmed you can’t even think — but strike while the iron is hot and take advantage of it.”Caregiving for a loved one can be so overwhelming that Butler suggests looking for help in “bite-sized pieces.” For example, if someone offers a meal, suggest a specific time and accept that generosity. Further, maybe it could be a recurring offer at the same time each week!Get help managing help.In A Beginner’s Guide to the End, authors BJ Miller and Shoshana Berger warn that accepting offers of help can itself be a challenging task. They suggest that you find a friend willing to help you organize your tasks — like regular health care appointments, getting groceries, or house cleaning — and assign them to other willing friends and family. And don’t forget, one other task you might need a friend for is just to be there for you — to be a listening ear if you’re feeling down. Asking a friend to sometimes call just to check in on you is another way to accept help.Know what to pay forYou can look for paid help in bite-sized pieces too. Hiring help isn’t an all or nothing proposition. Butler found that her father benefited from water aerobics. He looked forward to it, and it was an activity that would get him out of the house a couple of times a week. So she made it a priority to get him there. Eventually, she was able to rely on a medical van service to take him to and from the pool–which was a huge relief to both her and her mother.Bedtime was another piece of her father’s day where Butler and her mother looked for help.”At night they would both be exhausted…and they would descend into my father’s misery,” she says. “I heard him whimpering and my mother would be shouting at him. It was just too much for both of them.”Thus Butler decided to outsource bedtime to an aide at $25 an hour. That’s a luxury to be sure, but one that paid dividends in family harmony. Butler notes that it was more affordable because it was only a few hours per day, rather than full-time care.Look for a programIf your loved one has care needs that exceed your capacity and they can’t left alone all day, an excellent and affordable option might be a PACE program: Program for All-Inclusive Care for the Elderly. These are government-funded community programs that provide transportation, daily activities, nutrition, medication and therapy all under one roof.But PACE programs only operate in 31 states, so make sure to find out if there’s one in your area.Even if there isn’t a PACE program nearby, talk with your loved one’s health care team (probably a social worker or case manager) about subsidized programs for the elderly or care-dependent in your area. Many are grant-supported. You could also look for a geriatric care manager who can help coordinate and organize care and other support services. Schedule your own health care Caregiver stress is a well-known phenomenon and good one to avoid; it can lead to higher rates of anxiety and depression, and fuel a sense of burnout.To minimize the likelihood of caregiver stress, be sure to take care of your own needs: See your own doctor or therapist, be mindful of your hobbies, be it yoga class or working out. Maintaining activities you enjoy and having me time allows for reflection and recharging.The main takeaway is do your homework: Find out what resources exist, what you and your loved one can afford, and take as much help as you can get.And even though caregiving is serious business, don’t forget to savor the moments of joy that do come your way. When caring for her father with advanced dementia, Debbie Mefferd looked forward to the moment each day when he’d ask her if “the drinking light was lit.” She’d pour him his daily sweet and dry vermouth with a twist of lemon on the rocks and together they’d sit on the porch, enjoying the breeze. “It resembled a conversation and a little bit of normal life. And I thought it was a very good thing,” she told me.Savor those small moments. You and your loved one will be happier for it.John Henning Schumann is an internal medicine doctor and serves as president of the University of Oklahoma’s Tulsa campus. He also hosts Studio Tulsa: Medical Monday on KWGS Public Radio Tulsa. You can follow him on Twitter: @GlassHospital. Copyright 2019 NPR. To see more, visit https://www.npr.org.last_img read more