Story: Grown-up ingredients elevate cinnamon toast
Grown-up cinnamon toast
Grown-up ingredients elevate cinnamon toast
07:40 PM CDT on Sunday, May 28, 2006
By KIM PIERCE / Special Contributor to The Dallas Morning News
The first thing I made in my junior high home ec class was cinnamon toast and hot chocolate. This was back when girls were required to take home economics (a.k.a. cooking and sewing), and boys took shop (wood or metal).
The Best Cinnamon Toast starts with sourdough bread, Vietnamese cinnamon and other high-quality ingredients. Mexican hot chocolate is the perfect companion. " height=259 alt="EVANS CAGLAGE/DMN; styling by LISA VEIGEL/Staff Designer; food styling by LAURA H. EHRET/Special Contributor " src="http://www.dallasnews.com/sharedcontent/dws/img/v3/05-28-2006.NSL_28toast.1.GRG1T1J78.1.jpg" width=175 onfiltered="return clickedImage(this);">
EVANS CAGLAGE/DMN; styling by LISA VEIGEL/Staff Designer; food styling by LAURA H. EHRET/Special Contributor The Best Cinnamon Toast starts with sourdough bread, Vietnamese cinnamon and other high-quality ingredients. Mexican hot chocolate is the perfect companion.
We huddled in groups of four around mimeographed recipes in tiny classroom kitchenettes that consisted of a sink, stove, ! fridge a nd dinette. We had to make and consume our assignment in one class period, as well as clean up. The pressure was on. This was the first time I had followed a recipe, except perhaps for Toll House Cookies.
With the intensity of mad scientists, we carefully measured each ingredient, constructing our toasts out of white bread, margarine, table sugar and cinnamon. For the hot chocolate, we mixed cocoa, sugar, a pinch of salt and canned milk in a saucepan.
Some girls burned their toast, and some made a mess of the chocolate. But somehow my group muddled through, making not only a decent snack, but passing grades.
Many slices of cinnamon toast later, I have perfected the recipe. Not the one from school, but a luxurious, grown-up version that relies on top-flight ingredients (all available at Whole Foods Market).
Start with good sourdough bread, which imparts texture and twang. That gets smeared with good-quality salted butter; you need the salt to bring out the flavors.
My cinnamon of choice is Vietnamese, which contains more volatile oils and so is more intensely flavorful than the usual cinnamon sold in supermarkets. And the crowning touch is turbinado or demerara sugar, which has large granules that won't melt during toasting. So every bite has a pleasing crunch.
Together, this produces a wondrously sensual experience. Add Mexican hot chocolate on a relaxed weekend morning, and you need nothing more. Except, perhaps, good company to share it with.
Kim Pierce is a Dallas freelance writer.
THE BEST CINNAMON TOAST
Salted butter
Sourdough bread slices
Vietnamese cinnamon (sometimes called Saigon cinnamon)
Turbinado or demerara sugar
Preheat the oven broiler. Microwave the butter on High (100 percent power) just long enough to soften, but not melt; a stick takes 15 to 20 seconds. Smear the butter on one side of each piece of bread; you need only a thin coating, or alternating thin-thick dabs.
Dust with cinnamon, preferably in a mottled pattern, rather than evenly. Finish by layering the sugar on top, about ½ to 1 tablespoon, depending on the size of the bread slice. Place under the hot broiler. Remove when the tops are sizzling and the edges of the crust are one step away from burning. Serve with Mexican hot chocolate.
Note: If you're a toast purist, toast the bottom sides before buttering and seasoning the tops.
Tuesday, May 30, 2006
Story: Antioxidant can relieve chemo side effects
Dogs with chemo
Antioxidant can relieve chemo side effects
07:41 AM CDT on Monday, May 29, 2006
By Shawn Messonnier
Dear Dr. Shawn: My dog was recently diagnosed with bone cancer. One of the chemotherapy drugs his doctor wants to use is something called "doxo." A side effect of this drug is a heart attack. Would you recommend I give him this or see if another chemo drug might be better?
Answer: The drug you mentioned, "doxo," is short for doxorubicin (also called Adriamycin). It is a potent form of chemotherapy that is useful for treating a variety of cancers.
While usually safe, it has potential side effects. The major side effect of doxorubicin is heart toxicity; the higher the dose, the greater the chance of toxicity.
However, supplementation can help prevent this problem. Coenzyme Q-10 is used in cancer treatment to minimize heart toxicity from doxorubicin. (Other chemotherapy medications also can cause heart toxicity.)
Doxorubicin produces oxidizing agents (free radicals). Coenzyme Q-10 combats this free- radical damage to the heart when given after chemotherapy is completed.
However, it should not be used during doxorubicin treatment, as it may worsen heart toxicity.
While other drugs may also be useful, I would follow your oncologist's recommendations.
Using doxorubicin is acceptable, but certainly consider using coenzyme Q-10 (at 1 mg/pound per day) to limit heart problems that may occur.
Send questions to Dr. Shawn Messonnier at Paws & Claws Animal Hospital, 2145 W. Park, Plano TX, 75075 or naturalvet@juno .com.
Dogs with chemo
Antioxidant can relieve chemo side effects
07:41 AM CDT on Monday, May 29, 2006
By Shawn Messonnier
Dear Dr. Shawn: My dog was recently diagnosed with bone cancer. One of the chemotherapy drugs his doctor wants to use is something called "doxo." A side effect of this drug is a heart attack. Would you recommend I give him this or see if another chemo drug might be better?
Answer: The drug you mentioned, "doxo," is short for doxorubicin (also called Adriamycin). It is a potent form of chemotherapy that is useful for treating a variety of cancers.
While usually safe, it has potential side effects. The major side effect of doxorubicin is heart toxicity; the higher the dose, the greater the chance of toxicity.
However, supplementation can help prevent this problem. Coenzyme Q-10 is used in cancer treatment to minimize heart toxicity from doxorubicin. (Other chemotherapy medications also can cause heart toxicity.)
Doxorubicin produces oxidizing agents (free radicals). Coenzyme Q-10 combats this free- radical damage to the heart when given after chemotherapy is completed.
However, it should not be used during doxorubicin treatment, as it may worsen heart toxicity.
While other drugs may also be useful, I would follow your oncologist's recommendations.
Using doxorubicin is acceptable, but certainly consider using coenzyme Q-10 (at 1 mg/pound per day) to limit heart problems that may occur.
Send questions to Dr. Shawn Messonnier at Paws & Claws Animal Hospital, 2145 W. Park, Plano TX, 75075 or naturalvet@juno .com.
Friday, May 19, 2006
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It also offers the chance to remember the family on the anniversary of
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anniversary, or other special occasion. An Honor Gift can also be made
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1-800-ACS-2345 ✺ www.cancer.org
Honor & Memorial Program
The American Cancer Society’s Memorial Program allows you the
opportunity to make a donation in memory of a loved one or friend.
It also offers the chance to remember the family on the anniversary of
that person’s passing. The American Cancer Society’s Honor Program
is the perfect opportunity to celebrate a friend or loved one’s birthday,
anniversary, or other special occasion. An Honor Gift can also be made
instead of sending Holiday Cards.
1-800-ACS-2345 ✺ www.cancer.org
Honor & Memorial Program
The American Cancer Society’s Memorial Program allows you the
opportunity to make a donation in memory of a loved one or friend.
It also offers the chance to remember the family on the anniversary of
that person’s passing. The American Cancer Society’s Honor Program
is the perfect opportunity to celebrate a friend or loved one’s birthday,
anniversary, or other special occasion. An Honor Gift can also be made
instead of sending Holiday Cards.
1-800-ACS-2345 ✺ www.cancer.org
The American Cancer Society’s
Memorial Program allows you
the opportunity to make a
donation in memory of a loved
one or friend.
It also offers the chance to
remember the family on the
anniversary of that person’s
passing. The American Cancer
Society’s Honor Program is the
perfect opportunity to celebrate
a friend or loved one’s birthday,
anniversary, or other special
occasion. An Honor Gift can
also be made instead of sending
Holiday Cards.
1-800-ACS-2345
www.cancer.org
The American Cancer Society’s
Memorial Program allows you
the opportunity to make a
donation in memory of a loved
one or friend.
It also offers the chance to
remember the family on the
anniversary of that person’s
passing. The American Cancer
Society’s Honor Program is the
perfect opportunity to celebrate
a friend or loved one’s birthday,
anniversary, or other special
occasion. An Honor Gift can
also be made instead of sending
Holiday Cards.
1-800-ACS-2345
www.cancer.org
Honor & Memorial Program Ads
6/03 0373.07
The American Cancer Society’s Memorial Program allows you the
opportunity to make a donation in memory of a loved one or friend.
It also offers the chance to remember the family on the anniversary of
that person’s passing. The American Cancer Society’s Honor Program
is the perfect opportunity to celebrate a friend or loved one’s birthday,
anniversary, or other special occasion. An Honor Gift can also be made
instead of sending Holiday Cards.
1-800-ACS-2345 ✺ www.cancer.org
Honor & Memorial Program
The American Cancer Society’s Memorial Program allows you the
opportunity to make a donation in memory of a loved one or friend.
It also offers the chance to remember the family on the anniversary of
that person’s passing. The American Cancer Society’s Honor Program
is the perfect opportunity to celebrate a friend or loved one’s birthday,
anniversary, or other special occasion. An Honor Gift can also be made
instead of sending Holiday Cards.
1-800-ACS-2345 ✺ www.cancer.org
Honor & Memorial Program
The American Cancer Society’s Memorial Program allows you the
opportunity to make a donation in memory of a loved one or friend.
It also offers the chance to remember the family on the anniversary of
that person’s passing. The American Cancer Society’s Honor Program
is the perfect opportunity to celebrate a friend or loved one’s birthday,
anniversary, or other special occasion. An Honor Gift can also be made
instead of sending Holiday Cards.
1-800-ACS-2345 ✺ www.cancer.org
The American Cancer Society’s
Memorial Program allows you
the opportunity to make a
donation in memory of a loved
one or friend.
It also offers the chance to
remember the family on the
anniversary of that person’s
passing. The American Cancer
Society’s Honor Program is the
perfect opportunity to celebrate
a friend or loved one’s birthday,
anniversary, or other special
occasion. An Honor Gift can
also be made instead of sending
Holiday Cards.
1-800-ACS-2345
www.cancer.org
The American Cancer Society’s
Memorial Program allows you
the opportunity to make a
donation in memory of a loved
one or friend.
It also offers the chance to
remember the family on the
anniversary of that person’s
passing. The American Cancer
Society’s Honor Program is the
perfect opportunity to celebrate
a friend or loved one’s birthday,
anniversary, or other special
occasion. An Honor Gift can
also be made instead of sending
Holiday Cards.
1-800-ACS-2345
www.cancer.org
Honor & Memorial Program Ads
6/03 0373.07
112605
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4
Jacksonville.com
JACKSONVILLE BEACH -- The members of Girl Scout Troop 459 sat mesmerized, their attention riveted on objects a world away from their small meeting room in the Carver Center.-->
Last modified Sat., November 26, 2005 - 02:06 AMOriginally created Saturday, November 26, 2005
Girl Scouts get inspiration from international artwork
By Susan D. Brandenburg, Shorelines correspondent
JACKSONVILLE BEACH -- The members of Girl Scout Troop 459 sat mesmerized, their attention riveted on objects a world away from their small meeting room in the Carver Center.
As the girls observed works crafted by artisans in countries such as Cameroon, Chile, the Philippines, Kenya and Indonesia, their eyes sparkled with excitement and 17 young pairs of hands moved restlessly in laps, obviously yearning to reach out and touch the curious objects. Laughing, Lori Armstrong began to pass around some of the sturdier pieces of artwork for closer examination.
Owner of A World Away, Atlantic Beach's new fair trade store, Armstrong was the guest speaker at one of Troop 459's recent weekly meetings. She was at the community center to help the girls launch an entrepreneurial project that involves investment, production and sales.
Girl Scout troop leader Cindy Persico shows Troop 459 members Kiara Watts, 6, (center) and Aneliese Waters, 8, an African art piece from A World Away gift shop. GARY WILCOX/The Times-Union
"The girls will use clay to create their own unique works of art," said troop leader Cindy Persico, "and, much like the artisans in faraway places ... they will then place their creations for sale on consignment in Lori's store and, after paying expenses such as a portion of the cost of the clay and a small percentage to the store, they will reap the profits for themselves. My goal, with Lori's help, is to teach them about economic empowerment and fair trade and how it works in the real world."
Armstrong demonstrated items such as a tiny clay bird whistle fashioned by hand in the Congo, an onyx frog from Pakistan, a three-legged clay good luck pig made in Chile, a hot pad woven from recycled newspaper in the Philippines, a casa basket from Bangladesh, and a djembe drum from Kenya.
One of 140 partner stores in Ten Thousand Villages, a non-profit program of the North American Mennonite and Brethren in Christ churches, Armstrong's A World Away in Atlantic Beach is a reflection of her personal convictions on humanity.
"There is a face behind each of these pieces of art," she told the girls.
"There is a woman in Kenya who sculpted this head of an African child," she said, holding, but not passing around, an exquisite sculpture that elicited "oohs" and "aahs" from the group. "She made her own clay by going down to the swampy areas of the river and digging up mud, sifting it and kneading it until it was ready to shape. She worked very hard to make it beautiful so that she could earn money to buy seeds for crops to grow food for her family and maybe even send her children to school."
At the mention of school, a few of the girls giggled.
"School is a privilege we all have in America," Armstrong said, "but there are children in many countries around the world who are not as lucky as we are."
The girls of Troop 459 do consider themselves lucky. Since the troop was formed a year ago, they have learned several new crafts, sewn their own art aprons, decorated and mailed cards to U.S. troops in Iraq, visited and entertained at Avante Nursing Home and Shands Pediatric Ward, attended a Girl Scout birthday party and sleepover, sold Girl Scout cookies and gone on a camping trip.
Kiara Watts (from left), Brianna Thornton, 10, Rebecca Williams, 10, and Karla Williams, 5, start creating with clay. They'll sell their art at A World Away, learning entreprenurial skills and about fair trade. GARY WILCOX/The Times-Union
"We ate s'mores and slept in tents," said Felicia "FiFi" Williams, 12, "and we looked through telescopes."
"Working with the troop is the highlight of my week," Persico said. She said her entrepreneurial spirit and years of work as a counselor led her to the Carver Center.
"Last October, I decided to seek hands-on volunteering and I contacted the Girl Scouts to see if I could help with a troop," she said. "When they told me that the girls at the Carver Center had been waiting over a year for a troop leader, well, I was hooked. We're still working on getting uniforms, but we've just been designated a Community Development Troop by the Girl Scout Council, and we've got some exciting things coming up."
As the grand finale of Armstrong's presentation, a spirited drum and rattle session, ended, the girls donned their art aprons and, with instruction from Carver Center counselor Adrienne Veatch, dug their hands in clay to begin their entrepreneurial project.
"I'm going to make a mask," said Shamara Scruggs, 9.
"I'm making a person with braids," said Nycole Rice, 10.
"A turtle!" declared Yasmine Lanier, 9.
Seven-year-old Trionna Lane decided to create a pitcher, while 10-year-olds Brianna Thornton and Stacie Williams agreed they would both make clay hearts. Five-year-old Karla Williams fancied the three-legged good luck pig idea, and Casey Henson, 12, thought a baby shoe would be fun.
For 10-year-old Rebecca Williams, the acknowledged artist of the group, this was just another step toward her goal. "I have a mentor who is like a grandmother to me," she announced, as she concentrated on creating a tiny bear. "She helps me a lot with my art. It's something I plan to do all my life."
© Copyright 2005 The Florida Times-Union. All rights reserved. Privacy Policy.
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Jacksonville.com
JACKSONVILLE BEACH -- The members of Girl Scout Troop 459 sat mesmerized, their attention riveted on objects a world away from their small meeting room in the Carver Center.-->
Last modified Sat., November 26, 2005 - 02:06 AMOriginally created Saturday, November 26, 2005
Girl Scouts get inspiration from international artwork
By Susan D. Brandenburg, Shorelines correspondent
JACKSONVILLE BEACH -- The members of Girl Scout Troop 459 sat mesmerized, their attention riveted on objects a world away from their small meeting room in the Carver Center.
As the girls observed works crafted by artisans in countries such as Cameroon, Chile, the Philippines, Kenya and Indonesia, their eyes sparkled with excitement and 17 young pairs of hands moved restlessly in laps, obviously yearning to reach out and touch the curious objects. Laughing, Lori Armstrong began to pass around some of the sturdier pieces of artwork for closer examination.
Owner of A World Away, Atlantic Beach's new fair trade store, Armstrong was the guest speaker at one of Troop 459's recent weekly meetings. She was at the community center to help the girls launch an entrepreneurial project that involves investment, production and sales.
Girl Scout troop leader Cindy Persico shows Troop 459 members Kiara Watts, 6, (center) and Aneliese Waters, 8, an African art piece from A World Away gift shop. GARY WILCOX/The Times-Union
"The girls will use clay to create their own unique works of art," said troop leader Cindy Persico, "and, much like the artisans in faraway places ... they will then place their creations for sale on consignment in Lori's store and, after paying expenses such as a portion of the cost of the clay and a small percentage to the store, they will reap the profits for themselves. My goal, with Lori's help, is to teach them about economic empowerment and fair trade and how it works in the real world."
Armstrong demonstrated items such as a tiny clay bird whistle fashioned by hand in the Congo, an onyx frog from Pakistan, a three-legged clay good luck pig made in Chile, a hot pad woven from recycled newspaper in the Philippines, a casa basket from Bangladesh, and a djembe drum from Kenya.
One of 140 partner stores in Ten Thousand Villages, a non-profit program of the North American Mennonite and Brethren in Christ churches, Armstrong's A World Away in Atlantic Beach is a reflection of her personal convictions on humanity.
"There is a face behind each of these pieces of art," she told the girls.
"There is a woman in Kenya who sculpted this head of an African child," she said, holding, but not passing around, an exquisite sculpture that elicited "oohs" and "aahs" from the group. "She made her own clay by going down to the swampy areas of the river and digging up mud, sifting it and kneading it until it was ready to shape. She worked very hard to make it beautiful so that she could earn money to buy seeds for crops to grow food for her family and maybe even send her children to school."
At the mention of school, a few of the girls giggled.
"School is a privilege we all have in America," Armstrong said, "but there are children in many countries around the world who are not as lucky as we are."
The girls of Troop 459 do consider themselves lucky. Since the troop was formed a year ago, they have learned several new crafts, sewn their own art aprons, decorated and mailed cards to U.S. troops in Iraq, visited and entertained at Avante Nursing Home and Shands Pediatric Ward, attended a Girl Scout birthday party and sleepover, sold Girl Scout cookies and gone on a camping trip.
Kiara Watts (from left), Brianna Thornton, 10, Rebecca Williams, 10, and Karla Williams, 5, start creating with clay. They'll sell their art at A World Away, learning entreprenurial skills and about fair trade. GARY WILCOX/The Times-Union
"We ate s'mores and slept in tents," said Felicia "FiFi" Williams, 12, "and we looked through telescopes."
"Working with the troop is the highlight of my week," Persico said. She said her entrepreneurial spirit and years of work as a counselor led her to the Carver Center.
"Last October, I decided to seek hands-on volunteering and I contacted the Girl Scouts to see if I could help with a troop," she said. "When they told me that the girls at the Carver Center had been waiting over a year for a troop leader, well, I was hooked. We're still working on getting uniforms, but we've just been designated a Community Development Troop by the Girl Scout Council, and we've got some exciting things coming up."
As the grand finale of Armstrong's presentation, a spirited drum and rattle session, ended, the girls donned their art aprons and, with instruction from Carver Center counselor Adrienne Veatch, dug their hands in clay to begin their entrepreneurial project.
"I'm going to make a mask," said Shamara Scruggs, 9.
"I'm making a person with braids," said Nycole Rice, 10.
"A turtle!" declared Yasmine Lanier, 9.
Seven-year-old Trionna Lane decided to create a pitcher, while 10-year-olds Brianna Thornton and Stacie Williams agreed they would both make clay hearts. Five-year-old Karla Williams fancied the three-legged good luck pig idea, and Casey Henson, 12, thought a baby shoe would be fun.
For 10-year-old Rebecca Williams, the acknowledged artist of the group, this was just another step toward her goal. "I have a mentor who is like a grandmother to me," she announced, as she concentrated on creating a tiny bear. "She helps me a lot with my art. It's something I plan to do all my life."
© Copyright 2005 The Florida Times-Union. All rights reserved. Privacy Policy.
Notice: This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of this email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed.
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Thursday, May 11, 2006
ADVANCE HEALTH CARE DIRECTIVE
INSTRUCTIONS: This form lets you give specific instructions about any aspect of your health care. Choices are provided for you to express your wishes regarding the provision, withholding, or withdrawal of treatment to keep you alive, as well as the provision of pain relief. Space is provided for you to add to the choices you have made or for you to write out any additional wishes. This form also lets you express an intention to donate your bodily organs and tissues following your death. Lastly, this form lets you designate a physician to have primary responsibility for your health care.
After completing this form, sign and date the form at the end. The form must be signed by two qualified witnesses or acknowledged before a notary public. Give a copy of the signed and completed form to your physician, to any other health care providers you may have, to any health care institution at which you are receiving care, and to any health-care agents you have named.
I, , being of sound mind and at least 18 years of age, declare that:
(1) END-OF-LIFE DECISIONS: I direct that my health care providers and others involved in my care provide, withhold, or withdraw treatment in accordance with the choice I have marked below: (Initial only one box)
[___] (a) Choice NOT To Prolong Life. I do not want my life to be prolonged if (1) I have an incurable and irreversible condition that will result in my death within a relatively short time, (2) I become unconscious and, to a reasonable degree of medical certainty, I will not regain consciousness, or (3) the likely risks and burdens of treatment would outweigh the expected benefits, OR
[___] (b) Choice To Prolong Life. I want my life to be prolonged as long as possible within the limits of generally accepted health care standards.
(2) RELIEF FROM PAIN: Except as I state in the following space, I direct that treatment for alleviation of pain or discomfort should be provided at all times even if it hastens my death:_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________.
(3) OTHER WISHES: (If you do not agree with any of the optional choices above and wish to write your own, or if you wish to add to the instructions you have given above, you may do so here.) I direct that:_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
(4) PRIMARY PHYSICIAN -(OPTIONAL).
I designate the following physician as my primary physician:_________________________________(name of physician)_______________________________________________________________________(address) (city) (state) (zip code)_________________________________(phone)OPTIONAL: If the physician I have designated above is not willing, able, or reasonably available to act as my primary physician, I designate the following physician as my primary physician:
_________________________________(name of physician)_______________________________________________________________________(address) (city) (state) (zip code)_________________________________(phone)
(5) DONATION OF ORGANS AT DEATH - (OPTIONAL).
Upon my death: (mark applicable box)
[___] (a) I give any needed organs, tissues, or parts, OR
[___] (b) I give the following organs, tissues, or parts only.
[___] (c) My gift is for the following purposes: (strike any of the following you do not want)
(1) Transplant
(2) Therapy
(3) Research
(4) Education
In the absence of my ability to give directions regarding the use of such life-sustaining procedures, it is my intention that this declaration shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment, and I accept the consequences from such refusal.
I understand the full import of this declaration and I am emotionally and mentally competent to make this declaration.
I execute this declaration, as my free and voluntary act, on this ______ day of _______________, 2006, in the City of , County of , State of .
______________________________________
(INSTRUCTIONS: This advance health care directive will not be valid for making health care decisions unless it is either: (1) signed by two (2) qualified adult witnesses who are personally known to you and who are present when you sign or acknowledge your signature; or (2) acknowledged before a notary public.)
I declare under penalty of perjury under the laws of the state of (1) that the individual who signed or acknowledged this advance health care directive is personally known to me, or that the individual's identity was proven to me by convincing evidence, (2) that the individual signed or acknowledged this advance directive in my presence, (3) that the individual appears to be of sound mind and under no duress, fraud, or undue influence, (4) that I am not a person appointed as agent by this advance directive, and (5) that I am not the individual's health care provider, an employee of the individual's health care provider, the operator of a community health care facility, the operator of a residential care facility for the elderly, nor an employee of an operator of a residential care facility for the elderly.
I further declare under the laws of penalty of perjury of the state of that I am neither related to the patient by blood, marriage, or adoption, and, to the best of my knowledge, I am not entitled to any portion of the patient's estate upon the patient's death under a will existing when the advance directive is executed or by operation of law.
Signed in the City of , County of , State of , on this ____ day of ______________, 2006. ___________________________________________(signature of first witness) _____________________________________________________________(name and address of first witness) ___________________________________________(signature of second witness) _____________________________________________________________(name and address of second witness)
------------------------------------
State of __________________
)
) ss
County of _________________
)
On this the ________ day of __________________, 2006, before me, the undersigned, a notary public in and for said County and State, personally appeared _______________________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.____________________________________ Signature of Notary
INSTRUCTIONS: This form lets you give specific instructions about any aspect of your health care. Choices are provided for you to express your wishes regarding the provision, withholding, or withdrawal of treatment to keep you alive, as well as the provision of pain relief. Space is provided for you to add to the choices you have made or for you to write out any additional wishes. This form also lets you express an intention to donate your bodily organs and tissues following your death. Lastly, this form lets you designate a physician to have primary responsibility for your health care.
After completing this form, sign and date the form at the end. The form must be signed by two qualified witnesses or acknowledged before a notary public. Give a copy of the signed and completed form to your physician, to any other health care providers you may have, to any health care institution at which you are receiving care, and to any health-care agents you have named.
I, , being of sound mind and at least 18 years of age, declare that:
(1) END-OF-LIFE DECISIONS: I direct that my health care providers and others involved in my care provide, withhold, or withdraw treatment in accordance with the choice I have marked below: (Initial only one box)
[___] (a) Choice NOT To Prolong Life. I do not want my life to be prolonged if (1) I have an incurable and irreversible condition that will result in my death within a relatively short time, (2) I become unconscious and, to a reasonable degree of medical certainty, I will not regain consciousness, or (3) the likely risks and burdens of treatment would outweigh the expected benefits, OR
[___] (b) Choice To Prolong Life. I want my life to be prolonged as long as possible within the limits of generally accepted health care standards.
(2) RELIEF FROM PAIN: Except as I state in the following space, I direct that treatment for alleviation of pain or discomfort should be provided at all times even if it hastens my death:_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________.
(3) OTHER WISHES: (If you do not agree with any of the optional choices above and wish to write your own, or if you wish to add to the instructions you have given above, you may do so here.) I direct that:_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
(4) PRIMARY PHYSICIAN -(OPTIONAL).
I designate the following physician as my primary physician:_________________________________(name of physician)_______________________________________________________________________(address) (city) (state) (zip code)_________________________________(phone)OPTIONAL: If the physician I have designated above is not willing, able, or reasonably available to act as my primary physician, I designate the following physician as my primary physician:
_________________________________(name of physician)_______________________________________________________________________(address) (city) (state) (zip code)_________________________________(phone)
(5) DONATION OF ORGANS AT DEATH - (OPTIONAL).
Upon my death: (mark applicable box)
[___] (a) I give any needed organs, tissues, or parts, OR
[___] (b) I give the following organs, tissues, or parts only.
[___] (c) My gift is for the following purposes: (strike any of the following you do not want)
(1) Transplant
(2) Therapy
(3) Research
(4) Education
In the absence of my ability to give directions regarding the use of such life-sustaining procedures, it is my intention that this declaration shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment, and I accept the consequences from such refusal.
I understand the full import of this declaration and I am emotionally and mentally competent to make this declaration.
I execute this declaration, as my free and voluntary act, on this ______ day of _______________, 2006, in the City of , County of , State of .
______________________________________
(INSTRUCTIONS: This advance health care directive will not be valid for making health care decisions unless it is either: (1) signed by two (2) qualified adult witnesses who are personally known to you and who are present when you sign or acknowledge your signature; or (2) acknowledged before a notary public.)
I declare under penalty of perjury under the laws of the state of (1) that the individual who signed or acknowledged this advance health care directive is personally known to me, or that the individual's identity was proven to me by convincing evidence, (2) that the individual signed or acknowledged this advance directive in my presence, (3) that the individual appears to be of sound mind and under no duress, fraud, or undue influence, (4) that I am not a person appointed as agent by this advance directive, and (5) that I am not the individual's health care provider, an employee of the individual's health care provider, the operator of a community health care facility, the operator of a residential care facility for the elderly, nor an employee of an operator of a residential care facility for the elderly.
I further declare under the laws of penalty of perjury of the state of that I am neither related to the patient by blood, marriage, or adoption, and, to the best of my knowledge, I am not entitled to any portion of the patient's estate upon the patient's death under a will existing when the advance directive is executed or by operation of law.
Signed in the City of , County of , State of , on this ____ day of ______________, 2006. ___________________________________________(signature of first witness) _____________________________________________________________(name and address of first witness) ___________________________________________(signature of second witness) _____________________________________________________________(name and address of second witness)
------------------------------------
State of __________________
)
) ss
County of _________________
)
On this the ________ day of __________________, 2006, before me, the undersigned, a notary public in and for said County and State, personally appeared _______________________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.____________________________________ Signature of Notary
Every adult may accept or refuse any recommended medical treatment.
The Medical Directive records the medical treatments you wish to have or not have should you become unable to express your wishes.
Record your wishes regarding various types of medical treatments, such as resuscitation and artificial feedings
Appoint a proxy, someone to make medical decisions on your behalf should you become unable to make them on your own
Record your wishes regarding donating your organs for transplantation
Only if you become mentally incompetent and unable to make medical decisions on your own.
Description
View a sample
Completing the Form
And Once Completed?
To Order
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Contact Us
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The Medical Directive records the medical treatments you wish to have or not have should you become unable to express your wishes.
Record your wishes regarding various types of medical treatments, such as resuscitation and artificial feedings
Appoint a proxy, someone to make medical decisions on your behalf should you become unable to make them on your own
Record your wishes regarding donating your organs for transplantation
Only if you become mentally incompetent and unable to make medical decisions on your own.
Description
View a sample
Completing the Form
And Once Completed?
To Order
FAQs
Endorsements
Contact Us
Home
Privacy Policy About Online Security Copyright Info
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Join a Relay For Life team and walk, jog, or run overnight to celebrate survivorship and raise money for cancer research and support programs.Walk in a Making Strides Against Breast Cancer fundraising event and help make breast cancer a thing of the past.Find other events in our Calendar of Events
More Ways to Help
Talk to Your Legislators
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Make a Planned Gift through wills, trusts, annuities
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Research Near Standstill for Childhood Cancer Drugs
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More news
--> -->ACS Statement: --->Less-Invasive Colonoscopy Shows Promise --->--->
Recent News
Postponing Bladder Cancer Surgery Might Be Fatal
New Drug Treats Myelodysplastic Syndrome
Estrogen After Hysterectomy Doesn't Raise Breast Cancer Risk
Many Breast Cancer Survivors Neglect Mammograms
More News Read inspiring Stories of Hope
For press releases and media information, visit our Press Room.
Mother's Day ReminderPlan a Cancer-Related Checkup Now
Check and Protect Your Skin
Survivors Take a Victory Lap
Sodas to Come Out of Schools for a 'Healthier Generation'
Mobile.cancer.org Launches
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In the United States, you can call us anytime at 1-800-ACS-2345(TTY 1-866-228-4327 for hearing-impaired).We subscribe to the HONcode principles of The Health On Net Foundation.
Help About ACS Employment Legal & Privacy Information ACS Gift Shop Press Room Copyright 2006 © American Cancer Society, Inc.All content and works posted on this website are owned and copyrighted by the American Cancer Society, Inc. All rights reserved.
Many patients without prescription
coverage have diffi culty paying for their
medicines and don’t know where to get
help. That’s why we created Pfi zer
Helpful Answers.
• We have many programs to help
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• Patients can speak to a
live operator
• No fees or costs to apply
This briefi ng sheet highlights the many
programs we offer to help.
Eligibility Benefi ts Distribution Methods
Less than 200% Federal
Poverty Level (FPL)
Any legal US resident
Free Pfi zer medicines provided to eligible patients
through physicians
Free Pfi zer medicines provided to eligible patients
served by eligible community health centers
Free Pfi zer medicines provided to eligible patients
served by eligible disproportionate-share hospitals
• 2 levels of savings
• Individuals earning $31,000 or less per year, or families
earning $45,000 or less per year, have access
to greater savings
Doctor’s offi ce
400 federally qualifi ed community health
centers with in-house pharmacies
40 qualifi ed federally designated
disproportionate-share hospitals with
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• More than 95% of retail pharmacies
nationwide
• Mail-order service
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• Savings on 275+ brand-name prescription products
(including Pfi zer medicines) and a wide range of
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Majority of pharmacies nationwide
Together Rx Access and the Together Rx Access Logo
are trademarks of Together Rx Access, LLC.
The Partnership for Prescription Assistance™ is a single point of access to more than 475 public and private
patient assistance programs. Pharmaceutical companies offer over 180 of these programs to provide
patients who lack prescription coverage with the medicines they need. If your patients contact the PPA,
there are programs that offer more than 2,500 medicines available to them for free or nearly free.
Call 1-888-4PPA-NOW or visit www.pparx.org for more information.
Pfi zer participates in the Partnership for Prescription Assistance™ (PPA).
Program
PFIZER PARTICIPATES PFIZER PROGRAMS
By contacting Pfi zer Helpful Answers, patients may also have access to the following individual Pfi zer programs:
• Aricept® Patient Assistance Program
• Tikosyn® Patient Assistance Program
• The Bridge Program
• FirstRESOURCE
Individual Pfi zer
Programs
• RSVP Zyvox®/VFEND®/Revatio™
• Macugen Access Program (MAP)
• Fragmin CompleteCARE
Less than 200% FPL
(adjusted for household size)
Less than 200% FPL
(adjusted for household size)
For your patients who lack prescription coverage and also need medicines from other companies, tell them to call the
Partnership for Prescription Assistance™ (PPA) for help getting their medicines. The PPA can help patients fi nd programs
that may be right for them.
No prescription coverage?
Need Pfi zer medicine?
One call fi ts all™
Tell your patients to call
1-866-706-2400
or visit www.pfi zerhelpfulanswers.com
for help getting Pfi zer medicines.
™
coverage have diffi culty paying for their
medicines and don’t know where to get
help. That’s why we created Pfi zer
Helpful Answers.
• We have many programs to help
them save on Pfi zer medicines,
no matter their age or income
• They may even get them for free,
depending on their income
• Patients can speak to a
live operator
• No fees or costs to apply
This briefi ng sheet highlights the many
programs we offer to help.
Eligibility Benefi ts Distribution Methods
Less than 200% Federal
Poverty Level (FPL)
Any legal US resident
Free Pfi zer medicines provided to eligible patients
through physicians
Free Pfi zer medicines provided to eligible patients
served by eligible community health centers
Free Pfi zer medicines provided to eligible patients
served by eligible disproportionate-share hospitals
• 2 levels of savings
• Individuals earning $31,000 or less per year, or families
earning $45,000 or less per year, have access
to greater savings
Doctor’s offi ce
400 federally qualifi ed community health
centers with in-house pharmacies
40 qualifi ed federally designated
disproportionate-share hospitals with
in-house pharmacies
• More than 95% of retail pharmacies
nationwide
• Mail-order service
• Non-Medicare eligible
• Under 300% FPL
• Legal US resident
• Savings on 275+ brand-name prescription products
(including Pfi zer medicines) and a wide range of
generic products
Majority of pharmacies nationwide
Together Rx Access and the Together Rx Access Logo
are trademarks of Together Rx Access, LLC.
The Partnership for Prescription Assistance™ is a single point of access to more than 475 public and private
patient assistance programs. Pharmaceutical companies offer over 180 of these programs to provide
patients who lack prescription coverage with the medicines they need. If your patients contact the PPA,
there are programs that offer more than 2,500 medicines available to them for free or nearly free.
Call 1-888-4PPA-NOW or visit www.pparx.org for more information.
Pfi zer participates in the Partnership for Prescription Assistance™ (PPA).
Program
PFIZER PARTICIPATES PFIZER PROGRAMS
By contacting Pfi zer Helpful Answers, patients may also have access to the following individual Pfi zer programs:
• Aricept® Patient Assistance Program
• Tikosyn® Patient Assistance Program
• The Bridge Program
• FirstRESOURCE
Individual Pfi zer
Programs
• RSVP Zyvox®/VFEND®/Revatio™
• Macugen Access Program (MAP)
• Fragmin CompleteCARE
Less than 200% FPL
(adjusted for household size)
Less than 200% FPL
(adjusted for household size)
For your patients who lack prescription coverage and also need medicines from other companies, tell them to call the
Partnership for Prescription Assistance™ (PPA) for help getting their medicines. The PPA can help patients fi nd programs
that may be right for them.
No prescription coverage?
Need Pfi zer medicine?
One call fi ts all™
Tell your patients to call
1-866-706-2400
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What I wish I had known about marriage
Kristen Armstrong, the ex-wife of cyclist Lance Armstrong, offers up the wedding day advice she wishes someone had given her. (See Armstrong on Oprah, May 9, 2006.)
The new women's health lies
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