Sunday, March 31, 2013

Pope leads Easter Mass in St. Peter's Square

VATICAN CITY (AP) ? Pope Francis is celebrating his first Easter Sunday Mass as pontiff in St. Peter's Square, which is packed by joyous pilgrims, tourists and Romans.

Francis strode onto the flower-bedecked esplanade in front of St. Peter's Basilica. Tens of thousands of faithful had already filled the square hours before the Mass began in mid-morning. Francis bowed his head in reflection as the Gospel was sung in Latin, recounting what Christians believe is the central mystery of their faith ? the resurrection of Jesus after this death by crucifixion.

A white canopy sheltered the altar on the steps. After heavy rain battered Rome during the night, more was forecast. But Sunday saw sunny skies alternate with clouds.

After Mass ends, Francis will give his blessing and speech from the basilica's balcony.

Source: http://news.yahoo.com/pope-leads-easter-mass-st-peters-square-085656305.html

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Bitter Pill: The rise and fall of Manitoba's Internet pharmacy pioneers ...

Kris Thorkelson is now being investigated in connection with counterfeit drugs.

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Kris Thorkelson is now being investigated in connection with counterfeit drugs.

MediPlan Pharmacy quickly went from one employee to 60 in early 2002. It would continue to grow to 230 employees, including 16 pharmacists -- a huge economic boon to the small town of Minnedosa.

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MediPlan Pharmacy quickly went from one employee to 60 in early 2002. It would continue to grow to 230 employees, including 16 pharmacists -- a huge economic boon to the small town of Minnedosa. (FRED GREENSLADE / WINNIPEG FREE PRESS ARCHIVES)

Daren Jorgenson got out of the business just in time.

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Daren Jorgenson got out of the business just in time.

Internet pharmacy pioneers Chantelle and Mark Rzepka (left) and Andrew and Catherine Strempler in 2002. Thirteen years later, Andrew Strempler is in the midst of a four-year sentence in a U.S. prison for conspiracy to commit mail fraud.

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Internet pharmacy pioneers Chantelle and Mark Rzepka (left) and Andrew and Catherine Strempler in 2002. Thirteen years later, Andrew Strempler is in the midst of a four-year sentence in a U.S. prison for conspiracy to commit mail fraud. (FRED GREENSLADE / WINNIPEG FREE PRESS ARCHIVES)

The story is like folklore now.

A kid recently graduated from the University of Manitoba with a pharmacy degree in his back pocket had set out on a dream to own a small-town pharmacy. He did the market research, got a loan from his dad, and he and his new bride opened a shop in Minnedosa, on the Yellowhead Highway, 203 kilometres northwest of Winnipeg. Andrew Strempler was just 25 at the time, the youngest pharmacy owner in Manitoba.

Only he forgot one thing. While his market research showed Minnedosa could support a second establishment, he didn't take into account that allegiances for the existing pharmacy ran deep -- generations deep. No one was switching from the one their family had patronized since almost settlement days for some upstart from Winnipeg.

So Strempler sat in the window of his empty store, passing the time by surfing the Internet, straightening and re-straightening the cold medicines and antiperspirants on his shelves, and watching passersby pass by to the other pharmacy two blocks down. The monotony was only broken by the daily phone calls from wholesalers demanding payment.

Then, out of the crushing ennui, a light bulb. After all, a box of 105 pieces of Nicorette gum in Canada at the time cost $20 (US), versus $55 across the border. So he listed a pack on eBay just to see what would happen. It sold in seconds, not minutes. So he did it again. And again. Soon, he was showing up at Costco in Winnipeg and literally buying their entire stock.

With the arrival of the new millennium as the backdrop, the Internet pharmacy was born.

Initially, he set up a website just for Nicorette gum for cigarette addicts. But why stop there? Strempler's MediPlan Pharmacy soon began advertising limited brands of prescription drugs under domain name RxNorth.com.

Business soared. The markup pharmaceutical companies charged in the U.S. was astronomical versus Canada. It helped that the Canadian loonie dipped into the 62-cent range versus the American greenback. But in the early years, Canadian Internet pharmacies were selling prescription drugs to American patients at an average of 20 per cent of U.S. retail prices. (Even though the Canadian dollar hovers around par today, Internet pharmacies are still able to sell drugs on average for about half the retail price in the U.S. For example, Viagra sells for $25 a pill in the U.S., versus $11to $12 that licensed Internet pharmacies charge.)

Strempler quickly realized he couldn't handle all the business himself and reached out to former pharmacy classmate, Mark Rzepka. Rzepka, who was even younger than Strempler, grew up in East Kildonan and had been the school president at Miles Macdonell Collegiate. In the University of Manitoba's faculty of pharmacy, Strempler struggled until Rzepka became his "study buddy" and helped get him through. Strempler now approached Rzepka with an offer: for $100,000, he could become a partner in Strempler's MediPlan Pharmacy.

Rzepka was working in a tiny, hole-in-the-wall pharmacy in a Balmoral Street strip mall near the University of Winnipeg. The owner of the pharmacy was none other than Kris Thorkelson, who would go on to become the biggest Internet pharmacist in Canada. Thorkelson knew nothing about Internet pharmacy back then. Thorkelson's friend and former partner was Daren Jorgenson, another pioneer who would set up the first Internet pharmacies in Tel Aviv and London. Jorgenson had started to dabble in selling prescription drugs online. When he heard about the Strempler offer, he told Rzepka it could be a good investment.

That was the genesis. Those three Internet pharmacy kings, Strempler, Jorgenson, and Thorkelson, would go on to rock the pharmaceutical world and become a catalyst to health-care reform in the U.S. They would make life-saving medications more affordable for countless Americans who didn't have private health-care plans. They turned Manitoba into the industry's epicentre, creating thousands of jobs and tens of millions of dollars in economic spinoffs. They also became fabulously rich.

Today, Strempler is in a Miami jail serving a four-year prison sentence, Jorgenson got out the industry just in time, and Thorkelson is being investigated in connection with counterfeit drugs in the U.S. Some in the industry think it could be his downfall.

How did it go so wrong?

You have to start with MediPlan, largely recognized as the first Internet pharmacy of any size. There is some argument that a guy in New Zealand was the first, and that the first Internet pharmacy in Canada was run by Harvey Organ of Hamilton, Ont. However, Organ sold to doctor's offices, not directly to patients like Strempler.

Besides, prestigious newspapers such as Wall Street Journal and New York Times weren't knocking on Harvey Organ's door for an exclusive interview in 2001. The American press was interested in the twentysomethings running MediPlan in Minnedosa.

MediPlan had run very bold, very expensive full-page ads in U.S. dailies, including the New York Times, listing its website and their cheaper drug prices. Strempler initially turned down those interview requests. As the MediPlan foursome explained later -- Strempler and wife, Catherine; Rzepka, and his then-wife, Chantelle -- they didn't feel ready to tell the world what they were doing just yet.

By the start of 2002, MediPlan already had 75 employees, including 32 telephone operators taking drug orders from Americans, and it was hiring new people by the day.

Shiploads of money started to pour in and that always gets a lot of focus. But what every large Internet pharmacist also remembers are the desperate Americans they talked to in those early days. People from the U.S., where almost 45 million people have no health insurance, would break down and cry over the telephone because they couldn't afford life-saving drugs.

"A lot of seniors say to us, 'Do I eat, or do I buy my cancer medication?'" Catherine Strempler said in an interview in 2002.

Seniors, with their higher drug needs, have always made up the majority of the market for Internet pharmacies. But there was another key category. "The women with breast cancer were huge" in their emotional desperation to access Canadian prescription drugs, said Jorgenson, whose main Internet pharmacy was canadameds.com at Main Street and Euclid Avenue. A month's supply of Tomoxifen, a drug for breast cancer treatment, cost $30 in Canada versus $300 to $350 stateside. Another category of desperate buyers were young men with HIV. They required an expensive cocktail of drugs to slow the virus.

The weaker Canadian dollar influenced drug prices but so did Canadian drug pricing controls co-ordinated by the federal agency, Patented Medicine Prices Review Board. It bases Canadian prices on an average of drug prices in G7 countries.

At one point, U.S. President George W. Bush threatened the Canadian government. The big pharmaceutical companies were on Bush's case. He told Ottawa to legislate an end to the Internet pharmacies or risk losing U.S. trade in beef and lumber. He tossed the problem Ottawa's way because Bush knew there was no chance he could legislate against Internet pharmacies at home. Try telling American seniors they couldn't buy Lipitor from Canada anymore. (The price for the cholesterol-fighting drug from MediPlan was US$183 for 90 pills, versus US$269 in the U.S.) The American Association of Retired Persons (AARP), boasting 40 million members, and state-level groups such as the Minnesota State Senior Citizens Association (it used to run busloads of seniors into Manitoba to buy medicines from pharmacist Ken Kronson's Medi-Mart Pharmacy on Pembina Highway in pre-Internet days) were a powerful political card.

Neither could Bush control state governors who had begun recommending Manitoba's Internet pharmacies. Government staff from states including Illinois, California, Vermont, New Hampshire, Minnesota, North Dakota, and Wisconsin, all traveled to Winnipeg to visit the pharmacies and ensure there was nothing nefarious about the operations.

In total, 10 states sanctioned the buying of prescription drugs from Canada, and those states bought from the top five or six sellers, all of them based in Manitoba. Governors in Illinois, Minnesota, Wisconsin, Missouri and Kansas even established Internet purchasing sites for their residents. Some states encouraged public employees to buy medications from Canada to save money for themselves and the employee health-care plan. In Springfield, Mass., the civic government ordered prescription drugs directly from Canada for its employee health plan.

The Internet pharmacy industry had to be squeaky clean or lose reputation. So it didn't sell narcotic drugs or any drug considered to be abusable. The policy was to only fill prescriptions for chronic maintenance medications in 90 day supplies. So they sold drugs for long-term health issues such as cancer, diabetes, cholesterol, hypertension, and high blood pressure.

Physician signatures were always required on a U.S. prescription, which was then converted into a Canadian prescription by having a Canadian doctor review the medical history and "co-sign." The prescription could then be legally filled in Canada.

Nonetheless, Canadian regulatory agencies, from the Manitoba Pharmaceutical Association, to the Manitoba College of Physicians and Surgeons, to the Canadian Medical Association, began threatening Internet pharmacists and any doctors assisting them. Regulatory bodies argued it was unethical for the co-signing doctor not to have actually examined the U.S. patient, claiming the practice put patients at risk. Under pressure from Bush, Ottawa tried drafting legislation to stop the co-signing practice.

But their argument had more leaks than an email spam filter. Internet pharmacists argued that a co-signing Canadian doctor provided a second set of eyes to confirm prescriptions and to catch dangerous drug interactions, and therefore added a level of safety. And while it was true Canada doesn't recognize reciprocity for U.S. prescriptions, most states in the U.S. accept a prescription from a Canadian doctor with no co-signing whatsoever. European Union nations also honour prescriptions of other member nation doctors.

As well, there are many situations where prescriptions are given without assessments by a doctor, such as Canada's far north communities where nursing stations are the last line of health care. After great push back from Internet pharmacists, Ottawa's efforts to draft legislation failed.

So MediPlan in Minnedosa kept humming along. It grew to 230 employees, including 16 pharmacists. Its sales topped $100 million per year. Strempler became a local hero. He gave countless people in the area jobs who wouldn't have them otherwise, or else better-paying jobs. Many spouses were now able to provide their families a second income.

Bob Bertram of Minnedosa, who worked at MediPlan as a pharmacist, said the company was a bonanza for the community. "They had their own post office, their own credit-card handling centre. And they were good corporate citizens. They bought uniforms for hockey teams, helped fund the back nine for the golf course," said Bertram.

"A lot of people ask me if I have anything bad to say about them. I don't. They brought pharmacists here from across Manitoba. They had two buildings going, and lot of the pharmacists were young guys just graduated and putting in a lot of overtime to pay off their student loans,"

MaryAnn Mihychuk, the provincial minister for industry, trade and mining at the time, said the MediPlan owners in the beginning were "young, fresh, and innovative."

"I was happy to support them," she said.

She recalled touring the MediPlan plant in Minnedosa. "When I went there, there were many women in their 50s working there, and they were going, 'Oh my gosh, this young man (Strempler) is just the best thing that's ever happened,'" Mihychuk remembered. "He was loved. He brought this optimism into the town."

In 2003, MediPlan opened a second plant in Niverville, 30 kilometres south of Winnipeg. It was a gleaming 18,000-square-foot office costing $1 million. MediPlan was running out of space in Minnedosa, and, of more concern, running out of population from which to draw workers. The Niverville plant was to employ up to 300 people within three years.

The amount of money to be made in online pharmacies triggered a gold rush. At one time, CIPA counted over 150 pharmacies in Manitoba that were dabbling in cross-border sales of prescription drugs, although not all had their own websites. The Manitoba Pharmaceutical Association says there were 70 online pharmacies it knew about -- still an incredibly high number. Most Internet pharmacies were small operators selling by word-of-mouth and some of this selling still exists. But there were about 20 in the province selling on a large scale.

It became so lucrative that even people without pharmaceutical backgrounds opened online pharmacies. Two young Winnipeg entrepreneurs, Glen Voth and Jeremy Charney, looked up an old high school buddy they knew who had gone to pharmacy school. Together, they opened canadamerica.drugs off St. James Street near Polo Park. It employed up to 100 people and would eventually have a facility in Switzerland. Even Phil Kives, founder of K-tel, took a break from selling Veg-o-matics and Miracle Brushes and opened a large online pharmacy. He owned a licensed pharmacy in Winnipeg and was shipping drugs to the U.S. from London.

What kind of cash did Internet pharmacies bring in? It was like a fire hose spraying money across the Manitoba landscape.

At MediPlan, Mark Rzepka and Chantelle Thibodeau Harder earned over $4.5 million together in each of 2003 and 2004, before they divorced in 2005. It was a flat payment out of MediPlan profits. They weren't 30 years of age yet. Less certain is what they got from the sale of their shares in MediPlan that originally cost $100,000. According to an industry insider, the payout came to $8 million. The four players in MediPlan were believed to be equal partners. The couple cashed out their shares on Mar. 24, 2005, as part of their divorce.

"At first, they were just full of piss and vinegar," said one person, of Andrew Strempler and Mark Rzepka. "They were playful and fun. They were enjoying the ride."

The source was one of more than half a dozen people who spoke to the Free Press on the condition of anonymity. These individuals were either once Internet pharmacists or worked with Internet pharmacists. Their reasons for not being identified included the sensitivity of their information, the controversial nature of the business, or simply because they had moved on to other occupations.

But soon the two MediPlan partners, more so Strempler, became unpopular within this new fraternity. Strempler became a "playboy," the person said. He liked jewelry, from diamond-studded rings to Rolex watches. He had a car park full of luxurious cars, including a yellow Lamborghini with an "Rx Boss" licence plate. There were also two Dodge Vipers, a Jaguar, a red-and-white Pontiac GTO, and a Bentley previously owned by Jennifer Lopez.

He bought Leonard Asper's 6,500-square-foot home on Wellington Crescent for $2 million and also owned a condo. He like to fire up big Cohibas, a premium brand of Cuban cigar, at the most inappropriate times. "He was a showboat," said the industry player.

The Rzepkas were less ostentatious but their big buy was a $2-million, 6,800-square-foot home in Pritchard Farm Properties in East St. Paul, that included six bathrooms, a home theatre, and a dance hall.

But for Strempler, it was as if he had no brakes. He would fly regularly by private jet to fly to Las Vegas and play in poker games where a single bet was $5,000. He started to indulge in poker junkets in places such as China. He would fly all over to attend international cigar shows.

Other pharmacists became ticked off. Strempler and Rzepka wouldn't come to meetings of the Canadian Internet Pharmacy Association, the industry's umbrella group, and missed weekly CIPA teleconference calls. "They often had a very arrogant, screw-you position," said a source. Their attitude was one of "because they were first," he said.

"I think (Strempler) thought he was untouchable," maintained Jorgenson, former owner of canadameds.com.

Another person who had extensive dealings with Strempler agreed, saying Strempler didn't seem to think he had to play by the same rules as everyone else. "He had a level of arrogance that I felt uncomfortable with. He lacked humility," the individual said.

The belief he was bulletproof was Strempler's flaw, the individual said. "I have absolutely no doubt that that feeling of invincibility was his downfall."

For people who knew him from an earlier time, this portrait of Strempler seemed like a fiction. Strempler's parents have been a deacon couple in their Mennonite church. Strempler was part of a young adult church group while attending university. Jay Boschman, an established pharmacist who Strempler worked for briefly in Rossburn before starting MediPlan, once told a reporter that he and Strempler shared their Christian beliefs with one another.

Attempts to give Strempler's family in Winnipeg an opportunity to speak, conveyed via relatives, were not successful. Rzepka also declined to be interviewed. Neither did Strempler's Miami lawyer return messages. Winnipeg lawyer Sean Kells, a business partner with Strempler in a non-pharmacy enterprise, did not reply to an interview request.

In a 2005 interview with the New York Times, Strempler's response sounded strangely principled about his luxurious lifestyle, as if to live otherwise would be false.

"I don't hide what I enjoy," he said with a puff on his cigar. "I wouldn't be able to go through life pretending to be what I'm not."

At another point in the interview, Strempler revealed how he saw himself. "I would rather be known as a business revolutionary than the man who got rich," he said.

He added prophetically: "I fully believe we are going to be chased around this globe, and this will not be an easy endeavour."

He was referring to the changing landscape in his industry. Big pharma was starting to squeeze the drug supply to suspected Internet pharmacies. Pfizer cut off MediPlan in 2004, and Merck did the same in early 2005. It was also around this time that MediPlan closed its Niverville plant. The plant never really got off the ground because drug makers were tightening supplies.

Pharmaceutical giants GlaxoSmithKline, Eli Lilly and AstraZeneca followed suit, stopping the supply of drugs to Canada's online pharmacies.

So they turned to other local pharmacies for supplies but were having to pay markups of 15 to 20 per cent. Then big pharma threatened to cut off pharmacies who sold to Internet companies. That started a whole new round in the war. Internet pharmacies started accessing cheaper prescription drugs from around the world, places such as United Kingdom, Australia, New Zealand, Fiji, Greece, Israel, Turkey, India and Syria.

Strempler first moved 35 per cent of his operation to Britain. He also started running a distribution site out of Freeport, Bahamas, taking advantage of its free-trade zone and weaker government oversight. He would access drugs from around the world, have it shipped to a warehouse in Freeport, and fill prescriptions from there. It was the new model.

Jorgenson was vehemently opposed to this process, called trans-shipping. "Andrew was buying drugs from every-effing-where, like on the free trade zone in Hong Kong, the free trade zone in Dubai. It was like buying at a bazaar. There are drugs shipped in from Pakistan and Egypt," he said.

But there was another very serious problem with Strempler's operation. Staff were still taking orders in Minnedosa but he was sourcing his drugs abroad and filling the prescriptions in the Bahamas. At the same time, he was slapping on labels that said the drugs were handled by RxNorth in Canada. That is considered fraud. The prescriptions didn't say the drug had come from Turkey, one of the countries listed in Strempler's eventual criminal charges.

From the Bahamas, the drugs were shipped to the United Kingdom and Dutch Antilles (Curacao), and then to patients in the U.S. It was cheaper to ship through the U.K. and Dutch Antilles and there was less risk of shipments being seized by U.S. officials. The Food and Drug Adminstration had started seizing some product at points of entry from known Internet pharmacy hot spots.

If Strempler had portrayed or marketed the drugs as they were, not obscuring the country of origin, he would not have been found guilty of fraud. CIPA, the umbrella group, sternly warned its members against this practice, fearing customers would lose confidence in the industry.

Strempler didn't heed those warnings. In 2006, FDA agents clad in black balaclavas surrounded Strempler's warehouse in the Bahamas and put locks on the doors. The locks stayed there until all the product expired. Strempler lost $5 million in the seizure. The loss killed his business. But in addition to the seizure, further investigation led to the fraud charges -- two counts of mail fraud and one count of conspiracy to commit mail fraud and wire fraud -- and he was now wanted on a U.S. federal warrant.

The charges applied to drugs Strempler purchased from Turkey and Australia and misrepresented as coming from Canada.

FDA also discovered counterfeit drugs had infiltrated Strempler's shipments. It was certainly not his intention. But he likely had become careless and purchased drugs from some sketchy sources. He set up a system for random testing of drugs with a Chicago-based firm but it was like taking a knife to a gun fight. FDA found 90 per cent of the drugs in one Strempler shipment to the U.S. were counterfeit, according to the Wall Street Journal. The shipment contained fake versions of Arimidex, a breast cancer treatment, and Lipitor, the cholesterol drug.

In the end, Strempler was charged with two counts of mail fraud and one count of conspiracy to commit mail fraud and wire fraud, and was now wanted on a U.S. federal warrant. The charges carried a maximum 20-year prison sentence each. The period of investigation was from January, 2005, to June, 2006.

In Strempler's defence, as someone said, those were "early days" in the industry's sourcing of drugs from abroad. He mis-stepped in the industry's transition to a international procurement model.

There is no question Strempler was a maverick. He was accustomed to defying regulatory authorities from Day 1, as were other Internet pharmacists. That's how the industry started. Strempler received his first warning letter from the FDA in 2001. And ever after, governments and regulatory agencies were trying to shut down the trade. From the perspective of Internet pharmacists such as Strempler, agencies like the FDA and Manitoba Pharmaceutical Association and Manitoba College of Physicians and Surgeons were just trying to preserve the status quo and big pharma's drug pricing practises. In the bigger picture, the Internet pharmacists were exposing the U.S.'s substandard health care for its poorest people.

So in a pattern of defiance, Strempler defied again.

In 2006, after the FDA seizure of his Bahamas warehouse, and the blocking of his credit, Strempler salvaged what he could and sold his MediPlan patient list to Kris Thorkelson, owner of Canada Drugs Ltd., or its Internet name, canadadrugs.com.

The Manitoba Pharmaceutical Association sought disciplinary action against Strempler, piggybacking on the American fraud charges. Strempler dispensed drugs not approved by Health Canada and sold them to Americans labelled as if they originated in Canada, the MPhA said. It also accused Strempler's firm of selling prescription drugs that were close to, or past, their expiry date. Strempler eventually agreed in 2010 to strike his name from the provincial pharmacist registry and pay $7,500.

Shortly after 2006, Strempler and his wife moved to Naranja in Panama, where they lived with their two children until recently. Strempler likely chose Panama for a couple reasons. One is its proximity to his new Internet business called PharmCheck, which sold generic drugs in the free-trade zone on the island of Caracao, off the northern shore of Venezuela. Another reason is that Panama is known for its call centres, much like India. So Strempler ran his pharmacy in Curacao and his call centre in Panama City.

In June 2011, Strempler was arrested in a Miami airport and charged on three counts of fraud. He faced a maximum 60 years in prison and was held without bail. In October 2011, Strempler and his lawyer agreed to a plea bargain. Strempler plead guilty and had his original charges reduced to one count of conspiracy to commit mail fraud with a reduced sentence. On Jan. 9, 2013, he was sentenced to four years in prison. Neither does it end there. Big pharma is also seeking $2.6 million in restitution from Strempler.

People have questioned what Strempler was doing in Miami in June 2011 to get himself arrested. After all, he was a wanted man in the United States. It was suicidal to travel to there.

The short story is that Panama deported him to Canada after learning of his outstanding U.S. warrant from Interpol, the intergovernmental police agency. He was then arrested on a stopover in Miami.

But the longer story told to someone who was interviewed by U.S. federal agents is that Strempler was picked up right off the street in Panama by international bounty hunters, sometimes known as 'fugitive recovery agents.' He was apprehended right in front of his wife.

The bounty hunters then transported Strempler to the airport in Panama where two U.S. marshalls were waiting off to the side. The bounty hunters informed Panamanian authorities that Strempler was an international fugitive and they wanted to deport him back to Canada. Panamanian officials, not wanting an international controversy, agreed to the deportation. So Strempler was put on a plane to Toronto but with a stopover in Miami.

It would have seemed like a long plane ride. Strempler was seated between the U.S. marshalls. At that point, said the source, Strempler would have known he would not make it back to Canada. He would have known he would be arrested as soon as the plane touched down in Miami. He would have known he was likely headed to prison. And he would have known he would not be seeing his family again for a very long time.

bill.redekop@freepress.mb.ca

NEXT WEEK: Rise and Fall of Internet Pharmacy in Manitoba, Part 2

Source: http://www.winnipegfreepress.com/breakingnews/generation-rx-200693481.html

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Patients of Oklahoma doctor line up for tests

About 150 to 200 patients of Dr. W. Scott Harrington, who's accused of unsanitary practices, line up outside the Tulsa Health Department North Regional Health and Wellness Center to be screened for hepatitis and the virus that causes AIDS, Saturday, March 30, 2013, in Tulsa, Okla. Oklahoma officials say 7,000 patients of Harrington's in the past six years will receive letters that warn that poor hygiene at Harrington's two clinics created a public health hazard. (AP Photo/Tulsa World, James Gibbard) ONLINE OUT; TV OUT; TULSA OUT

About 150 to 200 patients of Dr. W. Scott Harrington, who's accused of unsanitary practices, line up outside the Tulsa Health Department North Regional Health and Wellness Center to be screened for hepatitis and the virus that causes AIDS, Saturday, March 30, 2013, in Tulsa, Okla. Oklahoma officials say 7,000 patients of Harrington's in the past six years will receive letters that warn that poor hygiene at Harrington's two clinics created a public health hazard. (AP Photo/Tulsa World, James Gibbard) ONLINE OUT; TV OUT; TULSA OUT

This Thursday, March 28, 2013 photo shows the dental offices of Dr. Scott Harrington at 2111 S. Atlanta Place in Tulsa, Okla. Health officials on Thursday, March 28, 2013 urged thousands of patients of an Oklahoma oral surgeon to undergo hepatitis and HIV testing, saying unsanitary conditions behind his office's spiffy facade posed a threat to his clients and made him a "menace to the public health." (AP Photo/Tulsa World, Michael Wyke) ONLINE OUT; TV OUT; TULSA OUT

This 1977 license picture provided by the Oklahoma Board of Dentistry shows Dr. Scott Harrington. Health officials urged thousands of patients of Harrington, an oral surgeon, to undergo hepatitis and HIV testing, saying unsanitary conditions behind his office's spiffy facade posed a threat to his clients and made him a "menace to the public health." (AP Photo/Oklahoma Board of Dentistry)

This Thursday, March 28, 2013 photo shows the dental offices of Dr. Scott Harrington at 2111 S. Atlanta Place in Tulsa, Okla. Health officials on Thursday, March 28, 2013 urged thousands of patients of an Oklahoma oral surgeon to undergo hepatitis and HIV testing, saying unsanitary conditions behind his office's spiffy facade posed a threat to his clients and made him a "menace to the public health." (AP Photo/Tulsa World, Michael Wyke) ONLINE OUT; TV OUT; TULSA OUT

(AP) ? Hundreds of patients of an Oklahoma oral surgeon accused of unsanitary practices showed up at a health clinic Saturday, looking to find out whether they were exposed to hepatitis or the virus that causes AIDS.

Letters began going out Friday to 7,000 patients who had seen Dr. W. Scott Harrington during the past six years, warning them that poor hygiene at his clinics created a public health hazard. The one-page letter said how and where to seek treatment but couldn't explain why Harrington's allegedly unsafe practices went on for so long.

Testing for hepatitis B, hepatitis C and the virus that causes AIDS began at 10 a.m. Saturday, but many arrived early and stood through torrential downpours. The Tulsa Health Department said 420 people were tested Saturday at its North Regional Health and Wellness Center. Screenings resume Monday morning.

Kari Childress, 38, showed up at 8:30 a.m., mainly because she was nervous.

"I just hope I don't have anything," said Childress, who had a tooth extracted at one of Harrington's two clinics five months ago. "You trust and believe in doctors to follow the rules, and that's the scariest part."

Inspectors found a number of problems at the doctor's clinics in Tulsa and suburban Owasso, according to the state Dentistry Board, which filed a 17-count complaint against Harrington pending an April 19 license revocation hearing. According to the complaint, needles were reinserted into drug vials after being used on patients, expired drugs were found in a medicine cabinet and dental assistants, not the doctor, administered sedatives to patients.

One patient, Orville Marshall, said he didn't meet Harrington until after he had two wisdom teeth pulled about five years ago at the Owasso clinic. A nurse inserted the IV for his anesthesia; Harrington was there when Marshall came to.

"It's just really scary. It makes you doubt the whole system, especially with how good his place looked," said Marshall, 37.

An instrument set reserved for use on patients with infectious diseases was rusty, preventing its effective sterilization, and the office autoclave ? a pressurized cleaner ? was used improperly and hadn't been certified as effective in at least six years, according to the complaint.

Dr. Matt Messina, a Cleveland dentist and a consumer adviser for the American Dental Association, said creating a safe and hygienic environment is "one of the fundamental requirements" before any dental procedure can be performed.

"It's not hard. It just takes effort," he said.

Weekly autoclave testing can be performed for less than $400 annually, according to the website of the Autoclave Testing Services of Pearl River, New York.

Autoclaves typically can be purchased for $1,000 to $8,000, depending on their size and features. And an average dental practice can expect to pay more than $40,000 a year in equipment, tools and supplies alone, according to several dental organizations.

Attempts to reach Harrington have been unsuccessful. No one answered the door Thursday at his Oklahoma home, which property records show is worth more than $1 million. His practice a few miles away, in a tony section of Tulsa where plastic surgeons operate and locals congregate at bistros and stores such as Saks Fifth Avenue, has a fair-market value of around $851,000.

Property and tax records show Harrington owns another residence in Carefree, Ariz., in an area of upscale homes tucked into in the boulder-strewn mountains north of Phoenix.

Nobody was at home Saturday at the low-slung, 1950s-style vacation home, across from the Boulders Resort. Neighbors said they had seen a lot of activity at the home in recent weeks.

Harrington's malpractice lawyer, Jim Secrest II, did not respond to phone messages left Thursday or Friday. A message at Harrington's Tulsa office said it was closed and an answering service referred callers to the Tulsa Health Department.

Suzy Horton, an old friend of Harrington's, said she can't believe the allegations about the man who removed two of her teeth in the early '90s. Horton's ex-husband sold Harrington his home in Carefree ? a home where she once lived.

"I've been to dentists my whole life, so I know what a professional office looks like," Horton, who now lives in Phoenix, said in a telephone interview. "His was just as professional as anybody."

Horton hasn't seen Harrington in years, but she said he has sent her a Christmas card and wreath every year since her 1999 divorce.

"It was a long time ago, so I suppose anything can change, but the kind of person they're portraying in the news is not the kind of person who sends you a Christmas" card, she said.

___

Associated Press writers Traci Carl in Carefree, Ariz., and Jeannie Nuss in Little Rock, Ark., contributed to this report.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2013-03-30-Dentist%20Investigation-Testing/id-19d4d577670640b3b74a2ce8f44643ef

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The best Supreme Court chart ever (Washington Post)

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Saturday, March 30, 2013

Business Insider's Owen Thomas Is In Talks To Be The New Editor At ReadWrite

owen thomasMy old boss Owen Thomas is very close to becoming the new editor-in-chief at the SAY Media-owned tech site ReadWrite, according to sources with knowledge of the company. I'm hearing that it's not quite a done deal, but that it's looking very likely. Naturally, I called Owen to ask if this was the case, but he declined to comment. A SAY spokesperson told me, "There's obviously a lot of interest in ReadWrite. There are a lot of good candidates in the mix, and no one's been hired yet." (Just to reiterate ? I'm not saying he's been hired, just that the discussions are pretty far along.)

Source: http://feedproxy.google.com/~r/Techcrunch/~3/Aaycjhsnrlo/

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Exclusive! Kristin Chenoweth Reveals Her Dating Strategy

Source: http://www.ivillage.com/kristin-chenoweth-talks-dating-and-family-weekend/1-a-530915?dst=iv%3AiVillage%3Akristin-chenoweth-talks-dating-and-family-weekend-530915

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Georgia girl killed in backyard mauling by dogs

By Martyn Herman LONDON, March 28 (Reuters) - Whether by design, necessity, self-interest or because of all three, nurturing youngsters has become fashionable for England's elite with no expense spared in the hunt for the new Wayne Rooney or Steven Gerrard. The length and breadth of the country, scouts from top clubs are hoovering up promising footballers barely old enough to tie their bootlaces in a bid to unearth the 30 million pounds ($45.40 million) treasures of the future. ...

Source: http://news.yahoo.com/georgia-girl-killed-backyard-mauling-dogs-134113903.html

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Friday, March 29, 2013

Cypriots anxious as banks reopen with limits

NICOSIA, Cyprus (AP) ? Anxious Cypriots patiently waited in long lines to get at their accounts on Thursday after banks opened for the first time in nearly two weeks, following an international bailout to save the country's financial system.

Fearing a run on its banks, the tiny Mediterranean country has imposed daily withdrawal limits of 300 euros ($384) for individuals and 5,000 euros for businesses ? the first so-called capital controls that any country has applied in the eurozone's 14-year history.

Financial strains are building on families and businesses, and the recession in Cyprus is likely to deepen. The mood outside banks was calmer than feared. Many people said the withdrawal limits were probably necessary to keep a bad situation from spiraling out of control.

Flower shop owner Christos Papamichael was among some 30 people waiting patiently for bank doors to open at noon Thursday. "Everything has been paralyzed ... No one thinks of buying flowers," he said.

Banks had been shut in Cyprus since March 16 to prevent people from draining their accounts as politicians scrambled to save the country's stricken financial sector. ATM machines were working, but with a limit on daily withdrawals.

An initial plan to seize up to 10 percent of all Cypriot deposits caused an international uproar and was scrapped. But in order to secure 10 billion euros ($12.9 billion) in loans from other euro countries and the International Monetary Fund, Cyprus agreed Monday to wind down its second-largest bank and seize billions from accounts holding more than the insured limit of 100,000 euros.

European financial markets, which have been on edge for weeks, rose slightly on Thursday. The FTSE 100 index of leading British shares rose 0.4 percent, while Germany's DAX index rose 0.1 percent.

Government and bank officials had feared that up to 10 percent of the country's deposits could be siphoned off when banks opened Thursday ? but that did not appear to happen. Guards from private security firms reinforced police outside some ATMs and banks in the capital, Nicosia. No problems controlling crowds were reported.

The limits on withdrawals and other capital controls are expected to be relaxed gradually. Analysts say it's anyone's guess how people and businesses will react once that happens.

Foreign Minister Ioannis Kasoulides said that, according to central bank estimates, the controls would be fully lifted in a month. Some analysts say it could last longer.

President Nicos Anastasiades expressed in a statement his "warm gratitude and deep appreciation towards the Cypriot people for the maturity and spirit of responsibility they have shown at a critical time for the stability of the Cypriot economy."

However, many Cypriots were left frustrated and confused by the closures and controls and concerned about the effect on their businesses and livelihoods.

"No matter how much information there was, things were changing all the time," said Costas Kyprianides, a grocery supplier in Nicosia.

For years, the banking sector has been the lifeblood of the Cypriot economy, attracting money from across Europe ? and especially Russia ? thanks to high interest rates and loose regulation. The country's deposits ballooned to more than seven times its economic output. But Cypriot banks ran into trouble after taking massive losses on Greek government bonds.

Now, the country's second-largest bank, Laiki, is to be split up, with its healthy assets being absorbed into the Bank of Cyprus. Savers with more 100,000 euros ($129,000) in either Bank of Cyprus and Laiki will face big losses. At Laiki, those could reach as much as 80 percent of amounts above the 100,000 insured limit; those at Bank of Cyprus are expected to be much lower.

As part of the country's capital controls, no checks can be cashed, although they can be deposited. Anyone leaving the country, whether Cypriot or a visitor, can only take up to 1,000 euros ($1,290) with them in cash.

The country's general accounting office said pensions and other social security payments, together with salaries for government employees, will be in bank accounts next Tuesday and Wednesday.

Many Cypriots struggled Thursday to understand what exactly they could and couldn't do with their money. Television talk shows addressed viewers' queries, which ranged from how they would pay college tuition for children studying abroad to how to handle check payments.

People also wondered whether they would be able to access their salaries, many of which were due this week.

Some analysts are concerned that, if kept in place long, Cyprus's measures will go against the fundamental principle of the single currency: Free and easy movement of money around the euro's 17 members.

In a statement Thursday, The European Commission said "the free movement of capital should be reinstated as soon as possible".

Not every account in Laiki and Bank of Cyprus will be hit with big losses. Deposits held by the central government, local authorities such as municipalities, universities and development projects being co-funded by the European Union will not face a so-called haircut.

Government welfare and pension fund accounts in Laiki will be treated in the same way as those in the Bank of Cyprus, "thereby ensuring most of the deposits," said Constantinos Petrides, undersecretary to the president.

Some individuals and businesses had moved their money out of Cyprus well before the banks closed their doors last week.

According to ECB figures, deposits in Cyprus' banks slipped 2.2 percent last month, to 46.36 billion euros ($59.36 billion), the lowest figure since May 2010 and down from a peak of 50.5 billion euros ($64.67 billion) in May 2012. The figure excludes deposits from other banks and the central government.

"I anticipated, not this to happen, but I anticipated issues last year, when Greece had a question of whether it will remain in euro and the consequences of that," said Athos Angelides, who runs a business importing and distributing hair salon products. "So luckily we transferred money in the middle of last year over to the UK."

The stock market, which has been closed since March 15, stayed shut. It will remain closed on Friday and Monday, when most of Europe is closed for the Easter celebrations. Cyprus follows the Orthodox calendar and does not celebrate Easter until May this year.

____

Elena Becatoros in Nicosia and David McHugh in Frankfurt contributed.

Source: http://news.yahoo.com/cypriots-anxious-banks-reopen-limits-205528049--finance.html

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What Would Ryan Locthe Do Trailer: The Best/Worst Show of All Time?

Source: http://www.thehollywoodgossip.com/2013/03/what-would-ryan-locthe-do-trailer-the-best-slash-worst-show-of-a/

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Thursday, March 28, 2013

HTC One official 'double dip' hard shell case review

HTC One hard shell case.

The official shell case for the HTC One aims to make it impervious to knocks and scrapes

If you pick up a phone as beautiful and well-designed as the HTC One, chances are you're going to want to keep it that way. Full protective cases -- like the official HTC offering for the HTC One -- aren't for everyone, but tough plastic covering just about everything that's not a touchscreen, it's hard to match the level of protection they offer.

We'll take a closer look at HTC's official "double dip" shell case after the break. That's also where you'll find a quick video walkthough and more photos.

read more



Source: http://feedproxy.google.com/~r/androidcentral/~3/AwNWK80iDug/story01.htm

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Yes We Cannabis: The Legalization Movement Plots Its Next 4 Years (Atlantic Politics Channel)

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Ashley Judd not running for Senate (cbsnews)

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Microsoft showcases Windows Phone middleware partnerships at GDC, we go hands-on (video)

Microsoft demoes Windows Phone middleware partnerships at GDC, we go handson video

Building on yesterday's announcement that Temple Run and several other games are coming to Windows Phone, Microsoft's been actively courting developers at GDC 2013. To that end, the company's booth showcases several games that highlight cross-platform development and middleware. Now that WP8 and Windows 8 share the same NT kernel, DirectX APIs and tools, it's easier than ever to write games that use the same code base for both platforms. Microsoft is sweetening the deal with a few significant middleware partnerships -- Unity, Marmalade and Havok, to be specific. We talked with Larry Lieberman, Senior Product Manager for Windows Phone development, who was kind enough to explain what these partnerships mean for developers and to give us a tour of the games. Hit the break for our hands-on video.

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Source: http://feeds.engadget.com/~r/weblogsinc/engadget/~3/RMoP53fp7Sk/

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Malaysia's Najib says economy at risk from weak election result

By Stuart Grudgings

PUTRAJAYA, Malaysia (Reuters) - Malaysian leader Najib Razak has warned that nascent reforms can't be done "overnight" and that Southeast Asia's third-largest economy risks slipping backwards if he does not win a strong majority in an election he must call within weeks.

Prime minister Najib said a reduced parliamentary majority could weaken his drive to curb Malaysia's budget deficit and raise investment, and even cost him his job.

"A strong government is necessary for us to accelerate the process of transformation in this country," Najib, who is also finance minister, told Reuters.

The election, shaping as the closest in more than 50 years of post-colonial history, must be called by the end of April.

"A weak government means instability and uncertainty and a country can ill afford that kind of scenario for the next five years given the external economic situation that's going to be between weak and rather uncertain."

Convincing Malaysians that his government is "transformational", as 59-year-old Najib puts it, is crucial to the ruling coalition's chances.

The ruling National Front is facing a confident opposition alliance led by former deputy prime minister Anwar Ibrahim, who says Najib's reforms have stalled and who is tapping into a potent desire for change after 56 years of rule by a coalition led by the dominant United Malays National Party (UMNO).

Najib's coalition, helped by economic growth that hit 5.6 percent last year and its own deep financial pockets, is favored to win against a fractious three-party opposition. But there is uncertainty over the outcome, helping make Kuala Lumpur's stock index Asia's worst performer this year.

Najib has delayed potentially painful reforms to wean the country off dominant oil revenues and stem rising debt.

He signaled that those steps would not be rushed through even if he formed a stronger government than the one that emerged from the 2008 election, when the National Front lost its two-thirds parliamentary majority for the first time.

"If you try to do it overnight like some countries are doing, there's a massive contraction of the economy," he said.

"We cannot afford that. We have to be mildly expansionary in our policies but fiscally responsible," Najib said.

ARAB SPRING COMPARISON

Malaysia's budget deficit fell to 4.5 percent last year from more than 6 percent when Najib took office. Its debt has crept up to around 53 percent of GDP -- close to a self-imposed limit of 55 percent -- from 43 percent in 2008.

Najib has overseen a deluge of handouts to poorer Malaysians in what opposition politicians call thinly disguised vote-buying. Najib counters that the opposition's plans, including free university education, would send the deficit soaring.

"The word 'change' has been abused so many times. As you know with the Arab Spring, there were no dividends," Najib said.

Taking power in 2009, Najib staked his fortunes on reforms aimed at spurring growth, increasing transparency and dismantling policies that favor majority ethnic Malays but which have alienated minority ethnic Chinese and Indians.

His flagship policy is the $444 billion Economic Transformation Programme (ETP), which aims to double per capita incomes to $15,000 by 2020. The ETP has won initial praise from investors, although it remains to be seen if private investment can play as bigger role as hoped.

Najib's reformist ambitions are widely seen as having been curbed by conservative interests within UMNO. He has announced few major steps to roll back ethnic privileges that distort the economy and are seen as favoring the elite.

Najib said that a "vast majority" of government contracts were now awarded through open tenders and that government spending was increasingly based on needs rather than race.

Political pundits expect that an unconvincing election win for Najib will result in a leadership challenge later this year from within UMNO, possibly from his own deputy Muhyiddin Yassin, who is seen by markets as less reform-minded.

(Editing by Paul Tait)

Source: http://news.yahoo.com/malaysias-najib-says-economy-risk-weak-election-result-065022879--business.html

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Dinosaurs: Placodonts populated flat coastal regions in what is now Europe and China

Mar. 27, 2013 ? For around 50 million years, placodonts populated the flat coastal regions of the Tethys Ocean, in modern day Europe and China. The most distinctive feature of these dinosaurs was their teeth: The upper jaw had two rows of flattened teeth -- one on the palate and one on the jawbone -- while the lower jaw only had one set of teeth ideal for crushing shellfish and crustaceans.

The evolutionary origins of these placodonts remained unclear. However, a new find in a 246-million-year-old sediment layer now sheds light on the origin and phylogenetic development of the placodonts. As the Swiss and German team headed by Torsten Scheyer, a paleontologist at the University of Zurich, reveals the skull found in Winterswijk (Netherlands) is the earliest form of all known placodonts. The juvenile animal lived 246 million years ago. At around two centimeters in size, the skull is exceptionally well preserved and its characteristics set it apart from previous placodont discoveries.

Double row of pointed teeth

The basal-most known placodonts to date have the group's trademark double row of crushing teeth in the upper jaw. The flattened teeth that give these animals their name only appear in more derived placodonts. "Unlike all the other placodonts discovered to date, the Winterswijk specimen has conical, pointed teeth instead of flattened or ball-shaped crushing ones," explains Scheyer, "which means the pointed teeth on the lower jaw slotted precisely into the gap between the palate and upper-jawbone teeth when biting."

The group's trademark double row of teeth in the upper jaw is proof that the new find is actually a placodont. According to the researchers, the teeth of Palatodonta bleekeri, the scientific name given to the Winterswijk specimen, were specialized in gripping and piercing soft prey. "The double row of teeth in the new find combined with its considerable age lead us to conclude that it is a very early placodont, from which the later forms developed," says Scheyer. The formation of crushing teeth and the specialization of a diet of shellfish and crustaceans thus developed later within placodont evolution.

European origin confirmed

The small Palatodonta bleekeri skull sheds new light on the ongoing debate on where the placodonts originated: Previous finds suggested origins in the shelf sea areas of either present-day China or Europe. Due to the considerable age of the new Dutch find and its basal form, however, the European origin of the placodonts is deemed confirmed. Scheyer and his colleagues are hoping for further exciting finds in Winterswijk to discover more about the evolution of the placodonts.

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The above story is reprinted from materials provided by University of Zurich.

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Journal Reference:

  1. James M. Neenan, Nicole Klein, Torsten M. Scheyer. European origin of placodont marine reptiles and the evolution of crushing dentition in Placodontia. Nature Communications, 2013; 4: 1621 DOI: 10.1038/ncomms2633

Note: If no author is given, the source is cited instead.

Disclaimer: Views expressed in this article do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/top_environment/~3/o8G26BeIhcs/130327132433.htm

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Parallels (Balloon Juice)

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