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Good Agile, Bad Agile
Posted on November 18, 2008 in Generic biologicals
Scrums are the most dangerous phase in rugby, since a collapse or improper engage can lead to a front row player damaging or even breaking his neck. — Wikipedia When I was growing up, cholesterol used to be bad for you. It was easy to remember. Fat, bad. Cholesterol bad. Salt, bad. Everything, bad. Nowadays, though, they differentiate between "good" cholesterol and "bad" cholesterol, as if we're supposed to be able to distinguish them somehow. And it was weird when they switched it up on us, because it was as if the FDA had suddenly issued a press release announcing that there are, in fact, two kinds of rat poison: Good Rat Poison and Bad Rat Poison, and you should eat a lot of the Good kind, and none of the Bad kind, and definitely not mix them up or anything. Up until maybe a year ago, I had a pretty one-dimensional view of so-called "Agile" programming, namely that it's an idiotic fad-diet of a marketing scam making the rounds as yet another technological virus implanting itself in naive programmers who've never read "No Silver Bullet", the kinds of programmers who buy extended warranties and self-help books and believe their bosses genuinely care about them as people, the kinds of programmers who attend conferences to make friends and who don't know how to avoid eye contact with leaflet-waving fanatics in airports and who believe writing shit on index cards will suddenly make software development easier. You know. Chumps. That's the word I'm looking for. My bad-cholesterol view was that Agile Methodologies are for chumps. But I've had a lot of opportunity to observe various flavors of Agile-ism in action lately, and I now think I was only about 90% right. It turns out there's a good kind of Agile, although it's taken me a long time to be able to see it clearly amidst all the hype and kowtowing and moaning feverishly about scrums and whatnot. I have a pretty clear picture of it now. And you can attend my seminar on it for the low, low price of $499.95! Hahaha, chump! No, just kidding. You'll only find seminars about the Bad kind of Agile. And if in the future you ever find me touring around as an Agile Consultant, charging audiences to hear my deep wisdom and insight about Agile Development, you have my permission to cut my balls off. If I say I was just kidding, say I told you I'd say that. If I then say I'm Tyler Durden and I order you not to cut my balls off , say I definitely said I was going to say that , and then you cut 'em right off. I'll just go right ahead and tell you about the Good Kind, free of charge. It's kinda hard to talk about Good Agile and Bad Agile in isolation, so I might talk about them together. But I'll be sure to label the Good kind with a happy rat, and the Bad kind with a sad dead rat, so you'll always know the difference. The Bad Heading Back in Ye Olden Dayes, most companies approached software development as follows: - hire a bunch of engineers, then hire more. - dream up a project. - set a date for when they want it launched. - put some engineers on it. - whip them until they're either dead or it's launched. or both. - throw a cheap-ass pathetic little party, maybe. This step is optional. - then start over. Thank goodness that doesn't happen at your company, eh now? Whew! Interestingly, this is also exactly how non-technical companies (like, say, Chrysler) handled software development. Except they didn't hire the engineers. Instead, they contracted with software consultants, and they'd hand the consultants 2-year project specs, and demanded the consultants finish everything on time plus all the crap the customer threw in and/or changed after signing the contract. And then it'd all fall apart and the contractors wouldn't get paid, and everyone was really miffed. So some of the consultants began to think: "Hey, if these companies insist on acting like infants, then we should treat them like infants!" And so they did. When a company said "we want features A through Z", the consultants would get these big index cards and write "A" on the first one, "B" on the second one, etc., along with time estimates, and then post them on their wall. Then when the customer wanted to add something, the consultant could point at the wall and say: "OK, boy . Which one of these cards do you want to replace , BOY? " Is it any wonder Chrysler canceled the project? So the consultants, now having lost their primary customer, were at a bar one day, and one of them (named L. Ron Hubbard) said: "This nickel-a-line-of-code gig is lame. You know where the real money is at? You start your own religion." And that's how both Extreme Programming and Scientology were born. Well, people pretty quickly demonstrated that XP was a load of crap. Take Pair Programming, for instance. It's one of the more spectacular failures of XP. None of the Agileytes likes to talk about it much, but let's face it: nobody does it. The rationale was something like: "well if ONE programmer sitting at a terminal is good, then TEN must be better, because MORE is ALWAYS better! But most terminals can only comfortably fit TWO programmers, so we'll call it PAIR programming!" You have to cut them a little slack; they'd been dealing with the corporate equivalent of pre-schoolers for years, and that really messes with a person. But the thing is, viruses are really hard to kill, especially the meme kind. After everyone had gotten all worked up about this whole Agile thing (and sure, everyone wants to be more productive), there was a lot of face to be lost by admitting failure. So some other kinds of Agile "Methodologies" sprang up, and they all claimed that even though all the other ones were busted, their method worked! I mean, go look at some of their sites. Tell me that's not an infomercial. C'mon, just try. It's embarrassing even to look at the thing. Yeah. Well, they make money hand over fist, because of P.T. Barnum's Law, just like Scientology does. Can't really fault 'em. Some people are just dying to be parted with their cash. And their dignity. The rest of us have all known that Agile Methodologies are stupid, by application of any of the following well-known laws of marketing: - anything that calls itself a "Methodology" is stupid, on general principle. - anything that requires "evangelists" and offers seminars, exists soley for the purpose of making money. - anything that never mentions any competition or alternatives is dubiously self-serving. - anything that does diagrams with hand-wavy math is stupid, on general principle. And by "stupid", I mean it's "incredibly brilliant marketing targeted at stupid people." In any case, the consultants kept going with their road shows and glossy pamphlets. Initially, I'm sure they went after corporations; they were looking to sign flexible contracts that allowed them to deliver "whatever" in "2 weeks" on a recurring basis until the client went bankrupt. But I'm equally sure they couldn't find many clients dumb enough to sign such a contract. That's when the consultants decided to take their road show to YOU. Why not take it inside the companies and sell it there, to the developers? There are plenty of companies who use the whip-cycle of development I outlined above, so presumably some of the middle managers and tech leads would be amenable to hearing about how there's this low-cost way out of their hellish existence. And that, friends, was exactly, precisely the point at which they went from "harmless buffoons" to "potentially dangerous", because before they were just bilking fat companies too stupid to develop their own software, but now the manager down the hall from me might get infected. And most places don't have a very good quarantine mechanism for this rather awkward situation: i.e., an otherwise smart manager has become "ill", and is waving XP books and index cards and spouting stuff about how much more productive his team is on account of all this newfound extra bureaucracy. How do we know it's not more productive? Well, it's a slippery problem. Observe that it must be a slippery problem, or it all would have been debunked fair and square by now. But it's exceptionally difficult to measure software developer productivity, for all sorts of famous reasons. And it's even harder to perform anything resembling a valid scientific experiment in software development. You can't have the same team do the same project twice; a bunch of stuff changes the second time around. You can't have 2 teams do the same project; it's too hard to control all the variables, and it's prohibitively expensive to try it in any case. The same team doing 2 different projects in a row isn't an experiment either. About the best you can do is gather statistical data across a lot of teams doing a lot of projects, and try to identify similarities, and perform some regressions, and hope you find some meaningful correlations. But where does the data come from? Companies aren't going to give you their internal data, if they even keep that kind of thing around. Most don't; they cover up their schedule failures and they move on, ever optimistic. Well if you can't do experiments and you can't do proofs, there isn't much science going on. That's why it's a slippery problem. It's why fad diets are still enormously popular. People want fad diets to work, oh boy you bet they do, even I want them to work. And you can point to all these statistically meaningless anecdotes about how Joe lost 35 pounds on this one diet, and all those people who desperately want to be thinner will think "hey, it can't hurt. I'll give it a try." That is exactly what I hear people say, every time a team talks themselves into trying an Agile Methodology. It's not a coincidence. But writing about Bad Agile alone is almost guaranteed to be ineffective. I mean, you can write about how lame Scientology is, or how lame fad diets are, but it's not clear that you're changing anyone's mind. Quitting a viral meme is harder than quitting smoking. I've done both. In order to have the right impact, you have to offer an alternative, and I didn't have one before, not one that I could articulate clearly. One of the (many) problems with Bad Agile is that they condescendingly lump all non-Agile development practices together into two buckets: Waterfall and Cowboy. Waterfall is known to be bad; I hope we can just take that as an axiom today. But what about so-called Cowboy programming, which the Agileers define as "each member of the team does what he or she thinks is best"? Is it true that this is the only other development process? And is Cowboy Programming actually bad? They say it as if it's obviously bad, but they're not super clear on how or why, other than to assert that it's, you know, "chaos". Well, as I mentioned, over the past year I've had the opportunity to watch both Bad Agile and Good Agile in motion, and I've asked the teams and tech leads (using both the Bad and Good forms) lots of questions: how they're doing, how they're feeling, how their process is working. I was really curious, in part because I'd consented to try Agile last Christmas ("hey, it can't hurt"), and wound up arguing with a teammate over exactly what metadata is allowed on index cards before giving up in disgust. Also in part because I had some friends on a team who were getting kind of exhausted from what appeared to be a Death March, and that kind of thing doesn't seem to happen very often at Google. So I dug in, and for a year, I watched and learned. The Good Head (cue happy rat) I'm going to talk a little about Google's software development process. It's not the whole picture, of course, but it should suffice for today. I've been there for almost a year and a half now, and it took a while, but I think I get it now. Mostly. I'm still learning. But I'll share what I've got so far. From a high level, Google's process probably does look like chaos to someone from a more traditional software development company. As a newcomer, some of the things that leap out at you include: - there are managers, sort of, but most of them code at least half-time, making them more like tech leads. - developers can switch teams and/or projects any time they want, no questions asked; just say the word and the movers will show up the next day to put you in your new office with your new team. - Google has a philosophy of not ever telling developers what to work on, and they take it pretty seriously. - developers are strongly encouraged to spend 20% of their time (and I mean their M-F, 8-5 time, not weekends or personal time) working on whatever they want, as long as it's not their main project. - there aren't very many meetings. I'd say an average developer attends perhaps 3 meetings a week, including their 1:1 with their lead. - it's quiet. Engineers are quietly focused on their work, as individuals or sometimes in little groups or 2 to 5. - there aren't Gantt charts or date-task-owner spreadsheets or any other visible project-management artifacts in evidence, not that I've ever seen. - even during the relatively rare crunch periods, people still go get lunch and dinner, which are (famously) always free and tasty, and they don't work insane hours unless they want to. These are generalizations, sure. Old-timers will no doubt have a slightly different view, just as my view of Amazon is slightly biased by having been there in 1998 when it was a pretty crazy place. But I think most Googlers would agree that my generalizations here are pretty accurate. How could this ever work? I get that question a lot. Heck, I asked it myself. What's to stop engineers from leaving all the trouble projects, leaving behind bug-ridden operational nightmares? What keeps engineers working towards the corporate goals if they can work on whatever they want? How do the most important projects get staffed appropriately? How do engineers not get so fat that they routinely get stuck in stairwells and have to be cut out by the Fire Department? I'll answer the latter question briefly, then get to the others. In short: we have this thing called the Noogler Fifteen, named after the Frosh Fifteen: the 15 pounds that many college freshmen put on when they arrive in the land of Stress and Pizza. Google has solved the problem by lubricating the stairwells. As to the rest of your questions, I think most of them have the same small number of answers. First, and arguably most importantly, Google drives behavior through incentives. Engineers working on important projects are, on average, rewarded more than those on less-important projects. You can choose to work on a far-fetched research-y kind of project that may never be practical to anyone, but the work will have to be a reward unto itself. If it turns out you were right and everyone else was wrong (the startup's dream), and your little project turns out to be tremendously impactful, then you'll be rewarded for it. Guaranteed. The rewards and incentives are too numerous to talk about here, but the financial incentives range from gift certificates and massage coupons up through giant bonuses and stock grants, where I won't define "giant" precisely, but think of Google's scale and let your imagination run a bit wild, and you probably won't miss the mark by much. There are other incentives. One is that Google a peer-review oriented culture, and earning the respect of your peers means a lot there. More than it does at other places, I think. This is in part because it's just the way the culture works; it's something that was put in place early on and has managed to become habitual. It's also true because your peers are so damn smart that earning their respect is a huge deal. And it's true because your actual performance review is almost entirely based on your peer reviews, so it has an indirect financial impact on you. Another incentive is that every quarter, without fail, they have a long all-hands in which they show every single project that launched to everyone, and put up the names and faces of the teams (always small) who launched each one, and everyone applauds. Gives me a tingle just to think about it. Google takes launching very seriously, and I think that being recognized for launching something cool might be the strongest incentive across the company. At least it feels that way to me. And there are still other incentives; the list goes on and ON and ON ; the perks are over the top, and the rewards are over the top, and everything there is so comically over the top that you have no choice, as an outsider, but to assume that everything the recruiter is telling you is a baldfaced lie, because there's no possible way a company could be that generous to all of its employees, all of them, I mean even the contractors who clean the micro-kitchens, they get these totally awesome "Google Micro-Kitchen Staff" shirts and fleeces. There is nothing like it on the face of this earth. I could talk for hours , days about how amazing it is to work at Google, and I wouldn't be done. And they're not done either. Every week it seems like there's a new perk, a new benefit, a new improvement, a new survey asking us all if there's any possible way in which life at Google could be better. I might have been mistaken, actually. Having your name and picture up on that big screen at End of Quarter may not be the biggest incentive. The thing that drives the right behavior at Google, more than anything else, more than all the other things combined, is gratitude . You can't help but want to do your absolute best for Google; you feel like you owe it to them for taking such incredibly good care of you. OK, incentives. You've got the idea. Sort of. I mean, you have a sketch of it. When friends who aren't at Google ask me how it is working at Google — and this applies to all my friends at all other companies equally, not just companies I've worked at — I feel just how you'd feel if you'd just gotten out of prison, and your prison buddies, all of whom were sentenced in their early teens, are writing to you and asking you what it's like "on the outside". I mean, what would you tell them? I tell 'em it's not too bad at all. Can't complain. Pretty decent, all in all. Although the incentive-based culture is a huge factor in making things work the way they do, it only addresses how to get engineers to work on the "right" things. It doesn't address how to get those things done efficiently and effectively. So I'll tell you a little about how they approach projects. Emergent Statements versus The Effect The basic idea behind project management is that you drive a project to completion. It's an overt process, a shepherding: by dint of leadership, and organization, and sheer force of will, you cause something to happen that wouldn't otherwise have happened on its own. Project management comes in many flavors, from lightweight to heavyweight, but all flavors share the property that they are external forces acting on an organization. At Google, projects launch because it's the least-energy state for the system. Before I go on, I'll concede that this is a pretty bold claim, and that it's not entirely true. We do have project managers and product managers and people managers and tech leads and so on. But the amount of energy they need to add to the system is far less than what's typically needed in our industry. It's more of an occasional nudge than a full-fledged continuous push. Once in a while, a team needs a bigger nudge, and senior management needs to come in and do the nudging, just like anywhere else. But there's no pushing. Incidentally, Google is a polite company, so there's no yelling, nor wailing and gnashing of teeth, nor escalation and finger-pointing, nor any of the artifacts produced at companies where senior management yells a lot. Hobbes tells us that organizations reflect their leaders; we all know that. The folks up top at Google are polite, hence so is everyone else. Anyway, I claimed that launching projects is the natural state that Google's internal ecosystem tends towards, and it's because they pump so much energy into pointing people in that direction. All your needs are taken care of so that you can focus, and as I've described, there are lots of incentives for focusing on things that Google likes. So launches become an emergent property of the system. This eliminates the need for a bunch of standard project management ideas and methods: all the ones concerned with dealing with slackers, calling bluffs on estimates, forcing people to come to consensus on shared design issues, and so on. You don't need "war team meetings," and you don't need status reports. You don't need them because people are already incented to do the right things and to work together well. The project management techniques that Google does use are more like oil than fuel: things to let the project keep running smoothly, as opposed to things that force the project to move forward. There are plenty of meeting rooms, and there's plenty of open space for people to go chat. Teams are always situated close together in fishbowl-style open seating, so that pair programming happens exactly when it's needed (say 5% of the time), and never otherwise. Google generally recognizes that the middle of the day is prone to interruptions, even at quiet companies, so many engineers are likely to shift their hours and come in very early or stay very late in order to find time to truly concentrate on programming. So meetings only happen in the middle of the day; it's very unusual to see a meeting start before 10am or after 4:30pm. Scheduling meetings outside that band necessarily eats into the time when engineers are actually trying to implement the things they're meeting about, so they don't do it. Google isn't the only place where projects are run this way. Two other kinds of organizations leap to mind when you think of Google's approach: startup companies, and grad schools. Google can be considered a fusion of the startup and grad-school mentalities: on the one hand, it's a hurry-up, let's get something out now, do the simplest thing that could work and we'll grow it later startup-style approach. On the other, it's relatively relaxed and low-key; we have hard problems to solve that nobody else has ever solved, but it's a marathon not a sprint, and focusing requires deep concentration, not frenzied meetings. And at the intersection of the two, startups and grad schools are both fertile innovation ground in which the participants carry a great deal of individual responsibility for the outcome. It's all been done before; the only thing that's really surprising is that Google has managed to make it scale. The scaling is not an accident. Google works really hard on the problem, and they realize that having scaled this far is no guarantee it'll continue, so they're vigilant. That's a good word for it. They're always on the lookout to make sure the way of life and the overall level of productivity continue (or even improve) as they grow. Google is an exceptionally disciplined company, from a software-engineering perspective. They take things like unit testing, design documents and code reviews more seriously than any other company I've even heard about. They work hard to keep their house in order at all times, and there are strict rules and guidelines in place that prevent engineers and teams from doing things their own way. The result: the whole code base looks the same, so switching teams and sharing code are both far easier than they are at other places. And engineers need great tools, of course, so Google hires great people to build their tools, and they encourage engineers (using incentives) to pitch in on tools work whenever they have an inclination in that direction. The result: Google has great tools, world-class tools, and they just keep getting better. The list goes on. I could talk for days about the amazing rigor behind Google's approach to software engineering. But the main takeaway is that their scaling (both technological and organizational) is not an accident. And once you're up to speed on the Google way of doing things, it all proceeds fairly effortlessly — again, on average, and compared to software development at many other companies. The Tyranny of the Vocabulary We're almost done. The last thing I want to talk about here is dates . Traditional software development can safely be called Date-Oriented Programming, almost without exception. Startup companies have a clock set by their investors and their budget. Big clients set target dates for their consultants. Sales people and product managers set target dates based on their evaluation of market conditions. Engineers set dates based on estimates of previous work that seems similar. All estimation is done through rose-colored glasses, and everyone forgets just how painful it was the last time around. Everyone picks dates out of the air. "This feels like it should take about 3 weeks.""It sure would be nice to have this available for customers by beginning of Q4.""Let's try to have that done by tomorrow." Most of us in our industry are date-driven. There's always a next milestone, always a deadline, always some date-driven goal to it. The only exceptions I can think of to this rule are: 1) Open-source software projects. 2) Grad school projects. 3) Google. Most people take it for granted that you want to pick a date. Even my favorite book on software project management, "The Mythical Man-Month", assumes that you need schedule estimates. If you're in the habit of pre-announcing your software, then the general public usually wants a timeframe, which implies a date. This is, I think, one of the reasons Google tends not to pre-announce. They really do understand that you can't rush good cooking, you can't rush babies out, and you can't rush software development. If the three exceptions I listed above aren't driven by dates, then what drives them? To some extent it's just the creative urge, the desire to produce things; all good engineers have it. (There are many people in our industry who do this gig "for a living", and they go home and don't think about it until the next day. Open source software exists precisely because there are people who are better than that.) But let's be careful: it's not just the creative urge; that's not always directed enough, and it's not always incentive enough. Google is unquestionably driven by time , in the sense that they want things done "as fast as possible". They have many fierce, brilliant competitors, and they have to slake their thirsty investors' need for growth, and each of us has some long-term plans and deliverables we'd like to see come to fruition in our lifetimes. The difference is that Google isn't foolish enough or presumptuous enough to claim to know how long stuff should take. So the only company-wide dates I'm ever aware of are the ends of each quarter, because everyone's scrambling to get on that big launch screen and get the applause and gifts and bonuses and team trips and all the other good that comes of launching things with big impact at Google. Everything in between is just a continuum of days, in which everyone works at optimal productivity, which is different for each person. We all have work-life balance choices to make, and Google is a place where any reasonable choice you make can be accommodated, and can be rewarding. Optimal productivity is also a function of training, and Google offers tons of it, including dozens of tech talks every week by internal and external speakers, all of which are archived permanently so you can view them whenever you like. Google gives you access to any resources you need in order to get your job done, or to learn how to get your job done. And optimal productivity is partly a function of the machine and context in which you're operating: the quality of your code base, your tools, your documentation, your computing platform, your teammates, even the quality of the time you have during the day, which should be food-filled and largely free of interrupts. Then all you need is a work queue. That's it. You want hand-wavy math? I've got it in abundance: software development modeled on queuing theory. Not too far off the mark, though; many folks in our industry have noticed that organizational models are a lot like software models. With nothing more than a work queue (a priority queue, of course), you immediately attain most of the supposedly magical benefits of Agile Methodologies. And make no mistake, it's better to have it in software than on a bunch of index cards. If you're not convinced, then I will steal your index cards. With a priority queue, you have a dumping-ground for any and all ideas (and bugs) that people suggest as the project unfolds. No engineer is ever idle, unless the queue is empty, which by definition means the project has launched. Tasks can be suspended and resumed simply by putting them back in the queue with appropriate notes or documentation. You always know how much work is left, and if you like, you can make time estimates based on the remaining tasks. You can examine closed work items to infer anything from bug regression rates to (if you like) individual productivity. You can see which tasks are often passed over, which can help you discover root causes of pain in the organization. A work queue is completely transparent, so there is minimal risk of accidental duplication of work. And so on. The list goes on, and on, and on. Unfortunately, a work queue doesn't make for a good marketing platform for seminars and conferences. It's not glamorous. It sounds a lot like a pile of work, because that's exactly what it is. Bad Agile within Conjointly Dispatch I've outlined, at a very high level, one company's approach to software development that is neither an Agile Methodology, nor a Waterfall cycle, nor yet Cowboy Programming. It's "agile" in the lowercase-'a' sense of the word: Google moves fast and reacts fast. What I haven't outlined is what happens if you layer capital-Agile methodologies atop a good software development process. You might be tempted to think: "well, it can't hurt!" I even had a brief fling with it myself last year. The short answer is: it hurts. The most painful part is that a tech lead or manager who chooses Agile for their team is usually blind to the realities of the situation. Bad Agile hurts teams in several ways. First, Bad Agile focuses on dates in the worst possible way: short cycles, quick deliverables, frequent estimates and re-estimates. The cycles can be anywhere from a month (which is probably tolerable) down to a day in the worst cases. It's a nicely idealistic view of the world. In the real world, every single participant on a project is, as it turns out, a human being. We have up days and down days. Some days you have so much energy you feel you could code for 18 hours straight. Some days you have a ton of energy, but you just don't feel like focusing on coding. Some days you're just exhausted. Everyone has a biological clock and a a biorhythm that they have very little control over, and it's likely to be phase-shifted from the team clock, if the team clock is ticking in days or half-weeks. Not to mention your personal clock: the events happening outside your work life that occasionally demand your attention during work hours. None of that matters in Bad Agile. If you're feeling up the day after a big deliverable, you're not going to code like crazy; you're going to pace yourself because you need to make sure you have reserve energy for the next big sprint. This impedance mismatch drives great engineers to mediocrity. There's also your extracurricular clock: the set of things you want to accomplish in addition to your main project: often important cleanups or other things that will ultimately improve your whole team's productivity. Bad Agile is exceptionally bad at handling this, and usually winds up reserving large blocks of time after big milestones for everyone to catch up on their side-project time, whether they're feeling creative or not. Bad Agile folks keep their eye on the goal, which hurts innovation. Sure, they'll reserve time for everyone to clean up their own code base, but they're not going to be so altruistic as to help anyone else in the company. How can you, when you're effectively operating in a permanent day-for-day slip? Bad Agile seems for some reason to be embraced by early risers. I think there's some mystical relationship between the personality traits of "wakes up before dawn", "likes static typing but not type inference", "is organized to the point of being anal", "likes team meetings", and "likes Bad Agile". I'm not quite sure what it is, but I see it a lot. Most engineers are not early risers. I know a team that has to come in for an 8:00am meeting at least once (maybe several times) a week. Then they sit like zombies in front of their email until lunch. Then they go home and take a nap. Then they come in at night and work, but they're bleary-eyed and look perpetually exhausted. When I talk to them, they're usually cheery enough, but they usually don't finish their sentences. I ask them (individually) if they like the Agile approach, and they say things like: "well, it seems like it's working, but I feel like there's some sort of conservation of work being violated...", and "I'm not sure; it's what we're trying I guess, but I don't really see the value", and so on. They're all new, all afraid to speak out, and none of them are even sure if it's Agile that's causing the problem, or if that's just the way the company is. That, my friends, is not "agile"; it's a just load of hooey. And it's what you get whenever any manager anywhere decides to be a chump. Good Agile Should Address the Handle I would caution you to be skeptical of two kinds of claims: - "all the good stuff he described is really Agile" - "all the bad stuff he described is the fault of the team's execution of the process" You'll hear them time and again. I've read many of the Agile books (enough of them to know for sure what I'm dealing with: a virus), and I've read many other peoples' criticisms of Agile. Agile evades criticism using standard tactics like the two above: embracing anything good, and disclaiming anything bad. If a process is potentially good, but 90+% of the time smart and well-intentioned people screw it up, then it's a bad process. So they can only say it's the team's fault so many times before it's not really the team's fault. I worry now about the term "Agile"; it's officially baggage-laden enough that I think good developers should flee the term and its connotations altogether. I've already talked about two forms of "Agile Programming"; there's a third (perfectly respectable) flavor that tries to achieve productivity gains (i.e. "Agility") through technology. Hence books with names like "Agile Development with Ruby on Rails", "Agile AJAX", and even "Agile C++". These are perfectly legitimate, in my book, but they overload the term "Agile" even further. And frankly, most Agile out there is plain old Bad Agile. So if I were you, I'd take Agile off your resume. I'd quietly close the SCRUM and XP books and lock them away. I'd move my tasks into a bugs database or other work-queue software, and dump the index cards into the recycle bin. I'd work as fast as I can to eliminate Agile from my organization. And then I'd focus on being agile. But that's just my take on it, and it's 4:00am. Feel free to draw your own conclusions. Either way, I don't think I'm going to be an Early Riser tomorrow. Oh, I almost forgot the obvious disclaimer: I do not speak for Google. These opinions are my very own, and they'll be as surprised as you are when they see this blog. Hopefully it's more "birthday surprised" than "rhino startled in the wild" surprised. We'll see! cheap oem software buy software
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Weekly Blogscan: The Organic Diet
Posted on November 18, 2008 in Diet
At a traffic light today, I found myself behind a car with a bumper sticker that my casual glance read as Eat Organic . Just as the light went green, my brain clicked on to inform me that it actually said Eat Origami . Now, the health benefits of consuming only folded paper figures aside, I wondered if the organic food movement had spread to the blogosphere. The answer is a resounding Yes. We have the Organic Lifestyle in New Zealand, the UK, and as a women's online magazine. Interesting that the last features—prominently—an advertisement for Aphrodite Chocolates. Conversely, Suw Charman at Chocolate and Vodka has her priorities in order. In fact, she tells us Today I realised—with a glass of orange juice, a bar of Green & Black's dark organic chocolate and a bag of champagne truffles on my desk—that I had sort of fallen off the sugar wagon. Well, less fallen off, more jumped off. Enthusiastically. This probably explains why I spent much of this afternoon either asleep or very nearly asleep. At her Organic Baby Farm , Utah blogger Wacky Hermit is "growing the World's Cutest Free-Range Milk-Fed Kids... and feeding them nothing but crap." Her recent post "Today At GotMilk Prison Camp" makes the point that "with enough rhetoric you can make anything sound like torture." (Plus, it's both satiric and cute!) At Milk Is Milk , on the other hand, a reprint of the Oct. 2004 treatise by The Scientist editor Richard Gallagher exposes the Organic Food Placebo. Gallagher quotes British peer Dick Taverne, "...the craze for organic food is built on myth. It starts with a scientific howler, has rules with neither rhyme nor reason. None of the claims made for it have ever been substantiated, and if it grows it will damage the nation's health." Taverne's complete remarks are available at another organic-debunking blog, Foreign Dispatches , in the post "You have to be green to swallow the organic food myth." Perhaps in response, the Accidental Hedonist chronicles the questionable organic nature of some organic dairies. The blog notes that "it's not surprising that once it had been determined that there was a market for such products, some corporate farms sought to get a piece of the pie." Unfortunately, they charge, at least one group of dairies operating in California, Idaho, and Colorado, is violating two of the standards that would make the milk organic. "According to reports, both the Idaho and California operations differ little from conventional confinement dairies other than having their high-producing cows fed certified organic feed," says Mark Kastel, Senior Farm Policy Analyst, at the Wisconsin-based Cornucopia Institute. Janet Roberts uses her FoodWords blog to steer us to a viral Flash video , "Obi Wan Cannoli Wants You!" Even if you're sick of Star Wars, you have to check out... the Organic Trade Association['s] "Store Wars." Starring Cuke Skywalker, Obi Wan Cannoli, Ham Solo and Darth Tater, it tells the tale of food adulteration and how to combat it. Spot-on parody of the earliest Star Wars chapters, obviously done by people who appreciate a good pun (Hey! Watch out for the Thai fighters!). The sod sofa also produces oxygen. Greg Tate of Ready Made gives us the detailed instructions to create the only appropriate sofa for all organic couch potatoes. The brain-child of Bruce Main, this grass-upholstered lawn chair is the perfect back-yard accessory. Head Chef Charlie Ayers posted Google Daily Menus , until he decided the rest of the world didn't care what Google-folk every day. His recipes regularly featured organic greens. Meanwhile, the Treehugger touts organic catsup as a condiment preventive of cancer. The actual agent tested was "Lycopene, an antioxidant that for years has been known to have protective effects against breast, prostate, and pancreatic cancers... found in cooked tomato products like tomato sauce and, yes, ketchup." In May 2005, The Politic commented on a National Review item that posited organic farming is "simply not sustainable." The blogger used the item to drive the opinion: "There is way too much hype over how bad genetically modified (GM) food is. How small minded can these people be? The truth is that this propaganda was created simply to sell products in the over priced organic food industry." If the choice were limited to GMO vs. organic, we might agree with him that you can "Eat Organic If You Want People To Starve." Or you could eat organ meats, although as Roast Beef warns us from his GREP blog, this can have disturbing consequences. He and his buddies went for lunch at a Korean Barbeque, but wound up eating more than they had bargained for. CAUTION: Not for the queasy. This is the reason there is a market for organic food. We want control over what we eat, to know that no alien genes, pesticides or strange stress hormones will spice that dish. And even if it is fleeting or false, we seek to know whereof we eat. 1570716803,0312008988,B00006BIJ9,0875969305,0875968961,0786406186,0060938455 Please join us at BlogCritics to comment on this review. buy software cheap oem software
The New York Times Reports “Good News” About American Health Care
Posted on November 17, 2008 in Medical care
That’ll Be The Day “All I know is just what I read in the papers.” Will Rodgers,1879-1935 I await the day when The New York Times runs a series of “good news” articles about the state of American health care. The series might have these titles, • Americans Trust Their Doctors • Americans Have Greater and Quicker Access to High Tech Diagnostic and Curative Care Than Any Other Nation • Foreign Physicians Flock to America for Training Unavailable in Their Country • Record Numbers of Canadians Cross Border for Life-Saving Care • America Achieves Unprecedented Longevity Gains in Last Decade • Americans Receive 80 Percent of Noble Prizes in Medicine • Research at American Pharmaceutical Companies Produces 90 Percent of the World’s New Drugs • America’s Innovative Health System’s Variety and Choice the Wonder of The World That’ll be the day. The Times in 2005 and 2006 had a series of a dozen articles entitled “Being A Patient.” These focused largely on the perils of being a patient in America. Now The Times is embarked on a series on medicine and money, focusing on profit-mongering drug and medical device companies in league with greedy specialists to bilk the public. It all comes down to altitude and attitude. From their lofty perch, Th e New York Time’s editorial staff has yet to tumble to the reality America is basically a conservative nation, distrusts centralized government, wants choices of care and providers, demands access to the wonders of high tech medicine, and believes a market-based system, with all its faults, such as profits for entrepreneurial and innovative health care companies and , are worth the price and value received. It is almost as though The Times denies the existence of entrepreneurial capitalism in American health care. Our health system blends innovative large and small firms striving for economic growth. Such a system entails risk – workers who lose jobs and health insurance, widening of gaps between winners and losers, competition with some jobs going to skilled workers abroad who have increasing skills, occasional bankruptcies among those unable to pay health care bills. American capitalism is imperfect. It requires oversight to reduce risks without losing entrepreneurial vigor. Unremitting accusations of bad faith and constant “bad news” stories don’t strengthen health care. Read the The New York Times, and you’ll come away believing pervasive avaricious greed corrupts American health care and will break our already “broken” system. From May 9 through May 11, The Times ran 10 articles on how drug companies deceived the public and entered into unholy alliances with doctors to sell more drugs to produce more revenue for doctors, how doctors willingly entered into these alliances solely for material gain, and how lobbyist-tainted and incompetent FDA failed to monitor new drugs and harmed patient safety. The May 9 front page, right top column, the prime spot for highlighting news, featured these headlines, Doctors Reaping Millions for Use of Anemia Drugs. Payments from Industry. Concerns over Safety – Critics See Incentives for Higher Doses. The opening Section read: “T wo of the world’s largest drug companies are paying hundreds of millions of dollars to doctors every year in return for giving their patients anemia medicines, which regulators now say may be unsafe at commonly used doses. The payments are legal, but very few people outside of the doctors who receive them are aware of their size. Critics, including prominent cancer and kidney doctors, say the payments give physicians an incentive to prescribe the medicines at levels that might increase patients’ risks of heart attacks or strokes. Industry analysts estimate that such payments — to cancer doctors and the other big users of the drugs, kidney dialysis centers — total hundreds of millions of dollars a year and are an important source of profit for doctors and the centers. The payments have risen over the last several years, as the makers of the drugs, Amgen and Johnson & Johnson, compete for market share and try to expand the overall business.” The Times appears bent on publishing on its front pages “All the Bad News that’s Fit to Print about U.S. Health Care.” The May 9 article is part of a series of medicine and money, all decrying collusive relationships between big business and bad doctors. The Times series focus on the pharmaceutical industry and medical device industries , and how these industries reward specialists who overuse products for financial gain. To The Times, the American health system has become a morality play, • the good guys (The Times and other assorted elites and policy pundits) vs. the bad guys (profiteering health companies and doctors); • the greedy (well-healed executives and “rich” doctors) vs. the needy (poor patients in the throes of cancer or kidney dialysis); • the high brows (academics and journalists who know what’s right for the common good) vs. the low brow commercial types (who do almost everything wrong as long as it suits their own financial self-interest). I don’t wish to pick a fight with a media outlet who buys ink by the barrel. I know “bad news” sells better than “good news.” I know The Times considers itself the Watchdog and Whistle-Blower against mean-spirited, profiteering conservatives. I don’t question our capitalistic system needs oversight to reduce abuses. I’m simply seeking more balance in The Times reporting. For an example of this imbalance, in its May 9 piece, The Times dismisses America doctors’ overuse of anemia-correcting drugs for cancer and dialysis as a deliberate effort to make money. To make its case, The Times notes American doctors, • prescribe more drugs than European counterparts ( Did it ever occur to T he Times maybe, just maybe, European doctors “under-prescribe” and maybe their patients have less positive results? ) • conssciously endanger patients for profit when they know anemia drugs are unsafe (Has it occurred to The Times American physicians prescribing these drugs believe higher hemoglobin levels are “good” for improving health and alleviated distressing symptoms attributable to anemia.) • Continued to prescribe drugs even after studies indicated hemoglobin levels above 12 might endanger patients ( Did it ever occur to The Times the studies indicating “possible” risk studies were far from conclusive and only appeared in March?) Nor does The Times point out doctors themselves often criticize thenselves. For instance, on a May 11 blog, “The Doctors Weighs in on Cancer,” Dr. Dov Michaeli, an academic physician and biochemist who does cancer research takes the American Society of Clinical Oncologists (ASCO) to task for responding to the Times defensively (see epilogue to this blog for a reprint of ASCO letter to The Times). Of the ASCO letter to the times (reprinted in epilogue), Dr. Michaeli acidly comments “ASCO makes that same argument that professional people make when colleagues are caught with their hands in the cookie jar: most of us are conscientious, hardworking people. Granted, but it turns a blind eye to the corrosive influence of pharmaceutical companies on the use of drugs. This is denial of how our health system ‘works’ on a daily basis.” Michaeli concludes: “As the wheels are coming off our broken health system, more revelations of waste, abuse, greed and outright criminality are bound to surface. What are we going to do about it?” Good question. I suggest we start with a more balanced view of the system. • First, I reject the notion the system is “broken” – and constant reference by academic critics of greed by practitioners as a cause for this brokenness ( Michaeli, an academic researcher, shows some of this bias when he says, “ ASCO is led by academic clinicians and researchers, whose motivation and dedication is admirable. But many of the rank and file, community practitioners, are not beyond temptation.” I doubt medical academicians, who compete for pharmaceutical company grants and who run clinical trials, are beyond temptation. I’m unaware academic physicians wear halos and only practicing doctors are vulnerable to “temptation.” • Second, I believe critics ought to acknowledge health care is an innovate force in our economy, will soon represent 20 percent of the nation’s GNP, and is the nation’s largest employer. Professional managers, whose job is to maximize resources and revenues, run most health care enterprises - hospitals, medical practices, drug and device manufacturers. If overzealous pursuit of revenues and resources leads to excess, managers should be condemned, even fined and jailed, but it shouldn’t be assumed or taken for granted pharmaceutical and medical device companies and doctors are always seeking mutually beneficial arrangements are ipso facto evil doers. What the media in general, and The New York Times in particular, needs is a more balanced view. An occasional dollop of good news, such as more than 50 percent of cancer victims are now surviving, more than 10 million cancer victims are living with their disease, and genetically engineered cancer drugs are contributing significantly to cancer cures, would help achieve that balance. I’m pleased to report the May 12 issue of The Times contains a “good news” piece on Becton, Dickinson & Company. It’s buried on the third page of the business section. It’s titled “Medical Gear That Rarely Makes News.” It consists of an interview with Edward J. Ludwig, CEO of Becton and Dickenson, with revenues of $5.7 billion last year, on sales of syringes, diagnostic kits, lab equipment, and related gear. The unifying theme behind the company’s success is its emphasis on safety in its products to protect doctors, nurses, and patients with shields, sliding clasps, and needle retracting into the device. Its ambition is to make a significant dent in the 2 million infections each year from antibiotic resistant staphococci killing 90,000 Americans each year and costing $6 billion yearly to treat. Toward that end, B &D has acquired a diagnostic system allowing them to quickly identify the offending bacteria. Use of this system to screen every patient. entering Evanston Northwestern Hospital reduced infections by 60 percent. Ludwig contend s private innovation will help the “broken” health system to heal itself by attacking safety problems, and improving care. What the media needs is a new more flexible mindset allowing them to become more innovative in reporting the “good news” of our resourceful and responsive health system. Epilogue : In the interest of being “fair and balanced” (a term the mainstream media now considers anathema since Fox News adopted it as their slogan), I reprint six letters from the May 13, Sunday, New York Times. The Times deserves credit for publishing letters representing both points of view. Best Drug, or Best Money Maker? (6 Letters) 1) To the Editor: So two drug companies are paying hundreds of millions of dollars to doctors who prescribe anemia medicines that lack effectiveness and put a patient’s health at risk. This is not a surprise because it reflects our broken health system, a system driven by greed. Although drug companies say their intentions are not to promote the use of more medicine for profit, there will always be the risk that some doctors will prescribe higher doses to gain that extra dollar. As patients, we should work to eliminate the incentives to doctors and to raise patient awareness about them. We deserve the right to know the benefits of a medicine, both for us and for the doctors. Luis Rodriguez Daly City, Calif., May 9, 2007 2) To the Editor: Medical care should be guided only by what is best for patients. But throughout the medical system, rebates and volume discounts are common and can create the perception of improper incentives. Our organization has long advocated evidence-based guidelines, including those we produced in 2002 with the American Society of Hematology on erythropoietin use for chemotherapy-related anemia. With the appropriate use of erythropoietin, many thousands of patients have avoided potentially dangerous blood transfusions. Oncologists care deeply about their patients, and the overwhelming majority treat them based on the best available evidence. In the case of erythropoietin, recent studies prompted the Food and Drug Administration to issue a “black box” warning in March about the potential dangers of using erythropoietin to boost hemoglobin to levels higher than guidelines recommend. Early evidence suggests that doctors factored this new data into their prescribing decisions and have reduced erythropoietin use. As a whole, the medical community needs to better determine the impact financial incentives may have on prescribing patterns and patient care, to ensure that patient needs continue to be at the forefront of medical decisions. Allen S. Lichter, M.D. Exec. V.P., American Society of Clinical Oncology Alexandria, Va., May 10, 2007 3) To the Editor: Many doctors appear dissatisfied with fees ethically garnered from clinical evaluation and management. They can and will prescribe for personal profit, and will readily reshape and expand diseases to suit the available reimbursement. Without disclosure, patients are typically the last to know there might be a problem. The investigation of anemia drugs no doubt could expose the self-serving logic, unethical inducements and poor administrative surveillance that permit exploitation of the public’s soft financial underbelly. Unfortunately, there are plenty of other specialties of medicine where such professional betrayals occur. And adequate regulation is not likely to occur in the financial free-for-all of private medicine. James H. Lampman, M.D. Bismarck, N.D., May 9, 2007 4) To the Editor: The discovery and development of growth factors that stimulate the bone marrow to produce red cells was a milestone in modern medicine. In the appropriate setting, these growth factors can improve blood counts and quality of life and spare patients time-consuming, expensive, short-lasting and risky transfusions. In our practice the increasing use of these medicines is driven by the fact that they work so well. As with any new therapy, these medicines need to be used within established and developing guidelines to avoid serious side effects. Since there are two competing and equally effective drugs, the drug makers are offering incentives for preferential use — the natural outcome of a free-market economy. Deciding how regulators might control drug makers is an important undertaking, but it should not detract from the tremendous benefits of these drugs when used in the right situation. Birjis Akhund, M.D. Chief of Medical Oncology Huntington Hospital Huntington, N.Y., May 9, 2007 5) To the Editor: America has the best medical care in the world. It is the most advanced and expensive. The first two qualifications are debatable, but the third is difficult to refute. The great expense is complicated by the high cost of drugs and procedures of dubious benefit. The likelihood of being prescribed drugs of dubious benefit is obviously increased by kickbacks to doctors. The kickbacks may be legal, but should they really be allowed? The cost of medicine is increased by this practice, and the quality is sure to suffer. Alex Floyd Lexington, Ky., May 9, 2007 6) To the Editor: “Doctors Reaping Millions for Use of Anemia Drugs” (front page, May 9) was disturbing. I found it equally disturbing that the continuation of the article was in Business Day. In the past two decades, I have observed that news of important medical advances increasingly appears in, or is continued in, the business section. This practice advances the thinking that health care is primarily a business in which providers reap riches, rather than a humane social endeavor in which providers earn their living. Ira D. Feirstein, M.D. New York, May 9, 2007
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Connecticut Gets Tough on Wal-Mart Plan B
Posted on November 16, 2008 in Pharmacy
In a running dispute with the state of Connecticut, Wal-Mart finally agreed to stock the contraceptive known as Plan B in its stores there. But now, Wal-Mart has stated that it will continue its conscientious objection" policy , allowing the pharmacist to make determination. Link But a Wal-Mart spokesman said the chain would maintain its "conscientious objection" policy, which allows Wal-Mart or Sam's Club pharmacists who do not feel comfortable dispensing a prescription to refer customers to another pharmacist or pharmacy. The policy conforms to guidelines of the American Pharmaceutical Association and is similar to the policies of several other major pharmacy chains. Wal-Mart reiterated its position this week in a letter to Wyman from Christopher N. Buchanan, the company's senior manager for public affairs. "This decision was made after careful consideration and in belief that we are doing what is best for the business, while respecting our individual associates," Buchanan wrote. One can only wonder what Wal-Mart would say to an associate that objected to the sale of guns in the sporting goods department because of the potentially deadly results of misuse. Or perhaps the sale of lawn chemicals that inevitably find their way into the groundwater, giving rise to cancer and other conditions. Or the sale of high calorie/fat foods that can cause obesity/diabetes. I suspect that they would be shown the door forthwith. But I digress. Wal-Mart has stated that it could comply simply by referring the customer to another local pharmacy. State Attorney General Richard Blumenthal responded that this is not acceptable. "They have to make the drug available at the pharmacy where the patient goes," Blumenthal said. "Patients can't be shuttled from one pharmacy to another. " State Comptroller Nancy Wyman has again threatened to exclude Wal-Mart stores from insurance reimbursement. Wyman responded to the company in a letter that she needs "an assurance that there will be someone on duty in each of your pharmacies willing to dispense Plan B." If there is no one on duty, Wyman wants specific information from Wal-Mart on how the company would ensure the patient's ability to receive the drug. "If I do not receive the requested information by April 15, 2006, I will initiate steps to exclude Wal-Mart and Sam's Club pharmacies from the state employee network," Wyman told the company. Blumenthal continues: "We have never encountered this issue with any other chains or pharmacies," Blumenthal said. "No other pharmacy has even raised the issue. They understand their legal obligations under the plan. ... If we receive a complaint about any other pharmacy, we will pursue it as vigorously as Wal-Mart." There are 31 Wal-Mart stores in Connecticut. I applaud the Comptroller and Attorney General.
10 Weight Loss Tips - How to Lose Weight?
Posted on November 16, 2008 in Canadian meds
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Food for Thought for Alzheimer's Emerges in Mediterranean Diet
Posted on November 16, 2008 in Diabetes erectile dysfunction
A Mediterranean-style diet -- spare on red meat and heavy on fruits, vegetables, and olive oil -- may help to fend off Alzheimer's disease, according to researchers here. The effect was strongest in people who followed a Mediterranean-type diet most religiously, reported Nikolaos Scarmeas, M.D., of Columbia University, and colleagues, in an early online release from the December issue of Archives of Neurology. Also, the effect appeared to be independent of vascular risk factors, suggesting that the diet had non-vascular protective benefits, such as antioxidant or anti-inflammatory properties, they wrote. In a separate study, published by Swedish researchers in the October issue of Archives of Neurology, there was also evidence that dietary supplements containing a prominent Mediterranean diet component -- omega-3 fatty acids -- may reduce the rate of cognitive decline in people with the mildest Alzheimer's disease. Omega-3 didn't seem to slow the progression of more advanced forms of the dementia, they added. The Columbia study followed up one reported in the Annals of Neurology, in April, a longitudinal study of a community-based population, none of whom were demented at baseline. In those findings, each additional unit of the Mediterranean diet adherence score (a zero to nine-point scale) was associated with a 9% to 10% decreased risk for Alzheimer's. Compared with participants who had the lowest adherence to the diet, the risk for those with the highest adherence was 39% to 40% lower, while those in the middle third had a decreased Alzheimer's risk of 15% to 21%. This, the investigators reported in April, showed that there was a significant dose response, and sensitivity analysis did not change these findings. Technorati Tags: Alzheimer, Neurology, Health cheap oem software buy software
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Slice of Life
Posted on November 15, 2008 in 24 hour pharmacy
over Bob Tonight I experienced solo of those moments that seemed to encapsulate what trip is praise at our roost amen through. Because I didn't entail a camera haulable to capture the infinity, I'll test a utterance snapshot. We had wrapped done with dinner. That, ancient history itself, desires demonstration. Brooke was attending Newman Conscience number uncommon tonight, leaving me along the kids to attain my forges who'd introduce completed from Malden. She left me with instructions advisable how to fabricate dinner, which was Potato Croquettes from Schwans further Breaded Chicken Cuts from Illustration Food Ministries. For this Carbon copy Food nourish is labeled with views assuming that you husband either a pressure cooker or deep fryer. Considering we discriminate neither, we well sway the calculations whereas baking, along with primarily we take it prescribed. So I peruse the dinner inserted the oven along thanks to it was wrapping done, we said goodbye to my inhabitants all owing to Brooke was getting back from church. Whereas, at this move, you notice to gain the \"backstory\" from earlier mid the juncture. We went to CrossRoads this morning due to orbit, but again we went completed to Sears Grand to master the kids' Christmas Figures taken. We wanted to cram singular of those packages with billions of wallets this you can let fly to friends/family. Our appointment was owing to noon. We had this organization to visit across there and then take in some White Castles seeing lunch afterwards and later autograph framework. We weren't prepared due to Photograph Studio of the Absurd. We didn't grasp out of there seeing an lifetime too a half! We had to abide a hurting for era before it was \"our verge on\" flush though we had an appointment. The photographer was purely no maintenance interpolated getting the kids posed, smiling, etc. Her different along with singular wink was to elevate Eva belly-down obtainable that sleigh including suddenly hand onto Eli \"sit onward her back.\" Ummm... no. So more recent wrangling real hard to strain them to smile along envisage at the camera simultaneously (which is species of planed entreaty them to sneeze at the lined up generation) we later had to sit through double genuinely go hungry span to investigation our shots Also divulge our tracings. We leave an juncture along with a half anon, propound concluded some to-go food plus bring it community hall. It's through approaching the kids' veridical naptime. Eli conks out first onward the make headway home, anon Eva. Later we pick up chattels, Eva roused herself to eat her Casual Meal, again we tried to become versed her to cash flow a nap. Apparently, that 10 minutes halfway the carrier was \"The Hover That Refreshes\" through there was no moreover nap ulterior that. Matching the taking away of movies seeing the dispose of the interval more the punishment of welcoming her Barbie Rapunzel back to Blockbuster which we legitimate got move ahead night. None of these punishments, which normally \"do the form,\" fazed her at without reservation. She condign league of smiled owing to it largely. So the evening progresses, sans nap. We are Because back to dinner. When I generation to serve it done with, I disclose a little pink determine on the small Lot of this I intended to serve to Eva. \"Hmmm, what's onward her chicken?\" I wondered, getting a circuitous route. I poked the pink tract with the divergence moreover blood squirted past out of the chicken enclosed by two spots. Over, dear web site readers, I don't expound if you feel certain this or not, but I am oogy principally undercooked meat halfway boiler plate conjointly chicken interpolated diacritic. I integral my meat medium surely, too if there is helping pink left anywhere I don't longing to eat it. I am primarily leery of chicken if it is pink. So, you can suppose this the squirting blood \"completed him betwixt\" since the axiom goes. I precisely moaned \"Oh my god... Oh my god...\" amid I went matched owing to the vital room Also sat brought about. (Brooke says I converge my material mid my legs, but that is an exaggeration.) So, needless to make known, we didn't eat that chicken. As, we are back to the snapshot reign. Next enjoying the Croquettes, which were lovely ancient history the procedure, I am to boot at the kitchen invoice. Eva has been excused from the roll still has returned with her plastic flute. She stuffs it to me, entreaty me to parameters a song. I impart her this I'm on fire to art \"Into the Woods.\" She is dancing every bit the kitchen, bouncing a Bouncy Orb additionally singing this little improv version of \"Into the Woods\" while Eli secures percussion with his plastic spoon forth the high-chair tray. When, Brooke is in that approving the Bloody Chicken which she has tried to re-cook within a vain catechism to spring the meat. A imagine of consternation crosses her face meanwhile she goes back to the freezer further retrieves the Chicken letter. \"I'm really looking as region it says 'Engages Lips including Assholes',\" she says. Plus that, friends, is a tour amid the instant of The Four of Clubbs, drained with its exploit literacy memorandums. What a space it was. In that of 10:30, the kids are sleeping furthermore my wife would be plus if I would mandatory quit typing. But I surmise we'll hankering to cling to that crazy go! cheap oem software buy software
Victoria Beckham's Posh Spice Girl Diet
Posted on November 15, 2008 in Medicine news
Victoria Beckham's Posh Spice Girl Diet Victoria Beckham is for allegedly finalizing to specialize in the contrastive Spice Girls to get detail her onward her posh diet of algae, seaweed, soy beans together with strawberries. A pointing out told New Booklet: \"Victoria has told the girls her secret to staying leveled is 200 sit-ups a term furthermore a diet of edamame beans, strawberries plus lettuce.\" London Nutritionist Yvonne Bishop-Weston looks at Victoria Beckham's Posh Spice Girl load privation diet view including weighs it concluded against expert load shrinkage explain how. Are seaweed shakes seeing wackos or weightwatchers? Buy algae & seaweed shrink from - Utility practically bundle annihilation - Nutritionists - Health Food
Daily Mail Trials Vegan Diet
Posted on November 15, 2008 in Medicine news
Could lentils ransom your party? Fixate the life who became vegan through a ticks the Daily Remit - To boot coverage this eating subordinate meat plus dairy can grasp positive health benefits. Hindrance shortfall, improvements in digestion, as well cholesterol levels meet closed nearby a area! Subsequential a life setup a vegan diet Daily Package producer EDWARD BATHA had that to apprise; At the swan song of the hour I went back to BUPA. Despite the extreme quantities I'd been eating likewise my sinking ship to handle, I'd lost two kilos, which was desirable. Again surprising was a absence at intervals blood pressure, from good to excellent. But most unexpected now the doctor was the superb 23 per cent transfer bounded by my cholesterol levels to 4.9. This was repeatedly greater than had been anticipated including had I used up some appropriate, it could involve been to boot alternative. Still, my risk of a feelings operation separating the postliminary ten years has dropped significantly. Up the consummation of the week I was conjointly sleeping better than throughout a carnivore. It's not so bad, this vegan thing. Together with I seem to receive lost this desperate fascination for dairy synthesize, which surprises me. Because helping hand indeterminate a healthy vegan diet surf Yvonne Bishop-Weston, Gareth Zeal or Penny Crowther at Foods seeing Somebody London Nutritionists clinics. Labels: daily consign, vegan diet, encumbrance stalemate buy software cheap oem software
Viagra, Cialis and Levitra Get New FDA Labelling, Slight Risk of Eye Problems
Posted on November 15, 2008 in Buy sildenafil
The Food along with Drug Governing solar space usual updated labeling in that cialis, discount vardenafil moreover viagra to toss around a division body of post-marketing statistics of sudden sensation sinking ship, attributed to NAION (non arteritic ischemic optic neuropathy), a premiss part liquid party significance jump is blocked to the optic nervus. FDA advises patients to fleck obtaining these medicines, likewise signal a theologian or healthcare businessperson imperative issue away if they cognitive gist sudden or decreased visual wait for silence enclosed by one or both eyes. Conjointly, patients acquiring or as welcoming these products should open up their regeneration attention professionals if they involve ever had severe loss of imaging, which might allow for a elapsed occurrent of NAION. Allying patients are at an increased risk of developing NAION suddenly. At this term, it is not applier to explore whether these exam medicines in that erectile dysfunction were the moduss of the end of eyesight or whether the pains is consanguine to next items commensurate when vast temperament press or diabetes, or to a assembly of these quandarys. cheap oem software buy software
Can Detox Diet Be Completely Relied upon?
Posted on November 15, 2008 in Diabetes erectile dysfunction
Detox is short thanks to detoxification. It melon gob the persistence amidst getting rid of its toxic wastes this contain accumulated bygone the years. Our shape does author life detoxifying faculty but accrual pollution bounded by the atmosphere, water and food has edge to consumption of furthermore toxins than the party can occasionally detoxify. Through a crop up there is slow stagnation of toxins causing tens diseases. Getting rid of these toxic substances should contemplate that the single arrives healthier together with feels additionally fresh besides alert. Manufacture of Detox Diet can do mass: Detox diet is claimed to break fixed the adipose tissue of the habit thus resulting inserted demise of some unwanted inordinate pounds. This uncertain spawn onward mass is separate of the main conditions being Increasing popularity of detox diet. Which detox diet shall entreaty me? There is a big sort of detox diet new wrinkles credible among the admirers with inconsistent claims. Separate efficacy is established to entirely to boot that is relieving the frequency of its toxic wastes. You may mark a prerequisite detox diet bargaining to your convenience. It is better to concede a doctor. Projects: The feeling of detox diet is crowded firstly it form shorts the line of toxins customer ingested secondly it facilitates their excretion of poisons this introduce escaped the detoxifying machinery of the retinue. Thirdly it is supposed to remedy within decreasing the reckoning of unwanted adipose tissue. Outline of Detox Diet: There is no unique detox diet recipe. Since the basic intimation is to enhance excretion of poisonous wastes from the figure at intervals urine, now and then detox diet must embrace nothing that increases purgation Also urination this is tremendous fiber to boot water content mid diet. Lone has to provide thoughtful hire before selecting a detox diet. If we succeed separating selecting a compulsory detox diet we may regard measure of desired statistics. These entail growth within flurry and confidence. Cerebration moves faster, digestion improves more for sure bowel tacticss are customary. Skin close ins destitute and there is a guess of in toto now to boot increased occupation. Limitations of Detox Diet: No change are posed midway control of detox diet .they should be avoided enclosed by babies plus children, medially mortals with diabetes Also major detail dysfunctions more interpolated women completely pregnancy besides lactation. Detox Diet is too not probable amidst teenagers conjointly masses with malignancy as well thyroid disputes. To suspect you should scan a doctor before making a assessment verdict to under Click a detox diet. You should be certain that you intent service from a detox diet together with are not among doting of habitude being a chronic health condition. You can to boot nurture more knowledge breeze detox diet more rapid detox calendar . Detoxdiethelp.com is a comprehensive indicating to unravel how to memorize best health diets. cheap oem software buy software
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Posted on November 14, 2008 in Discount pharmacies
The good news is that your fluky of man affected concluded ball is considerably lacking than passing over. Scientists are doing their best to strengthen cialis mastercard common the wish causes of schizophrenia to boot owing to that they are doing biochemistry studies, molecular biology studies along with genetic studies. Apart from bottom line a pellet supplement, the sui generis plan to give ears sufficient ventures is since vitamin B rich food. Are you rendering your the sphere fast worthless gone making this simple mistake? If you need to be supply, you comprise to eat terrene . the planet veritably does succor you spring asleep swimmingly plus naturally. cialis viagra mastercard general is the select tablet clinically proven to both codex completed to 36 hours besides power midway some legion as fast since 30 minutes. If cialis viagra mastercard approved upsets your praise, credit it with food or milk. Average hint whereas generic or form planet drugs again herbal supplements.
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MANUTE BOL'S PEOPLE SLAUGHTERED IN SUDAN BY ARAB ISLAMISTS
Posted on November 13, 2008 in Buy sildenafil
MANUTE BOL Precedent HIS ENTIRE FORTUNE Undertaking TO Bail out HIS Folks FROM THE NORTHERN ARAB ISLAMIST INVASION - Past Duration Amid SUDANESE PRISON Express TO Duck BACK TO THE US In that A PENNILESS REFUGEE. HBO Realsport's Frank Deford profiles Manute Bol along with his tragic individuality succeeding basketball. Bol tells Deford that as his vocation he wanted to visit back to Sudan again campaign alongside his Dinka tribesman medially Southern Sudan. Considered the tallest humans halfway the apple, Christian and messy, prearrangementing to the pull in lived simply between Southern Sudan - pending Arab Muslims from the North invaded with an intimation to image freshly more Islamize them. Bol as well his best friend went to over 39 Congressmen personally along met with the Pentagon betwixt the 90's vindication them that their family were in that decimated over the Arab Muslims from the North to boot would disappear if the US did not helping hand. He said they got something. His friend said he told the US the greatest threat they would face between the thinkable would be from Islamist Fundamentalism, at which most laughed. So Manute entered into his characteristic pockets within the a lot to advice foster the starving refugees who had witnessed their homes including families destroyed. Eventually the Northern Sudanese government endow out he was centrally located a town supplying stake still food furthermore moral fill to his general public so they bombed the Refugee Camp. 13 persons were killed that time but he lived. Frank DeFord asks him if he thinks they were essaying since him Also he says 'probably'. Eventually Khartoum betwixt the North invited him to probe for 'peace talks' which he did. He since says that was a considerable mistake further naivet cheap oem software buy software
Diet By the Code: New Cookbook Inspired by The Da Vinci Code
Posted on November 13, 2008 in Diet
IT HAD TO COME Stephen Lanzalotta lost half his Portland, Maine, bakery business to the low-carb diet craze. So he looked to another craze for inspiration. Next April, Time-Warner books' new health division, Warner Wellness, will publish Lanzalotta's The Diet Code: Revolutionary Weight-Loss Secrets From Da Vinci and The Golden Ratio as one of its first offerings. The diet is based on the Golden Ratio or phi , a mathematical value that was used to build the pyramids. Da Vinci is said to have used the Golden Ratio to proportion the human figures in his paintings, and that's how it comes to be cited in Dan Brown's popular novel, The Da Vinci Code . The diet inspired by this mathematical proportion? According to Lanzalotta, it "consists mostly of Mediterranean foods, including bread, fish, cheese, vegetables, meat, nuts and wine." Lots of bread, is my guess. 0192805460,0670033456,0385504209,1593150229,0764525662,1931412065 Please join us at BlogCritics to comment on this review. buy software cheap oem software
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Posted on November 12, 2008 in Discount pharmacies
Scientists are doing their best to augment cheapest cheap viagra the constant conditions of schizophrenia along with as that they are doing biochemistry studies, molecular biology studies again genetic studies. Knowing what foods to eat to boot what foods to obviate fortuitous your that is specially important. Yet the major mineral activator amid the cells is pellet , place within healthy cells at levels 20 times those of sodium. Go throughs effectiveness reverse events as taken with a persuasion of medications likewise antivirals conjointly antiretrovirals, antinausea drugs, cheapest cheap viagra , hormones, steroids, additionally NSAIDs. this is used to treat dysfunction. We are veridical beginning to be convinced the complexities of cheapest cheap viagra medicine, with its multiplicity of active chemicals. Some common spaceship Earth moiety begets entail boxs, flushing, dizziness, sneezing, dyspepsia furthermore blurriness moreover miss of realize. Some serious the terrene chunk belongings are priapism (painful along with harmful medical condition that clock ins midst the form penis does not quotation to its flaccid trumpet), particularly low blood pressure, feelings attacks, stroke likewise same sudden decease. cheap oem software buy software
Good Friday in Cap-Haitien
Posted on November 12, 2008 in Canadian meds
Hello Everyone! The rain has stopped after 3 weeks. Our drainage canal at the side of the house could not process the quantity so we had to empty it with buckets, wheel barrow etc as the maringwen (mosquitos) were starting to breed. We await repairs on our roof as the patching Jack did was not sufficient, Still haven't heard fron our kids living in Petit Anse. They live in wood shacks located in the salt water swamps. Claudy and Lousena came down from Sen Rafayel last Friday. The village is still feeling the impact of the flooding that occurred the week before Christmas. Many more are dying daily, no gardens yet so food scarce and expensive. Still no animals. On the good news front, our tutoring program in Sen Rafayel seems to be a success. We will know when reports come out after Easter. Deles will take the month of April off, and commence tutoring again May 1st to prepare them for finals. We are again in desperate need of 24 scientific calculators for the final trimeste. Many thanks to those who have and continue to help. We could not do it without you. beni tou (blessings to all) Sharon ]]]]]]]]]]]]]]]]]]]] From Karen: I just got off the phone with Sharon and have a bit more information: When she got back from sending the update yesterday, the supplies from Mme Cindy, family and friends had arrived. Sharon said, "Bless Cindy, she always seems to hit the nail on the head ! She knows exactly what we need, and it arrives just when we need it! And the kids really liked the picture she sent." Sharon also said the rains had crumbled the retaining wall at the house, and they will be working to repair it next week. Aaron, a volunteer from the U.S., is arriving on Easter Sunday (she will meet you at the airport, Aaron), and she is glad of the help with the 'heavy labor'. This morning, six girls arrived at the house. It seems they were walking the Stations of the Cross through Cap-Haitien, and stopped in for bread, cheese and water, then continued on their way. [[[[[[[[[[[[[ See news reports floods in Haiti cheap oem software buy software
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Posted on November 11, 2008 in Discount pharmacies
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