Journalist @baltimoresun writer artist runner #amwriting Chaplain PIO #partylikeajournalist

Journalist @baltimoresun writer artist runner #amwriting Chaplain PIO #partylikeajournalist
Journalist @baltimoresun writer artist runner #amwriting Md Troopers Assoc #20 & Westminster Md Fire Dept Chaplain PIO #partylikeajournalist
Showing posts with label Medicine Health. Show all posts
Showing posts with label Medicine Health. Show all posts

Sunday, March 17, 2019

CBS News article: Shocked by surprise medical bills?

CBS News article: Shocked by surprise medical bills?

This is an interesting article that sheds some additional light on a difficult topic, but actually provides little practical advice.

Nevertheless, I am going to park it on my page and put a copy of it in my efiles. I used to write a good bit on health, medicine, the history of health and medicine, and public policy until the subject became too toxic and various advocates began to advocate for particular positions by being particularly unpleasant.

Locally, not a month goes by in which someone does not reach out for help negotiating unexpected excessive medical bills – and increasingly folks are coming up against incredibly poor customer service. It appears that too many healthcare and insurance providers have become far too big to manage.

Anyway – the article: CBS News – “Shocked by surprise medical bills? Here's what you can do” by Walecia Konrad - CBS News - Sunday, March 17, 2019

https://www.cbsnews.com/news/surprise-medical-bills-send-you-into-shock-how-to-avoid-getting-hit/

57 percent of Americans have been hit with a bill not covered by their insurance.

Seeing out-of-network medical professionals is the leading cause of surprise bills.

The problem is so bad that Congress may actually take bipartisan action to fix it.

Meantime, you can take several steps to avoid a surprise bill.

Surprise medical bills seem to getting more outrageous by the day. There's the Texas man who was billed $108,951 when he was taken to an out-of-network hospital following a heart attack. Or the Vermont skier who paid $18,442 in hospital bills after she broke her leg on the slopes. Then there's the almost $18,000 urine test from an out-of-network lab.

Surprise medical billing — when patients receive a bill not covered by insurance through no fault of their own — has affected 57 percent of American adults, according to a recent University of Chicago survey.

These unwelcome requests for payment most often come after patients are treated at hospitals and emergency rooms by physicians and other medical professionals who aren't part of their health insurance network. 

Four out of 10 respondents to a recent Kaiser Family Foundation poll said they had an unexpected bill from a hospital, lab or doctor in the past year.

General outrage over outsized medical charges and efforts to publicize surprise medical bills by Kaiser News, CBS and other outlets may have encouraged Congress to engage in one of its few bipartisan efforts.

Read much more here: https://www.cbsnews.com/news/surprise-medical-bills-send-you-into-shock-how-to-avoid-getting-hit/

Medicine Health, Medicine Health cost
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Kevin Dayhoff for Westminster Common Council
Westminster Municipal election May 14, 2019
Authority Caroline Babylon, Treasurer.

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Friday, November 17, 2017

Glucosamine and Chondroitin for Osteoarthritis

Glucosamine and Chondroitin for Osteoarthritis


I was considering starting to take this over the counter medication for knees and hips that are getting old – and came across this information….. Oh, the NIH says on the website, “This publication is not copyrighted and is in the public domain. Duplication is encouraged.” 15Nov2017 https://kevindayhoff.blogspot.com/2017/11/glucosamine-and-chondroitin-for.html


On This Page


What’s the Bottom Line?

How much do we know about glucosamine and chondroitin supplements?

  • We have some information about the safety and usefulness of glucosamine and chondroitin from large, high-quality studies in people.

What do we know about the effectiveness of glucosamine and chondroitin supplements?

  • Research results suggest that chondroitin isn’t helpful for pain from osteoarthritis of the knee or hip.
  • It’s unclear whether glucosamine helps with osteoarthritis knee pain or whether either supplement lessens osteoarthritis pain in other joints.

What do we know about the safety of glucosamine and chondroitin supplements?

  • Studies have found that glucosamine and chondroitin supplements may interact with the anticoagulant (blood-thinning) drug warfarin (Coumadin). Overall, studies have not shown any other serious side effects.
  • If you take glucosamine or chondroitin supplements, tell your health care providers. They can do a better job caring for you if they know what dietary supplements you use.

What Are Glucosamine and Chondroitin?

Glucosamine and chondroitin are structural components of cartilage, the tissue that cushions the joints. Both are produced naturally in the body. They are also available as dietary supplements. Researchers have studied the effects of these supplements, individually or in combination, on osteoarthritis, a common type of arthritis that destroys cartilage in the joints.
More information

What the Science Says About Glucosamine and Chondroitin for Osteoarthritis

For the Knee or Hip

Glucosamine

Major studies of glucosamine for osteoarthritis of the knee have had conflicting results.
More information
  • A large National Institutes of Health (NIH) study, called the Glucosamine/chondroitin Arthritis Intervention Trial (GAIT), compared glucosamine hydrochloride, chondroitin, both supplements together, celecoxib (a prescription drug used to manage osteoarthritis pain), or a placebo (an inactive substance) in patients with knee osteoarthritis. Most participants in the study had mild knee pain.
    • Those who received the prescription drug had better short-term pain relief (at 6 months) than those who received a placebo.
    • Overall, those who received the supplements had no significant improvement in knee pain or function, although the investigators saw evidence of improvement in a small subgroup of patients with moderate-to-severe pain who took glucosamine and chondroitin together.
    • For more information on the trial, see the NCCIH Web page.
  • In several European studies, participants reported that their knees felt and functioned better after taking glucosamine. The study participants took a large, once-a-day dose of a preparation of glucosamine sulfate sold as a prescription drug in Europe.
  • Researchers don’t know why the results of these large, well-done studies differ. It may be because of differences in the types of glucosamine used (glucosamine hydrochloride in the NIH study vs. glucosamine sulfate in the European studies), differences in the way they were administered (one large daily dose in the European studies vs. three smaller ones in the NIH study), other differences in the way the studies were done, or chance.

Chondroitin

In general, research on chondroitin has not shown it to be helpful for pain from knee or hip osteoarthritis.
More information
  • More than 20 studies have looked at the effect of chondroitin on pain from knee or hip osteoarthritis. The quality of the studies varied and so did the results. However, the largest and best studies (including the NIH study discussed under the heading “Glucosamine” above) showed that chondroitin doesn’t lessen osteoarthritis pain.

Joint Structure

A few studies have looked at whether glucosamine or chondroitin can have beneficial effects on joint structure. Some but not all studies found evidence that chondroitin might help, but the improvements may be too small to make a difference to patients. There is little evidence that glucosamine has beneficial effects on joint structure.

Experts’ Recommendations

Experts disagree on whether glucosamine and chondroitin may help knee and hip osteoarthritis. The American College of Rheumatology (ACR) has recommended that people with knee or hip osteoarthritis not use glucosamine or chondroitin. But the recommendation was not a strong one, and the ACR acknowledged that it was controversial.

For Other Parts of the Body

Only a small amount of research has been done on glucosamine and chondroitin for osteoarthritis of joints other than the knee and hip. Because there have been only a few relatively small studies, no definite conclusions can be reached.
More information
  • Chondroitin for osteoarthritis of the hand
    A 6-month trial of chondroitin in 162 patients with severe osteoarthritis of the hand showed that it may improve pain and function.
  • Glucosamine for osteoarthritis of the jaw
    One study of 45 patients with osteoarthritis of the jaw showed that those given glucosamine had less pain than those given ibuprofen. But another study, which included 59 patients with osteoarthritis of the jaw, found that those taking glucosamine did no better than those taking a placebo (pills that don’t contain the active ingredient).
  • Glucosamine for chronic low-back pain and osteoarthritis of the spine
    A Norwegian trial involving 250 people with chronic low-back pain and osteoarthritis of the lower spine found that participants who received glucosamine fared the same at 6 months as those who received placebo.

What the Science Says About Safety and Side Effects

  • No serious side effects have been reported in large, well-conducted studies of people taking glucosamine, chondroitin, or both for up to 3 years.
  • However, glucosamine or chondroitin may interact with the anticoagulant (blood-thinning) drug warfarin (Coumadin).
  • A study in rats showed that long-term use of moderately large doses of glucosamine might damage the kidneys. Although results from animal studies don’t always apply to people, this study does raise concern.
  • Glucosamine might affect the way your body handles sugar, especially if you have diabetes or other blood sugar problems, such as insulin resistance or impaired glucose tolerance.
More information
If you use dietary supplements, such as glucosamine and chondroitin, read and follow the label instructions, and recognize that “natural” does not always mean “safe.”
The U.S. Food and Drug Administration regulates dietary supplements, but the regulations for dietary supplements are different and less strict than those for prescription or over-the-counter drugs.
Some dietary supplements may interact with medications or pose risks if you have medical problems or are going to have surgery. Most dietary supplements have not been tested in pregnant women, nursing mothers, or children.
For more information, see Using Dietary Supplements Wisely.

More to Consider

  • If your joints hurt, see your health care provider. It’s important to find out what’s causing your joint pain. Some diseases that cause joint pain—such as rheumatoid arthritis—may need immediate treatment.
  • If you take warfarin or have blood sugar problems, make sure you talk to your doctor about potential side effects if you are considering or taking glucosamine or chondroitin supplements.
  • If you’re pregnant or nursing a child, it’s especially important to see your health care provider before taking any medication or supplement, including glucosamine or chondroitin.
  • Help your health care providers give you better coordinated and safe care by telling them about all the health approaches you use. Give them a full picture of what you do to manage your health.

Key References

Other References

Acknowledgments

NCCIH thanks the following people for their technical expertise and review of this publication: Daniel Clegg, M.D., University of Utah; Marc Hochberg, M.D., M.P.H., University of Maryland; Julian Leakey, Ph.D., U.S. Food and Drug Administration; Allen Sawitzke, M.D., University of Utah; and Partap Khalsa, D.C., Ph.D., and John (Jack) Killen, Jr., M.D., NCCIH.
* Note: PDF files require a viewer such as the free Adobe Reader(link is external).
This publication is not copyrighted and is in the public domain. Duplication is encouraged.
NCCIH has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your primary health care provider. We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy is not an endorsement by NCCIH.
NCCIH Pub No.: 
D486
Last Updated: 
November 2014
This page last modified September 24, 2017
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Wednesday, September 20, 2017

Coca Cola Syrup distributed by Rasinsky’s Pharmacy, 30 West Main Street, Westminster, Md

Coca Cola Syrup distributed by Rasinsky's Pharmacy, 30 West Main Street, Westminster, Md Tilden 8-7100.

I found this in an upper cupboard in the family kitchen. 
I was fascinated that the ingredients listed on the label read:

"Prepared with sugar and water; phosphoric acid, caffeine, extractives from coca leaves (cocaine removed) and cola nuts, and other flavoring materials, colored with caramel."

Sadly there is no date on the bottle anywhere.

Sunday, Sept. 17, 2017

Friday, April 21, 2017

The Veteran’s Administration – giving you a second opportunity to die for your country.



Single-Payer Health Care: America Already Has It

The Veteran’s Administration – giving you a second opportunity to die for your country.

The Veteran’s Administration – giving you a second opportunity to die for your country. A reality check on the idea of going to a single payer health care system – as if the current system is not bad enough.

We do not need Obamacare repealed and replaced. We need it fixed. The answer is more accountability and more competition.

Meanwhile this YouTube is yet another reminder of the horrors of the one example of a US government-run single payer healthcare
system.

Each and every one of my experiences of reaching-out to the VA to advocate for a veteran has been horrific of unbelievable proportions. If this is an example of a US government-run single payer healthcare system, we are all going to go broke paying the necessary healthcare taxes – and then die.

YouTube: “Could a single-payer, government-run health care
system work in the United States? We already know the answer, because America
already has single-payer, government-run health care. Author and commentator
Pete Hegseth explains.” 10Apr2017



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Baltimore Sun Carroll Eagle: 
Tumblr: Kevin Dayhoff Banana Stems www.kevindayhoff.tumblr.com/
Kevin Dayhoff is an artist - and a columnist for:
Baltimore Sun - Carroll County Times - The Carroll Eagle: www.explorecarroll.com: http://www.explorecarroll.com/search/?s=Dayhoff&action=GO

Smurfs: http://babylonfluckjudd.blogspot.com/
Google profile: https://profiles.google.com/kevindayhoff/

E-mail: kevindayhoff(at)gmail.com

My http://www.explorecarroll.com/ columns appear in the copy of the Baltimore Sunday Sun that is distributed in Carroll County: https://subscribe.baltsun.com/Circulation/

See also - Kevin Earl Dayhoff Art www.kevindayhoff.com: Travel, art,artists, authors, books, newspapers, media, writers and writing, journalistsand journalism, reporters and reporting, music, culture, opera... Ad maioremDei gloriam inque hominum salutem. “Deadline U.S.A.” 1952. Ed Hutcheson:“That's the press, baby. The press! And there's nothing you can do about it. Nothing!”- See more at: http://kevindayhoffart.blogspot.com/#sthash.4HNLwtfd.dpuf
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Tuesday, April 04, 2017

NPR Fresh Air: Father of 2 Sons with Schizophrenia Talks of His Struggle to Save Them

NPR Fresh Air: Father of 2 Sons with Schizophrenia Talks of His Struggle to Save Them




As the father of two sons with schizophrenia, author Ron Powers is familiar with the pain and frustration of dealing with a chronic, incurable disease of the brain.

[…]

On the effects of deinstitutionalization in the 1960s on people with mental illness

The advent of the so-called "wonder drugs" like Thorazine ... were touted as cures for schizophrenia — they weren't. At best they were cures for symptoms. But on the strength of Thorazine and its great consumer success and promise, President Kennedy, seeking to do the right thing, signed legislation ... in 1963 ... that authorized the emptying out of mental asylums and the transferring of their patients, their inmates, hopefully into community care centers that were going to be built around the country to receive them.

Deinstitutionalization was a catastrophic social experiment, one of the worst we've ever had. It ended up creating the [mentally ill] homeless population that still plagues us today.

The second terrible effect of deinstitutionalization was that many of the people never ended up in the community centers. The government ran out of money. They couldn't build enough to contain this outflow of patients, so they ended up on the streets, and from the streets they ended up in prison. Many of them. Today our prisons are overflowing with the mentally ill. Prisons are our de facto mental hospitals.

[…]


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Friday, January 27, 2017

Carroll County Md. Health Department Overdose alert January 27, 2017


Carroll County Health Department Overdose alert January 27, 2017

--- PRESS RELEASE ---

For Immediate Release
Health Department Logo
Community Overdose Alert

Westminster, MD (January 27, 2017) – The Carroll County Health Department is aware of seven drug overdoses that occurred today, Friday, January 27, 2017, between 10:00 a.m. and 12 noon.

So many overdoses in a short period of time often indicates that the illegal or prescription drugs currently being sold are very potent and more likely to cause an overdose.

If you or someone you know uses illegal drugs, please be aware that using these extra potent drugs may lead to an overdose, even when used in small amounts.

If you are with someone who overdoses, call 911. Administer naloxone if you are trained.

For help with drug treatment, call 410-876-4800.

For more information about resources, all 410-876-4803.


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Baltimore Sun Carroll Eagle: 
Tumblr: Kevin Dayhoff Banana Stems www.kevindayhoff.tumblr.com/
Kevin Dayhoff is an artist - and a columnist for:
Baltimore Sun - Carroll County Times - The Carroll Eagle: www.explorecarroll.com: http://www.explorecarroll.com/search/?s=Dayhoff&action=GO

Smurfs: http://babylonfluckjudd.blogspot.com/
Google profile: https://profiles.google.com/kevindayhoff/

E-mail: kevindayhoff(at)gmail.com

My http://www.explorecarroll.com/ columns appear in the copy of the Baltimore Sunday Sun that is distributed in Carroll County: https://subscribe.baltsun.com/Circulation/


See also - Kevin Earl Dayhoff Art www.kevindayhoff.com: Travel, art, artists, authors, books, newspapers, media, writers and writing, journalists and journalism, reporters and reporting, music, culture, opera... Ad maiorem Dei gloriam inque hominum salutem. “Deadline U.S.A.” 1952. Ed Hutcheson: “That's the press, baby. The press! And there's nothing you can do about it. Nothing!” - See more at: http://kevindayhoffart.blogspot.com/#sthash.4HNLwtfd.dpuf
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Thursday, August 18, 2016

The Hill: Aetna pulling back from ObamaCare in blow to health law

The Hill: Aetna pulling back from ObamaCare in blow to health law


In a blow to the healthcare law, Aetna — one of the largest health insurers in the country — announced Monday that it will significantly scale back its presence on the ObamaCare marketplaces next year.

The move comes as a range of insurers have complained of financial losses on the ObamaCare marketplaces.
The company said it will scale back from participating in 15 states this year to just four states in 2017.

“As a strong supporter of public exchanges as a means to meet the needs of the uninsured, we regret having to make this decision,” Aetna CEO Mark Bertolini said in a statement, citing a loss of $200 million in the second quarter.

The Obama administration argued the move is not a sign that the ObamaCare marketplaces are in trouble.

“Aetna’s decision to alter its Marketplace participation does not change the fundamental fact that the Health Insurance Marketplace will continue to bring quality coverage to millions of Americans next year and every year after that,” said the administration’s ObamaCare marketplace CEO, Kevin Counihan.

The move comes on the heels of pullbacks from other major insurers, including UnitedHealthcare and Humana.


The insurers have raised concerns about the sustainability of the ObamaCare marketplaces. Read more: http://thehill.com/policy/healthcare/291531-aetna-pulling-back-from-obamacare-in-blow-to-health-law
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Tuesday, August 16, 2016

WaPo: the ObamaCare component of President Obama’s legislative legacy


WaPo: the ObamaCare component of President Obama’s legislative legacy

August 16, 2016 / Kevin Dayhoff

When I was younger I loved writing about such things as the practice of medicine in Carroll County history and presidential history. Nowadays, not so much. But this is a rather fascinating academic assessment of one aspect of President Obama’s legislative legacy: https://www.washingtonpost.com/graphics/national/obama-legacy/obamacare.html?wpisrc=nl_evening&wpmm=1 “Obama’s legislative legacy comes down to this question: What if?” by Mike DeBonis:

“President Obama’s landmark health-care law came with a steep political cost, leaving a host of questions about his legislative legacy: Could health-care reform have been done in a different way? Could Democrats have kept control of Congress for another two years or more? Was Obamacare worth it?”

Anyway, I would rather have a root canal than talk with even good friends about the presidential election.

I recently read a piece on Facebook by a pastor that I have always looked-up to, who chastised another pastor for wading into the political waters because he advocated voting for a particular candidate.

Then this pastor proceeded to say disparaging things about one party and write glowingly about the other party. He essentially committed the same offense, only it was okay that he did it because he advocated voting for the opposite party than the pastor he had just chastised for advocating a political position... 

When I ask many folks that have left mainstream denominational churches, why they left; I hear several themes consistently. One they got tired of hearing that they ought to contribute more money to the church. And two, they did not want to hear from pastors about politics when they went to church.

As for President Obama’s legislative legacy - I know that if I ever went back into political office, I would sidestep some of the issues I took-on head-on years ago when I was an elected official. The price was simply far too high. I will forever shake my head over some of the legislative initiatives of past presidents. You would think that at that level of accomplishment, one would learn to avoid the perils and pitfalls of political third-rails.

For some additional context on the legacy of ObamaCare, read a recent article in The Hill on "Aetna pulling back from ObamaCare in blow to health law - In a blow to the health care law, Aetna -- one of the largest health insurers in the country -- announced Monday that it will significantly scale back its presence on the ObamaCare marketplaces next year..." Find it here: http://thehill.com/policy/healthcare/291531-aetna-pulling-back-from-obamacare-in-blow-to-health-law

Well, I am not a fan of Aetna – so I am not sure if this is a good thing or not…

Moreover, it is still far too early to determine the historic legacy of President Obama. Just like, for example, President John F. Kennedy and Harry Truman; from an historian’s point of view, some aspects of these administrations have stood the test of time well. Some not so much. I mean what in the world was President Truman thinking when he tried to nationalize the steel making industry? My partisan friends will not be amused to learn that presidential historians have come to consider President Bill Clinton as a conservative president and President Nixon a liberal president. Go figure.

Nevertheless, in addition to the recent article on the ObamaCare marketplaces, a number of business periodicals have carried recent articles that explain that once again, this year, the rise in the cost of healthcare is greater that wage increases.

For those of us who felt strongly that health insurance companies had abrogated its social contract with the greater community and that healthcare reform was an absolute necessity; many feel that we have taken two steps forward and three steps back. Take for example, pre-existing conditions. The position of the insurance industry to deny coverage to individuals because of pre-existing conditions, was nuts.

In the last several years I have worked closely with the healthcare delivery system on behalf of several family members and loved ones and my reaction is a mixed-bag.

Several steps into the local hospital and one enters a wormhole in which you quickly find that you are no longer in Carroll County. An esteemed local community leader who commented with the implicit understanding that he would remain anonymous, has recently reassessed his past glowing perception of the hospital and explained that today, “it is a very angry place. Avoid it.”

I have witnessed a number of folks retain attorneys before beginning negotiations with issues with respect to old-age care. In an era when many doubt that government can anything well, Medicare continues to be efficient and effective – but extraordinarily nuanced and complex. Regular folks going to the hospital do not stand a chance and they learn quickly that the social worker health care advocates are not on your side.


Anyway, give “Obama’s legislative legacy comes down to this question: What if?” by Mike DeBonis a read. At a time when so much partisan drivel is passed-off as journalism, Mr. DeBonis has presented non-partisan history junkies with a good read. Just saying. 
*****

Monday, May 23, 2016

Dayhoff: Historical markers dedicated for the Henryton Nursing School, Tuberculosis Sanatorium


Dayhoff: Historical markers dedicated for the Henryton Nursing School, Tuberculosis Sanatorium

By Kevin Dayhoff May 22, 2016


About 50 folks huddled along the shoulder of Henryton Road at the entrance of the historic Henryton State Hospital complex May 14 to dedicate two roadside historic markers. The sun shined brightly on the ceremonies in a rare reprieve in the recent streak of endless days of rainfall.

No, the celebrants were not there to dedicate an ark, but it nearly took an act of God to get the state of Maryland to tacitly acknowledge the very existence of the historic segregated facility for the treatment of African Americans suffering from tuberculosis and the segregated nursing school that was once located there — far out of sight of urban Baltimore and the seat of state government in Annapolis.

Noted civil rights leader John Lewis Jr., the 2nd vice president of the Carroll County NAACP, was the master of ceremonies. Other community leaders, such as Pam Zappardino, Charles Collyer, Virginia and Charles Harrison, Jean Lewis, Del. Susan Krebs R-District 5, the Rev. Douglas Sands and Maryland NAACP president Gerald G. Stansbury were on hand to share in the ceremonies.


This writer began looking into the history of the hospital in the early 1970s when it caught my attention during an assignment to research the history of hospitals in Carroll County for a project for what was then-Carroll County General Hospital.

Over the years, researching the history of hospital has difficult. What little information on the hospital that was found was often conflicting, inconsistent, and only appeared in anecdotal accounts; often without a comprehensive context. Many historians contacted in the 1970s were barely aware of the facility.


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Baltimore Sun Carroll Eagle: 
Tumblr: Kevin Dayhoff Banana Stems www.kevindayhoff.tumblr.com/
Kevin Dayhoff is an artist - and a columnist for:
Baltimore Sun - Carroll County Times - The Carroll Eagle: www.explorecarroll.com: http://www.explorecarroll.com/search/?s=Dayhoff&action=GO

Smurfs: http://babylonfluckjudd.blogspot.com/
Google profile: https://profiles.google.com/kevindayhoff/

E-mail: kevindayhoff(at)gmail.com

My http://www.explorecarroll.com/ columns appear in the copy of the Baltimore Sunday Sun that is distributed in Carroll County: https://subscribe.baltsun.com/Circulation/


See also - Kevin Earl Dayhoff Art www.kevindayhoff.com: Travel, art, artists, authors, books, newspapers, media, writers and writing, journalists and journalism, reporters and reporting, music, culture, opera... Ad maiorem Dei gloriam inque hominum salutem. “Deadline U.S.A.” 1952. Ed Hutcheson: “That's the press, baby. The press! And there's nothing you can do about it. Nothing!” - See more at: http://kevindayhoffart.blogspot.com/#sthash.4HNLwtfd.dpuf
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