Early last week (Monday) I left my computer for a few minutes. As usual it went through the usual screen savers and eventually went to sleep.
I mean really sleep.. the power board in the computer died. No smoke, no crazy sound.. my power board died in its sleep deep within the hard of this thin computer.
When I arrived back at the desktop to imput in a great story and edit some great photos... nothing happened.. no sound, it was dead.
I plugged it into other outlets in the house that I knew were active and alive.. still no progress. No response. I knew from past experience that it was probably a power board. There was no crazy in appropriate behavior occuring in my computing experience.. so from past experience I concluded it probably wasn't the logic board.
The next morning I took off at the crack of dawn.. about 6:45 to get a new powerboard at the closest Apple store around.. Vintage Fair Mall in Modesto. Its about 45 miles from my home in Merced. It is on the dreaded 99 freeway corridor but still just shy of an hour away all the time careful driving is required to dodge the trucks that ply this artery for their livelihood. If you want to know if the economy is getting better drive our freeways. As the economy gets better, more big trucks are require to move the raw materials and finished goods. I arrived in Modest well before 8 am and noticed that the Apple store was in moth balls. Some cheezy Frank Sinatra music was playing above the outdoor fountain that aperiodically spouts streams of water into the air. Outside the Apple store was a sign that claimed to be having in inservice and planned to be open at 10:00.
Just as wel, I thought, l as I was hungry and needed a coffee shop breakfast. I traveled around the perimeter of the shopping center and crossed over the freeway to the Plendale and the Denny's restaurant that was located there. As I took my time eating a pancake or two I suddenly got the idea that it might make sense to reserve a spot at the genius bar before I got here. Using the Iphone, I used my Sarfari browser to get to the support spot for a genius bar reservation. It showed the only appointments available were after lunch. I signed up the 12:15. I thought that maybe since this was a repair I would not need a genius bar appointment anyway. I arrived back at the store at 9:30 and a customer rep in a bue shirt asked me what I needed or if they could be of help. I explained my situation and was told that I indeed needed a reservation and I was moved up to 10:15. I asked if I could move my computer into the store until that time...no.. bring it in at 10:15. I became a Mall walker as I walked from one side to the other of the mall and timed it so that when I walked back out to the car I would be close to the 10:15 of my target.
I arrived with by 21inch IMac under arms and after a quick plug at the genius bar they concluded just as I,, that a new powerboard was needed. The guy sitting next to me was also named Patrick and he had a similar issue. The genius bar guy asked if we could share him. I said sure and he said sure. As it turned out, his issue with the fullsized Mac Pro was more involved than mine. He had replaced his video card before and he had a screen but nothing on the screen. His fix it estimate as about 530 dollars. Mine was 106.
In the mean time, another Apple employee had taken over mine and was doing the paperwork for mine to be fixed. He said that it would probably take a couple of days to get the part and it would take a day or two to get it into the line up to get the actual work done. It was to cost 106.
I got an email on Thursday at 4:40 that my mac was ready to pick up. I made some plans to go get it. This time Sue was on board to do her Thrift shop survey on the same trip.
We took off on Friday around 11:00 and I showed my ID (required) and walked out the door after 116 in payment for a new life added to my computer. We did the Goodwill survey in Modesto which included a trip to the dollar store. I had a great lamb kabob meal across the street and we headed home in the 97 dregree heat.. much better than it had been lately.
As you can see the computer is up and cranking and I am able to do this kind of blog entry. This would be much harder to do with the phone and or the Ipad.
The Ipad tech thanked me for my patience on the way out the door.
Life is good
: ) PAT
Sunday, July 14, 2013
Tuesday, July 9, 2013
Electronic Subscription
One of the most remarkable benefits of Ipad ownership is the ability to get your print subscriptions in electronic form.
Print Mags have Free Electronic Versions for their Subscribers
Time magazine is always with you whenever your with my Ipad. After jumping through the hoops of print subscription verification, the latest issue is downloaded to the Ipad and available. The publishers have included the electronic subscription into the cost of the print one. One week last month the Time magazine did not come in the mailbox. It never came in print form. I didn't miss an issue as I had downloaded it and could read each page including all the advertisements.
Sue loves her People subscription. It comes each Thursday. The electronic download through the web to the Ipad comes at the same time. It is often delayed through the post office.
Last night I tapped into Sunset magazine's electronic subscription. It was a little harder to substantiate my print subscription because it needed the code from the mailing label. My magazine had come in a plastic bag. After putting in my complete address, and my email address their side validated my subscription.
Electronic Versions bring added Benefits
The electronic subscription offers many benefits that the print subscription does not. There are always added features to the electronic version that are not in the print version. Electronic ink is much cheaper than print ink, so each of these subscriptions can and do offer more depth in feature articles. Some are pretty amazing.
Time
In a recent Time magazine when the cover is selected by the viewer, the whole screen shakes and you hear this sound of the hurricane as it approaches.
Time has video bonus coverage throughout its issues. As you read the articles the reader can touch the blocks and interviews with news makers referenced in the article download and play. The electronic version my be read in the similar way the print version works as well. Some of the sidebars on the articles are pretty interesting. In the print version these areas as shaded side articles that relate the the main article. In the electronic version, these open up and become as big as the full page they often accompany.
People
People magazine is full of these additions. Extra red carpet, fashion coverage is always added to the big events with People's electronic subscription. I find the last page on each People electronic magazine interesting. It is a breakout of 8 cover shots of their magazine through the years. Represented as dots with the number in them, the reader can travel back to see what was presented last year on the cover, 5 years, 10 years and 15 and 20 years ago. The covers are revealing in how the magazine and its readership has changed over the years. People magazine has some additional interviews that are available directly from the their pages to the Ipads that you would view them on on.
Sunset
My latest electronic magazine download is Sunset. It is beautiful on the retina display. I like that it is also included free with the print subscription.
The main benefit for the reader is the collection of all the versions into the electronic version. Sunset prints about 5 different versions of its magazine each month. Southern California sees a very different version that Northern California. There are different gardening tips and different recipes and comments as to places that you may visit in the region. I once picked up a Sunset at my local Costco before I had a print subscription. It was the Southern California version. The gardening was all off and the restaurant reviews were for So Cal places. This would be okay if I were not looking for Nor Cal stuff. The electronic version bridges this gap and clearly points out in the gardening section which is written for which area... the articles are from all of the versions even one it appears to be from Alaska. So Sunset is a beautiful magazine in all its flavors. The electronic reader has the benefit of seeing all of it.
Have a great Day..
: ) Pat
Print Mags have Free Electronic Versions for their Subscribers
Time magazine is always with you whenever your with my Ipad. After jumping through the hoops of print subscription verification, the latest issue is downloaded to the Ipad and available. The publishers have included the electronic subscription into the cost of the print one. One week last month the Time magazine did not come in the mailbox. It never came in print form. I didn't miss an issue as I had downloaded it and could read each page including all the advertisements.
Sue loves her People subscription. It comes each Thursday. The electronic download through the web to the Ipad comes at the same time. It is often delayed through the post office.
Last night I tapped into Sunset magazine's electronic subscription. It was a little harder to substantiate my print subscription because it needed the code from the mailing label. My magazine had come in a plastic bag. After putting in my complete address, and my email address their side validated my subscription.
Electronic Versions bring added Benefits
The electronic subscription offers many benefits that the print subscription does not. There are always added features to the electronic version that are not in the print version. Electronic ink is much cheaper than print ink, so each of these subscriptions can and do offer more depth in feature articles. Some are pretty amazing.
Time
In a recent Time magazine when the cover is selected by the viewer, the whole screen shakes and you hear this sound of the hurricane as it approaches.
Time has video bonus coverage throughout its issues. As you read the articles the reader can touch the blocks and interviews with news makers referenced in the article download and play. The electronic version my be read in the similar way the print version works as well. Some of the sidebars on the articles are pretty interesting. In the print version these areas as shaded side articles that relate the the main article. In the electronic version, these open up and become as big as the full page they often accompany.
People
People magazine is full of these additions. Extra red carpet, fashion coverage is always added to the big events with People's electronic subscription. I find the last page on each People electronic magazine interesting. It is a breakout of 8 cover shots of their magazine through the years. Represented as dots with the number in them, the reader can travel back to see what was presented last year on the cover, 5 years, 10 years and 15 and 20 years ago. The covers are revealing in how the magazine and its readership has changed over the years. People magazine has some additional interviews that are available directly from the their pages to the Ipads that you would view them on on.
Sunset
My latest electronic magazine download is Sunset. It is beautiful on the retina display. I like that it is also included free with the print subscription.
The main benefit for the reader is the collection of all the versions into the electronic version. Sunset prints about 5 different versions of its magazine each month. Southern California sees a very different version that Northern California. There are different gardening tips and different recipes and comments as to places that you may visit in the region. I once picked up a Sunset at my local Costco before I had a print subscription. It was the Southern California version. The gardening was all off and the restaurant reviews were for So Cal places. This would be okay if I were not looking for Nor Cal stuff. The electronic version bridges this gap and clearly points out in the gardening section which is written for which area... the articles are from all of the versions even one it appears to be from Alaska. So Sunset is a beautiful magazine in all its flavors. The electronic reader has the benefit of seeing all of it.
Have a great Day..
: ) Pat
Monday, July 8, 2013
Post 4th of July 2013
The 4th of July... the middle of the Summer?
I used to think that the 4rth of July marked the middle of the summer. It really doesn't. It is just one month into the Summer if you are going to school or teaching school. The middle of the Summer break occurs around the middle of July.
There are some exceptions. School sometimes around here is out around the first week of June and it starts back soon after the middle of August.
While going to school, in the Bay area, in the 50's and 60's school was out around Memorial Day or a little after and never started back until after labor day... September.
As a retired old F_ _ _ T we plan around the kids going to school instead of when they are out. As teachers we would always plan when the kids were out and we were out rather than the reciprocal. So now we are planning a Disney trip for September when the kids are back in school.
The summer heats up here to the triple digits usually in July. This year we didn't have to wait, and the tripple digits, temperatures that are over 100 made their presence known in June.
This resulted in early apricot ripening. In many years, the Tilton apricot tree is just starting to produce ripe apricots on July4th. This year it is near the end of the crop and some of the apricots got "baked" on the tree. Its been pretty hot and the well functioning air conditioner is fabulous for keeping us 78 degrees every day and night despite the 108 to 111 degree heat.
Annual Front Yard Tera Cotta Garden
This year I was a little late getting the front garden annuals in pots started so no petunias planted.. they are pretty much gone in a normal year around here by the 4th of July. So on a "hot" year.. it doesn't make sense to plant them. In their place are the beautiful bicolor marigolds. They are bright orange for the majority of the blossom but have some highlighted red brick colored petals on the inside. These pots take a beating in the summer heat. The really big pots do much better than the smaller ones even when all the pots are watered each day.
The nectarines in the front produced nicely this year. They are pretty fragile and don't stay well on the tree. I passed out as many as I could while they were ripe to neighbors and a few to my postman.
Today it is Monday.. and no lawns should be watered. Our city has imposed a watering schedule for landscape watering. We are supposed to water on every other day... in the morning. My annual flowers have to have it everyday. I stand over them and make sure there is no run off. They are a true delight on the North front entrance patio. From the street you would not no this secret garden exists.
The Round Robin Sketchbook Project
The round robin art project has started this summer and most people in the round robin have received their sketchbooks and have sent or are about to send their first rounds to their partners. We picked up the Lindsay to Sue's this weekend. Linz's is unthemed but has a couple of nice drawings in them. Sue is about to produce her first one... birds and will get it out soon. I have done a prilimary planning one to more the one I received from Kelly on. The message from Camie is that hers is ready to ship this week... so it looks like the arms of the spider through the mail are ready to pounce the priority mail sacks. 7 people in the family have agreed to be a part of this adventure. The most I have heard of that have tried this is 4 and most of them did them on a single sketchbook. So we are really bumping up the curve.
: ) Pat
I used to think that the 4rth of July marked the middle of the summer. It really doesn't. It is just one month into the Summer if you are going to school or teaching school. The middle of the Summer break occurs around the middle of July.
There are some exceptions. School sometimes around here is out around the first week of June and it starts back soon after the middle of August.
While going to school, in the Bay area, in the 50's and 60's school was out around Memorial Day or a little after and never started back until after labor day... September.
As a retired old F_ _ _ T we plan around the kids going to school instead of when they are out. As teachers we would always plan when the kids were out and we were out rather than the reciprocal. So now we are planning a Disney trip for September when the kids are back in school.
The summer heats up here to the triple digits usually in July. This year we didn't have to wait, and the tripple digits, temperatures that are over 100 made their presence known in June.
This resulted in early apricot ripening. In many years, the Tilton apricot tree is just starting to produce ripe apricots on July4th. This year it is near the end of the crop and some of the apricots got "baked" on the tree. Its been pretty hot and the well functioning air conditioner is fabulous for keeping us 78 degrees every day and night despite the 108 to 111 degree heat.
Annual Front Yard Tera Cotta Garden
This year I was a little late getting the front garden annuals in pots started so no petunias planted.. they are pretty much gone in a normal year around here by the 4th of July. So on a "hot" year.. it doesn't make sense to plant them. In their place are the beautiful bicolor marigolds. They are bright orange for the majority of the blossom but have some highlighted red brick colored petals on the inside. These pots take a beating in the summer heat. The really big pots do much better than the smaller ones even when all the pots are watered each day.
The nectarines in the front produced nicely this year. They are pretty fragile and don't stay well on the tree. I passed out as many as I could while they were ripe to neighbors and a few to my postman.
Today it is Monday.. and no lawns should be watered. Our city has imposed a watering schedule for landscape watering. We are supposed to water on every other day... in the morning. My annual flowers have to have it everyday. I stand over them and make sure there is no run off. They are a true delight on the North front entrance patio. From the street you would not no this secret garden exists.
The Round Robin Sketchbook Project
The round robin art project has started this summer and most people in the round robin have received their sketchbooks and have sent or are about to send their first rounds to their partners. We picked up the Lindsay to Sue's this weekend. Linz's is unthemed but has a couple of nice drawings in them. Sue is about to produce her first one... birds and will get it out soon. I have done a prilimary planning one to more the one I received from Kelly on. The message from Camie is that hers is ready to ship this week... so it looks like the arms of the spider through the mail are ready to pounce the priority mail sacks. 7 people in the family have agreed to be a part of this adventure. The most I have heard of that have tried this is 4 and most of them did them on a single sketchbook. So we are really bumping up the curve.
: ) Pat
Saturday, June 22, 2013
Health Care Costs in Grand Junction
This article comes from the Grand Junction Sentinel. I am sure there are such discrepancies within many two hospital cities. Those that are for a more market approach to healthcare may note that the reasons why one hospital charges so much more for the same care really don't stand up for scrutiny. Mercy can charge more because they can charge more. Thought you might enjoy this bit of knowledge from Western Colorado.
St. Mary’s Hospital and Community Hospital in Grand Junction are
barely a three-minute drive from each other, but the two are far apart
when it comes to what they charge patients.
Medical costs at St. Mary’s are almost always more expensive than those over at Community, and in some cases twice as high, according to a federal database on hospital costs.
While the two hospitals, and others in the region, are still cheaper than most parts of the state, St. Mary’s costs were higher in 18 of 19 diagnoses in what hospitals charge Medicaid and Medicare patients, according to a federal database maintained by the Centers for Medicare and Medicaid Services.
Dan Prinster, St. Mary’s vice president of business development, acknowledged those numbers as accurate, but said a true comparison of the two hospitals isn’t that simple.
“If you have a patient who has additional complications, they’re going to come here before they go there (to Community),” he said. “We’re at a different level as a facility. We offer many more services that they don’t.”
While patients may get comparable care at both facilities for certain procedures and treatments, the two hospitals really can’t be compared because there is a limited list of conditions the two facilities have in common that they treat, Prinster said.
St. Mary’s has services and staff that Community doesn’t, so its expenses are naturally higher, he said.
Furthermore, Community has made a conscious effort to keep its charges low, a philosophy that eventually will hurt them, Prinster said.
“I know from having looked at charge data that Community has made the decision over several years that they’re not going to raise rates in certain areas,” he said. “Our board has made the decision over the years that given cost increases for medical equipment, for pharmaceuticals, for staff and other things, is that we have to — from a fiduciary standpoint — ... adjust our rates on an annual basis. That accounts for some of the price differences.”
Chris Thomas, president and chief executive officer at Community, agreed that the two hospitals are different when it comes to the services they offer, but he said Prinster doesn’t have a clue what drives his charges.
He said St. Mary’s costs are higher simply because it can get away with charging more.
“A big part of this is, when little Community Hospital sits down with the insurance companies and says, ‘Boy, I’d like to get paid more,’ the insurance companies say, ‘Yeah, Chris. No thanks,’ and I say, ‘Okay,’” Thomas said. “But when St. Mary’s, who has 85 percent of the market share, goes in and says, ‘I’d like to get paid this,’ they get it. I’m limited in most of my (insurance) contracts to not be able to increase my charges more than 6 percent a year. St. Mary’s doesn’t have those kind of restrictions.”
As a result, the difference in costs continues to widen, he said.
According to the Medicare cost database, St. Mary’s charges more than $46,000, for example, to treat a blood infection such as septicemia, but Community Hospital charges only about $21,000 to treat that same illness.
Dr. Donald Nicolay, chief medical officer at Community, said the only thing that is different in the treatment of that infection between the two hospitals is what patients would be charged.
Prinster, however, said cost considerations don’t stop there. When complications develop while treating such life-threatening conditions as septicemia, patients prefer to be at a hospital that has more services, and can more quickly deal with unexpected situations.
Oftentimes, Community Hospital patients end up being transferred to St. Mary’s because it doesn’t have the wherewithal to treat those who develop complications, he said.
Prinster points out that when there are no complications, the cost between St. Mary’s and Community is nearly identical.
Indeed, the database bears that out, showing St. Mary’s cost to be $27,158, and Community’s charge at $27,058. Charges for that condition, without complications, at Delta and Montrose are even cheaper, at $17,303 and $14,954, respectively.
Still, the Colorado Center on Law & Policy, a left-leaning group that advocates for affordable health care and responsible government spending that has studied hospital charges, says there seems to be no rhyme or reason as to why costs for the same procedures vary so widely across the state.
In a recent study of those charges, the center found that hospital costs can range from 43 percent higher than the statewide median to 57 percent lower.
Community Hospital, Delta County Memorial Hospital and Montrose Memorial Hospital were among the bottom five charging the least of all major hospitals in the state, with Montrose and Delta coming in second and third to last, respectively.
St. Mary’s, however, ranked closer to the middle, at about 19 percent below the state average.
With the exception of Denver Health, which charges about as much as St. Mary’s, all other Denver-area hospitals listed charges that were, on average, 25 percent higher than the state median, with some as high as 43 percent over that baseline.
Prinster said that’s why it’s better to compare St. Mary’s with hospitals located elsewhere in the state, such as Fort Collins, Boulder or Pueblo.
When compared to those facilities, St. Mary’s costs are more often than not much lower, and that’s by design.
“What we don’t want to do is force people to go to Denver to get cheaper care,” he said. “Every year when we do that (cost) analysis, we look at how our rates compare to similar hospitals, and on average we’re 10 to 15 percent below them. So, with our rate increases, we’re still below them. What’s fascinating is, we raise our rates, and they do, too, and some of them raise them even more.”
Both St. Mary’s and Community are in the midst of major construction projects to expand their facilities.
St. Mary’s, which opened its new $276 million 12-story building in 2010, is spending another $40 million to complete construction on the four top floors, two of which will become the new home to its rehab and surgical units.
Meanwhile, Community is building a whole new hospital and medical office building for about $73 million.
# # #
HOSPITAL COSTS
Here’s a list of 41 charges of common ailments treated at regional hospitals, according to data from the Centers for Medicare and Medicaid Services.
Blood infection with a major complication:
• Community Hospital: $20,910.46
• St. Mary’s Hospital: $46,268.97
• Montrose Memorial Hospital: $24,270.38
Fluid accumulation in the lungs and respiratory failure:
• Community Hospital: $18,812.58
• St. Mary’s Hospital: $39,572.48
Chronic obstructive pulmonary disease with a major complication:
• Delta County Memorial Hospital: $20,283.08
• Community Hospital: $17,501.39
• St. Mary’s Hospital: $28,461.46
• Montrose Memorial Hospital: $14,539.19
Pneumonia and lung inflammation with a major complication:
• Delta County Memorial Hospital: $24,681.69
• Community Hospital: $24,361.82
• St. Mary’s Hospital: $34,133.83
• Montrose Memorial Hospital: $17,892.29
Heart failure and shock with a major complication:
• Community Hospital: $14,361.91
• St. Mary’s Hospital: $28,228.12
Major small and large bowel procedures with complication:
• Community Hospital: $36,950.88
• St. Mary’s Hospital: $49,988.05
Chronic obstructive pulmonary disease with a complication:
• Delta County Memorial Hospital: $16,416.65
• Community Hospital: $16,959.93
• St. Mary’s Hospital: $23,603.48
• Montrose Memorial Hospital: $14,115.83
Chronic obstructive pulmonary disease without complications:
• Delta County Memorial Hospital: $11,723.56
• Community Hospital: $15,416.09
• St. Mary’s Hospital: $16,533.21
• Montrose Memorial Hospital:$9,141.40
Pneumonia and lung inflammation with a complication:
• Delta County Memorial Hospital: $17,302.14
• Community Hospital: $17,223.78
• St. Mary’s Hospital: $23,314
• Montrose Memorial Hospital: $11,244.70
Pneumonia and lung inflammation without a complication:
• Delta County Memorial Hospital: $9,809.72
• Community Hospital: $12,720.14
• St. Mary’s Hospital: $18,100.51
• Montrose Memorial Hospital: $9,680.86
Heart failure and shock with a complication:
• Delta County Memorial Hospital: $10,830.43
• Community Hospital: $16,268
• St. Mary’s Hospital: $22,092.77
• Montrose Memorial Hospital: $12,705.17
Stroke or bleeding within the skull with a complication:
• Community Hospital: $19,931.47
• St. Mary’s Hospital: $24,025.42
• Montrose Memorial Hospital: $12,592
Blood infection without a major complication:
• Delta County Memorial Hospital: $17,303.91
• Community Hospital: $27,058
• St. Mary’s Hospital: $27,158.90
• Montrose Memorial Hospital: $14,954.40
Inflammation of the esophagus, gastrointestinal tract or other major digestive disorders without major complications:
• Delta County Memorial Hospital: $10,339.65
• Community Hospital: $13,953.12
• St. Mary’s Hospital: $16,699.77
• Montrose Memorial Hospital: $8,590.93
Skin or connective tissue inflammation:
• Delta County Memorial Hospital: $8,544.95
• Community Hospital: $11,641.08
• St. Mary’s Hospital: $21,005.58
• Montrose Memorial Hospital: $11,164.12
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without major complications:
• Delta County Memorial Hospital: $8,597.86
• Community Hospital: $11,695.88
• St. Mary’s Hospital: $13,354.75
• Montrose Memorial Hospital: $11,812.36
Hip and femur procedures not including major joint replacement with complications:
• Community Hospital: $28,152.73
• St. Mary’s Hospital: $36,832.12
• Montrose Memorial Hospital: $27,593.74
Major joint replacement or reattachment of lower limb without major complications:
• Delta County Memorial Hospital: $31,814.80
• Community Hospital: $37,524.77
• St. Mary’s Hospital: $34,378.06
• Montrose Memorial Hospital: $31,441.26
Kidney and urinary tract infections without major complications:
• Delta County Memorial Hospital: $10,958.25
• Community Hospital: $10,073.53
• St. Mary’s Hospital: $14,433.41
• Montrose Memorial Hospital: $11,141.69
Heart pacemaker with a complication:
• Montrose Memorial Hospital: $34,939
• St. Mary’s Hospital: $64,094.60
Stroke or bleeding within the skull without a complication:
• Delta County Memorial Hospital: $12,147.29
• St. Mary’s Hospital: $22,598.36
• Montrose Memorial Hospital: $9,385.70
Short term loss of blood flow to the nervous system:
• Delta County Memorial Hospital: $8,854.87
• St. Mary’s Hospital: $16,546.46
Seizures without a major complication:
• St. Mary’s Hospital: $19,283.85
• Montrose Memorial Hospital: $7,573
Blockage of an artery of the lung without a major complication:
• Delta County Memorial Hospital: $14,768.68
• St. Mary’s Hospital: $23,736.04
• Montrose Memorial Hospital: $13,054.44
Permanent heart pacemaker:
• St. Mary’s Hospital: $64,094.60
• Montrose Memorial Hospital: $34,939
Perc cardiovascular procedure with a drug eluting stent without a major complication:
• St. Mary’s Hospital: $45,519.17
• Montrose Memorial Hospital: $34,859.20
Perc cardiovascular procedure with a non-drug eluting stent without a major complication:
• St. Mary’s Hospital: $45,493.55
• Montrose Memorial Hospital:$34,072.92
Heart failure and shock without a complication:
• Delta County Memorial Hospital: $7,911.91
• St. Mary’s Hospital: $15,955.39
• Montrose Memorial Hospital: $7,594.50
Heart arrhythmia and conduction disorders with a complication:
• Delta County Memorial Hospital: $13,749.77
• St. Mary’s Hospital: $23,247.50
• Montrose Memorial Hospital:$13,753.24
Heart arrhythmia and conduction disorders without a complication:
• Delta County Memorial Hospital: $6,109.94
• St. Mary’s Hospital: $11,970.62
• Montrose Memorial Hospital: $8,613.79
Fainting and collapse:
• Delta County Memorial Hospital: $7,344
• St. Mary’s Hospital: $16,640.82
Chest pain:
• Delta County Memorial Hospital: $5,345.43
• St. Mary’s Hospital: $12,033.37
• Montrose Memorial Hospital: $7,877.40
Major small and large bowel procedures with major complication:
• Delta County Memorial Hospital: $69,319.75
• St. Mary’s Hospital: $105,751.25
Gastrointestinal hemorrhage with complication:
• St. Mary’s Hospital: $20,359.18
• Montrose Memorial Hospital: $13,632.23
Gastrointestinal hemorrhage without complication:
• Delta County Memorial Hospital: $13,628.12
• St. Mary’s Hospital: $14,011.36
Gastrointestinal obstruction with complication:
• Delta County Memorial Hospital: $16,624.83
• St. Mary’s Hospital: $21,347.64
Gastrointestinal obstruction without complication:
• Delta County Memorial Hospital: $9,029.35
• St. Mary’s Hospital: $12,163.70
Minimally invasive removal of the gall bladder without complications:
• St. Mary’s Hospital: $25,684.89
• Montrose Memorial Hospital: $19,444.82
Fractures of the hip and pelvis without complications:
\• Delta County Memorial Hospital: $13,324.25
• St. Mary’s Hospital: $14,299.92
Medical back problems without major complication:
• Delta County Memorial Hospital: $10,025.12
• St. Mary’s Hospital: $18,586.62
Signs and symptoms without complications without major complication:
• St. Mary’s Hospital: $19,006.70
• Montrose Memorial Hospital: $7,925.31
Discrepancy in local medical costs can cause sticker shock
Procedures at St. Mary's can be twice as high as Community Hospital, but context is key
Medical costs at St. Mary’s are almost always more expensive than those over at Community, and in some cases twice as high, according to a federal database on hospital costs.
While the two hospitals, and others in the region, are still cheaper than most parts of the state, St. Mary’s costs were higher in 18 of 19 diagnoses in what hospitals charge Medicaid and Medicare patients, according to a federal database maintained by the Centers for Medicare and Medicaid Services.
Dan Prinster, St. Mary’s vice president of business development, acknowledged those numbers as accurate, but said a true comparison of the two hospitals isn’t that simple.
“If you have a patient who has additional complications, they’re going to come here before they go there (to Community),” he said. “We’re at a different level as a facility. We offer many more services that they don’t.”
While patients may get comparable care at both facilities for certain procedures and treatments, the two hospitals really can’t be compared because there is a limited list of conditions the two facilities have in common that they treat, Prinster said.
St. Mary’s has services and staff that Community doesn’t, so its expenses are naturally higher, he said.
Furthermore, Community has made a conscious effort to keep its charges low, a philosophy that eventually will hurt them, Prinster said.
“I know from having looked at charge data that Community has made the decision over several years that they’re not going to raise rates in certain areas,” he said. “Our board has made the decision over the years that given cost increases for medical equipment, for pharmaceuticals, for staff and other things, is that we have to — from a fiduciary standpoint — ... adjust our rates on an annual basis. That accounts for some of the price differences.”
Chris Thomas, president and chief executive officer at Community, agreed that the two hospitals are different when it comes to the services they offer, but he said Prinster doesn’t have a clue what drives his charges.
He said St. Mary’s costs are higher simply because it can get away with charging more.
“A big part of this is, when little Community Hospital sits down with the insurance companies and says, ‘Boy, I’d like to get paid more,’ the insurance companies say, ‘Yeah, Chris. No thanks,’ and I say, ‘Okay,’” Thomas said. “But when St. Mary’s, who has 85 percent of the market share, goes in and says, ‘I’d like to get paid this,’ they get it. I’m limited in most of my (insurance) contracts to not be able to increase my charges more than 6 percent a year. St. Mary’s doesn’t have those kind of restrictions.”
As a result, the difference in costs continues to widen, he said.
According to the Medicare cost database, St. Mary’s charges more than $46,000, for example, to treat a blood infection such as septicemia, but Community Hospital charges only about $21,000 to treat that same illness.
Dr. Donald Nicolay, chief medical officer at Community, said the only thing that is different in the treatment of that infection between the two hospitals is what patients would be charged.
Prinster, however, said cost considerations don’t stop there. When complications develop while treating such life-threatening conditions as septicemia, patients prefer to be at a hospital that has more services, and can more quickly deal with unexpected situations.
Oftentimes, Community Hospital patients end up being transferred to St. Mary’s because it doesn’t have the wherewithal to treat those who develop complications, he said.
Prinster points out that when there are no complications, the cost between St. Mary’s and Community is nearly identical.
Indeed, the database bears that out, showing St. Mary’s cost to be $27,158, and Community’s charge at $27,058. Charges for that condition, without complications, at Delta and Montrose are even cheaper, at $17,303 and $14,954, respectively.
Still, the Colorado Center on Law & Policy, a left-leaning group that advocates for affordable health care and responsible government spending that has studied hospital charges, says there seems to be no rhyme or reason as to why costs for the same procedures vary so widely across the state.
In a recent study of those charges, the center found that hospital costs can range from 43 percent higher than the statewide median to 57 percent lower.
Community Hospital, Delta County Memorial Hospital and Montrose Memorial Hospital were among the bottom five charging the least of all major hospitals in the state, with Montrose and Delta coming in second and third to last, respectively.
St. Mary’s, however, ranked closer to the middle, at about 19 percent below the state average.
With the exception of Denver Health, which charges about as much as St. Mary’s, all other Denver-area hospitals listed charges that were, on average, 25 percent higher than the state median, with some as high as 43 percent over that baseline.
Prinster said that’s why it’s better to compare St. Mary’s with hospitals located elsewhere in the state, such as Fort Collins, Boulder or Pueblo.
When compared to those facilities, St. Mary’s costs are more often than not much lower, and that’s by design.
“What we don’t want to do is force people to go to Denver to get cheaper care,” he said. “Every year when we do that (cost) analysis, we look at how our rates compare to similar hospitals, and on average we’re 10 to 15 percent below them. So, with our rate increases, we’re still below them. What’s fascinating is, we raise our rates, and they do, too, and some of them raise them even more.”
Both St. Mary’s and Community are in the midst of major construction projects to expand their facilities.
St. Mary’s, which opened its new $276 million 12-story building in 2010, is spending another $40 million to complete construction on the four top floors, two of which will become the new home to its rehab and surgical units.
Meanwhile, Community is building a whole new hospital and medical office building for about $73 million.
# # #
HOSPITAL COSTS
Here’s a list of 41 charges of common ailments treated at regional hospitals, according to data from the Centers for Medicare and Medicaid Services.
Blood infection with a major complication:
• Community Hospital: $20,910.46
• St. Mary’s Hospital: $46,268.97
• Montrose Memorial Hospital: $24,270.38
Fluid accumulation in the lungs and respiratory failure:
• Community Hospital: $18,812.58
• St. Mary’s Hospital: $39,572.48
Chronic obstructive pulmonary disease with a major complication:
• Delta County Memorial Hospital: $20,283.08
• Community Hospital: $17,501.39
• St. Mary’s Hospital: $28,461.46
• Montrose Memorial Hospital: $14,539.19
Pneumonia and lung inflammation with a major complication:
• Delta County Memorial Hospital: $24,681.69
• Community Hospital: $24,361.82
• St. Mary’s Hospital: $34,133.83
• Montrose Memorial Hospital: $17,892.29
Heart failure and shock with a major complication:
• Community Hospital: $14,361.91
• St. Mary’s Hospital: $28,228.12
Major small and large bowel procedures with complication:
• Community Hospital: $36,950.88
• St. Mary’s Hospital: $49,988.05
Chronic obstructive pulmonary disease with a complication:
• Delta County Memorial Hospital: $16,416.65
• Community Hospital: $16,959.93
• St. Mary’s Hospital: $23,603.48
• Montrose Memorial Hospital: $14,115.83
Chronic obstructive pulmonary disease without complications:
• Delta County Memorial Hospital: $11,723.56
• Community Hospital: $15,416.09
• St. Mary’s Hospital: $16,533.21
• Montrose Memorial Hospital:$9,141.40
Pneumonia and lung inflammation with a complication:
• Delta County Memorial Hospital: $17,302.14
• Community Hospital: $17,223.78
• St. Mary’s Hospital: $23,314
• Montrose Memorial Hospital: $11,244.70
Pneumonia and lung inflammation without a complication:
• Delta County Memorial Hospital: $9,809.72
• Community Hospital: $12,720.14
• St. Mary’s Hospital: $18,100.51
• Montrose Memorial Hospital: $9,680.86
Heart failure and shock with a complication:
• Delta County Memorial Hospital: $10,830.43
• Community Hospital: $16,268
• St. Mary’s Hospital: $22,092.77
• Montrose Memorial Hospital: $12,705.17
Stroke or bleeding within the skull with a complication:
• Community Hospital: $19,931.47
• St. Mary’s Hospital: $24,025.42
• Montrose Memorial Hospital: $12,592
Blood infection without a major complication:
• Delta County Memorial Hospital: $17,303.91
• Community Hospital: $27,058
• St. Mary’s Hospital: $27,158.90
• Montrose Memorial Hospital: $14,954.40
Inflammation of the esophagus, gastrointestinal tract or other major digestive disorders without major complications:
• Delta County Memorial Hospital: $10,339.65
• Community Hospital: $13,953.12
• St. Mary’s Hospital: $16,699.77
• Montrose Memorial Hospital: $8,590.93
Skin or connective tissue inflammation:
• Delta County Memorial Hospital: $8,544.95
• Community Hospital: $11,641.08
• St. Mary’s Hospital: $21,005.58
• Montrose Memorial Hospital: $11,164.12
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without major complications:
• Delta County Memorial Hospital: $8,597.86
• Community Hospital: $11,695.88
• St. Mary’s Hospital: $13,354.75
• Montrose Memorial Hospital: $11,812.36
Hip and femur procedures not including major joint replacement with complications:
• Community Hospital: $28,152.73
• St. Mary’s Hospital: $36,832.12
• Montrose Memorial Hospital: $27,593.74
Major joint replacement or reattachment of lower limb without major complications:
• Delta County Memorial Hospital: $31,814.80
• Community Hospital: $37,524.77
• St. Mary’s Hospital: $34,378.06
• Montrose Memorial Hospital: $31,441.26
Kidney and urinary tract infections without major complications:
• Delta County Memorial Hospital: $10,958.25
• Community Hospital: $10,073.53
• St. Mary’s Hospital: $14,433.41
• Montrose Memorial Hospital: $11,141.69
Heart pacemaker with a complication:
• Montrose Memorial Hospital: $34,939
• St. Mary’s Hospital: $64,094.60
Stroke or bleeding within the skull without a complication:
• Delta County Memorial Hospital: $12,147.29
• St. Mary’s Hospital: $22,598.36
• Montrose Memorial Hospital: $9,385.70
Short term loss of blood flow to the nervous system:
• Delta County Memorial Hospital: $8,854.87
• St. Mary’s Hospital: $16,546.46
Seizures without a major complication:
• St. Mary’s Hospital: $19,283.85
• Montrose Memorial Hospital: $7,573
Blockage of an artery of the lung without a major complication:
• Delta County Memorial Hospital: $14,768.68
• St. Mary’s Hospital: $23,736.04
• Montrose Memorial Hospital: $13,054.44
Permanent heart pacemaker:
• St. Mary’s Hospital: $64,094.60
• Montrose Memorial Hospital: $34,939
Perc cardiovascular procedure with a drug eluting stent without a major complication:
• St. Mary’s Hospital: $45,519.17
• Montrose Memorial Hospital: $34,859.20
Perc cardiovascular procedure with a non-drug eluting stent without a major complication:
• St. Mary’s Hospital: $45,493.55
• Montrose Memorial Hospital:$34,072.92
Heart failure and shock without a complication:
• Delta County Memorial Hospital: $7,911.91
• St. Mary’s Hospital: $15,955.39
• Montrose Memorial Hospital: $7,594.50
Heart arrhythmia and conduction disorders with a complication:
• Delta County Memorial Hospital: $13,749.77
• St. Mary’s Hospital: $23,247.50
• Montrose Memorial Hospital:$13,753.24
Heart arrhythmia and conduction disorders without a complication:
• Delta County Memorial Hospital: $6,109.94
• St. Mary’s Hospital: $11,970.62
• Montrose Memorial Hospital: $8,613.79
Fainting and collapse:
• Delta County Memorial Hospital: $7,344
• St. Mary’s Hospital: $16,640.82
Chest pain:
• Delta County Memorial Hospital: $5,345.43
• St. Mary’s Hospital: $12,033.37
• Montrose Memorial Hospital: $7,877.40
Major small and large bowel procedures with major complication:
• Delta County Memorial Hospital: $69,319.75
• St. Mary’s Hospital: $105,751.25
Gastrointestinal hemorrhage with complication:
• St. Mary’s Hospital: $20,359.18
• Montrose Memorial Hospital: $13,632.23
Gastrointestinal hemorrhage without complication:
• Delta County Memorial Hospital: $13,628.12
• St. Mary’s Hospital: $14,011.36
Gastrointestinal obstruction with complication:
• Delta County Memorial Hospital: $16,624.83
• St. Mary’s Hospital: $21,347.64
Gastrointestinal obstruction without complication:
• Delta County Memorial Hospital: $9,029.35
• St. Mary’s Hospital: $12,163.70
Minimally invasive removal of the gall bladder without complications:
• St. Mary’s Hospital: $25,684.89
• Montrose Memorial Hospital: $19,444.82
Fractures of the hip and pelvis without complications:
\• Delta County Memorial Hospital: $13,324.25
• St. Mary’s Hospital: $14,299.92
Medical back problems without major complication:
• Delta County Memorial Hospital: $10,025.12
• St. Mary’s Hospital: $18,586.62
Signs and symptoms without complications without major complication:
• St. Mary’s Hospital: $19,006.70
• Montrose Memorial Hospital: $7,925.31
Tuesday, June 18, 2013
Fried Chicken to Die From
This recipe is from Cooks Country... It is amazing... and as Sue would say you wouldn't eat this everyday so its okay to eat this occasionally. It makes a chicken that easily beats KFC or the pressure fried types. Everything needs to be close at hand and sequenced when the frying begins. I used my very cool infrared sensing thermometer to gauge the heat. I didn't quite have 3 quarts of oil... and I used a pint of peanut oil along with a medium wesson oil container.. it still worked. It took the time required to reach the meat temps required. The dutch oven my Kirkland version of the famous french Le Cruiset worked out beautifully.
Batter-Fried Chicken
From Cook's Country
August/September 2009
As
far as technique went for our Batter-Fried Chicken recipe, deep-frying
easily beat out shallow-frying. With shallow-frying, the batter always
burned on the bottom. To ensure a crisp crust, we replaced the milk in
our initial batters with plain old water. It turned out that when wet
batter hit the hot frying oil, the moisture in the batter vaporized,
leaving behind the solids that adhered to the chicken. With milk, the
sugars in the milk solids browned too fast and produced a soft crust.
Using equal parts cornstarch and flour in the batter ensured a crisp crust on the chicken. And baking powder added lift and lightness without doughiness. We flavored our batter with black pepper, paprika, and cayenne for simple but unambiguous flavor.
Using equal parts cornstarch and flour in the batter ensured a crisp crust on the chicken. And baking powder added lift and lightness without doughiness. We flavored our batter with black pepper, paprika, and cayenne for simple but unambiguous flavor.
Serves 4 to 6
Total time:
Halve breasts crosswise and separate leg quarters into thighs and drumsticks.
Ingredients
BRINE
- 1 quart cold water
- 1/4 cup salt
- 1/4 cup sugar
- 4 pounds bone-in, skin-on chicken pieces (see note)
- 1 cup all-purpose flour
- 1 cup cornstarch
- 5 teaspoons pepper
- 1 teaspoon paprika
- 1/2 teaspoon cayenne pepper
- 2 teaspoons baking powder
- 1 teaspoon salt
- 1 3/4 cups cold water
- 3 quarts peanut or vegetable oil
- 1. MAKE BRINE Whisk water, salt, and sugar in large bowl until sugar and salt dissolve. Add chicken and refrigerate for 30 minutes or up to 1 hour.
- 2. MAKE BATTER Whisk flour, cornstarch, pepper, paprika, cayenne, baking powder, salt, and water in large bowl until smooth. Refrigerate batter while chicken is brining.
- 3. FRY CHICKEN Heat oil in large Dutch oven over medium-high heat to 350 degrees. Remove chicken from refrigerator, pour off brine, and pat dry with paper towels. Rewhisk batter. Transfer half of chicken to batter. One piece at a time, remove chicken from batter (allowing excess to drip back into bowl) and transfer to oil. Fry chicken, adjusting burner as necessary to maintain oil temperature between 300 and 325 degrees, until deep golden brown and white meat registers 160 degrees (175 degrees for dark meat), 12 to 15 minutes. Drain chicken on wire rack set inside rimmed baking sheet. Bring oil back to 350 degrees and repeat with remaining chicken. Serve.
Fry in 2 batches.. if using a Foster Farms chicken don't bother with the back and neck pieces save them for soup. The foster farms fryers are generally larger than the eastern raised chickens.
In the end you end up with a tempura style of fried chicken.
yum yum! : ) Pat
Sunday, June 9, 2013
Biscuit Cobbler
I think that this recipe was part of some family web pages that were deleted in the last revision. Linzi called me this morning as I was on my extended walk and asked for this ditty. This is the only kind that Linzi really likes.
Biscuit Part:
2C of All purpose flour
1TB of baking powder
4TB of sugar
1/2 tsp of cream of tarter (or not)
1/4 tsp of salt
1/2 Cup of Butter
3/4 Cup of whipping cream, light Cream or milk
This is the topping.
The fruit goop:
4Cups of chopped ripe fruit
1/4 Cup of minute Tapicoca
1 Cup of Sugar (varies depending on your taste and the tartness of the fruit)
4 Tbs of Butter (sliced to drop on the top of the goop after assembly in the cobbler)
Directions:
Fresh style: Oven at 300 degrees
Assemble goop into a well buttered baking vessel (like an 8inch square baking pan) , drop dough on top and bake the entire thing in slower oven to allow for the goop to encorporate its tapioca. Take out when bubbles show up around the matrix and the biscuit looks done.
Controlled style
Combine the ingredients of the goop in a saucepan. Under 400 degree heat, stir and heat until the mixture solidifies.
Roll out the biscuits and place on top of the goop. Bake in a moderate oven until the biscuits floating on the goop seem done and not goopy.
Texas style: Oven at 300 degrees
Put the biscuit dough on the bottom of the baking pan. Spread the goop on top. As the biscuits come up they integrate with the goop.
We have one more week before we have tree ripe fruit. Enjoy!
Biscuit Part:
2C of All purpose flour
1TB of baking powder
4TB of sugar
1/2 tsp of cream of tarter (or not)
1/4 tsp of salt
1/2 Cup of Butter
3/4 Cup of whipping cream, light Cream or milk
This is the topping.
The fruit goop:
4Cups of chopped ripe fruit
1/4 Cup of minute Tapicoca
1 Cup of Sugar (varies depending on your taste and the tartness of the fruit)
4 Tbs of Butter (sliced to drop on the top of the goop after assembly in the cobbler)
Directions:
Fresh style: Oven at 300 degrees
Assemble goop into a well buttered baking vessel (like an 8inch square baking pan) , drop dough on top and bake the entire thing in slower oven to allow for the goop to encorporate its tapioca. Take out when bubbles show up around the matrix and the biscuit looks done.
Controlled style
Combine the ingredients of the goop in a saucepan. Under 400 degree heat, stir and heat until the mixture solidifies.
Roll out the biscuits and place on top of the goop. Bake in a moderate oven until the biscuits floating on the goop seem done and not goopy.
Texas style: Oven at 300 degrees
Put the biscuit dough on the bottom of the baking pan. Spread the goop on top. As the biscuits come up they integrate with the goop.
We have one more week before we have tree ripe fruit. Enjoy!
Saturday, June 8, 2013
Waiting for the Heat
There is no denying it. Its Summer in Merced California.
Today we are waiting for the triple digit heat to begin.
Contrary to most diatribes coming from the rest of the family, it is not always 100 degrees plus over here in the valley. It is even true that at this time of the year we often get the last vestiges of rain for the year right in front of graduation ceremonies.
Its hard to talk realities to people who feel that 72 degrees is too hot to bear.
We will reach that thresh hold today at 9 Am. Most of the time the weather does not get in the way of outdoor activities. When it gets this hot we find things to do indoors or make sure that outdoor activities are completed in the morning. Sure we do not need jackets at anytime. You can go to the fair and not feel cold in the evening watching the performances.
Most people around here make sure that their liquid consumption increases with the weather. We drink more liquids. The Central Valley had to have beverage bars at all fast food restaurant settings. When every you eat you have to adjust your liquid content. Drink Drink Drink. This becomes pretty strange when in the late Fall the opposite occurs and the habit of glupping down liquid gives way to a more reasonable level.
Everyone on my block knows that the vegetation needs to be watered prior to the temperature changes today. 100 degree temps mean that water have to be in the ground deeply as the air temperature rises. All lawns were watered this morning before 9AM and they may get a short cool off shot this afternoon just to keep the roots from drying out.
The summer flowers love this heat. They also must have some water everyday in this streak. I have planted the front patio with annuals just like I try to do every year. There is always a battle that goes on when planting annuals. Do you plant for the short term. This requires replanting three times during the growing seasons. Or... can you use a planting scheme that allows for various plants to flower at the peak and then die off and then allow the next more sun related plants to take over and then plant one more time in the fall for the cool frost sturdy plants to keep blooming through the winter and into the start of the Spring.
This year I am trying a new strategy. The petunias which produce such sturdy color got eliminated because after July, they will not survive here. Marigolds (the dwarf variety) will do well up into September. Portulaca, or Moss Rose love the sun and will continue to produce all the way up into the Fall. They will not be as full as they will until there is consistent heat. Their drop off could be in October when the weather shifts. White Alysumm do well throughout the year and provide that garden fragrance. They need to be the base for the cool weather plantings that will occur in the early Fall and provide for the flowers in the Winter.
Overall I think that this garden is a pretty forward looking patio garden. Before each planting, I always add a couple of scoops of osmokote slow release fertilizer to the pots. My watering schedule for most of the summer is daily. I have learned the hard way that very large pots have to be used in this climate to raise annuals off the ground. Most of my pots are over 5 gallon in size.
It has been really fun to have a patio garden. We had it put in 8 years ago. There is something really nice and earthy about a saltio tile patio.
: ) Pat
Today we are waiting for the triple digit heat to begin.
Contrary to most diatribes coming from the rest of the family, it is not always 100 degrees plus over here in the valley. It is even true that at this time of the year we often get the last vestiges of rain for the year right in front of graduation ceremonies.
Its hard to talk realities to people who feel that 72 degrees is too hot to bear.
We will reach that thresh hold today at 9 Am. Most of the time the weather does not get in the way of outdoor activities. When it gets this hot we find things to do indoors or make sure that outdoor activities are completed in the morning. Sure we do not need jackets at anytime. You can go to the fair and not feel cold in the evening watching the performances.
Most people around here make sure that their liquid consumption increases with the weather. We drink more liquids. The Central Valley had to have beverage bars at all fast food restaurant settings. When every you eat you have to adjust your liquid content. Drink Drink Drink. This becomes pretty strange when in the late Fall the opposite occurs and the habit of glupping down liquid gives way to a more reasonable level.
Everyone on my block knows that the vegetation needs to be watered prior to the temperature changes today. 100 degree temps mean that water have to be in the ground deeply as the air temperature rises. All lawns were watered this morning before 9AM and they may get a short cool off shot this afternoon just to keep the roots from drying out.
The summer flowers love this heat. They also must have some water everyday in this streak. I have planted the front patio with annuals just like I try to do every year. There is always a battle that goes on when planting annuals. Do you plant for the short term. This requires replanting three times during the growing seasons. Or... can you use a planting scheme that allows for various plants to flower at the peak and then die off and then allow the next more sun related plants to take over and then plant one more time in the fall for the cool frost sturdy plants to keep blooming through the winter and into the start of the Spring.
This year I am trying a new strategy. The petunias which produce such sturdy color got eliminated because after July, they will not survive here. Marigolds (the dwarf variety) will do well up into September. Portulaca, or Moss Rose love the sun and will continue to produce all the way up into the Fall. They will not be as full as they will until there is consistent heat. Their drop off could be in October when the weather shifts. White Alysumm do well throughout the year and provide that garden fragrance. They need to be the base for the cool weather plantings that will occur in the early Fall and provide for the flowers in the Winter.
Overall I think that this garden is a pretty forward looking patio garden. Before each planting, I always add a couple of scoops of osmokote slow release fertilizer to the pots. My watering schedule for most of the summer is daily. I have learned the hard way that very large pots have to be used in this climate to raise annuals off the ground. Most of my pots are over 5 gallon in size.
It has been really fun to have a patio garden. We had it put in 8 years ago. There is something really nice and earthy about a saltio tile patio.
: ) Pat
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