Welcome to Hallmark Health's Media Coverage section. This section is designed to assist patients and journalists seeking information about our current news and to introduce our healthcare experts. We are also available to assist you by providing information about Hallmark Health and its members, including Lawrence Memorial of Medford and Melrose-Wakefield Hospitals.
- Created on Friday, 18 October 2013 14:45
Oct. 3, 2013
By Nicholas lovino & Sue Scheible
As cutting edge research steers doctors toward a more individualized approach to cancer treatment, one local health care provider has added a new tool in its arsenal to better target and kill cancer cells in the body.
Last April, Hallmark Health started treating patients with Elekta Infinity, a new radiation treatment system that reduces the time patients must undergo radiotherapy, thanks to a more sophisticated targeting mechanism.
"The biggest advance with this is better imaging capability to allow us to be more accurate, and it delivers the radiation faster so their overall time is reduced," said Glenn Davis, manager of oncology services for Hallmark Health System, which operates Lawrence Memorial Hospital of Medford and Melrose-Wakefield Hospital, among other local facilities.
Davis said enhanced targeting allows doctors to reduce side eiTects that often accompany radiation therapy as well, such as fatigue and skin irritation.
That improved targeting is made possible by an agility head with ISO leaves that alter position based on where the cancer cells are physically located in each patient.
"We installed a brand new lGO-slice oncology specific CAT scan in our department," said Davis. "That allows us to do better 3-D imaging of the breast to better target the area of concern and avoid the normal, healthy surrounding tissues to prevent side effects."
Davis said about half the patients treated at Hallmark Health's CHEM Center for Radiation Oncology on Montvale Avenue in Stoneham suffer from breast cancer.
A team of doctors at Hallmark Health's Comprehensive Breast Center examines a wide array of factors to determine the best combination of treatment for each patient. Treatments vary from surgery to radiation therapy to chemotherapy, a treatment in which medication given to the patient targets cancer cells. A combination of various treatments is often recommended.
"It's very case-specific," said Davis. "It's a high percentage of breast cancer diagnosed patients that receive radiation treatment.
He added the average cancer patient receives about 25 to 33 radiation therapy treatments over the course of six to seven weeks. Patients are exposed to the radiation beam for about 10 minutes, down from about 15 minutes before new technology made targeting more accurate.
Davis said the biggest advantage for his patients is attaining the same level of care with the latest technology without having to drive into Boston to seek treatment at large teaching hospitals.
The Hallmark Health CHEM Center has been caring for area patients for more than 20 years and was the first freestanding radiation oncology site in Massachusetts.
Meanwhile, cutting-edge research in breast cancer is taking place in a rapidly expanding variety of fields, from molecular to medical to surgical oncology. It can be hard to get a handle on it all.
The result: women facing a diagnosis today face a much more personalized or individual approach with testing and treatment options tailored to their own biology, type and subtype of cancer, stage of growth and family history.
"With time, I am certain this new approach will positively affect survival rates, but already we are minimizing the need for chemotherapy following initial surgical treatment," said Dr. Katherina Zabicki Calvillo, associate director of the Breast Center, Dana-Farber/Brigham and Women's Cancer Center in clinical affiliation with South Shore Hospital in Weymouth.
The latest clinical trials are only a click on a web site away: clinicaltrials.gov is recommended by advocates and physicians as the best-centralized source, maintained by the National Institutes of Health. And the web sites of many community hospitals have links to clinical trials they are participating in.
"Physicians in the community have point people in the academic centers, and we go out to attend tumor boards at the community level," Cavillo said. "People can always come into Boston for second opinions and then go back out to their community for ongoing clinical work."
Dr. Eric P. Winer, director of the Breast Oncology Program at the Susan F. Smith Center for Women's Cancers at Dana-Farber Cancer Institute, also traced significant changes over the past 12 years.
"We no longer think of breast cancer as one disease, but as a family of four or five distinct types of diseases, each with a different personality," he said. "We can have a much more detailed understanding of the underlying biology. Our ability7 to apply that knowledge to the clinical trials we have underway has advanced incredibly."
Oncologists are also learning more about why the same types of cancer act so much more or less aggressively in different people.
A range of factors, Winer said, are thought to influence why one woman will deal better, from a biological standpoint, with a cancer and its response to treatment - why her disease does not recur or is not as aggressive if it does recur, after the initial treatment.
That has sparked renewed interest in the immune system.
"Some of this is very new," he said. "Something in our immune system has allowed us to create the cancer (the unregulated growth of cells) and something allows some people, with treatment, to enhance their ability to contain that cancer."
The new genetic code information is helping doctors target which types of cancer will respond to which chemotherapy.
"The problem with drugs that are thought to prevent cancer can be you end up having a lot of people taking a drug to prevent something that never does develop anyway," Winer said.
A steady source
A steady source of research funding for Massachusetts medical centers and other institutions has been Susan G. Komen for the Cure. Ronni Colien-Boyar, executive director of Komen MA and a breast cancer survivor, said that this year, $4.7 million in new funding will go to Dana-Farber Cancer Institute and Harvard Medical School to research on environmental factors that influence breast cancer development.
Other Komen research giants in Massachusetts are looking at gene mutations, treatments and preventing recurrence.
"The most exciting work going on now is the move towards personalized treatment - getting at the root cause of each individual tumor, what is causing it to occur, why some tumors are receptive and some resistant, to chemotherapy, who needs treatment, at what point, when we are over treating versus when we can get to the early stages," she said.
The Massachusetts Breast Cancer Coalition recently announced a new video series, MBCC Research Updates, designed to present the facts about environmental health and breast cancer prevention. Each short video features an interview with a researcher, medical professional, university professor, breast cancer activist, or other prominent figure in the field.
- Created on Thursday, 10 October 2013 13:09
Oct. 9, 2013
By Christopher Hurley
A pair of Bruins checked into the hospital on Tuesday.
But don’t worry Bruins fans; it was purely a social call.
Fresh off the ice following a morning practice session in Wilmington, Boston Bruin hockey players Adam McQuaid and Torey Krug headed to the Lawrence-Memorial Hospital in Medford, Oct. 8. The pair had a guided tour of the hospital, meeting several members of the staff, while also visiting a dozen patients in different wards.
For the Bruins, making these kinds of trips has almost become second nature.
“We’re just visiting a few of the patients and trying to brighten a few days,” said McQuaid. “For some reason, there’s the odd person that gets excited to see us. It maybe takes people’s minds off what they’re going through. So for us, it’s just nice to be able to do something like that for them.”
McQuaid is no stranger to Lawrence Memorial. The big defenseman first paid a visit in 2012 for a special meet and greet, along with teammate Jordan Caron. This time around he came with Krug in tow.
A rookie defenseman, Krug certainly got a kick out of lifting the patient’s spirits.
“It is kind of funny to walk into a room and for whatever reason get to make people smile,” said Krug, 22 “We’re in a unique position to do that. It’s nice to be able to take advantage of that, just to come out and show our faces and it’s what we’re trying to do today.”
Hallmark Health, a major league provider of quality and advanced community healthcare, joined forces with the hockey stars in 2010, as the official Healthcare Partner of the Boston Bruins.
The partnership is a natural fit for both Hallmark Health and the team. The local healthcare provider’s orthopedic surgeons and premier Bone and Joint Program provide advanced care, treating orthopedic injuries and disease in people of all ages, including those suffering from sports-related injuries.
A bruising defenseman, McQuaid, 26, is currently in his fifth season with the Bruins, helping lead the team to the Stanley Cup during his rookie year in 2011. The 6-foot-5, 209-pound blueliner plays a highly physical brand of hockey that has made him an instant fan favorite.
Krug, 22, gained instant notoriety during the last year’s Stanley Cup Playoff run. The 5-foot-9, 180-pound blueliner become the first rookie defenseman in NHL history to score four goals in his first five postseason games.
Tuesday’s hour long visit began with a special tour as the players got to meet a dozen patients on several floors, while also greeting the medical staff in the urgent care center, emergency department, radiology and imaging center.
For patients like Michael Howard, of Dracut, meeting the Bruins was a pleasant surprise.
“I liked it,” said Howard. “It was awesome, really cool. They made my day.”
Howard got to meet both Bruins, who signed autographs and posed with pictures with him and his family.
The players also got to talk some hockey with several elderly patients, many of whom still have vivid memories about the team’s glory years, including the Stanley Cup championship teams of 1970 and 1972.
“I’ve been a Bruins fan since the early, early 60s,” said James Findlay. “I go way back, past Bobby Orr. I was a kid when I first went to see them when I was about 14-15.”
The longtime Bs fan was really impressed with how the players carried themselves.
“It was nice,” said Findlay. “They’re good kids. It’s nice they come here to see people.They didn’t have too, but its good they came.”
William Doherty, MD, executive vice president and chief medical officer for Hallmark Heath System, said the players visit always has a positive effect.
“The patients really love it,” said Doherty. “Some get very emotional about it. It really lifts their spirits a lot. It’s great. Sometimes people get forgotten about when they’re in the hospital, so it’s been terrific that these guys take the time to visit. It’s been a great experience.”
For these Bruins, it’s the least they can do.
“It’s obviously nice to be able to do something like that,” McQuaid said. “It’s definitely nice to be able to try to get people’s minds off of what they’re going through. There are a lot of Bruins fans. We’re very lucky we have a lot of support and its nice to be able to support people in their times of need in situations like this.”
Both players understand that giving back to the community is an integral part of being a professional athlete in Boston.
“It’s very important to us,” said Krug. “We get a lot of support from everyone in the city and it’s a big country full of Bruins fans from all over, so for us to get out and show our faces is important. It’s nice to be able to connect with the fans and people in these situations. It’s nice to help brighten their day if that is the case.”
- Created on Wednesday, 24 July 2013 19:27
Melrose Free Press
July 18, 2013
By Jessica Sacco
There’s a new Joslin Diabetes Affiliate Center at Melrose-Wakefield Hospital — Hallmark Health System’s second location to open in the area.
Joslin Diabetes Center is considered the world’s top diabetes research and clinical care organization. It’s dedicated to ensuring people with diabetes have long, healthy lives while working toward finding a cure.
“Hallmark really wanted to do something to provide the best quality of care, [so] we went to the best,” said Melissa Roberto, Hallmark Health’s director of ambulatory services, of partnering with Joslin.
The new center opened at Melrose-Wakefield Hospital in April, with a ribbon-cutting event on June 28.
It offers the latest advances for treating diabetes as well as patient education and support services for adults 18 and older.
These include diabetes screenings, care and management, prevention and treatment, nutritional counseling, medication management and more.
A board-certified endocrinologist, diabetes nurse educators, registered dietitians and other medical professionals are readily available at the center for patients in need of their services.
This is the second diabetes center location for Hallmark Health. They opened their first Joslin affiliate at Lawrence Memorial Hospital in Medford in 2011.
Roberto said the organization wanted to partner with Joslin Diabetes given the number of people affected by Type 1 and Type 2 diabetes.
She told the Free Press that in Hallmark Health’s service area alone, there are an estimated 20,000-plus people with diabetes. That doesn’t take into account those who are living with the disease but haven’t been diagnosed.
“It truly is an epidemic,” Roberto said.
She added that since opening the diabetes center in Medford, the hospital has seen a significant increase in the number of patients staff are able to treat.
“We’ve been growing and we realized we needed to have a second location with additional physicians,” Roberto said.
Hallmark Health’s Dr. Sunita Schurgin said having this diabetes center at Melrose-Wakefield Hospital will give patients access to other resources — like a kidney specialist, cardiologist and educators.
The affiliate provides these services at a single nearby location, for a one-stop shopping experience.
“Because it is a chronic disease that requires repeated visits, it’s hard for patients to go into [Boston],” Schurgin said. “Even though it’s not far by miles, it’s a hassle. By being in the community, people feel much more comfortable coming out and having their regular checks. So, that’s a huge advantage that we’re local.”
Roberto added that this team-like approach to treatment is essential in assisting diabetes patients in their journey with the disease.
“When someone is diagnosed with diabetes it’s life-altering,” she said. “It’s a lot of behavioral changes. They not only need medical support, they need education, emotional support. Diabetes and Joslin go hand-in-hand, and you don’t have to go to Boston anymore.”
- Created on Friday, 17 May 2013 12:51
May 17, 2013
By Nathan Lamb
There’s a popular new food truck in Malden — and it’s bringing healthy groceries to those who might otherwise have gone hungry.
The Mobile Food Market was in town May 11, providing bread, produce and frozen meat for more than 460 people in need of food.
In practice, registered patrons choose from a selection of eight to 10 food items, with the average family taking away roughly 30 pounds of groceries.
“It’s meant to be very much like a farmer’s market,” said Hallmark Health Director of Community Services Eileen Dern. “It’s really a very warm and welcoming environment.”
The monthly program came to Malden last August and has quickly caught on, becoming one of the largest mobile markets in the state. The Mobile Food Market is operated by the Greater Boston Food Bank, which forms local partnerships to bring the service to communities across eastern Massachusetts.
The Malden Food Market is done in collaboration with local WIC (Women, Infants, Children) program, which provides nutrition information and healthy food to eligible families.
The WIC program at 239 Commercial St. is administered by Hallmark Health, and Dern said the mobile market was another great way to promote well being.
“As a hospital, we often find that food and health are so tied together so it was really important for us to look….at how we could serve the greater community,” she said.
The two programs are also connected by Kendra Bird, who formerly worked at the Malden WIC site, but is now director of distribution services and nutrition for the Greater Boston Food Bank. While the Mobile Food Market is open to the general public, she said it helps reach a key demographic.
“Given that WIC is such an excellent program and serves children ages 0-5, we felt that it would be a nice complement to bring additional services to the families by assisting them with their food needs for the entire family and especially providing them with fresh produce,” she said.
Explaining how the partnership works, Bird said the food bank brings the truck and food, while the local partners handle distribution logistics, such as taking registrations.
The Zonta Club is of Malden is another local partner, with its members regularly volunteering to help run the market.
Bird stressed registration for the program is important, saying that’s what’s used to determine how much food is brought to Malden. She added it’s fairly simple: patrons can call to register, and are only required to tell the demographic makeup of their homes (number of adults, children and seniors), along with the last four digits of their phone number. She said it’s kept basic for a reason.
“The assumption is that if somebody is coming to a food pantry, they are in need,” she said.
Organizers for the mobile market say it’s also intended to help those who are falling through the cracks on other aid programs. The clientele includes the working poor, the disabled and families on government assistance.
Bird said middle class families are increasingly using such services, given both the economy and high cost of living in the greater Boston area.
Dern cited food bank research indicating 37 percent food bank patrons are force to chose between paying for food or medicine, saying the mobile market fills a vital niche.
“Food is so important to health,” she said. “Giving [children] that good start in life really has been shown to improve the overall health of the community as well.”
In general, Bird said the food bank is putting a greater focus on providing healthy food, adding they’ve gotten away from providing things like canned vegetable, which are high in sodium.
“We focus on fresh items as it is important to serve clients high quality, nutritious items,” she said. “Depending on the clientele of each mobile market, we try to tailor the products that we provide. For the WIC Market we will add items such as baby food, when available, given that there are so many children served by this particular market.”
The Mobile Food Market visits the Malden WIC office the second Saturday of each month.
For more information about the Mobile Food Market, call 781-338-7568.
- Created on Thursday, 09 May 2013 18:02
Melrose Free Press
May 9, 2013
By Jessica Sacco
Ever since I was young, I’ve had an idea (based solely on what I’ve seen on TV and in the movies) about what’s like to have a baby.
We all know there are times when it’s not pretty. There’s the nine months of weight gain, hours of intense labor pains and then it comes time to push.
But there’s also the magic of bringing new life into the world, which has to be one of the main reasons the practice continues. Right?
I recently got a more in-depth look at pregnancy, delivery and being a mom by spending an afternoon in Melrose-Wakefield Hospital’s maternity ward.
It’s a crisp afternoon on Friday, May 3 when I greet Jesse Kawa, communications specialist for Hallmark Health System, in the lobby of the hospital.
We head up to the sixth floor — Maternal-Newborn Services — where moms go once they’ve had their babies.
There we meet Carol Downes, director of Maternal-Newborn Services, who asks me what I’d like to experience while at the hospital.
I’d like to see a baby being born, but Carol tells me it’s unlikely anyone will deliver while I’m here. Instead, we decide our first stop will be on the second floor, to meet a soon-to-be mom.
The waiting game
As we’re heading downstairs, we pass by the nursery and I’m shocked to see it’s empty. I expected to see rows of tiny cribs lined up and on display for passersby to fawn over, but the space is vacant.
I learn this is an old practice no longer in use, and make note to find out more information later.
Jesse then tells me about one of the hospital’s long-standing traditions: Playing a lullaby over the intercoms, throughout the building, after a mom delivers.
“It’s a nice, fun way to celebrate a new baby being born,” she says.
There are seven delivery rooms in the hospital and Carol tells me more than 1,000 babies are born each year here.
Before we head in to room 5 to meet Vanessa and Chris Surette, I’m introduced to Jane Flaherty, clinical leader for the Maternity and Special Care Nursery, who’ll also join us to help answer questions.
Once inside the room, I see Vanessa in bed, hooked up to the baby monitor. She looks calm in her blue-patterned hospital smock, with her dark curly hair pulled into a bun.
I ask if they know what they’re having. They tell me it’s a girl.
“Do you have a name yet?” I wonder.
“I have several picked out,” Vanessa says, but adds she’s going to wait until the baby is born before she chooses. “It’s hard to make a decision. I just have to see her.”
Chris and Vanessa came in at 7:45 a.m. to be induced. Vanessa tells me she has hypertension (high blood pressure), so the baby needs to come out.
“The only cure is to deliver,” explains Catherine McClellan, Vanessa’s labor and delivery registered nurse (RN).
With the hope in my head that I might be able to see the process, I ask when she thinks it will be time push.
“In this field, you never know when the baby is going to come,” says Catherine. “Everybody is different. It could be a couple hours. It could be a few days. It’s not uncommon for a patient to be here for three days.”
I stare back in terror. Three days is a long time to wait.
I turn to Chris. “So, Dad, what was your reaction when you found out she was pregnant?” I ask.
“I was pretty shocked,” he says with a laugh. “I just said, ‘you’re not pregnant.’ She was.”
Despite their nerves, Vanessa and Chris say they’re ready to meet their daughter.
“We’re really excited, we’ve been together 10 years,” says Vanessa. “For some reason we thought it was going to be a boy, but we’re really excited it’s a girl.”
I ask Catherine if there’s any truth behind the notion that if a woman carries higher it’s a girl, and lower, a boy.
“I don’t really think so,” she says. “There’s no proven fact that happens.”
We say goodbye to Vanessa and Chris, wish them luck and decide to head back upstairs to meet a couple moms who’ve recently delivered.
In with the new, out with the old
We’re in front of the empty nursery again. I go inside to talk to Sharon Julien, an RN who is a certified lactation consultant.
We get comfortable in two rocking chairs and I tell Sharon I’m kind of disappointed there aren’t a bunch of babies lined up in the nursery.
She explains that nurseries were designed to allow moms to rest after delivery and to prevent any cross-infection from sick patients.
“We thought if they were in a clean, sterile environment, they wouldn’t get sick,” Sharon says. “That wasn’t even evidence-based.”
Now, as part of the hospital’s Baby-Friendly certification — a recognition they received last year by Baby-Friendly USA, which encourages and recognizes hospitals and birthing centers that offer an optimal level of care for breastfeeding mothers and their babies — moms and newborns are rarely separated.
“They really aren’t in the nursery, unless the mom feels she needs a break,” Jane adds.
Before we go in to meet some of the moms on the floor I ask Jane another question.
“So, does the whole process of slapping a baby after it’s born still happen?”
She tells me, “no,” so I continue, “they just start breathing on their own?”
“Yeah,” she says. “They have biological cues to start breathing.”
A blue-eyed blessing
We then proceed down the hall and peer into one of the rooms, where Revere resident Susan Lightbody is curled up in bed with her daughter, Brooklyn Rose Lightbody.
“How are you doing?” I ask, tiptoeing over to her bedside to get a better look at the baby.
“I’m doing good,” she says.
I sit down in a chair beside her bed and ask how everything went today. Susan tells me Brooklyn was born that morning at 7:57 a.m. through a Caesarean section.
Curious, I ask what prompted the c-section, and Susan explains she had one with her first daughter, Jessica Rose.
“I started labor with my daughter and it ended up in a c-section, so my doctor did it this way,” she says about Brooklyn.
Jesse and I comment that both children have Rose as their middle name.
“My family’s name is LaRosa, so, just the Rose, we liked the way it sounded anyway, but it had meaning,” Susan says.
I peer over to Susan’s husband, David who is lying in the spare bed.
“We had to leave the house 4:30 this morning,” he tells me.
“How’d everything go for you?” I ask him.
“It’s been good. Everything went exactly as planned,” he says. “As far as the second baby, I’m excited to see how she is.”
I move to Susan’s bed to look at Brooklyn again. She’s wearing a pink hat with blue stripes, a perfect complement to her piercing blue eyes, which sleepily open and close.
“She has blue eyes,” I say.
“For now,” Susan responds.
“Jess was born with blue eyes and then they turned brown,” David says.
I make note to ask about this, and as we leave the room and head back over to the nurses’ station, I ask Jane if all babies born with blue eyes.
“All babies are born with grayish/blue eyes and over the first few months of their lives, they switch over to what color they’re going to be,” she tells me. “And that’s all the genetic mix.”
I’ve also heard babies are colorblind when they’re born, so I ask Jane if that’s true.
She tells me newborns, in fact, do not see color, but can distinguish between black and white.
“That’s why they’re interested in your face,” she says. “They look at the contrast from your eyes, your hair, your skin. You could surmise that’s God’s or nature’s way of bonding.”
Learning the truth
Just then, Lauren Nolfo-Clements, a Wakefield resident with long brown curly hair cascading down her back, waddles out of her room in a green dress.
The hospital staff asked her if she’d be interested in talking to me about her pregnancy and since her son, Griffin Clements, just drifted off to sleep, she’s ready for her interview.
“I’m walking around barefoot because my feet don’t fit in shoes,” she says, approaching us.
We head back into the nursery and sit down in the rocking chairs. At the same time, the Free Press photographer, Nicole Goodhue Boyd, arrives and heads in to photograph Susan and the baby.
I ask Lauren about her delivery, which ended in a c-section on May 1.
“What happened with Griffin is my water broke,” she says. “I started dilating, but he didn’t descend to my pelvis. If he never goes to the pelvis, you can’t push him out. After waiting four hours fully dilated, the doctor said he’s not going to come out.”
Three years ago Lauren gave birth to her first daughter, Holly Clements.
“When I had her, I was in labor for four days and I had to push for three hours,” she says. “I was hell-bent on delivering her naturally.”
And although Lauren wanted to do the same with Griffin, she tells me the c-section wasn’t what she expected.
“It wasn’t so bad,” she says. “It’s the most bizarre thing. You can’t feel any pain, but you can feel the kid coming out.”
Lauren then starts explaining some of the differences between a vaginal delivery and a c-section. (Warning, if gory details aren’t your thing, skip over the next few paragraphs.)
“When you have a vaginal delivery, there’s stuff that happens to your vagina — you have a lot of trouble sitting,” she says.
With a c-section, although there’s lower abdominal pain, it’s treatable with an over-the-counter pain reliever, she continues.
“I can sit all I want,” she jokes.
She also tells me that with vaginal deliveries there’s more blood that needs to be flushed out of the body, resulting in heavy bleeding for four to six weeks.
“They say to you, ‘only call if you pass anything larger than a grapefruit,’ and you say,’ a grapefruit?’ and they mean it.”
Completely horrified at this point, I’m unsure why I asked her to continue with the horrors of pregnancy.
“‘The horrors,’” she laughs. “I lucked out, I was fine.”
After some more chitchat, in which Lauren tells me Griffin looks like her, as opposed to Holly, who “came out and it was my husband, but a girl,” we walk back to her room so Nicole can get some pictures.
I hear wailing as we exit the nursery. “Oh, he’s crying!”
“It’s because the doctor is checking him out,” Lauren says.
Inside, pediatrician Elena Gorlovsky is doing just that. She is using a portable ophthalmoscope to examine Griffin’s eyes and he is not enjoying it.
“He doesn’t like to be —”Lauren pauses.
“Manhandled?” Nicole interjects.
“Yeah,” she says.
“One more second…” Elena says as Griffin continues to cry and squirm.
“Griff! Griff! Griff! It’s OK,” Lauren coos. “We need to see your pretty eyes.”
Once Elena finishes and Griffin begins to settle down, we excuse ourselves so Lauren and her son can have some alone time.
Bye, bye babies
As my time draws to a close at the hospital I stand with Jane and Jesse, wracking my brain for last questions I may have.
“Do you any crazy baby stories?” I ask.
“There’s always crazy stories,” says Jane. “Every day in labor and delivery is an adventure.”
News & Events
Thursday, 21 November 2013 19:50