Learn how to: Identify life-threatening bleeding Use proper techniques to stop bleeding Use a tourniquet Feel confident in a bleeding emergency

This class for expectant parents focuses on the joys and common concerns of breastfeeding. Information includes the benefits for mothers and babies, initiating feedings, maintaining a milk supply and other practical considerations. Discussion includes basic breastfeeding knowledge and its importance, latch and positioning, breast care, breast milk storage and breastfeeding lifestyle. Registration fee includes a partner. This class is taught by an IBCLC

This 2-day series focuses on preparation for childbirth, emphasizing the experience of labor and birth and the important role of the support person. A variety of comfort measures are taught and practiced in class, including relaxation and breathing techniques. Special Procedures and epidurals are discussed, as well as an overview of cesarean birth, postpartum, and the newborn. Registration fee includes partner.

We report a case of a 63-year-old man with a history of numerous basal cell carcinomas (BCCs) on vismodegib who developed a pink subcutaneous nodule that was thought to be either a BCC or an epidermal inclusion cyst. Sections displayed a dome-shaped lesion composed of large dermal nodules of epithelioid cells with variable cytology. Some of the dermal nodules demonstrated squamatization of the epithelioid cells while others had a predominantly basaloid phenotype. Central necrosis was present in the majority of the large dermal nodules, but the lesion did not stain with CK7 or CK20, helping to rule out internal metastases. The epithelial nodules stained strongly with pancytokeratin (AE1/AE3), p40, and stained lightly with BCL-2, supporting the diagnosis of BCC. However, Ber-EP4 being negative and the presence of significant squamatization suggest vismodegib can alter both the histological and immunophenotype of BCCs. This phenomenon has rarely been reported in literature.