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//=============================
function introText() {
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   oStrg = oStrg + '<font face="Comic Sans MS" color="orange" size="4">'; 
   oStrg = oStrg + '<center><b>What is the Encopresis Treatment Center?</b></center>';
   oStrg = oStrg + '</font>';

   oStrg = oStrg + '<font face="Comic Sans MS" color="green" size="4">';
   oStrg = oStrg + 'We are a treatment center dedicated to helping children ';
   oStrg = oStrg + '\(usually age 3 and up\) who have difficulty with encopresis, ';
   oStrg = oStrg + 'severe constipation, or stool withholding behavior, and any ';
   oStrg = oStrg + 'child with toilet training problems, including loss of urine ';
   oStrg = oStrg + 'control \(enuresis\). We often see children who are toilet ';
   oStrg = oStrg + 'training refusers, or who prefer their pull-ups for stooling '; 
   oStrg = oStrg + 'and will wait all day to poop  until they can put on a pull-up, '; 
   oStrg = oStrg + 'the &quot\;pull up poopers&quot\;. ';

   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + 'Younger children \(age 18 months to 3 years\) are also seen ';
   oStrg = oStrg + 'for severe constipation. Even young children can exhibit ';
   oStrg = oStrg + 'stool withholding primarily due to fear of pain with stooling. '; 
   oStrg = oStrg + 'Often families will call withholding behavior the &quot\;poop dance&quot\;, ';
   oStrg = oStrg + 'a funny term to describe an uncomfortable problem for the child. ';
   oStrg = oStrg + 'Often the child will assume strange postures when they have to go. ';
   oStrg = oStrg + 'Some will cross their legs, or sit on their heels or on the edge ';
   oStrg = oStrg + 'of a chair. Others will lie on the floor and tighten their buttocks ';
   oStrg = oStrg + 'and legs and refuse to move. Some will hide out behind a sofa ';
   oStrg = oStrg + 'or in their room and wait for the urge to pass. ';


   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + 'Stomachaches and/or poor appetite are often noticed ';
   oStrg = oStrg + 'periodically. As the child withholds stool, the stool ';
   oStrg = oStrg + 'dries out in the rectum and a large hard ball of feces ';
   oStrg = oStrg + 'develops in the rectum.  Once that happens, passing the ';
   oStrg = oStrg + 'hard stool becomes difficult and increasingly  painful.  ';
   oStrg = oStrg + 'Once a child is &quot\;backed up&quot\; in the rectum, the stool ';
   oStrg = oStrg + 'starts backing up in the colon above the ball of hard ';
   oStrg = oStrg + 'poop. The longer the stool is in the colon,  the more ';
   oStrg = oStrg + 'dried out and harder the stool becomes.  The child&#39\;s ';
   oStrg = oStrg + 'retentive behavior increases and their anxiety about ';
   oStrg = oStrg + 'pooping increases as the constipation worsens.  ';

   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + 'Eventually, the child will begin to have soiling and ';
   oStrg = oStrg + 'smearing of feces in their underpants or pull-ups.  ';
   oStrg = oStrg + 'The soiling is due to involuntary overflow leakage of ';
   oStrg = oStrg + 'stool around the hard ball of stool in the rectum. ';
   oStrg = oStrg + 'Basically, the problem is a fecal impaction in the ';
   oStrg = oStrg + 'rectum.  The softer stool higher up in the colon is ';
   oStrg = oStrg + 'pushed out around the hard ball of stool in the rectum. '; 
   oStrg = oStrg + 'The soiling and smearing is called Encopresis. ';
   oStrg = oStrg + 'Often, leakage of urine will occur when the full rectum '; 
   oStrg = oStrg + 'puts pressure on the bladder.    At that point, the child ';
   oStrg = oStrg + 'no longer has any control over the soiling or wetting. ';

   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + 'As the problem worsens, sometimes little balls of poop ';
   oStrg = oStrg + 'ranging from little pieces  to formed little balls of ';
   oStrg = oStrg + 'poop can fall out of the clothing onto the floor.  ';
   oStrg = oStrg + 'The smears or smudging of poop  can be gritty, pasty, '; 
   oStrg = oStrg + 'often rancid smelling, dark in color, and sticky and ';
   oStrg = oStrg + 'hard to wipe off the skin. The volume of leakage can ';
   oStrg = oStrg + 'vary from skid marks, often thought to be due to poor ';
   oStrg = oStrg + 'wiping to as much as a pasty BM. ';

   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + 'Left untreated, this is a medical problem that soon can ';
   oStrg = oStrg + 'become an emotional problem. Families unknowingly scold ';
   oStrg = oStrg + 'or blame the child when he or she cannot stop the soiling, '; 
   oStrg = oStrg + 'not understanding that it is not under the child&#39\;s control. ';

   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + 'The school aged child can be taunted and teased by ';
   oStrg = oStrg + 'classmates and risks being  isolated by their peers ';
   oStrg = oStrg + 'or made fun of at school. The children carry a deep ';
   oStrg = oStrg + 'sense of shame and often are angry because they don&#39\;t ';
   oStrg = oStrg + 'know what is wrong, but they do know they aren&#39\;t doing ';
   oStrg = oStrg + 'it on purpose. Their body seems out of their control ';
   oStrg = oStrg + 'and they don&#39\;t know anybody else who has this terrible ';
   oStrg = oStrg + 'problem.  They are blamed for a problem they did not ';
   oStrg = oStrg + 'purposely create and over which they have no control.  ';

   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + 'Treatment consists of doing a cleanout with oral ';
   oStrg = oStrg + 'medication and maintaining daily stooling thereafter. ';  
   oStrg = oStrg + 'Medications must be given for an extended period of ';
   oStrg = oStrg + 'time until the muscle tone of the colon and rectum ';
   oStrg = oStrg + 'has been restored to normal.  We never advocate or ';
   oStrg = oStrg + 'use enemas or suppositories.  We use oral medications ';
   oStrg = oStrg + 'that are easily tolerated, over the counter, and that ';
   oStrg = oStrg + 'do not need a prescription.  We know what devastating ';
   oStrg = oStrg + 'effects encopresis can have on a child and the repercussions '; 
   oStrg = oStrg + 'experienced by their families. We offer a comprehensive ';
   oStrg = oStrg + 'treatment focused on the needs of the child and ';
   oStrg = oStrg + 'their families. Click the &quot\;Info&quot\; button/link ';
   oStrg = oStrg + 'above to find out more.';

   oStrg = oStrg + '<br/><br/>';
   oStrg = oStrg + '</font>';
   oStrg = oStrg + '<font face="Comic Sans MS" color="orange" size="4">';
   oStrg = oStrg + '<b>Nancy Glass-Quattrin, RN, BSN, BCIAC</b>';
   oStrg = oStrg + '</font>';

   return(oStrg);

}
//=============================
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//=============================
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   ostrg1 = ostrg1.concat('<font face="Comic Sans MS" color="orange" size="3">');
   ostrg1 = ostrg1.concat('<b>1. FROM I-5 GOING NORTH</b></font><br/>');
   ostrg1 = ostrg1.concat('<font face="Comic Sans MS" color="green" size="3">');
   ostrg1 = ostrg1.concat('Take the Edmonds\/Kingston Ferry ');
   ostrg1 = ostrg1.concat(ferry);
   ostrg1 = ostrg1.concat(' I-5 Exit \(Exit 177\). You will be headed West on Highway 104. ');
   ostrg1 = ostrg1.concat('Continue West on 104 until you come to the point ');
   ostrg1 = ostrg1.concat('where you can either get to the ferry dock ');
   ostrg1 = ostrg1.concat(ferry);
   ostrg1 = ostrg1.concat(' or stay in ');
   ostrg1 = ostrg1.concat('the left lane headed into downtown Edmonds. Continue ');
   ostrg1 = ostrg1.concat('in the left lane to downtown \(this now becomes 5th Ave.\).');
   ostrg1 = ostrg1.concat('You will reach the stop sign ');
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   ostrg1 = ostrg1.concat(' at the fountain ');
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   ostrg1 = ostrg1.concat(' where you will make a right into Main Street. ');
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   ostrg1 = ostrg1.concat(' and is directly across the street from ');
   ostrg1 = ostrg1.concat('a bridal boutique called &quot\;Cynderellies Closet&quot\; ');
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   ostrg1 = ostrg1.concat(' . On the street, parking is available and is free. ');
   ostrg1 = ostrg1.concat('We are located in Suite A ');
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   ostrg1 = ostrg1.concat(', the second office to the right ');
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   ostrg2 = ostrg2.concat('<b>2. FROM I-5 GOING SOUTH</b></font><br/>');
   ostrg2 = ostrg2.concat('<font face="Comic Sans MS" color="green" size="3">');
   ostrg2 = ostrg2.concat('Take the Edmonds\/Kingston Ferry ');
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   ostrg2 = ostrg2.concat('You will be headed west on Highway 104. Continue West ');
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   ostrg3 = ostrg3.concat('<font face="Comic Sans MS" color="orange" size="3">');
   ostrg3 = ostrg3.concat('<b>3. FROM AURORA GOING NORTH</b></font><br/>');
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   ostrg3 = ostrg3.concat('Before Aurora becomes Hwy 99, just after you pass ');
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   ostrg3 = ostrg3.concat(' after the stop light of N 205th Street. Make a left turn into 205th Street. '); 
   ostrg3 = ostrg3.concat('This street changes name several times. You will pass Firdale Village Apartment ');
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   ostrg3 = ostrg3.concat(' on the right, and several stop lights ');
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   ostrg3 = ostrg3.concat(' . ');
   ostrg3 = ostrg3.concat('Turn left into Main Street to go towards downtown Edmonds. ');
   ostrg3 = ostrg3.concat('After passing 7th Ave, our clinic will be on your right ');
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   ostrg3 = ostrg3.concat(' bridal boutique. Our building is tan with green trim ');
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   ostrg3 = ostrg3.concat('located in Suite A ');
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   ostrg4 = ostrg4.concat('Make a right turn from Hwy 99 into 212th Street SW. ');
   ostrg4 = ostrg4.concat('It is a straight road till you reach the stop light ');
   ostrg4 = ostrg4.concat('at five corners. Take the street slightly tilted to '); 
   ostrg4 = ostrg4.concat('the right to go towards downtown Edmonds. After ');
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   ostrg4 = ostrg4.concat('slopes down before it levels off. After passing 9th ');
   ostrg4 = ostrg4.concat('Ave. and 7th Ave., our clinic will be on your right, directly across from the ');
   ostrg4 = ostrg4.concat('Cynderellies Closet ');
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   ostrg4 = ostrg4.concat(' bridal boutique before the 6th Ave. ');
   ostrg4 = ostrg4.concat('four way stop ');
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   ostrg4 = ostrg4.concat(' . Our building is a tan building with green trim ');
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   ostrg4 = ostrg4.concat('. On the street, parking is available and is free. ');
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   ostrg5 = ostrg5.concat('<font face="Comic Sans MS" color="orange" size="3">');
   ostrg5 = ostrg5.concat('<b>5. FROM THE EDMONDS-KINGSTON FERRY</b></font><br/>');
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   ostrg5 = ostrg5.concat('. We are located in Suite A ');
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   tstrg = tstrg.concat(ostrg2);
   tstrg = tstrg.concat(ostrg3);
   tstrg = tstrg.concat(ostrg4);
   tstrg = tstrg.concat(ostrg5);

   document.getElementById('contentArea').innerHTML = tstrg;
}
//=============================
function bowelCharts() {
   var oStrg1 = new String('');
   var oStrg2 = new String('');
   var oStrg3 = new String('');
   var oStrg4 = new String('');
   var oStrg5 = new String('');

   oStrg1 = oStrg1.concat('<font face="Comic Sans MS" color="orange" size="4">');
   oStrg1 = oStrg1.concat('<center><b>Bristol Stool Chart</center></b></font>');
   oStrg1 = oStrg1.concat('<font face="Comic Sans MS" color="green" size="3">');
   oStrg1 = oStrg1.concat('The Bristol Stool diagram was developed by Dr. K.Heato at the University of Bristol. ');
   oStrg1 = oStrg1.concat('It is a classification of the form of stool as it appears in a toilet. ');
   oStrg1 = oStrg1.concat('Our bowel charts require recording the stool form. ');
   oStrg1 = oStrg1.concat('<br/><br/>For a picture of the Bristol Stool Chart, click  ');
   oStrg1 = oStrg1.concat('<a href="http://docfiles.blogspot.com/2008/02/bristol-stool-chart.html" target="_blank">Go to Bristol Stool Chart</a>');
   oStrg1 = oStrg1.concat('<br/><br/></font>');

   oStrg2 = oStrg2.concat('<font face="Comic Sans MS" color="orange" size="4">');
   oStrg2 = oStrg2.concat('<center><b>Bowel Charts</center></b></font>');
   oStrg2 = oStrg2.concat('<font face="Comic Sans MS" color="green" size="3">');
   oStrg2 = oStrg2.concat('We have many other charts available for our children and parents, all specific for documenting ');
   oStrg2 = oStrg2.concat('and monitoring different conditions. The following charts are just ');
   oStrg2 = oStrg2.concat('a few of the more commonly used charts which are given to the families at their inital visit. ');
   oStrg2 = oStrg2.concat('We choose the chart for each child depending on the child\'s age, problem, ');
   oStrg2 = oStrg2.concat('whether they are toilet trained or not. The choice is also based on the parent\'s ');
   oStrg2 = oStrg2.concat('willingness and ability to keep records of what is going on with their child. ');
   oStrg2 = oStrg2.concat('<br/><br/></font>');

   oStrg3 = oStrg3.concat('<font face="Comic Sans MS" color="orange" size="4">');
   oStrg3 = oStrg3.concat('<b>1. Regular Bowel Chart</b></font><br/>');
   oStrg3 = oStrg3.concat('<font face="Comic Sans MS" color="green" size="3">');
   oStrg3 = oStrg3.concat('This chart is often used by parents for children ');
   oStrg3 = oStrg3.concat('who are not yet toilet trained or for children who ');
   oStrg3 = oStrg3.concat('are not doing a routine toilet sit program. Stool volume, time ');
   oStrg3 = oStrg3.concat('of stooling, stool consistency and amounts of medication can be clearly written on ');
   oStrg3 = oStrg3.concat('this chart along with parent notes or comments. ');
   oStrg3 = oStrg3.concat('<br/><br/>For a picture of the Chart, click  ');
   oStrg3 = oStrg3.concat('<a href="RegularBowelChart.mht" target="_blank">Get Regular Bowel Chart</a>');
   oStrg3 = oStrg3.concat('<br/><br/></font>');

   oStrg4 = oStrg4.concat('<font face="Comic Sans MS" color="orange" size="4">');
   oStrg4 = oStrg4.concat('<b>2. Bowel Management Progress Chart</b></font><br/>');
   oStrg4 = oStrg4.concat('<font face="Comic Sans MS" color="green" size="3">');
   oStrg4 = oStrg4.concat('This chart is used for children who are already toilet trained.<br/><br/>');
   oStrg4 = oStrg4.concat('This is a good chart to use if routine toilet sits are recommended after each meal. ');
   oStrg4 = oStrg4.concat('Also good for keeping track of soiling frequency, soiling amount and time it occurred. ');
   oStrg4 = oStrg4.concat('This chart is also a good one to use if parents need to make frquent comments, or if ');
   oStrg4 = oStrg4.concat('illness or travel is involved as there is space for brief comments. ');
   oStrg4 = oStrg4.concat('<br/><br/>For a picture of the Chart, click  ');
   oStrg4 = oStrg4.concat('<a href="BowelManagementChart.mht" target="_blank">Get Bowel Management Progress Chart</a>');
   oStrg4 = oStrg4.concat('<br/><br/></font>');

   oStrg5 = oStrg5.concat('<font face="Comic Sans MS" color="orange" size="4">');
   oStrg5 = oStrg5.concat('<b>3. Bowel Management Reward Chart</b></font><br/>');
   oStrg5 = oStrg5.concat('<font face="Comic Sans MS" color="green" size="3">');
   oStrg5 = oStrg5.concat('This chart is good to use for children who are struggling with soiling and are doing ');
   oStrg5 = oStrg5.concat('routine toilet sits. The chart is also good for keeping track of and rewarding children for ');
   oStrg5 = oStrg5.concat('stooling in the toilet if they are having toilet training difficulties. It can be used for ');
   oStrg5 = oStrg5.concat('children who are toilet trained with a focus on documenting rewards for compliance ');
   oStrg5 = oStrg5.concat('doing the toilet sit program. There is plenty of room to write down the time and amount ');
   oStrg5 = oStrg5.concat('of soiling as well as correlating it to the time of the toilet sits and stooling time. ')
   oStrg5 = oStrg5.concat('Rewards and parent\'s comments can be put at the bottom of each day so the child can see ');
   oStrg5 = oStrg5.concat('their progress, see how many stickers they have earned and how many happy faces have ');
   oStrg5 = oStrg5.concat('been drawn, etc. The preants and the child \(if they are old enough\) can track how many ');
   oStrg5 = oStrg5.concat('of the stools are going in the toilet, how many days have soiling and when and under ');
   oStrg5 = oStrg5.concat('what circumstances soiling occurs. Families can see when children do better, can ');
   oStrg5 = oStrg5.concat('evaluate if the toilet sits help and can learn when soiling is most apt to happen. ');

   oStrg5 = oStrg5.concat('<br/><br/>For a picture of the Chart, click  ');
   oStrg5 = oStrg5.concat('<a href="BowelRewardChart.mht" target="_blank">Get Bowel Management Reward Chart</a>');
   oStrg5 = oStrg5.concat('<br/><br/></font>');

   var oStrg = new String('');
   oStrg = oStrg.concat(oStrg1);
   oStrg = oStrg.concat(oStrg2);
   oStrg = oStrg.concat(oStrg3);
   oStrg = oStrg.concat(oStrg4);
   oStrg = oStrg.concat(oStrg5);

   document.getElementById('contentArea').innerHTML = oStrg;
}
//=============================
function bladderCharts() {
   var oStrg = new String('');

   oStrg = oStrg.concat('<font face="Comic Sans MS" color="orange" size="4">');
   oStrg = oStrg.concat('<center><b>Bladder Charts</center></b></font>');
   oStrg = oStrg.concat('<font face="Comic Sans MS" color="green" size="3">');
   oStrg = oStrg.concat('Since we often treat both encopresis and enuresis \(pee or wetting problems\), we ');
   oStrg = oStrg.concat('sometimes combine the two charts together keeping track of both wetting and ');
   oStrg = oStrg.concat('stooling issues. Other times, we keep track of just the bladder issues. ');
   oStrg = oStrg.concat('<br/><br/> ');
   oStrg = oStrg.concat('There are a variety of bladder charts as well. Some are quite simple, just writing ');
   oStrg = oStrg.concat('down wet pants and when urinating occurred. Others are more complex, keeping ');
   oStrg = oStrg.concat('track of the stool pattern as well as the bladder activity and wetting accidents. ');
   oStrg = oStrg.concat('Nighttime dryness may be tracked also on some of the charts. We may also adjust ');
   oStrg = oStrg.concat('the chart somewhat to get the desired information. ');
   oStrg = oStrg.concat('<br/><br/> ');
   oStrg = oStrg.concat('Since enuresis often occurs in conjunction with constipation, we find that correcting ');
   oStrg = oStrg.concat('the constipation often corrects the wetting problem. It is important to rule out a ');
   oStrg = oStrg.concat('urinary tract infection if painful, urgent or frequent urination has occurred. Your ');
   oStrg = oStrg.concat('primary care physician should be notified if these symptoms occur. ');
   oStrg = oStrg.concat('<br/><br/>');
   oStrg = oStrg.concat('The Urine & Stool Monitor Chart keeps track of both the urinary and stool ');
   oStrg = oStrg.concat('conditions for one week. The chart has three pages.');
   oStrg = oStrg.concat('<br/><br/>For a picture of the Chart page 1 Monday to Wednesday, click <br/> ');
   oStrg = oStrg.concat('<a href="Urine_Stool_Monitor_Chart_1.mht" target="_blank">Get Urine & Stool Monitor Chart Page 1</a>');
   oStrg = oStrg.concat('<br/>For a picture of the Chart page 2 Thursday & Friday , click  <br/>');
   oStrg = oStrg.concat('<a href="Urine_Stool_Monitor_Chart_2.mht" target="_blank">Get Urine & Stool Monitor Chart Page 2</a>');
   oStrg = oStrg.concat('<br/>For a picture of the Chart page 3 Saturday & Sunday, click <br/> ');
   oStrg = oStrg.concat('<a href="Urine_Stool_Monitor_Chart_3.mht" target="_blank">Get Urine & Stool Monitor Chart Page 3</a>');
   oStrg = oStrg.concat('<br/><br/></font>');

   document.getElementById('contentArea').innerHTML = oStrg;
}
//============================
function eventCalendar() {
   var oStrg = new String();
  
   oStrg = oStrg.concat('<br/><font face="Comic Sans MS" color="green" size="4">');
   oStrg = oStrg.concat('We are located in the Edmonds downtown area about 5 blocks from the Edmonds-Kingston ferry. ');
   oStrg = oStrg.concat('Edmonds downtown is very pretty. You may want to setup the appointment when ');
   oStrg = oStrg.concat('there is an event. Besides coming for treatment, you can also join in the activity ');
   oStrg = oStrg.concat('to have some fun. On some event days, certain streets can be blocked off. ');
   oStrg = oStrg.concat('Because of the visitors, try to find parking space may not be easy. ');
   oStrg = oStrg.concat('<br/><br/>If you cannot find a parking space on the street, you can park behind our office. ');
   oStrg = oStrg.concat('To get to the office parking area, go down Main Street towards the direction of the ferry. ');
   oStrg = oStrg.concat('At the intersaction of Main and 6th Ave, ');
   oStrg = oStrg.concat('turn right at the stop sign into 6th Ave. Behind the first house is an alley, turn right into the alley. ');
   oStrg = oStrg.concat('The second building on the right is the back of our office. ');
   oStrg = oStrg.concat('You can park at any open space and come into the building from the back door. ');
   oStrg = oStrg.concat('The back door goes into the building downstairs where the bathrooms are. Go to end of the hallway and come up the stairs ');
   oStrg = oStrg.concat('to our office.'); 
   oStrg = oStrg.concat('<br/><br/>');
   oStrg = oStrg.concat('To find out the Edmonds City Events, click ');
   oStrg = oStrg.concat('<a href="http://www.EdmondsWA.com" target="_blank">Go to Edmonds City Web Site</a>');
   oStrg = oStrg.concat('</font>');

   document.getElementById('contentArea').innerHTML = oStrg;
}