addendum:
Posted By: () on 2009-06-15
In Reply to: here is a link also sm - HappyFlaMT
This massage technique is performed 10 minutes daily beginning at week 34.
I prefer to have an episiotomy,
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addendum to
dressing is what we in the south call stuffing...just to clarify for y'all!
addendum
Sorry, Happy MT....I was responding to you,.not trose.....ya get kinda blind at my age with all this small print and fine stitches....your hands also start looking like claws. Cat
addendum :-) (sm)
When I was a teenager, and I am female so I am sure it is much more so for males, I was very headstrong and the only way my parents would have been able to keep me away from the people I was hanging out with would have been to move. That's a fact. They could talk to me until they were blue and ground me and whatever, but I would climb out the window at night to see my friends! We lived in a bad neighborhood. The main thing he needs is to not feel that everyone is against him or that everyone thinks he is bad. I did not have those issues happen to me, but my brother did. He spent years in juvenile detention and eventually jail for DUIs and for getting into fights in public. He is now 35 years old and has a good job - but no driver's license, not even to go to work and back - and his wife has to drive him to work. Whatever you have to do, including moving, would be worth it. He may hate you for it in the short-term, but it's better than the alternative.
Just an addendum to the above post (sm)
It is recommended that the girls receive this immunization at this age for FUTURE sexual contact. That does not mean you are condoning sex at that age, nor are you encouraging it, but you may be saving your daughter from cancer LATER in her lif. How would you feel if at age 30 she came to you with the diagnosis and knwoing you could have possibly prevented it? No one says to go have sex at age 10, 13, or even before marriage, but let's face, the child is eventually going to have sex...whether it be before or after marriage. You also can teach your child all of your VALUES and instill in them the morals you desire for them to hold on to, but you CANNOT expect that. You also have no clue whether her future mate (sexual or marital) has been privvy to any STD and therefore cannot predict any outcomes of what she may or may not end up with. Since this particular STD does not show up in clasic formation, such as herpes, etc., it would be better to be proactive in her healthcare. This is not a "go ahead and have sex" immunization, but one of possible preventable disease.
Addendum to my own post. SM
Forgot to finish my sentence. I was asked if I wanted them to be fined and I said absolutely not. I told the policeman just to warn them.
awesome addendum
I already know I spelled awesome incorrectly.
addendum...Cornell
Joseph Cornell - Assemblage Art
Joseph Cornell (1903-73) was an American artist; born in Nyack, N.Y. He is best known for his shadow boxes made of found objects, maps, photographs, engravings, and other materials. Influenced by SURREALISM, these constructions are personally symbolic and evocative. (Biographical information copied from Ask Jeeves Encyclopedia 2001 - no longer online)
He had no formal training in art and his most characteristic works are his highly distinctive `boxes'. These are simple boxes, usually glass-fronted, in which he arranged surprising collections of photographs or Victorian bric-à-brac in a way that has been said to combine the formal austerity of Constructivism with the lively fantasy of Surrealism. Like Kurt Schwitters he could create poetry from the commonplace. Unlike Schwitters, however, he was fascinated not by refuse, garbage, and the discarded, but by fragments of once beautiful and precious objects, relying on the Surrealist technique of irrational juxtaposition and on the evocation of nostalgia for his appeal (he befriended several members of the Surrealist movement who settled in the USA during the Second World War). Cornell also painted and made Surrealist films. (This information copied from WebMuseum)
Preserved in Cornell's boxes are items as divergent as drinking glasses and a cork ball; a clay pipe and a diagram of the orbits of earth and the moon; images of a Medici Princess, each accompanied by a wooden sphere; and a translucent marble in a cascade of blue sand. Cornell fuses his work with poetic intensity, and a private and enigmatic sentiment, which together affect the viewer as if these very objects formed a recording of a burst of Cornell's sense of joy, or wonder, or love, or sadness.
Though now highly sought after by Museums and private collections, Cornell's signature "boxes", which he began to make in the 1930s were not originally conceived as being for such a wide audience. Rather, they were made as "gifts" for individuals sometimes living, sometimes dead, often people the artist had never met, but who in some way had touched his life. (This information copied from Norton Museum of Art) . Read more in this Artist's Profile.
Check some of the Internet sources for images of Cornell's work
Joseph Cornell: Navigating the Imagination - Slide show from Smithsonian American Art Museum. 21 images. Learn more - include Cornell biography.
WebMuseum: Joseph Cornell- click on thumbnail images to see larger views
Joseph Cornell- the National Gallery of Art. Seven works from the collection
Joseph Cornell - Mark Harden's Artchive - Essay and links to images - click on name of work to see image.
Joseph Cornell - Guggenheim Museum Biography and four shadow boxes (Guggenheim server was down last I checked this link).
Joseph Cornell - Biography/essay and three images of Cornell's shadowboxes
Joseph Cornell: Art Minimal and Conceptual Only - fours works shown.
Tiger Tail Virtual Museum - Joseph Cornell - Nine Shadow Boxes (Tiger Tail is now subscription service)
Joseph Cornell -Online For more information --Try Artcylcopedia
addendum - "scary"
.
Addendum: Sometimes it's the "wife." sm
When working for individual docs offices, once the wife came on the scene, she would book every last second of his time, the docs themselves only wanted to "doctor" and the wives controlled the $$$ to the point of ridiculous scheduling 10 min. or much less apart. They were also the ones who would "search around" for lower transcription prices, never asking background, only what you charge. They're usually all about the money. Gyn's do have "nurses" and I stand corrected. Most GP's I know hire for on-the-job training, I always ask every time.
Addendum to my post!
My son received the "Einstein Award" in his science class on his last day of school for having the highest percentage in the class all year (over 100%). Obviously skipping has not hurt him a bit. Also, I only found out in a casual conversation about end of the school year goings on as he did not even think it was important!
IMPORTANT ADDENDUM: Please read (sm)
The Xbox 360 console supports only the Xbox 360 Wireless Networking Adapter and Xbox Live Compatible wireless-to-Ethernet bridges, routers, and gateways bearing the Xbox Live Compatible logo.
If you can not get the Xbox live wireless adapter, You could buy a very long ethernet cord and just plug directly into the router without going wireless.......
Addendum to Dumb Question #1 ! -sm
It SHOULD say,"... or do you first start the power, and then turn on the WATER?"
(..not the "machine" as I typed above. I need more coffee..................)
Important addendum to rabies warning below:
(Aaaaggghhh!!! Somebody just SHOOT me!!!)
I guess I'm going to be changing veterinarians soon.... here's an update to the post below:
The oral pain/anti-inflammatory my cat was prescribed (which thank God I didn't give her without researching it!), is "Metacam" (meloxicam) oral suspension. The article below is from the rescue where I got my cat. Thank goodness I checked their website just now!
I was wrong about her vomiting BEFORE we went to the vet. It was last night, which was about 8-10 hours AFTER being given one dose of Metacam p.o. (This was an off-label treatment, as the oral suspension is for DOGS.) Since it was given in the vet's office directly into her mouth, and she weighs less than 10 lbs., she most likely had an OVERDOSE, which is why she vomited up her dinner in every room of the house lase night. The drug had been prescribed to help bring down the inflammation in the area of her lesion and fluid aspiration. But among other things, this drug can cause kidney failure in cats. "No, thanks!" I lost a cat to renal failure a few years back, and it took me 3 years to pay off the over $5,000 in vet bills I'd put on my MasterCard! And the cat still had to be put down, anyway.
So, here I've been spending the morning researching veterinary literature, checking my pet-insurance coverage limits, and biting my nails about the possible damage I might have done to my cat simply by trying to keep her up-to-date on her shots. I'm just about to change my pet-care-policy to "no more shots and no more meds"!
Here's the article:
Metacam Risks in Cats
What is Metacam?
Metacam ® is the veterinary brand name for meloxicam,,a
non-steroidal anti-inflammatory drug (NSAID)used to reduce
pain and inflammation.This article deals with two versions:
Metacam Solution for Injection (for cats)and Metacam Oral
Suspension (for dogs).
Metacam ’s FDA Approval Status
Metacam Solution for Injection was approved for one-time
use only in cats on 28 Nov 2004 (NADA 141-219).Metacam
Oral Suspension was approved for dogs only on 15 Apr 2003
(NADA 141-213).As of July 2006,the approval status of both
medications has not changed.
There is a misconception that using medications in a non-
FDA-approved fashion is illegal.This is simply not so;the FDA
regulates drug manufacturers,not the practice of veterinary
medicine.Veterinarians may prescribe any drugs they have
reason to believe are safe and effective,even if the particular
use is not FDA approved (this practice is known as "off-label "
or "extralabel " use)).However,you and your cat do not have
any FDA assurance that the drug is safe and effective.
Common uses of Metacam in Cats
Metacam is commonly used in cats for two cases:
(a)Metacam Solution for Injection (or simply "Metacam
Injection ")is used to provide post-operative relief of pain and
inflammation for up to 24 hours following procedures such as
dentistry,spaying and neutering.Vets often prescribe a few
daily follow-up doses of Metacam Oral for continued pain
relief,although this is not an FDA approved use.
(b)Metacam Oral Suspension (or simply "Metacam Oral ")is
often prescribed to relieve arthritis pain in cats.Although this
is also not an FDA approved use,it is known to be effective,
albeit with some risk.
Low Safety Margin =Higher Risks
According to the manufacturer ’s product sheet 1 ,Metacam has
a narrow margin of safety (also known as therapeutic index )
in cats,meaning that there is very little difference between a
safe,effective dose and a toxic dose.Repeated doses of
Metacam Oral in cats have been known to result in death,as
documented in the clinical tests 3 submitted to the FDA.
The narrow safety margin in cats is reflected in the FDA ’s
Adverse Drug Experience (ADE)reports 4 for Metacam Oral,
which summarize drug side effects reported by veterinarians.
Of 842 reports for dogs,19 cases of kidney failure and no
deaths were reported.However in 320 cats,105 cases of
kidney failure,48 deaths and 35 cases resulting in euthanasia
have been reported.This clearly indicates that Metacam poses
a much greater risk in cats than in dogs.
The use of Metacam poses not only a significant health risk to
the cat,but also exposes the cat owner to significant financial
risk.The treatment of kidney failure requires days of hospitalization,
and the outcome may be death.Whether the cat survives or
not,the hospital bill can easily exceed $1,000.
Because of Metacam ’s narrow safety margin,veterinarians
will order blood tests to check your cat ’s kidney and liver
functions and general state of health.Don ’t try to save money
by refusing these tests;it ’s essential to know if your cat is at
greater risk.Should side effects occur,your vet is likely to
order another round of tests to check the drug ’s impact on
your cat.Be prepared for these costs.
Problems with Smaller Cats
The post-surgical use of Metacam Oral in smaller cats (under
10 lbs.)poses a unique problem.The product sheet for Metacam
Oral 2 warns against administering the drug directly into the
mouth for dogs weighing less than 10 lbs,as this may cause
an accidental overdose.Instead,it must be mixed with food to
ensure slower absorption.The Metacam Injection used during
surgery may cause loss of appetite,and the cat won ’t eat his
oral dose.So you ’re likely to try to administer the dose directly
into the mouth,but if your cat weighs less than 10 lbs.(and
many do),this only increases the risk of overdose.
Questions for your Vet
Given the clearly documented risks of Metacam Oral in cats,it
is wise to ask your veterinarian the following questions if he or
she recommends its use:
Are my cat ’s blood tests (especially liver &kidney functions)OK?
What side effects should I look out for?
Under what conditions should I discontinue the medication?
Who do I call on evenings or weekends if my cat has a reaction?
Is there a 24-hour emergency animal hospital in the area?
May I have copies of the Metacam product sheets?
Persians are a more delicate breed,are you sure this is safe?
My cat weighs less than 10 pounds,are you sure this is safe?
What other pain medications are FDA-approved in cats?
What pain medications were you using prior to Metacam Oral ’s
release in 2003?
Are these medications safer and/or cheaper than Metacam?
Conclusion
There are clearly documented risks associated with the off-
label use of Metacam Oral in cats which may lead to kidney
failure and death.These risks should be carefully discussed
with your veterinarian before proceeding with any Metacam
treatment.For post-operative pain relief,explore other alternatives
with your veterinarian before agreeing to the use of Metacam.
Acronyms
ADE Adverse Drug Experience
FDA The United States Food and Drug Administration
NADA New Animal Drug Application
References
[1 ] Product sheet:Metacam Solution for Injection for Cats
Boehringer Ingelheim Vetmedica,Inc.(revised October 2004)
http://www.bi-vetmedica.com/product_sites/METACAMINCats/documents/Metacam_Cat_RP.pdf
[2 ] Product sheet:Metacam Oral Suspension for Dogs
Boehringer Ingelheim Vetmedica,Inc.(revised January 2005)
http://www.bi-vetmedica.com/product_sites/METACAMORAL/documents/Metacam_Oral_Susp_rp.pdf
[3 ] Freedom of Information Summary for Supplemental NADA 141-219
(Metacam 5 mg/mL Solution for Injection for cats),28 October 2004
FDA Center for Veterinary Medicine
See "Tolerance Study in Cats on Meloxicam ",pp.24-26
http://www.fda.gov/cvm/FOI/141-219s102804.pdf
[4 ] Adverse Drug Experiences (ADE)Report,9 June 2006
FDA Center for Veterinary Medicine
See "meloxicam oral ",pp.48-64
http://www.fda.gov/cvm/Documents/ade_web_rpts_MN.pdf
Metacam ® is a registered trademark of Boehringer Ingelheim Vetmedica,,Inc.
ADDENDUM. Just trying to get some straight answers and not sure what to make of this whole mess. nm
nm
Addendum: In addition to have warp speed internet connection; just short of having my own server.
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