How soon can you start pumping and bottle feeding breastmilk?… by Happy She's He

November 30, 2007 · Filed Under reglan · Comment 

I want to bottlefeed my breastmilk, so I know how many ounces she is getting and to get her on a better schedule!

For those of you who have done this, is it a pain to pump all of the time and did you have a routine?


Best Answer:


Both of my sons were premature. One latched on well and one did not. My first son did not and I strictly pumped for 9 months. I found it to be very rewarding since I could not breastfeed. I pumped every 2 hours (the even hours, 2, 4, 6…) and fed my son, with a bottle, every odd hour. I fed my son on demand, but “HE” wanted to be fed every 2 hours. I found it very beneficial because when you pump milk, it is good for 4-10 hours at room temperature! I was able to pump my milk and then someone else could feed him, and I never had to worry about mixing formula or heating up a bottle. If he skipped a feeding, I was able to freeze that milk! I was also able to mix that milk with cereal and with steamed veggies to make baby food! As far as supply goes… I do not agree
that it decreases your supply! Everyone is different as far as milk supply but there are ways YOU can increase and keep your supply going!
First of all, you have to have a good pump! I bought a medela pump in style, www.medela.com , they are pricey, but SO worth it! They are hospital grade pumps! Secondly, make sure you do not miss a pumping. Make sure you drink plenty of milk and take your prenatals. Eat a balanced diet. Start out by pumping, at low setting, a few minutes on each side. Once your milk “comes in” and your not getting drops of colostrum, start pumping longer. (and yes, I pumped through the night). Build yourself up to 10 minutes each side. You do not have to have it on a high setting! If your relaxed enough, you will get a good “let down” which is when your milk pours out of the ducts instead of drips, if you have a good let down, you will know! You will see milk pouring in the bottles! It is amazing. You can also take fenegreek, all natural herbs, to help with supply! My doctor gave me reglan (which my son was on for reflux) and that increased my supply too. Where there is a will, there IS a way! I hope this helps! GOOD LUCK!
And hang in there…it is tricky, but worth it if you can stick with it! Your baby will appreciate it! And…milk is free, even if you spend $300 on a pump, know that you will never have to buy formula!
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Where the best and cheapest place to buy Viagra online?… by Al Hick

November 30, 2007 · Filed Under cialis · Comment 

About six weeks ago I ordered $37 (10 pills) worth of Viagra online from a Canadian Pharmacy and it appears that I've been cheated. They won't answer my emails and their customer service phone has been disconnected. Is there a reliable, honest online pharmacy where Viagra can be bought at an affordable price? How much time does it take to deliver the order?


Best Answer:


It should have been “generic viagra” for that price. And that means that this so called “Canadian Pharmacy” was a fake one because no pharmacies in Canada or USA carry generic viagra, cialis or levitra. You can get generic versions for ed meds only from some Indian, European or South American online pharmacies where they have their own laws and do not care too much about FDA in the US.
I suggest you always check if the phone numbers or live support are working before making any orders online.
The best and safest way is to get a prescription from your doctor and get it from your local pharmacy. Walm Mart has got good prices on Viagra.
You can also try to order viagra online, the only problem with buying viagra online is that there are so many sh..ty places all over the net that you can easily get lost and get ripped in the end.
you must be very careful if you choose to order meds over the net. a good source for ed meds like viagra cialis levitra is viagrafans.com . It is not an online pharmacy but an online community of viagra cialis and levitra users, the site also has got price comparison of cheapest and trusted online pharmacies.
Also check the message board, there is some contest starting soon for the best viagra story, and if you will win, you will get some brand pfizer viagra or cialis for free.
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What would happen if someone were to wake-up during anesthesia?… by QT Patu

November 30, 2007 · Filed Under vecuronium · Comment 

Would they feel everything?


Best Answer:


It depends on how much anesthetic they have already received. Most people, when they undergo general anesthesia, first receive several other drugs before they are intubated and under the influence of the volatile anesthetic (the inhaled gases). Generally induction is obtained with

1. Fentanyl - This is a fast acting opiate given before attempting to intubate the patient. It, like other opiates, gives you a relaxed feeling. It's basically very clean, very quick acting heroin…without the drawbacks of having bought drugs off the street.

2. Midazolam - This is a short acting benzodiazapine (same class of drugs as Valium). It induces axiolysis (causes relaxation) as well as causes amnesia. People who are given this drug rarely remember much from the time preceding the administration until several hours later. Patients often do not remember anything from their procedure, or even talking to the physician in the recovery room - it is most likely due to the action of the benzodiazapine they were given during induction.

3. Propofol - This white, milk-like substance, cause a rapid induction of anesthesia. This stuff burns going into your veins, but by the time you complain about it to the anesthesiologist you are asleep. This is what “knocks you out”, and then the anesthesiologist or anesthetist will intubate you (put a tube down your throat), and then give you the inhaled agents (which are unpleasant to breath in if you are awake). Some surgeries are done with only Propofol, and it is given as a drip rather than a bolus (or large single dose).

4. Succynilcholine - This is a depolarizing paralytic agent. It is much easier to intubate someone if all their muscles are relaxed. It is also easier to manipulate someones body if they are relaxed. This paralytic agent is fast acting, so it is given with the Propofol to allow the anesthesiologist to place the tube down your throat for breathing with less difficulty. Other, longer acting paralytic agents such as vecuronium or rocuronium are used to maintain paralysis for a longer period of time once an airway has been established. While you are under the influence of a paralytic agent you cannot move. Every muscle in your body is paralyzed. This includes your diaphragm (thus the importance of a breathing tube while under anesthesia). The horror stories that you hear of people waking up (i.e. not getting enough of the inhaled agent, but still having the paralytic agent) but not being able to move are from this drug.

Generally the anesthesiologist has an array of tools to measure how sedated someone is. A person, even sedated, will be able to respond to pain with an increase in their heart rate and blood pressure - and this is monitored by the anesthesiologist along with other vital signs throughout the procedure. Generally, if the doctor feels that you might be in some discomfort they will modify your level of anesthesia, either by administering more opiates, benzos, or inhaled agents until your vitals are more normal. Almost all patients are never even aware of these variations in heart rate or blood pressure. Some anesthesiologist monitor the brain function of the patient through a device placed on the forehead for an even more accurate reading of the patients level of sedation.

It is highly unlikely that a patient would be able to wake up during anesthesia unless there was some malfunction of the equipment or negligence on the part of the anesthesiologist. They would be able to feel things, and depending on if they had been administered a paralytic agent, may or may not be able to move. Again, the media like to sensationalize things, so the rare (<.1%) of times that people do "wake up" are seized upon rather than the 99.9% of times that people experience no pain. Of course there are other, more concerning, reasons to avoid anesthesia - but failure of induction or remission of induction is not one of them.
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What are other reasons why a person would have a seizure besides epilepsy?… by ?Special Red Gir

November 27, 2007 · Filed Under aminophylline · Comment 

I've heard how people have had seizures but aren't necessarily epileptic. Some is from drugs/medications, & I also hear how stress can trigger it off, too. What are other reasons?


Best Answer:


This is an interesting article about seizures. It is long but seems to include many items.

Genetic factors: It is now accepted that some persons may have a genetic predisposition to the development of seizures. There is also an increased incidence of epilepsy in relatives of those with a seizure disorder.

Head injury: Seizures may develop at or around the time of injury or years after (usually not more than two years later). They may occur with either an “open” or “closed” head injury.

Stroke/cerebrovascular disorders: Seizures can occur at the time of a stroke or many years later. They may occur with strokes that result in lack of blood flow to the brain or with those that involve bleeding into or around the brain.

Metabolic disturbances: This group of disorders changes levels of various metabolic substances in the body. These disease states sometimes result in seizures.

Electrolyte disturbances (altered levels of sodium, calcium, or magnesium)

Hypoglycemia (low blood sugar) or hyperglycemia (elevated blood sugar)
Renal failure (kidney disease) with uremia (increased urea in the blood) or changes that occur around the time of kidney dialysis
Hepatic failure (severe liver disease) and elevation of associated toxins
Hypoxia (lowered oxygen delivery to the brain)

Toxic causes: The presence of certain drugs can cause seizure activity. In addition, abrupt withdrawal of some substances can lead to seizure activity. These substances that may induce seizures include the tricyclic antidepressants, lithium, antipsychotic medications, aminophylline, and high doses of penicillin.

Illicit drug use, particularly cocaine, heroine, amphetamines, and PCP, can cause seizures. Alcohol withdrawal can be associated with seizure activity. These seizures usually occur 12-24 hours after the last drink but can occur up until 48 hours or more after binge drinking.

Withdrawal from prescription drugs and agents such as barbiturates and narcotics can result in seizure activity.

Infections: Infections of the nervous system may result in a lowered seizure threshold. These may include meningitis (infections of the coverings of the brain and spinal fluid), encephalitis (infection of the brain itself), and HIV (human immunodeficiency virus), and related infections.

Tumors and space-occupying lesions: Brain tumors, both malignant (cancerous) and benign, may be associated with seizures. The anatomic location of the abnormality influences the likelihood of having seizures.

Degenerative disorders: There are many neurodegenerative disorders that are accompanied by seizures. These include tuberous sclerosis, neurofibromatosis, Tay-Sachs disease, phenylketonuria (PKU), and Sturge-Weber syndrome.

Brain damage in infancy: Cerebral palsy secondary to lack of oxygen, infection, or trauma is associated with epilepsy.

Febrile seizures: These are an age-associated form of epilepsy that may present as a single seizure or may be recurring. They are associated with a high fever in children 3 months to 4 years of age and occur in 3%-4% of children.

Disorders That Mimic Seizure Disorders
True seizure disorders must be differentiated from a variety of problems whose symptoms approximate or closely resemble those of epilepsy. These include cerebrovascular (stroke-related) disorders, migraine, narcolepsy, syncope (fainting), and anxiety and other psychiatric disorders.

Another type of spell well known to physicians is the so-called pseudoseizure, or more properly nonepileptogenic seizure. These spells are not triggered by nerve cell discharges that cause true epilepsy, although the patient may experience muscle twitching and even apparent loss of consciousness. These spells have a psychiatric component and often coexist in persons who have true epilepsy. EEG monitoring can help distinguish disorders that mimic epilepsy from true seizures.
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lemons diminish the effects of medicine?… by Duke

November 26, 2007 · Filed Under advicor · Comment 

i remember my grandma used to tell me this. not just lemons but anything sour for that matter- like oranges. is this true or just an old folk story?


Best Answer:


All I know is my doctor told me not to eat grapefruit while taking Advicor (a cholesterol-lowering medicine) because the grapefruit makes the medicine less effective. So I'd say there may be some truth to your grandmother's tale.
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What is the difference between AKC and APRI?… by dream_searcher_

November 25, 2007 · Filed Under apri · Comment 

I have heard of and am familiar with AKC - American Kennel Club - but I am starting to see more and more puppies being advertised as APRI registered. What is the difference and in your opinion which is better?


Best Answer:


APRI is basically a scam registry used by irresponsible backyard breeders and puppy mills. It's useful to them because people don't do their research and think “oh. their puppies are registered. that means they're good”. It's not the case. APRI will accept practically any dog and it's very cheap. AKC is a reputable registry. You can not just register any dog with them. It costs more, but it separates a lot of horrible breeders from good ones. Below is an excellent site comparing the AKC with other registries. AKC, by far, is the better registry.
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What do you do for a pinched nerve in your neck?… by Madame Blueberry

November 23, 2007 · Filed Under parafon · Comment 

I woke up in the middle of the night to turn over, and realized that my neck was pinched.
I've been in excruciating pain all day and have taken Bayer Back and Body and alternated between a heating pad and an ice pack. Do you have any suggestions of what I can do until I can get in to see a chiropractor?
Help!


Best Answer:


I so understand and have been there myself. All I could do until I saw the Chiro was to alternate hot 30 minutes then cold pack 30 minutes like you are doing. It's too painful to let anyone massage. You might try Ibuprophen–it is an anti inflamatory and was more effective than aspirin for me. I also have a Rx for parafon forte which is a muscle relaxer. Next Dr. visit you could get a Rx for future use. Just be careful to take with food. Hope you find something to help soon.
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How do others cope with the flare/exacerbations of ms? I seem to no sooner get over one than the next hits.?… by Sue

November 21, 2007 · Filed Under tysabri · Comment 

I have rrmm since Oct 05 though had it before that & have had several flare ups while I was on betaferon & then avonex. Couldnt tolerate either so now on a trial drug which is oral, only 1 month in & another flare up. Have lost use of both legs & stumbling around with the walker. Very frustrating for sure.


Best Answer:


Yes, it sounds like the regular inteferons are not strong enough/not good for you.

I would talk it over with your neurologist. He/she seems to be doing the right thing in changing the medicines. Did you consider Tysabri? I don't know where you are located, but here in Denmark, it is used for patients like you with aggressive and multiple attacks.
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What process is being affected in the misreading of bacteria mRNA and the breakup of polysomes?… by aLcHiN

November 21, 2007 · Filed Under streptomycin · Comment 

Streptomycin (an antibiotic) binds to the small ribosomal subunit of bacteria (but not to the ribosoomes of the host cells infected by bacteria). The result is the misreading of bacteria mRNA and the breakup of polysomes, and how does this kill the bacterial cells?


Best Answer:


They can't perform protein synthesis and so they DIE!!!!! Or they can become resistant. See the answer explanation by the Website cited below. (1)

How resistance develops: ” Some antibiotics, such as streptomycin, kill bacteria by attacking the essential protein-producing machines called ribosomes. Bacteria become resistant to streptomycin when a mutation in the ribosome-encoding genes alters the shape of the ribosome and prevents the antibiotic finding its target.

But resistance comes at a cost. The mutated ribosomes are generally less efficient, and so it has been assumed that in the absence of the antibiotic the nonresistant bacteria will survive, while the resistant strains die off.” (2)
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What affects does a severe deficiency of vitamin D have on the body? And can you take vitamin D IV?… by grandmotherx419

November 20, 2007 · Filed Under ergocalciferol · Comment 

my vitamin D level is 23.. I have been on vitamin D supplements for almost 5 months and it continues to drop. Now I am suffereing weakness, muscle weakness, bone pain, chest shortness of breath, etc.


Best Answer:


What form of vitamin D supplements are you taking? and how much are you taking?

First, you should be taking cholecalciferol (NOT ergocalciferol).

Second, if you are as deficient as it sounds, you should be taking MASSIVE doses (at least 100,000 IU per day).

Third, do you have a malabsorption problem? Vitamin D is fat soluble, consequently it may not be well absorbed if you have pancreatic insufficiency, gall-bladder dysfunction, or common types of malabsorption disorders such as Celiac Disease.

Lastly, why is your doctor not giving you vitamin D injections?

The symptoms you describe are consistent with severe vitamin D deficiency. You need effective treatment ASAP. If your doctor cannot/will not help, get a referral to a specialist or find a new doctor.

Best wishes and good luck.
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