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StrapOn and fuck me. petite curvy Amador City for erotic playI have experience in dealing with situations like what you describe. I work in acute care (the hospital). Initially, patients are "fed" through IV with either PPN (partial parenteral nutrition)which is given through a peripheral IV site or TPN(total parenteral nutrition) which usually requires a central line. IV feedings are risky, and they require close monitoring of bloodwork and weight, intake and output. There is risk of infection as the TPN is a great place for bacteria to live in and gain direct access to the bloodstream. Also there is a risk of extravasation, in which the PPN doesn't stay in the vein but is injected in the tissue which causes severe damage to the body part. TPN and PPN require a daily order written by the patient's doctor. This is why IV nutrition is only done in the hospital as it requires the close monitoring of doctors and nurses. IV nutrition is only done on people who have a non-functioning gastrointestinal tract and for a short period of time such as a few weeks. For example, patients with bowel obstructions, patients undergoing abdominal surgery like a colectomy or colostomy, etc. would qualify. IV nutrition is also done for patients who are awaiting placement of a feeding tube. Feeding tubes are used for term nutritional support. They are inserted in a minor OR under conscious sedation. tubes are placed in patients who need term nutritional support and can be maintained in a nursing home or even at home. Unliscensed people can administer tube feeding if they are trained. Feeding tubes also have risks such as aspiration, where they can choke on their tube feeding and develop pneumonia if positioned with their head at less than a 45 degree. patients on tube feeding suffer from constant diarrhea and subsequent bed sores if their body cannot adjust to the feeding. Whether or not a patient gets a feeding tube is a decision made by both the family and the patient's doctors, and if the person had a living -/advanced directives that is taken into consideration. It's a difficult choice to make and there's no easy way about it. That's why the decision is individualized. I that helped you and I'm sorry your family is going through this. free singles dating
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fuck milfs Wirrina Cove Honestly, I remembered the poster because her last post was SO much like my own life story in college. Could go either way on the troll I suppose. That said, if she isn't a troll, my flip response was simply because there is no good answer given the information she gave us, and, really, does anyone want to touch that one with a ten foot pole? "Please, ma'am, give us the gory details of your harassment so that we can offer thoughtful advice." The only things we can say without details are tepid. For instance, schools require students workers to sign something saying they deal with all problems internally. Is hers one of those? She can, techniy, go to a lawyer in that case, but is it really advised? Especially given that, if she IS a legit poster and she was going into her senior year last year, then she only has 3 months left in this job. How totally heinous did it have to be that we would be recommending a lawyer with 3 months left to go? And if it IS that heinous, I honestly don't want the details. Other thoughts: why wouldn't she just request being put on a different shift than this guy? Student workers don't work enough hours in the week to *require* overlap with other employees if the office keeps ordinary hours.? Tepid advice. There simply isn't decent advice that can be given. wife for morning fun married woman seeking for affair Robertson
Those disclosures, like the disclosures for any medical procedure or medicine, are there to protect against liability in the event of the odd outlier: the virginal Mormon who is pos by her pre-nup blood test w/no history of any contact. In such a case, the result is likely due to lab error, and the patient is tested again. Within high-risk groups, the test has damn close to % sensitivity and specificity. It's a good test; and knowing is a good thing: it can lead to lifestyle modifications and therapeutic choices that can greatly improve both survival time and quality of life. For example, great controversy exists as to when to initiate HAART. The current practice is to wait until the CD4 count goes below /ml, or the viral load exceeds 50, /ml. However, there are some who believe if you start early in the infection, and keep the viral load low, you both minimize the number of viral particles (virons) around to evolve resistance, and enhance the immune system's ability to deal with the ones that are there (fewer virons=more CD4+ cells). Also, of HAART's notorious side effects are diminished in a patient who is still. On the other hand, there are those who believe early introduction of HAART is a set up for the selection of resistant mutations. Both have their points, and the jury is still very much out. Like I said, it's controversial stuff, but it's a patient's choice to make. In the meantime, both meds and survival continue to improve. And while a cure isn't on the immediate horizon, I'm hopeful that there be one w/in the next generation. What's happening in Africa can't help but move the conscience of the world, and motivate the research community: at the very least, a cure is a ticket to Stockholm. In the meantime, take care of yourself, and be there to benefit when it at last comes. Also, there's the moral to consider: ideally, knowing your status should compel you to play responsibly. I can't think of a better example of 'bad -' than a guy who knows he's poz BB toping w/out at least informing his partner. (more to come!) married woman seeking for affair Robertson wife for morning fun
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