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ca65 free Italy phone chat roomsI 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. local married women
asian women fuck Neuil Going down on a woman is not hard on the neck is the one getting eaten served on the kitchen table????? cause you wil have to either move her ass up or bury your neck down to eat her ..and sorry what is this business of towels???? do you wipe your face when you are going down on anyone yuck?????/you like dry eating/sucking no wonder you hate dicks .dry sucking of anything is painful! eating women is labour intensive .neck, tongue and your whole body is in unnatural -! sucking a -(not sure why the is slamming your throat) this is where you are in control of how much you want to go down or lick or do whatever it is few inches and you can do whatever So like I said, physiy all things being equal, it is actually harder to head a woman than a -! physiy speaking I think most women here are attaching fucking weird pyschological shit I do not get to dicks but never heard a hurting jaws dicks are soft (they are not bones) and if jaws or throats are hurting THE WOMAN IS DOING SOMETHING WRONG . you need to chill, relax your fucking mouth, and add some enjoyment you are so stiff no wonder you are hurting. Also seriously most women have more meat down there even if they have less hair and moving their labia or tigh forget it .even the fattest guy, he is solo when he is laying back! Rocky Mountain House xxx girls
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i know you remember ebony Yeah. It does make me feel good about myself. I also think its awesome when being kind and good and reasonable to other people reaps a reward. I made a conscious and difficult choice to ALWAYS view my ex as a human being and to view all situations from his. That has been VERY DIFFICULT sometimes. I have done it consistently enough where my daughter recently noticed and expressed appreciation for me being that way. I eventually get all of the support that I was owed it didn't cost me a dime in attorneys fees or fighting or energy. I was good and nice and patient, and I got rewarded for it. I am suprised but happy. Shrug why I am on this forum my mom died, and my pops got remarried so the people who "get me" are busy or dead. I would like there to be someone out there who thinks like my parents taught me but I am finding out just how rare and awesome my parents are. married and looking for a little more
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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!) looking for pussy Las vegas girl seeks some loving
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