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I 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. Farmington New Hampshire girls wanting to fuck
The parting words of Ex-Husband#1 to Ex-Wife, "The more money I spend fighting this in court, the less money our have for college." This was the end of it. Respondents to the original thread had suggested that it was probably an to end or reduce support were right. Ex-wife didn't have enough money to take it to court, and she'd have to the same family court judge and explain why she wanted the custody order amended. ______________________________________________________________ Situation: Please weigh in < Flame_Proof_Suit > (25 years old) gets involved with woman (23 years old) while she is pregnant and not showing at the time they are dating. falls in, and they get married. Wife gives birth to a boy, her husband loves and bonds with this. Wife gets pregnant again with her husband's. Biological father of the first never enters the picture at all. Two years later. Wife gets drunk, and cheats on her husband. Husband finds out, but tries to work it out. Husband can't reconcile the infidelity. They divorce. They have joint custody of the. Ex-wife remarries, a disabled, legally blind (getting SSDI) but "working under the table". New husband hits, and his new wife. Ex-wife divorces again, and is once more an Ex-wife. Fast forward a bit, Ex-wife remarries the same legally blind barkeep from the 2nd marriage, and because of problems in their marriage, decides to give up custody of her two to ex-husband #1 Ex-wife, and ex-husband#1 go to court and get sole custody of the two transferred to ex-husband. Court transfers custody of the to ex-husband#1, and now Ex-wife has to pay Ex-husband support. Fast forward a few months later, and ex-wife decides that she wants custody of the gifted and talented of the two, and wants to go to court to reacquire custody of this. Comments? Opinions? lonely looking for Fort MillKnowing that she get no work done in the state she is in, she slides her hands down her body, lingering momentarily to tease her nipples through her sweater, across her stomach and down to her skirt. Her hands dance up each of her thighs, teasing herself and hiking up her skirt all in one motion. She runs the middle finger of her right hand along her slit, spreading around the heat and slickness as bolts of pleasure course through her body. From top to bottom she continues stroking herself, lingering at the top each time to rub and circle the hardening bundle of nerves growing there. As she runs her finger down her wetness again, she slips it inside as far as she can, caressing her inner walls. She can't believe how turned on she is her natural moisture already coating her fingers She slides a second finger easily inside of herself, and even as she gasps in pleasure she hears a rustling behind her. "Can I help you?" a deep voice, husky with asks from the entrance to her cubicle. Face already flushing red, she looks over her shoulder to him. Dressed in khakis, a button down shirt and a tie, her new boy-toy cuts a striking figure; arms folded, leaning against the side of her cubicle, clearly enjoying the show. He takes another moment to drink in her compromising position, his eyes afire with passion, before he practiy pounces upon her from behind, kissing her deeply, twisting her neck slightly to achieve the perfect. His hands slide down her tingling body and he replaces her hands with his own, he pushes his fingers inside of her to continue the wonderful friction he had interrupted. He releases her mouth from his passionate embrace and begins licking and sucking the exposed flesh of her neck. She is panting for breath now, but is able to gasp out a question, "So I guess you liked what you saw?" She can feel his lips stretch into a grin at the rhetorical question. He pulls away from her and bites his lower lip coyly "I'm not sure," he replies, "I couldn't much with you facing away from me. I think I need a closer look." best online dating site
southern girl looking to meet someone exciting 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!) single and free this week
married woman seeking for affair Robertson It was a little presumptuous of her- -actually allot! However, you mentioned she was mentally messed up and her immediate family seems plagued with the same dysfunctional traits. So, quite possibly her options are few and maybe she feels you would make a great father- -whether you agree or not??? There is another to this little scenario and that be she is looking for a way to “attach” herself to you through her -even if it is only in some obscure fashion. The truth is, you HAVE to accept responsibility for the -she cannot bequeath it through a or other documents without your direct (LEGAL) intervention. Even then, it could be easily challenged by blood relatives, regardless of their alleged background. The law is BLIND. So…if I were you I would smile and just let it go. The little girl, deserves better- -and maybe it some way you can reach out to the innocence, -“for it this world they have no say” bbw wa it has been 4 years fuck girls free Overland Park Kansas
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