I'm a nurse on a floor that specializes in this. So here's what we do. I'm assuming he's given you instructions for a complete clean out and liquid type diet before surgery to empty the bowel, reduce inflammation, and reduce the chance of infection during surgery. During the stay, it is usually a week to 10 days. You may have a tube in your nose after surgery to keep the stomach empty, a pain control pump for your pain, and nothing to eat or drink for a few days. Iv fluids and iv antibiotics and we do CHG wipes for infection control instead of a bath for 5 days. They typically want bowel sounds before letting you have clears, then full liquids, and then soft food. Usually a day or two on each diet. Depending on what they did and what condition your intestines where in, you may get stuck on one of those diets and go home on that for a week to 10 days before moving to the next level. You may have a colostomy depending on condition and how much was removed and how well the bowel could take stitching. Sometimes, the colostomy is done and then reversed in a few months when the bowel is stronger. Other times, it's not needed. You may have a Jackson pratt drain in place and that might go home with you as well to be removed in office the next week. Typically, no driving while on pain meds and we teach no driving till you can slam on the brake without hurting yourself. Usually a weight lifting limit like 10 lbs for several weeks. Staple removal in office typically a week after discharge. A soft diet usually for several weeks. They will want you up and moving on day 1 or 2 of surgery. You will hurt. We aren't keeping you from having pain but helping you to function with pain. Walking will be reccomended. No motions that crossthe midline (like sweeping, vacuuming) because it stresses the incision and can weaken it. Activity will be gradually to resume it. Some find motrin/tylenol work better than narcotics when discharged, so ask if those are okay for you to take. At least 6-8 weeks of recovery after discharge. Biggest thing I hear from patients is not understanding that this is going to hurt and we can't keep it from hurting. You don't realize how much you use your core muscles until they are cut on. So a deep breath will hurt. A sneeze, cough, moving will hurt. We have ways to move that will minimize the pain and will give some pretty strong pain meds but patients are still shocked by the pain. Sorry! I wish you a speedy recovery and no speed bumps!

I put myself through nursing school and work 24 hrs a week so it can be done while homeschooling. You just have to come up with a workable plan for your situation. A night class and a few hours a week doesn't sound like a bad gig. But multitasking while watching the kids is a must for me. And having a plan of when stuff gets done.

Compliance, "I love this" and "This is great" attitude, easy to teach, the right amount of parental involvement with the proper amount of money, causes no issues, totally on board with the program.

Google home and smart phones are a true lifesaver! we just speak out loud and magic happens. lists are made, reminders set, calendars updated. its been a slow process but our absent minded professor gets his life together. he may have little sounds dinging constantly from his phone but hes managing. As for stuff, less is more. i stopped having stuff. we couldn't manage it, too many absent minded professors in one house. too much that didn't get done because stuff is overwhelming. but ours isnt ADD type, it's central processing disorder coupled with profound giftedness and all of it's issues, and executive functioning issues. we don't get distracted and move on to one thing to another to another. It's more , we focus on what we are interested in and 18 hours later (3 days, a week) we need a shower, food, and wash clothes. Tunnel vision is a better description for my group. Time stops, slows down, becomes nonessential. Then we are done and in a whirlwind to get it all back on track. I have to teach you just had this time stop, you have to set aside the next one until life is in order again. You never know how long the next one will last or what will come from it. It's all about managing the time stops and finding the system that keeps the important stuff in mind during the time stops.

" Basically, It's not unreasonable to expect a 20 year old to behave with good manners and consideration when she's not paying a dime of rent or groceries. " It's not unreasonable but I would go out on a limb and say it is for the wrong reason. Whether she pays rent or not, cleans or not, helps or not, Regardless of what she does and you do for her........there is a basic decency for human interaction. We don't get to walk by the homeless man on the street and kick him or spit on him or call him names or argue with him. We treat him as worthy of decent kind behavior. It doesn't matter how much money my husband contributes each payday, he still has to treat me with decency and kindness. IF he makes a million, he doesn't get to scream at me or belittle me or treat me unkindly because he's paying for my way. Family should treat each with decent kind behavior regardless of what we do for each other. If she can't or won't, then it is time for her to move out and find her people that let her be her, good or bad. College apartments/dorms are really a good thing. You are mixed in with others who really don't give a crap about you and it gives you some perspective about the people who do care and love you.

Yes......went through this. If the IgA is deficient then you need a different test as you will not test accurately on the standard blood test. But what was the gliadin test? I don't think they typically run DGP right off the bat. From the Celiac foundation: If you are IgA deficient, your doctor can order a DGP or tTG-IgG test Read more at https://celiac.org/celiac-disease/understanding-celiac-disease-2/diagnosing-celiac-disease/screening/#h5pIiy4bzdVpVILs.99

It can be a shocking price. But it was worth it.

Going to a functional medicine doctor can help tremendously. IT is the only thing that stopped the tide and turned it around for me regarding tiredness, fatigue, weight gain, and depression. For one, all my levels were normal by regular medicine. By the functional medicine md, they were all trash and low and pathetic. She brought them up drastically and I can't tell you how much better I feel. She also adjusted hormones and I'm amazed by that difference as well. The better ones can also recommend supplements to help with side effects of some drugs and counter the bad. For the drugs, there is one drug (restoril (sp?) or remeron, can't remember which) that causes huge weight gains practically overnight. A coworker went on it and then quit it after about 25 pound weight gain in a month. Then she said it was so hard to lose any of it. Do hope she can find the right help. It is hard sometimes.

therapy. I was not excited about it but it helped a lot. The therapist wound up basically repeating much of the same advice we were giving but was able to help him see why that advice was sound. They worked really hard on self esteem and that his choices were not because they were great but because he was so down on himself he was making crap decisions. I only had a couple of sessions with him. 1) certainly focus on you lied to us. Don't mention the girl. He simply would not go anywhere without my personal escort. I would enlist the school to send me text for every class he had,. If I had the ability, I would go to class with him everyday for a long time. Lying about where you are can have some serious consequences. 2) focus on what makes a great relationship. Don't mention the girl. 3) focus on why you should allow people in your life. Don't mention the girl. Relationships should make you a better person and strive to be better and do more and lift you up. If it is a chore, it's not a good relationship. If it makes you fall down on doing what you need and doesn't help you become better, fulfill your obligations, and keep you out of trouble, it's not a good relationship. 4) Show him the issues of being with people who do drugs....overdoses, consequences for being in their presence if they get busted for drugs. He could go to jail and have a record just for being there when she gets caught with drugs. What does a record do to your future? Life becomes much harder. I dragged a kid to the morgue. Dead people in various forms of damage from drugs/drinking are an eye opener.

for those that hate your bra, find the reddit A Bra that fits. I follow their sizing recommendations and use HER ROOM Know your breasts for bra style. That's how I discovered I have to have 3 part cups and can't wear a solid t-shirt type bra. Only time I start having trouble with a bra is when I lose weight and need to resize. Those two sites have made a huge difference in how nice my bras fit. And how little issues I have with them now that I have the right proper fit and the right styled cup.

7 - one for every day. But I had two fail so down to 5. And I haven't replaced them yet as I wanted to drop another 10lbs before I resized and ordered more. I also match underwear as well. Good fitting bras and nice fitting panties. Then I have sports bra x3 and a special strapless thing. I used to make do with one or two but discovered that there really is something to wear it once and wash it. Bras last longer and stay in shape better than rewearing a few times between washes.

see that's my American showing......add in a place while safe enough still has a high rate of murders and the property(several hundred acres) behind us is a dumping ground for bodies and hideout for fugitives with regular state and federal hunts.......opening the door is an absolute no and that's me as an adult. Even the police get the suspicious double check. And then add in my horror movie watching.....LOL. ya pretty much gotta break down the door.

I would be more bothered by the fact that she opened the door to a stranger when home alone than giving him money. But I have seen way too many horror movies this week so that could just be me overly sensitive ( as in scared to death and unable to sleep without the lights on LOL)

Well that's what I thought but the researcher kept stating y link and I was like okay not sure how that gets passed to females but I don't have the genetics degree. But they felt it was showing passage from father to daughter and not mother to daughter. So my daughter should not have it but my brother's daughter did. ???

I have been. My A1c did drop. It wasn't high to begin with just the annual creep up the scale but it's now dropped. My morning blood sugars dropped from 140s to 70-80s. I just don't eat from dinner to lunch and only eat veggies, meat, and some fruit. I was already gluten free so I kicked the sugar and high carb foods. It works for me

magnesium!!! Natural Calm, start with a 1/2 teaspoon every night in a glass of water. Work your way up to 2 teaspoons. (work slowly as it can cause loose stools as it is a laxative) I've had inability to sleep for years and years. I went to a functional medicine doc who treated my thyroid symptoms and not my numbers, and ordered me to take Natural Calm and melatonin every night. Within 2 weeks, I was sleeping through the night and in a month, I was actually sleepy at a normal bedtime. Bonus was I didn't get as anxious or excited or worked up through the day! Now, I take the melatonin every couple of nights as some mornings I am too groggy. I also keep a check on my mag levels. Your diet sounds pretty close to mine and diet just doesn't seem to add in enough mag.

the research study I participated in years ago sent out an update one day and said that early evidence was 1) identifying a combo of genes involved and 2) that it might be y chromosome involvement. Seems like a significant number of responses had mothers with no or normal morning sickness but had fathers who had experienced extreme vomiting including significant weight loss during their partner's pregnancy. Or had identified paternal aunts with extreme morning sickness and not maternal aunts. Will be interesting to see if the second part works out. My father was horribly sick with every pregnancy and his sisters were as well ( and he had 4 sisters and all of them had morning sickness from start to finish). Two of his brothers would get sick as well but not to the degree he did. Don't know if his mom or dad would get sick or not. I'm not up on genetics and hope that if it is Y carried that means it ends with me and my daughter won't have it???? The boys wouldn't have the gene right if it is on the Y???

NO. Because as a product of public school and a stint in private school, not a single damn authority did jack freaking shit for me. Not when I didn't show up for multiple days, only to have those absences ignored because I scored so well on tests so obviously I didn't have educational neglect. Not when I showed up with multiple bruises and other obvious marks. NOT EVER. Even when I said yea this happened. The very officials that everyone seems to think can spot an abused child and do something about it, never ever bothered in PUBLIC SCHOOL. And never helped any of the other abused people I knew. The girl who moved out at 16 because of sexual abuse and took her younger siblings and moved in with her boyfriend, Nope, couldn't even get WIC or Food stamps much less protection against abuse. Took her boyfriend with a gun to stop that. School didn't even blink when she registered her siblings and claimed her 16 year old self as guardian. The girl who showed up with boot print across her face and back from being stomped? Nope..... But somehow, these officials are going to save the homeschool abused kid.....Nope. They don't in public school. They won't in homeschool. They will just make our lives miserable with their petty power trip. Just nope.

Most likely, they are probably still on modified diets. One simply doesn't hand over a plate of food. It all happens in stages. So my guess is there is still eating issues and chronic issues from long term starvation/malnutrition that are being adjusted and tweaked daily and weekly. They are probably still not up to a full caloric diet.

It isn't as simple as diet change as all that you mentioned plays a role in personal health. We all know outliers..... the 102 who survived on 4 eggs a day with his daily gin and tonic and cigar and is still rattling around perfectly fine, the 36 year old who did everything right and had awesome numbers and dropped dead. But for the majority of us and the chronic conditions - heart disease, diabetes (type 2), obesity - they are diet/exercise controlled and preventable and can be checked,stopped or even turned around. It isn't easy and given genetics and hormones can be downright difficult (says the menopausal Supertechmom trying to lose 50 lbs) but changing my diet, eating healthy, cutting chemicals from my foods and eating "real" food goes a long way in normalizing and lowering many blood numbers, weight and health risks. Maybe I work with a special group of surgeons but everyone of them fusses at their pts if they see them eating fast food, drinking sodas, or eating anything that you couldn't have possibly grown/raised in your backyard (given the time/money/resources). They fuss at us too!

Part of the problem with diet is the results of poor eating/lifestyle doesn't show up till 40ish/50ish. Sure, people feel better with a better diet, more exercise, better sleep but life altering health effects aren't seen until the 50 year old is hospitalized for that non healing leg ulcer that turns out to be uncontrolled diabetes and a few months later winds up with an amputation. typically, most are able to control any health issues with a few pills until the heart attack, stroke, amputation occurs after 40, 50, 60 years of crappy diet. Even then, the majority won't make changes. Because at that point, they are defeated. Try telling a 50 year old without a leg if only they would control their diet and eat better............It's too late. Most people just don't think about the effects until it is too late. We have an idea of invincible I'll never be sick or die attitude until bamm, we are sick from stuff that could have been prevented with the right diet. I don't have any answers. Getting people to make the connection between diet and health issues is hard.

I watched it and it made me wonder how dysfunctional this family is. Nobody dealt with their grief. I don't understand the memorialize the Superbowl every year and spend the day in fresh mourning/grief. It's been 20 years. I get sad at times over my dad's death and have a good cry but turn an entire day every year into reliving the moment like it was yesterday? They just seem stuck like their life revolves around waiting for Sad day. I liked Randal's approach to celebrate it because it was something his dad loved and even Kate's having her dads ashes in the room while watching the Superbowl. But, her line of let me have one day to wallow and blame myself and relive the day I don't understand.

Don't blame you for that. It is sobering to me to know I am one misjudgment away from harm befalling my children. One thinks as the kids grow up, that your mistakes have fewer consequences than when they were little. One of the speakers has performed over 800 sexual assault kits. The recurring theme was the mom's boyfriend or the stepdad. Sadder was the number of women who blamed their daughter or son. I can't even imagine.

One of the revelations in my class that had us reeling was that the 6-9year olds handle testifying better than teens and grown adults. Teens especially go to such a dark place that testifying can and often destroys them. Many parents settle because their teen is not able to live through a trial. Second is many states have such jacked up laws that victims (not this type of rape but grooming and long term abuse) can often be charged with crimes depending on what texting/pics etc were exchanged. More than one LEO said they would charge the victim with whatever came up during the investigation. So the smart abuser will groom the child to do what they want, wait till they are older and can be charged, and then demand lewd pictures. Then, they can charge the teen with sending child porn and other such crap. Many back down at that point and decide to go the civil route where criminal charges are not a threat. Sick and twisted but can explain why not every victim jumps to court. Sometimes a shitty plea deal is the better option.

We took it to mean roughly 20% of all woman are raped. And then 40% of that were raped before 18. Leaving 60% raped after 18. Which is sad to know that the oldest rape victim was 101. And that nearly a majority of women have been assaulted before adulthood. And that for this training, girls in puberty even as young as 9 and 10 are being lumped into adult stats/treatments in some areas that don't have designated separation of that population. As for LEO, you can have anonymous kits and refuse police involvement. The victim gets to decide to move forward. So some of that figure is because the victim refused law involvement. Some is because the evidence won't support a charge so no charge. But some most certainly is because the victim doesn't feel enough support from the community to move forward.