Sunday, March 7, 2010

How to sell everything in your house

I've been there. At this stage, it's frustrating and a weight on the mind. But it won't be for long.

My advice would be this: be ruthless. Detach yourself from it and get rid of it. Anything that's not genuinely important, personal or highly sentimental, just get rid of. Once you pick something up and start thinking of it's potential usefulness in the future, you'll make an excuse to keep it. Then you're right back to square one. Yes, it's a tricky one at first but once you start, you'll get on a roll. With selling, except for the things of significant value, you'll find most things can't really be sold without a bit of hassle.

I sold a few things on eBay and used the rest as a great way to 'pay it forward', often throwing in loads of 'bonus items' to friends and family. In the end I just started throwing the rest away and took great pleasure in taking ALL of the remainder up to the local skip and tossing it over the side. All I'm left with now is a backpack and a guitar that's with me right now and a few 'special possessions' that are with my folks. I did this at the turn of a new direction in life and it's amazing how cleansing the whole process is.

Once you start, it actually becomes fun.Just do it and don't look back. You're moving on and looking ahead in life, you'll soon forget about it once you're on the road, trust me.
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Scott - I'm actually pretty ruthless as it is with getting rid of things - friends and family actually ask me to come over to help them get rid of stuff as they know they won't part with things on their own! haha AND, the BEST thing - I'm really thinking in terms of - if we DO move to Oz, is this worth shipping all the way over there? It's amazing what isn't worth it!

When John and I moved in together we had two of everything, and we ended up calling a women's shelter to donate everything to them... if I wasn't going to make money from selling everything, then I at least wanted to know I was helping women and children in need... and it felt really good to donate so much and things that were practically brand new. There really is something to the "pay it forward" thing...
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My advice on the sorting: Start one room at a time, and divide things into piles: keep, sell and give away. Then you can take the give-away stuff to the salvation army (or wherever) as you go so it's not cluttering up your house. Try to sell lots - you'd be surprised what people buy!! And when you're done, you can always take it to goodwill. I agree - be RUTHLESS.

The only things I kept were very good pots, extremely expensive books that I'll use for my PhD, the clothes I'm taking with me, photos and other sentimental stuff (not much tho!) and my bed (it's brand new). All other furniture etc. GONE!!!
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You've got to really think like a minimalist and fight the urge to keep everything. In the end, it's more exciting looking ahead towards your trip than to look back on relics of your past.
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Tips & Warnings

Give good descriptions of your stuff

Don't ask for too much money. Sure you paid a lot for it, but now its used, and it's just in the way. $20 times a lot of sales is a lot of money.

Group some like items together. If you have a small cooler and a large cooler, people might buy them both.

Don't let people in your house to snoop around, and when they come to pick up what you're selling, put it outside. No need to have them poke through your garage.

Cash only

Saturday, March 6, 2010

Colonoscopy sedation and amnesia

http://blog.geekwithfibroids.com/2006/08/11/amnesia-from-anesthesia-my-experience-with-conscious-sedation/
Found this section from the above Wikipedia link most interesting:
One benefit of Midazolam (Versed) as it’s used in a clinical setting, is its ability to sedate a patient without causing unconsciousness. For this reason it is often used in a number of invasive, but relatively less painful procedures such as colonoscopy.

Midazolam also induces temporary amnesia following administration (and sometimes very minor retrograde amnesiac symptoms are reported), which is beneficial for the person to whom it has been administered prior to what would otherwise be traumatic emergency procedures, but has led to its abuse as a (very rare) “date rape” drug, sometimes in combination with alcohol. Importantly, in memory studies, participants under the influence of midazolam are unaware that their memory is impaired (Merritt, Hirshman, Hsu & Berrigan, 2005).

jerry Says: November 2, 2009 at 8:18 pm
I would never consent to amnesia drugsand have seen way too many people who were traumatized by uncaring or just plain dumb doctors who squirt in high doses of midazolam (versed) so that they can do a colonoscopy more quickly adn to hell withthe patient. I recently had all of the symptoms of colon cancer, but couldn’t find a GI doc to do a colonoscopy without sedation. I ended up in the ER, still refusing colonoscopy because of the sedation; then I met a nice young woman GI doc who listened to my versed rant and agreed “I wouldn’t consent to Versed myself; it’s a terrible drug”..I’ll do your colonoscopy without it. A

fter the prep, I ended up in the endo suite, ready to go; she asked permission to have some fentanyl (painkiller) ready…when I balked at this the nurse handed me the syringe (2ml/100mcg) that was hooked up to the IV and told me that I could give it to myself if I didn’t trust them (she knew I worked in the hospital and was credentialed to administer narcs)….this disarmed me totally, the the doc related how many patients were abused during colonoscopy with Versed and everyone was on my side. The doc went slowly, talked me thru the exam and it was easy. No amnesia, no versed freaky side-effects and even the biopsies were painless. One huge advantage to sedationless colonoscopy (besides no amnesia): you can’t get your bowel perforated if you are unsedated; the doc told me that an unsedated patient will feel the pressure and warn the endoscopist long before perforation happens.

Propofol sedation (heavy duty) increased the perforation risk a lot because the patient is really out. And if you think that I hate drugs, I do not. After the exam, I had some cramps from the air that the doc had to introduce into my colon; when I couldn’t fart, she suggested painkiller, I agreed and she squirted in the fentanyl in the syringe that I had been holding in my hand (forgot it) and I was totally blasted in minutes. She repeated the dose later and told me to take a nap.


http://colonoscopyblog.blogspot.com/2006/11/on-conscious-sedation.html
I do remember being wheeled into the room for the procedure, the IV starting, and then.......I was asking "did they find anything?""No," the nurse replied kindly, "did you know this was the fourth time you've asked?"I didn't. I noticed I was lying in bed in the recovery room, and ... hey, how did I get dressed?

http://www.usnews.com/health/blogs/on-health-and-money/2008/10/21/would-you-rather-be-out-for-your-colonoscopy.html

http://freeideasblog.blogspot.com/2010/01/long-post-versed-midazolam-for.html

Check out versedbusters for honest patient reviews of this drug; also askapatient.

Thursday, March 4, 2010

Here we go

For the day of fasting on Thursday, I've bought jello and soup broth. I will also drink coffee and maybe a soda.

I made my jello Wed night, and premixed Moviprep 1st batch. put it in the fridge.

Thursday, ate a good breakfast without fiber. Got to get thru the workday on jello, coffee, soup broth. and a can of soda. Chewing gum.

more jello around 3:30pm. maybe broth before driving home around 4pm.
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Tonight around 6pm, start the moviprep. Probably won't want to eat much.
Ginger ale. chewing gum.

process might take 2-3 hrs. Mixup 2nd batch moviprep and refrigerate it.
Go to bed.
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Will have to getup early Friday around 4-5am and do another moviprep.

Drive to doctor around 8:30am for procedure.

Wednesday, February 24, 2010

Day before

http://www.mngastro.com/mngi.nsf/patient_education/MNGI-7EMLU6.html

3 days before your exam:

Stop eating all high-fiber foods and begin a low-fiber diet:
• No raw fruits or vegetables
• No whole wheat or multigrain foods
• No nuts or popcorn
• No bran or bulking agents
• Additional low fiber diet recommendations can be found at www.mngastro.com/lowfiber

2 days before your exam:

• Continue the low-fiber diet.
• Drink at least 8 glasses of water during the day
• Do not eat solid foods after midnight.

1 day before your exam:

Begin a clear liquid diet (NO red liquids; NO alcohol):

• Water: drink at least 8 glasses of water during the day
• Coffee or tea (no milk or non-dairy creamer)
• Clear broth or bouillon
• Gatorade®, Pedialyte® or Powerade®
• Carbonated and non-carbonated soft drinks
• Kool-Aid or other fruit-flavored drinks
• Strained fruit juices (no pulp)
• Jell-O, popsicles, hard candy

Mix first dose of MoviPrep®• Empty 1 Pouch A and 1 Pouch B into the disposal container.• Add lukewarm drinking water to the top line of the container. Mix to dissolve. • If preferred, mix solution ahead of time and refrigerate prior to drinking. The mixed solution must be used within 24 hours.

At 5:30 pm:
• The MoviPrep® container is divided by 4 marks.
• Every 15 minutes drink the solution down to the next mark (approximately 8 oz.), until the full liter has been completed.
• Over the course of the evening, drink an additional ½ liter of clear liquids.

The day of your exam

• You may take all of your morning medications.
Mix second dose of MoviPrep®• Empty 1 Pouch A and 1 Pouch B into the disposal container• Add lukewarm drinking water to the top line of the container. Mix to dissolve. • If preferred, mix solution ahead of time and refrigerate prior to drinking. The mixed solution must be used within 24 hours.

6 hours before your exam:
For example, if your colonoscopy is at 11 am, start at 5 am
• The MoviPrep® container is divided by 4 marks.
• Every 15 minutes drink the solution down to the next mark (approximately 8 oz.), until the full liter has been completed. Time to complete = 1 hour
• Drink an additional ½ liter of clear liquids. Time to complete = ½ hour. This needs to be completed at least 4 hours before your exam.

4 hours before your exam:
• Discontinue clear liquids

The day before

http://www.gastrorockies.com/English/Resources/Instructions_MoviPrep.html

Two to Three Days Before Your Exam:

Purchase a MoviPrep from your pharmacy. You will need a prescription from our office.

From your grocery store, purchase:

CLEAR LIQUIDS, such as water, tea, coffee (NO CREAMER),

7-Up, ginger ale,

apple or white grape juice (no juice that is red or purple),

clear soup broth, gelatin (no red or purple), popsicles (no red or purple)

or Gatorade (no red or purple) or

100% cranberry or pomegranate juice (even though it is red, there is no dye in it)

A lemon or lime

Tucks medicated wipes or baby wipes (alcohol and fragrance free) and Charmin Plus toilet tissue to minimize the expected anal irritation from wiping.

Moviprep

How should I take MoviPrep? http://www.drugs.com/moviprep.html

Take MoviPrep exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.Do not take MoviPrep if it has been less than 2 hours since you last ate solid food. For best results, take the medicine 3 to 4 hours after you last ate.

Do not add any flavorings to this medicine, such as sugar, honey, artificial sweetener, fruit juices, or other beverages.Chilling the medicine in a refrigerator may make it taste better. Shake the liquid well just before you measure a dose. Drink this medicine in the exact portions at the exact time intervals prescribed by your doctor.

MoviPrep will produce watery diarrhea. Keep taking the medicine until your stool is watery and clear. In most cases, at least 3 liters of MoviPrep is needed for the full effect.

The usual dose of the medication is 8 ounces every 10 minutes. Drink each portion as quickly as possible, rather than sipping it slowly. The first watery stool should appear within 1 hour after you start drinking MoviPrep.You may be instructed not to drink or eat anything before your medical test or procedure. Follow your doctor's instructions about the type and amount of liquids you should drink for at least 24 hours before and after your test or procedure.

Throw away any MoviPrep you have not used within 48 hours after it was mixed.

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I had the fleet stuff the first two times and could barely take it. I would cramp up, be nauseous and feel like vomiting. Yesterday I took the Movi prep and it was so much better. The taste is tolerable and I had no cramping or nauseous feelings at all. I had my colonoscopy this morning and feel much better than I did previously. The physician and his staff said the Movi prep is getting very good reviews and results.
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I hope this will help. I just finished the movi prep and my wife, who is a pharmacist, did a lot of research and it helped me a great deal. The key for me was getting the prep cold. I mixed it well ahead of time but less than 24 hours per the instructions. I refrigerated the movi prep and also used a chilled mug to make it colder for drinking. The first 8 oz. I made the mistake of guzzling it. I felt a little squeamish with slight nausea.

The remaining 8 oz glasses, I used a straw and drank it over about a two minute period. Much better with no ill feelings. The second batch of movi prep did not chill as long so the first 8 oz. did not go down as well since it was not as cold. The remainder I simply dropped a few pieces of ice in it. Everything went very well after that.
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I did the Moviprep a couple of weeks ago for a routine colonoscopy, 50 years old don't ya know. It was okay. bobcorn's advise on making it early in the day and refrigerating the solution is right on! I used a straw and sipped the 1 liter Moviprep slowly over about a one hour period, taking a sip of ginger ale right after to knock down the salty aftertaste. The ginger ale complimented the pseudo lemon-lime taste of the Moviprep well. No nausea, though it did seem like the Moviprep sat heavy on the stomach for a while.

In between sips I paced around rather than sit and focus on the gunk, watching TV and working on a crossword puzzle ... anything to take the mind off it, plus I believe that the movement helps work the stuff through. about 15 minutes after finishing the one liter it was potty time. I used a dab of Desitin on the old behind to keep from getting irritated and raw. A book of puzzles and my iPod helped a lot while sitting for about an hour.

My regimen was doing the first liter at 5:00PM and the second liter at 8:00PM. I liked doing both regimens in the evening versus waking up early in the morning and facing it all again for the second liter. I was up late in the night hitting the bathroom about every 1/2 hour until 2:00ish.

The colonoscopy procedure the next morning was nothing, I was in la-la land and completely unaware of it ... the wonders of modern anesthesia. Recovery was simple, about 1/2 hour before having my wife drive me home. I ate a huge lunch then fell asleep in a chair for about four hours. Easy-peasy.
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The Movi Prep is not too bad at all. My first colonoscopy today and so I'm in the middle of my um "bowel prep". I did not have too much trouble getting the Movi Prep down last night and was on the toilet for about 4 hours off and on. I got a little "butt burn" but employed heavy use of baby wipes. The burn was not from the actual fluid, but more from wiping so darn much!

I still had some Movi Prep in my system this morning and I felt I needed to go around 6am. I learned a couple of things. The Gastro office said for me to drink the 2nd liter in the morning 3 hours before arriving. Knowing me and what I went through last night, I decided to get up and start my second liter 4 hrs before leaving the house.

While I feel the worst will be over in 2 hrs, I want to give myself another couple hours to make sure it is completely out of my system. I hate being in the car and feeling like I have to go. Also, as I sit here drinking my second liter, I'm doing it with a bottle of lemon lime gatorade and strong cup of black hazelnut coffee. I basically chug down 8 oz of the Movi, then take a swig of gatorade and a large sip of the coffee. The coffee seems to be very helpful for wiping the aftertaste away.

I agree with the previous poster about keeping it cold. Move Prep MUST be cold :)

Moviprep vs Osmoprep

Well, I had the OsmoPrep pills on Monday. Really no big deal. HOWEVER - and this IS important. OsmoPrep has a tendency to dehydrate you very quickly, so you really MUST drink a lot of liquids when you use this prep. I thought that I had, but it may have contributed to the problem of having so much difficulty getting an IV line in me. Just remember that if you do these pills (DRINK, DRINK, DRINK & more DRINK!!)

I was annoyed that I was prescribed MoviPrep - so much more expensive and so much more to get down than Fleet Phospho. HOWEVER, it was worth it. Not terrible to drink if you have it chilled and 'on the rocks' and drink through a big straw (lifted from MacDonald's). I had absolutely no cramping or urgency. Just went! I'd been pretty severe about the liquid diet, though I did have 2 scrambled eggs whites (no fat) for breakfast whiich wasn't allowed but was very comforting and caused no problem. I really, really drank as much as I could all day and while taking the stuff. Probably could have stopped after the first round, but thought I had to keep it up til there were absolutely no little tiny flecks. Did the whole thing and wondered why I was now producing yellow liquid. Found out that was bile. I was realllly clean. The doc was thrilled. Check with your nurse before hand for a good definition of what the liquid your producing should look like when you can stop. If it's good after one liter of MoviPrep, this is a piece of cake, as it were. In short, it ain't that bad. Just remember, DON'T TAKE IT PERSONALLY! There are zillions of people going through the same thing and it's only one day, hopefully not all that often.

My big complaint is the cost of MoviPrep. It's highway robbery. $40 for less than 10 dollars worth of PEG 3350 and some other ingredients that show up in Gatorade and Twinkies. For shame to overcharge like that. And it's typically a 2nd or third tier on most drug plans, so the patient takes the hit.

Also, I got the stuff down using a straw, which was suggested here. Worked rather well. Turn it into a game. Ten to 12 pulls on the straw got each 8-oz dose down. If you can do three pulls, you can do six, and if you can get to six, ten is not that far away.
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http://www.cafepharma.com/boards/showthread.php?t=113716

Colonoscopy

http://checkyourinternalpipes.blogspot.com/

http://ilovecolonoscopies.blogspot.com/
all colonoscopy prep methods start by fasting the day before the procedure. this is no big deal. you're allowed to drink clear liquids including gatorade, clear apple juice, sodas and water. fasting is mostly a frame of mind. it's not that difficult at all to do, especially if you've fed yourself well the day before.

the Fleet phospho method of preparing for a colonoscopy involves having you drink two small bottles of laxatives before your colonoscopy procedure the next day. the first laxative bottle is taken about 6 pm to 7 pm the day before the procedure. the laxative will act within about 30 minutes or so. throughout the nite you may feel a need to move your bowels a few times, so your sleep may get interrupted a bit by a few trips to the bathroom. you're required and expected to drink clear liquids during this time so your body doesn't become dehydrated.

3 hours before your leave for your colonoscopy procedure, you drink the second Fleet phospho bottle. that will induce some more bowel movements. by the time you arrive at your colonoscopy, your bowels will be pretty much cleared of solid materials.

the other method, the Go-Lightly method, is much less fun. Go-Lightly is a laxative contained within a gallon of what tastes like sea-water. you're supposed to drink the entire gallon, having a glass of that material every 15 minutes.

yeah, right. i'm going to drink a GALLON of anything? most people don't make it past a quart of that stuff. my sense is that the Go-Lightly method was invented by lawyers who wanted to ensure that dehydration doesn't occur as the laxative takes effect. lawyers come up with some of the worst ideas in the world.

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Preparation

The colon must be free of solid matter for the test to be performed properly. For one to three days, the patient is required to follow a low fiber or clear-liquid only diet. Examples of clear fluids are apple juice, chicken and/or beef broth or bouillon, lemon-lime soda, lemonade, sports drink, and water. It is very important that the patient remains hydrated. Orange juice, prune juice, and milk containing fibre should not be consumed, nor should liquids dyed red, purple, orange, or sometimes brown, however cola is allowed. In most cases, black coffee is allowed.[6]

The day before the colonoscopy, the patient is either given a laxative preparation (such as Bisacodyl, phospho soda, sodium picosulfate, or sodium phosphate and/or magnesium citrate) and large quantities of fluid or whole bowel irrigation is performed using a solution of polyethylene glycol and electrolytes. Often, the procedure involves both a pill-form laxative and a bowel irrigation preparation with the polyethylene glycol powder dissolved into any clear liquid, preferably a sports drink such as Gatorade or Powerade brand sports drinks which contain electrolytes.

In this case, a typical procedure regimen then would be as follows: in the morning of the day before the procedure, a 238 mg bottle of polyethylene glycol powder should be poured into 64 oz. of the chosen clear liquid, which then should be mixed and refrigerated. Two (2) bisacodyl 5 mg tablets are taken 3 pm; at 5 pm, the patient starts drinking the mixture (approx. 8 oz. each 15-30 min. until finished); at 8 pm, take two (2) bisacodyl 5 mg tablets; continue drinking/hydrating into the evening until bedtime with clear permitted fluids.

A common brand name of bisacodyl is Ducolax, and store brands are available. A common brand name of polyethylene glycol powder is MiraLax. It may be advisable to schedule the procedure early on a given day so the patient need not go without food and only limited fluids the morning of the procedure on top of having to go through the foregoing preparation procedures the preceding day.

Since the goal of the preparation is to clear the colon of solid matter, the patient should plan to spend the day at home in comfortable surroundings with ready access to toilet facilities. The patient may also want to have at hand moist toilettes or a bidet for cleaning the anus. A soothing salve such as petroleum jelly applied after cleaning the anus will improve patient comfort.

The patient may be asked to skip aspirin and aspirin-like products such as salicylate, ibuprofen, and similar medications for up to ten days before the procedure to avoid the risk of bleeding if a polypectomy is performed during the procedure. A blood test may be performed before the procedure.[7][8]