No she won't.
Today was Ushi's 6 monthly visit to the vets. Guide dogs recommends that guide dogs are seen every 6 months for a checkup unless they are sick, in which case they would come in earlier if needed. I was also getting her her anual vaxinations.
So yesterday I booked the appointment. I wasn't sure what the vaxination was that she had to get, so I just said that it was her yearly booster. I booked it for half two today.
I was also going to get her Front line flea treatment and her worming tablet.
So off we went today. I was kind of excited and a bit nervous, as I didn't know how she would react to the injection or anything.
It was really really warm when we got there. Ushi just was panting away. She sounded like a train! I didn't think we would need water, though next time I might have to bring some! She got a little bored waiting, so she just lay down.
When the vet called us in, I decided to take her Halty off, so that the vet could look at her nose and eyes and that and in case he wanted her on the examening table. (I mustn't have actually taken it off, cause when I took her out to spend afterwards it was on but unbuckled!). The vet said that she would be okay on the floor. He listened to her heart, and just had a general look. Everything was grand. He then went off to get the injection. While we were waiting, I heard another dog coming towards us, and started to panick. (I think there was a corridor at the back, and our surgery was kind of open). When the vet was getting her injection ready, Ushi just kind of looked at us. I was expecting a big yelp, but she never made a sound! She just panted lol. Good girl! I am so relieved that she didn't mind the injection. Thank god! We asked if there would be any affects from it, but the nurse just said that it might make her a bit drouzy. (We pointed out that we wouldn't really notice the difference with her)! We then took her out to reception and popped her on the scales. She is 33 Kilograms. (Her working weight is 27 Kilos, her optimum weight is 29, but the instructors haven't minded that she is going up. Back in November she was something like 31.5, and within two weeks had gone up to 32.1 or something, so we cut her food from 200 grams in the morning, to 150 in the morning and evening. From then on she has only gone up gradually. I think the extra will come off once I start working her more than once a day now that it is nicer weather.).
I was then given her worming viagra cialis online pharmacy pharmacy and her flea treatment. The vet said that I need to worm Ushi every 2 months, and have her front line every 3 months. (I was told by my GDMI and the Dog Care And Welfare Advisor that she needed the worming every 6 months, and the flea treatment once a month from April until about October.). I explained this, but they said it wasn't right. So I'm a bit confused about that one lol. The vet said that Ushi would take the worming tablet "Just like a treat" and not to feed her them on an empty stomach. They came in individual packets, one in each, and were called something like "Millimax" or something like that.
We left after that.
Well when I fed Ushi I thought that i'd give her her tablets. Well she didn't "just take them like treats". I gave her one, and she took it, so I thought she was going to eat it somewhere else (she does this lol with treats and stuff), but no, my girl had to be awkward! Out it came! So dad came over and started to give her it and hold her mouth closed and rub her throat to make it go down. Out it came again. We tried about three or four times, and each time Ushi would manage to spit it out or pretend to swallo. So after about the fifth time of trying, dad practically just chucked them down there. They finally went down! She kept making horrible noises like she was going to be sick. I was expecting her to go down and instead of doing her busy in the garden, I was expecting her to make herself sick! But thankfully the wee minx didn't which was good. So I think soft cheese or bread and butter with the tablet will have to do next time! I hope they work! Knowing me, Ushi will know what it is though.
I haven't done the front line yet as I want to wait until the last spend of the night. I really hope I put it on right. I find her skin really hard to feel, so am going to get my sister to make sure it's on her skin, then fire away!
I'm glad it was a successful visit, and she has no problems! (I knew that anyway but it's still nice to hear).
Tuesday, 1 November 2011
Saturday, 29 October 2011
What's new in pulmonary, critical care, and sleep medicine from UpToDate
See also: online pharmacy viagra |
35% of UpToDate topics are updated every four months. The editors select a small number of the most important updates and share them via "What's new" page. I selected the brief excerpts below from What's new in hematology:
Asthma
When evaluating patients for occupational asthma, sputum eosinophil counts at 7 and 24 hours after specific inhalation challenge have a greater sensitivity and positive predictive value than exhaled nitric oxide (eNO).
Critical care
Proton pump inhibitors (PPIs) may be slightly more effective than histamine-2 (H2) blockers at preventing gastrointestinal (GI) bleeding in critically ill patients. However, the difference is small if real.
Idiopathic pulmonary fibrosis
Sildenafil, tyrosine kinase inhibitor imatinib, and pirfenidone, an anti-fibrotic agent, were each no more effective than placebo for treatment of idiopathic pulmonary fibrosis.
Pleural effusion
Using ultrasonography to identify a site for diagnostic thoracentesis is associated with significantly lower risk of pneumothorax, than using the physical exam for site selection.
Pulmonary embolism
PE is frequently asymptomatic. Among 5233 patients with a DVT, 32 percent had asymptomatic PE.
References:
What's new in pulmonary, critical care, and sleep medicine. UpToDate.
35% of UpToDate topics are updated every four months. The editors select a small number of the most important updates and share them via "What's new" page. I selected the brief excerpts below from What's new in hematology:Asthma
When evaluating patients for occupational asthma, sputum eosinophil counts at 7 and 24 hours after specific inhalation challenge have a greater sensitivity and positive predictive value than exhaled nitric oxide (eNO).
Critical care
Proton pump inhibitors (PPIs) may be slightly more effective than histamine-2 (H2) blockers at preventing gastrointestinal (GI) bleeding in critically ill patients. However, the difference is small if real.
Idiopathic pulmonary fibrosis
Sildenafil, tyrosine kinase inhibitor imatinib, and pirfenidone, an anti-fibrotic agent, were each no more effective than placebo for treatment of idiopathic pulmonary fibrosis.
Pleural effusion
Using ultrasonography to identify a site for diagnostic thoracentesis is associated with significantly lower risk of pneumothorax, than using the physical exam for site selection.
Pulmonary embolism
PE is frequently asymptomatic. Among 5233 patients with a DVT, 32 percent had asymptomatic PE.
References:
What's new in pulmonary, critical care, and sleep medicine. UpToDate.
Tuesday, 3 May 2011
SHIM score
The SHIM, or sexual health inventory for men, score is widely used in clinical practice and research to assess erectile purchase cialis (ED), or impotence in men. Erectile cialis is loss of the ability to sustain an erection for intercourse. The severity of ED according to a SHIM score is from 1 to 25, with 1 being the most severe and 25 being healthy. Men with a SHIM score of 21 or under are generally told to seek medical advice to find out the cause of their ED. Prostate cancer is not necessarily a cause of ED, but treatments for prostate cancer can lead to ED.
Read more @: SHIM Score & Prostate Cancer
Read more @: SHIM Score & Prostate Cancer
The Viagra Pundit Strikes Again; Lying Freak Discusses Economy
See also: cialis |
Mark Steyn, former disk jockey and high-school dropout, pens a messy, vitriol-spattered article that purports to analyze what's wrong with the economy. Because he is very ideological and very stupid, he lurches from topic to unconnected topic in an attempt to blame his imaginary enemies for the country's problems, ignoring the little fact that the President of the United States is George W. Bush, and has been for eight eternal years.
First, incredibly, Steyn blames a Kelly Clarkson song that wishes for world peace. Next, he blames Barack Obama.
Yes, Obama said we have to consume less, and therefore the nation bought fewer toys for their children. This does not have any relationship to reality, in which people are losing jobs, worried about losing jobs, or helping relatives who are losing jobs. It has nothing to do with the credit crunch or shrinking stock portfolios or vanishing retirement funds. It's such a stupid thing to say, but of course it's not his last. Steyn also says the rest of the world wants America to consume, to keep them afloat. "The message from the European political class couldn’t be more straightforward: If you crass, vulgar Americans don’t ramp up the demand, we’re kaput," said Steyn. He offers no numbers, quotes or even personal anecdotes to support this statement; he seems to assume that to read his words is to experience undiluted Truth. And he's still not done.
Steyn finally returns to innocent Kelly Clarkson, and her lyrics that call for peace, at the birthday of the Prince of Peace. A desire for peace is childish, he says, as if killing is a proof of maturity, and the words of Jesus of Nazareth never existed. Mark Steyn actually says, "A state in which lives aren’t torn apart will be, by definition, totalitarian: As in The Stepford Wives or The Invasion Of the Body Snatchers, we’ll all be wandering around in glassy-eyed conformity." As you all know, this is an utterly stupid, senseless, callous statement. Obviously Steyn either doesn't have the faintest idea of the meaning of totalitarianism or doesn't care. He seems to think it is the same thing as being replaced by robots or alien pod people. He does not think about the lives that are being torn apart, and he unthinkingly assumes he will never be one of them.
That's the strange part. For a man who fears the sight of a pregnant Muslim woman the way George Bush fears horses, Steyn doesn't seem afraid for himself, as if his anti-Muslim paranoia is nothing but musical comedy dialogue, with a sweet, innocent soprano ingenue (the US) and Fu Manchu-like foreign villains (everyone else). It's the fertility of the Muslims that bothers him. The erect, hard will to successfully reproduce little Muslims. Europe, however, is limp. 'To Martin Wolf’s list of a Europe “too inert, too complacent, too weak,” we might add “too old...”' Steyn says. But the US, Steyn's adopted homeland, is different, which is "why economic recovery will be driven by the U.S., and not by Euro-Japanese entities long marinated in Obamanomics." To Steyn the US is, indeed, a hard-driving, forceful and fecund nation.
Finally Steyn drags pedophilia into the mix, for little discernible reason other than to up the ante on fear of sexual penetration.
The order cialis Pundit is a very strange and off-putting bundle of sexual obsessions, who still fits seamlessly into The Little Corner at National Review On-line, where they laud him as hilarious and brilliant, the worthy colleague of Jonah Goldberg, Cliff May, Victor Davis Hanson, and so many others.
Mark Steyn, former disk jockey and high-school dropout, pens a messy, vitriol-spattered article that purports to analyze what's wrong with the economy. Because he is very ideological and very stupid, he lurches from topic to unconnected topic in an attempt to blame his imaginary enemies for the country's problems, ignoring the little fact that the President of the United States is George W. Bush, and has been for eight eternal years.
First, incredibly, Steyn blames a Kelly Clarkson song that wishes for world peace. Next, he blames Barack Obama.
What was it that then Senator Obama said on the subject? “We can’t just
keep driving our SUVs, eating whatever we want, keeping our homes at 72 degrees
at all times regardless of whether we live in the tundra or the desert and keep
consuming 25 percent of the world’s resources with just 4 percent of the world’s
population, and expect the rest of the world to say you just go ahead, we’ll be
fine.”
And boy, we took the great man’s words to heart. SUV sales have nosedived,
and 72 is no longer your home’s thermostat setting but its current value
expressed as a percentage of what you paid for it. If I understand then Senator
Obama’s logic, in a just world Americans would be 4 percent of the population
and consume a fair and reasonable 4 percent of the world’s resources. And in
these last few months we’ve made an excellent start toward that blessed utopia:
Americans are driving smaller cars, buying smaller homes, giving smaller
Christmas presents.
And yet, strangely, President-Elect Obama doesn’t seem terribly happy about
the Obamafication of the American economy. He’s proposing some 5.7 bazillion
dollar “stimulus” package or whatever it is now to “stimulate” it back into its
bad old ways.
Yes, Obama said we have to consume less, and therefore the nation bought fewer toys for their children. This does not have any relationship to reality, in which people are losing jobs, worried about losing jobs, or helping relatives who are losing jobs. It has nothing to do with the credit crunch or shrinking stock portfolios or vanishing retirement funds. It's such a stupid thing to say, but of course it's not his last. Steyn also says the rest of the world wants America to consume, to keep them afloat. "The message from the European political class couldn’t be more straightforward: If you crass, vulgar Americans don’t ramp up the demand, we’re kaput," said Steyn. He offers no numbers, quotes or even personal anecdotes to support this statement; he seems to assume that to read his words is to experience undiluted Truth. And he's still not done.
Steyn finally returns to innocent Kelly Clarkson, and her lyrics that call for peace, at the birthday of the Prince of Peace. A desire for peace is childish, he says, as if killing is a proof of maturity, and the words of Jesus of Nazareth never existed. Mark Steyn actually says, "A state in which lives aren’t torn apart will be, by definition, totalitarian: As in The Stepford Wives or The Invasion Of the Body Snatchers, we’ll all be wandering around in glassy-eyed conformity." As you all know, this is an utterly stupid, senseless, callous statement. Obviously Steyn either doesn't have the faintest idea of the meaning of totalitarianism or doesn't care. He seems to think it is the same thing as being replaced by robots or alien pod people. He does not think about the lives that are being torn apart, and he unthinkingly assumes he will never be one of them.
That's the strange part. For a man who fears the sight of a pregnant Muslim woman the way George Bush fears horses, Steyn doesn't seem afraid for himself, as if his anti-Muslim paranoia is nothing but musical comedy dialogue, with a sweet, innocent soprano ingenue (the US) and Fu Manchu-like foreign villains (everyone else). It's the fertility of the Muslims that bothers him. The erect, hard will to successfully reproduce little Muslims. Europe, however, is limp. 'To Martin Wolf’s list of a Europe “too inert, too complacent, too weak,” we might add “too old...”' Steyn says. But the US, Steyn's adopted homeland, is different, which is "why economic recovery will be driven by the U.S., and not by Euro-Japanese entities long marinated in Obamanomics." To Steyn the US is, indeed, a hard-driving, forceful and fecund nation.
Finally Steyn drags pedophilia into the mix, for little discernible reason other than to up the ante on fear of sexual penetration.
The order cialis Pundit is a very strange and off-putting bundle of sexual obsessions, who still fits seamlessly into The Little Corner at National Review On-line, where they laud him as hilarious and brilliant, the worthy colleague of Jonah Goldberg, Cliff May, Victor Davis Hanson, and so many others.
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