FROM OUR EXPERTS
When a child is put on a feeding tube often the first question a parent wants answered is when they will be able to come off of the tube. This can be a very complicated question and really depends on a myriad of factors. Some of the issues that have to be considered in order to safely wean a child from a tube feeding will be discussed in this article but please understand that this is not an exhaustive list.
One of the first thing to consider when we talk about weaning from a tube feeding is whether the issue that required tube placement had been resolved. If the original issue is still outstanding then removal of the tube may only be temporary and the tube may have to be replaced as soon as the nutritional status again plummets. Making sure that the problem that was addressed by the tube is resolved can help prevent this from happening.
The oral status of the child must be addressed as well. If the child is still having issues with swallowing that may prevent weaning th...
Prozac had been around for about 6 years when I was prescribed it in 1994. From one of the deepest depressions I ever had, it raised me into mild hypomania that lasted fully for a year, then waned over the next two years. I also gained 30 pounds in the first two years I took it, going from an underweight 115 (I was 5'10" and looked good between 125 and 135 pounds) to a beginning-to-be-unattractive 147.
After that, the effect waned fast, and by 1999, just 5 years later, it wasn't working at all. That's when I went to a psychiatrist for the first time and was diagnosed with bipolar II.
I still miss that mild hypomania. It had almost no negative symptoms and it was about the best I ever felt in my life. But many others tell me Prozac - now available in the cheaper generic fluoxetine - wasn't so good for them. Here's some of what people told me:
I didn't like Prozac. It would make me extremely manic.
It didn't agree with me.
It made me numb. Now emotions what so ever. Didn'...
The recent report that Prozac may slow the development of brain lesions is the sort of news that maybe shouldn't be reported at all. It's so preliminary that it's of value almost exclusively to researchers. It appears to invite people with MS to consider taking Prozac to slow the disease. It shouldn't.
Three things you need to know:
1. The Dutch study was very small: 19 people with MS taking Prozac, 19 taking a placebo. Researchers used MRIs every four weeks to monitor development of brain inflammation. At eight weeks fewer new lesions appeared in patients taking Prozac; the difference was sustained for 24 weeks.
2. There was no difference in symptoms or exacerbations related to the two treatments during the tests. But side effects did show themselves: People taking Prozac had more drowsiness and nausea than those who took the placebo.
3. The bottom line here is that there is enough evidence to justify moving ahead with further studies of Prozac (and simila...
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