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The L-Tyrosine is to help the Fatigue... has nothing

to do with digestive enzymes...

The L-Glutamine helps the muscles stay happy... and

help the immune system... has nothing to do with

digestive enzymes...

Both were suggested to me by a neurologist who

specializes in SMA

hope this helps

=====

LOMONACO DESIGN

Here to Channel Creative Design Solutions for you

Voice: 562.900.0274

Fax: 562.684.4102

__________________________________________________

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hi joan,

i definitely agree with nicole...don't worry about what other people

think. gossip is an intrinsic part of community living, though, it comes

in different flavors depending on the type of community you're in. i lived

in a nursing home for almost a year and a half as a teenager - 40 moms and

grandmas all nosing in my business. the staff were the worst.

after living in 3 regular market apartments and a communal house over 8

years, i considered a retirement community much like the one you live in

because is was accessible, subsidized, and had a number of younger disabled

residents who were friends of mine. they had similar complaints to yours

about the gossip and judgmentalness, and also had some difficulties with

some of the older residents being afraid of or uncomfortable with the

" types " of personal assistants who were entering and exiting the

building. they were suspected to be dangerous because of tattoos, hair

dye, dread locks, ripped black clothes, etc. it was a new building, so it

took them time to figure out policies on whom to allow access to the

building...a little education about different cultures/fashion...better

now. my friends found it to be easier when they decided to ignore the

intolerance and go about their lives unapologetically. they reserve the

common rooms to bring their social lives to them, holding meetings,

studying groups, movie nights, book clubs etc. maybe you could host events

from your church?

i knew the retirement community would be difficult to leave once i settled

in, and i wasn't ready for long-term housing. it only offered studios and

one-bedroom apartments, and i knew i wanted to live with other people

whether they were friends, a partner, a partner with kids, possibly my own

adopted kids, or a live-in attendant, if needed. i chose a student housing

cooperative instead because it was affordable, with my college student peer

group (though i was older), and it wasn't permanent. i also liked it

because it appealed to my political and social interests in alternative

approaches housing, economics, and environmental resources. it wasn't as

accessible, but i'd always adapted before, so wasn't concerned enough to

compromise my other interests. i enjoyed living in the co-op, but there

was still tons of gossip, especially about whom i was sleeping with or whom

they though i was sleeping with. they even gossiped about the logistics of

how i might have sex. get a life, i say to them.

you've gotten great advice from others about how to become more socially

active again, so i won't spend anymore time on that, but i will make note

that you are in stable, affordable, accessible housing. it's a good

situation to be in if you can jump over the social hurdles. it's also the

best possible situation to be in if you decide to move out. it allows you

to take your time, save money, sort out your priorities, search for a

place, and move without having to settle for less than what will make you

content.

good luck with your home!

alana

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How much of each do you take?

Jay

Re: Question

The L-Tyrosine is to help the Fatigue... has nothing

to do with digestive enzymes...

The L-Glutamine helps the muscles stay happy... and

help the immune system... has nothing to do with

digestive enzymes...

Both were suggested to me by a neurologist who

specializes in SMA

hope this helps

=====

LOMONACO DESIGN

Here to Channel Creative Design Solutions for you

Voice: 562.900.0274

Fax: 562.684.4102

__________________________________________________

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hi joan,

i totally understand about the gossip being too much. it may get a little

less bothersome as you're getting busier, but dang it hurts sometimes and

is pretty irritating. i've sometimes regretted not moving into subsidized

housing because of the things you mention...politics, economy,

safety. tough choices. but i do hate that elevator-dependency

problem. my boyfriend lives in a 4th floor condo. i've gotten stuck in or

out a time or 2. also, i'm unable to press elevator buttons. my

single-level house is good. i'm very fortunate.

i look forward to hearing about your plans to stay or move as they

develop. good luck building youe=r social life.

cheers!

alana

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Columbus, Ohio? Who is his ortho? does his cast look like the others

on this site? Im sorry to ask so many questions, but your soo much

closer than Erie. My daughter may need casted soon. I need all the

help I can get to get her there!! Thanks!

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He sees Dr. Jan Klamar. He is with Greater Ohio Orthopedics. His cast starts at under his arms and goes down a little past his hips. There is a place cut out for his stomach. He has 2 straps that go above his shoulders. I think that if you go to Cincinnati Childrens hospital web site there is a picture of the risser cast. He gets really hot wearing the cast. Usually won't wear a coat saying that he gets too hot. Its made of paster and he gets to pick from colors--red, green, blue, orange, pink. He can also mix colors--last time he chose red and green. He also gets really itchy. When he first got the cast he got some mild pressure areas on his skin at the hip area, but we had him slow down on his activity and his skin cleared up. To be honest, he hates the cast and sometimes cries that he wants the surgery, but I tell him that he has to wear it because we want him to get better. He cannot take a shower or bath either. He has a general

anesthesa for the casting which makes him very sick for a day or so. Feb 1 he gets this cast off and we go back to the milwaukee brace for awhile. When your little one has the casting have the md write for some pain meds-- has his spine "stretched" and he gets a little sorre. Naproxen ususally helps and some flexeril helps also. Hope this helps, , 's mom <doll_face95@...> wrote:

Columbus, Ohio? Who is his ortho? does his cast look like the others on this site? Im sorry to ask so many questions, but your soo much closer than Erie. My daughter may need casted soon. I need all the help I can get to get her there!! Thanks!__________________________________________________

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If the Distal Ileum is the primary site for

VitB12/intrinisic factor absorption why do we see so much Vb12 deficiency?

The

intrinsic factor is produced by the parietal cells of the stomach. B12 in food

is bound to a protein and is cleaved in the acid medium of the stomach. B12 and

IF bind in the duodenum and are absorbed in the distal ileum.

When a part of the stomach, duodenum or ileum

is lost, it is expected….

Vilasi Venkatachalam, MS, RD, CNSD

Clinical Nutrition Manager

Overlook Hospital/Atlantic Health System

(908) 522-2350

-----Original

Message-----

From: Janelle Heusinger

[mailto:jheusinger@...]

Sent: Tuesday, January 18, 2005

1:45 PM

To:

Subject:

Question

According to Krause,

Protein digestion begins in the stomach. Most protein digestion takes

place in the duodenum(which is bypassed), final phase of protein digestion

takes place in brush border(small intestine microvilli). almost all the

protein is absorbed by the time it reaches the end of the Jejunum and only 1%

of ingested protein is found in the feces.

Question? How much

protein is absorbed?

are the enzymes present?

Thanks

Janelle

Heusinger RD/LD

Grinnell Medical Center

641-236-2488

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The intestinal tract is approximately 20 feet long (the duodenum only 10-12 inches) so in most cases, there is plenty of intestine left for absorption.

The ileum in particular is highly adaptable and over time can assume absorptive functions of other portions of the GI tract. Just from experience with short bowel, for example, most people can live without TPN as long as there is at least 60-100 cm of small intestine remaining (assuming colon is present).

So, the GI tract is remarkably efficient.

Amy Haselbush

-----Original Message-----From: Janelle Heusinger [mailto:jheusinger@...]Sent: Tuesday, January 18, 2005 1:45 PM Subject: Question

According to Krause, Protein digestion begins in the stomach. Most protein digestion takes place in the duodenum(which is bypassed), final phase of protein digestion takes place in brush border(small intestine microvilli). almost all the protein is absorbed by the time it reaches the end of the Jejunum and only 1% of ingested protein is found in the feces.

Question? How much protein is absorbed? are the enzymes present? If the Distal Ileum is the primary site for VitB12/intrinisic factor absorption why do we see so much Vb12 deficiency? Thanks

Janelle Heusinger RD/LD Grinnell Medical Center 641-236-2488

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That helps more than you know! I had no idea they casted in Columbus.

My son went to Cincy Childrens for a second opinion, but they dont

use the same method of casting there. Do you think s ortho

would be interested in learning Min Mehta's method? It sounds like

things are going great for you guys! Even though he protests now, he

will be eternally grateful when hes grown!!

To all:

Laineys appointment has been moved up to next wednesday at 1:00. Im

getting seriously nervous!! She came to me last nite saying she

couldnt sleep because her " back wouldnt relax and go to sleep. " We

talked this morning and she told me that shes been having trouble in

gym class with her bending and stretching, but didnt want to say

anything because she was afraid her back was getting worse. What do I

say to that????? I tried my best to reassure her that even if it has

gotten a little worse, that we can deal with it. She broke down

again. She keeps asking " What next? " How do you help a child be

grateful for having a mild case of EVERYTHING? ADHD..mild... crooked

teeth.. need braces... mild... scoliosis... brace or cast... mild. I

cant say that I blame her for feeling a little singled out, but

things could be SOOO MUCH WORSE!! How do you make them understand

that at nine? So much depends on what thier friends say and think...

no matter how much you try to teach them to not care, they always do.

*sigh* Im just hoping that keeping her in lots of extras...choir,

riding lessons, girl scouts,ect, that she wont have time to feel low.

You guys have girls in elementry school going through so much more...

any tips on keeping spirits high? Any thoughts can help!!

Thanks for letting me vent! I feel better. Im going to bed now. Nite

all!!

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Hey

Sorry I have been so busy

I went to the site and could not fnd the picture can you download one onto this site?

I would love to see it

Chrisitne

lisa poorman <badbrownrider@...> wrote:

He sees Dr. Jan Klamar. He is with Greater Ohio Orthopedics. His cast starts at under his arms and goes down a little past his hips. There is a place cut out for his stomach. He has 2 straps that go above his shoulders. I think that if you go to Cincinnati Childrens hospital web site there is a picture of the risser cast. He gets really hot wearing the cast. Usually won't wear a coat saying that he gets too hot. Its made of paster and he gets to pick from colors--red, green, blue, orange, pink. He can also mix colors--last time he chose red and green. He also gets really itchy. When he first got the cast he got some mild pressure areas on his skin at the hip area, but we had him slow down on his activity and his skin cleared up. To be honest, he hates the cast and sometimes cries that he wants the surgery, but I tell him that he has to wear it because we want him to get better. He cannot take a shower or bath either. He has a general

anesthesa for the casting which makes him very sick for a day or so. Feb 1 he gets this cast off and we go back to the milwaukee brace for awhile. When your little one has the casting have the md write for some pain meds-- has his spine "stretched" and he gets a little sorre. Naproxen ususally helps and some flexeril helps also. Hope this helps, , 's mom <doll_face95@...> wrote: Columbus, Ohio? Who is his ortho? does his cast look like the others on this site? Im sorry to ask so many questions, but your soo much closer than Erie. My daughter may need casted soon. I need all the help I can get to get her there!! Thanks!

__________________________________________________

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Sorry that I haven't replied to your post for awhile. I have a hard time with the computer--I just go to and type in risser cast and access it that way. , 's mom <christinehrph@...> wrote:

Hey

Sorry I have been so busy

I went to the site and could not fnd the picture can you download one onto this site?

I would love to see it

Chrisitne

lisa poorman <badbrownrider@...> wrote:

He sees Dr. Jan Klamar. He is with Greater Ohio Orthopedics. His cast starts at under his arms and goes down a little past his hips. There is a place cut out for his stomach. He has 2 straps that go above his shoulders. I think that if you go to Cincinnati Childrens hospital web site there is a picture of the risser cast. He gets really hot wearing the cast. Usually won't wear a coat saying that he gets too hot. Its made of paster and he gets to pick from colors--red, green, blue, orange, pink. He can also mix colors--last time he chose red and green. He also gets really itchy. When he first got the cast he got some mild pressure areas on his skin at the hip area, but we had him slow down on his activity and his skin cleared up. To be honest, he hates the cast and sometimes cries that he wants the surgery, but I tell him that he has to wear it because we want him to get better. He cannot take a shower or bath either. He has a general

anesthesa for the casting which makes him very sick for a day or so. Feb 1 he gets this cast off and we go back to the milwaukee brace for awhile. When your little one has the casting have the md write for some pain meds-- has his spine "stretched" and he gets a little sorre. Naproxen ususally helps and some flexeril helps also. Hope this helps, , 's mom <doll_face95@...> wrote: Columbus, Ohio? Who is his ortho? does his cast look like the others on this site? Im sorry to ask so many questions, but your soo much closer than Erie. My daughter may need casted soon. I need all the help I can get to get her there!! Thanks!

__________________________________________________

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I've ordered stamps of my signature. Unfortunately I didn't think of getting

a stamp before I lost the ability to write. However, I found stamp online

stores where you can email a scan or file of your name. So, I " wrote " (drew) my

name on my computer in a paint program.

_http://www.rubberstamps.com/smalsigselin.html_

(http://www.rubberstamps.com/smalsigselin.html)

_http://www.rubberstamps4u.net/xcart/customer/product.php?productid=16151 & cat=

258 & page=1_

(http://www.rubberstamps4u.net/xcart/customer/product.php?productid=16151 & cat=25\

8 & page=1)

If I don't have my stamp handy I have someone else write my name and then

they print their initials below it. I've done this for medical and legal forms

and never have had an issue. Sometimes they ask a witness to initial if

someone else is signing for me. I might verbally say I give consent for the

signing

of my name on the paper.

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you can hold her hand to help her sign her name and have a stamp made of

that signature. i ordered mine through my bank.

At 03:53 PM 1/30/2005, you wrote:

>Hello,

>

>I have a question about signing important papers. My daughter is

>turning 18 next month and is applying to go to college. She isn't

>able to write - so what is the legal way for her to sign these

>papers? Can we hold her hand? If we use an " X " will there be alot

>of questions? Can she get a stamp? I'm having trouble finding

>answers to this question. Alot of these forms take so long to fill

>out, I don't want there to be a hold up or problem with her

>signature.

>

>Thank you for your help,

>Donna

>

>

>

>

>

>A FEW RULES

>

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>members most be tolerant and respectful to all members.

>

>* Some adult language and topics (like sexual health, swearing..) may

>occur occasionally in emails. Over use of inappropriate language will

>not be allowed. If your under 16 ask your parents/gaurdian before you

>join the list.

>

>* No SPAMMING or sending numerous emails unrelated to the topics of

>spinal muscular atrophy, health, and the daily issues of the disabled.

>

>Post message:

>Subscribe: -subscribe

>Unsubscribe: -unsubscribe

>

>List manager: (Sexy Mature Artist) Email: Esma1999@...

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>oogroups.com

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>List manager: (Sexy Mature Artist) Email: Esma1999@...

>

>

>

>

>

>

>

>

>----------

>

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I use the WIVIK program. It's an on-screen keyboard. If you're able to use

the mouse (as I am), all you need to do is point and click on the letters to

type.It's been a godsend for me.

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In a message dated 1/31/2005 12:04:43 PM Eastern Standard Time,

nicolomo@... writes:

How do those of you who cannot write with a pen type

on computer? Do you use voice recocgnition software?

and if so which one

Yes, I use a speech recognition program called DragonDictate for Windows,

however, it only works on operating systems Windows ME or prior versions of

Windows. I'm also very knowledgeable in this area and the current best speech

recognition program is Dragon's NaturallySpeaking Ver. 8. There are several

versions of NaturallySpeaking and they range in price. You can get more

information at _www.scansoft.com_ (http://www.scansoft.com) .

Joe

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I use a trackball (I can move a few fingers) and an onscreen keyboard. There

are many onscreen keyboards. Windows (XP) even comes with an onscreen

keyboard. Or there are many you can buy or download. Click-N-Type, My-T-Mouse

and

so on.

_http://www.lakefolks.org/cnt/_ (http://www.lakefolks.org/cnt/)

_http://www.imgpresents.com/mytmouse/mtm.htm_

(http://www.imgpresents.com/mytmouse/mtm.htm)

_http://www.microsoft.com/enable/training/windowsxp/usingkeyboard.aspx_

(http://www.microsoft.com/enable/training/windowsxp/usingkeyboard.aspx)

You can use a mouse, trackball, joystick or pad. Most onscreen keyboards

have a setting you can use to scan letters automatically and when the letter you

want is selected you just need to " click " .

There are many devises you can get to " click " some by blowing air, moving a

finger, blinking etc.

_http://www.infogrip.com_ (http://www.infogrip.com)

I did use a mini keyboard sometimes when I had more use of my hands. It's

about 8 inches long so it fits easily on a tray and you don't need to reach far

to use all the keys. I used a pencil the eraser end to " punch " the keys.

_http://www.infogrip.com/product_view.asp?RecordNumber=586 & sbcolor=%23FF9966 & o

ption=keyboard & subcategory=3 & CatTxt=Small+%2F+Mini+%2F+Compact & optiontxt=Keybo

ard_

(http://www.infogrip.com/product_view.asp?RecordNumber=586 & sbcolor=#FF9966 & optio\

n=keyboard & subcategory=3 & CatTxt=Small+/+Mini+/+Compact & optiontxt=Keyboa

rd)

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How do those of you who cannot write with a pen type

on computer? Do you use voice recocgnition software?

and if so which one

__________________________________________________

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I use a mini keyboard and a pencil-like thing to hit the keys.

http://www.magicwandkeyboard.com<http://www.magicwandkeyboard.com/> It is very

expensive though. I do not like using voice recognition. I don't want people

hearing everything I type.

Re: question

How do those of you who cannot write with a pen type

on computer? Do you use voice recocgnition software?

and if so which one

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nicole,

i tried voice recognition software - Dragon Dictate and then later Dragon

NaturallySpeaking - but found it to be cumbersome. at the time i was still

able to type fairly well, but was losing reach and stamina. because i

could still type, i had little incentive to correct the errors it

frequently made without simply reaching for the keyboard. it was easier to

just type. despite hours of training it to my voice, it generally made 3+

errors per sentence and often typed " the " when it registered the sound of

my ventilator. i was never able to use it at work, and my niece couldn't

use her's at school - it requires more quiet than available in most work or

academic settings, or in many households. my niece and i also felt

uncomfortable with people around being able to hear what we were

writing. i know people who are happy with it - a few on this list - so i

recommend trying it and other software and hardware options if you can. if

your working or are in the position to be planning to work, you can ask

vocational rehabilitation to give you an assistive technology evaluation so

you can try different things out.

i'm now using an on-screen keyboard called click-n-type and it's word

prediction feature. it's a free download at

http://www.lakefolks.org/cnt/. the word prediction feature is weak and

tedious...it needs to be manually updated by adding the words one uses and

deleting those that one doesn't use. the keyboard is great, especially

because one can rearrange the keys and eliminate those that aren't necessary.

i experimented with quite a few on-screen keyboards before settling on

click-n-type. rebecca published a great list of them. i wish i could

afford Reach

http://ability.enablemart.com/productGroupDetail.aspx?store=10 & dept=20 & group=49.

alana

At 08:45 AM 1/31/2005, you wrote:

>How do those of you who cannot write with a pen type

>on computer? Do you use voice recocgnition software?

>and if so which one

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I think that voice typing is hard becuz I journal alot and like to have my

journaling private, really hard to do when you have caregivers 24/7. I use an

on-screen keyboard w/ my touch pad mouse that came as is on my lap top, and I am

still able (barely) to use my mouse on my desktop.

As far as signing my name, I hardly ever have trouble with my nurse signing it &

their initials after it. Its also a way for me to keep track of what is going on

at all times. (learned the hard way by being ripped off).

Jodi & Maggie May

Accessible Travel

Disability Travel Specialist and Service Dog

" Making a way for YOU to get away! "

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Thank you so much for all the great information! Now I can get

these papers signed and sent off. We are just starting the process

of going to college - so I'll probably have more questions in the

future. It's great to have a place to go where people are so nice

and knowledgable.

Donna

>

> Hello,

>

> I have a question about signing important papers. My daughter is

> turning 18 next month and is applying to go to college. She isn't

> able to write - so what is the legal way for her to sign these

> papers? Can we hold her hand? If we use an " X " will there be

alot

> of questions? Can she get a stamp? I'm having trouble finding

> answers to this question. Alot of these forms take so long to

fill

> out, I don't want there to be a hold up or problem with her

> signature.

>

> Thank you for your help,

> Donna

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yes, thank you, adam. my friend mark swears by it and has invested in a

very good microphone and shuts his door at work. along with his MD, he has

RSI so can't mouse much. dragon works great for him along with an

occasional poke at a keyboard with a pencil eraser. i tried the upgrade

last spring - unfortunately, it still picks up the sound of my ventilator

which i hold in my mouth, and i often like to listen to news or music when

writing. dragon doesn't address my privacy concerns for my personal or

professional writing, and my work generally involves typing while talking

with people. quite cumbersome. my voice also changes frequently.

but, yes, the upgrades are much better and people should try every option

they can get their hands on to see what works best for them.

cheers!

alana

At 02:42 PM 2/1/2005, you wrote:

>Alana,

>

>I don't post much, but FYI: Dragon has improved exponentially. I work at

>a consulting firm where my typing demands have increased, but strength has

>waned. I find using a combination of a small keyboard (company is Cherry)

>and Dragon to almost triple my productivity. The new version only takes a

>couple hours to train.

>

>Just throwing it out there as another data point.

>

>Adam

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Adam,

Which version is that?

Lori

Adam Schumacher wrote:

>Alana,

>

>I don't post much, but FYI: Dragon has improved exponentially. I work at a

consulting firm where my typing demands have increased, but strength has waned.

I find using a combination of a small keyboard (company is Cherry) and Dragon to

almost triple my productivity. The new version only takes a couple hours to

train.

>

>Just throwing it out there as another data point.

>

>Adam

>

>

>

>

>

>

>

>

>

>

>

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You could try hand over hand to start and then go from there. that

worked for me with the hair washing. Have you and/or he learned any

basic sign language? You might want to check into that as well, as

a way of basic communication.

Sherri

>

> Hello,

>

> I have a question please? My son just turned 12 last week. He is

for the most part non-verbal and we still haven't hit on the best

way to communicate with him.

>

> How do I go about getting him to wash his own hair and bathe?

How do I get him to start wiping himself after toileting? How do I

get him to understand that he needs to start doing some things for

himself? How do I get him to start dressing himself? {He can already

undress himself with no problem.}

>

> Any and all advice is welcome...I really don't want to be doing

some of these things on a teenager, then he will soon be a man.

Thanks!

>

> Thanks,

> Theree

> Mom to Tanner, 17, ADHD and Tucker, 12, Autism.

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