Re: I need some help with an off OB question

[Guest guest]

Gay Marie....a co-worker of mine is from the ines, and she is allergic to any crab that is caught in the Atlantic. She can eat crab from the Pacific and Alaskan King crab. She said the crabs here had more phosphorus in them (esp the blue crabs), and that it was probably a phosphrous allergy.

I don't eat seafood (I hate it) but I am allergic to IV dyes, and by eating some lo mein that had a chunk a shrimp in it, found out that I am REALLY allergic to it! I guess I would be very careful if I were you...travel with Benadryl!!! Lori

[Guest guest]

Better to be safe than sorry Gay Marie. I know if I go to somewhere they have seafood like Red Lobster, I stick to a salad with grilled chicken or steak and avoid the fried foods, because they use the same oil to fry everything....it makes my face itch..kinda like the duramorph facial cobwebs!!!

I know here in Florida there are 1000's of seafood places, so I more often than not end up going along with friends to eat out...and I just have to be careful, because you never know!!! For you it will be hard because you actually like the things you are allergic to. I never liked seafood, which an allergist told me is also a subtle sign of an allergy. Lori

[Guest guest]

Gay,

It could be the spices they are prepared in...I have a friend who has a

reaction everytime she eats shrimp...peel and eat kind at this particular

rest...but no reaction at another place we eat at...so it might be a spice

that is used and not the seafood.

[Guest guest]

I think that what your friend says makes perfect sense...that it is possible to eat something from one part of the world, but not another. That goes hand in hand with what my best friend told me today, too. (she's a pediatrician...we all should be so fortunate to have such a wonderful doc...I wish my babies could have benefited from her...) She told me about her brush with a drug allergy that turned out to be dose related. She still takes the med, but at half the dose, with no probs. She related it to me having an allergic reaction to the clams last summer when I ate three dozen (yes, I LOVE them!), but seem to tolerate clam chowder and dips, etc, quite well. It sounds "dose related," too. She said that shellfish allergies are tricky because they can be deadly, and that no one knows what the real allergen is in the shellfish (with other food allergies, the allergen is specifically ID'd). Then, she said something which relates closely with what you said your experience was: the real danger lies in the (possible) inadvertent exposure we can receive in restaurants and processing plants. You didn't know until you ate a bit of it in some food. Unfortunately, food processing plants and restaurants cross-contaminate more often than is safe for people with allergies because sometimes the food gets mixed in together. Especially processed food. This probably sounds silly, but I am actually experiencing a bit of mourning about this. I know...it's dumb. But, I really, really love seafood, with shellfish being my fav. The scallops I can easily live without. They are a permanent no-no for me now. But, she told me I should not eat any type of hard-shelled shellfish (mollusks: scallops, clams, oysters, mussels, etc) ever again. And, that it was very risky to eat the softer shelled types (crabs, shrimp, lobster, etc), too. I do eat a lot of seafood, I guess I am going to have to make some very unwanted dietary changes. Truly, the incident scared me more than I care to admit. What scares me the most is that I denied I was having a prob until it got to this point. It's the denial that scares me the most. And, the perceived loss of my beloved shellfish that I am mourning. Thanx for taking the time to listen to me. I really appreciate it.

Gay Marie

Be who you are and say what you feel...Those who mind don't matter and those who matter don't mind.~Dr. Seuss~

Re: [OBnurses] I need some help with an off OB question

Gay Marie....a co-worker of mine is from the ines, and she is allergic to any crab that is caught in the Atlantic. She can eat crab from the Pacific and Alaskan King crab. She said the crabs here had more phosphorus in them (esp the blue crabs), and that it was probably a phosphrous allergy. I don't eat seafood (I hate it) but I am allergic to IV dyes, and by eating some lo mein that had a chunk a shrimp in it, found out that I am REALLY allergic to it! I guess I would be very careful if I were you...travel with Benadryl!!! Lori

[Guest guest]

Seems like a good idea for you to carry an Epipen and/or Benadryl and use moderation while eating scallops, Gay Marie.

Sounds a lot like my goddaughter Jackie, who is allergic (often severely) to every antibiotic that has ever been released since her birth 17 years ago. And this is a kid who got horrible ear and throat infections, strep, the whole 9 yards. The *only* antibiotic she can barely tolerate is Cipro--and even for that she has to take Benadryl before each dose.

Be careful. These sensitivities often worsen with time and exposure, and the next reacion could be worse, so make sure you are prepared.

My first bee sting was just painful, my second caused my tongue to swell and I got short of breath (all as a child), my 3rd I remember only bits of the reaction because I was in the ER being treated, and don't know quite what happened except that it was pretty nasty. Needless to say, I carry an Epipen everywhere, and have a very healthy attitude--heck, a downright FEAR--of stinging creatures.

--------Jeanine

Re: [OBnurses] I need some help with an off OB question

I think that what your friend says makes perfect sense...that it is possible to eat something from one part of the world, but not another. That goes hand in hand with what my best friend told me today, too. (she's a pediatrician...we all should be so fortunate to have such a wonderful doc...I wish my babies could have benefited from her...) She told me about her brush with a drug allergy that turned out to be dose related. She still takes the med, but at half the dose, with no probs.

[Guest guest]

I live on the Eastern Shore of VA, right on the Chesapeake Bay...crab, oyster, and clam capitol of the nation Doesn't it figure that this would happen? Just like you being in FLA. Part of me being freaked is knowing (now) the risk involved with going to my fav restaurant and cross-reacting with something. In my reading today, it stated that if a child (why not an adult, too?) doesn't like something, Odds are that the child is gonna be allergic to that food. The theory behind that is for parents to NEVER force a child to eat something they refuse...it's like the child has radar or is psychic about it...this included food the child had never eaten before. That amazes me. Seems to me that you were psychic about this, too. I, personally, am nauseated by the very smell of chocolate (y'all know how nurses LOVE chocolate! It's so hard to avoid that icky smell for me at work whenever it's around...seems like always). On the infrequent occasions that I have eaten chocolate, I get the absolute worst indigestion. I'm not sure if I am lucky or not... BTW, I carry an epipen and prednisone all of the time, anyway cuz of my asthma and hx of status asthmaticus. Thanx to both you and Jeanine for reminding me that it might come in handy for other reasons

Gay Marie

Be who you are and say what you feel...Those who mind don't matter and those who matter don't mind.~Dr. Seuss~

Re: [OBnurses] I need some help with an off OB question

Better to be safe than sorry Gay Marie. I know if I go to somewhere they have seafood like Red Lobster, I stick to a salad with grilled chicken or steak and avoid the fried foods, because they use the same oil to fry everything....it makes my face itch..kinda like the duramorph facial cobwebs!!! I know here in Florida there are 1000's of seafood places, so I more often than not end up going along with friends to eat out...and I just have to be careful, because you never know!!! For you it will be hard because you actually like the things you are allergic to. I never liked seafood, which an allergist told me is also a subtle sign of an allergy. Lori Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

Actually, one of the allergists I know said that not only is not liking the food may be a sign of allergy, but so can *craving* the food.

I see eveidence of this in children especially.

--------Jeanine

Re: [OBnurses] I need some help with an off OB question

Better to be safe than sorry Gay Marie. I know if I go to somewhere they have seafood like Red Lobster, I stick to a salad with grilled chicken or steak and avoid the fried foods, because they use the same oil to fry everything....it makes my face itch..kinda like the duramorph facial cobwebs!!! I know here in Florida there are 1000's of seafood places, so I more often than not end up going along with friends to eat out...and I just have to be careful, because you never know!!! For you it will be hard because you actually like the things you are allergic to. I never liked seafood, which an allergist told me is also a subtle sign of an allergy. Lori Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

OMG! Shellfish I definitely crave. It figures.

Gay Marie

Be who you are and say what you feel...Those who mind don't matter and those who matter don't mind.~Dr. Seuss~

Re: [OBnurses] I need some help with an off OB question

Better to be safe than sorry Gay Marie. I know if I go to somewhere they have seafood like Red Lobster, I stick to a salad with grilled chicken or steak and avoid the fried foods, because they use the same oil to fry everything....it makes my face itch..kinda like the duramorph facial cobwebs!!! I know here in Florida there are 1000's of seafood places, so I more often than not end up going along with friends to eat out...and I just have to be careful, because you never know!!! For you it will be hard because you actually like the things you are allergic to. I never liked seafood, which an allergist told me is also a subtle sign of an allergy. Lori Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

Gay Marie, you are welcome.

Actually, I have the greatest sympathy. I also have asthma, with a history of status asthmaticus (been in ICU at least 3 times, and I *do* take my meds properly). So yes, that Epipen comes in handy for many things. It has kept me alive (that and my little battery operated nebulizer) until I can get to a hospital.

Why not have yourself tested? Seems to me that RAST or other allergy testing could identify the reaction for sure. And if you're lucky, you're reacting to a spice or something, and not the scallops themselves?

A freind of mine had horrible reactions to Biaxin--and she needed it for long standing Lyme disease. I got the bright idea that maybe it was the dye on the coating of the Biaxin pills that might be the culprit--her doctors poh-poohed the idea, but this friend gave a try at wahing off the yellow coating before she took the Biaxin, and she hasn't had a reaction to it since! Obviously--yellow dye # 3 allergy?

--------Jeanine

Re: [OBnurses] I need some help with an off OB question

I'm not sure if I am lucky or not... BTW, I carry an epipen and prednisone all of the time, anyway cuz of my asthma and hx of status asthmaticus. Thanx to both you and Jeanine for reminding me that it might come in handy for other reasons

[Guest guest]

Oh jeez this is funny! I had already sent my e mail suggesting the same

thing, then read yours as it dropped right after I mailed mine. <g>

Great minds think alike!

--------Jeanine

Re: [OBnurses] I need some help with an off OB question

> Gay,

> It could be the spices they are prepared in...I have a friend who has a

> reaction everytime she eats shrimp...peel and eat kind at this particular

> rest...but no reaction at another place we eat at...so it might be a spice

> that is used and not the seafood.

>

>

> Welcome to the OBnurses list!

> You have the freedom to change your membership settings at any time you

choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in

with your e mail address and the password you used to subscribe to this

list. You will then see a list of all Onelist lists you are subscribed to.

You can then easily choose the settings you would like--unsubscribe, digest,

or Web-only.

>

>

[Guest guest]

I remember eons ago reading that a person is more likely to be allergic to the additives in a med than the actual med. I wish there was a fool-proof way to know for sure without risking a life.

Gay Marie

Be who you are and say what you feel...Those who mind don't matter and those who matter don't mind.~Dr. Seuss~

Re: [OBnurses] I need some help with an off OB question

I'm not sure if I am lucky or not... BTW, I carry an epipen and prednisone all of the time, anyway cuz of my asthma and hx of status asthmaticus. Thanx to both you and Jeanine for reminding me that it might come in handy for other reasons

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

I never thought of that. I guess the only way to know for sure is to

request allergy testing to r/o scallops...and maybe they can r/o the other

shellfish I love, too. My doc comes back in a week. I have to let him know

about it, anyway. I will request an allergy battery.

Gay Marie

Be who you are and say what you feel...

Those who mind don't matter

and those who matter don't mind.

~Dr. Seuss~

Re: [OBnurses] I need some help with an off OB question

> Gay,

> It could be the spices they are prepared in...I have a friend who has a

> reaction everytime she eats shrimp...peel and eat kind at this particular

> rest...but no reaction at another place we eat at...so it might be a spice

> that is used and not the seafood.

>

>

> Welcome to the OBnurses list!

> You have the freedom to change your membership settings at any time you

choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in

with your e mail address and the password you used to subscribe to this

list. You will then see a list of all Onelist lists you are subscribed to.

You can then easily choose the settings you would like--unsubscribe, digest,

or Web-only.

>

>

[Guest guest]

To be blunt, status sucks. Being tubed sucks. When I joined this group, I was a full-time OB RN, and part-time critical care RN. Now, the tables are completely turned...I work in a CCU full-time, and do part-time OB (L & D). When I first had to deal with pts in status or on vents, I became quite anxious...definitely not cool to do anything to increase an asthmatics anxiety, I was not a therapeutic RN at all. Now, I've worked through that. As a result, I think I am strong in that area now. I found out I had asthma as an adult when I went into status in a grocery store and had to be tubed in the field. Not fun. Since then, I have learned a lot about asthma..including that I probably had it as a child and was just very lucky that I didn't go into status then. All the clues were there, I wasn't sickly at all, just wheezed a lot with this "funny" dry cough. A few years ago, I became much worse with the asthma. It was becoming a real prob: nebs q1h, prednisone all the time. I was miserable. Then, my doc put me on Accolate. Within three days, I was "cured." Only one exacerbation since! With one little pill, I was diagnosed as being one of the rare ones to be allergic to leukotrienes; it was auto-immune all along. That one pill saved my life. And, it's had the added benefit of "curing" arthritis, too. Accolate was not considered to be approved for arthritics, but rheumatologists found that people who were on it for asthma has remissions with arthritis, too. So, in one fell swoop, that was found to be auto-immune, too. I am one of the lucky ones.

Gay Marie

Be who you are and say what you feel...Those who mind don't matter and those who matter don't mind.~Dr. Seuss~

Re: [OBnurses] I need some help with an off OB question

I'm not sure if I am lucky or not... BTW, I carry an epipen and prednisone all of the time, anyway cuz of my asthma and hx of status asthmaticus. Thanx to both you and Jeanine for reminding me that it might come in handy for other reasons

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

To be blunt, status sucks. Being tubed sucks. When I joined this group, I was a full-time OB RN, and part-time critical care RN. Now, the tables are completely turned...I work in a CCU full-time, and do part-time OB (L & D). When I first had to deal with pts in status or on vents, I became quite anxious...definitely not cool to do anything to increase an asthmatics anxiety, I was not a therapeutic RN at all. Now, I've worked through that. As a result, I think I am strong in that area now. I found out I had asthma as an adult when I went into status in a grocery store and had to be tubed in the field. Not fun. Since then, I have learned a lot about asthma..including that I probably had it as a child and was just very lucky that I didn't go into status then. All the clues were there, I wasn't sickly at all, just wheezed a lot with this "funny" dry cough. A few years ago, I became much worse with the asthma. It was becoming a real prob: nebs q1h, prednisone all the time. I was miserable. Then, my doc put me on Accolate. Within three days, I was "cured." Only one exacerbation since! With one little pill, I was diagnosed as being one of the rare ones to be allergic to leukotrienes; it was auto-immune all along. That one pill saved my life. And, it's had the added benefit of "curing" arthritis, too. Accolate was not considered to be approved for arthritics, but rheumatologists found that people who were on it for asthma has remissions with arthritis, too. So, in one fell swoop, that was found to be auto-immune, too. I am one of the lucky ones.

Gay Marie

Be who you are and say what you feel...Those who mind don't matter and those who matter don't mind.~Dr. Seuss~

Re: [OBnurses] I need some help with an off OB question

I'm not sure if I am lucky or not... BTW, I carry an epipen and prednisone all of the time, anyway cuz of my asthma and hx of status asthmaticus. Thanx to both you and Jeanine for reminding me that it might come in handy for other reasons

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

Yup--been there, done that--the status, that is.

Gives one a healthy respect for breathing, and also great (or not so great) ICU care. You are right--an anxious RN wouldn't be too good for an asthmatic's peaceof mind, but when you worked that through, you probably were even more efective than the other nurses because of your personal feelings and experiences. I'd love to have had a nurse during my ICU experiences who could empathize with me. It is horrible to *know* what's happening, and know that you are losing the battle to breathe for a time, but few people understand the terror that it brings.

I thank God for the covering MD the day I had my worst status, in the years before I knew the really subtle warnings that I get. She was covering for my primary MD--as a matter of fact, she's a hematologist-oncologist, not even a pulmonary MD. But I remember in my haze at the time, her sitting on the stretcher with me, with the ventilator and the endotrach set up, just talking to me about what was going to happen if I didn't start to respond to the emergency treatment. Plus, she was so quiet and calming, I could actually hear her in all that chaos. It helped me feel more secure. I am not an anxious person by personality, and do not react ever with the "typical" air hunger symptoms, so she was one of the few who knew right away what was happening to me, and jumped into treatment right away. I owe her my life.

--------Jeanine

Re: [OBnurses] I need some help with an off OB question

To be blunt, status sucks. Being tubed sucks.

[Guest guest]

I used to occassionally get a blistery rash on one of my hands. Never could figure out what triggered it. Then I developed a cellulitis-looking area on my hip after receiving Rhogam! (OF course I'm O neg)Turns out I was allergic to Rhogam and just touching the syringe caused the reaction! Told coworkers who gave all Rhogams for me. No more reactions!!! I was allergic to the preservative in Rhogam, not the med itself.

BTW: It is the same preservative that is in contact solution. If you have a patient who ever says they have to use preservative free contact solution due to allergies- be aware of this.

Re: [OBnurses] I need some help with an off OB question

I think that what your friend says makes perfect sense...that it is possible to eat something from one part of the world, but not another. That goes hand in hand with what my best friend told me today, too. (she's a pediatrician...we all should be so fortunate to have such a wonderful doc...I wish my babies could have benefited from her...) She told me about her brush with a drug allergy that turned out to be dose related. She still takes the med, but at half the dose, with no probs. Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

, I hope you are either finished with having children, or that any others are Rh negative?

Honestly, what could you receive if you needed it? Or can you tolerate the reaction if injected?

Inquiring minds *really* want to know the answer to this question!

--------Jeanine

Re: [OBnurses] I need some help with an off OB question

I used to occassionally get a blistery rash on one of my hands. Never could figure out what triggered it. Then I developed a cellulitis-looking area on my hip after receiving Rhogam! (OF course I'm O neg)Turns out I was allergic to Rhogam and just touching the syringe caused the reaction! Told coworkers who gave all Rhogams for me. No more reactions!!! I was allergic to the preservative in Rhogam, not the med itself.

BTW: It is the same preservative that is in contact solution. If you have a patient who ever says they have to use preservative free contact solution due to allergies- be aware of this.

[Guest guest]

I guess I should start at the beginning. With my first two pregnancies, I would complain about how bad my injection sites hurt. I would complain for 2 weeks and more. No one could determine why after my second child, my hip swelled up and the tissue started peeling. Yes, it was even nastier than it sounds. The only thing that anyone ever decided on was that I knew that a nurse cath'd me using Betadine (that I am also allergic too- I guess you all can figure out where I had welts) and that some had ran under me and collected there and worsened the reaction on my hip.

Anyway, one day, just before getting pregnant the third time, I happened to look at the full package insert on RHogam. I noticed that the preservative was thimersol. This is what I was allergic to in contact solution. My doctor tried to find a preservative-free Rhogam but couldn't.

My doc and I weighed the risks and benefits of taking it at 28 weeks and I decided to take it. He gave me the option to not take it, but I was concerned because my husband is Rh positive and we had another child who was positive.

At 28 weeks, when my Rhogam was due, my doc had me take Benadryl 24 hours before and 48 hours after. It helped. I still had pain and some blistering but not as bad. Thankfully, my son was Rh neg and I didn't need it.

Yes, I am finished having children. If

Re: [OBnurses] I need some help with an off OB question

I used to occassionally get a blistery rash on one of my hands. Never could figure out what triggered it. Then I developed a cellulitis-looking area on my hip after receiving Rhogam! (OF course I'm O neg)Turns out I was allergic to Rhogam and just touching the syringe caused the reaction! Told coworkers who gave all Rhogams for me. No more reactions!!! I was allergic to the preservative in Rhogam, not the med itself.

BTW: It is the same preservative that is in contact solution. If you have a patient who ever says they have to use preservative free contact solution due to allergies- be aware of this.

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

Thanks so much for the explanation, . You know, as nurses, how often do we even consider this allergy when dealing with patients? As a rule, RhoGam is given only shortly before the patient is released from the hospital, since so many go home very soon after birth these days.

I have to remember to ask about thimerasol allergy--hadn't realized it was in Rhogam.

--------Jeanine

Re: [OBnurses] I need some help with an off OB question

I used to occassionally get a blistery rash on one of my hands. Never could figure out what triggered it. Then I developed a cellulitis-looking area on my hip after receiving Rhogam! (OF course I'm O neg)Turns out I was allergic to Rhogam and just touching the syringe caused the reaction! Told coworkers who gave all Rhogams for me. No more reactions!!! I was allergic to the preservative in Rhogam, not the med itself.

BTW: It is the same preservative that is in contact solution. If you have a patient who ever says they have to use preservative free contact solution due to allergies- be aware of this.

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.

[Guest guest]

Everyone thought I was nuts! Until I showed the package insert to them! Most contact solution is now preservative-free due to thimersol allergy. Patients just need to be aware that if they are allergic to iodine, contact solution, etc. (all very related) to call their doc to start on Benadryl should there be a problem. (Watch Benadryl for nursing moms). It's more of an awareness issue. I had an anesthesia guy very concerned because I had to have knee surgery and we had no idea if thimersol was a preservative in any of the injectables he was going to give me. A quick call to the pharmacy helped. I have no idea what would happen if it was ever an IV injection- don't want to find out either. Anesthesia just kept some IV Benadryl drawn up at my bedside to "ward off evil spirits"

Re: [OBnurses] I need some help with an off OB question

I used to occassionally get a blistery rash on one of my hands. Never could figure out what triggered it. Then I developed a cellulitis-looking area on my hip after receiving Rhogam! (OF course I'm O neg)Turns out I was allergic to Rhogam and just touching the syringe caused the reaction! Told coworkers who gave all Rhogams for me. No more reactions!!! I was allergic to the preservative in Rhogam, not the med itself.

BTW: It is the same preservative that is in contact solution. If you have a patient who ever says they have to use preservative free contact solution due to allergies- be aware of this.

Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only.