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> I'd like to thank everyone for the great welcomes! Now, I have a

question. I

> did do Tae bo before and will start again...my question is for my

husband. He

> has gout in his knees and ankles and I think he'd like to do Tae bo

with me,

> but he really has to be careful. Any suggestions?

,

I'm not sure exactly what gout is or how it affects your husband, but

what I would suggest is that he starts off doing Tae-Bo while sitting

in a chair. Or at the very least, he has a chair next to him so that

if a particular move bothers him, he can easily sit down for that

move! You can get a very effective workout doing Tae-Bo from a chair!

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> I'd like to thank everyone for the great welcomes! Now, I have a

question. I

> did do Tae bo before and will start again...my question is for my

husband. He

> has gout in his knees and ankles and I think he'd like to do Tae bo

with me,

> but he really has to be careful. Any suggestions?

> Thanks!

Welcome, ! I would suggest that your husband (and you) spend

some time with the introduction tapes (the one that comes with the

live 4-pack is particularly good) so that you can learn the form

correctly. Also, get 's book The Taebo Way. In the book and

the intro. tapes, points outs incorrect form that can hurt your

knees (for example, letting your knee go over your toes when you are

bending your knees) and shows you the correct form. Your husband can

also modify moves that hurt. For example, instead of doing jumping

jacks, he can slide one leg out to the side at a time. shows

those type of modifications on the tapes. Your husband might also

try a pair of aerobic hi-top shoes (they look a little like

basketball shoes, but are more flexible) for ankle support.

Elena

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> I'd like to thank everyone for the great welcomes! Now, I have a

question. I

> did do Tae bo before and will start again...my question is for my

husband. He

> has gout in his knees and ankles and I think he'd like to do Tae bo

with me,

> but he really has to be careful. Any suggestions?

> Thanks!

Welcome, ! I would suggest that your husband (and you) spend

some time with the introduction tapes (the one that comes with the

live 4-pack is particularly good) so that you can learn the form

correctly. Also, get 's book The Taebo Way. In the book and

the intro. tapes, points outs incorrect form that can hurt your

knees (for example, letting your knee go over your toes when you are

bending your knees) and shows you the correct form. Your husband can

also modify moves that hurt. For example, instead of doing jumping

jacks, he can slide one leg out to the side at a time. shows

those type of modifications on the tapes. Your husband might also

try a pair of aerobic hi-top shoes (they look a little like

basketball shoes, but are more flexible) for ankle support.

Elena

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RSD is Reflex Sympathetic Dytrophy. Here is desciption.

     Reflex Sympathetic Dystrophy Syndrome

Table of Contents

* What is reflex sympathetic dystrophy syndrome?

* What are the symptoms of RSDS?

* What causes RSDS?

* Who gets it?

* How is RSDS diagnosed?

* What is the prognosis?

* What is the treatment?

* Are there any other disorders like RSDS?

* What research is being done?

* Is help available?

What is reflex sympathetic dystrophy syndrome?

Reflex sympathetic dystrophy syndrome (RSDS) — also known as complex regional

pain syndrome — is a chronic condition characterized by severe burning pain,

pathological changes in bone and skin, excessive sweating, tissue swelling,

and extreme sensitivity to touch. The syndrome, which is a variant of a

condition known as causalgia, is a nerve disorder that occurs at the site of

an injury (most often to the arms or legs). It occurs especially after

injuries from high-velocity impacts such as those from bullets or shrapnel.

However, it may occur without apparent injury.

Causalgia was first documented in the 19th century by physicians concerned

about pain Civil War veterans continued to experience after their wounds had

healed. Doctors often called it " hot pain, " after its primary symptom. Over

the years, the syndrome was classified as one of the peripheral neuropathies,

and later, as a chronic pain syndrome. RSDS is currently classified as a

variant of causalgia, not necessarily caused by trauma.

What are the symptoms of RSDS?

The symptoms of RSDS usually occur near the site of an injury, either major

or minor, and include: burning pain, muscle spasms, local swelling, increased

sweating, softening of bones, joint tenderness or stiffness, restricted or

painful movement, and changes in the nails and skin. One visible sign of RSDS

near the site of injury is warm, shiny red skin that later becomes cool and

bluish. The pain that patients report is out of proportion to the severity of

the injury and gets worse, rather than better, over time. It is frequently

characterized as a burning, aching, searing pain, which may initially be

localized to the site of injury or the area covered by an injured nerve but

spreads over time, often involving an entire limb. It can sometimes even

involve the opposite extremity. Pain is continuous and may be heightened by

emotional stress. Moving or touching the limb is often intolerable.

Eventually the joints become stiff from disuse, and the skin, muscles, and

bone atrophy.

The symptoms of RSDS vary in severity and duration. However, there are

usually three stages associated with RSDS, and each stage is marked by

progressive changes in the skin, nails, muscles, joints, ligaments, and bones.

Stage one lasts from 1 to 3 months and is characterized by severe, burning

pain at the site of the injury. Muscle spasm, joint stiffness, restricted

mobility, rapid hair and nail growth, and vasospasm (a constriction of the

blood vessels) that affects color and temperature of the skin can also occur.

In stage two, which lasts from 3 to 6 months, the pain intensifies. Swelling

spreads, hair growth diminishes, nails become cracked, brittle, grooved, and

spotty, osteoporosis becomes severe and diffuse, joints thicken, and muscles

atrophy.

As the patient reaches stage three, changes in the skin and bones become

irreversible, and pain becomes unyielding and may now involve the entire

limb. There is marked muscle atrophy, severely limited mobility of the

affected area, and flexor tendon contractions (contractions of the muscles an

d tendons that flex the joints). Occasionally the limb is displaced from its

normal position, and marked bone softening is more dispersed.

What causes RSDS?

The cause of RSDS is unknown. The syndrome is thought to be the result of

damaged nerves of the sympathetic nervous system — the part of the nervous

system responsible for controlling the diameter of blood vessels. These

damaged nerves send inappropriate signals to the brain, interfering with

normal information about sensations, temperature, and blood flow.

Since RSDS is most often caused by trauma to the extremities, other

conditions that can bring about RSDS include sprains, fractures, surgery,

damage to blood vessels or nerves, and cerebral lesions. The disorder is

unique in that it simultaneously affects the nerves, skin, muscles, blood

vessels, and bones.

Who gets it?

RSDS can strike at any age, but is more common between the ages of 40 and 60.

It affects both men and women, but is most frequently seen in women. Although

it can occur at any age, the number of RSDS cases among adolescents and young

adults is increasing. Investigators estimate that two to five percent of

those with peripheral nerve injury and 12 to 21 percent of those with

hemiplegia (paralysis of one side of the body) will suffer from RSDS.

How is RSDS diagnosed?

RSDS is often misdiagnosed because it remains poorly understood. Diagnosis is

complicated by the fact that some patients improve without treatment. A delay

in diagnosis and/or treatment for this syndrome can result in severe physical

and psychological problems. Early recognition and prompt treatment provide

the greatest opportunity for recovery.

RSDS is diagnosed primarily through observation of the symptoms. However,

some physicians use thermography — a diagnostic technique for measuring blood

flow by determining the variations in heat emitted from the body — to detect

changes in body temperature that are common in RSDS. A color-coded

" thermogram " of a person in pain often shows an altered blood supply to the

painful area, appearing as a different shade (abnormally pale or violet) than

the surrounding areas of the corresponding part on the other side of the

body. An abnormal thermogram in a patient who complains of pain may lead to a

diagnosis of RSDS. X-rays may also show changes in the bone.

What is the prognosis?

Good progress can be made in treating RSDS if treatment is begun early,

ideally within 3 months of the first symptoms. Early treatment often results

in remission. If treatment is delayed, however, the disorder can quickly

spread to the entire limb and changes in bone and muscle may become

irreversible. In 50 percent of RSDS cases, pain persists longer than 6 months

and sometimes for years.

What is the treatment?

Physicians use a variety of drugs to treat RSDS, including corticosteroids,

vasodilators, and alpha- or beta-adrenergic-blocking compounds. Elevation of

the extremity and physical therapy are also used to treat RSDS. Injection of

a local anesthetic, such as lidocaine, is usually the first step in

treatment. Injections are repeated as needed. TENS (transcutaneous electrical

stimulation), a procedure in which brief pulses of electricity are applied to

nerve endings under the skin, has helped some patients in relieving chronic

pain.

In some cases, surgical or chemical sympathectomy — interruption of the

affected portion of the sympathetic nervous system — is necessary to relieve

pain. Surgical sympathectomy involves cutting the nerve or nerves, destroying

the pain almost instantly. But surgery may also destroy other sensations as

well.

Are there any other disorders like RSDS?

RSDS has many of the same features as causalgia, such as severe burning pain

that is aggravated by physical or emotional stimuli. However, causalgia

usually affects the lower limbs, the palm of the hand or the sole of the

foot; RSDS may strike any part of the body.

RSDS also has characteristics similar to those of other disorders, such as

shoulder-hand syndrome, which sometimes occurs after a heart attack and is

marked by pain and stiffness in the arm and shoulder; Sudeck's syndrome,

which is prevalent in older people and in women and is characterized by bone

changes and muscular atrophy, but is not always associated with trauma; and

Steinbrocker's syndrome, which affects both sexes but is slightly more

prevalent in females, and includes such symptoms as gradual stiffness,

discomfort, and weakness in the shoulder and hand.

What research is being done?

The National Institute of Neurological Disorders and Stroke (NINDS), a part

of the National Institutes of Health (NIH), supports and conducts research on

the brain and central nervous system, including research relevant to RSDS,

through grants to major medical institutions across the country.

NINDS-supported scientists are working to develop effective treatments for

neurological conditions and, ultimately, to find ways of preventing them.

Investigators are studying new approaches to treat RSDS and intervene more

aggressively after traumatic injury to lower the patient's chances of

developing the disorder. In addition, NINDS-supported scientists are studying

how signals of the sympathetic nervous system cause pain in RSDS patients.

Using a technique called microneurography, these investigators are able to

record and measure neural activity in single nerve fibers of affected

patients. By testing various hypotheses, these researchers hope to discover

the unique mechanism that causes the spontaneous pain of RSDS and that

discovery may lead to new ways of blocking pain.

Other studies to overcome chronic pain syndromes are discussed in the

pamphlet " Chronic Pain: Hope Through Research, " published by the NINDS.

Is help available?

The unrelenting pain from RSDS has caused many patients much physical and

emotional misery. Family, friends, coworkers, and, regrettably, physicians

themselves, may regard the patient as a complainer, thereby increasing the

patient's distress. To meet the needs of individuals with RSDS and other

conditions causing chronic pain, the following voluntary health agencies

promote research, provide information, and may offer advice on coping. For

information, write or call:

RSDS Association

116 Haddon Avenue

Suite D

Haddonfield, New Jersey 08033

www.rsds.org

American Chronic Pain Association

P.O. Box 850

Rocklin, California 95677

www.theacpa.org

National Chronic Pain Outreach Association, Inc.

P.O. Box 274

Millboro, Virginia 24460

For information on other neurological disorders or research programs funded

by the National Institute of Neurological Disorders and Stroke, contact the

Institute's Brain Resources and Information Network (BRAIN) at:

BRAIN

P.O. Box 13050

Silver Spring, land 20911

Reviewed June 5, 2000

---

Kathy Goldenkranz

Aptos, CA 95003

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Guest guest

yes and hey sweetie :) chronic pain really drains people im not used to

being so tired yet either

>

>Reply-To: chronic_pain

>To: chronic_pain

>Subject: Question

>Date: Wed, 12 Dec 2001 15:07:36 -0600

>

>hi there im just wondering i suffer from RSD.I got to school i notice im

>always tired

>so i can only go half days.could this be related to my pain?

>

>

>

>_____________________________________________

>Free email with personality! Over 200 domains!

>http://www.MyOwnEmail.com

>

LiL Missy

_________________________________________________________________

Send and receive Hotmail on your mobile device: http://mobile.msn.com

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In a message dated 12/12/2001 2:15:22 PM Pacific Standard Time,

missy_burch@... writes:

> chronic pain really drains people im not used to

> being so tired yet either

>

Also, with a lot of people, they don't get a good rest at night. I do, and

that saves my life. I sleep like a baby. The doctor raised my Neurontin from

1800mg to 2400 mg., but the higher amount doesn't see, to help. I'm also

taking Darvocet. Suggestions for something else? The dr. is talking to a

neurologist and the pain clinic dr., for more ideas.

Carol

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ask yuour doctor about the duragesic fental patch its

got differnt strengh25-50-75-100 they are not the

chechest but i have found they do the trick i was on

nerorotin 1800mg i didnt find much relief they were

extrodanarly exspensive. the patches run about about

30dollars a piece they do not sell them separtely they

come in a boxof 5.depending on your pain you are

haveing 25$50 didnt seem to help me much 100/mg was to

much 75 did the trick every once in a while id have

todo acouple motrin. the patches stick to a part of

your body that doesnt move often they are suppose to

work for 3 days one down fall first when you put them

on it takes abouy 4 to 6 hour to start working then

when the old patch is ready to come offapply the new

one on leave the one until you feel the new one

workingthe patch contains either demoal or morfine the

rreason i went on them i cant do aceaminophen because

of my liver and thios medicine does not go through

your liver like the rest of them do i hop i eas of

some help happy hoildays

--- CairnMom@... wrote:

> In a message dated 12/12/2001 2:15:22 PM Pacific

> Standard Time,

> missy_burch@... writes:

>

>

> > chronic pain really drains people im not used to

> > being so tired yet either

> >

>

> Also, with a lot of people, they don't get a good

> rest at night. I do, and

> that saves my life. I sleep like a baby. The doctor

> raised my Neurontin from

> 1800mg to 2400 mg., but the higher amount doesn't

> see, to help. I'm also

> taking Darvocet. Suggestions for something else? The

> dr. is talking to a

> neurologist and the pain clinic dr., for more ideas.

> Carol

>

>

> [Non-text portions of this message have been

> removed]

>

>

>

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Guest guest

interesting... I will have to try that.

I usually use pro blend but I am planning on switching back to myoplex soon

Re: question

no not at all I actually enjoy the taste better in water and it less fat and calories

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Guest guest

> have you noticed a difference between water and milk? or anyone

else?

I prefer water, lots of it, and ice. I tried milk once, but didn't

care for it. If you use milk, you are adding carb calories.

MP

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We use 1 package of regular Myoplex for two people and add 16 oz of

ice and water, 2/3 cup powdered milk.

After mixing, it makes 2, 14-16 oz shakes.

Andyman

> well I had a good workout today... (my face is even sore)

>

> I was wondering how much extra liquid you put into your shakes...

and if it is water or milk?

> just out of curiousity...

> If I am using myoplex I usually put in about 16oz or more of skim

milk... (I think with the mix I am usually in the 24oz range, before

mixing)

> Thanks,

> BH

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I add 12~16oz of milk but I also add a few icecubes to make it more

like a shake:)

LB

fl

> well I had a good workout today... (my face is even sore)

>

> I was wondering how much extra liquid you put into your shakes...

and if it is water or milk?

> just out of curiousity...

> If I am using myoplex I usually put in about 16oz or more of skim

milk... (I think with the mix I am usually in the 24oz range, before

mixing)

> Thanks,

> BH

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ditto that...usually

> I use water with my myoplex shakes and milk in my protein shakes:)

>

> LB

> fl

>

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Does anyone know abut Depakote? I have a friend who has a friend

(psychiatrist) who prescrbes for her back pain, and she said she'd heard

things about the Depakote. Anything?

Carol

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Dear Carol,

I haven't heard about Depakote being used for anything but bipolar. Which

doesn't mean anything because now they're using all sorts of meds for purposes

other than the original intent.

The only thing I can tell you is that I took it, and it messed with my brain

and my body, so I had to quit. It seems to be one of those meds which people

either rave about, or hate. It does " flatline " your emotions and moods. But

maybe your friend will be taking it in a smaller dose.

I have severe back pain, just like most of you reading this! My Dr. has me

on 10 mg Prednisone every other day, flexeril 2x/day, valium 1-2x/day, Vicodin

3x/day, neurontin 3x/day, ultram 3x/day. It's quite a cocktail - but I've tried

to leave just 1 thing out - and it just doesn't work as well. The mix allows me

to keep from taking too much of any one thing so side effects aren't a problem.

I want off the ultram, and maybe on the lowest dose oxy possible. Oxy scares

me.(MS Contin).

Sorry I can't be of more help.

Jo

Re: Question

Does anyone know abut Depakote? I have a friend who has a friend

(psychiatrist) who prescrbes for her back pain, and she said she'd heard

things about the Depakote. Anything?

Carol

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I know it is a drug that is used for manic depression; supposed to not be as bad

on the liver as Lithium salts. I know it was prescribed for me, and the lowest

possible dosage made a

'recliner rooster' out of me...(possibly because of my chemical sensitivities or

because I was misdiagnosed)...and I also know it made me gain MORE weight. This

was after another doc had

given me Pamelor for my FM, which he titrated up to a pretty high dose...STILL

carrying around the 50 lbs. that put on me. That's all I know for sure. I now

use mostly herbal products

from the Symmetry corporation and they help me more than any of the drugs the

docs had me on. They are doctor developed. I signed as distributor in order to

get discount.

I use Neurocalm and Tranquility for the head; Advanced Omega for the arthritis

pain and inflammation; I have used their Botanacleanse 3x now and getting ready

to do it again, as it cleans

ALL the toxins out of my body which makes a lot of the pain and sore spots go

away. I will scrub toilets in order to get these because they work, are

patented, doctor developed and

guaranteed to do what they are supposed to do or I get my money back. I take

the Nutrapak every day, as it is just good food.

I haven't been writing to the list as often, because I am not in so much pain

nor trying to deal w/ all the nasty side effects and reactions from chemicals

since I have been using these

products...well over a year now. I was dx'd w/ IBS and could not tolerate any

dairy or green products. That was BS too...since I did the cleansing and got on

the dailys, I can eat ice

cream if I want or drink milk, and lettuce does not do the 'rapid transit' and

bloom out the other end w/in half hour so I can enjoy salads now. Got off topic

didn't I?

lol...Wellllllllll...when you search for years and finally find something good,

you do get excited about it. Just my testimony...not trying to sell any of you

anything, but if you want to

feel better, look better and live longer...

you can find the corporate web site at http://www.symmcorp.com and read about

this stuff and see for yourself. Be glad to answer any questions and if anyone

wants to try anything or sign

up, feel free to contact me personally and I will be glad to help you. When I

showed these products to my nurse/massage therapist friend who had been working

w/ me for four years, she

jumped up and down and ordered a bunch of things...and says it has turned her

health around too. GOOD STUFF FOLKS!

Warm fuzzy hugzzzzzzz to all,

Diane

CairnMom@... wrote:

> Does anyone know abut Depakote? I have a friend who has a friend

> (psychiatrist) who prescrbes for her back pain, and she said she'd heard

> things about the Depakote. Anything?

> Carol

>

>

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Dear Samikrut,

Love to come. If you enlargen the area. Las Vegas in Holland is beautiful too.

Who is inviting?

Love Suchita and Maaike.

Question

Is there anyone in the Las Vegas,Navada area that has been to any of

The Schools who would like to get together aometime? If so please e-

mail me.

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,

My father had CHF. He suffered with it for about 5 years or more. One

of the first signs he had was feeling like he couldn't breathe, being

congested, like a bad cold he couldn't get rid of. His legs and feet

would swell badly. They would put him on heavy-duty diuretics (out of

hospital, then in)to get rid of the fluid. He would say, " It's time to

go to the hospital and get drained " . He was a character! There is so

much more. And side affects from the meds he took caused a whole slew

of other problems.

Beth L.

> What is Oxybutin? Is it like Oxycontin? also does anyone know the

> warning signs or symptoms of CHF?

>

>

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Hi,

What I do throughout the day is to PAUSE. I may make a short phone

call to like minded individuals, or read a saying. This is sometimes

easy and sometimes very difficult. Sometimes the hardest thing for me

to do is to get out of my ego and pick up that 1,000 pound phone and

reach out.

Hope this helps.

, Portland, Oregon

>

>

> ____________________________________________________

> Start your day with Yahoo! - make it your home page

> http://www.yahoo.com/r/hs

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Be happy you have a person to call. ine

Original Message:

-----------------

From: angelamdavey2300 angelamdavey2300@...

Date: Sun, 07 Aug 2005 19:35:21 -0000

To: AffirmationstoDe-Stress

Subject: Re: Question

Hi,

What I do throughout the day is to PAUSE. I may make a short phone

call to like minded individuals, or read a saying. This is sometimes

easy and sometimes very difficult. Sometimes the hardest thing for me

to do is to get out of my ego and pick up that 1,000 pound phone and

reach out.

Hope this helps.

, Portland, Oregon

>

>

> ____________________________________________________

> Start your day with Yahoo! - make it your home page

> http://www.yahoo.com/r/hs

http://health.groups.yahoo.com/group/AffirmationstoDe-Stress

A positive thinking, positive affirmations support group, discussing ways

to cope with the stresses of daily life. Come aboard! PJ and Gang

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,

I so totally loved your comments here!!! A sense of humor can help any

day go so much better!! Thanks for sharing with us!! Many Hugs, PJ

angelamdavey2300 wrote:

Hi,

What I do throughout the day is to PAUSE. I may make a short phone

call to like minded individuals, or read a saying. This is sometimes

easy and sometimes very difficult. Sometimes the hardest thing for me

to do is to get out of my ego and pick up that 1,000 pound phone and

reach out.

Hope this helps.

, Portland, Oregon

>

>

> ____________________________________________________

> Start your day with Yahoo! - make it your home page

> http://www.yahoo.com/r/hs

http://health.groups.yahoo.com/group/AffirmationstoDe-Stress

A positive thinking, positive affirmations support group, discussing ways to

cope with the stresses of daily life. Come aboard! PJ and Gang

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Thank you, sometimes I really don't want to bother

people with my problems though. Everyone has their

own problems, ya know?

Barbara

--- angelamdavey2300

wrote:

> Hi,

> What I do throughout the day is to PAUSE. I may

> make a short phone

> call to like minded individuals, or read a saying.

> This is sometimes

> easy and sometimes very difficult. Sometimes the

> hardest thing for me

> to do is to get out of my ego and pick up that 1,000

> pound phone and

> reach out.

> Hope this helps.

> , Portland, Oregon

> >

> >

> >

> ____________________________________________________

> > Start your day with Yahoo! - make it your home

> page

> > http://www.yahoo.com/r/hs

>

>

>

>

__________________________________________________

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Barbara,

Yes, everyone certainly has their own problems. But, I personally feel

that if someone wants some help or advice, or to just vent occasionally ---

then this is the place! I don't mind, and I doubt others here mind. We would

like to help everyone at some point or another. So, anytime you want some help

or advice, or just a good listening ear, ...we will be here for you. And for

everyone else!

Let me clarify that I'm NOT always available -- 24/7. But, I certainly

will answer or respond to questions, when I get back to the group! Sometimes it

is a few days, but I try. I am somewhat behind on emails right now, but

hopefully will catch up one of these days!

Love, Peace, & Hugs, PJ, owner/affirmations to de-stress

Barbara Moroz wrote:

Thank you, sometimes I really don't want to bother

people with my problems though. Everyone has their

own problems, ya know?

Barbara

--- angelamdavey2300

wrote:

> Hi,

> What I do throughout the day is to PAUSE. I may

> make a short phone

> call to like minded individuals, or read a saying.

> This is sometimes

> easy and sometimes very difficult. Sometimes the

> hardest thing for me

> to do is to get out of my ego and pick up that 1,000

> pound phone and

> reach out.

> Hope this helps.

> , Portland, Oregon

> >

> >

> >

> ____________________________________________________

> > Start your day with Yahoo! - make it your home

> page

> > http://www.yahoo.com/r/hs

>

>

>

>

__________________________________________________

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Barbara,

Yesterday, I wrote an affirmation down on a post-it and carried it in my pocket.

I said it over and over...then when I got side tracked and remembered...that I

had forgotten it, I looked in my pocket to remind me what it was. I noticed a

difference in what I was thinking...and if you're not thinking yucky stuff all

day it

makes a difference.

My affirmation from yesterday was: I am totally acceptable in all situations!

I remember it from yesterday...the post-it is at home. So this morning I feel

good that I must have said it enough times to remember it....hopefully make it

part of my subconscious.

Today's is: I digest life with ease.

Have a great day! Write down your affirmation! Look at it often.

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