Question

[Guest guest]

Hi Doreen. I'm Debbi, 37yo in Portage (Kalamazoo), MI. I've been dealing with this since the early 90s and finally got diagnosed properly in 1996.

I started out with a local GI who recommended I go somewhere where they do "a lot" of dilations. (She had someone in her practice who "would" do the dilation for me, but she said if it were her, she would go someplace where they see "a lot" of achalasia.) At the time I went to Ann Arbor, to Dr. Nostrant at UMMC, but I'll not be going back there again (I'm not familiar with any other docs at UMMC, but I would never recommend Dr. Nostrant to anyone other than an enemy!).

I now get barium swallows (esophagrams) done locally to keep an eye on things, but any future actual procedures I'll have done will be done at The Cleveland Clinic in Ohio. They don't just see "a lot" of achalasia at TCC... they see A LOT of achalasia. Probably more than any other facility this side of the Mississippi. (Possibly more than any other facility anywhere.) They are up-to-date on the latest and greatest equipment and procedures, too. Ann Arbor is under an hour-and-a-half drive from my home, and Cleveland is well over twice that, but it's worth it to get the level of care that TCC can offer.

So if you're looking for a recommendation, I'd suggest calling TCC and getting an appt with one of their swallowing specialists. Personally, my second dilation was MUCH more effective than the first, and it's been 8.5 years since my last one. And since then, I've gotten married and also had a healthy child (who is now 6.5 years old). There IS life after achalasia. )Debbi in Portage, Michigan

I am Doreen, 27 yr old, from Ann Arbor, MI. As some of you may remember I had a balloon dilation in August. I was hoping for long term results but unfortunately that is not the case. My question is how long do I wait before going back to the doctor? How bad do I let the symptoms get? I can still pretty much eat what I want as long as I have water or another beverage, but I starting to have trouble getting it down. I can still drink pop (before my first dilation the only thing i could drink was water at room temp). When I talk to the doctor after the procedure he said that my follow-up was up to me...he didn't give me any definitive time frame so I'm feeling a bit lost. As a side note, I know there are a few people here from Michigan and I'm wondering if any one was seen at Huron Gastroenterology in Ypsi?Thanks for your advice!Doreen

[Guest guest]

Could somebody speak to the CWD or CWU surgery approaches? General

overview, pros/cons to each. ????

Thanks, Mark

> >

> > Hello,

> >

> > I had CWD surgery on my left ear in July and I have a couple of

> questions I was hoping someone could answer for me. I am still

> seeing the Dr. every 2 weeks to get my ear suctioned. Is it normal

> to see the Dr every 2 weeks? (my insurance co pay is draining on

the

> wallet). I am also still on saline drops to irrigate my ear and I

> was wondering how long everyone else had to use their drops?

> >

> > Thanks for your time : )

> >

> >

> >

>

[Guest guest]

Could somebody speak to the CWD or CWU surgery approaches? General overview, pros/cons to each. ????Hi Mark

I'll try and keep it simple. The mastoid is a bony area filled with air pockets that sits adjacent to the ear canal and stretches to the middle ear. This area is drilled away during surgery so that the surgeon can access the middle ear plus. The mastoid is also an area where ctoma can spread to.

The main difference between the surgeries is that Canal Wall Down (CWD) removes part of bone wall of the ear canal that seperates it from the drilled out space of the mastoid. This allows the surgeon even greater access to the confined space of middle ear and therefore a better chance of removing every last bit of the ctoma. The advantage of this surgery is that ctoma is less likely to return but if it did then it would easier for the surgeon to get at. The disadvantage of CWD is that it creates an exposed cavity just inside the ear which needs to cleaned out at regular intervals by a surgeon (usually every 6 months to a year). With this surgery it's advisable to avoid getting water in the ear when swimming or showering. CWD surgery takes about twice as long as CWU to heal fully.

Canal Wall Up (CWU) is less invasive - no open cavity, the ear heals faster and there would be less need for long-term maintenance such as cleaning or to avoiding water entering the ear. The main disadvantage is that there is a much greater chance that the ctoma will return and it remains difficult for a doctor to examine the ear to see if that happens. Often there will be a smaller "second look" surgery a year or so after the first to check for returning ctoma and also to perform any hearing reconstruction that is needed.

Lastly, there are in fact two types of CWD surgery. The main one is Modified Radical Mastoidectomy which creates a cavity but also attempts to preserve the middle ear space (by grafting) so that it remains distinct form the mastoid - it would make a future reconstruction easier. The other surgery is (Full) Radical Mastoidectomy which is used much nowadays except where there are complications and the ear has already been very damaged. With this surgery, the mastoid, canal and middle ear form one continuous enlarged space with no ossicles or eardrum present.

Phil

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[Guest guest]

Phil/, Thanks, a very nice description. I'll add a little and ask more ????s. My CT report stated a diploic left mastoid, which after a bunch of web looking, I know is a bone structure without many of the air cells that the normal mastoid should have (or much denser than normal at least). How did this structure develop vs a normal open mastoid?? Seems like from the web that there is a correlation between denser mastoids and chronic inner ear infection. Is the dense mastoid a result of the ear infections, if so, how? Do infections in a dense mastoid become more unresponive to antiboiotics as access to these surfaces are more restricted because they are dense? From my own observation of looking at my radiology images, the right side seems to have lots of holes, but the left

is devoid of holes, just as the CT examination report states. Mark Phil <psmorris@...> wrote: Could somebody speak to the CWD or CWU surgery approaches? General overview, pros/cons to each. ????Hi Mark I'll try and keep it simple. The mastoid is a bony area filled with air pockets that sits adjacent

to the ear canal and stretches to the middle ear. This area is drilled away during surgery so that the surgeon can access the middle ear plus. The mastoid is also an area where ctoma can spread to. The main difference between the surgeries is that Canal Wall Down (CWD) removes part of bone wall of the ear canal that seperates it from the drilled out space of the mastoid. This allows the surgeon even greater access to the confined space of middle ear and therefore a better chance of removing every last bit of the ctoma. The advantage of this surgery is that ctoma is less likely to return but if it did then it would easier for the surgeon to get at. The disadvantage of CWD is that it creates an exposed cavity just inside the ear which needs to cleaned out at regular intervals by a surgeon (usually every 6 months to a year). With this surgery it's

advisable to avoid getting water in the ear when swimming or showering. CWD surgery takes about twice as long as CWU to heal fully. Canal Wall Up (CWU) is less invasive - no open cavity, the ear heals faster and there would be less need for long-term maintenance such as cleaning or to avoiding water entering the ear. The main disadvantage is that there is a much greater chance that the ctoma will return and it remains difficult for a doctor to examine the ear to see if that happens. Often there will be a smaller "second look" surgery a year or so after the first to check for returning ctoma and also to perform any hearing reconstruction that is needed. Lastly, there are in fact two types of CWD surgery. The main one is Modified Radical Mastoidectomy which creates a cavity but also attempts to preserve

the middle ear space (by grafting) so that it remains distinct form the mastoid - it would make a future reconstruction easier. The other surgery is (Full) Radical Mastoidectomy which is used much nowadays except where there are complications and the ear has already been very damaged. With this surgery, the mastoid, canal and middle ear form one continuous enlarged space with no ossicles or eardrum present. Phil No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.407 / Virus Database: 268.12.13/463 - Release Date: 04/10/06

All-new - Fire up a more powerful email and get things done faster.

[Guest guest]

I captured a little of what Phil said because there is a little more

to it than just:

Mastoidectomy which is used much nowadays except where there are

complications and the ear has already been very damaged. With this

surgery, the mastoid, canal and middle ear form one continuous

enlarged space with no ossicles or eardrum present.

With this surgery, you will not get your hearing back and will have

a huge deficit in hearing. Every now and then, you go to the doctor

and get the cavity suctioned of debris. This is totally last

resort. This mastoidectomy is a point of no return. If your doctor

advises you to get it, get a 2nd opinion. I was advised a few years

ago. I haven't done it because I am scared. There is not a

defininte answer for ANY OF THIS. The doctor could not tell me how

things MAY be after this surgery. I can't have any operation that I

am not totally supportive of. Do this mastoidectomy, there is NO

MIDDLE EAR left. No way for the little vibrations to go to the

cochlea to aid in hearing. No rebuilding of the middle ear. END OF

THE LINE.

> Could somebody speak to the CWD or CWU surgery

approaches? General

> overview, pros/cons to each. ????

>

> Hi Mark

>

> I'll try and keep it simple. The mastoid is a bony area filled

with air pockets that sits adjacent to the ear canal and stretches

to the middle ear. This area is drilled away during surgery so that

the surgeon can access the middle ear plus. The mastoid is also an

area where ctoma can spread to.

>

> The main difference between the surgeries is that Canal Wall

Down (CWD) removes part of bone wall of the ear canal that seperates

it from the drilled out space of the mastoid. This allows the

surgeon even greater access to the confined space of middle ear and

therefore a better chance of removing every last bit of the ctoma.

The advantage of this surgery is that ctoma is less likely to return

but if it did then it would easier for the surgeon to get at. The

disadvantage of CWD is that it creates an exposed cavity just inside

the ear which needs to cleaned out at regular intervals by a surgeon

(usually every 6 months to a year). With this surgery it's advisable

to avoid getting water in the ear when swimming or showering. CWD

surgery takes about twice as long as CWU to heal fully.

>

> Canal Wall Up (CWU) is less invasive - no open cavity, the ear

heals faster and there would be less need for long-term maintenance

such as cleaning or to avoiding water entering the ear. The main

disadvantage is that there is a much greater chance that the ctoma

will return and it remains difficult for a doctor to examine the ear

to see if that happens. Often there will be a smaller " second look "

surgery a year or so after the first to check for returning ctoma

and also to perform any hearing reconstruction that is needed.

>

> Lastly, there are in fact two types of CWD surgery. The main one

is Modified Radical Mastoidectomy which creates a cavity but also

attempts to preserve the middle ear space (by grafting) so that it

remains distinct form the mastoid - it would make a future

reconstruction easier. The other surgery is (Full) Radical

Mastoidectomy which is used much nowadays except where there are

complications and the ear has already been very damaged. With this

surgery, the mastoid, canal and middle ear form one continuous

enlarged space with no ossicles or eardrum present.

>

> Phil

>

>

>

>

>

> No virus found in this outgoing message.

> Checked by AVG Free Edition.

> Version: 7.1.407 / Virus Database: 268.12.13/463 - Release Date:

04/10/06

>

>

>

> ---------------------------------

> All-new - Fire up a more powerful email and get

things done faster.

>

[Guest guest]

The mastoid is an area behind the external ear. The bony area that

consists of mastoid is not built the same as other bone. The pores

are deeper and bigger. When you have a long standing ear infection,

the fluid ends up in the mastoid cavity. It is most difficult to

cure an ear infection that ends up here. You may have a soreness of

the jaw or a headache in that area that can't be controlled. I have

seen cases where the infection swelled up the entire side of a

face. The area behind the external ear may be tender or sore to the

touch. It may even be swollen.

Anyway, if your infection lands here, it is pretty certain that you

will need a mastoidectomy. And like me, you may also need many

revisions of either mastoidectomy. The dense large areas of mastoid

are prefect for infection. The doctor can't get to the infection by

routine means; therefore, you have a surgery planned. The mastoid

area needs to be removed totally. This isn't cleaning out every

middle ear organ you have. It is just getting the infection out.

As far as a diploid mastoid, I have to learn more because I keep

thinking of regular diploid cells. A lot of these fancy words have

different meanings as you go from one aspect of the body to

another. For example, I was told that I have otosclerosis.

Something with sclerosis would usually mean a HARDENING. The

ossicular chain are the hardest bones in the body. They can't get

harder. What otosclerosis means is that the ossicles are

softening. Makes them less able to vibrate and send sound on

through the ear.

[Guest guest]

:

You are a fountain of knowledge!!! Another terms used to describe a

mastoid without normal air cells is schlerotic. Which as you say

implies hardening. My left-side mastoid is dense and lacks the

normal air cells (ie diploic). According to what I've read, dense

bone structures like mine are well correlated with chronic ear

infections, how and why, I don't know.

So, I get my cholesteatoma removed and my mastoid modified.

I would love to see some CT scans that show befores & afters of these

mastoid-modifying procedures.

I'll be real nosey here and ask what kind of work do you do? Are you

a health field worker? Don't feel obliged to answer this, I'm jsut

being nosey. You sure seem to be on top of this stuff

Thanks, Mark

>

> The mastoid is an area behind the external ear. The bony area that

> consists of mastoid is not built the same as other bone. The pores

> are deeper and bigger. When you have a long standing ear in

fection,

> the fluid ends up in the mastoid cavity. It is most difficult to

> cure an ear infection that ends up here. You may have a soreness

of

> the jaw or a headache in that area that can't be controlled. I

have

> seen cases where the infection swelled up the entire side of a

> face. The area behind the external ear may be tender or sore to

the

> touch. It may even be swollen.

>

> Anyway, if your infection lands here, it is pretty certain that you

> will need a mastoidectomy. And like me, you may also need many

> revisions of either mastoidectomy. The dense large areas of

mastoid

> are prefect for infection. The doctor can't get to the infection

by

> routine means; therefore, you have a surgery planned. The mastoid

> area needs to be removed totally. This isn't cleaning out every

> middle ear organ you have. It is just getting the infection out.

>

> As far as a diploid mastoid, I have to learn more because I keep

> thinking of regular diploid cells. A lot of these fancy words have

> different meanings as you go from one aspect of the body to

> another. For example, I was told that I have otosclerosis.

> Something with sclerosis would usually mean a HARDENING. The

> ossicular chain are the hardest bones in the body. They can't get

> harder. What otosclerosis means is that the ossicles are

> softening. Makes them less able to vibrate and send sound on

> through the ear.

>

[Guest guest]

Not quite the end of the line. You could get a BAHA - a Bone Anchored Hearing Aid. I have one and it is wonderful... I have my ear suctioned as often as it needs it (currently every two to three months) and I have hearing, albeit through this man-made device implanted in my skull, but at least I have hearing.

Kazzy :-)

Re: Question

I captured a little of what Phil said because there is a little more to it than just: Mastoidectomy which is used much nowadays except where there are complications and the ear has already been very damaged. With this surgery, the mastoid, canal and middle ear form one continuous enlarged space with no ossicles or eardrum present.With this surgery, you will not get your hearing back and will have a huge deficit in hearing. Every now and then, you go to the doctor and get the cavity suctioned of debris. This is totally last resort. This mastoidectomy is a point of no return. If your doctor advises you to get it, get a 2nd opinion. I was advised a few years ago. I haven't done it because I am scared. There is not a defininte answer for ANY OF THIS. The doctor could not tell me how things MAY be after this surgery. I can't have any operation that I am not totally supportive of. Do this mastoidectomy, there is NO MIDDLE EAR left. No way for the little vibrations to go to the cochlea to aid in hearing. No rebuilding of the middle ear. END OF THE LINE. > Could somebody speak to the CWD or CWU surgery approaches? General > overview, pros/cons to each. ????> > Hi Mark> > I'll try and keep it simple. The mastoid is a bony area filled with air pockets that sits adjacent to the ear canal and stretches to the middle ear. This area is drilled away during surgery so that the surgeon can access the middle ear plus. The mastoid is also an area where ctoma can spread to.> > The main difference between the surgeries is that Canal Wall Down (CWD) removes part of bone wall of the ear canal that seperates it from the drilled out space of the mastoid. This allows the surgeon even greater access to the confined space of middle ear and therefore a better chance of removing every last bit of the ctoma. The advantage of this surgery is that ctoma is less likely to return but if it did then it would easier for the surgeon to get at. The disadvantage of CWD is that it creates an exposed cavity just inside the ear which needs to cleaned out at regular intervals by a surgeon (usually every 6 months to a year). With this surgery it's advisable to avoid getting water in the ear when swimming or showering. CWD surgery takes about twice as long as CWU to heal fully.> > Canal Wall Up (CWU) is less invasive - no open cavity, the ear heals faster and there would be less need for long-term maintenance such as cleaning or to avoiding water entering the ear. The main disadvantage is that there is a much greater chance that the ctoma will return and it remains difficult for a doctor to examine the ear to see if that happens. Often there will be a smaller "second look" surgery a year or so after the first to check for returning ctoma and also to perform any hearing reconstruction that is needed.> > Lastly, there are in fact two types of CWD surgery. The main one is Modified Radical Mastoidectomy which creates a cavity but also attempts to preserve the middle ear space (by grafting) so that it remains distinct form the mastoid - it would make a future reconstruction easier. The other surgery is (Full) Radical Mastoidectomy which is used much nowadays except where there are complications and the ear has already been very damaged. With this surgery, the mastoid, canal and middle ear form one continuous enlarged space with no ossicles or eardrum present.> > Phil> > > > > > No virus found in this outgoing message.> Checked by AVG Free Edition.> Version: 7.1.407 / Virus Database: 268.12.13/463 - Release Date: 04/10/06> > > > ---------------------------------> All-new - Fire up a more powerful email and get things done faster.>

[Guest guest]

Hi

I should have said "isn't used used much nowadays". I know a few people here have already had Radical Mastoidectomies including me. It means that the ear cavity forms a flask like shape which I can definitely say makes the side of your head a little breezy. Not an ideal situation but it did finally stop ear drainage that I'd always had despite previous surgeries. The hearing didn't matter to me since I didn't have any. At the time of diagnosis couldn't find any trace of eardrum or ossicles, the roof of the middle ear had collapsed and the bottom disppeared into a mysterious hole. I also had a wealth of symptoms including loss facial function and a labyrinthine fistula ( a breach into the inner ear which causes vertigo). That I suppose is the kind of situation where the surgeon would resort to a full Radical Mastoidectomy.

Oddly enough this "empty hole" ear didn't stop ctoma from reappearing almost immediately. For a couple of years I was down at the clinic once a month to get the stuff cleaned out. The situation was that an odd form of ctoma had burrowed into the surrounding bone and would simply keep resurfacing. This meant I then I have even more radical surgery than what is considered "Radical".

Now here's the interesting part. At this the surgeon (a neurotologist), who'd previously said he could do nothing with this ear, suddenly decided he would like to try and reconstruct it - no guarantees that it work. Well it was a awful long, and by all accounts "tricky" procedure but it did work - much better than anyone imagined. I was over the moon, I could now hear with an ear that had never worked before from a reconstruction which I neither expected nor asked for.

So if reconstruction was possible in my case then I suspect the "end of the line" may not quite be the end anymore and that some of the more ambitious surgeons are willing to give it a go.

Phil

I captured a little of what Phil said because there is a little more to it than just: Mastoidectomy which is used much nowadays except where there are complications and the ear has already been very damaged. With this surgery, the mastoid, canal and middle ear form one continuous enlarged space with no ossicles or eardrum present.With this surgery, you will not get your hearing back and will have a huge deficit in hearing. Every now and then, you go to the doctor and get the cavity suctioned of debris. This is totally last resort. This mastoidectomy is a point of no return. If your doctor advises you to get it, get a 2nd opinion. I was advised a few years ago. I haven't done it because I am scared. There is not a defininte answer for ANY OF THIS. The doctor could not tell me how things MAY be after this surgery. I can't have any operation that I am not totally supportive of. Do this mastoidectomy, there is NO MIDDLE EAR left. No way for the little vibrations to go to the cochlea to aid in hearing. No rebuilding of the middle ear. END OF THE LINE.

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Checked by AVG Free Edition.

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[Guest guest]

Hi Phil, I had my surgery on aug 3 and assuming mine must be a cwd with the

grafting. I have a large scar behind my ear, but not an enlarged canal.

Apparently only made it slightly bigger on the inside. I thought all went

well and recovery wasn't too bad. But one question has me baffled.. last

friday fortnight ago I found out I now have one in my other ear that has

grown to the same size of my previous one within six months. This one is in

the same spot upper ear. I only happened to have an ear ache the same week

as my follow up appointment when i found this out. How come they didnt see

this six months ago when both ears were last checked before my surgery?? Are

they that aggressive? One thing I do know is that atleast I know what I'm

in for instead of being freaked out and putting the surgery off for 3 yrs.

Thanks Sharon

>From: " Phil " <psmorris@...>

>Reply-cholesteatoma

><cholesteatoma >

>Subject: Re: Re: Question

>Date: Thu, 5 Oct 2006 00:32:22 +0100

>

>Could somebody speak to the CWD or CWU surgery approaches? General

>overview, pros/cons to each. ????

>

>Hi Mark

>

>I'll try and keep it simple. The mastoid is a bony area filled with air

>pockets that sits adjacent to the ear canal and stretches to the middle

>ear. This area is drilled away during surgery so that the surgeon can

>access the middle ear plus. The mastoid is also an area where ctoma can

>spread to.

>

>The main difference between the surgeries is that Canal Wall Down (CWD)

>removes part of bone wall of the ear canal that seperates it from the

>drilled out space of the mastoid. This allows the surgeon even greater

>access to the confined space of middle ear and therefore a better chance of

>removing every last bit of the ctoma. The advantage of this surgery is that

>ctoma is less likely to return but if it did then it would easier for the

>surgeon to get at. The disadvantage of CWD is that it creates an exposed

>cavity just inside the ear which needs to cleaned out at regular intervals

>by a surgeon (usually every 6 months to a year). With this surgery it's

>advisable to avoid getting water in the ear when swimming or showering. CWD

>surgery takes about twice as long as CWU to heal fully.

>

>Canal Wall Up (CWU) is less invasive - no open cavity, the ear heals faster

>and there would be less need for long-term maintenance such as cleaning or

>to avoiding water entering the ear. The main disadvantage is that there is

>a much greater chance that the ctoma will return and it remains difficult

>for a doctor to examine the ear to see if that happens. Often there will be

>a smaller " second look " surgery a year or so after the first to check for

>returning ctoma and also to perform any hearing reconstruction that is

>needed.

>

>Lastly, there are in fact two types of CWD surgery. The main one is

>Modified Radical Mastoidectomy which creates a cavity but also attempts to

>preserve the middle ear space (by grafting) so that it remains distinct

>form the mastoid - it would make a future reconstruction easier. The other

>surgery is (Full) Radical Mastoidectomy which is used much nowadays except

>where there are complications and the ear has already been very damaged.

>With this surgery, the mastoid, canal and middle ear form one continuous

>enlarged space with no ossicles or eardrum present.

>

>Phil

>

>

>No virus found in this outgoing message.

>Checked by AVG Free Edition.

>Version: 7.1.407 / Virus Database: 268.12.13/463 - Release Date: 04/10/06

[Guest guest]

Barb,

Send ehr this link and she can join. She does not need to type anything

else.

-subscribe

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& Dreamer Doll (Guide Dawggie)

Newport, Oregon

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[Guest guest]

Lorna,

After many surgeries and several ENTs, I finally went to an ENT with a

background in

neurology. I had fabulous results (knock on wood). C-toma of the middle ear can

grow and

effect the brain and cause serious effects. It is best to listen to the advice

and get get the

right people involved. Where I am in Pittsburgh, I was lucky enough to have a

great

specialist with both skill sets.

This doctor did a major surgery to remove the C-toma and I have been doing well

every

since (2001). That is actually the longest period of time that I have ever gone

without

reoccurance. I did lose some hearing, but that is okay considering the other

success that

I've had. I currently wear an aid.

Is this his first C-toma?

Wish you well.

Gretchen

>

> Hi Everyone,

>

> I just signed up tonight. My husband, Mark has a c/ toma.

>

> His c/toma has spread to his nervous system. Has anyone else experienced

> this? His regular ENT sent him to another specialist that he sees Thurs.

>

> They want to get a neurosurgeon involved. ( gulp!)

>

> Many Thanks!

> Lorna )

>

[Guest guest]

Dear Yuriy04,

LIVE CE is taught at a Workshop, Conference, Seminar or Convention.

Generally held at a hotel conference room or convention center.

ASHP will hold a convention in Anaheim this weekend and next week. I

believe at the Disney Hotel. It is called Mid Year.

1 CE = 1 hour of continued education.

Jeanetta CPhT

F/O

>

> What exactly is a CE seminar?

>

[Guest guest]

Oh ok. Thanks. right now i don't plan to be a tech for longer than 2 yrs.

> >

> > What exactly is a CE seminar?

> >

>

[Guest guest]

Yuri, what state are you in? Did you go to school? What do you plan to do after

2 years?

Jeanetta

yuriy04 <yuriy04@...> wrote: Oh ok.

Thanks. right now i don't plan to be a tech for longer than 2 yrs.

> >

> > What exactly is a CE seminar?

> >

>

[Guest guest]

its also known as live ce, or a ce class. you listen

to a talk and depending on the sponsor you fill out an

evaluation/test/both and you either get the

certificate right there or they mail it to you. i

find it more fun than the magazine/online ones, but i

was a weird one and LIKED school.

--- yuriy04 <yuriy04@...> wrote:

What exactly is a CE seminar?

" If the world were perfect, it wouldn't be. "

- Yogi Berra

ONLY AFTER YOU'VE LOST EVERYTHING ARE YOU FREE TO DO ANYTHING

if you have the time to click on an e-mail link like this one:

http://www.sendmoreinfo.com/ID/2425657

you really can earn some extra cash!

________________________________________________________________________________\

____

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[Guest guest]

you will need the ce if you become a pharmacist

too--you siad you were going to UT--is that for

pharmacy school? if so ces might be a good idea for

background/baseline knowledge too.

--- yuriy04 <yuriy04@...> wrote:

Oh ok. Thanks. right now i don't plan to be a tech

for longer than 2 yrs.

, " Jeanetta

Mastron CPhT BS Chemistry " <rxjm2002@...> wrote:

Dear Yuriy04, LIVE CE is taught at a Workshop,

Conference, Seminar or Convention. Generally held at

a hotel conference room or

> convention center.

> >

> > ASHP will hold a convention in Anaheim this

> weekend and next week. I

> > believe at the Disney Hotel. It is called Mid

> Year.

> >

> > 1 CE = 1 hour of continued education.

> >

> > Jeanetta CPhT

> > F/O

> >

> >

> > >

> > > What exactly is a CE seminar?

> > >

> >

>

>

>

" If the world were perfect, it wouldn't be. "

- Yogi Berra

ONLY AFTER YOU'VE LOST EVERYTHING ARE YOU FREE TO DO ANYTHING

if you have the time to click on an e-mail link like this one:

http://www.sendmoreinfo.com/ID/2425657

you really can earn some extra cash!

________________________________________________________________________________\

____

Music Unlimited

Access over 1 million songs.

http://music./unlimited

[Guest guest]

I think u have me confused w/ someone else, i don't go to utah.

> > > >

> > > > What exactly is a CE seminar?

> > > >

> > >

> >

> >

> >

>

>

> " If the world were perfect, it wouldn't be. "

> - Yogi Berra

>

> ONLY AFTER YOU'VE LOST EVERYTHING ARE YOU FREE TO DO ANYTHING

>

> if you have the time to click on an e-mail link like this one:

http://www.sendmoreinfo.com/ID/2425657

> you really can earn some extra cash!

>

>

>

>

________________________________________________________________________________\

____

> Music Unlimited

> Access over 1 million songs.

> http://music./unlimited

>

[Guest guest]

UT is the mailing abbrevation for utah--either way,

what I said was valid.

--- yuriy04 <yuriy04@...> wrote:

I think u have me confused w/ someone else, i don't

go to utah.

> > > > >

> > > > > What exactly is a CE seminar?

> > > > >

> > > >

> > >

> > >

> > >

> >

> >

> > " If the world were perfect, it wouldn't be. "

> > - Yogi

> Berra

> >

> > ONLY AFTER YOU'VE LOST EVERYTHING ARE YOU FREE TO

> DO ANYTHING

> >

> > if you have the time to click on an e-mail link

> like this one:

> http://www.sendmoreinfo.com/ID/2425657

> > you really can earn some extra cash!

> >

> >

> >

> >

>

________________________________________________________________________________\

____

> > Music Unlimited

> > Access over 1 million songs.

> > http://music./unlimited

> >

>

>

>

" If the world were perfect, it wouldn't be. "

- Yogi Berra

ONLY AFTER YOU'VE LOST EVERYTHING ARE YOU FREE TO DO ANYTHING

if you have the time to click on an e-mail link like this one:

http://www.sendmoreinfo.com/ID/2425657

you really can earn some extra cash!

________________________________________________________________________________\

____

Any questions? Get answers on any topic at www.Answers.. Try it now.

[Guest guest]

UT is also the abbreviation for University of Texas.

[Guest guest]

lol, i am not sure what u mean since i have no connection to Utah.

But, oh well.

> > > > > >

> > > > > > What exactly is a CE seminar?

> > > > > >

> > > > >

> > > >

> > > >

> > > >

> > >

> > >

> > > " If the world were perfect, it wouldn't be. "

> > > - Yogi

> > Berra

> > >

> > > ONLY AFTER YOU'VE LOST EVERYTHING ARE YOU FREE TO

> > DO ANYTHING

> > >

> > > if you have the time to click on an e-mail link

> > like this one:

> > http://www.sendmoreinfo.com/ID/2425657

> > > you really can earn some extra cash!

> > >

> > >

> > >

> > >

> >

>

________________________________________________________________________________\

____

> > > Music Unlimited

> > > Access over 1 million songs.

> > > http://music./unlimited

> > >

> >

> >

> >

>

>

> " If the world were perfect, it wouldn't be. "

> - Yogi Berra

>

> ONLY AFTER YOU'VE LOST EVERYTHING ARE YOU FREE TO DO ANYTHING

>

> if you have the time to click on an e-mail link like this one:

http://www.sendmoreinfo.com/ID/2425657

> you really can earn some extra cash!

>

>

>

>

________________________________________________________________________________\

____

> Any questions? Get answers on any topic at www.Answers..

Try it now.

>

[Guest guest]

Dr. Aceves does the band after a bypass or any other previous weight loss surgery. I will send you more information. We have patients on the board that have had a band after a bypass, they can tell you more about their results and experience. Ninamybipley <mybipley@...> wrote: I know a guy that had Gastric Bypass in the early '90s. Is there any possible way he could get a lap band after GB?He was at 700#, now he is 350#.Options?

Thoughts?

Nina Eguia Patient Coordinator, Dr Aceves888 344 3916 , 619-962-8142nina_eguia@...

__________________________________________________

[Guest guest]

Other docs may have different

opinions. And it is my opinion that Dr. A is over cautious, but I still

followed his rules. Rather safe then sorry. It’s tough,

but necessary. The stomach needs time to heal from surgery. The

less it’s used to digest, the quicker it will heal. The two weeks

of clear liquid is over soon enough. For me, it was also a time to get to

know my limits, my needs and my body. It was great education for life

with the band. I just got my 2nd fill and am really restricted.

I’m having trouble even with mushed foods, so I revert back to what I

learned in the beginning and I’m thankful for the chance to reconnect

with what this band is all about. Just had Mexican food delivered for

lunch and I could barely eat the beans. But you know, this morning when I

got on the scale and weighed less than I have in years, I didn’t really

care that I couldn’t eat the food. I agree with acting like a 5

year old sometimes feels better. I subscribed to that method when ever I

get the chance. LOL.

Thank you,

M. Elam

Customer Service/Dispatch Supervisor

Hobaica Services, Inc.

7027 N. 27th Avenue

Phoenix, AZ 85051

602-995-0387 fax 602-995-0271

welam@...

From: [mailto: ] On Behalf Of gracesfalling

Sent: Thursday, December 21, 2006

11:21 AM

Subject:

Question

This may have been addressed before ... but I must

have missed it.

I was talking to a few people that have also have the band. 1 had it

done in Mexico

and 1 had it done here in the states. Both have been in

the last 12 months. But They were commenting on my having to stay on

clear liquids for so long, (really just going on and on about it and

how it can't be good) as both of them were saying that they were told

that they could go on what Dr. A calls full liquids a week after

surgery ... cream soups, milk based protein drinks, pudding, etc. I

said that my Dr. was just simply better and cared more about me than

theirs did. And then I slurped my chicken broth as loudly as I could

for the remainder of the meal. Because sometimes it's more satisfying

to behave as if you were a 5 then to try to talk to the stupid. But, I

am wondering if any of you know of other Dr.'s who are as quick to move

patients along? I'm starving and all and I really hate Jello weather

it's with or without sugar. But the clear liquids make sense to me.

Let me know what you know.

Grace

[Guest guest]

Grace, don't jump the gun and go on creamy soups yet. Your body is healing. Follow Dr. A's diet and you will be successful. We all did it and survived it, you can too. I am not a jello person either, so I had a Popsicle in my mouth often, just so it can feel like I was eating something. If I did it, you can do it. Good Luck, Happy Holidays. DOB-6/30/06 299,264,180 P.S, I'm on my weigh down again, I was stuck and as of this morning 2 more lbs are off. ooooooooo!!!!!!!!!!!!!!!!!!!!!!!!!!!! gracesfalling <Gracefall@...> wrote: This may have been addressed before ... but I must have missed it. I was talking to a few people that have also have the band. 1 had it done in Mexico and 1 had it done here in the states. Both have been in the last 12 months. But They were commenting on my having to stay on clear liquids for so long, (really just going on and on about it and how it can't be good) as both of them were saying that they were told that they could go on what Dr. A calls full liquids a week after surgery ... cream soups, milk based protein

drinks, pudding, etc. I said that my Dr. was just simply better and cared more about me than theirs did. And then I slurped my chicken broth as loudly as I could for the remainder of the meal. Because sometimes it's more satisfying to behave as if you were a 5 then to try to talk to the stupid. But, I am wondering if any of you know of other Dr.'s who are as quick to move patients along? I'm starving and all and I really hate Jello weather it's with or without sugar. But the clear liquids make sense to me. Let me know what you know. Grace __________________________________________________

[Guest guest]

I'm not really going to answer your question but I would like to add to what you said... A local lady called me the other day to ask about the pre-op diet I was required to follow for Dr. Aceves. Now, mind you, this is NOT even someone I know but she heard that I had the surgery and have been very successful so she got my number and called me. I tried to talk some sense into her closed little mind several weeks ago before she signed the dotted line with the arrogant local doctors but I wasn't successful with that. Anyway, she said that her doctor wants her on a clear liquid 2 weeks BEFORE surgery and for 2 weeks afterwards! I silently said a THANK YOU GOD for Dr. Aceves!!! I really WOULD have killed somebody if I had to stay on clear liquids that long! Everyone is different. I just like to think MY surgeon is the one with the brains!

Afterall, I trusted him wholeheartedly to do my surgery so I am going to trust wholeheartedly what he says to do. Jenni Currie DOB 2/23/06 247/231/152/145gracesfalling <Gracefall@...> wrote: This may have been addressed before ... but I must have missed it. I was talking to a few people that have also have the band. 1 had it done in Mexico and 1 had it done here in the states. Both have been in the last 12 months. But They were commenting on my

having to stay on clear liquids for so long, (really just going on and on about it and how it can't be good) as both of them were saying that they were told that they could go on what Dr. A calls full liquids a week after surgery ... cream soups, milk based protein drinks, pudding, etc. I said that my Dr. was just simply better and cared more about me than theirs did. And then I slurped my chicken broth as loudly as I could for the remainder of the meal. Because sometimes it's more satisfying to behave as if you were a 5 then to try to talk to the stupid. But, I am wondering if any of you know of other Dr.'s who are as quick to move patients along? I'm starving and all and I really hate Jello weather it's with or without sugar. But the clear liquids make sense to me. Let me know what you know. Grace __________________________________________________