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	<title>Comments for Unbounded Medicine</title>
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	<link>http://www.unboundedmedicine.com</link>
	<description>A med blog about health, news, surgery, urology and medicine as it must be, unlimited.</description>
	<lastBuildDate>Mon, 23 Jan 2012 21:46:59 +0000</lastBuildDate>
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		<title>Comment on Insulinoma &amp; Whipple triad &#8211; Surgery (update) by sue</title>
		<link>http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-532982</link>
		<dc:creator>sue</dc:creator>
		<pubDate>Mon, 23 Jan 2012 21:46:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-532982</guid>
		<description>Vanessa, I think most people that get really low sugars after an overnight fast sometimes talk their doctor into an overnight hospital stay to put the glucose drip in.  I had an EUS along with an upper endoscopy.  It is a breeze.  They knock you out and then you come to.  I had a very slight feeling in my lower chest that i could tell where maybe they spent more time or something, but it went away by the next day.  I&#039;m never hungry, but was able to eat.</description>
		<content:encoded><![CDATA[<p>Vanessa, I think most people that get really low sugars after an overnight fast sometimes talk their doctor into an overnight hospital stay to put the glucose drip in.  I had an EUS along with an upper endoscopy.  It is a breeze.  They knock you out and then you come to.  I had a very slight feeling in my lower chest that i could tell where maybe they spent more time or something, but it went away by the next day.  I&#8217;m never hungry, but was able to eat.</p>
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		<title>Comment on Insulinoma &amp; Whipple triad &#8211; Surgery (update) by Vanessa</title>
		<link>http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-531029</link>
		<dc:creator>Vanessa</dc:creator>
		<pubDate>Tue, 17 Jan 2012 16:32:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-531029</guid>
		<description>Hi, I was diagnosed last July with an insulinoma and referred to Hammersmith Hospital.  I had a galium PET scan in December which showed it was just the one tumour.  I am having an EUS on Monday as the surgeon is concerned about the proximity to the duct of my tumour.  I am very fearful of the whole experience - mainly due to having to fast.  I am to get to hospital for 8am and be put on a glucose drip for an afternoon procedure.  I am also very concerned about making the 18 mile trip across London to get there in time.  I would be grateful if anyone could tell me of their EUS procedures for some reassurance.  Were you sick afterwards, have a sore throat etc?  How long did it take?  Are you able to eat afterwards or don&#039;t you feel like it?  I am very grateful for all Hammersmith are doing, but just wish I knew at the time of initial diagnosis there were many other hurdles to get over. It seems such a long process. I also didn&#039;t realise once diagnosed you are not able to drive.  I had been driving since July until a few weeks ago when the endocrinologist told me I was basically uninsurable.  Any good luck to everyone with their journeys to a healthier life!</description>
		<content:encoded><![CDATA[<p>Hi, I was diagnosed last July with an insulinoma and referred to Hammersmith Hospital.  I had a galium PET scan in December which showed it was just the one tumour.  I am having an EUS on Monday as the surgeon is concerned about the proximity to the duct of my tumour.  I am very fearful of the whole experience &#8211; mainly due to having to fast.  I am to get to hospital for 8am and be put on a glucose drip for an afternoon procedure.  I am also very concerned about making the 18 mile trip across London to get there in time.  I would be grateful if anyone could tell me of their EUS procedures for some reassurance.  Were you sick afterwards, have a sore throat etc?  How long did it take?  Are you able to eat afterwards or don&#8217;t you feel like it?  I am very grateful for all Hammersmith are doing, but just wish I knew at the time of initial diagnosis there were many other hurdles to get over. It seems such a long process. I also didn&#8217;t realise once diagnosed you are not able to drive.  I had been driving since July until a few weeks ago when the endocrinologist told me I was basically uninsurable.  Any good luck to everyone with their journeys to a healthier life!</p>
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		<title>Comment on Insulinoma &amp; Whipple triad &#8211; Surgery (update) by sue</title>
		<link>http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-524577</link>
		<dc:creator>sue</dc:creator>
		<pubDate>Fri, 06 Jan 2012 02:22:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-524577</guid>
		<description>Any people still checking in?

Kim, I just realized your surgery was today!  Please let us know how you are when you feel up to it.  Hope everything went as well as it could!</description>
		<content:encoded><![CDATA[<p>Any people still checking in?</p>
<p>Kim, I just realized your surgery was today!  Please let us know how you are when you feel up to it.  Hope everything went as well as it could!</p>
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		<title>Comment on Insulinoma &amp; Whipple triad &#8211; Surgery (update) by sue</title>
		<link>http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-512171</link>
		<dc:creator>sue</dc:creator>
		<pubDate>Sun, 18 Dec 2011 17:18:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-512171</guid>
		<description>I know I&#039;ve been hanging out here for a few years and still no diagnosis related to my hypos.  But, y&#039;all are the only place I can get help and info related to severe hypoglycemia!

I had my EUS and they didn&#039;t find anything back in September.  The problem is, for all these years of hypos, I would get adrenergic symptoms as my warning that I was going low.  In the last six months, I find I get very solemn at first, without realizing that I am.  Then all the sudden, I feel lightheaded.  Now, I&#039;ve noticed my vision gets VERY odd, kind of like blurry and bright at the same time.  I get very focused on getting glucose, as I feel like I might pass out if I don&#039;t hurry.  Then the shaking sets in and I&#039;m dropping things as I try to open this or that.
Can someone explain why my symptoms are changing from adrenergic to neuroglycopenic?  Did anyone have experience with this happening?</description>
		<content:encoded><![CDATA[<p>I know I&#8217;ve been hanging out here for a few years and still no diagnosis related to my hypos.  But, y&#8217;all are the only place I can get help and info related to severe hypoglycemia!</p>
<p>I had my EUS and they didn&#8217;t find anything back in September.  The problem is, for all these years of hypos, I would get adrenergic symptoms as my warning that I was going low.  In the last six months, I find I get very solemn at first, without realizing that I am.  Then all the sudden, I feel lightheaded.  Now, I&#8217;ve noticed my vision gets VERY odd, kind of like blurry and bright at the same time.  I get very focused on getting glucose, as I feel like I might pass out if I don&#8217;t hurry.  Then the shaking sets in and I&#8217;m dropping things as I try to open this or that.<br />
Can someone explain why my symptoms are changing from adrenergic to neuroglycopenic?  Did anyone have experience with this happening?</p>
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		<title>Comment on Insulinoma &amp; Whipple triad &#8211; Surgery (update) by Kim</title>
		<link>http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-502564</link>
		<dc:creator>Kim</dc:creator>
		<pubDate>Wed, 30 Nov 2011 03:49:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-502564</guid>
		<description>I recently went through the 72 hour fast..although I only made it about 24  hours before my levels dropped to 42. After the test they performed an MRI of my pancreas and found a 2 cm tumor on the head of my pancreas. I am scheduled for surgery on Jan. 5 and scared to death. The surgeon says he has only done two of these surgeries but he is performing it with a partner. I am sick to my stomach about the whole thing. He says he has to do an open surgery because he does not feel the laproscopic would  work. He also said he does not think I will need the whipple because it is not on the duct..close but not on. About how long is the recovery time for this type of surgery and about how long is the hospital stay?</description>
		<content:encoded><![CDATA[<p>I recently went through the 72 hour fast..although I only made it about 24  hours before my levels dropped to 42. After the test they performed an MRI of my pancreas and found a 2 cm tumor on the head of my pancreas. I am scheduled for surgery on Jan. 5 and scared to death. The surgeon says he has only done two of these surgeries but he is performing it with a partner. I am sick to my stomach about the whole thing. He says he has to do an open surgery because he does not feel the laproscopic would  work. He also said he does not think I will need the whipple because it is not on the duct..close but not on. About how long is the recovery time for this type of surgery and about how long is the hospital stay?</p>
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		<title>Comment on Massive postincisional hernia of the abdominal wall by The Lovely Disaster</title>
		<link>http://www.unboundedmedicine.com/2007/03/31/massive-postincisional-hernia-of-the-abdominal-wall/#comment-502161</link>
		<dc:creator>The Lovely Disaster</dc:creator>
		<pubDate>Tue, 29 Nov 2011 08:01:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2007/03/31/massive-postincisional-hernia-of-the-abdominal-wall/#comment-502161</guid>
		<description>Okay , you guys have scared the crap outta me now ?? Been fight for this surgery for ten months due to no insurance and the doctor is mad I can get some kind of medicade or something ? Long story short I have a sig colostomy due to a botched surgery , that I will have for ever , i&#039;ve had many surgerys in my life i&#039;m 43 year old female now i have a hernia the size of a watermelon , you guys say it will come back , If i don&#039;t do it they say it will kill me , my friends are throwing a benifit to get me the surgeon ?? Is it worth it ?? Or am I just gonna die anyway , I&#039;m so tired already and been the hardest ten months of my life plz hang there with me i feel your pain ;(  The Lovely Disaster  whos scared right along with you .......</description>
		<content:encoded><![CDATA[<p>Okay , you guys have scared the crap outta me now ?? Been fight for this surgery for ten months due to no insurance and the doctor is mad I can get some kind of medicade or something ? Long story short I have a sig colostomy due to a botched surgery , that I will have for ever , i&#8217;ve had many surgerys in my life i&#8217;m 43 year old female now i have a hernia the size of a watermelon , you guys say it will come back , If i don&#8217;t do it they say it will kill me , my friends are throwing a benifit to get me the surgeon ?? Is it worth it ?? Or am I just gonna die anyway , I&#8217;m so tired already and been the hardest ten months of my life plz hang there with me i feel your pain ;(  The Lovely Disaster  whos scared right along with you &#8230;&#8230;.</p>
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		<title>Comment on Do not explode a firecracker in your hand never (update) by Mark</title>
		<link>http://www.unboundedmedicine.com/2006/03/20/do-not-explode-a-firecracker-in-your-hand-never/#comment-501546</link>
		<dc:creator>Mark</dc:creator>
		<pubDate>Sun, 27 Nov 2011 03:49:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/?p=56#comment-501546</guid>
		<description>IT WAS NOT A DAM PIPE BOMB FOR THE 100TH TIME! First of all a pipe bomb wouldnt just take off a hand it would prolly take off your whole arm and part of your torso. Secondly if holding a pipebomb you deff wouldnt survive all of the shrapnal would shred you up like bullets.</description>
		<content:encoded><![CDATA[<p>IT WAS NOT A DAM PIPE BOMB FOR THE 100TH TIME! First of all a pipe bomb wouldnt just take off a hand it would prolly take off your whole arm and part of your torso. Secondly if holding a pipebomb you deff wouldnt survive all of the shrapnal would shred you up like bullets.</p>
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		<title>Comment on Twin-to-Twin transfusion by Ruth</title>
		<link>http://www.unboundedmedicine.com/2007/05/03/twin-to-twin-transfusion/#comment-501272</link>
		<dc:creator>Ruth</dc:creator>
		<pubDate>Fri, 25 Nov 2011 16:59:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2007/05/03/twin-to-twin-transfusion/#comment-501272</guid>
		<description>the children are God gifts to you so relax is well never think God who gave them to u will take care of them they were the heritage of God.  u are blessed my dear is well with the righteous is well with u</description>
		<content:encoded><![CDATA[<p>the children are God gifts to you so relax is well never think God who gave them to u will take care of them they were the heritage of God.  u are blessed my dear is well with the righteous is well with u</p>
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		<title>Comment on Rectal Prolapse &#8211; NSFW by Pamela Dollar</title>
		<link>http://www.unboundedmedicine.com/2009/08/05/rectal-prolapse-nsfw/#comment-500408</link>
		<dc:creator>Pamela Dollar</dc:creator>
		<pubDate>Tue, 22 Nov 2011 02:16:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/?p=203#comment-500408</guid>
		<description>God Bless the doctors that can heal us who suffer from prolapse. I am 39, i have suffered with this since i was 20. My prolapse started from straining on the toilet when i didn&#039;t know i was pregnant.  I still suffer today. 
How many cases result in Clostomy bags?</description>
		<content:encoded><![CDATA[<p>God Bless the doctors that can heal us who suffer from prolapse. I am 39, i have suffered with this since i was 20. My prolapse started from straining on the toilet when i didn&#8217;t know i was pregnant.  I still suffer today.<br />
How many cases result in Clostomy bags?</p>
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		<title>Comment on Worst case of hemorrhoidal prolapse ever &amp; PPH by Dr. Roman Mihailov</title>
		<link>http://www.unboundedmedicine.com/2006/07/25/worst-case-of-hemorrhoidal-prolapse-ever/#comment-498398</link>
		<dc:creator>Dr. Roman Mihailov</dc:creator>
		<pubDate>Wed, 16 Nov 2011 19:49:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/07/25/worst-case-of-hemorrhoidal-prolapse-ever/#comment-498398</guid>
		<description>Mich,

I see no reason for your comment. It seemed to be one made purely to &#039;troll&#039; Joe. Anal sex is not necessarily an unsafe practice as long as you take care not to damage your anal cavity in any way. It is only unsafe when having unclean and/or sex with someone who has a STD.


The facts that we know about the PPH patient is that he is a white male, age 45, and has a history with  history of chronic reducible hemorrhoidal disease. We do not know his height, weight, sexual orientation, or anything else. And, even if the man was gay, it is clear that this was not caused by having anal sex. This was caused by not having treated hemorrhoidal disease, straining, constipation, diarrhea,  or prolonged sitting, Without actually either getting our hands on his case file or asking him, we will never find out.


On a different note; this treatment seems like a suitable one depending on person and/or how bad the prolapse is. However, Tham, an above commentor, seems to have had the procedure and met with unsatisfactory results. I am not certain as to why, I&#039;m actually a Cardiologist and researcher, and have never dealt with patients who have  hemorroidal disease. Though, as I said, it seems to differentiate from person to person. However, I would say this article would be very helpful to scaring someone into taking better care of their body, that&#039;s for sure! And, of course, taking better care of their hemorroids. But it&#039;s also helpful if one were to be researching options to deal with their own or to find out if they themselves have prolapse.


4.5 stars from me.</description>
		<content:encoded><![CDATA[<p>Mich,</p>
<p>I see no reason for your comment. It seemed to be one made purely to &#8216;troll&#8217; Joe. Anal sex is not necessarily an unsafe practice as long as you take care not to damage your anal cavity in any way. It is only unsafe when having unclean and/or sex with someone who has a STD.</p>
<p>The facts that we know about the PPH patient is that he is a white male, age 45, and has a history with  history of chronic reducible hemorrhoidal disease. We do not know his height, weight, sexual orientation, or anything else. And, even if the man was gay, it is clear that this was not caused by having anal sex. This was caused by not having treated hemorrhoidal disease, straining, constipation, diarrhea,  or prolonged sitting, Without actually either getting our hands on his case file or asking him, we will never find out.</p>
<p>On a different note; this treatment seems like a suitable one depending on person and/or how bad the prolapse is. However, Tham, an above commentor, seems to have had the procedure and met with unsatisfactory results. I am not certain as to why, I&#8217;m actually a Cardiologist and researcher, and have never dealt with patients who have  hemorroidal disease. Though, as I said, it seems to differentiate from person to person. However, I would say this article would be very helpful to scaring someone into taking better care of their body, that&#8217;s for sure! And, of course, taking better care of their hemorroids. But it&#8217;s also helpful if one were to be researching options to deal with their own or to find out if they themselves have prolapse.</p>
<p>4.5 stars from me.</p>
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		<title>Comment on Insulinoma &amp; Whipple triad &#8211; Surgery (update) by Tina</title>
		<link>http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-497241</link>
		<dc:creator>Tina</dc:creator>
		<pubDate>Sun, 13 Nov 2011 21:07:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-497241</guid>
		<description>Hi Jack

A few months after I had my Whipple in 2009 I also lost a lot of hair. Luckily I have a lot of long, curly hair so nobody but me and my hairdresser noticed. After about a month it stoppet and my hair began to grow back out. Strangely enought the new hair is straight unlike my otherwise curly hair. But never mind that....

So this is just to tell you not to worry, this is not unusual after big operations or long time of illness. 

Tina</description>
		<content:encoded><![CDATA[<p>Hi Jack</p>
<p>A few months after I had my Whipple in 2009 I also lost a lot of hair. Luckily I have a lot of long, curly hair so nobody but me and my hairdresser noticed. After about a month it stoppet and my hair began to grow back out. Strangely enought the new hair is straight unlike my otherwise curly hair. But never mind that&#8230;.</p>
<p>So this is just to tell you not to worry, this is not unusual after big operations or long time of illness. </p>
<p>Tina</p>
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		<title>Comment on Insulinoma &amp; Whipple triad &#8211; Surgery (update) by Jack</title>
		<link>http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-495720</link>
		<dc:creator>Jack</dc:creator>
		<pubDate>Sat, 05 Nov 2011 02:56:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/01/15/insulinoma-whipple-triad-surgery/#comment-495720</guid>
		<description>Just checking in with post whipple stuff:

Abdominal pains/spasms have decreased in intensity and duration - I&#039;d say around eight or nine weeks after the surgery they got noticeably better. I still get them occasionally but they are much more manageable. 

What I&#039;ve noticed lately, though, over the past three weeks (I&#039;m currently just short of three months out of surgery) is that my hair is falling out dramatically. They say this happens in a percentage of patients and that it should stop before four months and that it grows back. I checked some other blogs and read some anecdotal evidence to match that...

jack</description>
		<content:encoded><![CDATA[<p>Just checking in with post whipple stuff:</p>
<p>Abdominal pains/spasms have decreased in intensity and duration &#8211; I&#8217;d say around eight or nine weeks after the surgery they got noticeably better. I still get them occasionally but they are much more manageable. </p>
<p>What I&#8217;ve noticed lately, though, over the past three weeks (I&#8217;m currently just short of three months out of surgery) is that my hair is falling out dramatically. They say this happens in a percentage of patients and that it should stop before four months and that it grows back. I checked some other blogs and read some anecdotal evidence to match that&#8230;</p>
<p>jack</p>
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		<title>Comment on Twin-to-Twin transfusion by theresa</title>
		<link>http://www.unboundedmedicine.com/2007/05/03/twin-to-twin-transfusion/#comment-494509</link>
		<dc:creator>theresa</dc:creator>
		<pubDate>Thu, 27 Oct 2011 20:44:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2007/05/03/twin-to-twin-transfusion/#comment-494509</guid>
		<description>hi them boys are going to be just fine, my nondenticial boys was 6 wks premature leo was 5lb60z and leon at just under 3lbs, leo was a giant compared to his brother, leon was so small and spent alot of time in and out of hospital with breathing problems he was so strong i nearly lost him twice he had 2 operations on his upper airways to remove skin from his windpipe, then after  that leon was dign with sleep apena i brought him home with a cpap this mask he wore everynight for 6 months he would just scream he hated it but i perserverd and u know what leon started to put weight on and sleeping properly and growing the way he should be but his brother leo still fatter and bigger then him, the only thing his hes well, but has seziures when ever h eis poorly hes awaiting test, leon his the strongest one , i hope reading this will help good luck</description>
		<content:encoded><![CDATA[<p>hi them boys are going to be just fine, my nondenticial boys was 6 wks premature leo was 5lb60z and leon at just under 3lbs, leo was a giant compared to his brother, leon was so small and spent alot of time in and out of hospital with breathing problems he was so strong i nearly lost him twice he had 2 operations on his upper airways to remove skin from his windpipe, then after  that leon was dign with sleep apena i brought him home with a cpap this mask he wore everynight for 6 months he would just scream he hated it but i perserverd and u know what leon started to put weight on and sleeping properly and growing the way he should be but his brother leo still fatter and bigger then him, the only thing his hes well, but has seziures when ever h eis poorly hes awaiting test, leon his the strongest one , i hope reading this will help good luck</p>
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		<title>Comment on FAQ &#8211; Necrotizing Enterocolitis by hayley</title>
		<link>http://www.unboundedmedicine.com/2006/08/16/faq-necrotizing-enterocolitis/#comment-494363</link>
		<dc:creator>hayley</dc:creator>
		<pubDate>Wed, 26 Oct 2011 18:55:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/2006/08/16/faq-necrotizing-enterocolitis/#comment-494363</guid>
		<description>my little boy was born at 27wks and 6 days weighing 2lb 15oz he had his ups and downs but by 7 weeks was doing and feeding well and weighed 4lb 10 oz we thought it wouldnt b long untl we had him home, then they discovered then he had a hernia they operated and he got over this well but after ventilating him for the op they damaged his windpipe and gave him a stridor so they had to operate again to widen his windpipe he had to be sedated for a week to recover but was doing well then 5 days after his op we were called saying he was poorly and they thought he had nec they started giving him antibiotics and scanning and xraying him regularly 3 days later they said he would need an op then we got a dreaded call saying there was nothing more they could do for him 95% of his bowel had died he died in my arm aged 10 weeks am devasted a thought he was passed getting things like that :-( x</description>
		<content:encoded><![CDATA[<p>my little boy was born at 27wks and 6 days weighing 2lb 15oz he had his ups and downs but by 7 weeks was doing and feeding well and weighed 4lb 10 oz we thought it wouldnt b long untl we had him home, then they discovered then he had a hernia they operated and he got over this well but after ventilating him for the op they damaged his windpipe and gave him a stridor so they had to operate again to widen his windpipe he had to be sedated for a week to recover but was doing well then 5 days after his op we were called saying he was poorly and they thought he had nec they started giving him antibiotics and scanning and xraying him regularly 3 days later they said he would need an op then we got a dreaded call saying there was nothing more they could do for him 95% of his bowel had died he died in my arm aged 10 weeks am devasted a thought he was passed getting things like that :-( x</p>
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		<title>Comment on Do not explode a firecracker in your hand never (update) by nat</title>
		<link>http://www.unboundedmedicine.com/2006/03/20/do-not-explode-a-firecracker-in-your-hand-never/#comment-493609</link>
		<dc:creator>nat</dc:creator>
		<pubDate>Sat, 22 Oct 2011 05:16:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.unboundedmedicine.com/?p=56#comment-493609</guid>
		<description>in india the worst things r crackers cause dey give harmful fumes!!!        :P</description>
		<content:encoded><![CDATA[<p>in india the worst things r crackers cause dey give harmful fumes!!!        :P</p>
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