African clawless otter A.
This morning we had baked eggs…. Crushed tomatoes, mushrooms, paprika and eggs placed in a baking dish and popped in the oven for 10minutes or until the egg is cooked to your liking. There are very few things I know how to cook — so few that I can actually count them on one hand. My life as a something-year-old has been mainly lived eating out and getting take away. Pinterest has been our go-to place for recipes and is also a great place to keep track and store any recipes we discover on any food blogs.
On Sunday night, we cooked a tofu stir fry, served with brown rice I like to think we were being healthy. It was gluten free and dairy free, with the potential to be vegan if you substitute the honey with maple syrup or an equivalent. What do you like to eat for lunch? Cook quinoa as per package instructions or pop them in a rice cooker if you have one! Prepare the remaining vegetables. Crush the cans with your feet.
Try to get the opening of the can in the place you would like as you crush. To crush the bottles fold over the top half of the bottle while pushing in on the sides or slightly twisting the sides.
Press down with your feet until the crushed bottle stays in place. If you want the bottom of the bottle to be rounder and fatter for the body of the bear, do not crush it flat. Spray paint the bottles and cans with white, flat spray paint and them let dry at least an hour.
Cut ears, feet, arms, nose, and eye patch shapes from black craft foam and glue them to the bottle or can. Cut a muzzle shape from white craft foam and glue it over the opening of the bottle or can so that only half of the opening is showing. Glue on googly eyes, or eyes used to make stuffed animals. Cut the backs off the animal eyes with pliers before gluing them on.
You can also use animal noses instead of fun foam shapes. Glue the bowl upside down to the Styrofoam plate. You can make the panda bear look like it is laying on its back by placing the bowl at the top of the plate.
Or you can make it look like it is laying on its stomach by placing the bowl at the bottom of the plate as shown in the pictures. Paint on the nose and eye patches with black acrylic paint and draw in the mouth with a black Sharpie marker. Glue two foam marshmallows together flat sides together for the body.
Glue the head onto the body as shown. Cut one marshmallow in half long ways and then cut both half pieces in half again the same way to make the legs. Cut corners off of the ends of each leg piece and glue them to the the body as shown. Paint the legs, around the eyes, and neck area black. Use a marker to draw in the mouth and tongue. Glue black pompoms on for ears. Paint paws on the ends of the back legs. White Spray Paint Made for Plastic If you can't find paint for plastic use plastic primer spray paint and any type white spray paint.
Wash and dry two milk jugs. To remove the labels fill the jugs with hot water up to the labels. Let the jugs stand for about one minute and then pull the labels off. You can also use a hair dryer. Heat the labels with the hair dryer and then pull them off. To get rid of the ink numbers on the top of the jug spray a little bit of paint on the numbers. During the ensuing 15 months her clinical course exhibited clear "wax-and-wane" pattern, where her OCD symptoms would decrease over a period of time only to be re-ignited by even minor infectious episodes usually a viral upper respiratory tract infection.
The quality and the intensity of her OCD symptoms would change in time. However, her debilitating separation anxiety and diminished fine motor skills would not improve significantly even during the periods of diminished OCD symptoms. Her treatment included several courses of antibiotics usually there was an immediate, but incomplete remission of her OCD symptoms , tonsillectomy in April , and several attempts to control her symptoms with SSRI.
Following a telephone discussion with patient's mother the following laboratory data were obtained: ASO titer reported as normal!? A "steroid burst" was administered prior to the appointment and the response was considered significantly positive.
She was discharged home with her parents following the second day infusion and has been kept on a preventative antibiotic. Three and six months follow up reports confirmed that patient had continued to remain symptom free. IVIG infusion was given in February and the procedure was tolerated well.
His schoolwork improved almost immediately and his teacher felt that he was back no his normal potential in school as well. One-year follow up only confirmed patient's complete recovery and no further follow-ups had been scheduled.
Follow ups of patient's condition at 1 month, and 1 year following the treatment confirmed a complete disappearance of her symptoms and a full recovery. At age of 18 months he had a documented Group A Beta-Hemolytic Streptococcus infection that was, within few days, followed by severe and unmistakable OCD symptoms: Since he was not able to communicate his desires or urges to his mother appropriately because of his age and state of his speech development he would drag her by her finger to the sink and cry "wa, wa" until she would pick him up and let him wash his hands.
In addition, he developed severe anxiety over just about everything eating, foods, shoes, etc. This bizarre behavior persisted for a while attending physicians could not explain it adequately. His symptoms slowly waned down but his behavior anxiety, separation anxiety persisted and was considered to be a result of family's sudden move overseas. At age of 3 patient had another documented Streptococcus infection and there was another resurgence of his bizarre symptoms.
Only this time there were multiple motor and vocal tics present as well. Being in a foreign country mother took upon herself to manage this particular episode by obtaining oral steroids. Within a week all patient's symptoms disappeared and he was at least by her recollection back to near normal. Another episode took place at age of 5 when, following another infectious episode patient suddenly developed multiple motor and vocal tics, severe OCD symptoms changing clothes up 20 times per day, lining puzzles day and night, demanding that parents read and do flash cards at all hours of day and night and debilitating behavioral changes severe separation anxiety, moodiness, temper tantrums, etc.
At that time patient was worked up in Louisiana and placed on Zoloft and steroids. Within a week his symptoms abated and he was back to school. At that time his separation anxiety was greatly improved as well and disappearance of symptoms was credited to Zoloft.
In November patient became ill with high fever, swollen glands and sore throat. Four days later when the symptoms of his illness started to improve he developed extreme anxiety, OCD symptoms and mild tics. By the end of December his behavior became uncontrollable. His separation anxiety was so extreme that he attempted to jump out of the moving car on the way to school. Patient was admitted to a mental hospital for several weeks and was treated with numerous medications but improved only slightly and upon the discharge was not able to return to school.
In January patient's mother contacted our offices via e-mail and following several communication exchanges decided to bring him for further evaluation and possible treatment. There were mild side effects at and immediately following the infusion headaches, several episodes of vomiting and fever , but everything normalized with couple of days.
Follow up by e-mail at 1 and 6 months after the infusion confirmed that he continued to be asymptomatic. There was an episode of recurrence of symptoms approximately 9 months after the treatment mother reportedly had a Strept infection and it was easily controlled with 5 days of Prednisone. Below are few examples of real clinical cases of PANDAS seen and treated in our offices during the past couple of years.
If the first clinically recognized episode occurs after the age of 8 and especially after the age of 10 , it is unlikely true initial episode , but the recurrent one. Previous episodes were likely not recognized as such. She also exhibited significant change in her personality with excessive moodiness, unprovoked crying episodes and severe separation anxiety. Patient was given a days course of oral Penicillin with no improvement in symptoms. Oral steroids were instituted following the antibiotic treatment and an immediate and significant improvement was noticed.
At that time she was started on Augmentin with a decent control of her tics but behavioral changes had persisted. In April following a mild sore throat there was a fully blown recurrence of her symptoms.
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