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tag:blogger.com,1999:blog-7011466Wed, 13 Mar 2024 21:01:14 +0000Cameroon. Period.This website is not affiliated with the United States, the United States Peace Corps, or Cameroon. The opinions expressed on this site are those of the author. Thank you. P.S. I will write whatever I want to write, so leave me alone.noreply@blogger.com (Eye On the World)Blogger33125tag:blogger.com,1999:blog-7011466.post-111856602317285320Sun, 12 Jun 2005 08:44:00 +00002008-11-28T16:51:16.992-08:00how can a tiny mosquito cause so much pain?I am a little more inspired than I was yesterday, so lets see if I can dish out some real substance in this entry.<br /><br />I spent the night vomiting. I had a fever. It continued into the morning. My bones ache, my head hurts, my stomach is twisted into knots. This could be my first bout with the legendary illness known as MALARIA! Quite frankly, I’m ecstatic about it. I think it’s comparable to surviving a gunshot. Sadly, Malaria leaves no scars, but my story will echo in the halls of eternity.<br /><br />SCHOOOOOOOL’S OUT FOR SUMMER! SCHOOOOOOOOL’S OUT FOR SUMMER! Hells yea. Professor Banick has some time off. That teaching 6 hours per week really took a toll on me. I’m going to spend the next three months, traveling, sitting under the mango tree, and just appreciating all the beauty and frustrations this marvelous country has to offer.<br /><br />My dear old friend Stan (80 yr old post mate) has decided his time in Cameroon is up. He will be ending his service and returning to the States next Friday. Its really sad to see him go, I’ve had a lot of good times with the guy, he may be the funniest and most clever SOB I’ve ever known. I’m happy for him, though, he knows its time to go, and he’s got three wonderful kids to be with in the States. Stan, Richard and I have spent countless evenings sipping gin, and playing scrabble at Stan’s mansion (by PC standards). Good bye old friend! There is a great picture of Richard, Stan and I (the Nanga-Eboko crew on Richards website, this was taken at Stan’s 80th b-day party, <a href=" here</a>)<br /><br />The volunteer group that arrived a year before me is gradually heading back to the states. A new group arrives next Saturday. The winds of change blow once again. Hard to believe, I’m just a year away from my return to reality. Occasionally I think about what I will do when I get back, a very commonly pondered topic among volunteers. My plan involves Hollywood, fame, and piles of money, which I will donate to Africa.<br /><br />Okay, that’s all for now. Stay healthy2005/06/how-can-tiny-mosquito-cause-so-much.htmlnoreply@blogger.com (Eye On the World)8tag:blogger.com,1999:blog-7011466.post-111837986990823983Fri, 10 Jun 2005 04:52:00 +00002008-11-28T16:54:25.683-08:00this blog is losing steamOnce again, its been ages since I've updated. Remember the good ol' days of weekly updates?<br /><br />I guess it's only natural that my blog updating frequency should decrease since I havent had email access in my village for over 3 months. In fact I haven't had ELECTRICITY in my village for oever 2 months. I still write though. I write everyday in my journal. I think I will soon fill up all 500 pages in my journal. Not bad.2005/06/this-blog-is-losing-steam.htmlnoreply@blogger.com (Eye On the World)3tag:blogger.com,1999:blog-7011466.post-110684007119181394Thu, 27 Jan 2005 15:32:00 +00002005-01-27T07:34:31.190-08:00Girl Urinates on my Porch <p class="MsoNormal"><span style="" lang="EN-GB">Good Afternoon, Bon Soir, and Beum Beu Goré as they say here in Nanga Eboko.<span style=""> </span>I have started taking Ewondo (local language) lessons for which Peace Corps will reimburse me.<span style=""> </span>The lessons are given by neighbour, Achille.<span style=""> </span>When I leave this country I will be QUADRILINGUAL.<span style=""> </span>I can just imagine sitting through a job interview back in the states while the interviewer reads through my resumé:<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“Oh, I see that you speak several languages.<span style=""> </span>French, okay…Spanish, uh huh…wait!<span style=""> </span>YOU SPEAK EWONDO!?<span style=""> </span>Mr. Banick, this is great, we have been looking for an Ewondo speaker.<span style=""> </span>Its such an important language in the world market.<span style=""> </span>PLEASE accept our offer.<span style=""> </span>How does 2 million per year sound?”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“Full benefits?”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“Of course, Mr. Banick, this is America.”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“6 months vacation per year?”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“Well, I don’t think that’s p-”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“Do you want an Ewondo speaker or not, buddy?”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“yes, um, agreed, 6 months vacation.<span style=""> </span>So can we have you?”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">“Ma di coupe.<span style=""> </span>That means I eat chicken, in ewondo.<span style=""> </span>And no, you cant have me, I cant stand working 6 months out of the year, that’s rediculous.<span style=""> </span>Good bye NTANGEN (White man)”<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">Ah, what an interview that will be.<span style=""> </span>Anyway, back to reality.<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">Yéyé, the little 3 year old who lives in the house behind mine came up to my door the other day.<span style=""> </span>She was just standing on my porch, seemingly doing nothing, with a completely uninterested look on her face.<span style=""> </span>When all of a sudden, she started to urinate on my door step.<span style=""> </span>She’s just standing there, urinating, on my doorstep, like its nothing.<span style=""> </span>I yell “Yéyé!<span style=""> </span>Qu’est que tu fait? (what are you doing?)”<span style=""> </span>She just stares at me, giving me this look like “what does it look like I’m doing white man?<span style=""> </span>A little privacy please!”<span style=""> </span>When she finished she just walked away, casually, like it was nothing.<span style=""> </span>Does she pee on everyone’s doorstep?<span style=""> </span>Is this a facet of Cameroonian Child Culture that I have yet to discover?<span style=""> </span>No, according to her 5 brothers, she just pees where she wants to.<span style=""> </span>So as I’m trying to clean it, my little cat (named black man) comes over to have a taste…just crazy I tell you, the things that can happen on my front porch.<span style=""> </span>Luckily I removed Black Man (my cat) from the puddle before he got to drink it.<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">The gender of my cat (named Black Man) has been determined.<span style=""> </span>White Man’s cat is indeed a male.<span style=""> </span>Black Man is a male.<span style=""> </span>Thanks for the gender determination tips GMA and GPA.<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">I know, you are still waiting for pictures.<span style=""> </span>Here’s the deal:<span style=""> </span>I have no AA batteries for Camera at the moment and the one’s they sell here are too weak to power it.<span style=""> </span>I figure, since Blake will be here 2 weeks from today (WOOOHOOO, its about bloody time), and since he is a professional photographer with a full arsenal of high powered photographic weapons, I will let his pictures do the talking.<span style=""> </span>He is going to take MANY MANY MANY pictures of our grand adventures all over Cameroon, and they will all be posted.<span style=""> </span>You can count on that.<span style=""> </span>Please trust me here.<span style=""> </span>As long as Blake hasn’t screwed up his Visa Application, or lost his Yellow Fever Vaccination card, there should be no problems.<span style=""> </span>Please, don’t screw anything up buddy, please.<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">What else.<span style=""> </span>Oh, I’m getting really good at carrying buckets of water.<span style=""> </span>Its becoming my daily workout.<span style=""> </span>Trekking down the old dirt path to the water source.<span style=""> </span>The best time to go is around 10 a.m. when kids are at school, otherwise the place is like Water world (the water park).<span style=""> </span>Children everywhere, waiting in line to get water, bathing, cleaning, having water fights, staring at me.<span style=""> </span>One of my buckets is labelled “Laundry” in black marker.<span style=""> </span>I was at the water source the other day when I overheard a little girl tell her friend “see, the white man’s name is ‘Laundry’, its written right there on the bucket.”<span style=""> </span>I had to clarify things for these confused little girls.<span style=""> </span>I can handle being called ‘white man’ all the time, but I will not be known as ‘Laundry.’<span style=""> </span>That is unacceptable.<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">Since my house is on the dirt road that leads to the high school, I am treated to a parade of gawking high school students everyday around 3pm as they walk home from school.<span style=""> </span>Some of them just stare at me.<span style=""> </span>Some of them make comments about me which I can hear (Either they think I don’t understand French, I am deaf, or they just don’t care).<span style=""> </span>I hear things like “look, the white man cleans his dishes.”<span style=""> </span>Or “I hear the white man keeps his cat INSIDE the house, like a child.”<span style=""> </span>Or, “who is this WHITE MAN?”<span style=""> </span>Sometimes they just yell “BLANC!” or “WHITE.” I tend to ignore or just stare back at everyone, except for the yellers.<span style=""> </span>I always talk to the yellers.<span style=""> </span>They say “WHITE!” and I say “BLACK! Come over here for a minute.”<span style=""> </span>They are usually a bit taken back by my demands, but they always end up coming over.<span style=""> </span>I give them a little lecture about me having a name, that it isn’t White, or Blanc, just as their name isn’t ‘black’ or ‘noir.’<span style=""> </span>They listen with open ears, and they are usually very good about calling me Allen every time they see me thereafter.<span style=""> </span>That is one of my Peace Corps projects, and it is quite a success.<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">My other projects involve cleaning my house (a never ending process, the second I finish, the dishes somehow get dirty again, dust builds up again, and all the stuff I put away has found its way back to where it shouldn’t be.<span style=""> </span>I am a very messy neat freak.<span style=""> </span>My house is either a disaster area or it is immaculate.)<span style=""> </span>I also play a ton of SCRABBLE with my post mates Richard and Stan.<span style=""> </span>We play SCRABBLE all over town, usually at a bar in the company of a cold beer. <span style=""> </span>I also read a ton.<span style=""> </span>There is a great library on the University Campus where I will be teaching that Richard is working on organizing.<span style=""> </span>There is a whole selection of books in English and French, covering all subjects.<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">I am really enjoying myself in Nanga Eboko.<span style=""> </span>I haven’t really started doing much ‘real peace corps work’ here, but I am quickly realizing that ‘real Peace Corps work’ is the stuff that isn’t ‘Real Peace Corps work.’<span style=""> </span>It really involves hanging out with the neighbours, knowing the culture, communicating, sharing ideas.<span style=""> </span>People are getting to know me and my culture, and I am getting to know them and their culture.<span style=""> </span>It’s a great exchange and I am learning a lot from it just as they are.<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">I have IST (In Service Training) week after next.<span style=""> </span>I will be at a hotel for a week, and rumor has it, they will be showing the super bowl there, and there is a swimming pool.<span style=""> </span>That will be FANTASTIC.<span style=""> </span>Five days later, its HELLO BLAKE NOLAN.<span style=""> </span>For the next month after that, it’s the craziest adventure ever embarked upon.<span style=""> </span>You will read and see all about it.<o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB">PEACE <o:p></o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> <p class="MsoNormal"><span style="" lang="EN-GB"><o:p> </o:p></span></p> 2005/01/girl-urinates-on-my-porch.htmlnoreply@blogger.com (Eye On the World)6tag:blogger.com,1999:blog-7011466.post-110570258477530444Fri, 14 Jan 2005 11:00:00 +00002005-01-14T03:36:24.776-08:00My life in the dustWhats happenin people, <br /> <br />Its been a while, you look older, as do I. I am a bit dusty after the long journey to the Peace Corps office from my dusty old cow town. Before I wash up, let me update this blog, it been a while. <br /> <br />I may have stated this before, but the trip from my town, Nanga Eboko, to the capital, Yaounde, is done in old beat up prison buses. These things were built by the french sometime in the 60's and they are now used to cover the 150 or so mile stretch of dirt road from my town to the city. The road is dusty and treachorous, very dangerous. The beat up old vans speed around corners at high speeds swirving around herds of cattle and lumber trucks. I always tie a hankerchief around my face to avoid inhaling the massive amounts of dust that fly in the windows. Its the dry season here and that means dust and heat like its nodbody's business. On my way here I was treated to two blown out tires, which is an average day on the road. It took about 5 hours this time. If this trip were done on an American highway, it would probably take about 1.5 hours, no kidding. The amazing thing is that these beat up old buses actually still work. They are never really inspected before they go anywhere, they are just fixed when something breaks, and something always breaks. Luckily there is always a teenager on the bus whose only job is to fix stuff and he is usually pretty good. <br /> <br />Anyway, besides the travel, my new post is FANTASTIC. My house is pretty much set up now. I had a local guy make me all kinds of furniture, I painted the walls sky blue, I painted a mural of a pacific ocean sunset on one of my walls (I miss the ocean soooooo much, even though I havent lived by the ocean in 10 years). I got a little cat who I named BLACK. The cat is actually black and white and grey, but I named it BLACK because everyone in town calls me WHITE. Its name is really "Evindi" which means black in the local language. I am called "ntangen" which means white. So now all the little kids in my neighborhood run around screaming "evindi" looking for my cat. I call the cat "it" because I dont really know if it is a "he" or a "she" The gender of the cat is TBD. When I find out I will get it SPAYED/NEUTERED because I dont want my cat sleeping around, thats not cool. My cat is very nice. Sometimes it thinks its a dog, it licks my hands and it comes running to me when i whistle. <br /> <br />I take a bucket bath once a day to keep myself so fresh and so clean. In exactly FOUR WEEKS I will be teaching BLAKE NOLAN how to take a bucket bath. Blake is from L.A., I think this bucket bath business might be a little intimidating for such a pretty boy, hahahaha, he has NO IDEA what is coming. <br /> <br />My neighbors are all very friendly. The guy across the dirt road from me is my best friend in town. He takes care of everything. He spends his days sitting outside of his house making clothes, yes, he is a taylor. he uses an ancient sewing machine and a REALLY OLD iron that is heated by COALS. Yeah, he puts hot coals insde the iron, and IT WORKS. Straight out of 1870. John also takes care of my cat when I leave, he washes my clothes and he scrubs my floors (dont worry, I pay him well). I like to go out for beers with John, everyone in town knows this guy, it makes me feel cool and not so white. <br /> <br />I bought a t-shirt the other day that says "CRACKER" on the front, I wear it everywhere. Nobody really understands it here, but I think its hilarious. The second hand t-shirts you can buy here are great, and they only cost about a dollar. I got another one that says "Porn Star" Again, people dont understand it here, but as long as I am entertained! <br /> <br />I have started tutoring students in English. I havent started teaching at the high school, I wont start until the third trimester which starts in March. But get this, how does "Professor Allen Banick the Third" sound? Thats right peole, I have been contacted by the local UNIVERSITY to teach english. I havent accepted the offer yet, but they have offered me a very lucrative deal which includes: access to the internet cafe and to a cafeteria which serves large portions of not-so-good food at excellent prices. Hard to resist! I will let you know. <br /> <br />What else? I like kids, and thats good because there is a constant flow of children in and out of my little house. They are very easy to entertain, I must say. they come in and play with my can opener, my nail clippers, and they read through my newsweek magazines. In exchange for my kindness, they get me water from the well, they clean my shoes, and they fetch me beer at the store. its quite an arrangement I tell you. <br /> <br />All in all, my life in dusty old Nanga Eboko beats my life in Bafoussam, although I do miss my friends and tennis in bafoussam. I am quickly making new friends in Nanga and I have two outstanding postmates (Richard and Stan) with whom I play many exciting games of scrabble. Scrabble has become a favorite passtime for me, African nights in the village would be a little boring without it. <br /> <br />Its been a while since my trip to the beach, which was one of the most relaxing weeks I've enjoyed in a LONG TIME. I spent most of the time with Jen, laying in the sand, eating fish and shrimp, drinking expensive beer (prices go up by the beach), and doing nothing. I want to buy property on the coast here before I go. Apparently you can purchase beautiful beachfront property for a whopping 1000 dollars an acre in some areas. yeah thats right. If anyone is interested in investing, let me know. <br /> <br />For those of you who have sent me packages, I have some news. I still havent received any packages and I just found out that all mail is being held up in the port city of Douala due to some postal strike or something. this is good news really because it means the mail isnt lost and that I MAY ONE DAY SEE IT. <br /> <br />Thats all for now. I will be updating more frequently, especially after BLAKES VISIT! WHOOOHOOOO, BLAKE NOLAN come on down. Yeeeeeeahh. <br /> <br />Peace <br /> <br /> <br /> <br /> <br />2005/01/my-life-in-dust.htmlnoreply@blogger.com (Eye On the World)4tag:blogger.com,1999:blog-7011466.post-110465759754461796Sat, 25 Dec 2004 09:13:00 +00002005-01-02T01:19:57.543-08:00Happy Holidays Folks(This blog entry was formerly in the form of a mass email to all my family and friends...) <br /> <br />Ho Ho Ho <br />I can't believe that time of year is already upon us again. I look outside and nothing is different. It's still hot, the palm trees still have leaves (do palm trees have leaves?), the shopping malls are the same as they always are (non existant), and life is good. <br /> <br />Here's wishing you a happy holiday season from the armpit of Africa. I know some of you have been expecting emails from me for a while, others dont care to read this email, and others are pissed because I havent been updating my blog. <br /> <br />I have been quite busy here in the past month or so. It all started with me switching posts and moving from the dirtiest loudest most aggressive city in the world, to one of the dustiest, quietest, most peaceful little towns in the world. This is one of the better decisions I've made in my life as I am a thousand times happier now. Starting in January I get to work with kids, tutoring them in English and possibly taking on teaching high school english classes. This is a daunting task consdering class sizes range from 80 to 120 students. I look forward to the challenge and it will be a great relief from sitting in corrupt banks preteding I know what im doing. My new town is called NANGA EBOKO (no relation to EBOLA VIRUS). I still have my cell phone for those of you who care to call. Unfortunately internet access may be more rare for me, so those blog updates may not come as often as i would like them to. <br /> <br />For Christmas I am heading down to see my host family with whom I lived for my 2 months of training when I first got here. I look forward to it, apparently the beer and food and festivities and family will be plentiful. I do miss the holiday season in the states, where I would normally be watching Bronco games with my Dad and going to Reno to visit my lovely sisters. Not to worry, I get to do all that good stuff again in '06. <br /> <br />For New Years, if any of you are cold, you can think of me, as I will be spending 5 nights in the beachside resort of Kribi Cameroon. White sandy beaches, cold beer, warm water, and a new years buffet. I will be accompanied by a lovely young lady named Jen. I am tanned already, I will be a true african after this trip. Then its back to NANGA EBOKO to teach. Then I only have to wait a month for my bEST BUDDY BLAKE NOLAN to come on down to the armpit for a month of exciting adventures roaming this chaotic country. <br /> <br />MERRY CHISTMAS, HAPPY CHANNUKAH, HAPPY NEW YEAR! <br /> <br />Love Al, Allen, Abay, Mr. Banick, Alain, etc. <br /> <br />2004/12/happy-holidays-folks.htmlnoreply@blogger.com (Eye On the World)3tag:blogger.com,1999:blog-7011466.post-110216356647451837Sat, 04 Dec 2004 11:47:00 +00002004-12-10T06:03:33.140-08:00finally a moment of peaceIts been a very very long time. Even since I teased everyone with my last entry. <br /> <br />Let me explain myself because I can. Actually, we'll just start this off at the beginning. Rewind back to Thursday, November 18th 2004. This is where is all began. <br /> <br />I was in Bafoussam, feeling sick as I had been for the past month. Sore throat, coughing, sneezing, itchy eyes, typical allergy symptoms. This is really nothing to complain about, but since it had been a month straight of constant fatigue and overall feeling like crap, and since the doctor in Bafoussam didnt do anything helpful, I decided to take a trip down to Yaounde to see the peace corps doctor here. <br /> <br />On the long bush taxi rides, one has plenty of time to think, especially when there isn't anyone trying to sell you herbal miracle cure all medecine. As the man seated next to me started to nod off and rest his head on my shoulder (acceptable here, in fact you cant really get away from it), about an hour into the trip, I started to realize some things. I realized that I was getting very tired of Bafoussam, very quickly. I realized that I didn't come to the Peace Corps to play tennis which is what I was doing 5 times a week. I realized how happy I was everytime I got to leave Bafoussam to spend time in a village. I realized how much I like the peace and quiet and clean air as opposed to the constant rumble of diesel engines and all the wonderful smells they create. I realized I really hate sitting in an office without any real purpose. I realized there is no use wasting my time here if I am the least bit unhappy. I realized that I really like Cameroon, the people, and my potential contribution to development here. I realized I wanted a change of scenery. I only get this one opportunity in my life to really live a rural african lifestyle, so why not take advantage of it. Quite frankly, when you remove all the awkward scenery, life in bafoussam wasnt much different than life in any american city (granted its actually very different, but playing tennis and surfing the internet can be done in any american city). <br /> <br />When I arrived in yaounde, I spoke to my program director who was very supportive of my decision and he said he would begin to search for a new post for me. He said it wouldnt take longer than a few weeks to get this thing done. I also visited the peace corps doctor while in town, she gave me claritin and my allergies dissappeared. All of a sudden I was feeling great, full of hope and optimistic, free of allergies. <br /> <br />Now it's Saturday November 20th. I decided to visit my friend jen before heading back to post in Bafoussam. Jen doesnt live far from Yaounde and her village is especially small and remote. What was supposed to be a 1 day visit, turned into a 5 day visit. I had a great time experiencing more of "the simple life." Many things happened in this village while I was there. I met a bunch of cute little kids who love candy. I gave them lots of candy which is bad for Jen because they now expect a bunch of candy for doing nothing. she usually makes them fetch water from the well to earn the candy. I also attended a few of the classes she teaches, as she is a TEFL volunteer (english teacher). I had a great time in the classes and the experience made me want to try out teaching for myself (the pieces are all coming together). She let me teach one of her classes. I had no lesson plan, so I resorted to teaching the (clean) lyrics to "Ain't nothin' but a G thang" by snoop dogg and dr. dre. <br /> <br />1 2 3 and to the 4 <br />snoop doggy dogg and dr dre. <br />is at the door <br />ready to make an entrance <br />so back on up <br />etc... <br /> <br />It went over pretty well. By the end of class I had all 25 students standing, rapping, and waving their arms like they just dont care. I asked myself "what in the hell am I doing working in a bank?" I realized my calling in the world. <br /> <br />Another thing happened at jen's. A baby was born. My first son. Yeah, a lot can happen in a week. Jen is very close to the baby's parents (she's close to everyone in the village for that matter), and they wanted to name the baby after her. Unfortunately the baby turned out to be a boy. Since I happened to be with Jen when we walked into the house to visit the newborn baby, they decided it was only right to name him after me. Allen Jean something something is a healthy little newborn and I am proud to be his "godfather." the scary part is that the whole family thinks that I am going to take this kid back to the states and provide for him. I have some explaining to do upon my return to that village! I did offer him diapers, a little sweater, and some other baby stuff that jen picked out. I cant wait to teach him how to play baseball and take him fishing and camping and stuff... <br /> <br />Okay, time is running low... <br />After all that I went to this town called Nanga Eboko for Thanksgiving. A bunch of volunteers got together there and we had a wonderful TURKEY dinner (slaughtered the day before by our friends). I also spoke to a fellow volunteer who is posted in this small town who happened to be moving to a new town for various reasons. I saw her soon to be vacant house in the quaint quiet vollage, and I fell in love with the place. It is such a change from dirty smelly bafoussam. The town is small and reminiscent of the wild west, dusty, run down, saloons, you name it. I live in a little neighborhood with many children and a well where I fetch water (or send kids to fetch water). I love the place and I love the peace and quiet, this is the peace corps I expected. The trip to Nanga from Yaounde, the capital takes four hours. It is done in VERY OLD BEAT UP 4x4 mini buses, it is completely unpaved, the buses break down EVERY TIME (a tire blew out on my last trip). Needless to say, getting there is a pain in the arse, but it is well worth the struggle. <br /> <br />So I have been there a week now. I still have cellphone service (so you can call me) and there is an internet connection at the university where two of my fellow volunteers are working. I should be able to keep updating this blog at least every two weeks (not as frequently as in Bafoussam where I was surrounded by internet cafes). I wont be able to play tennis anymore :( But I wont risk my life everyday getting hit by cars :) You win some you lose some, but in this case I win more than I lose. <br /> <br />I will take pictures, I will post them, I will write more about my post, I promise. For now, I can tease you with this <a href=" picture </a>of my new house. <br /> <br />Time is out, <br />gotta run. Thanks for your patience this time, I know its been forever! <br /> <br />A bientot! <br /> <br /> <br />2004/12/finally-moment-of-peace.htmlnoreply@blogger.com (Eye On the World)2tag:blogger.com,1999:blog-7011466.post-110165551851423239Sun, 28 Nov 2004 15:13:00 +00002004-11-28T07:25:18.513-08:00preview of upcoming entryIts been a long CRAZY time since my last entry. <br /> <br />I dont feel like writing now because the crazyness has yet to end. It should be all settled by tuesday. <br /> <br />Here's a little preview: <br /> <br />Cameroonian baby is born, I am chosen as his God-father (and his parents name him after me which means he is Allen the 4th and I dont have to name my first son Allen!). <br /> <br />Tales from a week spent in the village of all villages <br /> <br />My first experience teaching (involved me teaching and performing a song by Snoop Dogg and Dr. Dre to a class of 10th grade Cameroonian village kids) <br /> <br />Watching a mob of people attack some guy, police pull out guns. <br /> <br />Catching a man in the act of pick pocketing me at a train station, screaming at him, and then watching him get attacked by security guards. <br /> <br />Getting scammed for 5000 francs (10 bucks) <br /> <br />Riding in a Cameroonian train. <br /> <br />Thanksgiving CAMEROONIAN style <br /> <br />and last but not least A MAJOR CHANGE IS TAKING PLACE for me (details to come)... <br /> <br />Stay tuned <br /> <br /> <br />2004/11/preview-of-upcoming-entry.htmlnoreply@blogger.com (Eye On the World)12tag:blogger.com,1999:blog-7011466.post-110059595639522534Tue, 16 Nov 2004 09:54:00 +00002004-11-16T01:05:56.396-08:00Adventures in a Far Away LandI went to FOUMBAN today. <br /> <br />You ask “What is FOUMBAN? And who cares if you went there?” “Well,” I say, “FOUMBAN is a place, 50 miles north of Bafoussam. And I’ll tell you why my going there is a big deal, just relax, OK?” <br /> <br />Yeah folks, I went to FOUMBAN. Let it be known that on November 15th, 2004, I went to FOUMBAN. I’ll tell you about this fascinating destination in a moment. But I want to give you a little background information first. <br /> <br />The day started like any other Monday in Bafoussam. I woke up. I ate some eggs. I drank some coffee. I listened to the radio. At about 8:00 am, Pat and I left the apartment for our 7:30 meeting which usually starts at 9:00. So, as usual, we left a half an hour late for our meeting, which would get us to work 45 minutes early for that same meeting. We are such overachievers, always a half an hour late for meetings that start an hour and a half late. Cameroon. <br /> <br />And, like 3 out of 4 Mondays per month, this particular weekly meeting never happened. Our “counterparts” didn’t show up, as usual, and we sat around. I distracted myself for about an hour with a funny book. At about 9:30 we decided to leave. On our way out, the secretary said that they probably wouldn’t show up today. THANKS for the info. <br /> <br />With nothing else to do, I went to the internet café, a typical Monday morning destination. After that, since I still had nothing else to do, I went to “Sweet Home,” my favorite little neighborhood restaurant. At Sweet Home, they never serve what’s on the menu, but there is always something to eat. Pat and I are regulars there. If we are too lazy to cook and don’t feel like taking our chances with street food, we go to Sweet Home. In the morning, you can eat omelets there, for lunch you can usually get rice, tomato sauce, lukewarm chicken, soggy green stuff, and if you’re lucky, white beans. In the evening, you’re lucky if you can get rice and tomato sauce. Sweet home is the ONLY restaurant that we know of in Bafoussam that consistently has food. In Cameroon, there are many places with signs that say “restaurant,” but nine times out of ten they don’t serve food. The signs are probably left over from a better era in Cameroon when they actually had tourists to fill the restaurants. <br /> <br />After eating my second breakfast (it’s always a good idea to have two breakfasts because you never know if you will be able to find lunch, unless you go to Sweet Home), I went home. On the 1.5-mile walk from Sweet Home to the apartment, you always pass by the “Foumban boys.” The Foumban boys are a group of men that harass people into going to Foumban. “Why would they do that?” you ask. Well, let me explain how travel works here, in Cameroon. <br /> <br />In Cameroon, you travel by “Bush Taxi.” I’ve explained what these Bush Taxis are in previous blog entries (dirty old beat up 15 passenger vans that are stuffed with 25 people). In large cities, such as Bafoussam, there are several “Gare Routieres” (literally, “Road Stations,”). These are departure places for the Bush Taxis. There are different Gare Routieres for different destinations. The Gare Routiere for Foumban and everything North of Bafoussam happens to be down the road from my apartment. At each Gare Routiere, there is a group of men (like the Foumban boys) who fight each other to win customers for the particular travel company they represent. These guys can get pretty aggressive, their competitive spirit often brings them to the brink of all out brawls. I have yet to see them fight, though. In Cameroon, people often seem like they are about to start throwing punches, but they don’t, and five minutes later they are laughing and buying each other beer. These men also like to GRAB your luggage right out of your hand. They fight each other to be the first to GRAB your luggage . I don’t particularly like this luggage grabbing business. On one particular journey to Yaounde, I was forced to bust out a Judo move I learned when I was 11. One of the luggage grabbers wouldn’t let go of my backpack, so I stuck my long leg out behind him, and tripped him, Judo style. He fell backwards onto the pavement and released my bag. Onlookers laughed. I turned away and took my bag to a company OTHER than the one represented by the rude baggage grabber looking up at me from the pavement. Anyway, back to the Foumban story… <br /> <br />So, on my way home from Sweet Home today, I passed the “Foumban Boys” who yell “FOUMBAN?!?! FOUMBAN?!?!” to everyone who happens to pass by. As I passed them, I thought to myself, “today would be a perfect day to give in to these people and go to FOUMBAN.” I figured, “why not see what all the commotion is about?” So the plan was to go home, read a little more out of my funny little book, and then head off to FOUMBAN at around noon. Theoretically, it only takes an hour to get to Foumban. Leaving at noon would have me there by 1:00 with plenty of time to see all the wonderful things the town has to offer. <br /> <br />I went home, read for a while, and then I fell asleep. I didn’t wake up till 12:50, which had me behind schedule already, but I didn’t really expect to leave at 12:00 anyway. At 1:00, I packed my backpack with: <br />A bottle of water <br />A funny little book <br />My CD player <br />A notebook to take notes about Foumban in. <br />And some cash to get to Foumban <br />I left the apartment with a great attitude. “How exciting,” I thought “I’m finally going to Foumban.” I was relieved to be getting out of the sewer of a city I live in to experience the unknown treasures of a faraway land. <br /> <br />I scurried down the street to locate my favorite of “the Foumban boys.” He is my favorite because he is one of the few that knows I live in Bafoussam and that I don’t want to go to Foumban (usually). On most days, instead of grabbing my arm to shove me in the next van headed to Foumban, he shakes my hand and gives me “the snap.” (The snap is the Cameroonian “you’re cool” handshake. It is a classic handshake followed by a snap of the opposing index fingers. Everyone does it. If you don’t know it, you’re not cool.) I figured I would go make my favorite of the Foumban boys happy today by actually going to Foumban for once (the Foumban boys get paid to find passengers). My friend didn’t seem as excited as I thought he would be. Instead of shoving me into the next van to Foumban, he dragged me down the street to a van that didn’t fill up for 2 hours. <br /> <br />2 hours later, I left for Foumban. I literally sat in a hot, sweaty, dirty, smelly van across the street from my apartment for two hours. <br /> <br />I was a little frustrated at this point. I know travel in Cameroon is difficult, but I figured this little trip to Foumban would be a walk in the park (pun intended). I mean, it seems like this whole city is going to Foumban judging from the amount of harassment we get on a daily basis from the Foumban boys. I guess I was wrong. <br /> <br />I arrived in Foumban at 4:00 pm. This is bad because I wanted to leave Foumban at 5:00 to be home before dark. It is unsafe to travel in Cameroon after dark. Actually, its unsafe to travel in Cameroon period, its especially unsafe after dark. <br />I had fantastic plans to visit the “Sultans Palace” (a supposedly, magnificent palace, home to the king or sultan of the “bamoun” people, the local tribe in the Foumban area). Unfortunately, it was too late for any such visit. I will see the Palace on my next visit. Instead of visiting the Sultans Palace, I visited one of the local “beverage stations.” They serve the same beverages they serve everywhere else in Cameroon, but for some reason they tasted better in Foumban. I also sampled some of the local “Soya.” Soya is Cameroonian bar-b-cued meat. It is usually quite good, but in Foumban it was AMAZING. Delicious, tender, strips of beef. Great qualiy and quantity. In Bafoussam, you get the quality, but the quantity is enough to feed a baby. Foumban has Soya, and plenty of it, mmmmmmm. After the Soya, I motioned for one of the children selling food to come over. This little kid was carrying “beignets” on his little head. “Beignets” are fried dough. Very greasy, unsweetened donuts, basically. Delicious. The little kid was happy to sell to me. <br /> <br />I must say, I was immediately fascinated by the beauty of Foumban. It is clean. It has pine trees. The people are friendly. The streets are paved. Just a great little town. The kind of place to settle down and raise your kids in, you know? I will have to come back to Foumban one day. I have to see that Palace. <br /> <br />I returned to Bafoussam with a full stomach and a tired body. It only took about an hour for the van to fill this time. I had to travel in the dark, but I survived. I am now here, back in my lovely apartment, writing this. <br /> <br />tomorrow is Tuesday. What kinds of adventures await me tomorrow? Will I venture towards another far away land? Will I play tennis? Will I WORK? Only time will tell. Peace Corps Cameroon is an unpredictable day-to-day adventure, full of surprises. 2004/11/adventures-in-far-away-land.htmlnoreply@blogger.com (Eye On the World)3tag:blogger.com,1999:blog-7011466.post-109982851558160571Sun, 07 Nov 2004 11:47:00 +00002004-11-07T03:55:15.580-08:00'Tis the season for dyingI had a pretty long blog entry written out, but I have erased it. It was written on Monday, November 1st, it had something to do with my hopes for the election, my optimism for the outcome, but that is all forgotten now. Remind me not be so optimistic next time. I wrote a brief little comment about the elections as my previous blog entry. Its funny how that emotion has worn off so quickly. I felt those feelings immediately after it all happened, but those feelings have all but disappeared in me. In Africa I have other things to think about, I guess. I'm sure I'll get to deal with all the problems this new fundamentalist christian government has to offer as soon as I return home, I can't wait! <br /> <br />Today was a long, Cameroonian day. It was a cultural day. I attended the burial ceremony of the father of the director of the NGO I work with. I never knew the man who died, and I hardly know this director I speak of. That’s how it works here. You go to all kinds of ceremonies for people you don’t know. I think its funny to imagine doing the same thing in the states. Imagine just walking into a random funeral for someone you never knew. Funerals are a lot more exciting here, so I guess it makes a little more sense to do it here. I’ve known about this ceremony for about a week now, but I was not planning on attending. It wasn’t until yesterday (friday) that I changed my plans. Apparently everyone expected Pat and I to be there. In the words of our friend Guy, the manager of one of the banks we “work” with. <br />“It is important that you attend this event. When the people in the village see that there are white men at the event they will realize that the director is an important man. The director will be very happy. You MUST attend.” <br />Ok. I guess we are going. <br />So that’s how the decision was made. I don’t regret going to this event by any means, I enjoy the cultural events and customs that I am fortunate to witness here. I just thought that the reasons for our attendance were interesting and funny. White men, who are these white men and why must they be so damn important? Personally, if I were Cameroonian, I wouldn’t view them as such. But I am glad they do because it makes me feel welcome almost everywhere I go. It can be a little overwhelming though. Sometimes I feel more like a decoration. Peace Corps volunteers are a bunch of fancy American decorations donated to developing countries to make their ceremonies look nicer and more important. That’s one way to look at it. <br />Anyway, Pat and I were told to meet Guy at the bank at precisely 8am, no later. We arrived, precisely at 8am. I don’t think he expected us to be there on time because we didn’t leave the bank until 10am. We should know better by now, we really should. One two and a half-hour car ride, several u-turns, one flat tire, many dirt roads, one dead snake, and many village children later, we arrived at the site of the ceremony. I must say that this is the furthest into the Cameroonian countryside I have been thus far. It was strange, one minute we’re in the middle of nowhere, seemingly lost, the next minute we’re still in the middle of nowhere, except now, we are surrounded by a few hundred other people. The ceremony was rather brief by Cameroonian standards. Maybe it just seemed brief to us because we arrived a few hours late. We weren’t too late for the buffet and wine and beer, though. It was a good time after all. It took about two hours to get back. Four hours of travel for about three hours of ceremony. Not bad. The ride home was a little less planned. For the first leg of the journey, we shared a bus that was rented out by some rich drunk folk from the capital city. For the second leg, we rode in a BEAT UP station wagon of some sort. I had to share the front seat with Guy who is a big man. At some point during the ride home, the front seat we were sharing gave out. After enduring years of abuse this old seat decided to stop supporting Guy and I. The seat fell backwards slowly, and gently crushed Pat, who was sitting behind us. For some reason, Pat and I found this to be hilarious and we laughed pretty hard. The owner of the vehicle didn’t seem to care. <br /> <br />I am exhausted now, to say the least. It’s not like I did anything exhausting today, I think it’s all the travel that really gets to you in Cameroon. It’s always interesting, and the stimulation really wears on the body and mind. When fearing for your life, enjoying the strange scenery, sharing a broken front seat with a big person, and laughing your ass off at everything, your mind and body wear pretty quickly. Pat and I were invited to ANOTHER burial ceremony tonight in BANA. We are way too exhausted to embark on another three-hour car ride under the cover of darkness. NO WAY, PAS CE SOIR. Not tonight, maybe next time. People seem to be dying quite frequently this time of year, so I’m sure there will be another opportunity in the very near future to attend a ceremony. <br /> <br />Tomorrow, I may have the day to do nothing but read Hemmingway and play tennis. Man, that sounds really snobby and un-peace corps, but that's what Sundays are for, right? What a relief tomorrow will be. <br /> <br />I’ve been pretty tired and kind of sick lately. I’m allergic to something here, every morning I wake up with a stuffed nose, a sore throat and a bad attitude. The bad attitude goes away, but the nose and throat problem persists. Oh, well. As they say in Cameroon “Ashia.” Ashia means “oh, well” or “too bad” or “sorry about that” or “man, that really sucks” or “that’s life buddy, deal with it.” Ashia is great for Cameroon, it applies to many circumstances. <br /> <br />Here’s some incredibly good news (for me, at least): My best friend Blake Nolan is coming to visit! He is coming in February and I can’t tell you how excited I am about this, I’m losing sleep over it. Just so you all know: WE ARE GOING TO HAVE AN AMAZING TIME. I just hope we manage to stay out of trouble for the extent of his stay because we tend to get into trouble when we are together. If anything, we will boggle many people’s minds, which we tend to do no matter which armpit we find ourselves in. Blake also has a blog, and if you want something interesting to do in February, you should read both of our blogs, and compare. Africa: experienced simultaneously through the eyes and minds of two mind-boggling maniacs. Blake is going to take some pretty tiiiiiiiight pictures, too. You see, he is a photographer by trade, and he’s damn good at it too. Check out his blog: <a href="; target="_blank">; to see some pictures and read about his adventures in London. He is breaking into the photography scene, and he’s gonna make it. I’m proud of him. <br /> <br />Anyway, we will get to do all the crazy things that this country has to offer: <br /> <br />We will stay in 5 star resorts (peace corps volunteers houses, or whatever we can sleep on). We will cruise the streets in a pimped out, fully loaded ‘05 Escalade (a beat up ’87 Corolla taxi stuffed with 9 people). We will eat caviar and filet mignon (grilled fish and beef on a stick). We will drink copious amounts of Champagne (beer and what have you). We will mingle with celebrities (Cameroonian villagers), and play golf (apartment basketball), all in the company of Beautiful European Super Models (peace corps volunteers). Pretty nice, huh? But WAIT! That’s not all Bob! Blake will be treated to a complimentary six week supply of Mefloquine, to keep those sneaky little Malaria bugs from invading his liver and killing him! WOWZA! All I can say is, WATCH OUT! Seriously, though, this is going to be a great time. When that’s all over, I will be sad, but excited because in November of 2005, my pops will visit, stay tuned for details! I am very happy and very fortunate to be able to share this experience with a best friend and my dad. It will be interesting to see how they react to all the things I try so hard to write about. All I know is that neither of my visitors will EVER forget their experience here. It’s something else, it really is. Most volunteers don’t have friends and family with as much curiosity and bravery to experience Africa. Thanks Dad, thanks Blake. <br /> <br />We are well into November now. In a few weeks I will hit my six-month mark in Cameroon. That’s pretty strange to say. I’ve been in Africa for six months and already I feel somewhat normal here, as normal as a stranger from a strange land can feel here. Sometimes it seems like yesterday that I arrived and sometimes it seems like ages ago. I know I often make this same reference to time, but it really is strange. I have lost my American concept of time here. It’s not a day-to-day life here. It’s one long show. The days blend together. Years from now, when I am old and famous, I will look back at this time of my life and I will think “Wow, that was ONE LONG DAY. What a long day it was.” <br /> <br />I don’t know what to make of it all so far. I’ve learned something, I’ve grown somehow. I don’t know how yet. I probably won’t know how until I return to the States and I compare my Post-Cameroon behavior and attitude in the U.S. to my Pre-Cameroon behavior and attitude. I need that benchmark. There are going to be differences. What will they be? <br /> <br />I spent some time a few weeks ago reading through all of my previous blog entries. I certainly noticed a change in my outlook and my way of relating my experiences here. I feel more realistic about it all now, whatever that means. It certainly isn’t the fantasy world it was when I arrived. I’ve grown accustomed to the scenery, now I am noticing more of the details. Nothing here is as I expected it, nothing ever is, I guess. Reality is a little harsher than my imagination makes things out to be. That has been my biggest lesson thus far. Life is full of lessons, I hope to learn them all someday. Being here is teachiong me a fair share of lessons. I was still a kid when I left the States, and I will still be a kid when I get back, only I will be a really WISE kid. <br /> <br /> That’s all for now. Back to Hemmingway and Caviar. Tomorrow it’s tennis and Hemmingway, then on Monday it’s back to Peace Corps. The Show goes on. <br />2004/11/tis-season-for-dying.htmlnoreply@blogger.com (Eye On the World)29tag:blogger.com,1999:blog-7011466.post-109958627044854227Thu, 04 Nov 2004 15:59:00 +00002004-11-05T01:18:52.090-08:00Kerry loses, the world losesJohn Kerry lost. FEAR wins. What is wrong with my country? <br /> <br />I like being in Africa a little more now. <br /> <br />This isn't a politcal blog, so I will be brief. <br /> <br />Thank you to everyone who faught for change in the U.S. I have several friends there who worked campaigns from California to Florida. I'm sorry your efforts didn't quite payoff this time, but I am always hopeful for the future. Kerry would have been a change in the right direction, it didnt happen. It WILL happen next time, and the change will be a lot more drastic, it's got to be. <br /> <br />I've received many emails from friends, family, and people I dont even know expressing their disappointment. Hard to believe that these people represent a "minority" in the states. <br /> <br />Apparently God himself is now a resident in the White House. george said so himself. That's great, God has picked sides. Apparently he only cares about 51% of Americans. Apparently, He hates the rest of the world. One nation under God? With liberty and justice for all? COME ON PEOPLE!! When will the other 51% start to THINK????????? <br /> <br />I'm writing a more extensive, non political blog entry, and I will post it later this week. Just had to share my DISAPPOINTMENT. <br /> <br /> <br />2004/11/kerry-loses-world-loses.htmlnoreply@blogger.com (Eye On the World)4tag:blogger.com,1999:blog-7011466.post-109857236586652663Sat, 23 Oct 2004 22:53:00 +00002004-10-27T14:00:24.156-07:00Difficult times away from the Steaming Pile of...Hello hello. Good evening ladies. And gents. <br /> <br />First off. I have posted some new photos. Unfortunately some of my more recent photos are still in my camera which is Bafoussam which is stupid because it should be here with me for me to upload the photos. I hope these will satisfy you for the time being until I get more. There are pics of my friends in Bafoussam, my trip to Limbe (the beach), my host fam, and some random stuff. The link to the pics is at the end of the entry, you have to READ before you look at them! <br /> <br /> <br />I am in the capital city, Yaounde. The internet is free. Other than that, I miss BEAUTIFUL ugly smelly dirty Bafoussam. <br /> <br />Let me reminisce (I had to check the spelling for 'reminisce', it is indeed spelled R E M I N I S C E, don't believe me? <a href=" here</a>). <br /> <br />I am in Yaounde at the Peace Corps Headquarters. My 'official' reason for being here is "SED Steering Committee" which is the committee that designs, plans, and organizes the SED program. It's been interesting, but I don't really enjoy "committees" because I work better alone. And because I don't like to sit around and pay attention for extended periods of time. Despite this, I enjoyed these meetings. I've really enjoyed this FREE internet. I've been "chatting" with Blake (in london) on a daily basis. Fun, very fun. Blake has some EXCELLENT NEWS that you will soon hear about. <br /> <br />When I can't chat with Blake, I think of all my friends in Bafoussam, that I miss so dearly. I've never really written about them, so I will do that now. <br /> <br />Here are some of my friends from Bafoussam, click on their names to see a photo: <br /> <br />Name: <a href="; <br />Tribe: Bamilike <br />Languages: French, native language, and funny english <br />Profession: Guitar player by night, street walkin beer drinker by day <br />Hobbies: See profession <br /> <br />John


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tag:blogger.com,1999:blog-569897044603346297Mon, 21 Sep 2026 17:44:52 +0000ParentingAllergiesFood allergyPediatricsAsthmaanaphylaxisfood allergiesEpinephrineoral immunotherapy504 planAllergyCOVID19Chinese medicineEczemaFood challengesHalloweenImmunologyInfluenza A virus subtype H1N1ThanksgivingVaccinationantibioticsdrug allergyeducationgeneric epinephrineimmunotherapyprivate practiceschool guidelinessmoking bansocial mediaAAAAIAANMAACAAIAllergen IntroductionCDCCherrybrook KitchenDry skinEarth DayExcluded MedicationsExpress ScriptsFood Allergy AwarenessFood Allergy PreventionFormularyGeneralH1N1Health EquityHealth careHealthcareImaginationImmune SystemKaneland Allergy and Asthma CenterKeratosis PilarisKids Say the Darndest ThingsMedication recallMosquito bitesNasal irrigationNot-so-SupermomPeanut PatchPetsPhishingPodcastSeaonal InfluenzaSinusitisSkin careStock Epinephrine LawSwine influenzaTrainingVideo ContestWhy See an Allergistasthma screeningclinical studycontinuing medical educationcopingear infectionenvironmental tobacco smokefood allergy studyinfectionmediamedical educationmedical playpatient educationpeanut allergypicnicspositive attitudespositive thinkingprenatal dietprimary immunodeficiencypsychosocial copingrainbowsresearchsensationalismtraffictreatment failurevaccinevolcanowork-life balanceworking momAdventures of an Allergist MommyA Board-certified Pediatrician and Allergist/Immunologist shares a physician's perspective on parenting kids with allergies, parenting in general, and keeping it all together when all she really wants is a Reese's Peanut Butter Cup.noreply@blogger.com (Sakina Bajowala, MD)Blogger147125tag:blogger.com,1999:blog-569897044603346297.post-7118283873167380673Wed, 12 May 2021 13:21:00 +00002021-05-12T08:26:25.162-05:00Allergen IntroductionAllergyFood allergyFood Allergy AwarenessFood Allergy Preventionoral immunotherapyPediatricsPodcastInterview with Dr. Phil Boucher of "Raising Good Parents" - Food Allergy Prevention<p><span style="background-color: white; color: #262626; font-family: inherit; font-size: 14px;">I had an excellent time talking to my colleague, Dr. Phil Boucher, about the topic of Food Allergy Prevention. The podcast episode is live now, just in time for Asthma and Allergy Awareness month!</span></p><span style="background-color: white; font-family: inherit;"><span style="color: #262626; font-size: 14px;">🎙️ If you haven't already subscribed to his podcast (Raising Good Parents), please take a listen. I think you'll find it both educational and enjoyable.</span><br style="color: #262626; font-size: 14px;" /><span style="color: #262626; font-size: 14px;">⠀</span><br style="color: #262626; font-size: 14px;" /><span style="color: #262626; font-size: 14px;">🔗 Here's the link: <a href=" style="background-color: white; color: #262626; font-family: -apple-system, BlinkMacSystemFont, &quot;Segoe UI&quot;, Roboto, Helvetica, Arial, sans-serif; font-size: 14px;" /><span face="-apple-system, BlinkMacSystemFont, &quot;Segoe UI&quot;, Roboto, Helvetica, Arial, sans-serif" style="background-color: white; color: #262626; font-size: 14px;">⠀</span><br style="background-color: white; color: #262626; font-family: -apple-system, BlinkMacSystemFont, &quot;Segoe UI&quot;, Roboto, Helvetica, Arial, sans-serif; font-size: 14px;" /><br /><div class="separator" style="clear: both; text-align: center;"><a href="; style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1080" height="200" src="; width="200" /></a></div><br />2021/05/interview-with-dr-pil-boucher-of.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-7782312575799982915Wed, 14 Apr 2021 21:18:00 +00002021-04-14T16:21:43.337-05:00anaphylaxisantibioticsclinical studyEpinephrineVolunteers Needed for Epinephrine Nasal Spray Study<p>Ever wish there was an alternative to injections for emergency delivery of epinephrine for anaphylaxis? There is a research study underway assessing the use of a nasal epinephrine spray for allergic recations, and healthy adult volunteers are needed!</p><p><br /></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="; style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="538" data-original-width="1024" height="210" src="; width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><p></p><p></p><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_-7104835171394145482content_LETTER.BLOCK3" style="background-color: white; color: black; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="left" colspan="1" rowspan="1" style="font-size: 12pt; line-height: 1.5; margin: 0px; padding: 8px 0px 9px;" valign="top"><span style="background-color: white; font-family: times;"><span><span style="font-size: small;"><span style="font-size: 12pt;">Celerion is seeking healthy adult males and females to participate in a research study for the development of an Epinephrine nasal spray for use as an emergency treatment for allergic reactions.<br /></span></span></span><span style="font-size: 12pt;"><br /><b style="color: blue;">STUDY DETAILS:</b><span style="color: blue;"><b><br /><ul><li><span style="font-family: times;">Healthy Adults</span></li><li><span style="font-family: times;">Ages 19-65</span></li><li><span style="font-family: times;">One 4-night stay at Celerion</span></li><li><span style="font-family: times;">Earn up to $3,000 for participation</span></li></ul></b></span></span></span><div style="font-size: 12pt;"><span style="background-color: white;"><br /></span></div><div style="font-size: 12pt;"><span style="background-color: white; font-family: times;"><a alt="; data-saferedirecturl="; href="; shape="rect" style="color: blue;" target="_blank">HelpResearch.com/NasalSpray</a><br /></span></div><div><span style="font-size: 12pt;"><span style="background-color: white; font-family: times;">866-213-2965</span></span></div></td></tr></tbody></table>2021/04/volunteers-needed-for-epinephrine-nasal.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-2241758485651649858Wed, 02 Dec 2020 18:35:00 +00002020-12-02T12:35:57.746-06:00COVID19Health EquityFree Virtual Conference- Black People Like Me: Asthma, COVID-19, and Questions We Need Answered<p></p><div class="separator" style="clear: both; text-align: center;">I am sharing the following information from the Allergy &amp; Asthma Network, because I believe we MUST do better at protecting vulnerable and high-risk populations from the COVID-19 virus. Communities of color are being disproportinately affected by the virus, not only in terms of infection rates, but also death rates and economic impacts. Achieving true equity in healthcare means understanding that resources must be allocated by need, not simply spread evenly throughout the population.&nbsp;</div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;">If you don't agree, please don't hate - educate!!!&nbsp;</div><div class="separator" style="clear: both; text-align: center;">You may be well-served by joining this free event, for which details are provided below.</div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="788" data-original-width="940" src="; width="320" /></a></div><p></p><table border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK3" style="background-color: white; color: black; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="left" colspan="1" rowspan="1" style="line-height: 1.5; margin: 0px; padding: 8px 0px 9px;" valign="top"><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;">All too often, Black people experience more barriers to health based on their race. Many get sick or die because of these barriers. COVID-19 and asthma, for example, are more common among African Americans.</span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;"><br /></span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;">How can we work together to improve the health of Black Americans?</span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;">Let's start the conversation!</span></div><div style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt;"><span style="font-size: 12pt;"><br /></span></div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 16pt; text-align: center;"><span style="text-decoration-line: underline;"><strong><a href="; target="_blank">Virtual Conference</a></strong></span></div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 16pt; text-align: center;"><strong>Black People Like Me: Asthma, COVID-19, and Questions We Need Answered</strong></div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 14pt; text-align: center;">Tuesday, Dec. 15</div><div align="center" style="font-family: Arial, Helvetica, sans-serif; font-size: 14pt; text-align: center;">5:00 p.m. ET</div></td></tr></tbody></table><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK19" style="background-color: white; color: #222222; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="color: black; font-size: 14pt; margin: 0px; padding: 8px 0px 9px;" valign="top"><table bgcolor="#E36356" border="0" cellpadding="0" cellspacing="0" style="background-color: #e36356; border-radius: 5px; width: auto !important;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="margin: 0px; padding: 8px 15px 8px 16px;" valign="top"><a alt="; data-saferedirecturl="; href="; shape="rect" style="color: white; font-family: Arial, Helvetica, sans-serif; font-size: 14pt; font-weight: bold; line-height: 1.1; text-decoration-line: none;" target="_blank">Register Now!</a></td></tr></tbody></table><br /><div style="font-family: Arial, Helvetica, sans-serif; font-size: 14pt;"><span style="font-size: 12pt;"><em>The first 100 Black patients, families or caregivers attending the conference will get a&nbsp;<strong style="font-size: 12pt;">$25.00 Visa gift card!</strong><span style="font-size: 12pt;">&nbsp;We will send you information on how to get the gift card after you register.</span></em></span><br /></div></td></tr></tbody></table><table bgcolor="#FFFFDA" border="0" cellpadding="20" cellspacing="20" id="m_4496113896604378088content_LETTER.BLOCK15" style="background-color: #ffffda; color: black; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="left" colspan="1" rowspan="1" style="font-family: Arial, Helvetica, sans-serif; font-size: 12pt; line-height: 1.5; margin: 0px; padding: 8px 0px 9px;" valign="top"><div style="font-size: 14pt;"><span style="font-size: 14pt;">Who Should Attend?</span></div><div><ul><li style="margin-left: 15px;">Black patients, families and caregivers impacted by COVID-19 and asthma</li><li style="margin-left: 15px;">Black clergy</li><li style="margin-left: 15px;">Medical and health professionals</li><li style="margin-left: 15px;">All people who wish to better understand the needs of the Black community</li></ul><div><span style="font-size: 14pt;">We'll Cover...</span><br /></div><div><ul><li style="margin-left: 15px;">The challenges that Black Americans face in managing their health that lead to COVID-19 and asthma complications.</li><li style="margin-left: 15px;">What matters most to Black people</li><li style="margin-left: 15px;">What questions Black Americans want answered regarding their health</li><li style="margin-left: 15px;">The role of clergy in helping Black people take charge of their health</li></ul></div></div></td></tr></tbody></table><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK28" style="background-color: white; color: #222222; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="color: black; font-family: Arial, Helvetica, sans-serif; font-size: 12pt; margin: 0px; padding: 8px 0px 9px;" valign="top"><br /><div>This is the first of six online events Allergy &amp; Asthma Network will host to better understand and address the impact of asthma and COVID-19 on the Black community and how to engage&nbsp;</div><div>Black patients and families more to improve their health.</div><br /><hr /></td></tr></tbody></table><table bgcolor="#FFFFFF" border="0" cellpadding="0" cellspacing="0" id="m_4496113896604378088content_LETTER.BLOCK26" style="background-color: white; color: #222222; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: small; width: 100%px;"><tbody><tr><td align="center" colspan="1" rowspan="1" style="color: black; font-size: 14pt; margin: 0px; padding: 8px 0px 9px;" valign="top"><div align="left" style="text-align: left;"><em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; box-sizing: border-box; color: #212121; font-family: &quot;Open Sans&quot;, Helvetica, Arial, Lucida, sans-serif; font-size: 14px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">This conference is funded through a Patient-Centered Outcomes Research Institute (PCORI) -- Eugene Washington PCORI Engagement Award #EAIN-00134.&nbsp;</em></div></td></tr></tbody></table>2020/12/free-virtual-conference-black-people.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-8075212571475350514Wed, 25 Nov 2020 04:58:00 +00002020-12-02T11:44:21.068-06:00COVID19How Will the COVID-19 Vaccine be Distributed?<p>After nearly a year of pandemic-induced isolation and loss, we have recently had the announcement of not only one, but two, candidate vaccines with impressive efficacy data.&nbsp;</p><p>Although this provides a glimmer of hope that we will eventually find our way out of this crisis, it is essential to recognize that there will not initially be enough vaccine available to immunize the entire population. Therefore, the vaccine will be distributed to the public in phases. You may be wondering where you or those you love lie on this index. Although this stratification is subject to change, here is what we know so far.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="; style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1080" height="400" src="; width="400" /></a></div><p><br /></p><p>There will be 4 major phases for vaccine distribution:</p><p><b>1a.</b> High risk health care workers (hospitals, long-term care facilities, etc.) and first responders (police, fire, EMT)</p><p><b>1b.</b> People with 2 or more co-morbid conditions (eg: asthma, heart disease, immune deficiency), and older adults in congregate/overcrowded settings</p><p><b>2. </b>Teachers &amp; school staff, critical workers in high-risk settings, people with moderate co-morbid conditions, residents/staff of homeless shelters or group homes, incarcerated/detained people and associated staff, and all older adults</p><p><b>3.</b> Young adults, children, and workers in industries important to the functioning of society</p><p><b>4.</b> All other people in the United States who wish to be vaccinated</p><p><i>Within each of these phases, attempts will be made to prioritize vaccine administration to geographic areas identified through the Center for Disease Control's Social Vulnerability Index or another more specific index, should one be available at the time.</i></p><p>Remember, the goal of this phased approach is to prioritize vaccine administration not only to those who are at highest risk of having a bad outcome from infection, but also to protect those critical workers who need to be healthy enough to take care of the remaining public. This means it is unlikely that all members of your household will be able to be vaccinated simultaneously. Additionally, although the vaccine appears to be effective in preventing severe infection, it may still be possible to contract the virus and spread it to unvaccinated individuals even if you have been immunized. Therefore, vaccination will not be a free pass to go back to "normal", at least not right away.</p><p><b>We are approaching the home stretch, so please don't let pandemic fatigue get the best of you now. Keep up the good fight with distancing, masking, and supporting one another, so we can keep COVID-19 at bay long enough so that the vaccine can reach everyone who needs it before the virus gets to them first.</b></p><p><span style="background-color: white; color: #262626; font-size: 14px;"><span style="font-family: times;"><i>Ref: National Academies of Sciences, Engineering, and Medicine. 2020.&nbsp;Framework for Equitable Allocation of COVID-19 Vaccine. Washington, DC: The National Academies Press.&nbsp;;2020/11/how-will-covid-19-vaccine-be-distributed.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-7717378774014378685Sun, 09 Feb 2020 15:28:00 +00002020-02-09T09:37:24.388-06:00Allergiescopingfood allergiesFood allergyfood allergy studypsychosocial copingPlease Participate in A Study on Psychosocial Coping in Food Allergy<div dir="ltr" style="text-align: left;" trbidi="on"> Dear Food Allergy Families,<br /> <br /> Please consider participating in the following study intended to explore the psychosocial coping needs of families with food allergy. As anyone who is living with food allergies understands, the psychological impacts of living with a potentially life-threatening condition are incredibly important, but sadly, often given short shrift in the context of limited time available during healthcare maintenance visits.<br /> <br /> Participating in this study is an opportunity to contribute to our knowledge base about the strategies families utilize to cope with the diagnosis. Thank you!<br /> <br /> -AllergistMommy<br /> <br /> <div class="separator" style="clear: both; text-align: center;"> <a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="268" data-original-width="300" src="; /></a></div> <br /> ____________________________________________________<br /> <span style="font-family: &quot;times&quot; , &quot;times new roman&quot; , serif;"><br /></span> <span style="background-color: white; font-family: &quot;times&quot; , &quot;times new roman&quot; , serif;"><span class="css-901oao css-16my406 r-1qd0xha r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;">We want to invite you to participate in an exciting study researchers from Northwestern University Feinberg School of Medicine are conducting to explore the thoughts, emotions, and coping strategies individuals and families have and use as they manage food allergies. Led by Ruchi Gupta, MD, MPH, the goal of this research study is to both identify the coping those living with food allergy or caring for someone with food allergy currently use that work best for them, and to gauge any interest in new interventions to improve psychosocial outcomes. With this information, we hope to inform future clinical care so that patients living with food allergy are provided with methods of coping that meet their psycho-social concerns living with food allergy. If you are living with a food allergy, or are a caregiver of someone who has a food allergy, we would greatly appreciate your participation! Please note, you must be 18 years or older to participate in this survey. To participate, we are asking you to complete a short and anonymous survey through the online service, REDCap. Being in this study is optional and voluntary. If you are interested in participating, click the appropriate survey link provided below and read through the consent form before proceeding. It should take you no more than 15 minutes to complete the survey. If you’re interested in completing the survey, please use the following link: </span><a class="css-4rbku5 css-18t94o4 css-901oao css-16my406 r-1n1174f r-1loqt21 r-1qd0xha r-ad9z0x r-bcqeeo r-1ddef8g r-qvutc0" data-focusable="true" dir="ltr" href="; rel=" noopener noreferrer" role="link" style="border: 0px solid black; box-sizing: border-box; cursor: pointer; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; list-style: none; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;" target="_blank" title=" aria-hidden="true" class="css-901oao css-16my406 r-1qd0xha r-hiw28u r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 0px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: inherit;"> class="css-901oao css-16my406 r-1qd0xha r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;"> If you are unable to click on the link or have any issues accessing the survey, please contact the research coordinator, Madeleine Kanaley, at madeleine.kanaley@northwestern.edu or (312)-503-5339. Thank you for your participation, Lisa Lombard, PhD This study is Northwestern University Feinberg School of Medicine IRB </span><span class="r-18u37iz" style="-webkit-box-direction: normal; -webkit-box-orient: horizontal; flex-direction: row; font-size: 15px; white-space: pre-wrap;"><a class="css-4rbku5 css-18t94o4 css-901oao css-16my406 r-1n1174f r-1loqt21 r-1qd0xha r-ad9z0x r-bcqeeo r-1ddef8g r-qvutc0" data-focusable="true" dir="ltr" href="; role="link" style="border: 0px solid black; box-sizing: border-box; cursor: pointer; display: inline; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1.3125; list-style: none; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; text-align: inherit; white-space: inherit;">#STU00210953</a></span><span class="css-901oao css-16my406 r-1qd0xha r-ad9z0x r-bcqeeo r-qvutc0" style="border: 0px solid black; box-sizing: border-box; display: inline; font-size: 15px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: 1.3125; margin: 0px; min-width: 0px; overflow-wrap: break-word; padding: 0px; white-space: pre-wrap;"> Title: Understanding the Psychosocial Coping Strategies of Individuals and Families Affected By Food Allergy Principal Investigator: Ruchi Gupta, MD, MPH The content of this email has been approved by Northwestern University’s IRB.</span></span></div> 2020/02/please-participate-in-study-on.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-877020534229813718Fri, 26 Apr 2019 20:25:00 +00002019-04-26T15:25:31.453-05:00anaphylaxisfood allergiesmediaoral immunotherapyresearchsensationalismWhen Food Allergy Treatments are Sensationalized, it is the Allergist's Role to Bring Us All Back Down to Earth<div dir="ltr" style="text-align: left;" trbidi="on"> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <i>Sharing a recent post from my practice Facebook page, in response to concerns raised by the recent publication of a meta analysis on anaphylaxis rates during food allergen oral immunotherapy:&nbsp;<a href="(19)30420-9/fulltext" style="background-color: transparent;">(19)30420-9/fulltext</a></i></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <i><br /></i></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <i>I hope my comments are helpful at proving some context for patients currently pursuing or consider food allergen desensitization therapy.&nbsp;</i></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <i><br /></i></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <i>I am a non-alarmist by nature, and feel it is 100% possible to integrate new data without falling prey to the sensationalization of these publications by the media. It is frustrating to read in the news one day, "Researchers find CURE for peanut allergies!" (WRONG!!!) and the next day read "Experimental treatment for food allergy causes more life-threatening reactions than avoidance!" (Hmmm...a bit misleading). No nuance, no thoughtfulness, no concern for the impact of such a black &amp; white approach to a decidedly grey issue. And why would there be? Nuance doesn't get you clicks or ad revenue. A sexy headline does. When it comes to alarmist interpretations of science by the media, it is the role of those of us who truly understand these patients and these treatments to bring some rationality back to the discussion.</i></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <i><br /></i></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <i>Don't rely on media articles to help you sort through these complicated issues - you will end up with over-simplified click-bait. Better to find a quiet corner and read the source article itself, and take it to a physician you trust to help you make sense of it all.</i></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> ____________________________________________________________________</div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> <br /></div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px;"> Receiving (very reasonable!) questions about the OIT Anaphylaxis meta-analysis published in the Lancet journal.</div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px; margin-top: 6px;"> Quick response: Respected journal, rigorous analysis, tells us what we already knew to be true: the more you ingest a known food allergen, the more likely you are to experience a food allergy reaction.</div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px; margin-top: 6px;"> I do not dispute the findings that a patient consuming their food allergen daily or twice daily during an oral immunotherapy protocol is more likely to experience anaphylaxis than someone successfully observing strict avoidance. I do think it would be important to compare data on episodes of anaphylaxis as a function of number of ingestions, and also to analyze data on rates of anaphylaxis resulting from accidental allergen ingestion in both groups (non-OIT vs. OIT). This is liable to yield a different perspective.</div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px; margin-top: 6px;"> It is also notable that anaphylaxis from accidental exposure in an uncontrolled environment and anaphylaxis from a known and quantified ingestion in a controlled and monitored setting are quite different scenarios.</div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px; margin-top: 6px;"> Nevertheless, as allergists committed to evidence-based medicine and with the best interests of our patients at heart, we must acknowledge that we can ALWAYS do better. Although most patients pursing food allergen desensitization have excellent results and improved quality of life, there is absolutely a subset of patients who truly struggle with dosing due to reactions and anxiety. As a specialty, we need to dive deeper into working to identify those patients most likely to experience a negative course before beginning oral desensitization therapy, so we can A) address pre-existing risk factors prior to the initiation or therapy, or B) direct the patient to defer OIT in favor of continued avoidance or an alternative therapy (EPIT, SLIT, etc.).</div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px; margin-top: 6px;"> I also believe an important point to recognize is that avoidance of a reaction is not the only goal of a food allergen desensitization program. For many patients, the benefit gained is reduced dietary restrictions, expanded opportunities for activities, and an increased sense of control.</div> <div style="background-color: white; color: #1d2129; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-bottom: 6px; margin-top: 6px;"> We are committed to supporting our patients with a transparent discussion of ALL options for the management of life-threatening food allergies, including the option to continue avoidance, and to continually refine our approach to management to optimize safety and quality of life.</div> <div style="background-color: white; color: #1d2129; display: inline; font-family: Helvetica, Arial, sans-serif; font-size: 14px; margin-top: 6px;"> For those patient currently pursuing OIT, this study likely won't change anything for you - your past experience is more reflective of your future experience than a study. For those patients on the fence - good for you for reading and educating yourselves on this important decision. We are here to support you with information and non-judgemental guidance, every step of the way.</div> </div> 2019/04/when-food-allergy-treatments-are.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-2914584585377492570Thu, 20 Aug 2015 04:35:00 +00002015-08-19T23:35:33.960-05:00AllergiesFood allergyschool guidelinesFostering a Culture of Inclusion in Schools<div dir="ltr" style="text-align: left;" trbidi="on"> It's that time again... Back to School!<br /> <br /> I, for one, relish the newly found silence in my home in the afternoon. I am also happy in the confidence that my boys are learning and playing and enjoying school again. I like knowing that the sweltering days of summer will soon transition into pleasant autumn evenings.<br /> <br /> However, I know that back to school season brings on very different emotions for parents of children with life-threatening food allergies. These feelings range from fear and anxiety at being separated from a child with medical needs, to frustration with the necessary mounds of paperwork that constitute school health forms, and apprehension about what some might term "the little things": Will my child have someone to sit with at lunch? What if someone at the middle school starts a food fight, and throws a PB&amp; J? How will my 5 year old handle it, when at the end of a long day of kindergarten, a classmate shares cupcakes with everyone as a birthday treat (everyone except him)? What will I do if the PTA organizer insists on using an ice cream brand for the open house social that is known to have cross-contamination issues?<br /> <br /> In my work as a pediatric allergist, I have come across of a wide variety of ways that children with life-threatening food allergies are excluded in the name of safety. Here are a few examples:<br /> <br /> 1) A class was rewarded for good behavior by being permitted to eat lunch in the classroom instead of in the lunchroom. When the teacher discovered that a number of children had peanut or tree nuts in their lunches, my patient's desk was pushed into the corner of the room to keep him separated from the allergens. Classmates were rewarded. He was punished.<br /> <br /> 2) A teacher mentioned to a mom that it might be a good idea if a tree nut-allergic student remain home on the day of the field trip, as there would be walnut trees in the park they were planning to visit, and the teacher couldn't guarantee that a chaperone would be able to monitor the student closely enough for the teacher's comfort.<br /> <br /> 3) A student with a food allergy was identified by name in a letter that went home to parents stating that only fruits and vegetables could be sent as snacks or treats into the classroom. This resulted in a classmate stating to my patient, "My mom says it's your fault that we can't have any good food for the holiday party, and you should just be home-schooled."<br /> <br /> The common thread in these scenarios is that each child was isolated or excluded. Now, don't get all up in a knot saying, "They are going to have to learn how to go without eventually!"<br /> <br /> Parents of kids with food allergies understand that their kids will one day have to learn that part of the reality of living with allergy is that you can't always have what other people are having. We start teaching that as soon as they are old enough to understand the concept. As children grow older, this is continually reinforced by families and health care professionals. We teach kids to advocate for themselves.<br /> <br /> Young children, however, deserve to learn in an environment that is not only safe, but also as inclusive as possible. Sitting alone at lunch, being the only kid who gets a bag of crackers instead of a cupcake, having to miss out on special activities, leaving the soccer game before the snack, being identified as the reason for other children's "deprivation" - these things add up very quickly in the psyche of a young child and create a profound sense of otherness. It IS worth the extra effort it takes to develop non-food rewards and celebrations. It IS worth the extra thought required to ensure that we aren't just keeping our kids physically healthy, but also emotionally healthy.<br /> <br /> It takes a village to raise a child. It takes many arms to envelop children in a circle of safety and acceptance. It takes the strength of many to lift our children up so they can look to the future and envision possibilities beyond the immediate.<br /> <br /> So, when you are planning that holiday party, or open house event, or fundraiser, or field trip - please ask yourself, "Am I doing everything I can to ensure that all the children in the school feel equally valued and worthy?"<br /> <br /> It may just be something on your task list, but to a kid, it can mean the world.</div> 2015/08/fostering-culture-of-inclusion-in.htmlnoreply@blogger.com (Sakina Bajowala, MD)0tag:blogger.com,1999:blog-569897044603346297.post-2086921238923303906Thu, 06 Nov 2014 05:17:00 +00002014-11-05T23:17:21.904-06:00Food allergyHalloweenKids Got Too Much Candy this Halloween? Here Are Some Options!<div dir="ltr" style="text-align: left;" trbidi="on"> If your Halloween ended up like hours, a short time spent trick or tricking resulted in a ridiculous quantity of candy. Luckily for me, the risk of finding shellfish in my boys' candy stash is exceedingly low. The same sense of relief does not extend to the families of kids with other food allergies, such as milk, egg, peanut or tree nuts. So, what's a candy-overloaded family to do? Here are a few ideas:<br /> <br /> 1. Let mom and dad eat it. Just kidding. Not really. :-/<br /> <br /> 2. Invite the "Switch Witch" over for a visit! She takes the candy, and leaves a cool toy in its place!<br /> <br /> 3. Send your candy to our troops serving abroad! Your donated candy will be included in care packages. Operation Gratitude does a great job: <a href=" /> <br /> 4. Ask your local dentist or allergist about Halloween candy buy-backs! Maybe your kids will make a few bucks... see below for a picture of a few of my patients visiting their dentist during a candy buy back event. They look pretty happy too me!<br /> <br /> <div class="separator" style="clear: both; text-align: center;"> <a href="(1).jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="(1).jpeg" height="320" width="240" /></a></div> <br /> <br /> 5. Donate the candy to a local food pantry, community center, or shelter. Ask first, to see if they are accepting candy donations.<br /> <br /> 6. Throw it away. There will be more next year, and it's just sugar anyway.</div> 2014/11/kids-got-too-much-candy-this-halloween.htmlnoreply@blogger.com (Sakina Bajowala, MD)2tag:blogger.com,1999:blog-569897044603346297.post-7701881190680240883Fri, 18 Oct 2013 22:30:00 +00002013-10-18T17:39:53.326-05:00Excluded MedicationsExpress ScriptsFormularyMajor Changes to Express Scripts Formulary Will Affect Many Asthma and Allergy Patients<div dir="ltr" style="text-align: left;" trbidi="on"> I just received notice that as of January 1, 2014, the Express Scripts formulary will be removing a number of medications from its repertoire of covered drugs. This means that patients under the Express Scripts plan will have NO COVERAGE for these prescriptions, and will be required to pay full price at the pharmacy. The list is long, and heavy on medications commonly used by patients with asthma and allergies:<br /> <br /> <b>Asthma medications:</b><br /> <br /> Advair diskus<br /> Advair HFA<br /> Alvesco HFA<br /> Flovent Diskus<br /> Flovent HFA<br /> Maxair Autohaler<br /> Proventil HFA<br /> Xopenex HFA<br /> <br /> <b>Allergy medications:</b><br /> <br /> Auvi-Q<br /> Beconase AQ<br /> Omnaris<br /> Rhinocort Aqua<br /> Veramyst<br /> Zetonna<br /> <br /> As insurers continue to seek ways to cut costs and boost the bottom line, they will negotiate with pharmaceutical companies to obtain lower pricing. Those companies that play ball get to keep their drugs on the formulary. Those that don't, get dropped. The losers are the patients who will be required to switch from medications they have been taking successfully.<br /> <br /> If you or a loved one are taking any of the medications on the above list, I would encourage you to schedule an appointment with your Board-Certified Allergist to discuss a trial of a covered alternative medication well in advance of January 1st. Your physician may have a sample of the new medicine that you can "try before you buy". You don't want to be in the position of being forced to switch before you've determined which alternative works for you. You may also want to take advantage of 90 day supplies of medication before the year ends and your coverage expires. Some of the soon to be excluded medications currently have manufacturer's coupons that will be valid through the end of the year.<br /> <br /> Talk to your doctor -- we're here to help you navigate through the complex state of medical affairs.</div> 2013/10/major-changes-to-express-scripts.htmlnoreply@blogger.com (Sakina Bajowala, MD)3tag:blogger.com,1999:blog-569897044603346297.post-4287858280380215571Fri, 20 Sep 2013 17:20:00 +00002020-02-09T09:32:35.532-06:00EpinephrineStock Epinephrine LawYour Chance to Weigh In On Stock Epinephrine Legislation (Courtesy of AANMA)<div dir="ltr" style="text-align: left;" trbidi="on"> <div style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; text-align: left;"> <span font-size:="" x-small="">I am proud to be from Illinois, where we already have excellent guidelines in place for the protection of food allergic children, and also have a stock epinephrine law on the books. I am also so pleased that my state's U.S. Senators have teamed up to co-sponsor a bipartisan bill designed to keep the children of America safe from severe allergic reactions. Read on to learn more!</span></div> <div style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; text-align: left;"> <br /></div> <div style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; text-align: left;"> Courtesy of the <a href="; target="_blank">Allergy and Asthma Network - Mothers of Asthmatics</a>:</div> <div align="center" style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; font-size: 14pt; text-align: center;"> <span style="font-family: Times; font-size: small;"><strong><br /></strong></span></div> <div align="center" style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; font-size: 14pt; text-align: center;"> <span style="font-family: Times; font-size: small;"><strong>Your Chance to Weigh In On</strong></span></div> <div align="center" style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; font-size: 14pt; text-align: center;"> <span style="font-family: Times; font-size: small;"><strong>Stock Epinephrine Legislation</strong></span></div> <div align="center" style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; font-size: 12pt; text-align: center;"> <br /></div> <div style="color: #222222; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; font-size: 13px;"> The School Access to Emergency Epinephrine Act, which would encourage states to require that schools keep l


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tag:blogger.com,1999:blog-388015273880296396Mon, 14 Sep 2026 06:21:20 +0000FilzPuppenAllerleiNähenFilzwitzGeschichten und PoesieFigurentheaterClown und ComedyHundJapanisch NähenAllerleirauh an der NadelAllerleirauh bittet zu TischAllerleiRauscheFilmchenReitenAllerleirauh bittet zum Tee Mein buntes Tagebuch zum Träumen und Lächeln noreply@blogger.com (Allerleirauh)Blogger2306125tag:blogger.com,1999:blog-388015273880296396.post-4217886626973318272Tue, 09 May 2023 08:40:00 +00002023-05-09T10:40:22.392+02:00Drei Märkte <p></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3040" data-original-width="2992" height="320" src="; width="315" /></a></div><br />Diesen Samstag bin ich am Frühlingsmarkt in Mettmenstetten, am 27.5 am Koffermarkt in Hedingen und am 3.6. am Wollimarkt in Zürich/Wollishofen.<p></p>2023/05/drei-markte.htmlnoreply@blogger.com (Allerleirauh)0tag:blogger.com,1999:blog-388015273880296396.post-2577706572016081296Wed, 22 Mar 2023 12:53:00 +00002023-03-22T13:53:22.835+01:00Markt in der Burg<p></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3214" data-original-width="2992" height="320" src="; width="298" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div>Der erste Markt in diesem Jahr steht vor der Tür.<p></p><p>Ich freue mich, bin aber irgendwie auch aufgeregt, wie es wohl wird.</p><p>Es ist ja Alles nicht gerade so einfach gerade.</p>2023/03/markt-in-der-burg.htmlnoreply@blogger.com (Allerleirauh)2tag:blogger.com,1999:blog-388015273880296396.post-3344175662501352770Tue, 22 Nov 2022 13:07:00 +00002022-11-22T14:07:56.259+01:00Markttermine<p></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3840" data-original-width="2160" height="357" src="; width="201" /></a></div><br />Diese Woche bin ich an zwei Märkten mit meinen Filzfiguren anzutreffen.<p></p><p>Morgen bin ich am Adventszauber in Bonnstetten und am Sonntag am Spinnereimarkt in Windisch.</p><p><br /></p>2022/11/markttermine.htmlnoreply@blogger.com (Allerleirauh)0tag:blogger.com,1999:blog-388015273880296396.post-8833647556390218470Thu, 20 Oct 2022 16:29:00 +00002022-10-20T18:29:33.322+02:00Herbstmärt in Gränichen <p></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="4000" data-original-width="2992" height="340" src="; width="254" /></a></div><br />Wahrscheinlich werden wir im Regen stehen am Samstag am Herbstmärt in Gränichen von 9 bis 14 Uhr.<p></p><p>Aber egal, wir sind ja nicht aus Zucker und die Sonne kann ja auch nicht immer scheinen.</p>2022/10/herbstmart-in-granichen.htmlnoreply@blogger.com (Allerleirauh)0tag:blogger.com,1999:blog-388015273880296396.post-1251432324288835887Fri, 30 Sep 2022 09:38:00 +00002022-09-30T11:38:03.191+02:00Herbstmarkt in Mettmenstetten <p></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="2407" data-original-width="3000" height="257" src="; width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;">Morgen bin ich am Herbstmarkt in Mettmenstetten.</div><div class="separator" style="clear: both; text-align: center;">Es sind viele neue Figuren entstanden, die man auch in meinem Shop finden kann.</div>&nbsp;<p></p>2022/09/herbstmarkt-in-mettmenstetten.htmlnoreply@blogger.com (Allerleirauh)0tag:blogger.com,1999:blog-388015273880296396.post-1574047781872714165Fri, 05 Aug 2022 15:49:00 +00002022-08-05T17:49:20.151+02:00Morgen wieder Markttag<p></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3708" data-original-width="2284" height="320" src="; width="197" /></a></div><br />&nbsp;<p></p>2022/08/morgen-wieder-markttag.htmlnoreply@blogger.com (Allerleirauh)0tag:blogger.com,1999:blog-388015273880296396.post-140955650507761808Mon, 27 Jun 2022 19:10:00 +00002022-06-27T21:10:13.783+02:00Clown und ComedyClownin sein - ich liebe es<p></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="600" data-original-width="600" height="320" src="; width="320" /></a></div><br />In den letzten Monaten ist ein grosser Herzenswunsch von mir in Erfüllung gegangen.<p></p><p>Nach dem ich meine Begegnungsclownausbildung beendet hatte, war für mich die grosse Frage, ob ich nun alleine als Clownin unterwegs sein will.</p><p>Im Grunde war es keine Frage, denn ich wollte das nicht. Gemeisam mit anderen macht es viel mehr Spass.&nbsp;</p><p>Nun bin ich als Clownin bei dem Verein Huusglön unterwegs und habe schon ein paar Einsätze hinter mir und ich bin richtig glücklich.</p><p>&nbsp;<br /> <br /></p><div class="separator" style="clear: both; text-align: center;"><a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="600" data-original-width="600" height="365" src="; width="365" /></a></div><p></p><p>&nbsp;<span class="d2edcug0 hpfvmrgz qv66sw1b c1et5uql lr9zc1uh a8c37x1j fe6kdd0r mau55g9w c8b282yb keod5gw0 nxhoafnm aigsh9s9 d3f4x2em iv3no6db jq4qci2q a3bd9o3v b1v8xokw oo9gr5id hzawbc8m" dir="auto"></span></p><div dir="auto" style="text-align: start;">Letzte Woche führte uns, unsere roten Nasen zu Menschen mit MS und ihren UnterstützerInnen, die am schönen Zugersee drei Ferienwoche verbringen. </div><p></p><p><span class="d2edcug0 hpfvmrgz qv66sw1b c1et5uql lr9zc1uh a8c37x1j fe6kdd0r mau55g9w c8b282yb keod5gw0 nxhoafnm aigsh9s9 d3f4x2em iv3no6db jq4qci2q a3bd9o3v b1v8xokw oo9gr5id hzawbc8m" dir="auto"></span></p><div dir="auto" style="text-align: start;">Ermöglicht hat das die Gesellschaft für Menschen mit MS und der Verein Huusglön.</div><div dir="auto" style="text-align: start;">Wir durften 1,5 Stunden im Kreise von 20 Mensch, unter einem grossen, alten Lindenbaum verbringen. </div><div dir="auto" style="text-align: start;">Für unser Thema "Wasser" hatten wir einen Fisch, eine blaue Malerfolie, einen Wassersprüher, eine Ukulele, ein paar Lieder und eine grosse Portion Improvisation - und Spielfreude dabei.</div><div dir="auto" style="text-align: start;"><!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML/> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> 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Name="List Table 2 Accent 2"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/> <w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful Acce


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Alles über Interviews Für alle, die starke Interviews geben, führen und veröffentlichen wollen Tue, 26 Apr 2022 08:31:05 +0000 de hourly 1 wp-content/uploads/2017/04/cropped-AüInt_Logo_ohne-Claim-32x32.png Alles über Interviews 32 32 Email oder E-Mail? – Rechtschreibtipps für Profis email-rechtschreibtipps/ email-rechtschreibtipps/#respond Mon, 06 Jun 2022 06:55:02 +0000 ?p=4672 „Imehl“ wird’s nicht geschrieben 😉 „Email“ aber auch nicht… In vielen geschriebenen Interviews steht eine dieser Varianten: E-mail, e-Mail, E-Mail,... Der Beitrag Email oder E-Mail? – Rechtschreibtipps für Profis erschien zuerst auf Alles über Interviews. ]]> email-rechtschreibtipps/feed/ 0 Argumentationstechniken: So überzeugen Sie in Meetings argumentationstechniken/ argumentationstechniken/#respond Tue, 26 Apr 2022 07:03:20 +0000 ?p=3003 Wortfechten für Profis: Hier erläutert Kommunikationstrainer Mario Müller-Dofel von Dialektik for Business Argumentationstechniken und anderes, damit Sie in Interviews, Diskursen... Der Beitrag Argumentationstechniken: So überzeugen Sie in Meetings erschien zuerst auf Alles über Interviews. ]]> argumentationstechniken/feed/ 0 Goldwissen-Podcast: Schulden ohne Ende – was bedeutet das für Gold? staatsverschuldung-ohne-ende-was-bedeutet-das-fuer-gold/ staatsverschuldung-ohne-ende-was-bedeutet-das-fuer-gold/#respond Wed, 09 Mar 2022 09:20:36 +0000 ?p=7688 Die Staatsverschuldung ist ein wichtiger Einflussfaktor für die Goldpreisentwicklung. Wie beides zusammenhängt, erläutert Robert Halver, Leiter der Kapitalmarktanalyse bei der... Der Beitrag Goldwissen-Podcast: Schulden ohne Ende – was bedeutet das für Gold? erschien zuerst auf Alles über Interviews. ]]> staatsverschuldung-ohne-ende-was-bedeutet-das-fuer-gold/feed/ 0 Interviewtipps gegen misstrauische Gesprächspartner interviewtipps-gegen-misstrauen/ interviewtipps-gegen-misstrauen/#respond Mon, 07 Mar 2022 13:16:33 +0000 ?p=2960 Der Beitrag Interviewtipps gegen misstrauische Gesprächspartner erschien zuerst auf Alles über Interviews. ]]> interviewtipps-gegen-misstrauen/feed/ 0 Goldwissen-Podcast: Wo ist der Ausweg aus der heftigen Inflation? heftige-inflation-wo-ist-der-ausweg/ heftige-inflation-wo-ist-der-ausweg/#respond Wed, 09 Feb 2022 10:01:22 +0000 ?p=7694 In den USA erreichte die Inflation Ende 2021 schwindelerregende 7 Prozent, in der Euro-Zone stiegen die Verbraucherpreise um 5 Prozent.... Der Beitrag Goldwissen-Podcast: Wo ist der Ausweg aus der heftigen Inflation? erschien zuerst auf Alles über Interviews. ]]> heftige-inflation-wo-ist-der-ausweg/feed/ 0 Goldwissen-Podcast: 15 Jahre Xetra-Gold® – 2022 wird spannend! goldwissen-podcast-15-jahre-xetra-gold-2022-wird-spannend/ goldwissen-podcast-15-jahre-xetra-gold-2022-wird-spannend/#respond Fri, 28 Jan 2022 11:09:55 +0000 ?p=7703 2022 feiert Xetra-Gold® sein 15-jähriges Jubiläum. Co-Geschäftsführer Steffen Orben blickt zurück auf die Anfänge, erzählt, was seither geschah – und... Der Beitrag Goldwissen-Podcast: 15 Jahre Xetra-Gold® – 2022 wird spannend! erschien zuerst auf Alles über Interviews. ]]> goldwissen-podcast-15-jahre-xetra-gold-2022-wird-spannend/feed/ 0 Paul Watzlawick: Wie Kommunikation unsere Wahrnehmung beeinflusst paul-watzlawick-kommunikation/ paul-watzlawick-kommunikation/#respond Sun, 26 Dec 2021 22:00:25 +0000 ?p=3011 Von Mario Müller-Dofel Das Buch „Wie wirklich ist die Wirklichkeit?“ des österreichischen Psychotherapeuten und Philosophen Paul Watzlawick († 2007) gehört... Der Beitrag Paul Watzlawick: Wie Kommunikation unsere Wahrnehmung beeinflusst erschien zuerst auf Alles über Interviews. ]]> paul-watzlawick-kommunikation/feed/ 0 Goldmythen – und warum es Mythen sind goldmythen-und-warum-es-mythen-sind/ goldmythen-und-warum-es-mythen-sind/#respond Sat, 09 Oct 2021 13:55:27 +0000 ?p=7669 Goldmythen gibt es viele: Gold ist zu teuer. Gold ist ein Spekulationsobjekt. Gold spielt an den Kapitalmärkten kaum eine Rolle.... 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tag:blogger.com,1999:blog-2111533922345280502Fri, 01 Nov 2024 08:23:07 +0000InformaciónNotíciesActesConferènciesLecturaPremsaCampanyesDocumentacióTrobadesHistòries de lactànciaSetmana Mundial Lactància MaternaFormacióConcursosCartellsVideosPetitàliaCursosTreballExposicionsVacancesAlleta - Associació lleidatana prolactància maternaAlleta és una associació formada per mares que donem suport a l'alletament natural i a tot el que aquest comporta tant a nivell afectiu com alimentari per als nostres fills. Atenem consultes personalment o per telèfon. Ens trobem un cop a la setmana amb mares i pares que vulguin compartir els seus problemes i donar-los suport i ajut. Fem xerrades, conferències i cursos. Compartim material audiovisual i bibliogràfic.noreply@blogger.com (Verónica)Blogger146125tag:blogger.com,1999:blog-2111533922345280502.post-772400691302387337Wed, 21 Nov 2018 23:58:00 +00002018-11-22T00:58:37.699+01:00<div> Ens ha emocionat llegir aquest relat de superació i empoderament arrel de l'experiència de lactància. El compartim, amb el permís de la mare, perquè de ben segur ajudarà a altres mares que estigueu vivint una situació similar.&nbsp;</div> <div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Bones a tots/es.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Avui us vull explicar la meva experiència amb el que es denomina l’extracció miraculosa. Us poso en context.... el 14 de juny va néixer el meu fill Noah, concretament 3 setmanes abans d’hora i amb un pes de 2,150 kg.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Des d’un primer moment vaig voler donar-li el pit, tot i que no tenia gaire informació al respecte. Vaig fer tal com hem van dir les llevadores de l’hospital, que bàsicament es resum en “a demanda”. Quan Noah tenia aproximadament una setmana vaig acudir a la pediatra desesperada perquè plorava moltíssim i estava molt irritable, i ella em va explicar que el que li passava era que tenia gana, era molt petit i que no tenia la suficient força per succionar i menjar la quantitat que necessitava. Com podreu imaginar assabenta’m que el meu fill passava gana em va deixar molt destrossada.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Davant aquesta situació el que la pediatra em va ordenar era donar-li un complement de llet artificial després de cada toma de pit, i ben cert és que a l’acabar el pit, en moltes ocasions agafava el biberó amb moltes ganes. Aquest fet em feia sentir impotent, però al menys em quedava tranquil·la que no passava gana mentre ell creixia i guanyava més força per poder succionar del pit sense dificultats.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>El problema va venir al cap de 2 o 3 setmanes quan Noah ja va adquirir el pes normal i vaig voler anar reduint els biberons, ja que en aquest poc temps, la quantitat que anava donant-li en biberó havia anat augmentant i no disminuint, fins tal punt que al final del dia li donava aproximadament uns 250 ml. Intentava sempre que ho demanava posar-lo al pit com m’havien dit, però veia que no produïa la llet suficient que necessitava i no podia produir-ne més a base de tornar-lo a posar, ja no per una qüestió física, sinó perquè saber que plorava de gana i oferir-li altre cop el pit sabent que no el calmaria em destrossava.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Aquesta situació es va perllongar des que Noah tenia unes 3 setmanes fins al mes i mig aproximadament, punt en el que cada cop portava pitjor la lactància materna, m’angoixava donar-li un biberó perquè sabia que d’aquella manera no produiria més llet però sabia que tampoc li podia oferir al moment el que necessitava i no podia deixar-lo plorar de gana. </i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Vaig acudir a la pediatra perquè ja havia decidit donar-li llet artificial, ja que no podia controlar una mixta, veia que cada cop augmentava més la quantitat de biberons i cada un que li donava em feia sentir mala mare, per no poder oferir-li al meu fill el que necessitava. Cada cop que li donava el pit em quedava el dubte, s’haurà saciat? La pediatra em va dir que intentes fins als 2 mesos de Noah seguir amb el pit, pels innumerables beneficis que tenia per ell.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>A l’arribar a casa, i després d’haver llegit molt i molt per internet, em va venir al cap una tècnica que havia llegit en el blog de “Alba lactància materna”, una tècnica indicada pels casos en que la producció de llet és insuficient pel nadó. Vaig pensar en fer l’últim esforç, donar-ho tot per si sorgia resposta, tot i que no en tenia gaires esperances... la meva experiència feia que vegues casi impossible augmentar la meva producció de llet fins arribar a suplir tota la quantitat de biberó que li donava.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>La tècnica, que podeu consultar a la web que esmento al final, consisteix en extreure’s llet durant 10 minuts cada hora fins arribar a extreure 15-20 ml/h. Quan s’arriba a aquesta quantitat es fan sessions de 20 minuts cada 2 hores fins arribar a extreure 40 ml. Finalment, en obtindré aquests volums, les extraccions poden començar-se a distanciar fins mantindré de 6 a 8 extraccions de 30 minuts cadascuna durant 24 hores.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>El primer que vaig fer és comprar-me un extractor elèctric doble. No és que vulgui que en compreu un, però jo anava a tot o res, era la meva aposta, i es cert que donades les múltiples extraccions que s’han de fer amb aquesta tècnica, és més còmode i eficaç amb un de doble.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Personalment, el que vaig fer és realitzar durant 3 dies extraccions de 10 minuts cada hora. Durant la nit no seguia aquest protocol, sinó que cada cop que Noah demanava pit, al acabar de donar-li, realitzava l’extracció (normalment eren unes 3 o 4 al llarg de la nit). </i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Posteriorment, vaig seguir 3 o 4 dies més en que feia el següent pas, 20 minuts d’extracció cada 2 hores. Durant la nit, quan Noah es despertava, a l’acabar el pit, tornava a extreure’m. </i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Finalment, vaig estar uns 3 dies més fent extraccions cada 3 hores durant 30 minuts.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Durant aquesta tècnica d’extracció clarificar que no us heu de preocupar si al fer la extracció casi no surt llet, i més si acabeu de donar el pit. Com podreu llegir curosament en el blog, la finalitat és hiperestimular el pit per crear freqüents pics de prolactina i així augmentar la producció de la llet. </i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Tampoc us preocupeu de realitzar una extracció i quedar-vos “sense llet” pel bebè. El que es fa durant aquesta tècnica és guardar tota la llet que es va extraient i quan el nen/a tingui gana, primer se li ofereix el pit (encara que s’acabi de realitzar una extracció) i després, si encara té gana, se li ofereix la llet que ens hem extret. </i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Després d’aquest 9 dies us puc assegurar que la meva producció de llet era superior al que Noah necessitava. El dia abans de començar la extracció mirculosa li havia de donar uns 4 o 5 petits biberons de llet artificial a Noah, i tal com vaig finalitzar, ja no vaig necessitar donar-li ningun més.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>A dia d’avui, en que Noah té 5 mesos, no li he hagut de donar mai llet artificial, és més, des que vaig acabar aquesta tècnica sempre mantinc una extracció abans d’anar a dormir, la qual és una donació pel banc de llet materna (per nens prematura hospitalitzats).</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>La veritat és que haver donat amb aquesta tècnica em va canviar la meva experiència de la lactància materna, de ser quelcom que em produïa angoixa, que em donava inseguretat... sempre preguntant-me, es quedarà amb gana? A passar a estar molt segura de la meva producció de llet i així poder gaudir de donar-li el pit cada dia.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Ús animo, que si esteu vivint una etapa similar, per la raó que sigui, proveu aquesta tècnica i si teniu qualsevol dubte de com l’he portada a terme estaré encantada de poder ajudar-vos. Sols espero que la meva experiència pugui ajudar a alguna mare com a mi em va ajudar en el seu dia.</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>Ànims super mamis!</i></span></div> <div style="margin: 0px;"> <br /></div> <div style="margin: 0px;"> <span lang="CA" style="margin: 0px;"><i>; </div> <div> <b><i><br /></i></b></div> <div> <i><br /></i></div> <div> <i><br /></i></div> <div> <i></i><br /></div> 2018/11/ens-ha-emocionat-llegir-aquest-relat-de.htmlnoreply@blogger.com (Unknown)0tag:blogger.com,1999:blog-2111533922345280502.post-9086081683977743978Mon, 26 Dec 2016 08:43:00 +00002016-12-26T09:44:43.766+01:00CampanyesHistòries de lactànciaInformaciónLectura#MiMamáCura<br /> <br /> Desitgem que esteu passant uns dies feliços, pero sabem que hi ha famílies que no els han pogut gaudir.. perque tenen el seu bebe a l'hospital. Sovint, es donen casos on l'adult que acompanya a aquest bebe (majoritariament la mare), es troba en una situació bastant precària.<br /> <br /> &nbsp;"Un bebe no es una unidad; es el conjunto de él con su vinculo adulto, que en la generalidad de los casos es su madre"<br /> <br /> Ens unim a la declaració d'un cojunt d'entitats, associacions i professionals per a que les mares, puguin acompanyar dignament als seus fills en aquests casos, sobretot, en els que aquests bebes prenen lactancia materna.<br /> <br /> Aqui podeu llegir la declaració i signar la petició. Tambe us animem a que compartiu les vostres experiencies, amb el hagstag #MiMamáCura<br /> <br /> <a href=";2016/12/mimamacura-desitgem-que-esteu-passant.htmlnoreply@blogger.com (Unknown)0tag:blogger.com,1999:blog-2111533922345280502.post-7909986206981032704Wed, 21 Dec 2016 23:33:00 +00002016-12-22T00:33:24.597+01:00<div class="separator" style="clear: both; text-align: center;"> <a href="; imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="286" src="; width="400" /></a></div> <br /> US ENVIEM ELS NOSTRES MILLORS DESITJOS DE JOIA I FELICITAT.<br /> <br /> El dia 9 de Gener ens retrobem a les reunions setmanals, en horari de sempre i lloc habitual. Per si durant aquests dies de vacances, heu de contactar amb alguna assessora, us deixem els telefons actualitzats:<br /> <br /> -Zaida: 649.100.135<br /> -Natalia: 686.266.276<br /> -Neus: 600.504.304<br /> -Nuria: 653.992.747<br /> -Maria: 626.083.600<br /> -Mayte: 616.781.860<br /> -Isabel: 653.808.221<br /> -Sheila: 626.329.004<br /> -Txell: 620.531.187<br /> -MºJose: 661.422.480<br /> -Montse: 659.448.983<br /> -Mo: 636.536.460<br /> -Vanessa: 609.975.731<br /> -Lucia: 690.041.3542016/12/us-enviem-els-nostres-millors-desitjos.htmlnoreply@blogger.com (Unknown)0tag:blogger.com,1999:blog-2111533922345280502.post-77305796730883379Sat, 19 Nov 2016 21:48:00 +00002016-11-19T22:48:05.194+01:00<div style="text-align: center;"> <span style="font-size: large;">17 de Novembre. </span></div> <div style="text-align: center;"> <span style="font-size: large;">DIA MUNDIAL DEL NEN PREMATUR</span></div> <div style="text-align: center;"> &nbsp;</div> <div style="text-align: left;"> &nbsp;</div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Alleta es suma a la Commemoració del Dia Mundial del Prematur, que es celebra anualment el 17 de Novembre per fer palesa la importància de l’alletament matern, també i molt especialment, per als nadons que neixen prematurament. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Per tal de conèixer més sobre aquest tema, hem entrevistat la Dra. Mireia Ortiz, pediatra neonatòloga i mare, coordinadora del projecte Iniciativa per a la Humanització de l’Assistència al Naixement i la Lactància Materna (iHAN) i presidenta del Comitè de Lactància de l’Hospital Universitari Arnau de Vilanova de Lleida, a qui agraïm que ens hagi atès i felicitem per la seva tasca a l’hospital.<br /> <br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <a href="; name="_GoBack"></a><span style="color: black;"> <strong>-Alleta:</strong> Bon dia, Mireia, moltes gràcies per atendre'ns. Abans de començar l'enquesta, ens agradaria presentar breument el teu currículum:<br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Mireia Ortiz: Llicenciada en Medicina i Cirurgia per la Universitat de Lleida, juliol 1998.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Especialitzada en Pediatria i àrees específiques per l’Hospital Universitari de la Vall d´Hebron de Barcelona. Del 17 de juliol del 2000 al 16 de juliol del 2004.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Subespecialitzada en neonatologia, per la Unitat de Cures Intensives del servei de Neonatologia de l’Hospital Universitari Materno-Infantil Vall d’Hebron de Barcelona durant el període comprès entre 1-07-2004 a 30-06-2006. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Mare des de l’any 2011.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Assessora en lactància materna: Curs de formació en lactància materna FEDALMA, promoció 2013-2014.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Presidenta del Comitè de Lactància materna de l’Hospital Arnau de Vilanova i Coordinadora del projecte iHAN-Hospital desde l’any 2015.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"> <br /> Dit això, ens posem en matèria, explica'ns:<br /> <br /> <b>-</b><b>Alleta:</b> <span style="font-weight: normal;">Quants casos de prematurs naixen </span><span style="font-weight: normal;">anualment </span><span style="font-weight: normal;">a l</span><span style="font-weight: normal;">’</span><span style="font-weight: normal;">HUAV? I quants d’aquests són alletats </span><span style="font-weight: normal;">amb</span><span style="font-weight: normal;"> llet materna? </span> </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-</b><b>Mireia Ortiz:</b> Neixen uns 210 nadons prematurs a l’any, que correspon a un 7% de tots els parts.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">El 100% dels nadons menors de 32 setmanes o amb un pes inferior als 1500 grams, reben llet materna, ja sigui de la seva mare o de banc. Dels majors de 32 setmanes, un 85% aproximadament reben llet materna. </span><b><br /><span style="color: black;"> </span></b></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <br /><span style="color: black;"> <b>-</b><b>A:</b> <span style="font-weight: normal;">Com és la lactància en casos de prematuritat i/o múltiples? </span><br /> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-</b><b>M.O:</b> La nutrició ideal del prematur és la que aconsegueix un creixement a nivells intrauterins sense sotmetre a estrès a les seves immadures funcions metabòliques i excretores.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Pels nens ingressats a la unitat neonatal, ja siguin nens prematurs, nens amb retard de creixement intrauterí o nounats malalts, la lactància materna és l'alimentació d'elecció.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">La llet materna ha estat redescoberta com un dels factors claus per millorar els resultats dels nens prematurs i és reconeguda com un estàndard de qualitat en les Unitats de Neonatologia. El Comitè de Nutrició de l'Acadèmia Americana de Pediatria, l’Organització Mundial de la Salut i el Comitè ESPGHAN la recomanen igual per alimentar als nens prematurs.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Malgrat això les mares dels nounats malalts i prematurs inicien la lactància amb menys freqüència que les d’un nadó a terme i la seva durada és menor. Aquests nens són els que més es beneficiarien de la llet materna, i són, en general, els que la reben menys.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Quan una parella decideix tenir un fill s'imagina un bebè a terme, sa, actiu, que s'incorporarà a la família immediatament. Aquestes expectatives es trunquen bruscament si el bebè neix abans d'hora. El nen prematur serà separat a l'instant dels seus pares i se’l posarà en una incubadora. Com més immadur sigui, més cables i tubs l’envoltaran, i més cridaner serà el seu aspecte. Davant d’aquesta situació, és molt probable que els pares experimentin sentiments de “dol”, culpa, rebuig i/o preocupació. Això, juntament amb les “normes” per a les visites en les unitats neonatals, dificulta el vincle afectiu pares-nen, arribant fins i tot a tenir dificultats per reconèixer aquest nen malalt com a fill propi. Apareixen en els pares els sentiments de culpa, ja que es troben molt lluny del que esperaven sentir pels seus fills.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"> Les falses creences generalitzades en la població (“per al prematur alimenta més la llet artificial”, “no produeixo llet suficient”, “la llet no em puja”) , i el fet que alguns professionals sanitaris contraindiquin la lactància materna i fins i tot la retirin per motius injustificats, per ignorància o per perjudicis infundats, resulten veritables barreres per a l’alletament.<br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Les Unitats de Neonatologia es van tancar en la dècada dels anys 70. Els nounats prematurs romanien tancats en la incubadora, no es podien tocar i es va excloure als pares per por de les infeccions. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">En els últims anys l'atenció al nen prematur està canviant, la pràctica de la humanització i de la Neonatologia centrada en la família s'ha anat convertint en una eina més de l’assistència diària. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">La preocupació per aconseguir millorar els resultats dels nadons prematurs s’ha sumat a altres factors que han agafat valor en els darrers anys i junts són la base d’un nou paradigma assistencial, més adequat a les necessitats del nadó i de les seves famílies, d’aquí es d’on neix les cures centrades en el desenvolupament i la família (CCDF).</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0.21cm;"> <span style="color: black;">Els aspectes claus de les CCDF són reduir l’estrès, facilitar l’organització del sistema nerviós central, fomentar la participació dels pares en la cura dels seus fills i facilitar l’establiment de vincles estables. L’objectiu final és millorar el pronòstic, especialment en referència al neuro-desenvolupament. Les CCDF complementen i humanitzen les cures tradicionals i en milloren els resultats. Exemples d'aquests canvis són: la lactància materna en prematurs, el mètode cangur i les unitats obertes als pares sense restricció d'horaris. Amb tot això es procuren les condicions favorables perquè la lactància materna sigui el més duradora i satisfactòria possible. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0.21cm;"> <span style="color: black;">La lactància materna en les unitats neonatals, també s'utilitza com a mètode d'analgèsia no farmacològica. Els components que poden contribuir a aquest efecte analgèsic inclouen la presència d'una persona reconfortant (la mare), la sensació física de contacte pell a pell, la distracció de l'atenció i la dolçor de la llet materna. Prendre el pit durant un procediment dolorós disminueix el plor i l'expressió facial dolorosa, comparat amb placebo, té un efecte similar a la sacarosa i el percentatge de nens que ploren durant el procediment es redueix en un 40%, el temps de plor es redueix en un 50% i existeix un menor increment de la freqüència cardíaca. També s'ha demostrat que l'administració de llet materna prèviament al procediment redueix els signes de dolor. <br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0.21cm;"> &nbsp;</div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-A: </b><span style="font-weight: normal;">Les donacions de llet poden abastir la demanda? </span><br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0.21cm;"> <span style="color: black;"><b>-</b><b>M.O:</b> El Banc de llet materna té com a objectiu garantir l’alimentació amb llet materna a tots els nadons prematurs o nounats de Catalunya que no puguin ser alletats per la seva pròpia mare.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0.21cm;"> <span style="color: black;">Durant l’any 2015, hi va haver a Catalunya 605 mares donants, amb el que es va poder distribuir 1005 litres de llet, a 476 nadons prematurs. Aquesta xifra ha anat augmentant des de l’inic<span style="font-weight: normal;">i del banc de llet al 2010, que va ser l’any en que el el Banc de Sang i Teixits va obtenir l’autorització per iniciar l’activitat del Banc de Llet Materna </span><span style="font-weight: normal;">(BLM)</span><span style="font-weight: normal;">. En el nostre hospital no hem tingut problemes d’abastiment pels nostres nadons prematurs.</span></span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="font-weight: normal; line-height: 100%; margin-bottom: 0.21cm;"> <span style="color: black;"> Des de juny de 2011 fins al març de 2016 a la regió de Lleida:</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="font-weight: normal; line-height: 100%; margin-bottom: 0.21cm;"> <span style="color: black;"> -123 mares s’han fet donants de llet materna</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="font-weight: normal; line-height: 100%; margin-bottom: 0.21cm;"> <span style="color: black;"> - s’han recollit 284 litres de llet materna procedent de mares donants</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="font-weight: normal; line-height: 100%; margin-bottom: 0.21cm;"> <span style="color: black;"> - 71 nadons de l’Hospital U. Arnau de Vilanova han rebut llet del BLM.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div style="text-align: left;"> <span style="color: black;"><br /> <b>-</b><b>A:</b> <span style="font-weight: normal;">Quins beneficis té pel prematur la </span><span style="font-weight: normal;">Lactància Materna</span><span style="font-weight: normal;">? Existeix diferència en el creixement i desenvolupament d’un prematur alletat amb llet materna </span><span style="font-weight: normal;">i el </span><span style="font-weight: normal;">d'un altre </span><span style="font-weight: normal;">alimentat</span><span style="font-weight: normal;"> amb </span><span style="font-weight: normal;">llet de </span><span style="font-weight: normal;">fórmula</span><span style="font-weight: normal;">? </span><br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-</b><b>M.O:</b> Els succedanis de llet materna, tot i els seus dissenys sofisticats i l’elevat preu, estan molt lluny de poder oferir els avantatges de la llet de mare. S'associen a un augment de les complicacions, a curt i a llarg termini, impedeixen la transmissió de factors inmunoprotectors i de creixement que poden prevenir greus complicacions relacionades específicament amb la prematuritat (enterocolitis necrosant, infecció nosocomial i retinopatia). També s’ha vist que que el patró de succió / deglució / respiració i del flux de la llet quan poden prendre llet directament del pit, és millor que en el biberó, el nivell d'oxigenació i el control de la temperatura són millors i més estables, al pit de la mare i fan menys pauses respiratòries que inestabilitzen al nadó.<br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> &nbsp;</div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-</b><b>A: </b><span style="font-weight: normal;">Quin porcentatge de mares surt a l’alta fent lactància materna exclusiva? </span> </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-</b><b>M.O.:</b></span><span style="font-weight: normal;"><span style="color: black;">Un 70%. <br /> </span></span><b></b></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <b><br /><span style="color: black;"> -</span></b><span style="color: black;"><b>A: </b><span style="font-weight: normal;">Quines millores s'estan realitzant a l</span><span style="font-weight: normal;">’</span><span style="font-weight: normal;">HUAV respecte a la lactància materna per a l'acreditació </span><span style="font-weight: normal;">I</span><span style="font-weight: normal;">HAN? Quina </span><span style="font-weight: normal;">importància</span><span style="font-weight: normal;"> t</span><span style="font-weight: normal;">é</span><span style="font-weight: normal;"> en el territori? Com es beneficiar</span><span style="font-weight: normal;">a</span><span style="font-weight: normal;">n les mares </span><span style="font-weight: normal;">d’</span><span style="font-weight: normal;">aquesta</span><span style="font-weight: normal;"> nova</span><span style="font-weight: normal;"> manera de treballar? </span><br /> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-</b><b>M.O.: </b>La promoció de la Lactància Materna és una de les maneres més eficaces de millorar la salut dels nostres fills, pels seus avantatges nutricionals, emocionals i immunològics. A més dels efectes beneficiosos que té per a les mares, les famílies, la comunitat, el sistema de salut i social, el medi ambient, i la societat en general.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Essent conscients de la importància i responsabilitat de les unitats materno infantils en l'èxit o fracàs de la lactància materna, des de la unitat Materno infantil del Hospital Arnau de Vilanova, va sorgir la necessitat d’unir-nos a la iniciativa per a la Humanització de l’Assistència al Naixement i la Lactància (iHAN)..</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">La iniciativa iHAN és un programa promogut per l’Organització Mundial de la Salut (OMS) i el Fons de les Nacions Unides per a la Infància (UNICEF) per animar als hospitals, centres de salut i sales de maternitat a adoptar les pràctiques que protegeixin, promoguin i donin suport a la lactància materna exclusiva des del naixement.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">La iHAN ofereix als hospitals que voluntàriament ho sol·licitin un programa eficaç i estructurat per la promoció de la lactància materna. També assegura que els Hospitals acreditats han superat una rigorosa avaluació externa, que garanteix que es compleixen els requisits exigits. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">El programa de la iHAN s'ofereix als hospitals com una oportunitat de millora ja assajada i provada i ser Hospital iHAN és sinònim de treballar bé en l'atenció a embarassades, mares i nadons .</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">El primer que hem fet a l’hospital és crear un comité de lactància materna, multidisciplinar, i conèixer el punt de partida on ens trobem, detectant així les àrees de millora. Això es va realitzar </span><span style="color: black;">mitjançant un estudi prospectiu i una enquesta d’autoavaluació proporcionada per la mateixa iHAN, i a partir d’aquí anem treballant seguint les directrius que ens marca la iHAN.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Durant l’any 2016, s’ha escrit i s’ha difós al personal, una normativa de lactància que conté els 10 passos per una lactància feliç i la prohibició expressa de l'exposició i la distribució de material amb publicitat de la llet de fórmula, així com també de biberons, xumets o tetines. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">També s’ha creat un pla de coordinació amb Atenció Primaria i els grups de suport.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Durant l’any 2016 l’Arnau formarà més de 400 professionals en lactància materna. Aquesta formació està adreçada a tot el personal sanitari de l’àrea maternoinfantil i s’emmarca en la tercera fase del projecte IHAN, ja que la falta de formació teòrica i pràctica és una barrera important per a l’inici i el manteniment de la lactància materna. Per això, les properes passes són les de posar en marxa accions de formació que ajudin els treballadors de les maternitats i de les àrees pediàtriques dels hospitals i centres de salut a aconseguir l’excel·lència en la pràctica clínica. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">L’estrategia iHAN es basa en: </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">1. Estimular els/les professionals sanitaris per a que adaptin les seves rutines d’assistència durant l’embaràs, part i lactància a les recomanacions de l’OMS i UNICEF «Diez Pasos para tener éxito en la lactancia».</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">2.&nbsp; Protegir les mares de la publicitat comercial dels productes artificials, a través del compliment del codi de Comercialització de Succedanis de Llet Materna en els centres sanitaris de l’OMS. </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="justify" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Crec que tots ens beneficiem d’aquesta manera de treballar, ja que tenir el segell iHAN és una garantia de qualitat i és sinònim de treballar bé en l'atenció a embarassades, mares i nadons.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Moltes publicacions avalen l'eficàcia de l'estratègia iHAN per augmentar les taxes de lactància (a l’alta com fins als 2 anys) en països desenvolupats.</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <br /><span style="color: black;"> <b>-</b><b>A: </b><span style="font-weight: normal;">Quins o</span><span style="font-weight: normal;">rganismes de </span><span style="font-weight: normal;">referència pel que</span><span style="font-weight: normal;"> fa a </span><span style="font-weight: normal;">lactància</span><span style="font-weight: normal;"> materna aconsellar</span><span style="font-weight: normal;">í</span><span style="font-weight: normal;">eu a una mare lactant?</span><br /> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"><b>-</b><b>M.O.: </b>Aconsellem consultar: </span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">- La pàgina de la IHAN,</span> <a href=" style="color: blue;">;. </div> <div style="text-align: left;"> </div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">- Grups prolactància materna, els més propers al nostre hospital són: ALLETA i el “grupo de apoyo” de la lactancia materna de Fraga .</span></div> <div style="text-align: left;"> <span style="color: black;"> </span><a href=" style="color: blue;"> style="color: black;"> , info@alleta.cat</span></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;"> -El foro per a pares del Comité de Lactància de la Associació Espanyola de Pediatria (AEP):</span></div> <div style="text-align: left;"> <span style="color: blue;">ht</span><a href=" style="color: blue;"><span style="color: blue;">tp://www.aeped</span>.es/foros/foro-comite-lactancia-materna/dudas-sobre-lactancia-materna-padres</span></a></div> <div style="text-align: left;"> </div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> -<span style="color: black;">Si la mare ha de prendre qualsevol fàrmac, recomanem la web: </span><a href=" style="background-color: white; color: blue;">www.e-lactancia.org</span></a></div> <div style="text-align: left;"> <span style="color: black;"> </span></div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">-Altres pàgines web d’interès:</span> </div> <div style="text-align: left;"> </div> <div style="text-align: left;"> <span style="color: black;">1. Federació Catalana de Grups de Suport a l’alletament matern</span></div> <div style="text-align: left;"> <a href="mailto:fedecata@grupslactacia.org"><span style="color: blue;">fedecata@grupslactacia.org</span></a>. </div> <div style="text-align: left;"> <a href=" style="color: blue;">www.grupslactancia.org</span></a></div> <div style="text-align: left;"> </div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">2. Lliga de la llet de Catalunya</span></div> <div style="text-align: left;"> <a href=" style="color: blue;">www.lalligadelallet.org</span></a></div> <div style="text-align: left;"> </div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">3. Federació Espanyola d’associacins prolactància materna</span></div> <div style="text-align: left;"> <span style="color: black;"> </span><span style="color: black;"><a href="mailto:contacto@fedalma.org">contacto@fedalma.org</a></span></div> <div style="text-align: left;"> <a href=" style="color: blue;">www.fedalma.org</span></a></div> <div style="text-align: left;"> <br /> </div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <span style="color: black;">Des d’Alleta felicitem l’HUAV per emprendre el camí de la iHAN i especialment, a la Dra Mireia Ortiz i els altres professionals que ho fan possible. Aquests canvis en l’assitència a mares i nadons de ben segur tindran una repercussió directa en la seva salut física i emocional, i contribuiran a normalitzar la lactància materna tant en l’àmbit sanitari com social.</span></div> <div style="text-align: left;"> </div> <div align="left" style="line-height: 115%; margin-bottom: 0cm;"> <br /> </div> <div style="text-align: left;"> </div> <div align="right" style="line-height: 115%; margin-bottom: 0cm;"> <img align="left" border="0" height="299" name="Imagen1" 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