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	<title>Comments on: Dysautonomia?  Part 1</title>
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	<link>http://chronichealing.com/dysautonomia-part-1/</link>
	<description>Helping women with chronic illnesses</description>
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		<title>By: Jeanne</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6634</link>
		<dc:creator>Jeanne</dc:creator>
		<pubDate>Wed, 21 Dec 2011 03:46:17 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6634</guid>
		<description>&lt;em&gt;&lt;strong&gt;Lauren:&lt;/strong&gt;&lt;/em&gt;

It sounds like you have a number of questions.  I urge you to contact your own physician for questions regarding the appropriate treatment for your individual situation.

Jeanne</description>
		<content:encoded><![CDATA[<p><em><strong>Lauren:</strong></em></p>
<p>It sounds like you have a number of questions.  I urge you to contact your own physician for questions regarding the appropriate treatment for your individual situation.</p>
<p>Jeanne</p>
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		<title>By: Lauren</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6631</link>
		<dc:creator>Lauren</dc:creator>
		<pubDate>Tue, 20 Dec 2011 23:23:46 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6631</guid>
		<description>The nausea is so bad...is there anything that helps? Or does that die down on its own or as the flare subsides? It is so severe each day and I get  
dry heaves in the night. Not so much fun.</description>
		<content:encoded><![CDATA[<p>The nausea is so bad&#8230;is there anything that helps? Or does that die down on its own or as the flare subsides? It is so severe each day and I get<br />
dry heaves in the night. Not so much fun.</p>
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		<title>By: Lauren</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6630</link>
		<dc:creator>Lauren</dc:creator>
		<pubDate>Tue, 20 Dec 2011 23:11:47 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6630</guid>
		<description>I don&#039;t quite understand how compression stockings work? I don&#039;t have low blood pressure but do have tachychardia. Would they help? I have tried them three times...had them on about two hours each time and just felt relief when I took them off. Of course, I am in bed much of the time so maybe that is the problem.
Also, I have been adding 3,000 mg of sodium to my diet for a while. Went to MD today finally and he said to increase it. Anyone have an idea of how much salt and how much fluid to add to increase blood volume? And how long does it take to notice if it is having beneficial effects.
I am glad to hear that in some cases there are better days and better times. I guess a flare is like a relapse in some ways?</description>
		<content:encoded><![CDATA[<p>I don&#8217;t quite understand how compression stockings work? I don&#8217;t have low blood pressure but do have tachychardia. Would they help? I have tried them three times&#8230;had them on about two hours each time and just felt relief when I took them off. Of course, I am in bed much of the time so maybe that is the problem.<br />
Also, I have been adding 3,000 mg of sodium to my diet for a while. Went to MD today finally and he said to increase it. Anyone have an idea of how much salt and how much fluid to add to increase blood volume? And how long does it take to notice if it is having beneficial effects.<br />
I am glad to hear that in some cases there are better days and better times. I guess a flare is like a relapse in some ways?</p>
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		<title>By: Endochick</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6627</link>
		<dc:creator>Endochick</dc:creator>
		<pubDate>Tue, 20 Dec 2011 19:31:21 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6627</guid>
		<description>Lauren, as Jeanne said, each patient is different. Your response to the dysautonomia and how you body reacts to and heals from it is different, too. My recent flare up began in June and it is now almost end of December. I have had longer stretches, but none exceeding 10 months. And, of course, the degree of severity changes even within a flare up. I&#039;ll had good days (which are no where near my normal good days) and bad days, and then really bad days. I had a severe dizzy spell the other night that left me incapacitated. But the next day, I was able to function as long as I drank my water, ate my salt, and got those stockings on me BEFORE I got out of bed. 

With my dysautonomia, it always seems to get worse before it gets better. Yours may be different. 

What has always been beneficial to me is 1) drink 8 glasses water a day (100 ounces in hot weather or when exercising a lot), 2) compression stocking - thigh high is ideal - BEFORE getting out of bed, and 3) increase salt. This doesn&#039;t mean junk food, because when we are ill like this it&#039;s even more important to take care of our bodies. Good nutrition, REST (I CANNOT stress this enough!!), and reducing stress really do help limit the severity and length of flare ups. I have had this my entire life and those three things have seem me through some pretty bad flares. The worst flare up I had was when I was nearly bed bound for an entire summer. So, it does get better. It will take time, and no one can give you a specific time - not even a physician. When we have these flare ups, our autonomic systems have kicked into over gear, this taxes our other vital systems making them work harder to keep the body kicking. So, think of it as rebooting a computer. All you can do is press the reset button and wait for the darn machine to boot up. Depending on the programs loaded (ie. other chronic illnesses you may have, daily and chronic stress, whether you are taking care of yourself, measures being taken to reduce severity of flare up) the longer it&#039;s going to take for our bodies to kick on and work properly.</description>
		<content:encoded><![CDATA[<p>Lauren, as Jeanne said, each patient is different. Your response to the dysautonomia and how you body reacts to and heals from it is different, too. My recent flare up began in June and it is now almost end of December. I have had longer stretches, but none exceeding 10 months. And, of course, the degree of severity changes even within a flare up. I&#8217;ll had good days (which are no where near my normal good days) and bad days, and then really bad days. I had a severe dizzy spell the other night that left me incapacitated. But the next day, I was able to function as long as I drank my water, ate my salt, and got those stockings on me BEFORE I got out of bed. </p>
<p>With my dysautonomia, it always seems to get worse before it gets better. Yours may be different. </p>
<p>What has always been beneficial to me is 1) drink 8 glasses water a day (100 ounces in hot weather or when exercising a lot), 2) compression stocking &#8211; thigh high is ideal &#8211; BEFORE getting out of bed, and 3) increase salt. This doesn&#8217;t mean junk food, because when we are ill like this it&#8217;s even more important to take care of our bodies. Good nutrition, REST (I CANNOT stress this enough!!), and reducing stress really do help limit the severity and length of flare ups. I have had this my entire life and those three things have seem me through some pretty bad flares. The worst flare up I had was when I was nearly bed bound for an entire summer. So, it does get better. It will take time, and no one can give you a specific time &#8211; not even a physician. When we have these flare ups, our autonomic systems have kicked into over gear, this taxes our other vital systems making them work harder to keep the body kicking. So, think of it as rebooting a computer. All you can do is press the reset button and wait for the darn machine to boot up. Depending on the programs loaded (ie. other chronic illnesses you may have, daily and chronic stress, whether you are taking care of yourself, measures being taken to reduce severity of flare up) the longer it&#8217;s going to take for our bodies to kick on and work properly.<br />
<span class="cluv">Endochick&#180;s last [type] ..<a class="94d8852604 6627" rel="nofollow" href="http://endochick.wordpress.com/2011/11/14/childhood-bullying-will-this-ever-stop/">Childhood Bullying: will this ever stop?</a></span></p>
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		<title>By: Jeanne</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6626</link>
		<dc:creator>Jeanne</dc:creator>
		<pubDate>Tue, 20 Dec 2011 18:14:20 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6626</guid>
		<description>&lt;em&gt;&lt;strong&gt;Lauren:&lt;/strong&gt;&lt;/em&gt;

Every patient is different.  It is beyond difficult for a patient to predict how long his/her own flare-up will last.  To predict how long another patient&#039;s flare-up will last would be impossible for any patient to do.  

I really hope that your symptoms improve significantly and as soon as possible.  I&#039;m sorry that you are so ill.  

Best of luck to you!

Jeanne</description>
		<content:encoded><![CDATA[<p><em><strong>Lauren:</strong></em></p>
<p>Every patient is different.  It is beyond difficult for a patient to predict how long his/her own flare-up will last.  To predict how long another patient&#8217;s flare-up will last would be impossible for any patient to do.  </p>
<p>I really hope that your symptoms improve significantly and as soon as possible.  I&#8217;m sorry that you are so ill.  </p>
<p>Best of luck to you!</p>
<p>Jeanne</p>
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		<title>By: Lauren</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6625</link>
		<dc:creator>Lauren</dc:creator>
		<pubDate>Tue, 20 Dec 2011 13:37:14 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6625</guid>
		<description>Endochick
How long does a flare last? It has been over three months? Does it settle down over time in terms of weeks or months or years? At first I could not get out of bed. Now I can but have nausea and dry heaves and chills a lot of the time.</description>
		<content:encoded><![CDATA[<p>Endochick<br />
How long does a flare last? It has been over three months? Does it settle down over time in terms of weeks or months or years? At first I could not get out of bed. Now I can but have nausea and dry heaves and chills a lot of the time.</p>
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		<title>By: Jeanne</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6624</link>
		<dc:creator>Jeanne</dc:creator>
		<pubDate>Tue, 20 Dec 2011 05:40:11 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6624</guid>
		<description>&lt;em&gt;&lt;strong&gt;Endochick:&lt;/strong&gt;&lt;/em&gt;

I just realized that I had missed what you said about hot showers.  Dizziness during showers has been a major problem for me in the past.  Back when my dysautonomia was really bad, standing up for the length of time it takes (to take a shower) was completely out of the question.  I had a few minor-but-scary falls before I finally broke down and got a shower chair.  I found a plastic one at CVS for under $30.00 and it was a lifesaver!  The hotter the shower, the dizzier I am liable to get.  Feeling dizzy/faint/nauseous is bad enough normally - but when it happens in the shower, it&#039;s really awful!  (No one wants to fall in the shower and hit their head).  So, for anyone who has a hard time with this aspect, I can&#039;t say enough about shower chairs!    

Jeanne</description>
		<content:encoded><![CDATA[<p><em><strong>Endochick:</strong></em></p>
<p>I just realized that I had missed what you said about hot showers.  Dizziness during showers has been a major problem for me in the past.  Back when my dysautonomia was really bad, standing up for the length of time it takes (to take a shower) was completely out of the question.  I had a few minor-but-scary falls before I finally broke down and got a shower chair.  I found a plastic one at CVS for under $30.00 and it was a lifesaver!  The hotter the shower, the dizzier I am liable to get.  Feeling dizzy/faint/nauseous is bad enough normally &#8211; but when it happens in the shower, it&#8217;s really awful!  (No one wants to fall in the shower and hit their head).  So, for anyone who has a hard time with this aspect, I can&#8217;t say enough about shower chairs!    </p>
<p>Jeanne</p>
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		<title>By: Jeanne</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6623</link>
		<dc:creator>Jeanne</dc:creator>
		<pubDate>Tue, 20 Dec 2011 05:29:38 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6623</guid>
		<description>&lt;em&gt;&lt;strong&gt;Welcome Lauren!&lt;/strong&gt;&lt;/em&gt;

I am really sorry you are struggling with the symptoms you mentioned.  I&#039;m sure you must be very frustrated (and probably even scared) about what&#039;s happening.  It&#039;s normal to feel all sorts of emotions when such a challenging set of symptoms hits so hard.  In my experience, getting new diagnoses always brings some degree of anxiety/uncertainty.  When it&#039;s severe enough to keep a person home, it&#039;s incredibly stressful on many levels.  You are not alone and there are many people struggling with similar issues to those you&#039;ve described.  

Hopefully, something here will give you hope and/or information that will assist you in moving forward and navigating the healthcare system to find the best quality of life possible given your personal set of circumstances.  

I wish that I could give you &quot;advice&quot; but I personally believe that only your own (or &lt;em&gt;their&lt;/em&gt; own) health care provider(s) can safely give you (or &lt;em&gt;anyone&lt;/em&gt;) &lt;a href=&quot;http://chronichealing.com/disclaimer/&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;&gt;medical advice&lt;/a&gt;.  (In other words, I wish I could tell you how a beta blocker would affect you but the truth is that I really can&#039;t).  Only your physician(s) can safely advise you based on your specific medical history, any contraindications you may have, etc. as to what medication might be helpful in your specific case.  What is helpful for one patient may not be in the best interest of another.  I believe this principle applies across all sorts of illnesses/symptoms.  A medication that works wonders for one patient might harm another patient with the exact same diagnosis/diagnoses and/or symptoms.  

That said, I certainly understand your desire to interact with other patients who may have things in common with you!  I know that interacting with fellow patients has been &lt;em&gt;extremely&lt;/em&gt; helpful to me over the years for a variety of chronic illnesses.  So, if I seem skittish, it&#039;s only because I don&#039;t like ever giving anyone what I would call &quot;advice&quot;.  I like to stick to suggestions, ideas, tips, etc. as opposed to advice.  

I definitely try to give encouragement whenever I can and I can email you directly to see whether you are interested in me trying to get you linked up with some patients who have similar symptoms/diagnoses to yours if you like.  I have a few specific Facebook friends in mind who you might wish to connect with (some of whom have blogs that might interest you too).  Connecting with them might give you both encouragement and information.  I&#039;ll email you to see if you&#039;d like to try to link up to the people I have in mind based on what you said in your comment.  I hope this is helpful in some way.  

I know you said you can&#039;t leave the house (and I have met many people online who are bed-bound or housebound due to dysautonomia and/or CFS).  I don&#039;t know if you have anyone to help you (i.e. with transportation) and whether or not you would be able to leave home just for the length of time involved with a medical appointment - or if you are too ill to do so.  

Obviously some of the comments on this thread refer to measures (such as finding an experienced doctor for treating dysautonomia) that may not be within your reach at the moment - if you are unable to leave home to see a doctor.  So, I apologize in advance if the latter is the case (and if these comments potentially add to your frustration).  

Sometimes patients who are confined to home and/or bed mean 100% of the time and others mean that they can leave home for medical appointments &lt;em&gt;only&lt;/em&gt; --- but are home otherwise.  I&#039;m not sure which situation you&#039;re in.  So, I&#039;m sorry if any of what I said above just adds to the frustration... such as if leaving home to see a doctor is not feasible at this time).

So, we can connect via email and see if you&#039;d like to link up with some of my online friends who have similar symptoms/diagnoses to yours.  Sometimes it&#039;s a comfort just getting connected to others who are home-bound or bed-bound and/or exchanging ideas for feeling better.  There are a great many people active online (despite being home-bound/bed-bound) who are living with both CFS and dysautonomia.  Some cases are more severe than others but there are lots of people with symptoms ranging in severity all across the spectrum.  Hang in there and I&#039;m glad you commented here!  I hope you&#039;ll keep in touch.

&lt;em&gt;&lt;strong&gt;Endochick:&lt;/strong&gt;&lt;/em&gt;

Thank you for your feedback for Lauren!  Like you, I was prescribed compression stockings (mine are just knee high but my symptoms were much more short-lived than yours).  I ditched my first cardiologist and am much happier with the second one.  (I personally haven&#039;t had very good luck, sadly, with neurologists... who I have seen for other issues besides dysautonomia).  I&#039;m glad you have a team of doctors that understand your complex situation and listen to you.  The importance of drinking sufficient water was stressed (by various doctors) to me as well.  I was also given speeches about caffeine and stress.  Rest is definitely important.  I think it&#039;s really important, as you mentioned, to find a doctor who is truly experienced with dysautonomia.  The difference between the two cardiologists I have seen was significant.  One (the second one) was much more thorough than the other and seems to have a better understanding of dysautonomia.  I really think it&#039;s important to have the most experienced doctor possible to treat dysautonomia.

~~~

Jeanne</description>
		<content:encoded><![CDATA[<p><em><strong>Welcome Lauren!</strong></em></p>
<p>I am really sorry you are struggling with the symptoms you mentioned.  I&#8217;m sure you must be very frustrated (and probably even scared) about what&#8217;s happening.  It&#8217;s normal to feel all sorts of emotions when such a challenging set of symptoms hits so hard.  In my experience, getting new diagnoses always brings some degree of anxiety/uncertainty.  When it&#8217;s severe enough to keep a person home, it&#8217;s incredibly stressful on many levels.  You are not alone and there are many people struggling with similar issues to those you&#8217;ve described.  </p>
<p>Hopefully, something here will give you hope and/or information that will assist you in moving forward and navigating the healthcare system to find the best quality of life possible given your personal set of circumstances.  </p>
<p>I wish that I could give you &#8220;advice&#8221; but I personally believe that only your own (or <em>their</em> own) health care provider(s) can safely give you (or <em>anyone</em>) <a href="http://chronichealing.com/disclaimer/" target="_blank" rel="nofollow">medical advice</a>.  (In other words, I wish I could tell you how a beta blocker would affect you but the truth is that I really can&#8217;t).  Only your physician(s) can safely advise you based on your specific medical history, any contraindications you may have, etc. as to what medication might be helpful in your specific case.  What is helpful for one patient may not be in the best interest of another.  I believe this principle applies across all sorts of illnesses/symptoms.  A medication that works wonders for one patient might harm another patient with the exact same diagnosis/diagnoses and/or symptoms.  </p>
<p>That said, I certainly understand your desire to interact with other patients who may have things in common with you!  I know that interacting with fellow patients has been <em>extremely</em> helpful to me over the years for a variety of chronic illnesses.  So, if I seem skittish, it&#8217;s only because I don&#8217;t like ever giving anyone what I would call &#8220;advice&#8221;.  I like to stick to suggestions, ideas, tips, etc. as opposed to advice.  </p>
<p>I definitely try to give encouragement whenever I can and I can email you directly to see whether you are interested in me trying to get you linked up with some patients who have similar symptoms/diagnoses to yours if you like.  I have a few specific Facebook friends in mind who you might wish to connect with (some of whom have blogs that might interest you too).  Connecting with them might give you both encouragement and information.  I&#8217;ll email you to see if you&#8217;d like to try to link up to the people I have in mind based on what you said in your comment.  I hope this is helpful in some way.  </p>
<p>I know you said you can&#8217;t leave the house (and I have met many people online who are bed-bound or housebound due to dysautonomia and/or CFS).  I don&#8217;t know if you have anyone to help you (i.e. with transportation) and whether or not you would be able to leave home just for the length of time involved with a medical appointment &#8211; or if you are too ill to do so.  </p>
<p>Obviously some of the comments on this thread refer to measures (such as finding an experienced doctor for treating dysautonomia) that may not be within your reach at the moment &#8211; if you are unable to leave home to see a doctor.  So, I apologize in advance if the latter is the case (and if these comments potentially add to your frustration).  </p>
<p>Sometimes patients who are confined to home and/or bed mean 100% of the time and others mean that they can leave home for medical appointments <em>only</em> &#8212; but are home otherwise.  I&#8217;m not sure which situation you&#8217;re in.  So, I&#8217;m sorry if any of what I said above just adds to the frustration&#8230; such as if leaving home to see a doctor is not feasible at this time).</p>
<p>So, we can connect via email and see if you&#8217;d like to link up with some of my online friends who have similar symptoms/diagnoses to yours.  Sometimes it&#8217;s a comfort just getting connected to others who are home-bound or bed-bound and/or exchanging ideas for feeling better.  There are a great many people active online (despite being home-bound/bed-bound) who are living with both CFS and dysautonomia.  Some cases are more severe than others but there are lots of people with symptoms ranging in severity all across the spectrum.  Hang in there and I&#8217;m glad you commented here!  I hope you&#8217;ll keep in touch.</p>
<p><em><strong>Endochick:</strong></em></p>
<p>Thank you for your feedback for Lauren!  Like you, I was prescribed compression stockings (mine are just knee high but my symptoms were much more short-lived than yours).  I ditched my first cardiologist and am much happier with the second one.  (I personally haven&#8217;t had very good luck, sadly, with neurologists&#8230; who I have seen for other issues besides dysautonomia).  I&#8217;m glad you have a team of doctors that understand your complex situation and listen to you.  The importance of drinking sufficient water was stressed (by various doctors) to me as well.  I was also given speeches about caffeine and stress.  Rest is definitely important.  I think it&#8217;s really important, as you mentioned, to find a doctor who is truly experienced with dysautonomia.  The difference between the two cardiologists I have seen was significant.  One (the second one) was much more thorough than the other and seems to have a better understanding of dysautonomia.  I really think it&#8217;s important to have the most experienced doctor possible to treat dysautonomia.</p>
<p>~~~</p>
<p>Jeanne</p>
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		<title>By: Endochick</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6622</link>
		<dc:creator>Endochick</dc:creator>
		<pubDate>Tue, 20 Dec 2011 04:22:23 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6622</guid>
		<description>It can take time, but once your nervous system heals itself, you&#039;ll find a normal. It will be a new normal. I would ask to see a neurocardiologist or a neurologist/cardiologist who has EXPERIENCE with dysautonomia or a willingness to do his/her homework and be receptive to input. Also, I would suggest checking into compression stockings that are AT LEAST thigh high!! Drink plenty of water - at least 8 glasses. No caffeine and limit stress. Stay out of hot showers. And get &lt;strong&gt;rest&lt;/strong&gt;. My neuro said during a flare your nervous system is on high alert and adrenaline is surging. When you have a flare all you do is take measures to help you ride the wave to shore.</description>
		<content:encoded><![CDATA[<p>It can take time, but once your nervous system heals itself, you&#8217;ll find a normal. It will be a new normal. I would ask to see a neurocardiologist or a neurologist/cardiologist who has EXPERIENCE with dysautonomia or a willingness to do his/her homework and be receptive to input. Also, I would suggest checking into compression stockings that are AT LEAST thigh high!! Drink plenty of water &#8211; at least 8 glasses. No caffeine and limit stress. Stay out of hot showers. And get <strong>rest</strong>. My neuro said during a flare your nervous system is on high alert and adrenaline is surging. When you have a flare all you do is take measures to help you ride the wave to shore.<br />
<span class="cluv">Endochick&#180;s last [type] ..<a class="503e5d6e16 6622" rel="nofollow" href="http://endochick.wordpress.com/2011/11/14/childhood-bullying-will-this-ever-stop/">Childhood Bullying: will this ever stop?</a></span></p>
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		<title>By: Lauren</title>
		<link>http://chronichealing.com/dysautonomia-part-1/comment-page-1/#comment-6621</link>
		<dc:creator>Lauren</dc:creator>
		<pubDate>Tue, 20 Dec 2011 00:23:40 +0000</pubDate>
		<guid isPermaLink="false">http://chronichealing.com/?p=2703#comment-6621</guid>
		<description>Thanks , would appreciate any advice or encouragement.</description>
		<content:encoded><![CDATA[<p>Thanks , would appreciate any advice or encouragement.</p>
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