Попробуйте флиртовать и обратите внимание на реакцию.  Делайте комплименты  Используйте прикосновения Признайтесь в своих чувствах.  Пригласите девушку

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After you are comfortable with the girl and developed your friendship, try to initiate flirting with her to see if she’s interested. Lean in while you’re talking to her while maintaining eye contact and smiling. Playfully tease her or make and make her laugh so you can bond with one another. As you flirt, she may mimic your movements and lean closer to you as well to show that she likes you.  Don’t tease too much since you may come across as insensitive. If the girl doesn’t seem responsive to flirting or she doesn’t flirt back, she may not be interested in a relationship. You can also flirt over text if you aren’t together in person. If you flirt over text, be sure to flirt with her while you’re together or else you may send her mixed signals. Tell the girl things you like about her appearance and her personality to show that you’re paying attention to her. Mention what you admire about her, like her attitude or how she maintains herself, to make the girl more likely to enjoy spending time with you. Be genuine with your compliments so she doesn’t feel like you’re being dishonest with her.  For example, you may say something like, “Your hair looks really nice,” or “I love that dress. Is it new?” If you want to compliment her personality, you may say something like, “I really admire your sense of humor,” or “You’re the most determined person I know, and I appreciate that about you.” Start by leaning in closer while you’re talking or by sitting closer to her. Gauge her interest in you touching her by casually bumping your hand into her arm or asking if she wants a hug. Don’t touch her inappropriately and be respectful to her if she doesn’t respond how you want. If she’s comfortable around you and wants to pursue a relationship, then she may try to touch you as well. If you still don’t know if she’s interested in you touching her, then ask her directly to show that you respect her. If you’ve spent time together and you want to know what she thinks of you, open up and let her know how you’re feeling. Be honest...


Попробуйте хват с поворотом 1¼. Попробуйте хват с оборотом ¾. Попробуйте бросок с переворотом. Крепко держите подкову.

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This is the most popular grip among professional horseshoe players, thrown with the goal of rotating the horseshoe sideways 1¼ turns in the air, before it lands encircling the stake. Hold the horseshoe flat in front of you, with the arms, or "shanks," pointing to your left. Grip the horseshoe with your thumb on top of the closest shank. Keep your index and middle fingers underneath the shank, curling up onto the inner edge. Stretch your pinky finger out and press it against the horseshoe to balance your hold. The ring finger can be placed next to the middle or pinky fingers, depending on which grip you find more comfortable and steady.  If you are left-handed, hold the horseshoe pointed to the right instead. Individual grips vary widely. Start with your thumb near the center of the nearest shank, then try adjusting it nearer or further from the bend to see which placement feels comfortable and accurate while throwing.  Don't curve your finger around the U-bend of the horseshoe. As the famous player Roy Smith wrote in 1946, "that went out of style with the horse and buggy" and makes it difficult to control your throw. This grip is similar to the 1¼ grip, but the horseshoe's shanks are pointing to your right instead. Place your fingers and thumb around the bend of the horseshoe, instead of a shank. This grip uses different muscles to throw the horseshoe, which makes it more comfortable for some people, and less comfortable for others. Try to throw it with just enough strength and height so it turns sideways with a ¾ turn in the air, so it can encircle the stake from the front. In this throw, the horseshoe spins "head over heels" instead of remaining flat during its flight. There are many variations of this grip, so feel free to experiment. It might be easiest to start by gripping the shoe at the center of the bend, with your thumb either on the top or bottom. This throw is often considered less accurate from the 37 ft (4.5 m) distance, but there are many experts who have had success with it. It may actually be...


Попробуйте ходить в бассейне. Старайтесь спать на левом боку. Попробуйте прикладывать холодные компрессы. Используйте те же способы от отека ног, что и обычно.

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Though not enough research has been done on this phenomenon, many pregnant have had good luck with water walking. It's likely that the pressure of the pool water on your feet helps reduce fluid in your legs, lowering swelling. A large vein, called the inferior vena cava, runs from the bottom part of your body up to your heart. By sleeping on your left side, your not applying as much pressure to it, and so it can properly circulate fluid. Sometimes cold compresses can help with swollen ankles while you're pregnant. Use an ice pack wrapped in a towel or even just a washcloth dipped in cold water. Don't leave it on for more than 20 minutes. That is, you can use compression stockings while you're pregnant to help control the swelling. Additionally, don't stand up too long; sitting with your feet above your chest is a better option while pregnant. Don't forget to include light exercising in your routine while your pregnant. You can try a daily walk to get your blood flowing.


Попробуйте что-нибудь новое. Старайтесь общаться с людьми как можно чаще. Верьте в себя. Будьте готовы рискнуть.

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Joining a new sport, hobby, or club can help you come out of your shell and get used to talking to people. Figure out something you'd be interested in and ask you parents if you can start doing it. Being in an atmosphere that forces you to talk to people will open you up and help you become less shy.  Join your school's football, soccer, wrestling, basketball, cheerleading, or chess team. Pick whatever interests you the most. If you're not sure what programs your school has, ask a teacher or someone who works in the office. There are also out-of-school programs like art classes, martial arts classes, dance classes, or religious study. Ask your parents for help with signing you up for classes or giving you a ride to practice. One reason that might make you shy and unable to talk to girls is that you're scared they won't like you back. You can reduce this by introducing yourself to more people. The more you get used to talking to people, seeing what they like, and realizing that people enjoy your company, the less you'll feel anxious meeting new ones.  If someone doesn't like you it doesn't mean that you're a bad person or that there's something wrong with you. It just means that their personality does not mesh well with yours. In life, you have to realize that everyone won't necessarily like you, just as you don't like everyone you meet. It's easy to automatically think that the girl you're going to ask out is going to say no, but it's not helpful to think this way. Instead of assuming that she will say no, believe in yourself. Think about your positive traits and be proud of the things that make you a unique person. Instead of telling yourself "I can't ask her out, I'm too scared" say "I can't ask her out right now, but I'm working on my confidence." The more you wait and think about introducing yourself or asking the girl out, the more you'll over-think the situation, and it could become awkward. Instead of coming up with a complex plan, just go for it. The best way to overcome your shyness and fears is to...


Попробуйте что-то новое. Выйдите из своей зоны комфорта. Бросайте себе вызов. Следуйте за своей мечтой. Постройте отношения с человеком, которого вы любите.

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Trying new things is one of the best things that you can do to feel really alive. The fact of the matter is that humans are smart. We're all smart. And because of this, our brains need stimulus. If we keep doing the same things we always do, we get bored and after enough of that we start to feel dead inside. Try new, exciting things and you'll find yourself getting more excited about life in the process.  You can try creative activities, like learning to play an instrument or drawing. You can try activities that really exercise your brain, like learning a new language or playing chess. You can try activities that push your body, by taking up sports like swimming or jogging. Get outside your comfort zone. For the same reasons that you should try new things, you should also push your personal boundaries every now and again. In fact, the more you push them, the more you'll find that you grow as a person. When we push ourselves, we find out what we're really capable of and we find new things to enjoy about life. This makes us happier, more fulfilled, and confident people.  You can push yourself to travel somewhere that you never imagined yourself going. You can push yourself to meet a goal you thought was impossible, like losing 50 lbs. We tend to feel the most alive when we're in pursuit of a challenging goal. Now, this can be something like getting in shape, learning a new skill, or working towards a promotion at work. It can even be something like getting straight A's, if you're still in school. The important part is to give yourself a challenge and then throw all of your energy and effort into it! Pursue something that you've always wanted to do. When you chase the things that make you happy, keeping your mind off of fears of consequences or hurdles, you will find that you feel like you've been reborn. Try starting a new career path by doing something that you always wanted to do. When you work a job that you don't like or that doesn't leave you feeling fulfilled, it's easy to start feeling dead inside. Find...


Попробуйте электрохимический метод.

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This is done by heating up an appropriately sized container of water and dissolving a large amount of baking soda into the water. Use enough baking soda such that it takes at least a minute to dissolve in the hot water with constant stirring.  Shape a liner for the container from aluminum foil and place the foil in the container of hot water. Place silver that has been previously cleaned with soap into the bath (inside of the foil) for several minutes. The tarnish should dissolve away. Rinse the piece well when you're finished. Be sure that the silver touches the aluminum, or else it won't work. The silver and aluminum, with the solution between them, form a battery, and when you touch the silver to the aluminum, it shorts the battery and a small current flows, allowing the chemical reaction to happen. This method is quick and better than a corrosive dip, but probably not as gentle as silver cleaning paste.


Попробуйте эпиляцию воском. Попробуйте кремы-депиляторы. Купите электрический эпилятор. Если вы настроены серьезно, можно также попробовать лазерную эпиляцию.

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. While it hurts a lot more than shaving (unless you cut yourself badly, of course), the results last much, much longer. You'll have smooth legs for weeks -- none of this one or two day crap you get with shaving. If you find shaving to be a drag, waxing may be your best bet.  And good news! Many women say it gets less and less painful each time you do it. So bite the bullet now -- it'll pay off later. Don't want to break the bank? Make your own at-home sugar wax and do it yourself! . Technology is getting better and better and, thankfully, depilatory creams are, too. It used to be that they reeked like roadkill in a broken refrigerator and didn't really work, anyway. Now there are creams that smell like a field of daisies and can get your legs hairless down to the root. And it's much cheaper than getting a wax at a salon! If you have sensitive skin, this probably isn't the way to go.  There are harsh chemicals that eat away at your hairs -- obviously not the best route for skin that's delicate. They're a little expensive and a little painful, but it's a possible alternative. Electric epilators are devices that yank out the hairs from the root in groups, like a large, super-effective pair of tweezers. And because the hair is being taken out at the root, your legs are smoother for a lot longer than they would be if you just shaved. If none of these options trips your trigger and you've got a wad of cash you need to get rid of, why not do laser hair removal? Sometimes it's painful and usually more than one round under the beam is necessary, but imagine never having to worry about shaving again. Bliss! Sometimes it's not always permanent -- you may have to go back for fix-ups, kind of like taking your car to the mechanic. While this method sounds almost magical, there are definite drawbacks that need to be considered before taking action. Talk to your dermatologist beforehand.


Попробуйте яблоко на вкус. Проверьте мягкость яблока. Распылите йод на сердцевину.

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The ultimate test of ripeness is the taste test. The flesh should be sweet or tart, depending on the apple variety, and slightly softer but not mushy. Don’t be discouraged if all signs point to harvest time but the apples are not as sweet as they should be, especially if they are a type of Delicious apple. Some types of apples will get sweeter after they are picked and stored for a short while. Apples that are fully matured are also slightly softer in texture than unripe apples. A good way to test a fruit’s ripeness is by giving it a light squeeze between your fingers and thumb. If the apple indents a little then it is finished growing. It may take novice gardeners sometime before they become proficient with this test, however. If all else fails, gardeners can cut an apple through the core and spray it with iodine to see if it is ripe. Iodine will turn the unripe cells a dark color due to the presence of starch in the apples.  Fruits that are to be stored should have a completely white center and dark spots that take up anywhere from three quarters to one half of the fruit. Completely clear fruits should be immediately eaten or preserved in some fashion.


Попробуйте яблочный уксус. Раздавите чеснок и наносите, как маску. Попробуйте лимонный сок. Наклейте на бородавку клейкую ленту. Попробуйте маску из банановой кожуры. Используйте бетадин. Используйте крем с млечной травой.

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Apple cider vinegar can be used on all types of warts. The acid in the vinegar attacks the wart area, causing it to peel away from the healthy surrounding skin, taking the virus with it. It is safe to use on the face and other parts of the body. Dilute it up to 50% with water.  In fact, the malic and lactic acids found in the vinegar can help to soften and exfoliate the skin. These ingredients are commonly used to treat acne on the face. To apply apple cider vinegar, soak a cotton ball in vinegar (about half-soaked) and place it on the facial wart. Then, cover the area with an adhesive bandage for 24 hours. Garlic’s caustic effect will cause the facial wart to blister and fall off in about one week. The substance allicin in garlic has an antiviral effect that kills a broad spectrum of viruses, including human papilloma virus.  Crush the garlic and apply it to the facial warts. Hold it in place with tape for 24 hours. Change the garlic and tape daily. Lemons are an everyday item with a variety of cleansing properties. The citric acid in lemons contains vitamin C, thought to kill the virus that causes warts. This may also help to soften the wart, making it easier to remove. Apply to the facial warts at least three times per day. Although this remedy is not medically verified, some people claim that it works fast. Duct tape supposedly works because of how the body reacts to substances that are contained in it. The use of the duct tape will irritate your skin, which can cause the formation of antibodies that will help get rid of the virus causing your facial warts. This must be done for periods of six days, up to a maximum of two months.  Cover your facial warts with duct tape when you sleep, and then remove it right away when you wake up in the morning. Repeat this procedure as necessary until the wart is removed. Banana mash contains a proteolytic enzyme (an enzyme that breaks down protein) that digests and dissolves the facial wart. This can be an easy and soothing way to remove facial warts. Use surgical tape...


Попробуйте яблочный уксус. Сделайте пасту из порошка куркумы. Попробуйте в качестве лечебного средства помидор. Чтобы охладить обожженную кожу, нанесите на нее картофель. Попробуйте использовать молочный компресс.

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Apple cider vinegar may help in treating blistered sunburns by absorbing the heat from the skin and relieving the burning sensation and the pain. The acetic acid and malic acid in vinegar can neutralize sunburns and re-establish pH levels in the affected area. This prevents infection by making the skin environment inhospitable to microorganisms.  To apply apple cider vinegar, mix the vinegar with cold water and soak a soft cloth into the solution and apply or drape it on the affected skin. Vinegar can also be directly sprayed onto the sunburn skin. The use of vinegar is only recommended for skin without abrasions, open cuts or ruptures because it can burn and irritate the skin. Turmeric contains antiseptic and antibacterial properties that may help ease the pain and inflammation caused by the sunburn and blistering. Here are some tips to apply turmeric powder:  Combine turmeric powder with water or milk to make a paste. Then, apply it on your blisters for 10 minutes before rinsing it off gently. Mix turmeric powder, barley, and yogurt to produce a thick paste and cover the affected skin. Let it sit for about half an hour, and then wash it off with cold water. Tomato juice can lessen the burning sensation, reduce the redness of the affected area, and improve the healing of the sunburn.  To apply, combine 1/4 cup of tomato paste or juice to 1/2 cup of buttermilk. Apply the mixture on your burned skin for about half an hour and wash it gently with cold water. Alternatively, add two cups of tomato juice to your bathwater and bathe your body in it for 10 to 15 minutes. For instant pain relief, apply mashed raw tomato mixed with crushed ice to the affected area. You could even try eating more tomatoes. One study has shown that people who ate five tablespoons of lycopene-rich tomato paste for three months had 25% more protection against sunburn. Raw potatoes may help heat escape from the burned skin, leaving behind cooled skin that hurts less and heals faster.  Blend rinsed, cleaned, and sliced raw potato to produce...


Попросите Siri найти информацию в интернете. Попросите Siri назначить встречу. Попросите Siri создать напоминание. Попросите Siri узнать погоду. Попросите Siri установить будильник. Попросите Siri написать заметку. Попросите Siri узнать информацию. Попросите Siri включит песню.

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Just say "Search the web" followed by the term you want to search for. It will search this subject and a list of relevant web sites will come up. Simply say, "Set up meeting at noon tomorrow." It will say, "OK, I set up your meeting for tomorrow. Are you ready for me to schedule it?" This will bring up your calendar with the correct date and time. If there is another meeting scheduled then, It will let you know. Confirm with an affirmative answer or tap Confirm. Just say something like, "Remind me to call Ashley." It will then follow up by asking, "When would you like me to remind you?" Tell it the time you'd like the reminder, such as "at ten a.m. tomorrow," then give an affirmative answer  (or tap Confirm) when asked if you'd like to set the reminder. Just say, "What's the weather like today?" It will bring up the local forecast. Just say, "Wake me up tomorrow at 6 a.m." It will confirm the request by saying it set the alarm for the time you requested. Just say, "Note that I worked for ten hours today." The note with the message will pop up. Ask it something like, "How many cups are in a gallon?" It will look up the question and will report back with a result. Just say, "Find [this message]" to get Siri to navigate to the right contact or file on your phone.


Попросите Бога отпустить вам ваши грехи. Расскажите Богу о своих бедах и попросите Его о помощи. Молитесь за окружающих, которые испытывают трудности. Попросите Бога помочь вам понять Его ответ. Еще раз поблагодарите Бога, а потом завершите молитву.

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Before you ask God for anything else, you should ask for his forgiveness for your sins. Look into your heart and find the areas where you need to improve, then ask God to forgive you for falling short. Ask God to give you the strength to do better in the future.  Sins don't always have to be big things like stealing or lying; sometimes they might include being jealous of a coworker, being unkind to your sibling, or prioritizing material things over your relationship with God. Say something like, "God, I know I said I wouldn't get so mad when a customer says something rude, but I have been struggling with that lately. Please forgive me for not keeping my temper, and help me find the strength to stay calm next time." No matter what you're going through, you should ask God for help. God wants us to seek him first in every situation. However, keep in mind that God knows what is best, and his answer might not always be what you had in mind.  For example, if you're struggling financially, praying "Please let me win the lottery" might not have the results you want. However, if you pray something like, "Please send me an opportunity to use my strengths and provide for my family," you might be surprised what happens. On the other hand, God might have ordained that you don't need a lot of money, so a better prayer might be, "Lord, help me be wise with my finances so I can make do with what I have." You could also pray for your health, your relationships, guidance in a tough situation, or anything else you could possibly need. When you see a need in others, ask God for his help. It might be someone close to you, or it could be a group of people on the other side of the world who are suffering. Praying for others is an important way to strengthen your faith.  For example, you might say something like, "God, my aunt is really ill, and it's causing her so much pain. Please send her some comfort and peace, and let her feel your presence." You could also say, "Lord, my heart is heavy for the people at war in the Middle East....


Попросите брата дать вам пространство. Попросите родителей обеспечить вам личное пространство. Придумайте способ выбираться из дома.

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While it is important to have a good relationship with your younger brother, you need time for yourself as well. Tell him kindly that you need time for yourself every day. When asking for space, do so very gently. It may be difficult for your little brother to understand that you can love him and still want some space from him. Your parents might not understand that you are older now, and need some more privacy. Talk to them about your needs. Together you can create ways to find distance and avoid conflict with your younger brother. Physical distance will help you feel more independent and more appreciative of your brother's presence when you are home.  Look for after-school activities. Your school or local community center probably has after school art classes, sports teams, or drama productions. Ask your teachers and parents about ways to spend time outside of the house. If you share a room with your younger brother, create a space somewhere else in the house that is yours. Start doing your homework in the kitchen or on the couch. You might not have your own room, but creating a regular space to work or read can help you feel more independent in your home. The local library is a great, safe space to spend time outside of your family. Talk to your parents about spending time there after school or on the weekends.


Попросите вашего общего друга о помощи. Напишите записку. Напишите ему сообщение. Можете воспользоваться социальными сетями. Запишите на CD-диск разную музыку. Оставьте свое сообщение в бутылке. Поместите записку в воздушный шар.

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While you should not have a friend ask the guy to the dance for you, if you and he do share a mutual friend, you can ask that person to find out if your crush already has a date or if he would be open to the possibility of going with you. Ask a mutual friend who is reliable and trustworthy. You do not want a friend who will use the knowledge of your feelings against you or someone who will fail to live up to the promise. The simplest way to ask your crush is to slip him a note. Keep the tone lighthearted and the message brief, and leave it in a place that he is guaranteed to spot it in.  You can slip a note into his locker or bookbag, for instance. Try to be fun and casual. Instead of confessing your undying love and scaring him off, just casually say that “it's lady's choice” and you choose him. You could also use the classic “check 'yes' or 'no'” format. Write “Will you go to the Sadie Hawkins Dance with me?” and create separate checkboxes for “No” and “Yes.” If you are on close enough terms with your crush to have his phone number, send him a quick text asking him if he would be interested in going to Sadie's with you.  This is only an option if he gave you his phone number directly. If you got it from a third party, texting him without warning can be a little startling. To the same end, you can also use email to ask him to the dance. Send a private message or create a Facebook event that only he can see. Request a response of “yes” or “no,” rather than a “maybe” response. It is generally best if you create a private event or use a private message rather than asking for the entire social media world to see. Keeping things private can save you some embarrassment if his answer ends up being no. If the two of you share similar tastes in music, you can create a CD of your favorite songs and pass it along to him. Write your invitation on the CD case or use the track titles to ask him out.  You could include songs on the CD with lyrics about a girl asking a guy out, especially if the song talks specifically...


Попросите вашего партнера спать на боку или животе. Сбрасывайте вес. Попробуйте пластырь для носа. Избегайте алкоголя и курения. Посетите врача. Рассмотрите варианты хирургического вмешательства, чтобы избавиться от храпа.

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Encourage your partner to avoid sleeping on their back. This can make snoring worse by putting pressure on your partner's diaphragm. Some have recommended sleeping with something uncomfortable, like a tennis ball, sewn into the back of a shirt.  This will make it awkward for your partner to sleep on their back and forces them to sleep in another way. Being overweight is a common cause of snoring.  The extra weight affects the lungs and neck, making airflow blocked or strained during sleep.  Being overweight is not always a cause of snoring, however, it does increase the probability that snoring will occur.  Excess body fat will increase the chances of developing sleep apnea.  Changing aspects of  a lifestyle, such as losing weight, are usually recommended starting points to stop snoring.  Have your partner ask your doctor for more information on how you can best lose weight. Nasal strips are an over-the-counter method of improving airflow through the nose.  The nasal strip works by slightly pulling open, and keeping open, the nostrils.  The improved airflow will help reduce snoring.  Falling asleep with the nasal strip on may be unusual at first.  Continued use will help your partner get used to the nasal strip. These strips won't be helpful to anyone suffering from sleep apnea because sleep apnea is caused by collapsed soft tissues in the back of the throat. Alcohol consumption and smoking can affect the throat and respiratory systems.  Have your partner reduce the use of either to help prevent snoring from occurring.  Alcohol causes the neck and tongue to relax which can obstruct airflow. Never drink alcohol right before sleep as this will make snoring worse. Smoking damages the throat and respiratory system.  By reducing the amount your partner smokes, the chances of snoring occurring will also be reduced. Remember that snoring is a symptom of some other issue.  Have your partner visit your doctor to determine exactly what the cause of their snoring may be.  Examine the following list of possibilities to...


Попросите вашего пациента оставаться в положении лежа лицом вверх. Оберните   манжету  вокруг левой лодыжки пациента. Найдите тыльную артерию стопы. Зарегистрируйте кровяное давление в тыльной артерии стопы. Найдите заднюю большеберцовую артерию (а.posterior tibial). Зарегистрируйте кровяное давление в задней большеберцовой артерии.

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The goal is to keep his arms and legs at heart-level so as to get the most accurate blood pressure reading. Remove the blood pressure cuff from your patient’s arm. Position the cuff two inches above the malleolus (the bony knob) of the ankle. Make sure that the cuff is not wrapped too tightly. Check its tightness by inserting two fingers. If you can’t insert two fingers, then it is too tight. Make sure that you have the right sized cuff for your patient. The width of the cuff should be slightly wider than the diameter of the lower leg. The dorsalis pedis (DP) artery is located on the upper surface of the foot, right near where the foot meets the ankle. Spread ultrasound gel on this upper area of the foot. Use a Doppler probe to located the strongest point of the DP. Move the probe around until your find the spot where the pulse is the loudest. You should hear a pulsating or whooshing sound. Inflate the blood pressure cuff to about 20 mmHg above the patient’s regular systolic pressure or until the whooshing sound from the Doppler is gone. Deflate the cuff and take note when the whooshing sound returns. This is the systolic blood pressure of the ankle. For the most accurate ABI, you should take the blood pressure of both the dorsalis pedis and posterior tibial arteries. The PT is located about one-fourth of the way up the back side of the calf. Place ultrasound gel on the area and use the Doppler probe to find the spot where the PT pulse is the strongest. Repeat the same process that you did to find the DP artery. Once finished, record the pressure and then switch the cuff to the right leg. Record the blood pressure of the dorsalis pedis and posterior tibial arteries on the right leg.


Попросите вашу вторую половину пойти на контакт с ребенком. Обсудите воспитание детей со своим новым супругом. Проводите объединение двух семей в одну очень медленно. Старайтесь не ссориться в присутствии детей. Будьте в курсе развития дел вашего ребенка.

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Your spouse doesn’t have to be parental right off the bat. Try having your spouse relate to the child as more of a camp counselor than a parent. Focus on creating a bond first before moving into a disciplinarian role. Ask your spouse to develop a relationship together, just the two of them, that doesn’t involve you.  You can discuss with your spouse to remain responsible for your child’s control and discipline until your spouse and child develop a solid bond.  Your spouse may monitor your child’s behavior and report back to you instead of intervening. Discuss what roles who will play. Will your spouse co-parent your child, or will parenting remain your responsibility? Discuss your desires, the desires of your spouse, and what you believe will be best for your child. Inevitably there will be difficulties in adjusting to a new family structure.  Be clear in your spouse’s role with your child. Is your spouse allowed to mediate fights? Can your spouse punish your child? What consequences and rules can your spouse enforce? You may need to think in terms of a timeline. Perhaps you may parent one way now, then slowly transition to different roles over time once the family feels more cohesive. Know that it will take time for your children to adjust to new living arrangements. This is especially true if you are combining your children with your partner’s children. Don’t try to set up different rules right away; instead, keep many similar family rules and ask your partner to follow them as well. Slowly, start to adjust things as they suit your family. Positive spousal relations and low conflict in the marriage helps children adjust better. While fighting is a normal and often healthy part of a marriage, avoid involving your child in the fight or fighting in front of the child. Reassure your child that fighting sometimes happens, but that it doesn’t change things or mean that you will get divorced or that the child is causing the fights. Try to find time to disagree when your child is not home. A remarriage is harder...


Попросите ветеринара объяснить вам, как работает иммунотерапия. Попросите врача делать инъекции. Дождитесь действия лечения.

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Immunotherapy, also called Allergen Specific Immunotherapy (ASIT), is usually the best choice for treating CAD. It can help your Golden Retriever achieve remission (no visible signs of CAD) without the use of other medications (e.g., steroids, antihistamines). ASIT works by gradually desensitizing your dog’s immune system to the allergens causing the CAD. The immunotherapy medicine, commonly given by injection, contains small amounts of the specific allergens to which your Golden Retriever is allergic.  By exposing your Golden Retriever to small, measured amounts of the allergens (rather than a large, uncontrolled amount in the environment), your dog’s immune system would slowly become more tolerant of the allergens over time, therefore lessening the allergic reaction.  Results of the skin tests your vet performed to diagnose CAD would indicate the specific allergens. Immunotherapy is most helpful for dogs that have skin allergies for longer than two to three months at a time and have not responded well to other skin allergy medications. It is a lifelong treatment. Immunotherapy injections are usually given about once every one to four weeks. Your vet will let you know how often your Golden Retriever will need the injections. It may help to schedule several appointments at one time to make sure your dog receives stays on schedule with the treatment. At the beginning of immunotherapy, your vet will increase the dosage of allergens until a maintenance dosage is reached. Your vet will determine the maintenance dosage and keep your Golden Retriever at this dosage level. Your vet may change the frequency of injections during the course of therapy. This may be the hardest part of immunotherapy, since it may take anywhere from a few months to a full year before a dog responds to this type of therapy. Because your Golden Retriever will not respond to immunotherapy very quickly, your vet will recommend treating your dog with other skin allergy medications during the course of immunotherapy.  Before starting...


Попросите ветеринара сделать анализ мочи. Попросите ветеринара взять у питомца кровь на анализ, чтобы исключить другие возможные заболевания. Регулярно посещайте ветеринара, чтобы он измерял у вашего питомца артериальное давление. Узнайте у ветеринара насчет биопсии почки.

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If you suspect kidney issues in our cat, a urine test is likely the first thing your vet will do. For this test, they will take a urine sample from your cat in the office and run labs to look for the specific gravity of the urine to see how diluted it is.  Using the same urine sample, your vet will likely test for other issues, such as diabetes mellitus. A further urine test called a urine protein creatinine ratio (UPC) helps distinguish diluted urine that is due to renal disease from other causes, such as behaviorally driven thirst. A blood test will not always indicate that your cat’s kidneys are malfunctioning. However, a blood test can help to narrow down the cause of your cat’s health problems by eliminating other possibilities, such as diabetes or ongoing infection. A series of blood tests can also be used to monitor ongoing kidney issues or to check that other kidney-related health issues, such as anemia, do not develop. Your cat’s blood pressure will likely escalate as its kidney problems worsen. If your vet checks your cat’s blood pressure every 1-2 weeks, then you will have a baseline to compare any changes to. Most vets will allow you to come in for a quick blood pressure check without a formal appointment. Monitoring your cat’s blood pressure is important because, if left unchecked and untreated, it can cause serious side effects, such as blindness. There are medications that your vet can prescribe to lower your cat’s blood pressure, if needed. If your vet is concerned that your cat is showing signs of kidney failure due to cancer, then they may suggest surgery to take a biopsy or sample of your cat’s kidney. Make sure to discuss this procedure thoroughly with your vet, as it will require that your cat be put under general anesthesia.


Попросите ветеринара сделать кобыле анализ крови. Сдайте на анализ мочу кобылы. Подтвердите анализы другими исследованиями.

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A pregnant mare can be checked for pregnancy hormones to determine pregnancy. This is especially useful when the mare is too irritable for non-chemical methods of determining pregnancy or when the rectum is too small for physical evaluation.  Have a veterinarian take a blood sample. The vet will send the blood sample to a laboratory and have it tested. Test the level of pregnant mare serum gonadotropin (PMSG) 40 to 100 days after your mare has been with a stallion. If your mare was pregnant but lost the fetus, the PMSG test may give inaccurate results. Analyze the level of oestrone sulphate 100 days after the breeding. Oestrone sulphate levels increase with the presence of a foal, but go back to normal if the fetus is aborted. When checking mares for pregnancy, oestrone sulphate can be found in the mare's urine. A urine test can be performed by a veterinarian or using a home test.  Obtain a home pregnancy testing kit from a feed store or online. Test your breeding mare's urine 110 to 300 days after they have been with a stallion. Cut a 1 gallon (3.8 L) or 2-liter liquid container in half with a knife. Use the bottom to collect your mare's urine. Follow the directions on the pregnancy test kit to analyze your mare's urine. It takes 10 minutes to obtain the results. Using chemical-based tests can indicate that your mare is pregnant, but it is good to have another test performed by a vet—whether chemical or non-chemical—to ensure the foal has not slipped the foetus. Also, chemical-based tests are sometimes used improperly, so a positive result should be confirmed by a veterinarian.


Попросите виновника торжества помочь спланировать вечеринку-сюрприз для кого-то другого. Скажите имениннику, что вы что-то забыли. Попросите виновника торжества сходить с вами по делам — неважно, каким, главное, найти повод. Предупредите заранее.

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If you really want to distract the honoree, ask them to get together with you to plan someone else's surprise party. This works great if you don't have a lot of time to distract the person from the party. You could invite the honoree to the venue and have them meet you in a room that isn't decorated. When you're ready to surprise them, lead them into the party room. For example, if the party is at your house, decorate the main rooms and ask the honoree to meet you near the back of your house. When you're ready, you can lead them into the party room. If you're the chaperone and you're out having fun with the honoree, you'll need to get them to the surprise birthday party at some point. You can tell them that you accidentally "forgot" something important at the house and need to go back to get it. This tactic will only work if the party is at your house or the honoree's house. If the party is at a venue (such as a restaurant or park), meet up with the honoree. After spending a little time with the honoree, ask them if they wouldn't mind running a short errand somewhere. Take the honoree to the surprise party venue. For example, you could be out for coffee together. After a little while, say, "A few days ago I left my jacket at the restaurant down the street. Do you mind if we swing by and I can grab it?" If you're the chaperone, text the host of the party 10 minutes before you bring the honoree to the party. If you don't think you can do this secretly, tell the host to have a guest posted near the entrance so they can alert the other guests that the honoree is arriving. Advance notice is especially important if you'll be dropping balloons, throwing confetti, or exploding glitter. You don't want to waste the surprise on just another guest instead of the honoree.


Попросите врача выписать вам более сильнодействующие средства. Узнайте у врача насчет инъекций стероидов. Подумайте об инфракрасной терапии. Попробуйте иглоукалывание. В качестве крайней меры подумайте об операции.

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Make an appointment with your family doctor to confirm if you have arthritis in your knees. Your doctor will likely take x-rays and blood tests to confirm a diagnosis of OA, RA or other types of arthritis, such as gout. If the arthritis is causing lots of pain and stiffness, over-the-counter medications may not be strong enough to lessen the symptoms. In such cases, your doctor will likely prescribe stronger anti-inflammatories.  COX-2 inhibitors (celecoxib, meloxicam) are strong types of NSAIDs that may cause fewer stomach problems. They are commonly prescribed for OA of the knee. Disease-modifying anti-rheumatic drugs (DMARDs) are commonly used to deal with the pain and slow the progression of RA by reducing an overactive immune system. DMARDs include methotrexate, sulfasalazine, hydroxychloroquine, etanercept, and adalimumab. Classic signs of arthritis on x-ray are: loss of joint space due to thinning cartilage and bone spurs that stick out from the femur or tibia bones. An injection of corticosteroid medication (cortisone) into a knee joint can quickly reduce inflammation and pain, and allow normal movement of the joint pretty quickly. Corticosteroids are hormones that display powerful anti-inflammatory properties and are made by the body's adrenal glands. They are injected by an orthopedic surgeon under anesthesia. The most commonly used preparations are prednisolone, dexamethasone, and triamcinolone. The effects of the medications are short-term — lasting from weeks to months typically.  The number of cortisone injections you can get each year is limited because it can worsen knee joint damage over time. Potential complications of corticosteroid knee injections include local infection, excessive bleeding, tendon weakening, local muscle atrophy and nerve irritation/damage. Steroid injections can be relatively expensive if your insurance doesn't cover it. Using low-energy light waves (called infrared) is known to be able to speed up wound healing, decrease pain and decrease inflammation in a variety of...


Попросите врача выписать вам рецепт на крем с ретиноидами. Спросите врача о ботоксе. Попробуйте сделать лазерное омоложение кожи. Сделайте химический пилинг. Сделайте микродермабразию. Поговорите с дерматологом о дермабразии. Попробуйте ввести в кожу филлеры. Попробуйте сделать процедуру, укрепляющую кожу. Подумайте о подтяжке лица.

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The first line of treatment for wrinkles may be a topical cream that you apply to your skin daily. These creams can reduce the appearance of wrinkles and improve the overall appearance of your skin.  Retinoid creams may leave your skin feeling itchy, irritated, and dry. You may also experience a burning or tingling sensation after applying the cream. Tell your doctor if these side effects bother you. Protect your skin from the sun while using retinoid creams, such as by applying an SPF 15 or higher sunscreen and wearing a wide-brimmed hat and sunglasses. The cream will probably not be covered by your insurance, so it may cost around $100 for each tube of the product. Botox injections are a popular treatment option for wrinkles, especially crow's feet and frown lines. You may see a dramatic reduction in your wrinkles about 2 weeks after treatment. As with any medical treatment, there are some risks, including infection, allergic reaction, and pain.  If you aren't sure about botox, try getting a small area treated. For example, you might get a small dose between your eyebrows, near your crows feet, or around your lips to see if you like the results. Keep in mind that the results will last for 3 to 4 months and then you will need to have another treatment to get rid of the wrinkles again. Laser treatments can help to improve the overall appearance of your skin while also targeting fine lines and wrinkles. There are two types of lasers used to treat wrinkles: ablative and non-ablative. Ablative lasers remove the top layer of skin to reveal new skin beneath it. Non-ablative lasers only heat the skin without removing the top layer, and this encourages new skin growth. Your doctor can talk to you about your options and help you decide which one is best for your situation.  Laser treatment may be painful depending on the intensity of the laser. Anesthesia may or may not be required depending on the area being treated and the depth of the treatment. Non-ablative laser treatments cost an average of $1,031 and ablative...


Попросите врача выписать вам рецепт на препараты для повышения нейтрофилов. Узнайте у врача, влияют ли другие заболевания на уровень нейтрофилов. Пройдите пересадку костного мозга, если ваше состояние сильно ухудшится.

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Medication like Neupogen can help to raise your neutrophil levels, especially if you are undergoing treatment for cancer. Your doctor can give you this medication with an injection or through an IV. You may receive it daily if your neutrophil levels are very low and you are undergoing chemotherapy. You may experience side effects like nausea, fever, bone pain, and back pain while on this medication. Neutropenia can be caused by other conditions like a bacterial infection or a virus. Your doctor may treat these issues by hospitalizing you and giving you antibiotics to treat the underlying infection. Once the infection clears up, your neutrophil levels should return to normal. If your low neutrophil levels are due to a disease like leukemia or aplastic anemia, your doctor may suggest a bone marrow transplant. The transplant is done by removing diseased bone marrow and replacing it with healthy bone marrow from a donor. You will be under general anesthesia during the procedure. You may need to take medication before and after you have the bone marrow transplant to ensure the infection is gone and your neutrophil levels are back to normal.


Попросите врача выписать вам химическое средство для выведения бородавок. Узнайте у врача насчет криотерапии. Подумайте об удалении бородавок с помощью лазера.

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Your doctor can suggest the use of prescription chemical treatments to try to kill off the skin cells of the warts. These treatments usually contain chemicals such as formaldehyde, glutaraldehyde, and silver nitrate.  The side effects of these chemical treatments include the skin around the wart being stained brown, and burns to the skin surrounding the wart.  Your doctor may also suggest prescription-strength wart medication that contains salicylic acid. This medication will remove layers of the wart over time and is often more effective when used in combination with freezing or cryotherapy. Cryotherapy is a procedure where your doctor applies liquid nitrogen to your wart, which causes a blister to form under and around your wart. The dead tissue can then be removed seven to ten days after the freezing. However, this method can trigger your immune system to fight viral warts and you may need repeat treatments done to remove the wart completely.  Cryotherapy sessions usually take five to 15 minutes and can be painful. If the warts on your hands are large, they may need to be frozen several times before they are fully removed. There are several side effects of cryotherapy, including pain, blistering, and discolored skin around the wart. Your doctor may suggest that you try pulse-dye laser treatment to burn off tiny blood vessels in the wart. The infected tissue will then die and the wart will fall off. Keep in mind the effectiveness of this method is limited. It can also cause pain and scarring around the affected area.


Попросите врача выписать мелатонин для улучшения быстрого сна. Не покупайте безрецептурные препараты, которые могут вызвать ухудшение быстрого сна. Занимайтесь физическими упражнениями хотя бы 20-30 минут в день.

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Recent studies have shown that taking melatonin supplements, about 3 mg a day, can increase your REM sleep and help you stay in the REM stage of your sleep cycling for a longer period of time. Your doctor can recommend a melatonin supplement, usually in pill form, as well as the prescribed dosage for your body type. Melatonin is also recommended for the elderly and people who work late shifts at night, as it can help to normalize your sleep cycle and be beneficial for your health overall. Many of the side effects of these drugs can have adverse effects on your sleep patterns and daytime alertness. Common medications that can disturb your REM sleep include:  Nasal decongestants. Aspirin and other headache medications. Pain relievers that contain caffeine. Cold and allergy medications containing an antihistamine. Certain diet pills and antidepressants. If you are taking any of these medications, try to reduce your dosage. Or research alternative methods to treat these issues so you can stop taking these over-the-counter medications. Daily exercise is proven to help people sleep and can help you stay in the REM stage of sleep longer. But a workout too close to bedtime might interfere with your sleep schedule. Try to get daily exercise about five to six hours before bedtime.


Попросите врача заклеить разрыв медицинским клеем. Обсудите с врачом необходимость в наложении швов.

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If the skin tear causes an open wound, you may need to see a doctor. The doctor can then use medical glue to close the skin tear. This will help the skin tear to heal and prevent the tear from becoming infected. If the skin tear is very painful, the doctor may numb the area before they apply the medical glue. The doctor may also suggest stitches on the skin tear to close the skin. This may be an option if the skin tear is severe and is at risk of infection. The doctor will use a local anesthesia on the area before they stitch it up.


Попросите врача назначить анализ крови. Посетите медицинскую лабораторию. Сдайте кровь в качестве донора. Обратитесь в центр донорства крови.

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If your doctor doesn't have your type on file, then you can also ask to get a blood test done. Call or visit your doctor's office and ask for a blood test to determine your blood type. Try saying something like, "I want to find out what my blood type is. Would it be possible for the doctor to order a blood test to check my blood type?" If you don't have a primary care physician, then you can have a blood test done at a health clinic. Just visit a local health clinic and ask them to test your blood type. You may want to call ahead first to see if this is something that the health clinic offers. This is an easy way to determine your blood type and help other people, all at once! Find a local donation center or wait until your school, church or community center hosts a blood drive. When you go in, ask the staff if they can tell you your blood type. Your blood is typically not tested right away, so it can take up to a few weeks for them to mail or call you with the result. Blood service centers usually provide people with free resources for getting their blood tested and finding out their type. In Canada, go to Canada's official blood website. Find out where the next "What's Your Type?" event is taking place.  These are regular promotional events hosted in the community by Canadian Blood Services.  Your results are instant and you will find out how common or rare your blood type is, who you can receive from, and who you can donate to.  You will learn both your ABO blood group, as well as your positive or negative Rhesus factor.


Попросите врача назначить вам антипсихотическое средство. Следите за возможным появлением нежелательных побочных эффектов. Помните о том, что лекарство борется только с симптомами шизофрении. Проявите терпение.

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Antipsychotic medication has been used in treating the symptoms of schizophrenia since the mid-1950s. Older antipsychotics, sometimes called typical antipsychotics or 1st generation antipsychotics, work by blocking a specific subtype of dopamine receptor in the brain. Newer antipsychotics, also called atypical antipsychotics, block the receptor as well as a specific serotonin receptor.  1st generation antipsychotics include such medication as chlorpromazine, haloperidol, trifluoperazine, perphenazine and fluphenazine. 2nd generation antipsychotics include clozapine, risperidone, olanzapine, quetiapine, paliperidone and ziprasidone. Antipsychotic medications often have significant side effects. Many side effects will go away after a few days. Side effects include blurred vision, drowsiness, sensitivity to the sun, skin rashes, and weight gain. Women may experience menstrual problems.  It may take a while to find the medication that works best for you. Your doctor may want to try different doses, and combinations, of medication. No two people respond in exactly the same way to medication. Clozapine (Clozaril) can result in a condition called agranulocytosis, which is a loss of the white blood cells. If your doctor prescribes clozapine, you will need to get your blood checked every week or two. Weight gain from antipsychotic medication may result in diabetes and/or high cholesterol. Long-term use of 1st generation antipsychotics may result in a condition known as tardive dyskinesia  (TD). TD causes involuntary muscle spasms, usually around the mouth. Other side effects from antipsychotic medication include rigidity, tremors, muscle spasms and restlessness. Talk to your doctor if you are experiencing these side effects. Despite the importance of taking medication to treat the symptoms of schizophrenia, medication by itself does not cure schizophrenia. It is only one tool used to help minimize the symptoms. Psychosocial interventions such as individual therapy, social skills training, vocational rehabilitation,...


Попросите врача назначить вам крем с ретиноидами для борьбы с пигментными пятнами. Попробуйте сделать микродермабразию при незначительной гиперпигментации. Спросите врача о криотерапии для удаления мелких пятен. Если пигментных пятен много, спросите дерматолога о химических пилингах. Спросите врача о лазерных методах удаления пигментных пятен.

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This is a cream you apply at night, and it can remove light discolorations. In addition, it can keep you from developing spots in the future. Your dermatologist can prescribe a prescription-strength version of this for the best results. Put it on at night since it may make you more sensitive to the sun. This treatment is basically like sanding down your skin. It uses very small particles to exfoliate your dead skin. It's doesn't involve chemicals at all, which means it's less harmful to your skin than other treatments, like chemical peels.  This process could make skin conditions like small red veins on your face and rosacea more noticeable, so this treatment isn't for everyone.  The main side effects of this procedure are redness and scabbing, though not everyone is affected in this way. This treatment will work best for small dark spots, such as age spots, because the skin is frozen. The process of freezing the skin destroys it along with the pigment, and new, lighter skin grows in. This can cause discoloration and scarring. Chemical peels take off the top layer of the skin using chemicals. You can do chemical peels at home, but they aren't as beneficial to dark spots as professional ones. The downside is you will definitely need more than one treatment, maybe up to 6 or 8.  This can cause skin irritation, and there is a risk that your skin may change color permanently. Make sure you wear sunscreen after this treatment, as your skin will be sensitive. Lasers focus light on the area and can reduce hyperpigmentation. Most dermatologists will offer this treatment, though they may offer different variations. One of the best is the kind that uses a rapid rate to treat the area with a focused beam, such as The Lightpod Neolaser by Aerolase.  Also, discuss whether the treatment will produce a cooling blast after the laser, which helps prevent the treatment from causing irritation. While this can cause skin irritation, it's generally less irritating than other treatments. However, you should wear sunscreen after...


Попросите врача назначить вам мышечные релаксанты. Посоветуйтесь с врачом относительно противотревожного средства. Узнайте у врача о нестероидных противовоспалительных средствах.

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Your doctor may give you a prescription for a muscle relaxant to help your jaw muscles loosen up before bed. This is not an effective long term cure for bruxism and will likely only help you sleep better, not stop grinding your teeth. Some anti-anxiety medications like buspirone and clonazepam can work to stop bruxism. However, some anti-anxiety medications can stop working after a few months of use. Some people can develop bruxism as a side effect of anti-anxiety medication. If this happens, talk to your doctor about changing your medication. Never go off your medication without talking to your doctor. These drugs can help to reduce any pain or inflammation around your jaw due to grinding. But they will not cure bruxism or prevent bruxism.


Попросите врача ответить на все ваши вопросы о том, как вам получить минимум побочных эффектов. Перед использованием инъекции Ботокс обратитесь к врачу по поводу прекращения принятия некоторых лекарственных препаратов. Планируйте прекратить прием лекарства аспирин, по крайней мере, за четыре дня до процедуры. Избегайте алкоголя, по крайней мере, за два дня до использования Ботокса.

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Before your first Botox treatment, your doctor may ask you for a thorough medical history along with any history of therapeutic drug use.  It is very important that you answer your doctor’s questions accurately and honestly, as some drugs are not suitable to be taken in conjunction with Botox treatments. Even health supplements such as vitamin tablets and fish oils should be brought to your doctor’s attention, as these can thin the blood and cause more bruising post-treatment. Specific medication that you may need to stop taking before your Botox treatment include:  Painkillers (aspirin, ibuprofen) Certain herbal remedies Antibiotics Heart disease-related drugs Alzheimer’s disease drugs Neurological disease drugs Vitamin-mineral supplements Your doctor may advise you to stop taking any aspirin-like products for a minimum of 4 days before the procedure.  This is due to the fact that aspirin causes bleeding, as it is an antiplatelet drug that prevents the blood from clotting. Taking aspirin before a Botox treatment may cause excessive bleeding during and after the procedure. Having alcohol in your system can make bruising and bleeding worse during a Botox procedure, so avoid consuming any alcoholic drinks for at least two days before the treatment.


Попросите врача проверить наличие у вас серьезных заболеваний. Сообщите врачу о любых признаках желудочно-кишечного кровотечения. Определите, не повышают ли уровень АМК принимаемые вами лекарства. Узнайте, не беременны ли вы.

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High BUN levels generally signify that your kidneys are not functioning properly. This could be due to kidney disease or failure, or other serious health problems like congestive heart failure, a recent heart attack, severe burns, stress, diabetes, or high blood pressure. Visit your doctor for a physical examination and additional laboratory tests to rule out any serious health problems.   Your doctor will recommend the best course of treatment for any illnesses you may have, which will in turn help to lower your BUN levels. Thyroid problems and fever can also cause heightened BUN levels. Gastrointestinal bleeding can raise BUN levels, and it may be the result of a serious condition like gastric cancer or erosions. Your doctor can perform an endoscopy to confirm the bleeding and treat the problem with medication or surgery. Tell your doctor if you have seen  any possible signs of gastrointestinal bleeding, such as blood in your stool or vomit. Some prescription drugs may raise your BUN levels as a side effect. Chloramphenicol and streptomycin, which are used to treat bacterial infections, are 2 notable examples. So are diuretics, which can cause dehydration and therefore a rise in BUN levels. Ask your doctor if any of your current or recent medications may have caused the increase. Your doctor may change your medication or alter the dosage to help lower your BUN levels. Pregnancy can sometimes cause increased BUN levels in women. If you think you might be pregnant, confirm it with your doctor and rule out other possible reasons for the increase. High BUN levels in pregnant women are not generally a cause for concern, but your doctor may advise you to change your diet to regulate them.


Попросите врача проверить, не связана ли полнота щек с какими-либо заболеваниями. Проверьте, не может ли округлость щек быть связана с принимаемыми вами лекарствами. Подумайте о пластической операции, если не помогли другие методы.

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In some cases, puffy cheeks may indicate a medical condition that requires treatment. If you’re already at a healthy weight and nothing seems to help reduce the puffiness in your cheeks, make an appointment with a doctor. For example, your doctor may want to check you for the mumps since this condition causes your cheeks to look puffy. If you’re taking a prescription of over-the-counter medication regularly, this might be contributing to puffy cheeks. Check with your doctor to see if this if a possibility and if there are any alternative medications you can try. For example, oxycodone can cause a reaction that makes your face and extremities swell up. Although this is rare, it’s worth looking into if you’re taking this medication. This is an extreme option for excess weight in your cheeks, but you might consider it if nothing’s helping and the excess weight bothers you. You can ask your primary care physician for a referral to a plastic surgeon or find an experienced plastic surgeon on your own.


Попросите врача провести анализ для определения группы крови. Сдайте кровь для анализа. Узнайте результаты анализа крови. Тип крови имеет очень большую значимость. Остерегайтесь рисков, связанных с беременностью.

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If your parents have different Rh factors (or if they are both positive and you want to know for sure that you are also positive), you can request a blood typing test. This outpatient procedure is fast and should not be very painful. You can go home afterwards. A nurse or physician will clean a spot on your inner elbow or wrist with an antiseptic towelette. He/She will locate an easily accessible vein in this area. After wrapping a tourniquet around your upper arm to pool the blood, he/she will stick your vein with a needle. The needle is usually connected to a syringe, which removes your blood. Once he/she has taken enough blood, he/she will take out the needle and gently press the injection site with a sterile swab. You will then receive a bandage. Afterwards, the nurse will label your sample and send it to a lab for testing.  Doctors test children’s blood through the back of their hands.  If you feel like you might pass out, tell the medical professional. He/She can help you recline.  You might feel a prick, sting, or mild pain when your nurse sticks you. After the test, you might bruise at the puncture site. This pain should not last long. At the laboratory, a technician will test your sample for its Rh factor. He/She will combine a sample of your blood with an anti-Rh serum. If your cells clot, you have Rh+. On the other hand, if your blood cells do not stick together, you are Rh-. It is likely that the lab will run tests to determine your ABO blood type as well during this time. Record your blood type in a safe place and share this information with your emergency contacts. You will need this information if you require a blood transfusion or organ transplants. Additionally, if you are or plan to be pregnant, knowing your Rh factor is essential. If you are female and Rh-, you will need to have your partner test his Rh factor. If you are Rh- and he is Rh+, you can experience Rh incompatibility. This means that if your baby inherits his father’s Rh+, your antibodies can attack the baby's red blood cells....


Попросите врача провести липидограмму. Узнайте, как интерпретировать результаты анализа крови. Будьте терпеливы при повторной сдаче анализов. Проходите скрининг через регулярные промежутки времени.

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Because high cholesterol almost always presents with no signs or symptoms, the fastest and easiest way to detect it is via a blood test. Specifically, a "lipid panel" evaluates your HDL ("good") cholesterol, your LDL ("bad") cholesterol, your total cholesterol, and your triglyceride levels (another type of fat).  It is a fasting blood test, meaning that you cannot eat or drink fluids other than water for nine to 12 hours prior to the blood test. You may eat and/or drink immediately following the blood test. For this reason, most people do the test first thing in the morning (following an overnight "fast"), and eat breakfast after the blood test is over. When your blood test results come back from the lab, you will want to know whether they are concerning or not. Here's how to interpret your results:  HDL ("good") cholesterol: below 40mg/dL for men or 50mg/dL for women is poor, 50–59mg/dL is better, and above 60mg/dL is best. Ironically, HDL cholesterol is the one value where the higher numbers are more desirable. LDL ("bad") cholesterol: below 70–129mg/dL is desirable (the recommended value for you will depend on your overall health and other cardiovascular risk factors). 130–159mg/dL is considered borderline high, and above 160mg/dL is high. Total cholesterol: below 200mg/dL is desirable, 200–239mg/dL is borderline high, and above 240mg/dL is high. Triglycerides: below 150mg/dL is desirable, 150–199mg/dL is borderline high, and above 200mg/dL is high. If you make changes to improve your cholesterol, you may be eager to get your levels rechecked to see how your new, healthier lifestyle has impacted your cholesterol. It can, however, take between two and three months to see the lab changes from diet or medication. Make sure allow your body time to adjust before you get retested and become frustrated or discouraged. Because there is essentially no way to detect high cholesterol other than through blood tests, you will need repeat screening blood tests throughout your life. It is generally recommended to have...


Попросите врача рассказать об этапах этой процедуры. Снимите одежду. Наденьте рубашку. В первую очередь проводится осмотр молочных желез. Сядьте в специальное кресло. Внешний осмотр. Подготовьтесь к введению расширителя. Узнайте о том, что такое ПАП-тест. Пальпирующее обследование. В конце осмотра еще раз проконсультируетесь с врачом.

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Parts of the exam can feel awkward. Talking to your doctor during the exam can help you to feel more relaxed. Ask the doctor to explain what he or she is doing as they are doing it.  If you are being examined by a male doctor, a female nurse will be with you at all times during the exam. If one is not present in the room, ask for a nurse to be with you. The external areas will be examined, then an internal exam will be done. The external areas examined include the clitoris, labia, vaginal opening, and rectum. The internal exam includes the use of a speculum to check the vaginal canal, cervix, perform the Pap smear, and take other tissue samples if needed. A digital exam is performed to feel the uterus and ovaries.  However, the internal exam may not be necessary if you have never been sexually active. Make sure to let your doctor know if you are uncomfortable with the internal exam. If you have been sexually abused, then it may take several visits before you will feel comfortable with this type of exam. Be sure to communicate your concerns with your doctor. The entire exam takes only a few minutes. After the routine tests and medical questions are completed, you will be given a gown and asked to undress. Remove everything, including your panties and your bra, unless the nurse tells you otherwise. Gowns used for gynecological exams have openings in the front. This allows your doctor to examine your breasts. Much of the time, the gowns used are made of paper. An additional paper cover may be provided that goes over your lap. The breast exam comes first. The doctor will touch your breasts and move his or her hands in a circular and linear motion.  The doctor will check the breast tissue that extends up into your armpit area. Your doctor will also check your nipples for any abnormalities. The breast exam is done to check for any lumps or abnormalities. If you feel any discomfort during this procedure you should tell the doctor. You will need to position yourself so your feet can fit into holders, called stirrups....


Попросите врача удалить вросший волос стерильной иглой и пинцетом. Узнайте у врача-дерматолога о ретиноидах. Узнайте у врача, следует ли вам начать пользоваться мазями со стероидами, чтобы снять воспаление. Проконсультируйтесь с врачом по поводу мазей с антибиотиками. Будьте терпеливы.

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You can remove an ingrown hair by inserting a sterile needle into the pimple and using sterilized tweezers to catch the hair and pull it out; however, inserting a needle into your skin can lead to infection if the needle is not sterile, so it is best to check with your doctor first before trying this method.  It is best to try to clear up the ingrown hair by keeping it clean before you try using a needle to remove it. If the ingrown hair is on your face, you risk scarring and disfigurement. If you aren't comfortable doing this yourself, you can ask your doctor to remove the ingrown hair for you. Dead skin cells can build up over an ingrown pimple and cause the skin to look thicker and darker. Retinoids can get rid of dead skin cells, which may make ingrown pimples go away faster.  Retinoids are available by prescription only, so ask your doctor if you are interested in trying them. Ingrown pimples can become red and inflamed, which may make them more noticeable. Using a steroid cream will not get rid of ingrown pimples, but a steroid cream can reduce redness and swelling. As a result, your ingrown pimples may blend in with the rest of your skin a little better. Because ingrown pimples are prone to infection, antibiotic ointments may help to control infections. If you develop a severe infection from an ingrown pimple, then your doctor may prescribe an oral antibiotic. Make sure that you follow your doctor’s instructions for using antibiotic creams and pills. Most ingrown hairs will go away on their own and your doctor may advise you to just leave it alone. If the ingrown pimple bothers you, then you can cover it with a loose band-aid until it heals. While you are waiting for the ingrown pimple to get better, do not tweeze, wax, or shave the area, as this can cause further irritation.


Попросите всех склонить головы. Скажите тем, кто хочет ответить на призыв, что они должны смотреть вверх. Во время призыва будьте активными. Пригласите тех, кто ответил, к алтарю. Отправляйте каждого человека с советником.

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Instruct everyone to close their eyes and bow their heads. Repeat these instructions while looking around, and continue past this point only when the majority of people have done as you have asked.  Providing a certain degree of anonymity can relieve some of the pressure and make it easier for people to act—and to do so genuinely. Admitting that you are a sinner in need of salvation can be a vulnerable experience, and making such an admission in front of a large crowd can be so intimidating that a person might opt to avoid the experience altogether. This is especially true when you are working with teenagers, but it can also apply to groups of adults. On the other hand, if many people respond to the altar call, others may get swept up in the moment and respond without being truly ready for it at heart. Remember: the ultimate goal is to save souls, not to have an impressive-looking altar call. You want people to answer the call, but only if they are doing so for the right reason. State that anyone who is ready to give his or her life to Christ—or anyone who wants to learn more about doing so—should lift his or her head and make eye contact with you. Another option would be to ask those who are ready to raise their hands instead of their heads. Both options are fairly common and typically yield similar results Look around the entire room. Repeat the call at regular intervals. Acknowledge each person with whom you make eye contact. Most of the congregation will consist of people who have already accepted Christ and are not being spiritually prompted to respond to the current altar call. As you repeat the invitation to the altar, ask those who remain in their seats to take the time to reconnect with Christ and to pray for those who are accepting salvation for the first time. When you sense that everyone who is ready to answer the call has looked up, invite those individuals to the altar while instructing the rest of the congregation to continue in prayer with closed eyes and bowed heads. Greet those at the altar...


Попросите выполнить дополнительное задание. Попросите переделать работу. Подумайте о просьбе пересмотреть текущую оценку. Отпустите ситуацию.

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Sometimes you can raise your grade in a class by doing extra credit. You can try asking your professor for an additional paper or assignment to earn extra points. Keep in mind that many professors, however, do not offer extra credit. Consider asking, "Dr. Toothman, do you offer extra credit? Perhaps I could write another paper to earn some extra points." This can be a feasible solution if your professor is open to the idea. Ask the professor if you can take a second shot at the assignment. For example, you can ask to write a new paper on the same or a similar topic. You could say, “Mrs. Alderman, would you allow me to retake the exam?” You should think carefully before appealing your grade at a higher level. Unless the professor made a clear mistake, those above them will support the original grade. If you truly believe you can make a strong case for a grade change, make sure you follow the appropriate chain of command. Ask your university’s office of student affairs about the proper procedure. Unless the professor made an obvious mistake while calculating your grade, it is in your best interest to let it go. Pursuing an unwarranted grade change will not put you in a favorable light with the professor. More importantly, the effort you spend pursuing a grade change can be better spent on studying.


Попросите девушку о небольшой услуге. Задайте девушке вопрос, связанный с уроком. Рассмешите ее. Узнайте ее мнение по какому-либо учебному вопросу. Сделайте ей комплимент. Выберите подходящее время для начала беседы.

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The easiest way to begin a conversation with someone you want to talk to is to ask a favor. You don’t know this person yet, so you don’t know what you have in common. Asking a favor is a neutral way to enter into conversation without boring them with something they don’t care about.  Make sure it’s a small favor that won’t put her out. For example, ask to borrow a pen or read their class notes to see something you missed. If you don’t have your textbook, ask to look on with her. That way, you can sit closer to her, too! Since you don’t know her very well yet, you might not know what she likes. The only thing you know for sure that you have in common is the class you’re in with her. Even if you understood the class lecture perfectly, ask her to clarify something the teacher said.  As opposed to asking a favor, which can result in a very quick interaction, asking someone to explain something to you will probably result in a longer conversation. Keep the conversation going by asking follow-up questions. If she didn’t understand either, show solidarity! Let her know that you’re in it together, and that you have something in common. Girls love guys with a sense of humor, so try to make her laugh. Make eye contact with her when somebody says something silly, or roll your eyes when the teacher assigns homework. Make sure you’re not disrupting class, though, or drawing the teacher’s attention. Getting in trouble will not impress her! You’re looking for anything that begins a speaking relationship with her, so make her feel like you want to know what she has to say. Ask her something related to class, like what she thinks is going to be on the next test, or how many hours she’s planning on putting into preparation for a presentation. Don’t talk over her when she gives her opinion. Let her talk for as long as she wants, and show interest in what she has to say. Giving compliments is a lot trickier than it sounds. You may think “who doesn’t like getting a compliment?” but you should always be respectful of girls when...


Попросите девушку показать вам жилище. Позвольте девушке взять инициативу в свои руки. Предлагайте помощь в домашних делах и развлечениях. Ничего не меняйте в доме. Будьте вежливы и честно высказывайте свои романтические намерения. Обсудите, сколько времени вы будете одни.

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This is an especially good thing to do if you feel awkward or unsure what to do when you first arrive. Keep an eye out for decorations, old pictures, and music or book collections -- all excellent conversation starters and places to stop and chat. More often than not, she'll have some specific things she might want to show you or favorite activities around the house. If she invites you over, remember to be a good guest and let her be a good host. If things are shy or awkward, you can, of course, suggest things to do. But try and step back and let her take the lead, respecting her and her house, before blurting out the things you want to do. Don't worry if there is some shy awkwardness early on -- this is normal! It will pass. Just because you're a guest doesn't mean you have to let her do all of the work. If she's got some chores to do, offer to lend a hand instead of flipping on the TV and zoning out until she's done. Think of it this way -- the faster chores are done, the sooner you can hang out. Want to really impress her? Don't ask to help, just start pitching in -- tackling the dishes while she mops, grabbing clean towels, changing the laundry when it beeps, etc. Never assume that it is "no big deal" just because you might leave the toilet seat up at your house, don't use a coaster, or leave books out on the counter when you're done with them. Assume her level of cleanliness, not yours. The best approach is to return things to their condition when you arrived, allowing her to dictate what things are important and what things she doesn't mind you exploring or tampering with.  You don't have to act like you're in a museum! Just be courteous and don't leave a mess behind you. Make sure you're not creating more work than when you started. If you don't know where the dishes go, don't just start sticking them places to get them out of the way. Just because a girl invites you over is not an invitation into her bed. This fact may seem obvious, but it can be confusing if you're visiting for the first time and are...


Попросите дерматолога рассказать о разных типах лечения лазером. Подготовьте кожу к процедуре. Помните о возможных побочных эффектах. Не показывайтесь на солнце после процедуры. Осмотрите кожу на наличие новых поврежденных капилляров.

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Laser treatment uses a concentrated beam of energy to heat the capillaries under the skin, targeting each one individually to successfully remove them. Intense pulsed light (IPL) therapy is similar, but targets a broader area. Your dermatologist will work with you to decide which treatment (or combination of both) will be most effective in your situation.  When you meet with the dermatologist, ask a lot of questions. Make sure the person has conducted the procedure before with satisfactory results.  It's best to choose the dermatologist you go with on someone else's recommendation. Make sure you trust the person to use the procedure that's right for you. You should not receive these treatments while you have a tan or if your skin is irritated; lasers and IPL target the pigment in capillaries and brown spots, and if your skin is dark in color, they won't be able to "see" the places they're supposed to target. In addition to making sure your skin is as pigment-free as possible, follow any other instructions from your dermatologist leading up to the day of the appointment. Generally speaking, in the days leading up to treatment you should also avoid chemical peels, harsh or abrasive exfoliants, and products with retin-A. Both laser and IPL treatments can lead to minor redness and swelling of the skin for several days after treatment. You'll want to schedule your appointment several weeks in advance of important social events so your face has time to return to its normal state. In rare cases, laser and IPL treatments can lead to skin damage and hyperpigmentation. This is more common in people with darker skin than those with fair skin. Be sure to discuss all the possible side effects with your dermatologist before proceeding with the treatments. Your skin needs time to heal after treatment, so you should stay out of the sun for several days. Closely follow the after-care instructions given to you by your dermatologist to ensure your skin heals properly. Be sure to have sunscreen ready at home. Sunscreen should be...


Попросите добровольца в уме загадать 3-значное число и дважды ввести его в калькулятор. Заявите, что число делится на 11, и попросите добровольца проверить это. Попросите добровольца разделить полученный результат на 13. Попросите добровольца разделить полученный результат на загаданное трехзначное число. Заявите, что на экране калькулятора отображается число 7.

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Make sure they do not show you the calculator’s display. Stand across the room from the person and make it seem like you are trying to read their mind. For example, they could enter “123123.” Dramatically announce this from across the room. Have them verify it and then tell the audience that you are right. For instance, if they entered 123123, then they would divide it by 11 and get 11,193. Announce from across the room that the result is divisible by 13. Tell them to do it on the calculator to prove it. For example, if their last result was 11,193, then they would divide it by 13 and get 861. Remember that they chose a 3-digit number and entered it twice. Make sure they only divide the result by 3-digits, rather than the 6 they entered at the beginning. For instance, if their last result was 861, and the original number was 123, they would divide 861 by 123 to get the number 7. Tell them without looking at the screen. Have them show the audience, if you have one, to prove that you are right. You can switch this trick up by having them divide the result by 7 in step 3, and announce that the result is 13 in the final step.


Попросите добровольца выбрать в уме число от 1 до 9. Попросите добровольца с помощью калькулятора умножить выбранное число на 9, а затем на 12345679. Попросите добровольца показать результат умножения или возьмите калькулятор в свои руки. Посмотрите на экран и произнесите загаданное число.

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Explain to them that you are going to tell them what number they chose at the end. Put on an act that you are reading their mind while they are thinking of a number. This is a super easy math trick that is easy to figure out at the end, but it’s still fun to put on a show! ” Notice that there is no “8” in the second sequence of numbers. Make sure they multiply the number they chose by "9", then by “12345679,” with no “8” in order for the trick to work. Keep pretending you are reading the person’s mind while they perform the multiplication. Tell them you will divide what number they chose at the beginning from the result on the calculator. Have them hold the calculator to face you so you can see the number or hand it to you so you can look. If you have an audience, don’t let them see the result on the screen in order to create a more dramatic effect. Whatever number you see repeating on the screen is the number they chose at the beginning. There will only be a string of a single repeating number. For example, if they chose “1,” then the calculator will show “111111111.”


Попросите друга вам помочь. Запишитесь на занятия по плаванию. Почувствуйте воду. Выдыхайте в воду так, чтобы на поверхности воды появились пузыри. Практикуйтесь лежать на воде. Вертикальное плавание. Отрабатывайте движения ног. Выучите другие техники гребков.

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Having a friend in the water with you is comforting. They can remind you what you need to be doing. They can hold you in specific positions while you get a feel for them. Whether you are a child or an adult, there is a swim class out there for you. Being around people who are there to teach you will ease any tension or apprehension you might feel. Having a weekly “date” at the pool will help you be accountable to the learning process. Learning how your body moves and feels in the water is very important. It’s something we’re not used to, but once you get comfortable, water can be very comfortable and soothing.  Start off in the shallow end and begin to move your hands and arms around. Push your hands against the water to feel the resistance. Cup your hands and pull them through the water (sculling). That pressure you feel is what is going to eventually help propel you through the water effortlessly. Bend your legs and let the water come up to your chin. Continue to  move your hands and arms. Even when you are beginning to learn strokes, start each session like this. The most important (and scariest) part of swimming is learning how to breathe. But once you learn how to exhale into the water, you will be on your way to more efficient and graceful swimming.  Reach forward and hold onto the edge of the pool in the shallow end. Put your face in the water and blow out. When you are done, turn your head to the side and take a breath. Push your face back into the water and exhale. Try to create a long, steady stream of bubbles. Repeat until you are comfortable. Exhaling into the water and timing your breathing might be frightening at first, but with practice you’ll soon be ready to learn some basic strokes. It sounds obvious, but floating is a tough skill to learn, and harder to master. In an emergency, knowing how to float can save precious energy and possibly your life. Spend time working on your body position. Learn to float on your stomach and your back.  Relax. You have to relax. While learning how to float on...


Попросите друга защитить вас от хулиганов. Сделайте глубокий вдох, чтобы взять себя в руки в напряженной ситуации. Обдумайте доступные варианты. Выберите лучший вариант. Научитесь спокойно и решительно говорить людям прекратить недопустимое поведение.

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Walking together with friends as often as possible can help deter bullies. They're less likely to attack if you're with others, as you're much stronger in a group. Plus, people with a large group of friends are less often the target of bullying. If someone says something rude or is trying to egg you on, your response may be to get into a fight. Getting angry is understandable, but you don't have to use that anger to give into violence. Take a few deep breaths and count to 10 in your head. That will help you calm down so you can think of something else to do.  Try breathing in through your nose and out through your mouth. Take deep breaths you can feel in your stomach. If you need to, walk away for a few minutes to calm down. Think about what you can do in the situation you're in. You always have options when it comes to how you will react to a situation, so try to come up with a few scenarios. Think through the consequences of each one. For instance, if someone calls you a name you don't like, you could ignore them and walk away, start a fight, or call them a name back. Ignoring them may or may not get them to stop, but it definitely keeps you out of trouble. Starting a fight will likely get you in trouble and doesn't solve the issue. Calling them a name back may feel good in the moment, but it may also make the situation worse. Once you've thought through the consequences of your reactions, choose the best one for the situation. In most situations, it's best to pick the one that de-escalates the situation and keeps you out of trouble. For instance, in the above situation, it's probably best to ignore the person and walk away if you can. If someone is bothering you and won't stop, react in a calm manner. Whether it's something like poking or pinching you or making fun of you, they're trying to get a reaction out of you. If you fail to react emotionally, it takes the "fun" out of it. If you need to, you can reinforce what you say with some light action. For instance, if someone is repeatedly pinching you, you...


Попросите друга или родственника поехать с вами. Приезжайте пораньше. Снимите все металлические предметы. Заполните анкету для выяснения противопоказаний к МРТ. Следуйте указаниям во время сканирования.

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If you're going to be sedated due to claustrophobia, you'll need someone to drive you to and from the hospital or make sure you get home safe via public transportation or a taxi. Even if you will be fully conscious for the procedure, it's a good idea to have a friend or family member come with you. The procedure is lengthy and can be quite stressful. You should arrive to the exam 30 minutes early. There will be paperwork you'll need to fill out and a doctor or nurse may want to talk to you about the procedure beforehand. Before your MRI exam, you need to remove the following items as they may contain metal:  All jewelry Eyeglasses Hairpins/Barrettes containing metal Dentures Watches Hearing aids Wigs Underwire bras Before you undergo the exam, you'll be asked to fill out an MRI screening form. This is a 3 to 5 page document that asks for basic information about your name, age, birth date, as well as questions about your medical history. Take time to read the form closely and answer all questions to the best of your ability. Ask the doctor or nurse if you have any questions regarding the paperwork. This form will also ask questions about allergies and any past reactions you have had to contrast materials used in imaging procedures. Some MRIs require an intravenous injection of a contrast material called gadolinium, which can cause an allergic reaction in rare instances. Once you've filled out the paperwork, you'll enter the MRI room. The doctor will have you change into a hospital gown. From there, follow the doctor's instructions regarding the test.  During the MRI, you will be able to hear and speak with your doctor or MRI technician. In some cases, you may be asked to perform some simple tasks, such as tapping your fingers or answering some easy questions.  Stay as still as possible during the procedure. You will be instructed to stay still to ensure that the images will be clear. Just try to breath normally and stay still.


Попросите друга написать долговую расписку. Письменно зафиксируйте план погашения долга. Используйте специальные приложения, чтобы облегчить выплату долга. Оцените благонадежность друга, прежде чем давать ему деньги взаймы. Старайтесь не давать деньги в долг тем друзьям, которых вы не хотите потерять.

Given the above summary, write a detailed text in English for it.

Many people do this prior to lending money to ensure they are protected later, if the friend refuses to repay. This is a great way to start the lending relationship off on the right foot because the terms of the agreement are clear from the very beginning. An IOU can easily be changed down the line, if your friend needs a little extra time for repayment. Starting with an IOU also makes it easier for you to take legal action later, if this step is necessary. Check out  How to Write an IOU for more information. If you haven't asked your friend to sign an IOU prior to lending the money, you should still ask them to agree to a plan once they're able to start paying you back.  Put this plan in writing and have it notarized. This makes it more legally binding, if you need to go to court later, and it will likely encourage your friend take the repayment more seriously. There are numerous apps available that make paying friends back any amount of money, from $50 for dinner to $50,000 for a small business loan, quick and easy. Use apps like Splitzee, Venmo, Square Cash, Splitwise, Pay Pal, or Google Wallet to simplify asking for and receiving money.  Splitzee, Splitwise, and Square Cash are your best options, when the money lending situation is for a shared expense. For instance, if you pay the monthly bills in your apartment and have roommates who pay you back.  Venmo, Pay Pal, and Google Wallet are better for large amounts of money. These applications allow you to send bills and reminders to your friend, and most of them have no fees, if you're simply transferring money from bank to bank. Ask questions about why they haven't gone through more traditional channels (banks, credit cards, etc.) for financing. Try to find out whether their current hardship truly is temporary or if understanding finances are something the friend struggles with regularly. You may not want to lend money to a friend, if they are very unlikely to repay the loan.   Start by asking something as simple as, "Why are you asking me for a loan?" It...


Попросите друга о помощи.

Given the above summary, write a detailed text in English for it.

See if your friend or neighbor can loosen the cap for you.  It could hurt your pride, but if they can open the bottle, it should be worth it.