Thoroughly clean the mouthpiece with soap and water after each use. Rinse well and dry with clean paper towels. If desired, you could clean the mouthpiece with an antiseptic mouth rinse instead of using soap and water. When using soap and water, however, you must make sure to rinse away all soap before using the spirometer again. On the Voldyne 5000, the standard mouthpiece is meant to be a permanent one. Use this mouthpiece each time you use the device. If you switch to a disposable mouthpiece, though, you should not use the same one for more than 24 hours. You will need to use the device in the same manner every one to two hours, or as directed by your nurse, doctor, or respiratory therapist. Note that in most cases, however, you should only follow this schedule during your normal waking hours. Your body needs adequate rest to make a full recovery, so you shouldn't wake yourself up in the middle of the night to repeat the exercise. While not strictly necessary, it's a good idea to keep a log indicating your results. This log should contain an entry for each time you use the Voldyne 5000. For each entry, mark down the time of day, the number of repeats you performed, and the volume amount you managed to reach. The purpose of this record is monitor the progress made by your lungs, and to keep track of any increases or decreases to the functional abilities of your lungs. Your healthcare provider might keep a similar record, but you should still keep your own so that you can keep track of your progress yourself. When you are well enough to safely get out of bed and move around on your own, practice walking around in between uses. While walking, breathe deeply and cough two or three times. Practicing the cough while you walk can clear your lungs more thoroughly and make it even easier to breathe.
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One-sentence summary -- Clean after each use. Repeat the procedure throughout the day. Keep a record of your results. Walk around.

Most people begin their ampersand at the baseline, in order to start at the bottom tail of the symbol. On ruled or lined paper, the baseline is the bottom of the two lines that make up the writing area. You should start just a tiny bit to the right of where you want the symbol to go. Bring the pen up the page to form the almost straight line in the middle of the ampersand. Try to give the line a slight curve that leans left. You can make the ampersand more round by letting your pen curve to the left and then back toward the right, if you prefer that look. The ampersand will be about as tall as a capital letter, just under the baseline of the line above. For a curved tail at the bottom of an ampersand, put the pen just above the baseline and bring it down and to the left to reach the baseline. Then, bring the pen back up and to the left to form the diagonal. This will form a small loop at the top by bringing your pencil around to cross the original line. Your pen will cross the diagonal you made, with the intersection of the twon being the bottom of the loop. The ampersand at this point will look like the top half of the number '8' with a smaller top loop. The top loop dives down from the diagonal, curving around to the right to make the large loop at the bottom of the symbol. The bottom of this curved line should swipe against the baseline you started on. Depending on how you choose to draw this 'C' shape, the loop can be wide and angled toward the right, close to the first downstroke and mostly vertical, or some combination of the two. Intersect the diagonal line you started with by bringing the curve up to the line. Make sure you cross the diagonal in the middle of the space between the tip of the bottom tail and the place where the top loop begins, otherwise the ampersand will look lopsided and uneven. As you cross the diagonal, continue to drag your pen up, curving slightly upward if you want a curved tail. This creates the top tail of the ampersand. The end of the 'C' should extend just a little bit above the first upstroke, no more than the length of the bottom tail. You can go further past the diagonal for a more embellished, decorative design. Just a single small stroke perpendicular to the tail will work for the serif. In notes or shorthand, you usually won't need to cross the tail of the ampersand, which extends just past the original diagonal. If you are handwriting a letter or a document others will read, though, you may want to make a serif. This line should be short and just visible enough to provide some definition to the end of the line. The cross of the original 'T' is actually the intersection between the bottom loop and the first upstroke, and not the wide serif some people draw on ampersands.
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One-sentence summary -- Put the point of your pen on the baseline. Drag your pen up and to the left to create a diagonal line. Curve the line around to the right, circling back to cross the diagonal. Swoop the line down and to the left in a large 'C' shape. Connect the bottom of the 'C' above the base of the diagonal line. Extend the bottom of the curved 'C' line slightly past the diagonal. Cross the end of the top tail for a serif look.

You can buy genuine wasabi powder at most Asian grocery markets or online. Measure out 5 teaspoons (22.5 grams) of the powder and put it in a small bowl. This recipe makes about 5 servings of wasabi paste. It doesn't matter what the water temperature is and it's totally fine to use tap water for this. You can also choose to use filtered, bottled, or purified water if you prefer the taste of that. Measure out the water and add it to the powder in the bowl. Use a wooden spoon or chopsticks to mix the water and powder together until the ingredients are thoroughly combined. The resulting product should be a thick paste that clings to the spoon rather than drips off. Gather the paste into a ball in the bottom of the bowl. Then, flip the bowl upside and let the paste rest for about 60 seconds so the flavors can develop. The paste is thick and will stick to the bottom of the bowl. Turning the bowl upside down simply protects the wasabi paste from exposure to oxygen. It starts to lose potency as soon as it's exposed to oxygen. If you prefer, you can cover the mouth of the bowl with a plate or plastic wrap. You can let the paste sit for up to 10-15 minutes if you want the flavor to develop even more. Paste made from genuine wasabi powder tastes best when it's freshly mixed. However, if you made more than you can eat at one sitting, transfer the leftovers to an air-tight container and store it in the fridge. When properly stored, the paste should last for 3-4 months. Keep in mind that the paste will lose potency and flavor over time. If you see blue or gray specks on top of the paste, it has gone bad. Toss it out and whip up a fresh batch.
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One-sentence summary -- Measure out 5 teaspoons (22.5 grams) of wasabi powder. Add 3 teaspoons (15ml) of water to the powder. Stir until the mixture reaches a thick, paste-like texture. Turn the bowl upside down and let the paste sit for 1 minute. Serve the paste at room temperature for the best flavor.

If not, tap the Sign In button and enter your email address and password. Use the tabs at the top of the screen to show books not already on your device and tap the Download button (a cloud with an arrow in it) to download a book.
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One-sentence summary --
Tap the iBooks icon on your device's Home screen to launch the iBooks app. Tap the Store button at the top of the interface. Scroll down to the bottom of the screen and check that you are signed in to your iTunes account. Tap the Purchased button at the bottom of the screen. All of your previous purchases are now listed.