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From the New York Times: Rare Infection Prompts Neti Pot Warning By TARA PARKER-POPE SEPTEMBER 3, 2012 5:20 PM September 3, 2012 5:20 THE WELL COLUMN Neti pots — those odd teapotlike vessels used to wash out the nasal passage — have won legions of fans who rely on them for relief from allergies, congestion and colds. But now, after two cases of a deadly brain infection were linked to neti pots, government health officials have issued new warnings about using them safely. The Food and Drug Administration last month reported on two cases in Louisiana in which patients contracted infections after using neti pots filled with tap water. The culprit was an amoeba called Naegleria fowleri, which is commonly found in lakes, rivers and hot springs. This kind of infection is exceedingly rare, but it usually occurs when people get water up the nose after swimming or diving in lakes or rivers; Naegleria fowleri can travel from the nose into the brain, where it causes primary amoebic meningoencephalitis, a disease that destroys brain tissue and is almost always fatal. In 123 known cases from 1962 to 2011 in the United States, only one person has survived, according to the Centers for Disease Control and Prevention. Last year, Louisiana state health officials reported on two unrelated deaths — of a 20-year-old man and a 51-year-old woman who were believed to have been infected by tap water later found to be contaminated with Naegleria fowleri. Both had used tap water in a neti pot. (Because stomach acid kills the amoeba, drinking contaminated water does not lead to infection.) As a result, the F.D.A. has issued new warnings reminding consumers to use distilled or filtered water in a neti pot. They can use bottled water, or they can boil water and let it cool before using. Doctors say the new warnings should not dissuade people from using a neti pot, which can be a safe and effective home remedy for allergies and congestion. To use a neti pot, a person mixes water with a saline packet to create a mild saline solution. Leaning over a sink, the user inserts the spout of the pot into a nostril, allowing the water to wash up inside the nasal passage and flow out the other nostril. Nasal lavage bottles can also be used, although it is important not to squeeze the bottle too hard. “Initially it’s a weird sensation, but if you’re congested and it washes out some of that stuff, you’re much less miserable,” said Dr. Rohit K. Katial, a professor of medicine and allergy specialist at National Jewish Health, a respiratory hospital based in Denver. “People end up really liking it because they feel refreshed — it’s wellness with water.” Several studies show that regular nasal irrigation can reduce symptoms of allergies and congestion. One 2008 study found that children with severe allergies were less reliant on steroid nasal sprays if they regularly rinsed their nasal passages. “One of the primary functions of the nose is filtration,” Dr. Katial said. “That’s where you capture all the pollens and particulates. Irrigation is the way to wash some of that out, and we think it’s very beneficial and we use it fairly extensively in our patients.” Doctors say it’s important to keep the risk of Naegleria fowleri contamination in perspective. Most cases are in the South, although some have been documented in the Midwest and as far north as Minnesota. Millions of people swim and dive in lakes and rivers each year, yet from 2002 to 2011 there were only 32 reported Naegleria fowleri infections, according to the disease centers. By comparison, from 1996 to 2005, the most recent period with available data, the United States had more than 36,000 drowning deaths. With neti pots and other forms of nasal lavage, the greater risk comes from improper cleaning. Bacteria or fungi can form on the spout of a used neti pot or in a partly used nasal lavage bottle. Regular use of an improperly cleaned neti pot or contaminated lavage bottle can lead to chronic irritation or allergies. |
Sad.. I had to put down Gypsy this afternoon :(
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Well rested...
I'm gonna do some yoga and clean my bathroom and shower before going and doing some stuff... |
Pretty good. I have to do some work, but nothing laborious, nothing long, and I get to do it from home. Maybe later on I'll take a shot at making some body butter.
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I am getting very excited about my second grandbaby who is expected March 5th. Evangeline. Evie. Lord I love the first one so much I cant imagine what its going to be like to have two to love this much! <3
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Tired. Sooo tired.
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Tired.
My schedule catches up with me on my days off. Of course. |
Today is my Friday and I'm doing okay.
Gonna be in the desert this weekend and am hoping I see the Obamas who I think are still in this neck of the woods. I know it's not likely I'll see them, but there's no harm in hoping. :bow: |
I know it's Thursday but it feels like Friday.... :sunglass:
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Feeling
I feel great! I am happy.
:cowboy: |
A recent conversation with a long time absent "brother" has caused me to feel guarded, resentful and highly uncomfortable.
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Feeling a little ... well, a lot p-ed off!
I must quit reading latest news on what our brand new commander in chief is doing. He has no diplomacy ... nor sense of timing. If he is meeting with Mexico's guy, why not wait until after the meeting to go on with WALL talk. Trump is a meathead! Muscling his way into everything will keep the pot stirring. I know, I know ... I need to stop whining. I honestly cannot believe who is in our big office. It makes no sense!! Every picture I see of him online, it makes me think he is on the hopper and straining hard. His face has the "hung turd" look in every freaking picture!! I cannot believe I am posting this but that is exactly what I think every time I see a photo of him. Off to Amazon to order my shit-storm suit now ... |
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Trump's election has put both the US and the world in the middle of a mess that I have zero idea how we will get out of. Every day, it is another shit-storm. He is just an ignorant ass. Our fearless leader. What a joke. |
I feel good. i feel really good.mm
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Presidential.
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Still tired and now I'm definitely going to get a good night's sleep and take some Airborne. I spent a couple of hours with another manager who is seriously ill. I think she's got pneumonia again.
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Happy...
I get to sleep in my bed tonight. I have fresh sheets to put on... Happy girl right here |
It's 2:43 AM here.... and i'm not sleepy yet.
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since, New Years Eve I have managed to have 3 head colds and the flu...I'm fed up with it all..truly I am
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Excited as all get out..
Today I get to see one of my favorite ladies in the world... I was her fill in caregiver for a week and I just adore having time with her. I mentioned this to the scheduler and it turns out she needs someone today. :) Its going to make for a long day; I have a 14 hour shift overnight..but I'm so happy to be seeing her. She is my adoptive grandmother in my own mind |
Tired yet still going. Trying to deal with my feelings surrounding my break up.
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Pretty good, actually, and a little lazy. I've got a couple loads of laundry done and the sheets back on the bed, cleaned the kitchen and un/loaded the dishwasher and tidied up here and there. I even cleaned the disposal flaps (gag) and nuked the kitchen sponge. Of course, my get up and go got up and went after that and all I've done since then is listen to music and surf online.
Now, I'm getting hungry. :thinking: :eating: |
Feeling
I feel great!
I am happy. A kitten in the house makes me laugh and laugh. |
Wonderful.
Just returned from a great jazz concert in the desert. Maysa sang some Angela Bonilla tunes. Had a nice time. Danced my ass off with some handsome and very kind butches. I need to (and will) do this more often. :bow: |
Tired and not wanting to be awake.
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Like the last 30 minutes of my shift are going to last forever
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Comfy and content.
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Kind of meh.
I slept a lot when I got home from work. I never do that. I feel like I wasted the day. Then I fell asleep again a little later. I got no sleep last night. Well barely any. But still. Napping feels like a gigantic waste to me. I had things I wanted to do. |
Well rested and ready for the work week.
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Rested
Fired up Ready |
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I want to find a way to stretch out time. The past few days have flown by and I have to go back to work tomorrow and I don't feel happy about that, especially since I'll be dealing with the aftermaths of snow. Blech.
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Extremely sad over the death of a much loved co-worker on Tuesday...
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I feel amazing.
I spent the last 13 hours perched at my dining table while sipping loads of coffee and working on an important project. It's done. My project. And I'm pretty satisfied and happy with the results. And I had amazing support while doing it. And sometimes it's a damned good reminder that putting stuff down on paper is not only a manifestation of desires but reparative to your self-doubt. Therapy comes in many forms. I was glad to see the razor-toothed mermaid girl again while I did it. It's been far too long :praying: |
Feeling
I feel happy.
I love my work, home, family, friends, and my kitties. Happy. :cowboy: |
Very good—better than I have in awhile.
I came across someone on the internet I haven't seen in decades. I reached out and they reached back. We had a good conversation and it reminded me of some things I'd forgotten about myself. I'm not sure what, if anything, will come from this conversation, but I'm so glad I had it. I'm so glad I took a chance and reached out. |
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