The first years breast pumps : Hand pump diesel : Transfer fuel pump
The First Years Breast Pumps
- (Breast pump) A simple suction pump designed to express breast milk so that a mother who is often away from her baby, or whose baby will not “latch,” may provide the best possible nutrition.
- A device for drawing milk from a woman's breasts by suction
- (Breast pumping) A breast pump is a mechanical device that extracts milk from the breasts of a lactating woman. Breast pumps may be manual devices powered by hand or foot movements or electrical devices powered by mains electricity or batteries.
- days: the time during which someone's life continues; "the monarch's last days"; "in his final years"
- The time taken by a planet to make one revolution around the sun
- A period of the same length as this starting at any point
- The period of 365 days (or 366 days in leap years) starting from the first of January, used for reckoning time in ordinary affairs
- long time: a prolonged period of time; "we've known each other for ages"; "I haven't been there for years and years"
- old age: a late time of life; "old age is not for sissies"; "he's showing his years"; "age hasn't slowed him down at all"; "a beard white with eld"; "on the brink of geezerhood"
first update of 2009...
poor v is still sleeping on my recliner... she really needs to be sitting up a bit to be comfortable... i miss my recliner... but i miss sleeping in the same bed with v more... v&i have seen the boobie doc and the breast surgeon over the past 2 days... we get new year's day off (yay!!)... then we see the oncologist tomorrow morning... on tuesday, v had her tissue expanders expanded... we found out how they fit in her body and why they don't fit particularly well... i expected to see them get bigger as the doc added saline... but they didn't... v felt fine directly after the pump up... but the next day she felt plenty sore!! we also found out that the pain in her left arm along with the somehow newly formed and very painful tendon running from her arm pit to her elbow is known as axillary web syndrome (i'll put a full description of it at the bottom of this post).... during our visit with the breast surgeon we picked up much more info on the syndrome and instructions on how to deal with it... many exercises for v... mainly sretching... and i get to rub the chord down a couple of times a day... its kind of creepy because it makes this crunchy sound as you rub it... and poor v squirms in pain... amazingly after just a day of exercise and the rubbing, v has considerable relief and can lift her arm with less limitation... and the breast surgeon gave us the results of the oncotype DX genetic testing... it gives a recurrence score 0-100... low is good... v scored a 12!!! fortunately i understand statistics well (taught it in college... apply it at work daily)... and you have to understand it to wade through exactly what the score means... in the simplest terms, the score says that if v is postmenopausal (unclear since she was doing low level hormone replacement with bc pills before the cancer) that simply taking pills (tamoxifen) would give her a roughly 8% chance of recurrence.. and interestingly according to the stats... chemo makes the chance of recurrence jump to 10%... now these stats worry me since they are taken from a total population of 367... and that's not much... so its good news... but still leaves us in a very cloudy grey area in terms of chemo or no... nothing cut and dry... there are so many variables which haven't been studied... v's case is one lymph node with a micrometastases less than 1mm... the stats are taken from 1-3 affected lymph nodes that could have macromets much greater than 2mm... it will be very much a decision based on v's gut feel... with input from oncologists and her helpful husband :) the world really needs a better medical database with all known cases entered to allow folks to look for commonalities... right now, i'm driving myself nutty reading tons of conflicting and incomplete studies on breast cancer recurrence... i even watched the technical presentation on the node positive results using the oncotype dx assay... i mean i even know what an assay is... i need a break!!! so we meet with the first oncologist tomorrow at 11:30am... Axillary Web Syndrome, also known as "cording". It is very common after mastectomy or lumpectomy with axillary node dissection (lymph node removal). It is characterized by pain in the armpit or elbow with tautness that increases when trying to straighten the elbow or lift the arm overhead. The pain and tautness may extend into the wrist or thumb. There is often a visible tightness or a "cord" that looks like a guitar string just beneath the skin that runs from the armpit to the elbow. Axillary web syndrome occurs when there is an interruption of the axillary lymphatics during axillary or sentinel node dissection. Axillary web syndrome seems to be unrelated to the number of lymph nodes removed or the stage of the cancer diagnosis. The syndrome usually does not begin immediately after surgery. Rather, there is a delay of a few weeks before the initial symptoms occur. Research suggests that thombosed (clotted) lymph vessels are responsible for the cording. The vessels are inflamed and become thicker and shorter. Axillary Web Syndrome usually responds well to physical therapy treatment within six to eight visits and does not have long-term effects.
GOLDEN GATE PARK WINDMILLS -THE FIRST DAY -MOVING WINDMILL SAILS -THE MOVIE
OF course we had a late start on this beautiful day, but out the door by 1pm is EARLY for ADDA and his MOM...! We took the bus to the CLIFT HOUSE at OCEAN BEACH for a sweater-less & coat-less walk along the beach. When we got off the bus at the end of the Geary line, we walked by the new contruction of the Vistor's Center. The walls are going up on this wonderful addition to the new trails and benchs overlooking SUTRO BATHS and the roaring waves crashing against Seal Rock. We gave a 'thumbs-up' to the construction workers who were taking photos of their lastest work. Then we started our walk down the large hill to the Clift House and downward-ho to the beach. It was early in the afternoon, so even though there were people on the miles and miles of beach, it was not crowded. (That will change later on in the day when folks are off work and they flock to the beach for a little repose from their jobs.) There are HUGE tents set up there because there is a BREAST CANCER AWARENESS RACE on Sunday. That area had many people doing numerous chores in preparation of the race. We walked along the sand towards the ocean. It is a good 10 minute walk to the water. We passed many people. We saw a site that one does not see too often at the beach. Women in bikinis and guys shirtless laying on their blankets! WHAT! Yes. It is usually too cold to take off one's shirt at the beach. Remember this is NOT Southern California...it's San Francisco, where the norm is a blanket of fog, not a beach blanket at the beach ! So, we were overjoyed to walk in the soft cool breeze along the beach. Speaking of cool breeze. As we were approaching the end of Golden Gate Park which butts up to the beach, we saw that the sails of the WINDMILL were turning! We have been in Europe since May, and the last time we walked along this area, they were still working on the windmill. IT'S ALMOST COMPLETELY FINISHED! A slight detour to the windmill was in order. It was great to see the sails turning. One certainly doesnt expect to see a windmill in San Francisco, and, well, people have not for many years. The original windmills were given to San Francisco in 1905 from the queen of the Netherlands. They used to pump water throughout Golden Gate Park. Unfortunately, in the 1950's , they started to fall into disrepair, and by the 1970's, the wooden sails were rotted off the base of the windmill. So, for 40 years, the windmills were really nothing but stumps with overgrown trees and weeds throughout their surroundings. Somehow, the city funded a windmill repair project several years ago. Now, the finishing touches are being applied to the second windmill and it will be in perfect working order. When we walked up to the fenced-off windmill, we saw some people taking photos. It turned out to be the Park Commissioner with the craftsman who almost singlehandly rebuilt the windmill. The craftsman is from the Netherlands and this is his passion. And he looks like HULK HOGAN...with the blond hair & the bandana on his head.... He would like the project to go even further, with a tulip & flower garden surrounding a water canal connecting the two windmills. The lack of funds will not allow that to go forward said the Park Commissioner, but you could see him dreaming of the possibility. The Commissioner was there because it was the FIRST DAY THE WINDMILL SAILS WERE IN WORKING ORDER! After that fun encounter, we walked a half mile along the jogging trail to JAVA BEACH on JUDAH. It is our favorite outdoor beach cafe where we had ice tea and a beer...It was fun to people watch. Many folks either pick up a drink to go to the beach, or get a sip when they return from it. Outdoors, we chatted and sipped away at our drinks for about an hour. My little mom turns to me before we leave and says, "This is really a beautiful city and we are really lucky to have a beautiful life."