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Q: This question is to be answered only by the Ghost of the Angel of Death-if you are real and listening what must be done for success in my endeavors?
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First you should determine if the dog is in danger. Tylenol is sometimes given to dogs as a medicine, but an overdose is toxic, just like with people. The LD50 (dose that kills 50% of animals that receive it) for Tylenol is a little over 1000 mg / kg in dogs. If you know how much the dog ate, divide the dose in mg by your dog's weight in kg. If the number is close to 1000, then your dog is in danger of dying (I would be concerned if it was over 500, but I can't find an LD10 number for acetaminophen in dogs so can't say for sure).In a 1994 study published in the Journal of American Veterinary Medicine, acetaminophen toxicosis may occur in dogs after ingestion of 150 mg/kg (~2 regular strength tablets/10 lb dog) or in cats after only 50-60 mg/kg (~1 regular strength tablet/cat). In dogs, lethargy, anorexia, abdominal pain, and vomiting may occur acutely with recovery in 48-72 hours in mild to moderate cases. In more severe cases, liver damage, jaundice , weight loss, and death may ensue. In cats, anorexia, hypersalivation, and vomiting may occur within 1-2 hours postingestion progressing to depression, cyanosis, dyspnea, facial swelling, and deathIf your dog overdosed, take it to the vet immediately. There are treatments for Tylenol poisoning, but they need to be administered quickly - the longer you wait the less effective the treatment will be.If for some reason you absolutely can't go to the vet, buy some milk thistle extract, standardized for silymarin content, from the drug store and give it to the dog - maybe around 800mg of silymarin. Milk thistle extract is quite effective at protecting the liver and will limit damage, but again, it would have to be administered quickly.


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DefinitionThe lactate dehydrogenase (LDH) test measures the amount of LDH in the blood.See also: LDH isoenzymesAlternative NamesLDH test; Lactic acid dehydrogenase testHow the test is performedThe health care provider will take blood from a vein or from your heel, finger, toe, or earlobe.The blood sample is sent to a laboratory, where it is placed in a machine called a centrifuge. The machine quickly spins the blood, which causes the liquid part (the serum) to separate from the cells. The LDH measurement is done on the serum.How to prepare for the testYour health care provider may ask you to stop taking drugs that may affect the test. Drugs that can increase LDH measurements include anesthetics, aspirin, clofibrate, fluorides, mithramycin, narcotics, and procainamide.Why the test is performedLDH is most often measured to check for tissue damage. The enzyme LDH is in many body tissues, especially the heart, liver, kidney, skeletal muscle, brain, blood cells, and lungs.Other conditions under which the test may be done:Anemia of vitamin B-12 deficiencyMegaloblastic anemiaPernicious anemiaNormal ValuesA typical range is 105 - 333 IU/L (international units per liter).Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.What abnormal results meanHigher-than-normal levels may indicate:Blood flow deficiency (ischemia)Cerebrovascular accident (such as a stroke)Heart attackHemolytic anemiaInfectious mononucleosisLiver disease(for example, hepatitis)Low blood pressureMuscle injuryMuscular dystrophyNew abnormal tissue formation (usually cancer)PancreatitisTissue deathIf the LDH level is raised, your doctor may order an LDH isoenzymes test.ReferencesAbraham N, Carty R, DuFour D, Pincus M. Clinical enzymology. In: McPherson R, Pincus M, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 21st ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 20.Schwartz R. Autoimmune and intravascular hemolytic anemias. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 164.Gregg X, Prchal JT. Red Blood Cell Enzymopathies. In: Hoffman R, Benz EJ, Shattil SS, et al, eds. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2008:chap 45.


Is there any reason to get legal custody of a child if the parents are separated but get along and have no visitation or support issues?

Yes, because one day difficulties will arise and then if the other parent petitions first that parent usually gets what they want. One day one of you might decide to get remarried and that will cause several disagreements. ----As stated by the first answer, things can arise to create difficulties. But, this need not require the hiring of attorneys. WARNING: LONG WINDED OLD FARTAn uncontested divorce or paternity action need not require the two of you to hire attorneys. You need only find a Certified Mediator, hack out the agreement, in detail, file it with the court, and set a hearing date. On that day the judge will swear both of you in, ask if you both agree to the terms set down in the document, than everyone signs it. Generally, there is a 30-60 day waiting period for the document to be recorded with the county and state registries.The mediator will be a lawyer or paralegal, with specialized training. Each of you MUST pay half the fees. The fees could run from $200 to $1000, depending on the going rates in your area, and time spent on the document. Court fees could run $50 to $150, but if you are tight on money, you could request a waiver.These are the things you NEED to cover in the document.CUSTODY Soul Custody Joint Legal Custody Joint Physical Custody Bird Nest Custody (see below)VISITATIONHow close do you live to him?How old is the child?How often?What specific weeks, or months?What specific holidays on in a list of years, do each parent get the children?What if the custodial parent wants to move out of state?MEDICALWho covers medical insurance?Who decides on treatment?CHILD SUPPORTHow much?Weekly, Bi-Weekly, or Monthly?How Long? Eighteen, High School, or End of CollegeDo you split the cost of college?What state(s) may they attend in?What is the minimum amount of college credit hours the child must take?Who gets the tax deduction(s)?What if the child gets pregnant? Does child support stop?DEATHIf the residential parent dies, who gets the child? Never assume anything.***************************It's a form of access or custody where the children stay in the former family residence and it is the parents who rotate in and out separately and on a negotiated schedule.The children simply live at "home" and the separated or divorced parents take turns living with them there, but never at the same time.The core element of this arrangement is that each parent maintains a separate residence where they live when it is not their turn at the "bird's nest". When one parent arrives for his/her designated time, the other vacates right away, so as to minimize or eliminate the presence of both at the same time.At times, bird's nest access can be coupled with specified access with the other parent say, for example, for dinner one night a week.Sometimes, this form of access or custody will end when the youngest child reaches the age of majority at which time, one parent either buys the other out of their interest, if any, in the former family residence, or it is sold and the proceeds divided pursuant to the matrimonial property regime or separation agreement.The arrangement can be expensive as it generally requires that three separate residences be maintained, the "nest" and a separate residence for each parent.The concept is somewhat novel and appears to have as its origin a Virginia case Lamont v Lamont. In Canada, Greenough v Greenough was a ground-breaker case in that the Court implemented a bird's nest custody order even though it had not been asked for by either party. Justice Quinn, in Greenough stated:"In Lamont ... the court made a bird's nest custody arrangement in which the children (aged 3 and 5 years) remained in the home, with the mother staying in the home during the week and the father on the weekend. I think that the benefits of a bird's nest order are best achieved where the children are able to stay in the matrimonial home, particularly if it has been the only residence that they have known...."Time and time again I have seen cases (and this is one) where the children are being treated as Frisbees. In general, parents do not seem to appreciate the gross disruption to which children are subjected where one of the parents has frequent access. In this regard, I do not believe there must be evidence that the children are suffering before the court is free to act. To me, it is a matter of common sense. At the risk of falling prey to simplistic generalities, I am of the view that, given a choice, I do not see why anyone would select a living arrangement which involved so much movement from house to house." See link belowMay I ask why the divorce or separation? It's very important that the child(ren) have both parents in the home. Is there nothing that can be done to preserve this?See links belowStanford University Divorce, Nontraditional Families, and Its Consequences For Children"We know that children of divorced parents have more emotional and behavioral problems and do less well in school than children who live with both their Parent."Fortune Magazine: Crime & Fatherless Families"Ominously, the most reliable predictor of crime is neither poverty nor race but growing up fatherless."Stay Married & Save The PlanetJOINT CUSTODY: Equal TimeHow I divide my life between my divorced parents' homes. By Charlotte Juerge - Newsweek Web Exclusive - Dec 15, 2008Father Makes Two - Time MagazineBy Margot Roosevelt Sunday, Nov. 11, 2003Stupid Things Parents Do to Mess Up Their KidsTen Stupid Things Couples do to Mess up Their RelationshipsThe Proper Care and Feeding of MarriageFatherless America : Confronting Our Most Urgent Social Problem


Mediation - Use and considerations in family court issues?

MediationAn uncontested divorce or paternity action need not require the hiring of two attorneys. Using a Certified Mediator, a detailed agreement can be developed. From there, you file it with the court, and set a hearing date. On that day the judge will swear both of you in, ask if you both agree to the terms set down in the document, than everyone signs it. Generally, there is a 30-60 day waiting period for the document to be recorded with the county and state registries. The mediator will be a lawyer or paralegal, with specialized training and certification.. Each of you MUST pay half the fees. The fees could run from $200 to $1000, depending on the going rates in your area, and time spent on the document. Court fees could run $50 to $200, but if you are tight on money, you could request a waiver.These are the items you NEED to cover in the document.CUSTODYSoul CustodyJoint Legal CustodyJoint Physical CustodyBird Nest Custody (see link below)VISITATIONHow close do you the parents live to each other?How old is the child?How often?What specific weeks, or months?What specific holidays on in a list of years, do each parent get the children?What if the custodial parent wants to move out of state?(see related links below)MEDICALWho covers medical insurance?Who decides on treatment?CHILD SUPPORTHow much?Weekly, Bi-Weekly, or Monthly?How Long? Eighteen, High School, or End of College? see linkDo you split the cost of college?What state(s) may they attend in?What is the minimum amount of college credit hours the child must take?Who gets the tax deduction(s)?What if the child gets pregnant? Does child support stop?(see link below)DEATHIf the residential parent dies, who gets the child? Never assume anything.MEDIATION AND FAMILY LAWWHAT IS MEDIATION??A dictionary's definition is as follows: 1. to bring about an agreement, peace, etc., as an intermediary between parties.2. to settle disputes as an intermediary between parties: reconcile.But perhaps a working definition would be better. One published by the Santa Clara County Chapter of the American Psychology Law society in a 1980 paper is presented as follows:"Mediation of custody and visitation conflicts involve a process of short term counseling and may be ongoing, with a specific aim of helping separated parents resolve the emotional issues which prevent them from reaching satisfactory agreements regarding their continuing relationship with their children. Recent research of Wallerstein and Kelly has confirmed a long held belief among professionals that frequent and continuing contact with two cooperating parents is in the best interests of the children of divorcing parents. Some families reach their own solutions to custody and visitation with flexibility sufficient to allow for the changing needs of the children and the parents. Others, because of their personal dynamics and/or conflicted relationships, are unable to do so without professional assistance. This assistance fosters a problem solving process, which includes techniques of negotiation, education and counseling and is supportive to all family members."WHAT ARE THE OBJECTIVES OF MEDIATORS??There is a consensus among mediators working with child custody problems on the overall objectives of mediation, although there is a spectrum of techniques and practices. These objective include:Protecting the child from being caught in the middle of those conflicts which cause feeling of guilt, confusion and fear;Reducing parental disputes, enabling greater trust, cooperation and agreement;Helping parents understand and tolerate their value differences;Reaching a mutually acceptable agreement which includes a child's living arrangements and parental responsibilities.WHAT ARE THE METHODS OF MEDIATION??Forms of mediation with divorced or unmarried parents range from the use of advisory attorneys to individual and team mediators. Some mediators are attorneys, some are mental health professionals while others may come from the field of social work. Others trained in mediation may have a background completely different than those mentioned above. Some mediators only see parents jointly with no individual meetings allowed, others may have a set number before arbitration and others determine the number of meetings by case. Some mediators specialize in custody-visitation disputes only while others do financial mediation. Others do both with referrals for tax considerations and other use of specialized expertise. Hence, the methods of mediation cover the waterfront, but the objectives are the same, that is to help the two parties involved reach a mutual agreement that both parties can try to make work. IS MEDIATION LEGAL??A very definite YES, mediation is a legal means of reaching a settlement out of court, not only for family court issues, but for just about any dispute that will be handled by a civil court. Most judges will sign as a court order any agreement that was mutually agreed to by the parties involved. The reasons are simple: It clears their docket and saves them time.It saves them from having to listen to testimony and making a decision on the testimony presented.The most important reason is the judges know that an agreed to decision by the parties involved has a greater chance of not being back in court than a decision ordered upon the two parties by the judge.AND IF THAT LOGIC DOESN'T MAKE SENSE TO YOU, THEN MEDIATION IS PROBABLY NOT FOR YOU.Some states, such as California, even go as far as require mediation for couples involved in a family law disputes. California Civil Code (Section 4607, Section 5, page 148), operative as of January 1, 1981, is an attempt at disentangling child custody disputes from legal and economic aspects of the process. This section of the code is commonly known as the California Mandatory Mediation Law. This law prescribes that: "The purpose of such mediation proceeding shall be to reduce acrimony which may exist between the parties and to develop an agreement assuring the child or children's close and continuing contact with both parents after the marriage is dissolved. The mediator shall use his or her best efforts to effect a settlement of the custody or visitation dispute."Perhaps some day other states will have the insight to adopt similar legislation, rather than continuing to promote the adversary system that currently prevails.WHAT ARE THE BENEFITS OF MEDIATION WITH RESPECT TO CUSTODY DISPUTES??A group of local mental health professionals, and attorneys have together affirmed "that mediation avoids unnecessary litigation, lightens the court and attorney's loads and more importantly, spares the children of unnecessary and destructive discord between their parents, facilitating the children's positive development." The benefits of mediation to parents are:A greater chance of fairnessIncreased communicationsTaking time to come to understandings and agreements in keeping with changing family conditions.Learn to compromise where possible.Learn to separate economic from ongoing parenting issues.By reaching practical parenting agreements, parents are helped to neutralize their anger. Financially, mediation costs less than litigation while still maintaining a role for attorneys in reviewing agreements and preparation for the court's review. (1) Please see the article "The Benefits Outweigh the Costs" by Jessica Pearson and Nancy Thoennes on the financial benefits of mediation to the parties involved. The article, on the following pages, is reproduced from the Winter 1982 issue of the publication FAMILY ADVOCATE with the permission of the American Bar Association.