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State of the Art: Psychotherapeutic Interventions Targeting the Psychological Factors Involved in IBD
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Volume 16, 14 Issues, 2015
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Francis J. Castellino
Kleiderer-Pezold Professor of Biochemistry
Director, W.M. Keck Center for Transgene Research
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Notre Dame, IN 46556
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State of the Art: Psychotherapeutic Interventions Targeting the Psychological Factors Involved in IBD
Current Drug Targets,
15(11): 1020-1029.
Daniela Leone, Julia Menichetti, Gionata Fiorino and Elena Vegni
Department of Health Sciences, Università degli Studi di Milano, San Paolo University Hospital, Via di Rudinì 8, 20142 Milan, Italy.
The present article aims to review the literature on the relationship between psychology and inflammatory bowel disease (IBD). In particular, the first section is dedicated to explore the role of psychological factors in the etiopathology of the disease, its development and the efficacy of treatments, while the second analyzes existing literature on the role of psychological interventions in the care of IBD patients. Although the role of psychological factors in IBD appears controversial, literature seems to distinguish between antecedents of the disease (stress and lifestyle behavior), potential mediators of disease course (family functioning, attachment style, coping strategies, and illness perception), outcomes of IBD and concurrent factors (anxiety, depression and quality of life). Four types of psychological interventions are described: Stress management, Psychodynamic, Cognitive behavioral and Hypnosis based. Data on the role and efficacy of psychological interventions in IBD patients show little evidence both on reduction of the disease activity and benefits on psychological variables. Psychological interventions seem to be beneficial in the short term especially for adolescents. The importance of considering the connections between psychology and IBD from a broader perspective reflecting the complexity of the phenomenon at multiple levels is discussed.
Clinical psychology, Crohn's disease, inflammatory bowel disease, psychological interventions, psychological correlates, psychotherapy, ulcerative colitis.
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Left to right, Crowe, Van Huss, and Hill
State Sen. Rusty Crowe, R-Johnson City, was about an hour away from the State Capitol on Monday afternoon when the Press caught him on the way to the start of the 108th General Assembly.
"I'm headed to Nashville in a raging rainstorm," he said. "It's basically an organizational week. It's a time when we get a good feel for what bills are coming that affect our constituents. There are about 15 or so pieces of legislation that I've been talking to my staff about."
The Senate had only a Minor Political Parties Study Committee meeting scheduled for Monday, including representatives of the Green, Libertarian and Constitution parties. Today, both the House and Senate begin their work in earnest when they meet in session at noon. Several committees also are scheduled to meet.
Crowe rattled off a list of legislative duties and goals.
"Today I'm going to meet with a statewide business roundtable — sort of an offshoot of the state's chamber of commerce," he said as his phone crackled. "They're trying to get a feel for how we can help grow business in Tennessee. (Today), I'll be talking with my staff about legislation coming up."
He said he liked the fact the state has set higher education standards, but he does not like the notion that test data may have to be given over to groups "beyond our control."
"I think we should use our own universities to come up with a system for testing and grading," he said. "I also think it's wrong to link standardized testing with the taking of a teacher's license. In any other profession, if you do something wrong — legally or ethically — that's one thing."
Crowe said he pushed hard last session to give tax relief to the people in the Dry Creek area affected by flooding. Homeowners in larger metropolitan areas such as Nashville did get relief. But he said the people in Dry Creek were devastated and suffered as much or more than anyone affected.
"There's a threshold that must be met before tax relief can be given, and I'm going to try to put together legislation that creates a roughly $1 million disaster fund for our area," he said.
He also plans to introduce a bill that would stiffen penalties for people evading capture by law enforcement, as well as legislation that increases penalties for people who abuse patients in nursing homes.
Crowe also said he wants to change the fact that in Tennessee, an employer can fire an employee "at will." He cited the example of hospital workers who can be terminated for smoking tobacco in their homes.
He is also interested in the task force put together by Gov. Bill Haslam to crack down on human trafficking.
"We've learned that Washington and Carter counties both reported 50 cases each of human trafficking last year," he said.
State Rep. Matthew Hill, R-Jonesborough, also spoke on a hands-free phone while trudging westward through the rain on Interstate 40.
"I've got a stack of meetings coming up, and committees are beginning to crank up," Hill said. "I serve on the House Finance Committee, and that will start right away. It's a long process."
Hill is also the House Local Government Committee chairman. He said annexation legislation, some of it generated by State Rep. Micah Van Huss R-Jonesborough, will come through that committee and has "huge ramifications."
"I'll be securing co-sponsors for my teacher state licensure bill," he said. "The goal is to reverse the Tennessee Board of Education's decision to base licensure on performance. The data they use are statistical estimates. It's not right to take away a teacher's credentials because of estimates."
The wine in grocery stores bill also is on his radar.
Hill was heavily criticized by proponents of the bill in March for voting for an earlier version of the legislation in a subcommittee, only to cast the key vote against the measure when it reached the Local Government Committee.
His stance has not changed.
"As long as we can get a commitment from all sides there will be a full debate — that's all I've asked for."
If you thought Van Huss was going to somehow avoid the deluge, think again. He, too, was dodging the weather while en route to Nashville on Monday.
"I'll be going in tomorrow, but I think all I've got are a couple light bulbs to put in," he said.
Van Huss said he is looking forward to reintroducing three annexation bills. They each would make it mandatory that any annexation being pursued by municipalities that is not requested by property owners be decided in a public referendum during a regularly scheduled election cycle.
"I also am bringing back a bill (that) would ban United Nations officials from monitoring elections," he said. "They have specifically said they came to the 2012 general election to monitor for human rights violations. They're not coming to make something better, they're coming to hold the Unites States accountable. That's wrong."


text:
Hang tight!
Recipe by Ryan Nomura
"This Asian fusion recipe combines great summertime flavors. Try to get Haas avocados if possible. Slipper, spiny, rock, or Maine lobster would all work in this recipe."
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For the Mango Coulis:
1 cup
chopped ripe mango
2 tablespoons
2 tablespoons
fresh lime juice
1/2 cup
olive oil
Kosher salt to taste
For the Summer Rolls:
(8 inch) Vietnamese spring roll wrappers (rice paper)
1 pound
cooked lobster tails, sliced
1 (1/2 pound)
avocado, sliced
3 ounces
mizuna or similar type peppery salad green
2 teaspoons
chopped fresh mint
6 ounces
ocean greens, sea vegetables
1 cup
hearts of palm, cut into 1/4-inch sticks
2 ounces
enoki mushrooms
Kosher salt and fresh cracked pepper to taste
Excellent combination of flavors! Due to availability, I subbed crab for lobster, watercress for mizuna, and oyster mushrooms for enoki. I used wakame and arame for sea veggies; hijiki and dulse would work well also. The mint was a nice touch, and the coulis whipped up nice and creamy--and so flavorful for such simple ingredients! These were surprisingly easy to put together, but I found 30 sec for soaking the rice paper was way too long; about 10 worked for me. You could also toss everything together in a salad if you don't want to use the wraps. Delicious!
This is an excellent recipe. I used shrimp instead of lobster, lobster mushrooms and I couldn't find "sea vegetables" so I omitted them altogether. The coulis is out of this world! I'm going to use this recipe again as soon as possible.
4 Ratings
So far, I have found only dried sea vegetables, so I omitted them. Other than that, I prepared the rolls exactly as written using grilled lobster tails. I served them with a side of deli-made seaweed (fresh sea veggies are around here somewhere!) and sushi tuna salad. When I find a sea veggie source, we'll make them again. They are delicious.
* Percent Daily Values are based on a 2,000 calorie diet.
Lobster and Avocado Summer Roll with Mango Coulis
Serving Size: 1/6 of a recipe
Servings Per Recipe: 6
Amount Per Serving
Calories: 388
Calories from Fat: 221
Hard to believe, but many kids will be back in school at the end of the month. Get ready.
You won't believe all the things you can do with cauliflower. It's a great low-carb option.
Delicious recipes, party ideas, and cooking tips! Get a year of Allrecipes magazine for $7.99!
Watch how to make this quick seafood soup.
See how simple it is to get perfect, succulent steamed lobster.
Watch how to make this Latin American favorite.


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Tuesday, August 13, 2013
Summerville's Eric Henderson and Michael Murray tackle an Orangeburg Wilkinson ball carrier Friday during a scrimmage. The Green Wave came out on top by a 27-20 margin. Summerville found the end zone on a kickoff return and two rushes. The Wave also put points on the board with a pair of field goals, both from approximately 30 yards out, and two extra-point kicks.
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text:
Conjunctivitis Remedies for Dogs and Cats
Last Modified on Jun 20, 2015
How can you determine if your dog or cat is suffering from eye conjunctivitis? Well, there are some pretty straightforward, can't miss symptoms when it comes to this problem. You may notice a reddening of your pet's eyes, as well as a thick discharge coming from the corner of one or both eyes. You might also see that your pet is rubbing its face on the floor or on other objects and is continually scratching around the eye area. The animal may be producing excess tears which will cause your pet to blink a lot more than what it normally would, and due to a buildup of conjunctivitis may not be able to open or close its eyes completely.
Before you begin to treat the problem it is important to determine the exact cause of the conjunctivitis. It is quite common that allergies, different types of infections and feline respiratory diseases will be the onset of this particular condition. Though in many cases, there will be other signs or symptoms of the virus or allergies that accompany the conjunctivitis. However it is also possible that the conjunctivitis could be a result of some type of physical damage to the eye, such as a thorn or some other foreign object lodged in the eye. This is the kind of situation that you want to be particularly careful about as attempting to treat the eye without having the object removed could cause further damage.
In order to clean the eye area you will want to use about a liter of warm water and very gently pour it over the affected eye(s). Using a piece of soft, cotton wool soaked in the water, carefully wipe around the eye and remove any discharge, but do not wipe over the eye. Once you have cleared most of it away you will be able to more carefully examine the eye to determine if there is any type of object inside the eye that should not be there. If there is any possibility that this scenario exists then do not attempt to treat the problem yourself.
Alternatively, there are a number of homeopathic herb treatments that can be very successful in clearing up the problem of conjunctivitis due to allergies and other possible infections. Some of the best remedies include Euphrasia, Aconite, Pulsatilla and Sanicula. These herbs can be purchased at your local health or homeopathic store or through numerous online sources.
Most Popular Conjunctivitis Remedies:
|Apple Cider Vinegar
|Colloidal Silver
User Reviews
Antibiotic Ointment 2 0
User Ratings
[YEA] I have used Antibiotic Ointment lots of times for my cats and kittens gunky eyes. Make sure you get the plain stuff, non with the pain reliever just the basic. I have even put in in my eye. When ever I had a cat with an eye that looked like it was irritated I would put a dab on the outside corner of the eye so he could blink it in. It has never bothered them and has always worked wonders. I usually do it for three days in a row and then they are good to go then.
Right now I have a feral cat in my a back yard with a gunky looking eye. It started out as a clear yellow discharge with red sometimes. He then started keeping it closed all the time. It has gotten really bad looking and seems to be moving into his other eye. I can't touch him he's too skiddish. One day I was able to prepare myself with a dab of ointment on my finger and I got it on him. His eye looked way better the next day but since then I am losing the catch a cat battle. I ordered Fishmox and it's on its way. Otherwise he may keep suffering and go blind.
[YEA] pet eye problems
a kitten that I rescued 2 or 3 years ago( I still have him) kept having eye problems. For 2 or 3 weeks I would clean his eyes with a warm wet wash cloth. They were better but not cured. Someone told me to put antibiotic ointment just under the eyes being careful not to get it in the eyes. Just put some on your finger and rub it in the fur around the bottom of the eye. I did this 3 times a day for about a week or so and his eyes were cured! No more problems.
Replied by Wizzlet
Somerville, Mass
07/24/2010The last comment talked about pouring 1 liter of water over the cat's eye. I would caution about doing this as, if any water gets into the cat's ears, your cat could end up having a lot more problems. Ear infections, loss of balance and many other issues. I would stick to cleaning the eye with a clean sterile gauze. Then use your antibiotic ointment.
Replied by Diamond
Salisbury, Usa
06/26/2011Wizzlet; I agree with you about pouring any water on any animal. Animals aspirate (suck in) where humans breath in & out normally. It is not good to pour so freely any liquids on an animal's face.
I would like to add another off subject please.
I have been seeing and hearing that when people go out for rides in very hot weather they take the dog(s )with them, then decide to stop in the grocery store or stop for a bite to eat!!! It only takes a few seconds for an infant or dog of any age or size to die from the heat & humidity. I am hoping people will be active in help protecting these innocent beings, I have printed up signs for cars that have any animal sitting in the car even if all the windows are down; the humidity is a killer.
I recently was in a store for several hours an saw an older dog sitting with all windows down but barely breathing, I went and told a police officer about this dog, generally this is not my thing as I do believe in the slogan "Live & Let Live "but what about your loving pet? Granted even I need more education about life in general etc. but I do have the willingness to learn.
Thank you for allowing me to share this with others. God bless.
Antibiotics 2 1
User Ratings
[YEA] I tried apple cider vinegar and colloidal silver and both helped but the infection kept coming back. I couldn't afford $200 the vet wanted so out of desperation I decided to use my leftover antibiotic capsule (Amoxicillian). My sister who is a nurse used my cats weight times 5 mg. antibiotic per pound and figured that a 500 mg. capsule could be divided into 16 dosages. From information I read about, I gave my cat one dosage a day for 10 days and we are now 7 days off the amoxicillian and there is no sign of the infection coming back. You can tell that it is still healing as there is crusty stuff, like scabbing still coming out of his eyes. I am glad I used the antibiotic. This cat is a stray that just showed up in my yard one day and he is a delight. Lastly, I must say I am very angry that I can't afford to go to a vet. Everything is outragious. Thanks to everyone who has contributed to this sight.
Replied by Allison
Houston, Tx
07/10/2010Just a gentle reminder that anytime antibiotics are taken internally, whether for humans or for pets, it's a good idea to follow up with a course of probiotics (i.e. Lactobaccillis acidophiles, yogurt, etc.) for a week or two to replenish the good floras in the digestive tract. Even one course of antibiotics can wipe out all the good guys in your gut, which can compromise a weak immune system and create further problems down the road. I learned the hard way to have a cat that developed chronic constipation following a course of antibiotic, which eventually led to the development of a toxic mega colon that required multiple surgeries. So don't forget the probiotics anytime after completing a course of antibiotic, humans and animals.
Replied by Brandy
Gautier, Ms
05/29/2014Re: What is Antibiotic Dose for Kitten?. Please tell me how much this cat weighed?? I have a kitten who is about 8 weeks... I m desperate
Replied by Shanda
08/03/2014Does it have to be apple cider vinegar or will any others work. I live in spain and don't know if I can find that type. Thanks
Hey Shanda!
It needs to be apple cider vinegar.
You should be able to purchase cider vinegar in spain - this should not be rare in your country. You want an organic one, that is raw and not pasturized, with the living cultures in it -aka 'with the mother' culture.
Replied by Mike
California, US
10/25/2014My dog had two very red eyes and green stuff coming out of them. She is 5 and never had anything like that before. I tried the antibiotic lotion under her eyes and that did not seem to fix it.
We had some expired amoxicillin 500 mgs. I broke them in two and gave her one a day for 6 days and the infection is totally gone. Just to say hello to my local vet costs me 80.00 so I try to avoid that unless it is something serious.
I have used left over antibiotics for years on my cats and dogs and never had a problem.
(only a few times in 10 years). But if you research it you find out it is the same stuff you pay through the nose for at the vets.
Replied by Om
Hope, Bc, Canada
10/25/2014Mike (California, US) ---
That's right. There are pharmacies that have sections for animals and pets. There one can get advice. Many items that would cost $$$$ over at the vets.
Namaste, Om
Replied by Jp
12/02/2014[YEA] Check with your health insurance company, sometimes pets are included or can be added.
Make it easy for yourself a little each month, having a pet is a huge responsibility. These people who just put a pet down because they can't afford one makes me kinda violent inside. I would love to teach them a lesson haha okay I am a nice guy until I'm not.
A family friend told me a while back his vet has credit cards through care credit or credit care, some Doctors and Vet Doctors accept them check it out.
If you are wondering yes my ex left the cat almost a year ago. He stopped eating. 2 vets later he died after surgery; it was just a feeding tube. He wasn't even my cat.
Replied by Jay
Dallas, TX
02/23/2015[NAY] Stop giving your young small pets so many antibiotics. Start with some plain organic kefir from a health food store. Can be given internally or topical. If that doesn't work. Consult a vet. You can ask vets questions online for like seven dollars.
What do you think of fish antibiotics that you can buy on line without a prescription for cats and dogs when they have an eye infection... The doses are on the internet. Is this safe? Robyn
Replied by Faith77fairfield
Waterloo, New York
01/24/2012I don't know about the fish stuff. I do know that I have used the Amoxicillian several times on my cat, another time for upper respiratory infection. Worked like a charm. I got the info off an internet site, I don't remember where, but it was vet info on dosage of amoxicillan for cats. My Skippy is doing great, although now he needs to lose a little weight.
Also, I have cured worms in 3 of my cats with diatomaceous earth. Thank God for Earth Clinic.
Replied by Robin
Pickett, Wi
05/28/2012Amoxicillin & Penicillin 250 & 500 mg are the same no matter what they are for. Fish, Cats, Dogs, Etc.
Replied by Sandra
05/27/2015You can buy Terramycin Eye Ointment at Drs. Foster & Smith Pet Supply online. This is an antibiotic eye ointment that will get rid of conjunctivitis after a few doses. Its the same thing the vets use and it only costs $15.99. I have used this for years and am very pleased with it.
Apple Cider Vinegar 61 4
User Ratings
[YEA] After reading this site I tried the apple cider vinegar in my 9 month old kitten, as one of he his eyes was inflamed with some discharge and he was squinting. I too was skeptical. I put some on his shoulder/neck at 6pm and again before bed. No noticeable improvement. Woke up this morning and his eye looks bright as a button!!! I've has put some more Apple Cider Vinegar on his neck today- he is busily licking himself clean! I'm not sure how it works but it seems to have worked for him :) thank you so much!
EC: Hi Jaide,
Thank you for the feedback! You may already be doing this, but we wanted to note to others that ACV should always be diluted with water before applying topically on a pet or given internally. 1:1 is what our frequent contributors typically recommend.
Undiluted ACV can otherwise burn the skin and cause considerable pain.
[YEA] So I stumbled upon this site searching for a cure for conjunctivitis for my 5 yr old cat, Milo. After reading all the posts about Apple Cider Vinegar and how it worked for so many others, I had to give it a try. I mixed 1 tablespoon of ACV and 1 tablespoon of water and soaked a cotton ball with it. Put it on the back of her neck, in between her shoulder blades, and when we got up this morning she was 99% better. I was blown away with how quickly it worked. I will do another dose today just to be on the safe side. This certainly saved me $$ for not having to go to the vet. Plus Milo is not a fan of going in the carrying crate, so less frustration on both our parts.
I saved this site to my favorites for future ailments.
[YEA] My 7 yr old doberman has conjunctivitis; not sure how he got it but its in the left eye, which swelled up on top to the size of a golf ball. When I opened the swollen lids, the inner tissue appeared to be swollen, but no redness on the whites of his eyes. Flushed his eye with saline solution and took him to the vet. Vet poked around and used ultraviolet light to determine no corneal trauma and no foreign object. She prescribed eyedrops. Basically, its neomycin and polymyxin--the same stuff in generic antobiotic ointment you can get at Target or Walmart for $3. So I used the $35 eyedrops religiously for a week and the swelling and discharge went away.
But less than a week later, the swelling and discharge came back. I clean my boy's face everyday with babywipes and now I flush his eyes with sterile saline solution, so whatever foreign object might have irritated his eye to begin with was not an issue the second time his eye swelled up. Hmmm.
This time tried Refrigerated organic ACV on a cotton ball, saturated the back of his neck and wiped his eye. He seemed to like the cool sensation on his eye. Plus put a little generic antiobiotic gel on the corners of his eye. Swelling went away in less than 24 hours. I will keep this up for a week just to make sure it doesn't come back.
I know vets mean well but in today's grim economy why stick it to people with expensive pharma when there are inexpensive home remedies that are just as if not more effective. I have three dogs and three cats and I would have more if I could afford them. Maybe I could if vets would stop purchasing their vacation homes with unnecessary scripts for our furkids. Yeah, that sounds rather cynical but I have paid my share of unnecessary vet expenses over the years and finally wised up. Its great that we love our furkids, people, but please do your research first before making a vet appt. So much stuff is unnecessary if not downright harmful for your pet but most vets don't care, they just want your money. This website is a great start.
Replied by Michelle
11/27/2014Hi, I have the same problem with my dog and the same thing happened to me with the eye drops prescribed to me by the vet! So I'm going to try the ACV but did you put it directly inside the eye or around? Thanks!
Replied by Om
Hope, Bc Canada
11/27/2014Hello, Michelle --- for conjunctivitis the best remedy is colloidal silver. I personally would not use apple cider vinegar although some people use ACV.
In fact CS is THE remedy for eyes and kills viral infections. Chamomile tea is also excellent.
Namaste, Om
Replied by Kym Sheridan
Port Douglas Qld Australia
12/22/2014My dog has conjunctivitis and am interested how you would apply the colloidal silver, in the gel or liquid form?
Replied by Sherry
04/27/2015Do you use the colloidal silver topically on the eyes or internally? If you give it internally, how much do you use?
Replied by Sue
St. Jospeh, Mi
04/27/2015I found the post on Earth Clinic that stated not to use too much colloidal silver in the eyes...
Replied by DaveFountain Inn, Sc0 01/14/2014
Mike from UK re Pink Eye, Hello, and I too have used Colloidal Silver on conjunctivitis .... pink eye. That virus is a killer to get rid of but for the past 15 years when I first read it would work I've used it to quickly get rid of the infection. I use two drops of CS in each eye twice a day for two days. I was told by an ophthalmologist who was a professor of ophthalmology not to use the CS beyond 2 days because the CS could take off the cells of the eyeball. dt
[YEA] My poor cat Irma developed a weepy eye, and once it affected her other eye too, I knew it was conjunctivitis. Looking for a home made remedy I found Earth Clinic. It took a few days, but rubbing a solution of half ACV and half H2O with a cotton ball between her shoulder blades 3 to 4 times a day had her clear eyed and back to her old self within a week! I kept up the process for an extra day, just to be on the safe side, but she didn't need it. Hurray for Irma! And thank you to all the contributors that convinced me to give it a try.
Ok so I just had a cat that had kittens two weeks ago. They had just started opening their eyes a few days ago. However over night it seems there eyes are matted shut. I have read about the ACV treatment I haven't used it I wanted to make sure it was safe for them being so little. I also Also should I go ahead and treat all my cats and children. I also wondered the correct dosage and if its just plain acv? Last thing is I think the momma cat got pregnant from her brother could that be why they are having issues? I look forward to your response. Thank you, Jessica
Hey Jessgib!
Goopy eyes is actually fairly common in 2 week old kittens that are just opening their eyes for the first time; this has nothing to do with the accidental inbreeding between sis and bro. You should do a few things to help them get their eyes open and keep infection at bay.
First, make sure Momma cat is clean and that the nest is clean - change all the bedding and give Momma a bath if she needs it [she likely will not, but do consider if she does need a bath].
You should clean each baby's eyes with wash cloth dipped in plain warm water - do this three times a day to keep their eyes gunk free. Be careful not to pull any mats or clumps of debris away from the eyes as you could tear a delicate eye lid; just keep on soaking the gunk off with the wet wash cloth.
And, once their eyes are fully open check to see if they still have discharge in any form. If they are still gunky there could be a couple things going on - either an upper respiratory infection - you would likely hear the kittens coughing and sneezing if this were the case, or its conjunctivitis/pink eye. The UTI - IMHO-really requires a vet visit. Pink eye on the other hand can easily be remedied with home treatment.
You can try the ACV remedy for conjunctivitis from EC:
Home Remedy Ingredients
- Unpasteurized Apple Cider Vinegar - 2 Teaspoons
- Filtered Water - 1 Cup
Mix 2 tsp of unpasteurized apple cider vinegar in a cup of water. Dip a cotton pad or soft cloth in the solution to wash the eyelid inside and out. You can place a few drops of the water mixture in the eye as well. You should repeat this treatment every few hours until the conjunctivitis is completely healed. Usually that will take from 2-3 days.
You can also try the advice from another poster who used the human eye remedy "Pink Eye Remedy" available at any drug store.
Good luck and keep us posted please!
[YEA] Hi, I tried the ACV treatment on my dog Hailey, 8 1/2 month old lab cross. She has had reoccuring eye infections. Instead of the antibiotic drops, I tried the ACV placed on the back of her neck with a cotton ball. I held it in place for 30 seconds or so, gave a squeeze. After 2 treatments her eyes are so much better. I was having to wipe them every hour at least, big gobs of gook. I also added about a tsp/capful to her drinking water, she didn't seem to mind it. I used organic Omega ACV, unfiltered, with the mother. I'll certainly be telling everyone about this miraculous cure. Thanks so much.
Replied by Ish
Sao Paulo, Brazil
11/27/2013Hi! I knew applecider vinegar is a miracle liqued. I used it for allmost anything from cleaning toilets to treating fungus and to nuetralize chemical cement burns taken during work, but never thought about this. I am very positive due to my previous experience with vinegar and after reading all these positive posts im going to try it on 4kittens and 3 adult cats! Yes thats right.. I had 2 cats who got it today after taking in a stray pussy with her 4 kittens. Well actually it was her deciding to move her litter from the neightboors roof into my house after me feeding her. She was so skinny the poor thing. I ofc accepted her in and am honoured by her trust. They all have conjevitus so transfered it to my other cats and my niece! Its an absolute outbreak :( probably bcos of my niece not washing her hands and playing with them.. So today ill freshen them up. Already cleansed their eyes with a salt-boiled water solution and now off to the store to get some applevinegar!! I'll defo post here to let everyone know! But bcos all of them having it I may need to resort to the not prefered anti biotics.. I'll keep in touch.
Hey Ish!
THANK YOU for taking in this stray puss and kits into your home and saving them!! The AC remedy should do the trick nicely for you! Some ideas on how to mix and other options to consider are here: http://earthclinic.com/cures/viral_conjunctivitis.html
Replied by Om
Hope Bc Canada
11/27/2013Hi Ish from Sao Paolo- you won't believe it but I use a dropper with my own urine two or three times and pink eye, etc. are gone. It works extremely well and is soothing so dog/cat don't object. Om
Replied by Carolroars
Cupertio, Ca
12/20/2013Is the apple cider vinegar diluted before applying to the skin?
Also...does anyone know how to use chamomile tea for conjunctivitis in cats? I find conflicting info from site to site, some saying chamomile is toxic to cats, others saying it's fine to use as an eye wash. My cat, Cee Cee, has had terrible conjunctivitis for three months now, and the antibiotic eye salve the vet gave us doesn't really help.
Would appreciate some guidance.
Replied by Om
Hope Bc Canada
12/20/2013Carolroars from Cupertio
Carol, my cats, if they have pink eye get a few drops of my midstream urine twice a day for two or three days. But it works immediately and stops the pain. The rest is follow up. Om
Hey Carolroars!
You can try the ACV remedy for conjunctivitus from EC:
Home Remedy Ingredients
- Unpasteurized Apple Cider Vinegar - 2 Teaspoons
- Filtered Water - 1 Cup
Mix 2 tsp of unpasteurized apple cider vinegar in a cup of water. Dip a cotton pad or soft cloth in the solution to wash the eyelid inside and out. You can place a few drops of the water mixture in the eye as well. You should repeat this treatment every few hours until the conjunctivitis is completely healed. Usually that will take from 2-3 days.
You can also try the advice from another poster [scroll down for original post]:
12/08/2013: Bluejade4 from Houston, tx: "I used a drug called Pink Eye Remedy for humans on my cat. You can get this at any drug store. My cat is 1 year old and she had eye redness with swelling very teary and little yellow puss like discharge at the corner of one eye. And just redness in the other eye. She was not playing much and would hide and sleep most of the day. I tried the Apple Cider Vinegar and the Neosporin they helped a little but was not effective enough. I bought the pink eye remedy cleaned her eyes with a wet warm face cloth. Held my cat down had my daughter drop 2 drops per eye. I did this twice daily for three days. My cat is all better now she is playing and is her old self. Her eyes are clear bright and normal."
Replied by Marnie
12/22/2013My cat (Max) does indeed have conjunctivitis and I have been giving him the apple cider, now for about 8 months! It does keep away, and recently I cut him back from twice a day, to once a day! I did try to cut him back again, only to have a recurrence! How long does it normal take before your kitty can come off permanently?
Hey Marnie!
Have you ever taken your cat to the vet to find out why your cat has reoccurring eye infections?
Conjunctivitis - pink eye - can be bacterial in nature or viral. If he is being contaminated with bacteria, he needs to be kept out of whatever is causing the reinfection.
Its also entirely possible he has Feline Herpes - which manifests as a viral form of conjunctivitis, and if so the eye infections may be life long/chronic and additional nutritional support such as lysine is likely indicated.
You may find some ideas here:
And also more info here:
Hi all, I am a first timer and I found the posts on ACV hopeful so I started treating my cat with it just now. I noticed when I got home this afternoon that he was squinting on the left eye, it looks a bit puffy. I got disheartened because I am unemployed and I feel any extra thing I have to spend on; I thought about how much is this gonna cost me, to go to vet. So I searched the internet and found this website. Thank you for all the valuable information posted here. I just washed his eye with diluted ACV (1 part ACV to 3 parts purified water). I drink it myself so I have plenty handy. I didn't get much resistance from kitty, he let me help him. I am going to also try to give it to all of my kitties (I'm a proud mama of five) in their food, as many of you are doing. I am positive the ACV is going to work on kitty's eye. Thank you, thank you, thank you :)
[NAY] I read a lot of posts under cat conjunctivitis and elsewhere on the interwebs and have tried ACV of multiple strengths. From 90% to 5%. Nothing really helped. Applied to the back of the neck, cleaned around the eye, dropped into the eye, drank, ate with food, nothing. I stayed up all night for 2 days administering her constantly wiping her eyes clean and cleaning around the eye with ACV. Nothing changed because the infection carried on to the next eye. But I recommend including ACV into the food at all times. Surprisingly my cats love it so I was able to put alot.
So I went out and got contact multi-purpose solution. I would have bought the sensitive formula because it has one less ingredient, Hydranate. I was just looking for a medicinal Boric acid solution, warning, it's not the same thing as Borax at all. I also got extra virgin coconut oil.
This is how I saw immediate change (no red/gunk/ooze):
- Cleaned around the eyes with a solution of 3 parts ACV 10 parts water with cotton pads.
- 2 drops of contact solution into each eye.
Use your fingers lightly to open the eyes so the solution gets moved around. Your fingers will carry germs so don't even get close to the eyes. My fingers (I used all 5, not just 2) were placed at her temples and whiskers area. Think of it like holding a sandwich (haha). It gets slippery depending how soft the fur is but find your grip! :)
- Using cotton buds, I saturated it with coconut oil and applied it around and over the eye. I wasn't afraid that it would get into her eyes cus some people do that too. I was generous with the oil. I did not heat the oil to melt, I walked in the hot sun and it melted some. But you can scoop some with cotton bud to apply.
Make the room comfortable for the little tigers, I have a cone but I chose not to use it because that'd stress her out and feel uncomfortable. It's very important not to. Instead, I applied coconut oil around her paw and surrounding areas where she licks in case she touches her eye area too, since coconut oil is anti a bunch of things. She's fussy but she didn't mind it at all. I found that it was important to let your cat rest to heal. I researched everything I buy or even try to bring close to my cat cus she's my only white princess tiger. She's very much happier and I guess it helped to have a lil cat sis to loves her too. Good luck!
Replied by Glo
Ormond Beach, Fl
02/11/2013Why do you put the vinegar and water on the back of the neck of the cat or dog for an eye problem?
Replied by Angela
Cary, Nc
02/14/2013It absorbs into the skin or they ingest it by licking and it changes the ph in their bodies so the conjunctivitis can't thrive. Absolutely works. It is very acidic and can burn their mouths. Dilute it 50/50 with water. I put it in a spray bottle and drench their fur a few times a day until better. You can also take cotton balls and dip them n the solution and clear their eyes. It will sting but just for a second. Keep their eyes closed and do this three times a day for the first day and then twice then once a day till better. It truly works, good luck!
I'm confused, why do you put ACV on the scruff of cats neck for eye infection ? Is it absorbed through skin?
Replied by Arlyn
Nahant, Ma
01/27/2012[YEA] I'm not usually one for reviewing products/methods but this time I just have to. As an herbalist I'm quite open to experimenting with natural remedies on myself but have always been a bit hesitant when it comes to trying things on my cats. However, my elder male, Mr. Fitch, turned up with some variation of conjunctivitis this week that rapidly progressed to the point of gluing his eyes shut. Not having any eye ointment on hand and, as others here have mentioned, being very tight on finances I did some research and found the apple cider vinegar remedy here. Along with gently swabbing his eyes with a cloth soaked with warm water as frequently as possible without completely alienating him, I soaked the back of Mr. Fitch's neck with full strength organic apple cider vinegar twice, 3 hours apart, last night. I applied none during the day today prefering to see how he reacted to last night's dosing.
I have to say that we are not out of the woods yet, but the improvement between last night and tonight is quite noticeable and a relief, for me and him I believe. Mr. Fitch just received another ACV application a little while ago and Mr. Fitch willing I'm planning on two more tonight. He certainly doesn't seem to mind them very much. Here's hoping the improvement continues and he'll be clear again before the eye ointment I ordered arrives on monday.
At this point I'd say that, while certainly not guaranteed, this remedy is certainly worth a shot. Thank you Earth Clinic for making it available.
Replied by Caroline
Montreal, Quebec, Canada
01/17/2013[YEA] This stuff is a miracle!
My 10-year old Shih Tzu has had eye issues for years. The vet says he is 75% blind (not sure I believe that from the testing I have done at home) due to leakage from his corneas to lubricate his eyes. They have always been leaking nasty yellowish stuff that literally glues his left eye shut in the morning. And the whites of his eyes are bright red. He's had oodles of antibiotics and gunk that costs $84 for a tube the size of my pinky - and about 10% of that farts out air the first time you use it - that I have to use 3 times a day. I've spent over $1000 on vet visits and medicines to control it.
SO, I read this thread. Cleaned his eyes (AGAIN! - it's my second profession - if I got paid for it I'd be rich - or at least able to pay vet bills... ) with boric acid (1 tsp to 1 cup water, then I use cosmetic pads to wipe them well). Then I doused the back of his neck with 1/2 water and 1/2 apple cider vinegar from a spray bottle.
Holy $%^&!! He woke up the next morning with nothing! Nada! I couldn't believe it and kept checking his eyes for days. It's been almost a week and I douse the back of his neck before I shower every morning (so I can wash off the smell - yuck! ) and his eyes are 95% better. Next to no discharge.
This forum has saved my dog. The vet wanted $800 to remove his eye. He came very close to being put down and my sons would have been completely heartbroken. This wonderful but (formerly) miserable dog acts like a puppy again!! Thank you from the bottom of our hearts!!!
Ain't Google grand? :>)
[NAY] I found that this did nothing at all and did it following instructions given. Finally went to vet and got some drops and it cleared up completely in two days.
Replied by Sharon
Wesley Chapel, Fl
09/21/2011[YEA] Yes, yes, yes, it worked overnight. I used straight acv. Twice at night and twice in the morning. Our pets have the most urgent need for gentle, safe, effective remedies as they cannot tell us where it hurts. My little pom started winking her eye and washing at it with her paws right after a bath, so l knew she had gotten shampoo in it. I tried a gentle saline rinse, which helped a little, but by bedtime, l came running to earthclinic. By ten this morning, her eye is open, though it needs another saline rinse to get the little overnight goo. Thank you so much for sharing your experiences to help me and my dogs.
Replied by Ashley
Dunfermline, Fife
10/13/2011Where did you get the cat antibotics without going to vets? My cat has conjunctivits and can't afford vet bill.
Replied by Catlover
Lafayette, Indiana
10/30/2011You used to be able to buy FishMox (but now you cannot in certain states) Read it -- it will say amoxicillin on the label. This is the same amoxicillin that your doctor or vet will prescribe for you. You may still be able to get it in a pet store depending on your state. I also ordered online from Calvet Supply and other online sites will have it too. It is perfectly safe - I have given to my pets. However you need to adjust the doseage depending on your cats weight. I would also suggest following up with Acidophyllus (you can get at walmart). It is also in Yogurt and they put in some milks (it will say on the front label). I think its important to follow up with acidophyllus because antibiotics often wipe out the good bacteria as well as the bad - and this can cause yeast and other infections. Good Luck!!
Replied by Faith77fairfield
Waterloo, New York
01/24/2012The Amoxicillian was mine, capsule form. If you don't have that, get the fishmox. I am going to get it just to have on hand. Thanks.
Replied by Joyeux
Denver, Co
06/22/2012I have a 3 yo lab who has a thick glue-like substance running from his eyes at all times. The vet flushed his eyes and gave me an antibiotic to apply with no improvement. I tried Organic Apple Cider Vinegar but it did not work. I have been applying it several times per day. I was very disappointed after reading all the successes! I am curious about what it is about the vinegar and its application that makes this successful for some?
Replied by Twinkiedooter
Wooster Ohio
10/06/2013Dog eye problems
My miniature white poodle (6 years old) was a rescue. She had horrible breath and weeping eyes with awful stains on her face. After using a product called Angel's Eyes her horrid breath is gone and her face fur stains and weepy eyes are gone!! It is not expensive for the results you get. It took less than 2 months for her face stains and weepy eyes to go away and less than a month for the bad breath. Google for cheapest price. I get mine off Ebay with free shipping at less than $15 for a 3 month supply. Honey weighs about 10 lbs so I am able to keep her in check for about $5 a day. I sprinkle on her dry food and she eats it up. I would not recommend putting it in water though. No ill effects at all and just a happier looking dog.
This product can be used on cats AND dogs successfully provided they don't have a different kind of eye problem. The bad breath is a bacterial infection and the eye weeping and discoloration is bacterial also. I don't normally endorse a product but this one is for real. I did try ACV and that did nothing for her bad breath or weeping eyes.
Hydrogen Peroxide
Also, using H202 CAN be corrosive so be very very careful as you CAN chemically burn your pet. You can buy food grade hydrogen peroxide at a health food store for about $20 a pint. Don't handle this with your bare hands but use an eyedropper instead or you WILL get a chemical burn!!! Do not take internally without REALLY diluting it either. I take it myself and found you must gradually increase the dosage over a period of time starting at one or two drops a day!! If you take too much of this you WILL experience a burning sensation in your arms and legs like your blood is burning!!! Be very careful giving this to your pet. VERY careful. If 10 drops in a cup of water does this to me, just think what 10 drops will do to your pet.
A general FYI - Angel's Eyes product for tear stains active ingredient is Tylan; this is an antibiotic. Tylan - under the name Tylosin - can be obtained at most farm and fleet supply stores; this can be given orally to dogs and the bulk product Tylosin is far cheaper than the branded Tylan product sold as Angel's Eyes.
Angel's Eyes is a low dose antibiotic product that is first given daily and then once the stains are cleared up given intermittently on a maintenance schedule - it is not intended to be dosed on a daily/forever basis.
Most veterinarians will not hesitate to recommend this product as the antibiotic dose is very low, however those who have concerns over long term antibiotic use for cosmetic purposes [tear stains do not hurt the dog, but many find them unsightly] may wish to consider exploring other alternatives, ie ACV in the water, Ted's alkalizing remedies, changing diet to a brand with no coloring agents, or washing the eyes and face daily.
Hi, I got 2 kittens in October with eye infection, since then I've tried a bunch of remedies, and finally their eyes are cured. I've tried black tea, green tea, chamomile and other herbal teas, vinegar rubbed into fur, coconut oil, prescription antibiotic ointment rubbed under cats' eyes, and even prescription eye drops.
None of these remedies have worked until I tried this routine: 1 teaspoon of apple cider vinegar diluted in a half cup of water, with this mixture wipe up the eyes cats with separate cotton balls and then add regular off-the-counter lubricant eye drop. The most important thing repeat this procedure every 2 hours for 2 weeks (except night time of course)! I did it 3 times a day for 5 months and it didn't work! Good luck! Thanks everyone for their posts. Remember, by everytime posting the remedy, you run a chance to make a difference in someone's life.
Replied by Sonya
Melbourne, Fl, Usa
06/20/2011[YEA] I've used this remedy twice now to cure "Pink Eye" in my Jack Russell Terrier. I soak a cotton ball with ACV (I use organic) and put it on the back of her neck. I try to hold it there for 5-10 minutes. I do this once or twice and always it goes away within an hour. It has saved me quite a bit in vet bills and my dog the aggravation of applying gooey stuff to her eye for a week or more. Highly recommended!
Replied by Shouston303
Rincon, Ga, Usa
06/24/2011so I just simply have to rub the Apple Cider Vinegar on the back of his neck and I should see results..... Should I rub some acv/mixed with water on his eye or should I flush them with eye drops.... Thanks for ur help
Replied by Lldsmitty
Addison, Pa
08/04/2011[YEA] ACV for Eyes: I have a dog and 4 kittens that all came down with eye infections at the same time. My vet bills lately have been out of this world. Also, I live in the mountains so you have to travel quite a distance to get to the vets, then they charge a fortune because they are the only ones around. Anyway, I tried the Apple Cider Vinegar on the nap of the neck and to my joyus surprise the dogs eyes were cleared up the next day and the kittens were markdly improved and I believe within a day or two they should be good as new. Thanks for the tip and my pets thank you tooooo!
Replied by Chichiritad
Boston, Ma, Usa
10/04/2011[YEA] Hi I used Apple Cider Vinegar on the back of my kitty's neck after I saw greenish/yellow eye boogies on one eye. I first wiped her eye with a warm wash cloth and then applied 1/2 water and half Apple Cider Vinegar solution with cotton ball on the back of her neck. Her eye discharged just a tiny bit a couple more times that nite and each time I wiped it clean. In the morning there was just a little brown eye speck and I repeated the procedure today. Looks like her eyes are getting better in just 24 hrs!!!! YAY
Replied by Lexi
Melbourne, Australia
11/05/2011[YEA] I've also had amazing results using Apple Cider Vinegar to treat my dog's eye infection! Last week my chow x Samoyed had green goop leaking out of his left eye so I swabbed it with a very weak salt and water solution directly around the eye. I then went on earth clinic and read everybody's results using the vinegar and decided to give it a try. On the first day I applied a dilution to the back of his neck about three times and kept cleaning his eye with the saline. The next day there was significantly less muck coming from his eye but it was still a bit red. He was also trying to scratch it now so I applied the vinegar to his paws also. On the third day he was back to normal! The white of his eye is clear again and there's a normal amount of dark eye discharge!! I could tell he felt better as soon as I got up in the morning, as he was happy and wanting to play again! Thanks so much everyone, this has saved me a huge amount in vet bills, and also saved us from using antibiotics for small ailments which I think is unnecessary in pets and humans!


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text: University of Washington Advanced Clinician Psychiatry Track Preparing the Next Generation of Psychiatrists 2015-06-24T21:33:31Z http://advancedclinicianpsychiatry.info/feed/atom/ WordPress lemirac http://advancedclinicianpsychiatry.info/?p=995 2015-05-12T16:05:44Z 2015-05-12T16:05:44Z 0 lemirac http://advancedclinicianpsychiatry.info/?p=931 2014-08-04T15:28:25Z 2014-07-28T19:58:21Z Merrill Velez (Idaho) earned his BA in History at Grinnell, worked as an Army Combat Medic in Italy and an EMT at Madigan Army Medical Center, completed post-bacc classes at Columbia and San Francisco State, and worked as a patient care assistant at the Long Beach VA before he completed UC Davis medical school. He has volunteered at a low-income clinic and been an officer in the Latino Medical Student Association. He enjoys playing guitar (blues, rock, classical, Latin), teaching himself the cuatro (a Puerto Rican folk guitar), travel, hiking, and historical research. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=929 2014-08-04T15:30:10Z 2014-07-28T19:57:40Z Alison Krause (Idaho) completed her BA in East Asian Studies at Wesleyan, and then lived in Japan for nine years, doing graduate work in Sociology and women's health and working as a translator. She completed her MD at the University of Washington School of Medicine, where she volunteered in a medical clinic at a shelter and completed a project increasing awareness about depression in elderly people in Butte, Montana. Her interests include Japanese language and culture, ikebana, travel, running, literature, film, and music. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=927 2014-08-01T19:29:05Z 2014-07-28T19:56:40Z Jonathan DeHaan (Idaho) obtained his BS in Psychology from Brigham Young University in Rexburg, Idaho and finished his MD at the University of Cincinnati. He completed a mission in Pocatello, Idaho, has been very active as a leader, home teacher, and lay preacher in his church, and volunteered in Ishinomaki, Japan in the aftermath of the tsunami. His interests include Japanese language and culture, violin and other musical instruments, and beach activities, including swimming and tidepools. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=614 2014-08-04T15:31:16Z 2013-07-16T16:56:49Z Mark Murphy (Idaho) completed his BS in Political Science at Idaho State University and his JD at Creighton. He worked as Deputy Prosecuting Attorney in Pocatello and then as an attorney in Twin Falls, Idaho, and taught in the US Department of Justice Narcotics School. Inspired by the prevalence of mental health issues in his clients and the lack of resources to help them, he decided to go to medical school and finished his DO at Touro University in Nevada. His interests include mountain biking, road cycling, backpacking, kayaking, skiing, golf, tennis, running, and astronomy. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=612 2014-08-04T15:32:10Z 2013-07-16T16:55:46Z Emily Hutchison (Idaho) earned her BA in Psychology from the University of Washington and her MS in Cardiac Rehabilitation/Exercise Physiology from Marshall University. She worked managing a cardiac rehabilitation program and then as an exercise physiologist and team lead before taking some time off to raise her children. She then completed medical school at the University of Washington. She has been a community advisor and ethics committee member at Evergreen Hospital. She enjoys piano, volleyball, crew, triathlons, gardening, and spending time with her husband and two daughters. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=608 2014-08-01T19:26:45Z 2013-07-16T16:53:53Z Reiko Emtman (Idaho) completed her BS in Zoology at Idaho State University in Pocatello and then worked as a research coordinator for the Northwest Research Group on Aging. She finished medical school at the University of Washington and is currently in the UW Psychiatry Residency Program-Idaho Track. She was President of the Family Medicine Interest Group, has volunteered at a free clinic in rural Idaho, a homeless clinic in Seattle, and a community fitness center in Seattle. Her interests include long distance road biking, intramural and community volleyball, camping, hiking, cooking and spending time with her husband. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=441 2014-08-04T15:33:10Z 2012-08-23T17:11:12Z Tenley Rivera (Idaho) earned her BS in Biology, and completed her MD at the University of Utah. She worked as a laboratory technologist and has done sales and employee training for a clinical laboratory for 10 years, before and during medical school. She has been a free clinic and Latino Medical Student Association volunteer, and has worked with NAMI to develop a mental health education program for teens in Utah. She enjoys music, gardening, yoga, and entertaining. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=438 2014-08-04T15:35:18Z 2012-08-23T17:09:24Z Holly Holbrooks-Kuratek (Idaho) earned a B.A. in Architectural Studies at Brown, did a post-bacc at San Francisco State, and completed her MD at the University of Wisconsin. She has worked as a medical assistant and community educator about child abuse in Oregon. In medical school, she has been a medical volunteer in Kenya, Co-Leader of the Psychiatry Interest Group, and Co-Founder of her school's LGBTQI group. She enjoys travel, photography, yoga, and writing. ]]> 0 lemirac http://advancedclinicianpsychiatry.info/?p=429 2014-08-04T15:34:10Z 2012-08-23T17:06:35Z Nicole Fox (Idaho) completed her undergraduate degree in Theater at the University of Georgia, a Masters of Public Administration at Seattle University, and completed medical school at the University of Washington. She has worked as director of numerous not-for-profits including a literacy project, a homeless shelter, and a synagogue. In medical school, she volunteered in free clinics for homeless people and studied postpartum depression in immigrant Latina women. She enjoys spending time with her husband and son, reading novels, storytelling, live theater, cooking, team building, and visits to the dog park. ]]> 0


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Hi Ron,
I was wondering: If I make a batch of the erythrosine orthochromatic emulsion from the class handouts, would the adition of a red sensitizing dye after washing create a panchromatic dye? That is something I have not tried yet. So far, I have been adding both green and red sensitizing dyes after washing. But I recall that erythrosine must be present durring percipitation to work.


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BYU Sports
Video: BYU's Rose talks about this week's road trip
First Published Jan 22 2014 09:01AM • Last Updated Jan 22 2014 09:01 am
Here's the first minute or two of BYU coach Dave Rose's press conference on Tuesday, Jan. 21, 2014 as Rose talks about Thursday's game at Portland.
Rose said Portland has played some of the best basketball of any WCC team this season, alluding to its win over Gonzaga and how it played at Michigan State early in the season.