Wonder Me!
Vertical Banded Gastroplasty
https://www.ypo.education/bariatrics/vertical-banded-gastroplasty-t203/video/


Wonder Me!
Source: https://drjengunter.wordpress.com/2011/08/27/bariatric-surgery-and-contraception-what-you-need-to-know/

Contraception is essential after bariatric surgery. As an obese woman starts to lose weight, her chances of getting pregnancy increase (obesity negatively affects fertility for many women). Depending on your method of contraception and the type of weight loss procedure you may need to make some contraception changes after surgery.
The big issue is wether you have a restrictive procedure or a malabsorptive one. Restrictive procedures decrease the functional size of your stomach so it holds less food. These procedures include vertical banded gastroplasty, laparoscopic adjustable gastric band, and laparoscopic sleeve gastrectomy. If you have one of these procedures there is no impact of the procedure on your choice of contraception.
However, that is not the case with malabsorptive procedures. These surgeries (such as Roux-en-Y gastric bypass, duodenal switch, and biliopancreatic diversion) decrease absorption of nutrients and calories by shortening the length of the small intestine. This also affects absorption of medications, like the birth control pill. There is conflicting medical evidence whether or not this affects the pill.
Because the evidence isn’t clear the Centers for Disease Control give the birth control pill (every one of them) a category 3 rating, meaning the risks (in this case the risk of failure) typically outweigh the benefits. The patch and ring are fine choices for women who have a malabsorptive procedure and prefer a hormonal method, as they are absorbed from the skin or vagina and so bypass the intestine altogether.
Depo-provera (shot) and Implanon (implant) are fine choices for all types of bariatric surgery as they also bypass the intestines and the Mirena and copper IUDs are also excellent choices.
If you are planning bariatric surgery contraception methods might not be first and foremost on your mind, but if you are of reproductive age it is an essential consideration and your surgeon should discuss it with you. It is safest for you and your baby if you are at a stable weight before attempting pregnancy.
It’s just one more vital piece of information to help you be empowered about your health and medical care.
Source: U.S. Medical Eligibility Criteria for Contraceptive Use, 2010. Centers for Disease Control and Prevention. MMWR May 28, 2010/Vol. 59.
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Wonder Me!
0 HepB
2 HepB   Hib  PCV  DTaP   IPV   RV
4             Hib  PCV  DTaP   IPV   RV
6 HepB   Hib  PCV  DTaP   IPV   RV  Flu

12 Hib PCV IPV HepA + the special duo2 (MMR & Varicella)  (HPI HepA duo)


15mo   DTaP

18mo HepA (18&Life Ahhhh!)

4yo      DTaP IPV Varicella  MMR (DIVa MMR)


Mnemonics:
Horrendously Hates PeD Immunizations Roaarrrrrr
(HepB, Hib, PCV, DTaP, IPV, Rotavirus)

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Wonder Me!
First, make a chart with four columns. Label them BIRTH, 2mo, 4mo, and 6mo. In each column, you will have 1 vaccination, 6 vaccinations, 5, and 6 respectively. (I just remember 1,6,5,6).

The only vaccine at birth is HEP B. At two months, you get Hep B, IPV, Dtap, Pneumo, Rota, and Hib (6 vaccines). 4 months, you get all of them except Hep B (5 vaccines). 6 months you get all of them, just remember Hep B and IPV can range anywhere from 6-18 months (6 vaccines at 6 months, plus remembering the ranges for Hep B and IPV...this is why I write them first!)

Hopefully that made sense.

Now I remember the letters H,P,M,D (I remember this by saying Hewlett Packard, M.D. (as in doctor) haha.

Hib 12-15 months
Pneumo 12-18 mo
MMR 12-18 mo
Dtap 15-18 mo

I remember the numbers by saying that the first three have 12's on the right side, last three have 18's on the left side, and 15s in the corners.

Now for 4-6years I remember DIM (as in Dtap, IPV, and MMR).


Hopefully that helps, I know it seems like a lot but definitely better than just trying to memorize!


From: http://allnurses.com/nclex-discussion-forum/mnemonics-for-pediatric-655583.html




Dunno how helpful this will be to others, but I simply could NOT just randomly memorize the schedule (or I refused to), so I came up w/ this mnemonic a few min ago... I just wrote this off memory, so I think it works ;)

1) The mnemonic is to memorize them in the order I found logical (following a pattern, and simply adding to the pattern as you go along).

2) The first two H's are in alphabetical order, in case you forget the order.

3) The double "M's" in the last word are to remind you of "MMR"

HHating PeDs Immunization/Vaccination MmeHMorizing (lol)

Hep B:....... 0, 2, 6
HiB: ......... 2, 4, 6, 12 - 15
Pneumo: ... 2, 4, 6, 12 - 15
DTaP:....... 2, 4, 6, 15 - 18, 4 - 6 yrs, Td X 10 yrs
IPV: ........ 2, 4, 6,............ 4 - 6 yrs
Varicella:.............. 12 - 15
MMR: .................. 12 - 15, 4 - 6 yrs
Hep A: ..... 2 yrs
Mening: ... 11 - 12 yrs (or school)

Should take less than 30 seconds to write out, and you can refer back to it anytime during the exam...

Enjoy!
 
https://forums.studentdoctor.net/threads/peds-vaccination-schedule-mnemonic.439247/