Shown: posts 1 to 25 of 123. This is the beginning of the thread.
Posted by laurah952 on June 27, 2013, at 14:02:32
Hi everyone,
Sorry for posting this 2x. I wanted to start a new thread for this as it is so important to me.
After talking with a new pdoc (my own) - we spent a good deal of time talking about Taylor. (14yo daughter)
Although we saw what seemed to be MDD at first, this pdoc stated that she's is most likely bi-polar and not suffering with MDD. So, not unipolar, rather bi-polar. She based her "diagnosis" on the fact that mood swings have been severe, along with many other classic bi-polar symptoms.
She thinks it should be treated only with bi-polar meds (non-psychotropic if possible) only. I guess that would mean that Zoloft would not be helping much? (That the only real help she had was the Seroquel)
My daughter still has her own appt. there, but not for a while. In the meantime, do you think the Zoloft is a bad idea? (I could up Seroquel a bit, and down the Zoloft to 50mg, for a start) The pdoc she was seeing, told me to "do whatever I wanted".
Thanks in advance for any help/opinions,
Laura
Posted by Jeroen on June 27, 2013, at 14:55:27
In reply to 14yo daughter - bi-polar, not MDD - new info HELP, posted by laurah952 on June 27, 2013, at 14:02:32
hello your response to seroquel is something positive
its for bipolar and psychosis schizophreniassri can make bipolar symptoms worse into manic symptoms that is bad
i dont recommend lamictal for bipolar
better low dose anti psychotic
you dont wanna go the lamictal road and get a manic psychosis like me so better low dose anti psychotic trial and error im affraid
Posted by SLS on June 27, 2013, at 14:59:01
In reply to 14yo daughter - bi-polar, not MDD - new info HELP, posted by laurah952 on June 27, 2013, at 14:02:32
> Although we saw what seemed to be MDD at first, this pdoc stated that she's is most likely bi-polar and not suffering with MDD. So, not unipolar, rather bi-polar. She based her "diagnosis" on the fact that mood swings have been severe, along with many other classic bi-polar symptoms.
Like I said, it is possible that Taylor experiences a type of mixed state bipolar. It is important to note that mood disorders present differently in young people as compared to adults. One often sees a great deal more insomnia, irritability, agitation, and anxiety along with a hyperthymic state that can fluctuate rapidly and often over the course of a single day. Also, ADHD often occurs comorbidly with bipolar disorder. Each is sometimes mistaken for the other.
http://www2.massgeneral.org/schoolpsychiatry/info_bipolar.asp
Not only does bipolar disorder look different in young people, so too is it treated differently. Ideally, one would want to avoid antidepressants, but this is not always possible. I think there is a trend towards emphasizing the use of mood-stabilizers first. Lithium has its problems, but should still be considered along with anticonvulsants and antipsychotics. The brain is still in the process of maturation until about age 25. I personally don't like the idea of exposing it to antidepressants during this period of development. I don't like the SSRIs. I would prefer to use Wellbutrin if possible. Having said that, I am in favor of using an antidepressant in order to prevent suicide and relieve suffering. Despite reports of suicide being associated with these drugs, they do prevent far more suicides than what they may induce.
Seroquel has antidepressant properties along with antimanic properties. For bipolar depression, it is the only one approved as monotherapy. It is not surprising that Taylor feels better on it than off it. Very soon, another AP called Latuda will also be approved for this indication. I would think that Latuda would not produce sedation as does Seroquel.
- Scott
Posted by Jeroen on June 27, 2013, at 15:44:57
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by SLS on June 27, 2013, at 14:59:01
Scott is right
Posted by Phillipa on June 27, 2013, at 16:31:42
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by Jeroen on June 27, 2013, at 15:44:57
I agree with Scott also. He's very familiar with bipolar . Phillipa
Posted by laurah952 on June 27, 2013, at 18:25:38
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by SLS on June 27, 2013, at 14:59:01
Like I said, it is possible that Taylor experiences a type of mixed state bipolar. It is important to note that mood disorders present differently in young people as compared to adults. One often sees a great deal more insomnia, irritability, agitation, and anxiety along with a hyperthymic state that can fluctuate rapidly and often over the course of a single day. Also, ADHD often occurs comorbidly with bipolar disorder. Each is sometimes mistaken for the other.
I have to agree here. I just heard very much the same info from my pdoc concerning bi-polar in adolescents today!
Taylor was diagnosed ADHD when she was 6-7. I didn't put her on meds as she was not severe, but that may have been the first sign that she was bi-polar.
She cycles all day long as well, has that irritability, loses interest, takes dangerous risks, looks happy, has insomnia, cuts herself, has suicidal ideation and I can't get help for her fast enough. (she claims that she has no anxiety, which I really have to wonder about considering my own severe panic disorder)
Thanks for that info - I will jump on over to the link right now.
- Laura
Posted by laurah952 on June 27, 2013, at 19:03:30
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by Jeroen on June 27, 2013, at 14:55:27
i dont recommend lamictal for bipolar
better low dose anti psychotic
you dont wanna go the lamictal road and get a manic psychosis like me so better low dose anti psychotic trial and error im affraid
Thank you!
Laura
Posted by poser938 on June 27, 2013, at 19:36:12
In reply to 14yo daughter - bi-polar, not MDD - new info HELP, posted by laurah952 on June 27, 2013, at 14:02:32
What is the difference in the mood swings of experiencing the hormonal changes of puberty, and being bipolar?
Posted by laurah952 on June 27, 2013, at 20:50:37
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by poser938 on June 27, 2013, at 19:36:12
> What is the difference in the mood swings of experiencing the hormonal changes of puberty, and being bipolar?
I suppose normal hormonal changes wouldn't include such an intense obsession with suicide, extreme insomnia, loss of interest in all formerly loved activities, laying in bed for days on end, obsessive self mutilation, and more. I don't think it's normal to cycle through feelings of happiness and sadness (to be general) all day long, every day.I absolutely hope that hormone fluctuation has exacerbated these symptoms, as that would mean relief once she's older. We'll be looking at all possible physical disorders, imbalances, deficiencies - anything that might be making this worse. (or perhaps causing it) Unfortunately, mental disorder runs rampant in my family, including my own bi-polarity, depression, panic disorder. I do pray that she "grows out of this".
- Laura
Posted by Phillipa on June 27, 2013, at 21:02:27
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP » poser938, posted by laurah952 on June 27, 2013, at 20:50:37
Laura no too extreme to be fluctuating hormones. Could have been the initiating factor though. But then didn't you also say she had what you think was add as a child? That kind of seems to almost seal the deal for some for of bipolar? Phillipa
Posted by laurah952 on June 27, 2013, at 22:01:02
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP » laurah952, posted by Phillipa on June 27, 2013, at 21:02:27
> Laura no too extreme to be fluctuating hormones. Could have been the initiating factor though. But then didn't you also say she had what you think was add as a child? That kind of seems to almost seal the deal for some for of bipolar? Phillipa
Hi Phillipa,
I know it's not hormones. I was trying to explain why I didn't believe that to be the case. I do, however, hope to some extent, that her hormones exacerbate her symptoms, and that they can be better controlled (perhaps with no meds in the future) when she gets older.
I'm holding out hope, and here's why. My eldest daughter, now 21, went through depression with some suicidal ideation at the same exact age. (She, too, had mood swings, but they were very different. She had extreme rage.) She was put on Abilify, and was a complete zombie. With the help of her pdoc, we tapered off completely. I never put her on any other psych. med as I wasn't worried that she'd commit suicide, and she was able to work through her other "issues" with therapy. She's doing very well now. To me it seems that her issues could have been caused by fluctuating hormones.
I read that between the ages of 12-14, girls are 3x as likely to become depressed. (I don't know about bi-polar though)
Laura
Posted by Phillipa on June 27, 2013, at 22:43:23
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by laurah952 on June 27, 2013, at 22:01:02
Laura so you have been through this before. How old is this other Daughter now? Does she now take any meds? Adolescence is a time of huge changes in the bodies of young adults. Phillipa
Posted by Beckett on June 28, 2013, at 0:18:52
In reply to Daughter,Bi-polar instead of MDD - HELP PLEASE!, posted by LAURAH952 on June 27, 2013, at 13:57:38
She told you to do whatever you wanted? Am I taking this out of context of a lengthy conversation, however I don't find that sound advice at all.
When is your daughter's own pdoc appointment? With a different pdoc?
Posted by laurah952 on June 28, 2013, at 0:18:53
In reply to Re: Daughter,Bi-polar instead of MDD - HELP PLEASE! » LAURAH952, posted by Beckett on June 27, 2013, at 16:51:35
> She told you to do whatever you wanted? Am I taking this out of context of a lengthy conversation, however I don't find that sound advice at all.
>
> When is your daughter's own pdoc appointment? With a different pdoc?
Yes, my daughter's current pdoc told me to do what I wanted to do (literally - she also told me to consult my daughter) concerning the following options:- add Remeron to her Zoloft and go off Seroquel
- taper off Seroquel, and give Zoloft alone
- Keep current Zoloft/Seroquel comboShe knows we really didn't like the Remeron at all, or the Seroquel long term. She offered no other alternatives, and left me w/ my head spinning. I'm no doctor, what the heck should I do? I knew what to do - get another pdoc! She starts w/ an intake next week.... but no appt. yet for pdoc.
I spoke with my own pdoc, and she said that she needed to be treated for bi-polar, which her current pdoc still hasn't given a definitive diagnosis thereof. (current pdoc has been seen for about 2 months now)
My daughter's mood swings and insomnia are the most concerning right now. She was very depressed with mood swings to begin with - most notably, the depression, and suicidal ideation (and cutting). While an inpatient, she was given Seroquel 1st - bringing her up to 300mg (to zero-out the obsession with suicide, and for sleep) Then added 50 mg Zoloft.....
I just don't know what to do in the meantime. (This pdoc told me to do what I wanted, not only once, but twice, so I will not consult her again)
Thanks - Laura
Posted by laurah952 on June 28, 2013, at 7:44:54
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP » laurah952, posted by Phillipa on June 27, 2013, at 22:43:23
Hi Phillipa,
Yes, I've been through this before, but in a very different way - as she wasn't really suicidal. She is now 21, and is studying to be a neurologist. She's doing very well, and has not taken a psych med since she was 13.
Laura
Posted by Lou Pilder on June 28, 2013, at 8:00:45
In reply to 14yo daughter - bi-polar, not MDD - new info HELP, posted by laurah952 on June 27, 2013, at 14:02:32
> Hi everyone,
>
> Sorry for posting this 2x. I wanted to start a new thread for this as it is so important to me.
>
> After talking with a new pdoc (my own) - we spent a good deal of time talking about Taylor. (14yo daughter)
>
> Although we saw what seemed to be MDD at first, this pdoc stated that she's is most likely bi-polar and not suffering with MDD. So, not unipolar, rather bi-polar. She based her "diagnosis" on the fact that mood swings have been severe, along with many other classic bi-polar symptoms.
>
> She thinks it should be treated only with bi-polar meds (non-psychotropic if possible) only. I guess that would mean that Zoloft would not be helping much? (That the only real help she had was the Seroquel)
>
> My daughter still has her own appt. there, but not for a while. In the meantime, do you think the Zoloft is a bad idea? (I could up Seroquel a bit, and down the Zoloft to 50mg, for a start) The pdoc she was seeing, told me to "do whatever I wanted".
>
> Thanks in advance for any help/opinions,
> LauraL,
You wrote,[...do you think..Zoloft is a bad idea...could up the Seroquel...Thanks..for any help/opinions...].
Death is not the only event that could happen when you give a child a mind-altering drug in collaboration with a psychiatrist/doctor. There are life-ruining conditions attributed to psychotropic drugs. And addiction is also in the cards. And the fact that the drug is taken daily for months or years is rolling the dice each time the drug is going through the child's body. And when more than one drug is taken, the events are increased exponentially. And when the age of the person having the drugs going through their body and mind is of a young age, there is even more danger to the mind that can last into adulthood and manifest itself in a life-ruining condition. There could be brain damage and learning problems and if more drugs are introduced to counteract the first drugs, there can be an exacerbation of even more brain damage that could lead the child to a life of misery and addiction and a worsening of depression, for the drug manufactrers say even in their pamphlet that they can worsen the condition and cause depression and psychosis, not to mention liver failure, kidney failure, heart failure, diabetes, tardive dyskinesia and increased suicidal/homocidal thinking.
If you read that these drugs can be an anti suicide pill, think again. This is because the drugs can INCREASE suicidal thinking, not decrease it. There is research now going on by the Army to try to make an anti-suicide pill, actually a nasal spray. This shows that an anti- suicide pill does not exist now. THESE DRUGS ARE NOT ANTI- SUICIDE PILLS. (emphasis mine) There is some speculation that Lithium used long-term could be anti-suicidal in nature, but this is inconclusive, and the price to pay could be death by kidney failure.
Then there is the aspect of the drugs causing violence. Violence to kill their own parents, innocent children and people just at a theater or shopping mall or at work or even in an elementary school. And as more drugs are taken into the brain of the child, more damage can be done. Damage that could mark the difference between the drugged child becoming a mass-murderer or not, or killing their own parents. You see, the drug companies state that the mechanism of action of their drugs is unknown. It may be unknown to them, but listen to me here,
I KNOW EXACTLY HOW THE DRUGS DO WHAT THEY DO. (emphasis mine)
I KNOW HOW ONE CAN BECOME FREE FROM ADDICTION AND DEPRESSION
I KNOW (redacted by respondent) because I am prevented from posting here what could bring healing to those suffering due to the prohibitions posted to me here by Mr Hsiung. And Mr Hsiung states that he does what will be good for this community as a whole and to try and trust him as to what he does here. But I say to you parents reading here trying to determine if drugging your child is going to be good for your child. That is different from what will be good for this community as a whole and I hope that you have an understanding of history and know what happened to all of those that said that they were doing what would be good for their community as a whole while they murdered children, which there is another prohibition to me here from Mr Hsiung that prevents me from posting about much of that here, even though I think that if there was not the prohibitions to me, lives could be saved, addictions and life-ruining conditions could be avoided and people could have the opportunity to have a new life, free from depression and addiction. What I could say if there were not the prohibitions to me here is supportive in any community , unless the community does not want people to be free from addiction and depression and go on to an early death by suicide or the drugs themselves. Oh, the horror of it all.
Lou
Posted by Lou Pilder on June 28, 2013, at 8:20:17
In reply to Lou's response-ihnphanticyde » laurah952, posted by Lou Pilder on June 28, 2013, at 8:00:45
> > Hi everyone,
> >
> > Sorry for posting this 2x. I wanted to start a new thread for this as it is so important to me.
> >
> > After talking with a new pdoc (my own) - we spent a good deal of time talking about Taylor. (14yo daughter)
> >
> > Although we saw what seemed to be MDD at first, this pdoc stated that she's is most likely bi-polar and not suffering with MDD. So, not unipolar, rather bi-polar. She based her "diagnosis" on the fact that mood swings have been severe, along with many other classic bi-polar symptoms.
> >
> > She thinks it should be treated only with bi-polar meds (non-psychotropic if possible) only. I guess that would mean that Zoloft would not be helping much? (That the only real help she had was the Seroquel)
> >
> > My daughter still has her own appt. there, but not for a while. In the meantime, do you think the Zoloft is a bad idea? (I could up Seroquel a bit, and down the Zoloft to 50mg, for a start) The pdoc she was seeing, told me to "do whatever I wanted".
> >
> > Thanks in advance for any help/opinions,
> > Laura
>
> L,
> You wrote,[...do you think..Zoloft is a bad idea...could up the Seroquel...Thanks..for any help/opinions...].
> Death is not the only event that could happen when you give a child a mind-altering drug in collaboration with a psychiatrist/doctor. There are life-ruining conditions attributed to psychotropic drugs. And addiction is also in the cards. And the fact that the drug is taken daily for months or years is rolling the dice each time the drug is going through the child's body. And when more than one drug is taken, the events are increased exponentially. And when the age of the person having the drugs going through their body and mind is of a young age, there is even more danger to the mind that can last into adulthood and manifest itself in a life-ruining condition. There could be brain damage and learning problems and if more drugs are introduced to counteract the first drugs, there can be an exacerbation of even more brain damage that could lead the child to a life of misery and addiction and a worsening of depression, for the drug manufactrers say even in their pamphlet that they can worsen the condition and cause depression and psychosis, not to mention liver failure, kidney failure, heart failure, diabetes, tardive dyskinesia and increased suicidal/homocidal thinking.
> If you read that these drugs can be an anti suicide pill, think again. This is because the drugs can INCREASE suicidal thinking, not decrease it. There is research now going on by the Army to try to make an anti-suicide pill, actually a nasal spray. This shows that an anti- suicide pill does not exist now. THESE DRUGS ARE NOT ANTI- SUICIDE PILLS. (emphasis mine) There is some speculation that Lithium used long-term could be anti-suicidal in nature, but this is inconclusive, and the price to pay could be death by kidney failure.
> Then there is the aspect of the drugs causing violence. Violence to kill their own parents, innocent children and people just at a theater or shopping mall or at work or even in an elementary school. And as more drugs are taken into the brain of the child, more damage can be done. Damage that could mark the difference between the drugged child becoming a mass-murderer or not, or killing their own parents. You see, the drug companies state that the mechanism of action of their drugs is unknown. It may be unknown to them, but listen to me here,
> I KNOW EXACTLY HOW THE DRUGS DO WHAT THEY DO. (emphasis mine)
> I KNOW HOW ONE CAN BECOME FREE FROM ADDICTION AND DEPRESSION
> I KNOW (redacted by respondent) because I am prevented from posting here what could bring healing to those suffering due to the prohibitions posted to me here by Mr Hsiung. And Mr Hsiung states that he does what will be good for this community as a whole and to try and trust him as to what he does here. But I say to you parents reading here trying to determine if drugging your child is going to be good for your child. That is different from what will be good for this community as a whole and I hope that you have an understanding of history and know what happened to all of those that said that they were doing what would be good for their community as a whole while they murdered children, which there is another prohibition to me here from Mr Hsiung that prevents me from posting about much of that here, even though I think that if there was not the prohibitions to me, lives could be saved, addictions and life-ruining conditions could be avoided and people could have the opportunity to have a new life, free from depression and addiction. What I could say if there were not the prohibitions to me here is supportive in any community , unless the community does not want people to be free from addiction and depression and go on to an early death by suicide or the drugs themselves. Oh, the horror of it all.
> Lou
>
Friends,..a video
Lou To see this video:
A> Pull up Google
B. Type in:
[youtube, jJpTS88lcIo
Posted by SLS on June 28, 2013, at 8:53:07
In reply to Lou's response-ihnphanticyde » laurah952, posted by Lou Pilder on June 28, 2013, at 8:00:45
Apparently, you continue to be given the posting privileges that allow you to express on this forum your opinions.
I reset the subject line.
- Scott
Posted by poser938 on June 28, 2013, at 15:37:36
In reply to 14yo daughter - bi-polar, not MDD - new info HELP » Lou Pilder, posted by SLS on June 28, 2013, at 8:53:07
Lou, just do it one time. Come on, post what it is that you supposively can't post. Let us know your whole opinion, you're allowed to post it.
What I've experienced with psychiatric meds shows me that much of what you write has credibility. But stop acting like Dr Bob is keeping you from posting certain information. And it in no way benefits your goal to constantly change the subject line.
Posted by polarbear206 on June 28, 2013, at 18:22:11
In reply to 14yo daughter - bi-polar, not MDD - new info HELP » Lou Pilder, posted by SLS on June 28, 2013, at 8:53:07
> Apparently, you continue to be given the posting privileges that allow you to express on this forum your opinions.
>
> I reset the subject line.
>
>
> - ScottI suggest babbler's petition Dr. Bob to revoke his posting privledges.
Posted by laurah952 on June 28, 2013, at 22:42:57
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by polarbear206 on June 28, 2013, at 18:22:11
> > Apparently, you continue to be given the posting privileges that allow you to express on this forum your opinions.
> >
> > I reset the subject line.
> >
> >
> > - Scott
>
> I suggest babbler's petition Dr. Bob to revoke his posting privledges.
Thank you Scott - I'm just... well, there aren't words - If Lou is allowed to post here, I will not be back. I came here for help, and I'm being called a murderer - my own child... just sickens me...Laura
Posted by SLS on June 28, 2013, at 23:26:36
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by laurah952 on June 28, 2013, at 22:42:57
> > > Apparently, you continue to be given the posting privileges that allow you to express on this forum your opinions.
> > >
> > > I reset the subject line.> > I suggest babbler's petition Dr. Bob to revoke his posting privledges.
> Thank you Scott - I'm just... well, there aren't words - If Lou is allowed to post here, I will not be back. I came here for help, and I'm being called a murderer - my own child... just sickens me...
Now that you understand the behavioral characteristics of the posters that you find toxic, you can avoid them. You might not need to avoid the entire website. I think there is much more that we can offer each other. I would be sad were you to disappear.From where I sit, it appears to me that you are doing an extraordinary job of caring for Taylor. I was going enumerate the reasons why I feel that way, but realized that it would take too long.
:-)
- Scott
Posted by Phillipa on June 29, 2013, at 0:03:00
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP » laurah952, posted by SLS on June 28, 2013, at 23:26:36
Laura do please stay just ignore him. Does it to everyone it seems. Phillipa
Posted by laurah952 on June 29, 2013, at 10:27:34
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP » laurah952, posted by SLS on June 28, 2013, at 23:26:36
Now that you understand the behavioral characteristics of the posters that you find toxic, you can avoid them. You might not need to avoid the entire website. I think there is much more that we can offer each other. I would be sad were you to disappear.
From where I sit, it appears to me that you are doing an extraordinary job of caring for Taylor. I was going enumerate the reasons why I feel that way, but realized that it would take too long.
:-)
- ScottHello,
Thanks again Scott. Along with others here, you have helped me a great deal, not only with medical information, but also with your support. While my family is supportive, the responsibility lies with me alone, and it's taking its toll on me, both emotionally and physically.
I hate to say it, but the information I read from the links Lou posted here have me thinking that I may be making a mistake in medicating Taylor. I came here with an open mind, so I'm looking at all information there is on this topic. Her brain is still growing and we don't know all the adverse ramifications that psychiatric medication may have concerning her future. This is not the first time I've heard it said, as my family tends to adopt a no-medication mentality. With that said, you can only imagine the guilt I feel as a parent, not only by questioning my own causality, but also suffering with every single dose of medication I give her.
When I come here and see "ihnphanticyde" right next to my name, even considering the source, I truly cannot well explain what that does to me. I never expected any of this to be easy, but it's getting more and more difficult to maintain a positive attitude.
I have a lifetime's worth of information that I had hoped would be useful to others. I just don't know if I'm strong enough right now to be a part of a group where I'm being "called a murderer", even though the rest of you have been so wonderful. I have also been a moderator on a Yahoo group for small business owners, and I can tell you right now that these inflammatory posts would have been stopped dead in their tracks.
Thank you for your help and support,
Laura
Posted by laurah952 on June 29, 2013, at 11:05:25
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP, posted by Phillipa on June 29, 2013, at 0:03:00
> Laura do please stay just ignore him. Does it to everyone it seems. Phillipa
Hi Phillipa,
You've been great, as have others. I do hope to return with regained strength, as I'm debating therapy for myself to get me through this incredibly difficult time in my life, so that I can better advocate for Taylor's mental health.
It was not my intent to add to the drama that already exists here. For that, I apologize.
We do seem to have quite a bit in common, and I'd like to offer my help to you or anyone who could benefit from my own experiences. I'd give you my email address, but I don't want Lou "showing up" in my inbox.
I researched Lou's "message", and it may hold some merit, but the delivery thereof, caused extreme anxiety. I could have gone on, ignoring his posts, but not when he hijacks the thread, and adds words such as "ihnphanticyde" to my header. What will I encounter next?
Thanks so much once again,
Laura
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