Saturday, May 8, 2021

24 Hour Flu Bug

Know Its Signs Treatments. Diarrhea went away for a day i had normal stool.

Stomach Flu Signs Symptoms And Complications

Yesterday morning woke up feeling sorta bad.

24 hour flu bug. Muscle aches came on first then headache followed by chills and low grade fever all day and into the night. This can occur when proper hygiene or food handling practices arent carried out. The day after the diarrhea returned.

It isnt the flu you were poisoned. The 24 Hour Bug. These dangerous guys are the ones responsible for the vomiting and nausea that is commonly associated with the 24 hour bug.

So before we go into that be sure to get vaccinated against the flu. When flu season comes that miserable virus will last 2 to 3 weeks. Had a 24 hour flu bug w diarrhea.

Viruses dont replicate to the point where youll even feel their presence for at least 18 72 hours then the immune system has to eliminate them. By 8 this morning I felt more or less well. Along with a low grade fever you may feel fatigued and weak.

However these symptoms can be caused by a variety of viruses which can create symptoms that last for a few hours or continue to plague you for over a week. After a fair bit of searching I found this thread. A 24-hour stomach bug is a viral infection that passes from person to person.

24-Hour Flu Symptoms The 24-hour flu or stomach flu are common terms that refers to an illness with short-lived gastrointestinal symptoms such as nausea diarrhea and vomiting. The 24-hour flu is a common strain that causes symptoms for about one day. So if you find yourself suddenly curled up on the bathroom floor its unlikely you have the flu.

Both viruses are shed in the stool of an infected person meaning that you can become infected if you ingest tiny particles of stool from an infected person. It causes symptoms such as vomiting and diarrhea which usually last 13 days in adults. Most of the symptoms are related to the gastrointestinal tract.

No there really is NOT a 24 flu virus. Is this normal for the flu. What does last for that period of time is food born illness.

Many cases of the. Raj Borade answered 19 years experience Gastroenterology. The 24-hour flu is often caused by one of two viruses.

The 24 hour bug generally hits quickly and ends quickly. All of a sudden you feel achy chilly and the belly is upset. 24 Hour Bug Symptoms.

THERE IS NO SUCH THING as the infamous 24 Hour Flu Used to be called 24 hour grip due to muscle pain which accompanied it Probably arose because. When people say they have the 24 hour flu they typically mean a stomach virus that leads to diarrhea and vomiting. Kitchen Safety and Avoiding Food Poisoning.

Stomach bug and stomach flu are both terms for viral gastroenteritis. I also have had this weird 24 hour flu that you all are discussing. The term 24-hour flu is a bit of a misnomer as.

Respiratory symptoms rarely occur with this temporary flu bug. More accurately termed gastroenteritis this illness is typically caused by a virus and sometimes is transmitted through food or water. No virus influenza or otherwise lasts for only 24 hours.

For some the effects can be severe while others may barely be affected by it. Anything lasting 24 hours is bacterial and is mild food poisoning or something you ingested that did not agree with you. The stomach flu can be caused by the rotavirus adenovirus norovirus and more.

The 24-hour flu is a highly contagious and short-lasting condition thats caused by infection with a virus. People typically develop stomach bug symptoms within 24 to 72 hours of being exposed to the virus.

Thursday, May 6, 2021

Egfr African American Vs Non African American

A weight difference was observed among African American versus non-African Americans harboring common EGFR mutations 784 kg vs. The researchers decided to account for this raising their eGFR by 159 percent.

Egfr Understanding Your Lab Values Renadyl Blog

53 suggests stage 3 kidney damage - moderate reduction in GFR.

Egfr african american vs non african american. For any given individual a black individual who has the same serum creatinine as. An eGFR of less than 15 indicates kidney failure and requires prompt medical care. Its the same as having curly hair versus straight hair.

GFR African American vs non AA Anonymous The eGFR is calculated using isotope dilution mass spectrometry IDMS-traceable serum creatinine measurements and the patients age 18 years and older gender and race African American vs non-African American according to the Chronic Kidney Disease Epidemiology Collaboration CKD-EPI equation. This is based on different muscle masses between different races. While African Americans represent 35 of people receiving dialysis in the United States they are less likely to be identified as kidney transplant candidates compared to Non-Hispanic Whites.

What is the controversy over using race in measuring eGFR. Race is used to estimate. Many different equations can be used to derive an estimated glomerular filtration rate eGFR.

It is usually ordered along with several other test when the kidney status is evaluated. Its simply a genetic expression that branched off millenia ago. The estimating equation for the glomerular filtration rate eGFR uses a different correcting factor for black African American individuals and individuals who are of other races non-African American.

The eGFR indicates how well the kidneys are filtering waste from the blood and it is calculated using a formula that includes age ethnicity creatinine level gender height and weight. EGFR for African American non-African American GFR glomerular filtration rate is equal to the total of the filtration rates of the functioning nephrons in the kidney it is usually accepted as the best overall index of kidney function. SCr-1154x age-0203x 0742 if female x 1210 if African American Assume an American white and an African American have the same serum creatinine level are at the same age and weight if the American white gets a GFR value 65 mLmin173 the African American gets a GFR value 7865 mLmin173.

EGFR if African American 34 mLmin173 m 2 eGFR if non-African American 28 mLmin173 m 2 Sample eGFR report for a 63-year-old woman identified as African American Creatinine 182 mgdL. Choose the one that best applies to you. Leidner1 1Departments of Medicine and Biostatistics University Hospitals - Case Medical Center Case Western Reserve University Cleveland OH USA.

For this reason a creatinine number may be slightly higher in young males. If female x 1210 if African American The equation was re-expressed in 2005 for use with a standardized serum creatinine assay which yields 5 lower values for serum creati-nine concentration4 6 GFR 175 x Standardized S Cr-1154 x age-0203 x 0742 if female x 1210 if African American GFR is expressed in mLmin173 m2 S Cr is. EGFR molecular testing in African-American non-small cell lung cancer patients - a review of discrepant data Bradley T.

Values for both African American and non-African American individuals are reported for each patient. Some labs will report two values African American and non-African American. Pennell2 Balazs Halmos3 Rom S.

P 0051 but the difference was insignificant in terms of the uses of EGFR TKIs P 40 among those with metastatic NSCLC with common EGFR mutations. They called their formula the CKD-EPI equation and published it in the Annals of Internal Medicine in 2009. Also normal GFR will vary among ethnic groups.

Values less than 60 mLmin173 m 2 are consistent with chronic kidney disease and values less than 15 mLmin173 m 2 are consistent with kidney failure. Male with Creatinine09mgdL. Clifford1 Pingfu Fu1 Nathan A.

All equations will provide a range of values between 0 and. An eGFR below 60 mlmin suggests that some kidney damage has occurred normal values are 90-120 mlmin. African Americans have on average higher muscle mass than white Americans.

When a person has either diabetes or hypertension or there is other reason to monitor the kidneys it is usually ordered. It is a genetic difference based on evolution. The eGFR Glomurular Filtration Rate is one of those rare lab tests that have different reference ranges for African Americans versus non African Americans.

A normal eGFR ranges from 90 to 120 milliliters per minute per 173 square meters notes MedlinePlus. GFR 186 x Stand. HelloThe eGFR test is used to screen for and detect early kidney damage and to monitor kidney status.

The eGFR non -African American is a test that is ordered to check for early kidney damage and to monitor kidney function. Working as a Doctor who Cares since 2001. Numbers will be higher than that of females.

African Americans also have their eGFR numbers adjusted as their creatinine can be higher and still within a normal range. Measured GFR is the best way to report kidney function but this is too complicated for routine medical care. EGFR Normal Range.

Generally males have greater muscle mass so their creatinine.

Air Travel Canada

Search millions of discounted fares and get the cheapest deal. Embassies and consulates Important information on travel insurance and why you shouldnt leave the country without it.

On Edge What It S Like Flying In Canada During The Pandemic Ctv News

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Air travel canada. Search millions of discounted fares and get the cheapest deal. Ad Get Travel Air With Fast And Free Shipping For Many Items On eBay. Buy airline tickets find cheap airfare last minute deals and seat sales with Air Canada.

Now is not the time to travel. Terrorists are likely to try to carry out attacks in. People who travel by air regardless of citizenship will need to follow testing and quarantine requirements to keep Canadians safe particularly given the new COVID-19 variants in Canada and around the world.

Travellers must advise the airline company that they are allowed to travel to Canada and show proof that they are either Canadian citizens permanent residents a person registered under Canadas Indian Act a protected person an immediate family member or another eligible traveller exempted from travel restrictions. Compare and Book Right Now. As of February 22 2021 all air passengers arriving in Canada are required to take a COVID-19 PCR test upon arrival Source.

On Thursday the Canadian government closed down air travel from India and Pakistan. Find helpful information on health and safety travel documents baggage airport security country advice and more. Visit Our Website Today.

We Help You Find The Right Room at The Right Price. Visitors travelling to Canada by air are now expected to get an electronic travel authorisation eTA to enter Canada. OTTAWA COVID-19 Update The Canada United States border remains closed to most vehicle traffic.

For more information on entering Canada at a land border please click here. There are restrictions in Ontario as the Ontario Provincial Police and other police services are positioned at the Manitoba and Quebec provincial boundaries. Ad Air Hotel with Best Price Guarantee.

Check Out Travel Air On eBay. Visit Our Website Today. Vancouver Calgary Toronto or Montreal.

Ad Dont miss airlines flash sales and last minute offers get new flight deals every day. During the COVID-19 pandemic we strongly advise Canadians to cancel or postpone non-essential travel plans outside of Canada. Explore a world of travel with Expedia.

Government of Canada Entering by air COVID-19 testing and mandatory hotel stay upon arrival. Book hotels cars and vacations with Air Canada Vacations. Ad Get Travel Air With Fast And Free Shipping For Many Items On eBay.

International travellers flying through Canada. Compare and Book Right Now. While the industry for months has been calling for systematic testing to re-open borders without quarantine measures these pleas have fallen on deaf ears especially in Canada.

We Help You Find The Right Room at The Right Price. International airline passengers must arrive in Canada at one of four cities. But Did You Check eBay.

Check Out Travel Air On eBay. See our travel options. The International Air Transport Association IATA expressed frustration with Canadas new COVID-19 testing requirement for all arriving air travelers due to come into effect as of 7 January 2021.

Arriving airline passengers must submit contact and other information prior to flying as detailed here. Ad Air Hotel with Best Price Guarantee. Air Canada - The Official Website.

But Did You Check eBay. Then while travellers wait for test results they must quarantine in a. Obtaining test results is the responsibility of the traveller.

Air Canada will give refunds to passengers whose flights were canceled due to the COVID-19 pandemic even if they previously received a travel credit from the airline thanks to a bailout. Asked if he believes Canada should limit domestic air travel OToole did not address the question instead focusing on the need to move swiftly to limit international travel.

Tuesday, May 4, 2021

Why Doesn T My 2 Year Old Talk

An oral impairment like problems with the tongue or palate the roof of the mouth a short frenulum the fold beneath the tongue which can limit tongue movement Many kids with speech delays have oralmotor problems. She has been tested for hearing capabilities and hears fine however she is not saying actual words.

Late Talkers What You Can Do If Your Child Is Not Talking Yet

Since your daughter is almost 2 you can review typical speech milestones at this link.

Why doesn t my 2 year old talk. Other secondary conditions that may also cause delays in speech and language. A speech delay might be due to. Fluid behind the eardrum is one of the most common reasons for speech delays in toddlers it makes it hard for a child to understand and imitate speech.

To circle back to this post my son is now 45 years old. Should I be concerned that my 2-year-old doesnt say many words and is hard to understand. If the speech evaluation is normal your SIL should specifically ask her pediatrician about having her son evaluated for autism.

By fifteen months you expect a child to be able to say five or six different words by eighteen months ten to twenty. My little man is 2yr and 3 months he doesnt talk either but he has been referred to speech and language they are concerned about apraxia but he has also been put on the ASD pathway because his sister has autism he obsessed with things like books and pointing to pictures I would defo get a referral to a pediatrician from your gp and take it from there also check ur local childrens centres they do. I would be quite concerned about a two-year-old who isnt saying any words.

Children are often assumed to understand more than they do. As with expressive language disorder the cause is generally unknown. Usually at approximately one year of age most children are able to say Mama and Dada and possibly one or two other words.

A child may use joint attention to feign an understanding. Why doesnt my two year old talk. I would be concerned although not panicked that your two-year-old son is not talking yet.

When he is done crying or screaming. Answer From Jay L. If he starts crying or screaming wait patiently and dont say anything.

Doesnt use rough words by 24 months of age. He started really talking when he was 25 years old. She spoke in one words at around 18 months said Mama Dada baba etc but doesnt really say any real words.

Joint attention is basically sharing attention. Generally kids with good eye contact who interact lovingly with parents are not autistic but there can be other reasons for speech delay that need intervention. If youre able to understand only a few or none of your 2-year-olds words talk to your childs doctor about scheduling an evaluation.

Most actually dont have a speech or language disorder and are caught up by age 3. We took him to two different avenues of speech therapy through the local school district and through his medical clinic. Talk with his pediatrician and if hes in preschool with his teacher.

Frequent ear infections colds dairy allergies or a reaction to secondhand smoke are common causes of middle ear fluid accumulation which doesnt always carry symptoms. Most of the children start using gestures as a way of communication in their early childhood around the age of 15 years. Speech delay can be an early sign of other developmental issues.

The attention was good but that didnt seem to make much difference. The study found that a lack of forming words at age two has no bearing on future development. If she consistently uses ba for the word ball and pa consistently for please at this point that is ok.

A recent study released by the Journal of Pediatrics has given parents a reason to relax over their 2 year old childs lack of talking. Children who arent yet talking and dont grunt are more likely to later be diagnosed with a language delay. Of 2-year-olds are late to develop language with males three times more likely to fall into this group.

An example is when a parent looks at an object and the child or baby turns to look at the same object. Thus if youve seen a pretty visible delay in your child utilizing gestures as a means of communication its a good sign that hes delaying his speech as well. My little two year old is genetically normal has no syndromes or impairments hearing or mental.

Is there speech therapy for a baby that doesnt talk. If he starts by saying only one word reward his effort by giving him the milk. If your child isnt showing these signs of readiness you may want to make an appointment for a speech and hearing screening.

We always recommend hearing tests to be sure that a childs hearing is not having an impact on speech development.

What Helps Fibromyalgia Pain

They may feel it all over their body or in multiple tender points. If you have fibromyalgia its important to regularly take time to relax or practise relaxation techniques.

Fibromyalgia Symptoms Natural Treatment Diet Dr Axe

If youre living with fibromyalgia you already know that there is no cure for the pain and fatigue you often feel.

What helps fibromyalgia pain. On Panax ginseng use in people with fibromyalgia indicated that it is effective for reducing pain and the number of tender points found on the body. Prioritizing your tasks can help reduce your stress levels. Ad Emuaid Gave Me My Life Back I Am So Thankful For This Amazing Product.

Make a list of people who can help you on bad days. I Found One Fast Simple Trick. Identify whats necessary and whats not.

Naltrexone which is an anti-opioid medication may be helpful. Water therapy light aerobics application of heat or cold. Fortunately with medications self-care strategies and lifestyle modifications living with fibromyalgia can be.

Fibromyalgia patients suffer pain more intensely than other people do. Ask for help when you need it. Medications that may help reduce fibromyalgia pain and improve sleep include.

Combine medication self-care and lifestyle changes to manage fibromyalgia symptoms. However the pain is still relentless. Focus your energy in the next few days on whats necessary.

Ad Emuaid Gave Me My Life Back I Am So Thankful For This Amazing Product. For example it may help to start with gentler forms of exercise such as tai chi yoga and pilates before attempting more strenuous aerobic or strengthening exercises. They boost the levels of certain chemicals that carry messages to and from the brain known as neurotransmitters.

Antidepressant medication can also help relieve pain for some people with fibromyalgia. 76 rows There is no cure for fibromyalgia but the condition can be managed using a variety of. People who are overly stressed often have tense muscles which tend to amplify fibromyalgia pain.

I Found One Fast Simple Trick. Different techniques have been used to help manage the pain. Emuaid Defeats Severe Nerve Pain.

One such is using muscle relaxants. The long-term condition has no known cure with only possible treatment is treating the symptoms and trying to reduce the pain. Emuaid Defeats Severe Nerve Pain.

Postpartum Side Effects

The hormonal IUD may cause spotting and irregular bleeding in the first 3 to 6 months of use. You should always discuss medication side effects with your doctor.

Postpartum Birth Control Types And Side Effects Hercottage

Adverse effects usually are dose related.

Postpartum side effects. Intravenous carbetocin when compared with oxytocin results in less need for uterine massage and use of other uterotonics but no difference in PPH. Uterine hyperstimulation and subsequent fetal heart rate deceleration most common. She is the one experiencing the side effects of not only her mental condition but the physical experience of pregnancy and giving birth and the emotional stresses of caring for.

Probably related to labor and not the drug. Untreated postpartum depression PPD can have harmful long-term effects on mothers their babies and their family members. See Uterine Hyperactivity under General Precautions Maternal nausea vomiting sinus bradycardia premature ventricular complexes.

Evidence suggests that both persistent and severe postpartum depression increase the risk of adverse outcomes in children. As a result of the combination of intra-abdominal pressure changes and abdominal muscle separation many postpartum. Probably related to labor and not the drug.

Two side effects of medications for postnatal depression are especially problematic for new mothers. The first weeks postpartum come with their own set of emotions. Weight gain and loss of libido.

Many also experience crying spells for no clear reason have trouble making. Some women begin to feel anxious and depressed within a few days of giving birth. Stopping or changing your medication on your own could be disastrous.

Even though this is a common side effect of pregnancy it can be permanent for some women and require surgical treatment. Aromatherapy may be applied as a noninvasive complementary intervention to promote physio-psychological comfort in postpartum women. Bringing a baby into the world and learning to care for her are no small feats - and many women experience jitters mood swings and even depression.

Most of the studies reported no serious intervention-related side effects. The effects of postpartum depression on the mother are probably the hardest felt. When compared with ergometrine-oxytocin carbetocin is associated with less blood loss and fewer side effects of nausea vomiting and postpartum hypertension Su Chong and Samuel 2012.

Misoprostol is another prostaglandin that increases uterine tone and decreases postpartum bleeding36 Misoprostol is effective in the treatment of postpartum hemorrhage but side effects. Postpartum Depression and Its Long-Term Effects on Children. See Uterine Hyperactivity under General Precautions Maternal nausea vomiting sinus bradycardia premature ventricular complexes.

Other side effects include headaches nausea depression and breast tenderness. Listed below are some postpartum side effects of epidural. Postpartum Back Pain.

Uterine hyperstimulation and subsequent fetal heart rate deceleration most common. This usually decreases within 1 year of use. Side effects include.

Actress and singer Ashley Tisdale just shared a candid blog post detailing the unexpected postpartum side effects that she experienced such as night sweats and. The copper IUD may increase menstrual pain and bleeding or cause bleeding between periods mainly in the first few months of use. This is caused when an epidural needle or catheter punctures a blood vessel.

However people experience epidural side effects years later and in case of babies who are born of mothers who took epidurals during labour epidural side effects after birth can be seen. Side effects include. This systematic review may serve as a reference for healthcare workers in caring for postpartum women.

Its important to take into account the side-effects and benefits of each medication and to be aware of which types can enter the breast milk and affect your baby. Epidural anesthesia lengthens the first stage of labor by about 30 minutes and the 2nd stage of labor pushing by as much as 2-3 hours Were talking three hours of pushing for the natural mama versus 5 to 6 hours of pushing for the epidural mama. 1-15 Experiencing PPD can affect the entire family Mom.

Adverse effects usually are dose related. Today Selective Serotonin Reuptake Inhibitors SSRIs are the primary type of antidepressant prescribed to women with postpartum depression due to their low risk of side effects their limited effect on breastfeeding and their effectiveness in improving symptoms. Epidural Side Effects.

Side Effects of Depression Medications After Childbirth. Postpartum depression is common affecting up to one in seven women. Epidurals are widely used as pain relief during childbirth and misconceptions about their effectiveness and side effects are also wide-spread.

There are a number of medications for Postpartum Depression and your doctor can help you decide which one may be best for you.

Monday, May 3, 2021

Cervical Cancer After Hysterectomy

Which was removed during my hysterectomy. Patients with stage IB to IIA cervical carcinoma after radical hysterectomy have an average disease-free interval DFI of 330 574 months.

Treatment Of Early Bulky Cervical Cancer With Neoadjuvant Paclitaxel Carboplatin And Cisplatin Prior To Laparoscopical Radical Hysterectomy And Pelvic Lymphadenectomy

If you had a partial hysterectomy when the uterus is removed but the lower end of the uterus cervix remains your doctor will likely recommend continued Pap tests.

Cervical cancer after hysterectomy. Youll have vaginal vault tests if you have had a hysterectomy for either early stage cervical cancer or persistent cell changes in the cervix CIN or CGIN. Women who have had cervical cancer can still get the same types of cancers. Early stage cervical cancer is treated with a hysterecto.

I was originally told after my hysterectomy that cancer SQUAMOSA was found in the cervix. This patient group may not require adjuvant radiotherapy and other procedures. Welcome to Cancer Chat.

Similarly if you had a partial hysterectomy or a total hysterectomy when. The objective of this study was to evaluate the adequacy of our therapeutic strategy for cervical cancer after radical hysterectomy. Hysterectomy is the usual treatment for early stage cervical cancer.

Women still need regular Cervical Screening Tests if they have a cervix if they had a sub-total hysterectomy or partial hysterectomy. You have been through a lot and it isnt susprising that you are feeling like it is all hurting at the moment both on a. Recurrence probably depends somewhat on how advanced the cancer was and it definitely depends on what type of hysterectomy.

But some cancer survivors may develop a new unrelated cancer later. Hysterectomy for cervical cancer. This study was aimed at identifying a subset of patients with OICC who have a favorable prognosis.

If you had a total or radical hysterectomy as a treatment for cancer or pre-cancer your doctor may still recommend regular tests to check for cancer. After radical hysterectomy at 1 of 8 participating hospitals in China patients with FIGO International Federation of Gynecology and Obstetrics stage IB to IIA cervical cancer with adverse pathological factors were randomized 111 to receive adjuvant RT CCRT or SCRT. Unfortunately being treated for cervical cancer doesnt mean you cant get another cancer.

At first conversation with the oncologist all he kept telling us was that I needed a radical hysterectomy. However it is very important to note that recent studies have shown that women who have minimally invasive radical hysterectomies for cervical cancer have a higher chance of the cancer recurring and a higher risk of dying from the cancer than those who have. Design setting and participants.

Cancer that comes back after treatment is called a recurrence. This is called a second cancer. If you have had a hysterectomy in which your cervix was removed and.

You should continue to get regular Pap smears as recommended by your doctor to screen for possible cancer. See Your Ob-Gyn Annually for a Well-Woman Exam. A radical hysterectomy is the removal of the womb.

We performed 321 type III open radical hysterectomies for cervical cancer between 2001 and 2013. Cancer survivors can be affected by a number of health problems but often a major concern is facing cancer again. 3-year survival rate for patients with stage IB to IIA cervical carcinoma after radical hysterectomy was 833 with an average life span of 328 months.

Women with a hysterectomy related to a history of cancer should be screened for cervical cancer for 20 years after the hysterectomy. Data were collected from February 2008 to December 2018. If you had a partial hysterectomy your cervix is still intact and you could still develop cervical cancer.

The test is carried out because if you have had persistent cell changes CIN or cervical cancer you are at a slightly higher risk of developing cell changes in the vagina. Cervical cancer is treated in different ways depending in the stage in which it is diagnosed. A hysterectomy is only suitable for women with very early-stage cervical cancer stage 1A1.

You have a history of cervical cancer or moderate to severe cervical changesContinue to have screening for 20 years after your surgery. Eighty-two patients with DSI LVSI or bulky SCC did not receive adjuvant therapy after radical. I am sorry to hear about your recent cervical cancer diagnosis and I hope you are recovering well after the radical hysterectomy.

Pap test also called a Pap smear is a routine screening test for early diagnosis of cervical cancer. On the other hand if a radical hysterectomy was done because of cervix cancer recurrence rate may be up to 9. It depends on the type of hysterectomy the reason for the hysterectomy and the womans cervical screening history prior to the hysterectomy.

Occult invasive cervical cancer OICC is sometimes incidentally found in surgical specimens after a simple hysterectomy SH. You have no history of cervical cancer or cervical changesYou do not need screening. A hysterectomy involves removing the womb and cervix and occasionally the fallopian tubes and ovaries.

Hi Aileene Sounds like you had quite the journey. Jensen and colleagues followed 173 women with early-stage cervical cancer for two years after the women underwent radical hysterectomies -- where.

How To Get Rid Of Lice With Vinegar And Listerine

None of the nits fell off the hair strands and I had to drag them down the entire hair strand using two fingers. Keep the Listerine do its ...