INPUT ARTICLE: Article: Your mom may be hesitant to let you get your ears pierced, especially if she's stricter. However, the two of you may be able to compromise. If your mom says no for now, talk to her about a possible compromise.  If she has not provided it, ask your mom why she's saying, "No." Once you figure out the reason, try to think of a reasonable compromise. For example, say your mom is worried about cost. In this case, you could offer to pay for half the costs of the piercings with money from your paper route. If you mom is worried you're too young, see if she'd be willing to agree to let you get your ears pierced after your next birthday. If you're unable to compromise, accept no for an answer for the time being. If you maturely accept you mom's decision, this will reflect well on you. In the future, your mom may be inclined to let you have a bit more freedom regarding your personal choices.  You can end the conversation by saying something like, "I understand. You don't want me to get them pierced right now, and that's fine. Thank you for listening anyway." You should always leave these kinds of discussions on a good note. This will leave you and your mom feeling positive about what transpired. If it's a no for now, there's not much you can do. However, wait a few months and raise the issue again. If you've been responsible and respectful, your mom may have changed her decision. Ask just as respectfully the first time as you did the second time. Again, do not be surprised if the answer is still, "No." Be willing to accept this.

SUMMARY: Look for a compromise. Accept a "No" at first. Try again in the future.


INPUT ARTICLE: Article: Place them in a large stockpot and top it with 2 gallons (7.6 L) of water and the remaining garlic. Bring the water to a boil. Skim the foam from the top of the water as the ingredients cook. Cover the pot and keep cooking the meat until it's tender, about 3 hours. Strain the excess water from the pepper mixture. Add the strained peppers to the stockpot.

SUMMARY: Boil the tripe and pigs' feet. Reduce the heat to a simmer. Add the pepper mixture.


INPUT ARTICLE: Article: Saliva and build up collect in the neck. Put the swab in the bell and then pull it through the neck on a string. This is the same process you used on the mouthpiece, requiring warm water, soap or detergent, and a bottlebrush or toothbrush to be used weekly. Dip the brush into the warm, soapy water and use it to attack the limescale. Rinse out the remainder under a faucet with lukewarm water. Again, this is optional, as the soap and water takes care of the bacteria well enough. Any leftover bacteria or odor can be finished with certainty here.  Pour Sterisol germicide into the neck so that it coats the inside. Let it dry in a clean place on a paper towel for a minute, then rinse it under lukewarm water. Either let it air dry or dry it by hand with a swab or towel before storing. Vinegar can be used here, too. After loosening the limescale with soap, water, and brushing, stop the mouthpiece with a cork. Surface cover any holes, prop the neck upright, then add either cold or lukewarm vinegar. After 30 minutes, rinse out the vinegar with soap and warm water, then dry it in air or by hand.

SUMMARY: Run a swab through after use. Remove the limescale. Sterilize the neck.


INPUT ARTICLE: Article: If you are preparing a patient for a throat swab you should ask him if he used mouthwash or antibiotics because either one could influence an inaccurate culture from removing bacteria.  If the patient is confused why it is not a good idea to remove bacteria from the infected area explain to him that removal from the immediate area does not mean that the infection is cured. Indeed, he may still be a carrier and failure to detect the infection will prolong the period of infection, possibly infecting others. Inform the patient that this is a relatively painless procedure and does not require any special instructions once the tests are concluded. Other questions you can ask your patient are: “What symptoms have you noticed, and how severe are they?”, "For how many days?",  "When did it start?", "How has it progressed?", “Have you experienced a fever the last couple of days?”, and “Have you been in contact with anybody who has had strep throat recently?” In order to check for redness, swelling, and especially for white streaks or pus on the tonsils, you must use a tongue depressor to get a good look at the tonsils and throat.  You should also try to detect signs of a strep throat: fever, white or yellow spots that coat the lining of the throat, bright and dark red spots near the throat, and swollen tonsils. A visual exam of the throat and tonsils cannot determine whether the signs and symptoms are bacterial or viral; therefore, further testing will be needed. Once signs and symptoms have been detected, you will have to perform a throat swab to check for the presence of bacteria, including streptococcal bacteria. A throat swab is done to collect any bacteria that exist for a throat culture to determine if the infection is caused by a virus or by bacteria. The result will determine the treatment.  Using a sterile cotton swab, touch the infected area with the swab with several strokes to collect any pathogenic or bacteria for a microbiologist to analyze. Be careful not to touch the tongue, uvula, or lips due to possible contamination. This should not be a painful procedure but expect your patient to gag since you will touch the back of her throat. Prepare the swab for transportation to the laboratory for analysis. Always label the sample with patient name, date of birth, and patient ID. This test is usually only performed in an emergency or with children because it can provide immediate feedback on the swab sample.  This test detects strep bacteria within a few minutes by revealing substances (antigens) from the throat. Once located, antibiotic treatment can begin immediately. The downside to this test is that due to its rapid analysis some strep throat infections are misdiagnosed; therefore, it is a good idea to proceed with a culture, especially if the antigen test shows a negative result. Inoculate the culture with the sterile swab and carefully place it into a collection container. If you need a quick strep test or a strep screen, use a red Duo-Swab in transport media. Otherwise, place the culture in a blue Amies transport media for a throat culture.  Make sure you label the transport media correctly or there could be confusion over the proper procedures for treatment, leading to serious complications. The collection container should arrive at the laboratory within 24 hours for proper analysis. The culture should be placed in a candle jar and incubated at 35–37° C (95–98° F). You should leave the jar in the incubator for at least 18 hours.  After 18–20 hours, take out the jar and examine the bacteria (content beta hemolytic) colonies. If you find any trace of a colony, the test is positive, and the patient suffers from a bacterial infection. It will need further examination to determine just what bacteria are present. If nothing will grow in the container, the test is negative. If the test results are negative, the patient might suffer from a viral infection, caused by pathogens like Enterovirus, the Herpes simplex virus, Epstein-Barr virus, or RSV (respiratory syncytial virus). Chemical tests or microscope exams will need to be performed in order to find what type of infection is affecting the patient. Remember, viral infections are not treatable with antibiotics. Viral infections require time and rest for the body to fight infection using its own immune response.

SUMMARY:
Ask if your patient used mouthwash or antibiotics. Use a tongue depressor. Perform a throat swab. Administer a rapid antigen test. Prepare swab for the laboratory. Analyze the culture.