INPUT ARTICLE: Article: As the disease progresses, your hedgehog's quality of life will decline. At a certain point, your hedgehog may struggle to move and have great difficulty eating and drinking. The specialized care required may get emotionally and financially taxing. If you are not able to provide your hedgehog care, and its quality of life is low, it may be time to start considering euthanasia. Most hedgehogs will become completely paralyzed within a few months of diagnosis. Paralysis starts with the rear legs and then moves to the front legs. This is usually the last stage of the disorder and it's important to recognize when your hedgehog has completely lost mobility so you can make end of life decisions. . Euthanizing a pet is never an easy decision. However, many owners opt to euthanize hedgehogs with Wobbly Hedgehog Syndrome once they become paralyzed. Make an appointment with your vet and have a frank talk about how your hedgehog's disease is progressing and whether there's hope for improvement. If you opt for euthanasia, your vet will talk the procedure over with you slowly and carefully. The decision to euthanize a pet is very personal. Take as much time as you need to make the decision that's right for you and your hedgehog.

SUMMARY: Be honest about your ability to care for your hedgehog. Recognize when your hedgehog is paralyzed. Talk over euthanasia with your vet


INPUT ARTICLE: Article: In recent years, the medical community has made much advancement in treating erectile dysfunction through the use of medications.  Medications can be taken orally, injected, and inserted into the tip of the penis.    Talk to your partner about drug treatment options.  You can try different options together and decide which choice is best for you based on your performance, your partner's experience, and any side effects. Some common oral ED medications include Viagra, Cialis, Stendra and Levitra.  A doctor may prescribe a drug called alprostadil when pill treatment is deemed unsafe or ineffective. Alprostadil is injected into the side of the penis with a fine needle and it produces an erection that lasts for about 20 to 40 minutes. Stress can cause erectile dysfunction. Talk with a counselor about the various stressors in your life to help you learn how to cope and to develop strategies in handling it. This can help reduce sexual anxiety and improve your sexual function. Including your partner in your sex therapy sessions may also help. Your partner can offer a different perspective on your relationship and yourself that might help you to overcome ED. Vacuum devices, also known as penis pumps, may help to improve the flow of blood to the penis. The device goes over your penis and it uses suction to pull more blood into your penis, which causes an erection. Then, you place a band around the base of your penis to keep the blood in your penis and maintain the erection during intercourse. Your doctor can recommend or prescribe a good penis pump if you want to try this option. If all other options for treating erectile dysfunction have failed, you and your partner might want to talk with your doctor about surgical options. The two most common surgeries are placing an implant into the penis or vascular reconstruction surgery, which is rarely recommended. Penile implants consist of inflatable or semi-rigid rods that are placed in the sides of your penis. These rods will make it possible for you to have an erection and many men who have this procedure are satisfied with the results.

SUMMARY: Explore drug treatments. Seek counseling. Consider using vacuum devices. Discuss surgery as a last resort.


INPUT ARTICLE: Article: Tell the pharmacist if you are okay with an epinephrine auto-injector that is not the brand name EpiPen. Mylan has created a generic EpiPen for half the price that contains the same active ingredients as the original EpiPen. The pharmacy is typically happy to fill a generic version of the drug rather than brand name, if it is available. However, it's best to ask your doctor to write on the prescription that generics are okay.  Mylan's generic version of the Epipen—simply called epinephrine injection USP—is currently half the price of the brand-name EpiPen. Generic drugs contain the same active ingredients as their brand-name counterparts. Look into the Auvi-Q, another brand of epinephrine auto-injector, instead of the EpiPen. A speaker in the Auvi-Q gives verbal directions on how to administer the medication, which is reassuring if you are new to auto-injectors or feel nervous about using one.  The speaker that gives administration instructions is included on the injector itself. Verbal direction can be reassuring in a stressful situation or if the Auvi-Q is for a child who cannot read. Auvi-Q is free for families with an income of less than $100,000 regardless of insurance coverage. Get a low price for an epinephrine auto-injector with the same active ingredients as an EpiPen by choosing Adrenaclick, which offers discounts at CVS pharmacies. With coupons, Adrenaclick's cost can be reduced to $10.  You don't need insurance coverage to get CVS's preferred pricing on Adrenaclick. Without manufacturer's coupons, Adrenaclick is $110 at most CVS pharmacies. You can find coupon's on the manufacturer's website: http://epinephrineautoinject.com/.

SUMMARY: Purchase a generic EpiPen for less money. Consider Auvi-Q if you are new to auto-injectors. Try Adrenaclick if you fill your prescriptions at CVS.


INPUT ARTICLE: Article: Continue to water the plants regularly and fertilize them as needed. The plants will begin to grow tall, narrow stalks that reach high off of the ground.  Keep in mind that it will take a few years for the plants to put on a lot of growth. The stalks will grow rows of bright green leaves that are about 2 inches (5.1 cm) long. The plants will flower beginning in April or May and will continue to blossom through July or August. The yellow flowers are small and oval in shape.  The flowers hold capsules that contain 15 to 20 cardamom seeds. Some plants may take up to 4-5 years until they bloom. Although the plants flower early in the year, wait to begin harvesting until October or November, so the cardamom can ripen. Once the capsules of cardamom fruit begin to dry out a little, pull one to see if it breaks easily. If the fruit snaps off easily, you can begin pulling off all of the ripe capsules. Cardamom plants will continue to produce more cardamom seeds every year. Depending on how many capsules you want to dry, you can use a variety of drying methods. For small-scale drying, spread the cardamom in a single layer and allow the sun to dry the capsules. Larger, commercial harvests often dry cardamom using extremely hot kilns. Once the cardamom is dry, you can open the capsules and crush the cardamom to cook or bake with.

SUMMARY:
Grow the plants until they're 6 to 10 feet (1.8 to 3.0 m) high. Wait 2 to 3 years to harvest the cardamom fruits. Gather the cardamom capsules by hand. Dry the cardamom capsules.