INPUT ARTICLE: Article: If something comes out, throw that tissue away and get a new one. Stick only the covered part up your nostrils. Try to cover with the rest of the tissue. Keep picking just as you do in private. Be careful not to accidentally rip the tissue, as this will reveal all and you will have to obtain another tissue. Wash your hands.

SUMMARY: Go to the nearest tissue box and blow. Cover your index finger with the tissue. Swivel the index finger around once in nose. When you are done itching, discard the tissue and its contents.


INPUT ARTICLE: Article: It may help to nurse each twin individually in the early days of breastfeeding, when you and your babies are learning about latching on and positioning. This way you'll be able to spend a little more time and have extra hands to work with one baby at a time.  Nursing your babies individually can also help you learn about each baby's nursing habits. This can help you when you begin to simultaneously breastfeed them. Consider setting a nursing schedule for your twins so you can get them on a feeding schedule. If your babies are very small, work with a doctor or lactation consultant to make a schedule that will give your babies enough milk. For example, you may set an alarm to go off every hour and a half so you know that it's time to feed your twins.  A schedule can be helpful if you're so tired that you can't remember how long it's been since their last feeding. If you'd like to follow your babies' hunger cues and feed them whenever their hungry, just keep track of when you feed them and how long they nursed. Create a space where you have all the things you'll need while breastfeeding. You should have easy access to anything you'd need during the feeding so you won't have to interrupt the feeding. Ensure that you're comfortable since you'll be spending a lot of time breastfeeding. Consider having these in your breastfeeding area:  Nursing pillow and support pillows Water bottles Healthy snacks (such as granola bars, fruit, protein bars) Things to read Access to entertainment (such as a tablet, television, or laptop) Music to listen to Diapering supplies (if you need to quickly change one of the babies) Choose a nursing bra that you can easily unsnap or unclip with one hand in order to breastfeed. If you choose not to wear a nursing bra, consider wearing a comfortable top that gives you access to your breasts so you don't have to take off your entire top to breastfeed. For extra support, look for a nursing bra that contains an underwire. If you'll be simultaneously breastfeeding, ensure that you can easily access both breasts while wearing the bra. If you're concerned that your babies aren't latching on correctly, are difficult to position, or aren't getting enough milk, contact a lactation consultant. The lactation consultant can watch you breastfeed and identify any problems. They'll help you so that your babies are able to easily nurse on their own. Look for a board certified lactation consultant.  Find out if your hospital or birth center offers lactation consultants to work with you. You may be able to drop in to a weekly nursing session or have someone come to your home. You can also talk to other mothers of twins. Discuss breastfeeding challenges and tricks to make it work for you.

SUMMARY: Consider nursing your babies individually. Create a nursing schedule. Set up a breastfeeding area. Wear a comfortable nursing bra or clothing to breastfeed in. Talk with a lactation consultant.


INPUT ARTICLE: Article: Even meaningless items may have sentimental value to a hoarder. Respect your parent’s freedom to do whatever they like with their stuff, whether or not you agree, and don’t throw anything out until they give you permission.  Even if you live with your parents, you should still respect their possessions. Have them sit down with you and create a list of things you can start getting rid of. Making a contract with your parent can also be helpful. For example, you may promise that they can keep 1 item out of every 10 items. This may help them to be more conscientious about the value of their belongings. Sometimes it may even be helpful for the parent to go away for a few days while the house is being cleaned. Offer to send them on a short vacation or to put them up in a hotel for a few days if you are able. Don’t try to tackle a hoarder’s house alone. Get other family members or friends to help you, if possible. If you live in the home, reach out to adult family members and encourage them to talk to your parents.  You might say, "Aunt Pam, I'm really worried about Mom and Dad's hoarding. There's hardly any room to move around in our house. Can you talk to them and maybe help us clear out some of the clutter?" A professional cleaning service is another option, although these can be expensive. Costs will vary based on where you live, how much space you need cleaned (i.e. square footage) and the severity of the clutter. You will probably have to throw out more stuff than you expect. Arrange to have a dumpster dropped off as close to the house as possible. When your parent gives you permission to throw something out, take it to the dumpster right away so they can’t change their mind.  Keep in mind that electronics and hazardous materials usually can’t go in dumpsters. Renting a dumpster can range from about $100 to $800, depending on how large a container you need and how long you need it.  If you can't afford to hire a dumpster service, ask friends and family if they have trucks or trailers to help you haul items to a nearby dump or recycling plant. Before you start cleaning, make a plan. Work on clearing one area before you move on to another. You’ll be able to see your progress more easily that way. It might be best to start in areas with the least clutter and then build up to more congested areas. Divide items into three categories – things to keep, things to donate, and things to throw away. Take trash to the dumpster immediately. Have bins or bags ready for items to be donated. Don’t let your parent deliberate too long over what to do with things, or they might change their mind about getting rid of them. You might give a time limit of about five minutes for them to deliberate on an item. Thinking on it too long will only allow them to come up with more reasons to keep things. Short cleaning sessions won’t make much of a dent in your parent’s clutter. Plan to clean all day, or at least for several hours, so you’ll actually make some progress. Your parent will probably clutter their living area again when you leave, so short cleaning sessions may not do any good in the long run.

SUMMARY: Get your parent’s permission before you get rid of anything. Enlist other family members’ help. Use a dumpster service. Tackle one room at a time. Sort items as you go. Get as much done in one session as you can.


INPUT ARTICLE: Article: Often referred to as “getting your tubes tied,” a tubal ligation is a popular form of female sterilization. It has a 99.5% effectiveness for preventing pregnancy and can be a great option for women who don't want to have a child in the future. You may want to choose this option if you have lingering doubts about sterilization. This procedure can sometimes be reversed. However, only 50-80% of women who have a reversal will be able to get pregnant. The female partner can also choose to be sterilized by having her fallopian tubes removed. This is a permanent surgical solution. Fortunately, it is not painful! Talk to your doctor to see if it's right for you. Unlike with a tubal ligation, there is no way to reverse this procedure. The male partner can get a vasectomy, which is a simple, effective procedure. The doctor can do it in-office with little pain. Vasectomies are 99.9% effective. In some cases, vasectomies can be reversed. However, it's best to wait until the couple is sure they don't want to have a child.

SUMMARY:
Choose a tubal ligation. Have your fallopian tubes removed. Get a vasectomy.