A home health care company in Texas often employs various techniques to aid individuals with dysphagia.
Swallowing disorders, also known as dysphagia, can significantly impact oneâs quality of life, especially for older adults or those with certain medical conditions. Home health care services in Dallas, Texas offer specialized support to help manage these challenges. Understanding the basics of dysphagia is the first step in effectively addressing it.
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
â Live Streamingâ Interactive Chatâ Private Showsâ HD Qualityâ Free Actions
Free to watch âą No registration required âą HD streaming
There's a lot of recommendations for reducing calorie intake, but even if I explicitly look up how to raise calorie intake I tend to only find articles on dieting.
Are there any good methods or tricks to raising calorie intake with sensory issues and difficulty eating? Particularly eating healthier while doing so?(I can't digest sucrose properly so unfortunately my sweets consumption doesn't add much)
While home care can benefit anyone across all ages and with varying circumstances, it is particularly useful for the elderly.
While home care can benefit anyone across all ages and with varying circumstances, it is particularly useful for the elderly. This is because such services can provide essential assistance with everyday activities. The problem is that your aging loved ones may initially show hesitance, and even resistance to obtaining this kind of care.
đđđđ Â &Â Â đđđđ đđđđđ đđđđđđđ
shunt .  shove my muse backwards .
strike .  my muse in the face (with his cane)
"One bag."
"Xerxes, no."
"Nobody would know."
"Zhilan would kill me?"
"That would be a very tragic problem," Xerxes Break folded his hands over his cane with a smile, glimpses of his single eye curving into a crescent behind his hair. "for you, that is."
"..."
Wang Yi slowly clenches his fist. Unclenches it. Rests his hand on the handlebars before him and takes a deep breath.
"Then it's a good thing I'm the one piloting this thing, aren't I?" Leaning forward, he pushes the man in the wheelchair past the enticing scents of the candy store and next door into...a soup and salad bar.
***
Twenty minutes later, the formerly fearsome wielder of Mad Hatter finds himself sitting at a table and staring with the first flickers of anger at the contents of his bowl. Not that he can see it, but swirling the spoon around had already told him enough.
"What is this?" he demands testily to the pink-haired man across him.
Wang Yi finishes crunching his iceberg lettuce. "Soup."
"I know that, but why is it in front of me?"
"Because it's lunchtime," Wang Yi says simply. "Look, it's liquidâyou don't even have to chewâ"
"It doesn't make a difference what my teeth do," Break replies testily, "when my stomach is the one with the problem."
And that's the crux of things, isn't it? Break hates foodâor rather, has trouble keeping it down, but he can't just eat candy all day. He's been taking bits and pieces at home, but a mouse probably eats more than he does in one sitting and no one (not even Zhilan and his ever-winsome personality) can really make a dent of difference about that.
So Wang Yi takes Break on a field trip.
An approved kidnapping more like, managed with a rented wheelchair that he urges Break into because 1) it'd be faster and 2) hey, he wouldn't have to do any work. Break looks awfully thin in the chair too, but it's something neither of them comments on because Break will kill him and Wang Yi has better things to die for, and so they manage to get along just fine for the first few blocks.
Back in the restaurant, Wang Yi sets aside his fork and raises a hand. ' Check, please. '
Break arches an eyebrow. "Oh, are we leaving already?"
' You have better things to do with your day than fight with soup, ' Wang Yi points out.
"Such as seeing all the ways you bend over backwards twisting your words to appeal to me?"
' Whatever works, ' Wang Yi shrugs and smiles at the waiter coming to their table. ' Hi, can we also get the soup to go, please? '
"I'm not going to drink this at home either."
' What, like I can't? It's good soup, I'll take it if you don't want it. '
Break shoots him another look, Wang Yi laughs, the soup is packed and the bill paid. See? Everything is fine.
***
Everything is not fine.
Xerxes Break pinches the half-bitten sugared bittermelon between his hands with something akin to fascinated disgust before waving it in Wang Yi's face.
"What is this abomination."
Wang Yi finishes chewing on his sugared burdock root. ' It's candy? '
"It is not."
' Yeah, it's a little healthier than that, I think. Plenty of sugar thoughâisn't that what you like? '
"It doesn't matter how much sugar you put if it still tastes bitter afterwards!"
Break drops the candied vegetable back in the box and Wang Yi takes the chance to peek at his other options: ginger, orange peel, and radish. ' That's because your box kinda sucks, ' he says matter-of-factly. ' Here, have a tomato from mineâthey're pretty good, no funny aftertaste. '
He picks up a piece but Break beats him to it, using his cane to hook the inside of Wang Yi's box and dragging it to his side of the table.
' Hey, what givesâ? '
"You said my box sucks, so we can just skip the hassle and trade," Break explains matter-of-factly while pushing his own over. He dips confidently into Wang Yi's box, picks up a piece of mystery satozuke, and pops it in his mouth. Like the other one, it's chewy, but satisfyingly sweet with no weird flavors, though still disappointingly just a carrot. He's mollified, but just barely. "Why would anyone spend time coating vegetables in these..."
' Tomatoes aren't vegetables, ' Wang Yi points out.
Break wants to shut him up.
***
They end their day of impromptu food tours (no candy, in Break's case) and sightseeing (sight-speaking, in Wang Yi's case) in front of the same sweets store they passed that morning. This time they're both walking on their own feet, Break having abandoned the wheelchair a while back after getting sick of sitting in it. He stops as soon as the smell of sugar wafts over his face, nearly causing Wang Yi to trip over him and drop all the bags of snacks and samples they'd gathered throughout the day.
' Xerxes, ' Wang Yi begins when he realizes why they've stopped. He reaches for the man's arm. ' Don'tâoof! '
Break shoves him back none-too-gently and crosses his arms, irritation written all over his face. "I've been going along with your terrible shop decisions to taste all manner of manufactured nightmares. It's about time I get something I'll actually appreciate, don't you think?"
' Zhilan said neither of us are taking a step in a candy store today soâhey! Put that down! ' Wang Yi leans back as Break suddenly raises his cane at him. ' Listen to meâouch! ' He gets thwacked on both shoulders.
"Then you should've picked a route without the store," Break scolds him. "Even I can see that." And I'm blind. Idiot.
' Well that's becauseâ ' This is the closest route to the bus stop andâWang Yi pauses as the cane raises itself again and finally drops his bags to reach inside his pockets. ' Dammit Xerxes, I already bought them for you! '
A small cloth bag of candy almost hits Break in the chest before he catches it with pure instinct. He can't see its contents, but the smell of strawberry is obvious enough in the air. Digging in, he unwraps one from its wrapper and pops it into his mouth. Delicious. Wang Yi gets an appraising look in turn. "Since when?" After all, they'd been together for the entire day.
' Obviously I bought it yesterday! Loopholes exist, you know. ' Wang Yi says, and Break can already hear the scowl. He doesn't appreciate the dig at his intelligence though, so the butt of his cane darts forward to smack Wang Yi precisely in the center of his forehead.
' Ow! '
"It's what you deserve," Break huffs as he pockets the offering in his pockets and turns around, cane tapping against the ground in a brisker, more cheerful pace. "Come along, we're running late." He still wanted to be home before Zhilan returned from the library.
' Oh, so you were keeping track of time, ' Wang Yi grumbles as he bends down to pick up their bags.
"Your constant glancing at your phone was obvious enough."
' How did you see that? '
"You were so noisy about it I didn't even have to look."
' That's...pretty neat, actually. '
Whatever the case, the day is done. It would've been better if he'd snuck out by himself, but it's true that with Wang Yi around things went faster. Break finally parts with the bright-haired nuisance at the door, slips into his room in the empty house unnoticed, and gleefully digs out the bag of candy he'd gotten for free in the end. Now, time to enjoâ
The bag is empty. Not wholly soâbecause he shakes a few more sweets out of it, hearing them drop into his lap, but the weight of the package completely belies its sparse contents. Frowning, Break feels the insides with his fingers and brushes against something round and smooth sewn in between its fabric layers. They were similar to pebbles, but clinked on impact with a sound not unlike hard candies...
Sensing a bad premonition, Break runs his fingers through the pile of sweets he thought he dumped out and realized most of them are just balls of cellophane. Wang Yi must have lined the top layer with a few candies and stuffed the rest with empty filling. How clever. How irritating. How atrocious. He will get him for this, oh yes he will, and the next time they meet there shall be a reckoning the likes of the world has never knoâcrinkle.
His fingers brush against paperâanother handwritten note? When Wang Yi already knows he's blind? Again the anger in him soars, but he can't deny wondering what the fool had dared to write. So.
He reads it, in the end.
Sorry. Like I said, Zhilan would kill me.
But I figure you could try sampling stuff from different stores so you can pick a fav in the future? There's 6 from Golden in there, though I heard there's a lot more shops hidden in Archimedes and Cotes. Something to think about, maybe.
No need to keep this note for blackmail. I already told the people who would've wanted to know.
Break only wishes Wang Yi could write shorter messages that get to the point faster. He feels around his lap until he finds the five remaining candiesâall strawberry-flavored, he notesâand cleans up the remaining cellophane into the bag before he's caught and forced to explain. Or perhaps there's no need to bother, if Wang Yi's already shared about his ideas. He doesn't quite trust the man on his words alone, though.
This, he reminds himself, is not an act that merits murder. Not even a phone callâthough he gets satisfaction imagining himself tearing the man down with words alone. Wang Yi does have a strange propensity to grovel, which is as annoying as it is convenient. He uses his voice to dictate text messages instead.
XB [txt] Very funny.
XB [txt] I hope you know that I'll be expecting one bag from each store after this, considering the difficulty of describing which candy is what when I can't see them.
There's a ping a few minutes later when Wang Yi replies, his words spoken out loud by the phone A.I. for Break's convenience.
WY [txt] Well yeah, that's the fun part, you see?
WY [txt] Finished tracking down Zhilanâgave him the 6 bagsâyou two can figure it out together.
WY [txt] Unless you ate the samples already, which is fine too but that means you've reached your candy quota for the day, so he won't let you taste-test any more until tomorrow.
Break arches a brow.
XB [txt] Why couldn't you have just given me the bags to begin with?
WY[txt] What, and deprive Zhilan of his bonding time? I'm not a monster.
WY [txt] And also, leaving that much sugar with you unsupervised is just insane right now.
XB [txt] Don't act like you care all of a sudden.
WY [txt] Don't act like you don't, then.
WY [txt] Do you want me to tell you what Zhilan's wearing instead? Because he's looking pretty fluffyâfluffier than usual, I mean.
XB [txt] I can ask him. Myself.
WY [txt] Ok, then what about kissing tutorials?
WY [txt] I found a good one the other day
WY [txt] Not freaky I meanâso that might beâ
Break turns off his phone in the middle of Wang Yi's rambling messages and puts it on the table by his bed. Forget the switcheroo with his candy bag. Forget the tiresome snacks Wang Yi had them sample all day. Forget even the careless way the guy references his relationship with the special someone in his life, because he hears the door opening and Zhilan stepping inside in his soft, quiet soles.
He tilts his head to listen closer, hearing the footsteps pause as shoes are taken off before their owner walks straight to his bedroom door. It's ajar, so all Zhilan has to do to nudge it open with his shoulder to peek inside.
"Xerxes," he begins breathlessly. "Didâdo you want to try some candy?"
And oh. Just hearing that is already sweeter than anything he's tasted today, including the candy he'd sucked on outside the house. Break opens his arms to welcome him, a smile already stealing onto his lips, and says yes.
I donât tend to talk about this much, and when I do, itâs usually in a joking tone. Not today, I guess. If youâre not into the Food Issues thing, donât read this. Mini-essay under the cut.
It is a matter of fact that I do not experience appetite. This is a result of the medication I have taken for ADHD since I was seven years old. Youâd think Iâd be skinny because of this. Iâm not - I tend to walk the line at the top of the âhealthyâ weight range. I also have an exceedingly recalcitrant and resentful relationship with food: I absolutely hate having to eat. I like how food tastes, but I hate having to seek it out, and I despise spending time on preparing meals. I resent that I have to put food in my mouth and consume it. Lunch is the worst meal of the day.
I remember that in high school, I spent a year eating Clif Bars for lunch. I liked the Peanut Butter and the Chocolate Chip ones (to the extent that one can âlikeâ Clif Bars). After that, I ate trail mix for lunch for a semester. My senior year, Iâd have a little 2âłx2âłx1âł Ikea-brand Tupperware-type container with rice and fish, and that would be my lunch. All of my lunch. At all. Ever. I mostly subsisted on stress and anxiety that year. (I also went through a Major Depressive episode, which contributed significantly to that.) This was nothing new. My family had experimented with giving me protein and nutrient shakes when I was in grade school, but such things were less than palatable and it turned out that the most reliable way to get me to eat was to have me be directly answerable to my teacher for finishing my food.
In college, I got a little better about lunch. When I was a sophomore, I had a lab class at 1:30 PM, and after an anxiety attack on the First Day of Lab brought about by low blood sugar, I made it a point to pack a small lunch every day. This was essentially because anxiety attacks in lab are both dangerous and detrimental to oneâs grades (not so much because I wanted to âbe healthyâ). On the other hand, a typical dinner that year would be a half-cup of rice and a half-cup of Japanese curry. I dropped a lot of weight that year, but I also got dizzy a lot and felt cold most of the time. It wasnât fun. ADHD, perhaps counterintuitively, made it easier to move past the physical sensation of hunger and disregard the thought of eating in favor of some other activity - usually study.
As I became more aware of the difficulties I was creating for myself, I managed to get into a pattern of reasonable eating. The healthiest period was probably when I was studying in France and was being fed regular meals by my host mom, whoâs an actual doctor. My weight stabilized (at the higher end of healthy), I was active, and I felt like I was well.
Lately, however, Iâve been living without supervision, and Iâve relapsed into a lot of negative eating habits. I hardly eat lunch anymore - I hate the amount of time required to prepare and consume food midday. I donât eat much for breakfast (normally my favorite meal, associated with pleasant childhood memories). Iâll frequently find myself dizzy and shivering at 8 PM, having had about 600 Calories all day. Iâll force myself to eat a large dinner to compensate, but that doesnât necessarily help my metabolism. My nails grow more slowly. Bruises and scratches take longer to heal. Iâm cold.
All of this goes back to my ADHD and my medication. The medication itself is non-negotiable. Although taking it makes it possible for me to be more disciplined about a great many things, eating is as difficult as ever. Iâve begun seeking professional advice from nutritionists (an initial appointment this morning went very poorly). It is going to be a very long, arduous, and distressing process to improve my eating. Iâll have a lot of material to bring to my therapist. But I suspect it will be better than starving to death.
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
â Live Streamingâ Interactive Chatâ Private Showsâ HD Qualityâ Free Actions
Free to watch âą No registration required âą HD streaming
I donât know what I think about it. It is awful and I know that but I donât think I have the energy to fight this off. I feel like I deserve this.
When I am at home I have to eat and so it is harder. Whereas when I am at Uni it is easier to avoid eating altogether. No one asks questions. I only have access to scales at home and I weighed myself last week and then this week. I have lost half a stone in a week and although I am still massively overweight, this still feels like such an achievement.Â
I listen to my counsellor who I know has so much concern for how much I have been consumed over the past few months by my anxiety, grief, BPD and self-destruction and I hear what she is saying but I canât put that into action yet. Granted this is not as bad as my relapse in 2013 but it is different. Considering I had just over 2 years of being stable and happy in myself.
My eating has been bad before but that was controlling my intake, exercise and purging. Now it has slowly gone down from binge/ purge to not eating at all for long periods of time.Â
I have to eat when I am at home because they donât have a clue what I am going through. But I think I control my intake enough to not feeling completely chaotic. Mum is starting to say that I am losing weight already, though.Â
I purge every so often.
I had a mental health assessment yesterday (phone consult) and they said they wouldnât take me on because I wouldnât benefit from short-term care. So they are referring me on to a longer term service. I donât know how I feel about it all. It was a very odd experience. Answering lots of questions. She said my ratings on the depression questionnaire suggested severe depression. Anxiety was moderate but seemed to affect me more socially than anything which is true as I have social anxiety. Had to talk about everything that has happened this year, how I'm feeling, my eating and self-harm, camhs and my childhood. It was tough and after the phone call, I just broke down.
At uni, I have been attending a mental health support group. I mentioned my eating difficulties a couple of weeks ago and this week I was told in May there is going to be a disordered eating group starting. Difficult to think about it even though it would be useful, I feel my issues are insignificant in comparison to some peopleâs.
Dude, we're at a really low weight. It's not cool. Our Partner can see the ribs in our back, and we're starting to get cold all the time. It sucks. But no one forces themselves to eat. They don't care. I know we're super anxious about moving, and the new apartment, and the new neighborhood is got Emily all in a twist. We're roughly 114 pounds, but that was with shoes on. That's not cool. We haven't been that low since being homeless. We are starving ourselves indirectly, and that's not cool. No one eats. No one wants to bother getting up to eat. I'm so frustrated. But even though I sit here and complain, I'm not getting up to eat. :/ I think it's the Depression. Everyone here is getting really depressed, but no one wants to talk about it. Sweep it under the rug, nothing is wrong with us. Hahahahahaha. Ugh. -Thomas
Welp. Here I am again at only 102 lbs. Been eating one fucking thing a day for the past few days and canât get myself to eat much more than a snack or else Iâll get sick. I have no energy and Iâve been having my dizzy spells to where I just absolutely have to force myself to eat something and itâs fucking miserable. Why canât I just eat and have a normal appetite? Why canât I just gain weight? Why canât I just be at my goal of 110? Ugh.