5. If considering surgery - Remember that surgery is not a "cure" for ACM. In many cases it can and does dramatically reduce symptoms. However, as with all surgery, there are risks, and side effects possible. Be sure to weigh the pro's and con's carefully. But at this point in time, once diagnosed, you are a Chiarian for life.

6. Dont be afraid to ask for help. If ya got kiddos, USE THEM. They actually get a kick outta being "big kids" and helping Mom or Dad. Course sometimes they balk, but they sure do enjoy any chance to brag to other relatives *winks*