Pagi ini, aku nemu temen lama di sosial network, dia makin eksis aja kayaknya.., bikin aku jealous, sumpah! dibanding dengan keadaan aku yang kayaknya sih begini begini aja, pokonya aku janji mulai detik ini aku bakal ngalhin dia, secara akademik maupun non akademik....! aku gak mau ketemu dia 5 atau 10 tahun lagi dengan keadaan aku yang masih begini -begini aja... aku harus jauuuh diatas! JANJI.
Peritoneal Mesothelioma, What is that?
Cancer of the lining of the abdominal cavity, a less common than the pleural form, comprising approximately one-fifth to one-third of the total number of mesothelioma cases diagnosed, they called it Peritoneal mesothelioma. these diagnoses are approximately 54.7 per cent male versus 45.3 per cent female, with the median age being 65-69. The latency period appears to be shorter for asbestos-exposed individuals with symptoms appearing 20-30 years after exposure rather than the 30-40 year latency more commonly associated with pleural mesothelioma, its according to the Surveillance, Epidemiology, and End Results, record,
Symptoms
medical symptoms at the time of presentation may include abdominal pain, abdominal mass, increased abdominal girth, distention of the abdomen, anemia, ascites (fluid in the abdomen), weight loss, fever, fatigue and digestive disturbances. Some patients protest of more non-specific symptoms for a number of months prior to a confirmed diagnosis. In a percentage of cases, peritoneal mesothelioma is found incidentally when the patient has sought help for another health problem such as gallbladder, hernia or pelvic mass.
practiced doctors information that patients typically experience symptoms 6 months to 2 years before diagnosis. While the patient goes to the doctor, the patient, the family, and the doctor all usually think something else is wrong. Men often first show up with an inguinal or an umbilical hernia. The first indication of a problem for some women comes during a pelvic examination when a tumor mass is discovered.
Late-stage peritoneal mesothelioma symptoms include bowel obstacle and increased tendency of the blood to clot. Blood tests show increased platelet count in half of peritoneal patients, although this is of little use in diagnosis because it can be caused by so many disorders. Anemia and low albumin levels are moreover found.
Diagnosis
for the reason that mesotheliomas, the diagnosis of peritoneal mesothelioma can be demanding. CT findings may help differentiate between the two clinical types of peritoneal mesothelioma, termed “dry” or “wet”, since their appearances are very different upon imaging. In the “dry” type, CT may reveal multiple small masses or a single dominant localized mass. There is normally little or no ascites. In the “wet” type, CT may reveal widespread small nodules, but no dominant mass. Ascites is usually present.
If fluid is present, it may be removed in a procedure called paracentesis unluckily, as is the case with pleural mesothelioma, fluid analysis offers limited diagnostic value. It is normally a tissue biopsy obtained in a laproscopic exploratory that will yield a definitive diagnosis.
Staging
There is no established staging system for peritoneal mesothelioma, and if the disease is staged, it is normally done in accordance with the TNM system, the most common general cancer staging system. This system refers to the status of the tumor (T), lymph nodes (N) and metastases (M). There are general categories which may also be somewhat helpful in determining stage.
The first class shows a localized lesion able to be completely rejected (entirely removed). In the second category, the disease is contained within the abdominal cavity on peritoneal and organ surfaces where debunking (the removal of as much, but not all of the tumor) is possible. Category three shows disease contained within the abdominal cavity with invasion of organs such as the colon or liver. Category four shows disease extending outside the abdominal cavity.
Mesothelioma specialist Clare Verschraegen wrote that she categorizes peritoneal mesothelioma into four categories. The least developed is when the tumor has not spread and can be removed with surgery. This is equivalent to stage I in the Butchart classification.
The next is when the cancer has spread to the periconal and organ surfaces and surgery will result only in a debulking of the tumor, not removal of all malignant tissue. The next stages are when the cancer metasticises to other organs, and when it gets into the lymph nodes.
Treatment
In recent years, multimodality treatment of peritoneal mesothelioma has become more common for a select patient population, as surgery alone and/or intraperitoneal chemotherapy alone have proven to be similarly ineffective. Cytoreductive (debulking) surgery involves the removal of all or nearly all visible tumor, and, depending on the physician’s choice, may be combined with Intra-Peritoneal Hyperthermic Chemotherapy (IPHC), intraperitoneal chemotherapy and/or radiation. Dr. Paul Sugarbaker has written “intraperitoneal chemotherapy gives high response rates within the abdomen because the peritoneal space to plasma barrier provides dose intensive therapy.” Since it is not always possible to remove all tumors, the prognosis for long-term survival may be based on the completeness of cytoreduction as established by the following criteria:
Complete cytoreduction:
CC-0 No peritoneal seeding is visualized within the operative fields.
CC-1 Nodules of less than 2.5 cm persist after cytoreduction. Nodules of this size are thought to be penetrable by intracavitary chemotherapy, therefore cytoreduction is termed complete.
Incomplete cytoreduction:
CC-2 Nodules of between 2.5 and 5 cm persist after cytoreduction.
CC-3 Nodules of greater than 5 cm or a merging of unresectable tumor nodules at any site within the abdomen or pelvis.
For patients found to have widespread disease, where surgery is not looked at as “potentially curative”, palliation of symptoms may be accomplished by debulking. Since peritoneal mesothelioma is a rare malignancy, specialized treatments should be conducted by doctors familiar with the disease.
Mesothelioma Peritoneum
Membranous layer that is made up of two sub-layers is a the peritoneum. Called the parietal and visceral layers. while the visceral layer surrounds abdominal organs, the parietal layer covers the abdominal cavity,. Together these two layers provide support and protection for abdominal organs and the abdominal cavity as a whole.
Source : www.allaboutmesotheliomaperitoneal.com
Food For Peritoneal Mesothelioma
1. In the acidic food: bacon,, wheat,ham, tuna fish, pork, ehorse meatel, beef, chicken, bread, butter, .
2. Strongly acidic foods: persimmon, cheese, white sugar, mullet roe, egg yolk, or dried cod.
3. Acidic foods: rice, peanut, beer, wine, fried tofu, seaweed, clams, octopus, catfish.
4. Alkaline food: red beans, carrots, apples, cabbage, onion, tofu and so on.
5. Strongly alkaline food: Qiama old, grapes, tea, kelp buds, kelp, lemon and etc
6. In the alkaline food: tomato, soybean, carrot, dried radish, strawberry, lemon, bananas, oranges, pumpkin, protein, spinach, dried plum,and many more.
Source : http://allaboutmesotheliomaperitoneal.blogspot.com
Medicine Options For Peritoneal Mesothelioma
Alternative medicine for Peritoneal Mesothelioma can must be for really costly compensate Deferred income of a more studious carry out more with a little impassioned Applicants. Search for pick disinfectant as well as Mesothelioma as well as war. The medical choices cans have mixed forms.
An acupuncture
Acupuncture for Really old BC Eastern art is already in a past. This treatment is wakeful of America not long ago suffered from with cancer Suffering is opening many fren reduce Recommended to soothe Suffering in a normal format of many alternative oncologists around a nation Concerned in treatment.
Acupuncture for Really old BC Eastern art is already in a past. This treatment is wakeful of America not long ago suffered from with cancer Suffering is opening many fren reduce Recommended to soothe Suffering in a normal format of many alternative oncologists around a nation Concerned in treatment.
Get off the drug
Meditation Suggests a backup resolution cans for Really be in effect in shortening highlights with cancer as well as studious Suffering sure it is endorsed to healing meditation, a defense function.
Meditation Suggests a backup resolution cans for Really be in effect in shortening highlights with cancer as well as studious Suffering sure it is endorsed to healing meditation, a defense function.
Can be total in a little cases of healing medication treatment is Peritoneal Mesothelioma Might Remunerationoptions, however, for recollect the many expected roles do a Infancy of in effect government as well as the carry out of myeloma Peritoneal Mesothelioma to reinstate as well as treatment will of some marked down as is healing well sucn chemotherapy as well as low-Than of dose
source : http://allaboutmesotheliomaperitoneal.blogspot.com/2011/04/medicine-options-for-peritoneal.html
(bukan) Review film: Let Me In
Suatu hari, gue di awal maret kemaren lagi jalan-jalan aja abis sekolah. seperti biasa, kalo jalan ke mall pasti gue sempetin maen ke toko DVD. kebetulan waktu itu, gue berenti di toko DVD bajakan. waktu itu yang jaga seorang mas-mas ganteng yang lagi baca buku.
gue tanya ke dia "mas, yang lagi in apaan?".
tu mas mas ganteng nengok ke gue. gue pikir dia bakalan respon pertanyaan gue, ternyata tu orang cuma liat gue, trus balik lagi ngebaca bukunya.
kampret, gue di kacangin.
Sebagai kostumer gue gak terima dong digituin. kalo seandainya pribahasa pembeli adalah raja itu benar, gue pasti udah nyuruh dia nyium kaki gue. raja gitu loh. tapi untungnya enggak. dan gue cuma diem aja, liatin tu mas mas ganteng -yang ternyata budi (budeg dikit)-.
Merasa diliatin dia nengok lagi ke gue. die nanya, "ya?"
gue sekali lagi ngomong, "YANG LAGI IN"
abis gue ngomong, dia natap gue, dalemm banget. gue bales natap die. dan, pada saat mata kita bertemu, ada percikan gitu deh(wuh, sinetron laga TPI banget nih).
buru-buru, die berdiri dari kursinya, dan pergi ke rak DVD yang lain mencari sesuatu, krasak krusuk. sibuk gitu. gak lama kemudian dia datangin gue, sambil megang satu dvd, yang lalu dia kasi ke gue. gue pikir dia bakal ngasi gue film baru macam king speech, itu. eh ternyata gak. dia malah ngasi DVD Let Me In yang setau gue muncul pas bulan Januari, sambil bilang "ini, Let Me In-nya".
astagah budi banget, gilak....entah ada kotoran siapa yang numpuk di kuping die.
yasudalah, pikir gue daripada urusan sama ni budek makin lama, gue kasi aja duit ceban. pergi gue.
dan dirumah, gue tonton tu film yang dikasi si Budi. ternyata men, isinya, GELAP SEMUA. anjrit, tu film kayak hasil rekaman ngerekam di bioskop gitu. burem banget. sound payah pula. ini mah namanya udah bajakan, KW pula. kancut....kancut.....
Posting setelah beberapa abad....
hai, im back.
gue sibuk banget men..gila.
maafin gue yang dodol ini ya blog..
*blog : iye, kgak papa bos
*gue & blog berpelukan
*blog terharu
*gue terharu
*pembaca melongo
*gue autis trus lari lari keluar rumah sambil ileran
baiklah. lupakan. kembali ke kehidupan normal.
bagi rapor = bagi aib
Bagi rapor tu emang bener bener horroorrr. gimana gak, pas hari itu, kerja keras kita 6 bulan belajar siang malem diumumin ke publik secara tertulis cuma dengan selembar kertas hvs gak jelas yang harganya 150 perak tea....!
And it was happening on me a week ago... gila gak sih, gue tuh baru tau bakalan bagi rapor pas hari minus satu. itupun taunya gak sengaja. padahal seharusnya, gue musti nyiapin diri untuk nerimo kenyataan hari idup mati gue itu seminggu sebelumnya, seperti tidur semingguan misalnya. yah, pokoknya gue tuh bener-bener pobia dah ama namanya bagi rapor.
tapi, kepicikan rapor bukan cuma karena mejengin nilai-nilai doang, tapi ada juga 3 kolom mengerikan lainnya: jumlah Sakit-Izin-alpa. jegeeerrr.....!!!! sebagai remaja normal (ehem). yah, wajar lah kalo ada yang namanya bolos A.K.A alpa. bahkan Seingat gue, dalam 3 bulan terakhir gue udah bolos 5 kali, gue lupa tuh 5 kali kemana aja.entah ngejogrok di kali ato ngongkow di mall. itu yang bikin gue takut, takut ama bonyok. kalo bokap mah, alpa 5 kali kayaknya masih fine2 aja. tapi kalo nyokap gue tau gue kayak begitu, dijamin dah, hp, laptop, internet, motor, n jajan bakalan ditarik dari peredaran kekuasaan gue...
karena itu, pada hari H gue nyuruh kakak gue untuk ngambilin, sedangkan guenya nunggu di rumah. tapi gue nunggu di rumah jadi bener-bener kagak tenang, akhirnya setelah bergulat n deciding selama stengah jam, gue mutusin untuk ikutan nyusul ke sekolah. padahal saat itu gue belom mandi. yah, bodo amat lah ah, la guenya wangi aja kok hoahaha. lagi asik otw, HP gue yang jebot itu bunyi-bunyi n getar-getar gak jelas. ada pesan rupanya., dari kakak gue. bunyinya :" bt bgt sih aku kayak orang tua tauk, mana diomelin pula, cz nilai u pada merah semua! n, belom bayar SPP ya??!". jebrreeetttttt..... sekali lagi gue baca tulisannya: "...cz nilai u pada merah semua....". tapi tu tulisan tetep bacaannya "merah". gue baca sekali lagi. tapi tetep kagak berubah. sesaat gue udah rencanain pengen loncatin trotoar n langsung nyebur aja ke sungai gede disamping jalan, daripada nama gue yang baik ini tercemar gak karuan. tapi langsung gue urunin coz pas gue liat sungainya kotor banget banyak iyat (dibalik) mengapung kesana kemari gitu deh, pokoknya lebih tercemar dari nama gue yang bakal tercemar.
sampe di parkiran sekolah, gue disamperin kakak gue. rupanya ritual per semester itu sudah selasai, gue telat deh... gue tanya kakak gue, "emmm, jadi... rangking gue berapa?"
dia jawab singkat "em-pat".
dasar tukang tepuuuuuuu..........
gue liat tuh rapor, beneran 4. and mostly important: alpa gue kagak ada!-terakhiran gue baru tau ternyata buku absennya dimanipulasi :P-
untung gak jadi nyebur sungai...
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