Moods Up and Downs
The thought of thinking tomolo is a holiday and we be going to have our half month Anniversary i am happy.. thinking of going to zoo tomolo all those preparation make me awakes for the whole day.. thinking tonight Dear is going to give me a surprise i am looking forward too..
BUT
thinking my dad case.. my mood goes down down.. have not been sleeping well.. and once i got up i was unable to fall asleep again.. mind turning round.. how to earn more money? how to persude him? how to make him happy? how to keep this family going?
Life is unfair.. why must i worried for all this at this age? should i be thinking my future husband.. who i be with and just work? maybe GOD feel that i have been to free le.. so gave me all this.. but i do believe They give us problem to let us grow up.. it really does when my sis pass away.. i grow up.. i think different from those who is same age as me.. but when i thought i can relax le.. more problem are here to test me...
Went to Dear school on saturday.. and surprisingly while passing by boat quay "someone" sms me.. haha guess who? one of my kaki who i always will ask him got go Lighthouse if i am going Frenz place de.. Thomas la.. haha my ex-bf.. hmm his bdae on 30 oct.. he sms me to go pub.. hmm at tanjong pagar.. So back to the story.. after picking up Dear entry proof for exams.. we took 130 to amk.. haha cos the night b4 Dear saw the S11 back to service le.. so thinking i miss the Western so much we went there to have our "breaklunch" (breakfast cum lunch) ooh.. this is a long journey back to amk wor.. go pass so many places.. like Blastiers.. (is it spell like that??) haha saw a car SFZ XXXX haha not able to see the no. lah.. then suddenly recall.. Jie gege changing his car.. maybe is that.. hmm very family wor.. no more those sporty car.. but really still miss his old one.. but hor!! where my sunglasses and cd!!! must beat his backside le.. haha
Saturday night.. 29/10/2005.. haha a night which made Dear and me been thinking to go or not to go.. why? cos one is ex bf bdae.. the other side is Dear brothers loh.. and most important another special person be going.. my Dear ex-gf.. it is like very croweded.. guess everyone was lookign forward to see what will happen.. in fact there is nothing.. well second leading actress left not long after she arrive.. reason not feelign well.. i should admit that night i might been too overboard.. keep hugging my Dear.. got chance we will.. *muacks* haha.. but well.. at least now we know.. we still can go out de lah..
I think update till now i should stop le.. nothing much to update.. tired tired.. sometime i really wish i can rest forever and never wake up again.. oh yah.. just have my hair cut.. wait till i meet up my Dear use his phone to take down some photo then post it inside here bah.. not much changes but just shorter.. hee...
Monday, October 31, 2005
Saturday, October 29, 2005
Blue stand for moody.. it fully shown what i am feeling yesterday.. it was a terror.. not relationship has got a problem.. Dun wish to say much too..
Life is fragile.. at one moment of time i really think i might just lose him forever.. why would he think that way.. a burden to us.. we are together this lifetime.. nothing can change nothing is able to distroy this link we have.. everything is not a burden at all.. Please dun give me the memories i had 5 years ago..
I really should thanks the CityCab driver.. he is so kind that he did not accept my money.. partly becos i was paying by card it take some time to process and i was already so anxious.. I feel so guilty for not paying.. Any way to find him out? i forgotten to take down his no.
I dun wish what happen yesterday to happen again.. really dun.. even the thinking of what happen.. i still unable to get over.. a frightful day.. Pls God Above.. Please dun take him away from us..
Life is fragile.. at one moment of time i really think i might just lose him forever.. why would he think that way.. a burden to us.. we are together this lifetime.. nothing can change nothing is able to distroy this link we have.. everything is not a burden at all.. Please dun give me the memories i had 5 years ago..
I really should thanks the CityCab driver.. he is so kind that he did not accept my money.. partly becos i was paying by card it take some time to process and i was already so anxious.. I feel so guilty for not paying.. Any way to find him out? i forgotten to take down his no.
I dun wish what happen yesterday to happen again.. really dun.. even the thinking of what happen.. i still unable to get over.. a frightful day.. Pls God Above.. Please dun take him away from us..
Tuesday, October 25, 2005
ALL ABOUT LOVE "Zai Shuo Yi Chi Wo Ai Ni"
My surprise fail.. actually i win the tickets by writing a "love letter" to Channel U about what i want to tell my love one.. guess mine is not as good as the guy ba.. so did not manage to really surprise my Dear.. but indeed he surprise me again.. He bought "Xue Lang Hu" VCD for me.. hmm cos i keep talkign about it.. and asking him to dl the songs.. so he decide to buy that as a gift for me.. when i walk into my room i was really surprise.. Thanks Dear...
Overall.. the show is nice.. ending is sad one.. but it is the ending part make everyone cried... i have to "ren" all my tears.. as WE HAVE NO TISSUE.. lol.. so time to time some touching part Dear will turn his head over to see am i crying.. must stop me from overflowing.. but it make me "ren de heng xin ku" cos cannot cry all i want..
My planning was yesterday to go for interview at GV.. but since the movie.. we push it today.. guess we both should be able to get in.. but Dear is thinking too much.. keep thinking those "you de mei de".. Nothign will happen k.. haha you should be the one console me not the other way round.. come now your turn to console me.. hahah
My surprise fail.. actually i win the tickets by writing a "love letter" to Channel U about what i want to tell my love one.. guess mine is not as good as the guy ba.. so did not manage to really surprise my Dear.. but indeed he surprise me again.. He bought "Xue Lang Hu" VCD for me.. hmm cos i keep talkign about it.. and asking him to dl the songs.. so he decide to buy that as a gift for me.. when i walk into my room i was really surprise.. Thanks Dear...
Overall.. the show is nice.. ending is sad one.. but it is the ending part make everyone cried... i have to "ren" all my tears.. as WE HAVE NO TISSUE.. lol.. so time to time some touching part Dear will turn his head over to see am i crying.. must stop me from overflowing.. but it make me "ren de heng xin ku" cos cannot cry all i want..
My planning was yesterday to go for interview at GV.. but since the movie.. we push it today.. guess we both should be able to get in.. but Dear is thinking too much.. keep thinking those "you de mei de".. Nothign will happen k.. haha you should be the one console me not the other way round.. come now your turn to console me.. hahah
Monday, October 24, 2005
What does the Liver Do?
The liver is an organ in the abdomen which is necessarily to live . It is mostly located behind the right ribcage, and when it becomes enlarged it protrudes below the right ribcage ("right costal margin"). It is composed of right and left "lobes", and a smaller "quadrate" lobe. Thegall bladder hangs down from the bottom of the liver, collecting greenish bile from it. The liver has as a major blood supply the "hepatic artery" which comes off of the aorta. The "hepatic vein" collects nutrients and drugs from the intestines and delivers them to the liver for processing. The liver drains blood via the large "inferior vena cava", directly into the heart. There is also a system of draining "lymph glands" around the liver which help to purify the blood. These lymph glands are connected via "lymph channels" which ultimately drain back into the bloodstream via the "left thoracic duct"; they are important as they may serve as conduits for spread of infections or cancer. The liver has a "capsule" around it which contains nerve endings, accounting for pain when the liver enlarges and stretches it's capsule. The damaged liver has an amazing ability to regenerate itself. The body needs only about 10% of the liver to live, and if a piece is cut out or injured, it can grow back. Sometimes, however, the liver gets chronic diseases which impair it's ability to regenerate. It can become infiltrated with fat ("steatosis"), shrink from chronic alcohol or viral exposure ("cirrhosis") or grow large from infection or a blocked blood drainage ("hepatomegly") . Any inflammation of the liver, whether caused by germs, drugs, or radiation, is called hepatitis . A damaged liver may heal, or may slowly fail and require liver transplant to save the patient's life The liver is an astounding laboratory sustaining metabolism. Among it's functions are purification of the blood, removing poisonous ammonia from proteins, detoxifying alcohol and drugs, controlling the body's sugar and cholesterol balance, making bile to digest fats, forming clotting factors for the blood and generating new blood cells. This myriad of functions makes clear why the liver is essential to life.
What is Liver Cancer?
The cells in the liver are meant to divide to replace those that die of injury or old age. Like all cell division in the body, this process is tightly controlled to proceed in an orderly manner, and controlled by the "genes" within each cell. Liver cancer starts within a single cell. Something changes the control mechanisms within this cell, and it starts dividing in a disorganized, uncontrolled manner. The abnormal cell makes millions of copies of itself, called "clones". They fail to perform the normal functions of liver cells, but are only intent on dividing to make more copies of themselves. Eventually these abnormal cells form a clump, ortumor. A tumor is merely a swelling, and isn't necessarily cancerous. A benign tumor just grows in it's local area, and although it may become very large it doesn't spread and isn't cancer. By contrast, a malignant tumor is cancer and has a capacity to spread to any area of the body. This process of spread is called metastasis . It is this capacity to spread to other vital organs that makes cancer so dangerous.
How Common is Liver Cancer?
Liver cancer is fairly uncommon in the U.S.A. with20,000 new cases and 15,000 deaths each year in the United States. It represents about 2% of all new cancers. About 3000 of the cases are in the liver itself, the remainder are in the Gall Bladder and bile drainage ducts. However, in Asia and Africa liver cancers are one of the most common cancers. Males are effected slightly more commonly than females, and the average patient is 50 years old. By contrast, benign liver tumors are more common in females and tend to occur at a younger age. Overall the death rate from liver cancer has dropped in the U.S.A. over the past 50 years. This is both from a decline in the number of cases, and better treatment for the disease.
What are the Types of Liver Tumors?
The most common types of benign liver tumors are hemangiomas (which are a cluster of abnormal blood vessels forming a swelling), and adenomas (which are clumps or knots of liver tissue). The most common malignant liver cancers are hepatocellular carcinoma (80% of cases) which arises from the liver cells themselves, and is also known as ahepatoma (a poor name for liver cancer, since it sounds benign). Cholangiocarcinoma (15% of cases) arises from bile ducts in the liver as they proceed down toward the gallbladder. A Klatskin tumor is a cholangiocarcinoma located at where the gall bladder meets the liver. Rare types of liver cancer include the angiosarcoma (which arises from the blood vessels in the liver), lymphomas (from the immune cells in the liver) and carcinoids (from hormone making liver cells). The liver is a very common place for cancers originating in other body organs to spread to; since it offers a soft, spongy blood-rich surface for metastatic "seeds" to grow. If their are multiple areas of cancer in the liver, the chances are much higher that it began in some other organ and then spread to the liver. Bowel, lung, breast, bladder, prostate and esophagus cancers have particular propensities for liver spread. These are not considered "primary" liver cancer, and their treatment upon spread is discussed in their particular transcripts.
What Causes or Increases Risk for Liver Cancer?
As for any cancer, the exact reason why any one person gets liver cancer and another doesn't remains unknown . However, several things have been noted which increase the risk, called"risk factors":
1. Chronic Hepatitis can lead to changes in the liver cells associated with the most common type of liver cancer, hepatocellular carcinoma (HCC).
a)Hepatitis B -- evidence of prior infection is found in 75% of liver cancer patients worldwide. It can lead to cirrhosis, below. The more common Hepatitis A (spread by feces) isn't associated with liver cancer.
b)Carcinogens (chemicals inducing cancer) such as aflatoxin food contamination (used by Iraq on the Kurds) and nitrosamines.
2. Cirrhosis of the liver (the liver can shrink up and become fibrous and fatty in response to chronic irritation). Causes of cirrhosis include:
a) Alcoholism-- alcoholic cirrhosis leads to 5% of liver cancer.
b)Hemochromatosis is an overload of iron in the liver. 20% of patients who get cirrhosis from the overload may develop HCC.
c)Alpha1- antitrypsin deficiency is a rare condition where a necessary enzyme is lacking to break down waste products in the liver and lung. HCC can develop in 40% of patients who get this type of cirrhosis.
3. Miscellaneous irritants to the liver including:
a) Polyvinyl Chloride (PVC) is linked to angiosarcoma.
b)Liver flukes are linked with bile duct cancer in China.
c) Thorotrast is a contrast dye for radiology studies no longer used after being linked to angiosarcoma.
d)Radiation Exposure can lead to liver sarcomas, sometimes as long as 5 decades after the exposure.The common thread to liver cancer risk factors is chronic irritation, which causes the liver cells to divide more quickly than they ordinarily would to repair perceived damage. The more often cells divide, the more the chance for a genetically abnormal one to arise, with the gene changes leading to it's becoming cancerous.
What are the symptoms of Liver Cancer?
The most common symptoms of liver cancer are from a massive tumor growing in the liver, or even liver failure. A very early cancer will have no symptoms, since it is too small to cause any. As it enlarges, common symptoms include:
1.Pain in the right upper abdominal area caused by stretching of the liver's capsule, which is rich in nerves. The liver may then extend below the righ costal margin ("hepatomegaly") and be painful to probe.
2. Weight Loss and loss of appetite; the liver is a digestive organ.
3. Swelling of the abdomen (called "ascites" pronounced a-site-ees) from the liver failing to produce the protein required to hold the blood's fluid in the blood vessels, so it migrates out to fill the abdomen, scrotum and limbs.
4. Cirrhosis signs like breast swelling in males (from the liver failing to break down estrogens) and little spider shaped veins (angiomata) seen on the skin. Another sign of liver failure is very red palms ("palmar erythema").
5. Blood clotting problems leading to intestinal bleeding and bruises on the skin. The liver normally uses vitamin K from the diet and intestinal bacteria sources to synthesize the clotting factor ("prothrombin") necessary for life.
6.Fatigue and eventually coma from buildup of ammonia in the body.
7. Jaundice and light stools, from blockage of the bile draining system. Also looser and smellier stools may be seen, ("steatorrhea") indicating poor breakdown of fats in the digestive tract. Jaundice normally produces itching (pruritis) when it becomes marked. The first area notable for jaundice, caused by theliver's failure to clear bilirubin, is the whites of the eyes ("scleral icterus").
8. Paraneoplastic syndromes means unusual symptoms caused by chemical alterations in the body either from the liver failing or secretions from the tumor cells themselves. These include elevated blood calcium, low blood sugar, anemias, precocious puberty in children, intense flushing, and other metabolicdisturbances. These syndromes often will be alleviated with cancer shrinkage.
9. Signs of Distant Spread include bone pain, neurological symptoms from brain involvement, and intestinal blockage. These all indicate advanced disease.
How is Liver Cancer Diagnosed and Evaluated?
Since liver cancer is unusual, and it's symptoms mimic many other conditions, there is commonly a delay in making the diagnosis while the cancer grows larger. Unfortunately, most patients have advanced disease by the time the diagnosis is made. Important steps to diagnosing liver cancer include:
1. A high"index of suspicion" in patients with a history of chronic hepatitis, alcoholic cirrhosis, toxin exposure, or the rare genetic diseases which increase risk.
2. A Complete Physical Exam especially looking for signs of a tumor in the upper right abdomen and signs of liver failure like body swelling and bruising. Other organs (i.e. rectum, prostate, breast) are examined to see if a primary tumor has arisen there, and possibly spread to the liver.
3. Blood Tests including a complete blood count (CBC) to look for anemia or infection, and a blood chemistry panel(SMA) which tells about liver function and general metabolism. The most commonly elevated blood tests with liver damage are AST, ALT, GGT and alkaline phosphatase . These are all enzymes that are released into the bloodstream when liver cells die. Also, a hepatitis panel is appropriate. Blood clotting studies (PT/PTT) are gotten both to assess liver function and a part of a pre-surgical screen if surgery is a possibility. There is a "tumor marker" to help diagnosis liver cancer. In HCC patients, especially younger ones, the "alpha-fetoprotein" (AFP) blood test is elevated in over 50% but it may represent some other malignancy besides liver cancer. If it is elevated, it will usually return to normal with successful treatment.
4. Radiologic Tests, include standard Chest X-ray to look for infection or tumor in the lungs. Ultrasound (US) remains useful for looking at the shape of the liver, identifying a tumor, and tracking the progress of therapy. Ultrasound doesn't use any radiation (just sound waves) and is very safe in children and pregnant women. However, the results are very dependent upon the skill of the technician performing the test, and if something is found then a CT scan will be ordered anyway. A CT scan is very accurate for detecting tumors larger than 1 cm, it does use radiation like a series of multiple X-rays which are joined together. If contrast is injected into an arm vein for a CT scan, the blood vessel of the liver will be more clearly visible. It is best to ask for "omnipaque" or equivalent contrast, which is more expensive but less likely to cause an allergic reaction. The The CT scan isn't technician dependent, and is very good for showing extension of the tumor into nearby organs and enlarged lymph glands in the vicinity of the tumor, which can represent spread to them. Other tests to visualize cancer are arteriography, where some contrast dye is injected and special X-rays are taken that show the shape of the tumor's blood vessels. Another test is the MRI scan which uses no radiation, shows the organs in the abdomen very clearly and is excellent for showing local spread and imaging nearby lymph glands. The MRI can also be given with contrast ("gadolinium") to better show the blood vessels. However, it is expensive ($1000) and requires the patient to lie almost perfectly still for an hour to be accurate. These tests are gotten to evaluate a patient for possible surgery or check their response to therapy. Other more exotic tests, such as bone scans, liver-spleen scans, or CT scans of the brain are only gotten if their are symptoms is these particular areas, and the therapy will be changed depending upon the results of these tests.5. The only way to absolutely diagnose any cancer is by getting a piece of it fo analysis, that is a biopsy of the tumor. This biopsy may be obtained by a fine needle under local anesthesia, in the radiology department using ultrasound or CAT scan to guide the needle into the tumor. Several samples are usually taken for accuracy. Risks of biopsy include spilling the tumor or bleeding the from puncturing blood vessels in the tumor, this may require an emergency operation to stop bleeding. Overall fine-needle biopsy is safe and effective; i is a very common procedure in hospital Interventional Radiology Departments The biopsy material is examined by a pathologist, a physician who specializes in diagnosing diseases from tissue samples. If cancer is detected, he will specify the particulartype, and the grade (I,II or III) which tells how aggressive the cancer is likely to be. Higher grade cancers (III ) look more "malignant" under the microscope, with numerous cell divisions and cells scantly resembling normal liver tissue. They tend to be more aggressive (likely to grow very quickly and spread). On the other hand, low grade (I ) tumors have fewer cell divisions and look much like the normal liver tissue they arose from. They are considered more "indolent" (slow growing) and less likely for early spread. Grade II tumors are considered intermediate in appearance and behavior.There can be more than one grade (or even type) of cancer in a given specimen, this is called a "mixed tumor" . If there is any doubt, more than one pathologist should review the biopsy material, since pathologists do not always agree on the diagnosis. Pathologist's themselves (obviously) know this andwill normally request a review upon any biopsy they are unsure of. It is also obviously important for the pathologist to state whether the tumor has arisen from the liver primarily, or has spread there from some other organ. Occasionally it is strongly felt the tumor did not arise in the liver, since it does not have a resemblance to liver tissue. On the other hand, it may be difficult or impossible to say just where it originated. This is called "cancer of unknown primary" and is thoroughly investigated with emphasis on re-examining the liver biopsy.
The liver is a digestive organ necessary for life. Besides helping produce bile for digestion, it produces clotting factors for the blood, essential protiens, regulates cholesterol and detoxifies drugs and poisons. The liver is very resilient, but when it develops cancer can fail quickly, leading to rapid demise of the patient.
The liver is an organ in the abdomen which is necessarily to live . It is mostly located behind the right ribcage, and when it becomes enlarged it protrudes below the right ribcage ("right costal margin"). It is composed of right and left "lobes", and a smaller "quadrate" lobe. Thegall bladder hangs down from the bottom of the liver, collecting greenish bile from it. The liver has as a major blood supply the "hepatic artery" which comes off of the aorta. The "hepatic vein" collects nutrients and drugs from the intestines and delivers them to the liver for processing. The liver drains blood via the large "inferior vena cava", directly into the heart. There is also a system of draining "lymph glands" around the liver which help to purify the blood. These lymph glands are connected via "lymph channels" which ultimately drain back into the bloodstream via the "left thoracic duct"; they are important as they may serve as conduits for spread of infections or cancer. The liver has a "capsule" around it which contains nerve endings, accounting for pain when the liver enlarges and stretches it's capsule. The damaged liver has an amazing ability to regenerate itself. The body needs only about 10% of the liver to live, and if a piece is cut out or injured, it can grow back. Sometimes, however, the liver gets chronic diseases which impair it's ability to regenerate. It can become infiltrated with fat ("steatosis"), shrink from chronic alcohol or viral exposure ("cirrhosis") or grow large from infection or a blocked blood drainage ("hepatomegly") . Any inflammation of the liver, whether caused by germs, drugs, or radiation, is called hepatitis . A damaged liver may heal, or may slowly fail and require liver transplant to save the patient's life The liver is an astounding laboratory sustaining metabolism. Among it's functions are purification of the blood, removing poisonous ammonia from proteins, detoxifying alcohol and drugs, controlling the body's sugar and cholesterol balance, making bile to digest fats, forming clotting factors for the blood and generating new blood cells. This myriad of functions makes clear why the liver is essential to life.
What is Liver Cancer?
The cells in the liver are meant to divide to replace those that die of injury or old age. Like all cell division in the body, this process is tightly controlled to proceed in an orderly manner, and controlled by the "genes" within each cell. Liver cancer starts within a single cell. Something changes the control mechanisms within this cell, and it starts dividing in a disorganized, uncontrolled manner. The abnormal cell makes millions of copies of itself, called "clones". They fail to perform the normal functions of liver cells, but are only intent on dividing to make more copies of themselves. Eventually these abnormal cells form a clump, ortumor. A tumor is merely a swelling, and isn't necessarily cancerous. A benign tumor just grows in it's local area, and although it may become very large it doesn't spread and isn't cancer. By contrast, a malignant tumor is cancer and has a capacity to spread to any area of the body. This process of spread is called metastasis . It is this capacity to spread to other vital organs that makes cancer so dangerous.
How Common is Liver Cancer?
Liver cancer is fairly uncommon in the U.S.A. with20,000 new cases and 15,000 deaths each year in the United States. It represents about 2% of all new cancers. About 3000 of the cases are in the liver itself, the remainder are in the Gall Bladder and bile drainage ducts. However, in Asia and Africa liver cancers are one of the most common cancers. Males are effected slightly more commonly than females, and the average patient is 50 years old. By contrast, benign liver tumors are more common in females and tend to occur at a younger age. Overall the death rate from liver cancer has dropped in the U.S.A. over the past 50 years. This is both from a decline in the number of cases, and better treatment for the disease.
What are the Types of Liver Tumors?
The most common types of benign liver tumors are hemangiomas (which are a cluster of abnormal blood vessels forming a swelling), and adenomas (which are clumps or knots of liver tissue). The most common malignant liver cancers are hepatocellular carcinoma (80% of cases) which arises from the liver cells themselves, and is also known as ahepatoma (a poor name for liver cancer, since it sounds benign). Cholangiocarcinoma (15% of cases) arises from bile ducts in the liver as they proceed down toward the gallbladder. A Klatskin tumor is a cholangiocarcinoma located at where the gall bladder meets the liver. Rare types of liver cancer include the angiosarcoma (which arises from the blood vessels in the liver), lymphomas (from the immune cells in the liver) and carcinoids (from hormone making liver cells). The liver is a very common place for cancers originating in other body organs to spread to; since it offers a soft, spongy blood-rich surface for metastatic "seeds" to grow. If their are multiple areas of cancer in the liver, the chances are much higher that it began in some other organ and then spread to the liver. Bowel, lung, breast, bladder, prostate and esophagus cancers have particular propensities for liver spread. These are not considered "primary" liver cancer, and their treatment upon spread is discussed in their particular transcripts.
What Causes or Increases Risk for Liver Cancer?
As for any cancer, the exact reason why any one person gets liver cancer and another doesn't remains unknown . However, several things have been noted which increase the risk, called"risk factors":
1. Chronic Hepatitis can lead to changes in the liver cells associated with the most common type of liver cancer, hepatocellular carcinoma (HCC).
a)Hepatitis B -- evidence of prior infection is found in 75% of liver cancer patients worldwide. It can lead to cirrhosis, below. The more common Hepatitis A (spread by feces) isn't associated with liver cancer.
b)Carcinogens (chemicals inducing cancer) such as aflatoxin food contamination (used by Iraq on the Kurds) and nitrosamines.
2. Cirrhosis of the liver (the liver can shrink up and become fibrous and fatty in response to chronic irritation). Causes of cirrhosis include:
a) Alcoholism-- alcoholic cirrhosis leads to 5% of liver cancer.
b)Hemochromatosis is an overload of iron in the liver. 20% of patients who get cirrhosis from the overload may develop HCC.
c)Alpha1- antitrypsin deficiency is a rare condition where a necessary enzyme is lacking to break down waste products in the liver and lung. HCC can develop in 40% of patients who get this type of cirrhosis.
3. Miscellaneous irritants to the liver including:
a) Polyvinyl Chloride (PVC) is linked to angiosarcoma.
b)Liver flukes are linked with bile duct cancer in China.
c) Thorotrast is a contrast dye for radiology studies no longer used after being linked to angiosarcoma.
d)Radiation Exposure can lead to liver sarcomas, sometimes as long as 5 decades after the exposure.The common thread to liver cancer risk factors is chronic irritation, which causes the liver cells to divide more quickly than they ordinarily would to repair perceived damage. The more often cells divide, the more the chance for a genetically abnormal one to arise, with the gene changes leading to it's becoming cancerous.
What are the symptoms of Liver Cancer?
The most common symptoms of liver cancer are from a massive tumor growing in the liver, or even liver failure. A very early cancer will have no symptoms, since it is too small to cause any. As it enlarges, common symptoms include:
1.Pain in the right upper abdominal area caused by stretching of the liver's capsule, which is rich in nerves. The liver may then extend below the righ costal margin ("hepatomegaly") and be painful to probe.
2. Weight Loss and loss of appetite; the liver is a digestive organ.
3. Swelling of the abdomen (called "ascites" pronounced a-site-ees) from the liver failing to produce the protein required to hold the blood's fluid in the blood vessels, so it migrates out to fill the abdomen, scrotum and limbs.
4. Cirrhosis signs like breast swelling in males (from the liver failing to break down estrogens) and little spider shaped veins (angiomata) seen on the skin. Another sign of liver failure is very red palms ("palmar erythema").
5. Blood clotting problems leading to intestinal bleeding and bruises on the skin. The liver normally uses vitamin K from the diet and intestinal bacteria sources to synthesize the clotting factor ("prothrombin") necessary for life.
6.Fatigue and eventually coma from buildup of ammonia in the body.
7. Jaundice and light stools, from blockage of the bile draining system. Also looser and smellier stools may be seen, ("steatorrhea") indicating poor breakdown of fats in the digestive tract. Jaundice normally produces itching (pruritis) when it becomes marked. The first area notable for jaundice, caused by theliver's failure to clear bilirubin, is the whites of the eyes ("scleral icterus").
8. Paraneoplastic syndromes means unusual symptoms caused by chemical alterations in the body either from the liver failing or secretions from the tumor cells themselves. These include elevated blood calcium, low blood sugar, anemias, precocious puberty in children, intense flushing, and other metabolicdisturbances. These syndromes often will be alleviated with cancer shrinkage.
9. Signs of Distant Spread include bone pain, neurological symptoms from brain involvement, and intestinal blockage. These all indicate advanced disease.
How is Liver Cancer Diagnosed and Evaluated?
Since liver cancer is unusual, and it's symptoms mimic many other conditions, there is commonly a delay in making the diagnosis while the cancer grows larger. Unfortunately, most patients have advanced disease by the time the diagnosis is made. Important steps to diagnosing liver cancer include:
1. A high"index of suspicion" in patients with a history of chronic hepatitis, alcoholic cirrhosis, toxin exposure, or the rare genetic diseases which increase risk.
2. A Complete Physical Exam especially looking for signs of a tumor in the upper right abdomen and signs of liver failure like body swelling and bruising. Other organs (i.e. rectum, prostate, breast) are examined to see if a primary tumor has arisen there, and possibly spread to the liver.
3. Blood Tests including a complete blood count (CBC) to look for anemia or infection, and a blood chemistry panel(SMA) which tells about liver function and general metabolism. The most commonly elevated blood tests with liver damage are AST, ALT, GGT and alkaline phosphatase . These are all enzymes that are released into the bloodstream when liver cells die. Also, a hepatitis panel is appropriate. Blood clotting studies (PT/PTT) are gotten both to assess liver function and a part of a pre-surgical screen if surgery is a possibility. There is a "tumor marker" to help diagnosis liver cancer. In HCC patients, especially younger ones, the "alpha-fetoprotein" (AFP) blood test is elevated in over 50% but it may represent some other malignancy besides liver cancer. If it is elevated, it will usually return to normal with successful treatment.
4. Radiologic Tests, include standard Chest X-ray to look for infection or tumor in the lungs. Ultrasound (US) remains useful for looking at the shape of the liver, identifying a tumor, and tracking the progress of therapy. Ultrasound doesn't use any radiation (just sound waves) and is very safe in children and pregnant women. However, the results are very dependent upon the skill of the technician performing the test, and if something is found then a CT scan will be ordered anyway. A CT scan is very accurate for detecting tumors larger than 1 cm, it does use radiation like a series of multiple X-rays which are joined together. If contrast is injected into an arm vein for a CT scan, the blood vessel of the liver will be more clearly visible. It is best to ask for "omnipaque" or equivalent contrast, which is more expensive but less likely to cause an allergic reaction. The The CT scan isn't technician dependent, and is very good for showing extension of the tumor into nearby organs and enlarged lymph glands in the vicinity of the tumor, which can represent spread to them. Other tests to visualize cancer are arteriography, where some contrast dye is injected and special X-rays are taken that show the shape of the tumor's blood vessels. Another test is the MRI scan which uses no radiation, shows the organs in the abdomen very clearly and is excellent for showing local spread and imaging nearby lymph glands. The MRI can also be given with contrast ("gadolinium") to better show the blood vessels. However, it is expensive ($1000) and requires the patient to lie almost perfectly still for an hour to be accurate. These tests are gotten to evaluate a patient for possible surgery or check their response to therapy. Other more exotic tests, such as bone scans, liver-spleen scans, or CT scans of the brain are only gotten if their are symptoms is these particular areas, and the therapy will be changed depending upon the results of these tests.5. The only way to absolutely diagnose any cancer is by getting a piece of it fo analysis, that is a biopsy of the tumor. This biopsy may be obtained by a fine needle under local anesthesia, in the radiology department using ultrasound or CAT scan to guide the needle into the tumor. Several samples are usually taken for accuracy. Risks of biopsy include spilling the tumor or bleeding the from puncturing blood vessels in the tumor, this may require an emergency operation to stop bleeding. Overall fine-needle biopsy is safe and effective; i is a very common procedure in hospital Interventional Radiology Departments The biopsy material is examined by a pathologist, a physician who specializes in diagnosing diseases from tissue samples. If cancer is detected, he will specify the particulartype, and the grade (I,II or III) which tells how aggressive the cancer is likely to be. Higher grade cancers (III ) look more "malignant" under the microscope, with numerous cell divisions and cells scantly resembling normal liver tissue. They tend to be more aggressive (likely to grow very quickly and spread). On the other hand, low grade (I ) tumors have fewer cell divisions and look much like the normal liver tissue they arose from. They are considered more "indolent" (slow growing) and less likely for early spread. Grade II tumors are considered intermediate in appearance and behavior.There can be more than one grade (or even type) of cancer in a given specimen, this is called a "mixed tumor" . If there is any doubt, more than one pathologist should review the biopsy material, since pathologists do not always agree on the diagnosis. Pathologist's themselves (obviously) know this andwill normally request a review upon any biopsy they are unsure of. It is also obviously important for the pathologist to state whether the tumor has arisen from the liver primarily, or has spread there from some other organ. Occasionally it is strongly felt the tumor did not arise in the liver, since it does not have a resemblance to liver tissue. On the other hand, it may be difficult or impossible to say just where it originated. This is called "cancer of unknown primary" and is thoroughly investigated with emphasis on re-examining the liver biopsy.
The liver is a digestive organ necessary for life. Besides helping produce bile for digestion, it produces clotting factors for the blood, essential protiens, regulates cholesterol and detoxifies drugs and poisons. The liver is very resilient, but when it develops cancer can fail quickly, leading to rapid demise of the patient.
Hearts Flying High
Some updates of my photos we have been taking last fews months.. i am so happy today cos.. haha not able to tell now.. after today bah.. then i will update what i am happy about.. heehee a bit of clue.. Dear and me be going to watch "ALL ABOUT LOVE" today.. free tickets wor.. hee how i got it? from Channel U loh.. lalala.. hee hee..
I update those photo yesterday .. Dear very cute ask me does he need to go out in order to let me update my blog.. haha well no need since you going to look at it later you dun have too.. and nothing to hide from you too.. privacy thingy ma.. well dun keep askign me when i am writing can le.. hem.. actually.. after updating i dun wish ppl to ask too.. whatever writen is all inside blog.. those not inside is do not wish to talk about.. so pls pls.. i dun wish history to repeat again k? (^_*) Love you Dear
Some updates of my photos we have been taking last fews months.. i am so happy today cos.. haha not able to tell now.. after today bah.. then i will update what i am happy about.. heehee a bit of clue.. Dear and me be going to watch "ALL ABOUT LOVE" today.. free tickets wor.. hee how i got it? from Channel U loh.. lalala.. hee hee..
I update those photo yesterday .. Dear very cute ask me does he need to go out in order to let me update my blog.. haha well no need since you going to look at it later you dun have too.. and nothing to hide from you too.. privacy thingy ma.. well dun keep askign me when i am writing can le.. hem.. actually.. after updating i dun wish ppl to ask too.. whatever writen is all inside blog.. those not inside is do not wish to talk about.. so pls pls.. i dun wish history to repeat again k? (^_*) Love you Dear
Saturday, October 22, 2005
Friday, October 21, 2005
Nightmare
I thought my problems has solve most of it.. but in fact there is a lot hidden inside a cave.. now.. it is all coming out.. out.. haiz... Money.. i really need it.. alot.. think my planning for now is to work part time other than my currently job..
Updates of yesterday..
Two Words.. NOT GOOD.. next thursday going back again to decide what has to be done.. so afriad to lose my dad.. and his confident he be alright.. what he said yesterday really make me scare.. although he is not afriad to die.. i guess he cannot bear to leave us too.. when i say no not enough.. i saw his eyes red red too.. and i am so useless to drop tears in front of him.. but i quick run back to my room to hug my dear.. *sob*
Read quite a fews article on liver tumor.. i dun like what is written inside.. they all dun have good comment on tumor inside liver... there must be cure for this.. not just a year or two.. dun wish to say too much.. maybe i will update later as be going to toro san home.. haiz.. see ya
Hope Dad be back healthy again..
I thought my problems has solve most of it.. but in fact there is a lot hidden inside a cave.. now.. it is all coming out.. out.. haiz... Money.. i really need it.. alot.. think my planning for now is to work part time other than my currently job..
Updates of yesterday..
Two Words.. NOT GOOD.. next thursday going back again to decide what has to be done.. so afriad to lose my dad.. and his confident he be alright.. what he said yesterday really make me scare.. although he is not afriad to die.. i guess he cannot bear to leave us too.. when i say no not enough.. i saw his eyes red red too.. and i am so useless to drop tears in front of him.. but i quick run back to my room to hug my dear.. *sob*
Read quite a fews article on liver tumor.. i dun like what is written inside.. they all dun have good comment on tumor inside liver... there must be cure for this.. not just a year or two.. dun wish to say too much.. maybe i will update later as be going to toro san home.. haiz.. see ya
Hope Dad be back healthy again..
Wednesday, October 19, 2005
..::..A new chapter of Love Story..::..
Another 12 days more and it be 6 Month Anniversary. 6 months = Half a year.. Wah.. we have been together for so long le ah.. actually *haha got to bring it up again* we should have been together for much longer.. *counting the days* should be starting around March bah..
Hmm this month a bit budget tight.. so cannot spend too much.. was wondering 6 months le.. what can we do to have a more memorable anniversary? hmm thinking and thinking.. but most important not to forget.. WE MUST TAKE PHOTOS for this day 01/11/2005 to mark our days... *turning to dear* "Shall we go zoo on the first??" *waiting for the answer*
Zoo is some place i always want to go.. always did not have the chance and always not able to find the right person to go.. well.. this time round just we two go hao ma? *erm den who is going to take photo for us??* haha *Heizhu already start packing bag for zoo outing... Camera, Sandwich,Cap,.....*
Trying hard to forget what had happen.. and looking forward i know tomolo be a day to go hospital again.. pray for me hao ma? The result hope will not be that bad.. hmm problems... but one happy thing is alot of problem has been solve.. like sis house, hospital bills... and living together... haiz.. finding another part time job now.. always cannot find somethign suitable.. GV pay too low.. and i try to find those cafe job.. hope to have some luck these fews day.. Dear please dun blame me for neglecting you k.. you know my reason.. Love You Lots, Muacks
Another 12 days more and it be 6 Month Anniversary. 6 months = Half a year.. Wah.. we have been together for so long le ah.. actually *haha got to bring it up again* we should have been together for much longer.. *counting the days* should be starting around March bah..
Hmm this month a bit budget tight.. so cannot spend too much.. was wondering 6 months le.. what can we do to have a more memorable anniversary? hmm thinking and thinking.. but most important not to forget.. WE MUST TAKE PHOTOS for this day 01/11/2005 to mark our days... *turning to dear* "Shall we go zoo on the first??" *waiting for the answer*
Zoo is some place i always want to go.. always did not have the chance and always not able to find the right person to go.. well.. this time round just we two go hao ma? *erm den who is going to take photo for us??* haha *Heizhu already start packing bag for zoo outing... Camera, Sandwich,Cap,.....*
Trying hard to forget what had happen.. and looking forward i know tomolo be a day to go hospital again.. pray for me hao ma? The result hope will not be that bad.. hmm problems... but one happy thing is alot of problem has been solve.. like sis house, hospital bills... and living together... haiz.. finding another part time job now.. always cannot find somethign suitable.. GV pay too low.. and i try to find those cafe job.. hope to have some luck these fews day.. Dear please dun blame me for neglecting you k.. you know my reason.. Love You Lots, Muacks
After Terror...
Finally we talk out about what happen.. why am i treating him so coldly.. i know no one will like that .. even i dun.. i was told i simply stop those care to him.. well i told him how i felt.. i need time.. i must thanks Dear for not doing what i did to him back to me.. i guess i might not hold on and give up if that is me... i am truely sorry.. you need not to be sorry of those hurt you have given me.. i dun blame you.. when you ask how is my hand? i dun intend to tell you... hmm it is really nothing at all.. physical hurt is not more than mental de.. dear.. you understand?
Went to wlny to see how the outcome for what i had post yesterday.. it make me clear and more possible.. it might be him who did those thingy in my cbox.. those things he said i really got to "pei fu" him.. can make up those things that did not happen.. lucky i did tell all to Dear what had happen.. nothing but truth.. ok sorry dear i know i should not be bringing him up again.. last time k..
From the posting in wlny make me recalls some thing happen a fews month back.. now i understand how that guy feel when he is in between two gers.. and one is his loved one.
ZZZ!!! let me summarize this story ok:so-called '3rd party' and this guy met. started to be frens. this guy FAKE and say no gf. then '3rd' likes him. BUT, this guy nv FALL for her before. so they nv fall for each other like wat jinni said. then this guy went back to the gf, actually not say went back, cuz nv broke before. just admitted his mistake. as to why the guy behaves that way, it's either he's the fool ard type (if so, then why '3rd' u still wants to like him leh), or maybe he in bad mood quarreled with gf, so do that to spite gf. so now he made up with the gf liao, he's happily with gf. then 3rd also know the truth. so everyone move on with ur lives and stop this chilidish and waste time game ok.
At that moment of time i dun understand why would he still chose to go back his gf, and why would his gf forgivehim.. well now i understand.. gf accept him as she still love him a lot unable to put down.. and that apply to my dear too.. he loves me *right dea?* As for the guy.. guess at the moment of foolish he went fling around and causes so much trouble.. just like me.. but guess both of us manage to awake in time to find out who do we really love and that is why we chosen the one we love.. the short term so-called "relationshp" was not even counted as one.. the ger might just be fooling around with that guy..
Whatever it is.. story has end.. so no more things for you all to see ... it be another new start for other story...
Finally we talk out about what happen.. why am i treating him so coldly.. i know no one will like that .. even i dun.. i was told i simply stop those care to him.. well i told him how i felt.. i need time.. i must thanks Dear for not doing what i did to him back to me.. i guess i might not hold on and give up if that is me... i am truely sorry.. you need not to be sorry of those hurt you have given me.. i dun blame you.. when you ask how is my hand? i dun intend to tell you... hmm it is really nothing at all.. physical hurt is not more than mental de.. dear.. you understand?
Went to wlny to see how the outcome for what i had post yesterday.. it make me clear and more possible.. it might be him who did those thingy in my cbox.. those things he said i really got to "pei fu" him.. can make up those things that did not happen.. lucky i did tell all to Dear what had happen.. nothing but truth.. ok sorry dear i know i should not be bringing him up again.. last time k..
From the posting in wlny make me recalls some thing happen a fews month back.. now i understand how that guy feel when he is in between two gers.. and one is his loved one.
ZZZ!!! let me summarize this story ok:so-called '3rd party' and this guy met. started to be frens. this guy FAKE and say no gf. then '3rd' likes him. BUT, this guy nv FALL for her before. so they nv fall for each other like wat jinni said. then this guy went back to the gf, actually not say went back, cuz nv broke before. just admitted his mistake. as to why the guy behaves that way, it's either he's the fool ard type (if so, then why '3rd' u still wants to like him leh), or maybe he in bad mood quarreled with gf, so do that to spite gf. so now he made up with the gf liao, he's happily with gf. then 3rd also know the truth. so everyone move on with ur lives and stop this chilidish and waste time game ok.
At that moment of time i dun understand why would he still chose to go back his gf, and why would his gf forgivehim.. well now i understand.. gf accept him as she still love him a lot unable to put down.. and that apply to my dear too.. he loves me *right dea?* As for the guy.. guess at the moment of foolish he went fling around and causes so much trouble.. just like me.. but guess both of us manage to awake in time to find out who do we really love and that is why we chosen the one we love.. the short term so-called "relationshp" was not even counted as one.. the ger might just be fooling around with that guy..
Whatever it is.. story has end.. so no more things for you all to see ... it be another new start for other story...
Tuesday, October 18, 2005
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This two songs has been running into my mind again and again last night.. Something "big" happen last night.. dun wish to talk about it le.. i have said.. i wish to forget.. why bring all up? that does not help.. Still flashing back yesterdya night what had happen.. a terror to me bah.. but have to swallow it... recalling yesterday after i read my past blog in April.. i dunno will my feeling be still the same.. Going to lunch tiem soon.. i dunno recall anything le.. one thing i should comment .. i can really sleep.. fall asleep at 8 plus last night, wake up at 10 plus.. it continue again around 11 bah.. wah.. i can really sleep
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This two songs has been running into my mind again and again last night.. Something "big" happen last night.. dun wish to talk about it le.. i have said.. i wish to forget.. why bring all up? that does not help.. Still flashing back yesterdya night what had happen.. a terror to me bah.. but have to swallow it... recalling yesterday after i read my past blog in April.. i dunno will my feeling be still the same.. Going to lunch tiem soon.. i dunno recall anything le.. one thing i should comment .. i can really sleep.. fall asleep at 8 plus last night, wake up at 10 plus.. it continue again around 11 bah.. wah.. i can really sleep
Monday, October 17, 2005
Liars & Empty Promise
Looking from WLNY i know someone has got attach.. This is something i should feel happy for him.. although not able to talk about this to Toro as it is still something unhappy between us..(it make me feel to let go sometime) so i should to write it down here...and bury it deep down inside my heart..
A passerby ask.. am i happy for this relationship? Should I answer a YES or NO? I am happy with my bf now.. why should i be having those hurt feeling when i know he is attach? YES i am hurt to know he is attach but where on earth do i have the authority to be hurt? so my answer is a NO .. i am not.. i wish them well and hope my dear would forget all this sooner or later..
Empty promise.. i hate people to give me this.. but i did it to someone.. well.. i run away from from problem and chose to stick to what i have now.. i dun regret.. really i dun.. cos i know he do love me too.. do you still? i guess your love should all be divert to her now.. ya she will not lie and promises between you two are made to fulfill together..
I would now be just passerby.. a unknown person to all.. finally i made the decision to disappear.. from my own heart..
Looking from WLNY i know someone has got attach.. This is something i should feel happy for him.. although not able to talk about this to Toro as it is still something unhappy between us..(it make me feel to let go sometime) so i should to write it down here...and bury it deep down inside my heart..
A passerby ask.. am i happy for this relationship? Should I answer a YES or NO? I am happy with my bf now.. why should i be having those hurt feeling when i know he is attach? YES i am hurt to know he is attach but where on earth do i have the authority to be hurt? so my answer is a NO .. i am not.. i wish them well and hope my dear would forget all this sooner or later..
Empty promise.. i hate people to give me this.. but i did it to someone.. well.. i run away from from problem and chose to stick to what i have now.. i dun regret.. really i dun.. cos i know he do love me too.. do you still? i guess your love should all be divert to her now.. ya she will not lie and promises between you two are made to fulfill together..
I would now be just passerby.. a unknown person to all.. finally i made the decision to disappear.. from my own heart..
Tired and Cough
It is monday again.. soo sooo sooooo tired.. hmm always did not manage to watch finish " My date with a vampire" i will doze off le.. as usual lifestyle.. saturday fetch my dad back home then again travel down to jurong to find dear.. Dear really treat me so good.. i say i am craving for BK he went to IMM to buy it for me while i was on my way.. haha although we calculate the timing should be right when i reach.. in the end due to dear searching for mosquito i waited for him downstair till he come back with my fav mushroom swiss.. hee hee..
Last saturday guess i really ate a lot.. imagine i had "Yong Tau foo" for lunch then meet dear le we have BK then right after that Dear was not full so he got himself rice and soup to eat.. as for me i dun like rice so i drink the soup.. *erm.. i should say it is a big bowl with lots of ingredient inside*
After that we rest for a while.. haha GB again.. then saw kor online so ask where he is loh.. They were going to Green Forest that day.. so we decided to join them there for a while.. haha i am a bad nagvigator.. as we park our car quite far up, so we had to walk a long way to meet up with kor and then walk to Green Forest.... hmm overall.. that is a cozy place with not much crowd.. unlike FP no cute ladies there to serve you.. but i should say their songs is quite up to date.. the pool table is better than those pub.. and those greeny plants..and fishes..
Pool Game.. that night i play not bad wor.. but still lose to next table gers.. erm or should i say XXXXX... hmm i dun understand why that night all guys told me that guy very li hai.. zzzzzzz.. cannot they see is a lady?? hmm... Dear skill did not perform all out.. i know he can perform much better..
Overall comment : Green Forest give you a feeling to relax and the greeny thingy dun freak you out.. unlike when you really walking through forest.. there a lots of entertanment to let you play.. but those pub smelly is one thing i cannot accept.. although the place is not smoky but the cigrette smell is still there.. I dun mind to go there again.. but will refrain bah.. and see how dear feels about it..
It is monday again.. soo sooo sooooo tired.. hmm always did not manage to watch finish " My date with a vampire" i will doze off le.. as usual lifestyle.. saturday fetch my dad back home then again travel down to jurong to find dear.. Dear really treat me so good.. i say i am craving for BK he went to IMM to buy it for me while i was on my way.. haha although we calculate the timing should be right when i reach.. in the end due to dear searching for mosquito i waited for him downstair till he come back with my fav mushroom swiss.. hee hee..
Last saturday guess i really ate a lot.. imagine i had "Yong Tau foo" for lunch then meet dear le we have BK then right after that Dear was not full so he got himself rice and soup to eat.. as for me i dun like rice so i drink the soup.. *erm.. i should say it is a big bowl with lots of ingredient inside*
After that we rest for a while.. haha GB again.. then saw kor online so ask where he is loh.. They were going to Green Forest that day.. so we decided to join them there for a while.. haha i am a bad nagvigator.. as we park our car quite far up, so we had to walk a long way to meet up with kor and then walk to Green Forest.... hmm overall.. that is a cozy place with not much crowd.. unlike FP no cute ladies there to serve you.. but i should say their songs is quite up to date.. the pool table is better than those pub.. and those greeny plants..and fishes..
Pool Game.. that night i play not bad wor.. but still lose to next table gers.. erm or should i say XXXXX... hmm i dun understand why that night all guys told me that guy very li hai.. zzzzzzz.. cannot they see is a lady?? hmm... Dear skill did not perform all out.. i know he can perform much better..
Overall comment : Green Forest give you a feeling to relax and the greeny thingy dun freak you out.. unlike when you really walking through forest.. there a lots of entertanment to let you play.. but those pub smelly is one thing i cannot accept.. although the place is not smoky but the cigrette smell is still there.. I dun mind to go there again.. but will refrain bah.. and see how dear feels about it..
Overall comment :
Saturday, October 15, 2005
Colorectal cancer, also called colon cancer or bowel cancer, includes cancerous growths in the colon, rectum and appendix. It is the third most common form of cancer and the second leading cause of death among cancers in the Western world. Many colorectal cancers are thought to arise from adenomatous polyps in the colon. These mushroom-like growths are usually benign, but some may develop into cancer over time. Diagnosis is by colonoscopy. Therapy is usually through surgery, with many cases also requiring chemotherapy.
Symptoms
Symptoms of colorectal cancer include:
Change in bowel habits.
Blood in stools (melena, hematochezia).
Bowel obstruction (rare) by the tumor
Often, the symptoms are much less specific:
Unexplained weight loss.
Anemia, with symptoms such as tiredness, malaise, pallor
Hepatomegaly (enlargement of the liver) due to spreading of the tumor
It is also possible that there will be no symptoms at all. This is one reason why some recommend periodical screening for the disease.
Symptoms
Symptoms of colorectal cancer include:
Change in bowel habits.
Blood in stools (melena, hematochezia).
Bowel obstruction (rare) by the tumor
Often, the symptoms are much less specific:
Unexplained weight loss.
Anemia, with symptoms such as tiredness, malaise, pallor
Hepatomegaly (enlargement of the liver) due to spreading of the tumor
It is also possible that there will be no symptoms at all. This is one reason why some recommend periodical screening for the disease.
Monday, October 10, 2005
| Broking Down Me Some update for the past fews days.. i have been very busy.. running here and there.. HOME --> NUH -- > HOME sometime even work ... haiz.. like this thursday i think i have to go to NUH den rush back to work.. cos office not enough ppl.. Dad condition is not turning any good.. i am so scare.. worried keep climibing up into my mind.. i could not control anymore and broke down yesterday in front of Toro san.. i guess i gave him a scare.. well.. i did not expect i will cried.. i just hope to tell him what has been in my mind.. and why i give him attitude again.. thanks for him to be understanding.. so i am back here fine and fighting with my dad against everything.. Saturday i was at Toro san house.. actually now when i am at his home i am afriad my phone to ring.. if it rings i hope it is not my family members.. just so scare it might be sth happen at home so they call me.. anyway what i wanted to say was not this.. hhaha i think i am really going to be Lim's Family daughter -in-law.. haha we had breakfast in the morning then Toro san call his mum asking who be cooking today (which is saturday lah) and i dunno why it turn out to be be to cook.. hahah and they was back quite early that day... his mum and dad.. so both was at the kitchen looking at me cook and talking to me.. the feeling was i am so neavous.. and where has toro san go to?? his project.. poor me got to handle them alone.. lucky dinner was not bad.. got comment i know how to cook heehee.. *ahem.. getting a bit proud* wahahah Went Toa Payoh yesterday.. while on our way back.. a watch by JL catch my eyes.. so was like glancing through those design .. as when Toro san came find me ask me what i was looking.. so i say i know what i am going to get for our one year le.. a couple watch hee den i tell him " After a year being together, The watch is to remark our following days of being together.. it stand for every minute and second i cherish you .. " hee hee very "gan dong" bah.. hmm never have i give a watch to any ppl so it is a special gift.. and i say give me this half a year to save up in order to buy this gift.. hee hope by 01/05/2006 i be able to find a couple watch which suit both of us and i can afford.. haha this is the most important.. Ipod Mini/ Ipod Nano??? Hmm Dear almost able to get his Ipod Mini on saturday.. but too bad something crop up so unable to buy.. but at least give him a picture he has to pay more when he using instalment to pay for it.. really not worht it.. better try hard next time bah.. hee hee |
Monday, October 03, 2005
hOW To MaKe A MemorY loST 4eVEr??
If you have any method please tell me.. cos i am facing this problem now.. i know dear not able to forget things that he mind.. keeping it make both of us unhappy but problem is losing it.. How? how to make him forget and will not get angry when talk about sth that might link to "him"...
Everytime i said to him.. it is all my fault should not be angry of him.. but it seem just get the hate off him.. i am out of ideas.. and everytime when talk to this.. we will be unhappy and i chose to avoid.. "tao bi" everything .. dun wish to talk or even say.. cos i am tired..
I am a FAILURE.. i fail to make my dear to make him love me and trust me again.. fail to give him all the hope he need.. i guess what i did is more hurt than now what i try to compensate.. failure of me.. sometime i will tend to think.. does he chose to hold me back becos he wanted a revenge or "bu fu shu"... i hate guessing.. even though a lot of thing which goes into his mind i dun need to think too much.. cos.. i always know what is on his mind.. ... it happen a lot of time le.. WHat i should do?? I know "li kai" is not a good solution.. but What more i can do? Tell me??
If you have any method please tell me.. cos i am facing this problem now.. i know dear not able to forget things that he mind.. keeping it make both of us unhappy but problem is losing it.. How? how to make him forget and will not get angry when talk about sth that might link to "him"...
Everytime i said to him.. it is all my fault should not be angry of him.. but it seem just get the hate off him.. i am out of ideas.. and everytime when talk to this.. we will be unhappy and i chose to avoid.. "tao bi" everything .. dun wish to talk or even say.. cos i am tired..
I am a FAILURE.. i fail to make my dear to make him love me and trust me again.. fail to give him all the hope he need.. i guess what i did is more hurt than now what i try to compensate.. failure of me.. sometime i will tend to think.. does he chose to hold me back becos he wanted a revenge or "bu fu shu"... i hate guessing.. even though a lot of thing which goes into his mind i dun need to think too much.. cos.. i always know what is on his mind.. ... it happen a lot of time le.. WHat i should do?? I know "li kai" is not a good solution.. but What more i can do? Tell me??
Saturday, October 01, 2005
Fifth Month Anniversary
Today is our Fifth Month being together le.. i should be feeling happy... as after so many things happen between us we are still together.. but Toro san i have to say.. the following months we are going to go through will be very very hard le.. *you should know why* i hope you be able to stand by me and go through it with me.. but if in future you find that you were unable to take it anymore.. or you think there is other better gers out there who do not need you to worry and think so much i will not stop you.. I have to say.. Thanks Dear for loving me all this while.. putting up with my temper and caring me like a Princess...
Yesterday went to the clinc with my dad.. things not turning any good as we wish.. there is something growing inside my dad liver.. Whatever i can do now is to wait.. wait till monday.. when he see a specialist then we know the result.. maybe Toro san did not know.. my mind keep flashing the words the doctor had tell me.. indeed i am very scare.. and i might not able to hold my worry and sadness anymore...i might just break down anytime.. a few times yesterday i have nearly about to broke down... i know i cannot.. i am the only pillar.. i cannot collapse.. I HAVE TO BE STRONG!! No matter what.. a lot of thigns has been unsaid to my dad yet.. i hope in the near future i will still be able to tell him a lot a lot of my life things.. Yesterday i saw my dad smiling .. although he was in pain when he smile i cherish that it has been a long time i have not seen him smile le..
I really wish i am the one to suffer and not them...
Today is our Fifth Month being together le.. i should be feeling happy... as after so many things happen between us we are still together.. but Toro san i have to say.. the following months we are going to go through will be very very hard le.. *you should know why* i hope you be able to stand by me and go through it with me.. but if in future you find that you were unable to take it anymore.. or you think there is other better gers out there who do not need you to worry and think so much i will not stop you.. I have to say.. Thanks Dear for loving me all this while.. putting up with my temper and caring me like a Princess...
Yesterday went to the clinc with my dad.. things not turning any good as we wish.. there is something growing inside my dad liver.. Whatever i can do now is to wait.. wait till monday.. when he see a specialist then we know the result.. maybe Toro san did not know.. my mind keep flashing the words the doctor had tell me.. indeed i am very scare.. and i might not able to hold my worry and sadness anymore...i might just break down anytime.. a few times yesterday i have nearly about to broke down... i know i cannot.. i am the only pillar.. i cannot collapse.. I HAVE TO BE STRONG!! No matter what.. a lot of thigns has been unsaid to my dad yet.. i hope in the near future i will still be able to tell him a lot a lot of my life things.. Yesterday i saw my dad smiling .. although he was in pain when he smile i cherish that it has been a long time i have not seen him smile le..
I really wish i am the one to suffer and not them...
