The Situation now
I am sorry to be late, since I didn't write for the last 2 days,
Ok let's start with yesterday night, after sunset which is the end of Muslims fasting, I went to my room upstairs & felt like an earthquake happened with a loud sound of explosion & this was in the 4th day of Ramadan, this explosion is similar to that that happened that morning in force & site of explosion, they both were very near to our house (about 200 m away) & I could clearly recognize the sounds of ambulances & police cars harrying to that area, this was the starting & ending of that day of Ramadan & nothing serious happened in the college..
About Today, I waked up early this morning on the sounds of helicopters which were very close to our house ceiling, it looked like a serious thing happened on the other side of Tigris River in a place called Al-Doraa, since in this place there was many accidents took place like targeting of churches, targeting of multinational forces vehicles on the high way which pass near this place because of some terrorists who hide in the farms of the ex president assistance Abd Himmod ( no.2 on menu of 56 ex governor) & also in farms of Izat Al-doori who was the 2nd man after Saddam.
In the way to the college there was a Patrol (Nissan) vehicle related to multinational forces on the side of road & it was totally burned.We had two lecture in the morning (Pathology, Pharmacology) then we went to hospital to study a case history, Our (me & my best friend who is Christian & he wasn't fasting J ) case history was on a married woman in 5os of age & her chief complained was leg edema due to HF (Heart failure, most probably right side of heart) she is living in north of Baghdad, she also complained of associated system like: Hypertension, Nausea, Drenching sweating, loss of weight and appetite. We took history from her then we presented it to the Doctor & I was astonished for the 1st time bcz she told the doctor she had vomiting also but she didn't said that when I asked her, when I told the doctor he told not make the patient misleading me bcz her in Iraq most of popular people used to tells lies either to make the doctor become sad(very merciful) & try to help them only (extraordinarily) or to take more drugs which they think it is better, & also he told me that they trust illegal medicine (used in country side regions or deserts where no hospital are there by those who pretended the ability to cure patients & they use fire burning or some readings on patients to make the devil out of his/her soul J this bcz of incivilization of those people especially in our hospital bcz most of patients come from regions outside Baghdad ) or what ordinary people said more than what doctor says. I toughed this lesson & I wish I will not doing again J.
When we returned back from hospital to the college there was a big explosion near the college so one of the library glasses broke down & thank God; there wasn't anybody nearby.
On the way back we have a short discussion about those terrorists who made these explosion in this month (Ramadan) which is the month of peace in Islamic Society , so we reached a conclusion that those terrorists & also those who killed their kidnapped victims by knifes on the sound of Qurran ( Muslims book) aren't real Muslims but they are the black face of Islam, All people here know that (Arabs,Kurds,Tirkoman,Christian,Mulim's,Jewish); So plz don't think of Islam's as the religion of those terrorists ( sorry to say those bastards) bcz Islam have many other white faces.
At the end of this day I become sad bcz my best friend (Qais) who is a Christian came to me & told me that his family is thinking seriously to leave Iraq for good & his aunt who lives in Mosul in the North of Iraq is in getting troubles with those terrorists & also in work so she decided to leave Iraq also, I tried to cool him about the situation & how it is getting better but I can understand him bcz if I were him, I would think with the same thing.
Wishing Peace & all good things to Iraq
Ok let's start with yesterday night, after sunset which is the end of Muslims fasting, I went to my room upstairs & felt like an earthquake happened with a loud sound of explosion & this was in the 4th day of Ramadan, this explosion is similar to that that happened that morning in force & site of explosion, they both were very near to our house (about 200 m away) & I could clearly recognize the sounds of ambulances & police cars harrying to that area, this was the starting & ending of that day of Ramadan & nothing serious happened in the college..
About Today, I waked up early this morning on the sounds of helicopters which were very close to our house ceiling, it looked like a serious thing happened on the other side of Tigris River in a place called Al-Doraa, since in this place there was many accidents took place like targeting of churches, targeting of multinational forces vehicles on the high way which pass near this place because of some terrorists who hide in the farms of the ex president assistance Abd Himmod ( no.2 on menu of 56 ex governor) & also in farms of Izat Al-doori who was the 2nd man after Saddam.
In the way to the college there was a Patrol (Nissan) vehicle related to multinational forces on the side of road & it was totally burned.We had two lecture in the morning (Pathology, Pharmacology) then we went to hospital to study a case history, Our (me & my best friend who is Christian & he wasn't fasting J ) case history was on a married woman in 5os of age & her chief complained was leg edema due to HF (Heart failure, most probably right side of heart) she is living in north of Baghdad, she also complained of associated system like: Hypertension, Nausea, Drenching sweating, loss of weight and appetite. We took history from her then we presented it to the Doctor & I was astonished for the 1st time bcz she told the doctor she had vomiting also but she didn't said that when I asked her, when I told the doctor he told not make the patient misleading me bcz her in Iraq most of popular people used to tells lies either to make the doctor become sad(very merciful) & try to help them only (extraordinarily) or to take more drugs which they think it is better, & also he told me that they trust illegal medicine (used in country side regions or deserts where no hospital are there by those who pretended the ability to cure patients & they use fire burning or some readings on patients to make the devil out of his/her soul J this bcz of incivilization of those people especially in our hospital bcz most of patients come from regions outside Baghdad ) or what ordinary people said more than what doctor says. I toughed this lesson & I wish I will not doing again J.
When we returned back from hospital to the college there was a big explosion near the college so one of the library glasses broke down & thank God; there wasn't anybody nearby.
On the way back we have a short discussion about those terrorists who made these explosion in this month (Ramadan) which is the month of peace in Islamic Society , so we reached a conclusion that those terrorists & also those who killed their kidnapped victims by knifes on the sound of Qurran ( Muslims book) aren't real Muslims but they are the black face of Islam, All people here know that (Arabs,Kurds,Tirkoman,Christian,Mulim's,Jewish); So plz don't think of Islam's as the religion of those terrorists ( sorry to say those bastards) bcz Islam have many other white faces.
At the end of this day I become sad bcz my best friend (Qais) who is a Christian came to me & told me that his family is thinking seriously to leave Iraq for good & his aunt who lives in Mosul in the North of Iraq is in getting troubles with those terrorists & also in work so she decided to leave Iraq also, I tried to cool him about the situation & how it is getting better but I can understand him bcz if I were him, I would think with the same thing.
Wishing Peace & all good things to Iraq
17 Comments:
I am amazed that you can still think and remain composed and sane when such crazy things are happening right around you. I wish all these crazy terrorist and ex-regime people would immediately vanish and let you live a normal life.
But anyway, my dad died from congestive heart failure, and so I have seen first hand what your patient today is suffers with.
My dad took drugs for it, and they helped some, but he always felt like he could not breathe. I think my dad took ACE inhibitors and diuretics for it for the last three/four years of his life. He also took steriod prednizone for asthma control. The diuretic helped control his liquid build up in his legs.
Dr, Humanity,
Some excellent insights from you. Though, for some reason, your posts seem to cut out.
Is there any particular field of medicine, that you wish to specialize in?
Would you like to be a surgeon for instance?
Whenever I think of a surgeon, I think of that song, Like A Surgeon by Weird Al Yankovich. Hey.
Dr. Saif,
Don't blame Islam for what those criminals are doing in Iraq. I'm an Iraqi Christian. Most of my friends in Iraq were Muslims. Islam is like any other religion, it it has bad people and good people. People shouldn't judge a whole religion by the acts of the few apples.
I hope the best for everyone in Iraq. Take care and stay safe.
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hospital furniture
Mesothelioma
is a rare form of cancer in which malignant (cancerous)
cells are found in the Mesothelioma
a protective sac that covers most
of the body's internal organs. Most people who develop Mesothelioma
have worked on jobs where they inhaled asbestos particles.
What is the Mesothelioma
?
The Mesothelioma
is a membrane that covers and protects most of the
internal organs of the body. It is composed of two layers of cells:
One layer immediately surrounds the organ; the other forms a sac
around it. The Mesothelioma
produces a lubricating fluid that is
released between these layers, allowing moving organs (such as the
beating heart and the expanding and contracting lungs) to glide easily
against adjacent structures.
The Mesothelioma
has different names, depending on its location in the
body. The peritoneum is the mesothelial tissue that covers most of the
organs in the abdominal cavity. The pleura is the membrane that
surrounds the lungs and lines the wall of the chest cavity. The
pericardium covers and protects the heart. The mesothelial tissue
surrounding the male internal reproductive organs is called the tunica
vaginalis testis. The tunica serosa uteri covers the internal
reproductive organs in women.
What is Mesothelioma
?
Mesothelioma
(cancer of the Mesothelioma
) is a disease in which cells
of the Mesothelioma
become abnormal and divide without control or
order. They can invade and damage nearby tissues and organs. Cancer
cells can also metastasize (spread) from their original site to other
parts of the body. Most cases of mesothelioma begin in the pleura or
peritoneum.
How common is Mesothelioma
?
Although reported incidence rates have increased in the past 20 years,
Mesothelioma
is still a relatively rare cancer. About 2,000 new cases
of Mesothelioma
are diagnosed in the United States each year.
Mesothelioma
occurs more often in men than in women and risk increases
with age, but this disease can appear in either men or women at any
age.
What are the risk factors for Mesothelioma
?
Working with asbestos
is the major risk factor for Mesothelioma
. A
history of asbestos
exposure at work is reported in about 70 percent
to 80 percent of all cases. However, Mesothelioma
has been reported in
some individuals without any known exposure to asbestos
asbestos
is the name of a group of minerals that occur naturally as
masses of strong, flexible fibers that can be separated into thin
threads and woven. asbestos
has been widely used in many industrial
products, including cement, brake linings, roof shingles, flooring
products, textiles, and insulation. If tiny asbestos particles float
in the air, especially during the manufacturing process, they may be
inhaled or swallowed, and can cause serious health problems. In
addition to Mesothelioma
, exposure to asbestos
increases the risk of
lung cancer, asbestos
(a noncancerous, chronic lung ailment), and
other cancers, such as those of the larynx and kidney.
Smoking does not appear to increase the risk of Mesothelioma
. However,
the combination of smoking and asbestos
exposure significantly
increases a person's risk of developing cancer of the air passageways
in the lung.
Who is at increased risk for developing Mesothelioma
?
Asbestos has been mined and used commercially since the late 1800s.
Its use greatly increased during World War II. Since the early 1940s,
millions of American workers have been exposed to asbestos
dust.
Initially, the risks associated with asbestos exposure were not known.
However, an increased risk of developing Mesothelioma
was later found
among shipyard workers, people who work in asbestos
mines and mills,
producers of asbestos
products, workers in the heating and
construction industries, and other tradespeople. Today, the U.S.
Occupational Safety and Health Administration (OSHA) sets limits for
acceptable levels of asbestos
exposure in the workplace. People who
work with asbestos wear personal protective equipment to lower their
risk of exposure.
The risk of asbestos
related disease increases with heavier exposure
to asbestos and longer exposure time. However, some individuals with
only brief exposures have developed Mesothelioma
. On the other hand,
not all workers who are heavily exposed develop asbestos
-related
diseases.
There is some evidence that family members and others living with
asbestos workers have an increased risk of developing Mesothelioma
,
and possibly other asbestos
-related diseases. This risk may be the
result of exposure to asbestos dust brought home on the clothing and
hair of asbestos workers. To reduce the chance of exposing family
members to asbestos fibers, asbestos
workers are usually required to
shower and change their clothing before leaving the workplace.
What are the symptoms of Mesothelioma
?
Symptoms of Mesothelioma
may not appear until 30 to 50 years after
exposure to asbestos. Shortness of breath and pain in the chest due to
an accumulation of fluid in the pleura are often symptoms of pleural
Mesothelioma
. Symptoms of peritoneal Mesothelioma
include weight loss
and abdominal pain and swelling due to a buildup of fluid in the
abdomen. Other symptoms of peritoneal Mesothelioma
may include bowel
obstruction, blood clotting abnormalities, anemia, and fever. If the
cancer has spread beyond the mesothelium to other parts of the body,
symptoms may include pain, trouble swallowing, or swelling of the neck
or face.
These symptoms may be caused by Mesothelioma
or by other, less serious
conditions. It is important to see a doctor about any of these
symptoms. Only a doctor can make a diagnosis.
How is Mesothelioma
diagnosed?
Diagnosing Mesothelioma
is often difficult, because the symptoms are
similar to those of a number of other conditions. Diagnosis begins
with a review of the patient's medical history, including any history
of asbestos
exposure. A complete physical examination may be
performed, including x-rays of the chest or abdomen and lung function
tests. A CT (or CAT) scan or an MRI may also be useful. A CT scan is a
series of detailed pictures of areas inside the body created by a
computer linked to an x-ray machine. In an MRI, a powerful magnet
linked to a computer is used to make detailed pictures of areas inside
the body. These pictures are viewed on a monitor and can also be
printed.
A biopsy is needed to confirm a diagnosis of Mesothelioma
. In a
biopsy, a surgeon or a medical oncologist (a doctor who specializes in
diagnosing and treating cancer) removes a sample of tissue for
examination under a microscope by a pathologist. A biopsy may be done
in different ways, depending on where the abnormal area is located. If
the cancer is in the chest, the doctor may perform a thoracoscopy. In
this procedure, the doctor makes a small cut through the chest wall
and puts a thin, lighted tube called a thoracoscope into the chest
between two ribs. Thoracoscopy allows the doctor to look inside the
chest and obtain tissue samples. If the cancer is in the abdomen, the
doctor may perform a peritoneoscopy. To obtain tissue for examination,
the doctor makes a small opening in the abdomen and inserts a special
instrument called a peritoneoscope into the abdominal cavity. If these
procedures do not yield enough tissue, more extensive diagnostic
surgery may be necessary.
If the diagnosis is Mesothelioma
, the doctor will want to learn the
stage (or extent) of the disease. Staging involves more tests in a
careful attempt to find out whether the cancer has spread and, if so,
to which parts of the body. Knowing the stage of the disease helps the
doctor plan treatment.
Mesothelioma
is described as localized if the cancer is found only on
the membrane surface where it originated. It is classified as advanced
if it has spread beyond the original membrane surface to other parts
of the body, such as the lymph nodes, lungs, chest wall, or abdominal
organs.
How is Mesothelioma
treated?
Treatment for Mesothelioma
depends on the location of the cancer, the
stage of the disease, and the patient's age and general health.
Standard treatment options include surgery, radiation therapy, and
chemotherapy. Sometimes, these treatments are combined.
Surgery is a common treatment for Mesothelioma
. The doctor may remove
part of the lining of the chest or abdomen and some of the tissue
around it. For cancer of the pleura pleural Mesothelioma
, a lung may
be removed in an operation called a pneumonectomy. Sometimes part of
the diaphragm, the muscle below the lungs that helps with breathing,
is also removed.
Radiation therapy, also called radiotherapy, involves the use of
high-energy rays to kill cancer cells and shrink tumors. Radiation
therapy affects the cancer cells only in the treated area. The
radiation may come from a machine (external radiation) or from putting
materials that produce radiation through thin plastic tubes into the
area where the cancer cells are found (internal radiation therapy).
Chemotherapy is the use of anticancer drugs to kill cancer cells
throughout the body. Most drugs used to treat Mesothelioma
are given
by injection into a vein (intravenous, or IV). Doctors are also
studying the effectiveness of putting chemotherapy directly into the
chest or abdomen (intracavitary chemotherapy).
To relieve symptoms and control pain, the doctor may use a needle or a
thin tube to drain fluid that has built up in the chest or abdomen.
The procedure for removing fluid from the chest is called
thoracentesis. Removal of fluid from the abdomen is called
paracentesis. Drugs may be given through a tube in the chest to
prevent more fluid from accumulating. Radiation therapy and surgery
may also be helpful in relieving symptoms.
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