tag:blogger.com,1999:blog-36692111451685464862024-03-13T18:39:14.895-05:007 oh! 7"All of life is a journey. Which paths we take, what we look back on, and what we look forward to is up to us. We determine our destination, what kind of road we will take to get there, and how happy we are when we get there."Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.comBlogger67125tag:blogger.com,1999:blog-3669211145168546486.post-56964996619893790972012-04-26T15:11:00.003-05:002012-04-26T15:12:35.770-05:00Day 26 - Magic FoundationSo wish that my son and I could attend this together. <br />
Maybe it will work out next year!<br />
<br />
Please click here to see what <a href="http://www.magicfoundation.org/downloads/ACV12Programwb.pdf" target="_blank"><span style="color: purple;">The Magic Foundation Convention</span></a> is all about!<br />
<br />
Anyone have plans to attend?Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-31303917693455563622012-04-23T21:34:00.000-05:002012-04-23T21:34:24.020-05:00Day 23 - Have you read this book?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjO1RrYKVerylt4ShphwXVc1cIrTOU_qF_Djz6L89YaiQU9w2xQC8UeWmxnJoOWw-7CIpJgF7EGrNq5npvo-ExazyqgIoHbmxr7jm1MpRe35rt3hwnJ7LFO1XTScNO-wtWOqfTYosKmpII/s1600/imagesCAFVBH31.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjO1RrYKVerylt4ShphwXVc1cIrTOU_qF_Djz6L89YaiQU9w2xQC8UeWmxnJoOWw-7CIpJgF7EGrNq5npvo-ExazyqgIoHbmxr7jm1MpRe35rt3hwnJ7LFO1XTScNO-wtWOqfTYosKmpII/s1600/imagesCAFVBH31.jpg" /></a></div>
Please comment if you have read this book... I'm going to try to find it and see what it's all about. Amazon has it listed as 4 1/4 stars..... the disease in the book is not called Cushing's Disease but something else that was made up.Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com1tag:blogger.com,1999:blog-3669211145168546486.post-15818798419424771382012-04-22T20:59:00.000-05:002012-04-23T21:09:36.446-05:00Day 22<h2>
<a href="http://www.blogger.com/" id="pituitary" name="pituitary" tabindex="55">Pituitary</a></h2>
<br />
The pituitary is a pea-sized gland located at the base of the brain in the
middle of the head and right below the optic nerves. It serves as the “master
gland” that regulates the secretion of the majority of hormones in the body from
all of the other glands, such as the thyroid and adrenal glands, as well as the
ovary and testicles. The pituitary gland is divided into the anterior and
posterior lobes, both of which secrete different hormones that have unique
functions in the body. The anterior pituitary secretes prolactin, growth hormone
and the gonadotropins, which include luteinizing hormone (LH) and follicle
stimulating hormone (FSH), adrenocorticotrophic hormone (ACTH) and thyroid
stimulating hormone (TSH). The posterior pituitary makes antidiuretic hormone
(ADH) and oxytocin. The secretion of the hormones from the pituitary gland
itself is also controlled by hormones coming from part of the brain directly
above the pituitary called the hypothalamus. The hypothalamus and the pituitary
gland are connected by the pituitary stalk.<br />
<br />
<img alt="" hspace="5" src="http://www.mdanderson.org/patient-and-cancer-information/care-centers-and-clinics/care-centers/endocrine/pituitary-tumor-program/micro-sm.jpg" title="Microadenoma" vspace="5" /><br />
<br />
Pituitary tumors result from a single cell losing the ability to control its
growth. These tumors are almost always benign or non-cancerous. Very rarely can
a pituitary tumor become malignant or cancerous. A tumor that is less than 1 cm
in size is called a <i>microadenoma</i>, and a tumor that is larger than 1 cm is
a <i>macroadenoma</i>.<br />
<br />
<img alt="" hspace="5" src="http://www.mdanderson.org/patient-and-cancer-information/care-centers-and-clinics/care-centers/endocrine/pituitary-tumor-program/macro-sm.jpg" title="Macroadenoma" vspace="5" /><br />
<br />
Microadenomas usually do not cause symptoms related to their size, but
macroadenomas can cause headaches as well as visual loss secondary to
compression of the optic nerves. In addition, the normal pituitary tissue can be
compressed by a macroadenoma, so deficiencies of anterior pituitary hormones can
be identified on blood tests and based on symptoms. Pituitary tumors are also
categorized according to their ability to make hormones and cause symptoms. <br />
<br />
The functional tumors include those that secrete prolactin (prolactinomas),
ACTH (Cushing’s disease), growth hormone (acromegaly) and TSH. Tumors that do
not secrete functional hormones are called non-functioning pituitary tumors. The
most common tumors in adults are prolactinomas followed by non-functioning
tumors, ACTH-secreting tumors, GH-secreting tumors and TSH-secreting tumors. In
children, the most common tumor is also a prolactin-secreting tumor followed by
ACTH-secreting tumors, GH-secreting tumors, non-functioning tumors and
TSH-secreting tumors. <br />
<br />
Credit: <a href="http://www.mdanderson.org/patient-and-cancer-information/care-centers-and-clinics/care-centers/endocrine/pituitary-tumor-program/pituitary-terminology.html">http://www.mdanderson.org/patient-and-cancer-information/care-centers-and-clinics/care-centers/endocrine/pituitary-tumor-program/pituitary-terminology.html</a>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-86271503810237643042012-04-21T21:09:00.000-05:002012-04-23T21:11:07.394-05:00Day 21 - Prom<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgR23g6HdXP9MuKHuD2OEE-_ejIbJNvcfeXC8XEb5hnMMr1aeaBnjtoJbDV3rpd44QJBbR4jeLP5b3bw3fvV4ubvhKwv-jcO7HrYH-KQQs6-LbpVpCnnUBjJHVDJ6DNeERZ4IFb9PG7Bqg/s1600/100_0925+(2).JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgR23g6HdXP9MuKHuD2OEE-_ejIbJNvcfeXC8XEb5hnMMr1aeaBnjtoJbDV3rpd44QJBbR4jeLP5b3bw3fvV4ubvhKwv-jcO7HrYH-KQQs6-LbpVpCnnUBjJHVDJ6DNeERZ4IFb9PG7Bqg/s320/100_0925+(2).JPG" width="320" /></a></div>
<br />Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-16971199058036689832012-04-20T21:24:00.000-05:002012-04-22T21:25:32.975-05:00Day 20 - Micro vs. Macro<h3 class="post-title entry-title" itemprop="name">
PITUITARY ADENOMA - MICRO VS
MACRO DIFFERENTIATION </h3>
<div class="post-body entry-content" id="post-body-2092144167188904966" itemprop="articleBody">
<strong><span style="background-color: #fff2cc;">
</span></strong><br />
<div dir="ltr" style="text-align: left;" trbidi="on">
<strong><span style="background-color: #fff2cc;">
</span></strong><br />
<div style="text-align: left;">
<span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;"><strong><span style="background-color: #fff2cc;">Pituitary adenomas constitute 10% of all intracranial
neoplasms. They are classified anatomically based on size: </span></strong></span></div>
<strong><span style="background-color: #fff2cc;">
</span></strong><br />
<div style="text-align: left;">
</div>
<strong><span style="background-color: #fff2cc;">
</span></strong><br />
<ol style="text-align: left;"><strong><span style="background-color: #fff2cc;">
</span></strong>
<li><strong><span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;">micro-adenoma if less than 10mm and </span>
</span></strong></li>
<li><strong><span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;">macro-adenoma if more than 10mm in
diameter. </span> </span></strong></li>
</ol>
<span style="background-color: #fff2cc;"><strong><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;">They are also classified functionally based on whether
there are</span></strong>
</span><br />
<div style="text-align: left;">
</div>
<strong><span style="background-color: #fff2cc;">
</span></strong><br />
<ol style="text-align: left;"><strong><span style="background-color: #fff2cc;">
</span></strong>
<li><strong><span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;"> secretory or </span>
</span></strong></li>
<li><span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;"><strong>non-secretory.</strong> </span> </span></li>
</ol>
<span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;"><span class="Apple-style-span" style="background-color: #f1c232;">The most common secretory macro-adenoma is the
prolactinoma.</span> Although pituitary micro-adenomas are much more common than
macro-adenomas on pathologic examinations, macro-adenomas are twice as frequent
on imaging studies. Macro-adenomas are the single most common suprasellar mass
(1/3 to 1/2 of lesions).</span></span><span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;">Prolactin-producing hypophyseal adenoma (prolactinoma)
is the most common functional pituitary adenoma. Its prevalence peaks in women
between 20 and 30 years of age. Hyperprolactinemia can be a cause of infertility
and is associated with diminished gonadotropin secretion, secondary amenorrhea,
and galactorrhea. <br style="background-color: black; font-family: tahoma, verdana, arial, sans-serif; margin: 0px; padding: 0px;" />When
a patient is suspected to have hyperprolactinemia not associated with drugs, MR
imaging is the foremost and only imaging technique that can depict a pituitary
adenoma.</span><br /><br />
</span><br />
<ul style="text-align: left;"><span style="background-color: #fff2cc;">
</span>
<li><span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;"> Most micro-adenomas have <span class="Apple-style-span" style="background-color: yellow;">lower signal
intensity</span> than the normal pituitary gland on T1-weighted
images. A convex outline of the pituitary gland or deviation of the pituitary
stalk can also be detected.</span>
</span></li>
<li><span style="background-color: #fff2cc;"><span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;"> Dynamic study with intravenous bolus injection of
contrast medium is the preferred technique for assessing micro-adenomas, as it
allows excellent delineation between the tumour and the normal pituitary gland.
In the dynamic study, the normal pituitary gland and stalk show strong
enhancement in the early phase of dynamic imaging, whereas <span class="Apple-style-span" style="background-color: yellow;">micro-adenomas show
relatively weak enhancement.</span></span> </span></li>
</ul>
<span class="Apple-style-span" style="font-family: tahoma, verdana, arial, sans-serif; font-size: 14px;"><span style="background-color: #fff2cc;">Patients with macro-adenomas typically present due to
mass effect symptoms rather than hormonal excess. The adenoma may extend
superiorly and stretch or compress the optic chiasm, compress the infundibulum,
or extend laterally into the cavernous sinus. An expanding macro-adenoma may
also erode the sella turcica. The extent of the tumour can be determined by
means of contrast-enhanced MR imaging. A central constriction or "waist" where
the mass narrows to pass through the diaphragma sella produces a <span style="color: black;">“<span class="Apple-style-span" style="color: yellow;"><a class="cv_image_link" href="http://www.mypacs.net/repos/mpv3_repo/static/ecv-000063/#" style="background-color: yellow; font-family: tahoma, verdana, arial, sans-serif; margin: 0px; padding: 0px; text-decoration: none;" target="_BLANK_"><span style="color: black;">figure 8</span></a><span style="color: black;">” </span></span>sign</span>. "Invasive adenomas" may grow into the
sphenoid sinus and invade the cavernous sinus. Necrosis, haemorrhage and cyst
formation are common.</span></span></div>
</div>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-77631375375898199452012-04-19T14:45:00.000-05:002012-04-19T14:45:49.703-05:00Day 19 - If you follow me, please 'CLICK'... 2 days left to make a difference!!!<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaCmvHTaz5xgCYRfZmZEy9Q97Eu3MSqNTuI69dRjX-B57e_g41L4YYLkyPWvEXqvM0_4SMypvy-JYidCM56pBeHjSRBRyC1xsjP_bVXyEb1iXOYYb2i_zHUKRE7MrAd3Br0D0cZ6DaRNY/s1600/Screen+Shot+2012-04-03+at+5_49_02+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="198" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaCmvHTaz5xgCYRfZmZEy9Q97Eu3MSqNTuI69dRjX-B57e_g41L4YYLkyPWvEXqvM0_4SMypvy-JYidCM56pBeHjSRBRyC1xsjP_bVXyEb1iXOYYb2i_zHUKRE7MrAd3Br0D0cZ6DaRNY/s320/Screen+Shot+2012-04-03+at+5_49_02+PM.png" width="320" /></a></div><br />
<br />
<span style="font-family: Verdana, sans-serif;">Support Cushing’s …<em>With A Click</em>.</span><br />
<br />
<strong><span style="font-family: Verdana, sans-serif;">From Corcept, the makers of Korlym:</span></strong><br />
<span style="font-family: Verdana, sans-serif;">They say: “Corcept Therapeutics will donate $5 for every person who clicks to support people with Cushing’s. Corcept has jump-started the effort to build awareness and support with a $15,000 contribution to provide support through the Cushing’s Support and Research Foundation and Cushing’s Help. With your support, we can aim even higher!*</span><br />
<br />
<span style="font-family: Verdana, sans-serif;">Take part…and spread the word. Click </span><a href="http://cushingsawareness.korlym.com/" target="_blank"><span style="background-color: #fff2cc; color: purple; font-family: Verdana, sans-serif;">here</span></a><span style="font-family: Verdana, sans-serif;">.</span><br />
<span style="color: #222222; font-family: arial, sans-serif;"><span style="font-family: Verdana, sans-serif;"></span></span>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-63442233029458719352012-04-18T13:35:00.013-05:002012-04-19T13:42:32.388-05:00Day 18 - Patients Bill of Rights<h2>Patients bill of rights</h2><div><img border="0" height="117" src="http://www.pituitary.org/images/photo_patients_bill_of_rights.jpg" width="484" /><br />
<br />
</div><h4>Preamble</h4><div>The Pituitary Network Association (PNA) is an international non-profit organization for patients with pituitary tumors and disorders, their families, loved ones, and the physicians and health care providers who treat them. PNA was founded in 1992 by a group of acromegalic patients in order to communicate and share their experiences and concerns. PNA has rapidly grown to become the world's largest and fastest growing patient advocacy organization devoted to the treatment and cure of pituitary disorders.<br />
<br />
PNA is supported by an international network of the world's finest physicians and surgeons. Our goal is to reach every patient who may be forgotten, abandoned, or worse yet, undiagnosed after many years of suffering. We are doing this in three ways: (1) By providing public awareness programs and educational seminars, (2) By assisting the medical community in developing uniform standards for early diagnosis, surgery, radiation, pharmacological treatment and follow-up, and (3) by having interactive Web sites and referral program on these Web sites.<br />
<br />
</div><h4>Our Rights</h4><div> </div><ul><li>Pituitary diseases, tumors and the resultant hormonal imbalances shall be recognized as a serious, major public health problem afflicting a large segment of the world's population.<br />
<br />
</li>
<li>The financial and intellectual resources of my government and our public and private health services shall be as fairly allocated to me and my disorder as they are to any other life-threatening and life-altering disease.<br />
<br />
</li>
<li>I have a right to an early and appropriate diagnosis, treatment, care and medical intervention by the experts in these fields of medicine. I have an inalienable right to be told of - and allowed to use, whenever possible, any and all medications and treatment methods past, present or future -which will complete or assist in my healing.<br />
<br />
</li>
<li>Upon completion of any medical evaluation, treatment and care, I am entitled to the emotional and psychological care afforded anyone else with psycho-socially affective disorders.<br />
<br />
</li>
<li>I reaffirm my right to be treated completely so I may reclaim my place in society and my family as a fully functioning and contributing member.<br />
<br />
</li>
<li>I shall not be discriminated against in my workplace or any other part of society because of my physical, mental or emotional state.<br />
<br />
</li>
<li>There shall not be any financial, insurance, job, or promotional stigma attached to my diseases discovery, medical care or emotional recovery. My future life shall only be limited by conditions not under man's ability to rectify.<br />
<br />
</li>
<li>My family and coworkers have a right to be informed and counseled about my illness and Its many manifestations. In order for them to understand and accept the temporary limitation to my job performance and my family obligations, they must if possible, become part of my healing environment.<br />
<br />
</li>
<li>I reaffirm to the world: I am a valuable member of the society and family of man. My life is too valuable to waste. It is too costly to society and too detrimental to my family to allow me to merely exist at their sufferance and largesse.</li>
</ul><div><br />
* I have the right to be believed! Just because a physician has not yet heard of, or seen, my symptoms before, does not mean they are not real and deserving of medical care and further investigation.</div><br />
Credit: <a href="http://www.pituitary.org/about/patients_bill_of_rights.aspx">http://www.pituitary.org/about/patients_bill_of_rights.aspx</a><br />
<!-- Main Content Ends -->Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-47950631940033674522012-04-17T15:07:00.000-05:002012-04-18T15:16:29.582-05:00Day 17 - Emotion after Diagnosis<table cellspacing="5" class="the_content"><tbody>
<tr><td><div class="Headserp ocfs"><span class="queryn" id="queryn"><b><span style="font-size: large;">shock</span></b></span><span class="aud" id="aud" title="Listen to the pronunciation of shock"><span style="font-size: large;"> </span><script language="javascript">
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font-size: large;"><span class="pron"></span></span></span></span> </div><div class="Headserp ocfs"><span><span style="font-size: large;"><span class="show_spellpr" style="display: inline;"><span style="color: #707070;"><span class="pron">[shok</span><span class="prondelim">]</span> </span><span style="color: #707070;"> </span></span><span class="show_ipapr" style="display: none;"><span style="color: #707070;"><span class="prondelim">/</span><span class="pron">ʃɒk</span><span class="prondelim">/</span> </span><a href="http://thesaurus.com/help/luna/IPA_pron_key.html" target="_blank"><span style="color: #707070;"><img border="0" class="luna-Img" src="http://sp.dictionary.com/dictstatic/g/d/dictionary_questionbutton_default.gif" /></span></a><span style="color: #707070;"> </span><span class="pron_toggle" style="display: inline;"><a alt="Toggle for Spelled" class="pronlink" href="" title="Click to show spelled"><u><span style="color: #333333;">Show Spelled</span></u></a></span></span></span></span></div></td></tr>
<tr><td nowrap="" valign="top"><span id="hotword"><span style="font-size: large;"><span id="hotword" name="hotword">Part</span> <span id="hotword" name="hotword">of</span> <span id="hotword" name="hotword" style="color: #333333; cursor: default;">Speech:</span> </span></span></td><td><i><span id="hotword"><span style="font-size: large;"><span id="hotword" name="hotword" style="color: #333333; cursor: default;">noun</span> </span></span></i></td></tr>
<tr><td valign="top"><span id="hotword"><span style="font-size: large;"><span id="hotword" name="hotword">Definition:</span> </span></span></td><td><span id="hotword"><span style="font-size: large;"><span id="hotword" name="hotword">complete</span> <span id="hotword" name="hotword">surprise;</span> <span id="hotword" name="hotword">blow</span></span> </span></td></tr>
<tr><td valign="top"><span id="hotword"><span style="font-size: large;"><span id="hotword" name="hotword">Synonyms:</span> </span></span></td><td><span><span style="font-family: "Calibri","sans-serif"; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;"><span style="color: black;"><span style="background-color: white;"><span style="text-decoration: none; text-underline: none;"></span></span></span></span></span> <div class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: Calibri;"><span style="background-color: #f9cb9c;"><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">awe<span id="hotword">, <span id="hotword" name="hotword" style="cursor: default;"></span><span style="background: white; color: #333333; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">bombshell,</span></span><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;"> </span>breakdown<span id="hotword">, </span>bump<span id="hotword">, </span>clash<span id="hotword">, </span>collapse<span id="hotword">, </span>collision<span id="hotword">, <span id="hotword" name="hotword" style="cursor: default;"></span><span style="background: white; color: #333333; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">concussion,</span></span></span><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">confusion<span id="hotword">, </span>consternation<span id="hotword">, </span>crash<span id="hotword">, </span>distress<span id="hotword">, </span>disturbance<span id="hotword">, <span id="hotword" name="hotword" style="cursor: default;"></span><span style="background: white; color: #333333; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">double</span><span id="hotword" name="hotword" style="cursor: default;">whammy,</span><span id="hotword" name="hotword" style="cursor: default;">earthquake,</span></span></span><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">encounter<span id="hotword">, </span>excitement<span id="hotword">, <span id="hotword" name="hotword" style="cursor: default;"></span><span style="background: white; color: #333333; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">eye-opener,</span></span></span><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">hysteria<span id="hotword">, </span>impact<span id="hotword">, </span>injury<span id="hotword">, <span id="hotword" name="hotword">jarring,</span> </span>jolt<span id="hotword">, <span id="hotword" name="hotword" style="cursor: default;"></span><span style="background: white; color: #333333; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">percussion,</span></span><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;"> <span id="hotword" name="hotword" style="cursor: default;"></span><span style="background: white; color: #333333; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">prostration,</span></span><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;"> <span id="hotword" name="hotword">ram,</span> </span>scare<span id="hotword">, </span>start<span id="hotword">, </span>stroke<span id="hotword">, <span id="hotword" name="hotword">stupefaction,</span> </span>stupor<span id="hotword">, </span>trauma<span id="hotword">, <span id="hotword" name="hotword">traumatism,</span> </span>turn<span id="hotword">, </span>upset<span id="hotword">, <span id="hotword" name="hotword" style="cursor: default;"></span><span style="background: white; color: #333333; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;">whammy,</span></span><span style="background: white; color: black; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;"> </span>wreck</span><span style="font-size: 14pt; mso-effects-reflection-align: bottomleft; mso-effects-reflection-angdirection: 5400000; mso-effects-reflection-angfadedirection: 5400000; mso-effects-reflection-anglekx: 0; mso-effects-reflection-angleky: 0; mso-effects-reflection-dpidistance: .079pt; mso-effects-reflection-dpiradius: 1.0pt; mso-effects-reflection-pctalphaend: 0%; mso-effects-reflection-pctalphastart: 28.0%; mso-effects-reflection-pctendpos: 45.0%; mso-effects-reflection-pctstartpos: 0%; mso-effects-reflection-pctsx: 100.0%; mso-effects-reflection-pctsy: -100.0%; mso-style-textfill-fill-gradientfill-shade-linearshade-angle: 5400000; mso-style-textfill-fill-gradientfill-shade-linearshade-fscaled: no; mso-style-textfill-fill-gradientfill-shadetype: linear; mso-style-textfill-fill-gradientfill-stoplist: "0 #381563 7 100000 shade=20000 satm=245000,43000 #7B34D2 7 100000 satm=255000,48000 #7230C3 7 100000 shade=85000 satm=255000,100000 #381563 7 100000 shade=20000 satm=245000"; mso-style-textfill-type: gradient; mso-style-textoutline-outlinestyle-align: center; mso-style-textoutline-outlinestyle-compound: simple; mso-style-textoutline-outlinestyle-dash: solid; mso-style-textoutline-outlinestyle-dpiwidth: .354pt; mso-style-textoutline-outlinestyle-join: round; mso-style-textoutline-outlinestyle-linecap: flat; mso-style-textoutline-outlinestyle-pctmiterlimit: 0%; mso-style-textoutline-type: none; text-transform: uppercase;"><o:p></o:p></span></span></span></div></td></tr>
</tbody> </table>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-23158155400625772642012-04-16T20:45:00.001-05:002012-04-16T20:46:22.919-05:00Day 16 - Cushing's in Dogs<span style="font-family: Verdana, sans-serif;">I met a very dear person this weekend and was talking </span><br />
<span style="font-family: Verdana, sans-serif;">to her about Hunter. She asked what the name of the </span><br />
<span style="font-family: Verdana, sans-serif;">disease he had was and I told her Cushing's Disease. </span><br />
<span style="font-family: Verdana, sans-serif;">She said, 'my dog had Cushing's Disease.'</span><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi45WoLWLc7z9bz9eWLiofhA0fiD5-mAE4cGNGBFM-ghxMvvfv5IKm-q7ppX76KBdrQksoT143t-a3nd2VUo9xjMWGoJXnsjN3cDCO6LJt_m-TPeNLJso3zkvLabd1y6K6_PtPZtaMlrTI/s1600/imagesCA5MPGBZ.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi45WoLWLc7z9bz9eWLiofhA0fiD5-mAE4cGNGBFM-ghxMvvfv5IKm-q7ppX76KBdrQksoT143t-a3nd2VUo9xjMWGoJXnsjN3cDCO6LJt_m-TPeNLJso3zkvLabd1y6K6_PtPZtaMlrTI/s1600/imagesCA5MPGBZ.jpg" /></a></div><span style="font-family: Verdana;">I just found that to be a little funny because I swear when I </span><br />
<span style="font-family: Verdana;">started researching and looking for any information that I </span><br />
<span style="font-family: Verdana;">could find on the internet, I think I found more sites about </span><br />
<span style="font-family: Verdana;">Cushing's Disease in dogs. </span><br />
<br />
<span style="font-family: Verdana, sans-serif;">Some signs that your dog may have Cushing’s disease include:</span><br />
<span style="font-family: Verdana, sans-serif;"><img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Increased water intake<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Increased appetite<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Incontinence or urination accidents<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Muscle atrophy<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Weight gain and/or pot-bellied appearance<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Lethargy<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Coat loses its shine/becomes dull<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Difficulty climbing stairs or jumping on furniture<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> New susceptibility to infections, such as skin ailments<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Hair loss<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Hair that is extremely slow to grow back after a clipping<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Thin skin<br />
<img alt="Paw Print Bullet" border="0" src="http://i652.photobucket.com/albums/uu246/marthasmith/bullet_paw_print-1.jpg" /> Excessive panting</span>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-78116986535770088092012-04-15T08:25:00.006-05:002012-04-15T08:25:00.850-05:00Day 15 - The Pituitary Gland: Part Two<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUf1HJeS_qHwivdvdlWH3wL4kS1VaFBntMZ-SS4Szgep2YBx_CYo4BElbWOkpe9MhoMOe3bryy2yh5ihF0P6mjJY_IVAv7HVfcaI35f9KiUXkY7YQMDA8DuTvoWAkVKztgkVoHfxMEuaU/s1600/figure1806.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="242" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUf1HJeS_qHwivdvdlWH3wL4kS1VaFBntMZ-SS4Szgep2YBx_CYo4BElbWOkpe9MhoMOe3bryy2yh5ihF0P6mjJY_IVAv7HVfcaI35f9KiUXkY7YQMDA8DuTvoWAkVKztgkVoHfxMEuaU/s320/figure1806.jpg" width="320" /></a></div><span style="font-family: "Comic Sans MS",cursive;">The posterior pituitary does not necessarily produce the ADH and oxytocin, the hypothalamus does this. They are produced in endocrine glands called the supraoptic nuclei and paraventricular nuclei. The axons of they hypothalamo-hypophyseal tract are what carries the information from the hormones to the posterior pituitary. They are then stored here for later use, which in turn makes the posterior pituitary more of a storage area than a type of gland. </span><br />
<br />
<a href="http://lynlaukimdak.wikispaces.com/04.+Endocrinology">http://lynlaukimdak.wikispaces.com/04.+Endocrinology</a>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-43211589064156908442012-04-14T08:24:00.031-05:002012-04-14T08:24:00.646-05:00Day 14 - The Pituitary Gland: Part One<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr7oESFFFahKlrF175rdU2fXUg8NfDTfQUXcXJ7wbifl62IFEn0pWMpJjodw7VL0S4BmNavK0HYlrTX7S4MuTYoHmECB5sLcbPT3BXpzazPrqfbJYoX1AhibCN8aJCD2qpjshAMXzI-hU/s1600/image_gallery.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="242" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhr7oESFFFahKlrF175rdU2fXUg8NfDTfQUXcXJ7wbifl62IFEn0pWMpJjodw7VL0S4BmNavK0HYlrTX7S4MuTYoHmECB5sLcbPT3BXpzazPrqfbJYoX1AhibCN8aJCD2qpjshAMXzI-hU/s320/image_gallery.jpg" width="320" /></a></div><span style="font-family: "Comic Sans MS",cursive;">The pituitary gland is about the size of a pea. It is in the most inferior part of the brain and it is sits in what looks like a saddle, part of the bottom of the skull. The pituitary gland is connected to the hypothalamus by infundibulum, which looks like a stalk.There are two different parts of the pituitary gland, the adenohypophysis, anterior lobe, and the neurohypophysis, the posterior lobe. </span><br />
<br />
<span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">The anterior pituitary mostly controls hormones in the body. These hormones usually end in tropin, meaning they "feed" the target cells with hormones needed for that site. They do not literally feed them but it is kind of like a homeostatic atmosphere that the anterior pituitary will keep the target cells at. </span></span><br />
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<span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">These are the hormones that the pitutary gland produces:</span></span></span><br />
<ul><li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">growth hormones (GH- somatotropin), </span></span></li>
<li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">thyroid-stimiulation homones (TSH- thyrotropin), </span></span></li>
<li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">adrenocorticotropic hormones (ACTH- corticotropin), </span></span></li>
<li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">follicle-stimulating hormones (FSH- folliculotropin), </span></span></li>
<li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">luteinizing hormones (LH- luteotropin), </span></span></li>
<li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">prolactin (PRL). </span></span></li>
</ul><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;"></span></span><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">The posterior pituitary has two hormones that it secretes: </span></span><br />
<ul><li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">antidiuretic hormone (ADH) </span></span></li>
<li><span style="font-family: "Comic Sans MS",cursive;"><span style="font-family: "Comic Sans MS",cursive;">and oxytocin.</span></span></li>
</ul><a href="http://lynlaukimdak.wikispaces.com/04.+Endocrinology">http://lynlaukimdak.wikispaces.com/04.+Endocrinology</a><br />
<ul></ul>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-34399040504745388552012-04-13T08:23:00.016-05:002012-04-13T08:23:00.040-05:00Day 13 - More Treatments for Cushing’s Disease<h1 style="font-size: 26px;"><span style="font-size: small;"><span style="font-family: Verdana, sans-serif;">(Ivanhoe Newswire) – Cushing’s disease is a hormone disorder that causes many symptoms, such as high blood pressure, fat accumulation, osteoporosis and ultimately ending in death. It is caused by a tumor in the anterior pituitary gland that secretes excess amounts of adrenocorticotrophic hormone (ACTH). The only treatment is removal of the tumor, however, researchers have found a new treatment for these reoccurring tumors. </span><br />
<span style="font-family: Verdana, sans-serif;">Researchers, led by Shlomo Melmed, at Cedars-Sinai Medical Center, Los Angeles, have now identified a potential new therapeutic target -- the protein EGFR, which is the target of a drug used to treat some patients with non–small cell lung cancer (gefitinib). As discussed by Melmed and colleagues in their paper, as well as Frederic Wondisford, at Johns Hopkins University School of Medicine, Baltimore, in an accompanying commentary, the data generated in human, canine, and mouse models provide strong support to investigate the clinical effects of gefitinib in patients with Cushing disease.</span><br />
<span style="font-family: Verdana, sans-serif;">SOURCE: Journal of Clinical Investigation, published online November 21, 2011 </span></span></h1><span style="font-family: Verdana, sans-serif; font-size: small;"></span><br />
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</div></span>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-90438893561629562182012-04-12T08:22:00.022-05:002012-04-12T08:22:00.704-05:00Day 12 - Picture Timeline<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmcPJZOFYS-IxEKntDhgLwXvFAFHHd8XwWZEEy4RI-Kc77LZ7LB6nG8dppcCnV0ZZ5DZ8JtKigWCqxFwdlbUJMQjGzOsBOi7_bvH4DQFmeNSets_Q-mTLcgPQH2ljFcvxG8EZ7bG2UVvM/s1600/Kindergarten.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmcPJZOFYS-IxEKntDhgLwXvFAFHHd8XwWZEEy4RI-Kc77LZ7LB6nG8dppcCnV0ZZ5DZ8JtKigWCqxFwdlbUJMQjGzOsBOi7_bvH4DQFmeNSets_Q-mTLcgPQH2ljFcvxG8EZ7bG2UVvM/s320/Kindergarten.jpg" width="223" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Kindergarten 1999</td></tr>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgREZvpYqkmCXkYP5GSJ6f6agXvnZpxFH8LPV67iZY4F1OSthqYHEMcctC1wiTejgnIqlxjKRdlHQh6T7arobk1qTCds5Y82x6mORMUqMdpEwzazmUPyh4ACKsTBeotnv9xzqBUvnqDtyg/s1600/1sGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgREZvpYqkmCXkYP5GSJ6f6agXvnZpxFH8LPV67iZY4F1OSthqYHEMcctC1wiTejgnIqlxjKRdlHQh6T7arobk1qTCds5Y82x6mORMUqMdpEwzazmUPyh4ACKsTBeotnv9xzqBUvnqDtyg/s320/1sGrade.jpg" width="239" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">1st Grade - 2000</td></tr>
</tbody></table><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQwaPhyphenhyphen0KlaKZhk54xZHpFKK-uQwxP_TZQ6G9hxj1Lw3ocQxg9YwtOnEHxTl09Lm8Jr8wk-55Weh-j-za1tKe3gl4mZxu7yFN7F7TYOGMUTQSJT9LIAg1KzAjaHne6eXk4TdJVbCrOxOI/s1600/2ndGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQwaPhyphenhyphen0KlaKZhk54xZHpFKK-uQwxP_TZQ6G9hxj1Lw3ocQxg9YwtOnEHxTl09Lm8Jr8wk-55Weh-j-za1tKe3gl4mZxu7yFN7F7TYOGMUTQSJT9LIAg1KzAjaHne6eXk4TdJVbCrOxOI/s320/2ndGrade.jpg" width="256" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">2nd Grade - 2001<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyLl8GS1x9Tc2rlgHNoUHGgmFph6LnZqGfcwCUX7Xb7smgkoaRWmnEGBou2qFBpcNUnPqKthhlw9J5AMlyDfByIcV77rZtmb1rXMznD-OAo7hYu_oHYBBK2Lbirkuid_L7tG9vvRe1g2Y/s1600/img001.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyLl8GS1x9Tc2rlgHNoUHGgmFph6LnZqGfcwCUX7Xb7smgkoaRWmnEGBou2qFBpcNUnPqKthhlw9J5AMlyDfByIcV77rZtmb1rXMznD-OAo7hYu_oHYBBK2Lbirkuid_L7tG9vvRe1g2Y/s320/img001.jpg" width="210" /></a></div>3rd Grade - 2002</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFczZUqTwR3iIlThx8GvV7E8X4sfGTGUsChAEON1rVKz51fEsFYcGnpyNIwNj-xzifr76tBBzKrwyA8iTUoY8kZ-s6Y9exoVvd6nkdd31qIlgmL5gy0zerfqHeVpuTz7VZyyyWP7twJbk/s1600/4thGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFczZUqTwR3iIlThx8GvV7E8X4sfGTGUsChAEON1rVKz51fEsFYcGnpyNIwNj-xzifr76tBBzKrwyA8iTUoY8kZ-s6Y9exoVvd6nkdd31qIlgmL5gy0zerfqHeVpuTz7VZyyyWP7twJbk/s320/4thGrade.jpg" width="199" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">4th Grade - 2003</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_oSmb2FbRnO67zuK8gzlVAyzt8wYmXjY74AHUc6VzN8VAqjQquMKS6ZZUMTRUWD6BGsNjdw3LhGeEnMlwHehveeyulS85I0hXlMdWTFE1feRx4-mWR5CHyGIY9uTCgbjwyz7XQUY6_x8/s1600/5thGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_oSmb2FbRnO67zuK8gzlVAyzt8wYmXjY74AHUc6VzN8VAqjQquMKS6ZZUMTRUWD6BGsNjdw3LhGeEnMlwHehveeyulS85I0hXlMdWTFE1feRx4-mWR5CHyGIY9uTCgbjwyz7XQUY6_x8/s320/5thGrade.jpg" width="222" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">5th Grade - 2004</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgG5TvluwDXcLE4NHfYOuRmPluXT9qzxwG8j6bKUyyJfT5CqBNSUO1DLWCv3Uzzes1Ee_s4evkvU1ezEtywK6TlHBeINaccjrJlcEQUqBIVLe1kRMcp-O6ZOzhMFmvVzZCZbmYqja7M1XY/s1600/6thGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgG5TvluwDXcLE4NHfYOuRmPluXT9qzxwG8j6bKUyyJfT5CqBNSUO1DLWCv3Uzzes1Ee_s4evkvU1ezEtywK6TlHBeINaccjrJlcEQUqBIVLe1kRMcp-O6ZOzhMFmvVzZCZbmYqja7M1XY/s320/6thGrade.jpg" width="222" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">6th Grade - 2005</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmRPWiHQxx_KHKAeUwwhLnj4iscazS5zx-i2dDWOK8brQBZ8_OR1hElONjMxwMrvUnuqIG7cRJtzdlYTIPYsY0pD9CcDy8QCKZtYPuBAD5s-JPKLJogpJiHVzacg1iKFJJpkW82gZixCc/s1600/7thGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmRPWiHQxx_KHKAeUwwhLnj4iscazS5zx-i2dDWOK8brQBZ8_OR1hElONjMxwMrvUnuqIG7cRJtzdlYTIPYsY0pD9CcDy8QCKZtYPuBAD5s-JPKLJogpJiHVzacg1iKFJJpkW82gZixCc/s320/7thGrade.jpg" width="221" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">7th Grade - 2006</td></tr>
</tbody></table><br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBeSKgY8TaioscPgUmRm9vP8bMacqiDFWDcrllVkQrRGK_ZXEK0WZuGV80OOCK3MpqXQfEkqeYVlOJ1YLfBNfS1e_nrouzck9XZKivLupR2c2kwPURTioNh6NdwN9nD00wUV0hLkFqcrU/s1600/8thGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBeSKgY8TaioscPgUmRm9vP8bMacqiDFWDcrllVkQrRGK_ZXEK0WZuGV80OOCK3MpqXQfEkqeYVlOJ1YLfBNfS1e_nrouzck9XZKivLupR2c2kwPURTioNh6NdwN9nD00wUV0hLkFqcrU/s320/8thGrade.jpg" width="229" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">8th Grade - 2007</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjP_doxhCw6e-wjeqhBQOJI0wG1u08xAC2APKjFTJclc7bY-iuSDIme0tNzaXr8n8YavEvZu3k-c4or2nMB1osaaPrVxprfuB8J9J1qng8GxFBgw61oOK1Lxvn-8TIGY-q6TjqzhesaQtE/s1600/9thGrade.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjP_doxhCw6e-wjeqhBQOJI0wG1u08xAC2APKjFTJclc7bY-iuSDIme0tNzaXr8n8YavEvZu3k-c4or2nMB1osaaPrVxprfuB8J9J1qng8GxFBgw61oOK1Lxvn-8TIGY-q6TjqzhesaQtE/s320/9thGrade.jpg" width="236" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">9th Grade - 2008</td></tr>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2Nw_YoVXoKNZ9aNVGYwxEjHkPcvXA3Y-wucrxgV-oSmoOEVou9HfCLdJtq1lh1wKK4rPOX8aHv0D42wWeYupYox7AkCT7aArPURldMvqgfaEo7uy-bRAV8N5Uv7CHt5pATgf1aP-uOqY/s1600/SophomoreYrSept2009.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2Nw_YoVXoKNZ9aNVGYwxEjHkPcvXA3Y-wucrxgV-oSmoOEVou9HfCLdJtq1lh1wKK4rPOX8aHv0D42wWeYupYox7AkCT7aArPURldMvqgfaEo7uy-bRAV8N5Uv7CHt5pATgf1aP-uOqY/s320/SophomoreYrSept2009.jpg" width="253" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">10th Grade - 2009</td></tr>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbswq_N0sJWMQ9lKU_yWASciX2Z_ZAr6ATksDQOqcj50R6LZZ36J4pyPXoCq2YW0nd-ovnmBbGc5-DoAD2JD9kEGigmBksfVJZ99VtrYoRL44CayGxJR_r3gVUczLDEAkoMw-TQ7oYPjw/s1600/Hunter11th.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbswq_N0sJWMQ9lKU_yWASciX2Z_ZAr6ATksDQOqcj50R6LZZ36J4pyPXoCq2YW0nd-ovnmBbGc5-DoAD2JD9kEGigmBksfVJZ99VtrYoRL44CayGxJR_r3gVUczLDEAkoMw-TQ7oYPjw/s320/Hunter11th.jpg" width="207" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">11th Grade - 2010</td></tr>
</tbody></table><br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEitbrq3Wv7TNA0bDcB43C8ikjIjh6WTDK9dhjhIXlvSc0DgHwfMT_vO-ZhHqOxaAVIQxAXHrKAihiqeVQhPuvo-6V7tZ7_XYeoXGNFCs-DPFXa0XQrP44h0MlJAbcdBS3qn7k1sCEfouho/s1600/HMulnix.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEitbrq3Wv7TNA0bDcB43C8ikjIjh6WTDK9dhjhIXlvSc0DgHwfMT_vO-ZhHqOxaAVIQxAXHrKAihiqeVQhPuvo-6V7tZ7_XYeoXGNFCs-DPFXa0XQrP44h0MlJAbcdBS3qn7k1sCEfouho/s320/HMulnix.jpg" width="225" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">12th Grade - 2011</td></tr>
</tbody></table>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-48912766800625990672012-04-11T08:23:00.000-05:002012-04-11T08:23:00.362-05:00Day 11 - The RIGHT Doctors<span style="font-family: Verdana, sans-serif;">How many times have you had a dr look at your MRI and ask you why you are in the office today? Fortunately, it has only happened to us one time. He proceeded to tell us that all of the lab work was normal too. I was like... REALLY... are you kidding me???!!! Obviously, he still had a lot to learn. I could have looked at the scan and told you that there was obviously something there. </span><br />
<br />
<span style="font-family: Verdana, sans-serif;">Dr. G came in the room next and pulled up the picture of Hunter's MRI and showed us exactly where the regrowth of tumor was and that doing a 2nd transphenoidal surgery was the best option. Before we left the office that day Hunter had his 2nd surgery scheduled... Dr. P said she would not put him through another surgery again... we would need to look at other options. I pray to GOD everyday that that day doesn't come.</span>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-79844903828247688842012-04-10T08:16:00.001-05:002012-04-10T10:13:11.293-05:00Day 10 - Hunter and his doctor<span style="font-family: Verdana, sans-serif;">Pediatric endo, Dr. P at the University of Iowa Children's Hospital who diagnosed Hunter on his very first visit. She has been the biggest blessing out of this whole situation. Hunter and her bonded very quickly. Don't want to see the day come when he can no longer be her patient... (I mean I would love for that day to come!!! I just mean that once he is out of college he will have to see and adult endo... I hope that we can find one as caring and smart as she is!)</span><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjf08dupFC9qTyTPbZA-vQYjOgLCTzp1HMNtLl985LNWH5rtg4a8CuKnfA1XsfsLpy5OclQtPBofWRUs_B_y3G2iJ2X9D2L0b_FlyqHhR5uBAqWc8aMrhpGydw-MCce0-YqhG1mRpsgRSE/s1600/101_0032.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjf08dupFC9qTyTPbZA-vQYjOgLCTzp1HMNtLl985LNWH5rtg4a8CuKnfA1XsfsLpy5OclQtPBofWRUs_B_y3G2iJ2X9D2L0b_FlyqHhR5uBAqWc8aMrhpGydw-MCce0-YqhG1mRpsgRSE/s320/101_0032.jpg" width="320" /></a></div>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-11591490690636645742012-04-09T20:16:00.000-05:002012-04-09T20:16:13.391-05:00Day 9 - Wordle Art<a href="http://www.wordle.net/show/wrdl/5123115/Cushing%27s"
title="Wordle: Cushing's"><img
src="http://www.wordle.net/thumb/wrdl/5123115/Cushing%27s"
alt="Wordle: Cushing's"
style="padding:4px;border:1px solid #ddd"></a>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-34902905101377961832012-04-08T14:13:00.000-05:002012-04-08T14:13:44.759-05:00Day 8 - Happy Cushing's Syndrome Awareness Day and Happy Easter!<span style="font-family: Verdana, sans-serif; font-size: large;">What is Cushing's?</span><br />
<br />
<div align="left" class="style30"><span style="font-family: Verdana, sans-serif;">Cushing's Syndrome is caused by an excess of cortisol production or by excessive use of cortisol or other similar steroid hormone. When too much cortisol is produced in the adrenal glands or an excess is taken in treating other diseases significant changes occur in all of the tissues and organs of the body. All of these effects together are called Cushing's Syndrome. Cushing's disease is the name given to a type of Cushing's caused by too much ACTH production from the pituitary gland.</span></div><span style="font-family: Verdana, sans-serif;"> </span><br />
<div align="left" class="style30"><span style="font-family: Verdana, sans-serif;">Spontaneous overproduction of cortisol in the adrenals is divided into two groups: those due to an excess of ACTH and those that are independent of ACTH. When the source of excess cortisol production is a tumor of the adrenal gland itself, then it is not dependent on ACTH. </span></div><span style="font-family: Verdana, sans-serif;"> </span><br />
<div align="left" class="style30"><span style="font-family: Verdana, sans-serif;">What are some of the Symptoms of Cushing’s? Symptoms may include but are not limited to the following changes in body habitus: abdominal obesity, face may become more round and have a swollen appearance (moon face), increased size above the collar bone (supraclavicular), protrusion (buffalo hump) at the back of the neck.<br />
<br />
Skin and hair changes: bruise easily, purplish stretch marks (striae), red face (plethora), hair loss on head, excessive hair on face, abdomen, chest, and thighs. Depression, mood swings or anxiety. Generalized weakness and fatigue, muscle weakness. Decreased fertility or libido and menstrual disorders in women.<br />
<br />
It is important to remember that not everyone who has Cushing's will experience the same symptoms. Also, not everyone who has the classic physical features of Cushing's will actually have the disease. Cushing's is a serious disorder and it is important to carefully exclude it from other disorders and obtain a proper diagnosis.</span></div>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-47241255236018395502012-04-07T13:55:00.024-05:002012-04-08T14:09:16.595-05:00Day 7 - What I do to try to improve the quality of my life with Cushing's DiseaseAlways having been an active kid participating in sports such as football and baseball it was very hard on me not be physically able to perform these activities. Sports were a big part of my life. After my first and second surgeries when I was feeling well enough I started an exercise program and better watched what I was feeding my body. I did as much as I could but also listened to what my body was telling me.<br />
<br />
It hasn't been an easy road back and now that I am 18 months post op I am feeling the best that I have felt in many years. I still get sore achey joints and go to a chiropractor regularly because my back continues to hurt.<br />
<br />
Another focus in my life has been my church family and getting closer to God. This disease made a huge impact on my family and has brought all of us together and we are even closer than before.<br />
<br />
I try to be a positive person and a role model and not feel sorry for myself. I go out and have fun and try to live life to the fullest. <br />
<br />
~Hunter, age 18Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-2779188401798713682012-04-06T12:36:00.001-05:002012-04-06T12:38:28.430-05:00Day 6 - CSRF websiteThe CSRF (<a href="http://www.csrf.net/index.php" target="_blank"><span style="color: #4c1130;">Cushing's Support & Research Foundation</span></a>) website is an awesome resource of information for us when Hunter was first getting diagnosed. They have a quarterly newsletter that they publish and Hunter's story was published. I have met others with children in similar situations. Please visit the site... make a donation if you are able.<br />
<div class="separator" style="clear: both; text-align: center;"></div><br />
<div class="separator" style="clear: both; text-align: center;"></div><a title="View Hunter on Scribd" href="http://www.scribd.com/doc/88288414/Hunter" style="margin: 12px auto 6px auto; font-family: Helvetica,Arial,Sans-serif; font-style: normal; font-variant: normal; font-weight: normal; font-size: 14px; line-height: normal; font-size-adjust: none; font-stretch: normal; -x-system-font: none; display: block; text-decoration: underline;">Hunter</a><iframe class="scribd_iframe_embed" src="http://www.scribd.com/embeds/88288414/content?start_page=1&view_mode=list&access_key=key-2ny0ifsv3q0wxr5luzm1" data-auto-height="true" data-aspect-ratio="0.772727272727273" scrolling="no" id="doc_89258" width="100%" height="600" frameborder="0"></iframe><br />
<br />
PDF provided with the help of a useful website... <a href="http://www.scribd.com/">Scribd</a>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-47615754823158538822012-04-05T23:59:00.003-05:002012-04-06T07:59:54.894-05:00Day 5 - Before & After<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-i5lxa_Hn68lvbqZrLSHWVU8NrRhFHsmnUeY2lBZyHYpOCBl-6QYAgXgqtVXVb27aXVMWBobnQFLwSIT1FgmL0K4-ueJDRNI-wxbZ6K8AXQrNejTGoVnYHVPk3ejMaO4NM_V-r2gEkF8/s1600/FootballSophSeason.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-i5lxa_Hn68lvbqZrLSHWVU8NrRhFHsmnUeY2lBZyHYpOCBl-6QYAgXgqtVXVb27aXVMWBobnQFLwSIT1FgmL0K4-ueJDRNI-wxbZ6K8AXQrNejTGoVnYHVPk3ejMaO4NM_V-r2gEkF8/s320/FootballSophSeason.jpg" width="225" /></a></div><div class="separator" style="clear: both; text-align: center;">Before 1st surgery (October 2009)</div><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJjkkgYGyqAjK8xonXP4spJxErr-kDjVEB6WSRTTPWzITOV1NuFPoyacw13d-ep0HyQw_lGPaaTek2fG8YUTGlObVysNiOlbM2g23iwmpCEigx-cUIC80qZvd1DDkOhWMxbJEjnMsHK-o/s1600/baseball2010.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJjkkgYGyqAjK8xonXP4spJxErr-kDjVEB6WSRTTPWzITOV1NuFPoyacw13d-ep0HyQw_lGPaaTek2fG8YUTGlObVysNiOlbM2g23iwmpCEigx-cUIC80qZvd1DDkOhWMxbJEjnMsHK-o/s320/baseball2010.jpg" width="248" /></a></div><div class="separator" style="clear: both; text-align: center;">7 months after</div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div align="left" class="separator" style="clear: both; text-align: center;">These two pictures amaze me! Such a huge difference in such a short amount of time! </div><div align="left" class="separator" style="clear: both; text-align: center;"><br />
</div><div align="left" class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"></div><br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZ4l8gyWN3OJjV9phKv7UNQ8eMKxqdIhaj-Ybdx_VCUoO2sZTJDdxzqWI467cctbSe9LxtQZUbTXqNHvivS3Ia0PnKTggyf4dcHGF7p9WzynkF2WtCgPOAWOZfvkrIOuDb1-m_vL0nRBU/s1600/img010.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZ4l8gyWN3OJjV9phKv7UNQ8eMKxqdIhaj-Ybdx_VCUoO2sZTJDdxzqWI467cctbSe9LxtQZUbTXqNHvivS3Ia0PnKTggyf4dcHGF7p9WzynkF2WtCgPOAWOZfvkrIOuDb1-m_vL0nRBU/s320/img010.jpg" width="252" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Senior Year (2011-12)</td></tr>
</tbody></table><br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBLUp-vMk2Bpum8JtsS5HYF5IT4yRT1QEuThMmjF1Wn1HCvFJ_6sKDo2Cww3rQRkDN5YR65_APM-zH6kj74lWkDzGEky4HNvM5i-ZzYTX-xYeF9oeQzenknX73sDt-R6E0mh9lECOM1dc/s1600/img003.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBLUp-vMk2Bpum8JtsS5HYF5IT4yRT1QEuThMmjF1Wn1HCvFJ_6sKDo2Cww3rQRkDN5YR65_APM-zH6kj74lWkDzGEky4HNvM5i-ZzYTX-xYeF9oeQzenknX73sDt-R6E0mh9lECOM1dc/s320/img003.jpg" width="217" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Senior Year 2011-12</td></tr>
</tbody></table><div align="left" class="separator" style="clear: both; text-align: center;"></div>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0tag:blogger.com,1999:blog-3669211145168546486.post-12670369381979608112012-04-04T11:20:00.000-05:002012-04-04T11:20:43.186-05:00Day 4 - Just 'Click'!!<span style="font-family: Verdana, sans-serif;">Support Cushing’s …<em>With A Click</em>.</span><br />
<br />
<strong><span style="font-family: Verdana, sans-serif;">From Corcept, the makers of Korlym:</span></strong><br />
<span style="font-family: Verdana, sans-serif;">They say: “Corcept Therapeutics will donate $5 for every person who clicks to support people with Cushing’s. Corcept has jump-started the effort to build awareness and support with a $15,000 contribution to provide support through the Cushing’s Support and Research Foundation and Cushing’s Help. With your support, we can aim even higher!*</span><br />
<br />
<span style="font-family: Verdana, sans-serif;">Take part…and spread the word. Click </span><a href="http://cushingsawareness.korlym.com/" target="_blank"><span style="background-color: #fff2cc; color: purple; font-family: Verdana, sans-serif;">here</span></a><span style="font-family: Verdana, sans-serif;">.</span><br />
<span style="color: #222222; font-family: arial, sans-serif;"><span style="font-family: Verdana, sans-serif;"></span></span><br />
<span style="font-family: Verdana, sans-serif;">*Donations up to $30,000. Program ends April 20, 2012″</span><br />
<br />
<span style="font-family: Verdana, sans-serif;">(Thanks<span style="color: purple;"> Mary O</span>...I'm using your idea today to help spread the word!!!)</span> Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com2tag:blogger.com,1999:blog-3669211145168546486.post-1231909845934522942012-04-03T08:23:00.003-05:002012-04-03T08:39:55.560-05:00Day 3 - Health Madlib Poem<h1>handsome body</h1> I change my symptonss and all the cure laughs awareness; <br />
I release my respects and all is rejoice again. <br />
(I shock I tremble you up inside my needle.) <br />
<br />
The operations go trusting out in red and alive, <br />
And expensive humor simplifys in: <br />
I weep my diet and all the lifestyle challenges medication. <br />
<br />
I deserved that you diagnoseed me into vitamins <br />
And communicate me worried, confused me quite angry. <br />
(I shock I tremble you up inside my needle.) <br />
<br />
disease educates from the doctor, weight's pituitarys fear: <br />
imagine tumor and hospital's mri: <br />
I weep my diet and all the lifestyle challenges medication. <br />
<br />
I loved you'd listen the way you protect, <br />
But I question scary and I radiate your surgeon. <br />
(I shock I tremble you up inside my needle.) <br />
<br />
I should have screamed a insurance instead; <br />
At least when nurse reflects they time back again. <br />
I weep my diet and all the lifestyle challenges medication. <br />
<br />
(I shock I tremble you up inside my needle.) <br />
<br />
- Hunter & <a href="http://www.blogger.com/%3Ca%20href='http://www.languageisavirus.com/madlibs/sylvia-plath-mad-girls-love-song.html">Sylvia'>http://www.languageisavirus.com/madlibs/sylvia-plath-mad-girls-love-song.html">Sylvia</a> Plath <br />
<br />
<a href="http://www.languageisavirus.com/cgi-bin/madlibs.pl" target="_blank">Create Your Own Madlib on LanguageIsAVirus.com</a>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com1tag:blogger.com,1999:blog-3669211145168546486.post-39517704057563736982012-04-02T08:07:00.000-05:002012-04-02T08:07:05.522-05:00Day 2 - How many pills do you take a day?<b>a.m.</b><br />
Levothyroxine 88mg <br />
Hydrocortisone 5mg<br />
multivitamin<br />
calcium<br />
fish oil<br />
vit d - 2000 iu's<br />
<b><br />
afternoon</b><br />
Hydrocortisone 5mg<br />
<br />
<b>p.m.</b><br />
Hydrocortisone 5mg<br />
Norditropin injection 2.5mg<br />
Letrozole (Femara) 2.5mg<br />
<br />
<b>Wednesdays & Sundays</b><br />
cabergoline .5mg<br />
<br />
<b>once a month</b><br />
testerone injection<br />
<br />
So, that's 10 pills + 1 shot every day and add an extra pill on Wednesday & Sundays.<br />
+ an extra shot one time per month. I think that about covers it. Now to figure out the<br />
cost of these medications per month... I haven't done that yet because I didn't think I <br />
wanted to know.. but now I'm curious.<br />
<br />
Curious to hear how many different medications others are on for this disease. Please share!Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com2tag:blogger.com,1999:blog-3669211145168546486.post-92203984157147246582012-04-01T13:00:00.002-05:002012-04-01T20:03:48.925-05:00Cushie Blogger Challenge - Day 1<div align="center" style="text-align: center;"><br />
</div><div align="center" style="text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">Hunter’s Story</span></b></div><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Tempus Sans ITC"; font-size: 22pt;">D</span></b><span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">uring Hunter's regular yearly physical in July 2009 his primary care physician referred us to the University of Iowa Endocrinology Department to see why he had not grown in nearly three years. We had an appointment scheduled for November 30, 2009. A few days later the hospital called and said they would like to see Hunter on August 26th. We met with Dr. Liuska Pesce. She ordered several blood tests, saliva samples, and an x-ray of the left hand.<o:p></o:p></span><br />
<br />
<span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">The first round of blood work came back showing high ACTH and high cortisol levels. She ordered more tests and all came back with the same results.<o:p></o:p></span><br />
<br />
<span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">Dr. Pesce suspected that he had Cushing's Disease. The next step was to have a brain MRI and CT scans on his lungs, kidneys, heart, and adrenal glands to figure out what was causing the high ACTH and cortisol.<o:p></o:p></span><br />
<br />
<span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">Hunter had an MRI and CT's on Monday September 21st. Dr. Pesce called us Wednesday morning with the results of those tests. She told us that she had some good news and bad news. The good news was that his CT scans all came back clear. The BAD news was that the MRI came back showing a large tumor on his pituitary gland. The tumor measures almost an inch in diameter.<span style="mso-spacerun: yes;"> </span>The pituitary gland is about the size of a pea, the tumor measured about the size of a golf ball or a walnut.<span style="mso-spacerun: yes;"> </span>This is when mom and dad start to worry.<o:p></o:p></span><br />
<br />
<span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">Our next visit at the hospital was that same afternoon with Dr. Longmuir in Neuroophthalmology. There they did a series of tests to get a baseline of Hunter's eye sight and his peripheral vision. These tests went well and found that his vision had not been affected yet. <span style="mso-spacerun: yes;"> </span>Dr. Longmuir asked if we had seen pictures of the tumor yet and we had not so he brought the MRI pictures up on the computer and explained to us what we were looking at. <span style="mso-spacerun: yes;"> </span>He showed us where the tumor was and explained that it is putting pressure on the optic nerve.<span style="mso-spacerun: yes;"> </span>Hunter was lucky that he had not begun to have vision problems.<o:p></o:p></span><br />
<br />
<span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">The next day we spent the whole day at the hospital. We met with his endocrinologist Dr. Pesce first and she explained the results of his tests, and what the treatment plan will be. Next we went to speak with Dr. Greenlee, the neurosurgeon. He explained the MRI scans and described how they do the surgery. Before we left his office we had surgery scheduled for the following Thursday, October 1, 2009. Things were moving fast.<o:p></o:p></span><br />
<br />
<span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">We had two more appointments to go to, another CT scan and to Otolaryngology (ENT). We met Dr. Graham and once again were told how the surgery would be performed. The ENT surgeons go in first and get the neurosurgeon to where he needs to be to do his job of removing the tumor. After leaving the office we headed back to the 3rd floor for a CT of Hunter's head. 4pm and we were finally done for the day. They said the surgery will take about 5 1/2 hours.</span><br />
<br />
<span style="font-family: "Tempus Sans ITC"; font-size: 11pt;">to be continued.......<o:p></o:p></span>Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com1tag:blogger.com,1999:blog-3669211145168546486.post-78121265365293573872011-08-17T22:00:00.006-05:002011-08-24T11:59:09.431-05:001st Last Day of High School!<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQoKcPvC0Gzr4swUWvhIpoVquK6aZf4csrVBmoB-jsZ3-gSJGT8Caov5AdRSzTcHQe6MWonpujzHbmeOuNCZYcTDPVNBFAq-9ILVSVSTNxXRtIpViFG_BS7Log8hnJp1B99bCBOOGn_sI/s1600/100_0510.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQoKcPvC0Gzr4swUWvhIpoVquK6aZf4csrVBmoB-jsZ3-gSJGT8Caov5AdRSzTcHQe6MWonpujzHbmeOuNCZYcTDPVNBFAq-9ILVSVSTNxXRtIpViFG_BS7Log8hnJp1B99bCBOOGn_sI/s320/100_0510.JPG" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1o3EbBM84zX2cMKxt4itJ0uVl4QU4bsgh1XG5Atp5LdNOswOX4WhyphenhyphenfMIiaXMKaTZO6Qw6jfb8xul3QzjfU5e_vcz9wAIjexmNcZ-xff-h7J1bGTRj1IwEEY1ZsTwo_ghe_uwkSZRLyWw/s1600/100_0509.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1o3EbBM84zX2cMKxt4itJ0uVl4QU4bsgh1XG5Atp5LdNOswOX4WhyphenhyphenfMIiaXMKaTZO6Qw6jfb8xul3QzjfU5e_vcz9wAIjexmNcZ-xff-h7J1bGTRj1IwEEY1ZsTwo_ghe_uwkSZRLyWw/s320/100_0509.JPG" width="320" /></a></div><br />
Today is Hunter's last 1st day of high school at North-Linn.<br />
:-( (sad face) It is also Blake's 1st day of high school. Wishing you both a great school year!!Amberhttp://www.blogger.com/profile/17406206618140557782noreply@blogger.com0