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2012年4月17日 星期二

Stomach Cancer: After Three Biopsies She Declined Medical Treatment: Where Is the Logic?


DS-M906, is a 69-year-old female from Indonesia. Sometime in July 2009, DS had problems with her stomach. She consulted an internist at a private hospital in Medan. A biopsy was performed and the result indicated an adenocarcinoma, i.e. cancer of the stomach. After this examination, DS decided not to do anything. Her problem escalated and she suffered more pains.

In December 2010, DS went to see another doctor in another private hospital in Medan. A biopsy was again performed. The histopathology result indicated a moderately differentiated adenocarcinoma. Not satisfied, in January 2011, DS came to a private hospital in Penang for further consultation. A CT scan did not show any focal lung lesion. Her abdominal organs were normal. A colonoscopy showed simple hemorrhoids while the rest of the bowels were normal. A biopsy of the pre-pyloric region was performed. The result indicated signet ring-type adenocarcinoma. There was also Helicobacter pyloriassociated chronic active gastritis. In short, for the third time, DS had been told that she had stomach cancer.

The doctor in Penang suggested two options - DS take medications or undergo an operation. DS declined further medical treatment and came to seek our help on 21 January 2011. Below is the video recording of our conversation.

Comments:

Since DS and her children had already made the decision not to undergo any surgery, DS had no other choice but to take our herbal teas. We cautioned her to reconsider her decision to decline surgery. She was adamant that she did not want any medical treatment. One of her children said: "After surgery, she has to undergo chemotherapy. And we know that is not the thing we want to do."

We posed this question to DS - and for that matter, to all patients. If she has already decided not to undergo surgery after a biopsy, why does she do one biopsy after another? It is understandable if only one biopsy is done - to determine what has gone wrong. But what does she expect to get by doing three biopsies?

This is one peculiarity we often notice among Indonesian patients. They come to Penang - bring all the money that they have. They spend their money on blood test, X-ray, CT scan, PET scan, biopsy, etc. When they are told that they have cancer and need to medical treatments, some of them just pack off and go home the next day. Is this not wasting money unnecessarily? Is there any logic in doing such thing?

This is our message to patient: If you don't want to proceed with medical treatments recommended by your doctor, there is no need to do a biopsy. A biopsy is done to confirm if you have cancer, so that you can move to the next step - be it surgery, radiotherapy or chemotherapy. If you did not want to do any of these, why do a biopsy?

Again we say - before doing a biopsy, ask yourself first: If it is cancer, do I want to undergo surgery / chemotherapy / or radiotherapy? If you agree to such treatment, go ahead with the biopsy to be sure that it is really cancer. But if you do not wish to undergo further medical treatment as in the case of DS, why do you spend so much of your money doing the biopsy in the first place?

Granted - some patients say, the medical treatments are expensive and they cannot afford it. Or, some may say they decline medical treatments because the doctors cannot guarantee a cure. If these are your concerns, why don't you ask the costs first or ask for a guarantee first before doing anything?




For more information about complementary cancer therapy visit: http://www.cacare.com, http://www.CancerCareMalaysia.com





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2012年3月24日 星期六

Better Pet Photos - In Three Easy Steps!


When you try to take portraits of your pets, do you end up with nothing but blurry blobs, down in the corner? Was your dog or cat even looking at the camera? Were they looking attentive and happy? Did your cat make sure everyone was bleeding before the end of your last photo session?

Creating good pet portraits can sometimes be a challenge. But if you follow three simple steps you too can do a good pet portrait of Fido or Felix. It's really pretty easy.

First, let's shift our attention to the backdrop.

Whether shooting indoors or outdoors, you first need to do a scan of the background. Is there a street back there, with cars zipping by? What can distract the dog's attention? Are there ducks waddling around? Are there kids playing in a nearby park? Balls flying around that can be chased after? How about poles, trees or fences that can protrude from the dog's head? If you take just a couple minutes to check out the backdrop, the odds of getting a good pet portrait increase dramatically.

Second, who can help you?

Trying to do a pet portrait by yourself can be a real challenge. If you get someone to help you and act as your assistant, it becomes a whole lot easier. After a few times of getting Fido posed just right - and then backing off to do the picture, only to have Fido follow you, you'll know what I mean. Don't get mad, they don't know what you want, they're just trying to be friendly. Cats are a different story, they won't try to be friendly and follow you, they'll just take off and you may never see them again.

With someone to assist you, they can control the dog or cat and all you have to worry about is the actual photograph. You can get in position, get yourself all focused and then just have them step back or lean backwards little bit and you shoot. Sometimes you have to be pretty fast on the trigger to catch the animal before they take off, but with your assistant there to help catch them, they will be reposed and ready for the next shot before you know it.

Third, it's important to have your pet looking at the camera with an attentive expression.

That's not very difficult to do. When shooting dogs, a squeaker works best. Get yourself one that's flat, keep it hidden from the dog, and squeak it softly. By doing it that way, the dog won't know where the sound is coming from and it will look attentively toward you to find the source of the squeak. Snap the shot. This technique will work for several shots, then once the dog realizes where the sound is coming from, you can squeak it louder and wave it around to get their attention. When squeaking no longer attracts their attention, flick it up into the air.(That's why you want a flat one - so it won't roll away.) Tossing the squeaker in the air also has the added bonus of getting them to pull their tongues into there mouths

Both tongue in and tongue out shots are appealing. You will want to get several of each. Tongue in is a more classic look, tongue out makes them look happier.

Squeakers don't work for very long with cats. They don't seem to be as interested in sounds as dogs are. The squeaker may work once or twice, but for the most part you will need visual aids. Ostrich feathers work well.

I know these steps are deceptively simple, but if you'll just try them, you will be amazed at the results.

You may republish or reprint this article at will, as long as it remains intact and unchanged, including the author bio box.




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