I've never been in low spirits
Intelligence, confidence, the strength of spirit
Never been dispirited: deprived of spirit, hope, enthusiasm
While crossing the deep chasm
Living in a fractured World
Invigorating effect on my body and my spirits
But O, sick people of the world,
Are always hurled
Forget your troubles and let your woes lay
And when again there's morning they'll wash away
Put me in a gale of laughter spirits will rise more
There was the shrieking of a door
Being torn from its rusty, creaky hinges
Anything worth dying for is certainly worth living for
That I am here--- that life exists,
And identity, that the powerful play goes on
The meanness of spirit, slowness of intelligence
I was not sick of any fear from thence
My best defense is belligerence
All dumb arrogance
In a soup of anger, frustration ,fear
Without broadcasting it
Feel so good to say
A deeper sense of satisfaction
PRRT is recommended for patients who have somatostatin receptor-positive
Vibes I got from medical folksies so negative
As a matter of fact that sound the opposite
If you don't have a stable but progressive NET cancer
As I qualify for PRRT thats my best answer
To win the War.
Receiving a dose of amino acid solution through an IV to protect the kidneys from radiation
Like chemotherapy it's not a tradition.
By reducing how much radiation they absorb.
They don't blunder, bungle or poorly perform
Then, octreotide, a synthetic cell-targeting protein, or peptide,
Life has been ebb and tide
Neuroendocrine tumors (NETs) are neoplasms derived from nerve and endocrine cells.
Hippocrates is often credited with developing the theory of the four humorsm
—blood, yellow bile, black bile, and phlegm—and their influence on the body and its emotions.
NETs have the ability to produce hormones and have similarities with nerve cells,
NETs were called “carcinoid” 100 years ago and were considered benign neoplasms.
Metastatic disease is a major prognostic factor in neuroendocrine neoplasms
in addition to differentiation and proliferation rate
Currently they are considered to be malignant, WHO's histopathological classification eliminated the “carcinoid” label in 2000.
In the WHO classification of 2010, NETs were defined as neuroendocrine neoplasms and were classified as NET G1, NET G2, NEC (large cell or small cell type), mixed adeno neuroendocrine carcinoma (MANEC), hyperplastic, and preneoplastic lesions, by the Ki-67 index.
NETs are increasing and are therefore attracting interest and attention.
Generally, the majority of metastases occur in the liver, lungs, and bone.
As during acidity they shone
Other sites are rarer, and brain metastases are very rare.
Here we present a probable primary brain NET. To knowledge, this is the first reported case of a primary NET arising in that anatomical location.
Brain metastases (BM) are rarely reported in patients with neuroendocrine carcinoma (NEC) of non-lung origin and neuroendocrine tumors (NET) of the gastro enteropancreatic (GEP) or bronchopulmonary system.
Nobody ever miss'd them.
But her tight fisted mastery and ego missed them
However, symptomatic brain metastases are associated with dismal prognosis, so early detection and treatment could be advisable
Proteins are made of amino acids arranged in a linear chain joined together by bonds of peptide
Is combined with a small amount of radioactive material,
Or radionuclide, to create a radiopeptide.
When the radiopeptide is injected into a patient’s bloodstream, it binds to protein receptors called somatostatin receptors, located on NET cells,
Delivers high doses of radiation to the tumor. Because it’s a systemic treatment,
Like lock and key they tell
She isn't a doctor who's halfway decent
PRRT targets NETs with somatostatin receptors anywhere in the body.
Her work has always been shoddy
The amino acid solution is also delivered to PRRT patients Post radiopeptide injection.
For years some practiced practiced at the art of deception
Because small amounts of radiation may remain in the body, patients are generally advised to take certain precautions after treatment, especially for the first one to two days.
NETs that cannot be removed with surgery
Are typically treated with hormone therapy
to control symptoms and tumor growth.
But in cases when tumors continue to grow despite treatment,
Would use PRRT who's halfway decent
Use of contrast agents has resulted in reduced radiation, while maintaining image quality.
Primary well-differentiated neuroendocrine tumors arising in the intracranial portion of the central nervous system (CNS) are occasional findings.
On the other hand, the CNS more frequently represents a metastatic site for primary poorly differentiated NET arising elsewhere, most often in the lung (small-cell lung cancer) .
In such cases, other secondary lesions, such as liver, lung and lymph nodes metastases, are often detected synchronously or metachronously with CNS localizations.
Patients with brain metastases are rare;
"Payal...there are many centres offering PRRT..please go to them. I will never do what I am not convinced will help my patient."-- don't prefer tyrant
You define them as you call this one ignorant
Thinking they are the masters under the illusion of wealth,
Facts are superior to lies,
Conflict between science and ethics
And lies cannot cover up facts
Desired superiority thinking of attainments
Calcifications are visible within the necrotic areas of a tumor nest
My spleen isn't a jest
Neuroendocrine differentiation was confirmed using the following immunohistochemical markers:
Chromogranin, synaptophysin and neural cell adhesion molecule.
With one study reporting a median survival time of 10.0 months after diagnosis of brain metastases
Overall, brain metastases occur in 1.5–6% and their detection is usually preceded by the documentation of the primary, extracranial tumor
Nevertheless, neuroendocrine markers have been found to be overexpressed in rare oral neuroendocrine tumors,
But also in quite common inflammatory conditions, such as severe periodontitis.
The monitoring of neuroendocrine markers is, thus, a common factor of interest among dentistry and neurology: the analysis of neuroendocrine markers in oral diseases may be predictive and prognostic about the severity of neurological ailments
There are only a few reports to suggest NENs originating primarily from the brain. Neuroendocrine cells are naturally involved in the coordination of neurotransmitter-initiated synthesis and release of biologically active substances.
Therefore, NENs possess unique properties such as secreting physiologically active amines and peptidyl hormones which allow NENs to retain unique methods for identification
People are too complicated to be figured out objectively, plus they are known to change their minds!
When you hear hoofbeats, think of horses not zebras
The wrongness of the moment
So frivolous, so ridiculous!
Gotten more out of life!
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