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    Temptation
    Temptation
    Temptation
    Ebook83 pages1 hour

    Temptation

    By John William Good

    ()

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    About this ebook

    Tobacco advertising In the United States had a very significant and immediate effect on sales. When one campaign started in1955 sales were at $5 billion and by 1957 sales were at $20 billion.

    In Marys own words He approached me at the bus stop and offered a cigarette. I said I dont smoke. He said try it you might like it.

    Beginning in October of 2006 Mary has had a Carotid Artery surgery, treatment for Cancer on her Bladder twice, abdominal aortic aneurysm surgery, cracked pelvis, cracked spine, fistula surgery and removal of her gall bladder and a hip replaced.

    LanguageEnglish
    PublisherXlibris US
    Release dateJun 18, 2012
    ISBN9781477126097
    Temptation

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      Book preview

      Temptation - John William Good

      Copyright © 2012 by John William Good.

      All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner.

      To order additional copies of this book, contact:

      Xlibris Corporation

      1-888-795-4274

      www.Xlibris.com

      [email protected]

      116268

      Contents

      Abdominal Aortic Aneurysm

      Radiation Oncology

      XII—Radiation Treatment to Begin

      XIII—The Cancer Is Gone Again

      XIX—Pelvic Fracture

      Hip replacement surgery

      Vascular and Endovascular Surgery

      Surgical Oncology

      Orthopedic Trauma Service

      In the fall of 2006, after more than sixty years of good health, the temptation presented to Mary at a bus stop one morning finally caught up with her.

      A visit to her gynecologist for her annual Pap smear showed an irregularity.

      She was instructed to see a urologist immediately.

      UROLOGY

      10/16/06 Mary’s urologist discovered a large tumor in Mary’s bladder on or about October 16, 2006. A biopsy didn’t show any sign of cancer cells.

      The doctor scheduled a procedure to be performed on Monday, October 23, to have a better look at what he labeled as very suspicious. Mary’s primary doctor was contacted to admit her for the procedure.

      INTERNAL MEDICINE

      10/18/06 On Wednesday, October 18, Mary’s primary doctor discovered a problem with the carotid artery and scheduled an ultrasound.

      10/19/06 The ultrasound was performed, and the scheduled procedure for Monday, the twenty-third, was cancelled with a CAT scan scheduled for Friday, the twentieth.

      INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE

      10/25/06 MRI on Wednesday, the twenty-fifth, and a follow-up later in the day with the cardiologist. This doctor told Mary, one more cigarette and she could have a stroke or heart attack. She has not had one since.

      Her carotid artery had a large amount of plaque buildup (90 percent blockage).

      VASCULAR SURGERY, GENERAL SURGERY

      10/26/06 An appointment with the carotid artery surgeon was set for October 26. He scheduled surgery for 11:00 am, Monday, the thirtieth.

      He also told us that Mary has a four-centimeter abdominal aortic aneurysm that we have to watch. If it reaches five centimeters, it will need attention. If she watches her diet, stays off cigarettes, and keeps the cholesterol under control, as well as her blood pressure, she could live her entire life without reaching the five centimeters. She is taking medications for blood pressure and cholesterol as well as one baby aspirin a day.

      Abdominal Aortic Aneurysm

      Most abdominal aortic aneurysms (AAAs) are asymptomatic, not detectable on physical examination, and silent until discovered during radiologic testing for other reasons. Tobacco use, hypertension, a family history of AAA, and male sex are clinical risk factors for the development of an aneurysm. Ultrasound, the preferred method of screening, is cost-effective in high-risk patients. Repair is indicated when the aneurysm becomes greater than 5.5 cm in diameter or grows more than 0.6 to 0.8 cm per year. Asymptomatic patients with an AAA should be medically optimized before repair, including institution of beta blockade. Symptomatic aneurysms present with back, abdominal, buttock, groin, testicular, or leg pain and require urgent surgical attention. Rupture of an AAA involves complete loss of aortic wall integrity and is a surgical emergency requiring immediate repair. The mortality rate approaches 90 percent if rupture occurs outside the hospital. Although open surgical repair has been performed safely, an endovascular approach is used in select patients if the aortic and iliac anatomy are amenable. Two large randomized controlled trials did not find any improvement in mortality rate or morbidity with this approach compared with conventional open surgical repair. There is increased chance of rupture.

      10/30/06 The surgery on the thirtieth was a success, and Mary is now ready for prep once again for the bladder procedure.

      Description of Service:

      RECHANNELING OF ARTERY

      Date(s) of Service: 10/30/2006

      11/06/06 Back to primary care doctor on the sixth of November

      11/07/06 Then the cardiologist on the seventh of November

      11/10/06 Mary’s urologist performed the bladder procedure on Friday, the tenth. These pictures were from the urologist and are the actual tumor before and after.

      image003.jpg

      11/15/06 We met with the urologist on Wednesday, November 15, 2006, and he informed us it is cancer. But this type of cancer is rarely found in the bladder (lymphoepithelioma-like carcinoma), only eighty reported cases in the world. It is usually found in other parts of the body. The doctor said this is good news because there is a high success rate with this type of cancer.

      11/17/06 Friday, November 17, we met the oncologist, who said that is good news (I believe he said there is an 80 percent success rate with this type of cancer using chemotherapy) although they will have to call all over the world for help again because the cancer is in the bladder.

      HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE

      11/20/06 Mary had bone density testing on Monday the twentieth of November.

      11/27/06 Mary

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