17th April 2009 Friday
Meet up section with the girls... :D Sharon & ShiPing.
We went to Amara Hotel the Shopping Centre.
There is a Lounge for Dancing..
Saw Julian there too... :D
Focusing on her HP... hahaha
Play the piano....
18th April 2009 SaturdayHubby should work until 4pm but their stock not tally so stay back till 5plus...
I prepared myself and went to meet him..
I been cooking for the past few days at home...
So hubby say sat and sun we go outside eat for dinner...
Went to East Coast Park Steamboat Buffet... :D
Hubby love it so much cause can fry the meat himself...
The weather very warm... he is sweating.... hahaha..
Just the simple loving US.
Do you want to play?
Hubby.. don't wan wait for me... hahaha..
He say i keep snap snap snap...
19th April 2009 Sunday
Sunday is Hubby off day.
Sunday is also a very lazy day... hahaha..
Hubby Cook me a Yummy Breakfast hahaha...
Both of us slacked at home watch movie online..
and i prepare lunch at home for him.
It 3pm le.. so i faster go bathe and wash clothes...
Get myself prepare... and iron his work shirt...
He still watching other movie online... ANGRY... Chase him go bathe... :D
Lying on bed waiting for him to get prepare...
He prepare very long too...
Hubby Tattoo :D
He keep telling me...5plus liao wanna go le ma..
cause i busy snapping him and myself.. :D
TADA.. I AM READY TO GO.
Oh ya...forget to mention... we going to the New shopping Centre at Tampines.
It Damn Crowded.... squeezing here and there.. hahaha.
Saw a few friends there... Sharon, Mandy and Elvis...
Hubby went to POH HENG to find his friends... and chit chat awhile lo.. :D
A simple day with hubby...
Went into YAMAKAWA to buy some nice biscuit...
20th April 2009 Monday
This few days not feeling well.. Chest abit pain and have breathing problem.
My neck seem abit swollen... so i went to Polyclinic today...
I wanted to do a full check up.. but they dont have it.
They only have a package call Multiphasic Health Screening for $100 + 7%GST.
The test is for : Kidney, Liver & Cancer Marker(AFP), Lipid profile & the Heart, Diabetes, Thyroid, Blood count, VD & Hep. B and Colon & Cancer marker(CEA)
Tomorrow i going for the blood test as i need to fast from 10pm today till tml morning..
8am to go for the test... hmmm...
It been a few year people think my neck abit swollen but i didnt go check cause i never feel anything wrong with me... But recently i feel uneasy.. so i decide to go check...
I do a search of THYROID online.
It a very comon disease but alot of people do not know that they have the disease...
Often happened on women. Some of the Symptoms makes me really worry...
Hope eveything going to be fine for me...
What is Thyroid Disease?
The thyroid gland is situated at the front of the neck. It produces thyroid hormones which are important in regulating the body's metabolism. The release of thyroid hormones is controlled by the pituitary gland in the brain, which releases the Thyroid Stimulating Hormone (TSH).
Thyroid disease is a fairly common medical condition. The symptoms of thyroid disease may not be immediately clear as they often develop gradually over a period of time. As a result, it sometimes goes undetected or misdiagnosed.
Different Types of Thyroid Problems
There are several types of thyroid problems. The following are the most common ones:
Hypothyroidism (Underactive thyroid)
Hyperthyroidism (Overactive thyroid)
Thyroid Nodules (Lumps)
Hypothyroidism (Underactive Thyroid)
In hypothyroidism the thyroid gland does not produce enough thyroid hormones.
Symptoms
Hypothyroidism can give rise to the following symptoms:
fatigue, lethargy
unexplained weight gain
increased sensitivity to cold
dry skin and hair
heavy menstrual periods
constipation
slowed thinking
depression
Causes
Hashimoto's thyroiditis In this condition the body's immune system attacks the thyroid gland, resulting in
underproduction of thyroid hormones.
Past treatment with radioactive iodine.
Radioactive iodine therapy, sometimes prescribed for hyperthyroidism, can lead to hypothyroidism (see below).
Hypothyroidism during or after pregnancy.
These women develop antibodies to their own thyroid gland resulting in underproduction of thyroid hormones.
Past surgery to the thyroid gland
Hypothyroidism may result if a large portion of the gland is removed.
Other rarer causes include congenital hypothyroidism (in which babies are born with a defective or non-existent thyroid gland), radiation treatment for cancers of the head and neck, pituitary problems and iodine deficiency.
How Doctors Determine if You Have Hypothyroidism
A blood test is done for TSH (thyroid stimulating hormone) levels. Patients with hypothyroidism usually have high levels of TSH. This is usually followed by a blood test for thyroxine levels. Most patients with hypothyroidism will have low thyroxine levels. However, in subacute hypothyroidism patients have a high TSH level, but the thyroxine level may be normal.
Treatment
Patients with hypothyroidism (including subacute hypothyroidism) are prescribed daily doses of synthetic thyroxine, which comes in the form of a pill. Patients are tested regularly for the level of TSH. The daily dosage of thyroxine is adjusted until a normal TSH level is reached. For most patients, monitoring and treatment has to be carried out for life.
Hyperthyroidism (Overactive Thyroid)
In hyperthyroidism, the thyroid gland produces too much thyroid hormone.
Symptoms
Hyperthyroidism may give rise to the following symptoms:
anxiety, shaking, feeling nervous or irritated
fast heartbeat or palpitations
feeling hot
loss of weight
fatigue, exhaustion
increased frequency of bowel movements
changes in menstrual periods
Causes
Graves' disease - the most common cause. In Graves' disease, antibodies produced by the body's immune system stimulate the thyroid gland to produce too much thyroxine. Graves' disease is known to cause various eye symptoms in patients, such as:
eye irritation
bulging of the eyes
double vision
blurred vision
Hyperactive thyroid nodules which produce too much thyroxine.
Thyroiditis or inflammation of the thyroid gland. The cause is often not known.
How Doctors Determine if You Have Hyperthyroidism
A blood test is done for the thyroxine and TSH (thyroid stimulating hormone) levels. Patients with hyperthyroidism usually have high levels of thyroxine and low levels of TSH. The doctor may then conduct further tests to find out the cause of hyperthyroidism
Treatment
Simple cases of Graves' disease can be managed by the family doctor. However, complicated cases of Graves' disease and hyperthyroidism due to other causes are usually managed by specialists.
The first line of treatment is usually anti-thyroid drugs. These prevent the thyroid gland from producing too much hormones. Although symptoms improve in six to eight weeks, treatment usually needs to be continued for at least 18 months. Relapse after that is not uncommon.
Another form of treatment is radioactive iodine therapy. A dose of radioactive iodine is taken by mouth; the radiation targets the thyroid gland and destroys part of it, thereby reducing the production of thyroxine. This treatment often eventually results in hypothyroidism, so the patient may need to take thyroxine replacement medication for life.
In rare cases of hyperthyroidism, surgery is recommended by the specialist.
Thyroid Nodules (Lumps)
Thyroid nodules occur when normal thyroid tissue grows to produce abnormal lumps. Some are solid while others are filled with fluid (cystic). Most are benign. In a small number of the patients however, the nodules are cancerous (malignant).
Symptoms
Most benign thyroid nodules do not cause any problems. However some may press on the windpipe (trachea) or gullet (oesophagus) causing swallowing or breathing problems.
Malignant thyroid nodules present similarly to benign nodules but can spread to other parts of the body.
How Doctors Determine if You Have Thyroid Nodules
A blood test for thyroxine and TSH levels will usually be done. A fine needle aspiration biopsy is a simple way to determine if a nodule is benign or malignant. This simple procedure involves the extraction of cells from the nodule with a fine needle. It is usually performed in the doctor's clinic. The sample is then sent to the lab for tests to look for any malignant cells.
Other tests done include ultrasound scans to distinguish between solid and cystic nodules, as well as thyroid scans which help to show if a nodule is producing excessive thyroid hormone ("hot" nodule) or not.
Treatment
Benign lumps can be monitored by doctors at regular intervals, if there are no symptoms. If there are compressive symptoms or the nodule is cancerous, surgery is required. Patients who have a "hot" nodule may be recommended to go for radioactive iodine treatment (see above section on hyperthyroidism).
