ARrrrGggg! wat happen to me today, why wasn't i looking forward to the this wkend... why i feel so moody... why was i looking so fed up on everything... why why why... till now no answer found.
wat a simple and boring sat i had doing today... (so different from other sat) wake up; went downstair to pay bills; went to meet xt, ron and aven to sim. Then, ahead home instead meeting wl and ly for dinner. when upon walking back home from mrt station, called mum to inform her i going back for dinner... she seems so surprise cos i informed not to cook my dinner and i went back home so 'early' (just went out for 2-3hrs) .
bac home, i just keep myself wif the tv programs. suddenly no mood for everything... from eating; chatting; going out or slp... arh! i cant explain either! maybe i sld get a good slp; so to get myself in e right mind.
:: Secret Lady ::
3 addition on my secret
Adrianna Mancini is a slightly shy 12-year-old with a talent for drawing, a love of animals, dance and rollerblading, and a penchant for computer games. ("I have to put a limit on that," says her mom, Toni Mancini.) After school, you might find Adrianna creating clay figurines of Harry Potter characters for a school project, hanging out with her younger sister, Marcella, or checking her favorite website, neopets.com. But this sweet, normal kid, who plans to be an artist and a veterinarian one day, didn't get a normal start in life. Far from it: She is lucky to be alive.
When Toni Mancini went into labor on a February evening in 1994, she was just over five months pregnant. Most women would be concerned about delivering a baby so early, but Mancini was downright terrified. Six weeks from finishing a program to become a neonatal-care nurse at Children's Hospital in Philadelphia, Mancini knew the risks of a premature birth better than most. It was 8 p.m., and Mancini was caring for a two-year-old who was suffering the chronic effects of prematurity himself, when she felt the first precipitous contractions and was rushed to a hospital bed.
The struggles of that two-year-old, as well as of all the other children Mancini had worked with -- the respiratory problems, the brain damage, the jaundice, the potential for blindness, the infections and the high risk of death -- haunted her as she took the bed rest doctors had prescribed. She went into labor two weeks later. When Adrianna was born at 6:10 the evening of March 9, she was disturbingly small, weighing just 24 ounces, with translucent skin and a tiny pinched face. She had only a minimal heartbeat.
Adrianna's Apgar (activity, pulse, grimace, appearance and respiration) score was a 1. Healthy infants usually score above a 7. At two hours old, Adrianna's prognosis was poor, with a less than 50 percent chance of survival. Mancini, a practicing Catholic, was advised to have her infant baptized immediately.
Dr. Thomas Shaffer of Temple University in Philadelphia was called in to assist Dr. Jay Greenspan, a colleague at Thomas Jefferson University Hospital. They huddled to determine a course of action. Mancini learned about an experimental process called liquid ventilation that Shaffer and Greenspan were working on. The distraught mother was told about a breathable fluid that could help ease her child's respiratory distress. A doctor compared it to the liquid featured in the movie The Abyss -- where a breathable liquid lets the hero visit with aliens at crushing ocean depths.
My daughter's fighting for her life, Mancini thought. What are we doing talking about science fiction? But when the doctors reduced Adrianna's prognosis to just a five percent chance of survival, Mancini didn't hesitate. She and her husband agreed to the strange experimental procedure.
The breathable liquid comprises perfluorocarbons (PFCs), which carry more oxygen than blood and mimic the properties of amniotic fluid. In theory, you could dive into a swimming pool filled with this liquid and breathe. When put directly into an infant's lungs, liquid ventilation creates a gentler and less invasive environment for the preemie than traditional respirators, which can be harsh and can still engender the kinds of debilitating afflictions that may follow a child for a lifetime. Though the preemie is exposed to the air around her in an incubator, she is actually only breathing the liquid in her lungs. With PFC liquids, a premature baby's tiny organs are treated more like they are still in the womb. And after roughly 24 hours of liquid ventilation, the PFC liquids simply evaporate.
While Greenspan used a syringe to get the liquid into Adrianna's body through a tube that reached from her tiny mouth to her lungs, Mancini prayed. She prayed for the strength she would need if her child died. She prayed that if Adrianna did die, her life would have been useful to science, that another preemie might benefit from Adrianna's short time on earth. She prayed for the strength to cope with a severely handicapped child. But mostly she prayed that God would spare her small daughter.
Mancini watched the clock and felt the seconds being taken from Adrianna's life. Somehow, she finally fell into a deep sleep, not yet knowing that the liquid ventilation had produced immediate results. Within an hour of breathing the PFCs, Adrianna improved: Her lab work showed a complete turnaround. Her blood pressure was normal, and her heartbeat had stabilized. At 5:00 in the morning, Mancini was brought to the neonatal intensive care unit. She saw relief and astonishment on the faces of the many doctors, nurses and hospital staff who had been on Adrianna's team, and she realized that her daughter had made it. "I knew that I was watching medical history being made," Mancini recalls.
Although Shaffer's work has saved 12 infants so far, and can stave off much of the brain damage and respiratory problems usually associated with extreme prematurity, it has not received the funding it needs to become available to all the newborns who could benefit from the therapy. "We can have 70 percent of babies weighing less than 750 grams survive, instead of 30 percent," says Shaffer.
Some critics argue that liquid ventilation is a distraction. Their concern is that if PFC liquids were widely available to save extremely premature babies' lives, there will be less attention paid to the problems that lead to prematurity, such as drug and alcohol abuse during pregnancy.
"Sure," Shaffer exclaims, "let's give everyone college educations, clean up the environment, and get rid of drugs. But until then, we have mothers who will deliver in a toilet and babies born addicted to crack. Let's do what we can while this is happening." Besides, if extreme preemies survive with compromised brain function, the cost to society for their care is surely greater than preventing the problem with liquid ventilation.
Of course, not every preemie is the product of a bad environment; sometimes babies are just born too early, as Adrianna Mancini was. Toni Mancini is a nurse, had excellent prenatal care, and was healthy. Luckily, Adrianna is healthy too. Not only did Shaffer's liquid ventilation save her life, it saved her from a life of brain damage and limited options. Adrianna isn't just mentally healthy; she's gifted. In addition to scoring in the 95th percentile on standardized tests, Adrianna won acceptance to a Philadelphia magnet school for the academically advanced -- which she attends when she isn't ice-skating or taking dance classes. For Adrianna, being perfectly normal is extraordinary.
It's exactly the outcome Shaffer had hoped for. It's also why, when Shaffer sees a preemie brought in to the neonatal intensive care unit, he's frustrated that he can't offer liquid ventilation. Shaffer and Temple University Hospital are still fighting to win financial support for this technique so that they can complete clinical trials and conclusively demonstrate its effectiveness to the Food and Drug Administration.
In the meantime, as a medical professional, Toni Mancini shares Shaffer's frustration that after all these years, liquid ventilation is still not an accepted, available therapy. Mancini recalls a set of twins, a boy and a girl, born far too early. "The girl did great," says Mancini. "She was a tiny growing preemie." But her brother was in constant danger, facing everything from dramatic respiratory problems to potential brain damage. Mancini watched the anguish of the twins' parents as they struggled with the decision of whether to take their son off life support. And she felt a private anguish as well, knowing that liquid ventilation might be the only chance he had.
After two months, the little boy died. "When I see a baby in severe respiratory distress," an emotional Mancini says, "I can't help but wonder what could be. I just refuse to believe that liquid ventilation will never have a place in neonatal care. All we went through has a purpose. Adrianna has a purpose."
:: Secret Lady ::
2 addition on my secret
"Hidden Cameras"
Mrs.Udurawana caught Udurawana searching high and low all
around his living room.
Mrs. Udurawana: "What are you searching for?"
Mr. Udurawana: "Hidden cameras!"
Mrs. Udurawana: "And what makes you think that there are hidden cameras
here?"
Mr. Udurawana: "That guy on TV knows exactly what I am doing. Every few
minutes he keeps saying, 'You are watching Rupavahini channel'. How
does he k! now that?"
__________________________________________
"Relaxing"
Udurawana was enjoying the sun at the beach in America.A lady came and
asked him, "Are you relaxing?"
Uduravana answered, "No, I am Udurawana"
Another guy came and asked him the same question.
Uduravana answered, "No! No! Me Udurawana!"
A third one came and asked him the same question again.
Uduravana was totally annoyed and decided to shift his place.
While walking he saw another Sri Lankan soaking in the sun.
He went up to him and asked,
"Are you Relaxing?"
The other man was a lot more educated and answered, "Yes, I am
relaxing."
Uduravana slapped him on his face and said, "Stupid, idiot. Everyone is
looking for you and you are sitting over here!"
__________________________________________
"Heaven"
Udurawana! died and went to heaven.
When he got to the pearly gate Sain t Peter told him that new rules are
in effect due to the advances in education on earth. In order to gain?
admittance each soul must answer two simple questions:
1. Name two days of the week that begin with "T".
2. How many seconds are there in a year?
Udurawana thought for a few minutes and answered.
1. The two days of the week that begin with "T" are Today and Tomorrow.
2. There are 12 seconds in a year.
Saint Peter said, "OK, I'll buy the Today and Tomorrow answer, even
though? it's not the answer I expected. But how did you get 12 seconds
in a year?"
Uduravana replied, "Well, January 2nd, February 2nd, March 2nd, etc..."
Saint Peter opens the gate without another word.
__________________________________________
"The Wash Basin"
Udurawana goes to a hotel in Colombo and eats heartily.
After eating he goes to wash his hands but starts wash! ing the basin
instead.
The manager comes running and asks him, "Sir, what are you doing?"
Udurawana replies, "Read this board here, it says "Wash Basin".
_________________________________________
"English Exam"
Udurawana finished his English exam and came out.
His friends asked him how he did his exam. He replied
"Exam was okay, but for the past tense of THINK, I thought, thought,
and thought, at last I wrote THUNK!!!"?
__________________________________________
"Answer the following questions in brief"
Udurawana is appearing for his University final examination.
He takes his seat in the examination hall, stares at the question paper
for five minutes,and then in a fit of inspiration takes his shoes off
and throws them out of the window. He then removes his shirt and throws
it away as well, followed by his pant, socks and watc! h.
The invigilator, alarmed, approaches him and asks what is going on.
"I am only following the instructions here," he says, "it says here,
"Answer the following questions in brief ".
__________________________________________
"Essay"
The English teacher told all the students in the class to write an
essay on a cricket match. All were busy writing except Udurawana
He has written. "DUE TO RAIN, NO MATCH !!! "
__________________________________________
"The Postman"
The Postman: I have to come 5 miles to deliver you this parcel
Udurawana : Why did you come so far? Instead you could have posted it.
__________________________________________
"Letter to his Son"
Udurawana was writing something very slowly.
A Friend came and ask:
" Why are you writing so slowly? "
Udurawana replies "I'm writing to my 6 years old son,... he can't read
very fast.
:: Secret Lady ::
0 addition on my secret
Few months ago, i posted that i started reading this novel - My Sister’s Keeper by Jodi Picoult.
Below is a short synopsis:
Anna is not sick, but she might as well be. By age thirteen, she has undergone countless surgeries, transfusions, and shots so that her older sister, Kate, can somehow fight the leukemia that has plagued her since childhood. The product of preimplantation genetic diagnosis, Anna was conceived as a bone marrow match for Kate - a life and a role that she has never questioned… until now. Like most teenagers, Anna is beginning to question who she truly is. But unlike most teenagers, she has always been defined in terms of her sister - and so Anna makes a decision that for most would be unthinkable… a decision that will tear her family apart and have perhaps fatal consequences for the sister she loves. My Sister's Keeper examines what it means to be a good parent, a good sister, a good person. Is it morally correct to do whatever it takes to save a child's life… even if that means infringing upon the rights of another? Is it worth trying to discover who you really are, if that quest makes you like yourself less?
:: Secret Lady ::
0 addition on my secret