How To Develop Your Skill For Great Success And Happiness Including Become CPA? | Additional special tips From Admin
Competence Expansion will be the number 1 critical and primary factor of reaching genuine success in most jobs as anyone noticed in the modern society plus in Around the globe. Which means fortunate enough to talk about with everyone in the subsequent pertaining to whatever good Competence Progression is; the way or what means we do the job to realize objectives and inevitably one will probably operate with what individual really likes to conduct just about every single time of day to get a comprehensive lifestyle. Is it so fantastic if you are have the ability to improve quickly and come across financial success in precisely what you thought, steered for, self-displined and did wonders hard any working day and most certainly you grown to be a CPA, Attorney, an manager of a big manufacturer or possibly even a general practitioner who can certainly exceptionally add very good support and valuations to some people, who many, any modern culture and local community obviously admired and respected. I can's think I can assist others to be top notch expert level who seem to will make contributions considerable remedies and help values to society and communities now. How pleased are you if you grow to be one just like so with your individual name on the title? I have got there at SUCCESS and overcome all the hard pieces which is passing the CPA qualifications to be CPA. Besides, we will also deal with what are the traps, or some other concerns that will be on the technique and precisely how I have personally experienced them and definitely will demonstrate to you the best way to cure them. |
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4 posts since
6 Feb 2020
Hi, I had two melanomas removed in Jan this year. I didn’t have the sentinel node biopsy as 9 lymph nodes showed up on the system and it was felt it was too big an operation at the time. I agreed with this. I am very overweight and scared of lymphodema which is in my family. I had a PET scan a couple of weeks ago and my consultant has told me today that there is an area of unusual activity in my left foot, around my achilles tendon. He examined me this morning but there is no lump that he can feel, but he says it’s hard to feel in that area. He has referred me for an urgent ultra sound scan. He said the SUV was 7 .. I don’t know what any of this might mean. Is there anyone else in a similar situation?
Thank you
Holly
963 posts since
18 Jul 2011
Hi Holly,
I’m not a nurse but I’ve been a melanoma patient for many years so I just wanted to reply whilst you are waiting for a nurse to reply.
You don’t say where your melanomas were on your body and what stage you are? It would be very unusual for the melanoma to have spread to your ankle area. Melanoma cells travel through the body via the lymphatic or blood systems and they travel towards the heart. A melanoma on the leg will travel upwards to the main nodes in the groin, a melanoma on the torso usually travels to the armpit nodes but if on the lower torso can sometimes travel to the groin nodes whilst a melanoma on the head/face/neck usually travels to the neck nodes. So unless your melanomas were on your foot/ankle I doubt it would now be in the ankle area as there are no sentinel or main nodes in that area but it certainly needs further investigation.
SUV means standardized uptake value. Cancer cells show a high level of chemical activity and this is what a PET scan picks up. The higher the SUV the more chance the activity is due to cancer cells, however, PET scans can sometimes give a false positive result so that is why you have been referred for an ultrasound which will be able to see what, if any, activity is taking place in the muscles, tendons, lymph nodes etc in that area.
Hopefully the problem in your ankle will be a false positive or will be something that is easily treatable and won’t be connected to your melanoma diagnosis. Your consultant sounds to be very on the ball and quickly determining the problem.
Good luck and please let us know how you get on,
Angie (Stage 3 melanoma patient)
919 posts since
25 Jun 2018
Hi Holly and thanks for posting
It sounds like you’ve been through a lot and this is another thing to get your head round- it must be very frustrating and stressful.
SUV stands for standardised uptake value. It’s a bit difficult to explain but I’ll try. When you have a PET or PET/CT scan you can be injected with a dye. Depending on the injected dose and patient’s size, the uptake of the dye that is then found in parts of the body is measured. It doesn’t seem to be a very exact science, but anything over 2 may be suggestive of further investigation, but as we are not involved in your care and don’t have any of your details, it’s difficult to comment on.
The ultrasound should give some more information as to what may be going in the area, especially as the specialist says, the achilles is a difficult part of the body to feel for lumps or bumps.The best person to ask any questions though, would really be your specialist or specialist nurse as they will have all your medical details to hand.
I hope you get the results through soon so you don’t have to wait too long.
If you would like to go over anything, please do though give us a call. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.
All the best
Wanda
Melanoma might have spread
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A note for you if you pursue CPA licence, KEEP PRACTICE with the MANY WONDER HELPS I showed you. Make sure to check your works after solving simulations. If a Cashflow statement or your consolidation statement is balanced, you know you pass right after sitting for the exams. I hope my information are great and helpful. Implement them. They worked for me. Hey.... turn gray hair to black also guys. Do not forget HEALTH?
Competence Development is the number 1 very important and principal point of reaching true success in many careers as you noticed in some of our modern society as well as in Around the globe. And so fortunate enough to talk over together with everyone in the right after pertaining to what precisely productive Talent Enhancement is;.
the correct way or what options we function to accomplish hopes and dreams and in the end one may function with what whomever enjoys to carry out all daytime to get a whole lifetime. Is it so awesome if you are capable to build effectively and uncover accomplishment in what you thought, focused for, encouraged and performed very hard every single day and absolutely you grow to be a CPA, Attorney, an manager of a substantial manufacturer or even a general practitioner who will really play a role excellent help and values to people, who many, any population and city without doubt admired and respected. I can's believe that I can allow others to be best expert level just who will chip in vital methods and relief values to society and communities currently. How contented are you if you turn out to be one just like so with your own name on the title? I have landed at SUCCESS and conquer most the difficult regions which is passing the CPA exams to be CPA. Additionally, we will also handle what are the problems, or other sorts of troubles that might be on the option and the best way I have in person experienced them and will certainly exhibit you how to cure them.
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