How To Develop Your Skill For Great Success And Happiness Including Become CPA? | Additional special tips From Admin
Expertise Improvement is normally the number 1 very important and key matter of realizing a fact being successful in virtually all careers as you actually came across in your the community and additionally in All over the world. As a result happy to explain together with you in the next in relation to precisely what flourishing Skill level Expansion is; the correct way or what methods we operate to acquire hopes and dreams and inevitably one will probably do the job with what whomever really loves to achieve just about every single working day meant for a comprehensive everyday life. Is it so awesome if you are have the ability to acquire economically and get achieving success in just what exactly you dreamed, steered for, picky and worked well hard just about every afternoon and obviously you develop into a CPA, Attorney, an holder of a massive manufacturer or perhaps even a medical professional who are able to extremely chip in excellent support and valuations to many others, who many, any contemporary culture and network undoubtedly popular and respected. I can's believe that I can support others to be best expert level just who will play a role considerable answers and assistance values to society and communities today. How cheerful are you if you turned out to be one just like so with your individual name on the title? I have arrived at SUCCESS and overcome most of the really difficult sections which is passing the CPA exams to be CPA. At the same time, we will also include what are the traps, or alternative matters that will be on a person's method and the way I have personally experienced all of them and will certainly clearly show you learn how to beat them. |
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Melanoma might have spread
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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?
Competency Expansion is actually the number 1 imperative and important component of realizing genuine accomplishment in just about all jobs as you spotted in your the community as well as in Across the world. Therefore fortunate enough to explain together with you in the subsequent relating to what precisely prosperous Talent Improvement is;.
precisely how or what methods we work to achieve dreams and finally one will probably give good results with what those really likes to can all daytime pertaining to a entire everyday living. Is it so fantastic if you are in a position to grow competently and acquire financial success in precisely what you dreamed, in-line for, encouraged and worked really hard each and every working day and clearly you develop into a CPA, Attorney, an operator of a significant manufacturer or even a health care provider who can certainly really chip in fantastic assistance and principles to other individuals, who many, any society and society most certainly esteemed and respected. I can's believe that I can aid others to be top rated competent level who will play a role vital choices and assistance values to society and communities today. How delighted are you if you turn out to be one just like so with your individual name on the title? I get got there at SUCCESS and prevail over every the tricky parts which is passing the CPA tests to be CPA. Additionally, we will also handle what are the downfalls, or various issues that may very well be on your approach and how I have professionally experienced all of them and could clearly show you easy methods to conquer them.
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