Friday, November 6, 2009
Get The Flu Shot Please!!
John Schieszer
September 21, 2009
Infection
Transplantation
SAN FRANCISCO—As the nation prepares for influenza season, the susceptibility of immunosuppressed individuals, including transplant recipients, to the new H1N1 influenza strain (“swine flu”) and efficacy of the new H1N1 vaccines in these populations remain unclear. Nevertheless, a medical epidemiologist believes transplant recipients and other immunosuppressed individuals receive the new vaccines.
“I think if I were a renal transplant patient, I would get vaccinated before influenza strikes in my community,” said Gaston De Serres, MD, PhD, of Laval University in Quebec, Canada. “If I have flu-like symptoms during the time influenza is circulating in my community, I should go and consult early [with my physician], not late.”
At the 49th annual meeting here of the Interscience Conference on Antimicrobial Agents and Chemotherapy, Dr. De Serres spoke about the H1N1 vaccines approved by the FDA on September 15.
Over the next six months, more will be known about how safe and effective the H1N1 vaccines are in immunocompromised patients, he said. Based on preliminary data from adults participating in multiple clinical studies, the H1N1 vaccines induce a robust immune response in most healthy adults eight to 10 days after a single dose, as occurs with the seasonal influenza vaccine.
Ongoing clinical studies will provide additional information about the optimal dose in children. The recommendations for dosing will be updated if indicated by findings from those studies. As with the seasonal influenza vaccines, the 2009 H1N1 vaccines are being produced in formulations that contain thimerosal, a mercury-containing preservative, and in non-thimerosal formulations. Patients with severe or life-threatening allergies to chicken eggs, or to any other substance in the vaccine, should not be vaccinated.
Patients who receive solid organ transplants (SOT) generally have higher influenza infection rates because of the immunosuppressant drugs they take to prevent organ rejection, Dr. De Serres noted.
Lung transplant recipients seem particularly at risk as the lungs are the primary site of flu infection. Kidney transplant recipients can suffer organ rejection if they contract influenza. In theory, vaccination in these populations could also stimulate a T-cell response, leading to rejection. However, most studies suggest this does not occur.
Flu can cause organ rejection
“Seasonal influenza has been reported to cause rejection of the transplanted kidney, so preventing influenza in kidney transplant recipients is important,” said Ken Kunisaki, MD, Assistant Professor of Medicine at the University of Minnesota in Minneapolis. “While kidney transplant recipients may not have as good antibody responses to influenza vaccine as people without transplants, a substantial proportion still responds. Therefore, kidney transplant recipients should receive influenza vaccination, in accordance with guidelines from the American Society of Transplantation. Unfortunately, there are not enough data about swine flu in transplant recipients and its vaccine to make firm conclusions and recommendations at this time.”
With seasonal influenza, a key issue appears to be timing. The American Society of Transplantation recommends flu vaccination every year for all recipients of SOTs, beginning six months after transplantation. U.S. guidelines recommend lifelong annual vaccinations; European guidelines recommend individual patient assessment.
Estimates show that more than 327,000 people were receiving hemodialysis treatment in the United States at the end of 2006. Infections are the second leading cause of death in these patients, and lung infections such as influenza claim a higher proportion of lives among dialysis patients than the general population. An analysis of Medicare claims data showed that flu-vaccinated patients on dialysis had a substantially lower chance of hospitalization or death from any cause than unvaccinated patients.
Chemotherapy can produce acute and profound immunosuppression in cancer patients and studies suggest that 21%-33% of cancer patients may be infected with influenza when admitted to a hospital with respiratory symptoms during a flu epidemic. Again, timing of flu vaccination may be crucial in cancer patients. The response to flu vaccination might be best between chemotherapy cycles or more than 7 days before chemotherapy starts.
“Patients receiving chemotherapy for cancer appear to be at heightened risk for influenza-related complications,” Dr. Kunisaki said. “They also appear less likely to respond to influenza vaccine, but nevertheless, a fair proportion still responds. No formal guidelines exist for influenza vaccination of patients receiving chemotherapy, but the data suggest timing vaccination to either more than two weeks before receiving chemotherapy or between chemotherapy cycles.”
Big Mouth
By APRIL CASTRO and DEVLIN BARRETT, Associated Press Writers April Castro And Devlin Barrett, Associated Press Writers – 15 mins ago
"FORT HOOD, Texas – An Army psychiatrist set to be shipped overseas opened fire at the Fort Hood Army post Thursday, authorities said, a rampage that killed 12 people and left 31 wounded in the worst mass shooting ever at a military base in the United States."............
"The man was identified as Maj. Nidal Malik Hasan, a 39-year-old from Virginia."
Above new was on CNN this morning, a Breaking New! I am sure by now the whole world are already knew what happening in our US soil.
I am going to have a very big mouth about this new. Well.. This is my blog and I am entitle to express what I feel today. You have a problem for reading this blog? So what?? If you want to big mouth like me, get your own blog please.
In 1992 when I set my foot in US soil, I have learn that USA is full of multi racial and multi culture. People come to US with different reasons...i.e., Migration, Studying, Work Permit, Contract, Asylum and Business Investment. You know some of them never go back to the country where they are from. USA welcome every people from around the world.
We do have a one big problem in USA though. From those people, how many are really adopting the real American Spirit!! Most of them knows what is the American Dreams but seen to me they forgot the meaning of American Spirit!
You can not come to stay USA for money only. If this money is the only reason you come to USA, you are not a good Citizen you are just the same level of a bad "PUTA".
Once you become American you have to have American Spirit which is "Unity Under United State of America." If you do not prepare for this "Unity" you should even not consider to become a US Citizen.
I will never accept people who come to my house just for eating and shitting. Worst they even not flash the water after shitting. I like my house guest locked my door if they are back to my house late or in anytime any day. Just secure my house please!! If you do not want to do this please get out of my house.
As you all know that I am from Shan State, now under Burma. I love my Shan State very much. I will always love this place. I will miss my people but once I become American, my first priority will be my new country, USA. I am an American.
I have SEEN American people celebrating... The Italian day, The Purta Rican day, The Irish day, The Mexican day. These celebration are fine with me and sure for the American too. People should not forget where they are coming from and their cultural but should be nothing above than celebration once you become American Citizen.
One of the question on the day I was interviewed by US Immigration office to become a US Citizen was... "Will you bare the arm to protect when the country needs you."... My answered was, "Yes!". They just need to teach me how to shoot then I will shot when the country needs me. Jesus told me "What belong to Cesar give it to the Cesar" which my understanding is... I have to obey my country laws.
Today if I have one wish to say, this will be my wish..
LOVE YOUR COUNTRY!! BE A GOOD FELLOW AMERICAN CITIZEN.
Those who mad at US Government, please go to deal with the US Government but do not touch American.
Wednesday, November 4, 2009
My way of thinking
2. Do not forget that my English is not that good as to writing down from what I have in my brain. So bare with my bad English too please.
Here is what I have in my brain for today.
I will say it again as I said in my old blogs that sometime I have encountered sweet Atheist and bitter Atheist. To be fair, yes ....there are good Christian and bad Christian (I would say, people who has Faith but without Act! According to James (from the Bible), Act without Faith is as bad as Faith without Act), and good Hindu and bad Hindu, good Muslim and bad Muslim.......etc,.
Every time when I see unsweet Atheist, they like to discuss about religion but the only religion they want to talk about is Christian Religion. Why? Why not unsweet to other religions too??
When I was reading last night I found the following "The Ten Commandments" of Ethical Atheist. I got a catfish smile (mean... little smile). Honestly I have no idea what Ethical Atheist mean. I guess, may be sweet Atheist??
First thing I told to myself when I saw the Atheist Ten Commandments was.....
"Oh Lord here come again, Even Atheist Commandments has to be number, "10" commandments as we Christian has. Why can't they have "12" or "14" commandments??? " Well obviously they like to be same as the number (10) as Christian!!!
They said jsut consider as "suggestions", well... OK even as a "suggestions" why not 12 or 14 "suggestions"??
Here are the Atheist Comments.
THE TEN COMMANDMENTS (OF THE ETHICAL ATHEIST)
NOTE: Free thought and tolerance obviously prohibit these from being "commandments"! Just consider them "suggestions".
1. Thou SHALT NOT believe all thou art told.
Helen said: Free choice for every one so I really do not have to say about what everyone believe in!
2. Thou SHALT seek knowledge and truth constantly.
Helen Said: Knowledge..yes we are facing new knowledges as science is developing, i.e. medical science. Doctors need to seek new medical science. Truth, I have seen the truth in my Bible and also in my Christian Ten Commandments. i.e. The truth for me is, my God is living God. I no need to seek constantly about it. Put it this way I have found my true God..period!
3. Thou SHALT educate thy fellow man in the Laws of Science.
Helen said: Kidding me? Yes, science we have to learn. For me I starting to learn science since I was middle school. But my educators was not call "Fellow Man" They are call "School Teachers". I am talking about pure science but I have no idea that science has the laws. By the way, who are the Supreme Judges of the the Laws of Science?? I know country's laws, States Laws but Zero knowledge about Science Laws for me. I need to read more on this point.
4. Thou SHALT NOT forget the atrocities committed in the name of god.
Helen said: Honestly I admitted here that I need help from my dictionary because I have no idea what "atrocities" is. Now I knew! Let me tell you this... No religions said kill in the name of God. People is the one killing in the name of God. God did not tell you to kill in the name of God. From my believe, Jesus never tell me to kill other in the name of Jesus.
5. Thou SHALT leave valuable contributions for future generations.
Helen said: For me this even shouldn't be in the any group of Commandments. Say, If I am a poor and uneducated Atheist I will be beating to myself for not being able to leaving nothing to my future generations.
6. Thou SHALT live in peace with thy fellow man.
Helen said: I was told not only live in peace with fellow man but to love my neighbour.
7. Thou SHALT live this one life thou hast to its fullest.
Helen said: I need to understand more about the meaning of "Fullest" for Atheist.
8. Thou SHALT follow a Personal Code of Ethics.
Helen said: I do not understand what Personal Code of Ethics is as well.
9. Thou SHALT maintain a strict separation between Church and State.
Helen said: Here come again my fellow Atheists. Why they use the word "Church" only. Why not "Temple", "Monastery", "Pagoda", "Mosque", and even "Atheist and State!! If I say like the way they are saying as, "Thou Shalt maintain a strict separation between Atheists and State."!! Sound good???
10. Thou SHALT support those who follow these commandments.
Helen said: I support my family, my friends, my church, my religion not in blindly but within in the laws of God's eyes and with the Earthly laws. If a Church is running unethical way, I won't support this kind of church either!
I obey the Laws of God and the laws of men on earth in each country.
PS. I love you Sweet Atheists even we believe in very different way as....
You do not believe in God but I do believe in my God!
Breaking Point Again!
I just only want to say; "Thank you America and thank you to never giving up doctors!!" If I am in Shan State, I'll be dead by now and may be the warms are happying for the food.
Amazingly I have been living a quality life for 3 years! Again thank you to Shand Hospital, University of Florida. Thank you to my doctors, Dr. Hemming, Dr. Langham Jr., Dr. Nelson, Dr. Souldevilla Pico of course my buddies at Transplant Team, Rocky Lab, Nurses and to a University Hospital bus driver. I love this lady but I can't remember her name who I encounter totally twice in my life. She makes me laugh and make me also can't forget her everytime I go back to Gainesville!! What a joyful one. Also thank you to my Thai Doctors, Dr. Sinn and Dr. Surasak.
Above of all thoes people a very big big thank you to my Lord Jesus Christ who is walking with me and being with me all those diffiicult days....and till now.
I love you my Lord and my God!
Ok enjoy the reading!
Reuters
World`s 1st Total Artificial Heart to Dual Heart & Liver Transplant Performed at Cleveland Clinic
Tue Nov 3, 2009 8:55am EST Email Print Share Reprints Single Page[-] Text [+]
Featured Broker sponsored link
63-Year-Old Dentist Undergoes 14-Hour Landmark Surgery
TUCSON, Ariz.--(Business Wire)--
SynCardia Systems, Inc. (www.syncardia.com), manufacturer of the SynCardia
temporary CardioWest Total Artificial Heart, announced today that Cleveland
Clinic has performed the world`s first Total Artificial Heart to dual heart and
liver transplant.
"Cleveland Clinic has made medical history with their use of the Total
Artificial Heart to bridge a very ill patient to a dual heart and liver
transplant," said Dr. Jack Copeland, internationally renowned transplant surgeon
and Total Artificial Heart pioneer. "My congratulations go out to Drs. Nicholas
Smedira and Randall Starling, two world class physicians."
After living with the Total Artificial Heart for 113 days, on May 1, 2009, Dr.
Michael Zabell received the donor heart and liver during a 14-hour landmark
surgery involving two different transplant teams. Today, Dr. Zabell is enjoying
life at home with his wife of 19 years and his two daughters, ages 17 and 15.
"I`ve had more doctors than the Cleveland Browns have had quarterbacks," said
Dr. Zabell. "Dr. Smedira is not only an outstanding surgeon but he`s really a
wonderful guy. Cleveland Clinic has an outstanding group of surgeons, physicians
and hospital staff, including my cardiologist Dr. Starling. I can`t say enough
about the care."
Dr. Zabell was first admitted to the hospital to wait for a heart transplant on
Aug. 18, 2008. He was given medication to help his heart function, but his
condition continued to deteriorate. By January 8, 2009, his heart had become so
weak that doctors needed to implant the Total Artificial Heart to buy him more
time until a matching donor heart and liver could be found.
*Disclosure* Nicholas Smedira, MD, is a paid consultant for SynCardia Systems,
Inc.
Originally used as a permanent replacement heart, the Total Artificial Heart is
currently approved as a bridge to human heart transplant for patients dying from
end-stage biventricular failure. The Total Artificial Heart is the only device
that provides immediate, safe blood flow of up to 9.5 L/min through both
ventricles.
The SynCardia Total Artificial Heart is the first and only FDA, Health Canada
and CE Mark approved Total Artificial Heart in the world. There have been more
than 800 implants of the Total Artificial Heart, accounting for more than 170
patient years of life on the device.
Photos/Multimedia Gallery Available:
http://www.businesswire.com/cgi-bin/mmg.cgi?eid=6089811&lang=en
SynCardia Systems, Inc.
Don Isaacs
Vice President of Communications
Cell: 520-955-0660
Copyright Business Wire 2009
Tuesday, November 3, 2009
My thought for today
The devoted angler fish!
Most of our human nature, we are fast to talk and slow to listen! . Sometime for me too.... my brain was much slower than my mouth. I forgot that I have one mouth and two ears which clearly indicated that I should listen more than I talk. As you know that words can kill you longer time than physical attack.
Talking about words, I remembered those people who tell me fat and short than who tell me that I have a nice smile. Sometime words can be so powerful that make you to feel so sick in the gut unless you have a pair of thick ears.
Hurting words can even lead to Divorce. Talking about the divorce, someone said, "There are many divorce cases nowadays but that's doesn't mean all cases are right!". I am starting to agreeing on what he said because look like "divorce" becoming a Fashion!
Even in social life, people are very proud to say "I am a divorcee". Some even deliciously share that how they kick their wife or husband out of their lives. "I am a believer" is never in the social life. Very unpopular subject!!
Why two people leading to marry???...... because of such a sweet talk and sweet actions that they are sharing in single life . Same way as..... mean, ugly, hurting, unkind words is leading to divorce. Now the latest causing of the divorce is, "Boring"!!
Here is my question...why man can't be a male Angler Fish?? I found the following in my search... I wish my Robins become an Angler Fish, FOREVER!! By the way what an ugly male fish (Look at the photo), but so sweet of behaving. Lets see what a male Angler Fish believe in.....
"Til death do us part."
Everyone wants a mate that will stick by them forever, staying by their side through the darkest of times. The male Angler fish is the most devoted of mates, never straying nor cheating, forever bound to their chosen lady.
In the total darkness that is the ocean floor, finding a mate at the right moment is a nearly impossible challenge. Instead, mature Angler fish males have developed a different approach. When they are mature, their digestive systems begin to pack it in, forcing them to find a female to bond to. Once he finds one, he gives her a very special love bite, releasing an enzyme that dissolved his mouth and her body and fusing them together, truly making them two hearts beating as one, as they will share a bloodstream for the rest of their lives. When the time comes for her to spawn, she will already have a mate ready and waiting to father her future food."
My wish is.... Hope Robins be like a male Angler Fish! Good wish ha.
As a believer this is what I see... for my married will stay for ever as Angler Fish couple will share a bloodstream for the rest of their lives is...I believe in "God's bounding!!
Monday, November 2, 2009
If the moon can talk

I was thinking what happen with the man slamming the moon's belly?? I think I over heard that they found debris.....what is that mean "debris"??
We had pool side BBQ on Halloween day! Robins and the other white men said..."You never know we might find Diamond." I would say my Ass Diamond!! Oop sorry. Even they found the moon diamond how much this diamond will cost. Whos cares about the moon diamond as we have plenty of diamond on earth! By the way the moon diamond will surcharge the cost of "transportation!!"
The other day while I was waiting my lab results at my doctor clinic, I read this article in the Bangkok "The Nation" newspaper. The article was by S TSOW. The title is ...."The Moon Speaks, And It's Not Happy With NASA". I don't blame you Mr. Moon, not only you, here on earth there are plenty of people including me, are not so happy with some of NASA's ideas. I really wish they know what they are doing instead the result of "debris". By the way I was enjoying the article a lot!!
Here are some parts of the interview between the moon and the author S TSOW.
"Tsow: .......How do you feel about NASA hitting you with that rocket?
The Moon: How do I feel? how do I FEEL? How do you THINK I feel, moron? How would YOU feel if a rocket came slamming into your abdomen? Not so all-fired peachy-keen, I'll wager. What are you damned humans up to, anyway? It's not enough that you have to make war on your own species. Now you are assaulting innocent satellites. Is there no end to your rabid mad-dog insanity? What have I ever done incite you to shoot rockets at me? ......
Tsow: Gosh. Well , on behalf of my species, I apologise.
The Moon: I deserve an apology from some body a lot higher up in the food chain than you. Look at how much I've contributed to your s0-called culture. Moon cakes. Moonshine whiskey. The moon walk. The man in the moon. Song like "Moon River", "Blue Moon", and "Monday, Monday". Monday was named after m, you know. No moon, no Mondays. No moon, no honeymoons. No moon, no romance. How many babies have been conceived on full-moon parties on Koh ha-Ngan. No moon, no werewolves. It takes a full moon to turn people in to werewolves."................
Tsow: That's true. Take away the werewolves and our culture would suffer a crippling loss indeed. But we sent that rocket up because we want to find out if you've got water up there.
The Moon: Water? of course I've got water. All you had to do is ask. What's the matter, you humans don't have enough water? There-fourths of your planet is covered with the stuff. It'll be almost four-fourths once the glaciers finish melting and the typhoons stop dumping rain on you. You've got all that water and you want to steal the crummy little amount I've got? You ever hear the word "greed", hume?
(Helen Said: I think the amount of water on the moon is not more than the amount of the two elephants pee the same time!)
Tsow: Melodramatics aside, do you really have water?
The Moon:Sure.......
Tsow:how much would you want?
Tsow:We'd want to know how much you'd be charging.
The moon: Send Wen Jiabao up here. Tell you want, I've always been jealous of your planet because of that wall it's got-the big one the Chinese built. I want a wall, too. if the Chinese will agree to build Great Lunar Wall on me, maybe we can do a deal. I might also accept payment in moon cakes. (Aside;conspiratorially:) By the way, I don't just have water. I've also got beer."
Thank you Tsow! I enjoy your article alot. Thank you to you too Mr. Moon for accepting the interview with the human. I am so sorry for being poking by NASA real hard this time. As you say and I agree that YESssssss.......NASA can be a real MORON!! I hope your healing will be fast.
Mr. Moon, I also know that you are playing a very important part of our life, that's why my God puts you there. Thank you for being such a good moon to us.
PS. The internet was so bad this morning and I had to repeat many times to correct to this blog. That is why I said some time the moon is better than the internet!!



