EXTERNAL EXAMINATION: The body is that of an adult-like male. The body has been embalmed. The head is normal cephalic, there is gray hair distributed over the scalp. The ears are without lesion, the nose is without lesion. The eyes have been capped. The mouth has been sealed. At the right base of the neck, there is a sutured embalming wound. The chest is symmetric and stable. The abdomen is rounded. There is a old healed surgical wound between the umbilicus and the pubis and the midline. The scar expands to as wide as 8 cm and is associated with a ventral hernia that measures approximately 15X12X8 cm. The upper extremities are without lesion. There is a yellow metal ring present on the 4^th finger of the left hand. The lower extremities are well formed. The back is without lesion. The external genitalia are adult male. The penis is uncircumcised. The testicles are descended into the scrotum and are without masses. Along the left hip, there is a 25 cm in length recently healed surgical wound.

INTERNAL EXAMINATION: The body is opened by the usual y-shaped incision revealing approximately 5 cm of subcutaneous fat present at the level of the umbilicus. The ventral hernia sac is filled with yellow-clear low viscosity fluid. The walls of the hernia sac are shiny and trabeculated. The pleural spaces are without abnormal accumulations of fluid, fibrous adhesions are not present. Peritoneal cavity is smooth and glistening. There are no abnormal accumulations of fluid. No significant fibrous adhesions are observed.

RESPIRATORY SYSTEM: The larynx is palpated and sighted without lesion. The trachea is patent and without lesion. The major bronchi are well formed. The right and left lungs are heavy. The visceral pleura is smooth and glistening. Bilaterally, the posterior aspects of both lungs are congested. At the lateral base of the right lower lobe, there is a 3 cm in diameter white metastatic tumor mass. In the right upper lobe and in the left upper/lower lobes, there are numerous small metastatic white tumors, none exceeding 0.5 cm in diameter. The carinal lymph nodes are enlarged to approximately 3 cm in diameter and filled with gray tumor. The parenchyma of the lung reveals severe panlobular and centrilobular emphysema with extensive anthracotic pigmentation.

CARDOVASCULAR SYSTEM: The pericardium is lightly adhesed to the surface of the heart. The pericardial space is obliterated by fibrinous adhesions. These are easily broken. The heart appears slightly enlarged, with dominance of the left ventricle. The myocardium is red and meaty, no evidence of scarring or past infarction is observed. The right atrium is well formed. The tricuspid valve is well formed and without lesion. The sinus and culnis of the right ventricle are well formed. The right ventricular free wall measures up to 0.7 cm in thickness. The pulmonary valve is well formed. The pulmonary arteries fail to reveal blood clots. There are 4 pulmonary veins with which return just through the left atrium. The mitral valve is well formed. The left ventricle is well formed. The left ventricular free wall measures up to 2.1 cm in thickness. The aortic valve is without lesion. The coronary arteries are distributed over the heart in the usual fashion and there is no significant atherosclerosis observed. The aorta runs the usual course and reveals only mild atherosclerosis. The greats veins are without blood clot or other abnormality. The lymph nodes, right and left of the aorta from the pelvic floor to the diaphragm, are markedly enlarged up to 5 cm in diameter, white and filled with tumor.

GASTROINTESTINAL: System the esophagus runs the usual course and is without lesion. The stomach is well formed. The small intestine and large intestine are well formed. The appendix is present and without lesion.

LIVER: The liver is of the expected size, shape, and position. Glisson’s capsule is smooth and glistening. The hepatic parenchyma is slightly buttery in character but shows no evidence of metastatic tumor and no evidence of cirrhosis. The gall bladder is present  in the usual position and contains approximately 70 ml of greenish-black viscid bile. No stones are observed. The extra hepatic billiary ducts are the expected caliber and run the usual course.

SPLEEN: The spleen is enlarged and weighs approximately 400 g. The splenic capsule is intact. The splenic parenchyma  is red, meaty, and uniform. No metastatic tumor masses are observed.

PANCREAS: The pancreas is of the expected size, shape, and position with some nonspecific gross abnormality.

ADRENAL GLANDS: The adrenal glands are the expected size, shape, and position. Both the cortices and the medullae are well formed.

THYROID GLAND: The thyroid gland is palpated in situ and is without lesion.

UROGENITAL SYSTEM: The kidneys are the expected size, shape, and position. The capsules are smooth and glistening and strip with ease. The renal parenchyma is well formed. The cortex is greater than 0.5 cm in thickness. The palpices and klacices and pyramids are all well formed. The ureters run the usual course and are the usual caliber. The bladder is contracted and trabeculated. The prostate appears to be about 20 g in weight and is gray and uniform.

CENTRAL NERVOUS SYSTEM: The central nervous system is not examined in this dissection.

PROVISIONAL ANATOMIC DIAGNOSIS:

1.       Bilateral bronchial pneumonia.

2.       Malignant tumor of unknown primary with metastasis to

A.      Periaortic lymph nodes.

B.      Left and right lungs.

C.      Carinal lymph nodes.

3.       Past history of bladder carcinoma.

4.       Myocardial hypertrophy with left ventricular thickening.

5.       Splenic hypertrophy.

Sure wish a certain somebody would stop lying to me about little stuff and being discrete and distant! AHHHHHHHHH

I swear I am being driven insane. *more* insane, I was already before probably *.*

Words of wisdom would be appreciated.

random comment time…

and really what is the point of the line through the words option?

I’ve been in two relationships where guys have commented on other girls. The first one it happened way too much, the second one only a few times. The second one hurt almost more though because of all the hurt feelings I had from before being brought up again. What I’ve struggled with mostly is feeling guilty for feeling hurt, because I’ve been too concerned that this is my problem and I’m ruining things by not being able to get over these comments. I’ve also heard the whole, “well its just because you’re insecure” thing.

Now I realize that yes the problem is that those comments made me feel insecure but that’s not my problem. I did not and would not feel insecure if I did not hear my boyfriend talking about how hot he thought another girl was hot, or how he liked the summer because girls’ wore less clothes, or how he liked watching tennis because the girls’ make sounds like they’re having orgasms, or how he liked going to certain restaurants because only hot girls’ work there.

My biggest insecurity was that I was not true to my feelings and I put up with such bull shit, not that the comments hurt me. Being hurt by such things is natural, if you are in a relationship because you want to feel adored, which I’m pretty sure most people do. I also would never do or say anything that made my boyfriend feel insecure so it hurt even more since I was so considerate of his feelings. I don’t think it’s a good idea to play games, and try to make them stop that way. I believe that being completely honest and open is the best way to go, and if they don’t respect your feelings then they are not worth it.

Also, please don’t feel bad or feel like this is your problem. There is far too much emphasis in the world on the importance of being beautiful while at the same time there are far too many messages in all forms of media telling us we are not beautiful enough. The person who loves us should make us feel like the most beautiful Goddess in the world and no one else will do, therefore no one else is even worth mentioning.

Another thing is, I think there are far too many guys who make comments like this and far too many girls who say nothing because they don’t want to show their insecurity or feel like they are upset by their boyfriends. If we all are open and honest and don’t try to hide our feelings then perhaps this kind of thing will happen less.

A sense of urgency, yet I have nowhere to direct myself. A feeling of being lost in a massive community in a tiny, miniscule section of the world. I used to feel synchronicity, and I was able to be in tune with what was happening to me and why. That hasn’t been the case for quite some time, and so…

can’t live with em, can’t live without em… what are they?

they’re both convinced

that a sudden passion joined them.

such certainty is beautiful,

but uncertainty is more beautiful still.

since they’d never met before, they’re sure

that there’s been nothing between them.

but what’s the word from the streets,

staircase, hallways-

perhaps they’ve passed each other a million times?

I want to ask them

if they don’t remember a moment face to face

in some revolving door?

perhaps a “sorry” muttered in a crowd?

a curt “wrong number” caught in the reciever?

but i know the answer.

no, they don’t remember.

they’d be amazed to hear

that chance has been trying with them

now for years.

not quite ready yet

to become their destiny,

it pushed them close, drove them apart,

it barred their path,

stifling a laugh,

and then leaped aside.

there were signs and signals, 

even if they couldn’t read them yet.

perhaps three years ago

or just last tuesday

a certain leaf fluttered

from one shoulder to another?

something was dropped and then picked up.

who knows, maybe that ball that vanished

into childhood thicket?

there were doorknobs and doorbells

where one touch had covered another beforehand.

suitcases, checked and standing side by side.

one night, perhaps, the same dream,

grown hazy by morning.

every beginning is only a sequel after all,

and the book of events

is always open halfway through

one track mind :P

quails:

dorkvader:

pwnator:

setthedancersfree:

classics2:

nakano:

shawnblog:

sooosanne:

thedailywhat: [via.]

>:) someone get me a cat

You know, I take it back. I WILL miss calculus… scrambling to write down what my calc professor says! These make me giggle at 8am anyway. Now for most of these he said them seriously and doesn’t realize what he said.

“Something’s wrong here if you’re getting a limit of zero. …. …. or maybe it’s okay.”

“Now some of these are a little on the wild side”

“You might find yourself asking ‘Well, now what do I do?’….”

“Now to use this you have to be careful…. no I’m pretty sure this always works”

“Well, I guess if you get zero for both…. anything can happen..”

“because……I don’t remember”

“I always use that symbol for perpendicular so I don’t have to remember how to spell it”