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	<title>Symptom Advice .com &#187; productive lives</title>
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		<title>Extreme fatigue – symptoms</title>
		<link>http://symptomadvice.com/extreme-fatigue-%e2%80%93-symptoms/</link>
		<comments>http://symptomadvice.com/extreme-fatigue-%e2%80%93-symptoms/#comments</comments>
		<pubDate>Sun, 10 Apr 2011 11:17:28 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[fatigue symptoms]]></category>
		<category><![CDATA[productive lives]]></category>
		<category><![CDATA[sleep]]></category>

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		<description><![CDATA[Fatigue &#111;&#114; &#101;&#118;&#101;&#110; &#111;&#110;&#099;&#101; in &#097; while tired is normal, &#101;&#115;&#112;&#101;&#099;&#105;&#097;&#108;&#108;&#121; since &#119;&#101; live &#097; hectic life. &#116;&#104;&#105;&#115; is &#097; normal kind of tired &#119;&#104;&#101;&#114;&#101; &#121;&#111;&#117; feel refreshed &#119;&#104;&#101;&#110; &#121;&#111;&#117; take rest &#097;&#110;&#100; relaxation. However, &#105;&#102; &#121;&#111;&#117; &#115;&#116;&#105;&#108;&#108; tired after long hours of sleep &#097;&#110;&#100; rest, then &#121;&#111;&#117; may be suffering &#102;&#114;&#111;&#109; extreme fatigue. It [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/04/1302434249-46.png" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p><strong>
<p> Fatigue &#111;&#114; &#101;&#118;&#101;&#110; &#111;&#110;&#099;&#101; in &#097; while tired is normal, &#101;&#115;&#112;&#101;&#099;&#105;&#097;&#108;&#108;&#121; since &#119;&#101; live &#097; hectic life. &#116;&#104;&#105;&#115; is &#097; normal kind of tired &#119;&#104;&#101;&#114;&#101; &#121;&#111;&#117; feel refreshed &#119;&#104;&#101;&#110; &#121;&#111;&#117; take rest &#097;&#110;&#100; relaxation. However, &#105;&#102; &#121;&#111;&#117; &#115;&#116;&#105;&#108;&#108; tired after long hours of sleep &#097;&#110;&#100; rest, then &#121;&#111;&#117; may be suffering &#102;&#114;&#111;&#109; extreme fatigue. It &#039;also known &#097;&#115; chronic fatigue (CF). &#114;&#101;&#103;&#097;&#114;&#100;&#108;&#101;&#115;&#115; of what the &#099;&#097;&#117;&#115;&#101;&#115; of extreme tiredness, &#112;&#101;&#114;&#104;&#097;&#112;&#115;, &#121;&#111;&#117; can not lead &#097; happy &#097;&#110;&#100; productive lives. </p>
<p></strong></p>
<p> Cases of extreme fatiguesyndrome of CF &#106;&#117;&#115;&#116; &#115;&#111;&#109;&#101; of the &#109;&#111;&#115;&#116; difficult cases are treated. It &#039;difficult to accurately diagnose the syndrome CF &#109;&#111;&#115;&#116; of &#105;&#116;&#115; symptoms resemble &#111;&#116;&#104;&#101;&#114; diseases. E &#039;is &#116;&#104;&#101;&#114;&#101;&#102;&#111;&#114;&#101; &#118;&#101;&#114;&#121; &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; to consult &#097; doctor &#105;&#102; &#121;&#111;&#117; &#116;&#104;&#105;&#110;&#107; it is CF&#039;s syndrome. In &#116;&#104;&#105;&#115; way &#121;&#111;&#117; can your doctor may do tests &#102;&#111;&#114; &#111;&#116;&#104;&#101;&#114; diseases &#097;&#110;&#100; ensure &#116;&#104;&#097;&#116; &#119;&#101; provide the &#114;&#105;&#103;&#104;&#116; treatments &#097;&#110;&#100; medications. </p>
<p> &#115;&#111;&#109;&#101; of the &#109;&#111;&#115;&#116; common chronic fatigue syndromeSymptoms: </p>
<p> Fatigue-This is one of the &#109;&#111;&#115;&#116; common symptoms &#116;&#104;&#097;&#116; people. People &#119;&#105;&#116;&#104; chronic fatigue syndrome feel mentally &#097;&#110;&#100; physically exhausted all the time &#097;&#110;&#100; &#102;&#111;&#114; &#110;&#111; apparent reason. &#116;&#104;&#105;&#115; leaves &#116;&#104;&#101;&#109; feeling completely worn out. &#110;&#101;&#105;&#116;&#104;&#101;&#114; sleep &#110;&#111;&#114; rest can heal. &#105;&#102; &#116;&#104;&#105;&#115; fatigue lasts &#102;&#111;&#114; 6 months &#111;&#114; &#109;&#111;&#114;&#101;, then &#121;&#111;&#117; are &#112;&#114;&#111;&#098;&#097;&#098;&#108;&#121; suffering &#102;&#114;&#111;&#109; chronic fatigue syndrome. </p>
<p> Pain-This symptom is so common &#097;&#115; fatigue, &#098;&#117;&#116; &#109;&#111;&#115;&#116; people &#119;&#104;&#111; have not undergoneChronic Fatigue Syndrome do not know. People &#119;&#104;&#111; have chronic fatigue, joint &#111;&#114; muscle pain &#111;&#114; suffering &#102;&#114;&#111;&#109; flu-like symptoms &#115;&#117;&#099;&#104; &#097;&#115; headache &#097;&#110;&#100; sore throat. Abdominal pain, skin sensitivity &#097;&#110;&#100; irritable bowel are also &#115;&#111;&#109;&#101; of the symptoms. </p>
<p> Hypersensitivity-were suffering &#102;&#114;&#111;&#109; chronic fatigue syndrome are &#111;&#102;&#116;&#101;&#110; sensitive to light &#097;&#110;&#100; sound, it &#115;&#116;&#105;&#108;&#108; sounds strong &#097;&#110;&#100; not really &#098;&#114;&#105;&#103;&#104;&#116; lights. &#115;&#111;&#109;&#101; &#101;&#118;&#101;&#110; complain of sensitiveOdors, medicines &#097;&#110;&#100; certain foods &#097;&#110;&#100; chemicals. In general, the chronic fatigue syndrome patients feel overwhelmed by sounds, smells &#097;&#110;&#100; sights. &#116;&#104;&#101;&#105;&#114; environment literally &#116;&#111;&#111; much &#102;&#111;&#114; &#116;&#104;&#101;&#109;. </p>
<p> sleep disorders, chronic fatigue syndrome patients have sleep problems. &#101;&#118;&#101;&#110; &#105;&#102; &#121;&#111;&#117; feel completely exhausted, &#121;&#111;&#117; &#119;&#105;&#108;&#108; not sleep &#111;&#114; good sleep. sleep &#102;&#111;&#114; normal people, &#097; bit &#039;of physical effort to &#104;&#101;&#108;&#112; &#116;&#104;&#101;&#109;, &#098;&#117;&#116; &#102;&#111;&#114; patients &#119;&#105;&#116;&#104; chronic fatigue syndrome, &#111;&#110;&#108;&#121; worsened exercisetheir insomnia. </p>
<p> extreme fatigue may also occur &#119;&#104;&#101;&#110; the adrenal glands &#119;&#105;&#108;&#108; be reviewed &#097;&#110;&#100; exhausted. The adrenal glands are responsible &#102;&#111;&#114; all of your daily life stress, physical, mental &#097;&#110;&#100; psychological. &#105;&#102; the adrenals are consumed, can not keep &#117;&#112; &#119;&#105;&#116;&#104; all your stress &#097;&#110;&#100;, consequently, are beginning to show signs of adrenal fatigue. </p>
<p> &#104;&#101;&#114;&#101; are &#115;&#111;&#109;&#101; of the &#109;&#111;&#115;&#116; common symptoms of adrenal fatigue: </p>
<p> Weight Gain-If &#121;&#111;&#117; have adrenal fatiguemay find &#116;&#104;&#097;&#116; the increase in weight &#118;&#101;&#114;&#121; easily. </p>
<p> &#105;&#102; &#121;&#111;&#117; suffer &#102;&#114;&#111;&#109; unexplained fatigue, adrenal fatigue, &#121;&#111;&#117; &#119;&#105;&#108;&#108; be extremely exhausted &#102;&#111;&#114; &#110;&#111; apparent reason. &#101;&#118;&#101;&#110; after &#097; night of sleep, &#116;&#104;&#097;&#116; is, &#105;&#102; &#121;&#111;&#117; can go to sleep, you&#039;&#114;&#101; always tired &#097;&#110;&#100; exhausted. </p>
<p> &#109;&#111;&#114;&#101; susceptible to colds &#097;&#110;&#100; flu-If &#121;&#111;&#117; suffer &#102;&#114;&#111;&#109; adrenal fatigue, it is possible &#116;&#104;&#097;&#116; &#121;&#111;&#117; are &#109;&#111;&#114;&#101; susceptible to colds &#097;&#110;&#100; flu. &#121;&#111;&#117; &#119;&#105;&#108;&#108; also find &#116;&#104;&#097;&#116; it takes &#109;&#111;&#114;&#101; time &#102;&#111;&#114; &#121;&#111;&#117; to return to normalHealth. </p>
<p> Depression can be found, &#101;&#118;&#101;&#110; the smallest task to be met always exceeded. &#116;&#104;&#105;&#115; can lead to depression &#097;&#110;&#100; social withdrawal. </p>
<p> Major PMS-Are &#121;&#111;&#117; &#097; woman suffering &#102;&#114;&#111;&#109; adrenal fatigue, &#121;&#111;&#117; may find &#116;&#104;&#097;&#116; your time &#109;&#111;&#114;&#101; &#097;&#110;&#100; &#109;&#111;&#114;&#101; irregular &#111;&#114; heavy. &#121;&#111;&#117; may also find &#116;&#104;&#097;&#116; state of mind &#097;&#110;&#100; extreme PMS food cravings. </p>
<p> &#111;&#116;&#104;&#101;&#114; symptoms of adrenal fatigue include low libido, low resistance, low blood pressure, distraction, nervousnessand fear. </p>
<p> &#105;&#102; &#121;&#111;&#117; have &#097;&#110;&#121; of &#116;&#104;&#101;&#115;&#101; symptoms continuously &#102;&#111;&#114; &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; six months, &#121;&#111;&#117; should consult &#097; doctor. &#119;&#105;&#116;&#104; the &#104;&#101;&#108;&#112; of medication &#097;&#110;&#100; treatments, &#116;&#104;&#101;&#115;&#101; symptoms can &#097;&#110;&#100; live your life like everyone else. </p>
<p> &#102;&#111;&#114; &#109;&#111;&#114;&#101; information &#097;&#098;&#111;&#117;&#116; extreme fatigue Jump: extreme fatigue </p></p>
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		<title>Dyslexia Symptoms &#8211; What Are the Symptoms That Might Indicate Dyslexia ?</title>
		<link>http://symptomadvice.com/dyslexia-symptoms-what-are-the-symptoms-that-might-indicate-dyslexia/</link>
		<comments>http://symptomadvice.com/dyslexia-symptoms-what-are-the-symptoms-that-might-indicate-dyslexia/#comments</comments>
		<pubDate>Sun, 06 Feb 2011 05:00:31 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[dyslexia symptoms]]></category>
		<category><![CDATA[acceptable levels]]></category>
		<category><![CDATA[distinctions]]></category>
		<category><![CDATA[exemplary lives]]></category>
		<category><![CDATA[learners]]></category>
		<category><![CDATA[productive lives]]></category>
		<category><![CDATA[spelling]]></category>

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		<description><![CDATA[Specialists tell &#117;&#115; &#116;&#104;&#097;&#116; perhaps 1 out &#111;&#102; &#101;&#097;&#099;&#104; &#116;&#101;&#110; adults suffers from &#115;&#111;&#109;&#101; variety &#111;&#102; dyslexia. Possibly 95% &#111;&#102; &#116;&#104;&#101;&#115;&#101; &#097;&#114;&#101; unaware &#116;&#104;&#097;&#116; their distinctions, their problems &#119;&#105;&#116;&#104; studying and manipulation &#111;&#102; numbers,letters and words &#097;&#114;&#101; induced by dyslexia. When recognized, &#116;&#104;&#101;&#115;&#101; dyslexics &#099;&#097;&#110; &#098;&#101; helped and taught &#116;&#111; overcome their problems. They &#099;&#097;&#110; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/02/1296968434-54.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>Specialists tell &#117;&#115; &#116;&#104;&#097;&#116; perhaps 1 out &#111;&#102; &#101;&#097;&#099;&#104; &#116;&#101;&#110; adults suffers from &#115;&#111;&#109;&#101; variety &#111;&#102; dyslexia. Possibly 95% &#111;&#102; &#116;&#104;&#101;&#115;&#101; &#097;&#114;&#101; unaware &#116;&#104;&#097;&#116; their distinctions, their problems &#119;&#105;&#116;&#104; studying and manipulation &#111;&#102; numbers,letters and words &#097;&#114;&#101; induced by dyslexia.</p>
<p>When recognized, &#116;&#104;&#101;&#115;&#101; dyslexics &#099;&#097;&#110; &#098;&#101; helped and taught &#116;&#111; overcome their problems. They &#099;&#097;&#110; lead standard, even exemplary lives, attaining their complete potentials. So how &#100;&#111; you identify men and women &#119;&#104;&#111; &#109;&#097;&#121; undergo from dyslexia? What &#097;&#114;&#101; the indications, the signs or symptoms? &#116;&#104;&#105;&#115; write-up &#101;&#120;&#112;&#108;&#097;&#105;&#110;&#115;. Go through on&#8230;</p>
<p>Dyslexia &#105;&#115; &#097; neurological problem &#116;&#104;&#097;&#116; manifests &#097;&#108;&#111;&#110;&#101; &#097;&#115; &#097; understanding disability. &#116;&#104;&#105;&#115; disability varies extensively but &#105;&#115; &#117;&#115;&#117;&#097;&#108;&#108;&#121; characterized by issues &#105;&#110; spelling, sounding out and recognizing words.</p>
<p>Dyslexia &#105;&#115; widely misunderstood. Dyslexics &#097;&#114;&#101; not stupid, they just have data-processing distinctions and issues. &#110;&#111;&#110;&#101;&#116;&#104;&#101;&#108;&#101;&#115;&#115; they &#097;&#114;&#101; frequently characterized &#097;&#115; sluggish learners, &#112;&#108;&#097;&#099;&#101; &#105;&#110; special education classes and stigmatized &#105;&#110;&#115;&#116;&#101;&#097;&#100; than aided &#116;&#111; overcome their difficulties.</p>
<p>Once identified, dyslexics &#099;&#097;&#110; &#098;&#101; assisted &#116;&#111; overcome their difficulties, perform at acceptable levels and lead regular, productive (typically super-productive) lives. But the social stigmatization &#102;&#111;&#114; getting &#8220;different&#8221; brings about most dyslexics &#116;&#111; &#098;&#101; ashamed &#111;&#102; their differences and attempt &#116;&#111; hide &#116;&#104;&#101;&#109;.</p>
<p>This &#109;&#097;&#107;&#101;&#115; identification and diagnosis &#111;&#102; dyslexia &#097; lot &#109;&#111;&#114;&#101; challenging. &#114;&#105;&#103;&#104;&#116; here &#097;&#114;&#101; &#115;&#111;&#109;&#101; &#111;&#102; the prominent dyslexia signs &#116;&#104;&#097;&#116; might indicate underlying dyslexia:</p>
<p>A college-age youngster &#119;&#105;&#116;&#104; dyslexia &#109;&#097;&#121; exhibit &#097;&#110;&#121; &#111;&#102; the subsequent dyslexia signs:</p>
<p>&#8211; Avoid reading through or complain about the problems &#111;&#102; reading.</p>
<p>&#8211; &#115;&#104;&#111;&#119; strengths &#105;&#110; larger-stage pondering abilities, &#116;&#104;&#101;&#115;&#101; kinds &#111;&#102; &#097;&#115; curiosity and imagination.</p>
<p>&#8211; Mispronounce problematic or unfamiliar words.</p>
<p>&#8211; Leave out areas &#111;&#102; words or confuse the order &#111;&#102; components. &#102;&#111;&#114; illustration, &#8220;aluminum&#8221; &#099;&#111;&#117;&#108;&#100; &#098;&#101;&#099;&#111;&#109;&#101; &#8220;amulium.&#8221;</p>
<p>&#8211; Pause, hesitate, &#111;&#102;&#116;&#101;&#110; &#115;&#097;&#121; &#8220;um&#8221;, &#8220;uh&#8221; or &#8220;ah&#8221; when talking.</p>
<p>&#8211; &#117;&#115;&#101; vague words, &#116;&#104;&#105;&#115; kind &#111;&#102; &#097;&#115; &#8220;stuff&#8221; and &#8220;issues,&#8221; &#097;&#115; &#097; substitute &#111;&#102; correct names.</p>
<p>&#8211; Confuse words &#116;&#104;&#097;&#116; sound alike, &#116;&#104;&#105;&#115; kind &#111;&#102; &#097;&#115; &#8220;tornado&#8221; &#102;&#111;&#114; &#8220;volcano&#8221; and &#8220;lotion&#8221; &#102;&#111;&#114; &#8220;ocean.&#8221;</p>
<p>&#8211; Require &#109;&#111;&#114;&#101; time &#116;&#111; form verbal responses.</p>
<p>&#8211; Have difficulty remembering isolated items &#111;&#102; verbal info, &#115;&#117;&#099;&#104; &#097;&#115; dates, names and lists.</p>
<p>&#8211; Make slow progress &#105;&#110; acquiring reading through abilities.</p>
<p>&#8211; Guess or make &#8220;wild stabs&#8221; at words when reading through.</p>
<p>&#8211; Rely heavily &#111;&#110; context &#116;&#111; read.</p>
<p>&#8211; &#102;&#101;&#097;&#114;, &#100;&#114;&#101;&#097;&#100; or resist reading through aloud.</p>
<p>&#8211; Mispronounce and substitute words when studying aloud.</p>
<p>&#8211; Carry out disproportionately even worse &#111;&#110; &#097; number of-alternative checks than &#111;&#110; other sorts.</p>
<p>&#8211; Spell or publish poorly.</p>
<p>[Source &#111;&#102; the over list: "Overcoming Dyslexia: &#097; &#110;&#101;&#119; and Complete Science-Primarily based &#115;&#121;&#115;&#116;&#101;&#109; &#102;&#111;&#114; Reading Issues at &#097;&#110;&#121; Level," by Sally Shaywitz]</p>
<p>Most elementary colleges &#110;&#111;&#119; screen &#102;&#111;&#114; dyslexia, seeking &#102;&#111;&#114; dyslexia signs or symptoms &#116;&#111; determine doable dyslexics &#097;&#115; early &#097;&#115; feasible. &#116;&#104;&#105;&#115; &#105;&#115; &#097; relatively latest practice. Adults &#119;&#104;&#111; completed elementary college &#097; lot &#109;&#111;&#114;&#101; than 15 years back might have &#105;&#110; &#110;&#111; &#119;&#097;&#121; been screened. &#105;&#110; reality, 95% &#111;&#102; adult dyslexics &#097;&#114;&#101; unaware &#111;&#102; their problem.</p>
<p>Most have developed protective mechanisms, at times elaborate ones, &#116;&#111; hide their disabilities. An grownup dyslexic &#109;&#097;&#121; &#119;&#101;&#108;&#108; exhibit &#116;&#104;&#101;&#115;&#101; sorts &#111;&#102; behavior, &#119;&#104;&#105;&#099;&#104; &#097;&#114;&#101; regular dyslexia signs or symptoms:</p>
<p>&#8211; Prevent jobs &#105;&#110; &#119;&#104;&#105;&#099;&#104; studying and writing &#105;&#115; concerned. They &#109;&#097;&#121; &#119;&#101;&#108;&#108; &#098;&#101; identified employed &#105;&#110; positions &#119;&#097;&#121; &#117;&#110;&#100;&#101;&#114; what their intelligence would indicate they &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; competent &#102;&#111;&#114;.</p>
<p>&#8211; Steer clear &#111;&#102; studying, especially reading through aloud.</p>
<p>&#8211; Feign widespread difficulties &#119;&#105;&#116;&#104; eyesight (&#8220;&#8230;didn&#8217;t provide &#109;&#121; glasses.&#8221;) or other excuses &#102;&#111;&#114; not studying.</p>
<p>&#8211; Avoid newspapers and magazines &#105;&#110; favor &#111;&#102; tv, movies or other graphic media.</p>
<p>&#8211; Have problems &#105;&#110; transcribing telephone numbers or messages obtained around the cellphone.</p>
<p>The presence &#111;&#102; &#097;&#110;&#121; &#111;&#102; &#116;&#104;&#101;&#115;&#101; dyslexia signs and symptoms &#100;&#111;&#101;&#115; not prove &#116;&#104;&#097;&#116; the individual &#105;&#115; dyslexic, but &#105;&#116; &#100;&#111;&#101;&#115; indicate the likelihood. &#105;&#102; there &#105;&#115; &#097;&#110;&#121; doubt, &#105;&#102; the dyslexia symptoms &#097;&#114;&#101; strong and repetitious sufficient, the &#112;&#097;&#114;&#116;&#105;&#099;&#117;&#108;&#097;&#114; person must undergo &#097; complete dyslexia test. &#102;&#111;&#114; adults &#116;&#104;&#105;&#115; &#099;&#097;&#110; &#098;&#101; performed &#111;&#110; the internet &#105;&#110; &#104;&#097;&#108;&#102; an hour.</p>
<p>As soon &#097;&#115; diagnosed, dyslexics &#099;&#097;&#110; &#098;&#101; taught how &#116;&#111; conquer practically all &#111;&#102; the problems they &#109;&#097;&#121; possibly have. &#119;&#105;&#116;&#104; the appropriate coaching dyslexics &#099;&#097;&#110; overcome their dyslexia symptoms and lead standard, productive lives, residing &#117;&#112; &#116;&#111; and attaining their &#102;&#117;&#108;&#108; potentials.</p>
<p>For &#109;&#111;&#114;&#101; info &#111;&#110; dyslexia symptoms and testing, adhere &#116;&#111; the hyperlinks under&#8230;</p>
<p>Discover Far &#109;&#111;&#114;&#101; Dyslexia Signs or symptoms Content</p>
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		<title>Mike Noble convinced he will beat the odds in Pancreatic cancer fight</title>
		<link>http://symptomadvice.com/mike-noble-convinced-he-will-beat-the-odds-in-pancreatic-cancer-fight/</link>
		<comments>http://symptomadvice.com/mike-noble-convinced-he-will-beat-the-odds-in-pancreatic-cancer-fight/#comments</comments>
		<pubDate>Tue, 14 Dec 2010 18:17:10 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[bladder symptoms]]></category>
		<category><![CDATA[benchmark]]></category>
		<category><![CDATA[career management]]></category>
		<category><![CDATA[david pepin]]></category>
		<category><![CDATA[diagnosis]]></category>
		<category><![CDATA[productive lives]]></category>

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		<description><![CDATA[By By DAVID PEPIN Mike and Pam Noble. Over &#116;&#104;&#101; &#112;&#097;&#115;&#116; few years, &#116;&#104;&#101; media &#104;&#097;&#115; been full &#111;&#102; &#115;&#116;&#111;&#114;&#105;&#101;&#115; &#111;&#102; breast cancer and prostate cancer patients who &#104;&#097;&#118;&#101; beaten their diseases and &#103;&#111;&#110;&#101; on to continue living healthy and productive lives.Michael Noble is hoping to &#115;&#101;&#101; a series &#111;&#102; similar &#115;&#116;&#111;&#114;&#105;&#101;&#115; &#097;&#098;&#111;&#117;&#116; people who [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/12/1292350630-88.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />By By DAVID PEPIN Mike and Pam Noble.
<p>Over &#116;&#104;&#101; &#112;&#097;&#115;&#116; few years, &#116;&#104;&#101; media &#104;&#097;&#115; been full &#111;&#102; &#115;&#116;&#111;&#114;&#105;&#101;&#115; &#111;&#102; breast cancer and prostate cancer patients who &#104;&#097;&#118;&#101; beaten their diseases and &#103;&#111;&#110;&#101; on to continue living healthy and productive lives.Michael Noble is hoping to &#115;&#101;&#101; a series &#111;&#102; similar &#115;&#116;&#111;&#114;&#105;&#101;&#115; &#097;&#098;&#111;&#117;&#116; people who &#104;&#097;&#118;&#101; beaten pancreatic cancer.He’s hoping to be &#111;&#110;&#101;, too.</p>
<p>Unlike breast and prostate cancer patients, &#104;&#111;&#119;&#101;&#118;&#101;&#114;, &#116;&#104;&#101; numbers are not in &#104;&#105;&#115; favor.These days, &#116;&#104;&#101; 58-year-old management consultant is driven by &#116;&#104;&#101; number 5: &#116;&#104;&#101; percentage &#111;&#102; pancreatic cancer patients who live &#102;&#105;&#118;&#101; years &#097;&#102;&#116;&#101;&#114; their original diagnosis, considered a long-term survival benchmark by medical professionals.“I firmly believe I’ll &#109;&#097;&#107;&#101; it to long-term status. &#117;&#110;&#116;&#105;&#108; &#115;&#111;&#109;&#101;&#098;&#111;&#100;&#121; tells &#109;&#101; &#111;&#116;&#104;&#101;&#114;&#119;&#105;&#115;&#101;, that’s how I’m proceeding,” &#104;&#101; &#115;&#097;&#121;&#115;, relaxing Monday evening in &#104;&#105;&#115; living room &#097;&#116; 35 Signal Ridge Way &#097;&#102;&#116;&#101;&#114; arriving home from &#116;&#104;&#101; Boston office &#111;&#102; Career Management and Executive Development, a firm in which &#104;&#101; is a partner.</p>
<p>The battle &#102;&#111;&#114; awarenessWhile fighting &#104;&#105;&#115; cancer &#119;&#105;&#116;&#104; drugs and chemotherapy treatment, Noble is &#097;&#108;&#115;&#111; focusing on increasing people’s awareness &#111;&#102; &#116;&#104;&#101; disease, &#116;&#104;&#101; fourth-leading cause &#111;&#102; cancer death in &#116;&#104;&#101; United States, according to &#116;&#104;&#101; Pancreatic Cancer Action Network (PanCAN), on &#116;&#104;&#101; Web &#097;&#116; pancan.org.&#104;&#101; &#119;&#097;&#115; &#097;&#109;&#111;&#110;&#103; 100 patients and family members &#111;&#102; those touched by &#116;&#104;&#101; disease who gathered &#097;&#116; &#116;&#104;&#101; Statehouse Nov. 13 to participate in PurpleLight, a vigil sponsored by &#116;&#104;&#101; Providence affiliate &#111;&#102; PanCAN to advocate &#102;&#111;&#114; more funding to research and find a cure &#097;&#115; &#112;&#097;&#114;&#116; &#111;&#102; November’s Pancreatic Cancer Awareness Month campaign. &#116;&#104;&#101; event included &#116;&#104;&#101; lighting &#111;&#102; &#116;&#104;&#101; Statehouse dome in purple.“There &#104;&#097;&#118;&#101; been tremendous advances &#109;&#097;&#100;&#101; in &#116;&#104;&#101; treatment &#111;&#102; breast cancer over &#116;&#104;&#101; &#112;&#097;&#115;&#116; 30 years, and there are nearly &#116;&#104;&#114;&#101;&#101; million breast cancer survivors. Unfortunately, not &#109;&#097;&#110;&#121; survive pancreatic cancer,” &#104;&#101; &#115;&#097;&#121;&#115;,Noble is &#111;&#110;&#101; &#111;&#102; &#097;&#110; estimated 43,140 new cases &#111;&#102; pancreatic cancer diagnosed &#116;&#104;&#105;&#115; year, according to &#116;&#104;&#101; American Cancer Society, which estimates 209,060 new cases &#111;&#102; breast cancer &#116;&#104;&#105;&#115; year.&#116;&#104;&#101; society estimates 36,800 people will die &#111;&#102; pancreatic cancer &#116;&#104;&#105;&#115; year, slightly less &#116;&#104;&#097;&#110; &#116;&#104;&#101; 40,230 estimated breast cancer deaths &#102;&#111;&#114; &#116;&#104;&#101; year..</p>
<p>The late-night warningNoble &#102;&#105;&#114;&#115;&#116; sensed something wrong on &#116;&#104;&#101; night &#111;&#102; Aug. 16, &#106;&#117;&#115;&#116; two days &#097;&#102;&#116;&#101;&#114; &#116;&#104;&#101; wedding &#111;&#102; &#104;&#105;&#115; oldest son, Matthew.“In &#116;&#104;&#101; middle &#111;&#102; &#116;&#104;&#101; night, I &#119;&#097;&#115; awakened &#119;&#105;&#116;&#104; &#119;&#104;&#097;&#116; I though &#119;&#097;&#115; acid reflux,” &#115;&#097;&#121;&#115; Noble, adding &#104;&#101; had been in &#101;&#120;&#099;&#101;&#108;&#108;&#101;&#110;&#116; health and had &#110;&#101;&#118;&#101;&#114; experienced those symptoms.Fearing &#116;&#104;&#101; pain in &#104;&#105;&#115; sternum could be a heart attack, &#104;&#105;&#115; wife, Pam, called &#097;&#110; ambulance, and &#104;&#101; &#119;&#097;&#115; taken to Miriam Hospital in Providence. &#104;&#101; &#119;&#097;&#115; held &#102;&#111;&#114; two days &#111;&#102; tests, which found &#110;&#111; cardiac abnormalities.“I had &#115;&#105;&#120; more attacks over &#116;&#104;&#101; next two weeks, always painful and always late &#097;&#116; night,” &#104;&#101; &#115;&#097;&#121;&#115;.Those incidents prompted a visit to a gastroenterologist &#102;&#111;&#114; endoscopy, ultrasound and a CAT scan. &#104;&#101; received &#104;&#105;&#115; test results and diagnosis on Sept. 9.“I could &#115;&#101;&#101; lesions on &#109;&#121; pancreas. &#116;&#104;&#101;&#121; weren’t biopsied, &#098;&#117;&#116; I &#119;&#097;&#115; told there &#119;&#097;&#115; a 98 percent chance &#116;&#104;&#101;&#121; &#119;&#101;&#114;&#101; malignant,” &#104;&#101; remembers.Noble moved quickly to &#104;&#097;&#118;&#101; further evaluation done &#097;&#116; Rhode Island Hospital, where &#104;&#101; discovered &#104;&#101; &#119;&#097;&#115; a candidate &#102;&#111;&#114; &#116;&#104;&#101; Whipple procedure, &#116;&#104;&#101; most effective form &#111;&#102; pancreatic cancer surgery &#121;&#101;&#116; developed.“In only &#097;&#098;&#111;&#117;&#116; 15 percent &#111;&#102; cases can &#116;&#104;&#101;&#121; &#100;&#111; it, if it hasn’t metastasized,” &#104;&#101; &#115;&#097;&#121;&#115;.On Sept. 30, Noble underwent &#116;&#104;&#101; Whipple &#097;&#116; Massachusetts General Hospital in Boston. Dr. Carlos Fernando Del Castillo removed &#111;&#110;&#101; third &#101;&#097;&#099;&#104; &#111;&#102; &#104;&#105;&#115; pancreas, upper intestine and stomach, and &#104;&#105;&#115; entire gall bladder in a six-hour procedure.“When &#121;&#111;&#117; &#104;&#097;&#118;&#101; to &#104;&#097;&#118;&#101; complex surgery, &#121;&#111;&#117; &#119;&#097;&#110;&#116; to &#103;&#111; somewhere where &#116;&#104;&#101;&#121; &#100;&#111; a lot &#111;&#102; it,” &#115;&#097;&#121;&#115; Noble, adding &#116;&#104;&#097;&#116; Del Castillo performs &#116;&#104;&#101; surgery &#097;&#098;&#111;&#117;&#116; 150 times a year.“He’s a compassionate, empathetic surgeon who &#114;&#101;&#097;&#108;&#108;&#121; &#116;&#111;&#111;&#107; &#117;&#115; under &#104;&#105;&#115; wing.”While most Whipple patients require 14 to 20 days &#111;&#102; hospital recovery, Noble &#119;&#097;&#115; &#097;&#098;&#108;&#101; to &#103;&#111; home in &#102;&#105;&#118;&#101;.“I had &#110;&#111; other health issues, and I &#119;&#097;&#115; relatively young to &#104;&#097;&#118;&#101; pancreatic cancer,” &#104;&#101; &#115;&#097;&#121;&#115;.Alas, Noble’s bill &#111;&#102; health &#119;&#097;&#115; not quite &#099;&#108;&#101;&#097;&#110;.“Because it had spread &#105;&#110;&#116;&#111; &#109;&#121; lymph nodes, I had 23 removed, and I had cancer in nine &#111;&#102; &#116;&#104;&#101;&#109;. I &#119;&#097;&#115; hoping pathology &#119;&#111;&#117;&#108;&#100; find &#116;&#104;&#101; tumors had closed margins &#116;&#104;&#097;&#116; &#119;&#101;&#114;&#101; well contained, &#098;&#117;&#116; some &#119;&#101;&#114;&#101; open on &#116;&#104;&#101; ends,” &#104;&#101; &#115;&#097;&#121;&#115;.“When &#116;&#104;&#097;&#116; happens, &#121;&#111;&#117; &#104;&#097;&#118;&#101; to &#103;&#111; &#105;&#110;&#116;&#111; chemo.”</p>
<p>The treatmentNoble is &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; visiting Mass General once a week &#102;&#111;&#114; &#097;&#110; infusion &#111;&#102; gemcitibine, a cancer-fighting drug. &#104;&#101; &#104;&#097;&#115; &#106;&#117;&#115;&#116; begun &#116;&#104;&#101; &#115;&#101;&#099;&#111;&#110;&#100; &#111;&#102; &#116;&#104;&#114;&#101;&#101; weeks on, &#111;&#110;&#101; week &#111;&#102;&#102; cycles.“If everything works well, I &#103;&#111; &#105;&#110;&#116;&#111; intensive radiation and chemotherapy,” &#104;&#101; &#115;&#097;&#121;&#115; without a hint &#111;&#102; irony.Noble &#104;&#097;&#115; &#097;&#108;&#114;&#101;&#097;&#100;&#121; had a port implanted in &#104;&#105;&#115; chest in preparation &#102;&#111;&#114; &#116;&#104;&#101; five-day-a-week radiation treatments and &#116;&#104;&#101; chemotherapy drugs, to be injected &#105;&#110;&#116;&#111; &#104;&#105;&#115; veins via &#116;&#104;&#101; port, &#104;&#101; will &#104;&#097;&#118;&#101; to carry in a fanny pack &#097;&#116; all times. &#116;&#104;&#105;&#115; ritual is scheduled to continue &#102;&#111;&#114; &#115;&#105;&#120; weeks.“Assuming all &#116;&#104;&#097;&#116; works right, I’ll &#104;&#097;&#118;&#101; another staging, or exam,” &#104;&#101; &#115;&#097;&#121;&#115;.If &#104;&#101; tests negative &#102;&#111;&#114; cancer, &#104;&#101; will undergo a staging &#101;&#118;&#101;&#114;&#121; &#116;&#104;&#114;&#101;&#101; months &#102;&#111;&#114; &#116;&#104;&#101; rest &#111;&#102; &#104;&#105;&#115; life.“That’s &#119;&#104;&#097;&#116; you’re hoping &#102;&#111;&#114;,” &#104;&#101; &#115;&#097;&#121;&#115;.Living under a death sentence Noble is under &#110;&#111; illusion &#116;&#104;&#097;&#116; &#104;&#101; will be &#116;&#104;&#101; cancer-free miracle &#111;&#102; &#104;&#105;&#115; time. While &#104;&#101; is familiar &#119;&#105;&#116;&#104; &#115;&#116;&#111;&#114;&#105;&#101;&#115; &#111;&#102; pancreatic cancer patients who &#104;&#097;&#118;&#101; beaten &#116;&#104;&#101; odds and survived &#102;&#105;&#118;&#101; years (and &#111;&#110;&#101; who &#104;&#097;&#115; lived 11 years and counting), &#104;&#101; &#104;&#097;&#115; &#097;&#108;&#115;&#111; seen a friend die &#106;&#117;&#115;&#116; &#115;&#105;&#120; months &#097;&#102;&#116;&#101;&#114; being diagnosed.“It &#119;&#097;&#115; &#108;&#105;&#107;&#101; hearing a death sentence. I knew vaguely &#116;&#104;&#097;&#116; &#116;&#104;&#101; survival rate wasn’t high,” &#104;&#101; &#115;&#097;&#121;&#115; &#111;&#102; &#104;&#105;&#115; &#116;&#104;&#111;&#117;&#103;&#104;&#116;&#115; &#097;&#102;&#116;&#101;&#114; receiving &#104;&#105;&#115; diagnosis.“It’s upsetting, &#098;&#117;&#116; there’s a chance.”The father &#111;&#102; Matthew, 30; Kyle, 27, and Hillary, 21, Noble continues to work &#097;&#116; &#104;&#105;&#115; business, some days &#097;&#116; home, some days in Boston, where &#104;&#101; &#110;&#111;&#119; drives &#105;&#110;&#115;&#116;&#101;&#097;&#100; &#111;&#102; &#116;&#097;&#107;&#105;&#110;&#103; a train &#097;&#115; a concession to &#104;&#105;&#115; compromised immune system.“I don’t &#119;&#097;&#110;&#116; to sit on a train and &#116;&#097;&#107;&#101; a chance &#111;&#102; catching something from &#115;&#111;&#109;&#101;&#098;&#111;&#100;&#121;,” &#104;&#101; &#115;&#097;&#121;&#115;.A valuable resource, &#104;&#101; &#115;&#097;&#121;&#115;, is “The Emperor &#111;&#102; All Maladies: A Biography &#111;&#102; Cancer,” by oncologist Siddartha Mukherjee, who &#119;&#097;&#115; interviewed on a National Public Radio (npr.org) podcast Nov. 17.Another comfort to &#104;&#105;&#109; is &#116;&#104;&#101; timing &#111;&#102; &#104;&#105;&#115; current treatment, &#119;&#104;&#111;&#115;&#101; next week &#111;&#102;&#102; will include Christmas.“I &#104;&#097;&#118;&#101; a general lethargy,” &#115;&#097;&#121;&#115; Noble, who can work &#102;&#111;&#114; two to &#116;&#104;&#114;&#101;&#101; hours &#097;&#102;&#116;&#101;&#114; a treatment &#098;&#101;&#102;&#111;&#114;&#101; nausea forces &#104;&#105;&#109; to rest. “But &#119;&#104;&#101;&#110; &#121;&#111;&#117; &#104;&#097;&#118;&#101; a week &#111;&#102;&#102;, it’s &#103;&#114;&#101;&#097;&#116;.”</p>
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