For example, at a basketball game, the team you’re rooting for may score a last second shot from mid court to win the game by 1 point. You might present the “truth” that your team scored a brilliant last second come from behind win. A fan who supports the losing team might describe the “truth” of this same event as your team making a desperate but lucky shot to steal the game from the better team. If both of you are telling the truth, how can your accounts be so different? Because, the truth is only that a shot was made that won the game; the rest of what both of you told as the truth would more accurately be meaning, story, or interpretation. It is vital to distinguish what happened from the rest of the meanings and interpretations that people add. This is especially true because so much of the meaning and interpretation happen automatically at a very emotional level and so much of it has the power to determine our happiness and fulfillment if we allow it to. Perhaps the fans of the losing team will be angry and unhappy for weeks over that single victory. A player on that team might even decide that it means that he is unworthy of athletics and drop out of the program. That same player could instead decided that it means he should practice more so that he can win the next one. The decision of which story to attribute to the outcome of the game may very well decide much of that person’s future!
- learnings from landmark
He that is good for making excuses is seldom good for anything else.
Bad excuses are worse than none.
For many people, an excuse is better than an achievement because an achievement, no matter how great, leaves you having to prove yourself again in the future but an excuse can last for life.
An excuse is worse and more terrible than a lie; for an excuse is a lie guarded.
Not hing is impossible; there are ways that lead to everything, and if we had sufficient will we should always have sufficient means. It is often merely for an excuse that we say things are impossible.
Francois La Rochefoucauld
the only credible use for them is as toilet paper.
But I did wanna say thank you to everyone who came to see me while i was incapacitated. You have no idea how much I appreciate the cards, flowers, balloons, and just having u take the time out to come. Actions speak so much louder than words.
Also, from my previous post, I'd like to thank Jacqueline. I took the time today to read into what you left for me and there was a lot of handy information in there.
Around the end of the week I'm going to try and get up and actually blog my experience. 9/26/08...jeez.
I'm not gonna sit here like everyone else, don my rose-colored shades, and pretend that it really is all going to turn out ok. Because in the reality, after the upwards of 7 or so consults I've endured with 3 different doctors, I'm more aware than I'd like to be. I wish I knew less about the whole thing, short of the "recovery time". I wish I could go into the whole thing believing it'd be 30 minutes of my life. 30 minutes is easier to stomach than 3 hours. The thought makes me nauseous...
So the next time someone says to you "hey, at least you have your health," sit back and think about it. You actually do have something there.
Myomectomy is the surgical removal of fibroids from the uterus. It allows the uterus to be left in place and, for some women, makes pregnancy more likely than before. Myomectomy is the preferred fibroid treatment for women who want to become pregnant.1 After myomectomy, your chances of pregnancy may be improved, but are not guaranteed.
Before myomectomy, shrinking fibroids with gonadotropin-releasing hormone analogue (GnRH-a) therapy may reduce blood loss from the surgery. GnRH-a therapy lowers the amount of estrogen your body makes. If you have bleeding from a fibroid, GnRH-a therapy can also improve anemia before surgery by stopping uterine bleeding for several months.
Surgical methods for myomectomy include:
- Hysteroscopy, which involves inserting a lighted viewing instrument through the vagina and into the uterus.
- Laparoscopy, which uses a lighted viewing instrument and one or more small cuts (incisions) in the abdomen.
- Laparotomy, which uses a larger incision in the abdomen.
The method used depends on the:
- Size, location, and number of fibroids.
- Hysteroscopy can be used to remove fibroids on the inner wall of the uterus that have not grown deep into the uterine wall.
- Laparoscopy is usually reserved for removing one or two fibroids, up to about 2in. across, that are growing on the outside of the uterus.
- Laparotomy is used to remove large fibroids, many fibroids, or fibroids that have grown deep into the uterine wall.
- Need to correct urinary or bowel problems. To repair these problems without causing organ damage, laparotomy is usually needed.
What To Expect After Surgery
The length of time you may spend in the hospital varies.
- Hysteroscopy is an outpatient procedure.
- Laparoscopy may be an outpatient procedure or may require a stay of 1 day.
- Laparotomy requires an average stay of 1 to 4 days.
Recovery time depends on the method used for the myomectomy:
- Hysteroscopy requires from a few days to 2 weeks to recover.
- Laparoscopy requires 1 to 2 weeks.
- Laparotomy requires 4 to 6 weeks.
Why It Is Done
Myomectomy preserves the uterus while treating fibroids. It may be a reasonable treatment option if you have:
- Anemia that is not relieved by treatment with medicine.
- Pain or pressure that is not relieved by treatment with medicine.
- A fibroid that has changed the wall of the uterus. This can sometimes cause infertility or repeat miscarriages. Before an in vitro fertilization, myomectomy is often done to improve the chances of pregnancy.1
How Well It Works
Myomectomy decreases pelvic pain and bleeding from fibroids.
Myomectomy is the only fibroid treatment that may improve your chances of having a baby.2 It is known to help with a certain kind of fibroid called a submucosal fibroid. But it does not seem to improve pregnancy chances with any other kind of fibroid.3
Some studies suggest that myomectomy may also lower the risk of miscarriages among women with fibroids. But there are not yet good enough studies to know for sure.2
Recurrence. Fibroids return after surgery in 10% to 50% of women, depending on the original fibroid problem. Fibroids that were larger and more numerous are most likely to recur.1 Talk to your doctor about whether your type of fibroid is likely to grow back.
- Infection of the uterus, fallopian tubes, or ovaries (pelvic infection) may occur.
- Removal of fibroids in the uterine muscle (intramural fibroids) may cause scar tissue.
- In rare cases, scarring from the uterine incision may cause infertility.
- In rare cases, injuries to the bladder or bowel, such as a bowel obstruction, may occur.
- In rare cases, uterine scars may break open (rupture) in late pregnancy or during delivery.
What To Think About
When trying to get pregnant after myomectomy. Because fibroids can grow back, it is best to try to conceive as soon after a myomectomy as is safely possible. Experts recommend:1
- Waiting 4 to 6 months after surgery to allow the uterus to heal before pregnancy.
- A hysterosalpingogram after 4 months to check the uterus and fallopian tubes before any infertility treatment.
When incisions have been made into the uterine wall to remove fibroids, future pregnancy may be affected. Sometimes, placenta problems develop, such as placenta abruptio or placenta accreta. During labor, the uterus may not function normally, which can make a cesarean delivery necessary.
In rare cases, a hysterectomy becomes necessary when the surgery reveals that the uterus is too overgrown with fibroids for a safe myomectomy.
This is what I am faced with, and this is what I'll be doing with my 23rd birthday...at the least I can definitely say i've never disliked a birthday so much before.