Nation was normal. The haematocrit was 39. viagra 20 mg walmart 7%, the white cell count was 10,000 and the platelet count was 363,000. Electrolytes, creatinine, urea, transaminases, total bilirubin and c-reactive protein were within the normal limits. Blood tests to rule out a primary immunodeficiency (immunoglobulin g, -a, -m, -e; igg1-4 and alpha-1 antitrypsin) were normal. viagra no prescription Sweat test and mantoux test were negative. buy viagra cheap A throat swab obtained for culture was negative. viagra or viagra forum Radiograph of the chest taken at the day of admission was similar to the one done 2 weeks earlier [figure 1]. do gay men use viagra The patient underwent a rigid bronchoscopy on the first hospital day. It showed a whitish, rounded tumour located in the upper part of the right bronchus [figure 2]. Biopsy specimens were taken. viagra canada online On the 2 nd day a computed tomography (ct) scan of the chest was performed [figure 3]. effects of viagra in men without ed It confirmed the known findings and no other lesions were found. Figure 2: initial computed tomography scan: tumourous lesion (diameter 1. 6 cm) located in the upper part of the right bronchus click here to view figure 3: initial bronchoscopy: whitish, rounded tumour located in the right main bronchus just below the tracheal bifurcation click here to view the biopsy specimens were highly suspicious for a malignant tumour. A second rigid bronchoscopy was performed and most of the tumour was removed. viagra for sale glasgow The origin of this lesion was the right-superior-lobe bronchus. buy viagra canada A control bronchoscopy 2 days later showed both main bronchi free but the rest of the tumour tissue located at the beginning of the right-superior-lobe bronchus. is generic viagra safe Histology revealed a low-grade bronchial mucoepidermoid carcinoma. A combined positron emission tomography and computed tomography (pet-ct) scan showed no 18f-fluorodeoxyglucose ( 18 fdg) uptake at the side of the incompletely removed tumour. No positive lymph nodes or further lesions were found. A magnetic resonance imaging of the abdomen and pelvis and another ct scan of the chest were performed to complete the tumour staging. viagra 20 mg walmart Again, no metastases or suspicious lymph nodes were found. The chest ct showed the known remaining tumour with its origin at the right-superior-lobe bronchus. Again, this was confirmed by a bronchoscopy [figure 4]. Further pre-operative workup included a body plethysmography, which showed normal lung function. Figure 4: bronchoscopy prior to sleeve resection: remaining tumour tissue at the beginning of the right-upper-lobe bronchus click here to view a right-upper-lobe sleeve resection was performed to eradicate the tumour. Intraoperative frozen section analysis revealed tumour-free margins. Pathological examination of the lobectomy. discount viagra lowest prices Robert Allerton Park
These are some of the photos I’ve taken in my travels and travails.
Welcome to my humble homepage, home of many pictures of places I’ve been fortunate enough to visit over the years. Perhaps you might enjoy visiting some of these places yourself someday.
At the moment this is very much a work in progress, especially as I’m quite new to the art of creating web pages, so it will continue to evolve as I have time and ability to update it. Ah, it must be about time for one of those silly ‘Under Construction’ animated GIFs that people like to plaster all over their pages....nah, maybe not.
Despite the obvious lack of talent inherent in these photos, no cameras were harmed in the making of this website. All photos on this site were taken by me (unless noted otherwise) and are therefore © 2005 Lance A. Brisee.