Friday, February 26, 2016

Yoo Bro Joke =))

I found I love his funny silly facial expression so much! hahahaha....

 

 

 

 

 




 

 

 

 

 


Friday, February 19, 2016

Is that what I mean to be?

Well, I’m good at smiling and yeaaa, not that bad in acting too which my inner frankly isn’t in healthy joy. Don’t think as I’m fake since actually, I’m just doing it for a lively life.
People came and left me. I don’t mean they die but I’m here talking about relationship. It’s hard to describe that feeling =(( but all in all, I know I’m not the special; I meant, the top first special person to my circle people.

I’m living in this world for almost 3 decades till now but how come is it so hard to find only several people who love me unconditionally? Okayyy, can’t I at least have one?

My teachers, all teachers never judge me as the first student they love during my class…
My school friends of primary, secondary, high school and even until university; no one said I’m their top best friend…
My colleagues so far; we were closed only in early time of our friendship path; longer and longer, their feeling toward me faded away while mine isn’t that at all…
My parents; said coz I’m having beauty (they call me pretty ==’) and intelligence (they believe so while I’m awkward of why @,@) so they give much attention and love toward my siblings more than me coz they set their views as my siblings are less fortune…
My crushes; the ones who’re aware nothing about how I felt for them; maybe sometime they know but none can help since I’m not their crushes or some of my crushes even have no idea if I’m also one of all humans in this world…
A person who so called an Ex to me; we broke. Why? Coz until we can broke from I was not the person that he can’t live without…
My love; yeah, I call him my love until we are in relationship for 5 years now… Though, I still understand I’m not his most adorable person…  Sad to say so but it’s real! I cannot even say something negatively about his best friends…
Until I have two sons; do you believe it? They love his dad much more than me….

Everything happens; happened for the reasons… While talking about me; maybe I get a curse to be only the spare person; the second/ third/ fourth/ unlimited last choices even all my feelings for them exactly are real. I won’t easily call anyone close friends or lover which until I call them so, I do mean it heartfully. Meantime, they don’t feel the same at all… I mean to be alone, huhhh? There are times I tell myself as even I disappear, no one will be so much care…

I damn wonder WHY???
I’m not perfect I know but love doesn’t only exist for perfect person, right?
It’s hurt to be none of anyone’s first choice while almost 30 years is over…
Can time really heal pain?
Do I have to deal with this cold pain until it disappears itself or until I end my life?
Uhmmm, it’s too hurt…

“I’m not that ambitious; at least I should get one whom loves me the most!” :'{

#m#just#so#nagging#huh

Monday, February 15, 2016

Snake - Personality and Characteristics

Snake
Wise, Humorous, Brilliant

Snake is usually regarded as a dark, insidious, sly and ruthless being. Both in western countries and China, there are many legend stories about the animal. And most of the time, it is labeled with a dark image. Actually, the animal is also the symbol of wisdom. People born in the Year of the Snake according to Chinese zodiac are usually well-educated, decent, smart and humorous. They can be brilliant artists, political leaders, as well as great thinkers, such as Gandhi, Goethe, Kennedy, and Picasso.

Strengths
Decent, Sophisticated, Eloquent

Most of time, they looks nonchalant, but they are actually enthusiastic in personality. They are romantic, decent and sophisticated, and also eloquent, which makes them humorous. People will feel comfortable and relaxed when talking with them. They seldom get angry, for they get used to thinking twice before leaping. They are gifted in thinking and creating, especially good at spiritual work. They always have clear goals and plans about their career, and they will schedule and finish them step by step. When coming across problems, they can remain calm and rational. Their innate sense and insight make them grasp every possible chance. They are good at making decisions and determined to fulfill plans.

Weaknesses
Suspicious, Stingy, Lazy

They will not show their weak side to others, and people cannot see their inner side, so they don’t have many real friends. They are a bit stingy and suspicious, which makes people keep a distance from them. Sometimes, they are over curious about others’ personal affairs and like to gossip behind, and even create rumors. Sloth is another of their weaknesses. Although they have a lot of ambitions, they cannot be persistent to realize them. They go to jealousy easily. They will go against people who are more excellent than them but not learn from others.

Career
Responsible, Leadership, Creative

They are fond of thinking, and they can perform outstandingly in work related to history, art and creating. They are bold to face challenges, and will not give in easily. Having strong sense of responsibility, they are capable of dealing with kinds of difficulties. With talented memory, they can always remember their clients’ names and tastes, so there are nice people supporting their career now and then. With acute and smart personality traits, they can always seize the chance to get a promotion. Leadership and executive ability push them to the top of their career. However, they should be very prudent when making investments.

Best Jobs for Snakes

They are born with creation and imagination, so office work is not suitable for them. They need find a job in which they can utilize their talents and intelligence. The jobs related in thinking and creation are suitable for them, such as fashion designer, gardener, educator, conductor, writer, composer, and journalist.

Wealth
Affluent, Easy Money, Spending Problem

In general, their luck in money is nice, for their career or business develop smoothly under friends’ help. They are seldom bothered by money shortage, but lead a better-off life. They also get luck in easy money, such as in lottery or stocks. People with Chinese zodiac Snake sign have a habit of spending. They would rather spend money in luxuries than in daily necessities. Their extravagant lifestyle will change better after they get married. To keep a stable financial status, they need to reduce unnecessary expenditure and make some long-term investments. Besides, they are a bit stingy; if they can change that, they can make more friends.

Love and Relationships
Romantic, Enthusiastic, Loyal

Male Snakes seeks passionate and vigorous love, and there are a lot of girls gathering around them. They are romantic and trendy, and also good at read girls’ mind. Therefore, they can find lovers easily. At first people may think they are indifferent. When getting familiar, their zeal in relationship will show up. The problem is that they are usually strict to their partner. Females in love are frank and straightforward. They keep a loyal and faithful heart to their men. However, they are quite possessive, which makes others feel depressed. If they can leave more personal space for the other, their relationship will be better.

Best Matches: Dragon, Rooster
Bad Matches: Tiger, Rabbit, Snake, Sheep, Pig

Health
Heart Disease, Palpitation, Regular Rest

Their Wu Xing (The Five Elements) sign is Fire, which indicates the heart of the physical body. They may get heart problems, such as palpitation, chest congestion, insomnia, amnesia, agitation and arrhythmia. They form a bad habit of sleeping late, which does much harm to the heart’s normal function. They should keep scientific bedtimes. In addition, a light diet is also good for prevent the heart diseases.

[[WELL, THESE ARE ALL ABOUT WHO I AM, WHAT I MEET... TROV MESSSS!!! ^^]]

Reference: http://www.travelchinaguide.com/intro/social_customs/zodiac/snake/

Friday, February 12, 2016

Hypertriglyceridemia (High Triglycerides)

Assessment and Treatment of Hypertriglyceridemia (High Triglycerides)

PATIENT GUIDE
Hypertriglyceridemia

Having high levels of triglycerides, or hypertriglyceridemia, is a common problem. Triglycerides are fats in the blood (also called lipids). Your body needs some blood fats for energy. But when your triglyceride levels are too high, these fats may put you at risk for heart disease, stroke, and other health problems.

Most often, having high triglycerides has no warning signs. The good news, though, is there is a simple test to find high triglycerides, and treatments are available.

This guide for patients comes from The Endocrine Society’s practice guidelines for physicians about the detection and treatment of hypertriglyceridemia.

What are the effects of high triglycerides?

It is unclear if high triglycerides alone are a risk factor for cardiovascular disease (heart disease and stroke). Triglycerides do not directly cause the plaque that can block your heart’s arteries (atherosclerosis) and lead to a heart attack. Yet, cholesterol in triglyceride-rich particles in the blood may add to plaque formation.

Also, many people with high triglycerides have other lipid problems or other risk factors for heart disease. A high triglyceride level is one part of the metabolic syndrome, a cluster of risk factors that increase the risk for heart disease and diabetes.

High triglycerides can affect more than your heart and blood vessels. Very high triglycerides raise the risk for pancreatitis, an inflammation of the pancreas. The pancreas is large gland behind the stomach that makes key hormones like insulin. It helps your body maintain healthy blood glucose (sugar) levels. Pancreatitis can cause stomach pain and digestive problems. It can damage the pancreas and, over a long time, can lead to diabetes.

What raises the risk for high triglycerides?

Triglycerides normally increase with age. They may become too high for one or more reasons.

Risk factors include:

+ Lifestyle factors:
- Being overweight or obese
- Not getting enough exercise
- Drinking too much alcohol
- Familial (inherited) disorders
- Type 2 diabetes or the metabolic syndrome
- Pregnancy

+ Medications:
- Some “water” pills (thiazide diuretics)
- Beta-blockers
- Estrogen (birth control pills, hormone therapy)
- Isotretinoin for acne
- Corticosteroids for conditions such as asthma and arthritis
- Certain cholesterol-lowering drugs
- Protease inhibitors for HIV
- Immune suppressants (such as sirolimus)
- Some antipsychotics (mental health medicines)

The most common reasons for high triglycerides include being overweight, lack of exercise, the metabolic syndrome, type 2 diabetes, and familial combined hyperlipidemia. The latter is a genetic disorder that runs in the family. It results in high triglycerides, high “bad” (low-density lipoprotein, or LDL) cholesterol, and low “good” (high-density lipoprotein, or HDL) cholesterol.

How are high triglycerides found?

A blood test called a lipid panel measures triglycerides and cholesterol. You should have this test after fasting (not eating or drinking anything but water) for at least 12 hours.

Adults should get this screening test every five years or sooner. If you have diabetes, a family history of high triglycerides, or other risk factors, you may need screening more often, according to the National Cholesterol Education Program (NCEP) Guidelines.

The NCEP defines borderline-high triglycerides as 150 to 199 milligrams per deciliter (mg/dL) and high triglycerides as 200 to 499 mg/dL. Very high triglycerides are 500 mg/dL or higher. The Endocrine Society instead defines hypertriglyceridemia by its disease risk (box). Most people with high triglycerides have levels from 150 to 999 mg/dL, which puts them at risk for heart disease. Above 2,000 mg/dL poses a high risk for pancreatitis.

Triglyceride Test Results and Disease Risk


If your triglycerides are above normal, your doctor will find out if the cause is primary (genetic) or secondary (e.g., due to hormonal disease or medications). Untreated secondary causes need treatment. If the cause is a medication, ask your doctor if you can switch to a medicine that does not raise triglycerides.

Your health care providers may check you for other risk factors for heart disease, such as high blood pressure, high blood glucose, and too much fat around your waist. They also may ask about your family history of abnormal lipids and heart disease. This helps to assess your future risk for having a heart attack or a stroke.

What is the treatment for high triglycerides?

The goal of treatment is to lower your triglycerides. Patients with very severe hypertriglyceridemia should try to lower their triglycerides below 1,000 mg/dL, to reduce their risk for pancreatitis.

+ Lifestyle changes:
The first step for lowering triglycerides is to lose weight if you are overweight, exercise often, and eat a healthy diet low in saturated (bad) fat and sugar. Also, limit the amount of refined, processed grains you eat, such as white bread, rice, and pasta. Follow your doctor’s advice about limiting intake of alcohol, which raises triglycerides in some people.

+ Medications:
Besides lifestyle changes, you may also need drug treatment. For mildly or moderately high triglycerides, your doctor may prescribe one of these types of drugs:

- Fibrates, which greatly lower triglycerides and sometimes raise HDL (good) cholesterol. In the U.S., these prescription drugs include gemfibrozil and fenofibrate.

- Niacin, or vitamin B3, at doses of 1,000 to 3,000 mg per day, lowers triglycerides and LDL cholesterol and raises HDL cholesterol. These doses apply to immediate-release (released into the body right away) niacin, available by prescription or as a supplement. The dose of sustained-release (released into the body over time) niacin, which is only available as a supplement, shouldn’t exceed 2,000 mg per day because of the risk of liver damage.

- Omega-3 (n-3) fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) lower triglycerides. These polyunsaturated (good) fats are found in fatty fish such as salmon. In high doses (3 to 4 g/d), they can treat high triglycerides. Fish oil supplements have variable quantities of EPA and DHA ranging from 20–50% therefore the labels must be reviewed to calculate the amount of omega-3 fatty acids. FDA approved prescription omega-3 fatty acids contain >80% EPA and DHA. The prescription omega -3 requires fewer pills and can lower triglycerides by 30-50%.

Your doctor may add a statin to your other drug treatment. Though statins mainly lower LDL cholesterol, they also can decrease triglycerides. Some studies show that statins reduce the risk of heart attacks and strokes. It is unclear if fibrates and niacin prevent heart attacks and strokes.

If your triglycerides are above 1,000 mg/dL, though, the first choice of medicine is a fibrate. You may need a statin, too, but experts advise against treatment with statins alone if your high triglycerides are severe or very severe. Fibrates are better than statins at lowering triglycerides. However, people with liver disease or gallbladder disease should not take fibrates.

Talk to your doctor about the risks and benefits of all these drugs. Medications do not cure the problem of high triglycerides, so you will need to take them long term. However, weight loss and other lifestyle changes can lower high trigylcerides enough to eliminate the need for medication.

Ask your doctor if you should see an endocrinologist. This physician specialist can find and treat hormonal causes of high triglycerides.


September 2012
Editors:
Lars Berglund, MD, PhD, Massachusetts General Hospital
John Brunzell, MD, University of Washington
Frank M. Sacks, MD, Harvard School of Public Health

Reference:

Wednesday, February 10, 2016

Mr. BRM ---> My Sneha! My Sarang!!!

Moments I fell in his charming (Mr. BRM) and I believe he didn’t know at all…

Maybe around 8 years ago, on a cousin’s wedding of my father side, I, with my silky short red dress, was assigned to be the people who stood and waiting for greeting the guests. I was there with my a lot of young female relatives. I was that young whom loved playing around so much lol… I remembered I was teasing and fighting with my sister while it was a bit silent from guests but when we didn’t take attention so much, several more guests came. Huh, I felt a bit shy…lol…
A female elder guest saw me and my sister, she said... “oh my nieces, my both nieces! You both seemed a wrestling! How come did you gain this so much weight?!” =____=^
[[I was at that time only 53kg or something and now is 70kg, what is me now then? Lol]]
Another older guest said, “But I saw she was still beautiful!”
[[I love you aunty! ^^]]
Her older son (BRM) talked to my mom who just arrived, “Aunt, didn’t you think so? If Rella married, don’t lets the relatives stand or welcome guests so, it seems so tired… Lets rent the wedding service team!”
[[Awww, he was not only handsome but seemed so caring too! gikgikgik, kinda ma target!]]

Another occasion that we were in the same party… It was my cousin’s wedding again but on my mother’s side…lol… I was considered to be the bride’s mates (1 among 3) that would be there next to the bride from the party’s start till end. I saw him again but well, I didn’t feel any much for him since we weren’t closed enough for even called as knowing person…lol… However, his presence caught my attention while he was a bit drunk and went up to the stage, sang a few songs with his ugly voice (nahhh, funny to me XD) but very good looking…lol
Waitttt… we were in the same big wooden house (with around more than 10 relatives too), staying one night before the party… He told me in front of everybody, “ehhh, Rella, you seemed fatter now!”
I replied, “Though, still pretty, right???” gagagaga… Everyone there laughed!
[[They were laughing coz what I said was wrong or what? -,- Ehhhh, buttttt…Did he noticed me long enough that knew I was fatter? :’D]]
Coz of his these words, after the party day while we accidentally set in the same guesthouse, I tried to cute myself with two braided hair to show him as I was fat, yeah! But I was that so adorable! Then I caught as he was staring at me, maybe thought I didn’t know…lol
(By the way, all my relatives moves from staying at that wooden big house, since last night we heard, we met something suspicious and we found out that the house’s owner’s daughter suicided herself by hanging in the bathroom! =___________=^)

Move to last 6 years, my mom was asked for help to be the matchmaker for Mr. BRM…
My mom was trying her best to recommend him the decent ladies. From one to another one, uhmmm… he always saw their weakness and rejected. Until he saw a lady whom he thought he was okay with but his mom didn’t love…so, no-no result too. My mom may almost run out of idea but then she found her best friend had a daughter whom was quite knowledgeable and good work + high salary. She told me BRM would love that lady, just she wasn’t sure if her best friend’s daughter would be okay with him… lol So she asked me to go with her to BRM’s house. We reached there, they were discussing about their business while I minded my own business too…playing Facebook coz there was free internet! XD
That BRM kept staring at me while I was playing Facebook I knew; but I acted as knew nothing. Lol.
Uhmm, Just I cannot remember whom started first; however, that day was the day we were connected to be friends in this social network. Hehehe…
A few day next, both sides assigned a date to meet as my mom was the matchmaker. I was her Motor-rider for where she wanted to go. So did that time, I accompanied her and went with BRM to meet that perfect lady’s side. Actually, on that day I was on date with my closed friends so I dressed so gorgeous in a teenager's style and fresh with a lovely hair ribbon on the head of my long hair but I was bothered by their schedule without any notices.

Anyway, that was a flat, well prepared and there was a parrot too. That was their house’s animal! So cute that parrot was!!!! ^^ Repeatedly, they were doing their business for chitchat-got to know each other’s sides and I was doing my business too. It was playing with that parrot! Hehehe… That parrot walked around in the flat freely since it couldn’t fly at all. I was trying to catch it… I tried to follow it, used all my best to get it until my head crushed a little bit with the cupboard coz of that cutie parrot ran to hide under that cupboard. My instinct told me somebody looked at me…I turned immediately and saw that BRM smiled but out of my direction…
Question: Did he just turn out of my direction? Did he smile coz of me or coz of anything else in his business??? Though, instinct told me…it’s coz of me! Hmmm….
Finally, he rejected that lady whom is the daughter of my mom’s best friend even his birth mom so loved her and especially, that lady also interested in him…

Frequently after that, he wasn’t trying to seek for more ladies to be his wife as his mom’s need but kept coming to visit my house and my mom. Most of weekend, you know?! We always had meal together… Sound strange? Hehehe… I didn’t care even I felt he interested in me since he wasn’t that first nor that hundred…but nahhh, he was my crush as well! [[one of my crushes!!! lol,]] Whatever, I was a blossom flower, think so huhh??? Bees were everywhere around me! XD
Next several months or something, his mom came to meet my mom and discussed something while I heard my mom said, she would discuss with me first even they seemed okay with each other already! It was an arranged married; mom asked me if I was okay?!
+___+~ I felt scare to my instinct…lol… quite real it reacted to me…
Okayyyy, I didn’t reject at all… Outside reason, I respected my mom’s command but actually, I did have feeling for him… ^__________^’

So, we got engaged and married while our wedding party didn't bother our relatives so much...we rent all greeting services...and we just recently went through our 4 years wedding’s anniversary with two of God’s gifts- 2 damn adorable sons!!!

A little bit back to my mom’s best friend… She stops dealing with my mom, lol… My mom once was a matchmaker for her daughter but end up matching that man to her own daughter! Gagagagaga! Such a very outstanding matchmaker! She’s done her job very well; BRM got the wife that he damn loved at that time! XP

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I’ve been through a path I chose myself, my professional journey. I believed I would deliver the best result and met my stakeholder’s expect...