Tuesday, April 7, 2015

HALLS WALLS, CHAPTER 40




WHAAAAAAAAAAAAAAAAAAAAAAAAAAA!!!!!!!



WEED ON KIND POPULATION OF THE EARTH PLT.



Goiter--------AHA-AHA-AHA-AHA MIKE MCNULTY!!!

Publish Date: Jun 4, 2012
Thyroid Brochures

What is the thyroid gland?

The thyroid gland is a butterfly-shaped endocrine gland that is normally located in the lower front of the neck. The thyroid’s job is to make thyroid hormones, which are secreted into the blood and then carried to every tissue in the body. Thyroid hormone helps the body use energy, stay warm and keep the brain, heart, muscles, and other organs working as they should.


What are the symptoms of a goiter?



The term “goiter” simply refers to the abnormal enlargement of the thyroid gland. It is important to know that the presence of a goiter does not necessarily mean that the thyroid gland is malfunctioning. A goiter can occur in a gland that is producing too much hormone (hyperthyroidism), too little hormone (hypothyroidism), or the correct amount of hormone (euthyroidism). A goiter indicates there is a condition present which is causing the thyroid to grow abnormally.


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What causes a goiter?



One of the most common causes of goiter formation worldwide is iodine deficiency. While this was a very frequent cause of goiter in the United States many years ago, it is no longer commonly observed. The primary activity of the thyroid gland is to concentrate iodine from the blood to make thyroid hormone. The gland cannot make enough thyroid hormone if it does not have enough iodine. Therefore, with iodine deficiency the individual will become hypothyroid. Consequently, the pituitary gland in the brain senses the thyroid hormone level is too low and sends a signal to the thyroid. This signal is called thyroid stimulating hormone (TSH). As the name implies, this hormone stimulates the thyroid to produce thyroid hormone and to grow in size. This abnormal growth in size produces what is termed a “goiter.” Thus, iodine deficiency is one cause of goiter development. Wherever iodine deficiency is common, goiter will be common. It remains a common cause of goiters in other parts of the world.


Hashimoto’s thyroiditis is a more common cause of goiter formation in the US. This is an autoimmune condition in which there is destruction of the thyroid gland by one’s own immune system. As the gland becomes more damaged, it is less able to make adequate supplies of thyroid hormone. The pituitary gland senses a low thyroid hormone level and secretes more TSH to stimulate the thyroid. This stimulation causes the thyroid to grow, which may produce a goiter.


Another common cause of goiter is Graves’ disease. In this case, one’s immune system produces a protein, called thyroid stimulating immunoglobulin (TSI). As with TSH, TSI stimulates the thyroid gland to enlarge producing a goiter. However, TSI also stimulates the thyroid to make too much thyroid hormone (causes hyperthyroidism). Since the pituitary senses too much thyroid hormone, it stops secreting TSH. In spite of this the thyroid gland continues to grow and make thyroid hormone. Therefore, Graves’ disease produces a goiter and hyperthyroidism.


Multinodular goiters are another common cause of goiters. Individuals with this disorder have one or more nodules within the gland which cause thyroid enlargement. This is often detected as a nodular feeling gland on physical exam. Patients can present with a single large nodule or with multiple smaller nodules in the gland when first detected (see Thyroid Nodule brochure). Thus, in early stages of a multinodular goiter with many small nodules, the overall size of the thyroid may not be enlarged yet. Unlike the other goiters discussed, the cause of this type of goiter is not well understood.


In addition to the common causes of goiter, there are many other less common causes. Some of these are due to genetic defects, others are related to injury or infections in the thyroid, and some are due to tumors (both cancerous and benign tumors).


How do you diagnose a Goiter?



As mentioned earlier, the diagnosis of a goiter is usually made at the time of a physical examination when an enlargement of the thyroid is found. However, the presence of a goiter indicates there is an abnormality of the thyroid gland. Therefore, it is important to determine the cause of the goiter. As a first step, you will likely have thyroid function tests to determine if your thyroid is underactive or overactive (see Thyroid Function Tests brochure). Any subsequent tests performed will be dependent upon the results of the thyroid function tests.


If the thyroid is diffusely enlarged and you are hyperthyroid, your doctor will likely proceed with tests to help diagnose Graves’ Disease (see Graves’ Disease brochure). If you are hypothyroid, you may have Hashimoto’s Thyroiditis (see Hypothyroidism brochure) and you may get additional blood tests to confirm this diagnosis. Other tests used to help diagnose the cause of the goiter may include a radioactive iodine scan, thyroid ultrasound, or a fine needle aspiration biopsy (see Thyroid Nodule brochure).


How is a goiter treated?



The treatment will depend upon the cause of the goiter. If the goiter was due to a deficiency of iodine in the diet (not common in the United States), you will be given iodine supplementation given in preparations to take by mouth. This will lead to a reduction in the size of the goiter, but often the goiter will not completely resolve.


If the goiter is due to Hashimoto’s Thyroiditis, and you are hypothyroid, you will be given thyroid hormone supplement as a daily pill. This treatment will restore your thyroid hormone levels to normal, but does not usually make the goiter go completely away. While the goiter may get smaller, sometimes there is too much scar tissue in the gland to allow it to get much smaller. However, thyroid hormone treatment will usually prevent it from getting any larger. Although appropriate in some individuals, surgery is usually not routine treatment of thyroiditis.


If the goiter is due to hyperthyroidism, the treatment will depend upon the cause of the hyperthyroidism (see Hyperthyroidism and Graves’ disease brochures). For some causes of hyperthyroidism, the treatment may lead to a disappearance of the goiter. For example, treatment of Graves’ disease with radioactive iodine usually leads to a decrease or disappearance of the goiter.


Many goiters, such as the multinodular goiter, are associated with normal levels of thyroid hormone in the blood. These goiters usually do not require any specific treatment after the appropriate diagnosis is made. If no specific treatment is suggested, you may be warned that you are at risk for becoming hypothyroid or hyperthyroid in the future. However, if there are problems associated with the size of the thyroid per se, such as the goiter getting so large that it constricts the airway, your doctor may suggest that the goiter be treated by surgical removal.


Whatever the cause, it is important to have regular (annual) monitoring when diagnosed with a goiter.


Further Information



Further details on this and other thyroid-related topics are available in the patient information section on the American Thyroid Association® website at www.thyroid.org.




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Yesterday in the early evening, I had a heart to heart talk with someone who I have spoken with several times over the telephone, who works in the psych department at my health insurance place, and who got me my original appointment in Vero Beach, at the Behavior Health Clinic. Last Thursday, I had a very bad reaction to a medicine that the psychiatrist there who is my doctor now at that place; prescribed for me. It took painstaking agony and indescribable anxiety om my part for five days, after nearly dying of a bad reaction to this anti-psychotic drug he wants me to take, despite my telling him that I have serious bad reactions, and cannot take antidepressant meds or pain meds; as both of these have something about their particular chemistry, that totally wipes out my body and brain, causing unfathomable hellish reactions. But he is the doctor and he insisted. I will never again be bullied into taking this. My tongue swelled, the room grew bright, it was difficult to breathe, and I began to experience not only a beyond horrible panic attack, but numerous other symptoms that were beyond unpleasant. When my case manager at my insurance company called last evening, I leveled with her and probably told her way too much about my past and how it all fits together. I told her my problem is a thyroid dysfunction brought about by electromagnetic activity used by machines that were all built and put together in an experimental way, and were used to attempt to cure me of my physical illness that I contracted at a print shop in early 1977, that later on had become to be known as AIDS. I am the only person ever totally cured of AIDS. But the side effect of this, is a damaged thyroid gland. I tried to keep the story as down to Earth as humanly possible, but I know now it was a mistake to tell her so much. The insurance company records all that is said s well, for 'quality assurance', you all have heard that line yourselves, while calling either your utility company, credit card comp[any, or your own health system, I would bet dimes to donuts you have. Whatever happens, I have done all that I can to fight this problem that I have had ever since Joann and Bill Marney put mer onto their friend who knew hot shot Steve Marcus, owner of the great Mars Graphics, in westville, New Jersey. My immediate supervisor there, Mister Steven John McGinty, always wanted to know why I had such a fear of women, and I was blocking all the hell that went down all around me in Atlantic City, back then. When I contacted him in the autumn of 1996 while I resided at the Somerdale home at Yale and Harvard Avenue intersection; several miles east of Philadelphia, Pennsylvania, and Camden, New Jersey; a mile or so east of the Robin Hill Apartment complex; his wife or some Milituforce enemy, told him not to contact me ever again. I cannot swear to that as that would be legal hearsay. But he was so interested in knowing about it and indeed had wondered ever since the days we worked together at the Mars print shop in 1977. He was driving a truck and said he was taking it out of state and would be back the following week. When he got back, he would get in touch and to quote him, he said, “we will get together at a diner or something, as I want to hear all about your problem”. I can still hear him saying this to me over my telephone on that bright sunny autumn 1996 day, in my new home that turned into a nightmare from the day I moved into it, and just kept getting worse. As I said, he never got back, and I tried twice to get in touch, and was given the run around treatment. I knew what had happened, the same thing that always happens when I try to tell anything connected with the great Sarah Krasse Krassle, such as when I told Dave Roth for th every first time at Medport Diner in the spring time in 1986, and then all hell broke loose around us with the local police.











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What happened to me over the past 13000 years is not allowed to be told. The great HALLS WALL simply won't permit it. I am most likely going to be sacrificed, because the medical community will not allow this information out, and even are part of a distant future connected plot and scheme, that only a few billionaires are onto out of the entire private non governmental sector of the population; are allowed to know about, such as Trump; explaining how he knew all along about my MEDICAL TAPE sent to the Copyright Office, back in early 1984 or maybe the end of 1983, as my memory has been effected to not knowing whether it was sent before or after, my train trip on the Amtrak Train, down to Orlando, Florida, when I went to visit my old coworker and Chief Recording Engineer, at the RPL Sound Recording Studio Labs in Camden, New Jersey, after he moved down to Florida and opened up a road side small restaurant; Mister Howard Solomon.





I think I knew and started putting a lot of this together in the summer and autumn back in 2009, up in Hammonton, New Jersey, while kidnapped under Stockholm Syndrome, by the King family, Dawn-Marie and Ann. Things that happened with their relatives down at the harbor, funny funny funny Mister Microsoft prompt, no, the HARBOR, oh they do it whether I capitalize or not, adding in a prompt option for hitting the ENTER KEY, to make it harborFIELDS, such as in this example. No detention centers, and no high schools out of state, but plenty of recurring nightmares, towel seepage, and hyperspace equation. Then I come down to Florida with dirty hands, at least in the opinion of distant cousin David and his great rapper pal Darius Evans, to view them on YOUTUBE, go there, and click the search area and type, Deezy Slim. He has really cool stuff up there, if you like that type of music, and most do. Who am I but some dumb ass has been old-fogey who needs to be taken out and turned into bright cherry red bloody washcloths, all surgically removed over at Chill-Moe Tom Reale's Cornwall Avenue place, now sold to the great ACMUA, or Atlantic City Municipal Utilities Authority. Let me type in on Google and try to get to their website, and I am blocked somehow. WOW, does it get a whole lot mother fuckiGN better than this, because if so, I'd greatly Donna Gaines and Angela Central Park appreciate it, if you'd spare the beautiful new gorgeous building up there, but tell me instead, just where on the dam net I can go where blogs get better than this!!!!!!!!!!!!!!!! Yeah; old outdated pitiful fucking me; huh Adam Central Pier Mailmen? No such word anymore accepted, like old-fogey. The world has really gone to mother fucking hell in a hand basket at light speed squared, Sarah and Albert, and anyone else; huh CUZZ CLEAN and CUZZ SUPERWEALTHY???????????????????









That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”. “That's just reality, son”.





Holy astral tennis games Diana, when will you ever come around? In hyperspace, I see you so often, flashing so close to me, even feeling your lovely currents. I love you so much lightning. Why do you forsake me, precious girl????????????????????????????????????











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Not boring, without hesitation nor concern for fibbing, I can honestly say with a knowing that out of 8 billion that live or have lived here, none have shared my wild ride through hyperspace, with awareness. Fun is replaced with 'intense'. And my blog is hacked continually.
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BLOGGER ASKS ME, ''You forgot your mom's birthday! What can you make out of super glue and olive pits''?



My response was: An angry mother.



Also, a little philosophy for you is as follows:



At the risk of sounding negative, the only thing one may be truly sure of, is that you cannot be sure of anything. Sorry to sound so dam negative, beautiful Twinbay of E.H. Township, NJUSAESMWG, YO!!!









There is absolutely nothing funny about my mother fucking life, OR MY GOD DAM MURDER, MIZZ ATTORNEY GENERAL PAM BONDI, MA'AM, YO!!!!!!!!!!!!!!!!!! HEADS WILL ROLL AFTER I AM DEAD, SHERIFF K.M.

















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I HAPPEN TO THINK THIS HOPRRIBLE NIGHTMARE YOU ALL CALL LIFE, STINKS AND SUCKS. IF YOU ARE HAPPY, WELL, THEN I AM HAPPY FOR YOU. SEE, I AM NOT SUCH A HORRIBLE ROTTEN GUY, YO!























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HALLS WALLS





CHAPTER 40

















My life is one big fat ass fucking hell.





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APRIL 7, 2015,

TUESDAY AFTERNOON AT 12:13,

HERE IN FORT PIERCE, FLORIDA,

CURRENT TEMPERATURE 81 DEGREES FNHT.

HUMIDITY IS 61%, FEELING LIKE 84 DEGREES.



THIS PARTICULAR WRITING TERMINATES NOW.

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