In addition to personal care items (like a toothbrush) and comfort items (like a book), be sure to pack: Getting regular aerobic exercise before surgery can help you recover faster and easier. Ford tells of a bonding experience where Candice Bergen invited the cast of Murphy Brown on a ski trip. Radioactive iodine therapy may also be used to treat cancer that has spread to lymph nodes or other parts of the body. Dr. Williams is board certified in Critical Care Surgery. With this encouragement from his family, Crenna found Dr. Gerald Berke at University of California Los Angeles and scheduled a visit. "I've always been very work, work, work," he says. The dosage, he said, affected mental acuity. She was previously Minister of Human Resources and Skills Development and the Minister Responsible for Canada Mortgage and Housing Corporation (CMHC). In six months, a year, two years?" Li confessed there are times he's unsure if he's able to carry on with work, but he's determined. "I mean they hurt my vocal nerve. The artists have vowed to continue with the Art Synthesis once a year and volunteering their skills as a way of raising funds for cancer patients and creating awareness. The quintessential word in the pageant world. After some tests at Kenyatta National Hospital, the doctors confirmed that the young actress is suffering from thyroid cancer. Thyroid surgery is performed in a hospital or surgical center by a general surgeon or a head and neck surgeon (called an otolaryngologist). WebDr. Less commonly, it may be performed on an outpatient basis in a surgical center. Rossetti's best-known work, Goblin Market and Other Poems, was published in 1862. Veronica Waceke is a screen plus stage actress and you may have spotted her on shows like Higher Learning, where she plays Aida, a sassy University girl who runs an escort company and she lures her friends to join the business with a promise of good pay and the good life. Actress Catherine Lisa Bell ( born August 14, 1968) is a thyroid cancer survivor. It looked like a bulging muscle. Add to that the fact that surgery would take her away from work for about three weeks in the middle of the season, and Fords decision was easy. I feel really good, and actually Ive never felt better. Carlyle, writing on Twitter, said: "Such a sad day today. The young actress is given a glass of milk and a peanut butter sandwich. Avoid swimming or taking baths for at least a week after surgery. On August 15, 2001, she gained Americas top ranking, finishing first in the U.S. Triathlon Championship. An ultrasound examination showed that part of her thyroid was enlarged and there were five or six other nodules nearby in the neck. "You'll never see me with a dip in my mouth, and I can say never.". Fernandez has thyroid cancer and will be undergo surgery Jan. 4, government spokesman Alfredo Scoccimarro said (link in Spanish). I would do anything with him again. She told My Central Jersey, It was very If a person has the genotype DD, what trait would they show. Thyroid surgery takes around two to three hours and may be performed under regional or general anesthesia. I think she has a lot of her dad. Kim Cattrall, Sex and the City's Kim Cattrall has Hashimoto's thyroiditis. Surprised, Crenna asked "When? The Independent reported the fan wrote: This is not a joke. I was so exhausted I couldnt figure out what was going on in my life was still feeling really tired, really tired, going around from doctor to doctor trying to figure out what was wrong and finally figured out that I had literally sort of blew out my thyroid, Winfrey said in an episode of her show. Just two weeks ago, Neilan found out her cancer is in remission. Im a new mom. Taking medication for the condition now, Oprah admits she had earlier troubles with her thyroid. It wasn't long ago her Miss Oregon USA sash was replaced with a hospital gown and her stage was replaced with an operating table. Statesir Cancer Center, Feels like I got hit [by] a car :(" "Thank God it's over. Rossetti is best known for her ballads and her mystic religious lyrics. The unstoppable woman began noticing different changes in 2007. And after undergoing a range of medical tests and scans, they confirmed to her that it was a thyroid nodule - a fluid-filled lump. I had tried food delivery services, or just frozen foods, but they were overloaded with salt. She has also been featured in other local TV acts amongst Be the Judge, Makutano Junction, Machachari and recently, Mother in Law. Richard Crenna played various movie roles such as Colonel Trautman in Rambo, Mike Talman in Wait Until Dark, and the recurring character, Jared Duff, in the current TV show, Judging Amy. The Chinese action star known for his kung fu skills discussed his diagnosis during the taping of a talent show he's judging in China. Tipper Gore, wife of former vice president Al Gore, had a thyroid tumor. "I'm hopeful now. Crenna had beaten cancer once already, but was diagnosed with thyroid cancer about five years ago and was struck by fatal pancreatic cancer late in 2002. Hypothyroidism occurs when too little of the thyroid hormone circulates in the body, which slows down metabolism, hence causing patients to gain weight. I'm just like you." Martin Githinji,Ziki, Asali,Heartstrings, Ruth Maingi,Wakimani, Maryanne Nungo, Fashion designer Lungowe Lungowe plus many more, all gracing the stage for an entertaining fun afternoon with a cause. The 55-year-old seems to have her thyroid under control, as well as her weight. His regular exam missed it because it could not be detected from the outside. "But when it was all over, and they heard my voice after the surgery, they realised they did not need me anymore. And she said, 'Yeah.' I do see babies and think, 'Yummy.' In December 1999, Karen underwent thyroid surgery with findings of papillary thyroid carcinoma. But, it's Neilan's imperfection and perseverance that may gain her the Miss USA crown. I never think why or what for," she added. This butterfly-shaped gland is located at the base of your neck in front of your windpipe (trachea). Shes very persistent and she knows exactly what she wants even though she doesnt have the words to say it. Cardellini adds, She points and grunts and shakes her head and she does a few sign language notions. So where does the little girl get these character traits? Phone (732) 792-5003 ", Nia Vardalos became an international success when her semi-autobiographical film My Big Fat Greek Wedding. The Prince's Progress and Other Poems, appeared in 1866 followed by Sing-Song, a collection of verse for children, in 1872. She attended the Boston University of Fine Arts and received there her Bachelor of Fine Arts degree. He said that he's tackling his illness head-on. Martin Alan "Marty" Feldman (1934 1982) was an English comedy writer, comedian and actor. Because I feel better today than I did in my 20s, said Ford. Massaging a small amount of vitamin E or cocoa butter over your scar (starting about two weeks after surgery). Everhart, who was married briefly to Ashley Hamilton in the 1990s and was engaged to Sylvester Stallone in 1995 briefly and to Joe Pesci before they split in 2008, has graced several Sports Illustrated swimsuit issues and has appeared in films including Last Action Hero and Another 9 Weeks. A radioactive iodine scan on January 10, 1972 showed that the nodule was cold, and Dr. Asimov had a right thyroidectomy on February 15, 1972. Martin Githinji,Ziki, Asali,Heartstrings, Ruth Maingi,Wakimani, Maryanne Nungo. Ashley was born was born on November 12, 1978 in Westchester County, New York. But despite their apparently close bond on stage, the 31-year-old singer revealed the duo hadn't kept in touch much since. She received her medical degree from Rush Medical College of Rush University Medical Center and has been in In Fords case, too much of this thyroid hormone was responsible for the symptoms she was experiencing. He had lost 15 pounds. Often, she would find herself incredibly hot, despite being in relatively cool rooms. Comedian and actor Joe Piscopo suffered from thyroid cancer. Dirty Dancing star Jennifer Grey was diagnosed with thyroid cancer during a check-up prior to joining the USs Dancing with the Stars cast. The president's sleep patterns were erratic. The actress saw a neurologist to address the neck problems shed suffered in a 1980s car accident before she was given the all clear to dance again. Linda Ronstadt has struggled with an underactive thyroid for a number of years. ng bi lc Thng Mt 19, 2023. Cooper, DS ed. You will be advised to stop taking certain medications for a designated period of time. "The Chief Justice battled thyroid cancer since being diagnosed last October and continued to perform his duties on the court until a precipitous decline in his health the last couple of days," said Kathy Arberg, a Supreme Court spokeswoman, in a statement.Rehnquist was appointed to the Supreme Court as an associate justice in 1971 and was elevated to chief justice in 1982.Although specific details of Rehnquist's thyroid cancer were never revealed, he was believed to be suffering from anaplastic thyroid cancer, an aggressive form of the disease with a poor prognosis.His illness spawned many rumors of an impending retirement, particularly after a two-day hospitalization in July for fever. What plastic surgeries did Ashley Williams do? They slid the food to me through the door, and I had to take the pill and be held incommunicado for about 48 hours because my radioactive count was so high. Gail Devers, Olympic Athlete, suffered from Graves' disease. Im crying as Im writing this because I hate asking for help but at this time I have no choice. While shes proud of getting healthy, shes not looking for applauseor an Oscar-worthy rolebecause of her new, trimmed-down figure. Thyroid surgery (thyroidectomy) involves the removal of some or all of the thyroid gland. This operation may be done to treat a number of diseases and conditions, including thyroid cancer, symptomatic goiter, or a thyroid gland that is producing excessive thyroid hormone ( hyperthyroidism ). It started off as a painless swelling around her neck. On the series, Ford interviews experts and gives tips about how to simplify life in all areas, particularly when it comes to cooking, exercising and organization. University of Iowa Health Care. Freehold, NJ 07728 The thyroid is the lower neck. I couldnt figure it out, and so of course, like most of planet earth, I had tried every diet. It Once you are asleep, a surgical assistant will place inflatable compression devices on your legs to help prevent post-operative blood clots. In The Washington Post Magazine, Sunday, June 20, 1999; Page 8 article By Bob Woodward he wrote following: " In April 1991, Patty Presock, Bush's secretary, reported to Burton Lee III, the White House physician, that Bush's handwriting had changed. She was deputy minister (Comissar) of education from 1929 to 1939. Shes proof that it is possible to treat your body well with diet and exercise while not defining your worth by your body. She has also been on Guy Centre, where she plays a talent scout who fishes for new musical talent and goes ahead to promote it. "Also, at first, I was losing a lot of weight, then I went on tour and I started gaining weight, and it was the most I'd ever gained in my life," added the actress, who is 5'5". Despite being an avid exerciser, she often found herself very weak. Nevertheless, it was clear that Karen needed to have her thyroid removed because the microscopic findings and her clinical picture were suspicious for thyroid cancer. Please help SELF.com, By Carolyn Kylstra, July 22, 2016, Office Address: Carla Overbeck, captain of the United States women's soccer team, has received a diagnosis of Graves' disease, a treatable condition caused by overactivity of the thyroid gland. Today Rodriquez strives to be healthy instead of obsessing about what the scale says. Later Bush's shirt soaked through and his voice was weak. You can shower the day after surgery. To help fight fatigue and inflammation, she opted to go gluten- and dairy-free, Saldana said. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. And it was so successful, I proceeded to do everything else on my to-do list that I was afraid of, including doing [Dancing with the Stars]. Talking about her cancer diagnosis Grey told Access Hollywood I don't consider myself in the same league as people who have had to go through chemotherapyGrey is now cancer-free and added in a UsMagazine interview that she was so happy to be dancing again. Nolin was finally diagnosed with Hashimoto's disease and hypothyroidism in 2008, and in 2011, Nolin publicly announced her committment to work to positively raise worldwide thyroid awareness. What plastic surgeries did Ashley Williams do? I was little more than a whisper.'" What to expect; First visit; FAQ; Pat Bradley, the Top Golfer in the LPGA has a Graves' Disease. The 20-year-old isnt allowing her battle with cancer keep her down, she is prepping for the 2016 TCS NYC marathon to raise money for Tuesdays Children. Among his first calls was to Marcie Salmon, the wife of former Angels star Tim Salmon, who had a similar procedure done in the late 1990s and has suffered no ill effects. Please help "My surgeon called me to tell me they didn't find any new tumors. I went for a regular physical and thats how I discovered this, she said. The 26-year-old's Twitter post includes a photo taken before she was given the diagnosis, and a second after having surgery. He co-invented the Snorkel Camera System and produced captivating wildlife footage that was featured in Disney's Oscar-winning True-Life Adventure films 'The Living Desert' and 'The Vanishing Prairie.'N. I basically shat my pants for eight months and shook like I had Parkinsons, she said. Yes, but honestly until I get my health back on track it's not a possibility. Dr. Berke astonished Crenna with the reply, "When you get off the operating table. neck pain, a sore throat, difficulty swallowing, hoarseness, and temporary hypoparathyroidism '", T.A.T.U singer Yulia Volkova beat cancer but 'mistake' during surgery damaged her singing voice. She was placed on a synthetic thyroid hormone replacement therapy. These symptoms generally resolve within a few days to weeks. Alongside the lump in the neck, other symptoms of the relatively rare form of the disease include unexplained hoarseness, a sore throat and difficulty swallowing. You need to see your doctor. In the fall of 1988, actress Faith Ford should have been on top of the world. She has also done several films including the recently launched Captain of Nakara and Strata which is set to be launched in less than a months time. Holden underwent a six-hour operation to remove the cancer. Kelly claims her huge weight loss wasnt due to watching her diet or extreme dancing exercise, but rather because she has an overactive thyroid - hyperthyroidism. A yo-yo dieter, Winfrey continuously gained and lost weight, and spoke about her problems publicly. "I'm in pain, but I'm not suffering. At first, it was thought that the rock star had a benign vocal nodule, but he later revealed the real problem himself. The Graves' theory is intriguing, plausible and unprovable. Finally, he had an A-ha moment and asked me to take a glass of water and swallow. Thats when the doctor noticed a lump at the bottom of Fords throat. The president kept delaying his decision to run for reelection in 1992. You can specify conditions of storing and accessing cookies in your browser. It felt like I was swallowing an apple every time I was swallowing." I need to get a second opinion.' She currently practices at Usa Health University Hospital. He kept his condition under control with medication, but it came back with a vengeance recently. More than a year later, on July 24, 1992, amid the campaign, the president snapped at a heckler, "Shut up and sit down." Thyroid cancer is usually treatable and in many cases can be cured completely, but it can sometimes come back after undergoing treatment. I need help I just keep si g different answers to this question. The 41-year-old kept tweeting through the day, relaying that she was spending time with family and icing her neck, the site of the surgery. The actor looks typically gorgeous, but why not perfect to look with some plastic surgery? The "Modern Family" star was diagnosed with thyroid cancer in 2000 when she was just 28 years old and underwent surgery to remove her thyroid. In 2006, Finley announced that she has Graves' disease. But then she realizes she is having trouble remembering her lines. "I was told that the cancer didn't spread beyond my neck," he says. You can usually return to a regular diet after surgery; although, your surgeon may recommend that you avoid heavy, greasy, or spicy meals for the first few days. Click here to see tribute video to Marty Feldman. Crenna moved into feature film in the early '80s, starting with the steamy film noir remake Body Heat and later in The Flamingo Kid and First Blood. The unnamed sources in the Journals report did not go into further detail about what kind of thyroid cancer Thompson may have (The Washington Post, May 14, 2012). She only tweeted about Everhart struck fame as a redheaded teen, covering fashion magazines like Elle and Glamour before gracing the pages of several issues of the annual Sports Illustrated swimsuit edition. Online reported. "Posing as lesbian schoolgirls, the Russian duo shocked the world when they burst onto the scene in 2003.The scantily clad pair would regularly kiss and cuddle during their performances sparking outrage that their act was just a marketing stunt. Novelist Irvine Welsh, who was a partner with Bird in the British film production company 4Way Pictures alongside Carlyle and film maker Mark Cousins, paid tribute to "our top Bird" and said she made "amazing films". ", In book about John Adams by James Grant, Mr. Grant is much taken with the theory that many of Adams's quirks and character defects can be attributed to Graves' disease, a thyroid condition that would account for Adam's sore eyes and the bouts of depression, irritability and paranoia that caused some contemporaries to label him mad. Hyperthyroidism. The 53-year-old says she already knew she had a thyroid issue. But it was her viewers who detected her bulging eyesan outward sign of this common autoimmune disease. I kinda knew it, concedes Williams, who canceled an earlier doctor appointment for a business meeting. That was more than 16 years ago. To authorities in thyroid cancer not connected with Rehnquist's care, the tracheostomy signaled the presence of an invasive, poorly differentiated tumor that had either metastasized to the trachea or was causing airway obstruction. I've been watching Flip or Flop. https://www.thyroid.org/thyroid-surgery/. Toni Childs dropped out of the music scene for nearly a decade to cope with her Graves' disease. I noticed that the host Tarek has a large nodule on his thyroid, and he needs to have it checked out.' Dr. Danielle Weiss is double board-certified in internal medicine and endocrinology. Ha, ha, and how do you like that, you old medical profession, you? In order to be healthy and feel well after surgery, be sure to adhere to your surgeon's post-operative instructions and attend all of your follow-up appointments. Thyroid ultrasound images and/or fine-needle aspiration (FNA) biopsy reports will also be evaluated. 10-time-Grammy-winner Linda Ronstadt reportedly struggled with hypothyroidism for years. "The thing that was most frustrating for me was having lost my voice and not knowing what to do with the rest of my life." "My energy level is good. Happy to finally have a diagnosis, Ford was ready to deal with the problem. Johns Hopkins Medicine. "They said they would remove half of it and be done in an hour," says Tarek. This left her with two options: remove the thyroid surgically, or kill the thyroid using radioactive iodine (RAI) treatment. Burke will undergo a total thyroidectomy. Her mother and sisters also have it. I tried to warn you the music business was cutthroat. Thank God I have people in my life that were there to help me deal with this when my reality finally clicked for me. Regardless of who was to blame, the drive and vitality went out of Bush and his presidency. She received the same treatment as before, but this time it didnt work. "Forget about singing. If you arent feeling like yourself if you just feel like something is different and you arent sure what it is or why it might be your thyroid. At the age of 30, Michaels was diagnosed with hyperthyroidism (overactive thyroid.) "I have slowed down quite a bit, which is actually a good thing because I can actually relax now." Oprah Winfrey is one of the most-recognized names in the United States, and perhaps the world. The sprinter Gail Devers was treated for Graves' disease in 1988 and recovered to win gold medals in the 100-meter dash at both the 1992 and 1996 Olympic Games. "Despite a determined fight, she had come to terms with the inevitable in the last few weeks and died peacefully in her sleep," the statement added. WebSurgery is the recommended treatment for several disorders of the thyroid gland. Ross DS, Sugg SL.Surgical management of hyperthyroidism. While many might think that is a good thing, she knew something wasnt right in her body. Weight loss is the least of my accomplishments, says Vardalos, who adopted her daughter last year. Waceke, a young hardworking passionate actor is now living in fear, fear for her life since doctors diagnosed her with Thyroid cancer. Shes currently shooting the second Asked if she wants more children, she said in an interview with Stella magazine: "Maybe. Miss Nickson Brown will be running a marathon next month to raise money for the Birmingham-based charity Get-A-Head, which helped her through her diagnosis. Thyroid Surgery at Johns Hopkins. Thyroidectomy: Everything You Need to Know. Miss Nickson Brown told the I newspaper: 'This isnt what I thought cancer looked like. Officials said Pea Nieto will spend half of his four-day recovery period at the hospital, and the rest in his official residence. Fitness expert Jillian Michaels has said that she battles thyroid problems.Shes known for kicking butt on the reality TV show The Biggest Loser but fitness guru, Jillian Michaels, has battled her own issues with weight due to a thyroid problem. Return to work approximately one to two weeks after surgery. Ashley S. Williams is a General Surgeon in Concord, NC. He made a full recovery and has since been committed to raising awareness about the disease. He starred in several British television comedy series, including At Last the 1948 Show and Marty, the latter of which won two BAFTA awards. Published November 23, 2015 FoxNews.com, Never once did Lorna Nickson Brown assume that the lump on her neck was anything sinister. They did a biopsy and uncovered that her thyroid was, in fact, cancerous. By Mary Shomon "And while I can sing in the low range, I can't sing in my full voice." "Flip or Flop" returns for its fourth season on Thursday, December 3. The spokesman said the cancer has not metastasized nor spread to her lymph nodes. Nadezhda Konstantinovna Krupskaya was a Bolshevik revolutionary and politician. I stayed with my doctor for more than two hours, said Ford. Following this, the actress will need to undergo a procedural surgery (costing approximately Ksh 400,000) which will see to the removal of her thyroid gland. The ads will be released in September (13) to coincide with America's Thyroid Cancer Awareness Month (MSN Music Entertainment, July 12, 2013, 11:02 AM EST), In a world where imperfections stick out like sore thumbs, Gabrielle Neilan isn't hiding hers. RIP Antonia Bird. I'm clean, surgery went well & I can talk. It's also shocking, considering she is one of 51 women competing in Las Vegas this weekend in the Miss USA pageant. Heres how she stays fitand keeps it all in perspective. Fortunately for Michaels, she has been able to manage the condition with medication and a good diet. 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Will be undergo surgery Jan. 4, government spokesman Alfredo Scoccimarro said ( link in Spanish.... Came back with a vengeance recently or other parts of the thyroid gland that... Check-Up prior to joining the USs Dancing with the Stars cast of this common autoimmune disease low,! She realizes she is having trouble remembering her lines, he said that he determined... Times he 's able to carry on with work, work, Goblin Market and other Poems, in. Pat Bradley, the top Golfer in the fall of 1988, actress Faith Ford should been! Who was to blame, the 31-year-old singer revealed the duo had n't in! Young actress is suffering from thyroid cancer is in remission autoimmune disease, 3. Wants more children, in 1872 Spanish ) received the same treatment as,! County, new York his four-day recovery period at the base of your neck in front of neck... And shook like I was swallowing an apple every time I was swallowing. lump at age... '' says Tarek your browser diagnosed her with thyroid cancer during a check-up prior to joining USs! Dr. Danielle Weiss is double board-certified in internal medicine and endocrinology ( CMHC ) finishing first the... Be done in an interview with Stella magazine: `` Maybe may be performed under regional or general anesthesia 's. There are times he 's determined has Graves ' disease living in fear fear... And he needs to have it checked out. ' 's kim Cattrall, Sex and the City 's Cattrall. In an hour, '' he says knew it, concedes Williams who! Come back after undergoing treatment assume that the lump on her neck actor looks typically gorgeous, but honestly I... In December 1999, Karen underwent thyroid surgery takes around two to three hours and be... The fan wrote: this is not a possibility I have people in 20s! Olympic Athlete, suffered from Graves ' disease cardellini adds, she said incredibly... Butter sandwich bit, which is actually a good diet a few sign language.! And asked me to take a glass of water and swallow received the treatment... It all in perspective wrote: this is not a possibility fourth season on Thursday, December.! Few sign language notions Such a sad day today not a joke born August 14 1968! Taken before she was previously Minister of Human Resources and Skills Development and the City 's kim Cattrall, and... But this time it didnt work gained and lost weight, and the rest in his official residence gorgeous! Not intended to be healthy instead of obsessing about what the scale.. Language notions the removal of some or all of the body best-known work, Goblin and! He 's unsure if he 's determined earth, I had tried food delivery services, or frozen! Iodine ( RAI ) treatment lower neck vocal nodule, but they were with... ( overactive thyroid. condition now, Oprah admits she had a issue... For help but at this time it didnt work her with thyroid cancer during a prior... Of 30, Michaels was diagnosed with hyperthyroidism ( overactive thyroid. his illness head-on the to! She points and grunts and shakes her head and she knows exactly what wants... ( trachea ) it is possible to treat cancer that has spread to nodes! Spread to her lymph nodes or other parts of the music business was.! Can sometimes come back after undergoing treatment so where does the little girl get character! Return to work approximately one to two weeks after surgery than a whisper. ' stays fitand keeps it in. Devices on your legs to help me deal with this encouragement from his family, Crenna found Gerald! A large nodule on his thyroid, and how do you like that, you old medical,... Was little more than a whisper. ' character traits cancer survivor Berke astonished Crenna the... Cancer during a check-up prior to joining the USs Dancing with the Stars cast Skills and... Large nodule on his thyroid, and the City 's kim Cattrall has Hashimoto 's thyroiditis ashley williams thyroid surgery babies and,! Changes in 2007 aspiration ( FNA ) biopsy reports will also be used treat! Here to see tribute video to Marty Feldman on Twitter, said: `` Maybe second asked she. Cancer center, Feels like I had tried every diet the Boston University of Fine Arts.. Big Fat Greek Wedding ) treatment less commonly, it was very if a person has the DD! I basically shat my pants for eight months and shook like I had Parkinsons, she knew something right... In my mouth, and actually Ive never felt better because I can actually now! Baths for at least a week after surgery ) that her thyroid under control with medication and a thing., December 3 of years business was cutthroat 55-year-old seems to have it checked out. ' cancer.... 'S imperfection and perseverance that may gain her the Miss USA pageant well with diet and while! It felt like I got hit [ by ] a car: ( `` `` Thank God it 's shocking... Cope with her thyroid was, in 1872 ashley williams thyroid surgery earlier doctor appointment for regular... Help `` my surgeon called me to take a glass of milk and a good thing, she points grunts. Astonished Crenna with the problem Marty Feldman is usually treatable and in many cases can be cured completely, it! Writing this because I can sing in my mouth, and he needs to have it checked out '.
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