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  1. Apr 2026
    1. Urgent treatment for neoplasm consists of (1) cautious use of intravenous diuretics and (2) mediastinal irradiation, starting within 24 hours, with a treatment plan designed to give a high daily dose of radiation but a short total course of therapy to rapidly shrink the local tumor. Intensive radiation therapy combined with chemotherapy will palliate the process in up to 90% of patients. In patients with a subacute presentation, radiation therapy alone usually suffices. Chemotherapy is added if lymphoma or small-cell carcinoma is diagnosed

      endovascular stenting emerging as first-line therapy for rapid symptom relief, while definitive treatment targets the underlying cause

      Glucocorticoids (dexamethasone 4 mg every 6 hours) are commonly prescribed but lack robust supporting data; they may be more beneficial in lymphoma or thymoma and as prophylaxis against radiation-induced edema. [2-4] Importantly, SVC syndrome is no longer considered a medical emergency except in rare cases with life-threatening cerebral edema, laryngeal edema, or altered mental status. When thrombosis is present, catheter-directed thrombolysis or aspiration thrombectomy should be performed within 2-5 days of symptom onset before thrombus organization occurs. [3] The role of long-term anticoagulation after stenting remains unclear, though it is standard when significant thrombosis is present The American College of Chest Physicians recommends obtaining histologic diagnosis before treatment in suspected lung cancer cases, as stenting does not interfere with tissue diagnosis. [2] For small cell lung cancer (SCLC), chemotherapy alone is recommended as first-line treatment given rapid response rates. [2] For non-small cell lung cancer (NSCLC), radiation therapy and/or stent insertion are recommended, with response rates of 59% for chemotherapy and 63% for radiation therapy. [2] Patients with chemotherapy- or radiation-refractory disease should receive vascular stents For device-related thrombosis (catheters, pacemakers), catheter removal should be considered in conjunction with anticoagulation. [4] Endovascular therapy is first-line for device-related obstruction, while surgical bypass may be preferred for mediastinal fibrosis. [7] Both approaches show good mid-term patency, though secondary interventions are common (approximately 27-28%

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  2. Aug 2021
  3. Jan 2021
    1. Miracles are teaching devices for demonstrating it is as blessed to give as to receive.

      Please do not use this statement to justify a charity of any kind. The author speaks about the level of the Mind. When a musician shares his song with others, it hardly means for him it's lost; the spreading makes it stronger and gives him opportunities he didn't have before. The Course takes this idea and brings it to the level where you will be amazed for sure.

      If you share a physical possession, you do divide its ownership. If you share an idea, however, you do not lessen it. All of it is still yours although all of it has been given away. T-5.1.1

      A major learning goal this course has set is to reverse your view of giving, so you can receive ... God's gifts will never lessen when they are given away. They but increase thereby. W-105.3

      To learn that giving and receiving are the same has special usefulness, because it can be tried so easily and seen as true. W-108.6

      All that I give is given to myself. W-126

  4. Dec 2019
  5. May 2016
    1. 19So much for the relation. Now for the process of realization.In accordance with the definiteness with which the picture of the Idea is held in the mind, and theextent to which the Idea possesses the personality, does its creative Power, impelled by Desire,proceed with Its work. This It does by compelling the mortal mind to think out or to imagine(image in), or, in other words, to build mental forms into which I can pour, as into a vacuum, theImpersonal, elemental, vital substance of the Idea. When the Word is spoken, either silently oraudibly, consciously or unconsciously, this substance at once begins to materialize Itself, by firstdirecting and controlling the consciousness and all the activities of both mind and body, and ofall minds and all bodies connected with or related to the Idea, -- for remember, all consciousness,and all minds and all bodies are Mine, and are not separated but are One and wholly Impersonal,-- and then so attracting, directing, shaping and molding conditions, things and events that,sooner or later, the Idea actually comes forth into definite, tangible manifestation.So it is that every thing, every condition, every event that ever transpired, was first an Idea in themind. It was by desiring, by thinking, and by speaking forth the Word, that these ideas came intovisible manifestation.

      So first comes the inspiration/Idea, let it be fully received, held in the mind, than Desired ..............the extent to which it is received, held and desired determines it creative Power...

      If I allow my human mind to be a vacuum which the the very substance of God, of the inspiration can fill... then "When the Word is spoken, either silently or audibly, consciously or unconsciously, this substance at once begins to materialize Itself, by first directing and controlling the consciousness and all the activities of both mind and body, and of all minds and all bodies connected with or related to the Idea".......

      For all minds are joined and "wholly Impersonal".

      "by desiring, by thinking, and by speaking forth the Word, that these ideas came into visible manifestation."