https://www.cnet.com/how-to/the-complete-list-of-alexa-commands/


Amazon's voice assistant, Alexa, is infiltrating your home, your beach trips and even your ride to work. Now that there are four ways to interact with Alexa -- with the TapEcho and Dotdevices, and with the Amazon Fire TV -- you might find yourself talking to her more often.

The list of commands is expanding rapidly, as is the number of third-party services and devices that Alexa officially (and unofficially) supports.

Here is the (almost) complete list of Amazon Alexa commands.

Summoning Alexa

By default, Amazon's connected speakers have the same wake word. All you have to do to queue up a request is say, "Alexa." In the Amazon Alexa mobile application or at echo.amazon.com, you can change the wake word to either AmazonEcho or Dot, depending on which speaker you have.

If you have an Amazon Tap or the Amazon Fire TV voice remote, you'll need to press a button to wake Alexa. Unfortunately, even when cradled, the Tap doesn't have a wake word.

The complete list of Alexa commands

The list of Alexa commands is expansive and grows with every new service or device it supports. Alexa isn't perfect, but it's pretty great at understanding natural language, so you don't always have to speak the commands exactly as you see them below. Many commands work when worded several different ways or even with words omitted.

When you consider the possible third-party commands through Skills, essentially the apps of Amazon's Alexa, the list goes on even further. To learn what individual skills are capable of, visit the skill's page from the Amazon Alexa app or echo.amazon.com. You can also say, "Alexa, open [name of skill]."

Here are all the native Alexa commands.

Basic commands

  • Ask for help: "Alexa, help."
  • Mute or unmute: "Alexa, mute" or, "Alexa, unmute."
  • Stop or pause: "Alexa, stop" or, "Alexa, shut up."
  • Change volume: "Alexa, set volume to 5," "Alexa, louder" or, "Alexa, turn up/down the volume."

Media controls

  • Play music: "Alexa, play some music."
  • Queue specific song or artist: "Alexa, play music by [artist]."
  • Play Spotify music: "Alexa, play [playlist] on Spotify."
  • Play Pandora station: "Alexa, play [artist] station on Pandora."
  • Play a radio station: "Alexa, play [radio station] on TuneIn."
  • Play an audiobook: "Alexa, play [title] on Audible," "Alexa, read [title]" or, "Alexa, play the book, [title]."
  • Resume the last played audiobook: "Alexa, resume my book."
  • Skip audiobook chapters: "Alexa, next chapter" or, "Alexa, previous chapter."
  • Listen to Alexa read you a Kindle book: "Alexa, read me my Kindle book."
  • Set a sleep timer: "Alexa set a sleep timer for 45 minutes" or, "Alexa, stop playing in 45 minutes."
  • Song information: "Alexa, what's playing?"
  • Music controls: "Alexa, play" or, "Alexa, next."
  • Restart song: "Alexa, restart."
  • Add a song to your Prime Music library: "Alexa, add this song."
  • Like or dislike a song on Pandora and iHeartRadio: "Alexa, I like this song" or, "Alexa, thumbs down."

Time and date

  • Set an alarm: "Alexa, set an alarm for 7 a.m." or, "Alexa, wake me up at 7 in the morning."
  • Set a repeating alarm: "Alexa, set a repeating alarm for weekdays at 7 a.m."
  • Set a timer: "Alexa, set a timer for 15 minutes."
  • Set multiple timers: "Alexa, set a second timer for 5 minutes."
  • Check timer status: "Alexa, how much time is left on my timer?"
  • Ask the time: "Alexa, what time is it?"
  • Ask the date: "Alexa, what's the date?"
  • Ask when the next alarm is: "Alexa, when's my next alarm?"
  • Cancel an alarm: "Alexa, cancel my alarm for 2 p.m."
  • Snooze alarm: "Alexa, snooze."
  • Check dates: "Alexa, when is [holiday] this year?"

To-do and shopping lists

  • Add task to to-do list: "Alexa, add 'go to the grocery store' to my to-do list" or, "Alexa, I need to make an appointment with the doctor."
  • Create a new to-do item: "Alexa, create a to-do."
  • Check calendar events: "Alexa, what's on my calendar for tomorrow?"
  • Add an event to a calendar: "Alexa, add [event] to my calendar for [day] at [time]" or, "Alexa, add an event to my calendar."
  • Create a shopping list: "Alexa, add eggs to my shopping list" or, "Alexa, I need to buy laundry detergent."
  • Check your shopping list: "Alexa, what's on my shopping list?"

News and weather

  • Ask for your Flash Briefing: "Alexa, what's my Flash Briefing?"
  • Check headlines: "Alexa, what's in the news?"
  • Check weather: "Alexa, what's the weather like?" or, "Alexa, will it rain today?"
  • Get a weather forecast: "Alexa, what's the weather going to be like this weekend?
  • Get traffic information: "Alexa, what's my commute look like?" or, "Alexa, what's traffic like?"
  • Find movies in nearby theaters: "Alexa, what movies are playing?" or, "Alexa, what action movies are playing tonight?"
  • Get information on movies playing: "Alexa, tell me about the movie [title]."
  • Discover nearby restaurants: "Alexa, find me a nearby pizza restaurant."
  • Get operating hours or a phone number for local businesses: "Alexa, find the address for Bank of America" or, "Alexa, find business hours for Harris Teeter."
  • Get IMDb rating: "Alexa, what is the IMDb rating for [movie or TV show]?"
  • Get casting for a movie or show: "Alexa, who plays in [movie or TV show]?"
  • Find out who an actor is: "Alexa, who plays [character] in [movie or TV show]?"
  • Find an actor's latest work: "Alexa, what is [actor]'s latest movie?"
  • Find out who sings a particular song: "Who sings the song [title]?"
  • Get the names of band members: "Who is in the band [name]?"
  • Get album information: "What year did [band] release [song or album]?"
  • Find popular music from an artist: "Alexa, what's popular from [artist]?"
  • Sample music from an artist: "Alexa, sample songs by [artist]."
  • Find a particular album or song: "Alexa, find [song or album] by [artist]."

Math

  • Convert units: "Alexa, how many [units] are in [units]?"
  • Convert units: "Alexa, how many [units] are in 2 [units]?"
  • Basic math: "Alexa, what's 5 plus 7?" or, "Alexa, what's 56 times 33?"
  • Advanced math: "Alexa, 70 factorial." (Warning: Alexa will list numbers you didn't know existed for about a minute.)

Definitions and spelling

  • Get the definition of a word: "Alexa, what's the definition of [word]?"
  • Get the spelling of a word: "Alexa, how do you spell [word]?"

Sports

  • Check the results of a finished game: "Alexa, what was the score of the [team] game?"
  • Ask if a team won: "Alexa, did the [team] win?"
  • Ask when the next game is scheduled: "Alexa, when do the [team] play next?"
  • Find out the results of your favorite teams: "Alexa, give me my Sports Update."

Purchasing

  • Reorder essentials from Amazon: "Alexa, buy more deodorant" or, "Alexa, reorder deodorant."
  • Track packages from Amazon: "Alexa, where's my stuff?" or, "Alexa, track my order."
  • Order an Amazon Alexa device: "Alexa, order an Echo," "Alexa, order an Echo Dot," or, "Alexa, order an Amazon Tap."
  • Add an item to your cart: "Alexa, add garbage bags to my cart."
  • Order an Uber or Lyft with their skills: "Alexa, ask Uber to request a ride" or, "Alexa, ask Lyft for a ride."
  • While listening to music in Amazon Music: "Alexa, buy this song" or, "Alexa, buy this album."
  • Find new music to purchase: "Alexa, shop for new music by [artist]."
  • Purchase a song or album from an artist: "Alexa, buy [song or album] by [artist]."

Voicecast

  • Send current listening to a Fire tablet: "Alexa, send that to my Fire tablet."
  • Send to a different profile's Fire tablet: "Alexa, show this on [name]'s Fire tablet."Smart home
{"uid":3,"hostPeerName":"https://www.cnet.com","initialGeometry":"{\"windowCoords_t\":0,\"windowCoords_r\":1920,\"windowCoords_b\":1040,\"windowCoords_l\":0,\"frameCoords_t\":4827,\"frameCoords_r\":1536.5,\"frameCoords_b\":5077,\"frameCoords_l\":1236.5,\"styleZIndex\":\"auto\",\"allowedExpansion_t\":0,\"allowedExpansion_r\":0,\"allowedExpansion_b\":0,\"allowedExpansion_l\":0,\"xInView\":0,\"yInView\":0}","permissions":"{\"expandByOverlay\":false,\"expandByPush\":false,\"readCookie\":false,\"writeCookie\":false}","metadata":"{\"shared\":{\"sf_ver\":\"1-0-4\",\"ck_on\":1,\"flash_ver\":\"23.0.0\"}}","reportCreativeGeometry":false,"isDifferentSourceWindow":false}" scrolling="no" marginwidth="0" marginheight="0" width="300" height="250" data-is-safeframe="true" style="border-width: 0px; border-style: initial; vertical-align: bottom;">

Alexa can integrate with loads of smart home platforms, such as SmartThings, Wink, Insteon, Lutron, Belkin WeMo, Philips Hue and many more. Some require you to enable skills, some don't. Here are some of the varieties of commands you can use, although there are dozens more.

  • Turn lights on or off: "Alexa, turn on the lights" or, "Alexa, turn off the living room lights."
  • Dim the lights: "Alexa, dim the lights to 50 percent."
  • Adjust temperature: "Alexa, raise the temperature 1 degree."
  • Set temperature: "Alexa, set the temperature to 72."
  • Lock your doors: "Alexa, lock my back door."
  • Close your garage door: "Alexa, ask Garageio to close my garage."
  • Discover smart home devices: "Alexa, discover my devices."
  • Pair a Bluetooth device: "Alexa, pair" or, "Alexa, Bluetooth."
  • Connect to a Bluetooth device: "Alexa, connect to my phone."
  • Disconnect from a a Bluetooth device: "Alexa, disconnect from my phone."
  • Use IFTTT recipes: "Alexa, trigger [IFTTT recipe]."

Profiles and user accounts

  • Switch profiles: "Alexa, switch accounts."
  • Check which profile is active: "Alexa, which profile is this?"

Skills

  • Enable skills: "Alexa, enable Jeopardy!"
  • Disable skills: "Alexa, disable Domino's."

Search

  • Get Wikipedia information: "Alexa, Wikipedia: [subject]."
  • Tell Alexa to continue reading a Wikipedia entry: "Alexa, tell me more."
  • Ask a general question: "Alexa, how tall is [person or object's name]?"
  • Ask a general question: "Alexa, how many people live in America?"
  • Get a "Game of Thrones" quote: "Alexa, give me a 'Game of Thrones' quote."

Easter eggs

Alexa comes chock-full of Easter eggs and jokes -- the list is long. We covered the strange world of Alexa Easter eggs recently, noting some of the more popular or prominent commands that prompt a snarky or humorous response.

  • "Alexa, beam me up."
  • "Alexa, set phasers to kill."
  • "Alexa. Tea. Earl Grey. Hot."
  • "Alexa, my name is Inigo Montoya."
  • "Alexa, I want the truth."
  • "Alexa, party on, Wayne."
  • "Alexa, show me the money."
  • "Alexa, what's the first (or second) rule of Fight Club?"
  • "Alexa, surely you can't be serious."
  • "Alexa, are you SkyNet?"
  • "Alexa, party time!"
  • "Alexa, when am I going to die?"
  • "Alexa, what is your quest?"

For even more, check out this Reddit thread dedicated to Alexa Easter eggs.

Posted by 돈오돈오
,

착시그림 모음

카테고리 없음 2016. 9. 16. 18:11


Posted by 돈오돈오
,

경주 5.8 지진 진원지 위성사진

카테고리 없음 2016. 9. 12. 23:39


35°45'36.0"N 129°11'24.0"E

..


저 동네는 어땠는지 궁금하다.

별 탈이 없었으면 한다.

내가 느끼기에 1차 지진은 그냥 맛보기였고..

2차 지진은 정말 무시무시했다. 

아이들도 무섭다고 방에서 달려 나왔따..

왠만하면 내려가기 싫었는데.. 결국 밖에 나가서 시간 때우다가 들어왔다.

..

파판3할 때 풍수사를 무시했는데... 다시 생각해 봐야겠다.



Posted by 돈오돈오
,

프린트 스풀러 에러 해법

카테고리 없음 2016. 9. 9. 16:45

프린터 추가 시 print spooler service 오류가 발생되는 문제로 질문 하셨습니다.

프린트 스풀러 서비스가 손상 되었거나 문제 있을 시 발생 되거나 프린터 드라이버가 Windows 7 과 호환이 되지 않는 경우 발생 될 수 있습니다.

Print Spooler 서비스가 시작 되는지 먼저 확인 해 보시기 바랍니다.

 

  • [제어판] - [관리 도구] - [서비스] 의 오른쪽 마우스 "관리자 권한으로 실행" 클릭 합니다.
    Print Spooler 서비스의 상태가 시작으로 되어 있는지 확인 합니다.

 

서비스가 정상적으로 시작 되는 경우 여러개의 프린터를 동시에 사용 시 프린터가 서로 충돌이 발생 될 수 있으므로 프린터를 모두 제거 후 다시 설치 해 보시기 바랍니다. 
또한, 추가할 프린터에 대한 드라이버가 Windows 7 용으로 따로 제공 되지 않는지  제조업체를 통하여 확인 해 봅니다.

 

 

  • 파일 제거
  1. 시작 - 설정 - 제어판 - 관리도구 – 서비스 실행 합니다.
  2. print spooler 서비스를  더블클릭 합니다.
  3. 중지 버튼을 눌러 서비스를 중지합니다. (중지되어 있는 경우 아래 작업 진행)
  4. windows 탐색기를 실행하여 아래 경로로 이동합니다. (시작 - 프로그램 - 보조프로그램 - windows 탐색기)

      C:\windows\System32\spool\PRINTERS 폴더에 파일이 존재한다면 모두 제거하여 줍니다.

      C:\windows\system32\spool\drivers\w32x86 폴더에 파일 및 폴더가 존재한다면 모두 제거 합니다.

 

 

 

 

 

 

문제가 지속되는 경우 상세한 기술지원이 필요할 수 있으니 마이크로소프트 기술지원 1577-9700(내선 3-1)으로 문의 하거나 프린터 제조 업체로 문의 해 보시기 바랍니다.

 * 참고: 라이선스 및 보증기간 등에 의해 무상 또는 유상 지원이 될 수 있습니다.

Posted by 돈오돈오
,

프리드리히해법

2016. 9. 7. 12:01

보호되어 있는 글입니다.
내용을 보시려면 비밀번호를 입력하세요.

수도쿠 정보

2016. 9. 7. 11:29

보호되어 있는 글입니다.
내용을 보시려면 비밀번호를 입력하세요.

뉴스포티지 리어 콤비네이션램프 구매

카테고리 없음 2016. 9. 5. 17:46

http://www.kiamobis.com/shop/goods/goods_view.php?&goodsno=1247&category=011



폐차장에서 알아볼 수도.

Posted by 돈오돈오
,

해결키중 하나

2016. 9. 5. 16:23

보호되어 있는 글입니다.
내용을 보시려면 비밀번호를 입력하세요.

Pneumatoidosis cystoides intestinalis

2016. 9. 5. 10:58

보호되어 있는 글입니다.
내용을 보시려면 비밀번호를 입력하세요.

usual ductal hyperplasia

카테고리 없음 2016. 9. 2. 11:55

https://community.breastcancer.org/forum/83/topics/723479



Topic: usual ductal hyperplasia?

Forum: Not Diagnosed but Worried —

Meet others worried about developing breast cancer for the first time. PLEASE DO NOT POST PICTURES OF YOUR SYMPTOMS. You are encouraged to seek advice from a medical professional in the event of any concerns.

Posted on: Oct 27, 2008 07:03PM

chezshoes wrote:

Hello again! I had my biopsy last week, and the results were benign. However, I'm a little concerned about the details of my pathology report, and was wondering if anybody could offer input.

Here's the diagnosis: Benign breast tissue with fibrocystic changes comprised of large caliber cysts lined by metaplastic apocrine cells, in addition to foci of usual ductal hyperplasia. No in situ or invasive malignancy is identified.

All good news, except - according to Mayo Clinic, "The term "usual ductal hyperplasia" describes breast tissue with an increased number of benign cells within a milk-collecting duct. This tissue type doubles a woman's risk of eventually developing invasive breast cancer."

As you might imagine, that last sentence worries me. I'm also a little concerned that when my gyno called to give me the path report, he didn't mention anything about that.

Anyone else ever experience a similar diagnosis? I'm tempted to pay out of pocket for a second opinion, but since I'm not exactly wealthy, it would be a huge hardship. 

Thanks, as always, for your help!

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Posts 1 - 10 (10 total)

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Oct 28, 2008 07:45AM Beesie wrote:

chezshoes,

Ductal hyperplasia does double your breast cancer risk as the Mayo Clinic site says, however ductal hyperplasia is not considered to be a pre-cancerous or "high risk" condition.   It's all related to how risk is calculated. 

You are probably familiar with the commonly mentioned fact that 1 in 8 women will get breast cancer during their lifetime.  Another way of saying the same thing is to say that the lifetime risk of being diagnosed with breast cancer for the average woman is 12.7%.  The 'average' woman in this statement is in fact a blend of all women - those who have no risk factors, those who have some risk factors and those who are very high risk.  However, when individual risk is assessed - your own personal risk level - it is built up from base risk, not average risk.  Base risk is the risk level for all women before any personal risk factors are considered.  The numbers I've seen for base risk range from 4% to 6%.   So that's your starting point.  That's the starting point for all of us.  In your case, it's now known that you have ductal hyperplasia.  This doubles your risk.  So this means that your lifetime breast cancer risk may now be in the range of 8% to 12%.  If this is your only personal risk factor, your risk level is still below the average.  If you have other personal risk factors, adding ductal hyperplasia may take you up above the average.  But ductal hyperplasia alone does not put you into a 'high risk' category.

I hope my explanation is clear and I hope it eases your mind.  One other point.  The risk numbers that I gave you are lifetime risk numbers - total breast cancer risk up to the age of 90.  Risk varies by age - it's lower when you are younger and higher when you are older.  The average annual risk level of someone in their 30s is only 1 in 233, or 0.43% for the entire decade of their 30s, or 0.043% per year.  The average annual risk level of someone in their 60s is 1 in 27, or 3.65% for the entire decade of their 60s, or 0.365% per year (i.e. less than a 1/2 percent per year).  These are the average numbers again, not base risk, but if your ductal hyperplasia has put your risk level at around the average, these would be approximately your annual risk levels.  http://www.cancer.gov/cancertopics/factsheet/Detection/probability-breast-cancer

Hope that helps!

Dx 9/15/05, DCIS-MI, 6cm+ Gr3 DCIS w/IDC microinvasion, Stage IA, 0/3 nodes, ER+/PR- “No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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Oct 28, 2008 09:51AM chezshoes wrote:

Beesie, thank you so much. You worked out exactly what I was trying to figure out on my own - how much this raises my risk factor, which is already on the higher side (early menstruation, choosing to be childless, family history). I guess it's all about close monitoring and not skipping those mammograms from here on!

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Oct 28, 2008 01:26PM leaf wrote:

I thought the risk of atypical  hyperplasia was quite a bit more than plain hyperplasia.

Breast cancer is characterized by the overgrowth of abnormal cells, a multistep process called carcinogenesis. The process begins when normal cell development and growth become disrupted, causing an overproduction of normal-looking cells (hyperplasia). Atypical hyperplasia occurs when the excess cells stack upon one another and begin to take on an abnormal appearance. The abnormal cells can continue to change in appearance and multiply, evolving into noninvasive (in situ) cancer, in which cancer cells remain confined to the area where they start growing. Left untreated, the cancer cells may eventually become invasive cancer, invading surrounding tissue, blood vessels or lymph channels. http://www.mayoclinic.com/health/atypical-hyperplasia/DS01018/DSECTION=causes

Also you may want to see http://www.pathologyoutlines.com/breast.html#epithelialductalhyperplasia

Also, note that if you have multiple risk factors, that does NOT necessarily means you can add the various risks together to get your risk.  If you have a risk A of 5% and a risk B of 8%, your total risk may be 13%, but it may be 5% or 20%.  You have to compare your list of risk factors to the populations that have your same risk factors.

Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac AsimovDx 12/8/2005, LCIS, ER+/PR-Surgery 1/24/2006 Lumpectomy: LeftHormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Oct 28, 2008 01:35PM chezshoes wrote:

That's part of my confusion - I had heard of atypical hyperplasia as a risk, but was surprised to find that anything with "usual" in its name still added to risk. Thank you for the links and for the clarification about risk factors!

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Oct 28, 2008 01:39PM PSK07 wrote:

Thanks, leaf. I'm sitting here in my low-BP haze wondering the difference between "usual" ductal hyperplasia and "atypical". Like, if atypical is atypical, then usual has to be ok?

I'm waiting for my path from my surgery this past Friday. Hoping there wasn't anything beyond the LCIS and ALH.

Pam - adding LCIS & ALH to the mix, 8/25/08Dx 8/3/2007, DCIS, <1cm, Stage 0, Grade 2, 0/0 nodes, ER+/PR+
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Oct 28, 2008 01:41PM leaf wrote:

It sure makes it confusing when they have multiple names for one lesion.

ALso, note that 'fibrocystic disease' of the breast is extremely common.  Its so common, that many people consider it a 'wastebasket diagnosis' - this means that they call many things that are benign a 'fibrocystic' change.www.mayoclinic.com/health/fibr...

Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac AsimovDx 12/8/2005, LCIS, ER+/PR-Surgery 1/24/2006 Lumpectomy: LeftHormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Oct 28, 2008 04:47PM Beesie wrote:

Atypical ductal hyperplasia (ADH) is a further progression from ductal hyperplasia.  ADH is a high risk condition.  Whereas usual ductal hyperplasia increases risk by about double, atypical ductal hyperplasia increases risk by 4 - 5 times.  So this means that for someone with no other significant risk factors, a diagnosis of ADH would put their lifetime BC risk level in the range of about 20% - 25%.  That's high risk, but it still means that 75% - 80% of women who have ADH (and no other significant risk factors) won't ever get breast cancer.  I didn't mention ADH or the associated risk in my original post because chezshoes' pathology report was very clear in saying that she had "usual ductal hyperplasia.  chezshoes, don't start worrying now that your ductal hyperplasia will progress to become ADH. Wink  

The following website from ACS includes a good explanation of hyperplasia and the risk levels associated with the various types of hyperplasia. 

Based on how the cells look under the microscope, hyperplasia may be grouped as:

  • mild hyperplasia
  • hyperplasia of the usual type (without atypia) -- also known as usual hyperplasia
  • atypical hyperplasia -- either atypical ductal hyperplasia (ADH) or atypical lobular hyperplasia (ALH)

A woman with mild hyperplasia is not at increased risk for breast cancer. A woman with usual hyperplasia has a slightly higher chance of developing breast cancer. The risk is 1½ to 2 times that of a woman with no breast abnormalities. The risk for a woman with atypical hyperplasia is 4 to 5 times higher than that of a woman with no breast abnormalities.  http://www.cancer.org/docroot/CRI/content/CRI_2_6X_Non_Cancerous_Breast_Conditions_59.asp

And in the picture below you can see how breast cells change as they go from normal to ductal hyperplasia (minor increased risk) to ADH (pre-cancerous high risk) to DCIS (Stage 0 breast cancer) to DCIS with a microinvasion (early Stage I breast cancer) to IDC (invasive breast cancer, Stages I - IV).

Range of Ductal Carcinoma in situ

Dx 9/15/05, DCIS-MI, 6cm+ Gr3 DCIS w/IDC microinvasion, Stage IA, 0/3 nodes, ER+/PR- “No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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Oct 28, 2008 05:42PM PSK07 wrote:

Thanks, Beesie. That makes much more sense to me.  The pictures, as usual, tell the tale.
Pam - adding LCIS & ALH to the mix, 8/25/08Dx 8/3/2007, DCIS, <1cm, Stage 0, Grade 2, 0/0 nodes, ER+/PR+
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Nov 1, 2008 08:15AM - edited Nov 1, 2008 08:15AM by BessB

Beesie,

The picture is a great example.  I was diagnosed with ADH after years of abnormal mammograms.  Since I had previous blood clots I could not take Tamoxifan.  The docs felt that I was "progressing" so when I inquired about PBM there were no questions asked.  In January 08 I had a bi-lateral w/DIEP reconstruction and I have never looked back.  Your picture shows how ductal hyperplasia can progress.   For some it will never progress - but for me it did.  I kept getting too many clustered microcalcifications and I did not want to just sit and wait any longer.  I was comfortable with the fact that I had time to make the decision.  Good luck to you PS:) - Bessie

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Nov 1, 2008 02:47PM Beesie wrote:

Bess, I'm glad that you are comfortable with your decision but I think a very important point for everyone else reading this to understand is that for most women, ADH will not progress.  Usual ductal hyperplasia, which is the condition that chezshoes asked about, is not considered a 'high risk' condition and women who have this condition generally are at no greater breast cancer risk than the average population.  Generally no action is required for those diagnosed with usual ductal hyperplasia.  As for ADH, although it is considered to be a 'high risk' condition, the majority of women who have ADH will never be diagnosed with breast cancer.  Even Tamoxifen is not usually recommended for ADH women, unless they have other risk factors as well.  So while your decision was right for you, I certainly wouldn't want any other woman out there who is newly diagnosed with either ductal hyperplasia or ADH to be thinking that she should be considering having prophylactic bilateral mastectomies. Unless there are specific reasons why their doctor believes that they are at higher risk, the only action that's necessary for most women with ADH is that they be more vigilant in their screening, possibly by having more frequent screening or by adding extra screening tools (MRIs, for example) into the mix.
Dx 9/15/05, DCIS-MI, 6cm+ Gr3 DCIS w/IDC microinvasion, Stage IA, 0/3 nodes, ER+/PR- “No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke


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