YorkieTalk.com Forums - Yorkshire Terrier Community


Welcome to the YorkieTalk.com Forums Community - the community for Yorkshire Terriers.

You are currently viewing our boards as a guest which gives you limited access to view most discussions and access our other features. By joining our free community you will have access to post topics, communicate privately with other members (PM), respond to polls, upload content and access many other special features. You will be able to chat with over 35,000 YorkieTalk members, read over 2,000,000 posted discussions, and view more than 15,000 Yorkie photos in the YorkieTalk Photo Gallery after you register. We would love to have you as a member!

Registration is fast, simple and absolutely free so please, join our community today!

If you have any problems with the registration process or your account login, please click here to contact us.

Go Back   YorkieTalk.com Forums - Yorkshire Terrier Community > YorkieTalk > Sick & Injured / Emergencies Talk
Register Blogs FAQ Calendar JavaChat Mark Forums Read

Reply
 
LinkBack Thread Tools
Old 05-07-2006, 06:49 PM   #1
Senior Yorkie Talker
 
stewartslucy's Avatar
 
Join Date: May 2006
Location: Farmington Hills, MI
Posts: 183
Default Liver Cancer

Hello fellow Yorkie LOVERS,

I was researching for information on liver cancer and treatments, prognosis, for my beautiful 10 year old girl, Molly Muffins, when I came across this forum.

In January of this year, she became ill over New Year's. We took her to her doctor, the same vet who has treated her her entire life. Her liver enzymes came back elevated. 2 weeks later, another blood test, and we are told they have returned to normal. Vet says when she comes back in April for her annual visit, we will check again.

We went in April 24th for her annual exam. By that weekend, he called to say liver enzymes are high again and that he is concerned enough to bring her back in for more tests.

To make a long story short, the x-ray showed quite an enlarged liver. From there we had an ultrasound. 2 of the vets in office concur with "98%" guess that she has cancer of the liver, that has possibly spread to the neighboring organs.

At this point they have told us that having a surgical bioposy is a possible option. This would determine which TYPE of cancer, and let us know exactly what the situation inside is. If it is a type of cancer that responds to chemotherapy or radiation, then that would also be an option. However, it is major surgery that she will need 2 weeks to recover from. And do we want to put her through all of this? Our vet said that his educated guess gives her 6 months to live WITH chemo, 2-3 months without. If it were his dog, based on his experience with other families who went for the chemo, etc, they often regret putting their pet through it all and he would not do it for his own.

We have decided to take her to the Michigan State Veterinary Teaching Hospital, as they have a specific oncology clinic that recently opened that is supposed to be state-of-the-art. She will go in May 8th for her evaluation. We have to be prepared to go immediately into surgery if they decide this is an option for treatment. Maybe they will tell us it is hopeless, in which case we will have the peace of mind knowing that an oncologist has given us a second opinion.

Has anyone out there been through this? Can you give us any information? Any feedback on whether or not to go through surgical bioposy, chemo? All other results show normal. Molly's vet said that he believes she would make it through the bioposy.

IF we don't go through with treatment, does anyone know what we can expect as far as her health condition, deterioration? I tried to ask my vet, but he just said she would have good days and bad days, maybe some days diahrrea, loss of appetite. I think he knows exactly what stages she will go through, but doesn't want to give me the grizzly details because he can see how devastated we are.


Thank you all for your help,

StewartsLucy
stewartslucy is offline   Reply With Quote
Welcome Guest!
Not Registered?

Join today and remove this ad!

Old 05-07-2006, 07:39 PM   #2
YT 500 Club Member
 
kim_yorkiemom's Avatar
 
Join Date: Feb 2006
Location: Texas
Posts: 564
Default

We are so sorry to hear about your baby under these circumstances. I, personally, have no experience with this but wanted to welcome you to the forum. We hope that you find some helpful info here to help Molly Muffins! Adorable name, by the way. We will definitely think good thoughts for her in her fight!!
__________________
Kim, Kensington & Paddington - We miss Wimbley (1990-2001)
Fenley, Scully & Barkley born 3/2/06 Pictures of my yorkies
kim_yorkiemom is offline   Reply With Quote
Old 05-07-2006, 07:47 PM   #3
YT Addict
 
Kenzies Grandma's Avatar
 
Join Date: Sep 2005
Location: AB, Canada
Posts: 387
Cry I'm so so sorry.

I know how devastating this must be for you. I haven't had quite the experience you are going through, we never got as far as the biopsy stage. My 12 1/2 yr. old Tori was taken ill last summer (then I found lumps all around her nipples). Her vet said that he was quite sure that she would survive surgery to remove them and that it could give her more time even though there was a possibility that they would come back. We decided to go ahead with the surgery and took her in. However when they did the pre-op blood tests he discovered that things were worse than he thought. He felt she wasn't in good enough shape to have the surgery (very anemic) and suggested waiting a month and giving her vitamins to build up her blood.
Unfortunately we didn't get that far. She started to go down hill very rapidly, couldn't keep the vitamins down, seemed to be in pain and very lethargic. Our vet looked at her again and said that of course it was up to us but if she were his dog he would consider ending it for her. he was pretty sure that the cancer had spread further inside. I was heartbroken, in only about 3 - 4 weeks she had gone from a sweet lively little girl to a sick, sad little old dog. I couldn't bear it, she just wanted to be held all the time and seemed to be looking at me saying Help me, Mom. It was the hardest thing I've ever done but I took her in and held her while Dr. Greg put her to sleep.
I'm sorry this is so long and it probably won't help you much but I guess what I'm trying to say is that the important thing is the comfort and quality of your little girl's life. Whatever you decide I know you will do what's best for her.
I'll be thinking of you.
__________________
Kathy - Mama to Tango & Gypsy - Grandma to Kenzie & Taylor
Kenzies Grandma is offline   Reply With Quote
Old 05-07-2006, 10:51 PM   #4
YT 2000 Club Member
 
Join Date: Nov 2005
Location: USA
Posts: 2,992
Default

Sounds like going to the Michigan Vet Hospital is going to answer all your questions. I would go along with whatever they say and believe they know what's best for your little dog.

Even if people here have had similar problems, none of us would know as much as the doctors you are going to have seeing your little dog. I think you are fortunate that you can take advantage of such modern, state-of-the-art diagnosis, and care.

Good luck - please keep in touch! Carol Jean
__________________
http://tinypic.com/ipxhmb.jpg
A Yorkie is worth a thousand words.
SnowWa is offline   Reply With Quote
Old 05-26-2006, 06:58 AM   #5
Senior Yorkie Talker
 
stewartslucy's Avatar
 
Join Date: May 2006
Location: Farmington Hills, MI
Posts: 183
Animal Smiley 019

Here is an update on what happened with our Molly Muffins.

We took her to the Michigan State Animal Cancer Clinic.

They did repeat every test her regular vet had given her, as well as a few more, such as a needle biopsy of her liver (came back benign, but this is inconclusive, as the outer 'rings' are usually what are malignant, so we may have sampled an inner part.)

Also, the ultrasound equipment there was far superior to what was used in our vet's office.

The bottom line is that in all likelihood, she has liver cancer, but we cannot have a definitive diagnosis unless we were to do the surgical biopsy.

If we do the surgical biopsy, we can do 2 things;

1) sample the cells, close her up, make a determination as to what it is and then they could give us a prognosis from there

or

2) sample the cells, have oncologist start scraping away cells as much as possible, which will require quite a convalescence on Molly's part. She would be hospitalized for a length of time that the doctor cannot give me a ballpark for. The risk also involves 'upsetting' the cancer and having it become more aggressive, spread. Also that she will never fully recover from this surgery to the state that she is now in. Or the doctor may see that it is too far spread and not surgically treatable.

Right now, Molly is mostly her wonderful old self. She still can go for walks, move around the house to her favorite spots, patrols the yard for squirrels, rabbits and other invaders, and now that she has bounced back you would not even know she is ill other than a slight decrease in her appetite.

Because the ultrasound images seem to show the right side of her liver is what is inflicted, this would indicate cancer vs. if it was spread throughout her liver evenly this might indicate some sort of live disease.
If her left side is what was affected, they could surgically remove that part of her liver. But the right side of the liver is the side that has critical veins and arteries that link to other organs, so we cannot just remove the right side.

If we chose to do the surgical biopsy, followed by chemotherapy, this would NOT cure her. It would just slow the cancer down and prolong her life.

The doctor cannot predict how much more time this would give Molly until they have a sample that definitively tells them what kind of cancer it is.

That is when they can start telling us whether or not this is the type of cancer that responds well to treatment or not or how long she will have to live with or without treatment.

We feel much better having gone in for a second opinion, even though none of what we learned there is encouraging news. In fact, it is almost what the doctors are NOT saying that is notable.

No one is saying even if this is liver cancer there are good treatments with successful outcomes, and to go for it.

At this point, we don't feel the outcome is worth putting Molly through major surgery which she may never recover from. We are going to let nature take its' course.

There is comfort in knowing that we have given her the best life we possibly could. She travelled everywhere with us-all over the USA and to Europe 5 times! We love her sooooo much. We have simply been in her orbit for 10 years. Our world really revolves around her.

For now, we will continue to give her the best care, enjoy her, and hope that God will give us as much time as He can with our precious girl.

Thanks to all for your kindness.

I hope this information might help another Yorkshire family.
stewartslucy is offline   Reply With Quote
Old 05-26-2006, 07:51 AM   #6
Gina, (Lexi's Mommy)
Donating Member
 
Lexi Rae's Avatar
 
Join Date: May 2005
Location: LONG ISLAND,NY
Posts: 10,455
Default

i am so sorry,, god bless you and god bless your baby... yu will be in my praryers. we are here for you
__________________
Gina & Lexi CLICK HERE for our Photo Album ...
Lexi Rae is offline   Reply With Quote
Old 05-26-2006, 05:49 PM   #7
Donating YT 30K Club Member
 
Patti's Avatar
 
Join Date: Oct 2005
Location: Illinois
Posts: 35,509
Blog Entries: 6
Default

I know how difficult a decision that is. I know a person who tried the chemo on their little chichauua for some other type of cancer. She said the treatment was too hard on her baby and stopped treatment after 2 sessions and she lived another 5 years without treatment. I think you are doing the best thing fo her.
__________________
Cali Pixie Roxie : RIP Nikki; RIP Maya;RIP my sweet Dixie girl 1/17/08
http://callipuppyscastle.bravehost.com/index.html
Patti is offline   Reply With Quote
Old 05-27-2006, 09:27 AM   #8
Rosi & Poli's Mom
Donating Member
 
RMKC's Avatar
 
Join Date: Mar 2005
Location: Washington State
Posts: 5,428
Default

I am so sorry over your sick Baby, i will be praying for you all !
__________________
ROSI & POLI
Love my Babies
RMKC is offline   Reply With Quote
Old 05-27-2006, 10:45 AM   #9
Inactive Account
 
whispersmom2's Avatar
 
Join Date: Jan 2005
Location: MD
Posts: 2,985
Default

This is a hard decision to make, I am sure. Chemo and radiation do work sometimes but I would consider the length and quality of her life before putting my dog thru it. And, yes, it is easier for me to say since it is not my baby; I don't know what I would do if she were mine.
I know we will keep all of you in our prayers...
whispersmom2 is offline   Reply With Quote
Old 05-27-2006, 12:18 PM   #10
Senior Yorkie Talker
 
stewartslucy's Avatar
 
Join Date: May 2006
Location: Farmington Hills, MI
Posts: 183
Love

When my husband took Molly to MSU, the whole waiting room were dogs (cats have their own side) waiting to receive chemo treatment. He said you could not tell they were even sick, they seemed happy & energetic. He was shocked when the staff told him why these dogs were there.

According to them, animals accept chemo without the side effects that humans get. They accept it very well. On their website, they have success stories posted with photos of dogs who have good outcomes with the chemo.

Unfortunately, liver cancer is not one of the types that can be 'cured'. I would not hesitate to consider chemo if it were another type of cancer.

Molly is still doing very well! She has me playing 'chase her'-she puts her hedgehog baby in her mouth and I try to catch her running around the living room. We haven't played this since before her diagnosis a few weeks ago. I am so happy she has returned to her old self! She is eating her regular dog food again, twice a day, and really milking us for the milkbones again too!
stewartslucy is offline   Reply With Quote
Old 01-22-2007, 04:07 PM   #11
Senior Yorkie Talker
 
stewartslucy's Avatar
 
Join Date: May 2006
Location: Farmington Hills, MI
Posts: 183
Default



I just wanted to let you all know how the last 8 months of Molly Muffins life went, in case any of you ever face this dreaded illness.

Molly had an excellent quality of life until just before the New Year.

She was her regular old self, doing everything she normally would. You really would not have known that she was ill, except for the small decrease in appetite.

We were pleased that because we chose not to have the surgical biopsy she was able to enjoy her life to the fullest for much longer than the doctors thought. We had some bonus time with her.

But right after Christmas, she started vomiting and having diarreah occasionally. Though she almost always managed to make it outdoors and keep her dignity, right up until her last day.

In the afternoon of 1/1 she had a mini seizure outside in the yard.

The evening of 1/2 she had a mini seizure in our home.

We were going to put her down when our vet returned to the office on 1/3,
but he called in sick. Which ended up being a good thing because she started rebounding big time.

She was well enough that you wouldn't think she had to go down. So we took her in so our doctor could just exam/see her, since the last time had been in November for a regular vaccination (and they were amazed at how well she was then-pink tongue, bright and alert!). But this time her tongue was not pink, but grayish pink, and so were her gums and eye tissue. He said she was very anemic. He gave us an antibiotic to give her to help settle her stomach, and it did help.

But by 1/16, she was sliding downward again. Her belly looked like she had a regular size melon in it. There was a lot of fluid along with her enlarged liver. She was losing fat tissue and muscle mass. She was skin and bones. It was difficult for her to walk without stumbling-it was an effort for her to balance that belly. It was an effort for her to greet my husband when he came in from work. Sometimes, when she was weak, her back had a sharp 'V' shape.

Then she had a bigger seizure the morning of 1/19. I took her out ot go potty at 4am and it was snowing. She had a seizure and collapsed unconscious in the snow. I picked her up and I thought I had lost her, but no. She was breathing, and started to come to inside. But she was lying there so limp all morning.

We took her into the vet to put her to 'sleep' at noon. On the drive there she started to perk up, and in the office she was really rebounding, awake and curious about what was going on. Going through with the decision will haunt me forever. If I would have brought her home and continued to nurse her, maybe she would have had another rebound? I will never know. I don't like playing God and deciding who gets to live and who gets to die. This is so difficult for my husband and I to live with. Truly the hardest thing we have ever been through.

I prayed for God to give me the strength to know what to do. I prayed for Molly to please let me know when it was time. But honestly, I can't say I feel either 100%. If she had not started perking up in the car and the doctor's office, I would have more peace with my decision. Everyone says we did the right thing, including our vet, but it doesn't feel like it.

I had researched pet euthanasia online, and there is a movement out there that believes in letting them go naturally. All I know is we were in limbo and it is hell. The bottom line is there is no cure and no miracle that was going to save her, but we had her comfortable. She was not in pain, according to our vet, but living with discomfort, as many of us live with discomfort everyday. but how far down could we stand to see her go? The seizures were very upsetting to witness. She wasn't eating much at all, she was not enjoying any of her favorite things anymore, except being with us. Molly would have been 11 years old on February 9th. She will never be a teenager...

We are having her privately cremated and she will be returned to us within 2 weeks. I am waiting for my angel. I will feel better when she is with us again. When I die, I want her with me so we can always be together.
For now, all I have is a small amount of her beautiful hair clippings.

I hope that my experience can help someone else out there. We could have really used support form another family that went through this.

God Bless our Yorkies.
__________________
stewartslucy
stewartslucy is offline   Reply With Quote
Old 01-22-2007, 06:54 PM   #12
All Dogs Go To Heaven
Donating Member
 
YorkieMom55's Avatar
 
Join Date: Aug 2006
Location: By The Lake
Posts: 2,726
Default

Hugs to you both. It's never easy. You didn't rob her of days, you gave her the gift of months. Months of loving her and holding her and caring for her. Just remember the joy and happiness that she brought into your lives. Chuck and I had to make the same decision for our dear Jack. He was only 6. I have his ashes in a little wooden urn that Chuck made in his woodshop. It's by my bed and I say "goodnight" to him every night. (I call him my Jack in the Box) I have instructions: he's going with me.
__________________
Jeanie & Jack
I am @ the Lake Jackson, Maggie, Sunshine, Rocky & Emmie
YorkieMom55 is offline   Reply With Quote
Old 01-22-2007, 07:17 PM   #13
My hairy-legged girls
Donating Member
 
Yorkiedaze's Avatar
 
Join Date: Jan 2007
Location: lompoc, ca.
Posts: 12,228
Default

She will know when it's time for her to go, and with the way she will look into your eyes, you will too. I wouldn't let her suffer in any way. Bless you both. I will say a prayer for her.
Yorkiedaze is offline   Reply With Quote
Old 01-23-2007, 08:51 PM   #14
Love The Verminator!
Donating Member
 
RoxyJosMom's Avatar
 
Join Date: Jul 2006
Location: ny
Posts: 4,282
Default

I am so sorry your precious Molly has crossed the Bridge. Please don't let the "what if's" eat away at you. I've done that too many times and it will take it's toll on you. Just keep thinking about the extra time you were able to share with Molly and the happiness she brought to you. She knows you loved her and did the best thing for her. Hugs to you and your husband. God Bless.
__________________
Roxy loves Alphy Remi loves Millie
[COLOR="Purple"]Mom to RoxyJo & Remington , Fozzy Bear & Chloe
RoxyJosMom is offline   Reply With Quote
Old 01-24-2007, 08:04 AM   #15
Senior Yorkie Talker
 
stewartslucy's Avatar
 
Join Date: May 2006
Location: Farmington Hills, MI
Posts: 183
Default

I guess I am beating myself up over it. My husband was too much of a wuss to make the final call, so it was up to me (and he is usually the big decision maker in our family-I like to roll with the flow.)

It is ruff.

No dog bowls to wash, no one to let in and out a thousand times a day, no one to tuck in with us at night. No licks or snuggles together during the day. No one to go for rides in the car with me to the mailbox, grandma's, etc.

No one to milk me for milkbones all the live long day--oooh how she loved her milkbones!

I have no regrets as far as the life she led. She was the Queen!
She went to Germany 3X, Switzerland, Austria, Finland 2X to visit grandpa. She went to northern Michigan, Taos and Santa Fe, New Mexico, and Hilton Head to visit her auntie.

I try to comfort myself with the hopes that we saved her from declining so far that she would suffer greater than what she may have. Sigh.

I have found so much comfort on yorkie talk this week.

Thank you all for your kindness, understanding, and support.
__________________
stewartslucy
stewartslucy is offline   Reply With Quote
Reply

Bookmarks



Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off




Google
 

SHOP NOW: Amazon :: eBay :: Buy.com :: Newegg :: PetStore :: Petco :: PetSmart


All times are GMT -8. The time now is 03:31 AM.


Powered by vBulletin® Version 3.8.9
Copyright ©2000 - 2021, vBulletin Solutions, Inc.
Copyright ©2003 - 2018 YorkieTalk.com
Privacy Policy - Terms of Use

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 865 866 867 868 869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894 895 896 897 898 899 900 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 940 941 942 943 944 945 946 947 948 949 950 951 952 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 979 980 981 982 983 984 985 986 987 988 989 990 991 992 993 994 995 996 997 998 999 1000 1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014 1015 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 1035 1036 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053 1054 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 1065 1066 1067 1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 1093 1094 1095 1096 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 1139 1140 1141 1142 1143 1144 1145 1146 1147 1148 1149 1150 1151 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166