#uterine cancer doctor

[oncologistseemasingh]

Risk Factors Of Uterine Cancer- Dr. Seema Singh

Uterine cancer, also known as endometrial cancer, is the fourth most common cancer in women worldwide. It occurs when abnormal cells in the lining of the uterus grow and multiply, forming a tumor. Although the exact cause of uterine cancer is not known, there are several risk factors that have been identified. Understanding these risk factors can help women to take steps to reduce their risk of developing uterine cancer. In this article, we will discuss in detail some of the key risk factors for uterine cancer.

Age: The risk of uterine cancer increases as women get older, with most cases occurring in women over the age of 50. Women who have gone through menopause are at an increased risk, as the body produces less progesterone, which helps to regulate the growth of the uterine lining.

Hormonal imbalances: Hormonal imbalances can increase the risk of uterine cancer. For example, women with an excess of estrogen in their bodies, such as those who have undergone hormone replacement therapy or have polycystic ovary syndrome (PCOS), are at a higher risk of developing uterine cancer. Similarly, women who have a deficiency of progesterone are also at an increased risk.

Obesity: Being overweight or obese increases the risk of uterine cancer. This is because excess body fat can cause an increase in estrogen levels, which can stimulate the growth of the uterine lining. Women who carry excess weight around their waist are at a higher risk than those who carry it around their hips.

Family history: Women who have a family history of uterine cancer are at an increased risk of developing the disease themselves. This risk is particularly high if a close relative (such as a mother, sister, or daughter) has had the disease.

Reproductive history: Women who have never had children, those who have had infertility, or those who have started menstruating at a younger age and/or gone through menopause at a later age may have an increased risk of uterine cancer. This is because these factors are associated with a longer exposure to estrogen.

Diabetes: Women with diabetes are at an increased risk of developing uterine cancer, possibly due to the hormonal changes associated with the condition.

Radiation therapy: Women who have undergone radiation therapy to the pelvic area are at an increased risk of developing uterine cancer. This is because the radiation can damage the cells in the lining of the uterus.

Lynch syndrome: Lynch syndrome is an inherited condition that increases the risk of several types of cancer, including uterine cancer. Women with Lynch syndrome have a higher risk of developing uterine cancer at a younger age than women without the condition.

Ethnicity: Women of certain ethnicities are at a higher risk of developing uterine cancer. For example, African American women are more likely to develop the disease than women of other races.

Use of tamoxifen: Tamoxifen is a medication that is commonly used to treat breast cancer. However, it can also increase the risk of uterine cancer. Women who are taking tamoxifen should be closely monitored for any signs of uterine cancer.

In conclusion, understanding the risk factors for uterine cancer is important for women to take steps to reduce their risk of developing the disease. Women can reduce their risk of uterine cancer by maintaining a healthy weight, exercising regularly, and controlling any hormonal imbalances or other medical conditions they may have. It is also important to attend regular gynecological check-ups and speak with a healthcare provider about any concerns or questions. By being proactive about their health, women can reduce their risk of uterine cancer.

Delhi has several well-equipped hospitals and cancer centers that offer comprehensive breast cancer treatment. Some of the prominent cancer hospitals in Delhi include the All India Institute of Medical Sciences (AIIMS), Fortis Memorial Research Institute, Dr. Seema is considered one of the best female oncologist in Delhi.

These hospitals have state-of-the-art facilities and a team of experienced oncologists, surgeons, and radiation therapists. They also offer support services such as counseling, nutritional advice, and physical therapy to help patients manage the side effects of treatment and improve their overall quality of life.

[drarchitpandit]

Who are the recommended uterus cancer specialists in Gurgaon known for their expertise and experience?

If you suspect uterine cancer, finding a specialized uterus cancer specialist in Gurgaon is crucial. This hollow, pear-shaped organ, the uterus, is integral to a woman's reproductive system where a baby develops before birth. The lower part, known as the cervix, connects to the vagina. After a thorough medical history review and a physical examination, a uterus cancer specialist in Gurgaon may conduct further tests to confirm the diagnosis and plan appropriate treatment.

[drkushhospital]

Say goodbye to fibroid troubles and hello to a healthier uterus! Uterine Artery Embolisation is the non-surgical hero you've been waiting for. 🌸

[wallabywannabe]

Continuous birth control: ask your GYN!

i just think you should be allowed to skip your period if you don't feel like going through it. like that should be a thing

[scientia-rex]

I had one of those days where I just had too many feelings to fit inside my skin, and I’ll have to recover from it.

Telling a patient she has breast cancer. Telling a patient she has dementia. Calling a patient at 6:30pm, still sitting at my desk, because even though I finished seeing patients at 5pm, I have work to do. Doing an endometrial biopsy on a patient who may have cancer. Calling a company so I can get the password to a website so I can recredential every three months so my clinic can charge for my work. Working with an assistant on whom I’ve also done an endometrial biopsy. My regular MA is out with COVID. I’m getting a year-end bonus for the first time in my life. Some idiot kid thinks I don’t know how ears work. I saw back to back ADHD patients; one is a trans woman who paused her transition because she can’t afford it. One is a kid who did loops around the exam room chairs the whole time I talked to his mother. His mother was frosty towards me at first because I was running late because I was telling a patient she had breast cancer, and she was crying, and her daughter was crying, and when her partner died of a different cancer last year the hospice workers were homophobic and she’s afraid of hospice. A different idiot kid thinks I don’t know how soap works. The ADHD kid’s mom warmed up to me when she realized I cared and knew what I was talking about. The kid said, “AHEM. What’s up, chicken butt?” I laughed and high fived him. I gave his mom the Vanderbilt forms to assess ADD symptoms across multiple environments. I saw a patient who had a certain air about her that I recognized intimately, and at the end I asked what she did, and she was a doctor, too. I knew it had to be something like that. When I explain medical concepts I aim for lay language, but I can see when people get faintly impatient with me for it, and I’ll add in more and more technical language and see when they start looking confused; she didn’t. I could watch every new patient take in my brightly-colored hair, combined with the utterly forgettable rest of me, all browns and grays and dress slacks and comfortable shoes, because the hair is my one concession to my deep need for attention; in the exam room, I need to recede into the background so the patient can be the focus. Studies have shown that patients don’t like it when doctors disclose that they have the same medical issues. It might seem like bonding, but it shifts the focus away from where it belongs: the patient. That island of time is theirs. The breast cancer patient’s daughter said to me, “Thank you for spending the time with us. I know you didn’t have the time.” And I said, “From each according to their something or other, to each according to their needs. It’s lukewarm Marxism.” I don’t think she heard it all, or took it all in, which was good. I had a migraine that made my head feel three sizes too big with a steady drumbeat of pain despite taking two Ubrelvy, two Aleve, and two Tylenol, plus 100mg of caffeine and a propranolol and a Zofran. You have to disconnect each patient from the next. I can’t bring the breast cancer patient’s grief and heaviness into a room where a little boy is doing hand-stands and telling me silly puns. One of the nurses brought me a sublingual Toradol from a stash—someone’s purse, somewhere—because she wanted me to feel better, and I felt tears stinging my eyes because she cared about me. I couldn’t afford to cry. I just told a woman she has dementia and she doesn’t believe me. I told her to bring her husband to our next visit. I ended my clinic day doing an endometrial biopsy, trying to pass a uterine sound through a stenotic cervix, but I’ve done this before enough times to know to have the set of dilators ready. I dilated her cervix gently but firmly, with the back pressure of the tenaculum, until I could get the sound in, and then I left the sound there while my assistant handed me the sampling pipelle, because if you remove it there’s a good chance the cervix will tighten down again and you’ll have to repeat the dilation. The patient was holding her husband’s hand and chanting to him under her breath, in pain despite the Xanax I gave her.

I’m a doctor. It’s everything to me.

[vaspider]

Okay, so I was waiting until I had more information before I said something, but this is what the last 2 months of my life has been like. Content warning for discussion of uterine shenaniganry.

In August, start having bad, random cramping, which is weird, because I'm in perimenopause! I talk to my doctor and we think it's probably just T-related bullshit. We start me on vaginal estrogen, but I'm aware that cramping can mean uterine cancer, so I push to get my pap smear six months early.

My doctor's office (not my actual doctor) fights me on it. I fight back. Originally, they wanted to schedule me for March, then December, and I said, nah, I'm not waiting, because if it is uterine cancer, that shit is aggressive. So we got the test done. Irregular findings, so we go for an ultrasound.

As this happens, the cramps get worse, until I am feeling like I'm in the early stages of labor all the time.

Long story short, I have a golf ball of a fibroid sitting in the top of my uterus, and I've since found out that my grandmother had a hysterectomy for the same thing about my age.

So, here's the advice bit:

Unusual cramping, if you have a uterus, should be treated as if it might be Something Serious. Don't brush it off. Insist your doctor take it - and you - seriously. If your doctor doesn't take you seriously, please fire them and get a better one if possible.

Ask your parents to tell you as much as they know about your grandparents' and aunts' and uncles' health. In the last week, I've found out about A Lot of things I should have known a long, long time ago. Like, the number of things I've learned that I should have known has become an inside joke with a certain circle of my friends.

Get your pap smears, y'all. The sooner you find problems, the sooner you can deal with them.

Anyway, I probably can't evict all this bullshit until January, and I'm in a lot of pain basically all the time. So y'all are gonna have to forgive me if I'm a little distant and tired.

[queerautism]

Since you have experience with vaginismus can I ask you for some advice?

I've never been able to complete a pap smear, I've been so tight they've given up each time. My doctors insist that it's fine not to do the test since I'm not sexually active, but I'm still worried

I'm really hesitant to use dilators, the very idea of something going in there is dysphoric as hell and I'd rather just never have to go through that

I guess I'm saying I really don't mind having vaginismus, but I'm worried that it's bad for my health long term. Every single source I look up talks about curing it, not for health reasons but because vaginal sex is obviously always desired for people with vaginas (sarcasm)

I'm always happy to talk about it and give advice if I can. Honestly, I was genuinely really worried about not being able to do pap smears, since I had already not been able to get other related care due to vaginismus. So it was basically my main motivation for working with the dilators. And now that I'm dealing with the possibility of uterine cancer and all the tests that will go along with that, I'm extremely glad I decided to do it.

If you are not sexually active in any way at all, your risk is very low and I've been told before in these cases a pap smear might be recommend just in case every five years. I wouldn't be super worried if you genuinely just can't do it!

I don't believe you have to cure or improve vaginismus if you don't want to, and the way a lot of resources talk about it like there's this obligation for people with vaginas to be available for this specific type of sex is gross, it makes me so angry.

But for me personally, working to improve it is really worth it for many reasons. Reducing the amount of muscle tension in the area can help with the level of abdominal and lower back pain, for example. And it has actually somewhat reduced the dysphoria I have to deal with? I understand better what my current body can do and how to best take care of it.

And obviously I wasn't expecting to deal with the possibility of uterine cancer at all, a lot of health issues just take you completely by surprise, and I'm extremely thankful I don't have to worry about being brand new to dilators now and frantically trying to figure that out so I can get the tests I need. I feel like I've saved myself a huge amount of stress having already done it, you know? And that means a lot when I'm in a situation that's so inherently stressful already.

The vaginismus subreddit is actually pretty decent, they're mostly trans friendly, and I've gotten some good info there.

[kimberly-spirits13]

Hello loves I just wanted to pop on and give you an update

So my mom has cancer, I’ve mentioned it before but it’s genetic and inherited through the mother. I have to have genetic testing done to see about me having cancer and there’s a good/ slight chance that I have the cancer or will have it. There’s lots of other cancers and diseases that run in my family so this is also going to clear chances of me having those up a bit. Next Monday on the 26, I’m scheduled for an ultrasound because of my periods. There’s a chance I could have endometriosis or even cancer in my uterus, but they don’t think it’s cancer because I’ve dealt with this since I had my first period. My gynecologist said that it could range from just having thick uterine lining and imbalanced hormones to cancer so they have no idea. If I’m MIA for a bit, that’s why. I just have a lot of stress right now and even though I’m pretty secure in myself and all the possibilities because of my trust in God, I also am a bit nervous waiting for results and testing. I went with my mom to her doctor’s appointment yesterday for her scans and got sick thinking about having to deal with this and pay for treatment for the rest of my life but I know in my soul I will get through whatever happens. I love this little community and just wanted yall to know what was up

[oncologistseemasingh]

Uterine Cancer Treatment Options in Delhi-NCR

The treatment of uterine cancer depends on various factors, including the stage of cancer, the type of cancer, and the person’s overall health. There are several uterine cancer treatment options available in Delhi-NCR including radiation therapy, surgery etc.

Kindly Visit this link to know https://medium.com/@oncologistseemasingh/uterine-cancer-treatment-options-in-delhi-ncr-ed4110ea1dd6

[odinsblog]

Traccye Love used hair relaxers for years and believes the chemicals in those hair products are related to her uterine fibroids. Love, of Oak Park, had a hysterectomy two years ago and is one of thousands of women who have filed suit against the hair care companies.

Growing up in Chicago’s Chatham neighborhood in the late 1990s, Traccye Love wished for the long, smooth tresses of pop star Aaliyah.

“That was the look then — smooth and straight,” said Love, of Oak Park. “My mom would press it (with a hot comb), but I wanted it to stay straight.”

Love wasn’t allowed to get her first chemical hair relaxer until she turned 18. For most of the women in her close-knit, predominantly Black community, the rite of passage of using relaxers to straighten their naturally kinky, thick hair had come much younger. Love’s mother worried about the dangers of using a relaxer: chemical burns or brittle hair caused by lye and similar chemicals in hair-straightening products.

Throughout college, and well into her 30s, Love slathered on chemicals from home straightening kits every six weeks or so. Then, in her late 30s, she began to feel knee-buckling abdominal pain during her menstrual cycles — on her worst days each month, Love downed five 200-milligram tablets of ibuprofen every four hours.

“It felt like someone was taking my ovary and twisting it like a balloon,” Love said.

After several years and trips to three different doctors, tests revealed Love had multiple, golf ball-sized fibroid tumors in her uterus. In 2022, at the age of 38, she had a hysterectomy. She was still using hair relaxers until her husband spotted a social media post about lawsuits targeting the manufacturers. She now thinks the relaxers caused her tumors.

“It had never occurred to me that there was serious risk to using relaxers,” Love said. “I thought the risk was getting scalp burns.”

In October 2022, the first of several thousand lawsuits was filed at the Dirksen Federal Courthouse in the Loop by a woman from St. Louis claiming that chemicals in hair relaxer products she used — such as Soft Sheen, Just for Me and Dark & Lovely — caused her cancer.

(continue reading)

[lightofraye]

Friday the 15th

Despite the title of this post, no I'm not trying to make a kind of scary Friday the 13th (15th) thing. More... I have a huge life event coming up and the anxiety is getting to me.

It's a natural anxiety. When someone goes through something huge, they react in various ways. For a wedding, for example, it's a tremendous step. If they're 100% certain in that step, it's full of joy and perhap anxiety something will go wrong with the ceremony as opposed to anxiety about the person they're marrying. Moving across country can be anxiety inducing, despite the excitement and prospect of something new experiences.

Then there's surgery. Even the most minor of surgeries can be anxiety inducing because of what could go wrong. When I had a deviated septum fixed, the doctor actually outlined how it was a basic, minor surgery with potential for a lot of bad happening. So, you know, yay?

Now I have a new, terrifying surgery coming up. It's a necessary surgery, one that I had been forced to reschedule due to getting infected with influenza A just mere days prior. I was so sick that I was down and out of work for six weeks. It affected my voice (I still hear it time to time), my breathing, and I still wonder about the lingering symptoms I have. (Hard to tell if it's allergies or lingering influenza, honestly. But all tests say I'm fine, so...)

This surgery had been a long time coming. My doctor and I had been observing the symptoms, the cause of said symptoms, and it was only late last year that I decided it was time. The minor means of dealing with the issue weren't possible because the issue was too large--and those minor means were 1) extremely painful and 2) doesn't stop the issues from coming back.

I'm being very vague. So I'll say it outright now. What's the issue I'm referring to? Fibroids. Uterine fibroids, to be precise.

I had the issue start well over five years ago. Little minor symptoms that kept happening... and then kept staying. To the point where I gave up and tracked down my ob gyn because my mother had those symptoms that led to cervical cancer and I was not going to leave my young son alone to face his abusive father on his own.

Turned out, it wasn't cervical cancer. Or even uterine cancer. (Thank gods.) No... it was a fibroid. A growing fibroid, actually. Already by the time it was detected, a myomectomy was impossible. That'd work for small fibroids, and mine was already beyond the acceptable size. An ablation wasn't possible either, as the fibroid meant spots would be missed and the symptoms would continue.

My ob gyn had to refer me to a different ob gyn for a very simple, frustrating reason: it was a Catholic hospital and any treatment that'd work to stop the issues of the fibroid was against their policies.

Fortunately I found a great ob gyn and she agreed with my other ob gyn. We inserted a Mirena IUD to handle the biggest symptom--ongoing bleeding--and decided to monitor every six months. Every six months, it showed signs of growing. And growing.

Then it... stopped. So we decided that as long as the IUD was stopping the bleeding and I was doing okay, we'd just do a wait and see.

Well... late last year, it was getting worse again. Other symptoms appeared, too TMI for comfort, but let's say the bathroom and I were becoming too well acquainted.

So a hysterectomy was scheduled. It was supposed to have been the first week of April and I got hit with influenza late March. We waited until I felt better and other life events got sorted. We thought I'd be okay.

I was wrong. So very wrong.

I called my ob gyn and said "We need it out. It's getting painful." The fibroid was creating problems that are affecting me body-wide. Minor from weird ass chin hairs that were growing thick and repeatedly, something I never had before. (The fibroid is disrupting hormones on a very wide scale, much like PCOS.) To intense discomfort in my lower abdomen.

What's interesting are the other irrational thoughts happening. It's a discussing having been held before by other women who have also undergone such similar procedures.

Am I any less a woman for losing the uterus? The answer, naturally, is NO. Even if I were to lose my breasts as well as my uterus, I'm still a woman. Because I say I'm a woman. I lose pieces of the body to maintain the whole.

My health will be so much better for the loss of the uterus, especially as the fibroid will be gone and things settle on multiple layers. Hormones will be back to normal (after some disruption). The pain and discomfort will be gone. I presume that weird chin hair that keeps coming back will finally surrender the ghost.

Even so, it's a major life step. A major surgery that, thankfully, has become more routine. We're planning on using the daVinci Surgical System and hope no issues will occur. It's actually outpatient now, which has me stunned.

My daughter and daughter-in-law will monitor me after the surgery. The next few weeks after, I'll have to be careful with even light objects--I won't be allowed to lift anything heavier than a gallon of milk. (That's about 8 pounds, by the way.) That'll be frustrating for me, as I do a lot of heavy lifting on the regular.

But my health will be better. Eventually I'll heal. Eventually I'll celebrate no more purchases of hygiene products. I joked we'll have a "Yeet the Uterus" party, but we just might.

I'll never have to worry about unplanned pregnancies again, so that's something. Yes, even at my age, it can happen.

November the 15th is going to be a big day for me.

[drarchitpandit]

Find Best Uterine Cancer Surgeon in Gurugram

Dr. Archit Pandit is a uterus cancer specialist in gurugram and providing best treatment in delhi ncr to the patient who has uterine cancer; consult uterus cancer specialist in gurugram for complete advises.

[certifiedsexed]

I'm about to go for my first cervical exam soon. I kind of know what to expect, but i also want to know if there's any way to make it easier?

The doctor I'm having it with has made it VERY clear that if i feel at all like I need to stop, she will and the unrelated appointment I had with her went well. I'm just a little nervous going into it

Also my grandma had uterine cancer (alive and well, don't worry) My mom said we'd all have to get exams more often because of this, but the doctor I went to recently didn't seem to think I did. I've done some very light googling and read that only about 5-10% of cancer cases get passed down genetically, but uterine cancer gets passed down about 10% of the time. Should I be getting tested more often?

Okay.

Honestly, I'm not sure on ways to make it "easier" beyond bringing someone you trust with you. It's a fairly quick exam usually and not associated with pain [unless you have certain conditions that make it painful], so I don't know exactly what else to recommend.

It sounds like you've got a good doctor so far! That's great. It makes sense you'd be nervous, especially for your first time. It can be a little nervewracking, which is why I do suggest bringing someone with you.

I'm assuming if this is your first cervical exam, you're pretty young, so its not likely you need extra exams for uterine cancer even if your grandmother had it.

Uterine cancer usually develops when you're much older and unless you have added risk factors like PCOS and/or diabetes, its very unlikely you need to start extra exams yet.

Though keep in mind, I'm not a medical professional so I could totally be wrong.

Hope this helps, though! Let me know if you have any other questions. <3

[homara8524]

Good evening all my brothers abroad.

We have finally finished our next illustration.

This time, I asked two members of the Hifu Club to wear American diner-style costumes!

I was able to paint the neon sign in the background and the jukebox with great attention to detail, which made the work very rewarding and gave me a sense of accomplishment 😁.

I hope many people will see it.

If you have a Twitter account, I would appreciate it if you could spread the word there as well.

Please spread the word by posting the link to the said tweet below!

To change the subject to my recent situation, tomorrow is my regular checkup for uterine cancer. I recently had a CT and MRI scan to see if it has metastasized to other parts of the body, and I will go to hear the results of the scan.

After that, I intend to tell my doctor that I would like to see him for a second opinion to confirm that the operation is really necessary.

I hope my choice will bring good results.

On a different note, I have several other illnesses that I am currently battling. One is a giant lymphatic malformation of the head and neck region, which is designated as an intractable disease in Japan, and the other is chronic pain in my extremities, which is not yet clearly confirmed, but is reactive arthritis-like.

I have been experiencing severe pain from my shoulders to my hands for the past half month, and it is very painful to draw or write.

I completed this illustration while struggling with such pain.

I hope that as many people as possible will see my work, as it will give me the energy to overcome my pain, so please help spread the word.

[lazulisong]

I talked to my surgeon about how triggering an internal scan would be and we decided to go external only. Not that it mattered because they didn't have any appointments available until after my surgery and so we didn't have an ultrasound done at all. (I'm assuming that the ultrasound is related to hysterectomy prep, disregard this message if I'm wrong.)

It is but the problem is that my mother was a DES* baby and had a positive pap plus a rather large benign ovary tumor and my sister had andemiosis (like endometriosis but in the muscle) AND a maternal first cousin straight up had uterine cancer so even if the doctor was willing I actually kind of need to be screened for you know. surprises. So even if I could get away with not doing the internal one it's wiser to drug myself up and get through it 😭 trauma is bad! Cancer is worse!!!!!

right now my amygdala is throwing a rager but I know it'll be much less stressful when it's done. But you bet I'll be drugged to the gills.

*artificial estrogen used because they thought it made pregnancies stable and uhhhhhh surprise! It did not. Also it's a cross placental mutagen and it's high key a medical miracle that my mother ever had kids let alone carried Amy and I to term. Look it up, it's like three parts fascinating and ten parts horrifying

[carnalhaus]

What is Praline's medical problem? Does it have to do with her brain?

i don’t mention this very often so a lot of people might not know about it, but praline does have a medical thing going on. first of all there probably is something going on with her brain, she was neglected growing up which led to a lot of difficulty developmentally, some parts of her brain are probably more over or under active than they should be. additionally she has bpd likely for similar reasons. BUT when i talk about her problem, im referring to something more physical, the chronic pain !

the pain in pralines pelvis is symbolic. no one knows what it is, endometriosis, uterine cancer, ovarian cysts, fibroids. perhaps the secret of her stomach furthers the analogy of what it really means, especially to her. without medical attention or knowledge, bronze age people often used mythos and stories to justify things that happened to them, like the dead going to the world beyond. to praline, the ever present pain serves as a reminder of her biggest sin in life: being born as a girl, to a mother who was also a girl. throughout her life it’s been the only thing she felt punished for, the only thing she found was hatable, the only thing she really hated.

her aversion from women and womanhood is no coincidence of her character, a “mean girl.” what praline will never know is that other women feel this way too, and that is why all women her age might want to kill each other one way or another. to her, girls are the most evil thing on the planet because it’s the only thing all the evil people in her life have in common, including her, perhaps the evilest. growing up she thought maybe her father was right to hate her and her mother, maybe all the hatred was justified, maybe being born a woman really was just being born wrong and that’s why she and the rest of her peers were always on the edge of the world, fighting and killing each other so they wouldn’t be the one to get pushed off the edge next. girls tortured praline and praline tortured girls, blood was shed, tears cried, cops called, arguments screamed of “why don’t you love me” and “what have i ever done to you.” at the end of the day all the girls went to bed and they all thought of the same things. dad, why do you hate me ? dad, what did you do to my mom ? mom, was it my fault ? dad, i wish you hugged me like you used to. mom, did you schedule my appointment at the doctor ? mom i think something is wrong with me. mom, why doesn’t dad ride my bike with me anymore ? mom, do you hate me ?