simpledoel

Neurotihronms

2009-01-12T11:44:00.000-08:00

Neurotihronms are spindle cell tumours with a bland cytologic appearance, serpiginous nucleo-cytuplasntic contours and infiltrative poorly delimited boundaries with surrounding dermis or soil tissues. Neurofibromas AWAY occur as solitary lesions or as a part of generalized syndrome of neurofibromatosis (von Recklingharisen of skin) or very rarely as multiple neurofaromas without von Recklinghausen disease. Soft tissue lesions are much more likely to be associated with neurofibroma. Solitary neurofibroma is a localized neurofibroma that by definition. occur; in a patient who does out have neurofibromatosis-I Skin is the most frequent location for the neurolibromas. but lesion, of oral cavity are not uncommon. Herewith, we present a rare case report on solitary neurofibroma in a 19yr old male patient along with a review of availablc literature.

case report
A 19yr male patient came to the Department of Oral medicine, Meenakshi Ammal Dental college with a chief complaint of swelling in the upper front tooth region for the past 4 years. Swelling was painless and was present on the gingiva for the past 4 yes with no increase in size Air change in color. Apart from the oral cavity, no other similar swellings were found on the rest of the body. Family history was not relevant.

On local examination, a firm sessile swelling measuring 10mm * 4mm was present interdentally between 23 and 24. Labially it extended from the attached gingiva, involved the marginal gingiva passed interdentally to the palatal region of 23 and 24.23 and 24 were noticed to be separated by a distance of 5 mm due to the swelling, The color and the surface of the swelling were apparently normal and the swilling was not tender. The regional lymph nodes were not palpable. I.O.P.A showed a crestal bone loss between 23 and 24.

Differential Diagnosis of fibroma and fibro-epithelial polyp of the gingiva were made. Since it was a small solitary intra Oral lesion excisional biopsy was planned Under LA. the complete lesion along with 1mm of normal tissue was excised. The excised tissue was preserved in formalin and labeled and sent for histopathological examination.

Hematoloxylin and eosin stained biopsy sections showed bundles of nerves arranged in fascicles with thin wavy nuclei. Delicate intertwining collaeen fibrils avd fibroblasts were seen in the adjacent connective tissue few lymphocytes were scattered among the cells. Blood vessels were prominent Tumor was not encapsulated

Immunohistochemical staining for S-100 protein was positive, supporting an origin from the nerve sheath element.

With the above clinical. Histological and immunostainiug findings, the diagnosis of solitary neurolihroma of the gingiva was made.

discussion
Neurofibromas are benign, expansile swellings, contained within the epineurium. The exact etiology of solitary neurofibroma is unknown. It is thought to be originated front a mixture of cell types, including the schwann cells and the perineural fibroblass. These are most common in young adults(20-30yrs).

Oral neurofibromas usually present as submucosal, nontender uninflammed discrete masses that range from few millimeters to several centimeters. Tumors tend to grow slowly and patients are usually asyntptennatie. Common sites of the oral solitary netu'ofibromas include tongue (26%). buccal mucosa (8%).gingiva(2%) alveolar ridge (2%) labial mucosa(8%) palate (8%). nasopharynx, paranasalsinuses, Iarynx, floor of the mouth and salivary gland. Tumors may also arise within the bone. Neurolibromas on or adjacent to the cranial nerves, ailed the motor functions of the Facial and hypoglossal nerves, and sensory functions of Irigeminal nerve
Lesions affecting the gingivo-dento-alveolar complex can displace and cause the mobility of the erupted teeth. If they occur during primary or mixed dentition stages, They may lead to the displacement or impaction of erupting permanent teeth .The lesion is rarely painful until it is secondarily traunmatized The nodule is readily movable. if situated immediately beneath the mucosa hit it is less. when located on the deeper structures.

Radiographic features are seen mainly when it arises centrally within the bone. It may produce a well demarcated or poorly defined unilocular or multilocular radiolucency. It is also interesting to note that tf the lesion occurs in the mandible, the radiographic features such as enlargement of mandibular foramen. enlargement and branching of mandibular canal, increased bone density, concavity of the medial surface of ramus, and increased dimension ofcorunoid notch arc evident.

Clinically, the other diseases concerned of similar presentation arc granular cell tumor. fibroma, scar tissue. neurilemmoma, leiomyoma. and rhabdomyoma. A definitive diagnosis can only be rendered, after an incisional or an excisional biopsy followed by histopathological examination.

During the excision of the lesion, tissues from the marginal and attached gingiva were included in the biopsy specimen as inflammatory changes in the gingival margin tend to obscure any alterations that may he produced by systemic disturbances. Inclusion of attached gingiva in which the effect of local irritants is less likely to he present offers an opportunity to investigale tissue changes that may be produced by systemic disturbances.

Microscopically solitary neurofibroma often presents as a well circumscribed lesion especially. When proliferation occurs within the perincurium of the involved nerve. Tumors that proliferate outside the perineuium may not appear well demarcated and tend to blend with adjacent connective tissue,

Three histological forms of solitary neurofibroma can be diagnosed based on the content of cells, niticin and collagen. Common and characteristic form present. as interlacing bundles of elongated cells having wavy dark stained nuclei. Cells are intimately associated with wire like strands of collagen and small to moderate amounts of mucoid material separates the collagen. Stroma is dotted with occasional mast cells, lymphocytes and rarely xanthoma cells.

The second form shows a less frequent presentation. This type of neurofibroma is very cellular and consists of schwann cells set in a store unilunn collagen matrix devoid of mucosubstances. In such tenors, cells may be arranged in fascicles whorls or even a storiform pattern. In certain respects, these cellular ncurofibromas may resemble Antoni-A areas of nerilemmoma but unlike in neurilenunoma they are not encapsulated and lack of clear partition into two zones. Moreover small nearites call usually be demonstrated through out these tumours.

The third form is very rare and these tumours are Highly and easily confused with myxomas (usually occurs on extremeties).This hypocellular neoplastri. contain pools of acid mucopolysaccharides with widely spaced schwann cells. In contrast to myxoma. cells of neufibroma usually have greater degree of orientation. Vascularity is also morc prominent. With a careful searching, features of specific differentiation (eg. Wagner-Meissner bodies) may be found.

Immuno-histochemically the tumor cells show a scattered positive reaction for S-100 protein.

The lesion if large may infiltrate major/minor vessels causing weaking of vessels walls resulting in excessive haemorrhage during surgical excision. Therefore it is advisable to investigate with angiography prior to excision. Multiple lesions in the oral cavity can be managed using carbon dioxide laser which is an alternative mode of treatment and if present with in the skin, the cosmetic problem can be managed by dermabrasion

Treatment for solitary neurofibroma is local excision and recurrence is rare. Prognosis fur solitary neurofibroma is good when compared to the neurofibrometosis-I. since malignant transformation is common in neurofibromatosis and rare in solitary neurofibroma.

Malignant transformation of neurofibromas into neurogenic-sarcomas is seen in 5 to I5% of the patients with neurofibromatosis-I.Solitary neurofibroma may be seen as an initial presentation of neurofibromatosis-I in young patients with or without relevant family history (So. every individual presenting with asolitary ncurofibroma, below' 20yrs of age should be referred for genetic studies to rule out the possibility of neurofibronmatosis-1)

refference

1.	e Medicine. Oral Neurofibroma Article by Indrancel Bhattacharva, DDS. MSD.
2.	Solitary Neurolibronla of oral mucosa: A previously undecided variant of neurolibronia - Shimovama T. Kata T.I : J Oral Set 2002 March: 44 ( I ): -"-63.
3.	Oral manitestations of neurofibromatosis types I and: Oral Sure Oral Med Oral path - March 1992 vol 13 -376- 382.
4.	Neurofibronlatosis: Oral and radiographic manifestations-Oral surg Oral Mcd Oral path vof58.Oct 1994493-498.
5.	Franz M Enzinger: Sharon W. Weiss- Benign ulnors ofperiphcral nerves: 543 -844.
6.	Regezi Oral pathology "Clinical and pathological correlation:' -Connective lesions 226-227.
7.	Belseky-" tumors of Head and Neck"-fosters of peri plural Nervous system- 315-318.
8.	Gneep-Lesions of oral cavity-196-197; Nonsquamous pathology of larynx, hypopharynx and trachea.289-291.
9.	Shafer WG Maynard Hine, Barnet M. Levy: A 'textbook of Oral Pathology-Benign and Maligant tumours of the oral cavity,206-08.
10.	N'evilie Damn Allen Bouqurl Oral and Maxillofacial Pathology Soft tissue Tumors, 380-381.
11.	Oral and maxillofacial pathology second edition. Neville, Damns, Allen, Bouquet. 458-459.
12.	Oral and maxillofaeial surgery vol 2. Daniel M.Laskin. 599.
13.	Clinical Periodontologv Carranza. Newman. Eighth edition. 370- 371

The Cardiovascular System

2009-01-03T10:50:00.000-08:00

Your heart and circulatory system make up your cardiovascular system. Your heart works as a pump that pushes blood to the organs, tissues, and cells of your body. Blood delivers oxygen and nutrients to every cell and removes the carbon dioxide and waste products made by those cells. Blood is carried from your heart to the rest of your body through a complex network of arteries, arterioles, and capillaries. Blood is returned to your heart through venules and veins. If all the vessels of this network in your body were laid end-to-end, they would extend for about 60,000 miles (more than 96,500 kilometers), which is far enough to circle the earth more than twice!

The one-way circulatory system carries blood to all parts of your body. This process of blood flow within your body is called circulation. Arteries carry oxygen-rich blood away from your heart, and veins carry oxygen-poor blood back to your heart.

In pulmonary circulation, though, the roles are switched. It is the pulmonary artery that brings oxygen-poor blood into your lungs and the pulmonary vein that brings oxygen-rich blood back to your heart.

In the diagram, the vessels that carry oxygen-rich blood are colored red, and the vessels that carry oxygen-poor blood are colored blue.

Twenty major arteries make a path through your tissues, where they branch into smaller vessels called arterioles. Arterioles further branch into capillaries, the true deliverers of oxygen and nutrients to your cells. Most capillaries are thinner than a hair. In fact, many are so tiny, only one blood cell can move through them at a time. Once the capillaries deliver oxygen and nutrients and pick up carbon dioxide and other waste, they move the blood back through wider vessels called venules. Venules eventually join to form veins, which deliver the blood back to your heart to pick up oxygen.

Heart Anatomy

The heart weighs between 7 and 15 ounces (200 to 425 grams) and is a little larger than the size of your fist. By the end of a long life, a person's heart may have beat (expanded and contracted) more than 3.5 billion times. In fact, each day, the average heart beats 100,000 times, pumping about 2,000 gallons (7,571 liters) of blood.

Your heart is located between your lungs in the middle of your chest, behind and slightly to the left of your breastbone (sternum). A double-layered membrane called the pericardium surrounds your heart like a sac. The outer layer of the pericardium surrounds the roots of your heart's major blood vessels and is attached by ligaments to your spinal column, diaphragm, and other parts of your body. The inner layer of the pericardium is attached to the heart muscle. A coating of fluid separates the two layers of membrane, letting the heart move as it beats, yet still be attached to your body.

Your heart has 4 chambers. The upper chambers are called the left and right atria, and the lower chambers are called the left and right ventricles. A wall of muscle called the septum separates the left and right atria and the left and right ventricles. The left ventricle is the largest and strongest chamber in your heart. The left ventricle's chamber walls are only about a half-inch thick, but they have enough force to push blood through the aortic valve and into your body.

The Heart Valves

Four types of valves regulate blood flow through your heart:

The tricuspid valve regulates blood flow between the right atrium and right ventricle.
The pulmonary valve controls blood flow from the right ventricle into the pulmonary arteries, which carry blood to your lungs to pick up oxygen.
The mitral valve lets oxygen-rich blood from your lungs pass from the left atrium into the left ventricle.
The aortic valve opens the way for oxygen-rich blood to pass from the left ventricle into the aorta, your body's largest artery, where it is delivered to the rest of your body

The Conduction System
Electrical impulses from your heart muscle (the myocardium) cause your heart to contract. This electrical signal begins in the sinoatrial (SA) node, located at the top of the right atrium. The SA node is sometimes called the heart's "natural pacemaker." An electrical impulse from this natural pacemaker travels through the muscle fibers of the atria and ventricles, causing them to contract. Although the SA node sends electrical impulses at a certain rate, your heart rate may still change depending on physical demands, stress, or hormonal factors.

The Circulatory System
Your heart and circulatory system make up your cardiovascular system. Your heart works as a pump that pushes blood to the organs, tissues, and cells of your body. Blood delivers oxygen and nutrients to every cell and removes the carbon dioxide and waste products made by those cells. Blood is carried from your heart to the rest of your body through a complex network of arteries, arterioles, and capillaries. Blood is returned to your heart through venules and veins. If all the vessels of this network in your body were laid end-to-end, they would extend for about 60,000 miles (more than 96,500 kilometers), which is far enough to circle the earth more than twice!

Vasculature of the Torso
The one-way circulatory system carries blood to all parts of your body. This process of blood flow within your body is called circulation. Arteries carry oxygen-rich blood away from your heart, and veins carry oxygen-poor blood back to your heart.

In the diagram, the vessels that carry oxygen-rich blood are colored red, and the vessels that carry oxygen-poor blood are colored blue.

Vasculature of the Head

The one-way circulatory system carries blood to all parts of your body. This process of blood flow within your body is called circulation. Arteries carry oxygen-rich blood away from your heart, and veins carry oxygen-poor blood back to your heart.

In the diagrams, the vessels that carry oxygen-rich blood are colored red, and the vessels that carry oxygen-poor blood are colored blue.

Cardiovascular disease 101: Understanding heart and blood vessel conditions

2009-01-03T10:45:00.000-08:00

Understanding all the different types of cardiovascular disease can be confusing. Get a basic overview of cardiovascular disease and the conditions that can affect your heart and blood vessels.

Cardiovascular disease is a broad term used to describe a range of diseases that affect your heart or blood vessels. The various diseases that fall under the umbrella of cardiovascular disease include coronary artery disease, heart attack, heart failure, high blood pressure and stroke.

The term "cardiovascular disease" is often used interchangeably with heart disease because both terms refer to diseases of the heart or arteries. By whatever name you call it — cardiovascular disease or heart disease - it's clear that diseases of the heart and blood vessels are serious problems. Cardiovascular disease is the No. 1 worldwide killer of men and women, including in the United States. For example, cardiovascular disease is responsible for 40 percent of all the deaths in the United States, more than all forms of cancer combined.

Brushing up on some basic terminology about cardiovascular disease can help you stay more informed, which pays off whether you're watching the news or meeting with your doctor.

Causes of cardiovascular disease

While cardiovascular disease can refer to many different types of heart or blood vessel problems, it's used most often to describe damage caused to your heart or blood vessels by atherosclerosis. This is a disease that affects your arteries. Arteries are blood vessels that carry oxygen and nutrients from your heart to the rest of your body. Healthy arteries are flexible, strong and elastic.

Over time, however, too much pressure in your arteries can make the walls thick and stiff — sometimes restricting blood flow to your organs and tissues. This process is called arteriosclerosis, or hardening of the arteries, and atherosclerosis is the most common form of this disorder. So if atherosclerosis is the most common cause of cardiovascular disease, you may wonder what ultimately causes atherosclerosis. The culprits are the same risk factors you've heard mentioned in connection with heart disease and cardiovascular disease: An unhealthy diet (lots of saturated fats), lack of exercise, being overweight and smoking. All of these are major risk factors for developing atherosclerosis and, in turn, cardiovascular disease.

Some forms of cardiovascular disease aren't caused by atherosclerosis. Those forms include diseases such as congenital heart disease, heart valve diseases, heart infections or disease of the heart muscle called cardiomyopathy.

Types of cardiovascular disease

Your cardiovascular system consists of your heart and all blood vessels throughout your body. Diseases ranging from aneurysms to valve disease are types of cardiovascular disease. You may be born with some types of cardiovascular disease (congenital) or acquire others later on, usually from a lifetime of unhealthy habits, such as smoking, which can damage your arteries and cause atherosclerosis.

So, now that you know a little bit about cardiovascular disease and its causes, here are some specific terms used to describe the various forms of cardiovascular disease:

Coronary artery disease
This is a common form of cardiovascular disease. Coronary artery diseases are diseases of the arteries that supply the heart muscle with blood. Sometimes known as CAD, coronary artery disease is the leading cause of heart attacks. It generally means that blood flow through the coronary arteries has become obstructed, reducing blood flow to the heart muscle. The most common cause of such obstructions is a condition called atherosclerosis, a largely preventable type of vascular disease. Coronary artery disease and the resulting reduced blood flow to the heart muscle can lead to other heart problems, such as chest pain (angina) and heart attack (myocardial infarction).

Heart attack
A heart attack is an injury to the heart muscle caused by a loss of blood supply. The medical term for heart attack is "myocardial infarction," often abbreviated MI. A heart attack usually occurs when a blood clot blocks the flow of blood through a coronary artery — a blood vessel that feeds blood to a part of the heart muscle. Interrupted blood flow to your heart can damage or destroy a part of the heart muscle.

Cardiomyopathy
Cardiomyopathy means diseases of the heart muscle. Some types of cardiomyopathy are genetic, while others occur for reasons that are less well understood. Types of cardiomyopathy include ischemic, which is caused by loss of heart muscle from reduced coronary blood flow; dilated, which means the heart chambers are enlarged; hypertrophic, which means the heart muscle is thickened; and idiopathic, which means the cause is unknown. One of the most common types of cardiomyopathy is idiopathic dilated cardiomyopathy — an enlarged heart without a known cause.

Congenital heart disease
Congenital heart disease refers to a form of heart disease that develops before birth (congenital). Congenital heart disease is a broad term and includes a wide range of diseases and conditions. These diseases can affect the formation of the heart muscle or its chambers or valves. They include such conditions as narrowing of a section of the aorta (coarctation) or holes in the heart (atrial or ventricular septal defect). Some congenital heart defects may be apparent at birth, while others may not be detected until later in life.

Aneurysm
An aneurysm is a bulge or weakness in a blood vessel (artery or vein) wall. Aneurysms usually get bigger over time. Because of that, they have the potential to rupture and cause life-threatening bleeding. Aneurysms can occur in arteries in any location in your body. The most common sites include the abdominal aorta and the arteries at the base of the brain.

Valvular heart diseases
These are diseases of the heart valves. Four valves within your heart keep blood flowing in the right direction. Valves may be damaged by a variety of conditions leading to narrowing (stenosis), leaking (regurgitation or insufficiency) or improper closing (prolapse). You may be born with valvular disease, or the valves may be damaged by such conditions as rheumatic fever, infections (infectious endocarditis), connective tissue disorders, and certain medications or radiation treatments for cancer.

Pericardial diseases
These are diseases of the sac that encases the heart (pericardium). Pericardial disorders include inflammation (pericarditis), fluid accumulation (pericardial effusion) and stiffness (constrictive pericarditis). These can occur alone or together. The causes of pericardial disease vary, as do the problems they may lead to. For instance, pericarditis can occur after a heart attack and, as a result, lead to pericardial effusion or chest pain.

Heart failure
Heart failure, often called congestive heart failure, is a condition in which the heart can't pump enough blood to meet the needs of your body's organs and tissues. It doesn't mean your heart has failed and can't pump blood at all. With this less effective pumping, vital organs don't get enough blood, causing such signs and symptoms as shortness of breath, fluid retention and fatigue. "Congestive" heart failure is technically reserved for situations in which heart failure has led to fluid buildup in the body. Not all heart failure is congestive, but the terms are often used interchangeably. Heart failure may develop suddenly or over many years. It may occur as a result of other cardiovascular conditions that have damaged or weakened the heart, such as coronary artery disease or cardiomyopathy.

High blood pressure
High blood pressure (hypertension) is the excessive force of blood pumping through your blood vessels. It's perhaps the most common form of cardiovascular disease in the Western world, affecting about one in four Americans. Although potentially life-threatening, it's one of the most preventable and treatable types of cardiovascular disease. High blood pressure also causes many other types of cardiovascular disease, such as stroke and heart failure.

Stroke
A stroke occurs when blood flow to the brain is interrupted (ischemic stroke) or when a blood vessel in the brain ruptures (hemorrhagic stroke). Both can cause the death of brain cells in the affected areas. Stroke is also considered a neurological disorder because of the many complications it causes. Other forms of cardiovascular disease, such as high blood pressure, increase your risk of stroke.

Peripheral arterial disease and claudication
You may be more familiar with the term "claudication" — which usually refers to pain in your legs during exercise — than you are the term "peripheral arterial disease." Strictly speaking, claudication is a symptom of peripheral arterial disease. However, claudication is often referred to as a disease itself. Peripheral arterial disease is a disorder in which the arteries supplying blood to your limbs — usually your legs — become narrowed or blocked. When this happens, your legs receive less blood than they need to keep up with demand. Claudication may then develop. When the obstruction is mild, you may have such symptoms as pain in your legs only during strenuous exercise. As the disease progresses and arteries become more obstructed, you may have pain or cramping in your legs even at rest.

Arrhythmias
Heart rhythm problems (arrhythmias) occur when the electrical impulses in your heart that coordinate your heartbeats don't function properly, causing your heart to beat too fast, too slow or irregularly. Other forms of cardiovascular disease can cause arrhythmias.

Staying informed about cardiovascular disease

You may be surprised how many different diseases fall under the umbrella of cardiovascular disease. The thing to remember is most forms of cardiovascular disease are often related to preventable risk factors. For example, an unhealthy diet, smoking and lack of exercise can all lead to atherosclerosis, which in turn can cause one or more types of cardiovascular disease. Learning how cardiovascular disease is described and what the various terms mean can help you become more informed as you take charge of your health.

I'm Yours

2009-01-01T13:20:00.000-08:00

Well you done done me and you bet I felt it
I tried to be chill but you're so hot that I melted
I fell right through the cracks, now I'm trying to get back

Before the cool done run out, I'll be giving it my bestest
And nothing's going to stop me but divine intervention
I reckon it's again my turn to win some or learn some

But I won't hesitate no more, no more
It cannot wait, I'm yours

Well open up your mind and see like me
Open up your plans and damn you're free
Look into your heart and you'll find love love love love

Listen to the music of the moment people, dance and sing
We're just one big family
And it's our God-forsaken right to be loved loved loved loved loved

So I won't hesitate no more, no more
It cannot wait, I'm sure
There's no need to complicate, our time is short
This is our fate, I'm yours

D-d-do do you, but do you, d-d-do
But do you want to come on
Scooch on over closer dear
And I will nibble your ear

I've been spending way too long checking my tongue in the mirror
And bending over backwards just to try to see it clearer
But my breath fogged up the glass
And so I drew a new face and I laughed

I guess what I be saying is there ain't no better reason
To rid yourself of vanities and just go with the seasons
It's what we aim to do, our name is our virtue

But I won't hesitate no more, no more
It cannot wait, I'm yours

Come on and open up your mind and see like me
(I won't hesitate)
Open up your plans and damn you're free
(No more, no more)
Look into your heart and you'll find that the sky is yours
(It cannot wait, I'm sure)

So please don't, there's no need
(There's no need to complicate)
There's no need to complicate
(Our time is short)
'Cause our time is short
(This is our fate)
This is, this is, this is our fate
I'm yours

Oh, I'm yours
Oh, I'm yours
Oh, whoa, baby you believe I'm yours
You best believe, best believe I'm yours

Video Killed The Radio Stars

2009-01-01T13:18:00.000-08:00

I heard you on my wireless back in '52
Lying awake intent on tuning in on you
If I was young it didn't stop you coming through
Oh oh
They took the credit for your second symphony
Rewritten by machine on new technology
And now I understand the supernova scene
Oh oh
I met the children
Oh oh
What did you tell them

Video killed the radio star (x2)
In my mind and in my car
We can't rewind we've gone too far

And now we meet in an abandoned studio
You hear the playback and it seems so long ago
And you remember the jingles used to go
Oh oh
You were the first on
Oh oh
You were the last one

Video killed the radio star (x2)
In my mind and in my car
We can't rewind we've gone too far
Too far!
Alright

Video killed the radio star (x2)
It's my mind and in my car
We can't rewind we've gone too far
Pictures came and broke your heart
So put all the blame on vcr

You are radio star (x2)
Video killed the radio star (x7)
Yes video killed that radio star, yes it did

The Kids Aren't Allright

2009-01-01T13:15:00.000-08:00

When we were young, the future was so bright, whoa
The old neighborhood was so alive, whoa
And every kid on the whole damn street, whoa
Was gonna make it big and not be beat

Now, the neighborhoods cracked and torn, whoa
The kids are grown up, but their lives are worn, whoa
How can one little street
Swallow so many lives

Chances thrown, nothings free
Longing for what used to be
Still, it's hard, hard to see
Fragile lives, shattered dreams

Jamie had a chance, well, she really did, whoa
Instead, she dropped out and had a couple of kids, whoa
Mark still lives at home cause he's got no job, whoa
He just plays guitar and smokes a lotta pot

Jay committed suicide, whoa
Brandon odd did and died, whoa
What the hell is going on
The cruelest dream, reality

Chances thrown, nothings free
Longing for what used to be
Still, it's hard, hard to see
Fragile lives, shattered dreams

Go!

Chances thrown, nothings free
Longing for what used to be
Still, it's hard, hard to see
Fragile lives, shattered dreams

american idiot

2009-01-01T13:13:00.000-08:00

Don't wanna be an American idiot.
Don't want a nation that doesn't know media.
And can you hear the sound of hysteria?
The subliminal mind fuck America.

Welcome to a new kind of tension.
All across the alien nation.
Everything isn't meant to be okay.
Television dreams of tomorrow.
We're not the ones who're meant to follow.
For that's enough to argue.

Well maybe I'm the faggot America.
I'm not a part of a redneck agenda.
Now everybody do the propaganda.
And sing along in the age of paranoia.

Welcome to a new kind of tension.
All across the alien nation.
Everything isn't meant to be okay.
Television dreams of tomorrow.
We're not the ones who're meant to follow.
Okay, if that's enough to argue.

Don't wanna be an American idiot.
One nation controlled by the media.
Information nation of hysteria.
It's calling out to idiot America.

Welcome to a new kind of tension.
All across the alien nation.
Everything isn't meant to be okay.
Television dreams of tomorrow.
We're not the ones who're meant to follow.
For that's enough to argue.

basket case

2009-01-01T13:11:00.000-08:00

Do you have the time,
To listen to me whine.
About nothing and everything,
All at once.
I am one of those,
Melodramatic fools.
Neurotic to the bone,
No doubt about it.

Sometimes I give myself the creeps,
Sometimes my mind plays tricks on me.
It all keeps adding up,
I think I'm cracking up.
Am I just paranoid?
Or am I just stoned.

I went to a shrink,
To analyze my dreams.
She says it's lack of sex,
That's bringing me down.
I went to a whore,
He said my life's a bore.
So quit my whining cause,
It's bringing her down.

Sometimes I give myself the creeps,
Sometimes my mind plays tricks on me.
It all keeps adding up,
I think I'm cracking up.
Am I just paranoid?
Uh, uh, uh, ya.

Grasping to control,
So I better hold on.

Sometimes I give myself the creeps,
Sometimes my mind plays tricks on me.
It all keeps adding up,
I think I'm cracking up.
Am I just paranoid?
Or am I just stoned.

Jesus of Suburbia

2009-01-01T13:06:00.000-08:00

Part I: Jesus Of Suburbia
I'm the son of rage and love
The Jesus of Suburbia
The bible of none of the above
On a steady diet of
Soda Pop and Ritalin
No one ever died from my
Sins in hell
As far as I can tell
At least the ones that I got away with

And there's nothing wrong with me
This is how I'm supposed to be
In a land of make believe
That don't believe in me

Get my television fix
Sitting on my crucifix
The living room or my private womb
While the Moms and Brads are away
To fall in love and fall in debt
To alcohol and cigarettes
And Mary Jane
To keep me insane
Doing someone else's cocaine

And there's nothing wrong with me
This is how I'm supposed to be
In a land of make believe
That don't believe in me

Part II: City of the Damned
At the center of the earth
In the parking lot
Of the 7-11 were I was taught
The motto was just a lie

It says home is were your heart is
But what a shame
Cause everyone's heart
Doesn't beat the same
It's beating out of time

City of the dead
At the end of another lost highway
Signs misleading to nowhere
City of the damned
Lost children with dirty faces today
No one really seems to care

I read the graffiti
In the bathroom stall
Like the holy scriptures of a shopping mall
And so it seemed to confess

It didn't say much
But it only confirmed that
The center of the earth
Is the end of the world
And I could really care less

City of the dead
At the end of another lost highway
Signs misleading to nowhere
City of the damned
Lost children with dirty faces today
No one really seems to care

Part III: I don't care
I don't care if you don't
I don't care if you don't
I don't care if you don't care (4x)

I don't careeeeeee.....

Everyone is so full of shit
Born and raised by hypocrites
Hearts recycled but never saved
From the cradle to the grave
We are the kings of war and peace
From Anaheim to the Middle East
We are the stories and disciples of
The Jesus of suburbia

Land of make believe
That don't believe in me
Land of make believe
And I don't believe
And I don't care! (5x)

Part IV: Dearly beloved
Dearly beloved are you listening?
I can't remember a word that you were saying
Are we demented or am I disturbed?
The space that's in between insane and insecure

Oh therapy, can you please fill the void?
Am I retarded or am I just overjoyed
Nobody's perfect and I stand accused
For lack of a better word, and that's my best excuse

Part V: Tales of another broken home
To live, and not to breathe
Is to die, in tragedy
To run, to run away
To find, what you believe

And I leave behind
This hurricane of fucking lies
I lost my faith to this
This town that don't exist
So I run ,I run away
To the light of masochists

And I, leave behind
This hurricane of fucking lies
And I, walked this line
A million and one fucking times
But not this time

I don't feel any shame
I wont apologize
When there ain't nowhere you can go
Running away from pain
When you've been victimized
Tales from another broken home

You're leaving...
You're leaving...
You're leaving...
Ah, you're leaving home...

give me novacaine

2009-01-01T13:01:00.000-08:00

Take away the sensation inside
Bitter sweet migraine in my head
Its like a throbbing tooth ache of the mind
I can't take this feeling anymore

Drain the pressure from the swelling,
This sensations overwhelming,
Give me a long kiss goodnight
And everything will be alright
Tell me that I won't feel a thing
So give me Novacaine

Out of body and out of mind
Kiss the demons out of my dreams
I get the funny feeling, that’s alright
Jimmy says it's better than here,
I’ll tell you what

Drain the pressure from the swelling,
This sensations overwhelming,
Give me a long kiss goodnight
And everything will be alright
Tell me that I won't feel a thing,
So give me Novacaine

Oh Novacaine

Drain the pressure from the swelling,
This sensations overwhelming
Give me a long kiss goodnight
And everything will be alright
Tell me Jimmy I won't feel a thing,
So give me Novacaine

homecoming

2009-01-01T12:56:00.000-08:00

My heart is beating from me
I am standing all alone
Please call me only if you are coming home
Waste another year flies by
Waste a night or two
You taught me how to live
In the streets of shame
Where you've lost your dreams in the rain
There's no signs of hope
The stems and seeds of the last of the dope
There's a glow of light
The St. Jimmy is the spark in the night
Bearing gifts and trust
The fixture in the city of lust
What the hell's your name?
What's your pleasure and what's your pain?
Do you dream to much?
Do you think what you need is a crutch?
In the crowd of pain. St. Jimmy comes without any shame
He says “we're fucked up”
But we're not the same
And mom and dad are the ones you can blame

Jimmy died today

He blew his brains out into the bay
In the state of mind it's my own private suicide

[Part 2: East 12th St.]

Well nobody cares
Well nobody cares
Does anyone care if nobody cares?
[x2]

Jesus filling out paperwork now
At the facility on east 12th st.
He's not listening to a word now
He's in his own world
And he's daydreaming

He'd rather be doing something else now,
Like cigarettes and coffee with the underbelly,
His life's on the line with anxiety now,
And she had enough,
And he had plenty

Somebody get me out of here
Anybody get me out of here
Somebody get me out of here
Get me the fuck right out of here

So far away
I don't want to stay
Get me out of here right now
I just wanna be free
Is there a possibility?
Get me out of here right now
This life like dream ain't for me

[Part 3: Nobody likes you!]

I fell asleep while watching spike TV
After 10 cups of coffee
And you're still not here
Dreaming of a song
But something went wrong
But I can't tell anyone
'Cause no one's here
Left me here alone
And I should have stayed home
After 10 cups of coffee I'm thinking
(where'd you go?)
Nobody likes you, everyone left you
(where'd you go?)
They're all out without you havin' fun
(where'd you go?)
Everyone left you, nobody likes you
(where'd you go?)
They're all out without you havin' fun
(where'd you go..go..go..go..)

Geeze...Ha..

[Part 4: Rock and roll girlfriend]
[written and sung by Tre Cool]

I got a rock and roll band
I got a rock and roll life
I got a rock and roll girlfriend
And another ex-wife
I got a rock and roll house
I got a rock and roll car
I play the shit out the drums
And I can play the guitar
I got a kid in New York
I got a kid in the bay
I haven't drank or smoked nothin'
In over 22 days
So get off my case
Off of my case
Off of my case!

[Part 5: We're coming home again]

Here they come marching down the street
Like a desperation murmur of a heart beat
Coming back from the edge of town
Underneath their feet
The time has come and it going nowhere
Nobody ever said that life was fair now
Go-carts and guns are treasures they will bear
In the summer heat
The world is spinning
Around and around
Out of control again
From the 7-11 to the fear of breaking down
To send my love a letterbomb
And visit me in hell
We're the ones going

Home
We're coming home again
Home
We're coming home again

I started fuckin' running
As soon as my feet touched the ground
We're back in the Barrio
But to you and me, that's jingle town

Home
We're coming home again
Home
We're coming home again
Home
We're coming home again
Home
We're coming home again
Home
We're coming home again
Home
We're coming home again
Home
We're coming home again
Home
We're coming home again
Home
We're coming home again

Nobody likes you
Everyone left you
They're all out without you havin' fun

st. Jimmy

2009-01-01T12:54:00.000-08:00

St. Jimmy's comin' down across the alleyway
Up on the boulevard like a zip gun on parade
Light of a silhouette
He's insubordinate
Coming at you on the count of 1,2,1,2,3,4!

My name is Jimmy and you better not wear it out
Suicide commando that your momma talked about
King of the forty thieves
And I'm here to represent
The needle in the vein of the establishment

I'm the patron saint of the denial
With an angel face and a taste for suicidal

Cigarettes and ramen and a little bag of dope
I am the son of a bitch and Edgar Allen Poe
Raised in the city under a halo of lights
The product of war and fear that we've been victimized

I'm the patron saint of the denial
With an angel face and a taste for suicidal

ARE YOU TALKING TO ME?

I'll give you something to cry about.

ST. JIMMY!

My name is St. Jimmy I'm a son of a gun
I'm the one that's from the way outside
I'm a teenage assassin executing some fun
In the cult of the life of crime.

I really hate to say it but I told you so
So shut your mouth before I shoot you down ol' boy
Welcome to the club and give me some blood
And the resident leader at the lost and found

It's comedy and tragedy
It's St. Jimmy
And that's my nameeeeeee... and don't wear it out!

are we the waiting

2009-01-01T12:51:00.000-08:00

Starry nights city lights coming down over me
Skyscrapers and stargazers in my head
Are we we are, are we we are the waiting unknown
This dirty town was burning down in my dreams
Lost and found city bound in my dreams

And screaming
Are we we are, are we we are the waiting
And screaming
Are we we are, are we we are the waiting

Forget me nots and second thoughts live in isolation
Heads or tails and fairytales in my mind
Are we we are, are we we are the waiting unknown
The rage and love, the story of my life
The Jesus of suburbia is a lie

And screaming
Are we we are, are we we are the waiting
And screaming
Are we we are, are we we are the waiting unknown
Are we we are, are we we are the waiting
And screaming
Are we we are, are we we are the waiting unknown
Are we we are, are we we are the waiting unknown

B.Y.O.B

2009-01-01T12:49:00.000-08:00

You!

Why do they always send the poor!

Barbarisms by Barbaras
With pointed heels
Victorious victories kneel
For brand new spankin' deals

Marching forward hypocritic and
Hypnotic computers
You depend on our protection
Yet you feed us lies from the tablecloth

La la la la la la ooooooo
Everybody's going to the party have a real good time
Dancing in the desert blowing up the sunshine

Kneeling roses disappearing into
Moses' dry mouth
Breaking into Fort Knox stealing
Our intentions

Hangers sitting dripped in oil
Crying freedom
Handed to obsoletion
Still you feed us lies from the tablecloth

La la la la la la oooooooo
Everybody's going to the party have a real good time
Dancing in the desert blowing up the sunshine

Everybody's going to the party have a real good time
Dancing in the desert blowing up the sunshine

Blast off
It's party time
And we don't live in a fascist nation

Blast off
It's party time
And where the fuck are you?

Where the fuck are you?
Where the fuck are you?

Why don't presidents fight the war?
Why do they always send the poor?

Why don't presidents fight the war?
Why do they always send the poor?
Why do they always send the poor?
Why do they always send the poor?
Why do they always send the poor?

Kneeling roses disappearing into
Moses' dry mouth
Breaking into Fort Knox stealing
Our intentions

Hangers sitting dripped in oil
Crying freedom
Handed to obsoletion,
Still you feed us lies from the tablecloth

Everybody's going to the party have a real good time
Dancing in the desert blowing up the sunshine

Everybody's going to the party have a real good time
Dancing in the desert blowing up the sun...

Where the fuck are you?
Where the fuck are you?

Why don't presidents fight the war?
Why do they always send the poor?

Why don't presidents fight the war?
Why do they always send the poor?
Why do they always send the poor?
Why do they always send the poor?

Why do they always send the poor?
Why do they always send the poor?
Why do they always send the poor?
They always send the poor
They always send the poor

chop suey

2009-01-01T12:47:00.000-08:00

Wake up (Wake up)
Grab a brush and put a little makeup
Hide the scars to fade away the shake up
(Hide the scars to fade away the shake )
Why'd you leave the keys up on the table?
Here you go create another fable

(You wanted to)
Grab a brush and put on a little makeup
(You wanted to)
Hide the scars to fade away the shake up
(You wanted to)
Why'd you leave the keys up on the table?
(You wanted to)

I don't think you trust, in, my,
Self-righteous suicide,
I, cry, when angels deserve to die!

Wake up (wake up)
Grab a brush and put a little makeup
Hide the scars to fade away the shake up
Why'd you leave the keys up on the table?
Here you go create another fable

(You wanted to)
Grab a brush and put on a little makeup
(You wanted to)
Hide the scars to fade away the shake up
(You wanted to)
Why'd you leave the keys up on the table?
(You wanted to)

I don't think you trust, in, my
Self-righteous suicide,
I cry, when angels deserve to die
In my self-righteous suicide,
I cry, when angels deserve to die

Father (father)
Father (father)
Father (father)
Father (father)
Father Into your hands I commit my spirit
Father Into your hands, why have you forsaken me?
In your eyes, forsaken me
In your thoughts, forsaken me
In your heart, forsaken me

Oh, trust in my, self-righteous suicide
I cry when angels deserve to die
In my self-righteous suicide
I cry when angels deserve to die

empty walls

2009-01-01T12:43:00.000-08:00

Your empty walls...
Your empty walls...
Pretentious attention
Dismissive apprehension
Don't waste your time, on coffins today
When we decline, from the confines of our mind
Don't waste your time, on coffins today

Don't you see their bodies burning?
Desolate and full of yearning
Dying of anticipation
Choking from intoxication

Don't you see their bodies burning?
Desolate and full of yearning
Dying of anticipation
Choking from intoxication

I want you
To be
Left behind those empty walls
Told you
To see
From behind those empty walls

Those empty walls
When we decline, from the confines of our mind
Don't waste your time, on coffins today

Don't you see their bodies burning?
Desolate and full of yearning
Dying of anticipation
Choking from intoxication

Don't you see their bodies burning?
Desolate and full of yearning
Dying of anticipation
Choking from intoxication

I want you
To be
Left behind those empty walls
Told you
To see
From behind those empty walls
Want you to be
Left behind those empty walls
Told you
To see
From behind those empty walls

From behind those empty walls
From behind those empty walls
The walls
From behind those empty walls

I loved you
Yesterday, before
You killed my family

Don't you see their bodies burning?
Desolate and full of yearning
Dying of anticipation
Choking from intoxication

Don't you see their bodies burning?
Desolate and full of yearning
Dying of anticipation
Choking from intoxication

I want you
To be
Left behind those empty walls
Told you
To see
From behind those empty walls
Want you to be, left behind those empty walls
Told you
To see
From behind those empty walls
From behind those empty walls
From behind those empty walls
From behind those empty walls
Those walls...
Those walls...