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One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. surgical penis enargement truth about penis enlargement pills vimax penis elargement pills product compare penis enlargement pill penis enhancement before and after penis enlargment pic before and after do penis enhancement pills work

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The discomfort and embarrassment of a enlarge prostate affects 60% of men between the ages of 40 and 60. Up to 80% of those who are 80 years old. A enlargement of this gland puts pressure on your urethra. This results in problems when you urinate.(Increasing in a need to urinate more frequently and leaving you with a strange feeling that you haven't urinated or emptied your bladder at all.) Zinc is an essential for prostate health. Studies have shown that taking zinc supplements reduces the size of the prostate and relieves the symptoms.(Fed Pro 35:361, 1976). Take 60 mgs of zinc a day for 6 months. You can then reduce this to 15 to 30 mgs a day. Saw palmetto is another great source you can add to your diet. This is a herbal supplement with no side effects. 80 to 160 mgs a day would be an appropriate preventive dose. Saw palmetto has been used by the Native Americans for years. Watch out for these symptoms. * Frequent need to urinate.(Waking up several times a night to urinate.) * Feeling a urgent need to urinate(this can make you feel like you are going to have a accident if you don't get to the toilet in time. And you start doing this alot.) *A Difficulty in urinating(initial hesitation before urine starts to flow.) *Dribbling after urinating. *Blood in your urine. To keep your prostate from bugging you in the prevention of a unhealthy prostate, start having alot of interaction in love making and sex. You need to keep ejaculating and you need to ejaculate frequently. If you are having a problem ejaculating properly, there are products available over on my blog to get you started. Yes, lots of love making and sex. HINT: If one stops having orgasms, the fluid backs up and the glands become swollen. This is what is called prostate congestion(swollen glands and then pain.) It wouldn't hurt to stay active sexually. Do something about your prostate now before its too late. surgical penis enhancement penis elargement excercises male penis enhancement pnis enlargement video penis enlargement drug penis elargement pills review free penile enlargement technique vimax penis enlargement testimonials penis enlargment surgery

I yearn for a simpler time. Life in this modern age can be frustrating and scary, what with the global warming and the bad cholesterol and the high-definition reruns of 'The Nanny'. I long for a more peaceful existence, free from the complications of the twenty-first century lifestyle. I'm ready to re-adopt a few of our long-forgotten traditions, to recapture the halcyon days of yore. Yesteryore, even. I'm not screwing around here. First, I'd like to go back to using surnames to describe peoples' professions. So, if I meet a Shoemaker, I'll know he can help me patch the holes in my sneakers. If I run into a Baker, I can ask for a 'doughnut hole', without worrying how exactly he'll interpret the request. And if a Parker happens to be around -- well, maybe he can finally get my car into my garage spot. Plus, he might be turn out to be Spider-Man. That would be sweet. While we're at it, how about if we go back to riding horses to get around? Gas prices are high, pollution is terrible, and I for one am fed up with that creepy, big-eared 'zoom zoom' brat. Much better that we should saunter around the natural way, atop large domesticated hairy animals. We can ride twelve wide down the highway, trotting and cantering our way to the office. Sure, we'll all need stables -- and salt licks, and hay bales, and the level of poop in the streets would escalate, just a touch, unless you live in Paramus -- but it's a small price to pay to be rid of our mobile metal monsters. And just think of all the glue and Big Macs we'll be able to make with the 'leftovers'. It doesn't end there, though. I think we should settle all of our differences the old-fashioned way, too, with a nice pistol duel. If it was good enough for the founding fathers, then why not us? Put away the fancy Glocks and rifles -- those things won't help you much, anyway, once we convert back to horseback travel. Have you ever heard of a 'gallop-by shooting'? Me, neither. We'll nip an awful lot of violence in the bud, if the would-be perps were forced to use ancient flint-lock pieces to do their dirty deeds. Those things are more likely to blow off your fingers than to take out your enemy. I'd think twice before stepping off ten paces against the guy who dissed my baby's mama, that's for sure. I suppose the Internet is out, too -- if there's anything that screams 'modern technology', it's the internet. So we'll have to get our porn somewhere else, obviously. But also our communications -- email goes out the window, too. Maybe we can Pony Express parchments to each other, or learn to send 'leetspeak' instant messages via smoke signal. Of course, if the spammers get their grubby paws on that technology, they'll fill the skies with soot, selling their snake oil and combination butter churns/penis enlargers. And you thought pop-up ads were bad; at least nobody ever got black lung from one of those. Finally, let's start talking like the old-timers -- sorry, I mean, 'olde-timers'. All the fancy new lingo and technical jargon around today -- let's throw it all away, and replace it with words like 'forsooth' and ''verily'. Sure, nobody knows what the hell those things mean any more, but is that really any different than technoweenie talk like 'phishing' or 'emoticon'? If we're going to be unintelligible, at least we can sound Shakespearean. That's my attitude. Would any of these measures make our lives easier? Perhaps. Maybe we should ask the Amish, before we go to all the trouble. They certainly seem happy, raising barns and riding in buggies and not smoking or drinking or dancing or... wow. If we're really serious about going 'retro', I suppose we have to fall in line with all of that uber-observant religious mumbo-jumbo, too. I never thought about that. And there's no way I'm getting up before noon on Sundays, or giving up my three-margarita breakfasts. So, never mind. Maybe the modern life isn't quite so bad, after all. Verily. free penis enhancement video penis enlargment procedure natural penis elargement exercise penis enhancement pic penis enlargement surgery photo penile enlargment operation enlargement penis pill vimax natural penis enlargement exercise penis enlargment surgery

Clomid as an infertility drug is considered to be the cornerstone of all other medications that have followed the trend. While many years have passed since Clomid was first introduced into the market, it is still the same drug as it was before that most infertile couples come in contact with initially before everything assumed their places in the industry. Clomid, an infertility drug that appears in other names like CC, Clomiphene citrate, Serophene or simply Clomid is considerably inexpensive as compared with the brands that have invaded the market recently. Its main uses are focused on ovulation problems by means of oral consumption rather than via injection. While it was produced several years earlier than its predecessor, the workings of the drug still facilitate in a very complicated fashion but with desirable potency. It does not have effects on women whose ovaries have already reached the termination of their use. Nonetheless, Clomid is still a very potent drug when it comes to inducing satisfactory effects on all estrogen receptors. Thus, it has the capacity of creating reactions on all body tissues, which contain estrogen receptors. Tissues lying in organs like cervix, endometrium, pituitary, vagina and hypothalamus are some for which its known effects are working. Clomid is also useful in assessing the possibility of using the potential ovary reserve in a female. And it is also utilized for patients with defects on their luteal phase. Clomid, aside from its efficiency in working with estrogen, also has the property of influencing the functions of other four major and vital hormones in infertility namely GnRH, LH, FSH and estradiol. Although we still have no complete understanding of the exact manners by which Clomid conducts its processes, it still seem pretty obvious that its major effects in the brain is to fool it into believing that the estrogen level of the system is low. Thus bringing a domino effect of releasing more hormones to compensate for the lack of hormones for which infertility is said to have rooted. The effect of this normal reaction is to make the system a feasible environment for ovulation. The known side effects though of using Clomid in aid of fertility are the following: Multiple pregnancy Ovarian enlargement Pelvic and abdominal discomfort Bloating or distention Breast discomfort Nausea and vomiting Abnormal uterine bleeding Visual symptoms like appearances of waves, floaters, lights and etc. While there may be side effects like these, Clomid is still clear of having any association with increase of congenital abnormalities, complications in pregnancy, birth defects appearing in children and premature labor. best enlagement exercise penis do pennis enlargement pills really work penile enlargment excercises do penis enlagement pills work best penis enhancement surgery penis elargement before and after picture vimax penis enlargement before and after photo home penile enlargment penis enlargment surgery

Lesson Purpose: Your body is a precious gift that should be properly nourished, cleansed, and kept free from harmful substances. By preserving the sanctity of your body, you keep it as a holy temple for your spirit. The Lesson “And the LORD God formed man [of] the dust of the ground, and breathed into his nostrils the breath of life; and man became a living soul.” Bible, Genesis 2:7 “If any man defile the temple of God, him shall God destroy; for the temple of God is holy, which temple ye are.” Bible, 1Cor 3:17 “If anything is sacred the human body is sacred.” Walt Whitman, I Sing the Body Electric. “For the body at best Is a bundle of aches, Longing for rest; It cries when it wakes.” Edna St. Vincent Millay, Moriturus Robert Lewis Stevenson is an example of a person living with his body. I realize that not everyone has a healthy body and that they have to compromise to meet their life's objectives. Robert Lewis Stevenson died in the last decade of the nineteenth century at age forty-four. One of the greatest writers of all time, he said that there was never a day in his life that he was not ill and that he felt strong enough to get out of bed. But he said that if he didn't get up, nothing would be accomplished that day. So he got up and wrote the wonderful literature for young and old that will be enjoyed as long as man can pull a chair up to a lamp and read. We don't have to go back that far, do we? We have a young mother in our town who is horribly crippled and raising her children on her own. She is a beautiful creature with long black hair that drops down to her waste. I sometimes see her down by the town lake. Crutches in both hands and braces on her legs, she struggles to walk around the lake. I go up to her and ask her is she is okay. Can I take her back to her car? She gives me her beautiful smile and says, “I'm going to try and make it.” Her picture was in the paper the other day. Habitat for Humanity is building her a house. She is so happy and what did she say? “I'm going to work on that house too.” And she will. Why? Because she has too, to achieve what she wants to get out life. (Note: I worked on her home and three others while living in Arizona. She lives in it today with her two children, a boy and a girl.) Most of us have reasonably healthy bodies. We should be grateful to God for that. If people with terrible ailments press on in their lives despite the suffering, we should strive to use our bodies to help others. And that's what we do, isn't it? We go to work. We go shopping for groceries. We pack the kids in the car and take them off to school and sports activities. We are on the run all the time! And that is why we have to stop and think and ask ourselves, “Am I taking care of the body that God gave me? Do I give my body enough rest? Do I give my body enough exercise? Do I feed my body the right foods? Am I putting dangerous chemicals and drugs into my body? When did I last have the doctor give me a checkup?” We are what we eat, they say. And that's what we like to do most, isn't it? EAT! There are two problems here related to Quality and Quantity. You can eat all the carrots, lettuce, watermelon, and other such vegetables and fruits that you want without ill effects. Why? There are few calories, but lots of vitamins and minerals that you need. You can't eat all the meat, ice cream, cake, hamburgers, hot dogs, cheese, and such, without getting too much fat and too many calories. Moderation is the key, isn't it? Sure it is! If you eat lots of fruits and vegetables and much less meat, ice cream, cake, hamburgers, French fries, fried onion rings, etc., you will have more energy and vigor. Many folks are overweight which leads to heart decease, diabetes and other ailments. To lose weight, I have to write down my daily intake of food item by item on a sheet of paper so that I don't over do it. By doing that, I automatically say: “Hey! I’m eating too darn much.” When I first started doing this, I would count the calories and stopped when I reached my limit. I found this not necessary. Just jotting down the items slows me down. We need exercise too. They say that we old folks need at least three thirty-minute exercise periods every week and that hefting a few weights can keep our muscles strong. I walk around the track at our high school pumping five pound weights. Younger people get plenty of exercise, at least most of them, but they still need to watch what they eat. Tired about me talking about Korea? Well, this isn't one of my war stories. It's a fact that the doctors working in aid stations and field hospitals in Korea, many who had served in WW II, found that the arteries of the Korean GI’s were heavily laden with plaque. Much more than what the doctors saw in WW II. The reason was that those that went into W.W.II lived during the “kettle of beans” era of America called the Great Depression. The diet was not HIGH FAT. We ate a lot of vegetables. Our mother's canned fruits and tomatoes. I remember carrying jars of fruit and vegetables down our basement steps until my arms dropped off. Then came the hamburger era. When the war brought money into the land of the poor, we went on a richer diet. We loved ice cream and hamburgers and hot dogs and French fries. When I was in high school and, even later after the Korean War, at the university, a good lunch was hamburgers with fries. I paid for it. Years in industry, after I left teaching engineering at Iowa State University, required lots of travel and lots of meals away from home. I traveled to England, Germany, France, Italy, Belgium, Holland, Norway, Denmark, Sweden, Mexico, Japan, Korea, and on one trip, I flew around the world, crossing the Great Soviet Union after flying over Finland, and then dropping down into Japan. We ate and ate and ate! Wherever we went, we ate like hogs. After I retired and was editor of an industrial magazine, I flew to Mexico, Ecuador and Columbia. In Columbia, I was escorted by guards with machine guns. But I didn't eat fatty foods. The reason was that I had bypass surgery and no longer was allowed to eat artery-blocking goodies. My first surgery was in 1992. In the spring of 2005, one of the grafts was replaced and I was supplied with the aortic valve of a hog (which seems appropriate). So, what should we eat? The “Nutrition Action Healthletter,” published by the nonprofit Center for Science in the Public Interest, 1875 Connecticut Avenue, N.W., Washington, D.C. 20009 says that the following are good things to eat: oranges, whole-grain bread, cantaloupe, broccoli, sweet potatoes, watermelon, beans, salmon or other fatty fish, all-bran or 100% bran cereals, spinach, and kale. Salmon and other fatty fishes reduce the chance of a sudden-death heart attack. All-bran and 100% bran reduce the risk of cancer and heart disease. When you shop for groceries, read the labels. Quaker 100% Natural Oats & Honey Granola sure sounds healthy to me. Not so says the Center. Too much sugar and fat. Look for a low-fat variety from Mister Quaker if you want granola. Many plastic-bag items like chips are loaded with fat and salt. Breakfast sandwiches are packed with fat. Pizza is loaded with fat. Buy a low-fat brand or eat in moderation. Donuts and such are loaded with sugar and fat. Look for fat-free varieties. Noodles and such by themselves are not high in fat, but when you fry them they are. Canned soups can be loaded with salt. Read the labels. Breakfast eating out: Well, Denny's Slim Slam is much better for you than the Grand Slam. What about meat? My wife lives without it, and she doesn't feed me much. Some meat, or equivalent, is essential to good health, but purchase lean cuts and eat in moderation. Use it as a garnish more than the main part of the meal. I make spaghetti using chicken as the meat instead of meat balls. You can eat turkey burgers rather than hamburgers. What about pork? When I was a boy, I use to work at a hog farm owned by our church. Stink! Wow! The pigs were as big as cars. When I drove through Iowa in 1956, the pigs were still huge. When I went back to teach at Iowa State University in 1966, the pigs had shrunk. They got smaller still by the time I left in 1974. All this was accomplished through breeding and diet. The pigs were slimming down. Lean pork can have a lot less fat than some beef cuts. Read the labels at the supermarket. Everyday eat: cereal, fruit, vegetables, little or no meat, and fish once or twice a week. My wife doesn't cook fish and the trout I catch don't have much omega-3 fatty acid. I take the pills. Take a multipurpose vitamin and consider taking extra vitamin C, especially during the cold season. Physical Examinations Middle-aged men should have an annual physical. Men are subject to prostate problems. The problem is enlargement with the distinct possibility of cancer. (My friend died a few weeks ago after an eight-year fight with prostate cancer. A sad lose.) Women are subject to breast and ovarian cancer and need checkups before middle age. Any person having a family history of heart disease, diabetes, cancer, or other ailment, should notify their doctor of this fact. Remember to Exercise Walking is good. When you are young, you can be as vigorous in exercise as you want. (There may be exceptions.) When you are old, walking is the best exercise, or perhaps swimming. My wife swims three times a week. On her 70th birthday, she swam 70 laps at the Olympic pool. Golf is good if you walk the course pushing your bag by hand cart or carrying it. Driving around the course in a motorized cart is not quite as healthy, but you can still get a lot of exercise if you are a bad golfer and spend lots of time in the rough. England is good for golf. They usually don't have motorized carts and the rough is really rough. I do love playing golf in England with the brassy weather and the foxes scampering out of the brush and the kids running out on the course stealing your balls, and all such fun. Keep your body clean and lean if possible. If not, keep it fat and clean. But obesity is a major health risk for heart attack and cancer. Make sure you get enough sleep and resttoo, and make sure you take time out for recreation to alleviate the stresses of out times. For The Little Children Mr. Brown set on the front porch watching the cars go by. Freddy said, “I've never see Mr. Brown out of that chair.” Peter replied, “That's because Mr. Brown never gets out of that chair. He brings it out in the morning and sits there until after dark.” “Yes,” Freddy said, “He's in that chair even in the winter and late at night. The only difference is that he goes inside the house when it’s too cold outside.” Peter nodded his head. “Yes, all he needs is that chair and that radio blasting away.” One day, two of Mr. Brown's older sons came to the front of the house with an ax. Freddy said, “What are they up to now? I've never seen the Brown boys work. They just horse around all day.” Peter said, “I think they are going to cut down that tree.” Freddy replied, “What makes you think they can use an ax. They'll probably cut off a foot.” The Brown boys started swinging the ax at the tree. They chipped the tree here and there but they couldn't seem to get the hang of it. “I can't believe it!” said Peter. “You can't believe what?” asked Freddy. “Mr. Brown is getting out of that rocking chair!” “I’ll be!” said Peter. “Give me that ax!” said Mr. Brown. "You boys don't know how to swing an ax." He took the ax and started swinging like Paul Bunyan. He knew how to use an ax and the chips were flying. Freddy said, “Look how red his face is getting.” “More like blue,” said Peter. Then poor Mr. Brown fell to the ground. The Brown boys called their mother and she came running out of the house. She send one of the boys to use the Neighbor’s telephone to call an ambulance. But it was too late. Poor Mr. Brown was dead by the time the ambulance arrived. He had a massive heart attack. Mrs. Brown was crying. Peter and Freddy felt sad. They told the Brown boys they were sorry. Later, Freddy told his father what happened. His father said, “It's too bad. He wasn't in good enough health to cut down a tree. You have to keep fit to do that kind of work. You have to know your own limitations.” Freddy said, “I’ll try to remember that, Father. When I'm old, I will walk a lot like Grandfather does. I’ll try to keep healthy and strong.” His father smiled at him and said, “You are thinking good, Son.” Yes, this is a true story. The names were changed. Copyright©2001-2005 by Taylor Jones, John T. Jones, Ph.D.