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Moving and Healthcare

Finding a reliable physician when moving can also be a daunting task.  We’ll dive into one of mens most fought cancer, prostate cancer.  How does moving and prostate cancer merge? It doesn’t, but wanted to post information on a deadly cancer that affects over 220k men each year.

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Over the past two decades, radiation therapy was the therapeutic option for “organ confined prostate cancer.” These techniques were supported by the emergence of template guidance; scientific advances in (TRUS) also called Transrectal ultrasound and modern dosimetry. In 2012 the American Brachytherapy decided to recommend Brachytherapy as the only therapy for a confined low risk prostate cancer patients and also for those who had intermediate risk disease. This treatment is efficient and harmless. However, there are a number of risks associated with it. These includes: introduction of dangerous toxins to the; urethra, neurovascular bundles, the bladder and the rectum. These dangers are mainly caused by the anatomic closeness to the prostrate and high dose intensity to the source of the radiation. Moreover, the sudden decline in the amount of radiation is likely to cause sub-optimal control outside the area that is supposed to undergo treatment. These facts led to the evolution of new less dangerous approach to a confined prostate organ cancer. One the suggested therapies which emerged to be the most valid one was High intensity focused ultrasound also called HIFU.

What is “Radiation Therapy For Prostate Cancer”?

This kind of therapy makes use of energy radiation to kill cells by disrupting the cell’s DNA, hence preventing more growth or division of the cancerous cells. There are 2 types of radiation therapy for Prostate Cancer treatment: brachytherapy and external beam radiation (EBRT).

In External Beam Radiation Treatment, a machine is used from outside the body to apply the radiation to the prostate. These radiations are concentrated into beams which are exerted on the prostate while at the same time trying not to damage the healthy cells around the prostate. This method is usually used to treat the early stages of prostate cancer.

On the other hand, in Brachytherapy radioactive seed are used. These seeds are used directly into or near the prostate gland. In this case radiations are applied temporarily by inserting radioactive wires inside the prostate for a short time. Alternatively, radioactive materials can be put inside the seeds or small devices which are then placed in the prostate permanently so that they slowly release the radiation overtime.

Side effects of Radiation Therapy

Short term

Some of the short term side effects associated with this kind of radiation treatment include:

  • Fatigue
  • Skin starts to change as if it has undergone sunburn
  • Hair loss in the treated area

Long term effects of both radiation treatment

  • Erectile dysfunction
  • Urinary issues such as urination frequency and difficulties in passing urine, blood appearing in the urine and inconsistent urinating.

What is HIFU?

This is a technique which uses heat to destroy the area of the prostate gland affected by cancer using a probe which gives out a beam of “high-intensity focused ultrasound”. With the modern technology, HIFU, which is used at UrologyWeb can be used to kill targeted tissue during a procedure that is customized depending on the patient’s need. When this energy is delivered to a particular focal point within the body, the temperature of the tissue within that point rises to nearly 195 degrees Fahrenheit within seconds resulting to the destruction of the tissue. During this time, the tissues outside the focal point remains the same.

Treatment customization

Due to the accuracy and flexibility of Sonablate HIFU, the patients can agree with their doctors to decide the best customized treatment plan to suit their particular case.

There are three types of HIFU treatments:

  1. Full Gland HIFU procedure

This kind of Sonablate HIFU procedure is the best for patients having “organ confined prostate cancer” not limited to a particular area of the prostate.

Outcome

  • 92 of the patients had a successful treatment
  • Over 99 percent of them were content with the procedure
  • 70% of the men retained their erectile function
  • Takes only a day to perform
  • No surgical procedures involved
  • There is no radiation involved
  • The procedure can be repeated when necessary and does not dismiss future treatment options
  1. Focal HIFU Therapy

This kind of therapy is often applied where the tumor is treated instead of the whole prostate gland. It is mostly used to reduce the chances of damaging the cells around the prostate which is likely to reduce the side effects. The Focal HIFU treatment is mostly recommended for men having low intermediate risk cancer with a single tumor inside the prostate or several tumors all on the same side of the gland.

Outcome:

  • 95% of the patients maintained their potency
  • 89% of the men achieved the trifecta status which can be defined as the pad free, leak free consistence erections enough for intercourse and cancer control after 12 months.
  • The procedure took a short time between 20-90 minutes
  • Return to normal life fast after treatment
  1. Salvage treatment with HIFU

This kind of treatment is performed on patients with histological confirmed local recurrent non-metastatic “organ confined prostate cancer” after having undergone any treatment of this kind of cancer such as radiation or cryotherapy.

Outcomes:

  • 71% of the men came out biochemical free rate
  • 93% of them remain contented

 

Making a decision between the two types of prostate cancer treatment can be very tricky. Both of them are effective and have been used overtime. However, if you are focused on a biochemical disease free rate of cancer or the chance that after the treatment is done that you will quickly return to normalcy including living a normal quality life: then I would recommend HIFU treatment. After observing their different pros and cons it can be conclusive that HIFU treatment is the dominant alternative Prostate Cancer treatment of the two. HIFU treatment can also be customized depending on the degree and level of your prostate cancer..

 

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Move without Going Bankrupt

Buying or renting a new home is expensive enough — between the security deposit or down payment, first and last month’s rent, and the cost of movers, it’s easy to wonder how anyone can afford it.

But everyone has to move at one time or another. So we asked for some budget-friendly moving tips from a few of the top financial experts at Manilla.com, the award-winning, free and secure service that lets you manage your bills and accounts in one place online and via mobile apps. Here’s what they said.

1. Lighten the load.

Get rid of stuff! Packing up and moving is so much easier when you have less stuff. The best part? You might be able to earn some extra cash in the process, said Linda Descano, women and money expert from Citibank’s Women & Co.

“Take your upcoming move as an opportunity to make a little extra spending money when you’re decluttering your home,” Descano said. “As you start packing up, think about the usefulness of each item, whether it’s a piece of clothing that’s been hiding in the back of your closet, or a kitchen gadget that’s been sitting in your garage since your wedding day.”

If it’s the latter, Descano said, it’s time to toss it. Put it in the “sell” pile and, before you move, sell it at a garage sale or on an auction site, such as eBay.

2. Ask a professional.

A professional mover can quickly point out to you easy ways to save money on your moving endeavor, says Sam Burgoon of financial website CreditSeason.com. “Ask a local mover for tips on how to pack items more efficiently to avoid damage and save time,” Sam said, adding that it’s important to consider using shrink-wrap or even disassembling items to save space and money.

3. Don’t break your existing lease.

If you’re currently renting and your lease hasn’t ended, avoid breaking it early, says Adrian Nazari, CEO of credit and loan website CreditSesame.com. “There are many financial consequences of breaking your lease,” he said, “from losing your deposit, to having to pay rent for the months remaining on the lease after you move out. If you can wait to move until your lease is up, it can save you a lot of money.”

4. Explore the tax benefits of your move.

If you’re moving more than 50 miles away, save your receipts for a tax deduction, Nazari said, adding that there are a few restrictions to keep in mind. For starters, your reason for moving must be related to your job, and accepting that job would have had to increase your commute by more than 50 miles if you had decided not to move. Another requirement, Nazari said, is that you must be employed full-time for at least 39 weeks during the 12 months after you move, and it must be true that your employer is not covering your moving expenses.

5. Don’t settle.

Shop around when you’re moving, because you’ll regret it if you don’t, said Brandhyze Stanley, editor of frugal-living website Frugal-Nomics.com. “Moving is not the time to make yourself settle on a place you don’t absolutely love,” Stanley said. “Yes, we have to be realistic with our expectations, but you don’t want to have to funnel tons of money into a place in an attempt to fix it up and make repairs to make it look like your ideal home.”

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7 Moving Tips

You’ve just signed the paperwork on a new home (congrats!). But soon the excitement of getting settled at your new place will wear off, and the panic of packing up boxes will set it. We’ve rounded up expert-approved tips to keep you sane and totally prepared during the move.

1. Manage packing smartly.
“For my recent move, I gave myself a daily box quota to prevent a draining weekend of non-stop packing,” says Amy Azzarito, design writer and author of Past & Present. Avoid boxing up your old place in one fell swoop, if you have the time. Remember, you’lll need some energy left to unpack, too.

2. Skip the cardboard boxes.
Target Home Style expert and blogger Emily Henderson used California-based company rentagreenbox.com for her most recent move. “A week before I moved, they dropped off sturdy boxes with attachable lids and came back to collect them once I unpacked,” she says. “No cardboard boxes, taping, or bubble wrap. Plus, its eco-friendly and can be cheaper than buying pricy moving boxes.” If you’re not in Los Angeles, companies with similar business models are popping up around the country and are just a Google search away.

3. Don’t pack your closet.
“If you use professional movers, ask them to bring several wardrobe boxes on the day of the move,” suggests Emily Schuman, author of the blog Cupcakes and Cashmere. “The movers take clothing right on the hangers and, woosh, your clothes will be in and out.” Bonus: You can skip a full day of ironing once you’re settled.

4. Switch your utilities.
This one may seem like a no-brainer, but Brendon DeSimone, author of Next Generation Real Estate, says the timing is key: “As soon as you have a closing date, call the utility companies and set up a service switch.” This is especially important if you’re moving into a home that is newly built or previously vacant: Arranging a maintenance call to reestablish service might be necessary.

5. Make saying goodbye easier.
Moving from a home with sentimental value (your kids’ growth-mark notches in the doorframe!) can be gut wrenching. To ease the pain, Azzarito suggests creating a Pinterest board with things you’re excited to do in the new home, like dream decorating or new things to do in that part of town. If you have young kids, personal organizing guru Barbara Reich suggests taking a video of each child talking about their favorite part of the house to preserve the memories.

6. Haul the basics before the moving truck comes.
If your new place is within driving distance of your current home, plan to take basic supplies over the day before, says Reich. “Unpacking the bathrooms in advance and having pajamas and clothes for the next two days set aside will bring some normalcy to the chaos of the boxes,” she says.

7. Visualize life in your new home.
“Confession: I’ve been known to hang pictures while the movers have been unrolling rugs,” says interior designer Nate Berkus. While Berkus attributes his hyper-organization to his Virgo star sign, we think he has a pretty good point: “The sooner you get unpacked and organized, the sooner it feels like home.” If you move at a slower pace than Nate, plan out spots for your favoriate pieces of art and décor in advance. You’ll feel more accomplished and settled if you do.

8. Meet your neighbors the fun way.
Sure, baked goods and a friendly hello will do the trick, but if you’re going to be painting the interior walls, Henderson has a fun party idea: “It’s called a graffiti party and guests are given paint samples or markers to scribble games and notes on the wall.” Don’t be shy about hosting a gig sans furniture; this relaxed party theme is built around pizza and folding chairs.

9. Discover the local resources.
Take a walk around your new neighborhood and be sure to introduce yourself to people you pass by. DeSimone says this is the best way to get a recommendation for a handy man, neighborhood favorite babysitter and get to know the lay of the land. If your life was an ABC Sunday night drama, these meet-and-greets would be peppered with salacious gossip on the community’s comings and goings (ha!).

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