"Catch On" - Volume II Issue 9

EmoshuNewsletter - Monday, April 16, 2007
emoshuns.com provides emotional healthcare services in Manhattan, Brooklyn,and Long Island, as well as by telephone and e-mail nationwide. See our web
site or call us for more information.

Hi Everyone!

I hope this edition of our EmoshuNewsletter finds you well!

Occasionally, counseling issues I address with my clients parallel issues I'm experiencing in my own life. When this happens I make every effort to
examine and address the situation so I can continue my personal growth and continue to provide the best for those in my care.

Some of the tools I use to examine (and hopefully "fix") these things include speaking with my own emotional healthcare counselor, discussing it with my healthy friends, kicking it around with Olga, and sharing it with you in the EmoshuNews Letter so you can offer your thoughts through the emoshuns.com contact page.

So here's the situation....

Several of my client's and I are struggling to "slow down". We find ourselves moving a thousand miles an hour in an effort to "catch up". We work long hours, fill our plates with things to do, "multi-task", and look to always add "more".

And when we're asked why we're moving so fast, we answer:

"I wasted so much time already"
"I only have so much time left to become successful"
"I want to be able to retire with x amount of money in my 401k"

And so on, and so on.......

And in this fear-based process we find ourselves having to sacrifice things we "would love to do", in order to accomplish things "we have to do". We find ourselves struggling with stress, depression, and anger, instead of experiencing the joys of life. We end up destroying our relationships with our loved ones and our friends instead of experiencing the ecstasy of love. We find ourselves bewildered, lost and alone, instead of sharing our lives with others.

And ultimately we find ourselves sad and miserable instead of happy, contented, and in peace.

So in this edition of the newsletter I offer what was offered to me by several of those in my inner circle:

From my friend Dr. Steve..."there is a law of diminishing returns Frank. If you try and accomplish too much, you'll end up accomplishing nothing".

From my friend Rob the Jeweler..."slow down and enjoy the ride. You're only here once"

And, what I think was the best advice of all, came from my girl Olga...

"Don't try to catch up, try and catch on"

And so if you find yourself in this situation, speak with your inner circle. Speak with your emotional healthcare counselor, kick it around with you loved ones, and think about the advice I got from my team.

And if you have been in this situation before but have found a way to address it, share it with us through the contact page.

Until next time....stay well and enjoy the ride!

Frank

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Date: Mon, 16 Apr 2007 11:44:00 +0000

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Vitamin E, selenium fail to reduce prostate cancer risk

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Staging and Grading of Prostate Cancer

by: Fritz Frei

Staging and Grading

Once the diagnosis of prostate cancer has been made the disease has to be staged and graded. The stage refers to the extent and spread of the disease while the grade refers to the nature (aggressiveness) of the particular tumor. Staging will determine the extent of disease and provide important prognostic information that will influence the management decisions.

Staging investigations - PSA - X-rays of lumbar spine and pelvis - Chest X-ray - Radionuclitide bone scan - MTI scan of pelvis

TNM Staging system

T stage (extent of primary lesion)

- T1 - tumor confined to prostate, not palpable or visible on TRUS - T2 - tumor palpable or visible on TRUS but confined to prostate - T3 - spread beyond the prostatic capsule - T3a - extracapsular spread only - T3b - involvement of the seminal vesicles - T4 - invasion into rectal wall, bladder neck or pelvic wall N (Nodal) status - N0 - regional nodes not involved - N1 - regional nodes involved by tumor M (Distant Metastases) - M0 - no distant metastases - M1 - distant metastases present

Grading

Grading refers to what the cancer looks like under a microscope. The most commonly used system is the Gleason grade and score. The glandular pattern is compared to that of a normal prostate and scored out of 5, where 1 resembles a pattern very close to normal and 5 resembles severely distorted glandular architecture. The two predominant glandular patterns within the cancer are graded out of 5 and the combined score calculated out of 10. The higher the Gleason score, the more aggressive is the tumor and the worse is the prognosis. Patients with cancers confined to the prostate (T1 and T2) and no involvement of the lymph nodes or other organs (N0 and M0) are potentially curable by surgery or radiotherapy. Patients with disease beyond the prostate are not curable.

With our next information – we will inform you about the “Risk factors for enlarged prostate” – so you should have a look on this site in the next 2 weeks! If you have any question sends us your e-mail.

Date: Wed, 29 Apr 2009 07:36:00 +0000

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