“After a cancer diagnosis, staging provides important information about the extent of cancer in the body and anticipated response to treatment.”

American Cancer Society

“In addition to understanding the condition of your overall health and any symptoms you may have, your treatment team will likely use one of the following tests to diagnose stomach CA; endoscopy and a barium x-ray.”

Memorial Sloan Kettering Hospital

Part III Part Treatment to Stomach Cancer:

Many treatments can fight stomach cancer. The one you and your doctor choose will depend on how long you’ve had the disease or how much it has spread in your body, called the stage of your cancer.

Surgery. Your doctor might remove part of your stomach or other tissues nearby that have cancer cells. Surgery gets rid of the tumor and stops cancer from spreading to other parts of your body. If your disease is in a more advanced stage, your doctor might need to remove all of your stomach=Gastrectomy or in some other cases the Surgeon may only have to remove part of the stomach=Partial Gastrectomy.

Some tumors can keep food from moving in and out of your stomach. In that case, you might have surgery to put in a stent, a device that keeps the pathways open.

Chemotherapy. Drugs kill your cancer cells or keep them from growing. You can take them as pills or through an IV at a clinic. Chemo usually takes several weeks. The drugs can cause side effects, but your doctor can help you find ways to feel better during treatment.

Radiation. High-energy waves or particles can kill cancer cells and shrink tumors. Your doctor may use an X-ray or other machine to beam radiation at the spot where your tumor is.

Chemoradiation. Your doctor might use this mix of chemotherapy and radiation to shrink your tumor before surgery.

Targeted drugs. These newer drugs are different because they fight only cancer cells. Other treatments, like chemo and radiation, can kill healthy cells along with diseased ones. As a result, targeted therapies have fewer side effects than these other treatments.

How Can I Prevent Stomach Cancer?

Treat stomach infections. If you have ulcers from an H. pylori infection, get treatment. Antibiotics can kill the bacteria, and other drugs will heal the sores in the lining of your stomach to cut your risk of cancer.

Eat healthy. Get more fresh fruits and vegetables on your plate every day. They’re high in fiber and in some vitamins that can lower your cancer risk. Avoid very salty, pickled, cured, or smoked foods like hot dogs, processed lunch meats, or smoked cheeses. Keep your weight at a healthy level, too. Being overweight or obese can also raise your risk of the disease.

QUOTE FOR THE DAY:

“After a cancer diagnosis, staging provides important information about the extent of cancer in the body and anticipated response to treatment.”

American Cancer Society

Go to striveforgoodhealth.com and learn more on the types of treatments given to patients with stom

 “Stomach cancer begins when cancer cells form in the inner lining of your stomach. These cells can grow into a tumor. Also called gastric cancer, the disease usually grows slowly over many years.”

National Cancer Institute

Many risk factors revolve around the nature of the traumatic event itself.

Traumatic events are more likely to cause PTSD when they involve a severe threat to your life or personal safety: the more extreme and prolonged the threat, the greater the risk of developing PTSD in response. Intentional, human-inflicted harm—such as rape, assault, and torture— also tends to be more traumatic than “acts of God” or more impersonal accidents and disasters. The extent to which the traumatic event was unexpected, uncontrollable, and inescapable also plays a role.

Women’s changing role in our military

A growing number of women are serving in the US military. In 2008, 11 of every 100 Veterans (or 11%) from the Afghanistan and Iraq military operations were women. These numbers are expected to keep rising. In fact, women are the fastest growing group of Veterans.

What stressers do women face in the military?

Here are some stressful things that women might have gone through while deployed:

-Combat Missions.                                                                                                                                     –Military Sexual Trauma (MST). A number of women (and men) who have served in the military experience MST. MST includes any sexual activity where you are involved against your will, such as insulting sexual comments, unwanted sexual advances, or even sexual assault.

-Feeling Alone. In tough military missions, feeling that you are part of a group is important.

-Worrying About Family. It can be very hard for women with young children or elderly parents to be deployed for long periods of time. Service members are often given little notice. They may have to be away from home for a year or longer. Some women feel like they are “putting their lives on hold.”

Because of these stressors, many women who return from deployment have trouble moving back into civilian life. While in time most will adjust, a small number will go on to have more serious problems like PTSD.

How many women Veterans have PTSD?

Among women Veterans of the conflicts in Iraq and Afghanistan, almost 20 of every 100 (or 20%) have been diagnosed with PTSD. We also know the rates of PTSD in women Vietnam Veterans. An important study found that about 27 of every 100 female Vietnam Veterans (or 27%) suffered from PTSD sometime during their postwar lives. To compare, in men who served in Vietnam, about 31 of every 100 (or 31%) developed PTSD in their lifetime.

What helps? Research shows that high levels of social support after the war were important for those women Veterans.

What can you do to find help for women or men with PTSD?

If you are having a hard time dealing with your wartime memories, there are a number of things that you can do to help yourself. There are also ways you can seek help from others.

• Do things to feel strong and safe in other parts of your life, like exercising, eating well, and volunteering.
• Talk to a friend who has been through the war or other hard times. A good friend who understands and cares is often the best medicine.
• Join a support group. It can help to be a part of a group. Some groups focus on war memories. Others focus on the here and now. Still others focus on learning ways to relax.
• Talk to a professional. It may be helpful to talk to someone who is trained and experienced in dealing with aging and PTSD. There are proven, effective treatments for PTSD. Your doctor can refer you to a therapist. You can also find information on PTSD treatment within VA at: VA PTSD Treatment Programs.
• Tell your family and friends about LOSS and PTSD. It can be very helpful to talk to others as you try to place your long-ago wartime experiences into perspective. It may also be helpful for others to know what may be the source of your anger, nerves, sleep, or memory problems. Then they can provide more support.

Don’t be afraid to ask for help. Most of all, try not to feel bad or embarrassed to ask for help. Asking for help when you need it is a sign of wisdom and strength.

Don’t let PTSD get in the way of your life, hurt your relationships, or cause problems at work or school.

PTSD treatment can help.

Learn what treatment is like to help you make choices about what’s best for you.

If you suspect that you or a loved one has post-traumatic stress disorder (PTSD), it’s important to seek help right away. The sooner PTSD is confronted, the easier it is to overcome. If you’re reluctant to seek help, keep in mind that PTSD is not a sign of weakness, and the only way to overcome it is to confront what happened to you and learn to accept it as a part of your past.

TYPES OF TREATMENT:

• Trauma-focused cognitive-behavioral therapy. Cognitive-behavioral therapy for PTSD and trauma involves carefully and gradually “exposing” yourself to thoughts, feelings, and situations that remind you of the trauma. Therapy also involves identifying upsetting thoughts about the traumatic event–particularly thoughts that are distorted and irrational—and replacing them with more balanced picture.
• Family therapy. Since PTSD affects both you and those close to you, family therapy can be especially productive. Family therapy can help your loved ones understand what you’re going through. It can also help everyone in the family communicate better and work through relationship problems caused by PTSD symptoms.
• Medication is sometimes prescribed to people with PTSD to relieve secondary symptoms of depression or anxiety. Antidepressants such as Prozac and Zoloft are the medications most commonly used for PTSD. While antidepressants may help you feel less sad, worried, or on edge, they do not treat the causes of PTSD.
• EMDR (Eye Movement Desensitization and Reprocessing) incorporates elements of cognitive-behavioral therapy with eye movements or other forms of rhythmic, left-right stimulation, such as hand taps or sounds. Eye movements and other bilateral forms of stimulation are thought to work by “unfreezing” the brain’s information processing system, which is interrupted in times of extreme stress.

When looking for a therapist for post-traumatic stress disorder (PTSD), seek out mental health professionals who specialize in the treatment of trauma and PTSD. You can start by asking your doctor if he or she can provide a referral to therapists with experience treating trauma. You may also want to ask other trauma survivors for recommendations, or call a local mental health clinic, psychiatric hospital, or counseling center.

“Post-traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.

Most people who go through traumatic events may have temporary difficulty adjusting and coping, but with time and good self-care, they usually get better. If the symptoms get worse, last for months or even years, and interfere with your day-to-day functioning, you may have PTSD.”

MAYO CLINIC

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In honor of all men and women who have served our country thank you!!  I understand commitment, I myself am in caring for people. as a RN 32 this month and for the commitment you have made in keeping the USA safe, with any sacrifices you made, from the bottom of my heart thank you!! I dedicate this article to all acting and retired veterans.   Happy Memorial Day weekend to all.

PTSD-Post traumatic stress disorder

       Post-traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.

Many people who go through traumatic events have difficulty adjusting and coping for a while, but they don’t have PTSD — with time and good self-care, they usually get better. But if the symptoms get worse or last for months or even years and interfere with your functioning, you may have PTSD.

Getting effective treatment after PTSD symptoms develop can be critical to reduce symptoms and improve function.

The Mayo clinic states you can develop post-traumatic stress disorder when you go through, see or learn about an event involving actual or threatened death, serious injury or sexual violation.

Doctors aren’t sure why some people get PTSD. As with most mental health problems, PTSD is probably caused by a complex mix of:

• Inherited mental health risks, such as an increased risk of anxiety and depression
• Life experiences, including the amount and severity of trauma you’ve gone through since early childhood
• Inherited aspects of your personality — often called your temperament
• The way your brain regulates the chemicals and hormones your body releases in response to stress.
• Posttraumatic stress disorder, or PTSD, can occur after someone goes through, sees, or learns about a traumatic event like: Combat exposure, Child sexual or physical abuse, Terrorist attack, Sexual/physical assault, Serious accident, Natural disaster, which can occur during areas of war or not.
• Most people have some stress-related reactions after a traumatic event. If your reactions don’t go away over time and they disrupt your life, you may have PTSD. During a traumatic event, you think that your life or others’ lives are in danger. You may feel afraid or feel that you have no control over what is happening around you. Most people have some stress-related reactions after a traumatic event; but, not everyone gets PTSD. If your reactions don’t go away over time and they disrupt your life, you may have PTSD.

-How intense the trauma was or how long it lasted (the injury) or how long the loss of someone important to you has been all plays a part.’

-How close are you were to the event (bombing where you saw a friend blow up in pieces for example.)

-How much help and support you got after the event. PTSD symptoms usually start soon after the traumatic event, but they may not appear until months or years later. They also may come and go over many years. If the symptoms last longer than four weeks, cause you great distress, or interfere with your work or home life, you might have PTSD.

Whether or not you get PTSD depends on many things.  Most people who go through a trauma have some symptoms at the beginning. Only some will develop PTSD over time. It isn’t clear why some people develop PTSD and others don’t.

What some people show in their behavior or go through with PTSD:

1. Reliving the event (also called re-experiencing symptoms)
2. You may have bad memories or nightmares. You even may feel like you’re going through the event again. This is called a flashback.
3. Avoiding situations that remind you of the event
4. You may try to avoid situations or people that trigger memories of the traumatic event. You may even avoid talking or thinking about the event.
5. Negative changes in beliefs and feelings
6. The way you think about yourself and others may change because of the trauma. You may feel fear, guilt, or shame. Or, you may not be interested in activities you used to enjoy. This is another way to avoid memories.
7. Feeling keyed up (also called hyperarousal) People with PTSD may also have other problems. These include:
8. What other problems do people with PTSD experience?
9. You may be jittery, or always alert and on the lookout for danger. Or, you may have trouble concentrating or sleeping. This is known as hyper-arousal.

For many Veterans, memories of their wartime experiences can still be upsetting long after they served in combat. If you are an older Veteran, you may have served many years ago, but your military experience can still affect your life today.

Common symptom patterns:

*Some Veterans begin to have PTSD symptoms soon after they return from war. These symptoms may last until older age. Other Veterans don’t have PTSD symptoms until later in life.

*For some Veterans, PTSD symptoms can be high right after their war experience, go down over the years, and then worsen again later in life.

*Many older Veterans have functioned well since their military experience. Then later in life, they begin to think more or become more emotional about their wartime experience. As you age, it is normal to look back over your life and try to make sense of your experiences. For Veterans this process can trigger Late-Onset Stress Symptomatology (LOSS). The symptoms of LOSS are similar to symptoms of PTSD. With LOSS, though, Veterans might have fewer symptoms, less severe symptoms, or begin having symptoms later in life.

*The wars in Afghanistan and Iraq are the longest combat operations since Vietnam. Many stressors face these Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) troops. OEF/OIF service members are at risk for death or injury. They may see others hurt or killed. They may have to kill or wound others. They are on alert around the clock. These and other factors can increase their chances of having PTSD or other mental health problems.

*For many service members, being away from home for long periods of time can cause problems at home or work. These problems can add to the stress. This may be even more so for National Guard and Reserve troops who had not expected to be away for so long. Almost half of those who have served in the current wars have been Guard and Reservists.

*MST-Military Sexual Trauma is the term used by the Department of Veterans Affairs (VA) to refer to experiences of sexual assault or repeated, threatening sexual harassment that a Veteran experienced during his or her military service. Another cause of stress in Iraq and Afghanistan is military sexual trauma (MST). This is sexual assault or repeated, threatening sexual harassment that occurs in the military. It can happen to men and women. MST can occur during peacetime, training, or war.

In many cases, treatments for PTSD will also help these other problems, because they are often related. The coping skills you learn in treatment can work for PTSD and these related problems.

COMMON SIGNS AND SYMPTOMS OF PTSD: Anger and irritability, guilt, shame, or self-blame, substance abuse, feelings of mistrust and betrayal, depression and hopelessness, suicidal thoughts and feelings, feeling alienated and alone, & physical aches and pains.  Also employment and relationship problems.

“The health disparity between males and females begins during fetal life and continues from cradle to grave. About 115 males are conceived for every 100 females, but males are much more likely to die before birth, so there are only 104 newborn boys for every 100 girls. Boys are about 60% more likely to be born prematurely, to have conditions related to prematurity such as neonatal respiratory distress syndrome, and to suffer birth injuries. Boys are about 18% more likely to die before their first birthday than girls.

When it comes to health, males are the weaker sex throughout life. But why? It’s the $64,000 question, but there is no single answer. Instead, the gap depends on a complex mix of biological, social, & behavioral factors.”

Harvard Medical School (Venus versus Mars)

–Prostate Cancer: A Leading Cancer for Men

This is one health problem men can lay full claim to — after all, women don’t have prostates. A walnut-sized gland behind the penis that secretes fluids important for ejaculation, the prostate is prone to problems as men age.

Prostate cancer is the most common cancer in men other than skin cancer. Close to 200,000 men will develop prostate cancer this year in the U.S.

But while one in six men will be diagnosed with prostate cancer in his lifetime, only one in 35 will die from it. “Many prostate cancers are slow-growing and unlikely to spread, while others are aggressive,” says Djenaba Joseph, MD, medical officer for cancer prevention at the CDC. “The problem is, we don’t have effective tests for identifying which cancers are more dangerous.”

Screening for prostate cancer requires a digital rectal exam (the infamous gloved finger) and a blood test for prostate specific antigen (PSA).

But in fact, “Screening has never definitively been shown to reduce the chances of dying from prostate cancer,” according to Joseph. That’s because screening finds many cancers that would never be fatal, even if undetected. Testing then leads to aggressive treatment of relatively harmless cancers, which causes problems like impotence and incontinence.

Should you get screened for prostate cancer? Some experts say yes, but “the best solution is to see your doctor regularly and talk about your overall risk,” says Joseph. “All men should understand the risks and benefits of each approach, whichever you choose.”

 –Depression and Suicide: Men Are at Risk

Depression isn’t just a bad mood, a rough patch, or the blues. It’s an emotional disturbance that affects your whole body and overall health. In effect, depression proves the mind-body connection. Brain chemicals and stress hormones are out of balance. Sleep, appetite, and energy level are disturbed. Research even suggests men with depression are more likely to develop heart disease.

The results can be tragic. Women attempt suicide more often, but men are more successful at completing it. Suicide is the eighth leading cause of death among all men; for young men it’s higher.

–Diabetes: The Silent Health Threat for Men

Diabetes usually begins silently, without symptoms. Over years, blood sugar levels creep higher, eventually spilling into the urine. The resulting frequent urination and thirst are what finally bring many men to the doctor.

The high sugar of diabetes is anything but sweet. Excess glucose acts like a slow poison on blood vessels and nerves everywhere in the body. Heart attacks, strokes, blindness, kidney failure, and amputations are the fallout for thousands of men.

Boys born in 2000 have an alarming one-in-three chance of developing diabetes in their lifetimes. Overweight and obesity are likely feeding the diabetes epidemic. “The combination of diabetes and obesity may be erasing some of the reductions in heart disease risk we’ve had over the last few decades,” warns Labarthe.

Exercise, combined with a healthy diet, can prevent type 2 diabetes. Moderate weight loss — for those who are overweight — and 30 minutes a day of physical activity reduced the chance of diabetes by more than 50% in men at high risk in one major study.

—Erectile Dysfunction: A Common Health Problem in Men                          

Erectile dysfunction may not be life threatening, but it’s still signals an important health problem. Two-thirds of men older than 70 and up to 39% of 40-year-old men have problems with erectile dysfunction. Men with ED report less enjoyment in life and are more likely to be depressed.

Erectile dysfunction is most often caused by atherosclerosis — the same process that causes heart attacks and strokes. In fact, having ED frequently means that blood vessels throughout the body are in less-than-perfect health. Doctors consider erectile dysfunction an early warning sign for cardiovascular disease.

You’ve probably heard more about the numerous effective treatments for ED than you ever cared to just by watching the evening news. Treatments make a fulfilling sex life possible despite ED, but they don’t cure the condition. If you have erectile dysfunction, see your doctor, and ask if more than your sex life is at risk.

So what’s the key to decreasing these diseases or illnesses in men live a healthier life so men in America can decrease the chances of developing these diseases or if with one of these diagnoses already it will surely help decrease the impact of the disease or illness compared to living an unhealthy life.   So if you need guidance I have direction, I surely did for my habits and diet.

Various lifestyle factors have been associated with increasing the risk of stroke. These include lack of exercise, alcohol, diet, obesity, smoking, drug use, and stress. Guidelines endorsed by the Centers for Disease Control and Prevention and the National Institutes of Health recommend that Americans should exercise for at least 30 minutes of moderately intense physical activity on most, and preferably all, days of the week. Recent epidemiologic studies have shown a U-shaped curve for alcohol consumption and coronary heart disease mortality, with low-to-moderate alcohol consumption associated with lower overall mortality. High daily dietary intake of fat is associated with obesity and may act as an independent risk factor or may affect other stroke risk factors such as hypertension, diabetes, hyperlipidemia, and cardiac disease. Homocysteine is another important dietary component associated with stroke risk, while other dietary stroke risk factors are thought to be mediated through the daily intake of several vitamins and antioxidants. Smoking, especially current smoking, is a crucial and extremely modifiable independent determinant of stroke. Despite the obstacles to the modification of lifestyle factors, health professionals should be encouraged to continue to identify such factors and help improve our ability to prevent stroke, decrease cancers caused by smoking, decrease coronary artery disease which decreases your chance with Obesity, ED, stroke, & hypertension and more.

Learn healthy habits or healthier habits, broaden your knowledge on the 4 food groups in what is lean or leaner or leanest with each group, increase your activity 30 minutes a day and learn what a healthy diet actually.  One way is through Dr. Wayne Scott Anderson’s book “Dr. A’s habits of health” and even if you need to lose weight we can show you the way to do it healthy. It’s not a diet for 3 months or even 6 to a year but it is learning how to get to your body mass index in the ideal weight range for your height and you decide how low you want to go.   It is all up to you in deciding what way to go in living a healthy life!  Make the move and keep your life to last longer and more active in your lifetime!

“Men die at a faster rate than women; the overall mortality rate is 41% higher for men than for women, and it’s also higher for men for eight of the 10 leading causes of death (see Table 3). In addition, American men are 2.1 times more likely to die from liver disease, 2.7 times more likely to die from HIV/AIDS, 4.1 times more likely to commit suicide, and 3.8 times more likely to be murder victims than women.

Men die younger than women, and they are more burdened by illness during life. They fall ill at a younger age and have more chronic illnesses than women.”

Harvard Medical School (Mars versus Venus)

More males than females are born in America each year. Still regarding health to both genders through research and just living the experience of being an RN over a quarter of a century in numerous fields (primarily of adults to geriatrics) it shows women are more healthier than men (even starting from infancy).

Out of the 15 leading causes of death, men lead women in all of them except Alzheimer’s disease, which many men don’t live long enough to develop in many cases. 

Although the gender gap is closing, men still die five years earlier than their wives, on average. Through WebMD experts have told them the reason for this is that they are partly biological, and men’s approach to their health plays a role too, of course. “Men put their health last,” says Demetrius Porche, DNS, RN, editor in chief of the Americ.an Journal of Men’s Health. “Most men’s thinking is, if they can live up to their roles in society, then they’re healthy.” Not always the case especially when age keeps creeping up on a male with his priorities of life changing with new love or even peeps that come on board in a man’s lifetime. In most cases living healthy normally happens when are age is younger but then due to work to families to expectations leaves little room for healthier habits in the week but even 30 minutes a day could make a tremendous change to all systems of the human body preventing certain diseases/illnesses, especially those due to poor diet, eating habits and overall health habits (Ex. as simple as getting 8 hours for sleep a day). Men go to the doctor less than women and are more likely to have a serious condition when they do go, research shows. “As long as they’re working and feeling productive, most men aren’t considering the risks to their health,” says Porche. Like a lot of men say “I don’t have to time to think about it.”.   But even if you’re feeling healthy, a little planning can help you stay that way. One is through preventions measures before secondary have to start, meaning ending line your now with a disease or illness, that may have been prevented completely if you lived a healthier life. One way of preventing disease and illness is good eating or diet, with balancing out the 4 food groups (to get all nutrients from minerals to vitamins to enzymes to proteins and more). The top threats to men’s health aren’t secrets: they are commonly known and often preventable. WebMD consulted the experts that came up with for you this list of the top health threats to men, and how to avoid them.

— “Heart disease and stroke are the first and second leading causes of death worldwide, in both men and women,” says Darwin Labarthe, MD, MPH, PhD, director of the Division for Heart Disease and Stroke Prevention at the CDC. “It’s a huge global public health problem, and in the U.S. we have some of the highest rates.” In cardiovascular disease, cholesterol plaques gradually block the arteries in the heart and brain. If a plaque becomes unstable, a blood clot forms, blocking the artery and causing a heart attack or stroke.

One in five men and women will die from cardiovascular disease, according to Labarthe.  For unclear reasons, though, men’s arteries develop atherosclerosis earlier than women’s. “Men’s average age for death from cardiovascular disease is under 65,” he says; women catch up about six years later.

Even in adolescence, girls’ arteries look healthier than boys’. Experts believe women’s naturally higher levels of good cholesterol (HDL) are partly responsible. Men have to work harder to reduce their risk for heart disease and stroke. How do you go about this? Take a guess. Yes, again through your diet, eating, the 4 food groups in your diet, activity or exercise (at least 30 minutes a day or 1 hour every other day) and practicing daily good health habits.

—Lung cancer is a terrible disease: ugly, aggressive, and almost always metastatic (spreads somewhere in the body). Lung cancer spreads early, usually before it grows large enough to cause symptoms or even show up on an X-ray. By the time it’s found, lung cancer is often advanced and difficult to cure. Less than half of men are alive a year later. So … are you still SMOKING?

Tobacco smoke causes 90% of all lung cancers. Thanks to falling smoking rates in the U.S., fewer men than ever are dying of lung cancer. But lung cancer is still the leading cancer killer in men: Again due to many still practicing poor habits which could have prevented many of the lung cancer cases. Anyone who QUITS smoking at any age reduces the risk for lung cancer. Few preventive measures are as effective as stopping smoking and nothing is as challenging, like any addiction (whether mental or physical)