How To Find Out If You Have Skin Cancer

The process of detecting skin cancer, the most common form of cancer in the United States, can be practiced with a monthly self examination combined with a yearly visit to your doctor. Early detection is key because, if diagnosed soon enough, skin cancer is almost always curable.

There are three main types of skin cancer, all of which are visible if you know what to look for. Melanoma, one of the main forms of skin cancer, is the deadliest. This disease is the most difficult to stop after it has spread throughout the body, which is why early detection and treatment are crucial. Skin cancer, of any kind, can usually be treated with success in its early stages.

As individuals, everyone has freckles, birthmarks and moles. These are a part of you and you are used to seeing them, but you may not notice slight changes right away and thats what you need to be watching for. Any change in a moles shape, edges, size or color should be checked by a physician. If a mole becomes larger than that of a pencil eraser or if its color is multiple shades of brown rather than a solid color, these are both potential warning signs of skin cancer. A moles border should be well defined and, if that is no longer the case, notify your doctor. In addition, any sore that will not heal or a mole that grows larger at a rapid speed should be tested immediately.

Deciding to seek medical attention is difficult. For this reason, its best to choose a physician that you are comfortable with, such as a family doctor. He/she can examine your skin and refer you to a dermatologist if needed. The presence of skin cancer is determined by removing all, or part, of the questionable area and testing it with a microscope. Surgery is often utilized in the removal of ski cancer and, if done in the early stages, can be a very quick process. There will likely be a scar, but the physician may be able to completely remove all cancerous cells with only a very small incision.

If the cancer has spread, or is very large in the defined area, additional surgery may be required. In that case, chemotherapy or radiation treatments may be ordered to ensure the cancer is completely removed. Your physician will be able to answer all questions that you may have and should do so without reserve. When meeting with a doctor, ask for an explanation of all treatment options, including their likelihood for success in your particular case. Deciding to seek medical attention is a big step and one that a patient must be mentally prepared for.

This article should not be construed as professional medical advice. If you, or someone that you know, is concerned about the possibility of cancer, you should seek medical attention immediately. A medical doctor can discuss various options, prevention and treatment possibilities should the presence of cancer be detected. A series of tests may be conducted in order to confirm, or rule out, any such diagnosis and can only be done by a medical doctor.

The number of people who get interested in nr niagen increases every day.

Parenteral Nutrition Market To 2017 – Home Care Sector To Witness Strong Market Growth

GBI Research has found that the global parenteral nutrition (PN) market has been one of the fastest growing markets in the pharmaceutical industry and it is forecast to grow at a healthy rate in the future as well. The increase in the incidence of diseases that require PN as nutritional support along with the rise in the elderly population will be the major factors driving the market in the top seven countries (the US, Japan, the UK, Spain, Italy Germany and France).

In 2010, the global PN market was estimated to be worth $2,700m, representing a Compound Annual Growth Rate (CAGR) of 5.3% between 2002 and 2010. The market is forecast to reach $4,537m by 2017, indicating a CAGR of 7.7% between 2010 and 2017. The primary reasons for the high growth rate are the increase in the incidence of diseases that require PN as nutritional support such as cancer, acquired immunodeficiency syndrome (AIDS) and gastrointestinal (GI) disorders plus a rise in the elderly population.
The global PN market offers a broad portfolio of products. These include single dose amino acid solutions, lipid emulsions, carbohydrates, vitamins, minerals, trace elements, electrolytes, and all in one multi-chamber bags (MCBs). The latter contains all the essential nutrients in 2- or 3-chamber bags and is advantageous over other products as the MCB technology reduces the preparation time, medication errors and risk of contamination. These advantages will drive the sales of MCBs in the future and therefore contribute largely to the growth of the global PN market.

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The current global PN market is significantly consolidated as the top four players control 94.8% of the market. Baxter International Inc is the current market leader with a 28% market share in 2009. Fresenius Kabi follows with a 26.7% market share. B. Braun occupies the third position with a 23.4% market share. Hospira is the fourth largest player accounting for 16.7% of the total PN market respectively in 2009.
However, the market shares of the top players are expected to witness changes in the future as Hospira has been suffering product shortages in recent years. This will create opportunities for the other top companies, with Baxter and B. Braun likely to show positive growth.

GBI Research, the leading business intelligence provider, has released its latest research, Parenteral Nutrition Market to 2017 – Home Care Sector to Witness Strong Market Growth. It provides in-depth analysis of the market size and drivers and barriers that affect the global parenteral nutrition market. The report analyzes the markets for parenteral nutrition in the US, the top five countries in Europe (the UK, Germany, France, Italy and Spain) and Japan. Sales value is forecast up to 2017 for key geographies. Further, the report provides competitive benchmarking for the leading companies and analyzes the mergers and acquisitions (M&A) and licensing agreements that shape the global markets.
The report is built using data and information sourced from proprietary databases, primary and secondary research and in-house analysis by GBI Researchs team of industry experts.

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Arthritis – A Deadly Disease

Arthritis is the disease basically associated with the old people but the children may be affected by this disease. People of the age group 65 are mostly affected by arthritis in North America and they together constitute 70% of the total population. Women are at the major risk of getting affected by arthritis as compared to the men and this disease is more prevalent in the women of all ethnic races and cultures. According to an estimate about 46 million of people USA are suffering from this disease and the number increases every year. About one million people are admitted to the hospital just because of the problems they face because of arthritis.

Recital

All the persons suffering from arthritis complain the problem of extreme pain. The pain may be different according to the location and the individual. Rheumatoid arthritis is very worse in the morning and is characterized by stiffness. In the earlier stages the symptoms cannot be easily recognized. In the old individuals and the children pain may not be the major diagnostic feature as the old people move little and the children refuse to move the limb when it is paining. Important features of arthritis include speed and time of onset, pattern of joint movement, symmetry of symptoms, early morning stiffness, locking with inactivity, tenderness and other systemic factors. Physical examination and the radiography may be helpful in the diagnosis of the disease. Arthritis has been known from prehistoric times. Extra articular features of arthritis or joint disease include cutaneous nodules, oedema, ocular inflammation, diarrhea, bursitis, lymphadenopathy and urethritis. Blood tests indicate the presence of rheumatoid factor, antinuclear factor (ANF) and extractable nuclear antigen.

Malady

In USA arthritis is the major cause of disability among the individuals and 20 million people are dependent upon the doctors and the physicians for their survival. It has been found that the 50% of an individual’s salary who is suffering from arthritis is lost in the treatment of arthritis. The ability of a person to remain active is lost completely. Some also suffer from obesity, high cholesterol and risk of heart disease. Depression may also be found in such individuals.

Indications

Apart from the type of arthritis the common symptoms are pain, joint stiffness and swelling and a persisting pain around the joints. Other symptoms include inability to walk and move hands, malaise and feeling of tiredness, fever, weight loss, poor sleep, muscle ache, tenderness and difficulty in moving the joints.

Types

Rheumatoid Arthritis

It is a disorder where the body starts destroying its own tissues for some unknown reasons. The attack is not only restricted to the joints but also to other parts of the body. The major damage is caused to the lining of the joints and the cartilage resulting in the erosion of two opposing bones. The joints of the fingers, knee, wrists and elbows are affected in the rheumatoid arthritis. The disease is having symmetry and causes severe deformity in few years. It basically affects the people of age group 20 or more. This disorder in children causes pain, fever, skin rashes and limitations on the day to day activities. Actual cause rheumatoid arthritis is not known till present but the scientists are very actively engaged in finding out the treatments as possible for this disorder. The drugs that are administered against rheumatoid arthritis include intravenous injections of either corticosteroids or monoclonal antibodies. Remicade is a drug which is presently being used for the treatment of rheumatoid arthritis and can be effective for short term only. Surgery can be done to replace the affected joint but there is no complete cure of the disorder. Other dangerous symptoms can also develop in later stages which include heart problems, gait abnormality and skin nodules.

Osteoarthritis

It affects the larger joints of the body like that of the back, hip or the knees. This is generally the result of the wear and tear of the joints. It begins in the cartilage and results in the erosion of two opposing bones. It starts with a minor pain which is experiences while walking and the pain becomes continuous during the night. The pain causes hindrance in the daily activity of the individual. It is basically a disorder very common among the old people especially the women of the age group 65. Osteoarthritis cannot be cured but can be prevented from becoming worse. Weight loss is the most common feature of this disease. Physical therapy of the joints may be helpful in getting some relief. Joint replacement may be of little help.

Severe Arthritis

Arthritis is a dangerous disease and in more intense cases it can result in severe deformities. The majority of the individuals suffering from the rheumatoid arthritis have deformed fingers. The deformity may also be seen in the wrist joint so it cannot be moved properly. Other problems include appearance of carpal tunnel syndrome due to nerve entrapment. In later cases the sensation of the fingers also gets lost. Infectious arthritis is another form of severe arthritis. It is characterized by appearance of sudden chills, fever and joint pain. This condition may be caused by bacteria. This disease can be easily diagnosed and prevented from becoming intense. Psoriasis is another form of arthritis. In this case first the patient develops skin problems followed by arthritis. Symptoms include joint pain, stiffness and swelling. There is no cure for this disease and this occurs on a small scale. Lupus is a collagen vascular disorder that can be frequently found associated with arthritis. The symptoms of lupus include skin rash, extreme photosensitivity, hair loss, kidney problems, lung fibrosis and constant joint pain. Another problem that has been found associated with arthritis is gout which arises due to the deposition of uric acid crystals in the joints leading to inflammation. The joints lose their activity and often swell.

Inhibition

Rheumatoid and the osteoarthritis are not curable but one can prevent himself from being affected by physical therapy, losing weight and eating healthy. The individuals who feel pain in the joints must immediately consult the physicians so that the treatment can be started as soon as possible in order to prevent the disorder from becoming intense.

Ministration

Once arthritis is diagnosed treatments are available for a number of symptoms that are frequently experienced. Rheumatoid and osteoarthritis are not curable. The treatments used against them can help in relieving pain for a short period but complete relief is not possible. Treatments include physical therapy, changing the lifestyle, orthopedic bracing, medications and dietary supplements. Arthroplasty also called joint replacement surgery can also be performed. Physical exercise has given better results in treatment of arthritis.

Medications

Physicians generally start the treatment with the use of drugs. The first choice of drugs is the non-steroidal anti-inflammatory drugs (NSAIDs). Ibuprofen and tramadol are the general pain killers which are basically used. The drugs although effective are also associated with a number of side-effects like the abdominal pain, bleeding, liver and kidney damage and ulcers. The non-steroidal anti-inflammatory drugs cannot be used for prolonged periods without the prescription of the physician. Corticosteroids are presently being used for the treatment of arthritis. They help in reducing the inflammation and also prevent the joint damage. Corticosteroids are associated with a number of side effects like ulcers, hypertension, cataracts, diabetes, skin bruising, and weight gain. Disease modifying antirheumatic drugs (DMARDs) is generally used for the treatment for the rheumatoid arthritis as they are helpful in preventing the joint damage. The commonly used DMARDs are methotrexate, hydrochloroquineand minocycline. They are also having many side effects in the form of liver and kidney damage, bone marrow suppression and possibility of other infections.

Immunosuppressants like cyclosporine and cyclophosphamide can be taken for getting relief from inflammation. These drugs make an individual more prone to other infections. Tumor necrosis factor inhibitors have been used for getting relief from inflammation and joint pain. They are also having some side effects as a person becomes susceptible to the risk of heart disease and other infections.
Occupational therapy and the physical therapy can help the people suffering from arthritis. Physical therapy can teach an affected individual how to relax the limb without damaging the joints. It can also provide splint and braces for the joints. Physical therapy also teaches how to drive the car, take bath and perform household work. Occupational therapy teaches how to reduce on the joints and perform the daily activities. Physical therapy also makes use of ice, heating pads and ultrasound guided massage therapy. Both these therapies help an individual to remain free from some of the difficulties of arthritis.

It can be concluded that arthritis is a very painful disease affecting the joints and there no complete cure for it only one can practice the use of physical and occupational therapy. Drugs can be helpful but are at risk and make an individual more prone to other infections.

What Can I Do About Lamictal Acne

There are so many people that are taking the drug Lamictal for depression or bipolar symptoms who are experiencing lamictal acne side effects. It is such a common side effect that it is causing people to question whether or not they should stop taking the medication. The medication is benefiting their depression greatly but is causing severe rashes or acne breakouts on their face or entire body. What other options or considerations can be utilized to prevent or minimize lamictal acne while taking Lamictal?

Try lowering your dosage. If your doctor has recommended a certain dosage for you but you are noticing lamictal acne symptoms, take the initiative to lower your own dosage. If you go back to your doctor thist is what he is going to do. Most drugs have side effects that you can alter by simply reducing the required dosage without having to stop taking the medication. Lamictal will still have the same effect on depression but maybe will not be as rapid.

Investigate the foods you are eating for allergic reactions. If you are taking Lamictal remember you are introducing a new drug to your body. It may have negative reactions to certain foods or other drugs you may be taking. If you are breaking out with acne consider maybe you are having an allergic reaction. Have you thought about Lamictal not mixing well with dairy products or other foods? Keep a journal of your acne breakouts. When they occur assess what you ate within the past 24 hours? Is there a pattern?

Try an acne diet (remove the toxins from your body). The occurrence of lamictal acne is really an allergic reaction to the medication. So, trying other acne medications to counter the acne is not really the way to fight this acne. You do not want to mix in other medications because the results may be worse. Try an alternative acne remedy. An acne diet is completely safe and requires no medications. Lamictal is obviously adding toxins to your body so you really want to try acne methods that will rid the body of toxins. An acne diet is a great alternative to fighting acne without using acne medications.

A common side effect with lamictal acne is skin sensitivity around the jawline. Many people are getting acne breakouts around their jawline. It seems to reason that this area of the face is become highly sensitive as a result of lamictal. One thing to consider is pay attention to what comes into contact with your jawline. It could be your shirt collars irritating your skin due to this hypersensitivity. It could also be a dirty pillowcase that you are sleeping face down on every night. Be sure to change your pillowcases every night. Another suggestion is hair growing in this area. You may need to stop shaving and just use hair trimmers.

These options are practical but could be very helpful in preventing lamictal acne from ruining your appearance and self esteem. Try them before you try acne medication. You may see results from these inexpensive methods.

Top Ten Health Care Myths Part 3 of 3

So there it is—lifestyle and its affect on health. If your children eat junk food diets that lack proper nutrients, antioxidants, vitamins and other necessary life components, then their children will be even more prone than they were to develop degenerative diseases like cancer. Even if your parents and grandparents ate unhealthy diets all their lives does not mean that you have to get sick. Eating a strong, healthy diet and regularly exercising will do wonders for your health.

The VERY SIMPLE Role of the Nerve System in HealthControl centers for the function of every tissue cell and organ in your body are in the brain. The control centers communicate with the tissue cells and organs via the spinal cord and spinal nerves. Disrupt the communication between the control centers of the brain and the tissue cells and organs and the body can no longer function normally.

How To Fight Depression Naturally With Nutrition

Looking for the best way to fight back against the blues? Get up and fix a mental-health-sustaining meal.

More and more, doctors are recommending foods rather than prescribing drugs to help people battle back against depression. When used strategically, nutrition can help change your chemistry, bring hormones back to balance and help you feel better.

Many foods can help you get your mojo back. But these two nutrients in particular should be in every anti-depression diet . . .

Fight Depression With Antioxidants

When we’re stressed, our bodies increase mobilization of antioxidants like vitamin C, vitamin E and beta-carotene. A group of Indian researchers hypothesized that supplementing your diet with these antioxidants might help combat the anxiety and depression that can come with stress.

And they were right. Eighty people suffering from anxiety and depression participated in the study. The researchers noted that at the beginning of the study, their levels of vitamins E, C and beta-carotene were noticeably low. After 6 weeks of supplementation, not only were their blood levels of these stress-fighting molecules higher, but they were feeling better, too. Both anxiety and depression had diminished noticeably.[1]

Ready to fight off the blues? Get more antioxidants in your diet. Antioxidant-rich foods include green tea, pomegranate, berries and – one of my favorites – chlorella.

Get Good Mood Foods With Folate

In an article published in the Journal of Neuroscience and Psychiatry, researcher Simon Young challenged mental health researchers to take a different tact when it comes to depression. As Young explained, too many studies on depression focus on a relatively small cause of this mental health problem – genetics.

Instead, he urged researchers to spend more time on the much more common link between nutritional deficiencies and the blues. As he pointed out, close to a third of people who are battling depression are low in the B vitamin, folate. And according to a few small studies, boosting your folate intake may help your mood.[2]

Where do you get folate? Since 1998, folic acid has been added to all breads and cereals. With 36 micrograms per serving, chlorella is a good source of folic acid. Liver, spinach, asparagus and Brussel sprouts also give you a nice dose of this water-soluble B vitamin.

You Can Fight Depression With Nutrition!

Don’t let the blues drag you down. Eat up and lift your mood! As you now know, getting the right nutrition can make a huge difference in how you feel.

To find out about 2 more mood-enhancing nutrients go to https://www.sunchlorellausa.com/blog/4-natural-mood-enhancers-you-can-find-your-food.

Sources: [1] Gautam M et al. Role of antioxidants in generalised anxiety disorder and depression. Indian J Psychiatry. 2012 Jul-Sep; 54(3): 244-247. [2] Young SN. Folate and depression-a neglected problem J Psychiatry Neurosci. Mar 2007; 32(2): 80-82.

About Michael E. Rosenbaum, MD Dr. Rosenbaum is a 30-year veteran and widely recognized pioneer in the field of nutritional medicine, alternative healthcare and medical acupuncture. As one of America’s most respected experts in natural health and healing, Dr. Rosenbaum has been a frequent lecturer to professional medical groups and has participated in numerous television and radio talk shows. He is also an esteemed member of the Sun Chlorella Advisory Board, which helps guide the medical innovation behind Sun Chlorella products.

About Sun Chlorella USA Sun Chlorella USA offers the finest quality chlorella products for anti-aging, weight maintenance, energy, heart, brain & digestive system, as well as overall health and wellness for both people and pets. Want to learn more health secrets? Get a free copy of our report, “Why Didn’t My Doctor Tell Me About This?!” This eye-opening report, created by 5 pioneering natural health experts, reveal nutritional secrets that can change your life. Go to https://sunchlorellausa.com/download-free-report to get a copy. Also, for special offers, news and updates, follow us on Twitter at @sunchlorellausa or -Like’ us on Facebook at https://www.facebook.com/SunChlorella.

Celebrities And Anti-aging The Secret Of Hgh

It is important for the celebrities to maintain their young-looking appearance as it is one of the most important factors that make them successful in their career. According to some sources, some of the celebs are actually prescribed with HGH by their doctors in order to attain their goal. After all, there are studies that show wonderful results in preserving the ageless look of some of the test subjects.

The Problems of Aging

A person’s body experiences degenerative changes as he or she grows older. Some of these alterations involve the decrease in muscle mass, bone density, and strength. Furthermore, a person also experiences lower energy reserves as he or she ages. Based on some research studies, this negative body changes may be alleviated by consuming supplements and one of which is the HGH or human growth hormone.

Knowing HGH

Through various studies, it has been found out that the human growth hormone has valuable effects to the aging bodies. As seen on the researches, consumption of HGH has anti-aging advantages that can help a person regain and sustain beautiful appearance.

The popularity of HGH started in the earlier part of the 1990s when studies on the said health supplement were being incessantly conducted one after another. This attracted the men and women born in 1946 to 1964 given that they were already experiencing some signs of aging in the 90’s. And so, more HGH products, which were intended for bringing youthful look, were developed since then.

Consumption of HGH

Many of the celebrities were suspected to have been taking human growth hormone supplements in order to obtain their desired physical appearance. Of course, they would want to have the smooth-looking skin like that of the young individuals.

Moreover, there are certain athletes who seemed to be consuming HGH medications as well. These sportspersons really need the delicately-shaped muscles that they could show and use during their games.

Well-known Individuals Using HGH

There are well-known individuals who admit to their use of HGH supplements because of its benefits. According to some sources, some of the celebrities who have come clean about taking HGH are Suzanne Somers and Sylvester Stallone.

As stated in an interview, Stallone has been taking HGH while he was filming the movie, Rambo. In his statement, he said that the most important function of HGH that people should really know about is its action in the body’s wear and tear. According to him, HGH truly helps in hastening the recovery of worn out tissues in his body.

Stallone and Aging

Sylvester Stallone is already in his 60’s but it appears that his face has no age-related lines, which are common for his age. As said by the actor, this is most likely the effect of the HGH supplement that he has been consuming lately.

Women on Looking Young

Suzanne Somers is also among the actresses who acknowledged her use of the HGH supplements. According to some write-ups, Somers has been making use of HGH and she found out the process of aging truly slowed down during the therapy.

People have witnessed how she looked so young even if she is already around sixty-five years old. Furthermore, many have commented as to how ageless she is throughout the years.

Beautifying Effects of HGH

This female celebrity finds HGH very helpful in holding back the changes caused by aging. She discovered that this hormone supplement tightened up her skin, which then lessened the unwanted wrinkles on her face.

Living like a Youngster

Meanwhile, Suzanne Somers stated in a different interview that she takes HGH for another reason and it is to strengthen her bones and muscles. After all, human growth hormone supplements are helpful when it comes to preventing the unfavorable effects of growing old on a person’s body.

Copyright (c) 2012 Jim Terroirier

Hair Transplant Is A Fast Growing Occupation In India

People are more concerned about their looks than anything else today. The importance of hair to improve the facial expression cannot be undermined. Hair bring youthful look to the face and make it more attractive and appealing. Hair transplant is the part of cosmetic surgery and is gaining much popularity these days. The growing demand of good facial expressions has raised the demand of talented and trained hair transplant surgeons in India these days.

Many of the cosmetic surgeons are diverting to hair transplant surgeries or adding it to their services because of raising demand from consumers. There are many hair sciences centers in the country offering complete training to the doctors and even assisting them in establishing their own hair transplant clinics in India. Besides the techniques, the participants are taught everything that they need to conduct their practice successfully. The courses are designed with the professional excellence in mind and enable the participants to start their own practice immediate after completion of the course with full confidence. The courses include FUE training, training for surgeons, and other hair restoration treatments.

Training is provided under the expert supervision of highly qualified and experienced specialists. Participants are taught the most popular 500-graft Follicular Unit Transplantation or FUE method. This technique is performed with the help of high-tech automatic Roto-motor technique. This training is often provided to qualified doctors i.e. MBBA and BDS only. However there are some other courses provided to train assistants and staff members of the clinics such as BAMS/ BHMS/ Nurses and assistants of cosmetologists. Usually the courses are of 3 days duration and may cost something near about USD 3500, however the duration and time limit might vary per training centers. These institutes also offer customized training programs on demand and charges would depend upon the requirement.

Some of the training centers in India encourage the participating doctors to bring a fellow technician along in the training program. This way the doctors can easily understand a technicians role during the surgery and the assisting technician can also learn what is expected of him and how to perform to the best desired level. The assisting technicians are taught the entire graft harvesting procedure, slivering graft preparation, and insertion. They are also trained how to look after the patients before and after the surgery.

FUE procedure is one of the most advanced technologies available in hair transplant industry today. It is taught at only few places in India. There are several training centre in Chandigarh which have gained much popularity recently because of their state-of-the-art infrastructure, and visiting trainers from the developed countries like US and UK. These institutes have gained popularity not only in India but globally in fact as many of their participants come from several other countries, mainly from USA, Canada, Brazil, Europe and Australia.

If you are a qualified cosmetologist, MBBS, BDS and want to make a positive difference to your practice, think of adding hair transplant and hair restoration procedures to your services and you can reap good benefits for ever.

A Voice Conserving Option For Advanced Laryngeal Cancer

Laryngeal cancer is the second common Head & Neck cancer in the United States, despite all the measures to curb, we in India also have high incidence because of habit of consumption of tobacco and Alcohol. The ultimate goal of every clinician treating laryngeal cancer is to remove the disease with the preservation of voice and swallowing. Early glottic and supraglottic cancers are treated by surgery or radiation therapy without affecting the phonatory function but this is difficult to achieve in larger transglottic lesions because the preferred surgical treatment for advanced laryngeal tumors remains total laryngectomy (TL), a surgical technique in which laryngeal speech is sacrificed. This is the reason majority of our Indian patients refuse treatment.

The other alternative is Radiation and chemotherapy, part of the so-called organ-sparing protocols, have also resulted in effective outcomes but 30 -40% may require salvage surgery for recurrent disease and post radiotherapy conservative procedures cannot be performed because of poor healing resulting in high fistula rate and assessment of oncological safe margins is not adequate. So these patients land in Total Laryngectomy with high postoperative complications, so primary surgery with voice conservation is preferred modality of treatment. There is a report by Hoffmann et all that for supraglottic cancers survival is poorer with Concurrent chemo radiotherapy as compared to primary surgery followed by radiotherapy.

In 1980, Pearson and colleagues described an alternative to the standard TL in patients with stage T3 glottic cancers. Following pathologic examination of an excised larynx, they noted that in certain pathology specimens, the total larynx was often not involved in the disease process. As such, these researchers discovered that the uninvolved column of endolarynx could be preserved and converted into a sphincteric tube serving as a speech valve.

Studies have shown that near-total laryngectomy (NTL) in select T3 and T4 laryngeal tumors provides a high rate of disease control comparable with that of the total laryngectomy. The NTL spares non tumor involved larynx, which is subsequently used for reconstruction. A patient who undergoes NTL speaks using an internal myomucosal shunt, which is lung powered. It does, however, require a tracheostomy for breathing.

Near-total laryngectomy (NTL) is indicated in patients with advanced (T3, T4) laryngeal cancers when the postcricoid and interarytenoid areas are free of disease and the contra lateral arytenoids is salvageable. The contraindications of this procedure are tumor in the interarytenoid, postcricoid region, and bilateral arytenoids.

A 54 years old male, also a chronic smoker, came to our hospital with the complained of change in voice for last six months and irritation in throat while having food for 3 months. Flexible direct laryngoscopy revealed ulceroproliferative lesion on the Right supraglottic area (Aryepiglottic fold + Epiglottis) with fixity of right vocal cord. Interarytenoid area and postcricoid area was free. Biopsy revealed moderately differentiated Squamous cell carcinoma. CT scan of neck revealed Right supraglottic mass with paraglottic extension with few lymph nodes at right level II, CXR did not have any evidence of disease. . Clinically it was staged as T3N1M0. The patient was discussed in the tumor board and both options of surgery and chemo radiotherapy were given to the patient. Patient chose for surgery provided he can be rehabilitated for voice production. Patient was given option of NTL/TL+ Provox voice prosthesis insertion and taken up for surgery. Intraoperative frozen section was sent from interarytenoid area for involvement which was negative, so we proceeded with NTL and bilateral level II, III, IV neck dissection. Postoperative recovery was uneventful. He was started oral feed after 10 days, he had mild aspiration which settled in few days, his voice rehabilitation was started after 2 weeks. Final Histopathology revealed T3N2M0 Squamous cell carcinoma grade II, all margins were free.

The Ultimate outcome should be oncologically safe resection margins, with good voice production for communication; this depends on in part on the surgeons skill and the extent of resection and subsequent reconstruction.

Online Healthcare Degrees- Changing Careers The Easier Way

The growth in the number of people looking for online healthcare degrees is no big surprise. Healthcare reform, an aging baby boomer population and longer life expectancy have all fueled a demand in healthcare degrees that puts it at one of the top spots for job openings.

In addition, while the healthcare industry demand is there, so are your personal life’s demands. Because of this, and the simple fact that thedemand for healthcare workers is outweighing the supply, it’s also no surprise that the availability of more flexible online healthcare degrees is on the rise too.

While online healthcare degrees are available for nursing, other specialty online healthcare degrees are available as well. Degree programs including respiratory therapy, radiology, and medical assistant are just a few of the other online healthcare degree programs available.

In an industry with so much personal and clinical hands-on contact, it’s obvious that these degree programs are going to require some time spent in classrooms, clinics and/or hospitals as well. Part of your online healthcare degree search should be to uncover exactly how much clinical time requirements you will need to allow for. As with any other online program though, the bulk of your class work will still likely be done from the luxury of your home.

For those looking for a position in a hot industry but in a non-clinical role, healthcare certificate programs are available in fields like medical billing, medical assistant or medical transcription as well. Unlike the clinical positions (nursing, respiratory therapy, radiology…etc.), these certificate programs can usually be completed entirely online.

For those already in the healthcare field, there are online healthcare degrees available for those pursuing advanced degrees too. Finding a classroom environment is challenging for a 9-5’er. Try finding a classroom environment that fits into a nurses 3-11 calendar or their Sunday-Wednesday 12 hours/day schedule. You already know this would be hard, if not impossible. In response, many universities are offering online healthcare degrees for both Bachelor and Master degrees in nursing as well as other fields of study.

Take some time and request free detailed information including admissions requirements, costs and general course requirements from several schools. If it seems like a pain just remember that you’re taking a big step here. You owe it to yourself to have at least a few options to put next to each other to truly do an apples-to-apples comparison of the different programs.