Prostate Cancer Symptoms: A Guide for Every Man

Prostate cancer symptoms might or might not manifest in a man suffering from this condition. Being a slow developing type of cancer, some men who have the disease might not even know that they have it. Since cancer of the prostate is more common in older men, there are those who die of other causes or diseases without even being diagnosed with prostate cancer until their bodies are examined in the autopsy table. Particularly in the early stages, symptoms are almost non-existent in patients with this disease.

For men who did experience prostate cancer symptoms, the most common are frequent urination, increased tendency to urinate at night, difficulty in maintaining a steady stream of urine, pain during urination and blood in the urine. Cancer of the prostate can also cause sexual function problems such as difficulty in achieving erection and painful ejaculation. If the condition is in the advanced stage or has metastasized in other parts of the body like the bone and the lymph nodes, additional symptoms will be most likely to occur. These can include bone pain, particularly in the spine, pelvis and ribs. If the cancer has spread to the spine, it can compress the spinal cord which can result to weakness in the legs and even urinary and fecal incontinence.

The symptoms of prostate cancer are very similar to those of other prostate disorders such as benign prostatic hypertrophy (BPH) and prostatitis. To determine the reason behind the symptoms, a thorough examination is necessary. If the cancer is detected at its earliest stage, the patient will have a better chance of treating and maintaining the condition. Several methods of detecting cancer in the prostate have been developed during the last few years and two of the most common are the prostatic specific antigen (PSA) blood test and the digital rectal exam (DRE).

PSA is a protein that is produced in the prostate gland and released in very small amounts into the bloodstream. If a patient has a prostate condition, more PSA is released into the blood until it reaches a level where it can be easily detected. PSA levels under 4 ng/mL are usually considered as normal, while levels between 4 and 10 ng/mL are considered intermediate. However, in some cases, men with prostate cancer still record a low level of PSA. In cases like these, a DRE is often conducted to supplement the results of the PSA test.

DRE is a process wherein the physician inserts a gloved, lubricated finger into the rectum to examine the size, shape and texture of the prostate and determine any irregularity. It is also often used by urologists to distinguish between cancer and non-cancerous conditions such as BPH and prostatitis.

Although DRE and PSA test have been widely used as screening techniques, doctors have cautioned that these diagnostic measures are not 100 percent accurate. Other factors might cause the elevated level of PSA in a man’s blood or cause irregularities in the prostate. With this in mind, patients are advised not to rush into these tests but have a long, detailed discussion with their physicians first.

Getting screened for cancer is only advisable if any of the common prostate cancer symptoms are experienced by the patient. It is also important to remember that the symptoms might be caused by other conditions and not by cancer at all.

Genetic Testing- An Effective Test for Diagnosing Colon Cancers

Hereditary nonpolyposis colorectal cancer (HNPCC) and family adenomatous polyposis (FAP) are among the most common hereditary colon cancer syndromes. Doctors diagnose these two ailments on the basis of the results of the patient’s physical exams and family medical history. Although doctors do not entirely depend upon genetic testing for initial diagnosis. However, under certain circumstances this is considered as an ideal method of diagnosing the above two ailments.

What are the circumstances when genetic test is considered Essential?

Genetic test for colon cancer is considered appropriate if you have a family medical history that strongly indicates familial or hereditary colon cancer. Through genetic test, doctors will know which family members have inherited a mutated gene. This will let him know the level of risk of the cancer. This diagnostic result is very essential, since it will affect your screening and prevention options, and indicate whether your children or siblings are also at risk or not.

Which individuals need to get genetic testing?

If an individual’s family medical history shows that he or she is at a high risk for hereditary colon cancer, it is essential to go to a genetic counselor for genetic testing for a particular colon cancer-related mutation. If you are a healthy person having a strong family history of cancer, you may be astonished to find that your doctor will not perform a genetic test on you. Instead, he will suggest you to bring those family members (who are having cancers) for genetic test. Such persons are often referred to as affected family members.

If a genetic testing done on an affected family member shows a positive result for a particular mutation, other members in the family needs immediate testing for the same mutation. In case if there is no mutation found in an affected family member after testing, there is no risk of having colon cancers for others belonging to the same family.

How is genetic test performed?

The process of this test is very simple. It involves a small amount of blood which is collected from the individual’s arm for analysis. This is a kind of DNA test which is performed in a lab by examining the DNA from the white blood cells. It takes some weeks or sometimes even months to complete this test.

Look for a popular medical center that offers genetic counseling at cost effective rates online. After selecting a center, fix an appointment with the doctor at the earliest.

Article Ref.:

Include Garlic In Your Detox Diet Plan

You can start on a detox diet plan pretty easily by including foods that help in cleansing. A detox diet is one that simply helps in the removal of toxins and waste products. Although your body should be capable of removing toxins on its own, it may need some help especially if you have been consuming unhealthy and processed foods over the years.

For a detox diet plan, you can adjust your food intake and add or subtract items that may benefit your overall wellbeing. One food that aids in fighting infections and helps in the elimination of toxins is garlic. This easily available food source is easy to prepare and has also many useful heath benefits.

Garlic contains sulphur, which gives it more medical value. It is a powerful antibiotic; hence with the ability to treat many types of infections. However, because it cannot target specific infections, you may think about limiting your intake as you do not want your body to risk building up a tolerance to this antibiotic. You need not worry, though. This should not pose a concern. On the contrary, including garlic regularly into your detox diet does not cause your body to acquire any resistance to its effectiveness; so there is no issue about the tolerance.

Garlic increases phagocytosis, a substance that boosts the ability of white blood cells to fight off bacterial infection (toxins). It also increases cells of the immune system, so much so that garlic is now the subject of many research studies aimed at looking into cures for HIV/AIDS.

Additionally, garlic can reduce blood pressure and cholesterol levels. It has the ability to control free radicals and to counter blood clotting. Garlic is not only useful in blood disease, but can help prevent cancer. If this is not enough, garlic has also been studied as a proposed treatment for conditions such as athletes foot, asthma, vaginal infections, diabetes, colds, and candida.

There is no need to swallow whole garlic in order to derive its benefits. In fact, the healing abilities in garlic are stimulated only when sliced, cooked, or chewed. These actions purportedly kick the necessary enzymes into gear.

If you find it hard to live with the strong flavor of garlic, then you can always choose to consume garlic capsules. These are odorless and can be found at any health food store. Garlic capsules are just as effective. They have already been compounded in ways that release the productive enzyme allicin, great for the stimulation of cellular activity. Consider getting started on garlic in your detox diet plan and reap the many benefits that this food can bring!

Useful Information About Tongkat Ali Extract

Tongkat ali extract comes from the root part of a tree of the same name. Such is native to some Asian countries like Indonesia, Malaysia and Thailand. Also known as eurycoma longifolia or longjack, it’s been used for so many years already for some medicinal benefits. Some of them include malaria treatment and overall tonic. The extract is also famous for its sexual performance enhancing properties.

Men in Asia have long used it for increasing their sex drive and improving performance in bed. Certain studies also claim it helps with male fertility. One of the things why it’s all the rage these days is due to its ability to treat erectile dysfunction, even being called the Asian Viagra. It’s now a common ingredient in supplements formulated to improve a male’s sex life.

What makes it very potent is its ability to enhance testosterone production. A male hormone, testosterone controls several different body processes. Such includes male secondary sex characteristic development (growth of facial hair and muscles, voice deepening, and others). It also helps regulate the mood, maintain fertility, and keep up energy and libido.

These days, it’s popularly sold in liquid extract form, although it’s not unlikely for them to be sold in powder or capsule. There are manufacturers that add some other ingredients to further enhance the sexual performance boosting effects. Athletes and body builders also take it to help increase their performance level as well as maintain muscle mass.

Although it’s extracted from a natural source, there are some involved contraindications. It’s not advisable to be taken by those with heart problems, prostate cancer, liver disease, kidney disease and sleep apnea. Diabetics should also refrain from taking it, as it can decrease the levels of blood sugar. People with weakened immune system are also advised to refrain from taking this supplement.

Some side effects may arise when taking tongkat ali extract to improve one’s sex drive, performance and treat penile erection problems. They include insomnia, anxiety and restlessness. Carefully read manufacturer’s direction on the packaging of the supplement. More importantly, purchase only from a reputable company.

Antibiotics for Infection and Prevention

When medicines have a list of possible side effects, how long does it take for them to occur?

All medicines have a list of possible side effects; some lists are longer than others. How long it takes for a side effect to appear depends on the medication and your individual response. Sometimes it’s a matter of minutes. For example, some sleeping pills can induce nausea or dizziness within 15 minutes. And nitroglycerin, used for chest pain, can spark a headache within minutes.

It is a drug-oriented world with a pill for every ache, a prescription for every ailment. While drugs are a marvel of the modern age, curing many diseases, they may not be the answer to every illness.

People who take antibiotics for infection may experience diarrhea and abdominal cramps hours after their dose; a week later, they may be faced with a yeast infection or thrush. Dependence on and abuse of painkillers, muscle relaxers and anti-anxiety medications could develop after several weeks.

Some medications take much longer to cause side effects — months or even years. For example, statin cholesterol-reducing medications may be the source of muscle pain, leg cramps or fatigue in some patients, but it could take six months to a year to see this. Statins, as well as the popular pain-reliever acetaminophen (Tylenol), have the potential to harm the liver, though this also may not be seen right away.

Birth-control pills or hormone-replacement patches and pills that contain estrogen may cause side effects of gallstones, blood-sugar problems or weight gain, but it doesn’t happen right off. Cervical, breast and endometrial cancer deserve mention because they also have been tied to female hormone use.

Men take medications that manipulate their hormones too. For instance, Proscar (finasteride) is used to shrink the prostate and help men with BPH, but some research suggests that it fuels the growth of tumors. Another popular drug for men is Propecia, which is prescribed for male pattern baldness. The drug also contains finasteride, but at a much lower dose. It’s not that Propecia causes cancer — studies have not yet shown that. It’s that the drug manipulates testosterone levels, and men need to weigh benefits against
potential risk.

So, is there a single pill antibiotic for infections. Will this be the wave of the future?

The FDA recently approved azithromycin as a single dose for some sinus infections and pneumonias. This drug’s very long half- life makes this possible.

Before now, lower doses of the drug were taken for either five or three days. The advantage of single dose use is obvious better compliance.

Fewer people will stop taking their antibiotic course half- way through.

Not completing an antibiotic course leads to bacteria becoming resistant to medications.

The concern, however, is that if antibiotics become that simple to take, people may be even more tempted to take them “just in case” for viral infections and colds which are not helped by antibiotics.

This would lead to antibiotic resistance. Azithromycin is not cheap, and not available generically. For most infections, there are generic alternatives that are cheaper, but taken for seven to 10 days.

Gastric Bypass Surgery Updates

Do you ever feel like you know just enough about gastric bypass surgery to be dangerous? Let’s see if we can fill in some of the gaps with the latest info from morbid obesity surgery experts.

Gastric bypass operations are more extensive than gastric lapbanding operations. There are several varieties of bypass, but all involve the creation of a small stomach pouch to restrict food intake and construction of bypasses of the duodenum and other segments of the small intestine to cause malabsorption (decreased ability to absorb calories and nutrients from food). Gastric bypass is a tried and tested procedure which a much longer proven history than gastric banding. It is performed by surgeons all over the world, many of who see this is their favourite obesity procedure. Gastric bypass appears to have a very modest net cost per QALY gained compared to vertical banded gastroplasty (742/QALY). In contrast, silicone adjustable gastric banding has a large net cost per QALY gained compared to gastric bypass (256,856/QALY).

Gastric bypass surgery is the procedure used to make your stomach smaller than the usual. A person eats and food passes through the digestive system. Gastric bypass operations are usually performed using keyhole surgery but sometimes it is necessary to perform a standard operation instead. A gastric bypass is a more major operation and you can expect to stay in hospital two nights and be off work for around four weeks afterwards. Gastric bypass achieves superior weight loss compared with gastric banding (70-80% vs 50-60% EWL) and with much greater reliability and predictability. Gastric banding is associated with a range of technical mishaps, which remain a potential long-term threat to patients.

Now that we’ve covered those aspects of morbid obesity surgery, let’s turn to some of the other factors that need to be considered.

Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food.

Surgeons use major procedures to reroute the intestines including the Roux-en-Y gastric bypass (RGB), currently the most common procedure used in U.S. Some surgeons reduce possible risk by performing laparoscopic surgery, a technique which passes slender, surgical instruments through one or more small incisions. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food.

Weight loss is not guaranteed. Generally, the malabsorptive procedures seem to produce greater weight loss but carry higher risks. Weight loss however is not maintained in the long term. VBG and LGB are short term interventions. Weight loss surgery of any type is not a quick fix. Living with either a gastric bypass or a gastric band 24/7 is hard work and brings personal challenges and change.

Is there really any information about bypass gastric morbid obesity surgery that is non-essential? We all see things from different angles, so something relatively insignificant to one may be crucial to another.

3 Ideas That Can Help You Prevent Colon Cancer

Colon cancer (also known as bowel cancer or colorectal cancer) is any cancer that develops in the last part of the digestive system (usually the colon or rectum). It develops when polyps (fleshy growths) start to multiply uncontrollably and is believed to be responsible for over 16,000 deaths in the UK each year. Although there are treatments available one of the best methods for combating bowel cancer is to prevent it from happening in the first place. In this article I will be discussing three things you can do to reduce your risk of ever developing this type of cancer.

1) IMPROVE YOUR DIET:- A study of 500,000 people performed by the European Prospective Investigation into Cancer and Nutrition (EPIC) in 2005 suggested that a high intake of red meat could increase your risk of developing colon cancer. The study also suggested that not getting enough fibre could increase your chances of developing this type of cancer. Finally, the study linked regular consumption of fish with a reduced bowel cancer risk.

Therefore, if your diet lacks fibre or fish or you find yourself eating red meat regularly perhaps now is the time to change. If you eat red meat every day try to cut down and eat it just two or three times per week. If fish is not currently part of your diet then try and have a fish dish at least once a week. If you are currently only getting low amounts of fibre try and eat some fruits and vegetables every day. You don’t have to make any drastic changes to your diet but the small adjustments suggested above could really make the difference where colorectal cancer is involved.

2) DO MORE EXERCISE:- Exercise stimulates a process called peristalsis in the colon. This is a muscular contraction which forces waste through the colon and into the rectum. By exercising more regularly you can ensure that waste moves through your body more quickly and therefore reduce the risk of any waste sitting in the colon and leaching back into your body’s tissues. Regular exercise is also believed to increase the survival rate of post treatment bowel cancer patients by as much as 50%. In a study by Meyerhart et al [1], 573 women with colorectal cancer between stages 1 and 3 were observed for the six months following their treatment. The results showed that the women who increased the amount of exercise they did following their colon cancer diagnosis were around 50% more likely to survive.

Therefore, if you do not currently lead a very active lifestyle try and do something about this. The changes you make do not have to be drastic. In fact many experts suggest that small increases in the amount of physical activity you perform each day can do the trick. If you are not a fan of the gym there are many other options available to you. Try going for a brisk walk on your lunch break, taking the stairs at work or walking to the shops instead of taking the car. All these simple changes can build up to significantly reduce your chances of being affected by colorectal cancer.

3) STOP SMOKING:- Most people know that smoking is directly linked to lung cancer. However, a lot of people are unaware that smoking can also cause other cancers including colon cancer. The reason for this is that cigarettes contain carcinogens (substances which increase your risk of developing cancer) and once inhaled they can reach all areas of the body including the colon. On top of this smoking is believed to increase the size of polyps making them more likely to become cancerous.

If you do smoke then you really should consider quitting. Not only does it increase your risk for multiple types of cancer but it can also damage all your major organs,cause your skin to become wrinkled, turn your teeth yellow and much more. On top of this smoking can also have a negative impact on those around you via the smoke you exhale. Quitting is not going to be easy but if you want to reduce your overall bowel cancer risk and significantly improve your health you should give it a try.

Colorectal cancer is a horrible disease that no one should have to endure. However, by taking the preventative measures discussed in this article you should be able to lower your risk and hopefully avoid this condition completely. Although this type of cancer can be treated prevention is a far better option. Start making the recommend changes today and you should reap the rewards.

Whilst every intention has been made to make this article accurate and informative, it is intended for general information only. Colon cancer is a very serious, life threatening condition and you should discuss any concerns, treatments or lifestyle changes fully with your doctor.

[1] Meyerhart, J. Edward L. Giovannucci, Michelle D. Holmes, Andrew T. Chan, Jennifer A. Chan, Graham A. Colditz, Charles S. Fuchs., Journal of Clinical Oncology, Vol 24, No 22 (August 1), 2006: pp. 3527-3534

I Have Blood In My Poop!

You probably don’t want to yell “I have blood in my poop!” when you’re standing in a crowd. However, if you turn around one day and see bloody stools in the toilet, it’s certainly something you might be screaming inside your head. Seeing blood is bad enough, seeing your own blood is worse. When you start seeing blood in your poop, that’s gone too far. If you’ve just exclaimed to yourself, “I have blood in my poop!”, what could be the problem? What should you do?

There are actually quite a few reasons why you might have blood in your poop. Some of them could be serious. Most of them are not. The first thing you need to ask yourself is, “How do I know it’s blood?” You may not have realized this before, but there are actually several foods that can make your poop look bloody. Tomatoes and beets can turn your stools red. That makes sense now that you think about it, doesn’t it? Other possibilities include blueberries, licorice, iron supplements, Pepto-Bismol–all of these can turn your stools black, which looks a lot like blood in your poop. So the first thing you need to eliminate as a cause is your diet. Have you eaten any of these foods or taken any of these substances in the last 18 hours?

If food is not the cause of your strange-looking stools, then you probably should accept the likelihood that you actually do have blood in your poop. By itself, this certainly isn’t the end of the world. But here’s the thing–you need to call up your doctor and tell him, “I have blood in my poop!” Or, you might want to wait until you’re back in one of those private exam room. It’s your decision. But don’t delay making an appointment to see your doctor. Most causes of blood in your poop are minor. But it’s important for you to know for sure.

The very first thing that your doctor will want to know is what color your stools were. The obvious answer is “red,” but not all bloody poop is red. The actual color depends on where the problem is. The farther up your digestive tract the bleeding is occurring, the darker the blood will be. You see, as blood passes through your intestines, bacteria works to digest it like food. The chemical changes that bacteria cause darkens the color of the blood. The longer it stays inside your body, the darker it gets.

So what does this all mean? Well, bright red blood in your stool most likely was added just before exiting your body. The most common causes of bright red blood in your poop are hemorrhoids and anal fissures. Hemorrhoids can begin to bleed when you strain during a bowel movement or even when you wipe a little too roughly. Anal fissures are also quite sensitive to straining and may cause you to have bloody poop. If this is the cause of your problem, the doctor will probably encourage you to drink more fluids and deal with any possible causes of constipation. Another remedy that will provide great results is a colon cleanse. Natural colon cleaners help to remove old waste matter that may be contributing to your constipation.

Darker blood in your stools means that the cause is more likely in your stomach or small intestine. One of the most common causes of blood from your stomach is a bleeding ulcer. Although this sounds dangerous, it’s often a result of taking medication. Even over-the-counter medications like aspirin or ibuprofen can lead to ulcers that cause no pain but that bleed into your digestive tract. If your doctor believes that this is a likely cause, he may recommend a change in medications.

Why is it so important to tell your doctor about blood in your poop? The problem could be caused by bleeding from intestinal polyps. Polyps are not that dangerous by themselves, but there is a possibility that polyps could develop into colon cancer. This type of cancer is much more likely in people over age 50. If that describes you, then you should not hesitate to get screened for colon cancer. Although colon cancer is one of the major cancer killers, it’s also very easy to prevent. By discovering and removing polyps before they turn cancerous, colon cancer can be completely prevented. Whenever you notice anything that might indicate digestive tract bleeding, call your doctor immediately and tell him, “I have blood in my poop!”

Breast Cancer Stage IV

Stage IV breast cancer has traditionally been considered an incurable cancer. In the mid to late 1980’s the average patient with stage IV breast cancer treated with low-dose chemotherapy survived 8-10 months before their cancer relapsed and less than 5% of patients could expect to survive 5 years without their cancer recurring. In 1988, the results of a small clinical trial treating 22 women with stage IV breast cancer treated with high-dose chemotherapy and autologous stem cell transplant were published. Fourteen percent of these patients treated with high-dose chemotherapy survived without their cancer recurring beyond 5 years.

Over the years since the original publication describing high-dose chemotherapy for the treatment of stage IV breast cancer, thousands of women have been treated. All of the more recent publications demonstrate that the complete remission rate for high-dose chemotherapy as initial treatment for stave IV breast cancer is 40%-60%, the mortality from therapy has decreased to 1%-5% and the number of patients alive without evidence of cancer recurrence is 15%-25% 4-5 years from treatment. The results from two clinical trials comparing high-dose to lower dose chemotherapy have also been published.

In general, women who have advanced breast cancer at the time of diagnosis live approximately 18 months after diagnosis (median survival rate). Those who are still alive five years after their diagnosis of advanced breast cancer can live an additional 3.5 years (median survival rate) according to the American Cancer Society.

The 3-year survival rates were 38% for those receiving the standard chemotherapy, and 32% for those receiving the high-dose chemotherapy. Twelve percent of those in the standard-dose group had no progression of disease, compared with only 6% in the high-dose group. Furthermore, there were more side effects in the high-dose therapy group, including one treatment-related death.

Additional clinical trials directly comparing conventional chemotherapy treatments to high-dose chemotherapy treatments are currently ongoing to help determine which patients may benefit most from high-dose chemotherapy treatment.

Early detection procedures must include monthly self-examinations done at the same time each month. From age 20-40, healthy women should have clinical breast exams performed by their health care providers every three years. After age 40, the breast exams should be annually and should include a mammogram or similar procedure.

Monoclonal antibodies are a treatment that can locate cancer cells and kill them directly without harming normal cells. Herceptin (trastuzumab) is the first monoclonal antibody approved by the Food and Drug Administration for the treatment of breast cancer. Herceptin recognizes a protein on the cancer cell surface of 1 in 3 patients with breast cancer. In order to be treated with Herceptin your doctor must test the breast cancer cells for the protein that Herceptin recognizes. This protein is called Her 2-neu. Herceptin or other monoclonal antibodies are not substitutes for other cancer treatments but have the advantage of being administered during or after high-dose chemotherapy and killing cancer cells by a different method than chemotherapy with the goal of improving the total treatment. Clinical trials are currently being performed to determine whether monoclonal antibodies administered during or after high-dose chemotherapy can improve survival or cure rates.

Opting For An Elective Medical Procedure That Will Improve Your Life

It used to be surgical procedures were considered a last resort. It was used in response to a medical emergency and not an elective measure. Over the last few decades, surgical procedures have developed into proactive measures, or to help them lead a better life right away. These elective surgeries can help solve problems that are not currently life threatening, but if they were to be able to correct the problem, it would never become a more dangerous problem. For instance, if you have problems with your vision, there are surgical procedures that can correct the problem. The cost of Lasik eye surgery is reasonable so it is an option for many who have vision problems. The cost of Lasik is not always covered by insurance, but your Lasik eye cost may be worth the investment if you never need to wear glasses or worry about contact lenses ever again.

If you have great vision, there may be another health problem that causes you strife. Those who are severely overweight may want to speak with your doctor about a gastric bypass procedure. This surgical procedure creates a smaller stomach, helping food leave your system. It also helps you eat fewer calories than before.

There are numerous options now for this procedure, and the risks associated have decreased. This procedure can not only help you lose weight for cosmetic reasons, it helps you lead a healthier life. Those who have been overweight their whole lives end up facing a number of health risks in the future. People who are obese, are more susceptible to problems like diabetes, cancer, and heart problems. Electing to have the gastric bypass can make a big difference in the health of your future.

Even without vision or weight problems, there may still be a surgical procedure that can improve your life. Cosmetic surgeries include hair implants and mole removal. Sometimes, mole removal may be a health problem due to skin cancer, but other times you just want to remove something you are tired of looking at. Hair implants are never health related, but they can make a big difference in how you feel. Both of these procedures mean outpatient surgery, so you stop by for a doctor’s appointment, the problem are fixed and you go home.

Cosmetic procedures like these are paid for out of pocket, but they are often very affordable. In the long run, you may find the investment worth every dime because you will be feeling and looking a whole lot better.