Treatment Options for Liver Cancer and What to Expect

When thinking about liver cancer, there's typically two types of liver cancer. Those cancers that start, actually in the liver and those cancers that start somewhere else and then go to the liver. Those cancers that start in the liver, we call primary liver cancers. And typically, those would include such things as Hepatocellular carcinoma, or intrahepatic cholangio carcinoma. It's very common, however, for cancers to start somewhere else and then spread to the liver. Probably, the most common cancer to do this would be colon cancer, which is a very common cancer in the United States. So we frequently see patients who have colon liver metastases, colon cancer liver metastases, that is cancer that started in the colon and then later spread to the liver.

There's been significant advances in chemotherapy over the last to years. Chemotherapy typically can be delivered through different routes, either by mouth, IV, or even now through catheters that are directly placed into the liver. For a colon cancer that has spread to the liver. So, colon cancer liver metastases, there's been great advances in the use of chemotherapy to allow the tumors to be shrunk so that surgery can be possible. For other types of liver cancer such as a hepatocellular carcinoma, there's been great advances in placing catheters directly into the liver so that the tu, so that the chemotherapy can be directly delivered to the tumor. Thereby decreasing the complications and the after effects of the chemotherapy that a patient may suffer from.

When deciding whether someone is a candidate for surgical resection, we know that we can take out roughly to % of the liver. And we need to leave behind about to %. If it looks like there won't be enough liver left behind after the operation, then we can perform a procedure called portal vein embolization. What this is, is that the patient is taken to radiology and under x-ray vision, we can place a catheter in the liver and block the blood supply off to that side of the liver where the tumor is located. This will cause the other side of the liver to grow before the operation. Typically, the procedure is done as an outpatient procedure. And we obtain repeat x-rays, roughly four to six weeks after the portal vein embolization. If the liver has grown, then we can procede with surgery at that time.

There's many different types of liver resections. Some liver resections can be quite small if the lesion is located near the end of the liver or the side of the liver. Other liver operations can be quite large, where we can remove half of the liver or even rds of the liver. The extent of the liver operation is dictated based on the size and the location of the tumors within the liver. Occasionally, we can perform the operation using a minimally invasive approach. This has benefits because there's less pain associated with it, and patients can frequently go home earlier. Many patients however, who have more extensive disease however, will need to undergo the more traditional open approach. Depending on the extent of the liver operation, the time for the operation will differ. Typically, however, most liver operations will take anywhere from two to five hours.

What a patient can expect when facing liver surgery is that typically they come in to the day of sur, come into the hospital the day of surgery, undergo their operation. Most patients here at Hopkins will spend one night in the intensive care unit and the next day be discharged to the floor. The typical hospital stay is anywhere from about three to five days, following that the patient goes home. And when the patient goes home, they're able to do all the normal activities of daily living, their eating, their walking, they're able to do stairs. Some patients will experience some fatigue which may last a couple weeks, but in general, patients do very well after this type of operation. 

There's been great technical advances in liver resection over the last number of years. This is a very safe procedure. The risks that are associated with the liver resection would include infection, bleeding or a bile leak. The liver makes bile. So when we cut through the liver, there's always a chance the bile could leak out of the cut side. But all of these complications are fairly low in the range of less then or %. In fact the overwhelming majority of patients who undergo liver resection here at Johns Hopkins will require no blood transfusion at the time of the operation. 

The liver does grow back after resection. But the liver is actually fairly smart, and only needs to grow back if it needs to. So in other words, if only a small portion of the liver was removed, in general, the liver will not grow back. However, if we remove a significant portion of the liver, then the liver indeed will grow back. I think Hopkins is a, a very special place. In particular, when we're talking about patients who have liver tumors, most of these patients have very complex problems and require a multidisciplinary approach. That will not only require surgery, but also medical oncology, interventional radiology, hepatology, radiology and radiation oncology. Patients who have these tumors also have very technically demanding operations. 

And it's important for patients to be seen at high volume centers with a significant amount of expertise. Hopkins has this expertise, but we also have a caring team that really sees individuals not as patients but as people, and we're able to bring to bear all of the therapies necessary to get people healthy again.

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How to Eat to Prevent Cancer

How to Eat to Prevent Cancer. You don't need supplements to prevent cancer — look to the food you eat every day to pack in all the healthy nutrients you need. You will need Berries Spices Sources of isothiocyanate Watercress Green tea Sources of folate Brazil nuts Omega-3-rich fish Garlic Asian mushrooms Apples Flaxseed Broccoli sprouts and macadamia nuts. Step Pick up some blackberries; they contain twice the antioxidant content of blueberries. Strawberries, cranberries, and raspberries are cancer-fighters, too. 

Step 2. Curry lovers, rejoice! Turmeric, the spice that gives the popular Indian dish its yellow hue, inhibits the development of cancer. Ginger runs a close second, followed by cinnamon.

Step 3. Eat your broccoli. It contains isothiocyanate, a compound that fights several cancers. While Brussels sprouts, cauliflower, cabbage, and arugula also have ITCs, broccoli is king because it has a particularly potent kind called sulforaphane. Broccoli _sprouts_ have the highest concentration of sulforaphane.

Step 4. Munch on watercress and drink green tea. Both increase the amount of cancer-fighting antioxidants in your blood, and watercress protects your DNA from changes that can trigger cancer.

Step 5. Enjoy a bunch of asparagus; it contains the B vitamin folate, which may reduce the risk of several cancers. Other good sources of folate are orange juice, lentils, spinach, peanuts, and broccoli.

Step 6. Go nuts — as long as they're Brazil nuts. They contain selenium, which fights cancer cells. Go for the unshelled ones, which have more selenium. But limit yourself to one large or two small freshly-shelled nuts per day, as too much selenium is toxic. Macadamia nuts contain almost as much selenium as Brazil nuts. 

Step 7. Eat fish a few of times a week. An Italian study found that people who eat fish twice a week reduce their risk of developing several cancers by 30% to 50%. Go with Omega-3-rich fish like salmon, sardines, mackerel, and tuna.

Step 8. Indulge in garlicky foods. Fans of this pungent bulb have a lower risk of stomach and colon cancer because cooked garlic inhibits cancer cells from growing.

Step 9. Consume more Asian mushrooms -- in lab tests, shitakes repressed cancer cell growth. Also try maitake, zhu ling, enoki, and red reishi mushrooms.

Step 10. An apple a day may keep the _oncologist_ away. Studies have found that when pulverized apple skins were placed in a petri dish with colon cancer cells, the cells' growth was inhibited by an impressive 43%. So don't peel before eating!

Step 11. Incorporate flaxseed into your diet. In a Canadian study, women diagnosed with breast cancer who ate a daily flaxseed muffin for 40 days showed a statistically significant reduction in the size of their tumor compared with a control group. 

Did you know The lowest rates of cancer in the world are in the Japanese regions Uji and Shizuoka, where most of that country's green tea is harvested. People in those areas drink more high quality green tea per capita than residents of any other area of Japan.

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How to Oil Pull for naturally white teeth and healthy body you

guys I'm getting a lot of questions about nineteen and remained high they were white and looked healthy so I thought I would share a little information with you today on the oil attractive because it is something that I do you practice in dental care holistic me so basically oil draw is each inspire me to practice that involves him going around in your mouth so it is basically like you are using will as a mouthwash, and it is a simple little social whirl around in your mouth can have Prof discover the benefits not only for health / beauty of your gums

but also home throughout your body I'm just going to try and provide as much information as I could on oil pull in the video and a book which is really good if you are interested in learning a little more but will stick is going to claim the therapy by a doctor bruce with this is a very interesting book I've read a few times and a lot of information I'm going to be talking about that day was really interesting from this book so if you are interested definitely happy I think this target is appropriate to say a pool of oil that you need to do is take around tablespoon and that will really and just put it in your mouth and began to move around you can use a variety of different oils

but I really like to use sesame seed oil and coconut oil cuz snet the best and and many people also use sunflower seed oil, and you can also add different essential oils such as peppermint oil or oregano oil and it just provides some additional benefits and antibacterial and really help freshen your breath so just put oil in your mouth swishing around a particular star using the sucking motion trying to get the oil between eighty throughout your mouth will probably take some getting used to you and your mouth might get a little tired

at first but just relax and it will be okay your mouth may produce a lot of saliva and may be a little bit difficult to keep that going and saliva in your mouth and in this case you just want to spit it out and start fresh with a new oil you will want the gap to about a minute and I know that seems a very very long but in fact are so many things you can do while holes English and cooks a good breakfast or dinner you can read a book in UK and shower for a few minutes or you could even just you know the density and make use of exercise and after twenty minutes until he could be behind the wheel out not swallow because it will contain a lot of bacteria and toxins so just spit it out and then I wanted to rinse

my mouth out with some sea salt in the water but it is optional it is said that when you play the best and the first in the morning on an empty stomach and I really recommend that you do they speak because you just want to get it over and done with me I if you are waiting for the last minute at night you might forget to do it and it will not get done believe me I know this happens to me all the time so it's best just to make it a separate and daily morning care of your teeth and get completed and it also really going to do

first thing in the morning before you eat because that's when the population of bacteria highest in your mouth and as soon as you eat something you swallow a lot of bacteria with food in a slide that so can only be done in the morning and make it enough and you know what which will attract at least once a day maybe even twice a day if you are sick you are actually trying to heal yourself look might wonder how much of this will magically attached to work and I've read several different explanations but the explanation of my favorites is from a doctor bruce Fein not welcome book therapy and you really make sense lotta we've actually had to begin to see themselves as a whole and the harbor mouth really reflect the home of the body the whole problem so understandably we now she can really signal that there are problems other areas of body mouth and sinus we trusted the hallway throughout our body there where we receive food from the food and water where we take the air

but also where we have received a lot of toxins and germs so that we have a lot of germs and bacteria in your mouth and ultimately ensure the body and turbulent flow even flossing and brushing can create small tears in your gums alarm that you can go down into the bloodstream you caused a lot of problems for you so that our immune system is constantly striving to find from invaders but what we eat will call that reduce the number of factories in the spirit of his mouth it took a little strain the immune system and the immune system can focus on other areas of the body and their really a good way

to understand is when you mix and oil and water together into separate but when you mix good will together combine and microorganisms in the mouth we discussed in a bit so real and weeks will summon oil basically acts like Big made and that attach to all the microorganisms in the mouth and are able to use their speed of bacteria and germs with oil be in our saliva and microorganisms missing our body is free to heal itself everyone will benefit from attractive oil

whether you are just trying to get me to be the bad breath or here to try to get your teeth or you are trying to cure something somewhere else in your body there is no reason for not going to pull it simple it was cheap and in effective it is oil information interesting I hope you enjoy the video and media to learn something that I wish that I did a good job fine explain things that we sometimes have trouble explaining things but I really just wanted to give an overview and provide little information at least on oil interesting

 but it certainly went out in the research that I mean there are so many benefits to clean oil is absolutely no reason not to do it super super simple, inexpensive and really really effective and comments below and tell me if you you are oils Paul and if you face what will your favorite to use I would say I'm that sure why I feel solar remember to give this video a thumbs up and subscribe if you want to see more video of me I'll do the natural teak wait for the video very soon so stay tuned for that and I'll see you next time for me to

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Kidney Pain Symptoms - Signs Of Kidney Stones, Kidney Infection

I'm not a doctor but unfortunately ever and way more about the symptoms of kidney disease for many years that I would have liked I had a kidney stone my first when I was old enough for twelve years out are a dozen more kidney stones since there is also a very long history from various kidney problems on my mother's side of the family so I've produced this video in symptoms of kidney disease to help anyone who may be dealing with a kidney disease for the first time and are unsure about what is going to help to know a little

about where you can use what they are doing and what could be causing the symptoms of kidney pain kidney being sent organ located near the bottom of your ribs they play many different roles, but one of the most important is to filter the liquid poisons and products waste from your bloodstream and their change in kidney urine pain symptoms occur when there is damage to the kidney tissue, especially for Rollins neff which is a small filter they clean neff bloodstream you walk another kidney tissue pain that was broken into is often the first indication that something wrong

usually fields pay lower back just above the beltline when you look discomfort with syria which could be the beginning of a fairly heavy seek another symptom of a problem that usually means burning stinging sensation when u urinate and urine is cloudy dark or even stained with blood symptoms another characteristic of serious kidney problems besides pain include chills and fever, nausea, foul smelling urine is described lack of sleep anxiety fatigue strength and general inflammation

here's a list of disorders that are generally caused by kidney disease and related failure symptoms of the kidney is the most serious type of renal impairment since renal function is no longer and possible death without kidney dialysis or a kidney transplant kidney stones are exactly what their name says they are small is sometimes double such tiny mass of cumulative urinary tract kidney stones occur when the solid crystals in a separate and collect stones in the kidney to block the flow of urine from the kidneys and bladder, and although they may be small kidney stones can cause severe pain over a large area of ​​the lower back

and even around to the front in cancerous kidney area stomach and genitals is a kidney disorder that can cause and the media pressure high blood pressure or hypertension reduction in the desire to sweat meal that evening and kidney infections weight mysteriously caused by germs in the bladder that migrate to the truth of the kidney in connecting to your score, there are two common types of acute and chronic kidney infection and both can be life threatening when they reach a certain stage of chronic kidney infection develops over a long period sometimes years

but at an acute infection can develop in a matter of a few days either side to get all the symptoms of kidney disease to kidney failure severe due can also result from kidney damage caused by certain diseases or conditions, including diabetes and pain high blood pressure can also result from kidney damage caused by physical trauma during athletic competition or maybe auto accident kidney pain symptoms really should be taken very seriously

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Neck Pain Treatment Quick Fix

With neck pain quickly fix and wow is certainly not as thorough as neck pain and I order I take you through on that main page I do not want to give something that your intention was time to go through everything at that moment may well you can get really fun day at a time to go through and do everything% ah that can really make your neck causing your pain

so the big secret in case you have not been to the rest of the site is that the secret of this body is that of healthy tissue is not trying to impress on so if you hit the muscle tissue and tender its meaning is not typed, and if you release that may really take a lot of time networking your pain go away second secret is that just massaging that tend issued do not really tend to get exemption 

You will need to do is kind of what I call the technique press the police that I went through in the courtyard techniques but basically you reach your berth and poll your place in releasing your grandma pull up you will not be on the surface of your skin achieve a polls elsewhere network layer on this site clay or wrap that you stretch possible but occur each do it again do it again do it again every time he did that your brain cerebellum you really let go of network bit another way that issues broadcasting techniques move vol regular press we just push on tender places in you are looking for a way to make muscles move at your fingertips

You create muscle function cancel your fingertips, and that too is your cerebellum above the brain stem you tend to let problems that bit I sometimes really so fast that for neck pain Liquitex what we would do basically I assume sore neck you are you know somewhere in what we will carefully consider your neck but I really think both of your hands and just feel back here to put my soft tissue and I was probably the rest of your neck up and down the whole thing 

and then you know you do if that happens then you want to go to the main page and ultimately keep doing the other steps I I've done too lesion and I or permanently me because this is you know the tournament as a rapid improvement but basically when you find a soft spot let's assume in this side is the same as I found the soft on my right side and the side that you would want to basically take your opposite hand and take away your fingertips from within and you want basically want to press the tip place your finger in one place more tender and then you want to basically turn your head what I would say to the to the side where you feel pain and 

when you do you will find that the network when you think kids moving and you really feel the release start most of the time and so you press on hold and make that matter moves and what I suggest no problem spending a little time in one place but it was moved to another place to spend a little time there motionless for you waive any minor point in your neck also helps other places the police are also solely your only here you can also you can even during it as well you know the opposite side that is not which is not to do too much so basically that problem years 

and you think your kids to turn your head to the softness and you feel doing it they can do so but I call that he had a hand technique here I we make the problem moved to them why you and even more pressure with the other hand but again% eh you are only one person on the network at the level you can really relax into more is not always better when you're trying to talk to you stem your brain to get the problem this release see there walking Taser you can play with your little even can go if he does not there are spots on the other side then I would suggest you do it a little bit and then you turn into the same thing turn into it turn into that and I even if it is on the side of your neck 

basically you want to work they have you stay lean muscle you want to work every day leaving little but then again you're pressing the holding and make the function a problem under your fingertips and we generally get you the most left by her neck and could play -main bit and if the road if you want to play will hmmm she just wanted to be here here here's where you come in we can conduct their hand in hand yes I mean a better question noname press nod and they can do both but I like the month at the time it was OK too me but it will tend to be less likely to get that which makes a quick release and then when you have time you want to get together neck pages pains main which teaches you to release these muscles under furniture which basically 

and can you talk rave and cause neck problems% uh all this muscle here is towards your shoulder saying your neck muscles attached to the top usually play a lot of them their ghetto to work and then your neck pain, but that all tables are here ganking I report the neck but it ai quick fix repack we re only work only on the neck and now I'm in maybe technically you can often give themselves of the help of some relief after a long day she and I ultimately want to go to do much to matters another thing that I did not see teachers get and despite all the small pieces that may be in play when you have a neck problem that is a quick fix to neck pain you and I hope it serves you well and I look forward to hearing how it goes thanks Healthy body

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Vertigo Treatment - How to Treat Vertigo

I wake up in the morning everything started spinning thats violence walking space like a spiral into space you know you feel like you are flying after that immediately I knew what it was because I have my work so that we have a cochlear hearing part of the year and then we have a semi-circular canals sensor rotates so that there are particles that better in future calls can sometimes be opening this

when you lie in bed at night particles can only be downhill gravity and then when you set up in the morning they get all the way down here to the bottom you but when particle build-up to it klom large enough that they form a piston in the canal then when you move your head like this moving particles in the structure of the sensor and you feel that spins and I know that here lies particles in rain and so I had to find a way to get them out

so I made a small model with my hands like this and I twisted and turned around to find out new ways to do it and I realized that if I went ahead I could get the particles out II consists of debt and a half somersault came and it was gone I saw you begin to kneel and you to get your head straight up to see the ceiling can hold that position for a few seconds, you usually feel a little spin which helped start moving particles that you put your head completely reversed attack the bit so that your head is not perfectly true vertical typed under slightly toward your knees

so during that time you turn your head toward the L your right if you are going to treat here if you treat your left ear turned their heads to face you left anyway sites you get the easiest when you're lying in the roll so if you roll to the right and who make an annual spin to the left in it is lost it is not as bad as you have it in you here, in that the position of the particle will start moving and you'll feel the spin

You wait all spending to stop or you can count up and then very quickly raise your head back to look at the level of your head behind you are at the same level but you keep your head turned to that degree then you wait to stop spending 15-30 seconds and then you bring your head completely upright so you end up kneeling in the position that the particles should leave year but sometimes take four or five repetitions safest course is to repeat it with a minute break between each effort because that allows the particles to the police alert away from opening

if here to get rid of it even after trying recently you can always see a doctor and went in and had other maneuvers that people who were given this maneuver as opposed to being given a% er maneuvers also in much less likely to return and in fact none of those who received this maneuver should go back now I do not need to see the faces of the same is in overcoming an insane I need other treatments because they were able to take home that allows me to see more people I never new trees and teaching they

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How to Ease Stomach Pain

I want to share with you today for tips to take care of yourself if you wake up in the middle of the night with a stomach ache is actually only occurred to me recently I was walking on a family vacation we decided to go out and I thought I had accidentally pollutant i woke up with that horrible studies are in the middle of the night in the morning and basically had a look to find ways to take care of themselves and others

Ford said something to share with you today is very simple you can do it yourself they are free and you know you have it with you wherever you go so I can make you re actually three of the four that I will share with you in a hotel room our so the first thing I would suggest is the hydration tell you to get some water on you can start by taking water into your mouth and just switch the water around your mouth will begin to water absorption I love right into your system

and then swallow more about clear it will go into your system, and the second about as this year is the size Technol which I found very helpful so up off at that point P of whatever you mean any food that you are a teenager you may cause muscle -otot around Tomic thats bad and usually the muscle of the diaphragm is here so what I recommend doing taking have your fingers here and girly at just below your rib cage can feel you read and precisely where the sternum and a soft place we can go

so finding that putting on the cell and then go a little into your body and then up and then down to the pool of network down and went to help give a little more to be and to let go of this it means muscles so you can do this only on your own apply pressure here you can also use your anger to help you go to this little place in a little bit so I want to have is to take a good Press and then as you exhale feel the finger pad pressing just a little deeper

and then again in hell releasing their pressure problem at feel again applying the finger a little more in this task means he she or pain where here and then starts here now movie Lisa and axially you may find that you can go a little deeper as axial and keep going until you feel like you got some real we sometimes this technique you release me of another concern that some level of additional gas may come and hopefully this gives a third take a cool spring just very

so once you finish your water and you've done yourself in size only shower tryin Lee or sit back with ever feels most comfortable to you and do a little he would take a read so you'll EL three out an axial through the nose and then again health through axial nose through the nose to boil for the nervous system will help to calm the emotions and anxiety of any attention that is going on in your body and then the fourth thats also very easy to do I unfortunately didn 't have access to it a hotel room

but you can find it your all pharmacies are a hot water bottle so I felt I had a hot water bottle put a small very soon or if you have some sort of heat packs will really do the trick and now hopefully will help you get back to sleep I hope Tips- these tips helpful for you so if you know anyone that struggle with these things is that you think would be useful for you where you shout I hope to speak with you thank you very much

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