Time to stop active surveillance?

Active surveillance (AS) is the most common choice for men facing a diagnosis of low-risk prostate cancer, in which the tumor is confined to the prostate gland and unlikely to grow or spread. Men can potentially continue AS indefinitely until their condition changes. There are situations in which they should move to treatment because the cancer has become more aggressive. Or they may be ready to stop if there has been no cancer progression or they no longer wish to continue with the regular monitoring and testing of AS.

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Turning resolutions into reinvention

The vast majority of New Year’s resolutions are forgotten by February. But people don’t have to tie their personal improvement to a calendar date. Reinvention can begin at any time, making any day a fresh opportunity to stretch toward a long-wanted goal. People should break down their one-year goal into a process to accomplish it. Helpful strategies include writing goals down; breaking them into steps; tracking progress; being accountable; and tying progress to an event.

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New allergies in adulthood

Contrary to common assumptions, new allergies can emerge well into adulthood. New food allergies are more common than new seasonal ones, and shellfish is the most prominent late-emerging allergen. Women are more likely to develop food allergies in adulthood than men and to grapple with severe food-related anxiety. Some people with childhood allergies, such as those to peanuts or pollen, stop having symptoms when they reach adulthood. People who experience potential new allergy symptoms should see their primary care doctor or an allergist.

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Best treatments for this common finger problem

Doctors have three ways to treat Dupuytren’s contracture, a condition that pulls one or more fingers toward the palm. A needle aponeurotomy breaks up the thick collagen tissue sticking to the tendons. A collagenase injection contains an enzyme that eats up and dissolves the collagen. Surgery involves the removal of the collagen tissue. With all three procedures, the condition can return. The procedure that’s right for someone depends on the condition’s severity and the location of the collagen.

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What kind of reaction can you expect from the shingles vaccine?

The Shingrix vaccine decreases the risk of developing shingles (herpes zoster), a painful and potentially serious condition. In some people, the reaction to Shingrix includes mild soreness, redness, swelling, or pain in the arm at the injection site. Some people also experience fatigue, headache, muscle achiness, stomach pain, nausea, fever, or chills and shivering for a day or two. Very rarely, people have an allergic reaction. There is no evidence that anything will prevent a reaction to Shingrix.

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Tips for traveling with incontinence

Traveling long or short distances can be tricky for people who have incontinence. Certain strategies can help: avoiding bladder irritants (such as caffeinated or carbonated drinks), practicing urge suppression techniques, speaking with a doctor about medications that can ease an overactive bladder, wearing clothes with easy-to-use fasteners, wearing “bladder leak” underwear, packing important supplies such as a change of clothes or a portable urinal, using bathroom locator apps, and scheduling bathroom breaks.

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