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Prostate cancer

Prostate cancer

By Annette Campbell

David Sandoe, 59, is a general manager with a financial company in the heart of the city of Sydney.

But even on his busiest, most high-pressure days, this executive refuses to stress.

“Nothing at work can really worry me now,” he says calmly. “I’ve survived worse!”

Eight years ago, David was diagnosed with prostate cancer — and now he’s a living, breathing, proud example it can be beaten and that life goes on.

“Cancer is only a word, not a sentence,” says the married father-of-three from Turramurra, in Sydney’s north.

A routine medical in September 1996 showed he had elevated PSA (Prostate Specific Antigen) in his blood, and a digital examination found his prostate had abnormalities. A subsequent biopsy showed there was cancer in the prostate — and David opted for surgery to remove his prostate completely.

“It is common to have some incontinence afterwards, so we have to re-train the bladder with pelvic floor exercises, and I’m fine now,” he explains. “Impotence was also a consideration, but if you’ve got cancer … you’ve got to do everything to attack it.

“Initially, I couldn’t get an erection. So I used injection therapy, and we could have really good intercourse.

“But I was getting quite bad groin pains after sex, so we opted for a vacuum device and that works well. Now — after eight years — I can get a pretty good erection myself, and with the use of oral drugs and the manual device, it’s all quite good. And I’m alive.”

David — who’s now a Director of the Prostate Cancer Foundation of Australia, (PCFA) and the co-chair of their Support and Advocacy Committee — is happy to talk openly about his experience, to help other men overcome their fears … and embarrassment.

“You would not wish prostate cancer on your worst enemy but I’ve been enriched by the experience and now am trying to help others,” he says.

Prevention and symptoms

The prostate is a male-only organ located immediately below the bladder and just in front of the bowel.

David says that if you’re over 50 you should have a PSA blood test and digital examination every year.

“And if you have a family history — like my sons do — you should start being tested at 40,” he explains.

The symptoms may include one or more of the following — although many prostate cancers develop without men recognising any symptoms.

— Waking frequently at night to urinate

— Sudden or urgent need to urinate

— Difficulty in starting to urinate

— Slow flow of urine and difficulty in stopping

— Discomfort when urinating

— Painful ejaculation

— Blood in the urine or semen

— Decrease in libido (sex urge)

— Reduced ability to get an erection

Unfortunately, if you have symptoms and you have cancer, the cancer may have already escaped the prostate capsule.

For more information, contact the Prostate Cancer Foundation of Australia on 1800 22 00 99 or visit their website www.prostate.org.au

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Boston Terrier

The Boston Terrier

The Boston Terrier is a very popular breed in the United States, which is fitting since they are one of the few dog breeds that America can claim as their own.

This intelligent, handsome little dog has its origins in — you guessed it — Boston, where it was originally developed as a cross between the English Bulldog and English White Terrier in the late 1800s.

Recognisable by their round, compact head with its short, wide muzzle; large, wide-set eyes and fine, erect ears, the Boston Terrier has an intelligent, alert expression. These little characters can weigh between 4-11kg and can be up to 43cm in height. They have a smooth, short-haired coat that is brindle in colour, with white areas (they can also have a black coat).

Although terrier in name, the “American gentleman” of dogs is not so terrier in nature, preferring to spend time inside sitting on a comfy chair to running amuck in the outside world. That said, this breed is active and enthusiastic as well, taking a lively interest in daily life — they like to feel part of the family. The gentle yet fun Boston Terrier makes a good playmate for children while their good manners, even temperament and affectionate nature means they suit older owners as well. The easy disposition of the Boston Terrier is largely the reason they are so well loved in the States.

The Boston Terrier can be strong-willed but their intelligence means that with patience, training yields good results. The breed is known to be a good watchdog and suit flats as well as houses because they don’t need a lot of scheduled exercise — a regular run serves them well.

The Boston Terrier can cost upwards of $500, and often puppies have to be delivered by caesarean because of the square skull. The breed can live up to 15 years or more, and can have problems with snoring. Puppies should be checked for cataracts. Their coat is very easy to care for; a weekly wipe with a cloth and a bath only when needed does the job.

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Top lifestyle tips to get in great shape

9

Get back on track this year with my top 10 healthy lifestyle tips for 2005. You might like to adopt 1 or all 10.

Print out the lifestyle tips and stick them on the fridge or your pin board at work, as a daily reminder. Or write them throughout your diary as memory joggers at the start of every month.

Tip 1

Eat a wide variety of foods and remember that if you eat well, you’ll feel great. Try to include ‘superfoods’ such as yogurt, kiwifruit, beans, oats etc. in your regular diet.

Tip 2

Eat breakfast. Not only will it give you energy to get through the day (and improve your mood), it will also help stop you snacking on the wrong foods later.

Tip 3

No carbs; no go. Don’t give up carbs as they are essential for physical and mental energy. Choose nutritious carbs with plenty of wholegrains, and eat as many or as few as you need to meet your own requirements.

Tip 4

Include lots of short bursts of easy, fun activity in your daily life to help clock up more incidental activity: take the stairs, walk the dog, get off the bus one stop early.

Tip 5

Beware of portion distortion. Over recent years, serving sizes have been getting bigger and bigger so that nowadays one serve of ice-cream or one bottle of drink can be several times larger than the portion sizes of the past. Keep serving sizes modest and don’t overeat.

Tip 6

Serve family and communal meals smorgasbord or platter style (rather than plated) so that everyone can choose what they like and how much they need. Remember that children usually have a very good sense of how much or how little food they need, but this ability is lost as you get older and become more accustomed to serves. Sit down and eat together with family and friends as much as possible.

Tip 7

Breathe, relax and slow down at times. Remember the fast way is not always the best way. Make time to turn some fast food into slow, relaxed meals to linger over. And partake in some slow, meditative activities like Tai Chi or yoga.

Tip 8

Drink plenty of water and limit beverages containing caffeine.

Tip 9

Challenge your mind and body with new pursuits to keep physical activity fun and keep up your motivation to exercise. Join a new sport club, sign up for a new class or explore a new park or bike path.

Tip 10

Be positive and encourage a positive body image amongst your family and friends, and set a good example. Remember, healthy people come in all shapes and sizes.

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Best breakfast ingredients

With focus these days on functional foods, breakfast cereals are one group that has its fair share of super ingredients. Let’s take a closer look at some of the benefits in your bowl.

There’s no debate on the power of breakfast as the most important meal of the day for good health, disease prevention, weight management and optimal cognitive and physical performance.

Beta-glucan – is a type of soluble fibre found naturally in oats that helps lower cholesterol re-absorption and protects your heart health.

Calcium – is an essential mineral for building strong bones in childhood and protecting this strength as you age. Eating a cereal fortified with calcium plus milk at breakfast, is a great way to maximise your intake of this nutrient, and along with weight bearing exercise, prevent osteoporosis.

Soy phytoestrogens – are naturally found in soy beans and there is increasing evidence that they help maintain the heart and bones. They may also be beneficial for women during menopause to help complement natural hormone levels.

Zinc and vitamin B6 – are two main players in keeping your immune system in tip top shape. Zinc is also vital for growing kids and one mineral that they may fall short on.

Hi-Maize Resistant Starch – is a unique dietary fibre that is particularly important for bowel health as it encourages the growth of good bacteria. Research shows that Australians currently consume around 5g per day of resistant starch, however 20g per day is recommended.

Folate – is a B vitamin that is particularly important for women of childbearing age as it is vital for a healthy pregnancy. Adequate dietary folate can help prevent neural tube defects, like spina bifida, in babies. Folate is also heart friendly as it has been shown to lower plasma homocysteine levels, a marker for heart disease.

Antioxidants – vitamins C and E, along with plant extracts known as phytochemicals all protect your body cells from the damage of free radicals. By minimising this oxidative damage you are decreasing the risk of lifestyle disease like cancer and heart disease.

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Introducing solids to your baby

When it comes to introducing solids, slow and steady certainly wins the race. Let’s take a look at a few of the fundamentals and latest advice.

If you’re a first time mum and have a baby around the four month mark, you’re probably getting excited about starting solids. But before you rush into stocking the freezer with mini casseroles and other bite-size gourmet delights, it pays to remember that patience is the key.

Worth the wait

The age of introduction of solids goes in and out of vogue, however current health professional guidelines recommend solely breast or bottle feeding with the appropriate formula until your baby turns 6 months.

Ages and stages

The signal to start solid food is not simply age specific and you should take into consideration how developmentally ready your child is. Signs that they are ready include an interest in your own food, good head support, loss of the tongue-thrust reflex, as well as wanting to chew on everything including toys and their hands.

First foods

Baby rice based cereal mixed with expressed breast milk or infant formula still tops the list as the first food of choice. However there is no reason not to choose a fruit like pureed apple or pear or a vegetable like pumpkin.

Off the menu

There is no need to add salt, pepper, sugar or other condiments to spice up the variety of your babies pureed pumpkin or apple as babies have super sensitive taste buds. What seems bland and boring to you will be a whole new gourmet adventure for your little one. It’s also best to avoid foods that can cause allergies like wheat and egg whites until 8-9 months and wait for large quantities of cows milk, shellfish and honey until after 12 months. If you have a known allergy history in your family, say to nuts or strawberries, it’s wise to leave these foods as well until at least three years of age.

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Boot camp: nowhere to hide

This new exercise craze is taking off around the world, not just as an intensive 'get-in-shape' tool, but as a regular part of a training program. But what’s involved in this military take on physical activity?

This new exercise craze is taking off around the world, not just as an intensive ‘get-in-shape’ tool, but as a regular part of a training program. But what’s involved in this military take on physical activity?

What’s the difference?

Just like any other group activity or fitness class, boot camp, provides added motivation of working out with peers. But with boot camp there’s no slacking off at the back of the aerobic class, as your fitness instructor, aka drill sergeant, is there willing (screaming) you on at every turn.

Many boot camp programs also involve team building and adventure activities that push you mentally as well as physically. Chances are you’ll find a new depth of motivation if you’re last in line to finish your team’s commando course.

The other obvious difference is that it is based outdoors, so you’re likely to get a good dose of rain, hail, and if you’re lucky, sunshine. As a new recruit you’ll also be kept mentally active as you trial new equipment and activities for the first time.

What type of activities?

Fat loss and a top cardio workout are two of the main physical outcomes from boot camp activities. Types of activities range from sand jogging and hill training to wall climbs and log rolls. You may even be sent on an individual or group mission that involves a test of your brain (problem solving ability) and brawn (strength, stamina and endurance).

How do I enlist?

Some boot camp programs require a doctor’s certificate clearance before they’ll sign you up whereas others are tailored to cater for varying fitness levels. If the idea of pushing yourself beyond your normal limits is daunting, then maybe boot camp isn’t for you. But if you know you need to step in line, check out programs run in conjunction with your gym or a corporate package for your next work do.

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Tai Chi

This month we take a look at Tai Chi, an ancient craft that's suitable for any age and any stage.

This month we take a look at Tai Chi, an ancient craft that’s suitable for any age and any stage.

Walk around any bustling Asian city in the early morning and you’re bound to see countless locals practicing the ancient craft of Tai Chi. Public parks, gardens and even balconies are filled with people of all ages starting the day with this form of moving meditation. With today’s fast pace of life, there’s a lot to be said about the discipline of starting the day at a relaxed speed, refocusing your energies and reducing stress.

What’s it all about?

Tai Chi is actually a form of ancient Chinese martial arts that evolved into the practice of slow, tranquil movements. It has many reported health benefits including suppleness, stress reduction, mental alertness, better balance and co-ordination and is thought to be partly responsible for healthy longevity in certain Asian nations.

Who is it right for?

Tai Chi is suitable for most people from children to the elderly and can be performed by pregnant women and those in wheel chairs. You don’t need a medical check to get started as the pace is kind enough on “not as fit as I used to be” bodies.

How to get started?

Like yoga and pilates there are plenty of do-it-yourself home helpers like books and DVDs. However, you generally need to have completed formal classes with an instructor before feeling confident or motivated to go it alone. The basic set of movements can take several months to learn the right technique. And it’s important that you practice until you can follow a sequence of moves as if on auto pilot. So sign up for a block of classes and give yourself plenty of time to find your groove.

Related stories


Home Page 5528

Boot camp: nowhere to hide

This new exercise craze is taking off around the world, not just as an intensive ‘get-in-shape’ tool, but as a regular part of a training program. But what’s involved in this military take on physical activity?

What’s the difference?

Just like any other group activity or fitness class, boot camp, provides added motivation of working out with peers. But with boot camp there’s no slacking off at the back of the aerobic class, as your fitness instructor, aka drill sergeant, is there willing (screaming) you on at every turn.

Many boot camp programs also involve team building and adventure activities that push you mentally as well as physically. Chances are you’ll find a new depth of motivation if you’re last in line to finish your team’s commando course.

The other obvious difference is that it is based outdoors, so you’re likely to get a good dose of rain, hail, and if you’re lucky, sunshine. As a new recruit you’ll also be kept mentally active as you trial new equipment and activities for the first time.

What type of activities?

Fat loss and a top cardio workout are two of the main physical outcomes from boot camp activities. Types of activities range from sand jogging and hill training to wall climbs and log rolls. You may even be sent on an individual or group mission that involves a test of your brain (problem solving ability) and brawn (strength, stamina and endurance).

How do I enlist?

Some boot camp programs require a doctor’s certificate clearance before they’ll sign you up whereas others are tailored to cater for varying fitness levels. If the idea of pushing yourself beyond your normal limits is daunting, then maybe boot camp isn’t for you. But if you know you need to step in line, check out programs run in conjunction with your gym or a corporate package for your next work do.

Related stories


Home Page 5528

Tai Chi

This month we take a look at Tai Chi, an ancient craft that’s suitable for any age and any stage.

Walk around any bustling Asian city in the early morning and you’re bound to see countless locals practicing the ancient craft of Tai Chi. Public parks, gardens and even balconies are filled with people of all ages starting the day with this form of moving meditation. With today’s fast pace of life, there’s a lot to be said about the discipline of starting the day at a relaxed speed, refocusing your energies and reducing stress.

What’s it all about?

Tai Chi is actually a form of ancient Chinese martial arts that evolved into the practice of slow, tranquil movements. It has many reported health benefits including suppleness, stress reduction, mental alertness, better balance and co-ordination and is thought to be partly responsible for healthy longevity in certain Asian nations.

Who is it right for?

Tai Chi is suitable for most people from children to the elderly and can be performed by pregnant women and those in wheel chairs. You don’t need a medical check to get started as the pace is kind enough on “not as fit as I used to be” bodies.

How to get started?

Like yoga and pilates there are plenty of do-it-yourself home helpers like books and DVDs. However, you generally need to have completed formal classes with an instructor before feeling confident or motivated to go it alone. The basic set of movements can take several months to learn the right technique. And it’s important that you practice until you can follow a sequence of moves as if on auto pilot. So sign up for a block of classes and give yourself plenty of time to find your groove.

Related stories


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Dog hair removal