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Prostate cancer strikes 1 in 6 American men. If the cancer is caught at its earliest stages, most men will not experience any symptoms.
Knowing more about the prostate and prostate cancer is the first step in coming to terms with a diagnosis of prostate cancer.
While age, ethnicity and family history help determine who will get prostate cancer, other causes are poorly understood. Diabetes, cardiovascular conditions and obesity have been associated with prostate cancer but the evidence has not been consistent.
Day after day, the effects of dietary and lifestyle changes on the development and progression of prostate cancer are being discussed and explored by leading researchers in the field.
The older you are, the more likely you are to be diagnosed with prostate cancer. In fact, more than 65% of all prostate cancers are diagnosed in men over the age of 65.
As men age, the prostate may become a source of various problems of which cancer is only one. The three most common problems are inflammation (prostatitis), prostate enlargement (benign prostatic hyperplasia), and prostate cancer.
The most common misconception about the risk of prostate cancer is that the presence of non-cancerous conditions of the prostate increase the risk of prostate cancer. Even high levels of sexual activity or frequent ejaculation have been rumored to increase prostate cancer risk. This is untrue.
Being diagnosed with prostate cancer can be a life-altering experience. It requires making some very difficult decisions about treatments that can affect not only the life of the man diagnosed, but also the lives of his family members.
Copyright Glenda Erceg.
For more prostate cancer resources visit http://www.cancerofprostate.com.
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Maintaining a consistent exercise routine is a big problem for many men doing penis enlargement. Sure, the benefits of penis enlargement always sound like a good idea, but the same routine, day after day can become boring without ongoing motivation. Staying motivated through the days and weeks as you exercise will surely bring great results. It can be tough though, and the easiest way to keep pushing toward your goal is by staying focused on it.
Keeping up your exercise routine is crucial to seeing those gains materialize. Staying motivated can mean success or failure to achieving your goals. Motivated men and women have done incredible things that would not have been possible without being properly motivated. While there will always be pitfalls and minor setbacks along the way, maintaining a clear focus on your goal will help you stay on top and avoid giving up. Any person successful at penis enlargement will tell you that real results stem directly from persistence and effort!
Reward yourself every now and then for your hard work, and you will go far. Buy yourself something nice, take a good looking girl out to dinner, or do something you have been wanting to do for a long time. Remember also not to measure your penis every day, but instead allow up to 3 or 4 weeks to pass before you measure. Measuring every day can leave you disappointed and make you think about quitting, so do not let your motivation suffer! By measuring less often, you will really see that the hard work is paying off and you are that much closer to your goal.
A faster, easier alternative to penis enlargement exercises
If you feel, however, that you would like a faster, easier way to get real penis enlargement gains besides exercising, then another option would be to take advantage of the penis traction device. The traction device works by stretching your penis, and does not have to completely replace your exercise workouts, if you want. Some men use the device instead of doing exercises every other day, or just on their “off day” of exercising. Others choose to use the device exclusively and usually wear the device for about 6 to 9 hours per day.
The traction device has recently become very popular in the penis enlargement world. It has effectively replaced unsafe methods like stretching weights, and pumps. Traction devices are also competing with enlargement pills and patches, as those methods do not actually enlarge the penis; they depend on exercises to bring added size.
The traction device also benefits from having earned the CE symbol of quality and approval by major European health agencies. The device is actually a Type 1 medical device that originally started out being used as an aid for post-penis enlargement surgery patients. The device helped to strengthen the patients penis, and add on even more gains. The device adapted for permanent penis enlargement by urologists and was put on the market after it was seen to be able to enlarge the penis by itself.
Since then, about three years ago, it has become the trend in developing mens penis size in both length and girth. Due to its nature as a medical device, it has undergone extensive testing and by and large, the results have been tremendously in its favor as an effective solution for permanent penis enlargement. Traction devices are, as a result of rigorous testing, widely publicized in mens health magazines, highly rated on penis enlargement review sites, and given excellent support by penis enlargement companies manufacturing and selling traction devices.
If for some reason your penis enlargement exercise workouts are becoming a hassle, but you do not wish to stop enlarging your penis, then you can supplement or even replace your workouts with a traction device. Devices allow you to gain size in length and girth, without having to do exercises, or take herbal supplements like pills, or the patches. Some traction device companies, like SizeGenetics, offer at least a 6 month guarantee that their device will give you at least some results. Of course, you should also ask your doctor and learn as much as you can about the traction device before purchasing one, to get all the details and to know if it would be right for you.
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Ladies, if you find yourself asking your male companion that killer trick question "do I look fat", then let’s be honest, you are doing so for one of four reasons: you are fat, you are feeling fat, you are vain, or you are in need of attention. And if you haven’t figured it out already, you should know that any man worth his salt has learned one thing: to answer certain female trick questions immediately, firmly, and with a clear, riveted gaze. It is all about the rudimentary, involuntary-reflex response, "No. You look perfect!" It is not an answer, but simply a male maneuver to buy another minute until one can figure out for which reason the question was asked in the first place.
And most men, even the most boorish, know the various permutations of the trick question too.
For instance, the indirect method:
"Do these jeans look too tight?"
"No. They fit perfect." Or the slick double-secret-probation approach:
"Do you still love me, even though I’ve gained weight?"
"Yes I do. And you look perfect." Or the subtle non-question question:
"I think I need to go on a diet."
"No you don’t. You look perfect."
There can be no hesitation, no darting eyes, no mincing of words when the response is given. If one does, one deserves to become the sorry sack of shittolla one is about to become. My theory is that men whose fathers or mothers did not prepare them falter exactly once. Depending on the female partner, the offender is either killed (the lightest sentence), or treated to a year of hard time, at the conclusion of which the guilty party either has learned all the correct rudimentary involuntary-reflex responses or has joined the gay ranks or has become a monk vowed to a life of silence.
Well no matter how one gets there, for guys in the know, the rudimentary involuntary-responses are the easy part, after all they are as routine as lifting up the toilet seat—another gem that was hopefully hammered into us in our formative years. The hard part is trying to figure out the real reason for the question and choosing what the appropriate follow-up response is.
To enlighten those males who have not advanced to this stage, let me help you, let me show you the logic, let me give you hope. Let’s walk through this together. There’ll be fanny pats at the end if you get it.
So the trick question is asked. We immediately regurgitate the appropriate robotic response. We have about a minute to figure out her reason for asking and if a follow-up is required. That moment of male mental gymnastics is more tension packed than the last episode of 24.
As daunting as it might seem, it’s not so bad if we break it down like any other business problem.
1. She actually is fat. Beware! She ISN’T interested in your confirmation. She probably just got a glimpse of herself in a mirror, is feeling really lousy about, but uninterested in doing anything about. If she were interested in doing something about it, trust me she wouldn’t be asking you for an opinion! Unless you want a situation, it’s best to leave this one alone and say nothing in follow-up. And just in the event that you are toying with the idea of saying something that even slightly acknowledges her extra pounds, take an honest look at yourself first. There is a good chance you aren’t winning any Mr. Olympia trophies soon. So grab a bag of cheese doodles and take your lard-ass to the couch, lest you say something you will regret.
2. She feels fat. This is a ticklish one at first but in the end is as simple as number 1 above. She may feel fat because she is fat in which case she may be coming to grips with her fatness. That might be a good thing. Let her be; say nothing after the usual required response. The other possibility is that she might just plain feel some of that there bloating issue women get around that pre-you-not-what-but-I’m-not-allowed-to-say-because-it’s-sexist-but-really-not-because-it’s-true time. If this is the case, a poorly timed darting glance down at her belly could be suicidal. Don’t do it no matter how temptingt! Even if she lifts her belly-shirt and points. Don’t look! Stay focused and reaffirm the rudimentary involuntary-reflex response by changing it up a bit, "Get outta here: "am I fat"! You look perfect! If anyone’s fat it’s me!" Then volunteer to fold her underwear. Do something. Get out of there lickitty split.
3. She is vain. This is a tough one for me personally. If she is thin as rail and is just vacuuming for loose compliments, I have a tendency to want to give her something to think about; really feed into her low self esteem that seems so willfully misplaced. Again, it’s best to fight the urge, shut your hole and be glad it’s not a real issue. There are two corollaries to this though.
If this trick question stuff is a recent development, one may want to nip it in the bud before one ends up with someone who is vain all the time—not a very good thing. The standard knee-jerk response may be rewarding bad behavior subconsciously. After your minute of thinking is up, you might want to follow-up with the direct approach, "You know, I sense a little vanity there. Are you becoming a little vain? Feeling pretty good about yourself aren’t you?" Give her a chance to react. She probably will flash a little devilish grin, the type that acknowledges she has been caught. You then close with, "Nothing wrong with feeling good about yourself and occasionally fishing for a compliment. And sweetie, I’d compliment you all day long, if I didn’t think that it would eventually swell that pretty head of yours up so big that it starts to clunk off the walls and furniture and stuff; breaking the family crystal and all. That would be terrible." Ah, the beauty of a little disarming humor.
In the other scenario, if you find yourself on the down-side of the relationship with the self-absorbed twit and looking to speed up the inevitable, you might say casually, "Yeah, I’ve noticed those little bulges in your lower back. But they’re not so bad. No one’s perfect anyway." Then see if you can walk out of the room without a ring bouncing off your balding skull. The beauty of this retort is that she can’t see what you playfully pointed out—short of setting up a room full of mirrors anyway. It’s effective, satisfying and guaranteed the desired results. Plus you’ll be able to hock the ring she threw at you for some cold poker cash.
4. She needs attention. This is the most prickly reason she might be asking and not easily recognized by "X & Y" humans. Chances are she isn’t overweight. Chances are you might deduce falsely "she feels fat" because it’s that time of you-know-what-because-I-can’t-say-month. Before you settle on that or any other conclusion for that matter, take a few seconds more. Could it be that she just wants to know she is attractive to you because you have been so self absorbed with work or football or your thinning hair that you haven’t in the past year at least once looked her in the eye and told her she is the most beautiful person in your world? If she has to demean herself this way to check in on your attention, the fat she is referring to is from the heavy tumor you have become on her self esteem. And if you have even the slightest pang that this might be true, that she may need attention, you better drop whatever lame thing it is that you are doing, praise her up and down and make a mental note not to allow her to sink to this lowly place again. She may ask only once or twice more before she decides you are malignant and opts for immediate, radical surgery to remove the cancerous growth you’ve become.
By the way, women don’t have a lock on trick questions. Men do the same thing, just about male stuff. For instance, a man might mumble within earshot after coming out of the shower, "I wish my penis were bigger." It may not be in the form of a question but this isn’t Jeopardy either. It sure as hell is a cry for a little simpleminded ego building. Something like, "honey, you could jack up an eighteen wheeler with that thing" would go a long way. I suppose lesbian and gay couples eventually dive down (so to speak) into the same sad depths with equally problematic maneuvers.
The truth is I really don’t know what the answer is to avoid the certainty of these trick questions. Honesty in communication feels right and is even noteworthy but it’s not always effective.
"Am I fat?"
"Honey, you get any fatter and we’ll have to pay resident taxes to two states!"
or
"I wish my penis were bigger."
"You and me both! It’s like reading Braille with my vagina."
I suppose a simple "yes you are" or nod of agreement would be a better way to be honest without the immediate blood shed; the key word being "immediate." But eventually honesty will require your blood to flow.
So what is it we can do differently from scripting our escape? I guess nothing. Maybe it is just a condition of human relationships. I just can’t help but think though there is a better way. In the meantime, I’ll continue to brush up responses to new and improved trick questions. There is no time to relaxing, letting our guard down.
"Is my butt sagging?"
"Sagging? Are you kidding me? You could crack walnuts with that thing."
Not bad!
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There have been, perhaps, six critical conversations I’ve had that have shaped my professional consulting career. One of them was with an operations manager at a division of Federal Express.
I had just completed a successful, nationwide training program for the field sales force, so my credibility and confidence were soaring. Then, I heard a simple, but challenging question.
“We know how to measure sales productivity,” he said. “But is there something you can develop that will measure customer service productivity?”
Reflexively, I thought, “Why bother? Even if we can do it, reps will hate it.” But I held my tongue, sensing that this was a rare opportunity to revisit some of my assumptions.
My gut reaction was informed by years of doing seminars across the country in which I brought together sales and service people into the same sessions. Evaluations told me that they felt they were adversaries with mutually exclusive value systems.
Sales types tend to see themselves as swashbucklers, rogues, high-wire types, who crave adventure and embrace risks. They thrive on contingent pay, on the prospect of receiving hefty commissions and bonuses when they make big sales.
Service folks tend to be more risk averse. Often, they have a clerical mentality, which commends accuracy while penalizing mistakes. I sensed, to my core, that if we suggested to them that their pay should be even partly variable, based on achievement, they’d rebel.
This was more than supposition on my part. I had introduced cross-selling programs for years into service departments, experience that informed my best-selling book, Selling Skills For The Non-Salesperson. I found I could design a great sales program for service people, yet many would balk, even after they had achieved success and financial rewards through it.
They explained to me, in a very straightforward way, that they simply didn’t want to be salespeople, and that was that. Noting resistance from the rank and file, senior management, in those days, refused to push for implementation, despite the fact that big profits were being left on the table.
What, if anything, has changed since I was asked this question?
Four crucial things:
(1) We know much more about measuring customer service achievement.
(2) Job enlargement, downsizing, CRM, and the rise of professionalism in companies have all contributed to an expectation of broadened CSR responsibilities and heightened performance.
(3) Global competition, especially from knowledge workers in countries such as India, China, and elsewhere, is beginning to exert pressure on domestic workers to find ways to increase their contributions, if only to keep jobs onshore.
(4) Management is more cost and profit conscious than ever before.
Customer Service Achievement
If there have been three unwritten commandments in the past for being a capable CSR they have boiled down to: (1) Sound nice; (2) Defuse angry customers; and (3) Don’t make mistakes entering or retrieving data or reciting company policies.
Now, associates are being discouraged from focusing primarily on themselves, on customer service, or the motions they go through as they work. They’re being required to focus on outcomes: on customer satisfaction and on customer loyalty.
They’re being shown, through new training and unobtrusive, real-time performance measures, how to evaluate the impacts they’re having on transactional satisfaction and a customer’s decision to buy again from their organizations.
To borrow a phrase from Peter F. Drucker, suddenly the customer handling process is being managed for results.
If we can objectively monitor, measure, manage, and systematically replicate customer results, there’s no reason to deny better pay to the people that can produce them.
Future articles will explore some of the other crucial changes that have occurred, as well as discuss the pragmatics of introducing a pay-for-performance plan into the customer service context.
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