Roman numerals are sometimes used instead of Latin letters for the overall stages (for example, Stage I for Stage A, Stage II for Stage B, and so on).Ī: tumor is present, but not detectable clinically found incidentallyA1: tissue resembles normal cells found in a few chips from one lobeA2: more extensive involvementī: the tumor can be felt on physical examination but has not spread outside the prostatic capsuleBIN: the tumor can be felt, it does not occupy a whole lobe, and is surrounded by normal tissueB1: the tumor can be felt and it does not occupy a whole lobeB2: the tumor can be felt and it occupies a whole lobe or both lobesĬ: the tumor has extended through the capsuleC1: the tumor has extended through the capsule but does not involve the seminal vesiclesC2: the tumor involves the seminal vesiclesĪdd a dosage of long-acting insulin at bedtime to the regimen. The cancer involves the seminal vesicles.Īlthough it is no longer commonly used in practice, the Whitmore-Jewett system (also known as ABCD rating) is similar to the TNM system and has approximately equivalent stages. 'It would be crazy to use complementary therapies to treat such a serious condition.' Complementary therapies, such as acupuncture, acupressure, and tai chi, are being studied for use in the treatment of osteoarthritis and acupuncture can be used and is safe and well tolerated.' 'I would be happy to discuss all the treatment options available to you. 'I am unfamiliar with the available complementary therapies for osteoarthritis and prefer to discuss more mainstream treatments, such as NSAIDs and physical therapy, to manage your condition.'

'Complementary therapies should be considered only if surgical interventions are not successful.' What would be the most appropriate response from the clinician? Jackson explains to the clinician that his first choice would be to use complementary therapies to control his condition and asks what therapies are most effective in treating osteoarthritis. Jackson that the goals for managing osteoarthritis include controlling pain, maximizing functional independence and mobility, minimizing disability, and preserving quality of life. Jackson is a 65-year-old man recently diagnosed with osteoarthritis.

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