Problem: Article: The most common treatment for Paget's disease of the vulva or penis is surgery. During surgery, the doctor will perform a wide excision of the affected area. This wide area will ensure that any cells in healthy-looking skin are removed. In some instances, you may have to get a skin graft after surgical removal of the cancerous tissue. This is used when so much skin was removed that the wound cannot be closed on its own. The graft will replace the skin removed to help close the wound. Because of the nature of extramammary Paget's disease, the condition may recur at any time or you may get a related Paget's disease. You may also be at risk for additional underlying cancerous cells. Your doctor may suggest getting colonoscopies and mammograms since gut and breast tissue can be affected due to Paget's disease. To make sure you carefully monitor your health, work with your doctor to set up frequent appointments and follow up gynecological exams.
Summary: Undergo surgery to remove the affected area. Get a skin graft if too much tissue was removed. Follow up with your doctor regularly.

Problem: Article: The only way to definitively diagnose endometriosis is via exploratory laparoscopic surgery. Symptoms alone are not sufficient to make the diagnosis. While you are undergoing laparoscopic surgery, if endometriosis is indeed detected, the tissues can be removed during surgery. Removing the undesired menstrual tissues (that are residing outside of the uterus) can often provide significant short-term relief from the pain of endometriosis. However, the tissues are prone to growing back, so the pain may return in the long-term. Frequently a gonadotropin-releasing hormone agonists will be given to help remove any microscopic disease that couldn't be removed with surgery. You will then be placed on some type of hormonal birth control, which significantly decreases the rate at which symptoms return. Adhesions (scar tissue) can also be removed during laparoscopic surgery, which may also help with pain relief. Fibroids are benign (non-cancerous) growths in the uterus. They may contribute to worsened menstrual pain each month. What happens in UAE (uterine artery embolization) is that the uterine arteries (which supply blood to the uterus) are blocked off. This cuts off much of the blood supply to the uterus, and thus interrupts the growth of fibroids. This can be completed as an outpatient procedure, without requiring overnight hospital stay. In some of the more severe cases of fibroids (where the growths are larger, and/or the pain is more severe), surgical removal may be recommended. Fibroids can often be removed through the vagina; this is also an outpatient procedure that most often does not require overnight hospital stay. If your secondary dysmenorrhea is unable to be resolved by any of the methods described in this article, the last resort for treatment is to have a complete hysterectomy. This is where your whole uterus is removed, in addition to your ovaries and fallopian tubes if desired (you may wish to remove all of them at once, if you are having the surgery anyway, as it eliminates your risk of developing ovarian cancer at a future time).
Summary: Have tissue from endometriosis removed surgically. Opt for UAE (uterine artery embolization) if you have fibroids. Get your fibroids removed surgically. Receive a hysterectomy as a last resort.

Problem: Article: Even if you have a bare-bones newspaper, you may still incur costs for printing and distribution. An 8-page school newspaper printed monthly can run $6,000 per year, budgeting for paper, ink, incidentals (supplies for reporters, etc.), a camera for a photographer, and other costs. Putting together a newspaper takes time. Think about how many articles you'd like to publish and how long it will take for these articles to be written and edited. Consider too how long you'll need to design the newspaper issue, and how long you'll need for printing. Establish a schedule so you know when to start working on an issue. Start with the date that you'd like to release your paper on, and work backwards from there. You will also have overlap between one issue and the next issue, so keep this in mind as you plan your schedule. Journalistic ethics are a code that guides how you practice journalism. Consider how objective and responsible your paper will be, and think about what lines you will absolutely not cross. Be sure to get these in writing and enforce these guidelines with your staff. The Society of Professional Journalists, a professional organization with regional chapters all over the United States, has good guidelines for journalistic ethics on their website. Newspapers are a lot of work and can be more effectively produced when you have a team of people working on them. You can publish a newspaper by yourself, but you may be strapped for time or money in the process. Find people who share the same vision and passion as you for the newspaper. Think about different positions you'll need to fill. These might include writers, editors for each section, photographers, designers, web designers, and ad sales representatives. If you can afford it, pay your staff. Even if it isn't much, a little bit of money helps to validate their professional contributions. If you want local businesses to advertise in your newspaper, you will need to ask them to do so. Make up a rate sheet, which is a table that tells them how much newspaper space their money will buy. You might charge $100 for a quarter page, for example. The rates you charge will be dependent too on the number of readers you anticipate having. Give special deals to your advertisers if they are willing to purchase ad space for a certain length of time or number of issues (for example, for 10 issues, or six months). You may consider getting legal advice or at least establishing a relationship with legal counsel, just in the off-chance someone has a problem with the news you publish. Writing news ethically will hopefully ensure that you won't face problems, but you should be prepared nonetheless.
Summary: Set a budget. Establish a schedule. Establish journalistic ethics for your newspaper. Recruit staff for your newspaper. Solicit advertisers. Consult a lawyer.

Problem: Article: Slice the apple into small sections. Make sure to cut the apple far enough from the core that you don't end up with seeds stuck in your apple slices. If you notice any seeds, remove them from the slices. You will not be using the core in your apple juice, so throw that away when you're done. Apple skin does contain some fiber, so you don't need to peel the apple if you don't want to. Your juice will taste just as good with the skin still on. Peel the skin from the oranges first. You can then use your fingers to pull the oranges apart into individual sections. Oranges are divided into sections naturally, so it's usually not necessary to use a knife when cutting oranges. How you do this precisely depends on your juicer. Usually, you will put a cup or pitcher down where the juice comes out. Then, you will feed the fruit into the machine and collect the juice as you go. The order does not matter. You can put either the apples or oranges first. Once you've collected the apple and orange juice, use a spoon to mix the two juices together. If the juice is not sweet enough for you, add two teaspoons of honey. However, remember honey contains sugar. If you're watching your sugar intake, be careful about adding extra honey. If you dislike foods that are especially sweet, try adding one teaspoon of honey and then tasting the juice. If you want it slightly sweeter, add another teaspoon.
Summary:
Cut the apple. Separate the oranges into segments. Place the produce through the juicer and collect the juice. Add honey, if desired.