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1. Planning Renovations Any project will be more successful, given well-defined goals. In every household project, the following three points can be applied: FORM: What do you want it to look like? FUNCTION: What do you want it to do for you? COMPATIBILITY: What factors exist that might limit what you can do, and will the finished product look good on your house? Once you've completed this part of your homework, it's time to decide if you'll built it yourself, hire a contractor, or be your own contractor and perhaps sub-contract some of the work. Sub-contracting may sometimes seem to over-complicate things and even look wasteful, but just remember - some jobs can look deceivingly simple until you actual get into the nitty-gritty of them. A general contractor's job is to co-ordinate and orchestrate the whole schmozzle to completion. 2. Finding A Contractor My card...The process of finding a good contractor is essentially the same, whether you decide to hire a general contractor, or one or more sub-contractors. The best reference for a contractor is word of mouth from a satisfied client. If you don't know anyone who has had renovations or repairs done in the area you need, look for work trucks or signs in your neighborhood. Knock on doors, and ask the homeowners if they are satisfied with the work being done. Once you contact a contractor, ask for references, and follow through by calling their previous clients with a set of questions that will give you the information you are looking for. The following are samples of questions that could be asked of any reference: 1. Did the job come in at the quoted price? 2. Did the job come in on time? 3. Was the work site left clean each day? 4. Was the quality of the workmanship satisfactory? 5. Was the quality of the materials used satisfactory? It is always recommended that you talk to more than one company, so that you have a basis for comparison. Listen to their technical information, and note their customer relation skills. If the contractor doesn't do a very good job of communicating with you before you hire him or her, there may be a higher likelihood of miscommunications during the work. Sometimes the best companies will be very busy and you will have to wait for their services. Other times, good companies may have time slots between large projects that smaller jobs can fit into. Ask what the company's schedule has been like for the past 6 months to a year. Reputable companies are usually busy all year round in any economic situation. 3. The Estimate, or Quote Meeting the Contractors Remember that the contractor you choose could be spending a lot of time in your home, so look for someone you feel at ease with. You should meet individually with each potential contractor. Be prepared to discuss products and designs; know what you want and how much you can spend. Take note if the contractors are on time, if they listen and answer questions, willingly give information about their company and their customers; and if they seem to have any aversion to your ideas. The Estimate This is where you'll likely make your choice of contractor. Each potential contractor will present a proposal, including design and cost information. Review the estimates, ensuring that they accurately relfect your wishes, and make comments and/or any changes that are required. How Are Jobs Estimated? Work that involves structural changes to the home, custom designs, or enlargement of some of the mechanical systems is typically quoted by the job. It can be very difficult for a contractor to know exactly how much time an intricate custom job will take, particulary if a number of trades are required, and the different parts of the job are interdependent. Get it in writing!Simpler, straightforward jobs are often quoted by the square foot. Examples are laying sod, painting, roofing, drywall or refinishing floors. The quoted price will typically be set to include everything (ie. labour, materials, travel, etc.). Smaller jobs may also be quoted buy the hour, and if the job is fairly routine, such as installing addtional electrical outlets or drywalling, the figures are typically in line. In this situation you will pay the tradesperson for time, plus the cost of the materials used in the project. The Final Design and Quote If you have a contractor with good references and the estimate looks good, you now need to get a firm quote, including final designs. The design should include detailed specifications for the work and the materials to be used. (Another option is to have an architect or designer produce the plans and ask the contractors to bid on the job, based on these plans.) Make sure the final specs are accurate and reflect your wishes, and make your final comments and changes. After you accept the final quote, the cost of further changes will likely be added to the job. Ask how long the stages of the work will take, so that you can monitor progress. 4. The Paperwork Cash is King, however... ... take care, lest the cash deal of the century turn into the mistake of a lifetime! One reason for cash payment is the avoidance of paperwork and taxes. Taxes and other legalities aside, the absence of contracts and permits can be extremely risky. Ooh, I love to save money!Cash contractors often don't pay Workers' Compensation fees, and you could be held legally responsible for any worker injured on your property. If the contractor gives you the product warranty cards, you'll be covered for defective materials provided they were properly installed, but don't expect good follow-up service on a cash deal. You would also have difficulty supporting any legal actions without any paperwork. The overall quality of a project may be compromised in the absence of paperwork, and cash paid in advance (rather than by cheque) will be all but impossible to retrieve if things go sour. Building, plumbing and electrical codes may require that all or parts of your project be performed by licensed tradespeople, and sometimes licenses are required to obtain the permits. If the tradespeople aren't licensed, the contractor probably isn't insured. And if your contractor isn't insured, then depending on the nature of the job, neither is your house while he works on it. The Contract Agreements in writing are less vulnerable to miscommunications, than are verbal ones, and far easier to enforce. Some of the points included in a good contract are: 1. Full job description, including all aspects of the work; demolition, renovation, reconstruction and finishing. 2. Material specifications, including type, model, number, color, and size where applicable, and who's supplying what. 3. Start and finish dates. 4. Payment schedule; 40/40/20 is generally acceptable. 5. Permits, and who's responsible for obtaining them. 6. Clean-up and trash removal. 7. On site behaviour. 8. Change order clause: Have any changes to the original job specifications in writing with a requirement that you "sign off" any change before the work is performed. 9. Arbitration: Aree how disagreements will be handled before the work begins. 10. Contractor's insurer and policy number. 5. The Work MORE POWER! Problem Avoidance: If you've carefully chosen your contractor, and made adequate preparations (including making the site ready for the trades people and workers), this part should be easy! The actual work should closely follow what was written into the contract, however you still need to monitor the ongoing project, and in some cases you'll be required to make additional decisions. There are often unforseen difficulties, or you may simply wish to ask for changes as the work proceeds. Site Preparation: Remove furniture and stored articles from the work area, and cover carpets and other items that may not be moveable. It is in your own best interest to make arrangements for storage, clean-up and refuse areas convenient to the work area. Project Coordination: Effective communication is the greatest secret to successfully completing any project. Maintain regular contact with your contractor(s) so that the unexpected can be dealt with expediently. Hidden Conditions: A thorough inspection performed in conjuction with estimation should preclude any major changes, however there are structural and mechanical conditions initially hidden from view, which even the most experienced renovator may not be able to predict. Be prepared to negotiate changes for "hidden conditions". What to do if a problem develops: 1. Bring all problems, perceived and real, to the attention of your contractor(s). 2. Is it major or minor? If minor, and the contractor is present at the time, discuss it and negotiate a resolution. If it's minor, and/or looks like it can wait, start a list of minor observations that you can bring to his or her attention when appropriate. 3. Major problems should be dealt with immediately. If your contractor is not present at the time, make every effort to contact him or her as soon as possible. This may avert furtherance of the problem. 4. Given that your contractor responds satisfactorily, carry on. If not, try again and if necessary, write a letter. If you still don't get satisfaction, look to a third party such as the Ontario Renovators Council or the Ontario Home Builders Association. These agencies should be approached only if you are certain that a resolution cannot be achieved with the contractor. Legal counsel should be an absolute last resort. There's no use making a mountain out of a molehill, and thereby delaying succesful completion of the project. THE BOTTOM LINE: careful contractor selection + a good contract = successful job penis enlarement information penis elargement tip penis enlarement procedure vigrx oil natural penis elargement top penis enlargement pill penis enlarement tip penis enlagement testimonials
One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. cheap penile enlargement pills plastic surgery penis enlargement vimax real penis enlargment penis enlargment surgery vimax medical penis enlargement penis enlarement forum natural pnis enlargement technique natural penis enlargement pill
For most men, the fears of sexual performance failure are likely to put a damper on sexual arousal and cause loss of erection. It's like the math problem 2+2=4 It's just going to come out the same way everytime and all men know it. What most men don't know is that enhanced libido and sexual performance are most often related to testosterone, the most important hormone for not only male strength, but also male sexual function. When libido and sexual performance are on the line, nothing really rivals the most important fact that fast absorption and utilization of testosterone out of the bloodstream and into the specific organs in need must take place. Lack of the actual amount of testosterone in the male blood stream and/or any problem with this hormonal transfer between fluid and organ are common contributing factors to erectile dysfunction and full blown impotence. It's not just the fear of sex that can cause a problem. In fact, any type of anxiety can lead to an episode of sexual failure. Repeated failure during intercourse leads to anxiety, frustration, and apprehension...thus the circle begins to spin on its own without help from anyone. Any psychologist and psychiatrist will agree that anxiety is physiologically incompatible with obtaining and maintaining an erection -- it inhibits arousal. But with healthy men, is there hard evidence to suggest they feel greater anxiety about sexual performance than women. An effective male enhancement system addresses sexual performance and performance inadequacies and mild sexual dysfunction from several angles. While there are numerous methods of male enhancement available on the market today, the best performing male enhancement supplements that work to improve sexual performance and enhance penis size, also provide stronger erections and greater sexual satisfaction. Fears of sexual performance are likely to put a damper on sexual arousal and are directly responsible for men's loss of their erections most of the time. Maximizing your confidence and improving your sexual performance skills can happen but it does take time. Regardless, issues about sex and sexual performance are a source of anxiety for most people. best pnis enlargement penis elargement supplement herbal penis enlarement pills vimax guide to penis enlargement vig rx enhancement cheapest penis elargement pills penis enlarement technique natural penis enhancement pills natural penis enlargement pill
The prostate gland forms part of the male reproductive system and is responsible for the production of a clear liquid which makes up about thirty percent of the seminal fluid used to carry and protect the male sperm during intercourse. The prostate gland sits just below the bladder and in front of the rectum, partially surrounding the urethra which carries urine from the bladder out of the body. During childhood the prostate gland is very small (about the size of a pea) but will grow rapidly during puberty in response to the production of the male hormone testosterone. In a mature male the prostate is typically the size of a walnut and weighs about one ounce. The prostate gland is divided into the three sections – peripheral, central and transition. The peripheral section is located at the rear of the prostate gland and is the section of the prostate in which prostatitis and prostate cancer are most likely to develop. The transition section, which lies in the middle of the prostate gland and surrounds the urethra, is the area in which benign prostatic hyperplasia (BPH) is seen. There are a variety of problems associated with the prostate gland, the most common of which is BPH. This condition, which is a growth of non-cancerous cells within the transition section of the prostate gland causes an enlargement of the gland and exerts pressure on the urethra which, in turn, leads to difficulties in urinating. Other common problems include prostatitis, which is an inflammation or infection of the prostate gland, and prostate cancer. Enlargement of the prostate gland will affect about half of all men by the time they reach the age of 60 and increases with age to affect some ninety percent of the male population by the age of 80. Prostate cancer will affect approximately seventeen percent of the male population and results in the deaths of over 30,000 men each year in the United States alone. free natural penis enhancement enlargment penis pill vimax pennis enlargement surgeon penile enlargment before and after photo penis enlagement top penis enargement pills magna rx pill penile enlargement herb natural penis enlargement pill
Hormone therapy is known as one of the treatments for prostate cancer. We have heard success stories with hormone therapy for prostate cancer patients from Internet and medical publications. Here we discuss why hormone therapy can be applied to treat prostate cancer. The prostrate gland is found near the base of the urethra. This is the tube that carries urine from the bladder out through the penis. The front end of the prostrate gland surrounds the urethra and the rear part of the gland presses against the rectum. The prostrate gland is found in the males and is susceptible to tumor growths. These tumors can be benign or malignant. Malignant means that the tumor is cancerous and life threatening. Faulty Genes Put Right With Hormones Having a cancerous prostrate tumor is no cause for alarm because if the tumor is diagnosed well in advance, for which there are many symptoms the layman can understand, the prostrate gland can be surgically removed along with the tumor. Thus, one can prevent the spread of the tumor to other parts of the body through the blood and lymphatic system. It is very rare to find a patient under fifty to have prostrate cancer. The patient can become weary of a tumor on the prostrate gland if he finds the following symptoms: dribbling before or after urinating, feeling that the urinary bladder is never empty completely, discomfort or pain while urinating and passing of blood sometimes while urinating, false calls or frequently wanting to urinate without actually urinating. Getting Rid Of the Gland Apart from having the prostrate removed surgically, there are some hormone treatments for prostrate cancer as well. Some of these hormone treatments have known to have produced dramatic results. But, then it is the stage of the disease as well as the age of the person who is treated that also counts. Doctors all over the world have known for a long time now that cancer can be treated with hormones as prostrate cancer has been known to be hormone or gene related. For instance, men who have had prostrate cancer in the family are more likely to contract the disease that men who have no family history of prostrate cancer. Even men with the history of breast cancer in the family run the risk of developing prostrate cancer. This led to research on treating cancer with hormones. Research has shown that men live longer with prostrate cancer if it is treated with hormone therapy along with radiation treatment. The standard hormone treatment is for three years but in many cases dramatic results have come about within six months of the treatment. Researchers from Boston's Brigham and Women's Hospital discovered that men treated with six months of androgen suppression therapy in addition to radiation improved faster and better than men treated with only radiation.