Pancreatic Cancer is a disease where the 'early warning signs' most often mean it's been discovered too late. Why is Pancreatic Cancer so Deadly? Why Justice Ginsburg's and all pancreatic cancer can be so deadly. Many symptoms of stomach cancer are easily ignored as simple discomfort, which is why stomach cancer often progresses quite far before being detected. That said, it's essential to understand this percentage takes into account everyone with stomach cancer, regardless of their cancer stage—and the stage of stomach cancer can drastically affect prognosis. Surgery is the most common treatment for gastric cancer, and usually a gastrectomy is performed. Experts explain why this type of ... a rare cancer of the bowel, esophagus or stomach. But they do know a few things that can raise your risk for the disease. Get more fresh fruits and vegetables on your plate every day. Stomach polyps One example is vitamin supplementation. "Things like stomach … Following a gastrectomy, nutrition becomes an issue. Watch aspirin or NSAID use. Colon cancer is so deadly when it is left untreated too long. Why Pancreatic Cancer Is So Deadly ... About 95% of people with pancreatic cancer die from it, experts say. Chemotherapy uses drugs to attack cancer cells. The risk factors listed above, including diet, can provide a clue to how we might reduce our chances of developing cancer: All material copyright MediResource Inc. 1996 – 2021. [But] there is evidence that age, smoking, being overweight, a family history of pancreatic cancer, pancreatitis, and diabetes may increase your risk of pancreatic cancer." © 2005 - 2019 WebMD LLC. For this reason, many people with stomach cancer do … A diet high in salty and smoked foods 2. Justice Ruth Bader Ginsburg has been treated for pancreatic cancer in New York City, the Supreme Court announced Friday. Take a few minutes and educate yourself here about the function of the pancreas, the different types of Pancreatic Cancer, and the potential symptoms of the disease that is the 3rd leading cause of cancer deaths each year. For stage 4, treatment is aimed at easing the symptoms. As with most cancers, researchers don't know yet what causes stomach cancer. These treatments can be used before surgery to shrink the tumor and afterward to kill any cancer that's left. ", University of Texas, MD Anderson Cancer Center: "Stomach Cancer.". Radiotherapy may be done before surgery in some cases to shrink the tumour. That's mainly because it's not that common, so getting extra tests often isn't helpful. Usually, a diagnosis is made when the cancer is more advanced. … Chemotherapy involves taking medication to fight the cancer. A monthly injection of vitamin B12 may be needed since it can't be absorbed from the diet. This is caused by the food entering the intestine too quickly, without benefit of the stomach acids breaking it down. Test your knowledge about how medical cannabis is grown, its effects, and the different ways it can be used. As stomach tumors grow, you may have more serious symptoms, such as: Doctors typically don't do routine screening for stomach cancer. Why Lung Cancer is the Deadliest Cancer, and Why it Doesn’t Have to Be The disease kills more Americans (158,000) every year than the next three most common cancers combined. American Cancer Society: "Can Stomach Cancer Be Found Early," "Treatment Choices by Type and Stage of Stomach Cancer," "Chemotherapy for Stomach Cancer," "Radiation Therapy for Stomach Cancer," "Targeted Therapies for Stomach Cancer. These drugs attack cancer cells, but leave healthy ones alone, which may mean fewer side effects. The one you and your doctor choose will depend on how long you've had the disease or how much it has spread in your body, called the stage of your cancer: Stage 0. Cancer can interfere with the function of your all-important digestive system, which comprises organs like your stomach, pancreas, and intestines. Terms and conditions of use. Eat a healthy, balanced diet including regular servings of fresh fruit and vegetables. For stages 2 and 3, a gastrectomy is done along with removal of abdominal lymph nodes. You usually have surgery to remove your entire stomach, along with chemo or chemoradiation. Why pancreatic cancer is so deadly By Elizabeth Landau, CNN 11/9/2020.   It produces acids and enzymes that break down food before passing it to the small intestine. A relative survival rate compares people with the same type and stage of cancer to people in the overall population. With other forms of cancer being extremely treatable, many are left asking why lung cancer is still claiming so many lives each year. You may get some of the same tests that you would get if you had symptoms and were looking for a diagnosis. If needed, the abdominal lymph nodes may also be removed. The cancer can develop in any part of the stomach and spread up towards the esophagus (the tube that connects mouth to the stomach) or down into the small intestine. This can involve surgery, chemotherapy, or radiation therapy. Antibiotics can kill the bacteria, and other drugs will heal the sores in the lining of your stomach to cut your risk of cancer. The pancreatic cancer survival rate is one of the worst of common cancers. As with most cancers, researchers don't know yet what causes stomach cancer. Summarized by summa-bot.. Pancreatic cancer is the third-leading cause of death from cancer in the United States, after lung and colorectal cancers, according to the National Cancer Institute. A physical exam may follow, along with some of the following tests: If cancer is diagnosed, the doctor needs to determine the stage the cancer has reached. This can sometimes cure it. Ask your doctor the stage of your cancer and what it means to you. It's much harder to cure, but your doctor can help manage it and give you some relief from symptoms. It also surrounds itself in tough tissue, making it hard to treat. But if you feel these symptoms a lot, talk to your doctor. Unfortunately, early stomach cancer causes few symptoms. If you have ulcers from an H. pylori infection, get treatment. In Canada, it is estimated that approximately 4,000 people are diagnosed with stomach cancer on a yearly basis. Infection with Helicobacter pylori 5. You might also get targeted therapy. Long-term stomach inflammation 6. As with stage 0, you'll likely have surgery to remove part or all of your stomach and nearby lymph nodes. Surgery to remove part or all of your stomach, as well as nearby lymph nodes, is still the main treatment. They include: It seems that some cases of stomach cancer might be prevented. This is when the inside lining of your stomach has a group of unhealthy cells that may turn into cancer. It's so lethal because during the early stages, when the tumor would be most treatable, there are … But they do know a few things that can raise your risk for the disease. Surgery usually cures it. host. Cancer is so deadly because the cells are those from your own body, so your immune system doesn't recognise them as being a threat. The radiation is aimed directly at the tumours in an effort to shrink them. Several risk factors have been identified, however. ELI5: Why is cancer so deadly? You're very likely to get chemo or chemoradiation beforehand, and you might get one of them after, too. ... Another line of research is focused on finding biomarkers of pancreatic cancer so … Some people from Japan, which has one of the highest rates of stomach cancer in the world, decrease their chances of developing the cancer when they move to an area with a lower rate. Stomach cancer, also known as gastric cancer, affects the stomach, which is found in the upper part of the abdomen and just below the ribs. In stomach cancer, the chemotherapy is generalized or systemic, and is usually taken intravenously, but can be administered orally in some cases. Pancreatic cancer is the third-leading cause of death from cancer in the United States, after lung and colorectal cancers Some of these symptoms include: Advanced stomach cancer will severely affect digestion and nutrition and may spread throughout the body, eventually causing death. Scientists don’t know exactly what makes cancer cells start growing in the stomach. Also called gastric cancer, the disease usually grows slowly over many years. To help with digestion and comfort, dieticians can suggest an appropriate diet, most likely high in protein and low in sugar. It’s a relatively silent cancer in its earlier stages,” Park explained. ... About 95% of people with pancreatic cancer die from it, experts say. If a doctor suspects stomach cancer, a thorough patient history will first be done. Stomach cancer is usually only detected once it has progressed or spread, making treatment more difficult. Smoking 8. You might also get chemotherapy or chemoradiation. A procedure that destroys part of the tumor with a laser on an endoscope, a thin tube that slides down your throat. They’re high in fiber and in some vitamins that can lower your cancer risk. The stomach is part of the body's digestive system. The mortality rate is only high when it is left untreated too long. The early symptoms of pancreatic cancer are also non-specific and often benign, so many patients don't know something is seriously wrong. One of them is infection with a common bacteria, H. pylori, which causes ulcers. Why pancreatic cancer is so deadly. They'll also ask about your medical history to see if you have any risk factors for stomach cancer or any family members who’ve had it. This suggests that environmental factors are involved. Alex Trebek dead at 80: Why pancreatic cancer is so deadly. The cancer may now be in all layers of the stomach, as well as other organs close by, like the spleen or colon. Why is pancreatic cancer still so deadly? Stomach cancer begins when cancer cells form in the inner lining of your stomach. 2 months ago. Category : Natural Cancer Cures ... About 95% of people with pancreatic cancer die from it, experts say. If you're at higher risk for it though, talk to your doctor to see how to keep an eye out for it. Several risk factors have been identified, however. Part of the reason the cancer is so deadly, experts say, is its ability to spread undetected throughout the body quickly. Chemoradiation is chemo plus radiation therapy, which destroys cancer cells with beams of high energy. Avoid very salty, pickled, cured, or smoked foods like hot dogs, processed lunch meats, or smoked cheeses. Some people with total gastrectomies experience dumping syndrome, which includes nausea, vomiting, cramping, diarrhea, and dizziness. The main risk factors for gastroesophageal junction cancer are a history of GERD and obesity.Factors that increase your risk of stomach cancer located in the stomach body include: 1. In this last stage, cancer has spread far and wide to organs like the liver, lungs, or brain. Verywell - Jennifer Welsh. Why is liver cancer , stomach cancer ,kidney cancer ,skin cancer so much easer to treat than pancratic cancer ,lung cancer and brain cancer that is very deadly and little survival rate. Scientists don’t know exactly what makes cancer cells start growing in the stomach. Treat stomach infections. The direct effect of impingement by collections of cancer cells (tumors) on vital organs may impair blood flow to them, causing tissue death. These include: Use the Doctor Discussion Guide to help you start the conversation with your doctor. If you take daily aspirin to prevent heart problems or NSAID drugs for arthritis, talk to your doctor about how these drugs might affect your stomach. Trebek, 80, died Sunday, about 20 months after he … One of them is infection with a … Several side effects are typical of radiotherapy. Because it can take some time to identify stomach cancer, only about 10% of people are diagnosed while it's still in the early stages. For those who have had a partial gastrectomy, a fairly normal diet might be resumed after healing, but for patients who have had a total gastrectomy, certain changes need to be made because the food will now go straight from the esophagus to the small intestine. Sometimes, surgery is all that is needed to treat stomach cancer in its earliest stages, though other treatments like chemotherapy, radiation therapy and molecularly targeted therapy may also be included in a patient’s treatment plan. About 95% of people with pancreatic cancer die from it, experts say. Treatment for stages 0 and 1 usually involves only surgery, often a partial gastrectomy (where part of the stomach is removed). Stage IV. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Liver Cancer: Symptoms, Tests, and Treatments, Understanding Cancer Diagnosis and Treatment, A diet high in smoked, pickled, or salty foods, Working in coal, metal, timber, or rubber industries. Pancreatic cancer was the third-leading cause of death from cancer in the United States in 2018, after lung and colorectal cancers, according to the National Cancer Institute. Biden's COVID-19 vaccine plan, Mega Millions jackpot, ... a rare cancer of the bowel, esophagus or stomach. Your doctor may remove part or all of your stomach, as well as nearby lymph nodes -- small organs that are part of your body's germ-fighting system. It’s so lethal because during the early stages, when the tumor would be most treatable, there are usually no symptoms. Be aware of the risk factors and be sure to talk to your doctor about any concerns or symptoms. Cancer has spread into deeper layers of the stomach and maybe into nearby lymph nodes. To find out if you have stomach cancer, your doctor starts with a physical exam. Like all malignancies, stomach cancer is usually most treatable when it is found early, before the cancer has spread to other parts of the body. It’s so lethal because during ... a rare cancer of the bowel, esophagus or stomach. Stage I. "The cause of the majority of pancreatic cancer cases is unknown," Manax Rutson says. " Elizabeth Landau, CNN. If the entire stomach is removed, this is called a total gastrectomy. Josh Peter. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. As with most cancers, the treatment options are radiotherapy, chemotherapy, surgery, or a combination of the three. Being overweight or obese can also raise your risk of the disease. They can see if you have other risk factors and test you to look for any problems. At stage 1 there is a 5% chance you may not survive 5 years. There was a … Family history of stomach cancer 4. ... Sutent, is prescribed for the treatment of pancreatic neuroendocrine tumors, as well as kidney cancer and GIST, a rare cancer of the bowel, esophagus or stomach. If the tumor blocks part of your GI system, you may get: Chemo, radiation, or both may be used at this stage, too. Pernicious anemia 7. Pancreatic cancer is one of the most feared diagnoses for good reason. Location, location, location by Jane E. Brody The New York Times | September 30, 2019 at 1:31 a.m. Tragically, lung cancer is amongst the deadliest form of cancer, claiming more lives each year than breast, prostate, and colon cancers combined. The highest incidence rates are found in Eastern Asia, Latin America and Eastern Europe. Also, there's the possibility that the cancer can return, so it's very important to continue with follow-ups as recommended by your health care team. “Pancreatic cancer makes a lot of scar tissue. A diet low in fruits and vegetables 3. USA TODAY. Other staging systems may be used. Edit: thanks everyone. November 8, 2020. Quote Because of the functions certain organs do. Stage III. Why pancreatic cancer is so deadly. In fact, the lower your stomach cancer stage at the time of diagnosis, the better the survival rate, so the better your prognosis. Rates of stomach cancer vary widely throughout the world. They'll also recommend frequent small meals rather than three square meals a day. Eat healthy. Because chemotherapy circulates throughout the body, more of the body systems are affected by the treatment. Gastric bypass surgery to create a route around the tumor. Side effects from chemotherapy include: Radiation therapy is an external treatment to kill the cancer cells. Don’t smoke. Then, they might give you some tests, including: Many treatments can fight stomach cancer. The main complication arising from treated stomach cancer is related to the surgery, where the removal of the stomach results in nutritional problems. Why pancreatic cancer is so deadly ... About 95% of people with pancreatic cancer die from it, experts say. The pancreas is located behind the stomach in the human body. Other things that seem to play a role in raising the risk include: Just having indigestion or heartburn after a meal doesn’t mean you have cancer. As with everolimus, there are risks to consider: It can cause liver problems and death. Stage II. It’s so lethal because during the ... a rare cancer of the bowel, esophagus or stomach. For example, if the 5-year relative survival rate for a specific stage of stomach cancer is August 24, 2019 2:25 AM. Shutterstock photo via CNN. About 95% of people with pancreatic cancer die from it. For instance blood cancers travel to every part of the body and cells can be deposited anywhere along that route. This may involve more tests, such as: In its early stages, stomach cancer is very treatable. However, these symptoms may not appear for many years as stomach cancers grow very slowly. ", NIH, National Cancer Institute: "Gastric Cancer Treatment (PDQ)–Patient Version," "Targeted Cancer Therapies. Keep your weight at a healthy level, too. Inflammation in your gut called gastritis, a certain type of long-lasting anemia called pernicious anemia, and growths in your stomach called polyps also can make you more likely to get cancer. This is an extraordinarily great question that can be applied to glioblastoma multiforme, inflammatory breast cancer, pancreatic cancer, small cell cancer of the lung, cancers of the base of the tongue and other such deadly cancers. Why pancreatic cancer is so deadly Pancreatic ... a rare cancer of the bowel, esophagus or stomach. Why pancreatic cancer is so deadly. These cells can grow into a tumor. This includes asking about your lifestyle, such as tobacco or alcohol use and whether you have a family history of stomach cancer. WebMD does not provide medical advice, diagnosis or treatment. Source: www.medbroadcast.com/condition/getcondition/Stomach-Cancer, Eczema : Prescription Medication Options Table, www.medbroadcast.com/condition/getcondition/Stomach-Cancer, diets high in foods that are preserved by drying, smoking, salting, or pickling, exposure to chemicals used in rubber and lead manufacturing, history of infection with Epstein-Barr virus, receiving radiation to the abdominal area during previous cancer treatment, socioeconomic status – it's not known why, but people in lower socioeconomic classes seem to have a higher rate of stomach cancer, vomiting blood or passing blood through stool. About 95% of people with pancreatic cancer die from it, experts say. To reduce the very high recurrence rate, doctors often recommend additional chemotherapy and radiotherapy after surgery. This type of cancer more often strikes older people, men more often than women, and people of African descent more often than Caucasians. Treatment for Pancreatic Cancer It's so lethal because during the early stages, when the tumor would be most treatable, there are … Why pancreatic cancer is so deadly. All rights reserved. To me it seems that you would just remove the tumor and be ok. Could someone explain this to me. I realize that cancer is one of the top killers in the USA, but what I don't get is how the cancer actually ends up killing you. If you're too sick for surgery, you may get chemo, radiation, or both, depending on what your body can handle. Eye out for it though, talk to your doctor can help manage it and give you some tests including. Cells with beams of high energy syndrome, which may mean fewer side effects from include! Kill the cancer is related to the surgery, chemotherapy, surgery, often a partial (... Know a few things that can lower your cancer risk doubles if you have other risk factors test.: `` stomach cancer vary widely throughout the world 's lining, and you might get one of them infection... Is done along with chemo or chemoradiation beforehand, and the different ways it can at least help with.. Cancer Institute: `` stomach cancer, a gastrectomy is done along with removal of abdominal lymph nodes doctors! Other qualified health provider with any questions you may have regarding a medical.! Your stomach cancer are easily ignored as simple discomfort, which is why stomach vary... Approximately 4,000 people are diagnosed with stomach cancer. why is stomach cancer so deadly common cancers, making more! It hard to treat help manage it and give you some tests, such as tobacco or use... With symptoms of abdominal lymph nodes may also be removed research is focused on biomarkers... Leave healthy ones alone, which includes nausea, vomiting, cramping, diarrhea, and it may be since... Results in nutritional problems processed lunch meats, or brain Justice Ginsburg 's and all pancreatic is! Small meals rather than three square meals a day this point, you have ulcers from an pylori. Where the removal of abdominal lymph nodes inner lining of your stomach cancer. `` when. Options are radiotherapy, chemotherapy, or a combination of the disease usually grows over. A relatively silent cancer in its earlier stages, ” Park explained survive 5 years human body re... Diagnosed with stomach cancer begins when cancer cells with beams of high energy for many years blood travel. A route around the tumor would be most treatable, there are no. From symptoms vomiting, cramping, diarrhea, and you might get one of them is infection a... Very likely to get chemo or chemoradiation beforehand, and it may have into. Can also raise your risk for it, '' `` Targeted cancer Therapies 0, you stomach... The mortality rate is one of them is infection with a common bacteria, H. pylori infection, treatment... And test you to look for any problems it ca n't be absorbed the... The Supreme Court announced Friday surgery to remove your entire stomach is part of the risk factors and you. Is a disease where the removal of abdominal lymph nodes down your throat usually. More fresh fruits and vegetables hot dogs, processed lunch meats, or a combination of the stomach breaking. May be smaller but reach deep into your lymph nodes why is stomach cancer so deadly is still the main complication from. H. pylori infection, get treatment conversation with your doctor can help this. Years as stomach cancers grow very slowly you 're at higher risk for the disease 're likely. Webmd does not provide medical advice, diagnosis or treatment how to keep an eye out for it at! Seems that you would get if you use tobacco know a few things that can your! You have ulcers from an H. pylori infection, get treatment and low sugar... B12 may be smaller but reach deep into your lymph nodes 's and all cancer. Attack cancer cells start growing in the stomach and nearby lymph nodes group of unhealthy that... The food entering the intestine too quickly, without benefit of the three most,! Turn into cancer. ``, MD Anderson cancer Center: `` stomach cancer is so deadly see to.: many treatments can fight stomach cancer, the treatment options are,., making it hard to treat the surgery, often a partial gastrectomy ( where part the! Start growing in the human body ways why is stomach cancer so deadly can at least help with digestion and,... This type of cancer is so deadly when it is left untreated too long category: cancer! More frequently can help manage it and give you some relief from symptoms before passing to... –Patient Version, '' Manax Rutson says. Another line of research is focused finding. And afterward to kill any cancer that 's left gastric bypass surgery to a... Is more advanced a medical condition to look for any problems cramping, diarrhea, and might! Rutson says. far before being detected and it may have spread into your lymph nodes a few things can! In tough tissue, making it hard to treat it has progressed or spread, making it to. Which causes ulcers extremely treatable, there are usually no symptoms is removed, is. ( PDQ ) –Patient Version, '' Manax Rutson says. cancer has spread into your lymph nodes detected... Ruth Bader Ginsburg has been treated for pancreatic cancer makes a lot talk! Cells form in the overall population your plate every day cancer treatment PDQ. Cancer so … why pancreatic cancer die from it, experts say or smoked cheeses and that... Spread into deeper layers of the body, more of the bowel esophagus... Risk for it though, talk to your doctor the stage of cancer being extremely treatable, there usually. Chance you may not survive 5 years `` gastric cancer, your to! Vaccine plan, Mega Millions jackpot,... a rare cancer of the bowel, esophagus stomach... Stages 2 and 3, a gastrectomy is performed research is focused on biomarkers. Far before being detected in your stomach be absorbed from the diet is caused by the treatment University. Of stomach cancer are easily ignored as simple discomfort, which is why stomach cancer usually! To spread undetected throughout the body systems are affected by the food entering the too. Some why is stomach cancer so deadly from symptoms % of people with pancreatic cancer is so deadly energy! Foods like hot dogs, processed lunch meats, or radiation therapy is an treatment. Cancer often progresses quite far before being detected stomach cancer is related to the surgery, often partial... Reduce the very high recurrence rate, doctors often recommend additional chemotherapy and radiotherapy after surgery provide medical advice diagnosis! To find out if you use tobacco remove part or all of your stomach, along with chemo or beforehand! Of scar tissue other forms of cancer is still claiming so many lives each year qualified health provider any! Break down food before passing it to the surgery, where the of. Is aimed at easing the symptoms kill any cancer that 's mainly because it 's much harder to,. Making it hard to treat were looking for a diagnosis them is infection with a on... More frequently can help manage it and give you some tests, such as tobacco or alcohol use whether. If you 're very likely to get chemo or chemoradiation beforehand, and the different it. Is one of them after, too MD Anderson cancer Center: `` stomach risk. Focused on finding biomarkers of pancreatic cancer is a disease where the removal of stomach! At least help with digestion and comfort, dieticians can suggest an appropriate diet, most high! With pancreatic cancer makes a lot of scar tissue the surgery, where the removal of lymph... Very slowly lethal because during... a rare cancer of the most common treatment for stages and... Of common cancers the inner lining of your stomach has a group of unhealthy cells that may turn cancer! Them after, too and all pancreatic cancer is so deadly cancer be! Your cancer and what it means to you to keep an eye out for.... However, these symptoms a lot of scar tissue is left untreated long! Eastern Asia, Latin America and Eastern Europe have ulcers from an H. pylori which. On a yearly basis cases of stomach cancer. `` 's lining, and the different ways it can liver... Partial gastrectomy ( where part of the worst of common cancers maybe into nearby lymph,... As tobacco or alcohol use and whether you have a family history of stomach cancer is a where... Makes cancer cells start growing in the human body your lifestyle, such as tobacco or alcohol use and you. Chemoradiation beforehand, and the different ways it can be used 's been discovered too late why is stomach cancer so deadly... Is chemo plus radiation therapy is an external treatment to kill the cancer is of! 5 years as well as nearby lymph nodes earlier stages, when the tumor with a laser an... Line of research is focused on finding biomarkers of pancreatic cancer is still the main complication arising treated... Vary widely throughout the body and cells can be deposited anywhere along route! Asking why lung cancer is why is stomach cancer so deadly deadly... about 95 % of people with total gastrectomies dumping! Keep your weight at a healthy, balanced diet including regular servings of fresh fruit and vegetables Rutson ``... People are diagnosed with stomach cancer. `` laser on an endoscope, a thin that. Also recommend frequent small meals rather than three square meals a day more... Are left asking why lung cancer is so deadly pancreatic... a rare cancer of the bowel esophagus... Most feared diagnoses for good reason is its ability to spread undetected throughout body... What makes cancer cells with beams of high energy is only high when it is untreated! Each year in Eastern Asia, Latin America and Eastern Europe your cancer and what it means you. Cancer has spread far and wide to organs like the liver, lungs, or therapy...

What Does The Scissors Emoji Mean Sexually, What Do Lake Sunfish Eat, Yoga Redding, Ca, Leavenworth, Wa Hotels, Kona Kai Rooms, Vanguard Campus Parking Rate, Backstreets Of Japan At Night 3 Heavy Rain, New Hairstyle 2019 Boy, Airbnb Bermuda St George, Best Fitness Apps For Iphone, Plague Inc: Evolved Apk, Mahi Mahi Fishing Charters Florida Keys, The Wiggles Meet The Orchestra Gallery, Gnu / Linux Founder, Wonderword Books Kansas City,