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Mushroom ’shrinks cancer tumours by 75 percent’

by Tamara Cohen | DailyMail.co.uk | 11.30.2009

A mushroom used in Chinese cooking is a potential weapon against cancer, shrinking tumours by up to 75 per cent, a new study has found.

The Maitake mushroom, which grows up to eight inches in diameter, could help combat bladder and prostate cancer which kill 15,000 British people every year.

Dr. Sensuke Konno found combining a tiny concentrated extract of the mushroom with an anti-cancer proteins called interferon alpha, reduced the growth of bladder and prostate cancer cells in patients by up to three quarters.

Anti-cancer proteins, used in other treatments, are only needed in small doses, according to the research by a team at New York Medical Centre which was published in the British Journal of Urology.

They believe the two used together at low doses may activate an enzyme that controls cancer cell growth.

Dr. Konno said hailed it as a ‘very significant’ breakthrough. He said combining the two ‘not only enhances the efficacy of the treatment but also improves the quality of life of the patients by reducing the dose of conventional therapies significantly.’

Dr. Alison Ross, senior science information officer at Cancer Research UK said: ‘Many chemotherapy drugs currently in use have been derived from natural substances found in plants so it is not too far-fetched to think that mushrooms could be a valuable source of anti-cancer drugs.’

Copyright DailyMail.co.uk 2009

Lifestyle and prostate cancer

BY LENA HUANG

Two studies released this month shed light on how health and nutrition can affect prostate cancer patients. One study involved the impact of exercise and the other looked at red and processed meat consumption.

In “Can Men Reduce the Risk of Prostate Cancer Through Lifestyle Changes?” published in the Journal of Urology, researchers examined 190 men who underwent prostate biopsy at the Durham Veterans Affairs Medical Center. In that group, researchers found that men who exercised moderately, such as walking three to six hours a week, were less likely to be diagnosed with prostate cancer. Researchers also found that of the men who were diagnosed, those who exercised had a lower risk of high-grade disease.

In another study published in the American Journal of Epidemiology, researchers at the National Cancer Institute followed more than 175,000 men for nine years and found that men whose diets were high in red meat and processed meat had increased risks for developing prostate cancer at any stage. Further, researchers looked at cooking methods and found that men who ate meats cooked at high temperatures, such as with grilling and barbecuing, were also linked to increased risk for prostate cancer. A similar connection was found between men whose diets were high in nitrates, which are chemicals used to preserve and cure meats, such as bacon and ham. For more on this topic and ways to grill healthier, check out my article “Good Grilling.”

While additional studies need to be completed on these topics, these studies provide more evidence that changes in lifestyle can influence our risk of certain cancers. And this is a powerful message–that we can make choices and change behaviors that may give us a better chance not get to cancer, and many other diseases, in the future.

Singer Charlie Wilson on Prostate Cancer Awareness

Every year, one in six American men are diagnosed with prostate cancer. The former lead singer of the Gap Band, Charlie Wilson, is now cancer-free, but is promoting awareness.

Every year, one in six American men are diagnosed with prostate cancer. The former lead singer of the Gap Band, Charlie Wilson, is now cancer-free, but is promoting awareness.

Charlie Wilson is known for singing R&B hits, but he also wants to remind men about the importance of getting regular prostate checkups.

Wilson was diagnosed with cancer in 2008. “When the doctor told me I had prostate cancer I saw my whole career in the trash can,” said the singer.

According to Dr. Willie Underwood, III, Roswell Park Urologic Oncologist, African-American men are one and a half times more likely to be diagnosed with prostate cancer and twice as likely to die and that is shame.”

Wilson told a crowd at Roswell Park “we (men) are ashamed of the exam, it’d be senseless to die of shame.”

Wilson wears his signature hat in concert and it is sold at his shows. Half of the proceeds go to the Prostate Cancer Foundation.

Southern Baptist president has prostate cancer



Submitted by Chris Smith

NASHVILLE (AP) — Southern Baptist Convention President Johnny Hunt has announced that he has been diagnosed with prostate cancer.

In a statement released through the Baptist Press, he said he will undergo initial treatment in January.

The 57-year-old Hunt, pastor of the Atlanta-area First Baptist Church of Woodstock, was elected SBC president at the convention’s June 2008 annual meeting in Indianapolis and re-elected at this year’s meeting in Louisville, Ky.

Hunt said he believes the cancer was detected early and that doctors have monitored his prostate carefully.

The PSA Test: 7 Reasons It Still Matters

by Dr. Ford Vox | U.S. News & World Report | 11.13.2009

The U.S. Preventive Services Task Force asked doctors last year to stop checking PSA levels in elderly men—the very men who are most likely to have prostate cancer. By age 75, the officials reasoned, doctors are more likely to keep tinkering with their patients until they die of treatment side effects or something other than prostate cancer altogether. This spring, the New England Journal of Medicine published two long-term studies that questioned whether knowing a man’s PSA level actually helps men survive. Healthcare commentators say that PSAs set off a cascade of overtreatment, endangering patients and tolerating wasteful medicine, and that patients should be wary.

You might expect that the surgical specialists at the center of prostate cancer treatment would have reined in their PSA testing, but they haven’t. The American Urological Association actually lowered its recommendation for the age at which doctors should start offering patients the PSA test from 50 to 40. It was the first revision of the guidelines in nearly a decade. The next one, says Kirsten Greene, a urologist who worked on the committee, should take just a year, in light of the accelerating data and heightened public debate.

“The key change is how we react to abnormal tests and to a cancer diagnosis, which is generally less aggressively for some men than in the past,” says Gerald Andriole, chief of urologic surgery at Barnes-Jewish Hospital/Washington University School of Medicine in St. Louis. Andriole says that men shouldn’t be afraid to get diagnosed; good urologists avoid overtreating less-dangerous cancers. Active surveillance or targeted attacks on very small tumors that spare healthy prostate tissue are both popular options.

From the latest research, here are seven reasons why urologists are encouraging men of any age who expect to live at least another 10 years to think hard about getting a PSA test, even if they have to pay out of pocket:

1. Keeping tabs on PSA saves lives. Many urologists flat out reject a large study published in the New England Journal of Medicine earlier this year that found men who got the PSA test did worse than men who didn’t. The dissenters say the results weren’t trustworthy—many of the men who weren’t supposed to get tested actually did, thanks to their proactive primary-care docs. Another recent large NEJM study found that nine years after entering the study, men who got regular PSA screening were 20 percent less likely to die of prostate cancer. One model suggests the PSA test has contributed to much of the 30 percent decline in prostate cancer deaths seen in recent decades.

2. There’s no magic PSA number. In the urologists’ latest recommendations, it is clear that there’s no one-size-fits-all age at which to be tested or bad PSA number. For many years, a particular reading of 4 or above was a battle cry that called for a biopsy or aggressive treatment. In reality, any reading is suspect. Without knowing much more about him, studies give a middle-aged man a 10 percent chance of having visible cancer on biopsy even if his PSA level is zero. Today, doctors consider a single PSA number in the context of your specific health background, race, and family history (it may also help diagnose benign enlargement or an infection), and then suggest when to be tested next. If you do get a biopsy, the criteria for serious concern are stricter, and there are more conservative treatment options.

3. Velocity matters. Your first PSA test is neither your last nor your most important. Depending on your age and your current PSA number, the question is how much, and how fast, subsequent test numbers increase. Researchers are busy determining just how much velocity is normal. (Some researchers say a speed bump of more than 0.25 in one year for a 40-year-old man should prompt concern.) Every man generates a history of data points his doctors can interpret in light of the research.

4. There’s more than one kind of PSA to measure. Enlarged but noncancerous prostates usually release “free” PSA that circulates through the body, while PSA produced by cancer cells tends to attach itself to proteins in your blood. By considering the ratio of the types of PSA, as is done by looking at the ratio of bad to good cholesterol for heart disease, doctors can offer you better advice about your risk and what you should do next.

5. The younger you are, the more meaningful the PSA test. Older prostates tend to get bigger and put out more PSA, complicating interpretation. Higher PSA levels at a younger age are an indicator of elevated risk and call for closer monitoring of factors like your PSA velocity. At the same time, prostate cancer therapies are most effective and sparing of function when the cancer is at an early stage.

6. PSA numbers reveal your prognosis and are critical in follow-up. If you do develop a serious form of prostate cancer that requires aggressive treatment, your PSA levels prior to treatment will help your medical team determine the risk of recurrence. It’s one factor among many others, such as how the tumor looked under the microscope after surgery, but the latest studies show it’s of real value. After surgery to remove the prostate, the PSA test is even more critical: Detection of extremely minute levels can signal cancer recurrence. The earlier doctors know the cancer is back, the earlier patients can decide about secondary treatments like radiation and hormonal therapy.

7. For now, PSA is the best we’ve got. Scientists are looking hard for a better “biomarker” than the PSA, ideally one that doesn’t require so much deliberation. Candidates are surfacing, but they require more proof. Physical measures like the prostate’s size can be misleading, as Mayo Clinic researchers reminded us this week. Studies show that a digital rectal exam plus a PSA test is the surest way to pick up prostate cancer. But if you’ve got to pick only one test, PSA is still the best.

Copyright U.S. News & World Report 2009

Get Your Medical Questions Answered by the Experts

Malecare, under the direction and with the hard work of its Executive Director, Darryl Mitteldorf, has started a new web site (www.prostatecanceradvice.org) that is designed to allow anyone with a medical question about prostate to get an expert’s opinion.

Three medical experts in prostate cancer issues: medical oncologists Drs. “Snuffy” Myers and Daniel Petrylak, and naturopath Dr. Geo Espinosa will answer your questions.

Check out this new site at www.prostatecanceradvice.org.

TEN26

 

Dennis Hopper – Diagnosed with Prostate Cancer

Dennis Hopper

LOS ANGELES — Dennis Hopper has been diagnosed with prostate cancer and is canceling all travel plans to focus on treatment, his manager said Thursday.

The 73-year-old actor and artist is being treated through a “special program” at the University of Southern California, said Sam Maydew.

Asked about Hopper’s prognosis, Maydew said, “We’re hoping for the best.” He would not elaborate on the actor’s condition.

Hopper was forced to cancel his appearance at an exhibition of his artwork and photography at the Australian Centre for the Moving Image in Melbourne. Called “Dennis Hopper and the New Hollywood,” the show celebrates “the work and life of an extraordinary filmmaker, artist and key figure in the evolution of Americas cultural scene from the 1950s to today.”

Hopper was hospitalized in New York earlier this month and treated for dehydration.

The “Easy Rider” star recently finished shooting the second season of “Crash,” a TV version of the Oscar-winning 2004 film. He plays maniacal music producer Ben Cendars on the series, which airs on the Starz network. Hopper also has several film projects in the works.

 

Hornets owner Shinn says he has prostate cancer

By KEVIN McGILL, Associated Press Writer

NEW ORLEANS (AP)—New Orleans Hornets owner George Shinn said Friday he has been diagnosed with prostate cancer, but remains healthy and is optimistic that he will conquer the disease.

Hornets Owner Cancer Basketball

“My wife, Denise, and I remain strong in our faith and will maintain a positive attitude as I battle this with intense fervor and drive,” Shinn said in a release issued by the Hornets.

A businessman from Kannapolis, N.C., the 68-year-old Shinn has been the owner of the team since he received an expansion franchise in Charlotte, N.C., in 1988.

He moved the team to New Orleans in 2002, and worked with the NBA to provide the team with a temporary home in Oklahoma City for the 2005-06 season after floods from Hurricane Katrina virtually shut down the city for weeks and damaged the New Orleans Arena.

The team split time between the two cities the following season and returned to New Orleans full-time for 2007-08. The team set a club record for victories that season with 56 and clinched the 20-year-old franchise’s first division crown.

“We’ve been a catalyst to help this city recover and we’re going to keep doing everything we can to keep it that way,” Shinn said at the time.

Team spokesman Harold Kaufman said no details were available on treatment options for Shinn. In the news release, Shinn said the doctors he is consulting are optimistic.

“This is not the first obstacle that I have had to overcome in life, but it will be another one that will be conquered,” Shinn said. “Those closest to me understand my commitment to God and belief in the power of prayer, so all that I ask is for people to add me to their prayers.”

Hornets coach Byron Scott said he spoke to Shinn when he was still awaiting test results, and that the outcome surprised everyone associated with the team.

“I told him no matter what, I’d be there for him,” Scott said before the Hornets played the Toronto Raptors on Friday night.

“The biggest thought on my mind was just to keep praying for him,” Scott said. “This is something you don’t want anybody to go through. I know Mr. Shinn is a fighter, and like he said, he’s going to fight it all the way.”

Dendreon Files in U.S. for Prostate Cancer Vaccine

Dendreon Logo

Reuters | 11.02.2009

Dendreon Corp. (DNDN.O) has completed its U.S. regulatory submission for its closely watched experimental prostate cancer vaccine, the company said on Monday, sending its shares up 5 percent.

Dendreon previously said it expected to seek U.S. approval for Provenge in November, and expected regulators to respond by mid-2010.

“The submission came a little earlier than had been expected, which was in mid-November, so that is a positive,” said Canaccord Adams analyst George Farmer, who estimated the product’s sales potential at greater than $4 billion annually by 2020.

If approved, Provenge would be the first “therapeutic” cancer vaccine. While conventional vaccines prevent disease, Provenge treats the condition.

“With the (application) submission complete, we have taken an important step towards reaching our goal of bringing a new therapy to men with advanced prostate cancer,” Dendreon Chief Executive Mitchell Gold said in a statement.

Dendreon in September said it will be able to make enough Provenge to generate potential sales of $60 million to $125 million in the second half of next year.

The company said it will steadily ramp up production until full capacity is achieved by late 2011 at plants in New Jersey, Atlanta and Los Angeles, together able to support potential annual sales of $1.2 billion to $2.5 billion.

Prostate cancer is diagnosed in one of every six American men and is the second-leading cause of cancer death among men.

Dendreon shares, which have soared 10-fold since March, were up 5 percent at $26.55 in morning trading on Nasdaq.

Copyright Reuters 2009

Prostate cancer: to treat or not?

by Dr. Paul G. Donohue | SouthCoastToday.com | 10.19.2009

cancer-prostate

DEAR DR. DONOHUE: On one hand, I have been told that many men die with prostate cancer but few die of prostate cancer. On the other, statistics are announced stating that prostate cancer is in the top five causes of death in men! Hello? My doctor has not ordered a PSA test for me in a number of years. I don’t push the issue because I don’t want to appear to be a hypochondriac, but I don’t feel sufficiently informed. I would appreciate your comments. I am 82.

— F.O.

Cancers — all the varieties — are the second leading cause of death in men and women. Prostate cancer comes in second place for cancer-caused male deaths. Around 28,000 men die from it every year in the United States.

PSA, prostate specific antigen, is a blood test used for detection of prostate cancer. The problem with PSA is that it is sometimes high for reasons other than cancer, and it doesn’t indicate the cancer’s aggressiveness. Most prostate cancer isn’t lethal. Why, then, do so many men die from it? For one, many men have it. Almost all men in their 80s have patches of prostate cancer in their gland, and many men in their 70s have it. A large percentage of these men will live out their full life span without ever having a single prostate cancer symptom. If a man could be assured that his prostate cancer would not be lethal, that man most likely would choose not to treat it. Treatment can come at a price. It can lead to erectile dysfunction, urine leakage and the complications of radiation, such as damage to the rectum. For these and other reasons, the United States Preventive Task Force — an expert panel that gives guidance on which tests to have and which illnesses to treat — recommends that men 75 years and older or men with a life expectancy of less than 10 years not be tested with PSA.

Not everyone agrees with these guidelines. Testing for prostate cancer at older ages is something best left to a well-informed patient and his doctor.

Copyright SouthCoastToday.com 2009

TEN26 Four Years Ago

Four years ago today I was diagnosed with prostate cancer.  That’s the day I discovered a few things about my life: the true meaning of friendship, the love and support of my family, and the strength and peace that only God can give.  It’s the day I became a cancer survivor!

God gave me the courage to face it, the knowledge and wisdom to fight it, and His grace to beat it.

Kids

Here’s my story ….

A week before I was scheduled to run the Big Sur International Marathon, I found out that that my PSA was a little elevated.  I didn’t know much about PSA, but I did know I was in the best shape of my life.  This PSA thing must have been a fluke.  After competing Big Sur, which is one of the most difficult marathons on the face of this planet, I returned home and had another blood test.  This time my PSA was higher and it was recommended that I have a biopsy.

Over the course of the next 6 months, I had several blood tests and two biopsies.  It was after the second biopsy on October 26th that it was determined that I had prostate cancer.  I refer to that date as TEN26.  It’s a day I will never forget.  Cancer didn’t freak me out, but the potential side-affects of incontinence and impotency did bother me a little  (a lot!).

065

Quickly I learned that researching my treatment options was difficult.  I couldn’t get a health care professional to give me an objective solution based on my age, Gleason score, staging, quality of life issues, etc.  Everybody had the best deal for me.  I was facing The Great Prostate Procedure Shootout!  I realized that it was my body, my life and I had to make the decision on which treatment solution was best for me.  So I decided to dig deep.  I spent hours on the internet, read books, talked with cancer survivors, and visited one of the best cancer hospitals in the world.

It was during this time of research that I found out about a doctor at Ohio State University, James Cancer Center.  This doctor was the only one that would call me back and/or email me when I had questions (which was frequently).  We made a connection right away.  And after 5 weeks of digging, discussing, and praying I scheduled surgery at OSU.  It was pretty simple: I flew in to Columbus, Ohio on Monday night, pre-op appointment on Tuesday, and surgery on Wednesday, and back to the hotel on Thursday, catheter removed on Monday and back home on Tuesday.

008

Here’s the long story short – I was never in much pain, I was walking around the OSU campus the day after surgery, and my recovery exceeded my expectations.  Three weeks after my surgery I was back at the gym working out.  I returned to work after 2 weeks.  Since my surgery I have run 6 marathons and countless other events.  But I must mentioned that I have had 4 other surgeries since that time!  I’m the comeback kid (not much of a kid anymore!).

IMG_2975

In closing, the da Vinci Robotic Surgical System is considered the finest equipment for robotic prostatectomy and OSU is the premier hospital for this surgery.  But it’s more than equipment and expertise.  Through my cancer journey I found out the true meaning of friendship, the love and support of my family, and the strength and peace that only God can give.

I’m a survivor!

DGS and RMS

If you or anyone you know have questions concerning prostate cancer, please call me at 404-939-0348.

TEN26

It’s all about your “package”

Modified from a post from Prostablog

Red Cross

Incontinence and impotence are two frightening words for a man but they are the side-effects of removing the prostate. Worth the price, or at least that’s the calculation one makes beforehand: Cancer or dry underwear? Cancer or erections?


Most men don’t know what to
expect of the incontinence and don’t hear a clear description (maybe because of feared hearing it).  We’re thinking puddles on the floor. But it’s nothing like that. It’s a matter of dribs and drabs for a period of time. We wish we understood the physical explanation of what’s happening but the end result is this: Sometimes, when you expect it (standing, coughing, lifting…) and sometimes when you don’t (that’s the tough part) you feel something moving where it shouldn’t. Drib. Next time, you hope you remember to clench your muscles first.  But rest assure that this is a short term issue you’ll face after surgery

After surgery you’re outfitted in a gigantic Baby Huey diaper plus a pad – which only heightened your fear – but you quickly realized this wasn’t necessary and downgraded to pads. After much trial and you’ll find your dream brand. You can’t believe you’ve become a connoisseur of such product.  You should also note that nighttime is usually not a problem — no bedwetting.


As for your “package” other job, well, that’s another story. The doctor will warned you not to expect anything in the near future. But it’s hard. Because it’s not.  We men have complicated relationships with our packages, of course. We follow them (that’s why they’re in front). They tell us what we like. They have minds of their own. Some men give them names. So when a man sees his package as an emaciated, depressed, shrunken old man in a hospital bed, well, it’s hard not to deal with.


There’s hope, however.  In time, your package may return to its previous form. But often you may have to get a little help — you know, a little blue pill.  And if that doesn’t work, then there are other options.  Don’t get discourage or give up.  It takes time.


Prostate cancer is all about you package.  You have to be patient.  It will all work out in time, but it may not be like it was before you had cancer — but that’s life.  DEAL WITH IT LIKE A MAN!


Question of the day:  Would you rather have cancer?

#BeatCancer Sets Guinness World Record, Raises Over $70,000

beatcancer1

On Friday we reported about the #BeatCancer campaign to leverage social media for cancer charities. Their goal was to set a Guinness World Record for the most social mentions in 24 hours, which by Saturday had already topped 200,000 on Twitter, Facebook and blog posts.

Today Guinness World Record confirmed the success of the campaign, which at 209,771 mentions in a single day achieved an estimated 100 million overall impressions of the #BeatCancer message. Not only did the campaign set a newly-developed world record for online impressions, but raised over $70,000 in the process from its financial sponsors.

The funds raised from donors eBay/PayPal and MillerCoors will go to four non-profit cancer organizations including Spirit Jump, Bright Pink, Alex’s Lemonade, and SU2C (Stand UP to Cancer). Although the official Guinness World Record drive is now over, the campaign continues to raise awareness and encourage donations. You can donate and find resources to help you promote the endeavor on the Beatcancereverywhere.com website.

If you participated, let us know in the comments

Dallas Cowboys Quarterback Tony Romo Tackles Prostate Cancer

From HealthNewsDigest.com

Cancer Issues

(HealthNewsDigest.com)-Superstar quarterback Tony Romo found himself in new territory when he learned that his father was battling cancer. Ramiro Romo had shown no signs or symptoms of the disease when a screening exam revealed he had prostate cancer. The experience shocked and scared his entire family.

Thankfully, the elder Romo’s cancer was caught early. Now, Tony and his dad have teamed up with the Prostate Conditions Education Council (PCEC) to urge men to get a prostate cancer screening as part of the national “Tackle Prostate Cancer” program. The Tackle Prostate Cancer program, which includes support from 13 teams around the country, hopes to encourage more than 100,000 men to be screened for prostate cancer over the course of the season.

“Prostate cancer was something we didn’t have a lot of knowledge about,” says Romo. “We were lucky that Dad found it early and really wanted to spread the word about the importance of screening so that others would have the same advantages.”

Nearly 200,000 men will go through a similar experience this year when they are diagnosed with prostate cancer. The disease remains the second-leading cause of cancer death among American men, with more than 27,000 expected to die from it this year. When detected early, the five-year survival rate is nearly 100 percent.

While prostate cancer is often treatable when detected early, there are frequently no warning signs or symptoms in its earliest stages-making early detection and screening crucial for saving lives. For this reason, PCEC and the Romos want men to “Choose to Know-and Know to Choose.” This means they should choose to know their PSA values, just as they would their cholesterol and know that there are many choices and variables in determining if they need a biopsy or treatment.

“It is as simple as this-screening saves lives,” said E. David Crawford, M.D., head of the Urologic Oncology Department at the University of Colorado Health Sciences Center and founder and chairman of PCEC. “We recommend that all men get a baseline prostate health assessment at 35 years of age and work with their doctors to determine a screening schedule that is right for them.”

Men who want to respond to the challenge should visit www.tackleprostatecancer.com to register and receive exclusive access to program information.

Top 10 dietary evils to avoid if you want to reduce prostate cancer risk

NUTRA LEGACY.COM: Dairy products, fried foods, red meat, preserved foods and those rich in salt/sodium are among the top 10 dietary no-nos if you don’t want to get prostate cancer, according to this website. READ MORE>

Although it’s difficult to tell who these people are (looks suspiciously like a PR/lobby group), their message makes sense. Here’s their top 10 things to avoid:

  • Dairy foods.
  • Fried foods.
  • Baked foods.
  • Red meats.
  • Excessive preserved foods.
  • High salt/sodium foods.
  • High dose zinc supplements.
  • High dose Vitamin E.
  • Excess calories.
  • Excessive alcohol.

‘Watchful Waiting’ Often Works for Prostate Cancer

by Anthony J. Brown, M.D. | Reuters Health | 09.28.2009

New research indicates that over half of men who choose “watchful waiting” as the initial strategy for prostate cancer need no treatment over the long haul.

With “watchful waiting,” patients with early prostate tumors are monitored regularly and only treated if their cancer progresses.

“Patients and doctors should not assume that any/all cancer must be immediately treated,” lead researcher Dr. Martin G. Sanda, from Beth Israel Deaconess Medical Center, Boston, told Reuters Health.

“Some very early tumors, such as prostate cancers that have the lowest risk profile, can safely be monitored and their treatment can be reserved for those that show growth during the subsequent monitoring period,” she added.

Sanda’s team investigated 3331 men diagnosed with prostate cancer from 1986 to 2007. Of these patients, 342 (10.3 percent) selected deferred treatment (watchful waiting), defined as not receiving treatment for more than 1 year after diagnosis.

During an average follow-up of 7.7 years, 174 (51 percent) of the deferred treatment patients remained untreated. For the remainder, treatment began 3.9 years after diagnosis, on average.

The rate at which prostate cancer spread beyond the organ was similar among the deferred treatment group and the immediate treatment group. Likewise, rates of death from prostate cancer were no different with deferred and immediate treatment.

The findings appear in the Journal of Clinical Oncology.

In a related commentary, Dr. Anthony Zietman, from Massachusetts General Hospital in Boston, says these findings add “to the body of evidence reassuring physicians that it is safe to observe before treating many men with localized disease.”

“I am optimistic that we can break our cultural addiction to immediate treatment for all and move toward discriminating, selective, and more socially responsible behavior in this challenging disease,” Zietman writes.

SOURCE: Journal of Clinical Oncology, 2009.

Copyright Reuters Health 2009

Petraeus Treated for Prostate Cancer

General Petraeus

By ERIC SCHMITT

WASHINGTON — Gen. David H. Petraeus, the commander of American military forces in the Middle East, learned in February that he had early-stage prostate cancer but has undergone “successful” radiation treatment for the illness, according to a statement issued late Monday.

General Petraeus, 56, who as head of the United States CentrCommand oversees operations in Afghanistan and Iraq, underwent two months of radiation treatment here at Walter Reed Army Medical Center, the statement said.

The treatment had “minimal impact on his work schedule,” according to the statement.

The general’s spokesman, Col. Erik O. Gunhus, issued the statement in response to questions from The New York Times.

At the time of the treatment, the general was spending four or five days a week in Washington for various policy reviews, the statement said. General Petraeus also took at least one overseas trip during the period of the treatment, and he was able to maintain his regimen of physical training, the statement said.

“The treatment is assessed to have been successful,” the statement said.

The general is a fanatical devotee of physical fitness. He is known to be capable of trouncing 19-year-old recruits in pushup contests, and seven years ago, at age 49, he completed a 10-mile run in under 64 minutes.

General Petraeus has also survived close calls before. As a young battalion commander, he survived a gunshot wound to the chest, and he later shattered his pelvis during a parachute jump.

The general has been in Washington this week for meetings on Afghanistan and Pakistan with President Obama’s national security advisers. He is scheduled to address the annual conference of the Association of the United States Army here on Tuesday.

Mr. Obama; Vice President Joseph R. Biden Jr.; Secretary of Defense Robert M. Gates; Secretary of State Hillary Rodham Clinton; Adm. Mike Mullen, the chairman of the Joint Chiefs of Staff; and other top officials were informed of the initial diagnosis and treatment, the statement said.

But the general did not make the information public until now because he and his family considered the situation a private matter and it did not interfere with the performance of his duties, the statement said.

Prostate cancer causes about 30,000 deaths a year in this country, making it the second-leading cause of cancer deaths in men, behind lung cancer. But when detected in its early stages, as it apparently was in General Petraeus’s case, it can be effectively treated with surgery or radiation treatments.

Famous Prostate Cancer Survivors

Robert De Niro
Diagnosed in 2003, De Niro kept secretive about his treatment, but many believe he underwent a prostatectomy.

Joe Torre
MLB Manager battled prostate cancer in 1999. He reportedly said he suffered no symptoms of prostate cancer. He opted for a prostatectomy.

Nelson Mandela
Former President of South Africa, Nelson Mandela was diagnosed with prostate cancer in 2001. It is reported that he went through radiation therapy as treatment.

Rudy Giuliani
Former Mayor of New York, Rudy Giuliani was diagnosed in 2000. His diagnosis was prompted by high PSA levels in his blood.

Arnold Palmer
Palmer was diagnosed with prostate cancer in 1997. 8 weeks after surgery, he was on back on the green golfing.

Harry Belafonte
Actor Harry Belafonte was diagnosed in 1996 and now is an activist for prostate cancer survivorship.

Bruce Brooks
Aged Grasshopper, marathon runner, business owner, trusted friend, golfer, husband, & dad.  Activist for Survivorship
.

Bob Dole
Former Seantor Bob Dole was diagnosed in 1991 and was treated with surgery.

Colin Powel
Powell underwent surgery in 2003 for prostate cancer and made a full recovery, becoming a prostate cancer survivor.

John Kerry
John Kerry’s prostate cancer was detected through a normal PSA test. It was significantly higher than the last PSA test, but still with the normal range. He was diagnosed in 2002 and has made a full recovery.

9 year old raises $$$$$$$

Dash for Dad

The Drive Against Prostate Cancer

It’s free. No appointments. No insurance needed. Snacks! And it features a big flat screen TV with satellite cable to watch the big game while you wait. It’s the way every doctor’s office ought to be!

ZERO – The Project to End Prostate Cancer understands it’s hard enough with busy schedules for men to fit in regular doctor visits, but early detection is critical. That’s why we operate the Drive Against Prostate Cancer (the Drive), the only nationwide, mobile, free prostate cancer testing program. The Drive vehicles are sleek 39-foot mobile screening units, touring the country from coast to coast to offer free prostate cancer testing and an experience that provides a comfort factor often lacking in your traditional doctor’s office.

More than 90,000 men have been tested on the Drive Against Prostate Cancer since the program began in 2002. ZERO will test its 100,000th man in 2009.

The Drive offers free and confidential testing thanks to our sponsors and our lab partners Siemens Diagnostics for donating the test kits and University of Michigan Labs for analyzing the PSA test.

About the Free Prostate Cancer Testing

Early detection of prostate cancer consists of a simple blood test (prostate specific antigen blood test) and an optional physical exam.

What to Expect When You Visit the Drive

PSA Test: Understanding Your Test Results

PSA Calibration News A difference of 22 percent has been found between the Hybritech and World Health Organization (WHO) PSA tests. This could greatly impact your PSA test score, depending on which test was administered. To learn more, visit www.beckmancoulter.com/PSAValue

The “top 10″ facts you need to know

Here is a simple list of the most important facts everyone should know about prostate cancer:

topten-254x300

  1. Around the world, hundreds of thousands of men will be diagnosed with prostate cancer this year — but (at least in the developed world) most of them will not die of this disease!
  2. Men whose fathers or grandfathers, uncles or brothers have been diagnosed with prostate cancer are at higher risk than men with no family history of this disease.
  3. At least in North America and the Caribbean, men of Black African ethnicity are at higher risk for prostate cancer than Caucasians, Hispanics, Native Americans, and Asians (but we don’t really know why).
  4. Two drugs (called finasteride and dutasteride) have each been shown to prevent prostate cancer for a prolonged period of time in about 25 percent of the men who take them, and these drugs have very few side effects.
  5. In its early and most curable stages, prostate cancer causes no symptoms at all.
  6. Every man should know and understand his risk for prostate cancer; the keys to risk management are regular physical exams and appropriate blood tests.
  7. Many men, particularly older men, with early stage prostate cancer may never need to be treated at all.
  8. There are many different ways to manage early stage prostate cancer, but there is no absolute proof that any one form of treatment for early stage disease is better than any other.
  9. Every form of treatment for prostate cancer has serious risks and serious possible side effects (from inability to control the need to urinate to loss of erections to deterioration of bone health).
  10. For any specific type of treatment, doctors with extensive experience using that treatment technique can reduce the patient’s risk for complications.

Nutrition and Lifestyle Changes Can Help Prostate Cancer « TEN 26

A diet low in fat and red meat and high in fruits and vegetables can be beneficial

By Dr. Joseph Motta, Staten Island Advance | 09.08.2009

More than 70 percent of prostate cancer cases occur in men over age 65. Rates of prostate cancer have been decreasing since the 1990s, but it is still high in the United States, especially among African American males.

Prostate cancer is much more common here, than in Asia where it is rare. Although age, ethnicity and family history of prostate cancer are well-known risk factors for the disease, diet and lifestyle changes can help minimize that risk. Some studies have estimated that up to 75 percent of all prostate cancers can be eliminated through changes in diet.

So what can you do? Well, summarizing a number of very important scientific studies has shown us that one can take 10 steps to a healthy prostate.

1. Decrease the amount of dietary fat. Many studies have shown that high-fat diets (especially saturated fats) are associated with higher rates of prostate cancers. Limit the intake of butter, margarine, fried foods, cakes, potato chips, etc., to a bare minimum. However, some fats are good, such as extra virgin olive oil (not fried) and grape seed oil.

2. Eat more fish. Fish can be a great substitute to meat and other fatty foods. Omega 3 containing fish oil (in capsules as well as from Wild Alaska salmon, sardines, mackerel) are healthy not only to your prostate but also the heart. Eat fish at least twice a week.

3. Eat less meat and high-fat dairy. These are loaded with saturated fats, which can increase your risks of prostate cancer and heart disease, as well as a stroke. Try low-fat milk, yogurt and cheeses and develop a taste for soy, which is very healthy.

4. Eat more tomatoes. Who doesn’t love tomatoes? Tomatoes are high in lycopene, which gives it red color. Lycopene is a powerful anti-oxidant and has been shown to reduce the incidence of prostate cancer. Cooked tomatoes are best. Most of the lycopene is in the tomato skin, so don’t peel them. Pink grapefruit, raspberries and watermelon are also good sources of lycopene.

5. Eat more soy. Soybeans contain phytoestrogens, which help prevent prostate cancer development and growth. This may explain why Asian cultures that use lots of soy products have a very low incidence of prostate cancer. They are widely available today in all supermarkets as soy milk, soy cheese and soy beans.

6. Eat more fruits, cereals, whole grains and vegetables, especially beans, lentils. These foods are packed with fiber, low-glycemic carbohydrates (good carbs), low in fats and a good source of vitamins and minerals. Avoid white bread and choose whole grain instead.

7. Drink green tea. Everyone knows the benefits of green tea, but not too many people I talk to drink it. It is packed with catechin polyphenols, which can help prevent some cancers, regulate cholesterol and weight control. Three to four cups a day is best. Caffeinated green tea is better because it maintains more of the polyphenols and has only 10 to 20 percent of the caffeine of coffee.

8. Weight control. Very important across the board for overall good health. Following tips 1 to 7 should help.

9. Exercise regularly. In addition to a healthy diet, exercise prevents the body from “rusting” and disease. It releases tension, decreases stress, improves immune function and decreases heart disease. Any exercise is better than none, but a dose of 20 minutes, three times a week is suggested. Walking at a brisk pace is great exercise.

10. Manage stress. I leave the most difficult for last. We’re told numerous times to “relax and improve your health.” Meditation yoga and deep breathing exercises are very helpful in helping prevent disease and improve immune function.

These 10 tips, as you can appreciate, are very useful in not only helping prevent prostate disease, especially prostate cancer, but may also benefit people who are currently being treated and battling prostate cancer. As always this advice should not be a substitute for your doctor’s recommendation regarding your specific issues, but it should help improve your overall health.

To your good health!

***

This column is provided by the Richmond County Medical Society. Dr. Motta is immediate past-president of the society and director of Richmond University Medical Center’s division of urology and urologic surgery. He maintains a private urology practice in Bloomfield. Questions may be sent to the column in care of the Advance.

Copyright Staten Island Advance 2009

Possibly related posts: (automatically generated)

Nutrition and Lifestyle Changes Can Help Prostate Cancer

A diet low in fat and red meat and high in fruits and vegetables can be beneficial

By Dr. Joseph Motta, Staten Island Advance | 09.08.2009

More than 70 percent of prostate cancer cases occur in men over age 65. Rates of prostate cancer have been decreasing since the 1990s, but it is still high in the United States, especially among African American males.

Prostate cancer is much more common here, than in Asia where it is rare. Although age, ethnicity and family history of prostate cancer are well-known risk factors for the disease, diet and lifestyle changes can help minimize that risk. Some studies have estimated that up to 75 percent of all prostate cancers can be eliminated through changes in diet.

So what can you do? Well, summarizing a number of very important scientific studies has shown us that one can take 10 steps to a healthy prostate.

1. Decrease the amount of dietary fat. Many studies have shown that high-fat diets (especially saturated fats) are associated with higher rates of prostate cancers. Limit the intake of butter, margarine, fried foods, cakes, potato chips, etc., to a bare minimum. However, some fats are good, such as extra virgin olive oil (not fried) and grape seed oil.

2. Eat more fish. Fish can be a great substitute to meat and other fatty foods. Omega 3 containing fish oil (in capsules as well as from Wild Alaska salmon, sardines, mackerel) are healthy not only to your prostate but also the heart. Eat fish at least twice a week.

3. Eat less meat and high-fat dairy. These are loaded with saturated fats, which can increase your risks of prostate cancer and heart disease, as well as a stroke. Try low-fat milk, yogurt and cheeses and develop a taste for soy, which is very healthy.

4. Eat more tomatoes. Who doesn’t love tomatoes? Tomatoes are high in lycopene, which gives it red color. Lycopene is a powerful anti-oxidant and has been shown to reduce the incidence of prostate cancer. Cooked tomatoes are best. Most of the lycopene is in the tomato skin, so don’t peel them. Pink grapefruit, raspberries and watermelon are also good sources of lycopene.

5. Eat more soy. Soybeans contain phytoestrogens, which help prevent prostate cancer development and growth. This may explain why Asian cultures that use lots of soy products have a very low incidence of prostate cancer. They are widely available today in all supermarkets as soy milk, soy cheese and soy beans.

6. Eat more fruits, cereals, whole grains and vegetables, especially beans, lentils. These foods are packed with fiber, low-glycemic carbohydrates (good carbs), low in fats and a good source of vitamins and minerals. Avoid white bread and choose whole grain instead.

7. Drink green tea. Everyone knows the benefits of green tea, but not too many people I talk to drink it. It is packed with catechin polyphenols, which can help prevent some cancers, regulate cholesterol and weight control. Three to four cups a day is best. Caffeinated green tea is better because it maintains more of the polyphenols and has only 10 to 20 percent of the caffeine of coffee.

8. Weight control. Very important across the board for overall good health. Following tips 1 to 7 should help.

9. Exercise regularly. In addition to a healthy diet, exercise prevents the body from “rusting” and disease. It releases tension, decreases stress, improves immune function and decreases heart disease. Any exercise is better than none, but a dose of 20 minutes, three times a week is suggested. Walking at a brisk pace is great exercise.

10. Manage stress. I leave the most difficult for last. We’re told numerous times to “relax and improve your health.” Meditation yoga and deep breathing exercises are very helpful in helping prevent disease and improve immune function.

These 10 tips, as you can appreciate, are very useful in not only helping prevent prostate disease, especially prostate cancer, but may also benefit people who are currently being treated and battling prostate cancer. As always this advice should not be a substitute for your doctor’s recommendation regarding your specific issues, but it should help improve your overall health.

To your good health!

***

This column is provided by the Richmond County Medical Society. Dr. Motta is immediate past-president of the society and director of Richmond University Medical Center’s division of urology and urologic surgery. He maintains a private urology practice in Bloomfield. Questions may be sent to the column in care of the Advance.

Copyright Staten Island Advance 2009

Prostate Cancer Awareness Month

Major League Baseball Pitchers John Smoltz and Derek Lowe Help Raise Awareness Throughout Prostate Cancer Awareness Month

08:05 EDT Tuesday, September 01, 2009

The 2009 One A Day Men’s Presents MLB Strikeout Prostate Cancer Challenge Has Raised More Than $268,000 to Date

MORRISTOWN, N.J., Sept. 1 /PRNewswire/ — Prostate cancer is one of the most common cancers among men in the United States. In fact one in six men will face prostate cancer in his lifetime. As Prostate Cancer Awareness Month begins, there is increased focus on an ongoing effort by Major League Baseball pitchers John Smoltz of the St. Louis Cardinals and Derek Lowe of the Atlanta Braves, who are spreading the word about prostate cancer awareness through the “One A Day Men’s Presents MLB Strikeout Prostate Cancer Challenge.”

“Even though prostate cancer is so common, it’s not something we talk about enough,” said Smoltz. “Through this program, we are helping to get the message out about the importance of prostate health and the simple things men can do.”

This is the second year of the Strikeout Prostate Cancer Challenge. During the inaugural 2008 season, the program raised a total of $333,780. Based on that success, One A Day and Major League Baseball have teamed up again to make a $10 donation for every strikeout recorded this season and postseason to The Prostate Cancer Foundation, the world’s largest philanthropic source of support for prostate cancer research. To date, this year’s program has raised a total of $268,570 with more to come.

To show their commitment to this important program, Lowe and Smoltz are also personally donating $10 to the Prostate Cancer Foundation for every strikeout they record during the 2009 season.

“As a cancer survivor, raising awareness about vital health issues is particularly important to me,” said Lowe. “I want to do everything I can to spread the word — and each time I step on the field, I look forward to throwing a strikeout for such a great cause.”

“We are thrilled to once again be partnering with One A Day to support the fight against prostate cancer,” said John Brody, Major League Baseball Senior Vice President, Corporate Sales & Marketing. “And we would like to thank One A Day, The Prostate Cancer Foundation, John Smoltz and Derek Lowe and all within the Major League Baseball family who lend their support to this important initiative.”

“Prostate Cancer Awareness Month is the perfect time to educate men about prostate cancer and what they can do to help protect themselves,” said Dave Perron, Vice President, Baseball and Sports Enterprises for the Prostate Cancer Foundation. “And through the ongoing support from One A Day and MLB, along with the hands-on involvement of these well-known pitchers, we know we’ll be able to do even more to raise awareness and find a cure for this deadly disease.”

One A Day is the official multivitamin of Major League Baseball, and both One A Day Men’s Health Formula, and One A Day Men’s 50 Plus Advantage are specially formulated to help support a healthy heart, healthy blood pressure(**), healthy eyes and energy. Plus, One A Day Men’s 50+ Advantage includes ginkgo to support memory and concentration.

One A Day Men’s formulas are not intended to treat or prevent prostate cancer.

About Major League Baseball Properties

The Major League Baseball Clubs formed Major League Baseball Properties (MLBP) in 1966 as the Clubs’ agent for marketing and trademark licensing and protection. Major League Baseball Properties is responsible for managing consumer licensing activities, developing national advertising campaigns, cultivating sponsorship opportunities with major consumer brands and corporations, growing the game and the business of baseball outside the United States and creating national marketing programs in conjunction with Clubs, broadcast rightsholders and national sponsors. MLBP also operates a full-service video and audio production unit (Major League Baseball Productions), a publishing division and stock photo licensing agency, and manages logistics for the All-Star Game and World Series as well as all other special events. For more information on Major League Baseball, log on to www.MLB.com.

About One A Day Multivitamins

Bayer Consumer Care’s complete line of One A Day products provides gender-specific and performance/lifestyle benefits based on individual health needs. The One A Day multivitamin line includes One A Day Women’s with calcium and vitamin D for bone strength and breast health; One A Day Men’s Health Formula specially formulated to support a healthy heart, healthy blood pressure, healthy eyes and energy; One A Day Men’s 50+ Advantage which supports a healthy heart, healthy blood pressure(**), healthy eyes and energy and includes ginkgo to support memory and concentration; One A Day Women’s 50+ Advantage with calcium and vitamin D for bone strength and breast health and ginkgo to support memory and concentration; One A Day Women’s Prenatal with DHA to support healthy fetal brain and eye development; One A Day Women’s Active Mind & Body to support mental alertness and physical energy; One A Day Teen Advantage for Her to help address teen girls’ important concerns like healthy skin; and One A Day Teen Advantage for Him to address teen boys’ important concerns like healthy muscle function*. For more information about One A Day multivitamins, visit www.oneaday.com.

About the Prostate Cancer Foundation

The Prostate Cancer Foundation is the world’s largest philanthropic source of support for prostate cancer research focused on discovering better treatments and a cure for prostate cancer. Founded in 1993, the PCF has raised more than $370 million and provided funding to more than 1,500 research projects at nearly 200 institutions worldwide. The PCF also advocates for greater awareness of prostate cancer and more governmental research funds. PCF advocacy has helped produce a 20-fold increase in government funding for prostate cancer since 1994. More information about prostate cancer and the PCF can be found at www.pcf.org.

(** )To( )help maintain blood pressure levels already within the normal range

(*) This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

SOURCE Bayer Consumer Care

For further information: Tricia McKernan, Global Communications, Bayer HealthCare, Consumer Care Division, 866…, tricia.mckernan.b@bayer.com; or Dave Schemelia, HealthSTAR Public Relations, +1-212-532-0909 or +1-609-468-9325, dschemelia@healthstarpr.com

© PR Newswire

President Obama Declares September as National Prostate Cancer Awareness Month

THE WHITE HOUSE

Office of the Press Secretary
____________________________________________________________________________

NATIONAL PROSTATE CANCER AWARENESS MONTH, SEPTEMBER 2009
- – - – - – -
BY THE PRESIDENT OF THE UNITED STATES OF AMERICA
A PROCLAMATION

As a Nation, we have made significant progress in the fight against prostate cancer. Over the last decade, prostate cancer mortality rates have fallen substantially. Yet, despite this progress, among men in the United States prostate cancer remains the most  commonly diagnosed cancer and the second leading cause of cancer deaths. One in six men in this country will be diagnosed with prostate cancer. National Prostate Cancer Awareness Month is an opportunity to renew our commitment to find better ways to prevent, detect, and control this disease.

Prostate cancer affects both those stricken with the disease and their families, often occurring when they least expect it. The cancer does not discriminate among husbands, fathers, brothers, and sons, and it does not differentiate on race, age, or income. Americans of every background know its dangers. Families share in the struggles of prostate cancer,bearing the emotional and financial concerns along with the afflicted.

My Administration supports prevention efforts and research to develop better screening tests, uncover more effective treatments, and ensure quality care for all who are diagnosed with this illness. We must ensure that more men are educated about all aspects of the disease including prevention, early detection and possible treatment options. To expand our knowledge of this cancer, the National Institutes of Health, the Department of Defense, and the Centers for Disease Control and Prevention are playing leading roles in research. Their work is helping to reduce the burden of prostate cancer and save lives for generations to come.

This month, we remember the lives we have lost, and we recommit ourselves to supporting those currently battling against the disease. National Prostate Cancer Awareness Month also highlights the great medical advancements we have made and reminds us there is still much work to be done. As a Nation, we are united in our resolve to reduce incidence of prostate cancer and improve the lives of all those affected.

NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and laws of the United States, do hereby proclaim September 2009 as National Prostate Cancer Awareness Month. I encourage citizens, Government agencies, private businesses, nonprofit organizations, and other interested groups to join in activities that will increase awareness of what Americans can do to prevent and control prostate cancer.

IN WITNESS WHEREOF, I have hereunto set my hand this thirty-first day of August, in the year of our Lord two thousand nine, and of the Independence of the United States of America the two hundred and thirty-fourth.

BARACK OBAMA

Prostate Education 101

Here are some links to places to start your prostate cancer education. Use these pages to write down a list of questions for your doctor. When you talk with him or her, you don’t want to forget anything that you wanted to ask about.

People may use abbreviations that you haven’t heard before. We have provided a list of the most common prostate cancer-related abbreviations for you to be able to look up and use. If you come across ones that aren’t listed, leave us a message. We can probably tell you what they stand for.

When you start to consider your treatment options, you should begin with the article very reasonably entitled

because it will give you some idea of how difficult some decisions you will need to take may end up being.

After that, we suggest the following articles:

There are two other possible diagnoses that you may have received that are NOT prostate cancer. One is called “prostatic intraepithelial neoplasia” or PIN, and it is a widely considered to be a precursor of prostate cancer. Another is called “atypical small acinar proliferation” or ASAP. If either PIN or ASAP (or both) is the diagnosis on your pathology report, then have a look at

Basically a diagnosis of ASAP means that a tiny group of cells look like they might be cancerous when viewed under the microscope, but the pathologist just can’t be sure.

There are  just three more things you should absolutely do:

  • First, look at the page titled “What cancer cannot do.” We know … “Real men don’t read poetry!” But we think you may WANT to read this.
  • Second, look at “The ’top 10′ facts you need to know.”
  • Third, if you haven’t done it already, tell your wife, partner, or “significant other” about this page on this site. This information will help them too!

We PROMISE that none of the pages we have told you about is very long. You can get through them all in an hour (or less). Print them out if you need to. And then you will be in a much better position to talk to your doctor about what comes next.

When you are ready, you can go to the home page or the site map or visit The “New” Prostate Cancer InfoLink Social Network. There’s a whole army of people out there to help you!

And finally … If you have immediate questions, try “Ask Arthur.” If your wife, partner or “significant other” has questions, she may find it easier to “Ask Amy.”

Sincerely

The “New” Prostate Cancer InfoLink

What Steps Do I Take?

STEP FOUR: START LEARNING

First things first:

  • You’ve got a lot of questions, but don’t for one minute think that you’ll be able to get answers to all of them tonight!
  • Some of your questions may not even have good answers.
  • We absolutely encourage you to try to do the learning WITH your wife/partner/significant other.

What?! … Why?

Because (trust us) this is going to affect her (or perhaps him) just as much as it’s going to affect you. This is not something you will be able to keep secret, and you’re going to need some help from someone who knows you inside and out! Two sets of eyes and ears working together at this will help you to get the very best treatment and to get answers to all the questions you should be asking (including many you haven’t thought of yet!).

What Steps Do I Take?

STEP THREE: SLOW DOWN

  • You have time to make good decisions.
  • You almost certainly have time to get one or more “second opinions” about your treatment (or whether you even need treatment at all).
  • If you act too fast, you may well make a decision you come to regret.

What Steps Do I Take?

STEP TWO: APPRECIATE THE GOOD NEWS

Realize this:

  • Finding cancer in the prostate of a man who is over 40 is quite normal. Finding cancer in the prostate of a man who is over 70 is very normal!
  • Something like 95 percent of the men who get a diagnosis of prostate cancer today in developed countries are NOT going to die from it. They may die with it … but not from it. There’s a huge difference.
  • Prostate cancer is not a death sentence for the vast majority of newly diagnosed patients in the developed world today!

What Steps Do I Take?

STEP ONE: “DON’T PANIC!”

A cancer diagnosis is a fearful thing. Most of us are numbed by just the idea of cancer. But while you are numbed, you are not dealing with reality.

We don’t expect any man who has just been told he has prostate cancer to be sitting calmly saying to himself:

This may have been followed by a beer or two while you thought about any or all of the following:

  • What and when and how to tell your wife/partner/significant other
  • Better still, whether you could get away without telling her at all!
  • Whether you had a friend who’d had this problem who you could talk to

Well you must have got past that, which is GOOD because you got here, and we’re going to help!

You need to put your fear behind you. You can do this by gaining knowledge. Your knowledge will give you the power to overcome this adversity.

Guest: Update on Proton Treatment

Guest Blogger:  Hugh A.

From: A, Hugh H.
Sent: Thursday, August 13, 2009 8:04 AM
To: Swinford, Don G.; H, Perry H.
Subject: Hi

 Hi Perry and Don

I made it back to work this past Monday.  I took my time driving back from California and arrived home last Tuesday. I worked from home for the remainder of the week. I am feeling well and other than a minor bit of fatigue, which I’m told is not uncommon after radiation, everything else is all working well.   I’m sure the time change and the 2,400 mile drive are part of the fatigue factor. 

After 11 weeks away from work there is plenty to catch up on here at work.  I did go to the Prostate Cancer Support Group at St. Joseph’s Hospital last Wednesday and shared my story of my treatment at Loma Linda.  A young man who was recently diagnosed asked me a lot of questions about proton radiation treatment and I did my best to answer his questions.  It is satisfying to try and help others as I was helped when I was first diagnosed

I am doing a triathlon with a friend up in Gainesville on September 19th.  She was intrigued enough by my tale of the one I completed in San Bernardino in June to agree to do one together.  I also challenged the young lady who is the prostate support group coordinator at Loma Linda to start training to do the one in San Bernardino with me next June, when I return for my yearly check-up.  She agreed and has started her training.

I hope you are both doing well and perhaps we can get together for lunch soon.

Best wishes

Hugh

“Let’s Talk About Prostate Cancer”

Prostate Cancer International has started a series of 5-minute video interviews with opinion-makers in the world of prostate cancer, from respected clinicians to activists and support group organizers. Click here to see any of the initial eight videos. We will tape further interviews at the upcoming PCRI meeting in Los Angeles in September.

Patel did my surgery January 2006

SOURCE: http://vipfriendsonline.blogspot.com

Patel

Florida Hospital doctor an expert in robotic surgery to treat prostate cancer
Surgeon Vipul Patel’s success is model for prostate-cancer surgery –
Fernando Quintero, Sentinel Staff Writer

August 13, 2009 - In the field of robotic prostate- cancer treatment, Florida Hospital surgeon Vipul Patel is a rock star.

Patel, who has performed the most robotic surgeries in the world, is an internationally recognized expert in a type of surgical procedure less invasive than traditional prostatectomies. Men who undergo the surgery are more likely to maintain their bladder control and sexual function.

Patel’s patients are a very appreciative bunch.

Dunedin businessman Ralph Jordan is president of Patel’s fan club. He was the doctor’s first patient at Celebration Health, part of the Florida Hospital system. Jordan was so pleased with Patel’s surgical skill and bedside manner that he started a Web site, vipfriendsonline.com. The site is filled with glowing testimonials from Jordan and other patients.

“It seems like when someone literally helps cure you of cancer, you feel this need to give back,” said Jordan, 68.

Patel is largely the reason Florida Hospital’s Cancer Center is one of five programs recently selected to participate in the Association of Community Cancer Centers’ prostate-cancer best-practices project. Florida Hospital, where Patel is medical director of the Global Robotic Institute, will learn and share information about model prostate-cancer programs across the country.

“The need for education and support for prostate care is clearly unmet in many communities,” said the association’s executive director, Christian Downs.

The best-practices project, funded by Pfizer Inc. pharmaceuticals, is designed to help hospitals and other medical facilities across the country improve prostate-cancer care, Downs said.

More than 185,000 men developed prostate cancer, and nearly 29,000 died from the disease in 2005, according to the most recent data available from the Centers for Disease Control and Prevention. In Florida, there were 13,253 cases and 2,154 deaths.

Dexterous robot

Patel, who has performed more than 3,000 operations on men locally and worldwide, uses a robotic system called da Vinci to remove cancerous tumors. Seated at a console just a few feet from the operating table, Patel pushes a joystick and foot controls to remotely manipulate robotic arms at the bedside. One arm positions a three-dimensional, high-resolution camera, while the other two arms control tiny surgical instruments.
Patel said the robot can remove a cancerous prostate with less anesthesia, less blood loss and need for transfusion. More important, robot-assisted prostatectomies are less likely to cause nerve damage that can lead to permanent incontinence and impotence.

Patient outcomes are the best indicator of a model prostate-cancer care, Patel said.

“Best practices isn’t just about the type of surgical option you use, it’s about the type of physicians you select, it’s the nursing care, it’s the support you get from administration,” he said, commenting on Florida Hospital’s best-practices recognition. “They all combine to provide the best level of care.”

Patel supports a multidisciplinary approach to prostate-cancer care in which patients not only visit with their surgeon, but they also are seen by a urologist, radiation specialist and medical oncologist.

“Men should have experts to inform them about their best treatment options, provide second opinions,” Patel said. “Thinking that your only option is to have open surgery and lose your sexual function is not acceptable.”

As for Jordan and his other devotees, Patel said they represent a growing trend among men diagnosed with prostate cancer.

“Prostate cancer is coming into its own in terms of the level of knowledge and the level of public awareness,” Patel said. “Men are doing their homework and asking questions.”

Did his research first
When Jordan was diagnosed with cancer in July 2007, a local urologist recommended he undergo a traditional radical prostatectomy right away.

“Thank God I knew enough to do a little research first,” Jordan said.

He learned that there was a variety of treatment approaches. In addition to a radical prostatectomy, where the entire prostate gland and nearby lymph nodes are removed, some doctors employ radiation therapy.

A device like an X-ray machine is used, or radioactive pellets called “seeds” are injected into the prostate gland.

For slow-growing cancers, some doctors recommend simply monitoring the tumor.

Jordan learned his tumor was growing slowly, and that he had time to determine what was best for him. In his research, Patel’s name kept popping up.

Jordan, whose company specializes in outsourcing specialized surgical personnel, also contacted the manufacturer of the robot Patel uses in his surgeries.

Again, Patel got rave reviews.

“When he actually called me at home one night to talk to me about my surgery, that sort of clinched it,” Jordan said.

Willing to open up
Dr. Richard Reiling, an advisory member to the best-practices project and former president of the Association of Community Cancer Centers, applauds men such as Jordan for seeking out information and sharing it with other men.

“It used to be something men didn’t talk about because it meant discussing things like incontinence, erectile dysfunction and that uncomfortable exam in your doctor’s office,” Reiling said. “But society is opening up. Men are more willing to talk about things men of my generation once thought were too personal.”

Fernando Quintero can be reached at fquintero@orlandosentinel.com or 407-650-6333.

By the numbers
185,000 men developed prostate cancer.
29,000 died from the disease in 2005, according to the most recent data available from the Centers for Disease Control and Prevention.
13,253 cases in Florida.
2,154 deaths in Florida.

Prostate cancer is the second-leading cause of death in men after lung cancer in the United States, accounting for about 10 percent of cancer death in men. The Canadian Cancer Society reports it is the third most common cause of cancer death in Canadian men (after lung and colorectal). However, when caught and treated early, the cure rate is greater than 90 percent, according to the Prostate Cancer Foundation.


Researchers and doctors at medical facilities in the United States and Canada are conducting a study for the treatment of prostate cancer. If you are male, aged 50 or older, and have a diagnosis of low-risk, localized prostate cancer, you may qualify for this study.

The purpose of the study is to compare the safety and effectiveness of a high-intensity focused ultrasound (HIFU) procedure to cryotherapy (freeze therapy), a standard-of-care, minimally invasive treatment for prostate cancer.


If you have questions, and would like to speak with someone today, please call:

Watchful Waiting Under Examination

Watchful waiting – a process where men with small, slow growing tumors undergo regular check-ups and begin treatment only if the disease worsens – is under examination in two national studies totaling 2,100 men is taking place in San Antonio.

Booze and Beer May Increase Prostate Cancer Risk

Consuming moderate to heavy amounts of beer and “spirits” may be increasing men’s risk of 13 different types of cancer including prostate cancer, according to a University of Quebec study. The study also noted that heavy drinking is associated with risk for more aggressive prostate tumors and dilutes the effect of preventative medication.

Attend the 2009 Summit to End Prostate Cancer

The 2009 Summit to End Prostate Cancer will be held Sept. 23-24 at the Liaison Capitol Hill in Washington, DC. This year the summit will focus on growing the advocacy base in communities across the country.2009_Summit_logo_sml

See what past attendees have to say about the Summit to End Prostate Cancer:

“Thank you so much for having us and all that you do for us. We had a great success with our senators and representatives, let’s keep the ZERO train going…” – Debb Dietch

“It was a fabulous three day event culmination with my walking the halls of Congress lobbying Congressional staffs on the need for prostate cancer funding. Meetings on the final day of the summit, three in number, that I attended with congressional staff of Kennedy, Kerry and Delahunt were exciting, invigorating and the clear highlight of my week. I found my audience articulate, knowledgeable and conversant on the subject of PC and willing to give me whatever time I might wish to speak with them on the subject.” – Patrick McDermott

ZERO is still accepting registration for the summit. Space is limited so act today! Please visit ZeroCancer.org to access further information and registration materials. To submit the registration materials for the 2009 Summit to End Prostate Cancer, you will need Adobe Reader 7.0 or higher. Download the latest version here.

The “New” Prostate Cancer InfoLink Social Network

This site is a social network affiliated with The “New” Prostate Cancer InfoLink and Prostate Cancer International. Anyone with an interest in prostate cancer (patients, family members, physicians, other health care professionals, activists, and advocates) from all around the world is welcome here to share information; to seek, receive, and offer support; or just to monitor discussion and progress on Planet Prostate Cancer.

Check out my profile at: http://prostatecancerinfolink.ning.com/profile/DonaldGSwinford#chatter-2034917:Comment:47583

Senator Dodd diagnosed with prostate cancer

sentator dodd

Posted on July 31, 2009 by Sitemaster

According to an aide to Sen. Christopher Dodd (D, Connecticut) this morning, the senator has been diagnosed with early stage prostate cancer.

“Mr. Dodd’s condition was caught extremely early, through regular screening, and [he] will probably use the upcoming Senate recess to undergo surgery,” the aide is quoted as saying.

There is more information now on the New York Times web site.

Since Sen. Dodd is a key figure in the Senate health care reform discussions, we trust that he will apply his personal experience to ensure that current prostate cancer testing opportunities are available to all American men at potential risk — despite the statements of the US Preventive Services Task Force on this topic.

Men Who Have Prostate Cancer Surgery Do Well


By Ed Edelson
HealthDay Reporter
Source: http://www.medicinenet.com


MONDAY, July 27 (HealthDay News) — A major study has good news for men who have prostate cancer surgery but leaves unanswered the complicated question of whether a man should have that operation, another treatment or just watchful waiting.

The study of almost 13,000 American men who had a radical prostatectomy — surgical removal of a cancerous prostate gland — between 1987 and 2005 found that only 12% of them died of the cancer, according to the report in the July 27 issue of the Journal of Clinical Oncology.

“Patients with what we thought of as high-risk prostate cancer had a much lower risk of dying of their cancers than we ever thought,” said Dr. Peter T. Scardino, chairman of the department of surgery at Memorial Sloan-Kettering Cancer Center, and a member of the research team. “Patients with more favorable prostate cancers did remarkably well, so well that you have to begin to question whether they should have been treated.”

The choice of surgery, radiation therapy or watchful waiting must be made each year for more than 190,000 American men, most middle-aged or older, who are diagnosed with prostate cancer. Most choose some kind of treatment, said Dr. Andrew Stephenson, head of urological oncology at the Cleveland Clinic’s Glickman Urological and Kidney Institute, and another member of the research team. From 40% to 50% choose surgery, about 10% choose watchful waiting, and the rest choose some form of radiation therapy, Stephenson said.

For men who have surgery, the new research has produced a tool that can allow them to predict their chance of survival for at least 15 years, Scardino said. Survival is measured by essentially three elements: the clinical stage of the cancer when it is detected, determined in great part by how large it is; the Gleason score, a measure of how much of its normal structure the prostate gland has lost; and blood levels of prostate-specific antigen, a protein produced by the gland.

The study found that the score had an accuracy of 82% in predicting 15-year survival, Scardino said. “If you could predict what would happen in the stock market in the next 15 years with 82% accuracy, you would be a genius,” he said.

Overall, there was a greater chance that a man in the study would die of a cause other than prostate cancer. The rate of death from other causes was 38%, compared to 12% attributed to prostate cancer.

The new predictive method will be made public soon, after medical review, so that physicians and men can learn about their anticipated survival after surgery, Scardino said.

“Any person can look at it and put in the numbers,” he said.

The new predictive tool is an improvement over the existing method, which relies essentially on readings of prostate-specific antigen levels, Stephenson said.

But no such predictive method exists for newly diagnosed men who must chose between treatment and watchful waiting, and so the study presents a predicament for those men and their physicians, he said.

“It questions the lethality of prostate cancer,” Stephenson said. “Perhaps a similarly low risk might have been seen if the men did not have prostatectomy. We can’t say whether a cancer poses enough of a threat to the patient so that therapy is needed.”

Prostate cancer surgery is not free of problems, Stephenson said. Its major side effects are incontinence and loss of sexual function.

Many prostate cancers grow slowly — so slowly that an old medical byword is that “more men die with their prostate cancer than of it.” No existing method can single out the cancers that will be fatal if left untreated.

“We really need better tools for really identifying prostate cancers that pose a threat to longevity,” Stephenson said. “Many have been proposed. All are being investigated, and hopefully in the future we will have better tools that accurately predict the risk of dying from prostate cancer.”

Until those tools are available, the question is often “a balance between quantity and quality of life,” he added. “That is a very complicated decision that must take many factors into consideration.”

SOURCES: Peter T. Scardino, M.D., chairman, department of surgery, Memorial Sloan-Kettering Cancer Center, New York City; Andrew Stephenson, M.D., head, urological oncology, Cleveland Clinic Glickman Urological and Kidney Institute, Ohio; July 27, 2009, Journal of Clinical Oncology, online

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Guest: I ran a 5K while undergoing treatment

Guest Blogger: Hugh A.

—–Original Message—–
From: A, Hugh H.
Sent: Sat 7/25/2009 7:24 PM
To: Swinford, Don G.; H, Perry H.
Subject: Pasadena 5k

Hi Don and Perry

Well, the Pasadena 5k was a success for me.  For having only been running for a month now and this being my second 5k, I managed to finish it in 32 min. 45 secs.   Not the greatest time, but at least it now gives me a reference point for future runs. It was very self satisfying, since I didn’t slow down to a walk once.  Out of  710 hundred runners, I was mid-pack at 354, with a large majority of time in the 26 to 35 minute range.  I think the cancer issue has heightened my awareness to live strong promoted by Lance Armstrong.  A personal victory.

Three treatments to go!!

Best wishes
Hugh

Hugh 5k

Guest: Update on Proton Treatment

Guess Blogger: Hugh A.

From: A, Hugh H.
Sent: Thursday, July 23, 2009 12:58 AM
To: H, Perry H.; Swinford, Don G.
Subject: Update

Hi Don and Perry

Well, down to the last five treatments.  Today was number 40,  Next Wednesday night I will graduate from the program.  There will be mixed feelings.  Glad to get home, but I will have some sadness of leaving behind the camaraderie, support, friendship and fun I’ve had with the other  cancer treatment patients and their spouses over the past nine weeks. I’ve made many friends here.

All is going well and overall I feel great.  A little fatigue has set in this past week so I have had to back off a bit from my exercise program, but continue to run, cycle and swim daily.  I sleep a bit more now, allowing the healthy cells to recover from the radiation.  A  completely normal symptom I’m told.   I am still on target to run the 5k in Pasadena on Saturday morning, although my rear bicycle wheel came off while I was riding home from the Wednesday night cancer patient support group meeting and I landed on my knee and forearm. Nothing serious, just a few scraps that shouldn’t pose  a problem for Saturday.

The experience at LLUMC has been outstanding.   Volunteering for the entertainment chairman for the Tuesday night cancer patient pot-luck has been a challenge, but a lot of fun.  I have met a lot of wonderful people and certainly getting involved with the other folks here seems to be part of the healing process.  Very therapeutic.  The physical therapy I’ve taken at the East Campus of the Loma Linda University Medical Center has helped a lot with the strengthening my shoulder after the fall in March.  All of the staff at the the proton treatment center and the east campus have been fantastic.  Truly a journey of healing and of spiritual awareness and comfort.

I’ve attached a photo from the Wednesday night support group meeting of me with Dr. Lynn Martell who is Director of Special Services in the Medical Center’s Radiation Medicine facility here at Loma Linda  His uplifting attitude, encouragement and humor have been one of the many highlights of this experience.  An outstanding human being.

Beat Regards and see you soon

Hugh

Hugh


Cancer Survivors Have Fun Too!

We delayed celebrating Father’s Day until my daughter, Bethany, returned home from Studying Abroad in Italy and Greece.  In the pictures below is son, Ryan (24 next week), Becca (17), Bethany (21), Felicia (very young!), and me (4 years older than Felicia).

IMG_4640

IMG_4645

White Water Rafting

Prostate Cancer Not Covered in Health Care Reform

Greetings,

As you are most likely aware the reform of the United States health care system is a hot topic in Washington. It is important that you as a member of the prostate cancer community are made aware of how the current health care reform proposals will affect access to early detection and treatment for American men.


If passed, the current language will not provide access to early detection tests such as the Prostate Specific Antigen (PSA) blood test and the Digital Rectal Exam (DRE). This may also overturn current laws in 36 states that mandate private health insurers to cover these tests.


Please take a few moments to send a letter to Congress urging your Representative and Senators to correct this situation and include access to prostate cancer early detection tests in health care reform. Follow the link below to personalize and send your letter today!

Sincerely,

Kevin Johnson
Senior Vice President of Public Policy

Work: (202) 303-3120
Cell: (202) 664-4043
Fax: (202) 463-9456

Zero

50,000 men

from The Journal of Urology by William D. Steers

An estimated 50,000 men a year in the United States will have prostate specific antigen (PSA) recurrence after either initial radical prostatectomy or radiation therapy. If no further treatment is given, nearly three-quarters of these men will have clinical evidence of recurrent prostate cancer within 5 years of biochemical failure. Many reports document the efficacy and potential complications of local salvage therapies, including salvage radical prostatectomy vs cryotherapy.
Pisters et al (page 517) accumulated a series of patients from several institutions who underwent either salvage prostatectomy or cryosurgery. Their retrospective review revealed that salvage prostatectomy resulted in superior biochemical disease-free survival by 2 separate definitions and superior overall survival. However, there was no difference in disease specific survival at 5 years. After adjusting for post-radiation therapy biopsy Gleason score and pre-salvage treatment serum PSA levels, salvage radical prostatectomy still remained superior to salvage cryotherapy.
Thus, the authors conclude that patients with recurrent prostate cancer should consider salvage radical prostatectomy because of its superior biochemical disease-free and overall survival. It should be noted that participation in the study was limited to patients who received radiation therapy alone, had pre-salvage PSA levels of less than 10 ng/ml and had a post-radiation therapy biopsy proven Gleason score of less than 8. Patients with large volume clinical stage T3 or T4 disease and nodal or bone metastasis were also excluded from study. Morbidity of each approach was not reported.

LiveStrong

Can a Smart Bomb Save Your Life?

Researchers at Purdue have developed what they have described as prostate cancer “homing device.” They believe that this treatment modality can improve detection, and allow for the first targeted treatment of prostate cancer.

The researchers have synthesized a molecule that finds and penetrates only prostate cancer cells. They have also created imaging agents and therapeutic drugs that can link to this molecule and then be carried right to the prostate cancer cell.

Philip Low, the Ralph C. Corley Distinguished Professor of Biochemistry who led the research team claims that this type of targeted treatment will be more effective in treating prostate cancer along with reducing the many harmful side effects associated with current prostate cancer treatments.

“Currently none of the drugs available to treat prostate cancer are targeted, which means they go everywhere in the body as opposed to only the tumor, and so are quite toxic for the patient,” said Low, who is a member of the Purdue Cancer Center.

“By being able to target only the cancer cells, we could eliminate toxic side effects of treatments. In addition, the ability to target only the cancer cells can greatly improve imaging of the cancer to diagnose the disease, determine if it has spread or is responding to treatment,” Low added.

This new molecule is designed to attach to prostate-specific membrane antigen (PSMA), a protein that is found on the membrane of more than 90 percent of all prostate cancers (however, there still are 10% of prostate cancer cells that this molecule would not work on) . Additionally, this molecule is also found on the blood vessels of most solid prostate cancer tumors so it may provide a way to cut the blood supply off that is feeding a tumor.

According to Low, “A lot of new drugs are being designed to destroy the vasculature of solid tumours, and, if they could be linked to this new targeting molecule, we could have a two-pronged attack for prostate cancer. We could not only kill the prostate cancer cells directly, we could also destroy the vasculature that feeds the tumors.”

Animal studies carried out by the researchers have shown the molecule has an ability to eliminate human prostate cancer cells in mice, without any collateral toxicity in normal tissue.

“The molecule acts like a homing device for prostate cancer. PSMA, which is found only on prostate cancer cells and tumor blood vessels, acts as the homing signal that the molecule targets. The molecule and its cargo go only to cancerous tissue, leaving healthy tissue unharmed,” says Sumith Kularatne, a graduate student in Purdue’s chemistry department and first author of both papers who compared the targeting molecule to a homing device.

He has revealed that the molecule is designed with a specific shape that fits with the protein like a key to a lock. The molecule and its cargo are then carried inside the cell with the protein as it goes through its normal cycle.

A radioimaging application used for body scans is expected to enter clinical trials this fall, and an optical imaging application used to measure prostate cancer cells in blood samples is already in clinical trials.

The findings of the researchers have been described in two research articles published in the journal Molecular Pharmaceutics. (ANI)

Of course, remember that more animal studies than not ever make that jump into humans. Other research in other cancers have also demonstrated in animal studies similar positive abilities of using targeted “smart bomb” molecules to deliver drugs directly to tumors.

He potential of this type of delivery system is exciting, but in the usual prostate cancer ay we need to continue to hold on to our hats and do what we do best, WAIT.

Joel T Nowak MA, MSW

http://bit.ly/4BY9qc

Guest: Update on Proton Treatment

Guest Blogger:  Hugh Armitage

From: Armitage, Hugh H.
Sent: Saturday, July 04, 2009 2:01 AM
To: Hickman, Perry H.; Swinford, Don G.
Subject: Triathlon

Hi Don and Perry

Here’s a few photos of from the Triathlon that  my daughter  Jill and I participated in last weekend at Cal State in San Bernardino . Jill finished 2nd in her age group for the 5k run.  I was quite proud of her as she has only been running since May since joining her high school cross-country team.  I was glad to just finish it!!.  It was a personal victory for me.  I think I was 404 out of 443.  Not great but only about 15 minutes separated me from placing somewhere in the high hundreds.  Its a start and I know where I need improvement (the running!!!).  I will check out and see if there are any in Atlanta when I get back.

18 treatments left to go!!  All is going well so far and no significant ill affects.  Provided no equipment failures in the next three and a half weeks, I should be back at work the week of August 3

Hope all is well with you both and  that you had a good 4th.

Hugh

Jill and Hugh

Jill and Hugh

Hugh Bike

50Over50Logo

Take the 50 Over 50 Prostate Health Challenge

Step #1:

Get your calendar, grab the phone, and schedule an appointment with your doctor to get a physical.

Step #2:

Click on the link to learn about PSA, a simple blood test that your doctor can use to help determine the health of your prostate.

Step #3:

Click on the link to take a personalized Prostate Health Assessment.  Bring the results with you to your doctor’s appointment and start the discussion about your prostate health.

Done with all three steps?  That’s it. You are officially serious about your prostate health AND up to the challenge.

Go to http://www.50over50challenge.com for more information

Stupid Cancer Blog: I’m Too Your Young for This (i2y)

Nearly 70,000 Americans between ages of 15-40 are diagnosed with cancer each year and 10,000 will not survive, numbers 7x greater than those in pediatrics. Unlike every other age group, there has been no improvement in the 5-year survival of young adults since 1976.  Check out these sites for more information:

http://stupidcancerblog.com/

http://i2y.com/

Im2Y

Why

Fill in the blank, “Why did _____________________ happen?

Make Time for Tea

Researchers from Louisiana State University have indicated green tea reduces the levels of some compounds linked to prostate cancer progression. The small study of 26 prostate cancer patients were given a concentrated extract of tea polyphenols for an average of 34 days and found a significant reduction in the levels of several growth factors that promote cancer as well as reductions in PSA. The amount each man consumed was equivalent to 12 cups of green tea per day. Some men had reductions in growth factors of up to 30 percent, but the responses were varied.

“There is reasonably good evidence that many cancers are preventable, and our studies using plant-derived substances support the idea that plant compounds found in a healthy diet can play a role in preventing cancer development and progression,” the lead author of the study, James Cardelli, said in a news release.

RELATED STORIES

RELATED LINK

SOURCE: zero

Zero

Prostate Problem Warning Signs

Warning

The prostate is a small organ about the size of a walnut. It is found below the bladder (where urine is stored) and surrounds the tube that carries urine away from the bladder (urethra). The prostate makes a fluid that becomes part of semen. Semen is the white fluid that contains sperm.

Walnut or Prostate Gland?

Walnut or Prostate Gland?

Prostate problems are common in men age 50 and older. Sometimes men feel symptoms themselves, or sometimes their doctors find prostate problems during routine exams. Doctors who are experts in diseases of the urinary tract (urologists) diagnose and treat prostate problems.

There are many different kinds of prostate problems. Many don’t involve cancer, but some do. Treatments vary but prostate problems can often be treated without affecting sexual function.

Signs of Prostate Problems

  • Frequent urge to urinate
  • Blood in urine or semen
  • Painful or burning urination
  • Difficulty in urinating
  • Difficulty in having an erection
  • Painful ejaculation
  • Frequent pain or stiffness in lower back, hips, or upper thighs
  • Inability to urinate, or
  • Dribbling of urine

If you have any of these symptoms, see your doctor right away to find out if you need treatment.

There are several prostate problems including:

  • Acute prostatitis is an infection of the prostate caused by bacteria. It usually starts fast and can cause fever, chills, or pain in the lower back and between the legs. It also can cause pain when you urinate. If you have these symptoms, see your doctor right away. Antibiotic drugs usually help heal the infection and relieve the symptoms. Your doctor also may suggest that you drink more liquids.
  • Chronic prostatitis is a prostate infection that keeps coming back time after time. Symptoms may be milder than in acute prostatitis, but they can last longer. Chronic prostatitis can be hard to treat. Antibiotics may work if bacteria are causing the infection. But if bacteria are not the cause, antibiotics won’t work. Massaging the prostate sometimes helps to release fluids. Warm baths also may bring relief. Often chronic prostatitis clears up by itself.
  • Benign prostatic hyperplasia (BPH) is the term used to describe an enlarged prostate. BPH is common in older men. Over time, an enlarged prostate may block the urethra, making it hard to urinate. It may cause dribbling after you urinate or a frequent urge to urinate, especially at night. Your doctor will conduct a rectal exam to diagnose BPH. The doctor also may look at your urethra, prostate, and bladder.
  • Prostate Cancer: Prostate cancer is one of the most common types of cancer among American men. It is more common among African American men than white men. Treatment for prostate cancer works best when the disease is found early.

SOURCE: National Institute on Aging, National Institutes of Health

Guest: Update on Proton Treatment

Guest Blogger: Hugh A.

From: A, Hugh H.
Sent: Thursday, June 18, 2009 2:54 AM
To: H, Perry H.
Cc: Swinford, Don G.
Subject: Where’s Hugh?

Hi Perry and Don

So sorry for being so delinquent in writing you both.  I have had incredible computer issues about a week after I got here.  I think they are now resolved (I hope).  It led to  temporary frustration and a real dislike of the high tech world we live in at times!!!

Today, I do treatment number 18…getting close to halfway.  I have been attending the Tuesday night pot luck dinner for proton radiation patients and spouses, the Wednesday afternoon PC support Group meetings.  Carol Davis who runs them does a great job running them and is very knowledgeable about the subject of proton radiation treatment.  I also attend the Wednesday evening proton/prostate cancer education/support meeting, which is hosted by Dr. Lynn Martell.

Perry, as you know, the Tuesday pot-luck dinners require a number of volunteers to make it a success.  With the constant rotation of old patients leaving and new ones arriving there is a “constant changing of the guard” for volunteers, so I felt compelled (at the “strong” urging some of the many other patients I have met) to “step up to the plate” and volunteer for the entertainment chairman for the next 5 weeks.  I don’t sing, nor play a musical instrument, tell jokes etc, so it should work out just fine.  I just need to coerce the talent from the other attendees.  It’ll work out fine I’m sure.

I think I am now settling into the morning treatments regularly (I hope) now so I can schedule my  day a bit better particularly with the computer issues resolved and do some of my work by RASing into the company’s network.  I am getting down to the Drayson (athletic center) regularly now to swim my 1/4 miles and am riding my bike daily now (Only a mile or two.  I’m trying to convince my 13 year old daughter to do it with me when she comes out next week to stay with her old man for two weeks. My wife will stay the first week with us.  I have had a couple of folks say they are traveling to California in July, so they may drop in for a bit

I have toured around the area and know Redlands and parts of San Bernardino pretty well.  I was down in San Diego and La Jolla visiting friends and to the LA area to watch the horse racing at Hollywood Park in past weekends.

The overall experience at Loma Linda has been very encouraging and uplifting.  The folks in Gantry 3 are great and you develop a comfortable rapport with them as time goes by.  I have been to see the nutritionist bi-weekly for some “help” with my diet, although I am eating much healthier than previously.  I have had very little so far as side effects.  A bit of discomfort last week and fatigue, but nothing that Advil and getting proper rest didn’t fix.  I have developed many friendships with other patients and their spouses.  It is a collegiate type atmosphere, of friendship, camaraderie, care  and concern as well as having some  fun.  I think that all of this collectively, is what validates Loma Linda’s motto “Making Man Whole”, physically, spiritually, and emotionally.

I will keep you posted as I move along here in my journey.

Best regards

Hugh

Hugh 06182009

Radically Different Prostate Cancer Treatment

A new prostate cancer treatment may radically attack prostate cancer but the effects of the treatment may be far less radical too.

(CBS) — British doctors are testing a new treatment that uses the power of sound to kill prostate cancer.

They’re finding high-intensity focused ultrasounds or Hi-Fu destroys cancer cells without serious side effects.

Graham Cole a prostate cancer patient explains that “It’s a very sensitive part of the anatomy and Hi-Fu will deal with what needs to be done and only what needs to be done.”

Traditional treatments like surgery and radiation can damage healthy cells in and around the prostate — leading to impotence and incontinence.

Dr. Richard Hindley with the Basingstoke and North Hampshire Hospital in England explains, “The radical treatment that we have come with a significant amount of collateral damage.”

Hi-Fu uses a probe to focus ultrasounds at the prostate gland.  High frequency sound waves, reaching 212 degrees, burn cancer cells.

The urinary tube that runs through the prostate and nearby nerves needed for sexual function are not damaged.

Dr. Thomas Polasick with Duke University Medical Center explains, “The goal would be to find and destroy cancer cells in the prostate.”

Graham Cole’s procedure took 2 hours and he was able to go home the very next day. His doctors are satisfied his cancer is gone.

http://twitter.com/DonSwinford

Report States Men 40 Percent More Likely to Die from Cancer than Women

Zero

A new report from the UK states men are almost 40 percent more likely to die from cancer than women. Researchers suggest a likely reason for the discrepancy is that men are more reluctant to complain to their doctors about symptoms until it’s too late and are less willing than women to adapt healthy lifestyles, despite obesity and smoking being the two biggest causes of cancer.

“For many of the types of cancer we looked at that affect both sexes, there’s no known biological reason why men should be at a greater risk than women, so we were surprised to see such consistent differences,” said Professor David Forman, author of the study. “After taking out the effect of age, men were significantly more likely than women to die from every one of the specific types of cancer considered and, apart from melanoma, they were also significantly more likely to develop the disease.”

Carrying excess weight around the waist, high alcohol intake and poor diet can increase one’s risk of developing and dying from cancer, a fact many men are not aware of.

“This report clearly demonstrates that a concerted effort needs to be made into getting the public, the health professionals and the policy makers aware of the risks men are facing,” said Professor Alan White, chairman of the Men’s Health Forum.

RELATED STORIES

RELATED LINK

YOU CANNOT BE SERIOUS!

Another Prostate Song ….

The prostate is something near and dear to us men.  Here’s another song about our small prostate gland.

Do you Tweet?

A few weeks ago, I mentioned that Google Reader was a great way to keep up with blogs, especially Run Club and Ten26 !  But another option is to follow me on Twitter or Facebook .  Generally when I have a new blog post, I will put it on Twitter which will also post it on Facebook.  As soon as you get the Tweet you can go visit the blog.

twitter_logo_headertwitter_bird_profile_bigger

Give it a try …. sign up today!

What Can You Do?

Cancer of the Prostate gland causes as many deaths in men today as Breast Cancer does in women – but society is much less aware of Prostate Cancer than Breast Cancer!

What can you do to help bring awareness to Prostate Cancer?

Prostate Exam

This video illustrates the one good advantage of not having a prostate — that is, you don’t have to go through the annual prostate exam!!!  This may be considered as PG-13 by some!

Prostate Cancer Symptoms

Prostate cancer usually doesn’t produce any noticeable symptoms in its early stages, so many cases of prostate cancer aren’t detected until the cancer has spread beyond the prostate. For most men, prostate cancer is first detected during a routine screening such as a prostate-specific antigen (PSA) test or a digital rectal exam (DRE).

When signs and symptoms do occur, they depend on how advanced the cancer is and how far the cancer has spread. Early signs and symptoms of prostate cancer can include urinary problems, caused when the prostate tumor presses on the bladder or on the tube that carries urine from the bladder (urethra). However, urinary symptoms are much more commonly caused by benign prostate problems, such as an enlarged prostate (benign prostatic hyperplasia) or prostate infections. Less than 5 percent of cases of prostate cancer have urinary problems as the initial symptom. When urinary signs and symptoms do occur, they can include:

  • Trouble urinating
  • Starting and stopping while urinating
  • Decreased force in the stream of urine

Cancer in your prostate or the area around the prostate can cause:

  • Blood in your urine
  • Blood in your semen

Prostate cancer that has spread to the lymph nodes in your pelvis may cause:

  • Swelling in your legs
  • Discomfort in the pelvic area

Advanced prostate cancer that has spread to your bones can cause:

  • Bone pain that doesn’t go away
  • Bone fractures
  • Compression of the spine

Do It For Dad!

In honor of this years’ Father Day, tell your dad you want him to have a long and healthy life.  Tell him about the risks of prostate cancer and to get tested every year.

Do It For Dad! is the largest prostate cancer awareness outreach effort in history, reaching out to millions and screening thousands in dozens of cities across America.  There are “fun run road races” across the nation to bring awareness to prostate cancer.

Do it for dad

Do it for dad!!!!

No Proof of Inferiority: Open Radical Retropubic Prostatectomy Remains State-of-the-Art Surgical Technique for Localized Prostate Cancer

from The Journal of Urology by Michael L. Blute
Trends in the diagnosis of prostate cancer continue to favor low risk disease, and so the goals of cure, continence and potency are paramount. A 55-year-old man in excellent health with a strong family history of prostate carcinoma sought a second opinion for a diagnosis of clinical T2a localized prostate cancer, Gleason score 3 + 4 and prostate specific antigen of 3.4 ng/ml. He decided that surgery would be his best option and, as is common today, he searched the Internet which produced a robotic technique profile at a high volume center that touted a quicker return to normal activity, shorter hospitalization, reduced risk of incontinence and impotence, decreased blood loss, reduced pain and fever, fewer complications, less scarring and less risk of infections than traditional open surgery. It also mentioned that “wristed instrumentation, tremor filtration and 3-D magnification aid the surgeon in performing nerve-sparing for preservation of postoperative sexual function and continence.” However, nowhere on the web site was surgeon or site specific outcome data provided to support the aforementioned marketing statements. Therefore, why would a patient choose an open approach in the face of these claims?

Current Status of Robotic Prostatectomy: Promises Fulfilled

from The Journal of Urology by Raj S. Pruthi, Eric M. Wallen
In less than a decade robotic assisted laparoscopic radical prostatectomy has rapidly become the most commonly performed surgical technique for prostate cancer. This year the number of robotic prostatectomies performed is estimated to exceed 60,000 driven by physician enthusiasm, patient interest and aggressive, effective marketing. The rapid adoption of this technique has been fueled by the promise of 3-D magnified visualization and wristed laparoscopic instruments offered by the robotic platform. Many surgeons have embraced these features, and are further motivated to learn this technique by patient demand and industry marketing.
ten26

National Cancer Survivor Day

This coming Sunday, June 7, is National Cancer Survivors Day. This will mark the 27th anniversary of this event.

To learn more about National Cancer Survivor Day you can Visit the following site National Cancer Survivors Day Foundation

I am proud to be a cancer survivors.

Ten26

Drop Everything and fight cancers below the waist!

underwear-affair

Drop Everything and fight cancers below the waist! is the slogan of  The Underwear Affair, a fundraising and awareness event initiated in Canada and now reaching Los Angeles and beyond.

People hit the streets of Vancouver, Calgary, Montreal, Toronto and Los Angeles dressed in everything from briefs and boy-shorts to t-shirts and tracksuits to help fund life-saving research for cancers like prostate, colorectal, cervical, ovarian, and others that occur below the waist.

Runners and walkers of all ages and athletic abilities join in dressed for hilarious fun. After the races, the Underwear Affair party features dancing and an outrageous costume contest.

 

TEN26

Blame Drew’s Cancer

Sometimes it’s good to place blame for bad things that happen; therefore, I Blame Drew’s Cancer !

blamedrewscancer

Men’s Health: Preventing your top 10 threats

Your bottom line: Take health threats seriously

Health risks can be scary, but there’s no reason to panic. Instead, do everything you can to lead a healthy lifestyle — eating a healthy diet, staying physically active, quitting smoking, getting regular checkups and taking precautions in your daily activities. Adopting these preventive measures will increase your odds of living a long, healthy life.

TEN26

Men’s Health: Preventing your top 10 threats

The last two are …

No. 9 — Kidney disease

Kidney failure is often a complication of diabetes or high blood pressure. If you have diabetes or high blood pressure, follow your doctor’s treatment suggestions. In addition:

  • Eat a healthy diet. Limit the amount of salt you consume.
  • Include physical activity in your daily routine.
  • Lose excess pounds, if you’re overweight.
  • Take medications as prescribed.

No. 10 — Alzheimer’s disease

There’s no proven way to prevent Alzheimer’s disease, but consider taking these steps:

  • Take care of your heart. High blood pressure, heart disease, stroke, diabetes and high cholesterol may increase the risk of developing Alzheimer’s.
  • Avoid head injuries. There appears to be a link between head injury and future risk of Alzheimer’s.
  • Maintain a healthy weight.
  • Include physical activity in your daily routine.
  • Avoid tobacco.
  • If you choose to drink alcohol, do so only in moderation.
  • Stay socially active.
  • Maintain mental fitness. Practice mental exercises, and take steps to learn new things.

TEN26

Men’s Health: Preventing your top 10 threats

Diabetes, Flu, and Suicide …

No. 6 — Type 2 diabetes

Type 2 diabetes — the most common type of diabetes — affects the way your body uses blood sugar (glucose). Possible complications of type 2 diabetes include heart disease, blindness, nerve damage and kidney damage. To prevent type 2 diabetes:

  • Lose excess pounds, if you’re overweight.
  • Eat a healthy diet rich in fruits, vegetables and low-fat foods.
  • Include physical activity in your daily routine.

No. 7 — Flu

Influenza is a common viral infection. While a case of the flu isn’t usually serious for otherwise healthy adults, complications of the flu can be deadly — especially for those who have weak immune systems or chronic illnesses. To protect yourself from the flu, get an annual flu vaccine.

No. 8 — Suicide

Suicide is another leading men’s health risk. An important risk factor for suicide among men is depression. If you think you may be depressed, consult your doctor. Treatment is available. If you’re contemplating suicide, call for emergency medical help or go the nearest emergency room. You can also call the National Suicide Prevention Lifeline at 800-273-TALK (800-273-8255).

Men’s Health: Preventing your top 10 threats

Number 3, 4 and 5 may surprise you …

No. 3 — Injuries

The leading cause of fatal accidents among men is motor vehicle crashes, according to the CDC. To reduce your risk of a deadly crash:

  • Wear your seat belt.
  • Follow the speed limit.
  • Don’t drive under the influence of alcohol or any other substances.
  • Don’t drive while sleepy.

Falls and poisoning are other leading causes of fatal accidents. Take common-sense precautions, such as using chemical products only in ventilated areas, using nonslip mats in the bathtub and placing carbon monoxide detectors near the bedrooms in your home.

No. 4 — Stroke

You can’t control some stroke risk factors, such as family history, age and race. But you can control other contributing factors. For example:

  • Don’t smoke.
  • If you have high cholesterol or high blood pressure, follow your doctor’s treatment recommendations.
  • Limit the amount of saturated fat and cholesterol in your diet. Try to avoid trans fat entirely.
  • Maintain a healthy weight.
  • Include physical activity in your daily routine.
  • If you have diabetes, keep your blood sugar under control.
  • If you choose to drink alcohol, do so only in moderation.

No. 5 — COPD

Chronic obstructive pulmonary disease (COPD) is a group of chronic lung conditions, including bronchitis and emphysema. To prevent COPD:

  • Don’t smoke. Avoid exposure to secondhand smoke.
  • Minimize exposure to chemicals and air pollution.

Men’s Health: Preventing your top 10 threats

The biggest threats to men’s health are mostly preventable. Over the next few days we will be exploring the top health threats we face as men.  I have pulled this information from a Mayo Clinic article from there website.  Hopefully, these web blogs will provide you what you need to know to live a longer, healthier life.

Do you know the greatest threats to men’s health? The list is surprisingly short — and prevention pays off. Consider this top 10 list of men’s health threats, compiled from statistics provided by the Centers for Disease Control and Prevention (CDC) and other leading organizations. Then take steps to promote men’s health and reduce your risks.

Here are the first two threats …

No. 1 — Heart disease

Heart disease is a leading men’s health threat. Take charge of heart health by making healthier lifestyle choices. For example:

  • Don’t smoke or use other tobacco products. Avoid exposure to secondhand smoke.
  • Eat a healthy diet rich in vegetables, fruits, whole grains, fiber and fish. Cut back on foods high in saturated fat and sodium.
  • If you have high cholesterol or high blood pressure, follow your doctor’s treatment recommendations.
  • Include physical activity in your daily routine.
  • Maintain a healthy weight.
  • If you choose to drink alcohol, do so only in moderation. Too much alcohol can raise blood pressure.
  • If you have diabetes, keep your blood sugar under control.
  • Manage stress.

No. 2 — Cancer

Lung cancer is the leading cause of cancer deaths among men — mostly due to cigarette smoking, according to the American Cancer Society. Lung cancer is followed by prostate cancer and colorectal cancer. To prevent cancer:

  • Don’t smoke or use other tobacco products. Avoid exposure to secondhand smoke.
  • Include physical activity in your daily routine.
  • Maintain a healthy weight.
  • Eat a healthy diet rich in fruits and vegetables, and avoid high-fat foods.
  • Limit your sun exposure. When you’re outdoors, use sunscreen.
  • If you choose to drink alcohol, do so only in moderation.
  • Consult your doctor for regular cancer screenings.
  • Reduce exposure to potential cancer-causing substances (carcinogens), such as radon, asbestos, radiation and air pollution.

TEN26

Make a Difference!

2009 Summit to End Prostate Cancer

Zero

ZERO – The Project to End Prostate Cancer will be hosting the 10th Annual Summit to End Prostate Cancer on September 23rd and 24th. This two day event will be held at the Liaison hotel in Washington, D.C. The Summit to End Prostate Cancer presents an annual opportunity during Prostate Cancer Awareness Month for advocates from across the country to gather in Washington, D.C. to speak up about prostate cancer. This year the summit will focus on growing grassroots advocacy networks in communities across the country.

For more details and all registration and scholarship materials please visit ZeroCancer.org/Summit. If you register before June 19th the $50 registration fee is waived!

Update on Proton Treatment (Adventure)

Guest Blogger: Hugh A.

Hi

I made it to California on Sunday night.  A 2,275 mile (or so) journey that took about 37 hours of driving time.  It makes you realize how big a country the United States is.  I’ve  attached a picture of my one stop that lasted more than the customary 15 minutes to gas up and take a bathroom break.  It’s in Winslow Arizona, where I had to stand on the corner there.

Winslow, AZ

Winslow, AZ

I had my first treatment today and all went fine. Only 44 more to go.  I’ve attached a few photos of the gantry where the treatments are carried out and one of the renovated house that has been subdivided into 5 aprtment units.  Its a great place and only about a 10 minute walk to the hospital and overlooks the Mountains to the north of San Bernadino.

The POD

The POD

The proton radiation is delivered to the prostate while you lie imobile in a “pod” that is specially constructed for each patient.  It ensures that you are in the exact same position for each treament.  The actual treatment lasts only about 90 seconds, the remainder of the time is preping for the treatment.  X-rays are taken to ensure that the radiation is directed preciely at the same location each treatment.  The bolus directs the beam and the lense focuses the beam to the exact depth for the energy release of the radiation on the target.  There is little expense of the radiation as it enters or leaves the body, and is expended almost entirely on the target (prostate in this case.).  That’s all for the technical stuff.

Modest Living Quarters!!!!

Modest Living Quarters!!!!

Best wishes

Hugh

Ultrasound prostate cancer device touted

A new ultrasound treatment for prostate cancer is showing promise of stopping the disease without causing impotence or incontinence, observers say.

The still-experimental treatment, called high-intensity focused ultrasound, uses the sonic technology to heat the prostate to the point of killing cancerous cells and reducing tumors without the high rates of impotence caused by current treatments such as radiation therapy or the removal of the prostate, The Austin (Texas) American-Statesman reported Sunday.

Some U.S. doctors, such as Austin urologist Richard Chopp, have been trained by a company that makes a device used in the procedure, International HIFU, to perform it in Mexico, where Chopp says he has done about a dozen such prostate operations since September.

Dr. John Ward, an assistant professor of urology at the University of Texas M.D. Anderson Cancer Center in Houston, told the newspaper he is doing clinical trials on a rival device from a French company called EDAP. He cautioned would-be users against being seduced “with the flash of technology.”

“We need to learn the proper patient that can benefit most from this technology,” he said. “It’s not right for everybody.”

 

SOURCE: www.upi.com

Free Subscription to Cure Magazine

Click on the following link: Cure

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This is a first class magazine …. sign up today!

Unemployment Hits Cancer Survivors Harder

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BY ELIZABETH WHITTINGTON

When the Journal of the American Medical Association published a study in late February that showed people with cancer had a higher risk of being unemployed, it wasn’t surprising to some survivors. The Danish study analyzed 36 previous studies on the subject, 16 of which were from the United States, and found that of the nearly 180,000 participants, including more than 20,000 people with a history of cancer, survivors were 1.37 times more likely to be unemployed than healthy people (33.8 percent compared with 15.2 percent)—and that was before the world economy turned south. Now experts are wondering if that gap could be widening.

Authors of the JAMA article noted that cancer survivors who live in countries or time periods—such as the current economic climate we have today—with high unemployment rates may especially be at risk. The JAMA analysis also showed risk of unemployment was higher in survivors of breast cancer, gastrointestinal cancers, and gynecological cancers than compared with other cancers, such as prostate, testicular, or hematological cancers, which did not appear to have a higher unemployment risk than healthy people.

Rounds of Layoffs

Joanna Morales, director of the Cancer Legal Resource Center, a joint program of the Disability Rights Legal Center and Loyola Law School in Los Angeles, says she’s noticed more calls to the Center since the economy took a downturn. Not only are people worried about their jobs, but questions about their rights after a layoff, insurance benefits, and discrimination are coming into the call center.  “It’s not just that employers may be discriminating against people with cancer, but people with cancer are disproportionately feeling the effects of the economy because they are often the first people to be laid off,” she says. “There may be 100 people being laid off, but employers may take the opportunity to include people who have been on leave, who require reasonable job accommodations, or who are more expensive for the company to insure.  ”Columbia Law School professor, Suzanne Goldberg, says that if a person is let go because of possible discrimination, the current state of the economy may make it harder to prove, especially when they are one of many being laid off by the employer.  “Even if discrimination is the reason for the layoff, unfortunately, the employer can easily point to others and say, in effect, we’re laying off all sorts of people, ”she says. For patients and survivors who may be worried about discrimination, Goldberg recommends keeping a detailed journal about workplace incidences and keep copies of your employment records.  “The best thing any employee who is concerned about discrimination can do is to keep careful records of incidences or conversations that reflect a negative view about the employee having cancer or any another illness,” she says, including keeping track of the time, date, and any meaningful details. She also notes that many people, including those with no cancer history, are worried about their jobs in this economy, so survivors are not alone in that fear. Even without the threat of discrimination, Morales says when the economy begins to affect businesses, such as when companies go bankrupt, it also affects the employee. In that case, she says, the survivor’s health benefits may be dissolved. It’s worth talking with the health plan administrator, because it could depend on what type of bankruptcy the company is filing. Morales encourages people to be proactive—namely knowing what options are available, including health insurance options, such as state-run high-risk insurance pools, disability insurance, and unemployment benefits.

Accommodations and Protections

But even with the negative attention on layoffs and the economy, many survivors are finding that workplaces are becoming more accommodating. Discrimination against people with a history of cancer has decreased significantly over the past 15 years, when studies showed about a quarter of survivors felt discriminated against. One reason for the decline is partly due to nti-discrimination laws that protect survivors from being treated unfairly in the workplace. One anti-discrimination law, the Americans with Disabilities Act of 1990, recently underwent a revision to better protect cancer patients and survivors. Under the amended act, which took effect in January 2009, the ADA’s definition of disability” can include a person who has been discriminated against by an

employer due to an actual or perceived impairment, such as a person whose cancer is in remission. Cancer survivors are also protected as having a disability that is episodic or in remission—if that disability limits a major life activity if it returns. “Most employers know that discrimination is bad for business,” says Goldberg.  “And my hope and expectation is that even though discrimination rates may rise, they will still remain relatively small overall.”

Job Hunting

Kate Sweeney, executive director of Cancer and Careers, a website for workingwomen with cancer, says she’s noticed that survivors are more nervous now about their jobs than before. In response, Cancer and Careers has been focusing on job-hunting strategies for cancer survivors, including advice, resumé help, and career coaching.  “A lot of advice we have is really the same as you would give anyone looking for a job in this economy—network, network, network,” she says. “Talk to everybody you can, join associations, focus on your skill sets, and not the job category,

because (your skill set) can translate to other job categories.”

Resources

Cancer Legal Resource Center

www.cancerlegalresourcecenter.org

Careers and Cancer

www.cancerandcareers.org

Equal Employment Opportunities Commission

Questions and Answers About Cancer in the Workplace and the Americans with

Disabilities Act

www.eeoc.gov/facts/cancer.html


Genetic Marker May Predict Early Onset of Prostate Cancer

Fox Chase Cancer Center researchers have identified a genetic marker, the T allele of Met160Val, associated with an earlier onset of prostate cancer in Caucasian men who have a family history of the disease. An allele is a gene usually arising from a mutation and causing a hereditary variation. To determine this link researchers genotyped 631 men enrolled in the Prostate Cancer Risk Assessment Program at Fox Chase to find out if the T allele was clinically relevant in high risk men. They found the high risk allele was associated with a 2.5-fold increased risk of developing prostate cancer in Caucasian men with a family history. Additionally, more men carrying the high risk allele developed prostate cancer earlier than men not carrying the risk allele.

“Genetic testing for prostate cancer is not yet clinically well characterized as it is for breast, ovarian cancer and colon cancer,” Veda Giri, M.D., a medical oncologist and director of the Prostate Cancer Risk Assessment Program at Fox Chase said. “Markers such as this one are useful because they may help clinicians distinguish between men who are at risk for earlier onset of disease where intensive screening approaches can be discussed. Men who do not carry genetic markers of risk may not need such screening measures.”

RELATED STORIES

RELATED LINK

Zero

The Summit to End Prostate Cancer

The Summit to End Prostate Cancer presents an annual opportunity during Prostate Cancer Awareness Month for advocates from across the country to gather in Washington, D.C. to speak up about prostate cancer and raise awareness of the importance of federal funding and other issues to help us achieve our goal of zero prostate cancer.


The 2009 Summit to End Prostate Cancer is scheduled for September 23-24.


The 2008 Summit to End Prostate Cancer, held September 23-25, brought more than 100 advocates to Capitol Hill to bolster support among existing friends in Congress and to make a strong impression with the dozens of others who will be elevated to leadership positions in key committees that recommend increases in federal funding and control other important prostate cancer legislation.


Prostate Song

Surgery Improves Survival Rate in Younger Prostate Cancer Patients

Researchers at Henry Ford Hospital suggest men with prostate cancer under the age of 50 who undergo a radical prostatectomy will increase their chances for long-term survival, according to their recent study of 8,200 men. Often called an “old man’s disease” prostate cancer continues to affect men under 50. In fact, one in 10,000 men under the age of 40 will be diagnosed with prostate cancer this year.

To determine which treatment option offers the best chance for long-term survival for younger prostate cancer patients, researchers studied more than 8,200 men under age 50 with prostate cancer undergoing three types of treatment: active surveillance, radical retropubic prostatectomy and external beam radiotherapy. The cancer-specific survival in the active surveillance group was 78 percent at 16 years; in the radiation group it was 63 percent at 17 years; and survival was 94 percent at 21 years for those who underwent a radical prostatectomy.

“When given the choice between surgery, watchful waiting or external beam radiotherapy, patients younger than 50 with moderately and poorly differentiated prostate cancers have better long-term overall and cancer-specific survival when they opt for surgery,” said study author Naveen Pokala, M.D., an urologist with Henry Ford Hospital.

RELATED STORIES

RELATED LINK

Zero

be a leader: SUMMARY

L.E.A.D.E.R. Equals …….

LEAD boldly (Influence is Leadership)

EQUIP yourself (Grow or Die)

ATTITUDE is everything (The extra plus in leadership is attitude)

DREAM big (The indispensable quality of a leader is vision)

EXECUTE your plan (It’s without saying you need to develop a plan)

RELATIONSHIP building (A critical component of leadership is having the ability to build relationships) 

 

be a leader: BUILD relationships

A critical component of leadership is having the ability to build relationships.  As a cancer survivor you need others and as I have mentioned in a previous post, leadership is about influence.  In order to be able to effectively influence others you need to be able to build and sustain relationships.  During your cancer journey your relationships will be put to the test due to stress and other factors.  And this is one test you do NOT want to fail.

You may have needs, but put others first.  Stay focused on your relationships.

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be a leader: EXECUTE your plan

It’s without saying you need to develop a plan.  You can’t just go with the flow – can you?  What I have found to be beneficial is creating a plan of action.  Obviously the desired results of you plan is to beat cancer.  However, there are steps you must take to do that.  Here’s an abbreviated plan you can consider as a template.  Obviously you need to develop a plan that’s suited for you.

Situation

Diagnosed with Prostate Cancer on October 26th

Objectives

I need to have the Courage to Face it, the Discernment and Wisdom to Fight it, and God’s Grace to Beat it.

Desired Results

  • To be cancer-free with no lasting side-affect
  • To be transformed to be more like Christ
  • To be a better and more compassionate husband, father, son, …. man

Plan of Action

1. Prayer & Support (on-going)

  • Enlist a handful of friends for prayer, support, and encouragement
  • Designate family time to pray together and openly and honestly talk about cancer
  • Talk with and gain strength from other cancer survivors

2.  Research Treatment Options (4 weeks)

  • Read books, articles, etc.
  • Internet research
  • Discuss options with cancer survivors, health professionals, and others
  • Search for information from subject matter experts

3.  Evaluate Options (1 week)

  • Pro’s and Con’s
  • Risk analysis
  • Decision drivers
  • Input from family

4.  Determine Optimum Solution

  • Decide on best option of treatment

5.  Move Forward

  • Make it so!

“If you aim at nothing, you will hit it every time.”  Develop a plan and then execute it!   

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be a leader: DREAM big

The indispensable quality of a leader is vision.  You see (dream) what you are prepare to see.  What you see is what you get.

  • Look behind you: What have you learned?
  • Look around you: What is happening to others?
  • Look ahead of you: What’s the big picture?
  • Look above you: What does God expect of you?
  • Look beside you: What resources are available to you?


As cancer survivors we have to open our eyes to possibilities.  It’s tough when you’re struggling to stay alive, but having vision (or purpose) for your life is a huge step to surviving.  If you’re are myopic in viewing your situation or life, take a few moments to think about “what could be …”.

Without vision you’ll die even if you’re alive!

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be a leader: ATTITUDE is everything

The extra plus in leadership is attitude.  Everything rises and falls with leadership.  In the same manner, attitude is everything.  If you want to lead boldly and equip others, it all starts with how you deal with your emotions and behaviors.
Cancer survivors understand that a positive outlook is the beginning of overcoming cancer.  Right thinking creates right decisions, which leads to beating cancer!
Attitude is contagious.
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be a leader: EQUIP yourself

Grow or die!  One of the most important aspect of leadership is learning and growing.  It is critical that cancer survivors equip / educate themselves with a complete understanding of their diagnoses, treatment options, and other relevant information.  You have to know enough to take control and make the best decisions for you.  Obviously you should consult health professionals, family, friends, and others, but ultimately it’s your call.  Don’t delegate important decisions affecting your life.

A second reason why you equip yourself is to help others — to encourage and support others in their cancer journey.
Equip yourself so you can equip others.  But always remember, “people don’t care how much you know, until they know how much you care”.

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be a leader: LEAD boldly

My definition of leadership is Influence.  As a cancer survivor you have to be able to influence the ones you love — assuring them that you’re going to make it.  Your journey may not be easy, but together you will survive and thrive.  As you have probably experienced, you have to influence your doctors and other health care professionals to spend time with you — to be thorough and precise in their explanations of your cancer, treatment options, and overall health.  From a bigger picture standpoint, your influence might expand with shaping policies and programs relating to cancer.

Boldly lead and “they” will follow…..
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be a leader!

As cancer survivors we are leaders.  We have to be.  We have family, friends, and co-workers going through our cancer journey with us.  We have to be strong and make things happen.  We have to understand the various treatment options and we have to make tons of decisions.  And lastly and very importantly, we have to be willing to help others who are facing cancer.

Over the next several posts I will be highlighting the qualities that makes a cancer survivor special.  Hope you enjoy!

ten26

Guest: Hugh A.

by Guest Blogger

What I now consider a good friend and a co-worker, Don Swinford asked me if I would write my prostate cancer story for his blog and I gladly accepted his offer.

I was introduced to Don back in January 2009 after having a blood test at the company health clinic.  When the results came back, they were as expected, a PSA of 13.8.  I had been dealing with the diagnosis of prostate cancer since October 20, 2008, but the nurse asked if I would like someone in the company that had been through this experience to contact me.  I agreed and was introduced to two fine gentlemen, one was Don.

As far as a bit of background, I am 54 years old, a civil engineer by profession and I live in Atlanta, Georgia. I was born in Toronto, Canada.

In September 2008, at the urging of family members, a close friend and a doctor, I went for a routine physical exam (my last one was in 2000).  I felt great and had nothing more than a few minor aches and pains that are not uncommon for a 54 year old.  The results of the blood work done prior to the exam indicated a PSA of 10.8. The DRE (Digital Rectal Examination) during the physical did not indicate anything unusual as reported by my primary physician.

What great fun that was!!!   On October 20th, while on company business in Salt Lake City, Utah, I was given the news by the urologist that I had prostate cancer.

In my heart, I was not overly surprised, but I do admit to being really “pissed off” and initially in a state of denial.  I realized probably more so than ever, I was mortal, I was no longer “bullet-proof” as I thought of myself well into my forties and even somewhat until October 20th.

When I returned to Atlanta, I was given the results of the biopsy. Six of 12 cores were cancerous involving 10 to 80 percent of the surface area of the core.  A Gleason 3 + 3 = 6 and a T2a staging.  The options for treatment were explained to me and the research part of the journey then began.

As a side note, my father had prostate cancer (at age 83) as did my maternal grandfather (at age 68).  I thought at 54, that prostate cancer was an “old man’s problem and that  I still had 10 to 15 years before I had to be really concerned…..not so!!!!.  I had been negligent in getting myself checked out more routinely and was now going to pay some price for that neglect.

It was not so difficult to absorb and deal the diagnosis after the initial emotions had subsided. As a family, we dealt with my wife having fought a battle with breast cancer in 2004.  A close friend had battled breast cancer at age 24 and recently skin cancer.  Both are currently cancer free and I am humbly thankful to the Lord for that blessing.

Once diagnosed, one of the first things I did was investigate was where I could find a prostate cancer support group.  I found 2 in the Atlanta area: One at Emory University and the other at St. Joseph Hospital.  I visited both the first opportunity I had after my diagnosis.  In hindsight, it was the best choice I ever made.  I met men who were well along their “journey”.  This brotherhood of men who had preceded me with this disease and its treatment were all, comforting, supportive, very knowledgeable and were like mentors to me.

Through the succeeding 6 months since my diagnosis, I researched prostate cancer, what it was, what  my options were and talked with at least 100 men who have or are going through prostate cancer pre-treatment or post treatment phases.  I heard the “good, the bad and the ugly”.  I was at times, discouraged and encouraged. Notwithstanding, to all of these men, my co-workers,  family and close friends, I owe my gratitude for the support, encouragement, experiences and camaraderie these people unselfishly shared and gave to me.  I will, in turn, pass this kindness forward to other men who need it.

I have also been to 4 urologists/surgeons, a medical and radiation oncologists for second, third, fourth etc. opinions.  I’ve had a colonoscopy, bone scan and CT scan over the past 6 months to search for other cancer.  Fortunately, all tests have produced negative results.

Until now, and with the exception of family, close friends, my “support team members” and a few select co-workers, I have kept my cancer diagnosis to myself. The intent was not to hide it, but to not burden others with not knowing what to say or feeling awkward or feeling sorry for me.  A personal choice.

I have researched and labored over most, if not all of the most common potential treatment options, (i.e. watchful waiting, radical prostatectomy surgery, traditional photon radiation (IMRT, EBT, 3D Conformal, Cyberknife), brachytherapy, proton radiation, cryotherapy, HIFU and hormone therapy.  I have experienced the emotional ups and downs associated with making an informed decision.  I have prayed for His guidance. I had even gone so far as making an appointment to go with robotic-assisted (da Vinci) laparoscopic prostatectomy surgery.  I have since cancelled that appointment and have decided to proceed with proton radiation therapy at Loma Linda Medical Center in California.

Over the past 6 months, I have been questioned on the length of time I was taking to make a decision.  The simple reason was that the doctors generally concurred that I had some time to learn and make a decision. So I traveled this path with a purpose, to get to a point where I had researched it, assessed the pro’s/cons and then made a decision that was right for me.  As Frank Sinatra sang “I did it my way” and I have no regrets.  If I have caused myself any harm by waiting 6 months since my diagnosis, then so be it.

I can honestly say that at no time during this part of the journey did I have a fear of the cancer or even of dying of it.  My fear was the potential for a serious reduction in the quality of my life, the possibility that my 13 year old daughter would be left without a father at a time I believe she needs me in her life.  I also wanted to be able to watch my one year old grandson grow up and be a part of at least his young life.

There is no looking back now, only moving forward with peace of mind and contentment in my decision.  Onward to the next two stages; treatment and post-treatment with optimism and hope.

————————

If you would like to contact Hugh, please contact me through email at dgswinford@yahoo.com and I will forward your contact info to Hugh.

Hugh — Thanks.  We look forward to future posts from you.  Take care and keep in touch.  Don

zero
Check out this site Zero – The Project to End Prostate Cancer

Zero’s mission is:

Zero prostate cancer deaths. Zero prostate cancer cases and for those with prostate cancer it means a zero PSA. Our name conveys what we stand for zero tolerance for prostate cancer.  At Zero we commit ourselves not only to reduce prostate cancer or alleviate the pain from the disease but to end it. We see a future where all men who have been diagnosed with prostate cancer will be cured or manage their illness with good quality of life, with the support they need to minimize physical and emotional suffering and to cope effectively throughout their cancer journeys.  To accomplish our goal, we provide comprehensive treatment information to patients, education to those at risk and we’re conducting more free screenings than ever before. We increase research funds from the federal government to find new treatments and we fund research in the pursuit of a better test for the disease.

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You can’t always be prepared ….

In 6 days I will be running the Flying Pig Marathon .  This will be my 8th marathon since 2003.  Most marathon training schedules are for 18-22 weeks.  I’m doing the Pig with only 6 weeks of training.  Crazy!

I have a great deal of respect for marathons.  I have felt the pain of dehydration, muscle cramping, dizziness, and stomach issues.  To attempt a marathon with only 44 days of training might end up being really stupid.  But I have pushed myself hard during the past 5 weeks and I feel ready and prepared.  Only time will tell.

When it comes to cancer, you can’t always be prepare. You can rehearse what you’ll say or do, but there’s not a training schedule / program to follow.  In my case, I turned to my faith in God.  I asked Him to give me the courage to face it, the knowledge and wisdom to fight it, and His grace to beat it.

Running helps me to reflect on all of the blessings in my life, such as family, friends, and good health.  Being a cancer survivor has made me more aware of the things that are really important in life.

Ten26
Run Club USA

Prostate Cancer Grading

Like staging, grading levels are also assigned to prostate cancer cases. Grading takes place after a biopsy (removal and examination of tissue) is done. The tissue samples are sent to a laboratory for analysis by a pathologist, a doctor who specializes in diagnosing disease by looking at these samples.

 

If cancer is present, the pathologist will assign a grade for the cancer. The grade refers to the cancer’s appearance and indicates how quickly a cancer is growing. Most pathologists grade prostate cancer according to the Gleason score, which assigns a grade (1 to 5) based on how the cancerous cells look compared to normal prostate cells.

 

Grade 1. The cancerous tissue looks very much like normal prostate cells.

 

Grades 2 to 4. Some cells do look like normal prostate cells, others do not. Patterns of cells in these grades vary.

 

Grade 5. The cells do not look like normal prostate cells. They appear to be scattered haphazardly throughout the prostate.

 

The higher the Gleason score, the more likely it is that the cancer will grow and spread rapidly. Pathologists often identify the two most common patterns of cells in the tissue, assign a Gleason grade to each, and add the two grades. The result is a number between two and 10. A Gleason score of less than six indicates a less aggressive cancer. A grade seven and up is considered more aggressive.

 

Other Test Results

Sometimes, when a pathologist looks at the prostate cells under the microscope, they don’t look cancerous, but they’re not quite normal, either. These results are often reported as “suspicious” and fall into one of two categories, either atypical or prostatic intraepithelial neoplasia (PIN).

 

PIN is often further divided into low grade and high grade. The significance of low-grade PIN in relation to prostate cancer remains unclear. Many men have it when they are young and never develop prostate cancer.

 

Biopsy results that fall into either atypical or high-grade PIN are suspicious for the presence of prostate cancer in another portion of the gland. There is a 30-50% likelihood of finding prostate cancer in a later biopsy when high-grade PIN is initially discovered. For this reason, repeat biopsies are generally recommended.

 

Reviewed by the doctors at The Cleveland Clinic Urological Institute.

 

Eat to Beat Prostate Cancer Cookbook

Prostate cancer is now the most common nonskin cancer among men in the United States. In 2005 alone, 250,000 new cases were diagnosed, and that number is certain to rise with each passing year. No one is more aware of this than David Ricketts, experienced cookbook author and recent prostate cancer survivor.

 cookbook

 

Shortly after surgery and radiation treatments, Ricketts began to research food and lifestyle changes that might inhibit the likelihood of prostate cancer as well as its progression. The result is this uniquely specific cookbook, which takes full advantage of foods thought to fight prostate cancer while eliminating those believed to contribute to the disease. Eat to Beat Prostate Cancer Cookbook features more than 200 delicious recipes for everything from snacks, sandwiches, and drinks to main-course dishes-all foods that will appeal to the entire family. This tremendously useful book also benefits from the author’s firsthand experience, as he offers insight into what to expect regarding diagnosis and treatment of prostate cancer, as well as practical advice for making the transition to healthier cooking, smarter eating, and a longer life.

 

About the Author
From 1987 to 2004, David Ricketts was the recipe and contributing food editor to Family Circle magazine. The author or coauthor of a dozen cookbooks, Ricketts continues to monitor his prostate cancer. He lives on Cape Cod.

 

Company says prostate cancer vaccine shows promise

Associated Press

Wednesday, April 15, 2009

An experimental treatment that takes an entirely new approach to fighting prostate cancer extended survival in a late-stage study, its maker announced Tuesday.

Seattle-based Dendreon Corp. said that its Provenge cancer vaccine improved overall survival when compared to a dummy treatment in a study of 512 men with advanced disease.  Click here to read the rest of this article.

Prostate Cancer Survivor Preaches Testing

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BY JOHN TANASYCHUK — SOUTH FLORIDA SUN SENTINEL

FORT LAUDERDALE, Fla. (AP) — Standing before a men’s support group, Patrick Baxter pulls no punches.

Since prostate cancer surgery in June, he tells them, he’s suffered the common side effect of incontinence. He has to wear a pad or diaper.

“I know why babies cry when they’re wet,” he says.

The men, who’ve all battled cancer, laugh nervously.

“You have to have a sense of humor,” he says. “Otherwise, you’re always fretting and worrying. All of those things lower your resistance.”

In the short time since diagnosis and surgery, the Boynton Beach man has developed a reputation as an ardent advocate for annual prostate cancer examinations. The key to this type of cancer, as with most, is early detection. So it’s a message he wants all men to hear.

But it’s especially crucial for black men, Baxter says. While one in six men will be diagnosed with prostate cancer, black men are 50 percent more likely to develop the disease and twice as likely to die from it.

“We don’t quite know for sure why, but the research shows there’s probably a couple of things that are causing this,” says Tom Kirk, president and CEO of Illinois-based Us TOO International Prostate Cancer Education and Support Network. “There do seem to be some genetic things and then also it’s lifestyle. We know for a lot of African American men, that there’s just plain Southern cooking. Southern cooking is part of the issue.

“The third factor is probably access to health care.”

Baxter is 5 feet 10 inches, weighs 175 pounds and has the long, lean body of a runner. He’s completed 25 marathons and looks younger than his 46 years. He uses humor to connect with men after surgery. He talks about wearing his 12-year-old son’s briefs because they’re snug enough to keep the incontinence pad in place.

“The biggest problem is that most men are very macho,” said Jesse Seligman, a survivor and volunteer coordinator with Wellington Regional Medical Center’s prostate cancer support group. “They don’t want to go to the doctor because they’re afraid they’ll find out something’s wrong with them. It might reduce their manliness, or their libido might be restricted. And they don’t want to know about that.”

Baxter, originally from Jamaica, has spoken with men at churches in West Palm Beach, Fla., and at his church, Boca Glades Baptist.

In September, he helped organize a free seminar in Wellington geared toward black men. Of the roughly 80 men in attendance, 33 took a free blood test. But only 27 agreed to the next step: a digital rectal exam.

The exam takes about 10 seconds. Ten seconds, he tells them, that could save them from prostate cancer.

“Fifteen percent of prostate cancer is not detectable by a blood test,” Baxter says. “If you feel the prostate, you may feel a nodule.”

He’s always been diligent about regular check-ups. He eats well. He exercises and has seen in his professional life what can happen to those who neglect their physical well-being.

“I’m a physician’s assistant and I’m very much into health and wellness, doing the right thing for your body,” says Baxter, who works with a group of physicians in Delray Beach and part time in the emergency room at Wellington Regional.

Eight years ago, he started paying particular attention to his PSA level.

PSA, which stands for prostate specific antigen level, is measured in blood tests and is a front line indicator of prostate cancer. Though his level was within normal range for a man his age and he has no family history of the disease, Baxter noticed his PSA had risen in just a few years.

He consulted a urologist, who told him not to worry. But Baxter sensed something was wrong.

By early 2008, he went to another urologist, Dr. Edward Scheckowitz of Delray Beach, for a second opinion.

“God willing, he’s cured,” Scheckowitz says. “He put his family first. His decisions were really driven by his love and devotion to his family, rather than how surgery would affect him personally.”

Karen Baxter, his wife of 17 years, says his reaction to cancer is entirely within his character.

“I would say that he’s pretty much a positive guy, for the most part,” she says.

She recalled the Old Testament story the couple heard in church the Sunday before receiving final confirmation of a cancer diagnosis.

“The message was about Jonah, who was running away from every assignment that God gave him,” she says. “Patrick associated the story with himself, and based on that message in church, it helped him to prepare himself.”

Only when Jonah is swallowed into the belly of a giant fish does he accept God’s assignment. Like Jonah, Baxter has an assignment, a mission to tell men to get tested.

“I don’t get frustrated,” he says of those who don’t heed his advice. “If I (were one to) get frustrated, I would have stopped this a long time ago. I’m a marathon runner. We don’t get frustrated. There’s so much pain involved in running; you just keep going.”

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