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Posts Tagged ‘extracapsular prostate cancer’

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Life is short and the Art long….Osler

The Two Jokes…in spoken word…

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better to live on the corner of the roof, than to share a house with a nagging wife...proverbs

North Georgia is known for being in the foothills of the Blue Ridge Mountains and for the small streams associated with that. The state fisheries department “stocks” the streams with Rainbow trout that they raise at various hatcheries. The state then takes them by truck and empties the fish into the small streams at bridge crossings. The “locals” know when the trucks are coming or they keep a look out for them and when they see them go by they follow them to see when and where they are stocking. They call their friends and get their rods and corn and go and catch the stocked fish often times depleting the trout before the unsuspecting or “un enlightened” can get there. I have fished out West many many years and out there the streams have native trout and lots of room for your fly line to flip about to put a fly where the fisherman wants. In north Georgia, the streams are small, they are stocked, and there is little room for the traditional fly fishing techniques. There are some spots on bigger streams with a wide area that can be fished like out West but they are not common. Some folks have bought sections of a river or stream, stocked it with Rainbows, fed them, and then let people for a price come in and fish for them. Big fish, still stocked, still not native, somewhat of a contrived fly fishing experience but an experience non the less for a price and pictures of the experience. The customer can now say that he dressed up like a fly fisherman, used a fly rod and has a picture of him and big fish held by the guide (they won’t let you touch the fish) to prove it.

I have attempted to catch stocked fish on many occasions. The limit is about 6 and they actually taste very good, the majority are about 8-10 inches long. They are raised on corn and so the locals will put corn on a hook with a worm and let it float naturally on the bottom to catch the trout. The locals will deplete the hole and by the time someone like me gets there the trout are few and far between. The rarely use fly rods for the purpose preferring an ultralight Zebco with 4 lb test to flip to the holes in tight spaces. I have been at a small stream to catch one of these stockers and have seen men from Atlanta all duded up in a $350 Orvis wading outfit, $500 fly rod and standing near a small hole with no room to cast and the line just sitting three feet in front with a fly. Unfortunately, I have never been very successful in catching stocked trout, regardless of the fishing device, or lure, or bait used. It’s not really a natural pursuit anyway and I think my heart is really not into it….especially when you see a guy in overalls and fishing with a Walmart rod and worm just killing the fishing and leaving with a stringer by the time I get there.

Now quickly, Chattahoochee Shoal Bass, like the one shown above. The perfect solution to fishing in North Georgia, using a fly rod or reel, and having plenty of room to fish…just like out west but no limitations to the size constraints of the river and no “stock fishing people” with corn around. These fish live in and about rocks, eat and behave very similar to trout, but are native, fight well and are in the Chattahoochee at its more northern distribution. I can but my flies or lures in a pocket of my shorts, get my fishing kayak and a cooler, and fish the whole river by going from rock to rock and getting out when I want using a rock in the middle of the river as a fishing platform or fish from the kayak. I can take my dog, I don’t need waders, a shirt, a tackle box, fishing at its most simplistic and finest nature.

The fish above was caught by casting a black worm to a rock cliff and letting the worm fall off the rock into the water to the immediate strike of the “shoalie.” Penelope, our Chocolate Lab, jumped in after it as well after it was hooked and swam around trying to catch the line and made the whole process of landing the fish that more interesting. I tried to film it but elected to just catch it and take pictures. We own one of the little cabins in the background, it was in one of these that I wrote a large portion of my book, and from the steps is where me and Penelope swam across to the rocks to fish. It don’t get no better than this, and all I need for an occasion like this is one fish. That supplies me adequately for my “fish fix.”

Now….Can you get cancer from having sex with a man or husband who has prostate cancer? Well…I hope not.

Recent comment on this blog by the wife of a prostate cancer patient:

You don’t know that there is no communicability of prostate cancer cells. There are many instances of cancers being spread by virus-like antigens; leukemias, cervical cancers– and there are some indications that a retrovirus may be involved with prostate cancer. In 2006, researchers associated a previously unknown retrovirus, Xenotropic MuLV-related virus or XMRV, with human prostate tumors. This retrovirus may very well travel between human beings.
That there are no direct links discovered as yet between prostate cancer patients and cancers found in their sexual partners certainly does not preclude those links ever being found. Your flippant dismissal of the legitimate fears of communicability (i.e. “so, good try girls” etc.) are insulting to women who are caught in this terrible situation with the men they love.
Shame on you.

The person’s comments above I think are well spoken and made me do some thinking and re-research on links between the male with prostate cancer giving the female he may have sex with cancer (she could not get prostate cancer, so we have to assume any question regarding this is getting a cancer in general…women don’t have a prostate and prostate cancer is a cancer of prostate cells).

I could not find any articles in the Journal of Urology that addressed the subject and all the “googled” references to the question made no link between the male with prostate cancer and the female. This excercise did prompts some thoughts and maybe more addresses the issue from a practical or pragmatic perspective.

  • Take any man that has been diagnosed with prostate cancer. It is not as if he got cancer the very moment he was diagnosed. Just like other cancers, the disease has been in the body long before the diagnosis was made. So for the male with the “diagnosis” of prostate cancer, he has been having sex with his wife for possibly years before the diagnosis was made, but yet having it in his body. What are we to do about this possibility?
  • Since 1 in 6 men ultimately get prostate cancer, should all concerned women have their men biopsied for prostate cancer before having sex with them. Not very practical and this is why I have elected to view this from a “common sense” approach as opposed to “well it is possible that a link will be found one day.”
  • If it is spread would it be through saliva? Would it be the cells and viruses in the sperm? Sperm would seem more reasonable-again most men have had prostate cancer years before it is diagnosed? Would a condom fix this? Should this be a recommendation of fearful women afraid to catch cancer from their husband-before or after the diagnosis is made?
  • Something to ponder…if cancer is spread from the man’s sperm…then for the man that has been treated for prostate cancer by a radical prostatectomy-he has no ejaculate. So is the man without a prostate who has prostate cancer but no ejaculate…is he safer for the female not getting cancer than the man who has prostate cancer but not diagnosed but has a “communicable ejaculate?”
  • Men who have been treated with radiation with time have little if any ejaculate…not because the prostate has been removed but the gland has been “dried up” by the radiation.
  • What kind of cancer would the female get? It won’t be prostate. Since the prostate is an “adenocarcinoma” or a cancer of a gland, would the female get a glandular cancer or just any cancer. This would work if the male suppressed the females immune system and then she’d be susceptible to any cancer?
  • Could a male get cancer from a female if she has breast cancer? They both have breasts.
  • And on and on and on….

Now to being flippant and insulting to women caught in this terrible situation (married to a man with prostate cancer-like my wife is):

  • I sincerely apologize if my response offended…I may too often try to use irreverent humor to make points…
  • The “good try girls” is a male thing and too was made in jest about the trite stigma of women trying to get out of having sex i.e. the old headache or menses thing. I again apologize for that…meant to be funny not insulting.
  • I believe that if a wife is concerned about catching cancer from her husband who has prostate cancer (by the way…having cancer and having been treated for prostate cancer are two different things-if you are treated and there is no evidence of disease i.e. negligible PSA then you don’t have cancer-you “had” it) the stress by worrying about catching cancer is a greater drag on her well-being than the chances of getting a cancer. My wife will correct me any time I say or imply that I have prostate cancer. “John you don’t have cancer.”
  • There is a difference, I would think, between the wife of a man with prostate cancer that has failed the initial treatment and has recurrent prostate cancer and the wife of the man who has been treated, most probably cured and has no evidence of residual disease.
  • I think it would make the wife of the man, who had prostate cancer that has spread  to his bones, think more about the possibility of the communicable nature of prostate cancer. So I feel it is a legitimate concern or question.

Summarizing…I am sorry to offend…I want to helpful in these issues and be clever with it in a knowledgeable way but not be “doctorish.” Take all with a grain of salt. Thinking about this issue…if you could spread cancer where would it end, look at all the cancers out there each with their own “virus” to spread and how that would affect relationships.

I think the reason this comes up more with prostate cancer than with other cancers is this…sperm. Subconsciously the female may be thinking that the fluid comes through the prostate and carries with it cells that then touch her tissues and then the possibility of getting cancer.

Well…it has never been shown, but as the commentor correctily states…”just because it hasn’t been proven that there isn’t a link doesn’t mean there isn’t one”…agreed.

So you men out there trying to get out of having sex because you have prostate cancer…sorry-not a good excuse…. Just kidding…..

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Jennie C. Davis: Hall of Fame Senior Year of High School Because of her ability to do as she pleases.

The ability to do as she pleases and “calm as a hurricane”…they got that right!

Mother’s Day circa 1994:

You were born in the Depression years.  You were named after your fathers’ mother – Jennie Cooper.  As a child, you could skate faster and ride a bike better than any boy in LaGrange, Georgia.  You loved your mother but were much closer to your father.  You are a diehard Georgia Bulldog fan and it goes without saying that you hate Georgia Tech but you always respected a “Tech Man.”  You were in the Coast Guard and loved the Big Band era of the war years.  Frank Sinatra was your favorite.  You are an encyclopedia of Southern sayings like, “If you misbehave again, it’s gonna be too wet to plow.”  You feel like there is a difference between which side of the Mason-Dixon Line you’re from.  A twist of fate determined that you would raise your five boys without a husband.  You worked at night and went to school in the day and got your college degree at the age of 51 (you commuted 150 miles a day to do it).  You nursed your mother until she passed away, at home and gracefully, and then you battled cancer and are winning the fight.  You often said, “you don’t know what love is until you have children.”  All this you did with enthusiasm, optimism and vigor – always with vigor.  You are an inextinguishable spirit that is contagious to those around you.  You’re tough.  But most importantly, to your children through all the varied times, you imparted unyielding love.  The formula for a good mother is complex; mixing consistency, discipline, example and material needs to mold a child’s character.  In all these things you may not have been perfect.  But one thing was never in question, one thing was never lacking, one thing you had limitless quantities of, and that was love.  We always received love and felt loved and that was your greatest gift as a mother and a part of you we hope to pass on to our children. 

We love you  Jennie Cooper

LaGrange High School Annual Circa 1938

 

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empty pockets has never held anyone back....only empty hearts and empty heads can do that.

Yes that’s my dog Chloe licking the grill as the coals are heating up in the green egg as Penelope enviously looks on. Yes I did put the grill grate back on the egg and then cooked a pork  tenderloin on it. Yes it did not bother me or mine a bit. How about you? I sent  this picture to the nurse manager of my Ambulatory Surgery Center and she was aghast. “That picture  was so wrong,” she said.

Relative Survival Percentage for prostate cancer at five years is 99%. What in the hell does that mean?

So…in the following article the RSP given by the “epidemiologist’s” at the American Cancer Society is 99% for prostate cancer. Why in the world did I go to the trouble of treating my prostate cancer? What was I thinking? A 1% of dying of prostate cancer and I went through the surgery and leaking urine for three months? What was I thinking? Or…could it be that the statistics are misleading? Is an epidemiologist different from a urologist in how he would view prostate cancer?

Why in all the statistics and facts that follow there is no reference to the people who die of prostate cancer? The 25,000 a year in the US. How is 25,000 dying   and 250,000 diagnosed equal only 1 %?

Warning!  With a National Health Care Program like ObamaCare health decision will be based on the epidemiologist’s view of disease and not that of the doctors. Please search my blog for references of Otis Brawley…and you will understand the mindset of an epidemiologist. His views are reflected in the following article…leaving the reader to “drop his guard” about prostate cancer not be checked. Perfect! The ACS is not an advocate of screening. Why? Because of Statistics.  ObamaCare and the ACS…their plan is beginning to infiltrate the unsuspecting media’s reporting of prostate cancer. Question for the congressman…why treat your cancer at all? 1%…are you kidding me?

How many people have you known that have succumbed to breast cancer? I just lost a friend to breast cancer who was diagnosed at age 42 and died two weeks ago at 45 after a prolonged course of surgery, chemo and the painful progression of one treatment after another that just did not quite measure up to the aggressiveness of her disease. Well..we see that the Relative survival is 89%. Does that match what you know or have experienced about breast cancer? Hell no! So…take what you read with the proverbial grain of salt, suspect national health care, suspect the AMA and the ACS. I don’t know what in the hell is going on with these organizations but the vaunted reputation that I had of them is quickly eroding and I suspect that they are selling out to government related interests.

Ps…I have been a member of the AMA since I was a medical student in the eighties. I have stopped my membership when they supported ObamaCare. They are so out of touch with the practicing MD it is ridiculous. I suspect that the majority of the doctors that go and vote for stuff are somehow employed by government entities like military hospitals, VA  hospitals, the CDC, hospitals and other doctors that have some tie to the government till. Ie…voting their pocket book not the interests of medicine.

So now you know…I am opposed to a national health care program and furious that all those government doctors went to the white house in white lab jackets and posed with Pres. Obama. They did not represent me…the people voting in the AMA don’t represent me, nor do they represent the majority of doctors in the US.

Luckily for the government…the media falls right in line and spews out the ACS epidemiology view of both prostate cancer and breast cancer. What’s next? Using RSR to justify who the government feels should have treatment and who and how much is paid for medical services…..far fetched?  Check out Canada and the UK…..

Podcast on the following article and “statistics”

Congressman John Barrow To Undergo Treatment For Prostate Cancer Media Announcement Says “Full Recovery” Expected Congressman John Barrow By WAGT Staff Published: June 21, 2011 »Washington, D.C. —

Congressman John Barrow, from Georgia’s 12th district, will be treated for early stage prostate cancer, according to a media release. Because the disease was caught early, Barrow’s spokesman says a full recovery is expected. Congressman Barrow’s treatments will begin in July and he’s not expected to miss any votes. Here’s the full release from Congressman Barrow’s office: U.S. Congressman John Barrow (GA-12) announced today that he has been diagnosed with early stage prostate cancer, a condition that will affect one in six men during the course of their lifetime. Barrow will undergo radiation therapy to treat the condition, and his doctors expect a full recovery. The disease was discovered during a routine screening as part of Barrow’s annual physical exam. “Cancer is something you never want to hear your doctor say,” said Congressman Barrow. “But I’m very lucky to be living in an age of early detection and effective treatments. The good news is that the doctors expect a full recovery, and the therapy will not affect my ability to work.” Barrow is under the care of Dr. Donald Bridges of Rockville, Maryland. The radiation therapy will begin in late-July and extend into the August Congressional recess, which will prevent Congressman Barrow from missing any votes. According to the American Cancer Society, nearly 99 percent of those diagnosed with prostate cancer have a five-year relative survival rate. “Figures like this give everyone with prostate cancer good reason for hope,” Barrow said. “One reason why this number is so high is because more and more men are getting regular prostate screenings. Early detection is the key to beating this disease. Routine prostate screening probably saved my life, and it could save yours.” The Mayo Clinic advises that there are a number of lifestyle choices that can help reduce the risk of prostate cancer, such as: eating moderate-sized portions at every meal; eating food low in saturated fats; maintaining a diet high in fruits, vegetables, and whole grain; drinking alcohol in moderation; getting the FDA daily recommendation of vitamin D; and regularly engaging in moderate exercise.

FACTS ABOUT PROSTATE CANCER: Over the course of a lifetime, men have a 1 in 6 chance of developing prostate cancer (American Cancer Society). From 1999-2005, the 5 year relative survival percentage of prostate cancer was 99 percent (American Cancer Society).

In 2010, there were 217,230 new cases of prostate cancer in the United States, 6,380 in the state of Georgia (American Cancer Society).

In 2008, there were approximately 2,355,264 men alive in the United States who had a history of cancer of the prostate (National Cancer Institute).

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penis pool after icy precipitation....say that three times real fast!

 

“John, don’t let short-term gratification out weigh long-term gain.” That’s what my mother said to me many times and that is why I am a doctor. It is however not why I am a urologist.

“Mom….this is John. I have decided to be a urologist.”

“Ye Gods John. Do you know what they do.” Priceless and why I loved my mother so. So real and uncensored. She was the best. Period!

So to the question: Will the urgency get better after radiation.

In my book I make a big point of saying that every prostate cancer patient should know what the prostatic urethra is. Do you know what it is and why it is important? The prostatic urethra goes away with a radical prostatectomy. The prostatic urethra is irritated with radiation and the reason why patients have urgency, frequency, getting up at night and not making it to the bathroom after radiation. Will you have these symptoms? If you have them will they be severe? If you have them will they be short-lived? Will they ever show up three to five years down the road? Will they go away? Will they mild and associated with diarrhea? Will they not got away?  Are there medicines that will help? Will I ever have blood in my urine three years after I have been treated with radiation? Will I get a cancer because of radiation? Can I have surgery if I have had radiation and by that will radiation affect surgery of my prostate or any other abdominal surgery that I might need?

Good question. The truth of the matter is that you will not know the answers to these  questions until you have radiation and see how your body responds. Some people’s tissues can take it, some can’t. In my book I am an expert witness for a urologist and a patient that brought a suit against him. This particular patient’s body did not like radiation….in a bad way.

So…urgency or the irritative effect of the radiation on your prostatic urethra….may get better, it may get worse, it may respond to pyridium, it may be short-lived, it may be nothing , it may be debilitating.

As a radiation therapist said to me about the treatments of prostate cancer……

“Choose your poison.”

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Examples of survey responses

Prostate Cancer Online Sexuality Survey

Sexuality Survey Picture Small
My name is Dr. Jo-an Baldwin Peters (PhD) and I am the Principle Investigator of an online survey for prostate cancer survivors and their partners.My fellow researchers are Dr. Joel Funk, a certified Urologist associated with the Yavapai Regional Medical Center in Prescott, Arizona, and Court Brooker who is a prostate cancer survivor with experience in communications and media.I am an independent researcher and the wife of a prostate cancer survivor.  My qualifications encompass a BS in Physiotherapy (Physical Therapy), an MS in Epidemiology and Biostatistics and a PhD in Health Care Administration.  My dissertation was on how prostate cancer treatments impinge on the sexuality of both partners.  In addition to my research I do presentations to Prostate Cancer Support Groups in Canada and USA, have participated in radio talk shows and have published articles for prostate cancer survivors and their partners.

This online survey is a follow up on my dissertation as several trends showed up that demand further investigation.  Further details are available in the survey link below.

I am trying to generate a significant number of replies to this survey and ask prostate survivors to complete our survey.  If you have a partner, we would appreciate it if they completed the survey, too, as it is important to identify both aspects of the issue on how prostate cancer treatments impinge on the sexuality of both partners.

This survey should be completed by both the prostate survivor and partner if at all possible.

Just click on the appropriate link below to start the survey and be certain to share the other link with your partner.

Cancer SURVIVOR Link PARTNER Survey Link

If you know other prostate cancer survivors and their partners who could help by taking this test, please forward this link on to them.

To contact Dr. Peters please email her at dr.jo.an.p@gmail.com

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