Friday, November 17, 2017

Bumper Stickers

In 2016 I put a few examples of bumper stickers that I had collected in one of my blogs. The really fun part was that readers began sending me more examples. Here are some of them (examples, not the readers!):

·         Pride is what we have. Vanity is what others have.
·         Give me ambiguity or give me something else.
·         Lottery: A tax on people who are bad at math.
·         It IS as bad as you think, and they ARE out to get you.
·         Learn from your parents' mistakes; use birth control.
·         Forget the bacon, I’m bringing home crabs
·         Society has enough youth; how about a fountain of Smart?
·         Auntie Em: Hate Kansas. Taking the dog. Dorothy.
·         The wife says I get plenty of exercise just pushing my luck.
·         Where there's a will, I want to be in it.

Thursday, November 16, 2017

Prostate Cancer - 9

Bottom line: there is no 100% eradication for Prostate Cancer available regardless of treatment options. However, living the healthiest lifestyle possible is believed to help. I call this a Longevity Lifestyle—and it matters. This type of lifestyle is not a flash in the pan but a way of living for the rest of one’s life. It includes physical and mental exercise, avoiding dehydration, obtaining adequate amounts of sleep, developing a positive mindset and self-talk, careful nutrition with portion control, keeping one’s weight within a recommended range, and so on. Such a lifestyle can help to keep the immune system working well. Those who also choose to “juice” along with a healthier lifestyle may have an advantage—but the measurability is yet unknown and does not replace active treatment).


Hopefully this is a start on developing a better understanding of Prostate Cancer. More in-depth information may be found at https://search.medscape.com/search/?q=prostate%20cancer&plr=ref

Wednesday, November 15, 2017

Prostate Cancer - 8

There are several treatment options to discuss with one’s physician for localized PC (and each has pluses and minuses). For example:

  • Active surveillance (depending on one’s risk category)

  • Radical Prostatectomy (e.g., open or robotic-assisted laparoscopic surgery)

  • Radiation Therapy (e.g., Brachy therapy; External beam radiation, x-ray or photon; Tomotherapy; Proton therapy)


  • Androgen Deprivation Therapy (ADT) 

Tuesday, November 14, 2017

Prostate Cancer - 7

It’s important to do some personal research and collect one’s own personal data and information. There are at least three factors to look at. 
  •     PSA (Prostate Specific Antigen)—Look at the doubling time; how fast PSA is rising.


  • Gleason Score—Look at the score in terms of Low, Intermediate, or High Risk disease


  • TNM (Tumor Lymph Nodes Metastasis)—has the disease spread to other parts of the body

Monday, November 13, 2017

Prostate Cancer - 6

The Gleason Score was named for the pathologist who developed the grading system to determine risk. Beginning in 2018, some expect the categories based on the Gleason Score to be as follows:


Grade
Major
Minor
Total

One
3/5
3/5
6/10
Two
3/5
4/5
7/10
Three
4/5
3/5
7/10
Four
45
4/5
8/10
Five
5/5
4/5
9/10
or greater

·         Low risk disease: Gleason 6/10, few cores positive, and PSA less than 10.
·         Intermediate risk: Gleason 7/10 and/or PSA 10-20.

·         High risk disease: Gleason 8/10 or above and/or PSA greater than 20.

Friday, November 10, 2017

Prostate Cancer – 5

American Cancer Society recommends that the patient determines screening after discussion with the physician about uncertainties and potential benefits of screening. In general:

  • Recommended age for starting screening is age 50 for average risk who have at least a 10-year life expectancy

  • Recommended age 40-45 for African Americans and men who have had a first degree relative diagnosed with Prostate Cancer before age 65


  • Recommended age 40 with several first degree relatives who have had prostate cancer at an early age

Thursday, November 9, 2017

Prostate Cancer – 4

The other necessary components for a modern prostate screening protocol is the PSA (Prostate Specific Antigen). With its advent, some symptoms have been identified including:

·         Urinary frequency – 38%
·         Decreased urinary stream – 23% (due to enlarged prostate)
·         Urinary urgency – 10%
·         Hematuria (blood in the urine) – 1.4%


No PSA level guarantees the absence of prostate cancer. The risk increases, however, as the PSA level increases For example: about 8% chance of Prostate Cancer with PSA levels of less than or equal to 1 ng/mL. About 25% chance of Prostate Cancer with PSA levels of 4 to 10ng/mL. About 50% and greater chance of Prostate Cancer with PSA levels above 10ng/mL. More tomorrow.