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

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.

Prostate Cancer – 3

Reportedly, most cases of prostate cancer are identified by screening of asymptomatic males and most cases show no symptoms—but there is controversy regarding screening. The American Cancer Society and American Urological Association have issued guidelines that differ on specific points but agree on the value of prostate screening on selected populations, for patients who agree to screening after a discussion of the risks and benefits. Males with a positive family history who are most likely to benefit from screening are those with a first degree relative who had advanced PC at diagnosis, who developed metastatic PC, or who died of PC. Physical examination alone cannot differentiate between benign prostatic disease (BPD) and cancer. There are two necessary components for a modern prostate screening protocol. One component is a DRE (digital rectal examination):

·        It tends to be examiner dependent (e.g., how skilled or experienced the person is)

·        Serial examinations over time are best for comparison.

More tomorrow.

Prostate Cancer – 2

Who is at risk for Prostate Cancer (PC)? Males, of course—because they are the only ones who have a prostate gland. Is there a cause? Researchers are trying to figure that out. Current studies are investigating the role of STDs (Sexual Transmitted Diseases), prostatitis, alcohol use, or diet. Diet is believed to play a role in the development of PC although no specific diet can prevent or eradicate it. Prostate cancer, like other cancers, is an extremely complex process. The principal message from nutritional studies in humans has been an endorsement of the benefits of a diet consisting mainly of vegetables, fruits, fiber, and fish, combined with restricted caloric intake and/or exercise to maintain or achieve a healthy weight. More tomorrow. 

The Brain and Prostate Cancer (PC)

Recently I’ve received quite a number of questions from females asking if there is an easier way to help their brains understand prostate cancer, the risks, and the treatment options—a husband or brother or father or friend having recently been diagnosed. PC is the most common cancer in US males after skin cancer and the second leading cause of death from cancer. Although often slow growing, PC nonetheless accounts for almost 10% of cancer-related deaths in males. Estimates are that one in six white men and one in five African-American men will be diagnosed with PC. (It is diagnosed in an estimated 80% of males who reach age 80). No wonder mothers, sisters, wives, aunts, girlfriends, etc., are concerned about their male loved-ones! As you may know, the walnut-sized prostate gland produces fluid that helps to transport semen. The gland itself surrounds the urethra that carries urine and semen out of the body. Naturally as the prostate enlarges, it can impact the flow of urine. More tomorrow. 

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Sleep-Mood Link

According to lead author Patrick Finan, PhD, an assistant professor of psychiatry and behavioral sciences at the Johns Hopkins University School of medicine, when your sleep is disrupted throughout the night, you miss an opportunity to progress through the sleep stages to get the amount of slow-wave sleep that is key to the feeling of restoration. Know yourself. If light bothers your sleep, make sure your room is a dark as possible or wear eye protectors. Remove electronic equipment from the bedroom (e.g., TV, computer, iPad). If sound bothers your sleep—and you’re not a new parent!—wear earplugs or take turns wearing earplugs on alternate nights. Avoid eating heavy food for dinner or, if possible, eat before six o’clock. Turn off electronic equipment an hour before bedtime as it takes about an hour for the brain to readjust from the electronic lights.