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ProtonPals                                                    e-Newsletter November 2009 
Greetings!
Rockwell's Freedom From Want
This month I thought I'd reflect on our many blessings and say thanks to all at the Proton Center who have provide care for us and who have contributed to our organization's effort in supporting the newly diagnosed and in providing information during your recovery. 

In October we received our first 3 mini-grants from my old company; i.e. the one I retired from in 2000. The ExxonMobil Foundation has a very active volunteer involvement program where it encourages volunteerism by matching employee and annuitants volunteer work with mini-grants to the non profit organizations. Based on my work with ProtonPals, I applied to the foundation for 3 mini grants and received a check for $1500. This money is being used to support our low budget operations and to gradually pay back a loan. The primary expenses come from the web site subscription, the email newsletter services from Constant Contact, conference outreach materials and publications.

I'd also like thank two of our ProtonPals, Thomas R. and Lorene M. for writing to us and adding another a different personal touch to the our newsletter.  Thomas is a young man who completed his treatment this year and writes about his journey in this month's newsletter.

From California, where Lyman recently returned after completing his treatment in September, Lorene writes about what's it's like from a wife's or sweetheart's point of view.

In gratitude to all who've come forward to support and share information with your Pals in our "little den" or change room, and in social hours at the days end.

From Your Texas ProtonPals,
Joe Landry, Ban Capron and Peter Taaffe
ProtonPals
November 21, 2009

NOTE: The "Feedom from Want" is one of four pieces painted in 1943 by Norman Rockell and is in the Norman Rockwell Museum in Stockbridge, MA.  I saw the set in 2006 and this little clip does not do justice since it is an oil on canvas and is 4 feet by 3 feet. The other three paintings are "Freedom From Fear", "Freedom of Speech" and "Freedom of Worship."
Four Freedoms
In This Issue
Notes on a ProtonPal's Journey
His Body, Our Heart
Support Group Meeting Summary
Health Screening in the News
Change in Lifestyle
Notes from a ProtonPal's Journey
Thomas R. Reviews Article and Reflects on His Own Journey

I am African American, diagnosed at age 49 with a PSA of 3.0 (having risen 8mo earlier from 2.5) and Gleason of 7 (3+4). I am married with two children.  I just read an interview by Dr. Terry Mason.  It has 10 questions addressed to an African American (AA) urologist who has an active role in the Chicago area treating and advocating for AA with Prostate Cancer (PC). I found the interview well done. He does not advocate one treatment method, rather, he suggests taking time to research at least surgery and radiation before making a decision. It is worth reading by anyone, particularly, if they, or someone they know was diagnosed with PC. 
 
The usual issue concerning screening continues to be debated.  Why? I don't have the slightest idea. Consider that PC tends to strike AA's younger, is more aggressive (i.e., higher Gleason), and tends to be more advanced when diagnosed, suggests to me that AA should not hesitate to get initial PSA and DRE perhaps as young as 30. These screenings are not expensive, nor are they painful. At the very least they would provide a baseline from which to monitor patients.  Some have said that this could lead to more problems such as needless anxiety and worry.  I suggest telling that to the man who at age 39 learns that he has PC with Gleason 10 and evidence of distal metastasis. I've met such men since the time I was diagnosed and subsequently treated.  None would trade waiting to discover advanced PC at the 'recommended' age for dealing with some anxiety earlier in years.   As for me, finding out earlier gave more options and hope compared to finding out later.
 
The article explores the possibility that race plays a role in diagnosis, treatment, and complications due to treatment. I won't spoil the interview for those who wish to read it.  My personal experience is aligned with most of the men who chose PT. Almost universally, we stumbled upon it.  I was told surgery was my best option due to my relatively young age, and I was two weeks away from my appointed time with the knife. My wife never let me rest with surgery so I continued to search for something else. Eventually, I asked for a referral to see a radiologist. The radiologist suggested surgery but was willing to screen for Proton Therapy. He said that if I were to chose PT I should consider 6mo of hormone therapy.  I also asked to speak to a PC Oncologist. He initially suggested surgery as well. When I told him of my concerns about the potential life long side effects of surgery, he suggested that PT with hormone therapy was perhaps for me a better choice. The fact that I am writing this introduction shows which treatment I chose. 
 
I cannot say that I was treated worse than others, or that my treatment was administered with a different (perhaps worse) precision than others. I feel I was treated for the specific symptoms, age, race, grade of cancer, and potential spread of the disease. Because of my excellent experience I would without hesitation recommend PT. With the exception of the initial diagnosing urologist who (in my opinion) strongly recommended open surgery as soon as possible, no other doctor was so insistent upon a quick decision, nor did they try to overly influence my decision. I feel that I was (in all respects ) properly treated once I slowed down, and took control.
 
Sincerely, and wishing all men low-steady PSA's,
 
Thomas R
 
His Body, Our Heart
Prostate Cancer - A Wife's Perspective

In early 2009, my then-sweetheart-now-husband was diagnosed with prostate cancer.  I remember the day this journey started in February, and where I was standing when he told me.  He had just walked into the house and I was standing in the hallway.  I took one look at his face and in that single, crushing instant - knew something bad had happened.  He told me that his doctor had reviewed his most recent PSA test and wanted him to get a biopsy.   Two months later Wyman called home during lunch and told me that his urologist had come to see him at work to tell him that his biopsy was positive for prostate cancer and wanted to see both of us that afternoon.  (Wyman is a nurse and his urologist works in the same building)
 
I was a little too stunned to be scared right then.  I hung up the phone and immediately got onto the internet to do research on prostate cancer and although Wyman "graduated" from proton therapy treatment at MD Anderson on October 1, 2009, I still do constant research - I always will.  If I were to describe the emotional roller coaster that we have both gone through from the moment his PSA test went awry on him, it might fill a slim book.  You see, I don't have a prostate.  I don't have brothers and my father didn't suffer from prostate problems during his lifetime.  My men friends talked about all manner of boring, fascinating or disgusting male interests - centering most of their discussions on sports, money and what they hated about their jobs.  No one mentioned their prostates.  I only knew about prostate cancer at the very edges of peripheral friendships; it always happened to someone's grandpa or uncle or dad. 
 
Now I am 55 years old and as statistically expected, every age-peer man I know is very familiar with the annual "finger wave" exam and its implications.  But discussions about side-effects from surgery, hormone treatment and photon or proton radiation therapy are still intentionally vague, even from urologists.  Remember when sex used to be a deliciously taboo topic?  Now you can watch more infotainment on the topic than is bearable.  However, the topics of incontinence, impotence and the ancillary emotional/financial/social effects of prostate cancer need to be dealt with more openly, like with the Proton Pals support groups at the Proton Therapy Center.   Gentlemen, I am going to be perfectly blunt with you:  sexual intercourse with an erect penis is not necessary for lovemaking.  Honestly.  Women may be way different, but when we love you, we do so unequivocally.  Talk to us about it so that together we can make it work.  Understand that even if we ladies are trying to be strong and supportive, this might scare the heck out of us at first too.
 
But that is just the tip of the urological iceberg.  If there is anything Wyman and I have learned through this experience, its how much we didn't know about prostate cancer, its side effects and the medical treatment options.  As a woman who is so used to having her gynecological depths physically plumbed on a regular basis, I am a little dismayed by how prostate cancer is often cursorily discussed as a statistical occurrence; "if all men live long enough, they will have some sort of prostate problem, not limited to cancer".  Many men have difficulty enough with the idea of a physical invasion to their bodies through the back door.  They might also find it difficult to communicate emotional issues - so being saddled with a prostate cancer diagnosis can make for rough going in uncharted waters.  Don't listen to any of the bunk when people - including medical professionals - shrug off prostate cancer as a minor occurrence.  After all, it is happening to YOU so nothing could be more important. 
 
Here is the thing; the people in cancer patients' lives have to be supportive and caring and simultaneously somehow have to give short shrift to their own fears and just plow forward.  If you need a female mentor for what fearlessness in the fairer sex should look like - go talk to Tai Ly, RN, ANP-C, at the Proton Therapy Center.  She will tell you straight up what your options are and why you should not waste a single second worrying or being scared.  She will also tell you that M.D. Anderson's Proton Therapy Center will take care of the prostate cancer once you are accepted for treatment.  She made our fears dissipate in the first 5 minutes of talking to her - pffft, just like that.   It isn't that you can be promised an absolute "cure", but you will discover that you can't make things any better by being negative but you can surely muck yourselves up unnecessarily.
 
If I could give my amateur advice to anyone going through prostate cancer diagnosis and treatment be they husband/wife/partner/friend/family - it would be to immediately ditch your fears at the doorstep and arm yourself with all of the research that you can find.  Talk to more than one urologist, more than one radiation oncologist, a psychologist, social worker and all the friends or acquaintances you have who might have gone through this experience.   READ UP ON THE SUBJECT and don't take "No" for an answer.  When you talk to those professionals, do NOT take a back seat and think that your have to nod politely and be accepting of whatever you are told.  These are your lives and your dimes; doctors are not miracle workers nor is it their responsibility to do the research for you.  They do have an obligation to answer all your questions fully to the best of their ability, but you must be aware that they cannot be specialists in all fields of medicine.  If you don't feel like you are getting enough information then immediately avail yourself of all the resources available.  Good doctors will never discourage you from seeking more information.  As far as proton therapy goes, you will not get nearly enough necessary information from the general urological community for whatever myriad reasons exist.  Don't waste time.  However, be realistic about how much work you have to put into your own health care both before and after treatment. 
 
Become your own best advocate and pffft, just like that - you will be graduating from treatment at the fantastic M.D. Anderson Proton Therapy Center and on your way to a better golf game...or the same dang one but ain't life a blast anyhow?
 
Oh yes, if you need help - the Proton Pals is wonderful place to hang out. 
 
Lorene W.
November 2009
 
November Proton Therapy Group
A Monthly Group Meeting for Proton Therapy Patients
Healthy Eating During the Holidays - Amy Stahl, Senior Clinical Dietitian with M.D. Anderson was the featured speaker at November's meeting. Although the group was small we had a very active meeting and it was especially upbeat session but touching since two members were completing their treatments the following day and would be leaving Houston to return home. Congratulations to Scott. S. and Patrick B.  Scott heads back to Florida and Paul and his wife are driving back to Olathe Kansas this weekend. Scott owns a risk management and insurance agency on the Florida coast. Scott wanted you to know he's interested in continuing his active role in supporting newly diagnosed men in addition to current ProtonPals. In making his decision, Scott did a lot travel and research into treatments and has shared information on surgery as an alternative with some newly diagnosed men. Paul B. and his wife have owned a bricks and mortar health food store for many years, along with two gyms and also a large online health food business.    
Tired of My Rants on Early Screening?
Read this "Wait til age 50 for mammogram"
I've been pounding the podium on early PSA screening for so many months I thought I'd give it up this month and write about what's going on in women's health. A very recent article in the Houston Chronicle about the recommendations of the U.S. Preventitive Task Force  drew this comment from Bubbasue who wrote.  "Well, paint me a dead woman. I had breast cancer at 44! Early detection saved my life."

Well when I wrote that first paragraph on Monday, the day of the announcement, I knew they had struck a nerve and there would be a lot of "walking back" this recommendation as it's called on cable news. And there was plenty.

This is the first and foremost health issue in every woman's mind. I know personally since I have two in our immediate family with breast cancer and both are not over 50 years old. 

As we near the end of the first decade of this century do you get the impression (as I do) that we are in an irrational age and that the "inmates are running the asylum?" If you agree speak up and do something about it.

Let Your Annual PSA Screening be a Catalyst
To Commit to A Anticancer Lifestyle Change.
After hearing David Serban-Schreiber in Houston earlier this year, I ordered his AntiCancer book and had it shipped to all (5) of our adult children. I was really impressed with his story and featured him on this newsletter. He's lending his insights to early prostate screening and how you could choose that to effect a change in your life style in his blog this month.  Screening for prostate cancer:
About ProtonPals
Thank you for subscribing to the newsletter and using the ProtonPals web-site. You'll receive one or at most two mailings a month around mid month.  In addition to the newsletter we'll also send one or two additional emails of special events or news that are of interest to the group that month.
If you're a new subscriber you may not notice that we've contracted with the email service to archive our newsletters back to May 2009. 

ProtonPals is a group who chose proton beam therapy to cure their cancer and were treated at the University of Texas M.D. Anderson Cancer Center  Proton Therapy Center in Houston, Texas. The "Pals" formed a network of Pals in order to:
  • Stay up to date with treatment cure results
  • Provide support to others and Center activities
  • Be informed on any side- effects
  • Promote proton radiation since it's widely regarded to have a significant advantage over conventional x-rays.
  • Attract and nurture more Pals who support our cause, patient-to-patient and friend-to-friend
Joe Landry, Ban Capron and Peter Taaffe
15806 Manor Square Drive

Houston, Texas 77062 - 4743
ProtonPals, Ltd.
 
Support ProtonPals by letting us know how you're doing.  As a former patient we'd all welcome your help in getting the word out about proton radiation and how you're doing. Please donate using the Donate Icon below or mail a check made out to ProtonPals, Ltd.(we're now tax deductible) at the address above.  Read more about about it on the website How to Help - Giving

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