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ProtonPals                                                    e-NewsletterJanuary 2011        



Baton Rouge, La. -  As I write this I'm thinking a visitor to this city could get confused. Especially if they mark the seasons like I do - by what's being promoted and sold in the supermarket and drug stores. My neighborhood super market in Houston dusted off the Valentines day candy very soon after the Christmas decorations were sold out and New Year's holiday ended. This week end they put up a 20 ft. x 40 ft. tent in the very center of the parking lot; and they'll fill it with flowers and gift baskets for Valentines Day. Last week I noticed the Easter egg bunny had taken some shelf space too; off we go again launching into Easter's marketing.  

In the Baton Rouge and New Orleans area the Valentine shelf space has to share with other customs including LSU and Saints football season. Here the start is in January, the sixth to be exact and it's called the Twelfth Night. The beginning of the religious Season of Epiphany. Why do I know it so well? Ah from being an Epiphany baby in the bayous of Louisiana 75 years ago as well as having lived there for a number of years. But this is not about me, it's about the seasons and the customs. Here in this area the Mardi Gras colors have been trotted out in door and house decorations and the masked balls have started. While here for my granddaughter's birthday party, a King Cake was fitted with 12 candles as we sang happy birthday. Purple, Green and Gold were the colors of the cake, the royal colors of the 3 Kings; and LSU and Tulane.  See the article below.

Back to business, in this month's newsletter I'm featuring four organizations that I've relied on over the 4 years I've dealt with prostate cancer. They are represented by newsletters and websites that I think could be important to you as a newly diagnosed patient.

Now that the Proton Center is picking up some of my early duties with it's growing marketing group, I'm shifting the focus of ProtonPals communications somewhat. I'll continue to write about events and happenings in the Center but publish them on the Proton Center's Facebook site along with other members of the Center. Hopefully the patient's Wednesday Night Meet Up Dinners will show up in the EVENTS section.  See the article below on how to join Facebook and access that information.

Please let us know how you're doing and tell us your story.

Your Texas ProtonPal,
Joe Landry
January 30, 2011

In This Issue
A Mardi Gras Tradition
How to Get Current News
YANA Website
Proton for Prostate Cancer
Pediatric Proton Foundation
Brotherhood of the Balloons
A Graduation Speech
A Personal Odyssey Part 8

King Cake

A Louisiana Tradition
Twelfth Nightking_cake
A Mardi Gras Tradition
Season of Epiphany

"The King Cake tradition came to New Orleans with the first French settlers and has stayed ever since. Like the rest of Mardi Gras during those early days, the king cake was a part of the family's celebration, and really didn't take on a public role until after the Civil War. In 1870, the Twelfth Night Revelers held their ball, with a large king cake as the main attraction. Instead of choosing a sacred king to be sacrificed, the TNR used the bean in the cake to choose the queen of the ball. This tradition has carried on to this day, although the TNR now use a wooden replica of a large king cake. The ladies of the court pull open little drawers in the cake's lower layer which contain the silver and gold beans. Silver means you're on the court; gold is for the queen.

"With the TNR making a big deal over the king cake in the society circles, others in the city started having king cake parties. These parties particularly among children, became very popular and have also continued to today. The focus of today's king cake party for kids has shifted more to the school classroom than the home, however. Up through the 1950s, neighborhoods would have parties. One family would start the ball rolling after Twelfth Night, and they'd continue on weekends through Carnival. Whoever got the baby (the coin or bean had changed to a ceramic or porcelain baby about an inch long by then) in the king cake was to hold the next party. You can still hear stories from folks who were kids during the Great Depression of what their mommas would do to them if they came home with the baby from a king cake party, since so many families were short on money then.

"[Today,] schools and offices are the main sites for king cake parties these days. Someone will pick up a cake at the bakery on the way downtown and leave it out for everyone to grab a piece, or mom will send one to school on a Friday for the kids to share. You an always tell the locals from the transfers in any given office because the local knows what to do when he or she gets the baby. The foreigner just drops it on the counter or some such, and possibly might not even bring the next cake. Sacrilege." 
 


 

Should you be interested in some of the best King Cakes in the New Orleans area you can order one from Gambino's . Maybe a ProtonPal from the area will bring one in for their graduation celebration. You can also pick those up in many stores in Houston including the bakery in Central Market delicious but not like Gambino's.
 


Facebook for the MDAnderson Proton Therapy Center
How to Get News and Meeting Schedules Automatically

The MDAnderson Proton Therapy Center has a Facebook site that it uses to link with you and I'd like to convince you to become a friend of that site. There are several other M.D. Anderson Facebook sites and also a YouTube site or but I'll stick with this one relevant to us.

Here's the Facebook site location
Proton Center Facebook Site

To participate and post notes or photos you'll have to join Facebook, all you need is an email address.

How do I sign up for Facebook?

In the Facebook HELP area you'll see the following

" From Facebook SIGN UP page, just provide us with your full name, email address, desired password, and date of birth. 

 

After you complete the sign up form, we will send an email to the address you provided. Clicking on the confirmation link will complete the sign up process."


How Useful is It?

It's going to represent notes and news from everyone and will be more current than what I write on the ProtonPals website. It will also represent all tumor site types, like for the pediatric patients.  Writings, notes and photos should be coming from all patients who are treated at the Center

- In the EVENTS section you can track the upcoming meetings at the Center. For example at the "Beam News" meeting this Wednesday February 2nd, the topic is going to be "Q&A with Dr. Thomas Pugh, a genitourinary specialist who treats many of his patients with proton therapy. To read more about Dr. Pugh go here
the link

- In the NOTES area is Charles Jewell's limerick that he read at the 'ringing of the gong'.


Other sites
M. D. Anderson Cancer Center News

M.D. Anderson Volunteer Services News

M.D. Anderson YouTube Channel

ProtonPals Facebook Site



You Are Not Alone (YANA)

An Important Website for Men Diagnosed with Prostate Cancer


YANA's AIM

To provide comfort to any man diagnosed with prostate cancer, to offer thoughtful support to him and his family and to help them to decide how best to deal with the diagnosis by providing them with and guiding them to suitable information, being mindful at all times that it is the individual's ultimate choice that the path he decides to follow is his own and that of his family, based on his particular circumstance

 

Kerry and Greg Morrison started this group when Gregg was diagnosed in 1991 and chose surgery. They were joined by others, primarily Terry and Anthea Herbert in 1996 who continue to provide the information site. Several of the MD Anderson Proton Therapy patients have joined this site and shared their stories. One of our young ProtonPal leaders from Houston has written his story and has helped so many others that he has aachieved the status of Mentor.

All treatment types are represented at the site and for example; Terrry was diagnosed in 1996 and chose what we now call active surveilance and enjoys continued good health.  You can read his story here.  Terry Herbert


When you visit the site you'll see that there are around 68 men who have listed proton therapy as their treatment choice on the YANA site. In that list almost all were diagnosed with stages T1c (non palpable), T2a(palpable one lobe), and T2b (palpable over 50%).  Clinical Staging

I'm featuring this site because it could be very useful to you. You can look for information and support no matter what type of treatment you have chosen. Anecdotes and stories are categorized by type of treatment an in the Proton treatment area, there area nnnnn members  When Terry Herbert set up the site many years ago he believed there was tremendous benefit in learning about other men's experience with prostate cancer. He recognized that it was helpful to find someone to talk to; someonoe who had dealt with the same issues and problems facing men with the disease. Like ProtonPals he collected stories and anecdotes from men who were willing to communicate and volunteered to act as Mentors. YANA used emails where we used both emails and telephone numbers.  You Are Not Alone - YANANOW.COM

 



Protons for Prostate Cancer
Fuller Jones at ProtonInfo Yahoo Group

Fuller "Sonny" Jones is a retired NASA "rocket scientist" and a veteran of more than 140 space vehicle launches. He lives around the Cape and is a graduate of Loma Linda in 2007.  On completion of his proton treatment he started an information site with the group growing to well over 200 members in the years. He's also published a book which is available on Amazon. Fuller Jones' Book

The ProtonInfo site is a Yahoo forum (or as it was known in the old Prodigy days a bulletin board) where you can post your story or ask questions. There are many knowledgeable and helpful persons who belong to the forum and if you ask a question or post your experiences you'll be able to help others and get help in return.

 

There are two areas where I've obtained considerable help for other ProtonPals. These are 1) insurance appeals. Carol, a wife of one of the patients, has an outstanding white paper for appealing insurance decisions. Carol and her husband retained a young lawyer to develop a case, document and navigate their way to a successful appeal. It was instrumental in helping one of my Pals from Oklahoma get treatment at the MDAnderson proton center. Although close to Procure Center in Oklahoma City he was not admitted there but was accepted by MDAnderson CC. Apparently there are differences in the insurance process where the insurance companies will approve you for treatment in one center but not another and to my knowledge it had nothing to do with quality or reputation.


2) The second area is the treatment of rectal bleeding and the use of APC (argon plasma coagulation). Although few, there have been cases of proctitis(rectal bleeding) that have not responded to conservative treatments like steroid suppositories, Carafate enemas or just healing time. These men who received APC treated have responded exceptionally when it was applied to a limited area by an experienced and knowledgeable gastroenterologist .   


Here's a summary of some of the areas that have been addressed with supporting library of documents. 

  • Insurance and insurance appeals letter
  • White paper on the side effect - rectal bleeding
  • Consent forms from one the centers
  • Links to the other proton centers and support groups
  • Discussion of hormone therapy (ADT)
  • Dr. Rossi's papers and reports on the 15 years experience at Loma Linda 
  • Definition of Clinical Staging
  • IMRT vs Proton Therapy
Proton for Pedi's
Pediatric Proton Foundation

One morning Susan's son, two year old Jacob, could not stand in his crib so she could pick him up. That was 4 years ago when he was diagnosed with Ewing's spinal sarcoma. Susan, Jacob and her husband Jim took up residence in Houston and had Jacob treated successfully with proton therapy at the MDAnderson Proton Center.

Not long after she got back to Virginia and settled back in her job as an executive with a large bank, she created a foundation to promote and support proton therapy for pediatric patients. Pediatric Proton Foundation.

I hope you don't but if should you encounter someone who's child is afflicted with a tumor, please refer them to Jacob's site. There you'll find Susan has paved the way for you, including links to foundation grants for some financial assistance.
Jacob and his mother Susan Ralston
Jacob with mother Susan
at Hampton University Center

The PPF site also has a list of the current and planned proton therapy centers in the United States. By my count there are nine centers in operation and with 18 more planned. There was a recent announcement by the Mayo Clinic to build centers in Minnesota and Arizona. They have committed $350 million to build and open the two 3 story centers in late 2014 or early 2015..U.S. Proton Centers

At the site of the PPF you'll also find excellent articles and information that we've used in the past. For example there's information stored under the tab Insurance Strategies.
  • Strategies for fighting the insurance companies
  • Insurance appeals/letters
  • Dialog with insurers
  • Family Medical Leave Act
  • HIPAA and your rights.  

Brotherhood of the Balloons

Bob Marckini Who Taught Us How to be Proactive Patients
 

  Last but not lhe least in our list is the Brotherhood of the Balloons.  Now numbering over 6000 members, the Brotherhood and Bob's book was the
Click on Image to Order Book
starting point for many of us. Founder Bob Marckini has done an enormous service for prostate cancer patients, the medical community and the whole area of being an informed patient. I first learned about Bob in 2006 when I was referred to the site by a colleague of mine. It was the start of my journey with proton therapy and the MDAnderson proton therapy center. Thanks Bob.  

If your friend or acquaintance is newly diagnosed with prostate cancer you may want to give him Bob's book. Here's the lead in to the book.

"The task of choosing the right prostate cancer treatment is daunting. It is further complicated by conflicting information the patient receives from physicians and the Internet. This book is written by a prostate cancer survivor who now runs an international prostate cancer support group. It's about his journey and the important things he learned along the way. It is the book the author wishes had been available when he was diagnosed 6 years ago. It is intended to provide specific information for men who are at risk or have been recently diagnosed with prostate cancer. All major treatment options are examined and the pros and cons of each are summarized. A relatively new, non-invasive, highly effective treatment is highlighted. It is an option that cures cancer as well as any other option, but generally leaves the patient with a higher quality of life and fewer, if any, side effects. This book has been endorsed by several physicians as well as other highly respected people from all walks of life."


Ringing the Gong

From the M. D. Anderson Proton Therapy Center Facebook Site 


The following is a limerick that Charles Jowell (prostate patient) and his wife wrote as a graduation speech. Proton Therapy Center patients ring a gong to symbolize the end of their treatments, and many people choose to say a few words. Other patients, their families, and members of the proton therapy staff often attend.
 Graduation Time Speech

 


To the "Brotherhood of the Balloon,"

I'll be leaving you all very soon.

I've enjoyed my stay, but I long for a day,

That doesn't begin with a "moon."

 

Now, SJ and I were 3rd door,

Ya' know, I'd never beat him before,

But, on Christmas Eve night, my water got right,

And that gift he gave me, I adored.

 

I feel lucky to have Dr. Choi,

Who I first thought to be only a boy.

This guy is so bright, and he'll call back, AT NIGHT,

His devotion is truly a joy.

 

The technicians on 3 are superb,

But just to say, "They're the best" seems absurd.

With the beam they call, BOH, they've succeeded, I know.

'Cause they're Angels from Heaven, have you heard?"

 

We have Stephanie, Marilyn, Hein and Joanne,

Three gentle, sweet gals and a very nice man,

And I'm not just teasin', it's the staff that's the reason,

Houston's number one in the Land.

 

So now we must be on our way,

But before we depart, let me say,

We thank every one, for all that you've done.

You'll be here, in our Hearts, every day.

 

CHARLES (and Lynda) JOWELL



A Personal Odyssey - Part 8 of 8
Experiences at the Proton Therapy Center and Houston

Gene A. a close ProtonPal wrote this Odyssey a year ago and we published it in installments. Now we're publishing the last installment. It seems especially fitting now that the world has turned a few times and four seasons have passed. Since I started the lead in letter about seasons here's what happening in Houston - it's..."Yee Hah!" time - soon to be rodeo time in Houston. Read about it below. What Gene didn't record was that on the Friday leading up to the rodeo parade everyone dresses in western garb for GO TEXAN DAY, even the "suits" working for my old company in the center of the city wear boots on that day. Kind of like a casual Friday. Well many of the lawyers dress that way all year, boots and string ties! When Gene returns to Houston for his annual check up I'll ask him if he'll write Chapter 9 for us, Chapter 10 and many more.  Joe L.


The rodeo is in town. It's BIG! How big? Oh, I'd say about five tons of horse and livestock manure, maybe more. The rodeo is an annual event that begins weeks ahead with trail riders starting out for Houston from all directions in a range as far out as 200 miles, riding and camping along the roadway with chuck wagons in tradition of the Old West. The ride culminates with the customary parade through the center of town to mark the formal start of festivities. While this is going on other daily events kick-off at the Reliant Arena with private tent parties -- sponsored by Jack Daniels and other beer and booze makers -- , a cook-off, carnival, nightly concerts, livestock judging, cutting horse contests, and much, much more as shown on their website: Houston Rodeo  What it amounts to is a gigantic city-wide block party that goes on for two-and-half weeks.We're told it takes about that long for everyone to sober up.

 

Next week marks the end of my treatments with graduation on Friday. It also marks the end of this chapter of my personal narrative. When I first started writing, I had  little more in mind than an occasional update on my progression to family and friends. When I plucked the theme, "The Odyssey," from thin air, I thought it would
be nothing more than a metaphor for my effort to overcome prostate cancer, though, hopefully less perilous than the epic journey of its nemesis, Ulysses, in the Homeric Greek poem of the same name The Odyssey.  That this has turned into something more is the unintentional discovery of personal situations and friendly encounters that have enriched the value of my experience.

As many of you know, I had devoted a good many years with photography as a hobby, and have now turned that interest into collecting the work of others who are far more accomplished in turning the vernacular into fine art. What continues to intrigue me about photography, and art in general, is the ability of the artist to visualize and
render a subject in such a way that it takes on new intensity and relevancy. It is as if the artist has shown me a new way to see something that I had overlooked before. I am not an artist, but in similar vein writing has channeled me more intensely upon people, their stories, and other circumstances that might have otherwise passed without notice. It is in this manner that "The Odyssey" has probably become more significant and memorable to me than for you, and for that I hope you will forgive my overbearance.

A certain few of my dedicated readers have suggested that I expand my experience with prostate cancer as reported in my weekly mutterings into a book for publication. I respond that that road has already been paved by many others, and that it's unlikely that I could add substance beyond that which is already in the public view. If I were to reconsider, the opening line would go something like this:


'It was the best of times; it was the worst of times . . .' 

 

Yes, of course, it's from Dickens's "A Tale of Two Cities,"  But, dear reader, my story also is a tale of two cities, home and Houston, in which I the protagonist seek professional guidance from urologists and oncologists with different experience and opinion. Unlike the original tome, my story would be about revelation, not revolution, and the ending would be truly the best of times.

I realize now I have been unfairly critical of the opinion and direction I sought from doctors at home. I failed my own advice of being my own medical advocate by not recognizing the signs of advancing disease much earlier, and taking the initiative in researching my options before they became more limited. There are good doctors
everywhere, but some better than others by specialization and peer recognition. I have found mine in Houston. You may find yours elsewhere. I would hope you would benefit by my experience and seek out the very best.

Now, that I'm approaching the end of proton radiation in Houston, you may ask if I have any regrets. None as far as treatment is concerned. Absolutely no pain and very few side-effects other than the hot flashes from hormone therapy. My only regret is not having taken full advantage of all the amenities of Houston. Not having a car available was limiting. Cold weather the first few weeks following our arrival wasn't conducive to wandering. And, my encounter with Good Old Bob left me with a gimpy leg for awhile. Now that everything is falling into place, it's time to leave. I want to thank my family and friends for their good wishes and encouragement, and most particularly my Houston buddy, Joe Landry, who mentored me before and during my stay.


Is this the end of the story? Only time will tell . . .


Gene February/March 2010
 

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
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15806 Manor Square Drive

Houston, Texas 77062 - 4743
ProtonPals, Ltd.
 
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