Think of your spouse more highly than yourself. Putting your spouse’s needs above your own builds equity in any marriage.
Valentine’s Day is a special day for couples, married or not. However, if Valentine’s Day is the only day where a married couple is celebrating their “woness,” something is wrong.
The cards, chocolates, heart pillows and teddy bears are fine. But all this should be an expression of what has been going on throughout the year. In other words, the Valentines kindness should be an overflow of the sacrificial, selfless love that characterizes a healthy marriage.
So today, let your gifts be not a high point of your union but a reminder of the love that daily makes your “woness” special.
Find ways to serve one another. Don’t wait for your spouse to ask you for something that obviously needs to be done.
As I recently celebrated another birthday, I’ve contemplated a lot on what the day actually meant to me. This is because I was celebrating more than just the day of my birth. I was also celebrating the one year anniversary of my prostatectomy procedure and the fact that my dear wife made me go get a physical, which led to my #prostatecancer diagnosis. I celebrated not only my birth but also my wife’s commitment to #insicknessandhealth. Her commitment to “woness.”
This month is also #prostatecancerawarenessmonth, which reminds me that I am now part of a brotherhood of men who fight and have fought this highly treatable yet terrible disease.
Yes, this birthday was like no other. It was definitely a celebration of life in more ways than one. Probably my most important birthday!
In my last post, I had mentioned that after considering our options, we decided that surgery was the best choice for us. We researched and read in order to prepare ourselves for the big day. Sure, we both had some deep concerns regarding what the pathology report would read and what the next steps would be. But we prayed and left all those anxieties and worries at the foot of the cross.
On a partly cloudy day on September 20th, as sat as a family in the waiting room, I almost forgot why we were at the hospital. However, I was quickly reminded when my name was called and a nice lady applied a bracelet to my wrist. Things were starting to get more real. But I was ready! I was also hungry… I mean, I’m a breakfast man so… I’m just saying… When my name was called again, it was for real. It was time for me to take the long road to the pre operative area.
I was given a gown to change into. The anesthesiologist then came to the room. He was a rather quiet, stoic man. He asked me if I needed anything, to which I responded, “how about two shots of Jack Daniels?” Unimpressed by my response, he said, “well, we’ve got some medications that…blah blah.” “Could you just humor me,” I thought to myself. But the anesthesiologist went about his business. The nurse who was completing my pre-op papers kind of chucked at the exchange. Much to my surprise, I got a visit from my pastor and one of our elders who said a quick prayer and wished me well.
After an IV was started in my arm, I was wheeled to the cold operating room. The only thing I remember was seeing a large piece of equipment in the center of the room. This was the robotic machine used for the prostatectomy. After that, all I remember was waking up in the recovery room with a catheter. I was then transferred to a hospital room where I stayed two nights.
It was nice to come home to my own bed. I’m not the greatest of patients but the recovery was not too bad. I had a lot of help and mother-in-law even came down, and she was great!
Fast forward to eight months after surgery and I’m doing great! My latest PSA was still undetectable and I’m officially cancer free. I will still have my three month checks for two years. I continue to thank God for the medical team that treated me, for all the prayers and support from friends and of course for my family. I especially thank my one, my only, my forever partner, my love, mon cherie, my ride or die. My wife of 23 years has a been my rock, my unwavering support, my nurse and my best friend! I couldn’t have gotten this far without her.
I can officially say that I’m a survivor!
Now that we are well versed on the Gleason system, I’ll continue my story.
So with all the pieces of the puzzle together, now came time to break out the National Comprehensive Cancer Guidelines (NCCN) to develop a treatment plan. The NCCN is a comprehensive set of guidelines developed through extensive review of clinical trials and existing treatment protocol along with expert medical judgment and recommendations by physician panels made up from Member Institutions. These guidelines cover 97 percent of all cancers affecting patients in the United States and are updated on a continual basis.
According to the NCCN flowchart, interventions or treatment protocols are based on age and life expectancy. This means that the younger the patient, the more aggressive the intervention. Conversely, the older the patient, the more conservative the approach. For example, a 75 year old male diagnosed with a Gleason 7 prostate cancer would more than likely undergo radiation rather than surgery.
Well, from what I remembered, my Gleason score was 6. According to the NCCN Guidelines, the recommendation was prostatectomy (removal of the prostate), brachytherapy (radioactive pellets placed into the prostate gland) or external beam radiation. And with the radiation, I would have to decide if I wanted to have androgen deprivation therapy (ADT), which are basically injections to decrease testosterone, which is known to promote prostate cancer growth.
So, again, my Gleason score was repeated as a 6. And now I had to decide on which type of radiation I wanted as treatment and if I wanted to go through with ADT. Well, nothing sounded extremely attractive about pellets being inserted into my prostate or ADT. So I decided against those and surgery and opted for external beam radiation, which I know from others who had it or were having it, that it was 40 treatments.
Of course, as with any discussion of a surgical procedure or medical treatment, came the discussion or “informed consent.” “Everyone is different and not everyone has these effects, but some of the side effects of radiation are urinary incontinence, blood in the urine, painful urination, diarrhea and erectile dysfunction. These are mostly temporary and medications can be given for erectile problems.” (Sorry, I have to keep it real). Just what I wanted to hear- feasible ways in which I could help keep the prescription drug industry viable! (insert sarcasm face). Well, this was starting to sound less attractive
I left that appointment determined to do more research in terms of pros and cons of radiation therapy. I knew I need to find people who had been through this type of treatment and glean from their experiences. To be continued…
As we continue to raise awareness for prostate cancer, please remember: Although there may not be a hard rule for screening, talk to your doctor about a PSA test if you’re between 45 and 55 years old. Screening should be done at 40-45 years of age for African Americans, Latinos or if there’s a strong family history.
So what’s it like to hear you have cancer right before a vacation? Well, let’s just say that it wasn’t in my bucket list.
After our vacation, came the follow up visit. As it had already been related to me, I would need some diagnostic studies to rule out any spread. Oh yeah, I guess this is a good time to say that I’m a doctor and I was very familiar with all these steps. Familiarity, however, didn’t add any level of comfort. It did however, allow me to cut out the middle man and schedule my own tests! In my sense of losing control I needed to feel like I still had some, even if it was in my own head.
As I laid motionless on the hard, cool table for the bone scans, I could see my images on the screen and immediately knew there was no spread. I guess my knowledge was helpful in this case. But I also knew that the next step involved a discussion of treatments. And I knew that I was facing radiation or surgery. However, I thought for a moment how someone in my shoes would feel if they didn’t have the medical knowledge that I did. Would they feel lost, out of control and helpless? I think they would. Because in a way, so did I.
I guess I also have to share at this point the fact that my darling bride of 23 years was with me during these visits. It was very reassuring to know that I had her support. I told her she didn’t have to go with me but in a very assertive way, with a not so nice look she said, “shut up!” That made me happy.
To be continued…
“Next stop, Biopsy,” said the conductor as the train pushed forward. Then the Tran came to an abrupt stop. As I de board, I enter into the urologist’s office for my biopsy appointment. This would be what’s called a core needle biopsy. For this procedure, the doctor uses a probe with a somewhat of a spring-loaded, thin, hollow needle to obtain specimens from the prostate gland. (I won’t go into all details).
When the trigger is pulled, the needle retrieves a small cylinder of prostate tissue called a core. This is repeated about 12 times to get several samples from different areas of the prostate. Yes, there’s local anesthesia involved. Besides some discomfort, it wasn’t horrible. I wouldn’t sign up for it again though!
Well, we were all set to go on vacation in three days and here I am, waiting on biopsy results! I didn’t really know if I wanted my results before or after our vacation. But in a way, I wanted to know what I was up against so that I could have some time away from the hustle and bustle to gather myself and get mentally prepared for what was coming up. After moments of contemplation, I decided to bite the bullet and call for my results two days before our trip. Well, when I called, I was transferred to the doctor’s assistant. “Hi Mr Araujo,” said the nice assistant. Her voice was friendly and chipper. This could only be good news, right? Could this be a sign for optimism? I didn’t find out because I was told the doctor would have to call me in the morning. Ugh!!!!
So I get a call in the morning. Not only was I told the results, but I was also e-mailed the report. In a matter of seconds I felt like had just entered the twilight zone! I don’t remember anything else that was said but I could probably reel off what the pathology report read. What I remember most vividly, was the word “adenocarcinoma.” Adenocarcinoma is the type of cancer that develops in gland cells and is the most common type of cancer found in the prostate gland.
50% of the biopsy specimens were positive for adenocarcinoma. There were numbers
associated with each biopsy specimen that appeared in the following manner: 3+3=6 which were most of the core specimens. One however, had the numbers 3+4=7. The others were labeled with what became my favorite word, “benign.” I was also told, as I would’ve expected, that I would need to have a bone scan and MRI to check for possible spread. Yes, I had now entered into the cancer world. The only question was, how deep?
Wow! This was a lot to take in right before a vacation! But I just needed to know so that I could at least use a few days off to process this information.
To be continued…
About two months ago we embarked on a new journey. Although, I got ticket for this ride when I was by myself, it became apparent rather quickly that this would be a trip for two. A journey or a trip usually implies something new and exciting. Although we are experiencing something new, it’s not necessarily exciting.
There’s no better place to start other than the beginning. So here it goes:
I just recently had my first physical in at least 13 years! Yeah, yeah I know. This in spite of the fact that there’s a strong history of prostate cancer in my family. Well, the same evening of my physical and blood work, I received a call from the doctor’s office advising me that I would need to call to schedule an appointment “to go over the blood work.” That’s never a good sign.
Well, I called the next day, which happened to be a Saturday, and was told I could walk in. I was told that my PSA was elevated. For those of you that don’t know, the PSA stands for “prostate- specific antigen.” which is a protein produced by both cancerous and non cancerous cells in the prostate. There is normally a small amount of this protein in the blood, so the PSA blood test is a screening tool for possible prostate cancer.
Back to my PSA. It was 16 ng/mL. To put this in perspective, a range of 0-2.5 ng/mL is considered a safe zone. This however, can vary a little by age. Anything over 4-5 ng/mL will most likely be followed by a discussion with a medical provider. So obviously there was cause for concern. Was my father’s history of prostate cancer making its fateful appointment with me? I was told that an appointment would be made for me with a urologist. After an initial visit and a repeat PSA blood test, my value was still high, 14 ng/mL. Now came the moment of truth: “We’ll have to do a biopsy.” Each stop on this ride became a little more serious and a little more surreal.
If you’re a man between the ages of 40-50, please get a physical and a simple PSA blood test.
To be continued…