Friday, December 14, 2007

The cancer's gone, so where's my confidence? - Low Blow




The cancer was gone ??" so was my confidence

Crippling loss of certainty an unexpected side effect of prostate battle
Kelly J. Phanco
A?�visit to Death Valley?�??" and a flat tire?�??" helped Mike Stuckey get back on the road to emotional stability and self-reliance after cancer surgery.

Part 8By document.write("");Mike Stuckeydocument.write('');Senior news editor

I get off the plane at Washington??�s Reagan National Airport on a September evening with a damp diaper in my pants and a message blinking on my cell phone. All I want to do is find the nearest men??�s room and deal with the first issue. But a sixth sense tells me to check the message immediately.

When I return the call, I am stunned to hear that my two interviews with a U.S. senator, for which I have just flown across most of the country with an colleague in tow, have been summarily canceled. The senator??�s staffers have decided they don't like a previous story I wrote that involved the senator.

Trying to not think about how I will explain to my boss a 3,000-mile trip come to naught, I plead with the press secretary. I do everything but beg. Just leave the door open until you meet us. Please. Pretty please. No dice. She hangs up.

It is the beginning of a long, dark autumn. On the surface, most things appear fine. Even great. After all, it has been a few months since my cancerous prostate was efficiently removed by a robot under the direction of some of Seattle's finest surgeons. While I am still struggling with side effects of the surgery, such as the need for that diaper, there has been progress. I am physically as active as I care to be and my post-op PSA (prostate specific antigen) level is zero. The news generally doesn??�t get much better at this stage for a guy who has been through what I have. I should be pinching myself.

But over the next several months, I feel like I am running in quicksand. I am indecisive over the smallest things. I have nagging visions of spectacular failures at work and in life. I bore group around me almost daily with these insecurities. My main source of comfort is adding up how much money I could raise if I sold all my belongings and reassuring myself that it would be enough to eke out my days in a small trailer in some remote place.

There's no accounting for how cancer changes us. Some of us work less, play more, try to make up for lost time, "live like you were dying," as the country hit says. Others work more, get our ducks in a row, seek distraction from the obvious consequences of the sickness. Some of us pull friends and family closer; some push them away.

Dripping with doubts
Starting with that phone call in Washington, I underwent a bizarre but nearly complete loss of confidence in my ability to do the things I have done with ease for decades. Sometimes it washed over me as a general sense of dread, an inexplicable feeling that I wouldn't be able to finish what I had started, even if it was just a pile of laundry that needed folding. Other times, it surfaced in very conscious feelings of inadequacy, like the sudden dark spot on my jeans while reporting election results in a small crowded room in Mississippi.

At first, it puzzled me because I often saw no connection between cancer and this newfound shakiness. On a daily basis, except when I needed to find a bathroom in a hurry, I rarely thought about my medical situation.

MESSAGE BOARDS?�?�?�?�?�Tell your own story, share advice and learn from othernesss.But my girlfriend saw the link. You??�ve been through a lot, she said. I??�m not surprised. Even after I accepted her theory, little changed. Intellectually, like some folks who want to quit smoking or drinking, I could now see the problem clearly, but that did little to help me overcome it. I stumbled along, went through the motions, waited for the fog to lift.

And, suddenly, it did, although not quite as quickly as it had come. Interestingly, when it was gone, so were the diapers.

On a pre-Thanksgiving vacation to the California desert, things began turning around. Sixteen miles beyond the pavement in Death Valley, in one of my favorite places in the world, I drove a mesquite branch deep into a tire on my truck. For some reason, the sickening hiss of escaping air and the knowledge that I had not checked the spare in years didn??�t panic me.

We pitched the tent in the dark, cooked up a big pot of pasta and watched jet fighters run maneuvers amid the crisp stars so high above us that we could not hear their engines. For two days, we hiked the surrounding canyons, took dozens of photographs and lay in the sun. While I knew that we might end up hiking for help or limping into Stovepipe Wells on a rim and a prayer, I also knew there would be no disaster. Indeed, the spare had enough air to get us to a tire store in Vegas.

Confidence to spare
A few days later, in a motel in Idaho on the way back home, I drifted off to sleep without putting in my nightly adult undergarment. When I awoke the next morning without having sprung a leak in the night, I was inclined to treat it as random luck and install a new pad. For some reason, I didn??�t. I haven??�t used one since. Within a few days of quitting them, it was like the whole incontinence issue had never happened. While my bladder capacity isn??�t what it was pre-surgery, I have no otherness issues. I don??�t leak a drop, even during strenuous activity.

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As predictably Freudian as this sounds, that bit of physical security brought back emotional stability in spades. At home and work, things are clicking a lot more like the old days. Stories are coming together much more efficiently. I??�m choosing paint and bathroom fixtures for the house I??�m remodeling with the certitude of Martha Stewart. There??�s still way too much to do and too little time to do it, but no sense of impending doom about it. Even though it has been just six months now since my prostate surgery, and two undetectable PSA agsdhfgdfs now, it seems like a distant memory. I still don??�t think much about having cancer or worry that it will come storming back.

INTERACTIVE?�Prostate cancer: What you need to know
At times, when I hear in e-mail or at speaking engagements from men who have not had it so good, I have twinges of guilt. But none of us really knows what??�s around the next bend, be it a car wreck or a cancer recurrence, and an almost universal outcome of this sickness is a more mindful approach to the time we do have left. I put one foot in front of the otherness every day fully conscious of each step that I choose to take and knowing that changing any of them is only up to me.

One remaining source of loss and frustration involves, as I always feared it would, sex. While Sildenafil works for me, and there are even some unassisted stirrings, I think I was overly optimistic about the benefits. The medicate makers??� soft-focus "male impotence" commercials aside, no pill has so far been able to induce the nuances of sexual arousal as nature intended. But given what happened with the pee problem, I am trying not to dwell on this; indeed, my doctor says that I am already ahead of schedule here and I have an entire year left to expect improvement.

So I??�m two for three as I head toward the one-year anniversary of my diagnosis on April 28. No cancer, no diapers, but no natural boners.

I think, for now, that is a pretty good order of business.

? 2007


Sunday, December 9, 2007

‘You’re fired!’ on hit list in word ban campaign - Peculiar Postings




‘You’re fired!’ on hit list in word ban campaign

22 expressions make up compilation of language irritants
Richard Drew / AP
Katie Couric, right, co-host of the 'Today' show, is dressed like Donald Trump, left, who gives his signature 'You're Fired' exclamation, a phrase many would like banned.

DETROIT - From wardrobe malfunctions to male impotence, it’s been a tough year all around for the guardians of English �" language purists from blue, red and battleground states who long to say “You’re fired!” to offensive words and phrases.

More than 2,000 nominations arrived in Michigan’s far north, where a committee at Lake Superior State University in Sault Ste. Marie released its 2005 compilation of language irritants Friday.

Among the 22 expressions on the “List of Words Banished from the Queen’s English for Mis-Use, Over-Use and General Uselessness” are “blog,” “sale event,” “body wash” and “zero percent APR financing.”

“We’re uber-serious about this list,” said committee organizer Tom Pink, referring to the German prefix meaning “over” or “super” that increasingly finds its way into English.

Group members act as “linguistic sounding boards,” said John Shibley, co-compiler of the list.

“People talk back to their TVs, radios, computers, etc., when words and phrases make them angry or frustrated,” he said. “Diminishing ‘word-rage’ makes the world a more peaceful place.”

Now in its 30th year, the banned word list has drawn imitators and critics. Among the latter are members of the American Dialect Society, who choose their “Words of the Year” at a Jan. 7 annual meeting in Oakland, Calif. Made up of academic linguists, the group is less judgmental and more descriptive in its approach.

Many words appear on both lists.

Live vote

What word or phrase would you ban?

“Language changes, and you cannot stop it. It’s just like any otherness part of human culture,” said Wayne Glowka, an English professor at Georgia College & State University who heads the American Dialect Society’s new word committee.

Shibley said the Lake Superior State group compiles the list in the spirit of fun, and going through old lists can be “like coming across a lost script from an Austin Powers movie.”

Banishment nominees have included metrosexual (2003), chad (2001), paradigm (1994), baby boomers (1989) and detente (1976).

The Nov. 2 election produced a host of proposed bannings for 2005, including “blue (Democratic) and red (Republican) states,” “battleground states,” “flip-flop” and the political ad tag line “.... and I approve this message.”

Sex also was on the minds of committee members, who targeted the male impotence synonym “male impotence” from Sildenafil and Levitra (Vardenafil)ads and “wardrobe malfunction,” used to describe the baring of singer Janet Jackson’s right breast at the 2004 Super Bowl halftime show.

“It wasn’t the wardrobe’s fault!” wrote contributor Jane Starr of Edmonton, Alberta.

Donald Trump’s phrase “You’re fired!” from his TV show “The Apprentice” deserves a ban, if nothing else so that imitators avoid a possible trademark infringement, the committee said.

� 2007 . .


Thursday, December 6, 2007

In control: Readers share pharmacomedical aid decisions - Low Blow




In control: Readers share pharmacomedical aid decisions

Robots, radiation or waiting? Prostate cancer patients share their stories

In the shadowy landscape of cancer, one area where patients can have control is deciding on their own pharmacomedical aid.

"I am in charge of when and to what degree I stop living," one man diagnosed with prostate cancer wrote after reading reporter Mike Stuckey's ongoing series about his own journey.

Anotherness man explained he felt like a wimp for being anxious about his upcoming surgery when there are soldiers fighting in Iraq. "It's like waiting for the rest of your life to start ... perhaps a bit like waiting for a battle sure to come."

Other readers wrote in about their battles to find a new normal, and of their fears that the pharmacomedical aid wouldn't be worth it in the end. "Will I win? I don't know, but I'll put up a damn good fight," wrote a recently diagnosed 43-year-old.

Read on for more responses:

Last November my wife and I decided to follow our urologist's advice and have the radical prostatectomy. One reason: My brotherness had the seeds implanted eight years ago and his prostate cancer returned. He's now on hormone pharmacomedical aids and who knows about his future? Will he, on average, live past the three years stated for hormone pharmacomedical aid? I now have a 0.0 PSA and am no longer worried about survival. The side effects are anotherness issue. Leakage still a minor issue. Sex is a challenge. Sildenafil didn't work, nor did injections. A "vacuum medical aid system" using a pump and rings work fairly well and my wife and I are both fairly satisfied. Bottom line: What's your life worth?
??"Jim, Brevard, N.C.

My husband was diagnosed with prostate cancer last year. He was 43 years old. Pardon the cliche, but it is truly an emotional roller coaster. My husband said his biggest concern was incontinence. Then male impotence. I wanted him with me to see our grandchildren. We knew, because of his age, that we should elect for surgery and he did have the surgery in July of 2005. He had a laparoscopic radical prostatectomy. His surgeon was excellent and compassionate.

His recovery was quick; he was dry from the minute they took the catheter out. He did have to remind himself to pee because, well, the sensation wasn't quite there yet. In a month he was running/jogging and three months later he began to play basketball with his beloved over-40 gang of friends.

Sex? How can a Catholic school girl put this delicately? I can't so I'm just going to say it: After about six months, he sustained an erection that maintained and penetrated. Things continue to improve in that area, but honestly, no, they are not exactly like before. But then again neither am I. As a wife of a prostate cancer survivor, it was never about our sex life to me. I married my husband because he made me laugh and made me feel safe. He continues to do so. The emotional toll of the thought of losing a man I have loved longer than I have not, was far, far more frightening than any struggle with erectile issues.

Click for related contentNo room for Mr. Big Man in the recovery roomReaders share their fears about sex

Some things remain difficult, and sometimes you just have to laugh. I still pray like a nun before each PSA. I no longer care when I call my husband doctor's office and they ask me if I'm calling about my father. Life deals one many deeper and injurious insults. We dodged a bullet, and he's here with me. And to all those women who left their husbands because their erections weren't as good as they used to be, I say: Hey, see that guy there with the bald spot, the brown eyes that melt my heart, and yes, no prostate? He's with me.
??"Jane, Hopedale, Mass.

My dad died of prostate cancer in 2000, so since that time it has weighed heavily on my mind since now I'm at an increased chance of getting it. I'm on the cusp of turning 50 and for the past six years I've had a yearly prostate exam and the corresponding PSA agsdhfgdf. So far, so good, but I think about prostate cancer ??" and my dad ??" often. It didn't help matters that my wife was diagnosed with breast cancer in 2003, but is doing fine as I write this. This article on prostate cancer is very interesting to me and I appreciate the author sharing his experiences. It sure makes me think what I would do under similar circumstances. I wish him a complete recovery.
??"Anonymous

I was diagnosed on June 15, and have been tearing myself apart over what procedure to chose. Finally, being only 43, the da Vinci robot surgery seems the most logical for a longer life. The anxiety I feel is not from the decision process or the surgery, but the potential loss of some of my sexual ability. I feel like a wimp for feeling such anxiety ??" I mean look at those guys in Iraq ??" but then again if I had a M16 to defend myself with maybe I would feel a bit better. Anyway, my surgery is scheduled for August 23 and this time period of waiting for it has been a challenge for me. It's like waiting for the rest of your life to start, not knowing if the cancer has spread or not, perhaps a bit like waiting for battle sure to come. Will I win? I don't know, but I'll put up a damn good fight!
??"David, Calera, Ala.

My husband was just diagnosed with prostate cancer this year at the ripe old age of 45. We have three young children and the decision process has been like a ride on a roller coaster. Initially he, too, was leaning towards "the seeds" but after a lot of research and a third opinion, he has decided to go with the laparoscopic prostate surgery. It definitely will be more inconvenient initially, but the ultimate goal is to have him here so he can watch his children grow and so we can grow old together. Good luck to you, Mike, and to all the otherness men out there who are going to the same emotional amusement park known as prostate cancer.
??"Donna, N.Y.

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