End-Of-Life

Wealthy Advanced Prostate Cancer Men Live Longer

Men living in wealthier zip codes in the United States live longer with advanced prostate cancer than men in lower income zip codes.  Creighton University, Omaha, NE  researchers studied income levels and overall survival of men diagnosed with stage IV prostate cancer.  Lead author Sabra Ahmed and his team looked at 50,639 men in the National Cancer Database diagnosed with stage IV prostate cancer between 2004-2011 . Income was evaluated using the median income of the patient’s zip code.  Ahmed's abstract is being presented at the ASCO GU conference this weekend (Impact of income in stage IV prostate cancer. abstract #244) His conclusions: "Compared to [...]

By | February 15th, 2017|disparities, Disparities, End-Of-Life|0 Comments

The 5 Important Questions We Need To Ask Men Who Are End Stage – Handling Grief

Advanced prostate cancer will eventually end, barring another cause of death, with the demise of the individual survivor. Knowing that you suffer from a terminal illness is hard, it is hard on the family and it is hard on the individual. Many of us don’t think about it, but it is also hard for many of our healthcare professionals. We all have great difficulty dealing with the thought of the eventual and then the actual death of our loved one. In many cases this difficulty also extends to our healthcare professionals. Like the family, they need to find a way [...]

The Well Reviewed Guide to Advanced Prostate Cancer (A Survivor Perspective) Has Been Updated and is Now Available for a free Download

Somehow I have been negligent and not let people know that I have written and posted a major update of my “Guide to Advanced Prostate Cancer.” As in the past, it is available as a free download from the Malecare web site. Helping me to update the book was prostate cancer survivor Craig Pynn and my own caretaker, Wendy Lebowitz. Anyone reading the first edition will be surprised when you see how many changes and updates this edition has included. It now has a very extensive conversation about living in the world as a cancer survivor as well as more [...]

Caregiving -It Isn’t Easy

Becoming a full time 24/7 caregiver for someone with any chronic illness, including advanced prostate cancer is overwhelming.  Most caregivers find that they  stop their own personal activities, including those that give them personal pleasure.   Caregiving means subverting personal needs in favor of the needs of the patient. This situation often leads to the caregiver having feelings of resentment and then shame and guilt for having those feelings. A common caregiver response is that the patient's needs far out trump the caregivers, so a caregiver feeling of being trapped or sad becomes unforgiving and selfish. Caregivers often do not [...]