Considering Creating A Companion Cancer Site

Posted by survivor5280 @survivor5280, Feb 7 10:06am

After going through this journey there are some things that I found very helpful, especially here, but also some things that were lacking that could be helpful.

Since I’m in the business, I thought I would create a website for everyone going through a cancer journey, be it prostate or otherwise, that augments the wonderful support provided here and in other places.

At first I wanted to spin up a site to talk about my success and the things I did to take any control I could over it, a positive message for those desperately seeking a positive outcome since those that succeed generally have little reason to come back to here very often and spread some of that positivity around that “no, it doesn’t have to always be bad, you can get through this OK and I’m proof” kind of messages.

I mean, let’s face it, we all went into this figuring it was guaranteed that we would be incontinent and have a dead fish in our pants but reading the forum indicates that is far from the truth but to widely varying degrees based on the severity of the cancer, the procedure and more.

Then I got to thinking about how it might be nice for others to post to a site like that and share their positive and negative experiences, with actual data points that people can use to find others like themselves.

I know, for me, there were a lot fewer guys my age going through this, which meant I was always trying to gauge my success relative to the difference in age between me and someone similar to me - since age often makes a difference.

So I’m considering a much more comprehensive site, and what I’m playing with now is this:

• A community of people on this journey, there will be a forum to chat but it’s not meant to replace well established support systems like this one but more to supplement and talk about the things that might be more tied to the stories or focused on data points - as much social as informational but with acknowledging that other sites are much more comprehensive for certain questions, like this one

• Ability to have a profile where you can enter your data in a timeline - I.e., that first PSA test, the first biopsy and the Gleason Score, to the treatment(s) and outcome(s). I find on here we often have to repeat ourselves about when we did something and what the results were and how old we were at the time and what our outcome was then versus now (i.e., ED or incontinence)

• With those data points be able to show the user how many other folks might be in a similar category so they get an idea of if their journey is similar. For instance, a graph might say “based on your age, there are 25% of our users that had a similar diagnosis at your age” or “based on your biopsy values, age and PSA, 37% of our users chose this treatment option”

• Ability to find users based on their outcomes, with links back to the Mayo profile here or other places to maybe try to ask them questions. For instance, maybe you did a prostatectomy and are now trying to decide if salvage radiation is effective or some other new treatment option - you could search the database and see that survivor5280 on Mayo had a similar story to share, and a link takes you to their Mayo profile so you could read their postings or even message them

I’ve been doing a mock-up proof of concept but am at the point that I either commit to all the work it takes to get the to the finish line or not. So I thought I’d ask here if this is even something that you would find useful or not and something I shouldn’t spend my time doing.

This is me, it’s how I do things. When I quit smoking over a decade ago I set up an entire community site to help people quit and stay quit, and I still maintain it and interact with people there. I get passionate about these kinds of things and want to help because I know how hard these journeys are and how the positive experiences can often make a huge difference in how you feel.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

@survivor5280

I think it's important that I again reiterate that I'm not trying to replace any support systems that are out there, just create a new take on yet another tool to throw into the toolbox. If you could use this data to see how other users did under similar circumstances perhaps it wouldn't seem so gloomy. Then again, I suppose it could still be gloomy - it's all how you process the information.

But I had to do a lot of deep research to understand all the data being thrown at me, it would be nice to just plug it in and something says "ok, this is what this means and this is how you compare to other users in a similar situation".

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Actually what you are proposing sounds a lot like an AI embedded tool they were speaking about on CNBC with Dr Scott Gottlieb.
Right now, an AI tool is not embedded in our EMR’s(electronic medical records). It violates HIPPA laws or something.
All an MD would have to do is press a button and he would know instantly how hundreds of thousands of patients reacted to a medication he is thinking about prescribing or a procedure he would like to perform for a given ailment with certain peculiarities. How great would that be??! No guesswork.
He is trying to get this done but it might literally need an Act of Congress to push it thru.

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It sounds like there's not enough interest to bother with the effort.

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@heavyphil

Actually what you are proposing sounds a lot like an AI embedded tool they were speaking about on CNBC with Dr Scott Gottlieb.
Right now, an AI tool is not embedded in our EMR’s(electronic medical records). It violates HIPPA laws or something.
All an MD would have to do is press a button and he would know instantly how hundreds of thousands of patients reacted to a medication he is thinking about prescribing or a procedure he would like to perform for a given ailment with certain peculiarities. How great would that be??! No guesswork.
He is trying to get this done but it might literally need an Act of Congress to push it thru.

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That would be phenomenal. I have Google's AI - Gemini Advanced - as part of work, and it is a game-changer. Ironically, I am done with Googling most things about PCa. I ask Gemini and it gives me MUCH more and concise information. Night and day difference really. I would recommend it for everyone here, even teh free versions from ChatGPT or Gemini or Claude.

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@survivor5280

I think it's important that I again reiterate that I'm not trying to replace any support systems that are out there, just create a new take on yet another tool to throw into the toolbox. If you could use this data to see how other users did under similar circumstances perhaps it wouldn't seem so gloomy. Then again, I suppose it could still be gloomy - it's all how you process the information.

But I had to do a lot of deep research to understand all the data being thrown at me, it would be nice to just plug it in and something says "ok, this is what this means and this is how you compare to other users in a similar situation".

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I took a quick look at what you were proposing for your first page of a website. This seems like it could be quite time-consuming to look through a number of these Are you going to do some data analysis and give people some pointers as to who’s information they Should be looking at?

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@smoore4

That would be phenomenal. I have Google's AI - Gemini Advanced - as part of work, and it is a game-changer. Ironically, I am done with Googling most things about PCa. I ask Gemini and it gives me MUCH more and concise information. Night and day difference really. I would recommend it for everyone here, even teh free versions from ChatGPT or Gemini or Claude.

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Isn’t that something? The general public has access to AI enhanced searches, but a doctor, trying first to do no harm and then trying to save your life can’t compare your medical profile to a filtered database which would tell him exactly what he wants to know!
I don’t know the politics behind something as ridiculous as this, but I hope they change in a hurry,

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@survivor5280

It sounds like there's not enough interest to bother with the effort.

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I don’t think it’s a question of interest. Just think that there are already sites that do this and if the AI tool does get embedded in the EMR’s, how does all your work stack up against that?
It’s a noble effort but bigger players are way ahead of you already and are figuring out how to monetize the service.

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This sounds like an interesting idea. However, some of my preliminary concerns would be that storing patient info, even when they input that voluntarily might could have legal ramifications if some type of algorithm is going to feed off it. especially a relationship between a user profile and medical data can become a good feed for any data mining hack! Like another person here wrote, 'maintaining such a wesbite would be a herculean task for a one man army' . There is a website that can give the probabilities just based on the input data without knowledge about the patient. just my thoughts..

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