Mentioned Prostate Cancer on Monday Night Football

Posted by brianjarvis @brianjarvis, Dec 1 8:08pm

Just a few minutes ago, the commentators on Monday Night Football mentioned that one of the team’s coaches is currently being treated for prostate cancer. (See attached graphic they showed while they were talking about it.)

The commentators mentioned (and I read in a recent article) that he’s undergoing chemo. He joins a long list of many celebrities and other public individuals (athletes, actors, politicians, financiers, and others in the spotlight) over the past few decades who have been in the news with a diagnosis (or death) from prostate cancer.

I wish him the best with his treatments.

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

Profile picture for jeff Marchi @jeffmarc

@northoftheborder
I have had neither chemotherapy or Pluvicto.

The drugs have kept me undetectable.

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@jeffmarc Apologies — I misremembered.

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Profile picture for brianjarvis @brianjarvis

@juanmoczo Yes, prostate cancer is very commonly diagnosed, but the mortality rate is one of the lowest of all cancers. Catch it very early - it’s 99% survivable; catch it after it’s already metastasized, those %s drop off steeply.

(Another factoid: deaths due to cardiovascular disease dwarf prostate cancer deaths.)

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@brianjarvis And still, over 35,000 Americans die from (not just with) prostate cancer every year. It's a huge killer, even though prospects are excellent if it's caught and treated early enough, and they're improving even for de-novo advanced cases like mine.

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Profile picture for rlpostrp @rlpostrp

Yes...I saw/heard that last night. I was immediately confused and questioned the use of the term "chemotherapy." That guy must have extremely advanced and metastatic prostate cancer. In fact, literally no one on the Mayo blog under any discussion has mentioned they are receiving chemotherapy in the 8 months that I have been reading and contributing. Maybe they misused the term chemotherapy...maybe they meant Lupron, ADT, Brachytherapy, or even radiation, etc. But "chemotherapy" is, by definition, I.V.-infused heavy-duty, anti-cancer drug therapy with all of the usual side effects of hair loss, vomiting, and general "I want to die" misery. What does anyone out here in cyberland know about "chemotherapy" for prostate cancer?

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@rlpostrp Yeah, I thought the same thing; maybe tough guys in the NFL shy away from words like hormones because of their feminizing traits…
Or maybe viewers would think he was being given steroids or PED’s if they mentioned the H word…hope he’s NOT getting chemo, in any case.
Phil

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Profile picture for brianjarvis @brianjarvis

As for raising awareness —> Last year, I was curious as to how many celebrities and other public individuals (athletes, actors, politicians, financiers, and others in the spotlight) over the past few decades have been in the news with a diagnosis (or death) from prostate cancer. After less than an hour of searching, this was the list I amassed:

> Andre Dawson
> Andrew Lloyd Webber
> Andy Grove
> Arnold Palmer
> Ben Stiller
> Bill Bixby
> Bob Casey
> Bob Dole
> Brooks Robinson
> Cal Ripken
> Carlton Fisk
> Charlton Heston
> Colin Powell
> Darwin Deason
> Davey Lopes
> David Koch
> Dennis Hopper
> Dexter Scott King
> Dusty Baker
> Francois Mitterrand
> Frank Zappa
> Gary Cooper
> Glenn Thompson
> Gregg Olson
> Harry Belafonte
> Ian McKellen
> Jerry Brown
> Jerry Orbach
> Joe Torre
> John Kerry
> Johnny Ramone
> Ken Griffey, Sr.
> Langston Hughes
> Linus Pauling
> Lloyd Austin
> Mandy Patinkin
> Michael Bennet
> Michael Milken
> Mitt Romney
> Nelson Mandela
> O.J. Simpson
> Phil Lesh
> Phil Niekro
> Ryne Sandberg
> Rob Gardenhire
> Robert DeNiro
> Rod Stewart
> Roger Moore
> Ron Wyden
> Rudy Giuliani
> Ryan O’Neal
> Shannon Sharpe
> Sidney Poitier
> Stephen Fry
> Steve Garvey
> Stokely Carmichael
> Telly Savalas
> Thom Tillis
> Timothy Leary
> Ty Cobb
> Warren Buffet

Since then, many more have been in the news with prostate cancer at various stages (I’ve only undated the list with a few of them).

“Awareness” has been raised (for over 30 years). All of us have heard of many (or most) of those in that list. Despite all the media attention given to these celebrities and their diagnoses, most men say they never even heard about prostate cancer; as a result, never get their PSA tested.

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@brianjarvis 15 years ago or so they discouraged doctors from PSA testing. My neighbor had to demand that his doctor give him one or he was going to find another one.

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Profile picture for chippydoo @chippydoo

@brianjarvis 15 years ago or so they discouraged doctors from PSA testing. My neighbor had to demand that his doctor give him one or he was going to find another one.

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@chippydoo Those were interesting times. I’ve been getting PSA tests since 2000 (at 45y) with no problems at all; I simply asked for it……

But, here’s what happened regarding PSA tests —> With the understanding that for a Gleason 6, side/after-effects of radical treatment can often be worse than the possible cancer itself.

But, in the early 2000s, so many men were opting for radical treatment for just a G6 (usually surgery) when it wasn’t medically necessary, that in 2012 the United States Preventive Services Task Force (USPSTF) recommended against routine prostate cancer screening thinking that stopping screening would stop overtreatment (assigning PSA screening a “D” recommendation: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012). Some doctors followed that USPSTF recommendation, some did not.

As it turned out, that knee-jerk reaction had bad downstream consequences, and resulted in many of the advanced cases we see today. But, it was as a direct result of so many unnecessary radical treatments for G6 and the quality of life impacts they caused.

Since then (in 2018) the USPSTF updated their recommendation to a “C” (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening).

(Compare that to the “B” recommendation they give to breast cancer screening.)

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Profile picture for brianjarvis @brianjarvis

@chippydoo Those were interesting times. I’ve been getting PSA tests since 2000 (at 45y) with no problems at all; I simply asked for it……

But, here’s what happened regarding PSA tests —> With the understanding that for a Gleason 6, side/after-effects of radical treatment can often be worse than the possible cancer itself.

But, in the early 2000s, so many men were opting for radical treatment for just a G6 (usually surgery) when it wasn’t medically necessary, that in 2012 the United States Preventive Services Task Force (USPSTF) recommended against routine prostate cancer screening thinking that stopping screening would stop overtreatment (assigning PSA screening a “D” recommendation: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012). Some doctors followed that USPSTF recommendation, some did not.

As it turned out, that knee-jerk reaction had bad downstream consequences, and resulted in many of the advanced cases we see today. But, it was as a direct result of so many unnecessary radical treatments for G6 and the quality of life impacts they caused.

Since then (in 2018) the USPSTF updated their recommendation to a “C” (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening).

(Compare that to the “B” recommendation they give to breast cancer screening.)

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@brianjarvis Great history lesson that men should be aware of. Thanks for the detailed information.

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Profile picture for rlpostrp @rlpostrp

Yes...I saw/heard that last night. I was immediately confused and questioned the use of the term "chemotherapy." That guy must have extremely advanced and metastatic prostate cancer. In fact, literally no one on the Mayo blog under any discussion has mentioned they are receiving chemotherapy in the 8 months that I have been reading and contributing. Maybe they misused the term chemotherapy...maybe they meant Lupron, ADT, Brachytherapy, or even radiation, etc. But "chemotherapy" is, by definition, I.V.-infused heavy-duty, anti-cancer drug therapy with all of the usual side effects of hair loss, vomiting, and general "I want to die" misery. What does anyone out here in cyberland know about "chemotherapy" for prostate cancer?

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@rlpostrp Many men receive chemo for metastatic prostate cancer. My husband is one of them; it was done after the spinal metastases became too numerous to hit with spot radiation. That was in 2016 and he is still here. You can see many other posts on this Mayo forum by men undergoing chemo for prostate cancer. You might have just overlooked them.

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Profile picture for brianjarvis @brianjarvis

@chippydoo Those were interesting times. I’ve been getting PSA tests since 2000 (at 45y) with no problems at all; I simply asked for it……

But, here’s what happened regarding PSA tests —> With the understanding that for a Gleason 6, side/after-effects of radical treatment can often be worse than the possible cancer itself.

But, in the early 2000s, so many men were opting for radical treatment for just a G6 (usually surgery) when it wasn’t medically necessary, that in 2012 the United States Preventive Services Task Force (USPSTF) recommended against routine prostate cancer screening thinking that stopping screening would stop overtreatment (assigning PSA screening a “D” recommendation: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012). Some doctors followed that USPSTF recommendation, some did not.

As it turned out, that knee-jerk reaction had bad downstream consequences, and resulted in many of the advanced cases we see today. But, it was as a direct result of so many unnecessary radical treatments for G6 and the quality of life impacts they caused.

Since then (in 2018) the USPSTF updated their recommendation to a “C” (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening).

(Compare that to the “B” recommendation they give to breast cancer screening.)

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@brianjarvis Exactly, Brian…when that pendulum swings it can make a lot of unexpected damage; hopefully(?) we may be nearing the middle of the arc with PCa.
Phil

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Profile picture for lag @lag

@rlpostrp Many men receive chemo for metastatic prostate cancer. My husband is one of them; it was done after the spinal metastases became too numerous to hit with spot radiation. That was in 2016 and he is still here. You can see many other posts on this Mayo forum by men undergoing chemo for prostate cancer. You might have just overlooked them.

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@lag

Yes - I saw many cases here where chemo was used , actually at this very moment @asolidrock is undergoing chemo.

I have no idea how others are "confused" and never heard of it, some other members had it THIS year.

Chemo is one of many tools in the whole arsenal of PC treatments.

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Profile picture for surftohealth88 @surftohealth88

@lag

Yes - I saw many cases here where chemo was used , actually at this very moment @asolidrock is undergoing chemo.

I have no idea how others are "confused" and never heard of it, some other members had it THIS year.

Chemo is one of many tools in the whole arsenal of PC treatments.

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@surftohealth88 I think it gets back to the "two prostate cancers" thing. Many people — even patients — know only about the slow developing kind, the one that you find out about in your late 60s, 70s, or 80s, is often borderline, and that you're more likely to die with than of.

What's less understood is the fast-developing kind of prostate cancer, the one you often find out about before 60, and spreads so fast that it may already have metastasised by the time you first know of it. It's the type that killed famous people like Johnny Ramone and Frank Zappa at a very young age, but fortunately, over the past 10 years or so, they've developed new practices and treatments for people like your husband and me, and they *may* be able to keep us alive indefinitely (we're the guinea-pig generation, but signs so far are promising).

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