Nurse living proof of importance of screening for prostate cancer
September 8, 2007
CAMP LESTER, Okinawa — As a military nurse for more than 20 years, Capt. Brian S. Dawson knew the importance of periodic health screening tests, but still he treated his own health like a typical guy would.
“As men we don’t talk about our health,” said Dawson, U.S. Naval Hospital Okinawa’s commander.
But that is the wrong attitude to take as Dawson, 47, discovered when he was diagnosed with prostrate cancer about three years ago through a simple screening that he almost didn’t take.
In 2003, Dawson was a nurse at the National Naval Medical Center in Bethesda, Md. During September, Prostate Cancer Awareness Month, he learned some important facts.
Blacks are more prone to prostate cancer and are advised to begin screening for it at 40. According to the American Cancer Society, blacks are more likely to be diagnosed with advanced prostate cancer and are twice as likely to die from the cancer as whites. Dawson said another risk factor is a family history of cancer.
Dawson assessed his risk: Black. Forty-three years old. His mother had cancer.
Yes, he decided, he should probably take advantage of the screenings that the Bethesda hospital was offering.
Still, he procrastinated.
Thanks to his head nurse, he finally took the prostate-specific antigen blood test.
“She badgered me into getting the blood drawn,” he said. “She grabbed me by the ear to go get it done.”
He credits her with saving his life.
His blood test came back with elevated levels of PSA, an indication that he might have prostate cancer.
His next step was a physical exam, which turned out normal, he said. But after two biopsies, “it was determined that I did have (prostate) cancer.”
Faced with several options for treatment — radiation, radioactive seeds, surgery, medication or a combination of these — “my reaction was ‘Let’s take it out,’” he said.
So in January 2004, at 44, he had his prostate removed. Today, his only reminder of the cancer is a six-inch scar from the surgery.
The prostate is an organ about the size of a walnut situated between a man’s urethra and bladder that contributes small amounts of fluid to semen. Surgery consists of cutting the prostate out and reconnecting the bladder and urethra.
“In all honesty, it wasn’t that bad,” Dawson said. “After the first 48 hours, I didn’t even take anything other than Motrin.”
Dawson said he is a proud three-year survivor of cancer who has learned his lesson.
He now takes advantage of screenings for everything from cholesterol and colon cancer to testicular cancer and high blood pressure.
Dawson admits that it’s usually his wife who reminds him when it’s time for a screening, and he urged other wives and girlfriends to remind their male loved ones to see their doctor when it is time to do so.
“No one has to die from any of these forms of cancer if they are vigilant in self exams and screenings at the appropriate ages,” he said.
Diagnosing the disease early is a key to treatment
CAMP LESTER, Okinawa — Other than skin cancers, prostate cancer is the most common cancer in men.
Some 218,890 U.S. men will be diagnosed with prostate cancer in 2007, according to the American Cancer Society.
With September being Prostate Cancer Awareness Month, now is the perfect time for men to learn about the disease and how to catch it early, said Lt. Cmdr. M. Adrian Rossi, a urologist at U.S. Naval Hospital Okinawa.
Prostate cancer is very amenable to treatment if it is detected early enough, Rossi stressed.
Men who are diagnosed with an early stage of prostate cancer have a 100 percent survival rate five years after treatment, according to the American Cancer Society.
The five-year survival for advanced prostate cancer — in which the cancer has spread to other areas of the body — is only about 32 percent, according to the society.
That’s key, Rossi said: Getting the cancer diagnosed while it’s still in the early stages.
“The vast majority of the time, prostate cancer has no symptoms until it’s too late,” he said.
Fortunately, there are some very simple screening tests that can detect the cancer before there are symptoms, he said.
A blood test shows if there are elevated levels of prostate-specific antigen, which could be an indicator of prostate cancer. And a rectal exam can be performed to detect masses or suspicious lumps in the prostate.
Black men 40 and older, all men 50 and older and those with one or more risk factors should get annual screenings, Rossi said.
The trend in medicine today is toward prevention and early detection, said Brian Davis, hospital spokesman.
Some risk factors for prostate cancer:
Black men are more likely to have prostate cancer than men of other races.It is more prevalent in North America, northwest Europe, Australia and the Caribbean Islands.The risk of prostate cancer doubles if a man has a brother or father with prostate cancer.Chances of having prostate cancer increase after age 50.For more information, visit the American Cancer Society at www.cancer.org, the National Prostate Cancer Coalition at www.fightprostatecancer.org or the Prostate Cancer Foundation at www.prostatecancerfoundation.org.
Source: American Cancer Society