Archive for June, 2010
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Organ Donation
Monday, June 7th, 2010

Donating an organ is serious. It requires a plan and considerable thought. Organs can be “harvested” from young people whose lives are tragically ended by accidents and used so that others may live. To give organs like this you simply need to list yourself as a donor through the Department of Motor Vehicles (DMV) or inform your family of your wishes should such a fate befall you. In general, people are uncomfortable discussing such issues, but families of those whose organs have been harvested usually feel a sense of relief knowing their loved one is honored by having their organs help someone else in need. The wait for organs is up to a decade and thousands die each year while waiting for a transplant. Please consider discussing this with your family and make your wishes known.

A second type of donation is a living donor. Donors can give kidneys, lungs, or parts of livers. Dr Chuck Wright, a past member of the SBFMG family chose to do this and continues to live a full life as a State Department Physician in India. His donation was to an unrelated recipient, but many donors give their organs to members of their family. Both blood type and tissue type compatibility are important in doing this. The donor must be in good health and usually under sixty years old. Most hospitals that perform transplant are large medical centers such as UCLA, USC, and Cedars Sinai. However, your SBFMG physician will gladly assist you should you have further questions or be interested in becoming a live donor.

PROSTATE CANCER SCREENING
Tuesday, June 1st, 2010

Prostate cancer is cancer of the prostate, a small gland in men located above the rectum and below the bladder. The prostate produced fluid that helps carry sperm during ejaculation.

Major medical associations have conflicting recommendations regarding prostate cancer screening. The US Preventative Task Force and many European medical cancer societies do not recommend routine PSA screening to detect prostate cancer. The American Cancer Society (ACS) and the American Urological Association believe men that health care professionals should discuss the potential benefits and limitations of prostate cancer early detection testing with men before any testing begins. This discussion should include an offer for testing with the prostate-specific antigen (PSA) blood test and digital rectal exam (DRE) yearly, beginning at age 50, to men who are at average risk of prostate cancer and have at least a 10-year life expectancy. Following this discussion, those men who favor testing should be tested. Men should actively take part in this decision by learning about prostate cancer and the pros and cons of early detection and treatment of prostate cancer.

This discussion should take place starting at age 45 for men at high risk of developing prostate cancer. This includes African American men and men who have a first-degree relative (father, brother, or son) diagnosed with prostate cancer at an early age (younger than age 65). Men with female relatives who have breast cancer related to the breast cancer gene (BRCA) may also be at increased risk.
This discussion should take place at age 40 for men at even higher risk (those with several first-degree relatives who had prostate cancer at an early age).
If, after this discussion, a man asks his health care professional to make the decision for him, he should be tested (unless there is a specific reason not to test).
Screening should not be performed on men older who are 75 years old and older.

References
American Cancer Society. Cancer Facts & Figures 2009. Atlanta, Ga: American Cancer Society; 2009.