Wednesday, May 21, 2025

Being Educated By You Guys, Being Examined By My Dermatologist, Being Affected By My Medication

 Here I stand, hat in hand, humbled before you. Turns out that I knew very little about PSA tests. I had NO idea that men are not advised to get them after the age of seventy unless they want to. At that age, results can be misleading and appear to indicate cancer when there is none there or to not detect a cancer if there is. This can lead to excess testing, unnecessary treatments, and anxiety. 
Also, and this one is tough to hear, a limited life span. However, according to what I've been reading, if a man is in good health and the odds are on his side for a longer lifespan, and he wants to, he can opt to get the test. One more tool in the toolbox, I suppose.

So. I'm sure that is very oversimplified but I believe those are the basic facts. And, this I did know- there are many different types of prostate cancers, some of them quite aggressive (the kind Biden has) and some really are not and don't require treatment. This reminds me a great deal of breast cancer. There are types that call for all the guns- surgery, chemo, radiation. And there are types that simply are not going to kill a woman. Or at least one type. And mammograms, like the PSA, are notorious for showing things that aren't really there or making benign things look possibly dangerous or entirely missing things that are, and almost every woman who has gotten regular mammograms has gotten at least one call-back over the years which- talk about anxiety producing! BUT, older women seem to get diagnosed with breast cancer at a higher rate than younger women. In fact, 20% of breast cancers are diagnosed in women 75 or over so there's no cut-off age for us and our testing. 

Enough of that. 


This is a picture of the room I waited in for the doctor to come and check me for skin cancer today. Yes, it was that annual appointment that I was convinced could not possibly have been scheduled correctly and yet, it had. 
I do not mind going to the dermatologist. Not sure why. Probably because I've never been diagnosed with skin cancer AND they neither weigh you nor take your blood pressure. At least mine doesn't. Also, my dermatologist cracks me up. He has the driest sense of humor. Today when I was standing before him and he was doing a full-body exam as decorously as possible, he asked me to point my right toe out and move my leg to the side. Which I did. It almost felt like a ballet move.
"Nicely done," he said. Haha! 
I showed him two places that have bothered me for awhile, never quite going away entirely, and often being itchy. He said they were pre-cancers and he burned them off. No big deal at all. He also wants me to use some kind of cream on my upper chest to get rid of some precancerous stuff going on there. He could burn it off, he said, but that would leave a glaring white spot which many women do not care to have in that area. I told him that my décolletage has not been very attractive for a long time so he could burn it all off for all I cared, but he said he preferred I used the cream. Unlike the cream I used on my face about fifteen years (or possibly twenty-five years) ago which basically burned off all of my facial skin in a long and protracted period of pain and blood and scaring the hell out of small children in the grocery store, this stuff only requires five days of applying it twice a day. 

So I am good for another year unless something scary shows up and that is something of a comfort.

Zepbound update: I feel like I'm in a slightly different stage than I was at the very beginning of taking the medication, but I'm not having any  overt food cravings, and a fairly small amount of food is quite satisfying. My hunger level feels appropriate. I'm also eating different sorts of food. Well, many of the same foods but none of the really empty calorie ones. And I don't want those. If there was a cake in this house I doubt I'd be interested. 
Brownies might be a different story but that's neither here nor there. I do feel that if there were brownies (the good ones, not that crappy ones) around, I still wouldn't be tempted to eat them. 
Weird. But rather wonderful. 


Tonight's dinner will be leftover soup which Glen insisted that he'd love to eat again. It was delicious and will probably be better tonight. I am making a loaf of bread but the ingredients are whole wheat flour, oat bran, and a little white flour along with salt,  yeast, and water. It's a good, chewy, sturdy bread and I feel no need to put butter on it. As a soup dunker, it's excellent. And I have, so far, experienced absolutely no side-effects to the medication. 

The hawk is back again. Here's a very bad picture of him. 


Or her. I really should do some research and observation before I start blithely misgendering the creature. 

I have no way to gracefully end this post so I'll just say, as usual...

Love...Ms. Moon

32 comments:

  1. Good report from Derm!
    The hawk can be an "it!" since you don't know the gender!
    Good news about the Zepbound!

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    1. I sort of hate to call anything so full of life-force an "it", you know?

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  2. You sound good on the medication. And it's odd that the derma doesn't cause you anxiety like other doctors. But good.

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    1. The thing about breast cancer in older women is that quite a few die with, but not from, it. Like prostate cancer in older men, not always the cause of death.

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    2. You're so right! And not just in older women. I have a friend who got ductal carcinoma in situ when she was in her forties. I think they may have removed the area it was in and radiated her which was probably over-treatment but... You know.

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  3. Taking care of business. Glad to hear that all is well and that you are not experiencing side effects after what is it now, four days? Even though i am morbidly obese the doctor will not prescribe meds- Wondering if she is a sadist...I maxed out this year having blown out my foot and wrecked my vision , it is an adjustment. No exercise- I have a stationary bike but it hates me. Appetite is probably just boredom , depression and lazy
    AF. Anyway, glad to hear that all is well in your ballet positions. Your dermatologist probably looks forward to having you in the clinic! Delightful!

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    1. Actually, it's been six and a half days now! Tomorrow will be a week.
      The only way to know if this medication would work for you would be to try it and I can't imagine why your doctor refuses to do that.
      I doubt good ol' Doctor Caldwell gives me a single thought two minutes (if that long) after walking out of the room I'm in.

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  4. If a man has or had prostate cancer then the sons need to be tested regularly. My ex was diagnosed at 53 but went on to live a healthy life. My sons have regular testing willingly. Breast cancer testing for daughters is essential also if you have been diagnosed. .

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    1. Very true on both counts. I'm glad your husband's prostate cancer wasn't a terminal diagnosis.

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  5. “Love, Ms. Moon” is always graceful. I don’t know much about any of this. An old friend, the whitest person I know, had that facial treatment about 30 years ago. It was so awful he said he would never do it again. He just had the new treatment done and was relieved and grateful.

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    1. I told the doctor yesterday the exact same thing- that I would NEVER do that same treatment again. It was hell. And all that shit about how after everything's healed up that your skin will be all new and like a baby's? Big fat lie.
      Well, in my case.
      The stuff I got yesterday is definitely not that.

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  6. I have "get checked for skin cancer" on my list of things to get done this year. I'm a bit worried about being entirely naked, is that how they do it? And will the room be warmed? I guess I'll find out. I've had a lot of tests and procedures this year, I figured it was time, especially the cataracts which are now done and I have only one last checkup with that doctor. Tomorrow is ultrasound day, my doctor thinks I may have gallstones. Oh joy!
    I'm glad to hear the Zep....is still working for you, but wondering why a hawk is visiting you.

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    1. I get an annual whole body skin check. You wear a paper gown, the terms adjusts it as they look at different areas of skin. It's not stressful. Even getting small bumps frozen/ burnt off is a brief sting, nothing much.

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    2. I wrote derma, not terms!

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    3. River, Boud is right, although my doctor uses cloth gowns which I really appreciate. You just have to reveal one small part of your body at a time and they tell you what they're going to look at next. Also, it is fast. The whole thing probably doesn't take ten minutes.

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  7. On her doctor's advice, my mother actually stopped getting mammograms at some point, too. I don't remember the age. Maybe 75 or 80? This whole Biden episode has educated the entire country on PSA levels!

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    1. I really don't think I'm going to keep getting mammograms until the year I die unless I die pretty quickly which is a possibility, of course.
      You are SO right about all of us learning about prostate cancer! Damn. Yet another service Biden has done for this country although I'm sure he much would have preferred not doing it.

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  8. Good news all around. Good to educate yourself, good to get your skin checked, and good that the medicine is working to your satisfaction.

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    1. Ellen, it really is. It's a game changer for sure.

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  9. In my opinion, cancer cures and treatments are still very much evolving. There is still a lot we do not know.
    Your dermatologist is a hoot. Ballet pose, if you will! I'd say you are in good hands.

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    1. You're right. We have come a very long way in cancer detection and treatment but when it comes to actual cures, not so much. But many people live long lives with it under control. And that is progress.
      I'm telling you- that doctor is so funny. I asked the receptionists if he was good to work for. If he was always funny and they all chorused that yes, he was! And he was great to work for.

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  10. You reminded me that I should make an appointment with the dermatologist. It's been over a year. Thanks for the reminder!
    Glad you are doing well with your new meds, Mary.
    Love...Ellen D.

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  11. My annual derma exam comes around after I've completely forgotten it. He's said I must have worked outside sometime, but in truth I just lived in Florida about a decade or so. So now I slather sunblock on exposed skin just to walk a block in the sun. It's cool here and sunny and windy today, so I'll definitely be prepared. The cool days with low humidity feel so good, but I know there's a nice singe from old sol coming to my skin!

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    1. Well, you can imagine how much skin damage I've accrued. Moved to Florida at age five and have spent a GREAT deal of my time outside and when I was a teen, a lot of that on and in the water.

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  12. Last year, a relative with melanoma was prescribed imiquimod, a drug also used for anal warts, of all things!

    Curious to know if this might be either the old awful drug or the newer one…

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    1. It's probably the same thing. The prescription I got is called PentaCal but that's just the specific brand name, I'd guess. This is NOT the old awful drug.

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  13. Saw this article on PSA today; sums up the info fairly nicely: https://www.npr.org/sections/shots-health-news/2025/05/21/nx-s1-5405613/prostate-cancer-psa-test-age

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    1. VERY good article. I'm going to make sure my husband reads it. Thanks, Anon.

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  14. Congratulations on another good skin check - I have had three bits cut out and another couple burned or ointmented (is that the word) - thank you Queensland sunshine. Very impressed with canning beans post - so what is involved in canning beans? I often read about it in US books - although I can't grown beans for darn due to mildew that can sniff out legumes terribly here. Well, that and my gardener has broken down, so may have to wait until my own retirement before I can contemplate canning! Also, what do you use them for? Do you do other vegetables?

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    1. Canning beans is just a way to preserve the beans I grow in my garden. After I go through the process and the jars are sealed, they will literally last for years. We eat them! When you're ready to eat them, you just open them up and dump them in a pot or use them however you want. Delicious! It is time consuming.

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