“Several years ago I remarked that I would continue to provide my mentoring to all prostate cancer patients until my personal health declined to the point wherein it became too difficult for me to continue. That time has finally come. My subjects below will continue to be available to all, however, I will not be keeping that information up-to-date and all should personally do personal research to insure the information is still up-to-date. Joel Nowak, my good friend from MaleCare has volunteered to take over and manage this webpage so it may be up-to-date.”

5-Alpha Reductase (5AR) Inhibitor Role in Androgen Deprivation Therapy

A Prostate Cancer Patient's 24-Year (1992 - 2016) Continuing Journey From Diagnosis to Mentoring

A Wake Up Call To Men & The Women Who Care About Them

Active Surveillance

ADT Androgen Depravation Failure, aka Castration-Resistant Prostate Cancer: AUA Guideline

ADT Medications Can Cause Prostate Cancer Cell Apoptosis

ADT Plus Chemotherapy For Patients Initially Diagnosed With Metasteses

ADT Side Effects

ADT Therapy

ADT3/Triple-Hormonal Blockade Reasoning

Advanced Prostate Cancer/High Gleason Score At Diagnosis

Advanced Prostate Cancer on Diagnosis or Being Moved to Androgen Deprivation Therapy as Your Primary Treatment

Advocacy and SUPPORT

Agent Orange Support Information For Vietnam Veterans And Their Spouses

Alternative Therapies

An Example Of Maintaining Prostate Cancer Statistics

Anatomy of the Prostate

Androgen Deprivation Therapy – Hopefully Explained In A Manner That Can Be Understood By Patients And/Or Their Caregivers

Androgen Receptor Mutation – Hormone Refractory Prostate Cancer

Androgens And Prostate Cancer

Antibiotics - Important to be Aware!

Appropriate Androgen Deprivation Therapy for Advanced and Recurring Prostate Cancer

Are My Efforts a Ministry?

Aspirin for Prostate Cancer Patients? Caution, Not a Panacea

AVELOX/moxifloxacin – See Fluoroquinolones

Background Information Regarding Androgen Deprivation and the use of 5-Alpha Reductase Inhibitors

The Battle With Prostate Cancer

Best Among The Rest (Physicians Regarding Most All Options Of Treatment)

Biopsy - BE AWARE

Biopsy Importance of Expert Pathology Opinion

BIOPSY Using the Perineal Approach

Bi-Polar? Be careful with Testosterone Replacement Therapy

Bisphosphonates & Dental Considerations

Bladder and Rectal Radiation Issues Post-RP

Bladder, Urethra, Pelvic Pain? Frequent Urination?

Blood in Bowel Movements or in Urine or Ejaculate

Bone Marrow When Invaded By Prostate Cancer

Books for the Prostate Cancer Patient and Caregivers

BPH Treatment Considerations

Brachytherapy - High Dose Rate (HDR) vs Low Dose Rate (LDR)

Brachytherapy Preceded by ADT - Caution!

Brachytherapy Seed Radiation Concerns

Brachytherapy Side Effects - What to Expect and What to Avoid

BRCA1 and BRCA2 Diagnosis and Treatment

Blood Sugar Level

C-11 Choline PET/CT Imaging – or – C-11 Sodium Acetate PET/CT Imaging for Recurring Prostate Cancer

Can Sperm Still Process And Be Recovered Following Removal Of Or Radiation To The Prostate Gland?

Catheter and Ostomy Supplies

Charles "Chuck" Maack - My Prostate Cancer Patient/Mentor History

Chemotherapy Considerations When Docetaxel/Taxotere Failing

Chemotherapy Side Effects

Chronic Fatigue Syndrome CFS

CIPRO/ciprofloxacin – See Fluoroquinolones

Circulating Tumor Cell (CTC) Test Pre-Chemo

Circulating Tumor Cell Test Ordering

Coenzyme (COQ) 10 - Good Or Bad?


Continuing Penile Pain Following Surgery


CORTICOSTEROIDS – Weighing Benefit against Disadvantages/Side Effects

Cryotherapy Considerations

Cryotherapy - A Patient's Personal Experience




Dear Doctors

Debt Collection Issues

Denosumab/Xgeva Approved For Patients On ADT


DES/Diethylstilbestrol as Treatment for Prostate Cancer

Diet And Supplement Considerations

Dihydrotestosterone (DHT) Controversy in Androgen Deprivation Therapy (ADT)

Docetaxel/Taxotere being considered? Two Important Considerations

Dr. Strum's Intensive Bone Formula

Ejaculation Post-Surgical Removal Of Or Radiation To The Prostate Gland

Elevated PSA but Negative Biopsy

End of Life Considerations

Erectile Dysfunction

Erectile Dysfunction Expectations and Considerations

Erectile Dysfunction? Not Just “Your” Problem; Read On

Erectile Dysfunction Specialists

Erectile Dysfunction – Unreasonable Expectations

Erectile Expectations Following Prostate Cancer Treatment

Evidence Based Medicine

Excercise Considerations

Fatigue And/Or Loss Of Energy

Financial Assistance for Medications

Firmagon Degarelix

Flare (Side Effect when starting ADT)

Flaxseed or Flaxseed Oil

Flomax - IMPORTANT - Be Aware!

Fluoroquinolones Awareness

Gonadotropin - releasing Hormone Releasing agonists or receptor blocker antagonist

Good Life or Bad Life?

Grapefruit Caution

Grieving Process And Planning Ahead For The Loss Of A Loved One

Health Insurance Coverage for Men

Health Insurance - Patient Expense Responsibility

Heart Attack!

Heartburn - Acid Reflux

HGPIN High Grade Prostatic Intraepithelial Neoplasia

HIFU (High Intensity Focused Ultrasound)

High Dose Rate/HDR Brachytherapy for Prostate Cancer

High Grade, Advanced. Metastasized, Aggressive Prostate Cancer at Diagnosis - Treatment Considerations

History Of Us TOO Intl., And The Wichita, Kansas Chapter


Hospice Being Considered?

Hot Flashes

How To Be Recognized By Your Secretary Of State And The Internal Revenue Service As A Not-For-Profit Charitable Organization Tax Exempt Under Section 501(C)(3) Of The Internal Revenue Code

How to Peel Potatoes Without a Potato Peeler! (Just something to get off prostate cancer for a moment and show you a great work saver)

How to pick a Prostate Cancer Surgeon

How To Start A New Us TOO Chapter

Importance Regarding Gleason Score 3 Plus 3 Six

Incontinence Biofeedback

Incontinence (Dealing with Incontinence after Treatment for Prostate Cancer)

Intimacy Challenged by Surgery, Radiation, Cryotherapy, or ADT

Joel Nowak – Prostate Cancer Survivor, Advocate, Fellow Mentor, Friend

Kegel Exercises for Urinary Continence

Ketoconazole (High Dose/HDK) w/Hydrocortisone)

Kidney Stones

Leukine, Cytoxan, Revlimid, Celebrex, Prescribed for Prostate Cancer

LEVAQUIN/levofloxacin – See Fluoroquinolones

LHRH Agonists GnRH Antagonist and Low Testosterone Concern

Libido Issues as the result of Androgen Deprivation Therapy

Life Expectancy if Diagnosed with Prostate Cancer

Life Pursuits

Liver Metastases Due To Prostate Cancer

Marijuana/Cannabis - Good? Bad? - You Be The Judge

Mechanical Failure and What's Sex Got To Do With It

Medical Insurance Acceptance

Medical Oncologist Richard Lam

Medical Oncologist Bob Leibowitz

Medical Oncologist Charles E. “Snuffy” Myers

Medical Oncologist Mark Scholz

Medical Oncologist Stephen B. Strum

Medical Oncologist Jeffrey Turner

Mediterranean Diet Prevents Cancer, Heart Disease, Diabetes

Mushrooms for Prostate Cancer?

My Journey With Pulmonary Embolisms (Blood Clots) To Both Lungs Simultaneously

My Reason for Prostate Cancer Advocacy/Activism

Nerve/Neurovascular “Sparing/Saving” during Surgical Removal of the Prostate Gland

New Organizations offering Team Expertise in Research, Diagnostics, and Treatment of Unusual and Aggressive Cancers

NEWLY DIAGNOSED: Information to Know

NEWLY DIAGNOSED: Questions to ask a Medical Oncologist

NEWLY DIAGNOSED: Questions to ask a Radiation Oncologist

NEWLY DIAGNOSED: Questions to ask the Urologist

Newly Diagnosed with Advanced Prostate Cancer Requiring Androgen Deprivation Therapy

NO MORE PSA TESTING? My rebuttal to the USPSTF

Non-PSA Producing Prostate Cancer/Neuroendocrine Cancer Cells

Non-Traditional Medications? Beware!

Oatmeal, All Bran, Fiber One, other fiber products at the same time as taking medications

Orchiectomy? (Surgical Removal of the Testicles)

Orgasmic Pain following RP or RT

Osteonecrosis Of The Jaw (ONJ)

Osteopenia, Osteoporosis, Bone Resorption

Palliative Care

PAP, CGA, CEA and NSE Biomarkers

Pathologists Specializing in Prostate Cancer

Pathology Report of Surgically Removed Prostate Gland

Patient Empowerment

PCRI 2012 "Harry Pinchot Award" Acceptance Remarks

Pelvic Pain (NEW)

Penile Fracture? It Can Happen!

Penile Injections to enable Erection when PDE5 inhibitors and VED are not effective

Penile Injections - Questions Answers Visual

Penile Length Post Surgical Removal of or Radiation to the Prostate

Peyronie's Disease

Practices Important to begin Prior to and Continuing Beyond Surgical Removal of or Radiation Therapy to the Prostate Gland

Pre and Post Treatment Considerations

Pre-existing Condition Insurance Plan


Principled Medicine: Using Concepts to Promote Superior Medical Outcomes/Stephen B. Strum, M.D., FACP

Principles for Managing Advanced Prostate Cancer

Prolactin Level


Prostate Calculator

Prostate Cancer and What Constitutes Being a Man

Prostate Cancer Metastasized to the Lungs

Prostate Cancer Mortality based on diagnostics while on ADT

Prostate Cancer Prevention with finasteride/Proscar or dutasteride/Avodart?

Prostate Cancer Research Funding and Male Vanity

Prostate Cancer Spreads to Bones - Then What?

Prostatitic Stones and Chronic Prostatitis

Proton Beam Therapy (PBT)

Provenges (sipuleucel-T)

PSA Bounce Following Radiation

PSA Elevation Post Surgery or Radiation

PSA Fluctuations in the Ultrasensitive Range following Surgical Removal of the Prostate Gland

PSA Levels post-Photon and post-Proton Radiation Therapy

PSA TEST - What to Avoid Prior to the Test

PSA Testing? Over Treatment? Active Surveillance? Biopsy Value? No PSA For Elderly?

QCT BMD Imaging vs DEXA BMD Imaging

Radiation using IMRT, Seeds, and ADT

Recently Diagnosed with Prostate Cancer

Rectal Pain or Bleeding Prolonged following Radiotherapy

Recurring Prostate Cancer

Red Meat, Dairy, other Meats

Robot assisted Laparoscopic Radical Prostatectomy (RaLRP)

Robotic (RaLRP) Considerations

Root Canal or Extraction while already being treated with, or having
stopped, a Bisphosphonate

Salvage Radical Prostatectomy for Failed Radiation Therapy?

Saw Palmetto – Worthless!

Screening - I'm Mad as Hell!

Seminal Vesical Invasion


Side Effect: Phychosexual Adjustment to Prostate Cancer

Signs of a Stroke

Small Cell Carcinoma of the Prostate

Specialized Imaging to Identify Locations of Metastasized Prostate Cancer

Sperm Production to Ejactulation and More

Stress and Depression – My Opinion

Targeted Focal (subtotal) Therapy for Early Stage Prostate Cancer

Taxotere as soon as HRPC is Evident?

Testosterone Failure following Continuous, Long-term, Androgen Deprivation Therapy with an LHRH agonist or GnRH antagonist

Testosterone Replacement Therapy (TRT)

The Chain Will Link Again

The Clock of Life

The Hard Facts When Diagnosed With Advanced, Higher Grade, Metastasized, Aggressive Prostate Cancer

The Importance Of 5-Alpha Reductase Inhibitors

The Route of Androgen Production – To Clinical Castration – To Surgical Castration/Orchiectomy

Three Opinions in One Regarding TRT, BPH, and ADT

Transdermal Estradiol (TDE) Androgen Deprivation Therapy

Treating Castrate-Resistant Prostate Cancer

Triple-hormonal Blockade (ADT3) Reasoning

Understanding 1,25 Vitamin D And 25-Hydroxy Vitamin D

Urinary Sphincters & Bladder Muscle Location Diagram

Urinary Stricture or Scarring Repair

USPIO (Ultrasmall Superparamagnetic Iron Oxide) Imaging

Vacuum Erection Devices (VED)

Vitamin D3 Level And Safe Daily Intake

Vitamin D3 Measured as 25-hydroxyvitamin D

Vitamin E - sorting out the confusion

Warning when Prescribed an Antibiotic

What Causes Prostate Cancer?

What Every Physician Who Treats Male Patients Should Know (Strum & Pogliano)

What "LOVE" is all about!  A "Wake Up" call to too many of you men!

What Men Say About Surviving Prostate Cancer

What We Should Have Learned About Prostate Cancer(PC) In The Last Ten Years - Strum

When Failing Chemotherapy And The Physicians Say There Is No More They Can Do For You

When Is The Reasonable Time To Bring To The Attention Of Caregivers “End-of-Life Considerations?”

When to Administer a Bone Scan for Newly Diagnosed Prostate Cancer Patients

Who, What is Us TOO?

Why Triple, or even Quadruple, Androgen/Hormonal Deprivation Therapy

Why We Volunteer (In Support Group Leadership/Advocacy)

XTANDI/enzalutamide or ZYTIGA/abiraterone acetate Being Considered? WAIT!

XOFIGO – Intravenous Infusion of Radium 223 dichloride for Bone Metastases

Zytiga/abiraterone acetate or Xtandi/enzalutamide – What is the Difference?

Zytiga Interactions