Tuesday, December 23, 2025

A Patriot's Christmas

A Christmas Message for 2025:

 

The Maryland 400 at the Battle of Brooklyn

 

He who overcomes, I will make him a pillar in the temple of my God, and he will not go out from it anymore; and I will write upon him the name of my God, and the name of the city of my God, the new Jerusalem, which comes down out of heaven from my God, and my new name. 

-Revelations 3:7,12

 

Restoring and Defending the Foundations of the New Jerusalem

By Joseph Healy, 2025


The people of God in Old Testament times came out of captivity and slavery in Babylon, came into the land of Israel, and rebuilt the Temple, the city of Jerusalem, and the nation of Israel.  As is recorded in the book of Ezra and the book of Nehamiah:


Thus says Cyrus, King of Persia…Whoever there is among you of all His people, may his God be with him!  Let him go up to Jerusalem which is in Judah, and rebuild the house of the LORD, the God of Israel.  (Ezra 1:2)


[Nehemiah] said to them, “You see the bad situation we are in, that Jerusalem is desolate and its gates burned with fire.  Come let us rebuild the wall of Jerusalem that we may no longer be a reproach.”  (Nehemiah 2:17)


Those who were rebuilding the wall and those who carried burdens took their load with one hand doing the work and the other holding a weapon.  (Nehemiah 4:17)


In the New Testament times, the people of God too have sought and do seek a country of their own, and a city which has foundations, whose architect and builder is God.  And I do not mean The City of God considered in only a spiritual sense, as in that mystical future prophetic age of the Kingdom, but a very real country and nation, in the here and now, built on the precepts of God and His Commandments—a New Jerusalem, a New Israel, as it were, in this present Gospel Age.  And who is to say that this is not to be?  Did not Christ Jesus Himself instruct His disciples to pray, “Thy kingdom come, thy will be done, on earth as it is in heaven”?  And did he not command them to “Go…and teach all nations…to obey all that I have commanded you”?


This is precisely what our American Forebearers sought to do:  to establish a Christian Commonwealth, a City set upon a hill, a civil society built upon the principles of the Old and New Testament Scriptures.  They fled the Old World and came into this land they believed to be the land of their inheritance, the Promised Land.  Through many generations they planted, they toiled, they cleared the forests, they tamed the land, they built towns, they endured hardships; and they cultivated and forged their social fabric and their national life.  They also defended their young civilization from hostile native tribes, as well as from the attempts of the Old-World Powers “to exercise an unwarrantable jurisdiction over [them].” 


We have in past years together considered and memorialized the great actions and sacrifices of our American forebearers in the Continental Army, especially at Christmastime.  We remembered the Crucible of Freedom at Valley Forge in 1777, where their winter hardships were frankly unbearable, but they endured.  We documented the Christmas night attack on Trenton, crossing the Delaware in a snowstorm; then they repelled the pursuing enemy at Asunnpink Creek and went on to take Princeton.  But none of these triumphs would have materialized were it not for the Maryland 400 at the Battle of Brooklyn in the Summer of 1776.

 

The British landed the largest expeditionary force in history up to that time on Staten Island, from where they launched the attack on Long Island.  Vastly outnumbering the portion of the Continental Army under Washington’s command, which inadvisedly attempted to engage them, the British forces surrounded them on three sides at the Battle of Brooklyn.  As they were retreating, they were at serious risk of imminently being cut off and encircled.  If Washington could be surrounded, they would be annihilated or forced to surrender, and the short-lived Revolution would be over.  Then came an act of valor justly described as the American Thermopylae (where the small Spartan force defended Greece against the invading Persian mass at the narrow pass).  The First Maryland Regiment attacked the British lines, hurling themselves against them time after time at a bottleneck by the Old Stone House.  Sacrificing themselves almost to a man, they continued the assault, halting the enemy advance.  This allowed precious time for the larger force of patriots led by Washington to withdraw to Brooklyn Heights.  With their backs to the East River, Washington and his officers observed from the heights this heroic action.


 Here is how Chris Formant, author of Saving Washington, describes the scene:


The First Maryland Regiment was deployed to bring up the rear and, sensing imminent disaster, it did the unthinkable.  Rallying his remaining 400 men, Major Mordecai Gist turned them toward the massive British war force.  Believing the British Commanding General was stationed in a stone house at the army’s center, the regiment shocked the overwhelming British war force with an unexpected targeted assault.  The Marylanders attacked the British six times, losing scores of men with each surge, then regrouping and hurling themselves again and again at the dazed Brits, in what can be described as a bloody street brawl.


In the end, only a handful of Marylanders managed to escape; the majority were killed.  The rest were captured or mortally wounded.  Washington was brought to tears as he watched the selfless bravery of his young soldiers.  He was [observed] [wringing his hands, exclaiming,] “Good God!  What brave fellows I must lose this day!”


This heroic action bought the Patriot Army precious time and a little breathing room, but they were backed up against the East River.  The British Navy was moving to hem them in.  If the Redcoats would have continued to advance with their overwhelming numbers, defeat and surrender were inevitable.  But in a Providential sequence of events, that was not to be.  General Howe, the British Commander, in a twist of poor judgment, called off the attack until morning, thinking the fleet would have maneuvered into place off the shore behind the Americans by then.  But a storm with contrary winds prevented the British ships from entering the East River.  This was Washington’s chance for the Great Escape.  With the assistance of John Glover’s Marble headers, expert oarsmen from the coast of Maine and New England, and the auspicious availability of the Durham boats, small commercial boats used locally, they ferried the Army in small batches across the river all night long. 


As dawn approached, there was yet about half the troops still ashore, when astoundingly a heavy fog suddenly settled over the river.  The evacuation continued, boatload by boatload, until the last boatload of soldiers, with Washington in it, departed.  Then suddenly the fog lifted.  The enemy, in shock, rushed to the shore and fired, but they were out of range.  This great deliverance was wrought by God’s miraculous PROVIDENCE, and the essential sacrifice of the Maryland 400, led by Colonel William Alexander (aka “Lord Stirling”) and Major Mordecai Gist.


What would motivate young men to such heroism, to throw away their lives, wasting them for such a cause?   The young men of the First Maryland Regiment were not highly trained, battle tested soldiers.  The were recruits from a cross section of Maryland Society.  As author Chris Formant describes in his research:


The young volunteers were a cross section of the colony of Maryland: wealthy merchants’ sons, dockworkers, school kids and free and enslaved black youth. Of the original 1,200-man regiment, only four had formal military training. Early in the war, Washington had a difficult time keeping enlistees from running off when they heard the first shots of battle, let alone maintaining discipline as a fighting unit. To think that the devotion of these untrained and untested Maryland kids could drive them beyond their personal fears is hard to imagine.


I remembered being taught in school that the American Revolution was sparked by the tax burden imposed on the colonists, which particularly infuriated the merchant class. Merchants underwrote each colony’s militias and state regiments, essentially financing the revolt.


But teenagers wouldn’t sacrifice themselves for taxes. Research conducted by the Maryland State Archivist suggests that peer pressure, a sense of adventure, and growing anti-British sentiment played a role in why the young men enlisted. Mordecai Gist, who led the Maryland 400, even named his two sons Independent and States. But there’s evidence that they were also driven by an even more profound motivation. In many religious circles, the New World was code for the New Jerusalem. The concept that America was special, and that they were chosen by God to create and defend a new type of country, was incessantly preached. They were God’s children, not the King’s, and they were lectured to reject corrupt and immoral leaders. This drumbeat was heard and deeply absorbed by these young men. The boys of the Maryland 400 believed they were fighting with a divine purpose.


So yes, it’s true. They believed the American Colonies were the New Jerusalem, the new land of Israel or Canaan, the Zion of the New World.  The knew and believed they were God’s chosen people and this land and the free society they were building was the inheritance God had given them; and they would defend it to the death!


John Quincy Adams, who was a boy during the Revolution and our 6th President, insisted that America’s Declaration of independence joined in one indissoluble bond, the principles of civil government and the principles of Christianity.  He said that we should celebrate the birth of the nation in like manner as we celebrate the birth of the Savior, because he explains, the United States was built on the “foundation of the Redeemer’s mission upon earth”, e.g., to set the captives free.  Thus, he declared over a century before there was any modern State of Israel, that when the United States was born the words of the prophet Isaiah were fulfilled:


Can a land be born in one day?  Can a nation be brought forth all at once?  As soon as Zion travailed, she brought forth her sons.  (Isaiah 66:8)


Josiah Quincy was a Preacher in Boston during the days leading up to the Revolution whose sermons were frequently printed in the Boston Gazette.  He declared, “In defense of our civil and religious rights, with the God of armies on our side, we fear not the hour of trial; though the hosts of our enemies should cover the fields like locusts, yet the sword of the Lord and Gideon shall prevail.”  Later, he exhorted, “If an army should be sent to reduce us to slavery, we will put our lives in our hands and cry to the Judge of all the earth…Behold—how they come to cast us out of this possession which Thou hast given us to inherit.  Help us, Lord, our God, for we rest on Thee, and in Thy Name, we go against this multitude.”


A prominent leader in New York, William Livingston, challenged his fellow citizens, “Courage, Americans…the finger of God points out a mighty empire to your sons.  The savages of the wilderness were never expelled to make room for idolaters and slaves.  The land we possess is the gift of heaven to our fathers, and Divine Providence seems to have decreed it to our latest posterity…the day dawns in which the foundation of this mighty empire is to be laid, by the establishment of a regular American constitution.”


William Prescott of Pepperell, Massachusetts, wrote the men of Boston, which was under occupation by the British, “We think if we submit to these regulations, all is gone.  Our forefathers passed the vast Atlantic, spent their blood and treasure, that they might enjoy their liberties, and transmit them to their posterity.  Their children have waded through seas of difficulty, to leave us free and happy in the enjoyment of English privileges [American rights].  Now if we should give them up, can our children rise up and call us blessed?... Let us be of one heart, and stand fast in the liberty wherewith Christ has made us free.  And may He, of infinite mercy, grant us deliverance out of all our troubles.”

 

What FORFATHERS were they referring to?


Thomas Jefferson alludes to his ancestors and compatriots in one breath as WE: “We have reminded them (the British) from time to time of the circumstances of our emigration and settlement here.”


Our American forefathers were the off scourge of Europe: the poor, the laboring classes, farmers, mechanics, some middle-class merchants.  But they were not the landed nobility or the aristocrats.  They were religious dissenters, Bible-reading Christians who resisted the tyranny over their consciences of the state-run established churches.  They were Scotch-Irish Presbyterians, German Lutherans, Dutch Reformed, French Huguenots, Anglicans, Quakers, Baptists, and yes, even some Catholics and a handful of Jews (and, not to overlooked, some free and many enslaved blacks); but the real seeds of liberty were sown and germinated in New England by the English Puritans and Separatists—we call the Pilgrims.


When the Puritans departed from England aboard the Arbella, their minister, John Cotton commissioned them from 2 Samuel 7:10.


Moreover, I will appoint a place for my people Israel, and will plant them, that they may dwell in a place of their own and move no more; neither will the children of wickedness afflict them any more, as beforetime.


He exhorted them as the Lord’s chosen people to keep covenant with Him, and to be fruitful and multiply in this New Canaan in the western wilderness, saying, “What [God] has planted, He will maintain.”


John Winthrop, their leader, upon their arrival in America, put forth their vision of a covenant with God and a covenant with each other:


We must delight in each other, make one another’s condition our own, rejoice together, mourn together, labor and suffer together, always having before our eyes our commission and community in this work, as members of the same body.  So, we shall keep the unity of the spirit in the bond of peace… We shall find that the God of Israel is among us, when ten of us shall be able to resist a thousand of our enemies, when he shall make us a praise and glory, that men of succeeding plantations shall say, “The Lord make us like that of New England.”  For we must consider that we shall be as a City upon a hill…


And finally, that brings us to the Pilgrims.  A decade earlier the Pilgrims laid the first foundation stone, the cornerstone of the New Jerusalem.  Their chief minister, John Robinson, who stayed behind, sent them off with this commission:


Now as the people of God in old time were called out of Babylon civil, the place of their bodily bondage, and were to come to Jerusalem, and there to build the Lord’s temple, or tabernacle… so are the people of God now to go out of Babylon spiritual to Jerusalem…and to build themselves as lively stones into a spiritual house, or temple, for the Lord to dwell in…for we are the sons and daughters of Abraham by faith.


He told them not only to be committed to each other as a church body, but to become a body politic, and dutifully establish civil government.  Following his orders, when they arrived in the New World, the Pilgrims forged the Mayflower Compact and gave us the first American constitution and forerunner to the Constitution of our Republic.


They arrived late in the year.  So how did the first Christmas season go for these American ancestors of ours?


Their first Christmas in America they enjoyed freezing hands (cold enough to make difficult holding an axe with which they had to chop wood to erect a common house for shelter), meager rations, general sickness including scurvy, fever, consumption, and pneumonia. Six of them died in December. In January, many lay sick in the common house when the roof caught fire and burned. The building was spared, but much of their needed clothing was consumed. Eight more died that month. In February, they were dying at a rate of 2, sometimes 3, per day; and at one point there remained only 5 men well enough to care for all the sick, and attend to the other duties as well--cleaning, cooking, chopping wood, and manning the palisade. Seventeen more died. In all that winter 47 died—nearly half their original number. But they didn't knuckle under and they didn't go back!


Such was the first Christmas of our fore bearers in America (the next year would test them severely once again when they would be reduced to a ration of 5 kernels of corn per day), and such was the resolve of those who laid the foundation of American liberty. Their aim was that "the churches of God revert to their ancient purity and recover their primitive order, liberty, and beauty." (William Bradford, Of Plimoth Plantation) And in this simplicity of devotion to the Savior--preaching, teaching, singing, and free praying--they were faithful, even in their distress. For to them the Christ of Bethlehem was a very real Savior, for Whom they would risk everything, including their lives, and upon Whom they would depend for everything, including their survival. And in this He was faithful to provide!

 

So, in conclusion my fellow patriots, this Christmas let us not merely remember and appreciate from where we have come as a people, but as one people, in all our many iterations of the Christian faith and diverse ethnic backgrounds, may we renew the covenant between us, and with the God of our fathers; and let us resolve that we will, like the Maryland 400 and all patriots that have gone before us, expend ourselves in rebuilding and defending the New Jerusalem, our American Republic, and making it GREAT and RIGHTEOUS again.  


In their spirit, let us vanquish every enemy, those foreign and especially those domestic.  And let us go forth to this great WORK, holding a tool with which to build in one hand and a sword with which to fight in the other!


HAVE A VERY MERRY CHRISTMAS IN AMERICA!


Joe Healy is President of Ohio Patriot's Alliance

Monday, September 1, 2025

PreBorn: Offering an Alternative to Abortion

 

My granddaughter
Recently, PreBorn! contacted me. They asked,


“Every month, you show up quietly and faithfully to stand for life. And I just can’t help but wonder… what's the story behind that?
What keeps you committed when the world feels dark?
What stirs your heart to keep saying yes to life, again and again?
If you’d be willing to share, I’d love to hear what inspires you.

With all my heart, Rene Ervin Associate Development Officer, PreBorn!”

My response:

“I first became aware of PreBorn through a radio commercial, probably on The Clay and Buck Program, and immediately recognized the importance of their mission; that being to show expectant young mothers that the child they are carrying is indeed a person and not just a blob of cells.”

“By choosing life, these young mothers bring into the world that which God has created. They learn through PreBorn that they can resist the pressure of the abortionists. They avoid the lifelong torment so many aborting mothers endure, not to mention the eternal consequences of killing another human being. (It is better to have a millstone tied around one's neck and be tossed into the ocean, than to harm a child.)

Earlier this week I read an article titled, "REPORT: One Third of Gen Z Was Never Born".

The second paragraph reads, "As the National Catholic Register reported earlier this month, data from the Guttmacher Institute, the CDC, the United Nations, and the World Health Organization show that some 850–900 million babies were aborted globally between 1997 and 2012, the years generally accepted as the range for Gen-Z."

This is shocking.

While PreBorn's work is of immeasurable importance, more need be done to educate the general public against the abortionist's evil lies. The "my body, my choice" argument holds no water. It isn't just "your" body, it is the body of a unique individual growing inside the mother's body. That individual exists at the moment of conception; its DNA is unique, and its body is separate from that of the mother.

"But it's not a complete person, it's just a fetus." Wrong. It is a complete person. The DNA doesn't lie; it contains the blueprint for that person's entire life. So, I ask, at what point does a fetus become complete? At six months gestation? Eight months? At birth?

No. No one is complete at birth. Nor are they "complete" at one year of age. Or ten. Or twenty.

Our bodies and minds continue to develop until death. Don't think so? Show me one person who looks the same today as they did at birth. Or ten years ago. Or even one year ago. You can't.

Abortion is evil. Those who advocate for it, perform it, are evil and serve a false god.”

Please go to preborn.com and pledge your support!

Monday, January 29, 2024

Why is the Second Amendment Important?




Absolutely, you have a right to your opinions, (and other things), under the First Amendment. Millions of patriots will defend those rights, to the death. It is the Second Amendment that makes that possible for us ordinary Americans.

Remember how our country was formed? Colonist rose up against tyranny and against all odds, defeated Great Brittain. They did this because they were armed at least equally against British troops.

The Colonial army was largely using rifles at the time. England and their Hessian guns-for-hire were still using muskets. (Rifles have greater range, more power and superior accuracy.) Today, the militia, (see 10 US Code, Sec. 246) has semi-automatic rifles, while the armed forces, (I'm a USAF Combat Arms vet), have fully automatic weapons.

Today, the advantage of the citizenry is in numbers and the likelihood that many armed service members would not follow unlawful orders and side with The People. (After all, we took an oath to "uphold and defend the Constitution of the United States, against all enemies, foreign and domestic".)

Therein lies the purpose behind the 2A; in addition to providing for one's personal protection, it is to discourage tyrants from trying to take power. (A government that fears an armed populace is a government to be feared.)

America has some 20K miles of border, it is crucial that the population be able to step up to defend it. No standing army could do so of its own accord. (The words of Japanese Adm. Yamamoto, "It would be impossible to invade the American mainland; we would find a rifleman behind every tree", speak to this truth.)

It is crucial to the preservation of our Constitutional Republic and the liberty that it provides, that the citizenry be prepared at all times for all contingencies.

Saturday, July 1, 2023

PROSTATE CANCER – Like Father, Like Son, A Personal Story

Originally published on 1Jul23, edited 9Aug25.

On 26Jun16 my father, Francis William “Bill” Boylan died from prostate cancer. He was 86 years old. It seemed fitting that “our” story be released on the day of his passing, but the unexpected death of his brother, my uncle John Boylan, led to a delay.


Uncle John was there for Dad when he needed him, taking him to his oncology appointments at The James Cancer Hospital, part of the OSU Medical Center. He drove Dad to his doctor’s appointments, some 50 miles away, for the duration of his treatment and was otherwise there when needed.

This article is dedicated to their memory.

What is written below is based on my personal experience, research, observation, and conversations with my medical team and should not be construed as medical advice. It is intended to raise awareness and encourage others to be diligent toward monitoring their own prostate health. Links to various prostate cancer information resources follow this article.

Here goes . . .

This is my story. And my father’s story. It is also the story of countless millions of other men, past, present and future. While each patient’s story is unique to him, we all share commonalities. Family, friends and co-workers are affected. We have to consult multiple doctors and make tough decisions. We all suffer emotional and psychological effects. And we all need information to guide us toward the right treatment strategy for us.

The single-most important aspect of any treatment program is early detection.

According to The American Cancer Society, (via Brave Men, Inc.), 192,000 American men are diagnosed with prostate cancer each year and over 33,000 die.

absolutelyrealtruefacts.com
The odds of developing prostate cancer in one’s lifetime are 1 in 7.7,
or 13%, slightly better than the odds in Russian Roulette, which are 1
in 6, or 16.67%. This also means that 13% of spouses will have a husband with prostate cancer. If a revolver had eight cylinders rather than six, would you be more willing to put the gun to your head and pull the trigger? Not me. No way. But that is what most guys are doing. We are unknowingly playing Russian Roulette by not seeking regular prostate health screening. (See Risk Factors)

My father was not one to talk about things. Anything. He never told me he had prostate cancer or that he would die from it. I had to learn these things from a sister who was helping care for our mother and later, Dad. Prostate cancer must be talked about. I had no idea that if one’s father had prostate cancer, his sons are more likely to have it. We must talk about it with our sons, our fathers, friends and family, regardless of gender.I first came to suspect I might have prostate cancer, (PC from here out), last August. While back east in July, my dear friend Beth pointed out that I had lost weight. She and the friends we were with made me promise to see a doctor. (My weight had dropped from 165 lbs. to 143 lbs., a loss of 13.33%.) My general practitioner ordered blood tests and on August 5th, they revealed a PSA (prostate specific antigen) level elevated to 5.8. I was referred to a urologist.

A normal PSA level is below 4, although it is possible to have PC with lower PSA levels and not to have it with higher levels. The surest way to determine if one has PC is to perform a biopsy, a procedure usually performed by a urologist. At the time, I did not have insurance, so put it off until Medicare kicked in. On 20Jan23, I was informed that I have prostate cancer.


Many are familiar with Clark Howard, a consumer advocate who had a radio program, 
(and now a podcast), that I listed to when living in Connecticut. He also has PC. In a short video posted on YouTube, he says, “If you get a diagnosis of cancer, you’re automatically going to freak out . . ., let’s call it like it is, full freak out mode.” Boy, is he right about that!

I freaked out. I didn’t know what to think, what to do. I don’t have a spouse to turn to. I didn’t want the guys I work with feeling sorry for me or treating me like some invalid. As it is, they look out for me because of my age, not wanting me to carry heavy materials and so forth. (How else are you supposed to keep in shape if you don’t do some heavy lifting?) They are a great group. We are like family, we take care of each other, bickering like siblings one minute, pals the next and when someone needs support, we’re there for him.

A couple of the guys knew and were sworn to secrecy. A couple weeks ago, when I came forward and told the rest of the crew, no one seemed surprised, so I suspect the cat had already been let out of the bag.

I had to turn somewhere in the family. I called Uncle John. After all, he was the family patriarch and was there for Dad. True to form, he was there for me, too, offering moral support and a listening ear.

I also turned to his son, my cousin Joel, who is a medical doctor. He was with me 100%. Like his father, he offered moral support and a listening ear. He also provided me with links to the National Cancer Institute and American Cancer Society. Joel offered good, common sense advise concerning overall health and advised me to do my own research and put together a list of questions to ask my doctors.

Joel helped launch a research project that led to over 50 sources of information on PC. (See bibliography) As a result, I went back to my doctors with sixteen pages of notes and questions. Joel and I continued to talk and share information. He told me that I probably knew more about PC than he did!

Uncle John and Joel were both sworn to secrecy. I did not want anyone to know I had prostate cancer. Their support and encouragement were immeasurable. Without them, I would not be where I am today. Regrettably, Uncle John passed away on the morning of Father’s Day, 2023. I was getting ready to go see him when I got the news from Joel’s brother, Jeff. It was totally out of the blue and unexpected. It hurt. Badly.

Uncle John, also a USAF veteran, was laid to rest with full military honors on Friday, the 23rd. After the funeral, the family gathered for a meal provided by the church, as is customary. When we prepared to part ways, it slowly came out that all the first cousins knew. And I’m glad they did. Their display of genuine caring and support was needed. It touched me.

Between the close-knit friends back east, the guys at work, now the family and more-local friends and neighbors, I have a strong support network. I guess that is why I’m getting so personal; to emphasize the importance of having support.

Back to full freak-out mode.

Dimitrious Stanley 1974 -2023
College football fans may remember record-setting OSU wide
receiver, Dimitrius Stanley. He was also an every-Friday guest on a local radio program, The Mark Blazor Show, where he had been given the nickname, “The Guv’na”. He had prostate cancer and regularly spoke about it on the air. Back in October or November of last year, he suddenly stopped appearing, though he would on occasion call in. Knowing a couple of people who had undergone cancer treatment, I just assumed that the treatment had caught up with him and he would be back on the air, once he recovered. (After all, he was a young man.)

On February 9, 2023, 20 days after my diagnosis, Dimitrius Stanley passed away at 48 years of age. Diagnosed at 44, he fought the cancer for 4 years. When I heard the news, I cried for the first time since my own diagnosis. Dimitrius was a gentleman and a gentle man, a man who cared about his country, his state and his fellow Man. Though we never met, I still miss him. His life, his spirit and determination were an inspiration, not just to me but to many others.

I printed numerous copies of his picture, posting them around home and on the dashboard in the car, where I could look toward him when I needed strength. I found myself talking to him, frequently. To this day, I talk to him and almost believe he answers me. Maybe he does.

While doing a bit more research on “The Guv’na” for this article, I learned something that makes me think he really did hear and answer me . . .

National Breast Cancer Foundation
Weeks earlier, I had a long talk with my oncologic nurse practitioner, Kelly Slavens. (She’s been terrific and I’m grateful to have her on the team.) Among other things we discussed how breast cancer research and treatment were decades ahead of prostate cancer research and treatment. The reason being, breast cancer receives so much publicity. Remember the TV commercials where a woman would raise one arm over her head and feel for lumps in her breasts? Everyone talks about boobs, but no one wants to talk about the prostate.

After our conversation, I decided, “the heck with it”; it's time to come forward. Prostate cancer needs to be talked about. I have a platform from which to speak, along with a substantial social media circle through which to share, and a few broadcast and print media connections, in two states.

Virtually everyone knows someone who has, or has had, or will have prostate cancer, whether they know it or not. Most people don't realize that, because nobody talks about it! Today, that changes.

Back to “The Guv’na” . . .

. . . I learned he founded a non-profit to help men (and their families) pay for the tremendous costs of PC treatment. On the website, under “My Story” he writes the following, “My hope is to raise awareness through my foundation, Brave Men Inc, by gaining knowledge through our research and sharing this valuable information with the public. Prevention is key so let’s work together to end this terrible disease that is ravaging men’s bodies all around the world.”

Could it be Dimitrious actually heard me in my freak out and guided me toward coming forward? Could be. Our goals are virtually identical; to raise prostate cancer awareness and to share the benefit of our experience with others in order to help them.

Back to my story . . .

A few weeks ago, a course of treatment was decided upon. I was anxious to get started but there was a delay in getting a certain medication. Anxiety is common in cancer patients.

A week prior to Father’s Day, all that occurred over the last five months came to a head and I just could not go on. I had to have a break, my work performance the Thursday and Friday before, falling off dramatically. It would not be fair to my co-workers or my employer to go to work in such condition. I took a week off. The short sabbatical performed wonders. It allowed me to decompress and get my home in order; carpet and furniture cleaned, office work organized and filed, some gardening done. All at an easy pace, no pressure. I rested.

Then Uncle Johnny died. For the second time since the cancer diagnosis, I cried. As hard as that was to deal with, without the time off it would have been impossible to come to Jeff and Joel’s support, small though that was. Funny, isn’t it, how the timing of events beyond our control works out?

Back to January and the road to selecting a plan of action.

A prostate biopsy showed cancer prevalent on the entire right side and mildly present in one area on the left. In six areas, the Gleason scores were three at (3+4=7) and considered to have a good outlook, three at (4+3=7) which is more aggressive and likely to spread, and one (3+3=6), a low risk. Based on that, I had Stage II cancer. Once my urologist had those results, he ordered a PET Scan.

www.healthline.com

A PET Scan, (positron emission tomography), is a form of imaging.  In my case, it scanned my body from the top of the scull to mid-thigh. The machine is similar in appearance to those used for a CT Scan. (It looks like something right out of Star Trek!)

Twenty minutes prior to the scan, the Tech injected me with a radioactive tracer. Once on the machine, the table moved back and forth in the chamber while the scanner spun around me. Kind of boring, nothing at all like a Cedar Point rollercoaster ride.

The scan revealed the cancer had spread into the right seminal vesicle, raising the staging from Stage II to Stage IIIB. The seminal vesicles are small glands located between the bladder and rectum. 
They pass through the prostate and connect to the vas deferens and urethra. They are responsible for producing seminal fluid. The prostate adds semen to the seminal fluid, (or vice versa, I forget which) and then pushes the fluid through the urethra.

Based on this, my urologist recommended a radical prostatectomy.
This involves removing the entire prostate, including the seminal vesicles. I’ll not get into the risks or side effects, here. (More info in the appendix.) Let it suffice to say, I did not like them. We discussed the questions I’d prepared. Every other form of treatment I asked about was rejected.

I told the doctor it was out of the question and asked for referrals for second opinions. He referred me to another urologist, (which 
I passed on knowing I’d get the same recommendation), then to medical and radiation oncology.

I saw the medical oncologist, first. Of course, he had a different recommendation. We too discussed my questions, and all other forms of treatment were rejected. His recommendation was hormone therapy, (androgen depravation), for 18-36 months. The one-word sentence he used sent chills through my body, “Castration”.

The first question for my doctors was, "how long I would live if I decided to forgo treatment"? He told me one to two years. He also said this had been going on for only five “or more years”. I began to mentally prepare myself to die.
 (What do I do with all those topographic maps and nautical charts?) The freak out skyrocketed.

Androgen depravation therapy (ADT) shuts down testosterone production, (see appendix) effectively rendering a man impotent and without interest is sex. It can take two years for testosterone levels to recover to normal, if they recover. The testicles become so small they cannot be detected. Other side effects include osteoporosis, decreased mental sharpness, increased risk of dementia and loss of strength. These things alone could put me out of work, permanently.

I will not be castrated, chemically or surgically. I will not live like that. It is not living; it is a mere existence! Three years of treatment, followed by two years of recovery make the process five years long! I would be over 70 years old by then. There is no guarantee of full recovery. No woman is interested in a man who is impotent. How could any man, in good conscience make such a recommendation to another man? He’s off the team.

Then, Nurse Practitioner Kelly Slavens called. We spoke for nearly 40 minutes. She is a gem. I asked her many of the same question I’d asked the doctors. She thought I could live another ten years without treatment and thought the PC had been going on for likely ten years. That means my father and I had PC at the same time. "Like father, like son". It also coincides with a diagnosis of having a "slightly enlarged" prostate. I didn't understand the implications, it was not explained to me, and it was not followed up on. Be forearmed; ask educated questions and follow up.

Kelly’s talk helped lift the dark cloud that had consumed me. I wasn’t going to die. I would recover, whole and intact. She told me about a new FDA approved drug, Orgovyx. While it too, is a form of hormone therapy, it is only used for 6 months, and testosterone levels return to normal in about two months. Kelly said the Orgovyx treatment would be used in conjunction with radiation.

In my research notes, I’d written that hormone therapy is not for me, unless as a short-term complementary treatment. Prophetic insight? Pre-destined?

Life teaches many lessons. One such lesson, often hard learned, is to trust your instinct. After talking to Kelly, I had a really good feeling about the treatment plan we discussed. My gut instinct pulled toward it. Though, like President Ronald Reagan said; “Trust but verify”. I did. Due diligence affirmed what we discussed. It verified that the long-term risks are minimal, potential side effects are minimal or easily tolerable, the recovery time, quick.

Next stop, radiation oncology. A meeting with Dr. Wang further served to raise confidence in this treatment combination. Like with the other doctors, only in greater detail, we discussed my questions. The conversation was informative and productive.

My gut instinct was affirmed. This is the right way to go. I accepted the treatment plan and Dr. Wang said he would set the wheels in motion.

There was one further obstacle to overcome, though. Orgovyx, being a new-to-the-market drug, is expensive. Without insurance, the drug costs $16,000 – $17,000 for a six-month supply. With my Medicare plan, the out-of-pocket cost is $5,400. I was prepared to pay it. How do you put a price on your health and quality of life? As it turned out, the Orgovyx manufacturer offers financial assistance. I didn’t think I’d qualify for it, but I did. (I never thought about financial aid. It’s out there, if you need it. Seek and you will find. Start with bravemeninc.com.)

While the Orgovyx arrived on the 21st, because of the potential for certain side effects, I delayed starting the medication until the evening of June 23rd, the day Uncle John was laid to rest. That was also the last day I smoked a cigarette. Certainly, there is something symbolic, there. (To date, there have been no side effects from the Orgovyx.)

The radiation treatment, in order to be more accurate and to prevent damage to surrounding tissues, requires gold markers be placed into the prostate, where they will remain. These markers provide a very narrow target for the radiation device to focus on. Also, a spacer is placed between the rectum and prostate, further reducing the risk of collateral damage. This will be done in late July.

Following that, I’ll be fitted with, for lack of a better word, a "seat" conforming to my body. The purpose is to keep the body in a precise position to assure consistent accuracy of the radiation treatment. At the same time, a CT simulation will be performed, which serves to locate and focus on the area to be treated.

The radiation treatment will start the week of 21Aug. It is called
External Beam Radiation. (There are internal forms of radiation.) There will be 28 treatment sessions, 5 days per week ending around the first of October. The treatments last just a few minutes each; in and out the door in 20 minutes. The James Cancer Hospital offers treatment up to 7:00 PM, it will not be necessary to miss much more work.


After treatment, begins active surveillance, which likely will continue for the rest of my life. At first, if I recall correctly, I’ll be examined (for PSA levels), every six months, then annually thereafter.

The prognosis is good. I’m highly confident in the treatment program I chose and in my care team. Today, I’m at ease. It’s all come together, nicely. The treatment has started and the “strategery” to complete it is laid out. A lot of people have prayed for me. If I’m gonna believe Dimitrious has reached out to me, I gotta believe that those prayers have helped, too. There is definitely a mental, psychological, and certainly a spiritual link to a positive outcome, and I don’t doubt I’ll come out of this in good health and good spirits.

In summary

All men are at risk of developing prostate cancer; no family history required. Early detection is key, (the average age is 66). It saves lives. It makes for shorter, less invasive or radical courses of treatment, with fewer risks and fewer long-term consequences.

While sources recommend starting at later ages, my personal belief is that if you are a Black man, start having your PSA level tested at age 30. Test every three years and at age 40, test every year. Non-black men, start at age 40. Test every three years and at age 50, every two years. At age 60, start testing every year. A PSA test can be conducted as part of a regular physical checkup which should only cost a couple hundred bucks, if you are not insured. Well worth the investment.

If you are diagnosed with cancer, go ahead and freak out. It’s normal. Just don’t let it consume you or keep you from fighting back.

Most of all, communicate. Talk to your children, parents, spouses, especially if there is a family history of cancer. (See Risk Factors) Make sure they are equipped with knowledge ahead of time so they can be pro-active.

Appendix

Following are some details concerning risk factors, symptoms, complementary treatment options and various medical treatment options:

Risk Factors

While all men are at risk of developing prostate cancer, there are certain things that put some more at risk than others.

I learned that if your father had prostate cancer, you are more likely to develop it. There are other hereditary factors. For example, if you have a family history of genes that increase the risk of breast cancer (BRCA1 or BRCA2) or a very strong family history of breast cancer, your risk of prostate cancer may be higher.

For unknown reasons, Black men have a greater risk of having PC and it is more likely to be aggressive or advanced. Remember Dimitrious Stanley.

The older you get, the greater the risk.

In obese people, the cancer is more likely to be more aggressive and more likely to return after initial treatment.

Prostate cancer feeds on testosterone. Body builders with prostate cancer who are given testosterone or drugs to increase testosterone production, will have a more aggressive and faster growing cancer. I know of someone in this position. He is only 53 yrs. old and his cancer is advanced. 
His sister had breast cancer.

Symptoms of Prostate Cancer

In the early stages of PC, there are often no outward symptoms though a digital exam can detect an enlarged prostate. Later, more advanced stage symptoms include trouble urinating, decreased force in the stream of urine, blood in the urine, blood in the semen, bone pain, erectile dysfunction and losing weight without trying.

Complementary Treatments

Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctor’s medical treatment. (I would be damn careful before going that route. Do your research.)

Complementary methods can include vitamins, herbs, and special diets, or other methods such as acupuncture or massage, to name a few. Turmeric is one such recommended supplement.

Medical mushrooms have been used for centuries to treat infections. For several decades, mushrooms have been approved as a complementary cancer treatment in China and Japan. NuCana, a Britain based pharma company, is developing a mushroom-based cancer treatment derived from mushrooms found in Eastern Europe. Clinical trials are underway and should be complete in just a few years.

Treatments

There are many treatment options available for treating PC. They include, but are not limited to the following, from various sources:

Surgery – Prostatectomy/Radical Prostatectomy

Prostatectomy is the removal of part of the prostate. Radical Prostatectomy is removal of the entire prostate. There are various surgical techniques used for prostatectomy. They include:

Robotic-assisted laparoscopic radical prostatectomy, laparoscopic radical prostatectomy, radical perineal prostatectomy and radical retropubic prostatectomy.

And of course, there are various risks to surgery. These risks include those related to any surgery, such as reactions to anesthesia, bleeding from the surgery, blood clots in the legs or lungs, damage to nearby organs, infections at the surgery site.

Then, there are side effects, which I prefer to call “undesirable co-effects”. These include urinary incontinence and erectile dysfunction (impotence). Urinary incontinence includes stress incontinence, overflow incontinence, and urge incontinence. All men can expect some decrease in the ability to have an erection. If your ability to have an erection does return after surgery, it often returns slowly. In fact, it can take from a few months up to 2 years. If nerves are damaged, there is no natural way to restore the ability to have an erection.

There can also be a loss of fertility, a decrease in penis length and the loss of the ability to have an orgasm.

Radiation Therapy - Radiopharmaceutical Therapy - Radiation Treatment – Brachytherapy/MARS

Radiation uses high-energy rays (like x-rays) to kill cancer cells. It can be aimed at the prostate gland from a machine outside the body. Or in some cases, small radioactive pellets, or seeds, each about the size of a grain of rice, can be put right into your prostate.

Current methods such as conformal radiation therapy (CRT), intensity modulated radiation therapy (IMRT), and proton beam radiation help doctors avoid giving radiation to normal tissues as much as possible. These methods are expected to increase the effectiveness of radiation therapy while reducing the side effects.

Common side effects of radiation to the prostate are diarrhea, leaking stool, or blood in the stool; having to urinate a lot, leaking urine, burning when you pee, or blood in your urine; erection problems, feeling very tired (fatigue); and fluid build-up in your legs.

Brachytherapy/MARS

The most appealing of all the various option was this. Unfortunately, because of the stage of the cancer, my doctors ruled this out.

Along with monoclonal antibodies/small molecule drugs . . .,

Brachy delivers radiation with a small radioactive pellet that is about the size of a grain of rice. The pellet (or pellets) are positioned precisely inside the patient’s body, close to or inside the tumor. In some cases, the pellets remain in place for just a few minutes. Other times, they are left in place for several months.

Brachytherapy allows doctors to deliver radiation directly to the patient’s tumor while limiting radiation exposure to healthy tissue.

MRI-assisted radiosurgery (MARS), refers to the method of implanting the radiation seeds. It allows for more precise delivery of the radiation with fewer side effects.

Side effects from MARS are minimal. Most patients return to normal activities the day after the procedure. After treatment, patients can return to normal sexual activity. Incontinence is rare, but some patients may experience temporary urinary side effects. These include burning, frequent or urgent need to urinate. These side effects can be managed with medication and typically resolve a few months after treatment.

Hormone Therapy

Several newer forms of hormone therapy have been developed in recent years. Some of these may be helpful when standard forms of hormone therapy (chemical castration) are no longer working. Some examples include abiraterone (Zytiga), enzalutamide (Xtandi), and apalutamide (Erleada), which are described in Hormone Therapy for Prostate Cancer. Others are now being studied as well.

Hormone therapy alone does not cure prostate cancer.

Hormone therapy may be used, (as in my case), along with radiation therapy as the initial treatment, if you are at higher risk of the cancer coming back after treatment (based on a high Gleason score, high PSA level, and/or growth of the cancer outside the prostate). Prostate cancer feeds on testosterone. Hormone therapy can be used before radiation to try to shrink the cancer (by starving it) to make the treatment more effective.

Possible side effects from long-term treatment

Orchiectomy (actual castration) and LHRH agonists and antagonists can all cause similar side effects from the lower levels of hormones such as testosterone. These side effects can include:

Reduced or absent sexual desire, erectile dysfunction (impotence), shrinkage of testicles and penis, hot flashes, breast tenderness and growth of breast tissue (gynecomastia), osteoporosis (bone thinning), anemia (low red blood cell counts), decreased mental sharpness, loss of muscle mass, weight gain, fatigue, increased cholesterol levels and depression.

Chemotherapy - Chemo

Chemo is the use of (non-hormonal) drugs to fight cancer. The drugs may be given into a vein or taken as pills. These drugs go into the blood and spread throughout the body. Chemo is given in cycles or rounds. Chemo may be used if the cancer has spread outside the prostate gland. It’s not used for early prostate cancer. Studies in recent years have shown that many chemotherapy drugs can affect prostate cancer. Some have been shown to help men live longer. Chemo is also used to relieve symptoms associated with advanced or metastatic disease, to improve surgical outcomes and in conjunction with hormone therapy, also to improve outcomes. It can also prolong the lives of patients who are no longer responding to hormone therapy.

Other new chemo drugs and combinations of drugs are currently being studied. (There are 38 or so different drugs used to treat prostate cancer.)

Side Effects of Chemo

Chemo can make you feel very tired, sick to your stomach, and cause your hair to fall out. These problems go away after chemo treatment ends. It can also cause mouth sores, loss of appetite, diarrhea, increase the risk of infection due to reduced white blood cells, easy bruising or bleeding due to reduced blood platelets.

These are some of the more common treatments for prostate cancer.

Other treatments include vaccines that treat, rather than prevent PC, targeted therapy drugs that target specific parts of cancer cells, altering the way a cancer cell grows, divides, repairs itself, or interacts with other cells, and immunotherapy which uses substances made by the body or in a lab to boost, direct, or restore the body’s natural defenses against cancer. Other treatments are being explored and tested.

Do your research.

    Bibliography

In no particular order:

Chas Averbook: Prostate Brachytherapy Patient Story | Cleveland Clinic

Prostate cancer survivor: I’m grateful for treatment at MD Anderson | MD Anderson Cancer Center

Homepage | ORGOVYX® (relugolix) | Patient Website (Info on financial assistance is under the support tab.)

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