DISCLAIMER: Please recognize that I am not a Medical Doctor.  Rather, I do consider myself a medical detective. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued deep research and study in order to serve as an advocate for prostate cancer awareness, and, from an activist patient’s viewpoint, as a mentor to voluntarily help patients, caregivers, and others interested develop an understanding of this insidious men’s disease, its treatment options, and the treatment of the side effects that often accompany treatment.  There is absolutely no charge for my mentoring – I provide this free service as one who has been there and hoping to make their journey one with better understanding and knowledge than was available to me when I was diagnosed so many years ago.  IMPORTANTLY, readers of medical information I may provide are provided this “disclaimer” to make certain they understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as MY OPINION, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing their prostate cancer care.

Response to physicians, research scientists, journals


All who are prescribed medications should read the important information in this paper titled "Why a patient paid a $285.00 copay for a $40.00 drug"


This is an eye-opener for everyone to be aware and identifies the importance of "shopping around" for the best price for a medication.  That means even shopping around when your insurance company will require you copay a set amount for a drug, since, as you will read, you very well may find a supplier whose total cost for the drug will be less than the copay if you had the drug paid for via your insurer.

Readers, please be aware: With changing information very often daily, I expect in reviewing several of my papers below you will find within a paper reference urls that have closed down and no longer available. However, if you make use of the internet and ask any question that a now closed website was referencing you very likely will find further, more updated information on that same subject. By and large, what I provide continues to be valuable and can lead you in the right direction.

Published papers with medical and scientific journals:

1. "A Prostate Cancer Patient's 24-Year (1992-2016) Continuing Journey from Diagnosis to Treatment to Recurrence to Mentoring"
Published in JCPCR-04—201604 Volume 4 issue 4 – 2016:  http://tinyurl.com/hcxuxv9

2. “Newly Diagnosed with Prostate Cancer? - A Mentor/Patient Discussion”
Published May 23, 2017 Biomedical Journal of Scientific & Technical Research (BJSTR) http://biomedres.us/pdfs/BJSTR.MS.ID.000110.pdf

3. “A Wake Up Call To Men & The Women Who Care For Them”
Published in JCPCR-06-00189 Volume 6 issue 1 - 2016: http://tinyurl.com/3djfgve

4. “Considerations necessary regarding Prostate Cancer with the options of surgical removal of the prostate gland or with Androgen Deprivation (aka testosterone inactivating)Therapy (ADT) as follow-on or primary treatment” published June 13, 2019 in Global Journal of Medical Research GJMR Volume 19 Issue 4 Version 1.0.

5. “Evidence Based Medicine”
Published in the Journal of Radiology and Diagnostic Imaging Published November 19, 2018,
Radiol Diagn Imaging, 2018 doi: 10.15761/RDI.1000143
Volume 2(5): 1-1 ISSN: 2515-0200 https://www.researchgate.net/publication/331201281_EVIDENCE_BASED_MEDICINE

6. “Fluoroquinolones – Be Aware”
Published in the Journal of Cancer Science and Clinical Oncology, Volume 5, Issue 2 ISSN: 2394-6520 Published July 30, 2018: http://www.annexpublishers.com/articles/JCSCO/5202-Fluoroquinolones-Be-Aware.pdf

7. “IAD/Intermittent Androgen Deprivation: When is it appropriate?”
Acta Scientific Cancer Biology 3.8 (2019): 19-21. Published Date: July 26, 2019

8. ““Importance of Patient Attention to Physician Care”?”
Acta Scientific Medical Sciences Special Issue 1 (2019): 04-05. Published: September 05, 2019

9. “Medical Advice” or “Opinion” – The Important Difference
Published in Acta Scientific Medical Sciences Volume 2 Issue 1 January 2018: https://www.actascientific.com/ASMS/pdf/ASMS-02-0019.pdf

10. “Orchiectomy – A Surgical Procedure in which One or both Testicles are Removed – is it Sufficient to Inhibit Androgen (Testosterone) from Access to Prostate Cancer Cells?”
Published in Acta Scientific Cancer Biology Volume 3 Issue 4 April 2019.

11. “Prostate Cancer Advocacy and Mentoring Support”
Published November 22, 2017 in the journalHolistic Approaches in Oncotherapy” HAOT-17-OPN-0004 1.1 (2017): 14-15;  https://scientiaricerca.com/srhaot/pdf/SRHAOT-01-00003.pdf

12. “PSA Rising While on Routine ADT, No Metastasis Evident; should Chemotherapy with Docetaxel/Taxotere be Added? (Apparently NOT!)”
International Journal of Cancer Treatment (Int J Cancer Treat Vol: 2, Issu: 2 (54-56)
Published Date: 25 July, 2019

13. “PSA Testing? Over-Treatment? Active Surveillance? Biopsy value? No PSA for Elderly?”
American Journal of Biomedical Science & Research Am J Biomed Sci & Res. 2018 - 4(5). AJBSR.MS.ID.000836. DOI: 10.34297/AJBSR.2019.04.000836. Published Date: August 22, 2019

14. “The Battle with Prostate Cancer”
Published in Scientia Ricerca Chronical of Medicine and Surgery – Manuscript ID: COMS18OP-0027 ISSN:  2576-8298 Volume 2 Issue 2 May 22, 2018: https://tinyurl.com/42pqzjh

15. “Triple-hormonal Blockade (ADT3) – a Patient’s Perspective”
Published in ONCOGEN - Independent Peer-Reviewed Cancer Journal 2019; Volume 2, Issue 1(2019;2(1):6)

Published August 10, 2021 – American Journal of Biomedical Science & Research
ISSN: 2642-1747; Am J Biomed Sci & Res.
202113(6).AJBSR.MS.ID.001923. DOI: AJBSR.2021.13.001923

17. Intimacy - Often Challenged by Surgery, Radiation, Cryotherapy, or ADT
Published May 4, 2022, Academic Journal of Microbiology & Immunology
Intimacy - Often Challenged by Surgery, Radiation, Cryotherapy, or ADT

18. METFORMIN Aka Glucophage – Prescribe, or Not? Is There An Alternative? TESS Research in Medical and Clinical - Published date: 18 September 2022 - Open Access Opinion Article Volume 1:1
TRMC-01-106.pdf (tess-research.com)


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

A Case For Lower Dose Prescribing Of Abiraterone And Dutasteride

Active Surveillance

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

ADT Medications Can Cause Prostate Cancer Cell Apoptosis

ADT medications with abiraterone/Zytiga or ADT medications with docetaxel/Taxotere chemotherapy – is one better than the other for men diagnosed with advanced, high grade, metastatic prostate cancer?

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

Agent Orange Support Information For Vietnam Veterans And Their Spouses

Aging - A Process

Alternative Therapies

An Example Of Maintaining Prostate Cancer Statistics

Anatomy of the Prostate

Androgen Deprivation Therapy (ADT) Basics

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

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

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

Bisphosphonate such as zoledronic acid or denosumab as Xgeva to be administered - Very Important to be Aware

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

Dementia? Alzheimer's Disease?

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

EBRT FAILURE: HIFU or Surgical Removal as Salvage Treatment

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

Excercise Considerations

Exercise For Prostate Cancer Patients - A Patient's Perspective

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!

Gonadotropin - releasing Hormone Releasing agonists or receptor blocker antagonist

Good Life or Bad Life?

Grapefruit Caution

Grieving Process Following 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

Immunotherapy Can Stall Without Supportive Care

Importance Regarding Gleason Score 3 Plus 3 Six

Incontinent - Best Product to Manage incontinence

Incontinence Biofeedback

Incontinence (Dealing with Incontinence after Treatment for Prostate Cancer)

Intimacy - Often 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

LEADER - Born or Achieved? My Experience thus My Opinion

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 Stephen B. Strum, M.D., FACP: 5 Ingredients for Success

Medical Oncologist Jeffrey Turner

Mediterranean Diet Prevents Cancer, Heart Disease, Diabetes

Metformin, Vitamin B12, Prolactin

Mushrooms for Prostate Cancer?

My Efforts – an Example of God’s Encouragement (Updated in 2019)

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: 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)

Orchiectomy - A Surgical Procedure In Which One Or Both Testicles Are Removed

Orgasmic Pain following RP or RT

Osteonecrosis Of The Jaw (ONJ)

Osteopenia, Osteoporosis, Bone Resorption

Overprescribing in the Elderly: We Have a Problem

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 Awareness - As it Once Was - As it Should Continue to Be!

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


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

Regarding the definition of Exceptional Cancer Patient (ECaP)

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

Sleep Consideration

Small Cell Carcinoma of the Prostate

Speaking The Unspoken

Specialized Imaging to Identify Locations of Metastasized Prostate Cancer

Sperm Production to Ejactulation and More

Statins - Be Aware!

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 Importance Of Participating In "YOUR" Prostate Cancer Support Group

The Importance of Pelvic Lymph Node Dissection

The Ketogenic Diet

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

The Strongest Predictor of How Long You'll Live

Three Opinions in One Regarding TRT, BPH, and ADT

Transdermal Estradiol (TDE) Androgen Deprivation Therapy

Treating Castrate-Resistant Prostate Cancer

Treating Men Initially Diagnosed With Prostate Cancer Gleason Score 9 OR 10

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 is Charles (Chuck) Maack in the Wichita, Kansas and Worldwide Prostate Cancer Community?

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