Jennifer Gibbs arrives but then turns quickly to talk before the camera can focus on her pretty face.

 

 

And then we see Jennifer and Rebecca Quinones, and to the right Brian Hayes reaching out to welcome one of our soon-to-be new members, Dr. David Herman, to Brian's left.

And Katie and Dr. Herman are seen better in the picture below.

 

And...Brian gets animated...

And our leader Ron talks with Erich Eggers, who just lost his father Erich.  In the background you see our speaker and Chuck catching a bite to eat before the meeting begins so they don't have to try to gulp down everything later.

 

And here we see a group picture, with Mike Wier, the thirsty one standing. And Sally Beals, who is to be honored this evening by the Centerville Foundation for all her community work, has her back to us.

 

And Sofie Ameloot, who promises to soon get the application in, arrives with Boyd Preston helping to greet her with Katie.

 

 Ron said Wayne Davis and the others to be inducted in the club will be inducted as soon as their badges and materials arrive. 

 

Rebecca Quinones said at a previous meeting that sign-up sheets for the Pancake Breakfast are set up so you can keep the job you had last year or seek out a new one open on the list.

Adam Manning, manager of Carrabbas, and head of the Pancake Breakfast Committee, said the offer is still on for a $100 gift certificate for the most Pancake Breakfast tickets sold, and $50 for second place. He said he had already sold 55. If you haven't signed up yet to serve, be sure to do so.

 

Rebecca Quinones has offered to host the next club social hour at her home Oct. 18 from 5:30 to 7:30 p.m. Bring a dish to share and wine or non-alcoholic drink. 

 

Rebecca said donations for the Puerto Rico hurricane relief have overwhelmed her garage and dining room, but Pat Beckel said donations may also be dropped off at his insurance office on West Franklin St., and Rebecca said Bill's Donut Shop on Main St. in Centerville is accepting donations, which will be sent on. People were bringing in lots of bottled water and some other items as was needed in the Houston relief effort Friday, and lots more is needed, as the island was decimated by the storm. Donations will be taken until Tuesday at Bill's, Rebecca said. Rebecca said Sam's Club gave a large donation of bottled water, and that parents at Rebecca's daughter Sofia's school have made many donations. Rebecca said the total situation is bad on the island, mentioning that an active duty soldier was kidnapped. Things such as toiletry, socks and underwear, canned foods, etc. are needed.

 

 And here's the winner of the OSU tickets as seen again below. Jennifer Gibbs. She deserves a second round of applause for the five coat donation...

 

 

Chuck said Dr. Arzola agreed to block out time to speak to our club even though this is his surgery day. This is Prostate Cancer Awareness Month, and though this relates to men, women should know about it since they have brothers, husbands, cousins, boyfriends, etc., whom they should encourage to go see a doctor when needed.

 

Dr. Arzola titled his presentation: "What every man should know about prostate cancer." He said there is low risk and high grade, with low risk cancer something that might not really effect you for 10 to 15 years. High grade cancer means you have high volume, which is likely to kill you. You need to intervene early so as not to get to the high volume, high risk, he said. He showed a diagram of the prostate, located at the base of the bladder.

 

He said fifty percent of men will have an enlarged prostate. Prostatitis is when there is an infection. Prostate cancer will be found in one out of seven American men. He said there have been 151,000 cases this year alone. It is the third leading cause of cancer deaths in American men, he said.

He said it starts as a small nodule and then spreads to the lymph nodes if not stopped, going deep into the body and spinal column. It can be detected through a blood test PSA, and/or a digital rectal exam.  A protein is produced by prostate cells, and there can be a quick rise over time. The rate of change is what is important. If it is greater than .75 per year, at multiple dates over time, or there are hard nodules, asymmetry, etc., things are going awry.

 

Dr. Arzola said that before 2012, every male age 50-80, was recommended to get an annual PSA, earlier if there is a family history of prostate cancer. In 2012 it was decided that that was causing over diagnosis and over treatment, so in 2013 it was changed to ages 55 to 69, he said. In 2017 it was recommended 55-69, but against PSA screening in men age 70 and older.

If elevated levels are found, there can be a biopsy after an ultrasound probe through the rectum. They biopy the nodule and make a map, with six left and six right samples. The best results show 3 + 3, and the worst show 5+5. Imaging of nodules or back pain can give evidence of prostrate problems.

The treatment options show the importance of prostate screening. If there are low numbers, you can use watchful surveillance and waiting. Locally radiation and surgery or hormones alone or hormones and radiation are options. Survival rate is low with just hormones alone, as it is marginally aggressive. To be really aggressive, you need all, hormones and radiation, and radiation and surgery, he said.

 

Dr. Arzola works with Kettering Physicians Network, and finds it is important to discuss the pros and cons of pre-cancer screening, so treatment can be done before the cancer becomes deadly.

If you have a first degree relative, father, brother, etc., who has had prostate cancer, it increases your risk of having it too, Dr. Arzola said.