Are Caregivers “Mad as Hell?” Many Are, and For Good Reason
Dear Carol: My dad, 83, has received bladder cancer treatments for years, but now his cancer has become aggressive. Unfortunately, so has his oncologist. Dad has rarely questioned his doctors, so even though he’s in agony, he’s accepting each new treatment without asking for alternatives. He’s always been emphatic that when treatments don’t work, he wanted hospice care, so we’re now determined to transfer him. It’s a process, but we’re getting there so I’m not writing for advice. I just want to know why alternatives to last-ditch treatments that simply “buy time,​"​ aren’t better explained to patien...
Source: Minding Our Elders - September 18, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

The Complicated Prostate: Cancer Is a Concern but There's More to Consider
Most younger men don’t spend a lot of time considering the health of their prostate. However, around the age of 50, they’ll likely find that their physicians want to check out prostate health both physically and through blood work known as a prostate-specific antigen (PSA) test. The PSA is not a perfect test, but it’s still used to help detect prostate cancer since there aren’t many alternatives. National Prostate Cancer Awareness Month is meant to increase the knowledge about possible prostate problems and make certain that men get checked out regularly. What is the prostate? The prostate is a small organ locat...
Source: Minding Our Elders - September 7, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

How to Convince a Older Adult with Incontinence to Wear Adult Diapers
Photo credit Mathias Konrath Incontinence is a condition that is often difficult for a person to accept and deal with. Many seniors try to ignore this new development and carry on with their lives, but a head-in-the-sand approach usually draws more attention to the problem. There are ways to encourage a loved one to address this issue, but they require patience, understanding and a commitment to upholding your loved one’s dignity. Pro Tip: Strike the Word Diaper from Your Vocabulary “My parent won’t wear adult diapers and it drives me nuts!” This is a common complaint from family caregivers whose loved ones are suf...
Source: Minding Our Elders - May 11, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Bladder Cancer: Incontinence Can Be a Side Effect
Bladder cancer isn’t a common condition, but the American Cancer Society estimates that there will be 83,730 new cases of bladder cancer (about 64,280 in men and 19,450 in women) and about 17,200 deaths from bladder cancer (about 12,260 in men and 4,940 in women) in 2021. That isn’t something to ignore, either. Bladder cancer tends to occur in older people with about nine out of 10 people who develop this cancer being over the age of 55. The average age of people when they are diagnosed is 73. Though each person's risk of developing the cancer is individual, it will affect approximately one in 27 men and one in 8...
Source: Minding Our Elders - May 2, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Keeping Older Adults Active and Engaged: Some Tips
Photo credit Manyerling Villalobos As family caregivers, we strive to meet all our loved ones’ needs. We give medication reminders, cook meals, manage doctor’s appointments and keep schedules. Our daily tasks can be challenging, but one, in particular, gives families a lot of grief: ensuring our loved ones are stimulated and entertained. If a senior’s abilities have waned, it can be challenging to find ways to adapt or replace the pastimes they once loved. Sometimes, though, our loved ones simply lose their motivation to participate in life. They may complain, nag us, or spend all day sleeping or watching television....
Source: Minding Our Elders - April 6, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

With Bladder Cancer Treatment the Risk of Incontinence Increases
Older adults are more prone to bladder cancer with about nine out of 10 people who develop this cancer being over the age of 55 with the average age of people when they are diagnosed 73.  While individuals vary greatly, the disease will affect approximately one in 27 men and one in 89 women.  Continue to read on Egosancares blog about bladder cancer and how treatment might affect continence issues: Minding Our Elders: Caregivers Share Their Personal Stories.“I hold onto your book as a life preserver and am reading it slowly on purpose...I don't want it to end.” ...Craig William Dayton, Film Composer R...
Source: Minding Our Elders - April 4, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Incontinence from Prostate Cancer Surgery Acceptable Trade-off for John T
John T's family history included a number of men who developed prostate cancer so when he started having issues with dribbling due to bladder leaks, he watched cautiously and eventually sought medical help. His doctor ordered several PSA tests over time and eventually, John began seeing a urologist. He was diagnosed with prostate cancer and had surgery that left him with incontinence issues. No one wants this result, but he's learned to live with his incontinence - with gratitude.  Read John T's story on Egosancares blog for inspiration if you or someone you love may be facing prostate surgery: Discover the Differenc...
Source: Minding Our Elders - March 17, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Fight Aging! Newsletter, March 14th 2022
This study tests the feasibility of chronically elevating skeletal muscle NAD+ in mice and investigates the putative effects on mitochondrial respiratory capacity, insulin sensitivity, and gene expression. The metabolic effects of NR and PT treatment were modest. We conclude that the chronic elevation of skeletal muscle NAD+ by the intravenous injection of NR is possible but does not affect muscle respiratory capacity or insulin sensitivity in either sedentary or physically active mice. Our data have implications for NAD+ precursor supplementation regimens. Muscle Strengthening Activities in Later Life Correlate ...
Source: Fight Aging! - March 13, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Muscle Strengthening Activities in Later Life Correlate with Reduced Mortality
Past studies have demonstrated reduced mortality as a result of strength training in older individuals. Muscle tissue is metabolically active, involved in a range of processes in the body, such as insulin metabolism and control of inflammation. Here this review paper, researchers note the correlation between activities that strengthen muscle and lower mortality in epidemiological data. It is worth thinking about for those of us tempted to let the exercise schedule lapse as life moves on. Physical inactivity is a global public health problem. Regular engagement in muscle-strengthening activities (eg, resistance tra...
Source: Fight Aging! - March 8, 2022 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Case of the Week 669
Here ' s another fun parasite histopathology case for you: a full-thickness section of bladder wall from an Egyptian man with invasive bladder cancer (not shown here):ClickHERE for the whole digital slide. Diagnosis? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - January 17, 2022 Category: Parasitology Source Type: blogs

September is Prostate Cancer Awareness Month: Get Educated!
The prostate,  a mall organ located just below the bladder and in front of the rectum, can cause men a lot of anxiety and trouble as they age. It wraps around the urethra (the tube that carries urine and semen out of the body). As men age, the prostate tends to grow larger which can eventually cause any number of health issues including urine retention, but it can become cancerous, as well. Read more on the Egosancares blog about prostate function and why things go wrong: Minding Our Elders: Caregivers Share Their Personal Stories. “I hold onto your book as a life preserver and am reading it slowly on purpose...I d...
Source: Minding Our Elders - September 4, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Fight Aging! Newsletter, August 23rd 2021
In this study, we used the UK Biobank (n = 440,185) to resolve previous ambiguities in the relationship between serum IGF-1 levels and clinical disease. We examined prospective associations of serum IGF-1 with mortality, dementia, vascular disease, diabetes, osteoporosis, and cancer, finding two generalized patterns. First, IGF-1 interacts with age to modify risk in a manner consistent with antagonistic pleiotropy; younger individuals with high IGF-1 are protected from disease, while older individuals with high IGF-1 are at increased risk for incident disease or death. Second, the association between IGF-1 and risk ...
Source: Fight Aging! - August 22, 2021 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Strength Training and Aerobic Exercise Reduce Cancer Mortality
Researchers here note that undertaking strength training and aerobic exercise acts to reduce mortality due to cancer, to a similar degree as these activities are known to reduce all cause mortality in later life. The mechanisms involved are likely diverse, but it is worth noting that (a) muscle tissue is metabolically active in beneficial ways, such that more muscle is better than less muscle, (b) better immune function is linked to exercise, and immune surveillance is critical to cancer prevention, and (c) exercise helps to reduce chronic inflammation, where chronic inflammation helps to drive the establishment and develo...
Source: Fight Aging! - August 17, 2021 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Fight Aging! Newsletter, July 19th 2021
In this study, we developed the first epigenetic clock for domesticated sheep (Ovis aries), which can predict chronological age with a median absolute error of 5.1 months. We have discovered that castrated male sheep have a decelerated aging rate compared to intact males, mediated at least in part by the removal of androgens. Furthermore, we identified several androgen-sensitive CpG dinucleotides that become progressively hypomethylated with age in intact males, but remain stable in castrated males and females. Comparable sex-specific methylation differences in MKLN1 also exist in bat skin and a range of mouse tissu...
Source: Fight Aging! - July 18, 2021 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Incontinence Can Affect Anyone Under the Right (or Wrong) Circumstances: Read Matt's Story
Incontinence only affects "old people" so it's not a big deal, right? I've always understood that any adult - even older adults - who find themselves unable to control urine or bowel movements, could struggle with self-esteem and dignity issues due to the stigma that exists. What I didn't realize though, is that there is a significant number of younger adults who, through physical injury, disease, or emotional trauma, experience incontinence. Once I started hearing from some of them, I quickly changed my thinking. After all, your aging father really doesn't need the "shame" of incontinence along with his other challenges, ...
Source: Minding Our Elders - May 13, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs