Wednesday, September 16, 2009
Badgers? We don't need...
Saturday, August 08, 2009
Year-and-a-half Cancer Check-up

Wednesday, July 22, 2009
Sunday, July 19, 2009
Thursday, June 11, 2009
Tuesday, June 09, 2009
Monday, June 08, 2009
Wintley Phipps -Amazing Grace
Sunday, June 07, 2009
H. Allen Smith, humourist
Thursday, June 04, 2009
The Good Old Hockey Game
Saturday, May 30, 2009
American Pie - Don McLean
We're gonna have to learn those new lyrics, eh?
Wednesday, May 06, 2009
Tuesday, March 03, 2009
Haliaeetus leucocephalus (Look it Up)





Saturday, February 28, 2009
Back Home on the Gulf Coast






Wednesday, February 25, 2009
Finasteride
"About 71 men would have to take finasteride for seven years to prevent one case of prostate cancer. Kramer said a quick call to his Bethesda pharmacy showed that generic finasteride costs about $3 a day or around $1,080 a year, meaning that it could cost about half a million dollars to head off each case of prostate cancer -- while exposing dozens of men to unnecessary treatment and potential side effects, including incontinence and impotence. A small number of men taking finasteride also experience sexual side effects, such as a decrease in libido."
Monday, May 12, 2008
Three Months Later...
Before showing you the pictures, Let me give you an update on my PSA levels. Just prior to the start of proton therapy on December 5, my PSA (Prostate-Specific Antigen) was 4.4. On the last day of treatment my PSA was 3.3, a significant reduction. Three months after the end of treatment, on May 2, I again had blood drawn. My PSA is now at 0.2 and I couldn't be happier. You can find more information about PSA at Cancer.gov
Back to the last day of treatment, February 1, 2008...
We gathered with friends after I had an early treatment (my 40th) for a celebratory dinner. From the left, Forrest, Paul, myself, and Paul (Gene didn't get in the picture). In late afternoon we left the party for my last treatment. Anita had determined to make some photos of the process, so she borrowed Linda's camera and brought it into the treatment room.
Yours truly posing with the "Yellow" gantry in which I received my last treatment. Of the three, the Yellow is devoted to prostate treatments, while the others ("Blue" and "Red") handle patients with a variety of conditions treatable by proton therapy. All of my treatments except this last were in the "Blue" gantry.
After I climb onto the bed, the saline solution is introduced and a preliminary alignment is done by laser LEDs using the targets marked on my hips. The bed will then be rotated 180 degrees and for the preliminary x-ray and treatment.
The device on the right is the x-ray machine. Prior to each treatment an x-ray is made and evaluated to be sure that the target (my cancerous prostate) is in the proper position to be zapped. The device on the left delivers the proton beam the the victim -- I mean, the subject -- on the platform. Notice the brass ring in the lower-left of the picture: this is a part of the focusing device used to ensure proper application of the treatment.
As we were leaving, Gary Barlow was interviewing a new radiation technician. We got a picture of them. Gary was very helpful, always doing what he could to make sure our treatment was on time and handled in good order. Gary has become a very good friend.
Kristi was my case worker. Kristi helped us get our records together, scheduled the various tests needed for evaluation, and organized our time at the center. Each week she would gather medical data for my appointment with Dr. Henderson.
After receiving my last treatment, we came back to Paul and Marilyn's house to show off my graduation certificate, and one of the proton beam diffusers that had been used for the two months.Friday, February 01, 2008
We're Done!!
Anita also came with, and took some pix of my last treatment. I'll post them in the near future. Right now, we're gonna get ready to leave for Tennessee early in the morning. Thanks to all who have been praying for us; we feel very blessed in this entire process.
Thursday, January 31, 2008
The Dash for the Finish...
Sunday, January 27, 2008
5/6 completed
Worst part of this past week has been a bad cold I picked up on Wednesday. It still lingers, but I'm feeling a bit better today. I guess I'll have to blame it on "the bug going around" and not the therapy; lots of folks at church were affected, and even one of the staff at the Institute. I hope to be "out and about" tomorrow or the next day. Fortunately treatment is not affected; I do have to hold still and not sneeze, however.
I haven't described what the treatment is like, so let me do that. Tomorrow I'm scheduled for a 7:40 AM. We'll get up shortly after six and try to get on the road by 6:40. It takes about 20-25 minutes to drive to the Institute. I will check in, drink my water, then chat with other patients until I'm called to the back. Once there, I change into a hospital gown and proceed into the treatment gantry. I get onto the platform, the radiation technicians align my body using targets drawn on my hips, and I am placed into the correct position for the treatment. Before they "shoot me" with the Proton beam, X-rays are made to ensure that the target -- the cancer in my prostate -- is aligned properly. Two weeks before my treatment regimen started, three gold seeds were implanted in my prostate, for use with the x-rays in determining the exact spot where the proton beam needs to deliver its dose.
After all this alignment, the actual radiation is anti-climatic. The technicians go out to the control room, the beam is started, and a few minutes later they're back. Mission accomplished, I get my appointment time for the next treatment, get back into street clothes, and am on my way out the door. Total time: as little as 30 minutes, but it can take longer if there happen to be any equipment or scheduling problems. I think I've mentioned before that the staff here is wonderful, and that these people, being treated for cancer, are the most "up-beat" cancer patients you'll see anywhere. This whole experience has been eye-opening for us, and I'm hopeful that more folks will be able to take advantage of Proton Therapy.
Friday, January 18, 2008
Another week gone by...
On our way back from treatment Thursday afternoon -- it was, by the way, my 30th -- we found an intermodal train stopped at Milepost 648, near St. John's Avenue. We waited until the north-bound Amtrak Silver Meteor train came past, then got this shot of 5372 pulling for Orlando.CSX had a problem last night with the crossing gates at Timuquana and spent all day today working on them. Slow orders for all trains made for some short-tempered motorists and a few delays, but we all got where we were going even if it took a bit longer. Sometimes it's good to be a railfan; we enjoy being stopped by trains.
Thursday evening we went out with our fellow Proton Patients for dinner. We really enjoy the friends we've made here. Met some folks yesterday who, like Anita and I, grew up in Wisconsin. Like us, they're looking forward to the Championship game Sunday between the Green Bay Packers and the New York Gnomes..er, Giants. If you're not too busy, and live nearby, I understand they need folks to shovel snow off of Lambeau field. FYI, no snow in Jacksonville.
One of the great things about Proton Therapy for prostate cancer is that it isn't debilitating. Those of us undergoing treatment are able to do all the things we were before (I still can't play the piano) and have been able, in most cases, to behave as though this whole thing is a vacation. Anita and I continue to thank God that He led us to the University of Florida Proton Therapy Institute.
Thursday, January 10, 2008
The View from the Beach...

On our way back to our temporary home, we took the scenic route along Riverside Drive. The next picture, of Jacksonville's skyline above the St. John's River, was made from another City Park along the way.
I had an early treatment on Wednesday, so afterwards we decided to go over to the beach since the day was so nice. In addition to several fisherman with their lines in the surf, we watched this shrimper doing his thing off-shore. It was a beautiful day, and we really enjoyed wandering up and down the beach. Anita got a ton of sea shells.
Then last evening we joined some friends from Ortega Presbyterian Church for a study of the Patience of God, using a short monograph by A. W. Pink entitled The Attributes of God. Some of Pink's writings may be found on-line at http://www.pbministries.org/books/pink/pinks_archive.htm; I recommend the above title as well as The Sovereignty of God. We had a grand time, and continue to thank God for our new friends here.Friday, January 04, 2008
Half-way home...
New friends from Chattanooga, Paul and Patti, drove down on New Years Eve for Paul's three-day workup. We got together for dinner at the Stonewood Grille and got to know one another; had a grand evening. The next day we watched Tennessee beat Wisconsin before driving to the (temporary) home of Paul and Marilyn to join them and Gene and Linda for a wonderful traditional Southern lunch. A blessing of God, who works all things to the good of those who love Him, is the many Christian friends He brings into our lives.
Here in Jacksonville, the Institute staff organize a weekly "Restaurant Tour." To this point my treatment schedule have precluded our taking part, but last evening we joined the group at Bourbon Bayou, a New Orleans-style eating place at Jacksonville Landing. We enjoyed an evening of good food and fellowship with our fellow Proton Pilgrims. Thanks to Gerry and Katie for setting it up.
We've been enjoying, as best we can, our time here in Jacksonville. December weather has been wonderful, right up to the last days of the year. Yesterday was quite cool, with a cold wind blowing. I even got to use the old jacket I brought along. Today was nicer, and the radio promises mid-seventies once again by Sunday. Anita and I wish you all the best in the New Year. God Bless us, every one.
Sunday, December 30, 2007
Canadian Interlopers...
We arrived home from church this afternoon to find an armada of Canadian Geese paddling around in our back yard. I counted 38 of them, the most we've yet seen around here. As I stepped outside with the camera, they all swam toward me, looking for a handout. Since there was no Molson or LaBatt's in the house, Anita scrounged around and managed to find a few old biscuits for them.Friday I will have my 21st Proton treatment, which will mean we're half done. They say that time flies when you're having fun; it seems that as we grow older, it flies even without the fun.
Hope you all had a very Merry Christmas, and we pray God's eternal blessings to you and yours in this New Year.
Thursday, December 27, 2007
One-third of the way...
Each week I meet with my doctor to review progress of the treatment. Side effects have been minimal and tolerable to this point. My vitals have been pretty constant, except for my weight being up a couple pounds last evening. I guess I have to blame that on Al and Elaine Fricke and on Clive and Hyacinth Stephenson, whose generous hospitality we enjoyed on Christmas Eve and Christmas Day. Anita and I give thanks to God for the bringing new friends into our lives. We've gotten to know a lot of other patients at UF Proton Therapy Institute, folks from all around the country. We've been worshipping with the folks at Ortega Presbyterian Church and have enjoyed a wonderful fellowship with them. Reminds me of Pauls words in the Epistle to the Romans, chapter 8:28: "..we know that all things work together for good for those who love God, who are the called according to His purpose." Surely it is a very good thing to find new brothers and sisters in Christ.
We will complete my course of treatment, God willing, near the end of January. We'll return home for a time and depending on how soon my routine returns to normal, will be planning a visit to Wisconsin to see my mother. She still has a feeding tube but is responsive to stimulii and we have hopes for recovery from her stroke. We understand that she enjoyed Christmas worship with my sister and her family; for that we give thanks. Your continuing prayers on her behalf are very much appreciated.
As mentioned above, we had a sweet time of fellowship over the Christmas Holiday with some of our new friends. we shared greetings with many old friends, and we greet those of you who are reading this. "May the Peace of God, which transcends all understanding, guard your hearts and minds through Christ Jesus. Amen."
Sunday, December 23, 2007
Ten more Days...
I mentioned before that we live near the Naval Air Station here in Jacksonville. They fly a lot of these aircraft -- P-3 Orions -- around this area and evenings apparently are their times of choice to do their practice landings. I stepped out the back door the other evening and made this photograph of one turning final. I should mention that often, instead of doing the normal "downwind leg - base leg - final approach" to the runway, they will make what some know as a "Carrier Approach" in which they come downwind and then make a sweeping turn to short final. It's neat to watch.Thursday, December 13, 2007
Jacksonville Residents...
I pulled into a strip mall parking lot today and found this guy taking a bath in a puddle there. He acted like he owned the place, not moving even when a car approached. Once he finished drying his wings he strolled off to a nearby drainage ditch. If you know what breed of bird this is, let me know. He's certainly not one of the most attractive of God's creatures, but makes up for it with his attitude.
Sunday, December 09, 2007
Life in Jacksonville...
Some of you may remember that I like trains. God used Christian friends to lead us to a place to stay here in Jacksonville that is close to a busy rail line. I can listen all day (and night) to train horns at the nearby grade crossing. What could be better than that?
Let me tell you. God also gave us a place to stay that is close to a PCA church filled with caring people, people who understand the meaning of prayer, and Christian Fellowship, and what it means to be children of our Heavenly Father. We have found amazing connections with the people of Ortega Presbyterian Church -- http://www.ortegapres.org/ -- and are looking forward to worshipping and praying with them during our stay here. Surely "..His Mercy Endures Forever."
I've completed three treatments (Wed, Thu, and Fri) and have had the weekend "off." Yesterday Anita and I went up to Amelia Island. It was a perfect Florida day, sunny and warm, and we found a lovely restaurant for lunch, a lonely beach to wander on while collecting sea shells, an historic town (Fernandina) to wander through, and last but not least, a train to chase as we left town. Psalm 23 comes to mind: "Surely goodness and mercy shall follow me all the days of my life, and I will dwell in the house of the Lord forever." Amen and Amen!
Here's the Prince of Amelia Island.

Wednesday, December 05, 2007
Forty-One to Go...
Prostate cancer is a funny thing. If your doctor ever tells you you have it, get all the details, do some research, and then go off and get a second opinion. I did, and am I ever glad.
(Technical stuff follows; feel free to ignore if you're a girl or if you haven't been diagnosed positive) My initial diagnosis was "3 of 10 biopsy samples positive for cancer, Gleason 3 + 3, T-1-C". When I found out about Proton Therapy, I came down here and had a major "second opinion" which included a battery of tests including a bone scan, CT scan, MRI scan, another biopsy (this one was mapped, with twelve rather than ten samples), and evaluation by my urologist and six of his collegues. Today I found out that only 2 of the 12 samples were positive, but that my Gleason score was placed at "4 + 5." This places me into a "high-risk" catagory, as opposed to what was hoped for based on the initial diagnosis All scans were normal, and verified that the cancer had not spread beyond the prostate; that is a definite positive. I guess the rest is, as well: I will need to have 42 treatments (the initial biopsy led me to hope for a lesser number), each treatment will be a higher intensity, and after the proton treatments end, I will need to have some hormone treatments as well, to ensure that they get "the whole enchilada."
Anyway, I must say that I'm pretty happy with all of that. Also happy with the place we found to stay while we're here. We're having problems with our computers (the power supply in Anita's CPU died en-route to JAX, and the display on my laptop has developed a problem) but the former will be fixed soon under warranty, and the latter doesn't keep me from necessary duties. Did I mention that we're happy with our new digs? Thanks, Randy Stair, for your suggestion.
Tuesday, November 27, 2007
Back home again...
Over the next several days Anita and I will be preparing for our eight-week sojourn in Jacksonville, Florida, where I will undergo treatment for my prostate cancer. We'll drive down on December 4 and begin treatment the following day. Thank you all for your prayers, both for me and for my mother.Sunday, November 18, 2007
Another Prayer Request
In 2003 my wife organized a surprise birthday party for me, and Mom, my siblings and their families came to help celebrate. Above is my Mom and her children. From the left, baby sister Roxanne, myself, sister Rita LaNou, Mom, and brother Rod.
This is our extended family. From the left, my son Jeff and Amy Kohlin, John and Roxanne Sule, myself, Rita and Jim LaNou, our mother Harriet Kohlin, Rod and Jill Kohlin.
Saturday, November 17, 2007
Home away from Home
Thursday morning was spent at the Proton Center going through CT and MRI simulations. This involved going through the same steps that we'll take during actual treatment, so that the patient knows and understands what is involved. We were done well before noon, and given an appointment for our first treatment: Wednesday, December 5, at 1:20 PM. Between now and then our doctors will complete plans for the course of treatment, review them, and construct the specialized focusing lenses that allows the proton beam to treat only the cancer.
With our prep work completed, we continued our search for a place to stay for the two month period of treatment. After looking at several more places, we finally decided to take the place on the Ortega River. Actually, it's on a canal just off the river, and is quite close to the Naval Air station (which is on the St. John's River). It had a lot of attractions, not the least of which was being in a gated community with off-street parking. There is plenty of shopping not far away, it's not too far from the Proton Center, and it has a spare bedroom and bath should we have overnight company. Here's a picture of the canal-side of the place - our unit will be the one just left of center, on the first floor, with the lawn furniture.
Once we had a place to stay lined up, we were able to relax a bit. Every Thursday evening the folks at the Proton Center lead a restaurant excursion for patients and spouses. We joined them at a wonderful little Italian place in the downtown area and got to know some of them - lots of fun. Folks on proton therapy sure enjoy themselves. No loss of energy or hair, unlike some of the people I've known who opt for surgery and/or radiation.Friday morning, both Anita and I were awake early so we decided to head for Chattanooga. We were on the road by 7:00 AM, heading west on Interstate 10 then north on I-75. We got home about 3:30 PM after 490 miles of boredom (only a few seconds of sheer terror ;-). Now we're back in the "wait state" and making a list of all the things we can't do without for two months.



