Get squeamish gentlemen, we’re talking prostate. Yep. That bit-bigger-than-a-walnut sized gland below your bladder and North-North-West of your asshole.
It’s a fascinating little object and here’s what it does. Your prostate secretes a slightly alkaline fluid that is about 25 to 30 percent of your semen. Not the sperm themselves, that’s a nut job, pun intended, but the seminal vesicles pass up from the nuts to the prostate and mix together to pass down your penis when you pop your cookies from watching “The Golden Girls” reruns. That Rue McClanahan…what a Minx! Oh crap, that was out loud wasn’t it?
The reason the prostatic fluid is slightly alkaline is to give your sperm a fighting chance in the Great Swim of Life. The vagina is acidic, so a bit of alkali lets the lads live longer, eventually leading to fertilization, “was it good for you?” yadda, yadda, yadda, right up to “Yes Dad, it’s a really nice Home and we’ll come to visit you every weekend. We promise.”
The Creator did great, nay, fabulous work when He did Women, but Jeeze Louise, Male Parts were not His best work: The design is merely functional, like sex organs designed by Ikea. It’s part of a system, but you can’t make sense of the instructions and the illustrations are cartoon sketches. Women however, ahh, now that’s superlative work. The intake is a bit close to the exhaust, but it’s a great design.
There are enough maladies that can befall the prostate that entire medical careers have been built on them. It’s a very poor design, almost as bad as the knee, but at least the knee will stop working or swell up if you injure it. The prostate just sits there like a walnut, asking itself “Am I Coming or am I Going?”
There are two ways to check the prostate and you need both. The first is what is called a Prostate Specific Antigen test, which is a blood test, taken from blood from your arm. The lab rats look for an increased level of Prostate antigen, a chemical that indicates a fine, healthy, happy, prostate or an unhappy prostate depending on the change between tests.
Around the age of 40 to 45, men should have a PSA test yearly. Some docs say 50, other say 40, but what you want to do is start early enough that you know what your PSA level is over a few years. Mine’s normal, around 0.01 which indicates no issues with increased antigen production, which would indicate something wrong if the number changes. The PSA test is an early warning, nothing more.
Up until last year, you had to pay separately for a PSA when you had your usual blood work done. It was $15 most years. I consider it money well spent. Now most health care covers it, so ask for it. If the numbers change, see a doctor right away. A change in the PSA is an early warning that something is not right. It hurts as much as having your blood taken hurts. Instead of four vials, they’ll take five. No biggie.
There are issues with the PSA test, both false positives and false negatives. There are also issues with, in the female department, PAP tests, again false positives and false negatives. In either case, having a baseline is part of early detection. It isn’t a diagnosis, it just flags something for more investigation.
The other way to check the prostate is a digital exam. That’s right digit, as in finger, not zeros and ones digital. Your doctor will insert a gloved and well-lubricated finger in your asshole and palpate your prostate with a finger to check for inflammation, something swollen or out of whack.
The sensation of having the prostate digitally examined is no worse than taking a five-pound dump after a night of bad Mexican food. It’s no fun, but it’s over soon enough and feels much better when finished. What the doc is looking for is abnormal size, or malformation of the prostate itself. If you have a swollen prostate, you will scream like a little girl when the doc palpates it. That doesn’t mean you have cancer, it only means something is wrong. You can get a swollen prostate from too much self-pleasuring, or, in some men, bike riding. Prostatic inflammation from things like that goes away after a couple of days of rest.
A good, caring, doc will have you lie on one side and have you bring one knee up to your chest for a digital exam. An army-trained doctor will have you bend over the examining table and say “Hang on to your hat!” I’ve had both and the knee up is much better.
Yes, you might spring a Hollywood half-loaf totally without intention. Pressure on the prostate can trigger a drop or two of urine, or a mild, momentary erection, no worse than a morning piss-hard and no more useful either. The prostate is covered with the very same pelvic floor muscles that contract when you have an orgasm and cause you to ejaculate by giving the prostate a good hard squeeze. It’s perfectly normal as the systems are all interrelated. Or, absolutely nothing will happen: It varies from human to human.
Odds are 50-50 you’ll fart too. I asked and my doc and she said she’s been farted at so many times doing prostate exams that it’s now beyond disgusting and merely funny. No, it is not appropriate to load up on jalapeno nachos, cabbage soup, beer and beans the night before your prostate exam.
In either case, a digital prostate exam does not make you suddenly want to sing show tunes, or find the beauty in old Judy Garland movies. Sorry guys, it doesn’t.
It’s not a comfortable sensation for many men, but it is insanely important to have done. The prostate doesn’t give many clues that it is unwell and a PSA in combination with a digital exam is the best way to determine your prostate health.
To sum up. Your prostate helps keep your participation in the fornicative and procreative arts alive. It doesn’t kick up a fuss when it is unwell, so there are no symptoms to speak of. A PSA blood test in combination with a digital examination is the best way to find out if things are in good order.
As we all know, early detection means a much better chance at survival and the prostate is notorious for not kicking up a fuss until it’s almost too late.
If you want to learn more, www.ca.movember.com has links to Prostate Cancer Canada and several dozen other very good resources.
Mason Baveux–Concussions
Like many businesses, we get stupid busy around Christmas, so I tapped our pinch-hitter Mason Baveux to consider Concussions in Hockey while I dig out from under a pile of work, at work.
I thinks why Davey wants me to write on the whole head shot thing in hockey is Davey don’t give a five pound corn on the cob crap about Canada’s Game. This makes me suspect his citizenship, but since his family’s all Canadian, I think I’ll let’er slide.
So’s Sid the Kid spent most of last season ridin’ the sofa as he took one too many to the skull and was feelin’ cattywampus all over. He comes back for two games then reaches for the yellow handle again and is back on the sofa for “an indeterminate amount of time” while he tries to find out where the horizon is again. Or at least narrow it down to only two or three horizons at any given time.
I did some that research on that concussion thing and here’s what she said up the wikitickitavi.org. You got your mild brain injury, mild traumatic brain injury, mild head injury and minor head trauma, which you can use for any of the others as the term for what ails ya. We’ll just call’er concussion. Or Hockey Head.
Down in the fine print she says what happens is yer brain bounces off the inside of yer skull and doesn’t know boo from woo for a while. It could be a minute or two, or a week or two, depending on how hard a wallop you took. Do that enough times and yer brain starts a forgettin stuff, like what’s a yellow light mean at the corner? Drive’er like you stole’er! is the right answer. Pass the effin’ ketchup Maureen! is the wrong answer. Which is what be affecting Sid the Kid.
Some medical folks have been studyin on this for a while, using sporty types in sports what have serious contact. Football is one, Boxing another and Hockey. Seems the medicos have been cuttin’ open the brains of dead players to look for problems. They do have to wait till they pass, as the cuttin is a bit drastic for the walk-in clinic and tends to leave some marks. Fortunately, the sport types have been quite obligin’ as the older ones are dyin off naturally, and the younger ones get all messed up on the pills and booze, then do themselves in. So’s the medicos got lots of brains to work with and what they’re findin is lots of permanent injuries to the brain what are causin all sorts of wrongs.
Like Muhammad Ali (dammit, I still remember when he was Cassius Clay from Louisville, Kentucky) whose got the shakey jakes from what’s called Pugilistic Parkinson Syndrome. What the science boys and girls figure is that he got the Parkinsons from too many shots to the head in his career. Well, that took about five seconds to get ahold of those facts from the Department of Too Effin Obvious.
Anyone crazy enough to stand within arm’s reach of Joe Frazier or Leon Spinks, two lads who could knock a CP westbound freight train off a track by looking at it hard, is gonna get some kind of side effects from bein on the receiving end of a solid punch. You’d have to have headgear the size of Manitoba to get away with that kind of beatin. Which Cassius Clay never had. Which is why he’s retired and can’t speak, nor move too well no more and is a damn shame.
Now think about the hockey. There’s plenty of roughouse, as that’s part of the game and if you’ve played even a little bit on some rink somewhere, you know there’s a lot of stuff around that can rattle your head. The puck for one. The other guy’s elbow for another. Or you could try just fallin off your skates and doin a quad spin face plant on the ice herself. The ice don’t move much. Nor do the boards, or the posts, or the glass.
We’re not even talkin about some dirty defenceman who thinks he should coldcock you one when you’re settin the box on the power play and are lookin away for the forward at the point. Then all you see is the rafters, some shiny lights and finally remember what the coach said about “Keep yer head up!”
We’re talkin before helmets here. Back when Punch Imlach coached. When Don McKenny was part of the Uke Line on the Bruins with Bronco Horvath, Johnny Bucyk and Vic Stasiuk. Those days when you’d see Gordie and Jean go into the corner and watch your rum and Coke shake along with the whole friggin Forum. Not many of the lads got their frontal lobes all scrambled, as nobody wore a helmet and you were entitled to give as good as you got, but it was clean hits. No attempt to maim the other guy, even if he was from Montreal, or Detroit.
Today, decapitation gets you five. Maybe a game misconduct and that’s about it, assumin’ you didn’t go over to the house and piss on his sofa, or cross-check his missus into the washing machine after buggerin the family dog.
The helmets and visors the players are wearin are important, but the side effect of all that armour (and this is true of the football too) is that the grinders and journeymen players feel they can dish out the hardest possible hits they can to make a name for themselves, even if it means puttin someone in the hospital for a long time. But what goes around comes around and we’re findin out that givni the big hits like you’d see on Rock Em Sock Em Hockey 37, will also cost you.
Speakin of costin you, we do know of a lad whose hockey career was what you call a small fish in a pond. He never made the Big Show, as he took too many shots to the brain in Junior and couldn’t focus enough. His job now? He drives the Zamboni up to the arena for the Central Junior. We call him Slappy, as he’s not quite sure what day it is and has to slap himself upside the head to remember it. Sometimes he gets ‘er near right enough. If you bet him five dollars, he’ll eat a stick of butter on a dare. He lives in a part of a sheltered workshop for those what you would call ‘uncomplicated’, or we call Retard Park and Ride, as you can see most of them waitin for the taxi or the ParaTransport to get to where they’re goin.
He still wears his helmet most days as the doctors have said one more pop to the head and he’s likely not even going to remember how to drive the Zamboni. He’s pushin fifty now and never had a home, or a wife, or kids. All he knows is the hockey and how to drive the Zamboni.
Now, just so’s you don’t think I haven’t thought this around the rink between periods, look at two other sports what don’t have body armour: Rugby and Soccer. About all you get is a cup and some cleats for protection. You don’t see a lot of those careers comin’ to an end because the players can’t tell what month it is? Blown out knees? Sure, that’ll get you.
But because your opponents don’t have all the gear on either, they’ll hit you hard enough to get you off the ball, but not hard enough to end your career. And if you tell me that Rugby and Soccer players aren’t as tough and hard as Hockey and Football players, then I’d suggest you’re speakin out your arse and should go squat on the shitter to think that one through a bit more with some Metamucil to clear your talk hole.
What she comes down to is the armour the young ones wear, be it football or hockey. Makes them feel invincible and think they can dish it out without no consequences. Sid the Kid is their poster child. A great career lost because refs don’t call penalties and the gear they all wear makes’em feel like Superman. They’ll all wind up like Slappy and that’s not what the consultants would call a Career Arc.
Breaks my friggin heart.
1 Comment
Posted in Guest Commentator, Health and wellness, Social Constructs