Prostate Cancer Information For Male Firefighters

Age 40 and Above Who Actively (or Did) Respond to Fires
40 Plus Fire is a Fire Service group effort to help you, your family and departments better understand PROSTATE CANCER PREVENTION, RISKS AND SOLUTIONS. It was started because FIREFIGHTERS are generally uneducated about PROSTATE CANCER.

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WHAT DO I DO IF I AM TOLD THAT I HAVE PROSTATE CANCER?

This can be a very emotional and tough time. We STRONGLY recommend that you or a family member immediately contact the Firefighter Cancer Support Network. Their SOLE mission is to assist Firefighters and EMS providers and their immediate families diagnosed with cancer by providing badge to badge support, training and guidance.

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THIS CRAP IS SCARING THE HELL OUT OF ME!

We get it as we have been through it-but the good news is that we have been through it and SURVIVED. Those who do not get PSA and related cancer screenings EARLY are the issue…many of them are no longer with us. If you IGNORE it, it will not go away.

Look, as a FIREFIGHTER you have faced “scary stuff” before.

Handle this the same way:
-You size up the problem (Do I even have prostate cancer?)
-You apply the correct resources (“Doc…where do we go from here?”)
-You knock down the “fire” (Monitoring or treatment)
-You continue to size up the conditions (You are alive and doing well)

HOW DO I EDUCATE MY DOCTOR ABOUT THE RISKS OF BEING A FIREFIGHTER AND CANCERS?

You give THIS DOCUMENT to your doctor (written by Boston FD Physician/former BFD Firefighter Dr. Mike Hamrock)

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Questions & Answers

WHAT IS PROSTATE CANCER?

Prostate Cancer is a cancer in a man’s prostate, a small walnut-sized gland that produces seminal fluid. A man’s prostate produces the seminal fluid that nourishes and transports sperm. Symptoms include difficulty with urination, but sometimes there are no symptoms at all.

Some types of prostate cancer grow slowly. In some of these cases, monitoring is recommended. Other types are aggressive and require radiation, surgery, hormone therapy, chemotherapy, or other treatments.

WHY AM I AT RISK AS A MALE FIREFIGHTER, AGE 40 AND ABOVE?

As a firefighter (career, volunteer-whatever!), our “workplace” is toxic. Even with the best gear and SCBA, we absorb carcinogens. Furthermore, prostate cancer is a prominent MALE disease. So as a firefighter you INCREASE your risk significantly. Numerous studies have estimated the increased risk of prostate cancer in male firefighters. Studies have found a 1.15-fold increased risk of prostate cancer diagnosis – meaning that for every 100 non-firefighters with prostate cancer there were 115 male firefighters diagnosed.

HOW DO I FIND OUT IF I HAVE PROSTATE CANCER?

Because there are often NO SYMPTOMS, EVERY firefighter MUST make their physician aware that they are a FIREFIGHTER…be it career, part time or volunteer. IF YOU DO NOT inform your physician that you are a FIREFIGHTER, there may be reluctance to perform a digital exam and to order a PSA test.

WHAT IS A PSA TEST?

The most common screening tool for prostate cancer is the prostate-specific antigen (PSA) test. This is a simple blood test that measures the presence of PSA circulating in your bloodstream. This test is usually the first step in any prostate cancer diagnosis.