SIUSLAW NEWS ❚ WEDNESDAY, JUNE 14, 2017
LRAPA reminds residents
burn season ends June 15
Thursday, June 15, marks
the last day of the outdoor
burning season for most Lane
County residents.
Lane County Fire Defense
Board closes the spring out-
door burning season every
summer as fire season
approaches.
High temperatures and ele-
vated fire risk keep the season
closed until the fall outdoor
burning season begins in early
October.
Outdoor burning, also
known as “backyard burning”
or “open burning,” allows for
the burning of woody yard
debris, such as dry tree
branches or brush.
Outdoor burning differs
from recreational fires, barbe-
ques and bonfires, all of which
have different regulations
throughout the county.
Lane County residents can
check the regulations for dif-
ferent types of fires in their
area by visiting the Lane
Regional Air Protection
Agency (LRAPA) website at
www.lrapa.org.
Residents can also check the
daily status of outdoor burning
advisory by visiting the web-
site or calling LRAPA at 541-
726-3976.
Florence area residents can
also call Siuslaw Valley Fire
and Rescue at 541-997-3212.
Throughout the year, Lane
County residents are encour-
aged to find alternative ways
to dispose of yard debris other
than burning. Debris may be
disposed of at Lane Forest
Products, Rexius or one of
Lane County’s transfer sta-
tions and dump sites.
“Not only does outdoor
burning pose as a serious fire
hazard, it also emits unneces-
sary smoke into the air,” said
Jo Niehaus, a spokesperson for
LRAPA.
Residents who burn during
the closed season are subject
to violations ranging from $50
to up to several thousand dol-
lars.
For more information, visit
www.lrapa.org or call 541-
736-1056.
7 B
Us TOO Flor ence
Behind the headlines
B Y B OB H ORNEY
CANCER SURVIVOR
U S TOO CHAPTER LEADER
P
icking up where I left off
last month (May 10), the
USPSTF was addressing
prostate cancer screening of
men with increased risk,
notably African American men
and those with a family history
of prostate cancer.
This was in its recent 2017
PSA screening guidelines that
recommended
discussion-
backed decisions for all men
between ages 55 and 70. It sug-
gested that these increased risk
men “might” benefit from earli-
er screening than the general
population at age 55.
It then went on to state that a
reasonable approach was for
clinicians to talk with these
men about their increased risk
of developing prostate cancer
so they could make an
informed, personal decision
about whether to be screened.
However, it stopped short of
making a recommendation as to
when that “talk” with increased
risk men should occur. What
are the men and their clinicians
to do with that information?
Fortunately, for those of us
living in Florence and the sur-
rounding communities, we all
have access to the expertise of
the Oregon Urology Institute
(OUI) urologists right here at
their satellite clinic. In addition,
we have two Us TOO Florence
Prostate Cancer Support Group
meetings per month with a urol-
ogist (almost always) at each
one. That keeps us up-to-date
on the latest research and gets
our questions answered.
If there is a misperception
that these meetings are only for
men who have been diagnosed
with prostate cancer (and their
wives/ significant others), I
want to dispel that right here.
We encourage and welcome
anyone with questions about
anything related to prostate
cancer (including screening) to
attend and get your questions
answered
Now, back to the problem
with the USPSTF guidelines.
First and foremost, the guide-
lines apply to a narrow range of
ages, 55 through 69. I know
from 15 years with Us TOO
Florence, we men don't fit into
any such “box” for prostate
cancer screening.
Anytime we see the USPSTF
(or anyone else) recommending
a starting age and an ending age
for prostate cancer screening,
we know the outliers (men
younger than 55 and older than
69) are being written off as
“statistics.”
As we saw above, the USP-
STF isn't sure what to do with
two “increased risk” groups,
namely African American men
and those with a family history
of prostate cancer. I’m actually
surprised to see it acknowledge
them since those findings are
based on urologist experience
rather than prospective clinical
trials.
The USPSTF should add our
soldiers who had contact with
Agent Orange in Vietnam as
increased risk, too… an
increase of high risk prostate
cancer. An invisible group of
outliers are those men who do
not fit in any of the above
groups, but are destined to be
diagnosed with prostate cancer
either before reaching the
magic age of 55 or after attain-
ing age 70.
These are the men who have
no reason to suspect a diagnosis
of prostate cancer in their future
since they feel fine and have
none of the increased risk fac-
tors mentioned above.
This is where my (and many
others') appreciation of our
urologists at OUI comes into
play. While the USPSTF is
willing to write off men who
don’t fit its narrow prostate
cancer screening age range, our
urologists are unwilling to do
that.
First of all, our urologists
would like to catch those men
who are “too young” to have
prostate cancer, but already do.
Second, they are unwilling to
write off the men 70 years and
older as “too old.” To meet the
needs of the young men, our
urologists recommend a “base-
line” PSA test during ones 40s.
What they have found is, at that
age, a baseline PSA above the
median for the man’s age is
indicative of potential prostate
cancer even 20 or more years in
the future.
That information lets them
adjust future PSA screening.
Turning to the older men, if
we potentially have 10 years or
more of life left, they will con-
tinue to give us PSA tests (if we
want them). Men needlessly die
with the USPSTF’s “one size
fits all” PSA screening.
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