Camp Codger

Getting Old Isn't for Sissies Gary discovered that a few weeks ago when he was faced with the constraints of aging. He came up with a mantra for dealing with getting old after the reality of hiking up Picacho Peak almost proved too much for his 76-year-old body.

A dinner table discussion for seniors—an “organ recital” and talk of falling. In this episode, Gary tells listeners about a dinner with friends that started with the usual "ills and pills" discussion and closed with the premise that Dirty Harry (Clint Eastwood) might have some good advice for seniors dealing with slowly diminishing capabilities. A fun evening with some interesting insights.

Sam Toperoff died this year, and that makes me really sad. I never met Sam, but as all good writers do with their readers, he created a connection. I felt I knew him as a friend after reading his essay In The Land of the Very Old. There are no geographical coordinates for this strange place. It’s a state of mind Sam conjured up about aging. In this sweet piece of writing, he describes his journey from living in the “old country” to his new home in the “land of the very old.” Last March, I posted a podcast episode recommending Sam’s essay to Camp Codger listeners. While preparing the podcast, I reached out to Sam, asking his permission to use a photo he took at his home in the French Alps, where he lived with his wife, daughter, and grandson. Sam never replied, but I assumed he would be okay with it since the episode was about Sam and his essay. A few weeks ago, I became curious about what Sam was up to and discovered the sad news…Sam was no longer with us. It matters to me because I’m approaching “the land of the very old,” and he was a guide. I’m not at the border yet, but I can see it in the distance. Thanks to Sam’s depiction, the “land of the very old” seems like a good place. Not perfect, of course, but, as he says using a bittersweet chocolate simile for the “land of the very old,“ “the bitter is really not so terribly bitter, the sweet, when it comes, is surely a good deal sweeter than it has ever been.” With his first essay about his new life in the “land of the very old,” Sam made a connection with thousands of readers. The response by his new friends, hundreds of who responded with emails, caused him to write a follow-up essay. In the Land of the Very Old, Part 2, which was published after his death, Sam continues his story about residing in this strange new place. And he must have been planning on keeping the conversation open since he even suggested he was getting a visa to the “land of the very, very old” as he was approaching his 91st birthday. I was moved by Sam Toperoff’s passing because he was an inspiration. Not headline-news inspiration about a random old person doing some impossible feat for an 80-year-old. No, Sam inspired me because he continued to keep doing what he loved and did so well. At 90, he was still creating and writing, even as he was aware of the creeping limitations that make everything just a bit harder as we grow older. I continue to do this podcast at 76 because Sam is showing me the way. Thanks, Sam. We never met, but I’ll miss you. I was looking forward to your take on your life in the Land of the Very, Very Old. I know it would have been a good read and a pretty good place to be. Thanks for listening. I encourage you to read Sam’s essays. They’re long but worth the time. The links are below. In the Land of the Very Old In the Land of the Very Old, Part 2 Connect with Us Would you like to know when the co-hosts of Camp Codger get together to talk about a new topic? Subscribe to our weekly Camp Codger newsletter to receive an email notification each time we publish a new episode. You can also subscribe and listen on your favorite podcast app. And, if you enjoyed this episode about Returning to the Land of the Very Old, please click the Share button below and Like Camp Codger on our Facebook Page. Finally, have some feedback for the old codgers? Leave a comment below or send an email to

Gary returns with an episode about receiving an insane EOB (Explanation of Benefits) from United HealthCare. Today, it’s a rant, but I promise to make it a short tirade. The trigger? My latest EOB statement from my healthcare insurance company. To be honest, I seldom download and open these statements. I’m a big fan of Medicare and have a really good Advantage plan thanks to my late wife’s retirement program. Until this year, I have had the good fortune of being relatively healthy—no major illnesses or chronic medical issues. I typically incur few medical expenses, and it never costs me more than a small copayment for any procedure. My healthcare insurance company? UnitedHealthCare. Yes, the purported Darth Vader of the healthcare insurance evil empire. Really? A Quarter of a Million Dollars? On to my rant. So, I opened this new statement and was blown away by the year-to-date numbers it presented. The top line was enormous. My providers—the labs, imaging facilities, clinics, and doctors who delivered services—billed UnitedHealthcare over $256,000 from January to October. I know I was diagnosed and treated for prostate cancer, which isn’t cheap, but a quarter of a million dollars? I might add that I did not spend one night in a hospital or have an operation in a surgical facility. Now, the relevant numbers were the actual payments to the providers and my share of the costs. UnitedHealthCare paid a bit under $33,00, 13% of the billed amount. My out-of-pocket share was an incredibly small $521. This begs the question about what kind of screwed-up system, knowingly and with a straight face, bills anywhere from five to eighty times the negotiated cost of a medical procedure? Every provider knew precisely what they would get paid by my Medicare insurance company before they submitted the claims. These are pre-authorized payments, yet they still billed these egregious amounts. Why did a urologist bill over $23,000 for a 15-minute, in-office procedure, knowing they would get paid $279? But Who Pays the Balance? As I noted, I have the good fortune to have a decent Medicare Advantage plan that pays for almost everything. My concern is for the poor patient who sees an enormous unpaid balance and wonders if they will be required to cover it. Sure, there’s a note in the EOB saying you should not be billed for the balance, followed by another notation that the patient may need to pay a copayment, coinsurance, or deductible. So, am I on the hook or not? No wonder there is so much anxiety today around medical treatment and its costs. In my humble opinion, the medical-industrial complex of healthcare providers and insurance companies maintains this evil pricing charade to take advantage of the disadvantaged. These obscenely inflated prices are the starting point for unfortunate patients who may be underinsured or even uninsured. How many families have lost homes or gone bankrupt based on their inability to pay these fantastical prices? Explaining the complexities of the healthcare payment system is way above my pay grade. Still, these thoroughly confusing payment practices can partially explain the anti-healthcare sentiment rampant in our country. And we haven’t even touched on the burden of self-advocacy placed on patients dealing with complex medical issues. Or the simple frustration of just trying to ask their healthcare provider a simple question. Leave a MyChart message? No response. Call the office? Listen to a long phone tree before being sent to voicemail. Leave a voicemail message? Ignored. As you can probably tell, I’ve dealt with a few challenges over the last nine months. A Costly Bureaucracy My tirade was triggered by a stunning Explanation of Benefits statement from UnitedHealthCa...

Gary decided his prostate cancer was not yet in the rearview mirror. I know. I wrapped up the Prostate Papers project in the last episode. It was planned as the final episode of the series. I didn’t want to write about my prostate cancer any longer, and I’m sure you didn’t want to listen. After all, in my thinking, it was over. My cancer staging was encouraging (favorable intermediate risk), my state-of-the-art treatment was scheduled, and the long-term prognosis was excellent. I was optimistic. A couple of weeks in San Francisco for my radiation sessions, and it would be in my rearview mirror, disappearing into the past. Reality Sets In Well, it didn’t quite turn out that way. After returning home to Santa Fe, I debated for several weeks whether to leave the Prostate Papers project closed and on the shelf or record a new “final” episode. I’m not looking for sympathy, but I decided I wanted to be honest with my listeners, especially my new buddies in The Club, who graciously shared their prostate cancer experiences with me. So, one more chapter in the Prostate Papers, and it’s over. I think…who knows? Anyway, what I discovered, even with all my research, is that prostate cancer lingers. It’s not “one and done” for most patients. My optimism and belief that I was in control masked the reality of most cancers. Even with successful treatment (surgery, radiation, or chemotherapy), a period of recovery can be long. And there are side effects. Boy, are there side effects! I should have known this intimately. After all, my first wife underwent every treatment in the books for breast cancer. It was treat, recover, deal with the side effects, and then repeat. It was part of her life (our life) for seven years. I was denying reality, assuming my cancer was different. A Real Surprise It wasn’t. In my case, I was hit almost immediately after my last treatment with a serious, radiation-caused urinary tract obstruction. I now need to self-catheterize several times a day. It surprised me. Notwithstanding my over-the-top research, this treatment side effect never appeared on my radar. On a positive note, my radiation oncologist says it should diminish over the next few weeks or months. A couple of friends who experienced the same issue after their radiation treatment also reassured me that they recovered from this uncomfortable side effect. I’m guardedly optimistic, but patience is in order. By the way, we haven’t even touched upon the well-known, long-term outcomes of radiation treatment for prostate cancer. These side effects can take months, even a year or longer, to show up. It’s become painfully clear to me that prostate cancer will always be part of my life. So why am I reopening the Prostate Papers and sharing my post-treatment status? My primary motivation is an obligation I felt to guys who are dealing with their prostate cancer issues and who listened to, or might tune in to this podcast series. There are enough challenges and decisions in the diagnosis and treatment of prostate cancer that full disclosure of the potential side effects can be overlooked. It happened to me, and I did a ton of research throughout this journey. I thought I was well-informed but discovered I wasn’t. If this can help a few of my prostate cancer buddies avoid unpleasant surprises, it’s worth the effort. A Bit of Advice So, my advice is simple. First, accept the fact that prostate cancer is now part of your life. You might be among the few lucky ones who complete their treatment with no short- or long-term side effects and never have a recurrence. That would be great but don’t assume it’s a given. Prostate cancer takes its toll on many of its victims. Second, avoid nasty surprises by doi...

The wrap and final episode of The Prostate Papers. It's time to draw this story to a close. Gary Ebersole here, back with the closing chapter of The Prostate Papers. You might have noticed the recent “dead air” from the Camp Codger podcast. I haven’t abandoned Camp Codger, but I couldn’t bring myself to deliver another long episode about prostate cancer. Sometimes, you can get too close to a topic, and this was one of those topics for me. Anyway, my personal experience with the scourge of prostate cancer has reached a significant juncture, and I feel a need for closure, hence this final episode of The Prostate Papers. My Biopsy I went to Denver in early July for my biopsy, and the results came back a week later. To understand how I ended up 400 miles from Santa Fe, where I live, for this critical procedure, read my blog post on the biopsy dilemma. As you might expect, I hoped the pathology report would let me move into “watchful waiting” or even “active surveillance” mode. Unfortunately, the Denver urologist who performed the biopsy and did the cancer staging said that I needed treatment—surgery, radiation, or even focal therapy. He said it wasn’t urgent, but I did need to do something sooner (measured in a few months) rather than later (a year or two). My Treatment Decision For the curious, I have chosen to undergo external beam radiation therapy using the SBRT protocol rather than have a radical prostatectomy via robotic-assisted laparoscopic surgery. What a mouthful! Anyway, the treatment will occur during the last two weeks of October in San Francisco. Yes, I’m also traveling out of state for my treatment. I explain my rationale for this decision in a blog post on CampCodger.com. A Few Comments Let me leave you with a couple of closing comments. First, an important point to leave listeners with is that your level of involvement in your diagnosis and treatment is your choice. You can follow my over-the-top path and go into a research frenzy. It was perfect for a geek like me since understanding how things work matters. My immersion in the world of prostate cancer has led to the diagnostic choices I made. It also determined my treatment choice. That said, what works for me may not work for other guys. If you have an excellent urologist that you trust and a support system to give you wise counsel, the low-research approach can be the right path for you. The Definitive Book on Prostate Cancer Second, for the guy or his family who must know as much as possible about the diagnosis and treatment of prostate cancer, do your online research, as I suggested in an earlier episode. Then check out Dr. Patrick Walsh's Guide to Surviving Prostate Cancer. This comprehensive book loads you up with detail, often more than you want. I was well-informed when I finished reading the book. It's a Wrap So, it’s a wrap for The Prostate Papers. Developing these episodes has been cathartic for me, but the interaction with my new “prostate buddies” in our special club has been even more amazing. Thanks, guys. It really made a difference. The Prognosis Before we go, let me reassure our listeners that I am convinced everything will turn out well. My doctors and all the data I hav

In The Club episode of The Prostate Paper, Gary discovers new friends with a shared experience dealing with prostate cancer. Gary Ebersole here, back with another chapter of The Prostate Papers. When I closed the last episode, I said I’d discuss the challenges of choosing the optimal diagnostic path. I had recorded and edited the episode and was about to publish it. It was at that point I decided I was feeling drained after my intense research on prostate cancer. At the same time, I was dealing with my challenges in trying to gain access to the medical system. I have a good Medicare Advantage PPO plan, yet two of the top cancer centers in the country (I’ll name names—MD Anderson and the Mayo Clinic) refused to take my insurance, which would require me to go out of network and pay out-of-pocket for charges not covered by my plan. To add to my frustration, I discovered my geographic location had a significant impact on my choices for diagnosing and treating prostate cancer. So, I went looking for something positive from this prostate cancer experience and didn’t have to go far. I have been overwhelmed by how open men who are dealing with prostate cancer have been. Under normal circumstances, you wouldn’t expect guys to talk openly and candidly about sexual dysfunction, urinary incontinence, and even bowel problems. When all is well, we may joke about these topics but don’t talk seriously about them. That all changes when a man receives a prostate cancer diagnosis and mentions it to someone else who is dealing with the same thing. The sharing begins. My Club It's a club with a singular and obvious membership requirement—being treated for prostate cancer. Some men may be among the lucky who are diagnosed with indolent, slow-growing cancer and avoid treatment for now. However, even with active surveillance as the treatment, you’re still in the club. It’s a lifetime membership. As a result of this podcast series, my Camp Codger chapter of the club already had a couple of members. The first guys in, Ron and Jimmy, were incredibly open about sharing what they had learned during their diagnosis and treatment. Several other guys among friends, acquaintances, and family had listened to the first Podcast Papers episode and surprised me by welcoming me to their club. Thanks to Kevin, Jack, Mike, Dan, and Owen for reaching out. It’s not a club I was interested in joining, but it has a great roster of members. We had some terrific conversations and email exchanges. I also had the good fortune to meet Robert and Charlie through introductions from my friends Stewart and Peter. And Doug, a visitor to our Airbnb guest house, was a surprise club member. Over a glass of wine one afternoon, Doug mentioned that he had prostate cancer, which triggered an extended discussion about what I could expect. Community Matters I’ve really discovered the importance of community. The dialogues have been heartwarming and, at times, intense as we discussed the challenges of dealing with prostate cancer and its diagnosis and treatment. Talking about it makes a difference. A heartfelt thank you goes out to the members of my club. I am forever grateful for your support and friendship. If you’re joining the prostate cancer club, my advice is to be open to talking with other guys. The first conversations may be a little awkward, but you’ll learn a lot, and you may make some new friends. I’m not typically a joiner, but in this case, I stepped out of my usual pattern. I’m really glad I did. Btw, ask your urologist to point you to local prostate cancer support groups. For some men, it’s an excellent way to connect with this community. We get back on track with the next chapter of The Prostate Papers when I return to the topic of the biopsy dilemma.

In this episode, Gary enters the prostate cancer maze when his PSA test results increase rapidly. This is Gary Ebersole. I’m back with another chapter of The Prostate Papers. In this episode, we get serious about all the decision points and choices that men must make in their journey through the “prostate zone.” As always, I remind the listener or reader that I’m not a doctor. I’m merely trying to provide a guide that might help you better understand what’s on the path ahead. These are my experiences and may not reflect your situation. A Maze of Chutes and Belts To illustrate The Prostate Papers journey, I’ll introduce a metaphor I use to describe my travels through the prostate zone to visualize what it feels like to be on this trip. I sometimes think of myself as a package going through a maze of conveyor belts and chutes in a UPS sorting facility. As you ride along, you’re confronted with a sequence of decisions, often with several options and various outcomes. Depending on your decision at any given point, a gate closes, and you are sent down a chute onto a different belt. As much as you would like to return to the beginning of your trip and find a more pleasant adventure than dealing with prostate cancer, the belt only moves forward, and the ride continues. Let’s start with the first decision most men think they must make—should I have my PSA levels tested yearly? In truth, your first decision is often whether to submit to a digital rectal exam (or DRE) by your primary care physician during your annual physical exam. Unfortunately, the evidence supporting using a DRE to identify early-stage cancers isn’t great. If the DRE is part of your yearly exam, welcome to the prostate cancer maze and hop onto the “watchful waiting” conveyor belt. Another, possibly even earlier, access point to this conveyor belt is when patients report lower urinary tract symptoms to their doctor. Google “prostate cancer lower urinary tract symptoms” to get the long list of symptoms. You can expect a DRE and a baseline PSA test if you report any of these symptoms. You’re also on the “watchful waiting” conveyor belt. PSA: To Test or Not Back to PSA testing, which is a stronger indicator of possible prostate cancer than either the DRE alone or patients reporting lower urinary tract symptoms. Confusing for both patients and doctors, there is no consensus on prostate cancer screening guidelines. The American Cancer Society, the American Urological Association, the United States Preventive Services Task Force, and the National Comprehensive Cancer Network all have different (sometimes contrary) recommended guidelines. For instance, the USPSTF, a government-funded nonprofit organization, recommends against PSA testing for men over 70 (I’m 75). The ACS is more nuanced and recommends continued annual screening if baseline test results reach a certain threshold. The other groups are similar. There are very good reasons for this ambiguity. The risk of overdiagnosis (and overtreatment) for prostate cancer is high. Nobody wants the prostate cancer treatment side effects if they don’t have cancer. By the same token, nobody wants an aggressive cancer to go undetected. It’s a conundrum. My Trip Into the Maze As I mentioned in the first chapter of The Prostate Paper, I entered the maze voluntarily (no symptoms) and jumped onto the “active surveillance” conveyor belt four years ago at age 71. My decision was based on several factors. First, I always believe it’s better to have information on which to base rational decision-making. Ignorance is not bliss for me when it comes to my health. Second, I have always been an active participant in my healthca

In this episode of The Prostate Paper, Gary comes out of the prostate cancer information rabbit hole and takes stock of what he has learned. Gary Ebersole again. I’m back with another report on my journey into the “prostate zone.” As I mentioned in the previous episode, I’m not a medical professional, and I’m not giving medical advice. My objective with these podcast episodes is to share the experience and knowledge I have gained with our listeners. Make your decisions based on your research and the advice of your medical team. Out of the Rabbit Hole In this episode, I’ll take a break from my nonstop research and take stock of what I’ve learned. First, a personal sidebar. My journey began eight weeks ago when my second PSA test results in two months were posted to my medical portal. Damn, that was my first thought. Another big jump in two months (20%) after the 33% increase over the previous year. Not good. I had just entered the prostate zone. For me, that didn’t mean rushing to my urologist and demanding immediate treatment. I wanted more information. He ordered an MRI scan, and the intervening three weeks gave me plenty of time to understand my situation better. My research became the catalyst for The Prostate Papers. Prostate cancer was more complex than I had thought, and perhaps what I learned over dozens of hours of online research could offer some guidance to other men entering the zone. So, here we are, eight weeks later, and I still haven’t had a prostate biopsy. What, you may say? No biopsy yet? Perhaps the best virtual advice I received during my research was listening to a YouTube video featuring Dr. Mark Scholz, a well-known medical oncologist in Los Angeles. He’s specialized in managing prostate cancer (not treating) for the past 30 years. You Have Time In this video (https://www.youtube.com/watch?v=aotF2SPzCmU), Dr. Scholz tells patients to “Go slow…do your research…talk to a lot of people …give yourself time to process the complexity of the situation”. The essence of his advice is simple—you have time. Yes, you have cancer—the big ‘C’—and that creates an incredible sense of urgency. Your first response is, “I want it out, and I want out now.” But stop, take a deep breath, do your research as Dr. Scholz says, and talk to your doctor. You’ll discover two important things. First, some forms of prostate cancer are what is called “indolent” and grow very slowly. Second, even if your cancer is considered high-grade or aggressive, it still grows slowly compared to many other cancers. You certainly have a few weeks, even longer, before committing to a diagnostic and treatment pathway. Google the phrase “How quickly does prostate cancer spread?”. You’ll find many credible sources that support the premise you have time to understand your disease and your choices. Whatever you do, don’t choose to do nothing. That would be stupid. You wouldn’t be at this point if there weren’t some solid prostate cancer signals. Listen to what these signals tell you, and if your doctor recommends active surveillance, follow their advice for regular PSA testing and, in some cases, routine MRI testing. You are in the prostate zone. Deal with it. Back to my biopsy status. I’m glad I took the time to research prostate biopsies. No, a prostate biopsy is just any old biopsy. There are several approaches that I plan to explore more deeply in the next episode when I take listeners into the prostate cancer maze. I’ll explain what I discovered and how it impacted my biopsy path. The Buck Stops with You In addition to the

In this episode of The Prostate Papers, Gary goes way down the prostate cancer information rabbit hole. Welcome back to one man’s trip into the dreaded “prostate zone.” Before I start, let me remind listeners that I am NOT—repeat—NOT a doctor. I’m just a reasonably well-informed patient, and I’m sharing what I have learned in the hope that other folks entering the “prostate zone” might find it useful. Do NOT treat anything I say as medical advice. Too Much Information? I closed the first episode with a simple question—is there just too much online information on prostate cancer for a reasonable person to discover and process? The classic answer—and my response—is “It depends.” For almost all of us, at the outset of our research, the amount of information can seem overwhelming. Just getting started can be a challenge. Googling “prostate cancer” gives over 412 million results. But is it too much? For many men, a fair answer is “yes”. TMI. Too much information. That’s what highly skilled, experienced doctors are for. A good doctor can guide you down this path to a successful outcome. You don’t need to enroll in the Google School of Medicine to be a good patient. Other folks eagerly head down the prostate cancer “rabbit hole.” There can never be too much information. One more query to post, one more paper to read. I’m one of them. When we “data hounds” go into our doctor’s office, we’re ready for a serious discussion, not a lecture. In my case, after a follow-up PSA test came back showing yet another significant bump in my score, my urologist recommended we proceed with diagnostic testing, beginning with an MRI scan. In the three weeks before the test, I went down the prostate cancer information rabbit hole. Way down the rabbit hole. I spent dozens of hours clicking through long lists of Google search results. No surprise, there’s almost an endless supply of information scrolling across your screen. Equally unsurprising, the quality is all over the board. You can understand why doctors seldom look forward to seeing patients who have consulted with Dr. Google. Some may come in with a preconceived notion of their diagnosis and even have a treatment plan. If you choose to arm yourself with information available online, let me offer some advice. First, hone your search skills. The value of the returned results depends on composing good queries and comprehending and filtering the flood of information. As you drill down, your queries should be using more specific keywords. Second, select your data sources carefully. As we all know, information on the web can range from gold to garbage. I’ll drill down on the sources in a moment. Third, check the dates of the published information. Prostate cancer diagnostic tools and treatments have made significant progress in the last ten years. There is decent quality information that is a decade old, but try to focus on research and reports from the last five years. The Prostate Papers Goes Nerdy So, what online data sources do I think are good? Even though it’s far more challenging to process scientific research reports, they can offer some of the highest-quality data. In this project, PubMed Central from the National Institute of Health became my new best friend, but I wish I had paid more attention during my stats class in college. Processing medical research reports demands a basic understanding of statistics. And having enough information to understand the research context, its language, and its relevance is essential. It’s not always easy. That said, I read them anyway. For most people, the best resources are medical information websites curated by large clinical and re

In the first episode of The Prostate Papers, Gary explains how accelerating PSA scores sent him into the "prostate zone" and off for an MRI. Welcome to The Prostate Papers, one man’s trip into the dreaded “prostate zone.” You might reasonably ask, “Whoa! Where did this ‘prostate papers’ conversation come from?” And you might also ask why I’m turning my very personal story into a public dialogue. I’ll address the second question in the next episode when I discuss the prostate cancer information overload challenge. For the first question, a little backstory to get started. To PSA Test or Not I’m like most guys in my mid-70s age group and am keenly aware of prostate cancer. I have several friends and family who have been treated for prostate cancer. It would be surprising at this point in my life not to have friends and family who have been treated for it. Like many of my peers, I have been on and off the PSA testing regimen. Over a dozen years ago, at the recommendation of my then-primary care doctor, I stopped taking PSA tests. From what I had read at that time, it made sense. Over-diagnosis with what were less accurate tools 15 years ago often led to over-treatment. My doc used the old medical cliché that, at my age, I probably already had very slow-growing prostate cancer and would be more likely to die from some other affliction. Watchful waiting (or active surveillance) was the order of the day. That worked for me until 2020 when my new primary care doctor suggested we start PSA testing again. That seemed reasonable if we agreed to be wary of the over-diagnosis/over-treatment trap. All went well until earlier this year when my PSA scores started climbing. No panic. Watchful waiting, right? After all, PSA test results can be volatile and often reflect non-cancerous issues with the prostate, right? Well, after another test and another bump up in the PSA score, it appeared it was time for me to enter the PSA cancer maze. And it is a maze. Into the Prostate Zone A couple hundred thousand men in the U.S. enter the prostate zone every year through the same door I used—rising PSA scores. It’s not the best indicator, as doctors repeatedly remind you, but it is a signal that can’t be ignored. I’m still early in the diagnostic process as I prepare this episode. I haven’t even had a prostate biopsy yet. Rising PSA scores could be BPH-related, it might signify asymptomatic prostatitis, or it could be cancer. It’s just too soon to tell. I should note that I’m playing a dual role in this podcast series on The Prostate Papers. On the one hand, I want to be a dispassionate, helpful observer who finds researching and comprehending this subject compelling. I tend to define myself by my projects, and this is my latest project. Of course, on the other hand, I’m also the patient. What I’ll discover through my research and clinical experience will directly impact my life. As you listen to these episodes, you’ll hear these distinct voices. The observer will share what I am learning with listeners who might be traveling the same path. The patient might be a bit more pensive and introspective. This series is not intended to be another “my-cancer” story. Well, I suppose it is, but I’m not looking for sympathy. If I do have prostate cancer, I fully expect to survive. At this stage of my diagnostic testing, the odds are very much in my favor. It’s a story about navigating this unique cancer and the medical-industrial complex in which it operates. I hope to explain the diagnostic and treatment process that makes prostate cancer so challenging for patients. The Prostate Papers: First

The Land of the Very Old is growing closer for Gary but he's not at the border yet! He filed the following report about an article he recommends about traveling to that not-too-distant land. A couple of months ago, a friend sent me a link to an article titled In the Land of the Very Old (https://sundaylongread.com/2024/01/23/in-the-land-of-the-very-old/). My first thought was—huh? What does this have to do with me? I’m not “very old”, just "old". At the time, Bee and I were on our infamous road trip to Florida, so I put it aside for reading later. I finally picked it up again a few weeks ago and discovered a great story. In this article, the author, 90-year-old Sam Toperoff, looks back on his journey from the “Old Country” (where I still reside) to the “Land of the Very Old”. It's a sprawling piece that touches on many aspects of aging. Toperoff opens the narrative by describing a scene he is watching while waiting for his 84-year-old wife. He observes a steady flow of older people slowly and carefully descending a flight of stairs outside a doctor’s office. He has an epiphany—he realizes he’s in the Land of the Very Old. In this article, the author takes us through aspects of his aging journey. At one point, he touches on the idea of a newspaper-like “corrections column” for your life. I was quite taken by the idea of looking back on your life and identifying “corrections”. It's much better than wallowing in regrets which can seldom be resolved. In the last year or so, I have found myself looking back occasionally trying to understand why I made certain decisions or the way I behaved in some situations. I’m almost always able to let any regrets go, but I do find the mere act of exploring gives me some insights into my current behavior. And guess what? I’ve discovered old dogs can learn new tricks and I’m embracing my “corrections”. The Land of the Very Old is Approaching More than anything else, this article was a reminder that, like it or not, I’m approaching the border of the Land of the Very Old. I haven’t reached it yet, but the “diminishing” that Toperoff describes as a sign of passage into this new land is more noticeable than just a few years ago. I’m resisting the diminishing, but I can’t stop it. “In the Land of the Very Old” is a long read but, in my opinion, worth the time and effort. If you’re still in the land of the middle-aged or younger, it may not resonate at all. For those of us living in the “old country”, on the border of the Land of the Very Old, the article strikes a chord. I encourage you to read Toperoff’s closing paragraphs because it does give the “old” reader hope that residing in the land of the “very old” can be a good thing. It surely beats the alternative. By the way, the striking image tied to this article was taken from Sam's house in the French Alps. The story about how three generations of his family decided to move from the U.S. to France when he was 80 years old adds a nice dimension to his story. Sam Toperoff in the Land of the Very Old (Photo by Sam Toperoff) Three Generations of the Toperoff Family (Photo by Sam Toperoff) Connect with Us Would you like to know when the co-hosts of Camp Codger get together to talk about a new topic? Subscribe to our weekly Camp Codger newsletter to receive an email not

Camp Codger 2.0 has arrived in your podcast feed! Surprised to be hearing from us again? After all, didn’t we say goodbye a few weeks ago? Are the codgers back in the game? The short answer is “maybe”. This is an experiment and may end up being a very short comeback tour. When we decided to wrap up the Camp Codger podcast, Gary Ebersole had convinced himself that he was ready to move on. However, to be honest, a lot of his retirement identity was wrapped up in Camp Codger. In our circle of friends, we were the old guys who did the podcast for seniors. Most folks thought that was pretty cool. So did we. But, after much pondering as well as consulting with his fellow codgers, Gary decided to relaunch what he is calling Camp Codger 2.0. This version of Camp Codger will be different in several ways. First, the codger participation will be different. Randy has moved into the role of Codger Emeritus, perhaps appearing in a short episode on occasion. Richard wants to take on a less active role not driven by the demanding weekly publishing schedule we followed for seventeen months with Camp Codger 1.0. Gary completely agrees with that sentiment. In the new Camp Codger, episodes will be published pretty much when we jolly well feel like it. Frequently enough to stay engaged with our listeners, but not so often that doing Camp Codger feels like a job. After all, we are retired, right? With Randy retired and Richard’s participation reduced, that leaves Gary, the Chief Codger, responsible for most of the content we will be producing for Camp Codger 2.0. Richard may contribute the occasional, short solo episode on a topic that strikes his fancy, or he and Gary might engage in a conversation on a topic that grabs their attention. Camp Codger 2.0 Topics We’re leaving the topics wide open at this point. What you can expect is that we will continue to focus on topics that are relevant to our fellow Baby Boomers. And we may frequently touch on more controversial subjects. If you don’t agree with our opinions in an episode that we publish, we’re counting on you to tell us where we went wrong or, just maybe, let us know when we hit the mark and tell your friends about the new Camp Codger 2.0. As a rule, you can expect these episodes to be shorter, ideally under ten minutes. Don’t be surprised if some are just a few minutes long. After all, nobody really wants to listen to an old codger drone on endlessly, even if he speaks in the most dulcet of tones. You can think of what we will be publishing for Camp Codger 2.0 as opinion pieces delivered as Goldilocks-style audio essays—not too long, not too short, just the right length for the topic at hand. Finally, our audience expectations for Camp Codger 2.0 are now far more realistic. Our main motivations for bringing back Camp Codger are personal. We enjoy the creative process of producing episodes and think we have something to share with our listeners. Even if we only have a small audience that appreciates what we have to say, life is still good! Connect with Us Would you like to know when the codgers have something new to say? Subscribe to our weekly Camp Codger newsletter to receive an email notification each time we publish a new episode. You can also subscribe and listen on your favorite podcast app. And, if you enjoyed this episode about the return of the codgers, please click the Share button below and Like Camp Codger on our Facebook Page. Finally, have some feedback for the old codgers?

It's been a good run, but, with a heavy heart, it's time for the old codgers to say goodbye. We hope you enjoyed listening to Camp Codger as much as we did creating and publishing these last 72 episodes. In an epilogue episode, Gary explains how we came to this difficult decision. Leave a comment below or send an email to campcodger@gmail.com if you have any last thoughts. Goodbye! Gary, Richard, and Randy

Bah Humbug, return of the Grinch, and here comes Gary Ebersole to ruin whatever Christmas joy is left. We all know that Ebenezer Scrooge says, Bah Humbug. The Grinch means Christmas is in danger. Then there's Gary Ebersole, co-host of Camp Codger and hater of the holiday season, Christmas shopping, and pretty much everything that happens between Thanksgiving Day and Christmas Day. Is Gary the incarnation of Ebenezer Scrooge (Bah Humbug!) and the Grinch (the green character that Dr. Seuss says stole Christmas)? Well, that's what we are led to believe in his anti-Christmas rant that begins this week's episode of the Camp Codger podcast. "I know I'm supposed to get into the Christmas spirit by buying thoughtful, meaningful gifts," says Gary. "Spending hours scrolling through Amazon page after Amazon page is thoughtful shopping? I'll give you meaningful. Here's a gift card." Bah humbug, return of the Grinch indeed! By the end of Gary's anti-holiday-season rant, Randy Schultz (Camp Codger co-host), couldn't take it any longer. Saturday Night Live Strikes Again Remember back in the mid-1970s when Saturday Night Live was a new show? Cast members Dan Aykroid and Jane Curtain did a great satire of the "Point, Counterpoint" segment on 60 Minutes. You know the one. It's when, after Jane rants, Dan's first words are, "Jane, you ignorant slut." Yep, that one. That's what happens after Gary gets finished with his Christmas rant. Randy looks at him and says, "Gary, you pompous, ungrateful old codger!" Then the real fireworks begin. We won't include all of Randy's counter-rant here. (You'll have to listen to the podcast episode to hear the whole thing.) But we will tell you this. Not only does he call Gary an Ebenezer Scrooge, but he tells Gary to get his butt off the couch and go out to experience the joy of the Christmas season himself. "We live in the most amazing country at the most amazing time in history!" says Randy. "It wouldn't hurt for you to be grateful once in a while. Anyone in Ukraine or in the Gaza Strip would trade places with you in a heartbeat." And then he renames his co-host Gary the Red-Nosed Codger. Bah Humbug, Return of the Grinch, and More! Bah humbug, it's the return of the Grinch for sure. Co-host Richard Kipling tries to be a peacemaker, but it's not an easy task. It doesn't look like Gary is going to get his "participation trophy" for once again enduring the dreaded Holiday Season. Don't worry, Gary! You've got almost 11 months to brace yourself for Christmas Season 2024! After this episode, the codgers at Camp Codger are taking a few weeks off. So, after you've listened to this episode, dive into the archives and listen to some episodes you missed the first time around. Connect with Us Leave a comment below or send an email to campcodger@gmail.com.

New Year’s Resolutions—and How to Keep Them—is a fitting show to close out the year. It’s a longstanding tradition to make New Year’s resolutions at the beginning of a new year. That’s why we chose to share some of our own resolutions. But more importantly, we also reveal the 7 tips that will help ensure that you actually keep your New Year’s resolutions. If you make resolutions at the start of a new year you’re in good company. A survey of US adults revealed that almost 40% of us make New Year’s resolutions EVERY YEAR! Unfortunately, most of us are...

Yes, Holiday Loneliness is a real thing--especially for seniors during the most festive season of the year. Here's what you can do about it. You know that Andy Williams song that we hear from Thanksgiving Day all the way through Christmas? The name of the song is, "It's the Most Wonderful Time of the Year." It's a popular song because for most of us, the holiday season really is the best time of the year. The lyrics of the song begin: It's the most wonderful time of the year With the kids jingle belling And everyone telling you be of good cheer It's the most wonderful time of the year It's the hap-happiest season of all With those holiday greetings and gay happy meetings When friends come to call It's the hap-happiest season of all There'll be parties for hosting Marshmallows for toasting And caroling out in the snow There'll be scary ghost stories And tales of the glories of Christmases long, long ago But what if you aren't feeling merry? What if you are experiencing holiday loneliness? What if you are a senior who is not going to parties? And what if you are not surrounded by friends and family? It’s the Holiday Season! Hooray! (Or Not.) The truth is, for many senior citizens the holidays are a time of loneliness and isolation. It’s a season when many of us have too few friends to talk to. Family is too far away-- and too much time is spent alone. In May 2023, U.S. Surgeon General Vivek Murthy issued an urgent warning about an “epidemic of loneliness” in America. “Addressing the crisis of loneliness and isolation is one of our generation’s greatest challenges,” Murthy said. According to the CDC, nearly one-fourth of adults aged 65 and older are socially isolated. Older adults are at increased risk for loneliness and social isolation because they are more likely to face factors such as living alone, chronic illness and hearing or sight loss. An Expert on Holiday Loneliness for Seniors To talk about the problem of holiday loneliness, we invited Beverly Ventriss to Camp Codger to chat with us about how to recognize loneliness in seniors. And what we all can do to make their world less lonely. For the past 9 years, Beverly has been president and CEO of Valley InterCommunity Council (VIC). It's a group of three Los Angeles-based senior centers that deliver services both at the centers and at home-bound seniors’ homes. These hubs for seniors, which will celebrate their 60th year in 2024, are abuzz with activities that play an essential role in many seniors’ lives. We had lots of questions for Beverly: ** Can you describe for us what, exactly, constitutes “loneliness” for seniors? ** How can you tell if someone is lonely? Are there “loneliness” signs we should look for? ** If you are a senior and feel a sense of loneliness, what are some coping strategies to help you climb out of it? ** So we live in an age dominated by technology. How can technology help — or hinder — the individual’s fight against loneliness? ** Can loneliness lead the way to depression? To dementia? ** If you spot loneliness in a friend or family member, what can you do? What to do about Holiday Loneliness It turns out, there are many ways to help overcome holiday loneliness. Reach out to friends that you haven't heard from. Pick up the phone to say "hi." Post messages on social media platforms such as Facebook, and also comment on the posts of others. Go say hello to your next door neighbor. Sometimes it's hard to reach out when you are suffering from holiday loneliness-- or loneliness any time of the year. But reaching out is what friends do. It helps everyo

How to have Christmas fun with grandkids-- and a year-round guide to making memories with your grandchildren from Camp Granny author, Sharon Lovejoy. Happy holiday season! We interviewed Sharon Lovejoy in the summer about her wonderful book, Camp Granny. If there's an expert on how to have fun with kids and grandkids, it's Sharon. She's a successful author, illustrator, speaker, and shop owner. But her most notable role is that of being a "granny". She takes grandparenting to a new level, reminding us that spending quality time with your grandchildren is the best gift you can give them. That's why we are rerunning our interview with Sharon during the Christmas season. Spending quality time with our kids and our grandchildren is one of the joys of the holiday season. Listen to this interview with Sharon Lovejoy and you will get lots ideas for fun activities to do this holiday season, and throughout the year. Sharon Lovejoy is the ultimate Camp Granny to her grandkids. She knows how to be the "fun" grandmother. And in her interview with the hosts of Camp Codger, she shares lots of activities and projects that grandmothers and grandfathers can do with their grandkids. Sharon Lovejoy and Christmas Fun with Grandkids In her book, Camp Granny, Sharon offers grandparents (and parents, too) tips on dozens of projects to both entertain and teach grandchildren about the world they live in. In addition to dozens of indoor and outdoor activities, she also guides projects in the kitchen. Plus, there are lots of tips that appeal to the creative sides of children. When it comes to having Christmas fun with grandkids, Sharon Lovejoy is a pro! Sharon's inventive ideas focus on satisfying the natural curiosity of children and their sense of adventure. From leaf rubbings to gardening to making Moon Pizzas, she has activities for every grandchild. Many of her indoor activities with kids are perfect for the holiday season. On Being a Fun Grandparent In the introduction to her book, Camp Granny, Sharon Lovejoy writes: "Running a successful Camp Granny isn't about having a giant flat-screen television with 300 channels, a big swimming pool, or the latest computer games. It is about the time you share with your grandchild." Making memories is a gift that will endure for a lifetime. That's why Sharon's ideas make Christmas fun with grandkids so wonderful. Sharon's many ideas include backyard campouts (that work equally as well in a basement or garage) and a "dress-up drawer" filled with costumes for the grandkids. She keeps a stash of old games like pick-up sticks and Old Maid in a nearby drawer. She uses large mayonnaise jars (that she gets free from local restaurants) and makes time capsules with the grandkids. The Camp Granny with Sharon Lovejoy episode of Camp Codger is filled with so many great ideas. You may need to listen to it twice! Connect with Us Did you enjoy listening to this Christmas Fun with Grandkids episode featuring author Sharon Lovejoy? Would you like to know when the co-hosts of Camp Codger get together to talk about a new topic? Subscribe to our weekly Camp Codger newsletter and you will receive an email notification each time we publish a new episode. You can also subscribe and listen on your favorite podcast app. And, if you enjoyed this episode, please click the Share button below and Like Camp Codger on our Facebook Page. Have some feedba

This week, the codgers tell their retirement stories. Did they retire at 65? Retirement planning, new hobbies, how to enjoy retirement, and more. If you're a subscriber to Camp Codger, you already know about the survey we emailed last week. We asked subscribers to tell us which topics they wanted to hear about on the Camp Codger podcast. Retirement was one of the top choices. As a result, we're going to do more shows on the theme of retirement. We're launching our retirement-themed shows with Codger Retirement Stories. It's a candid discussion where co-hosts Randy Schultz, Gary Ebersole, and Richard Kipling talk about their retirement journeys so far. Listen to this episode to hear how three smart old guys are navigating the change from full time employment to blissful retirement. Retire at 65? One of the biggest questions each of us must ask is, "When should I retire?" The classic model of working for three or four decades and then retiring at age 65 is no longer the only option. Now, more and more seniors are choosing to ease into retirement. Going from full-time employment to full retirement is simply too big a change for many people to make in one day. That's why you should listen to Randy's story about how his father's retirement went. His father got the proverbial gold watch and the warm handshake one Friday. Then, the following Monday, he was totally unprepared for his new life as a retiree. Yes, many people are forced to deal with the "retirement decision" abruptly--in the case of a job loss or other event at work. But thankfully, there are many options that enable a more gradual path toward retirement. Surprising Facts About Retirement The average age of retirement in the United States is 66. That's up from 60 in the 1990s. This increase in retirement age is probably due to our increasing lifespans. According to Social Security actuarial tables, a 70-year-old man in America can expect to live an average of 15.4 more years. We're living longer than ever, which means we're likely to be retired for more years than ever before. Maybe that's why none of the Camp Codger co-hosts rushed into retirement. Gary, age 75, is the only one who admits to being retired. Richard, age 79, does not use the word "retired" to describe himself. And Randy, the youngster of the group at 69, is easing into retirement by deliberately working less each year. The details of their personal retirement stories and journeys are fascinating, so listen to this episode to hear all the details. Codger Retirement Stories: Don't Worry, Be Happy Retirement is supposed to make us happy, right? We're all supposed to LOVE sitting in a rocking chair on the front porch, going fishing and not catching any fish, and taking a painting class at the local community college so we can create museum-quality artwork in our golden years. Isn't that the stereotype of what retirement should be? What if retirement in the 21st century doesn't look like that? What if today's seniors are making other choices--such as volunteering at a local nonprofit organization or learning a new technical skill. Or, even taking up a gender-breaking hobby like knitting or car maintenance? The truth is, your retirement can be anything you want it to be! And you're going to love this discussion on how to transition into retirement--and what to do once you're there. Connect with Camp Codger Would you like to know when the co-hosts of Camp Codger get together to talk about a new topic? Subscribe to our weekly Camp Codger new

Thanksgiving, mortality, and gratitude come together during a thoughtful hike by Gary. I’m 75 and occasionally I feel every day of my age. And, frankly, I have been feeling mortal more often lately. The day after Thanksgiving was one of those days. I was hiking up Sun Mountain, one of my favorite short but intense hikes. Three miles round-trip and a bit over 600 feet of elevation gain. Now, I don’t practice walking meditation—maybe I should since it might ease my monkey mind—so my head is usually spinning through a wide range of thoughts. It can be really refreshing for me since it’s a good break from being tied to my digital devices. During these mental ramblings, I often have these moments of clarity about something that’s been bugging me. Seldom real epiphanies, just a better understanding and clarity. Mortality That morning’s hike followed the usual pattern, but I found I couldn’t hold my normal hiking pace. “God, I’m getting old” was my first thought, and then I started down the slippery slope of “doomscrolling” through my mortality as I hiked. I began wondering how much longer I could do this short, steep hike. A couple of years? Until I’m 80? Maybe in a decade when I’m 85? Well, I thought, if I can do this at any pace when I’m 85, there’s hope. My mood was improving. A modest breakthrough—I’ll bet I can keep doing this hike for many more years! Perhaps my demise was not so imminent after all. Gratitude I then drifted off to another thought that had been floating around in my head that morning—gratitude. Yeah, I know—thoughts of mortality and gratitude are usually not closely aligned, but I was just following the meandering of my over-active mind. The previous night I had read an interesting article on being grateful and being happier. There’s solid research evidence that expressing gratitude increases happiness. Even the philosophers of ancient Rome understood the value of being grateful. However, gratitude is not a natural emotion for most humans. We’ve evolved to focus on being alert to things that might harm us. Being grateful takes work. It’s just like exercise. Once you decide to start, you need to be disciplined and stick with it. Thanksgiving Anyway, after wallowing around in thoughts of my mortality, I decided to practice expressing gratitude during the remainder of that hike. And I had a lot to be grateful for. I was healthy and strong enough for a short, strenuous, hike, the sun was shining, I was on a pretty trail, and when I got to the top, the view was stunning as usual. And I couldn’t forget that I had a wonderful wife waiting for me at home and great family and friends. I could even see my house from the top of Sun Mountain. Pretty cool! I’m a really lucky guy! But what’s truly odd is that it took conscious effort for me to be grateful for my good fortune. My default thinking that day, after struggling a bit early during the hike, was to go to the dark side and obsess about my mortality. That’s clearly not how I want to spend my time, so I vowed to work on my sense of gratitude. Thanksgiving was a perfect time to start that practice. I’ll keep you posted on my progress. Connect with Us Would you like to know when the co-hosts of Camp Codger get together to talk about a new topic? Subscribe to our weekly Camp Codger newsletter to receive an email notification each time we publish a new episode. You can also subscribe and listen on your favorite podcast app. And, if you enjoyed this episode about Thanksgiving, mortality, and gratitude, please click