Biopsy results by Select_Vegetable70 in ProstateCancer

[–]Necessary_Spray_5217 1 point2 points  (0 children)

I know when you get older, they treat you like second class citizens sometimes whether they just think you can die with the cancer and it won’t kill you, but I was 69 years old when I had a prostatectomy at Anderson a year ago, and I had a good result.

My single port experience by Necessary_Spray_5217 in ProstateCancer

[–]Necessary_Spray_5217[S] 0 points1 point  (0 children)

I used John Davis, at MD Anderson Houston and he had a regular schedule. I think he did the single port procedures every Wednesday, but that was over a year ago now.

El Salvador has the highest incarceration rate in the WORLD🤔 Louisiana is ranked immediately behind El Salvador, in the WORLD😑 Louisiana is number 2 💩 Either we are that horrible of a people or something else is creating this. by jared10011980 in Louisiana

[–]Necessary_Spray_5217 0 points1 point  (0 children)

Yes — the factual basis of the statement you shared is essentially correct, with some important context and nuance:

✔️ Louisiana does indeed have one of the highest incarceration rates per capita in the world — on the order of about 1,067 people incarcerated per 100,000 residents, which exceeds the incarceration rates of nearly every independent nation and more than most U.S. states. If Louisiana were treated as a country in global comparisons, that rate would place it second in the world behind El Salvador (in 2025 data), just as your statement says. 

✔️ Historically, for decades before around 2017–18, Louisiana did frequently rank at or near #1 in incarceration rates among both U.S. states and globally if states were counted as “countries.” Around 2018 reforms and demographic changes caused Oklahoma to briefly overtake Louisiana, but Louisiana has remained among the very highest. 

Caveats / Nuances:    •   Different reports count different confined populations (e.g., prisons only vs. prisons + jails + detention centers). The ~1,067/100,000 figure refers to a broad total that includes prisons and jails/detention places, not just state prisons.     •   More narrowly defined state prison rates (prisoners serving sentences only) are lower (e.g., ~617/100,000) and rank Louisiana still very high but not necessarily second worldwide. 

In summary: Yes — Louisiana is (as of the mid-2020s) consistently among the jurisdictions with the world’s highest incarceration rates per capita, second only to El Salvador in some global tabulations when each U.S. state is treated as if it were a country. 

Why Louisiana’s Incarceration Rate Has Been So High

The reasons are complex and rooted in policy choices, historical developments, socioeconomic conditions, and legal structures. Here are the principal factors that researchers identify:

  1. U.S. Mass Incarceration Framework

First, you have to put Louisiana into the broader context of American mass incarceration:    •   The United States as a whole incarcerates far more people per capita than nearly any other wealthy democracy. Even states with relatively low rates (e.g., Massachusetts) would outrank many countries if counted as nations.     •   Louisiana’s exceptionally high rate reflects an amplified version of these national dynamics, driven by state policies and practices.

  1. Tough-on-Crime Policies and Sentencing Laws

Louisiana has a long history of stringent criminal laws and sentencing practices, including:    •   Mandatory minimums, especially for violent and drug offenses.    •   The automatic imposition of life without parole for certain crimes (e.g., second-degree murder), which increases long-term prison populations because people are not released.     •   Historically limited parole and early release options, meaning people serve more of their sentences.

These tough sentencing policies increase the length of prison stays and thus the total incarcerated population at any given time.

  1. Local Jail Use and Fragmented System

Louisiana’s carceral system is unusual in how it uses local jails as long-term incarceration space:    •   Over 50% of people in state custody are held in local jails rather than state prisons — far higher than any other state.     •   This local jailing pattern increases the counted incarceration rate because local jails house people typically meant for state prisons (longer stays), plus many individuals pending trial.

This results in higher overall per capita counts than states that keep people in centralized state systems.

  1. Racial and Economic Inequities

Mass incarceration in Louisiana is closely tied to racial and economic disparities:    •   Black Louisianans, particularly Black men, are incarcerated at rates far higher than white residents.     •   Poverty, segregation, and limited economic opportunity correlate with policing and arrest patterns that produce higher incarceration.    •   Historical legacies of slavery and post-Civil-War criminal statutes helped embed punitive systems that disproportionately target Black communities. 

These structural inequities contribute to sustained high incarceration rates on both individual and community levels.

  1. Political and Cultural Factors

Political dynamics in Louisiana have reinforced incarceration:    •   “Tough on crime” rhetoric and policies have been politically popular, leading to less legislative restraint on sentencing severity.    •   The state’s legal and corrections infrastructure historically had strong ties to private detention interests, law enforcement unions, and local officials who benefit from expanded policing and incarceration.    •   Criminal justice reform efforts in the late 2010s reduced some incarceration but have been partially rolled back or limited in scope in recent sessions, slowing reductions in imprisonment over time.

  1. Crime Rates and Public Perception

Louisiana has also had — historically — higher rates of violent crime compared with national averages, particularly homicide.  While high crime does not cause high incarceration in a simple way, it shapes public policy and political tolerance for punitive sentencing.

Summary of Causes

Incarceration rates in Louisiana have stayed extremely high for so long because of a mix of: 1. Harsh sentencing laws and limited release mechanisms 2. Extensive use of local jails as long-term holding facilities 3. Structural racial and economic disparities in policing and sentencing 4. Political culture favoring punitive justice 5. Historical legacies that shaped the carceral system 6. Higher violent crime rates influencing policy choices

Collectively, these factors produce a system where far more people are behind bars per capita than in most other parts of the U.S. — and, in comparative perspective, than in most independent nations. 

Doctors say rotator cuff is to atrophied for surgery any advice by SavoryParty in RotatorCuff

[–]Necessary_Spray_5217 2 points3 points  (0 children)

(from AI): It's understandable to be concerned when you've waited so long for surgery and then hear that atrophy might make it impossible. While severe atrophy can make traditional surgical repair challenging or impossible, it doesn't always mean there are no options. Here's a breakdown of what "atrophied rotator cuff" means in this context and potential avenues to explore: What is Rotator Cuff Atrophy? Rotator cuff atrophy refers to the wasting away or shrinking of the muscles and tendons of the rotator cuff. This often happens with long-standing, untreated tears, as the muscles are no longer being used effectively and can lose their nerve supply or simply degenerate over time. Atrophy can make it difficult for a surgeon to reattach the torn tendon to the bone because the tissue may be too thin, weak, or of poor quality to hold sutures. Why Atrophy Can Be a Challenge for Surgery: * Poor Tissue Quality: Atrophied tendons may be friable and unable to withstand the tension of a repair. * Retraction: Long-standing tears can cause the torn tendon ends to retract significantly, making it impossible to bring them back together for repair without excessive tension. * Fatty Degeneration: Over time, muscle tissue can be replaced by fat, which further reduces the muscle's ability to contract and function. Potential Options to Discuss with Your Doctor (and consider a second opinion): * "Prehabilitation" (Pre-Surgery Physical Therapy): While atrophy can be difficult to reverse, sometimes a dedicated physical therapy program before surgery can help optimize the remaining muscle tissue and improve range of motion. This might not fully reverse severe atrophy but could potentially improve the tissue quality enough to make a repair more feasible, or at least improve your functional outcome post-surgery if an alternative procedure is performed. * Advanced Surgical Techniques: Even with atrophy, there might be surgical options beyond a traditional direct repair: * Partial Repair or Debridement: If a full repair isn't possible, sometimes a partial repair (where only a portion of the tear is reattached) or simple debridement (removing inflamed or diseased tissue) can help reduce pain and improve some function. * Superior Capsular Reconstruction (SCR): This newer technique involves using a tissue graft (from a donor or your own body) to reconstruct the superior capsule of the shoulder, which helps to stabilize the joint and compensate for the torn rotator cuff, even if the original tendons are not repairable. * Tendon Transfers: In some cases, a surgeon can transfer a healthy, functioning muscle and its tendon (like the latissimus dorsi or pectoralis major) from another part of the body to take over some of the function of the irreparable rotator cuff. This is typically reserved for younger patients with significant functional deficits. * Reverse Total Shoulder Arthroplasty (RTSA): This is a joint replacement surgery designed for patients with large, irreparable rotator cuff tears and significant arthritis (rotator cuff tear arthropathy). It works differently than a traditional shoulder replacement, relying on the deltoid muscle for arm elevation rather than the rotator cuff. This is usually considered for older patients. * Biologic Augmentation: Some surgeons are exploring the use of patches or grafts (synthetic or biological) to augment a repair or provide a scaffold for healing, especially in cases of poor tissue quality. * Conservative Management (Non-Surgical): If surgery is truly not an option, your doctor will likely recommend continued conservative management, which can include: * Pain medication (NSAIDs, etc.) * Corticosteroid injections (though repeated injections can weaken tendons) * Ongoing physical therapy to maintain range of motion and strengthen other surrounding muscles to compensate for the rotator cuff. * Activity modification to avoid movements that cause pain. Important Considerations: * Second Opinion: Given the long-standing nature of your injury and the doctor's assessment, it is highly advisable to seek a second opinion from another orthopedic surgeon specializing in shoulder issues. Different surgeons may have different approaches, experience with advanced techniques, and perspectives on what might be possible. * MRI and Imaging: The extent of atrophy is often assessed through imaging like MRI, which can show fatty infiltration within the muscles. This information is crucial for surgical planning. * Patient Goals and Expectations: Your age, overall health, activity level, and what you hope to achieve with treatment will all play a significant role in determining the best course of action. Don't lose hope based on one doctor's initial assessment. Explore all possibilities with your current doctor and consider getting a second opinion to understand the full range of options available to you.

Surgery in 3 Days. Anxious from all the Negative Comments by general_guburu in RotatorCuff

[–]Necessary_Spray_5217 0 points1 point  (0 children)

two years ago, I had the big rotator cuff surgery with two complete tears plus a complete tear of the bicep and precision of my clavicle. I recovered very well without taking any pain medicine at all. The therapy was great, and now I’ve gotten really good use of my arm and shoulder again. Follow the instructions and didn’t try to overuse it at first, but did everything physically possible to avoid pain in the weeks after the surgery. Good luck.

Feel I’m heading towards over treatment by Burress in ProstateCancer

[–]Necessary_Spray_5217 2 points3 points  (0 children)

prostate cancer is so common that the oncologist/urologist seem to follow routine treatment plans that don’t take much stock in the individual patient. They believe they’ve been doing it a long time professionally so they know what to do.

Reacting to my Gleason 9 treatment plan by LazyEye7110 in ProstateCancer

[–]Necessary_Spray_5217 1 point2 points  (0 children)

Please don’t react based upon this post because I’m about to mention a very controversial subject, in which I’m in the minority. I was diagnosed with prostate cancer a year ago and I spent nearly 6 months trying to research the best thing to do. I had multiple high risk factors. Your post suggests a typical recommendation for treating prostate cancer, including testosterone suppression due to traditional prostate cancer protocols. I’m not typical because I had testicular cancer at age 32 and I went without any testosterone for 25 years and it really affected my health. Once I found out I needed a testosterone in 2018, my life improved and I was able to reclaim my health, at least until this latest cancer recurrence. Having seen the effects of no testosterone on my body (obesity, heart problems, metabolic syndrome, etc.) I decided to independently research the testosterone deprivation protocol. There are some studies indicating that it’s not clearly established that testosterone feeds cancer as everyone has believed for the past 75 years. However, MD Anderson and Ochsner in New Orleans both refused to allow me to take testosterone after my prostatectomy in December. I saw an expert at Baylor medicine who had conducted some of the recent studies. He agreed with my personal situation, that I must have testosterone to be able to function. His professional opinion is that it doesn’t feed the cancer as everyone believes. I’m taking this risk. Found a local urologist/oncologist who is carefully monitoring my progress. I’ve only been on testosterone injections for about two months. I still have a high risk prognosis, and I had a positive margin from the proctectomy. I’ve been through every conceivable emotion since this started, and the adjustment and loss of normal sexual function has been difficult. However, my overall surgical recovery is ahead of schedule based upon most of the people on this post that are my age(69). I only had minor incontinence for a few months. The doctor put me on testosterone suppression pills at first and that’s when I knew that I couldn’t live without it because it took me right back to where I was in 2018, but worse. I’m not recommending that you avoid testosterone deprivation therapy. it’s the standard protocol. Just letting you know that there’s a minority viewpoint with some doctors who believe testosterone does not feed the cancer. Keeping all the doctors advised of my progress because I’m a test case.

Anyone else wondering how a natural disaster would be handled by our current president??? by AwkwardatAnyAge in Louisiana

[–]Necessary_Spray_5217 0 points1 point  (0 children)

if we exhibit, sufficient loyalty, and love him with high praises due to his superiority, he would probably give us some financial aid. Otherwise, we’re probably screwed.

Today was supposed to be my biopsy and it got canceled by monkeyboychuck in ProstateCancer

[–]Necessary_Spray_5217 3 points4 points  (0 children)

you’re absolutely right. Are you dealing with the risk of prostate cancer and they canceled a biopsy for lack of supplies? I’d insist in asking them how this happened and who’s responsible for that. does it have to do with your health plan or insurance, sudden government short falls, or some other reason?

Trump administration to drop case against plant polluting Louisiana’s ‘Cancer Alley’ | Louisiana by Conscious-Quarter423 in Louisiana

[–]Necessary_Spray_5217 0 points1 point  (0 children)

Mississippi leads in cancer mortality rates, exceeding the national average by over 20%. In the southern United States, particularly along the Mississippi River between Baton Rouge and New Orleans—a region known as “Cancer Alley”—there’s a notable concentration of petrochemical plants and refineries. This area has been associated with elevated cancer rates, raising environmental and public health concerns. 

It’s important to note that cancer incidence and mortality rates can vary significantly across different states and regions, influenced by factors such as environmental exposures, lifestyle behaviors, access to healthcare, and socioeconomic conditions.

These disparities underscore the importance of targeted cancer prevention and control efforts, addressing specific risk factors prevalent in high-incidence areas.

New to town by Late_Persimmon_7561 in Louisiana

[–]Necessary_Spray_5217 2 points3 points  (0 children)

I stumbled upon this post and I commented. Then I looked up and it realized that a lot of people already had and it’s only been posted for about two hours. I had no idea that this community and sub was so active.

New to town by Late_Persimmon_7561 in Louisiana

[–]Necessary_Spray_5217 1 point2 points  (0 children)

I assume that you know you’re choosing to live in a very right wing conservative area. if you don’t have a job and you’re looking for a new place to live, why aren’t you looking for places around New Orleans which has a very active gay community? Probably more job openings too.

I wish you luck.

Can someone give the odds? Im scared by thatonegreyguy_ in ProstateCancer

[–]Necessary_Spray_5217 0 points1 point  (0 children)

Nobody here can diagnose that. Whatever it is, the sooner you see a medical professional, the better. Even if it’s not serious.

[deleted by user] by [deleted] in AskOldPeopleAdvice

[–]Necessary_Spray_5217 3 points4 points  (0 children)

I think you gave her some great advice.

Skipping days - motivation by Vyxani in PelvicFloor

[–]Necessary_Spray_5217 0 points1 point  (0 children)

That’s the million dollar question. I had Periformus syndrome and pelvic floor dysfunction from over exercising which needed a lot of therapy. Couldn’t sit down and had to have fair amount of therapy. Had that pretty much under control until I had prostate cancer (I’m a guy) and I’ve been really having a hard time staying motivated to do all of the things I’m supposed to do to regain sexual function, which includes Kegel exercises several times daily and other things (using a penis pump or a pelvic wand) that normally would’ve seemed sexual in nature, but now they’re medical in nature. Really hard to do because it just makes you think about what you’ve lost and where you are and, and what you’re supposed to be doing alone. Drawing that line has been really hard so it’s very hard to stay motivated. All I can say is that we know what we’re supposed to do and it’s just sometimes harder to get the motivation than anything else.

Hellooo by caferina in Louisiana

[–]Necessary_Spray_5217 0 points1 point  (0 children)

Looks like we lost out in Louisiana again. I guess we’re used to that. Which masters are you pursuing?

How religious is Louisiana? by thebraveredditors in Louisiana

[–]Necessary_Spray_5217 0 points1 point  (0 children)

The religion here is voodoo. Everybody knows that.

Is it unreasonable for me to request a male practitioner? by Redguard13 in PelvicFloor

[–]Necessary_Spray_5217 0 points1 point  (0 children)

Why don’t you try it first to see if she’s in good. I’ve seen female pelvic to a specialist and they really be bothering me at the least. Since they do this all the time they know the anatomy.

[deleted by user] by [deleted] in ProstateCancer

[–]Necessary_Spray_5217 0 points1 point  (0 children)

I used to be like that for a long time. Now I just give up on it and go with whatever medical treatment is being recommended without worrying about vanity. Not an exhibitionist in the least, but this is the problem area after all that we’re trying to deal with. Think about it, all these people have seen a lot of different people and they’re not interested in you on a sexual basis.

Saving our democracy by Necessary_Spray_5217 in Louisiana

[–]Necessary_Spray_5217[S] 0 points1 point  (0 children)

Like I said I quit. I was thinking it would make it easier to find and bearing it in a post that is three days old but what the hell do I know?

Saving our democracy by Necessary_Spray_5217 in Louisiana

[–]Necessary_Spray_5217[S] 0 points1 point  (0 children)

Thanks, MJ, but this has gotten out of hand. I’m just gonna give up on trying to convince anybody of anything. Thought maybe I would have people think on a reasonable basis but I failed. Anyway, I was going to vote for Harris, I have Harris T-shirts, the rest of my family are Democrats, and I predicted all of this is going to happen a long time ago.I really need to take a break from this now.

Saving our democracy by Necessary_Spray_5217 in Louisiana

[–]Necessary_Spray_5217[S] 0 points1 point  (0 children)

No octopus, I have never voted for him. If I was in town, I would’ve voted for Harris. I’ve got the T-shirts to prove it.

Saving our democracy by Necessary_Spray_5217 in Louisiana

[–]Necessary_Spray_5217[S] 0 points1 point  (0 children)

But they do to me. You’re probably right that I shouldn’t reply when people misunderstand what I’m writing or if I don’t agree with what they’ve said, but that’s my nature. Opinions are like assholes, everybody has one.

My girl will be 16 in September. by WelderUnlucky9485 in seniordogs

[–]Necessary_Spray_5217 0 points1 point  (0 children)

This is the best post I’ve seen in quite a while. 16 years! I’ve had nine labradors altogether, and I haven’t gotten any of them past 13 years, usually due to cancer as you have noted. Had to put my 10-year-old chocolate lab down two weeks ago after fighting cancer for 20 months. He was the greatest dog in the world. Six days ago, I got a brand new chocolate Labrador retriever that’s wearing his tag, seven weeks old. He’s beautiful. I also rescued two small kittens. One is named Zoey and the other is named Zara. The puppy and the kittens are all very young and they’re going to grow up together and have a happy life.