唐·楊（Don Young）是一位生物統計學家，在第4階段前列腺癌中倖存

唐·楊（Donn Young）是俄亥俄州立大學綜合癌症中心生物統計學部門的前任主任，他花了32年的時間設計，進行和分析癌症研究。

Like former President Joe Biden, I was recently diagnosed with stage 4 prostate cancer.

像前總統喬·拜登（Joe Biden）一樣，我最近被診斷出患有第4期前列腺癌。

It was a sunny Thursday morning in March when I received a phone call from Dr. William Lee, a radiologist at Ohio State University, to tell me that one of the bone metastases had increased in size.

這是3月的星期四早晨，當我接到俄亥俄州立大學放射科醫生William Lee博士的電話，告訴我其中一種骨轉移的大小增加了。

Since my cancer had spread to many bones, the cancer was deemed incurable and my prognosis was not good even though I had no symptoms.

由於我的癌症已經擴散到許多骨骼上，因此癌症被認為是無法治癒的，即使我沒有症狀，我的預後也不好。

In fact, the median survival for men like me with advanced prostate cancer at the time of diagnosis was 30 months —so I had less than a 50-50 chance of living three years.

實際上，診斷時患有晚期前列腺癌的男性的中位生存期為30個月 - 因此，我的生活機會不到50-50的機會。

When I was diagnosed, I was a biostatistician designing and analyzing clinical trials at Ohio State University Comprehensive Cancer Center.

當我被診斷出時，我是一名生物統計學家，正在俄亥俄州立大學綜合癌症中心設計和分析臨床試驗。

I had co-authored journal articles on prostate cancer so I knew that with bone metastases my chances were not good and that there was no treatment that offered a cure.

我合著了有關前列腺癌的期刊文章，所以我知道，隨著骨轉移的機會，我的機會不好，沒有治療方法可以治愈。

I had just completed a grant funded by the National Cancer Institute to increase the enrollment of minorities on clinical trials. Dr. William Hicks, a local oncologist, and I encouraged people with a cancer diagnosis that if they were eligible, a clinical trial was their best bet.

我剛剛完成了由國家癌症研究所資助的贈款，以增加少數民族在臨床試驗中的入學人數。當地腫瘤學家威廉·希克斯（William Hicks）博士，我鼓勵患有癌症診斷的人，如果他們符合條件，臨床試驗是最好的選擇。

It was now my turn to step up and volunteer for an experimental study.

現在輪到我加強並自願進行實驗研究了。

A flip of a coin

硬幣的翻轉

Dr. Steven Clinton, a friend, colleague, and urologic oncologist at OSU, enrolled me on a randomized trial, where my treatment was selected by flipping a coin. I began treatment with hormone ablation therapy to decrease testosterone that was fueling the growth and spread of my cancer.

OSU的朋友，同事和泌尿科腫瘤學家Steven Clinton博士讓我參加了一項隨機試驗，在那裡我通過翻轉硬幣選擇了我的治療方法。我開始接受激素消融療法的治療，以減少睾丸激素，從而加劇了癌症的生長和傳播。

That was in 2007 - 18 years ago. My cancer was very sensitive to hormonal control. And while I have had no evidence of residual cancer for many years, I continue the treatment started years ago.

那是在2007年 - 18年前。我的癌症對荷爾蒙控制非常敏感。儘管我多年來一直沒有殘留癌症的證據，但我繼續治療幾年前。

The clinical trial ended a decade ago with my treatment being found to be the better of the two treatments being tested. I was very lucky to be one of the few long-term survivors of this disease. Unfortunately, there is still no way to determine at the time of diagnosis who will do well and who will not.

臨床試驗在十年前結束時，發現我的治療是正在測試的兩種治療方法中的更好。我很幸運能成為這種疾病的少數長期倖存者之一。不幸的是，在診斷時仍無法確定誰會做得很好，誰將做得不好。

What's really important

真正重要的是什麼

My late wife, Phyllis Kaldor, who was a director of nursing at OSU’s James Cancer Hospital, had planned to care for me during my final days. She, however, developed metastatic cancer of the appendix. Thus, it fell to me with the help of family and friends to care for her until she passed away in 2013.

我已故的妻子菲利斯·卡爾多（Phyllis Kaldor）是OSU詹姆斯癌症醫院（OSU James Cancer Hospital）護理董事的董事，他計劃在我的最後幾天照顧我。但是，她患上了附錄的轉移性癌。因此，在她的家人和朋友的幫助下，照顧她，直到她於2013年去世。

A cancer diagnosis focuses one’s attention on what’s really important and it’s not money, power, and prestige.

癌症診斷將注意力集中在真正重要的事情上，而不是金錢，權力和聲望。

It comes down to love and connections with family and friends. Despite the loss and grief that we all come to experience, I have learned that it’s really the small things that matter: a kiss from someone who loves you more than anyone else, a smile from your children, and a giggle from your grandchild.

這取決於與家人和朋友的愛與聯繫。儘管我們都經歷了損失和悲傷，但我了解到，這確實是重要的事情：一個比其他人更愛您的人，孩子的微笑，以及您孫子的咯咯笑。

Bringing joy to your life might include chatting with neighbors, enjoying the company of new and old friends, creating something with your hands, and learning to play a ukulele (or lesser instrument).

為生活帶來歡樂，可能包括與鄰居聊天，享受新老朋友的陪伴，用手創造一些東西，並學習演奏夏威夷四弦琴（或較少的樂器）。

Like for all of us following a cancer diagnosis, Biden’s journey will be uniquely his own, but given the strength, resilience, and grace he has shown in the past, I am confident that he and his family will continue to have hopes for the future and love for one another.

就像我們所有人經過癌症診斷後一樣，拜登的旅程將是他自己的獨特之處，但是鑑於他過去所表現出的力量，韌性和優雅，我相信他和他的家人將繼續對未來並彼此相愛。

Our best wishes go with him.

我們最良好的祝愿與他同在。

Donn Young is the former director of the Ohio State University Comprehensive Cancer Center Biostatistics Unit where he spent 32 years designing, conducting, and analyzing cancer research studies. He now spends his time seeing his daughters, helping care for his grandsons, 2-year-old James Patrick and 9-month-old Lincoln, travel with his sweetie, making pottery, kayaking, playing his ukulele (John Prine’s his favorite), and birding.

唐·楊（Donn Young）是俄亥俄州立大學綜合癌症中心生物統計學部門的前任主任，他花了32年的時間設計，進行和分析癌症研究。現在，他花時間看女兒，幫助照顧孫子，2歲的詹姆斯·帕特里克（James Patrick）和9個月大的林肯（Lincoln），和他的甜心一起旅行，做陶器，劃獨木舟，扮演夏威夷夏威夷夏威夷四弦琴（約翰·普林（John Prine）的最愛）和觀鳥。