Is every important male in NYC politics going to get it?

~~~~~~~~~~~~~~~~~~~~~~~`
from
http://www.nytimes.com/yr/mo/day/news/national/regional/ny-safir.html

May 10, 2000


          Safir Says Biopsy Confirms Cancer of
          the Prostate


          Related Article
          Loyal, Driven Deputy Is Ready to Step in


          By KEVIN FLYNN

             n an announcement that underscored the prevalence of
             prostate cancer, Police Commissioner Howard Safir said
          yesterday that he was told last week that he had the disease.
          He announced the news just a week and a half after Mayor
          Rudolph W. Giuliani learned that he had the same kind of
          cancer.

          Mr. Safir, 58, said his cancer, like the mayor's, had been
          detected by a routine blood test conducted as part of an
          annual physical examination and was then confirmed by a
          biopsy.

          The commissioner said his doctors have told him the cancer is
          in an early stage and treatable, and should not affect his
          ability to continue as police commissioner, aside from the
few
          weeks he might take off should he elect to have surgery.

          "I'm lucky they caught it early," he said in an interview.
"The
          C word is a scary word because it is something that you have
          very little control over, but fortunately this is treatable
and
          curable."

          Mr. Safir said he had told the mayor about his cancer last
          Thursday night at Gracie Mansion and that Mr. Giuliani had
          been reassuring and had shared with him a bevy of research
          into treatment options. Yesterday afternoon, during a news
          conference at Police Headquarters, the two men spoke of their
          deep affection for each other and then hugged in front of a
          room filled with reporters and senior police officials.

          "You couldn't write this script," Mr. Safir acknowledged. The
          mayor said: "This is a very strange and ironic thing. We're
          both dealing with the same thing at the same time."

          Just minutes before the 3:45 p.m. conference, Mr. Safir met
          with his senior staff members to tell them the news. "They
          were shocked, subdued, but supportive," said a senior police
          official who was present.

          That two high-profile public officials were told within days
of
          each other that they had prostate cancer illustrates just how
          common the problem is. It is diagnosed in an estimated
          184,000 American men each year, making it the second most
          common type of cancer in men, after skin cancer. The
          chances for a cure are 80 percent to 95 percent if it is
          detected at an early stage.

          "It is bizarre that it is striking all of these people in
          government," said Raoul Lionel Felder, a divorce lawyer and a
          Safir friend. "Our prayers go out to him. But he will deal
with
          it. He is that kind of person."

          Like Mayor Giuliani, Mr. Safir said he hoped that discussing
          his cancer publicly would persuade other men over 50 to be
          tested for the disease. During the conference, Mr. Safir, who
          can seem stiff in public settings, appeared unusually
relaxed,
          standing next to his wife, Carol, who at times rested her
hand
          on his shoulder or swung her arm around his waist. At one
          point, the commissioner recounted a conversation with his
          doctor in which he had asked, "Am I going to die from this?"
          The doctor, whom he declined to identify, told him,
          "Absolutely not."

          Mr. Safir said the cancer in his prostate, a walnut-sized
gland
          behind the penis, had been detected last week when the
          results of a test showed elevated levels of P.S.A., or
          prostate-specific antigen, in his blood. After the diagnosis
was
          confirmed by a biopsy, Mr. Safir said, he underwent a bone
          scan and CAT scan on Thursday that determined that the
          cancer had not spread.

          The commissioner said the proximity of his tests to those of
          the mayor was a coincidence.

          Mr. Safir said that, like Mr. Giuliani, he planned to
research
          treatment options, including surgery and radiation.

          Mr. Safir said his doctors told him that if he underwent
          surgery he could expect to be out of work for three weeks.
          During that time, the department would be run by First
          Deputy Patrick E. Kelleher. Otherwise, Mr. Safir said, he
          expects to be remain on the job, although he would not
          commit to serving through the mayor's term, which ends in
          December 2001.

          Alternatives to surgery include external radiation or the
          implantation of so-called radiation seeds.

          Mr. Safir said that his friends generally recommended the
          treatment option that had worked for them. "It's like Chevys
          and Fords," he said. "The people who drive Chevys like
          Chevys. The people who drive Fords like Fords."

          He said that aside from the mayor, he had disclosed the news
          only to his family and a few close friends before the news
          conference. Several of the friends said they were stunned by
          the disclosure because Mr. Safir, who exercises regularly,
          plays basketball and does in-line skating, appeared to be
quite
          fit. Mr. Safir said he had recovered completely from triple
          heart bypass surgery he underwent in 1997.

          Before Mr. Safir, the last police commissioner to encounter
          serious health difficulties was Ben Ward, who was
hospitalized
          for asthma in 1987 and resigned because of it two years
later.

          Mr. Safir, who succeeded William J. Bratton in 1996, is in
his
          fifth year as police commissioner.Before assuming the post,
          he served as Mr. Giuliani's fire commissioner and, before
that,
          had a long career in federal law enforcement, including
          several positions within the Drug Enforcement Administration
          and the United States Marshals Service, where he became
          associate director of operations.

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