For Earl Vickers, a retired electrical engineer living in Seaside, California, walking his dog Molly, a mix of shepherd and boxer, used to be a daily pleasure. However, recent years have brought unexpected challenges that turned these simple strolls into a precarious activity.
Mr. Vickers, now 69 years old, began experiencing difficulties with balance that made walking his dog feel hazardous. He recalled, “If another dog came toward us, every single time I’d end up on the ground.” This alarming trend resulted in frequent falls, occurring almost every other month, which he described as “kind of crazy.” While most of these tumbles did not cause severe injuries, there were notable exceptions. During one incident, he fell backward and hit his head against a wall, an experience he described with concern: “I don’t think I had a concussion, but it’s not something I want to do every day.”
In another fall, he attempted to brace himself and ended up breaking two bones in his left hand. These experiences prompted him to take action regarding his health.
In 2022, after careful consideration, Mr. Vickers decided to discuss his situation with his oncologist. He had been undergoing treatment for prostate cancer and was taking a medication known as enzalutamide (marketed as Xtandi) intermittently for four years. This medication is associated with various side effects, including an increased risk of falls and fractures. Understanding the risks involved, his doctor agreed to allow him to discontinue the drug.
Since stopping the medication, Mr. Vickers has noticed a remarkable change in his life. “I haven’t had a single fall since,” he proudly stated, highlighting the positive impact that this decision has had on his mobility and overall well-being.
Mr. Vickers’ experience sheds light on a significant public health concern. Experts have long warned about the dangers of falls among older adults, a demographic that is particularly vulnerable. According to the most recent data from the Centers for Disease Control and Prevention (CDC) for 2023, more than 41,000 Americans aged 65 and older lost their lives due to falls. This alarming statistic was noted in a recent opinion article published in the JAMA Health Forum.
As the population ages, the importance of awareness regarding fall risks cannot be overstated. Preventative measures and careful monitoring of medications, particularly those that may contribute to instability, are crucial for maintaining the health and safety of older individuals.
Mr. Vickers’ story serves as a reminder of the need for vigilance when it comes to health, especially for seniors navigating the complexities of medication and mobility.
