ten things that patients make a decision on what to do about their newly diagnosed prostate cancer on the wrong premise….. Oh what men do… what men do daily…what men dare do not knowing what they do…. Shakesphere


chloe, pepsi, the van, the lake, and a mophead hydrangea…these are some of my favorite things…..Mary Poppins?

There are so many nuances and particulars about prostate cancer and the treatments and the aftermath… that very few people ” get.” So….. let me let you into the ” informed and enlightened” circle.

In order: Concepts that the newly diagnosed male makes a decision based on upon the “wrong premise.”

  • If I have surgery, it will be cured, because it is out.
  • If I have radiation I can cure the cancer without all the hassle and complications of surgery.
  • If I do the surgery by the “robot” I won’t have the complications of doing it the open or “old-fashioned way.”
  • I won’t have any sexual issues if I treat my cancer with radiation.
  • Whatever treatment I choose, I feel I will be “Cured.”
  • All prostate cancers are the same….a patient with an aggressive prostate cancer choosing surveillance and a low risk patient choosing surgery.
  • If I do radioactive seeds I won’t be impotent.
  • If I do radiation and my PSA begins to go up, I can always just have it removed. Wrong!
  • All prostate cancers are slow-growing. It’s a disease of old men.
  • I don’t have any voiding or prostate symptoms so my prostate cancer can’t be all that bad.
  • I could do fifty more, but I am going to watch a movie now and have a bit of a “toddy.”

What I see is what my mother called ” A little knowledge.” Patients hear or read something, (Like acid makes a hydrangea blue and lime makes it red…..whatever…..don’t even begin to talk to me about a plant that I propagate and absolutely love because my grandmother loved and my mother thought was so southern…). Patients learn a little something related to prostate cancer and then latch on to it. They begin to paint ” broad strokes” and make decisions on the wrong premise. Be careful out there.

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