So I am out at the lake where the above picture was taken and I have DSL and a laptop I recently purchased to leave out here and I was assured by the computer guy that it was fully loaded with Microsoft Word. So I do the blog stuff, walk my dogs to the steps in front of our dock, throw some sticks, was some sheets, gather trash and then sit down to begin my “Best Christmas Ever” book for this Christmas to give out to patients and friends. I mean, I have the story in my head and I worked on the beginning of it in my head on the “Jessie Jewel” steps at the lake and was excited about sitting down and starting the story. About me, of course, and in first person. John Irwin, author of “The Prayer for Owen Meany” said that first person gave the author more emotion and feeling. I need that for this story.
Anyway, the damn laptop has a starter version of Word 2010 and won’t let me open the damn thing. I’ll have to take the laptop to the computer guy that comes by my office and have him install or for him to condescending say to me, ” Oh, you just push this button,” or ” press this key, the program you need is right here. You could have used it all along.” I don’t know the button and now can’t do what I wanted to do this afternoon. Then I got Mr. Huberts comment: I have a question for him and the Squarf’s of the world. It is a very simple question and I am sure there will be a simple answer.
Missures….Squarf and Herbert:
You two are urologists ” informed and enlightened as you are” and I am your younger brother. For better or worse my family doctor has been getting PSAs on me and this is what’s going on. (This is my true story)
Your little brother is married, employed, has three children, healthy and has serial PSAs that have gone from low threes to 5.4. Your little brother (for better or worse ) had a biopsy and it showed 4 of 16 positive and there were elements of Gleason’s 7. You know your little brother to be a bit anxious about things and not only that his wife particularly is. You detect it in your conversations with him. His children are all in high school save one, who has finished college, married and pregnant.
Here’s the question: What would be your advice to me? A word of caution…if you list or ramble on about numbers an percentages remember I am your little brother and I am counting on you. Also remember one in a hundred is 100% if it’s you. I am not a number, a statistic, a public health funding issue, I am young, vibrant and want what is best for me and my family.
Now you are the doctor….what do you two recommend?….not for the masses but your little brother.
I appreciate you both…this fun to me…ya’ll “add flavor to the soup” that must be considered by the newly diagnosed prostate cancer patient in making “his” decision. Pssssssssss—–when you use emotional words like “dug out prostate tissue” or “Dr. Doom” you betray the origins of your opinions.
Nostradamus? You both referenced him. Predictions that came true but because of laxity of interpretation and the “watered down” clarity of time influenced by those hoping to prove his assertions correct.
You are correct you cannot know will happen to your little brother if he does nothing (remember his age) or if he does something. On which side of erring (making the wrong decision) do you two want to be on? Let me be clear…I am not saying you are wrong, but what do you tell your little brother to do? Will you tell him what to do or will you give him options? If you give him options are you being true to your beliefs? Have fun with it…no emotion here. I lay out the facts and my patients make the decision they feel is best for them…just as you two did.