Month: June 2011

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prostate cancer and “killing a fly with a shot gun when a slingshot would have been fine” or ” a doctor prescribes the bark of the quinquinna when the patient would be be obliged to eat the whole tree.”

 This story makes a strong point and one that is not lost on any surgeon who has had a patient not do well and ultimately die after an operation. Particularly in prostate cancer this is a concern because of some prostate cancers being "low risk, slow-growing, die with it not of it type" kind of …

Continue reading "prostate cancer and “killing a fly with a shot gun when a slingshot would have been fine” or ” a doctor prescribes the bark of the quinquinna when the patient would be be obliged to eat the whole tree.”"

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do you have a “mind” for active “but doing nothing about it” surveillance for prostate cancer

For years urologists have been aware of the "upgrading" of the Gleason's score when comparing the biopsy report with the final pathology report. The tricky thing here is that  the urologist and the "surveillance minded" patient are making decisions about surveillance on limited information, i.e. the biopsy report. ( Think of twelve cores about twice …

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