Top 10 (and more) prostate cancer questions/issues to consider in any treatment decision by Northeast Georgia Prostatediaries blog.

Incremenatlism…the HHS says that the PSA rates a “D” and hence insurance is not required to pay for it…then Medicare won’t pay for it….the extrapolation is that the Government by virtue of decrees (USPSTF) guides the healthcare dollar which in turn de facto tells doctors what to do. Far fetched……?

The U.S. Preventive Services Task Force (USPSTF) is “an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services.”^[1] The task force, a panel of primary care physicians and epidemiologists, is funded, staffed, and appointed by the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality.^[

Funded….staffed….appointed… by the HHS….and you wonder how it was that the AMA voted for ObamaCare, how they got “doctors” to pose in front of the White House in white jackets implying that the rank and file doctors support this legislation. And now you know why less than 15% of american M.D.s are members of the AMA.

Read the tea leaves my friends…..So who are the doctors on the USPSTF? Primary care and epidemiologists…that’s who I want to advise me about my prostate cancer. Who needs a urologist!

I’m going to take a look at mamograms and colonoscopies….let’s see how they graded?  Oh yea…last year the mamogram rated a “C” but the women made more of a fuss about it than men will make about the PSA….

If one to understand all of the issues discussed below-he’d be well on his way to understanding this disease and which treatment (if any) would be best to pursue.

Top Posts for 365 days ending 2011-10-09 (Summarized) Prostate Diaries

2010-10-09 to Today

Title		Views
Home page		14,104
“Decision” Process		2,123
the dreaded prostate biopsy revealed		1,607
How I as a urologist made my “Decision.”		1,589
Prostate Diaries		1,562
My bladder spasm experience		1,497
Famous Men with Prostate Cancer		1,221
holy bloody mess batman!….the bleeding scrotum capo…i mean caper…tmi?		1,191
Prostate cartoons		1,009
Perineural invasion found on prostate needle biopsy and significance in prostate cancer-what does it mean?		1,001
If you can feel a prostate nodule-its probably too late. Obamacare?		967
The anatomy of the prostate- “Water and Nerves”		945
Wives/partners		942
McHugh Decision Worksheet		937
McHugh Decision Worksheet/Cheatsheet		888
McHugh Decision Cheat Sheet-It is imperative that you understand and have considered each of the questions in order to make the “Right Decision” for you.		818
Five men-Five stories-Five deicisions about what to do about one’s prostate cancer		759
Incontinence after prostate cancer surgery-It will probably be the wife buying the diapers		695
high psa and normal prostate biopsy-what does that mean? well that you don’t have prostate cancer…maybe.		652
Can you get cancer if you have sex with a man who has prostate cancer?		537
Author		520
Elevated PSA? To biopsy or not to biopsy-that is the question.		499
nano nano-mork and mindy, prostate cancer and new treatments- insider tip: when it comes to new procedures, in general you don’t want to be “the first one.”		498
My biopsy experience		480
Reed’s prostate cancer journey process		480
“Bored To Death’s” Ted Danson has Stage II prostate cancer. What does that mean?		460
Question: Urine leaks around catheter after prostatectomy. Is this normal?		450
Prostate Cancer Blog search question: PSA at 5, prostate removed thirteen years ago. What’s wrong?		445
Flooding around my catheter, blood around my catheter after a radical prostatectomy for prostate cancer		440
Post prostatectomy male anatomy-significance		436
Cartoon primer on prostate  cancer and the ” rectal refusal syndrome” peculiar to the male. Part II in a series.		415
My letter to the New York Times in regards to Richard Albin discoverer of PSA-(Not accepted)		413
Men’s Health article-“I want my prostate back.”		402
Live prostate exam on Dr. Oz- Of 200 men in the audience 68%had never had a prostate exam…and that my friend is the issue!		400
prostate vs breast cancer…..men are different animals…they won’t collect money to walk three days for a cause…..		391
When to do a prostate biopsy for an elevated PSA-Well….that depends.		390
can you remove the prostate for prostate cancer if you have had radiation (external or seeds)? well…yes and no.		369
Author Book Inteview with Sarah Palin		369
Phrases people search on google about prostate cancer that end up on prostate diaries week ending 4/09		352
Question: Can you see prostate cancer on ultrasound? If not why is it used?		344
How can a PSA go up if the prostate has been removed for prostate cancer?		342
penis vests, anthurium, erectile dysfunction, prostate cancer-overview of ED options-6 things you can do		339
watch out dr oz and live rectal exams…live prostate biopsies on patients doing impersonations. Which do you like the best? Please comment.		316
For prostate cancer the free PSA is helpful, but not fool-proof and is only one of the arrows in your prostate cancer decision making-quiver.		314
Question: What’s it like having radiation after prostatectomy for prostate cancer? northeast georgia urology		313
The biopsy specifics- The Disease- Your’s is specific to you!		311
the deal on condom catheters and post prostatectomy urinary incontinence		307
eunuch monks don’t get prostate cancer- bald and infertile men		303
Frank Zappa, the yellow snow, and prostate cancer….**language advisory		297
Prostate cancer affects both husband and wife		294
One of Frank Zappa’s last interviews before succumbing to prostate cancer at age 52 two years after diagnosis.		292
question about prostate cancer….high Gleason’s / low PSA…..how can this be?		292
What should I expect after a prostate biopsy checking for prostate cancer because of an elevated PSA?		285
Free PSA low-Damn it		284
Press release/News articles		276
HIFU-Is this the up and coming “new robotic” for prostate cancer?		275
If you remove the prostate you are cured right? Wrong…well maybe.		275
Diaper Diaries-A screenplay		267
The day I made “The Decision”, what will do it for you?		265
The real story about the PSA test and prostate cancer. Are you there New York Times and Richard Albin?		264
Top ten prostate cancer myths-the right decision starts here		264
Decision point and the Marias River and the Lewis and Clark expedition. What will be the “decision point” in your prostate cancer decision journey?		263
2010 Stats from WordPress		259
The significance of the Gleason’s Score and why we “CAN” tell the difference between the slow growing and the bad kind in prostate cancer. The dirty little secret? You have to do the biopsy to know.		259
Pappa’s got a brand new bag…… and  James Brown had prostate cancer too! The hardest working man in show “bisnis.”		252
Prostate cancer question for Prostate Diaries: Can you have sex the morning of a prostate biopsy?		250
Prostate cancer question: Describe significant PSA pre and post prostatectomy,nanoknife,proton beam,HIFU,radiation therapy.		248
Considering the possibility of incontinence after prostatectomy		242
apples to apples, another man’s prostate cancer journey, bill clinton, peyronie’s disease, prostatic acid phosphatase		241
question:my prostate was removed-the psa went to .1 and now is rising.		240
prostate cancer, bored to death, ted danson, “fiscally responsible, sexually…out of control.” Why the McHugh ” Who are you” factors are so important in your decision.		221
Surgery or radiation for prostate cancer?		217
prostate cancer, Jerry Okungu and frank zappa-deja vu all over again…and again and again and again…what is the answer?		214
Robotic Cyberknife, Prostaricision, Protons and the Robotic prostatatectomy. The “marketization” of prostate cancer. Buyer Beware! Oh yeah…don’t forget the Nanoknife.		210
Buy Wholesale/Bulk Orders		206
prostate cancer active surveillance and upgrading of the Gleason’s score on subsequent biopsies…new or was it there all along?		205
Sexual function after one is treated for prostate cancer has a lot to do with the level of sexual function “before” the treatment, regardless of the type of treatment chosen.		204
a Bart Simpson ” damned if you do and damned if you don’t” issue..what to do with a high psa and one negative prostate biopsy?		200
How I as a urologist made “my decision.” Don’t do what I did, do it the “way” I did.		199
A cartoon about prostate cancer, myths/half-truths, and the male? The pilot for an upcoming series.		197
Why do men leak urine after having the prostate removed for prostate cancer?		197
Obstructive voiding symptoms and its significance in the “Decision” of what to do about the newly diagnosed prostate cancer…what i did.		197
Masturbation and tomatoes		194
How to “manage” your urologist and the pain associated with the prostate biopsy.		193
Ted Danson helped out with prostate cancer long before “Bored to Death.”		192
prostate cancer in jamaica, michael rows the boat ashore, ackee and cultural issues related to the delayed diagnosis of prostate cancer		189
sex and prostate cancer…some caveats.		187
Question: Will prescribing Cipro for a rising PSA after a radical prostatectomy make a difference?		185
what is the “real difference” between a proton and a photon as it relates to the treatment of prostate cancer?		185
risk calculator for prostate cancer….would my numbers have changed anything? is this a circle and we end up where we were i.e. a certain percentage chance of prostate cancer? at what percentage does one “pull da trigger?”		180
If I remove the prostate for prostate cancer I’m cured right? Maybe! The importance of the Partin table.		177
A male mastectomy? Men’s ego and pride take a hit with prostate cancer		175
Obamacare and the vasectomy…Obamacare and the elderly male with prostate cancer? Reminds me of a urology joke…		174
Top Google Search for Prostate Cancer: What is PIN? Another good question!		170
Who was Bob Monkhouse? Hint- Zappa, Bixby, Fogleberg and Albin’s father. The prostate cancer that kills in three years- the one i worry about		170
Two new questions about prostate cancer:Libido and Free PSA		167
Penile rehabilitation…is that like a witness protection program…what did it do wrong?		167
trifecta in prostate cancer: robotic vs. open prostatectomy… Mr.proton beam you’re next!		166
The vicissitudes of the condom cathether		164
bob monkhouse diagnosed with prostate cancer after it was too late. he is still one of the most common google searches that arrive at prostate diaries.		164
prostate cancer wrong diagnosis? suspicious for but not diagnostic of…what?		163
another man’s story…prostate cancer-dana jennings-new york times…all i can say is man oh man!		162
The Decision, a prostate cancer book by a urologist who’s a patient- A book review. Good or bad?		160
Dry with a diaper-potent with a pill		157
Treatment options-A major inconvenience?		156
Prostate Diaries Search Question:Why do I have to wait three months after prostate biopsy to have a prostatectomy? Think….Denonvillier’s and a surgeon adverse to risk.		154
The Prostate CAncer gene 3 (PCA3) assay vs. the Free PSA….a prostate cancer title fight..”and in this corner…”		152
How would you tell loved ones you have prostate cancer or melanoma? Have you seen “The Big C?”		152
Question: Would the Interstim device from Medtronics help post prostatectomy incontinence like it does for female urinary incontinence?  Northeast Georgia Urology		152
The pain of the prostate biopsy precedes itself		151
Prostate Cancer 70% lifestyle?		149
Google search for prostate cancer: Fixing obstructive problems? Good question!		149
After the biopsy		148
question:will the prostate ultrasound always show prostate cancer?		143
The concept of “Years at risk” and why its important in your decision		141
Some people just can’t tell a joke		139
an old urology joke exposes the “male awareness” problem with prostate cancer		139
“I have good news. I have prostate cancer!”		137
the prostate and prostate cancer….the rodney dangerfield of cancers and organs		135
What do  you  think is the most aggressvie treatment for prostate cancer? Why is it important in your “decision?”		132
Question:what do you do when the prostate cancer comes back? Did it ever leave?		132
Frank Sinatra’s chef- Dining for a Cure-Prostate cancer		131
Very candid discussion about prostate cancer and the dreaded two “I” s. Incontinence and Impotence following the treatment of Prostate cancer.		130
the vicissitudes of prostate cancer, androgen deprivation – “hormone” therapy and how it relates to the locerbie bomber		129
Clark Howard on his prostate cancer-“Naturally, he said, if things really go bad, he will have treatment.”		127
Two things about Active Surveillance and Prostate Cancer		125
Lockerbie bomber, prostate cancer, medical records, BP oil, bribes, congress demanding medical history, terrorists, possibly a purposeful missed diagnosis?…..the stuff novels are made of.		124
Prostate cancer and the three kinds of lies….lies, damned lies, and statistics! Facts from the American Cancer Society but nothing about death. What?		123
Proton Radiation Therapy and Prostate Cancer: Incremental benefit at an exponential cost? That’s what he said!		122
a conversation and infographics about prostate cancer…. a different take on “prostate awareness”		121
I think the Breast cancer pink shoes made a NFL place kicker miss. Baby blue is much more football friendly. The AUA has work to do!		119
No Needle No Scalpel Vasectomy Info-cartoon for Northeast Georgia		118
yanni, mustaches, movember and prostate cancer		118
The number one tweet for March 1 in regards to prostate cancer. Superior test!		115
How do prostate cancer patients choosing surveillance do?		114
question:do you need a rectal exam  after a prostatectomy or radiation for prostate cancer?		114
proxy headlines and prostate cancer-sex drive is different than impotence-Andrew Lloyd Webber ‘Love never dies’ composer		110
prostate cancer and dinky and donky by doug gray		109
Prostate Cancer Podcast-Frank Zappa and Prostate cancer and why it’s important.		109
Another man’s story and his process		108
part 1:prostate cancer and otis brawley and ….what? tuskegee and PSA? did he really say that?		108
what’s wrong with the reports of Chavez having prostate cancer-prostate cancer message boards and news reporting of medical issues?		106
PSA and Prostate Cancer: A Fool with a tool is still a fool? I am an advocate of getting one as a baseline in the man about 40 or so, then every two years with the GP’s exam.		104
prostate cancer and the walnut and other fruits and vegetables the prostate is akin to		104
common search on google that gets to prostate diaries…”sex drive after prostatectomy.”		104
Happy BDay Bessie Girl