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


if you ease the frog in water slowly brought to a boil it doesn't notice it....incrementalism

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

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