From "The Decision." The rectal exam - The male patient doesn’t want it done and the doctor is easily persuaded not to do it. This may sound odd to you, but sometimes you have to demand that a rectal exam be performed. A nurse that I work with in the operating room related to me that …
trifecta in prostate cancer: robotic vs. open prostatectomy… Mr.proton beam you’re next!
Podbean Podcast on the Trifecta and Open vs. Robotic Patients often times choose a procedure for the wrong reasons. Patients often glamorize newer treatments. Patients often have a treatment, become an advocate of that treatment and somewhat defensive of that treatment and actively recommend it to other's as the "only way to go." Sometimes they …
Prostate cancer question: Describe significant PSA pre and post prostatectomy,nanoknife,proton beam,HIFU,radiation therapy.
This was a comment/question a few days ago....this issue is confusing but I think I can simplify it-here goes. The ongoing debate about the PSA has to do with pretreatment decision-making. The PSA is often times elevated before the diagnosis of prostate cancer is made for many reasons other than prostate cancer. So some want …
sex and prostate cancer…some caveats.
Common searches about sex that end up on my site and some other various tidbits for you... Having sex the night before having a PSA drawn can elevate the value. Having sex before the Prostatic Acid Phosphatase will probably elevate the value. A rectal exam before having the PSA drawn will not elevate the value. …
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.
You might disagree about PSA's and when and who they are done on...but about 5 times a year a 50 year old man comes into my office for his "first" rectal exam and PSA and it determined that he has asymptomatic advanced prostate cancer. Is it cost effective, are some being checked that are normal. …
Warning! 20 minute blog Podcast on prostate cancer, diapers and…the beatles? Download for free off of Itunes!
A podcast excerpt of a story at the end of "The Decision." I bet you didn't think I knew that much about diapers did you?
Are you a Internet Only prostate cancer patient?
Podcast on Internet Only type of patient. After examining a patient one day (PSA and rectal exam) he asked if that was all I was planning to do to him to check for prostate cancer. I said that what I had done was enough for now, the prostate felt fine and the PSA would be …
Continue reading "Are you a Internet Only prostate cancer patient?"
prostate cancer, Jerry Okungu and frank zappa-deja vu all over again…and again and again and again…what is the answer?
Otis Brawley: I have never had a PSA and do not desire one. I have had relatives with the disease. I just do not believe it saves that many lives. SEER data show that a large proportion of so called early detected patients with pathologically localized disease (the best prognosis one can have) ultimately relapse …
Nicely put Tubby Smith…reasonable recommendations about prostate cancer early detection and “male awareness. He said “cancer free” he did not say cured…and that’s a big difference.
Tubby Smith says he had prostate cancer, now cancer free 6:56 AM, May 12, 2011 | MINNEAPOLIS -- Minnesota coach Tubby Smith says he's "feeling great" and free of prostate cancer after dealing with the disease for the past year. The university issued a statement from Smith on Wednesday. The 59-year-old had not previously revealed …
Urge vs. stress incontinence and prostate cancer…do you know the significance? My wife told me to quit saying “the decision available on amazon.” “It sounds like you’re saying that’s the title of the book john.”
Podcast- Do you know the difference between urge and stess incontinence and why it is important in your prostate cancer decision? Hmmmmmmmmmm?

