Tag: book on prostate cancer

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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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A new prostate cancer blog toy…polls and surveys….Do you have a question for the viewers?

Here's a dirty little secret for you....prostate cancer patients often don't choose the treatment that they feel gives them the best chance for cure. They are "I want my cake and eat it too type" patients. By this I mean, "Which treatment will best treat my cancer and limit my potential side effects and complications." In …

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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 …

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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. …

Continue reading "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."