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 …
Ole Otis Brawley again and prostate cancer…searching for his 15 minutes of fame…the face of HHS Healthcare or dachshunds taught to sniff for prostate cancer…they are close to the evidence.
As chief medical and scientific officer of the American Cancer Society, Otis Webb Brawley — who is also a professor of oncology and epidemiology at Emory University — is the public face of the cancer establishment. He operates in a world of similarly high-achieving, multiple-credentialed, respectable professionals, where insults tend to be delivered, stiletto-style, in …
what is a “proton friendly urologist” in regards to prostate cancer and bias?
I saw a patient yesterday who had been treated for prostate cancer by Proton radiation in Florida. His PSA was coming down nicely and some moderated voiding symptoms, managed before treatment with Flomax, had not changed. He was very pleased with his treatment choice in terms of all parameters. He had done quite a bit …
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Decision-making illustrations from “The Decision” Amazon’s Kindle number one book on prostate cancer.
Click on the illustration slide show link and then the slide show inside Flickr. Be sure to check: Show info and then under options...check slow. If you understand these illustrations (from "The Decision" book) then you will have a much better understanding of the issues necessary to make the decision specific to you and for the right …
Are you smarter than a fifth grader…about prostate cancer?
No symptoms...does it matter? Low PSA...does it mean no cancer? Big prostate...means cancer? Small prostate means no cancer? Surgery better than radiation? Proton better than regular "ole" radiation? Age over 75-is surgery best? Do you have a higher incidence of impotence with cryosurgery? Why do they only do Proton on the well-mod prostate cancer in …
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Does having a prostate biopsy “spread” or “let the cancer get out?”
Answer: Never been showed to....
Being diagnosed of prostate cancer when it is too late to cure and dying of prostate cancer in one’s prime…Deja Vu all over again!
I remember when it was announced that this guy had prostate cancer. It is always interesting to me and sad that a person with the money, education, resources is diagnosed late with prostate cancer when it could have been so easily prevented and then dies in a year or so. How tragic. And yet all we read …
Healthy 63 yr old with prostate cancer and favorable parameters on prostate biopsy report. Which treatment for prostate cancer best?
Question: I am 63 years old and in good health. I was recently diagnosed with prostate cancer (Gleason 6; low volume; TIC Stage 2). My urologist–a surgeon–went through the options with me and my wife. He also stated that he felt I was a prime candidate for using the new trueBeam radiation method (45 treatments). He …
If an elevated PSA goes down after antibiotics does that mean you don’t have prostate cancer?
Well...I see patients all the time who have had an elevated PSA in the past and their family M.D. put them on 2 weeks of Cipro and then had the PSA repeated. Often times the PSA will go to normal and the family M.D. will then repeat a PSA at say 6 months. Often …
Is staging necessary in low to intermediate risk prostate cancer? Are we talking about me or are we talking about everybody else?
First off all...look at the sentence I highlighted in bold. Are you kidding me? Concerns about a CT scan and radiation all the while finding no complaints regarding treating the prostate cancer with radiation regardless if it's seeds, Proton, or external beam. The use of "misuse" is an attention getter is it not. We have known for years …
Prostate Diaries 