Posts Tagged ‘john mchugh md gainesville ga urologist’


Don’t justify anything medically to me based on something you read in a book. I could care less how or what so and so says or does!

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I’ll gladly pay you Tuesday for a hamburger today!

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broken hearts don't break even

Family guy sues doctor for rectal exam. Violated! 

The reason the above resonates as funny is that many men really feel  this way about a doctor doing  the prostate exam. This in turn leads to attempts at early detection being thwarted. 

You hear about a famous person being ” stricken” with terminal prostate cancer almost weekly. What has happened here is a male that , for whatever reason, had not had a prostate exam or a PSA. They were most probably in good health otherwise, no voiding symptoms and life was perking along just fine. The prostate cancer slowly grows, not causing any voiding symptoms and that is the kicker, and spreads to the bones which does cause symptoms and then and only then does this class of patient goes to the doctor. He then finds that he has “terminal” prostate cancer. 

To me it seems there is a lot of press and activity about which treatment is best, if lifestyle matters, do vitamins help, is the PSA worthwhile and such. However, until the male embraces the rectal exam as a necessary part of his yearly physical and that physicals need to take place even if he is doing well, then early awareness in the male regarding prostate cancer will continue to face men who present ” terminal.” 

I say let’s spend money on breaking down the barriers to the male rectal exam. I just don’t want the Family Guy to get prostate cancer. That’s all and I don’t think doctors should come across as weird for recommending them.


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The Nanoknife procedure

PDF’s about the machine and company

Nanoknife on dogs….hmmmmmmmmmmmmmmmmm

The following article is from my home town here in Georgia. I bet fifty patients asked me about the procedure over the last few weeks. It was also in an article in the Atlanta Constitution. I had a doctor ask me about it and confessed I had never heard of it. I did know however that there would be no cutting involved. It seems that all the non surgical treatments these days have a catchy name to make it seem like or appear that there is cutting involved. I feel this is in response to the popularity of the robotic prostatectomy and maybe the appearance of surgery comes across more aggressive. In this case nanoknife sounds better than treating a prostate with electricity.

When you read about new treatments and prostate cancer remember this. There is the short-term i.e. getting through the procedure safely. Then there is the long-term i.e. curing the cancer, and avoiding the side effects as they pertain to how you void and sexual function. In the article you see comments about , had the procedure at 7 and home by 2….well that is good. There real story will be at six months and how one does with the trending down of the PSA (i.e. the cancer has been treated) and how things are going with voiding and sex.

As my mother would say, to each his own. My hope that Mr. Taylor does well. All of the energy based treatments will have a role going forward. And each will have a more significant role in the patient that wants to be treated, may have a mild medical issue, and is in his early seventies.

Nothing hurts short-term good results more than long-term follow-up. We will await five-year follow-up on hundreds of patients to see if this new procedure will have a role in prostate cancer. PS…I will look into the process of a urologist getting trained for this as any urologist must have many arrows in his quiver in what he can offer patients that have different medical conditions and wishes regarding how they want to treat their cancer.

Local man undergoes new procedure to treat prostate cancer

Brandee A. Thomas
July 9, 2010

Bob Taylor knows how draining radiation can be on the body.

Each week, he drives patients down to the Veterans Administration clinic in Decatur for radiation therapy.

“It’s usually eight weeks worth of therapy, five days a week. By week five, they are usually pretty dragged out — it really takes a toll on your body,” said Taylor, a 72-year-old Gainesville resident.

So when he was diagnosed with prostate cancer late last year, he knew radiation wasn’t a treatment option he wanted to consider.

“I went to a local urologist, he took 12 biopsies and two came back cancerous. The first thing he did was recommend that I get a second opinion, then he presented the treatment options,” Taylor said.

Those treatment options — prostate removal, radiation or exposing the cancerous cells to extreme temperatures — weren’t what he wanted to consider.

With the help of his wife, Taylor set out to find a more viable alternative. After finding the name of the Atlanta-based Malizia Clinic online, Taylor called to make an appointment for a second opinion. That call ultimately lead to Taylor earning a first-place spot in medical history.

During his consultation at the clinic, Dr. Jaime Wong told Taylor there was an additional treatment option he may be interested in: the NanoKnife IRE System. That option is less invasive than the others, has a shorter recovery period and fewer potential complications.

“I was in the (Atlanta) operating room by around (7:45 a.m.) and was back home by 2 that afternoon,” Taylor said.

“There was no pain and no pain medication.”

The system has been used in around 250 cases worldwide, but Taylor’s surgery was the first time that the procedure has ever been performed on the entire prostate or by a urologist.

The NanoKnife IRE (irreversible electroporation) System uses electricity to kill cancerous cells.

“The (NanoKnife) probes create an electric field that create little defects in the surface of (cancer) cells,” Wong said. “These cells need a solid membrane to live, so this causes them to die.”

Unlike with treatment options like cryoablation , freezing the cancerous portions of the prostate, or radiofrequency ablation — exposing the cancerous cells to extreme heat — the NanoKnife doesn’t cause damage to surrounding tissue, nerves and blood vessels. Thus, it eliminates possible side effects like impotence or incontinence, Wong says.

Because the technology is relatively new, medical professionals are still trying to determine who the best candidates are for the NanoKnife procedure and what its side effects.

“We’re trying to look for better treatment options for this very common disease — it’s the most solid organ cancer in men in the United States,” Wong said.

“More than 200,000 men are diagnosed every year in the U.S., just over 30,000 men die every year from it. There are a lot more men being diagnosed than are dying, so that means we are doing a good job of treating it, but we could always do a better job.”

Since having the surgery three weeks ago, Taylor says he hasn’t had any major problems, especially nothing on par with what others who’ve had more invasive surgery have experienced.

“Several friends have had (other surgical) procedures to treat prostate cancer, so I had something to compare it to. Usually you’re out of service for at least a couple of weeks, but not me,” Taylor said.

Although he’s serving as a guinea pig of sorts, Taylor has taken a “someone has to be first” attitude about it.

“I was a test pilot for a living, so I’m used to doing things that others may not want to,” he said.

“After weighing all of the side effects and other treatment options, I would do it again in a heartbeat.”



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