Medical insight, personal stories and humor from a urologist who has been where you are now.
Patients often choose their treatment for prostate cancer not by which has the best cure of the cancer rather which treatment best blends cure with the risks. Prostate cancer differs in this regard from most other cancers and why many prostate cancer men choose radiation. Dirty little secret: patients understand and full well know the …
Continue reading "Five reasons not to have a robotic radical prostatectomy for prostate cancer."
I saw where the American Cancer Society recommends a discussion about the PSA and prostate screening at age 50. How old was Gentry when he was diagnosed? (Hint:47. What do we do with these guys ACS who fall outside your parameters?) Has Otis Brawley had a PSA yet, or was he just talking? I saw …
If what you have done yesterday still looks big to you, you haven't done much today.~ Mikhail GorbachevI have playing around with these Polldadday polls and the question about "which treatment do you think gives you the best chance at cure." Well the overwhelming response is surgical removal. Well if that is the prevailing opinion, …
Continue reading "“to thine own self be true” and prostate cancer treatment decision making"
PR Web Press Release-Old news but fun to see how some marketing folks manipulate the search engines..etc. The reason this book is number one on Kindle for the subject of prostate cancer is that it is easy to read. The other reason is that there are stories at the end that star the prostate gland. …
Continue reading "Press Release:Number One Prostate Cancer Book on Kindle"
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 …
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. …
The below is helpful but not a stand alone type statistic or characteristic of your PSA. I have a friend whose free PSA was very high indicating a low probability of prostate cancer and ....all of his twelve cores showed cancer, however all the cores were Gleason's 6. The free PSA (being very low) was …
Podbean thoughts on "sapping up" all you can from everyone before you make your "decision."
CNN visits Dr. John McHugh's Urology practice for a Health Minute on March Madness and Vasectomies. The scene with the patient pretending that he is hurting actually occured minutes after the vasectomy. Vasectomies are customarily performed on a Friday so that the patient has the weekend to recover prior to returning to work on Monday. …
Prostate Diaries 