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Posts Tagged ‘prostate humor’

Jennie C. Davis: Hall of Fame Senior Year of High School Because of her ability to do as she pleases.

The ability to do as she pleases and “calm as a hurricane”…they got that right!

Mother’s Day circa 1994:

You were born in the Depression years.  You were named after your fathers’ mother – Jennie Cooper.  As a child, you could skate faster and ride a bike better than any boy in LaGrange, Georgia.  You loved your mother but were much closer to your father.  You are a diehard Georgia Bulldog fan and it goes without saying that you hate Georgia Tech but you always respected a “Tech Man.”  You were in the Coast Guard and loved the Big Band era of the war years.  Frank Sinatra was your favorite.  You are an encyclopedia of Southern sayings like, “If you misbehave again, it’s gonna be too wet to plow.”  You feel like there is a difference between which side of the Mason-Dixon Line you’re from.  A twist of fate determined that you would raise your five boys without a husband.  You worked at night and went to school in the day and got your college degree at the age of 51 (you commuted 150 miles a day to do it).  You nursed your mother until she passed away, at home and gracefully, and then you battled cancer and are winning the fight.  You often said, “you don’t know what love is until you have children.”  All this you did with enthusiasm, optimism and vigor – always with vigor.  You are an inextinguishable spirit that is contagious to those around you.  You’re tough.  But most importantly, to your children through all the varied times, you imparted unyielding love.  The formula for a good mother is complex; mixing consistency, discipline, example and material needs to mold a child’s character.  In all these things you may not have been perfect.  But one thing was never in question, one thing was never lacking, one thing you had limitless quantities of, and that was love.  We always received love and felt loved and that was your greatest gift as a mother and a part of you we hope to pass on to our children. 

We love you  Jennie Cooper

LaGrange High School Annual Circa 1938

 

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losers quit when they are tired...winners quit when they win.

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.
  • A rectal exam before a PAP will elevate the value.
  • You don’t get cancer if you have sex with a man with prostate cancer. (Good try ladies.)
  • Your libido doesn’t change (physiologically wise) after the prostate is removed.
  • Climax after radiation or radical prostatectomy still occurs but the character of which may change…for the better or worse.
  • In both radiation or prostatectomy the male’s climax… will be dry or no fluid.
  • You can have sex before a prostate biopsy.
  • You can have sex after a prostate biopsy…expect blood in the semen. It looks dramatic but is harmless. It will stop … in time.
  • If you have chosen radiation because you expect to “spare” your sexual function…think again and research again.
  • There is a bit of luck in being potent after “any” treatment of the prostate. Sorry proton guys…sorry robotic guys whose doctor said he “spared” the nerves.
  • You are infertile after treatment, not impotent.
  • You are less likely to preserve sexual function if your function is waning before treatment. i.e. the guy with a 10 function will do better than the one with a 6.

So…Pick your poison.

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oh what men do, what men dare do, what men do daily not knowing what they do......

Remember the uproar of the doctors missing the timing of the Lockerbie bomber and he  was released to Libya  to die in a predicted three months? No one at the time could figure out why such a missed diagnosis and what pressures Libya could possibly bring to bear on his captors to gain his release?

Well…I was wondering why the U.S. is in Libya  now. It seems to me Gaddafi had been behaving himself…I seem to remember him offering to stop his nuclear program and agreed to inspections. He had been relatively quite.

Sec. of Defense Gates said Libya did not pose a “security risk or risk to our interests.” Why do Hillary and Obama want us there?

We learned that the French and Britain did feel there was a “risk to the national interest” and encouraged Mrs. Clinton to participate in the coalition to aid the protestors in Libya. Who are the protestors, the rebels? What will that government be like? And on and on. I don’t remember reading much about Libya over the last several months or that it was a problem for us. It all came up all of a sudden.

Then we learn where it is that a lot of the oil comes from for Europe. You guessed it … Libya. Everything has been in a shroud on this subject…it has been odd. Are we at war? The U.S. has been so polite….to France, ” No no, you go first and led.” ” No, NATO, you be in charge.”

So back to the Lockerbie Bomber….He was released with what must have been a bogus death warrant because of …oil. Wonder where he is now? Is he safe? Would he be considered pro-government or on the side of the rebels? Does it matter?

The Lockerbie Bomber was a foreboding of what was to come to Libya and Gaddafi.

 The very resource that he leveraged over the years to wield and maintain power now has become the excuse for others to promote and support his downfall. Maybe…..he hasn’t thrown in the towel yet.  Strange thing these politics.

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management is doing things right, leadership is doing the right things....peter drucker

Recent comment/question on this blog

I recently had a PSA of 17 and so saw a urologist and he ordered antibiotics for a month and another test. Tested the same and so he performed a biopsy with the 12 small cores you mentioned. Biopsy came back negative for cancer. I should mention there have been no symptoms, no urination problems, nothing at all which I have read is very common.

My urologist has recommended another biopsy in 6 months. My thought is to have another PSA check in 6 months and if PSA is the same avoid the second biopsy until and if I ever see an increase from 17. What do you think? From What I have read the biopsy should be avoided unless necessary.

T.M.

This question comes up often and is troublesome for both the patient and the urologist. Here are some salient points to consider. Also view this issue as if you are the patient (who doesn’t want to be prodded unnecessarily) and as the urologist( who doesn’t want to be sued for not diagnosing a prostate cancer in the face of a markedly abnormal PSA):

  • There is no real harm to having multiple  biopsies of the prostate. No evidence that it spreads cancer, and the risk of infection or bleeding is the same each time not increased.
  • In my career I have diagnosed prostate cancer after two negative biopsies only a smattering of times. Only once was the cancer of an aggressive nature ie. Gleason’s 8.
  • If you have had one prostate biopsy and it was negative that is a good thing on two fronts. One on cancer was found, and if you are found to have prostate cancer on a subsequent biopsy it is usually small volume and low Gleason’s.
  • If you have a high PSA, it is an abnormal value, that must be followed. Whether you proceed with a second or third biopsy is a decision that is reached with input from both the doctor and the patient. Remember , “no one can make you do nothing.”
  • The chances of finding cancer decreases with each successive  biopsy.
  • Today I diagnosed a small volume low Gleason’s on a fourth biopsy and a PSA of 20. The 20 PSA is probably unrelated to the small amount of cancer found. But what were we to do? 

 

So what would I recommend for the patient and the above question. A lot of what will be done will be determined by the mindset of patient. The anxious patient will wholeheartedly want to have another biopsy. The patient who is pleased with the current result and reluctant to have another biopsy (due to fear, mistrust, the cost, the pain) and this outweighs his concerns about cancer-won’t have another biopsy.

Now my recommendation for this patient: I feel that another biopsy would give peace of mind to the doctor and the patient and would recommend another biopsy…at some point. I’d repeat the PSA at the next visit to be sure it is still elevated (PSA’s are notorious for changing up or down.) If the second biopsy is negative, I’d only repeat another one if the PSA changed dramatically, ie-maybe from the 17 to mid twenties.

Something to remember, a biopsy is usually twelve cores and that samples a very small portion of the prostate.

I did a biopsy yesterday, the fourth the guy has had over 10 years, because his PSA went from 25 to 50. The biopsy was negative.

In conclusion, the decision to have another biopsy for an elevated PSA is tricky and depends  a lot on the personality and mentality of the patient.  The urologist in general being “risk averse” will always offer the suggestion of a “re sampling of the prostate” because if he does not and the patient ultimately has prostate cancer, he rightfully could be at risk legally.

I would do another biopsy in this case if the PSA is still in the 17 or higher range and then be hesitant to do another one unless dramatic changes. If I recommended a biopsy and the patient says no, that is fine with me. I simply dictate that the patient declined the test and then I work out with the patient the parameters by which he is comfortable that would prompt another biopsy. For instance, in this case we do exactly what this patients wants. No biopsy unless big changes. We discuss the options, pros and cons, and move forward together. No need for another urologist, an honest well thought out plan vetted through the prism of the urologist who does this type of thing on a daily basis.

About “avoided unless necessary” that’s tricky too. If you do a breast biopsy for a palpable nodule and it is negative…was the biopsy necessary?  The problem with this case is that you have a PSA that is four times normal and in the back of the mind of those concerned is the possibility (we don’t know how great) that there is an undiagnosed prostate cancer that may have elements of Gleason 7 or 8. I have been repeating biopsies in this scenario with attention to the anterior portion of the prostate and taking a few samples of that area.

It’s tricky but a solution can be reached by a patient  and a urologist willing to work together and vet each other’s concerns.

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Author interview  for the “The Decision. Your prostate biopsy shows cancer now what?”

the doctor that treats himself has a fool for a patient

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chattahoochee red-eyed shoal bass

The rectal refusal syndrom in the male.  A cartoon.

A primer on the prostate and prostate cancer and a cartoon demonstration of why prostate cancer is often diagnosed too late to cure. It’s a ” male ” thing!

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a physician should have a ready wit...dourness is repulsive to the healthy and the sick alike

In a particularly harried situation, one sagging breast said to another:

If we don’t get some support soon…we are going to be nuts!

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