Medical insight, personal stories and humor from a urologist who has been where you are now.
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 …
Continue reading "Are you smarter than a fifth grader…about prostate cancer?"
I don't have to read this article. The Gleason did not change...it was there all along. When you do a biopsy and it's all Gleason 6 and then you remove the prostate and there are elements of Gleason 7, did it change between the time of the biopsy and the subsequent removal....6 weeks? Well no, …
Clarion ForeW0rd Five Star Review of "The Decision." Not too shabby! HEALTH The Decision: Your prostate biopsy shows cancer. Now What? John C. McHugh Lulu 978-0-6920-0565-1 Five Stars (out of Five) There is very little that is more startling than getting a call from a doctor with the news that the diagnosis is …
It was pretty today in Northeast Georgia....a bit windy however. My newest stab at podcasting...what do you think? My plan is to take about 100 specific questions about prostate cancer ( I cheat by looking at my blog's search history) and answer them concisely and hopefully with a somewhat clever and irreverant slant. Today I …
One of my heroes of all time is Will Rogers. If you have not read a book about him....do it. He is the best. He was a Rush Limbaugh of sorts in the early 1900's. My son, Sam is an Eagle Scout, and he and I hiked for two weeks in New Mexico at Philmont. …
The "art of getting away with it" is a favorite medical saying of mine. If I remove a ureteral stone and don't place a stent and risk extravasation of urine into the patient's retroperitoneum and the patient does just fine....what does that mean? Does it mean that I was brilliant, used seasoned medical judgement, or …
Urologists are biased...sort of. Radiation therapists say we use "patient selection" to suit us.
I have a friend who is a doctor and has prostate cancer. We made the diagnosis about two years ago and he has elected to do surveillance. His level of sexual activity is improved with the addition of Androgel. He was at his internist's office for a blood pressure check yesterday and the internist was …
Continue reading "Question:I am on prostate cancer surveillance. Can I use testosterone?"
There will blood places and that is normal. Blood at the tip of your penis, blood when you urinate, blood with bowel movements, and blood in your semen if you are sexually active. Blood is expected and rarely a problem and almost always limited in duration. As a rule, don't worry about the blood. Urology tip: …
If you have spent anytime on my little ole site here, you might think that I am obsessed with Frank Zappa. Well, I am not. The deal is that we have very little real life stuff to watch that makes you feel, I mean really and gutturally feel, the tragedy that is a man being …
Prostate Diaries 