The Prostate Cancer Decision

12/16/2023

I want a Hippopotomus for Christmas. Santa Baby You're Gettin Nuttin...for Christmas. Snowman Where are you Christmas? Want a Chocolate Labador for Christmas Christmas Love Christmas in Hollis May Every Day Be Like Christmas John's Elmer Fudd Blue Christmas Zat You Santa Claus? Fairy Tale of New York with My Irish Patient Fairy Tale of New York Solo

I want a Hippopotomus for Christmas. Santa Baby You’re Gettin Nuttin…for Christmas. Snowman Where are you Christmas? Want a Chocolate Labador for Christmas Christmas Love Christmas in H…

01/15/2023

Culling the Dullards

Not all referring physicians are created equal!

04/09/2020

One of the most common points made in a review of my book "The Decision" on Amazon is that it did not mention a particular treatment in detail. Treatments such as Proton therapy or some other newer form or shorter course of radiation. Here's the dirty little secret: It still boils down to whether you want to remove the prostate or use some form of energy to treat it "where it lies." (Is that the right form of the word, as my mother would say, "you lay something down.") Keeping this in mind, the newer treatments are variations of a theme. [ 88 more words ]

One of the most common points made in a review of my book “The Decision” on Amazon is that it did not mention a particular treatment in detail. Treatments such as Proton therapy or some…

07/04/2019

reversal via ripl.com

07/02/2019

reversal via ripl.com

11/07/2018

If you had clinically insignificant prostate cancer...would you want to know it? If you knew it do you know exactly what that means? Or do you think the doctor or radiologist telling you that can promise you that it won't actually become, or already is, clinically significant? Would you want a biopsy to "prove with tissue" the exact Gleason's grade of this insignificant cancer? [ 300 more words ]

If you had clinically insignificant prostate cancer…would you want to know it? If you knew it do you know exactly what that means? Or do you think the doctor or radiologist telling you that c…

08/04/2018

Wonder where Otis is now? “The mind of an academic epidemiologist.

Reblogged on WordPress.com

06/08/2018

What is Gleason's score?-Click Here Here's the thing...if you want to have your prostate removed because you've been told you'd be "done with it" that might not necessarily be true. If your cancer is Gleason's 8 and you elect to remove the prostate there is still a significant chance you'll still need radiation. Knowing this and that you may not be "done with it" would you consider having radiation from the get go? [ 60 more words ]

What is Gleason’s score?-Click Here Here’s the thing…if you want to have your prostate removed because you’ve been told you’d be “done with it” that might …

05/31/2018

Prostate Screening? A white board animation highlighting the conundrum that is prostate cancer.

Reblogged on WordPress.com

01/30/2018

Blog post from years ago is still relevant today. Patients often times see clots in the urine and worry, that like clots in the blood stream, may go to the heart and lungs and cause a serious medical problem. Clots in the bladder are a problem only if they obstruct the flow of urine i.e. cause urinary retention. Here is a podcast I did about how I got in trouble with a family trying to make this distinction...unfortunately in an unsuccessful humorous fashion.

Blog post from years ago is still relevant today. Patients often times see clots in the urine and worry, that like clots in the blood stream, may go to the heart and lungs and cause a serious medi…

01/27/2018

Men commonly will say that they don't feel they need to be tested for prostate cancer because they have no voiding symptoms. As seen below, most prostate cancers occur in the posterior aspect of the prostate well away from the urethra. So one will have voiding symptoms from prostate cancer only if the cancer is very large and encroaches on the urethra. There is a poor prognosis if the presenting symptom of prostate cancer is trouble voiding.

Men commonly will say that they don’t feel they need to be tested for prostate cancer because they have no voiding symptoms. As seen below, most prostate cancers occur in the posterior aspect…

01/25/2018

The link below is to one of the most popular posts on Prostate Diaries. The comments reveal a wide range of unpleasant experiences patients have had during and after a prostate biopsy. In my practi…