Should we, as the uspstf suggests, not screen them at all? There is growing evidence that these guidelines have led to increased cases of prostate cancers that get detected too late for the patient to survive the disease. Five years after their initial recommendation to stop psa testing, the uspstf is presently, per their website, updating their recommendations. I think men over the age of 40 should have the opportunity to discuss the test with their doctor and learn about it, so they can have the chance to be screened. After that an informed patient can make responsible choices as to how to proceed. I count my blessings that I had a doctor who presented me with these options.
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It is a simple, painless blood test. It is not dangerous in itself in any way. If the psa (Prostate Specific Antigen) value is elevated in the blood, or god levels rise sharply over time, it could indicate the presence of prostate cancer. It is definitely not foolproof. The criticism of the test is that depending on how they interpret the data, doctors can send patients for further tests like the mri and the more invasive biopsy, when not needed. Physicians can find low-risk cancers that are not life threatening, the especially to older patients. In some cases, men with this type of cancer get over-treatment like radiation or surgery, resulting in side effects such as impotence or incontinence. Obviously this is not good; however its all in the purview of the doctor treating the patient. But without this psa test itself, or any screening procedure at all, how are doctors going to detect asymptomatic cases like mine, before the cancer has spread and metastasized throughout ones body rendering it incurable? Or what about the men who are most at risk, those of African ancestry, and men who have a history of prostate cancer in their family?
At this point I decided spondylolisthesis to go out and get a few different opinions. All the doctors I talked to concurred that the tumor needed to be taken out. Ultimately, i found a wonderful surgeon named Edward Schaeffer who i felt comfortable with. He performed a robotic assisted laparoscopic radical prostatectomy. Due to a lot of skill and a little beneficence from some higher power, he got all the cancer. As of this writing i am two years cancer free and extremely grateful. What is the deal with this psa test and why the controversy?
After this exam, and looking at my rising psa numbers, he suggested an mri to get a roadmap of my prostate. Its a non-invasive procedure like the one athletes get to check for torn acls. Only after studying the mri results did my doctor recommend a not-fun-at-all biopsy. Unlike the mri, the biopsy was as invasive as it gets: long needles in sensitive places and more small talk about kids and school pick ups while it was all going down. Then the biopsy came back positive. Of course positive for medical tests is usually not so positive. I had a gleason score of 7 (34 which is categorized mid-range aggressive cancer.
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Articles and op-eds on whether mba it is safe, studies that seem to be interpreted in many different ways, and debates about whether men should take it all. I am not offering a scientific point of view here, just a personal one, based on my experience. The bottom line for me: I was lucky enough to have a doctor who gave me what they call a baseline psa test when I was about. I have no history of prostate cancer in my family and i am not in the high-risk group, being neither — to the best of my knowledge — of African or Scandinavian ancestry. I had no symptoms.
What I had — and Im healthy today because of it — was a thoughtful internist who felt like i was around the age to start checking my, pSA level, and discussed it with. If he had waited, as the American Cancer Society recommends, until I was 50, i would not have known I had a growing tumor until two years after I got treated. If he had followed the us preventive services Task force guidelines, i would have never gotten tested at all, and not have known I had cancer until it was way too late to treat successfully. Now, in my case, my doctor, bernard Kruger, watched my psa tests rise for over a year and a half, testing me every six months. As the numbers continued to rise, he sent me to the urologist, who gave me a slightly invasive physical check in his office using a gloved finger. This took all of 10 seconds. While i dont recommend it for fun, amazingly some dont recommend it at all.
I got diagnosed with prostate cancer Friday, june 13th, 2014. On September 17th of that year I got a test back telling me i was cancer free. The three months in between were a crazy roller coaster ride with which about 180,000 men a year in America can identify. Right after I got the news, still trying to process the key words echoing dimly in my head (probability of survivalvival-vival-val i promptly got on my computer and googled Men who had prostate cancer. I had no idea what to do and needed to see some proof this was not the end of the world.
John Kerry joe torre excellent, both still going strong. Mandy patinkin Robert deniro. Feeling relatively optimistic, i then of course had to do one more search, going dark and quickly tapping in died of in place of had in the search window. As I learned more about my disease (one of the key learnings is not to google people who died of prostate cancer immediately after being diagnosed with prostate cancer i was able to wrap my head around the fact that I was incredibly fortunate. Fortunate because my cancer was detected early enough to treat. And also because my internist gave me a test he didnt have. Taking the psa test saved my life. Thats why i am writing this now. There has been a lot of controversy over the test in the last few years.
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By exploring the model, they come to understand the landscape of that space, and are in a position to invent better ideas for all essay the proposals to come. Model-driven material can serve as a kind of enhanced imagination. So, yeah, its cancer. My urologist segued from talking about how inconvenient it was picking his daughter up at school that morning to dropping a cancer diagnosis on me without missing a beat. Two weeks earlier, i didnt even have an urologist. Yeah, he said, in a slightly nonplussed way, gazing at the results, i was surprised myself. As my new, world-altering doctor spoke about cell cores and, gleason scores, probabilities of survival, incontinence and impotence, why surgery would be good and what kind would make the most sense, his voice literally faded out like every movie or tv show about a guy.
Some numbers above are in blue. A blue number to reveal how it was calculated. it will save is a particularly meaty calculation.) Notice how the models assumptions are clearly visible, and can even be adjusted by the reader. Readers are thus encouraged to examine and critique the model. If they disagree, they can modify it into a competing model with help their own preferred assumptions, and use it to argue for their position. Model-driven material can be used as grounds for an informed debate about assumptions and tradeoffs. Modeling leads naturally from the particular to the general. Instead of seeing an individual proposal as right or wrong, bad or good, people can see it as one point in a large space of possibilities.
But theres something more going. Some numbers above are in green. Drag green numbers to adjust them. (Really, do it!) Notice how the consequences of your adjustments are reflected immediately in the following paragraph. The reader can explore alternative scenarios, understand the tradeoffs involved, and come to an informed conclusion about whether any such proposal could be a good decision. This is possible because the author is not just publishing words. The author has provided a model — a set of formulas and algorithms that calculate the consequences of a given scenario.
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