stxdave said...
Hi realziggy,
Sorry I put a burr under your saddle. I will apologize for not having read the entire ABC article. I read the first two paragraphs and stopped, as many men might do. Those two paragraphs would support some men's opinion that they are better off not knowing if they have prostate cancer and not get tested. I think that's tragic.
After reading the entire article I have no problem with the rest of it except for Dr Donald Berry of M. D. Anderson who is against PSA screening. The people and their organizations are verifiable.
As I stated, there have been several articles in the past few years in support of not doing PSA screening and how bad an indicator it is. There have been other articles about the pain of a biopsy and how it could actually spread the cancer with the biopsy needle. These are the best methods we have at this point to truly discern prostate cancer from other prostate maladies. Until something better comes along I would prefer these naysayers just keep their mouth shut. I will always question the motives of people trying to convince patients not to be tested.
Having read a lot of stuff on prostate cancer since my diagnosis in 1999, some of it is best fitted for the trash can. I would prefer being skeptical in lieu of naive.
Sorry if you think I picked on you, or your treatment option. And, by the way, my first failed option was EBRT+ADT2, not surgery.
Dave
Actually just viewing the video is more concise and you can see by that it was published by the Journal of the NCI. No apologies necessary. I believe in testing too my take on it was more the part of over treatment. I agree with you on biopsies and have gotten in trouble here for not being sympathetic to those who describe them as so painful to scare off those awaiting one. I had two now, normal, and 3D mapping and I have another scheduled for April to complete my clinical study.
Tudpock I admit I'm describing more the state here some time ago. Now the site is more populated by those with advanced Pca. We're both fortunate to not be there. That said this is still largely a surgical site, other than Just Julie most of those connected with brachytherapy have gone away. Some (2) as I stated have emailed me indicating why as a weariness in defending their choice over surgery. True that was more valid awhile back. As I said it's more an undercurrent in wanting non surgical types to fail to justify a FEW heres choice. For all those who have had to deal with incontinence I can understand after almost demanding an impeachable belief that was absolutely 100% necessary. Truthfully wasn't that a primary reason you chose to avoid surgery too. I admit it was for me. I was scared to death of going into the OR a fairly active middle aged man and awakening elderly. We both found ways to avoid that. Plus I likely would've gone the brachytherapy route too if I hadn't been exposed to the clinical research done locally. My cousin had me 99% convinced to do the seeds he had done 18 months earlier. I first was leaning towards robotic and that's why I tell those new here to take their time choosing a treatment, by just the emotional roller coaster I went through. But as time goes by I wonder and suspect I well may have been in that 23-42% who never needed treatment. As I keep predicting these times will be looked back as a time of much unnecessary over treatment. And As I say again that's not for everybody just somewhere from a quarter to a little under half as that broadcast suggested.