I have had steadily rising PSA with occasionally spikes above the trend. The trend is about 1.7 per decade. Recent values were 3.7 (on trend) this summer and 4.9 (a spike) last month. Due to the most...
I read about this on Reuters. 27 years with aPC must be close to a record. My BIL didn't last 2 years and he was a doctor. Koch must have been 52 yo when diagnosed. Hopefully some other patients can...
I purchased a test through 23 and me four years ago. It included a health analysis which did not say much about prostate cancer. I just ran my raw data through Promethease.com and am somewhat alarmed...
Clomid increases LH and FSH which increase production of testosterone and sperm. In addition, abdominal fat cells have FSH receptors so that FSH increases visceral abdominal fat....
prostatecancerinfolink.net/2016/06/14/another-step-toward-a-rational-risk-stratified-psa-testing-methodology/ They are reviewing an article and summarize as follows: Lethal cases of prostate cancer...
I mentioned this here before...my wife says where she works, the post menopausal woman all say they are done with sex....
By law, Medicare is not allowed to negotiate for drugs. Insurance companies can negotiate with pharmacies to lower their markup, but I don't know how much that affects wholesale costs. Here's another...
Interesting article from market watch dot com marketwatch.com/story/are-americans-being-ripped-off-by-medivations-129000-cancer-drug-2016-03-29...
I live in the Kansas City area and haven't run across any doctors that did not take traditional Medicare. It seems like most practices are being bought by large health care companies and they dictate...
I had this test in October 2014 and had a 7% chance of high risk cancer with a 2.7 PSA and 16% fPSA . The recommended cut off for a biospy is around 9%, so I didn't have one done. Since then my PSA...
Here is the abstract. ...
Did you get a faxed or email copy of the results? If they made a mistake on this, I would be mighty pissed at the lab. Envisioning the guillotine. Which lab BTW? Or perhaps the nurse mixed up the...
Actually there were two studies on calcium published in that issue of the BMJ. Here's the other http://www.bmj.com/content/351/bmj.h4580 And the NY Times take on it...
Here's the original article http://www.bmj.com/content/351/bmj.h4183...
Here it is archinte.jamanetwork.com/article.aspx?articleid=1857095...
My brother in law was a doctor and was diagnosed with PC with mets in his mid 60s. A year or so later, his pain became unbearable, so he was transferred into a hospice and put on a morphine pump,...
To answer the OP's question in the title, PC can occasionally be first diagnosed when a met is removed and examined by a pathologist and then there is no doubt. I once had a lump removed from my...
The AUA last updated its guidelines in April 2013. They are: 1. The Panel recommends against PSA screening in men under age 40 years. (Recommendation; Evidence Strength Grade C) In this age group...
There were 176 comments to the recent editorial in the NY Times, and most were against screening. You guys are going to have to put up a lot more than righteous indignation based on your own...
I now get one every six months along with a PSA due to my PSA history. I have a small prostate and I barely feel anything. Its over in 5 seconds, so for me its no big deal. Its minimally invasive, no...
Healthcare and tech have been the best performing stock sectors recently....
But if you are screening, a PSA >3 gets you past screening. The NCCN now uses >3 for further workup (page PROSD-3)....
The NCCN says "However, in men with normal PSA, the positive predictive value (PPV) of DRE is poor (about 4%-11%). 34,35 Therefore, an abnormal DRE result alone as an indication for biopsy would lead...
There is a clinical trial underway that is supposed to determine if MRI biopsies are better, but the estimated sample size is only 100. Good luck on that....
Three different studies the MRI results were much better but not statistically significant due (most likely) to small sample sizes. If I needed a biopsy and insurance would pay for either, I would...
For the third study, my comments again in red. "METHODS Charts of 140 patients, who underwent transrectal prostate biopsy after the adaptation of mp-MRI into our routine clinical practice, were...
For the second study, my comments again in red. ...
My comments in red. You dropped an important sentence, see below. ...
For such evidence, see http://www.ncbi.nlm.nih.gov/pubmed/24666839 CONCLUSIONS: We found that mpMRI/MRGB reduces the detection of low-risk PCa and reduces the number of men requiring biopsy while...
I would repeat the PSA test in a few weeks. Any PSA results prior to this year? I think the numbers for most people are fairly stable or show a steady trend, but for some, like myself, the numbers...
FYI, the NCCN released new screening guidelines for physicians last week, version 2.2015. You can get a free account to download these....
Here is a rebuttal: http://www.medpagetoday.com/Blogs/SlowMedicine/52549 ...
I do tend to research my health issues ad infinitum. I would prefer that my clinical testing follow guidelines, and if I read something in Current Medical Diagnosis and Treatment or some other more...
My wife tells me that where she works, nearly all of the post menopausal woman declare openly (to other woman) that they have close to zero interest in sex. For their husbands, the changes in life...
Beware of the Medicare advantage plans. Many docs do not want to be in-network on those plans and therefore you will find providers limited. Most PC docs are happy with traditional Medicare with a...
Its not uncommon for wives to become superhuman advocates for their husbands. Carry on!...
Interesting article in Monday's Dallas Morning News about PC and castration. dallasnews.com/lifestyles/health-and-fitness/health/20150601-learning-to-live-with-castration-anxiety.ece...
In standby mode, cells phones do not transmit much data. The bigger concern is in talking mode when the phone is resting on the ear especially for big talkers. Plus I think with the huge smart phones...
What about the 4kscore as an alternative? I had that and medicare paid for it. I had a 7% risk of high-grade PC, which was under their 7.5 cut off for a biopsy. The doc said his cut off was 9%....
My wife and I both did the $99 23andme analysis, and they tested for two BRCA1 mutations and one BRCA2 mutation. FDA won't allow them to report health results anymore, but you can still send them...
Wondering if being on ADT for a guy is any worse than a woman being post menopausal and not taking hormones?...
I tried supplementing whatever else I was taking with 1.5 mg of melatonin and it seemed to help me fall asleep but then wear off abruptly at 3:30 am which would wake me up. The traz wears off slowly...
Well, I have an appointment every 6 months with one of the docs at this clinic re slightly elevated and fluctuating PSA and I asked about the TV ad. They only do the mri fusion biopsy if insurance...
I get ambien CRs and quarter them and put 1 quarter under the tongue. There is a new sub lingual form of ambien with a lower dose. It has more effect if it doesn't go through the liver first. 1 dose...
I have been taking 100mg at bedtime for over a year and it works for sleep. Also gives me wood off and on at night. I recommend starting at half the prescribed dose until you get used to it because...
I usually have two orders and do one draw for two docs. They review the results, post it on their web portals with some comment (usually on different days), I get an email from the web portal minutes...
No. From Quest, "You no longer are required to request your labs and instead you will automatically receive an email notification when future results are available in MyQuest to be viewed. Your...
My experience with Quest is that they wait until the doc has downloaded the results and then at midnight, send you an email. For me that's an email saying I can log on to their site and download a...
Anyone in this situation should know that you can order your own lab tests at a cost much less than the list price of the major labs. There are several online sites that let you do this. I use...
Saw it while watching the morning news. Maybe its time has come. Its also on their website, kcurology.com/news/159-kcuc-introduces-mri-fusion-technology-for-more-effective-prostate-biopsies.html...