I grow weary of this entire subject. One group trying to outdo the other group, should we test - not test, treat - not treat, agressive - non agressive, etc. etc. PSA testing has saved thousands of lives just here in the US alone. It is just a test ,a marker. Still takes a biopsy to get a diagnosis, or several biopsies. All these academic discussions from the ACS and the AARP do nothing to save lives, or to improve the quality of life issues with Prostate cancer patients and survivors. Where's the advocate for the still nearly 30,000 that die just in the US every year, with some of them dying a lingering and painful death? We don't need less testing, we need better testing, we need some accurate tool or test or both, that can help isolate agressive cancers from the truly indolent ones that don't need immediate attention.
Arguing that over testing and/or over treatment wastes "billions of dollars" and saves few, is a cold hearted remark, and an easy one to spout, if it's not effecting you, your immediate loved ones, or someone you are close to.
To me its not about
who appears more brilliant or smarter on this subject, its who is helping those in need, making sure that men get tested, and continuing to educate treatment choices that are appropriate for the stats of the person. The rest of it can be talked about
and argued to death, and perhaps puff up a few egos here and there among the experts and the alledged experts, but none of that will help a single victim of PC or their families that suffer along with them.
David in SC
57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.33rd Biopsy
: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3Open RP:
11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09Path Rpt
: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place