Prognosis's~comparisons to some other countries - continuing Zufus's original thread

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Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 9/13/2010 12:59 PM (GMT -6)   
i feel your thread is very worthy to continue, hopefully it will stay on a positive route this time.
when i was talking about japanese culture and medical matters, wasn't think so much their religious inclinations toward health and such.
japan is a place, that until recently years, a terminally ill person would never be told that they were dying.  in their peak years as being a global economic giant, it was looked down in their society to seek medical help or advice, unless you were in some kind of emergency situation.
i saw some of this when i was stationed in japan in the service many years ago.  i also saw it just a few years ago, when i was the Controller of a wholly Japanese owned mfg. plant here in SC.  I was one of only two non-asians on the management team.  when a japanese plant worker would get injured, they would try to hide the injury, as they didnt want to look weak and didn't want to look like they were being slack.  this was so instilled in their mind set. 
In my position, I had deep concerns about workmen's comp situation, and of course, caring for the one injured.  what i really learned among my time with the japanese, is there is a major difference in the mind set and work ethics of a japanese work when compared to the average american worker in the same plant.
coming back to pc , my point was wondering if the lower PC number in japan has anything to do with what i am talking about.  different cultural difference could make a big difference in medical stats in my opinion.
david in scc

Post Edited (Purgatory) : 9/13/2010 5:09:35 PM (GMT-6)

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 9/13/2010 5:27 PM (GMT -6)   
I would say you're probably right on, to some kind of degree, their honor thing and self reliance concepts and even down to all about self control...discipline...righteous ways. So, probably they are huge on home remedies and keeping quite on minor ills, which PCa can easily start out as unknown and non-detectable (no symptoms necessarily) and very likely less screening than here. My guess on comparisons done on PCa there vs. here, likely they did some kind of objective measuring via screenings and such, like an abstract study which surely must exist(I didn't bother to look)....medical folks like alot of definition as to having groups compared in abstracts in some kind of measurable fair way, atleast usually.

It makes us wonder about other cultures dealing with PCa for screenings, testings, even book they have somewhere else someone even remotely close to the status of Dr. Strum, Sartor, Myers, Lam, al?? I do know about Dr. Premoli in Argentina and have had email discussions with him way back, he was nice enough to answer my questions, knowing I wasn't going to become a patient. He seems like a pretty informed doctor and his english was very good too.

If anyone else has interesting information related to such, might as well toss it into discussion or reading. I like seeing what is done outside the USA, might gives us a better sense of wellness or whatever.
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35 normal, ct and bone scans appearing clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off for 1 yr., controlled so well, resumed, using intermittently, pleased with results

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 9/13/2010 6:16 PM (GMT -6)   
One thing I have learned here at HW, is that our brothers in the UK, Australia, and Canada for the most part, get excellent care, including choice of treatments, doctors, etc. This fact has been so distorted for political biases here in our country. I know they are not perfect health care systems, but I think something can be learned about them.

I know we, as Americans, and I am generalizing here on purpose, gripe and complain at times about health care here, etc, we are still fortunate to be able to walk into a public ER and be treated, even if you don't have a dime in your pocket. I live literally in the 90 second range from a medium sized hospital with a public ER. Not overly fond of it, but, if needed, I know I can be seen quickly, with or with out money or insurance.

The worse health care I ever witnessed was when I lived in Morrocco years ago. Perhaps it has been improved since then, but if you had much more than a cut on your finger, you were pretty well SOL. And even then, you would probably get an infections from the treatment, lol.

Some of the best I have witnessed, was in Spain, in particular Madrid. They were pretty accomdating and at the time, pretty state of the art.

It's sad to think that there are thousands of men around the world, that die of prostate cancer every year, and they never even knew they had it, or even what it was. That bother's my personal social concious alot.

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.
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