Maybe I've had PC too long. I seem to be getting more cynical of the new experts in the field, and in fact get tired of the constant references to the PC prophets who have written books in the past.
I am following a common sense approach to much of this. Perhaps a PSA of 4 is not the correct number for every one, but there is a number that is abnormal. As Jeff pointed out, certainly a 10 is abnormal. If we are unfortunate enough to have a high gleason PC that does not produce a lot of PSA, probably in a lot of trouble anyway.
PSA testing, coupled with DRE's, is still the most effective way we have of detecting PC that we have, coupled with biopsy, today. I fail to see the argument that there is nobnormal PSA. For a very high percentage of men, there appears to be high correlation between elevated PSA and a positive DRE.
I really have not found this to be a difficult concepts to grasp, have decided not to write a book. This simple concept has certainly lengthened my life, if not saved it.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01