I agree with this article. And Mike's post on the Infolink. In another post there that now has over thirty replies to it, Mike (the InfoLink writer) single's David Emerson and myself out by stating that we need to find guys like us as opposed to the general population being screened. To that I replied this:
I want to find guys like me too.
But the truth be told we truly had no reasonable way of knowing that I was a high-risk probability at the age of 44. David Emerson and I were detected when our cancers were Stage 4 and Stage 3B respectively. David at age 42 had metastatic disease at Dx. We weren’t sure with my case after surgery but we have been able to keep it at bay and it is in remission. I feel it’s because a doctor checked the PSA box on a lab blood test sheet without telling me during a routine physical. There is no metric that would have made sense to do that for me even if provisions were added to the USPSTF prostate cancer screening statement concerning risk groups. Again, I had no high risk family history and I was otherwise healthy and asymptomatic.
I hate to wonder what would have happened in my case if this task force released this recommendation in 2005....
Would I be dead today if I had not been screened? Probably not. At least probably not yet. But another thought has to be considered ~ we are all going to die of something. In reality we are only considered saved if we die of something else and there was no eminent threat danger of dying from prostate cancer. I believe that we need to look at screening as a way of extending lives. So then this is a better question than did screening save my life:
Did finding prostate cancer before it had progressed any further add quality years to my life?
Even still I can't answer that factually but rather presumptively. I think yes. Had my disease progressed any further we have scientific data that shows a less appealing prognosis for metastatic disease that has spread to bone and/or other organs. But our friends here in Todd and David are both six years into a diagnosis that indicated a poor prognosis.
We know factually that treating cancers in the early stages results in better prognosis. But we do not know that precise cutoff point that this takes place. Are there a lot of men here saying that PSA screening saved their lives ~ yes, including me. Are there men here where that simply is not true? Yes.
Take you own guess as to whether I should have not been screened. The USPSTF says no...