James/Ispark....yes, to save lives but remember the "do no harm" part. One of my physician friends just gave me his latest copy of Annals of Internal Medicine
. This issue includes an article and an editorial related to overtreatment. It is primarily aimed at older (65+) men and discusses the issues of comorbidity. The conclusion was that older men with multiple comorbid conditions (e.g. heart disease) are likely to die of something other than PCa, therefore bringing into question the wisdom of treatment and related side effects for men with low or intermediate risk prostate cancer.
The article also takes a left handed jab at the USPTF because they were focused on screening rather than treatment guidelines...
Age 62 (66 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, only minor discomfort. Everything continues to function normally as of 11/2/12. PSA: 6 mo: 1.4, 1 yr: 1.0, 2 yr: .8, 3 yr: .5, 4 yr: .2. My docs are "delighted"! My journey: