Jack, not wanting to hijack Tony's thread, maybe this would be better discussed in it's own space and time, but I have a question: what, in your mind, is the definition of overtreatment and is it really truthful to argue that a biopsy is, as you put it, "the onramp to the overtreatment express"?
This forum is a great antidote to overtreatment, and many of us have found ourselves calming down and getting rational once we started paying attention and did our digging. I've seen nothing but quality feedback to Tony in this thread, and to others who were getting shoved along into immediate treatment...and a great many readers who DID slow down and make rational choices....me included.
Another comment from someone who lives in rural mid-america, who is not in obvious easy reach of some of the major places: MP-MRI sounds like a great tool, and it will probably save a lot of heartache for a lot of men. But it's not available everywhere (yet). It's hard for me to keep quiet when I learned, as part of my research, that the nearest place I could probably have had one was too far away to be useful to me. Not all of us live near enough to MSK, or JH, or other places to avail ourselves of them. In many cases, we have to play the hand we're dealt, and that includes what facilities and treatments are physically available.
For me, I would never discourage a man from getting a biopsy. The issue, IMO, with overtreatment is what one does AFTER the biopsy comes back. This forum is a great resource to use for that information.
Age at Diagnosis: 56
Biopsy: 3 of 12, G3+3, all on LT side, 20%, 5%, 3%
Clinical Stage T1C
Bone Scan, CT scan negative for spread
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
No EPE, 20% organ involvement, g3+4 final
PSA 3/10/15: 0.10
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024