Prostate cancer: to test or not: - Advanced Prostate...

Advanced Prostate Cancer

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Prostate cancer: to test or not:

tarhoosier profile image
6 Replies

lapresse.ca/actualites/chro....

Large (est?) paper in Montréal about one of their own with PCa and what other men could or should do. In French but my link gave option of English translation. In my French reading it was a balanced investigation and recommendation.

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tarhoosier profile image
tarhoosier
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JohnInTheMiddle profile image
JohnInTheMiddle

Here's a link to the article that works. (My browser or the website delivers in English.)

lapresse.ca/actualites/chro...

JohnInTheMiddle profile image
JohnInTheMiddle

When I was first diagnosed over 2 years ago with de novo high-volume Stage 4B metastatic prostate cancer, and learning about the background of the diagnosis, I wrote a (popular) Forum post on the PSA test question. At the end of this post down below, you can see the URL to that original item.

In summary, doctors and policy makers who recommend against PSA testing are criminally wrong. With fancy arguments and pretty charts, the argument is "because we do a lot of destructive and stupid things in the basis of a positive PSA test, therefore don't get a PSA test".

The PSA test of course is just a simple everyday blood draw. If there's a concern, get more innocuous tests. Look at different blood markers. Maybe do an MRI. Or a body scan with dye. Don't leap to surgery or radiation. But instead of improving decision-making, our insect overlords say "it's better to be in ignorance".

And so the number of men diagnosed every year with de novo prostate cancer, but where the cancer has already metastasized, keeps climbing. In my case I figure this will result in my loss of between 11 and 19 years of life! With my wife. And children. And grandchildren. And as an active human being in the world.

I'd welcome any one explaining why my reasoning is wrong. Some journalist could write a book and get a Pulitzer.

healthunlocked.com/advanced...

P.S. - Because of triplet therapy I'm doing pretty good except for the fatigue and the risk of osteoporosis & CVD. That's hope!

Ian99 profile image
Ian99 in reply toJohnInTheMiddle

I doubt anyone will try to defend the indefensible. Often the real thinking is extra cost and admin. I am after my two sons (42, 45) in France and Spain to get tested annually and emphasize family history. They know the score and are doing it.

j-o-h-n profile image
j-o-h-n in reply toIan99

You must have Great sons, cause you're a great Dad....

Good Luck, Good Health and Good Humor.

j-o-h-n

JohnInTheMiddle profile image
JohnInTheMiddle

Here's an excellent recent article on prostatecancer.net that is a total rebuttal of the La Press item:

prostatecancer.net/living/p...

groundhogy profile image
groundhogy

Yes, you always test. You may choose to do nothing, but always look. Not looking only benefits one entity… and its not the patient

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