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  1. Replies
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    A large, possibly cancerous, tumor in such a...

    A large, possibly cancerous, tumor in such a young woman points to the possibility of a tricky diagnosis and treatment plan. It really makes sense to go to a major academic medical center instead of...
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    From the info in your signature, Duck,you have...

    From the info in your signature, Duck,you have presented with a more complex case. I was told by knowledgable people that the top surgeon at UPMC doesn't do Gleason 6 prostatectomies, they are done...
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    430

    I don't think stats are that useful in...

    I don't think stats are that useful in determining skill levels for surgeons at all.

    Some patients present with more serious disease, where an ideal result might not always be possible- others...
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    There is a lot to be said for AS, of course. ...

    There is a lot to be said for AS, of course. Even if eventual treatment is done, maybe not , and maybe not for many years.

    I'm sort of surprised that your husband was advised for it, he...
  5. What's interesting is that if it wasn't for the...

    What's interesting is that if it wasn't for the development and promotion of the screening PSA test, I would not have been biopsied,and I would not have been diagnosed. At this point in time, I'd...
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    That's exactly what you want to see on a post-rp...

    That's exactly what you want to see on a post-rp PSA test.

    Prostate cells are what produces PSA. If the patient has no prostate, he should theoretically produce no PSA.
  7. Replies
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    As you know , the PSA test isn't specific to...

    As you know , the PSA test isn't specific to prostate cancer. it does seem to have gone up in your son's case, but that doesn't necessarily mean cancer at all.

    For a man of his age, prostate...
  8. If the doctors aren't really excited about it, I...

    If the doctors aren't really excited about it, I wouldn't be either.

    After all, these tests and biopsies and radical prostatectomies are their bread and butter. If you needed it, it would be in...
  9. I'm surprised that you are receiving the more...

    I'm surprised that you are receiving the more expensive "ultra sensitive" PSA test, particularly in the pre-treatment phase. Going out to 2 digits seems to be overdoing it a bit.

    Maybe your...
  10. I've gone to Quest many a time. Sometimes the...

    I've gone to Quest many a time. Sometimes the joint is packed, other times its right on back even without an appointment.


    In Pittsburgh, there are dozens of Quest offices. Although what I...
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    Consider this fact as well, jerry. Perhaps you...

    Consider this fact as well, jerry. Perhaps you just interpreted the nurses' behavior as "obnoxious" and "raucous", but it really wasn't objectively that outrageous at all.

    Remember that you are...
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    I wouldn't snitch on the nurses. Look at it this...

    I wouldn't snitch on the nurses. Look at it this way, the fact they were chatting and that, is a good sign that the operation went well. Presumably they would be a lot more on-point if your...
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    I go to Quest, they get the PSA tests done right...

    I go to Quest, they get the PSA tests done right away.

    I never accessed them off of the Quest portal, but received the results with in 36 hours from the UPMC portal that the doctor posts the...
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    I'm not sure how well that would go with the...

    I'm not sure how well that would go with the average prostate patient.

    Relatively few middle aged or elderly men in America have belly button jewels.
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    I was under the impression that the Single Port...

    I was under the impression that the Single Port was just a computer and technological upgrade for the Intuitive Surgical from an interview that I saw him do with Cramer on CNBC.

    They are just...
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    Depends on several factors, your age and...

    Depends on several factors, your age and co-morbidities, the Gleason score is a critical point as well. If you've done genomic testing, that's something that should be considered as well.

    Stage 1...
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    The 4.0 is just a suggested range. An increase...

    The 4.0 is just a suggested range. An increase from your previous base can indeed be a sign that a biopsy is warranted.

    When I was your husband's age, my PCP sent me to the urologist after I...
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    You definitely do have some time here. The...

    You definitely do have some time here. The absolute minimum is usually 6 weeks between biopsy and treatment, doctors like to give prostate time to simmer down a bit after the trauma of biopsy. ...
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    I don't wear wristbands of any type, but I do...

    I don't wear wristbands of any type, but I do wear neckties, so I'll keep this in mind.

    Prostate awareness reminds me of a young lady I was working with before I became prostate aware myself. ...
  20. At this point in time, it would be a move of high...

    At this point in time, it would be a move of high risk not to seek treatment in your case.

    Genomics and other testing aren't sophisticated enough in 2019 to really make an accurate forecast as to...
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    I don't know why they would even show this to the...

    I don't know why they would even show this to the patient.

    The last biopsy I had, the gal who assists the doctor showed me the instrument before the the doctor came in, and I thought "why". I know...
  22. No. Radiation technology is improving all of...

    No. Radiation technology is improving all of the time in providing more accurate treatments. Some facilities have more up-to-date equipment.

    Further, some radiation technologies and...
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    Personally, I try to be positive. When I...

    Personally, I try to be positive.

    When I first went to the biopsy, I fully expected to be cleared. I only did it to be a "good patient" and demonstrate that I was cooperative to my regular...
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    That's not "far out " at all. That only 3...

    That's not "far out " at all.

    That only 3 weeks out.

    Surgeons generally wait at least 6 weeks in between a biopsy and prostatectomy, if that's what is called for in your friend's case.

    They...
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    When I first went into the doctor's office for my...

    When I first went into the doctor's office for my diagnosis, his initial remark was that I would live to a ripe old age unless something else kills me.

    So I guess this is my prognosis, I am going...
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