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You can't fix stupid
Message
From
07/03/2014 02:42:51
 
 
To
06/03/2014 19:44:40
John Ryan
Captain-Cooker Appreciation Society
Taumata Whakatangi ..., New Zealand
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Thread ID:
01595248
Message ID:
01595918
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>>>Let's agree to disagree:
>>>for me more information still is good if the treatment still is NOT following every minute scent - and no hypochondriac tendencies are awakened. When first questionable bodily problems occur having long term PSA values to look at and compare with current values might come in handy.
>
>Definitely true that PSA rising over time could be an indicator to act. But also consider that ! PSA == Prostate cancer: inflammation or benign prostatic hypertrophy can cause a rise as well. IOW the test is of most value when not raised. When raised or rising, it could mean cancer but it might not mean much at all. Your physician can examine your prostate with their finger and if it's craggy or fixed or there's a mass or other abnormality, they're more likely to want to act rather than pursuing "masterly inactivity" which is the other option- most men go for more frequent PSA and rectal exams to see whether there's a trend. Of the subset that proceeds to biopsy, still only about 25 percent has prostate cancer. Current recommendation is for detailed counseling before the test gets done, since a raised level creates stress and exposure to significant complications.

all true and even those with diagnosed cancer have a very solid chance of dying for other reasons at ages Buffet and beyond when no special treatment for the claw wielder is scheduled.
I am close to a case where inactivity is the goal and hormone therapy enacted when PSA levels are deemed too high. And yes, we realize that statistical PSA knowledge of subset with known problems is nearly non-existant, so future generations might have to classify the attempt as mystic/superstitious instead of enlighted/lucky - but personal pref after caring for breast cancer on the spouse side made this a clear and outspoken target when mind in charge of the body was able to follow most of it and some side effects of hormone were realized. Sometimes there are no good choices, as you probably are forced to realize more often than me.
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