Date: 28/01/2015 12:09:02
From: bob(from black rock)
ID: 667751
Subject: Prostate Cancer (PCa)

Hi Folks, think it has been some years since I last harangued the forum about PCa so no pissing off just yet, girls this concerns you too, as you all have fathers, and most have males in their family or friendship circles over 50 years old (over 40 years old if there is a family history of PCa) so harass the buggers if necessary.
They should go their family GP and request a PSA blood test, including a Free to Total PSA ratio, if they the (Doctor) are not familiar with the free to total PSA ratio, (and not all are) tell them that this is outlined in their booklet “PSA For the General Practioner” it is important to have both tests done which can be taken from the one blood sample, note blood samples should not be taken the morning after an ejaculation or a couple of days after riding a push bike, as either activity will give a falsely elevated reading. After the blood test results are in then a digital rectal examination can also be conducted if required, do not have blood samples taken within 48 hours of a DRE digital rectal examination either. When the test results are in do not be rushed into treatment, I was told back in 1997 that I needed an immediate immediate operation, then the Dr said after a pause “hang on”, then said into his telephone, I thought he was talking to his receptionist, (but proly not) “I have Mr Bob with me and he needs an immediate Prostatectomy (surgical removal of the prostate) and I am booked up for 2 weeks, (pause) what’s that ? I have a cancellation for next week? that’s great news I’ll tell him, Bob I have a cancellation for next week, do you want me to put you down for this? I said I wanted to explore alternatives first, he indicated that he thought I was an idiot, but I am yet to have any formal medical intervention!
OK I feel better now, got that off my chest, if you are told you need formal medical intervention, join a PCa support group and speak to people who have had a wide range of medical treatments before you decide.

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Date: 28/01/2015 12:28:30
From: buffy
ID: 667758
Subject: re: Prostate Cancer (PCa)

Aren’t they backing off from doing that blood test as much?

I’m on the treadle machine, I can’t go looking at the moment.

Can someone have a look at Cochrane Review on this?

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Date: 28/01/2015 12:38:29
From: poikilotherm
ID: 667762
Subject: re: Prostate Cancer (PCa)

buffy said:

Aren’t they backing off from doing that blood test as much?

I’m on the treadle machine, I can’t go looking at the moment.

Can someone have a look at Cochrane Review on this?

Prostate cancer is one of the most prevalent forms of cancer in men worldwide. Screening for prostate cancer implies that diagnostic tests be performed in the absence of any symptoms or indications of disease. These tests include the digital rectal examination (DRE), the prostate-specific antigen (PSA) blood test and transrectal ultrasound (TRUS) guided biopsy. Screening aims to identify cancers at an early and treatable stage, therefore increasing the chances of successful treatment while also improving a patient’s future quality of life. This review identified five relevant studies, comprised of 341,342 participants in total. Two of the studies were assessed to be of low risk of bias, whilst the remaining three had more substantive methodological weaknesses. Meta-analysis of all five included studies demonstrated no statistically significant reduction in prostate cancer-specific mortality (risk ratio (RR) 1.00, 95% confidence interval (CI) 0.86 to 1.17). Meta-analysis of the two low risk of bias studies indicated no significant reduction in prostate cancer-specific mortality (RR 0.96, 95% CI 0.70 to 1.30).

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Date: 28/01/2015 12:43:44
From: buffy
ID: 667765
Subject: re: Prostate Cancer (PCa)

Thanks poik.

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Date: 28/01/2015 12:44:46
From: diddly-squat
ID: 667767
Subject: re: Prostate Cancer (PCa)

buffy said:

Aren’t they backing off from doing that blood test as much?

I’m on the treadle machine, I can’t go looking at the moment.

Can someone have a look at Cochrane Review on this?

I went into the doctor’s for my annual checkup last week and he included it for my barrage of blood tests

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Date: 28/01/2015 13:13:39
From: mollwollfumble
ID: 667779
Subject: re: Prostate Cancer (PCa)

> They should go their family GP and request a PSA blood test

Isn’t this a standard part of the normal blood tests? I’m sure I had one a while ago at the same time as cholesterol.

Also, suspect that … I’ll just check. Yes. I paid $99 for a genetics test in California, and among the 122 health related genetic results I have only half the average genetic risk of getting prostate cancer. Add to that that none of my direct ancestors, siblings, uncles, aunts, nieces or nephews has died from any form of cancer and I think I’m safe.

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Date: 28/01/2015 13:45:30
From: Tejay
ID: 667792
Subject: re: Prostate Cancer (PCa)

On average humans have one testicle and one boob. I am pleased to report that on average I am not human.

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Date: 28/01/2015 14:12:39
From: bob(from black rock)
ID: 667798
Subject: re: Prostate Cancer (PCa)

Tejay said:


On average humans have one testicle and one boob. I am pleased to report that on average I am not human.

Ah yes but how many people have one testicle and one boob?

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Date: 28/01/2015 14:37:56
From: poikilotherm
ID: 667802
Subject: re: Prostate Cancer (PCa)

diddly-squat said:


buffy said:

Aren’t they backing off from doing that blood test as much?

I’m on the treadle machine, I can’t go looking at the moment.

Can someone have a look at Cochrane Review on this?

I went into the doctor’s for my annual checkup last week and he included it for my barrage of blood tests

Effective use of the tax dollar.

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Date: 28/01/2015 14:44:31
From: sibeen
ID: 667804
Subject: re: Prostate Cancer (PCa)

My GP told me about 8 years ago, “do not do the test. The results cause far more grief than any good they do.” I’ve taken his advice.

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Date: 28/01/2015 14:51:28
From: diddly-squat
ID: 667808
Subject: re: Prostate Cancer (PCa)

poikilotherm said:


diddly-squat said:

buffy said:

Aren’t they backing off from doing that blood test as much?

I’m on the treadle machine, I can’t go looking at the moment.

Can someone have a look at Cochrane Review on this?

I went into the doctor’s for my annual checkup last week and he included it for my barrage of blood tests

Effective use of the tax dollar.

I wasn’t even charged for the 10min consult when I got the results – all I did was sign some piece of paper

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Date: 28/01/2015 14:52:12
From: poikilotherm
ID: 667809
Subject: re: Prostate Cancer (PCa)

diddly-squat said:


poikilotherm said:

diddly-squat said:

I went into the doctor’s for my annual checkup last week and he included it for my barrage of blood tests

Effective use of the tax dollar.

I wasn’t even charged for the 10min consult when I got the results – all I did was sign some piece of paper

magjick.

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Date: 28/01/2015 14:56:04
From: diddly-squat
ID: 667812
Subject: re: Prostate Cancer (PCa)

sibeen said:


My GP told me about 8 years ago, “do not do the test. The results cause far more grief than any good they do.” I’ve taken his advice.

Doctor: your tests indicate a positive result to indicators for prostate cancer
Patient: that’s terrible, what does it mean now?
Doctor: well the test itself isn’t conclusive proof of cancer, so I suggest we do a full set of tests and scans to verify the results – but the good this is we have caught this early so if it does turn out to be PC then there are still a lot of treatment options available to you, but let’s discuss this more after we get the results back from the next tests.
Patient: OK, how soon can we get this started…?

what a shocker…

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Date: 28/01/2015 15:03:27
From: sibeen
ID: 667815
Subject: re: Prostate Cancer (PCa)

diddly-squat said:


sibeen said:

My GP told me about 8 years ago, “do not do the test. The results cause far more grief than any good they do.” I’ve taken his advice.

Doctor: your tests indicate a positive result to indicators for prostate cancer
Patient: that’s terrible, what does it mean now?
Doctor: well the test itself isn’t conclusive proof of cancer, so I suggest we do a full set of tests and scans to verify the results – but the good this is we have caught this early so if it does turn out to be PC then there are still a lot of treatment options available to you, but let’s discuss this more after we get the results back from the next tests.
Patient: OK, how soon can we get this started…?

what a shocker…

His take on it was that there were way too many invasive surgeries performed which had no benefit to the patient, and in many cases had detrimental side effects.

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Date: 28/01/2015 15:28:13
From: poikilotherm
ID: 667817
Subject: re: Prostate Cancer (PCa)

diddly-squat said:


sibeen said:

My GP told me about 8 years ago, “do not do the test. The results cause far more grief than any good they do.” I’ve taken his advice.

Doctor: your tests indicate a positive result to indicators for prostate cancer
Patient: that’s terrible, what does it mean now?
Doctor: well the test itself isn’t conclusive proof of cancer, so I suggest we do a full set of tests and scans to verify the results – but the good this is we have caught this early so if it does turn out to be PC then there are still a lot of treatment options available to you, but let’s discuss this more after we get the results back from the next tests. Also, I should mention some of the tests might cause impotence and urinary incontinence.
Patient: it can cause what…?

what a shocker…

fixed

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Date: 28/01/2015 15:29:11
From: poikilotherm
ID: 667819
Subject: re: Prostate Cancer (PCa)

diddly-squat said:


buffy said:

Aren’t they backing off from doing that blood test as much?

I’m on the treadle machine, I can’t go looking at the moment.

Can someone have a look at Cochrane Review on this?

I went into the doctor’s for my annual checkup last week and he included it for my barrage of blood tests

Are you 50+? well I never…

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