Guest guest Posted May 21, 2012 Report Share Posted May 21, 2012 Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New” Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Chuck Maack Sent: Tuesday, 22 May 2012 9:37 AM To: Chuck Maack Subject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: " Observations " http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2012 Report Share Posted May 21, 2012 I just want to say that I am very thankful for a doctor that ordered PSA testing for my husband as part of his regular 50 year old testing. My husband was asymptomatic. The path report following surgery said that my husband has Gleason 4+3 stage 3 cancer with the cancer spreading just outside the prostate (they think they got everything in surgery). I think he would have died for sure if he didn't have that test. As it is, his 3 month post surgery PSA was undetectable, and he'll get his next test done in a few weeks. We're still debating whether or not he should have radiation. Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer ScreeningTo: ProstateCancerSupport Date: Monday, May 21, 2012, 6:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New†Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck MaackSent: Tuesday, 22 May 2012 9:37 AMTo: Chuck MaackSubject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. "What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: "Observations" http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2012 Report Share Posted May 21, 2012 Suzi, I respect your decision and hope that all will be well into the future, but you say <snip> I think he would have died for sure if he didn't have that test. <snip> That belief is not necessarily based on facts. Of course he would have died at some time in the future because we must all die some day, but not necessarily from prostate cancer. As good old Dr Whitmore said “Growing old is invariably fatal while prostate cancer is only sometimes so.” All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Suzi Knowles Sent: Tuesday, 22 May 2012 12:40 PM To: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening I just want to say that I am very thankful for a doctor that ordered PSA testing for my husband as part of his regular 50 year old testing. My husband was asymptomatic. The path report following surgery said that my husband has Gleason 4+3 stage 3 cancer with the cancer spreading just outside the prostate (they think they got everything in surgery). I think he would have died for sure if he didn't have that test. As it is, his 3 month post surgery PSA was undetectable, and he'll get his next test done in a few weeks. We're still debating whether or not he should have radiation. Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening To: ProstateCancerSupport Date: Monday, May 21, 2012, 6:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New” Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck Maack Sent: Tuesday, 22 May 2012 9:37 AM To: Chuck Maack Subject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: " Observations " http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2012 Report Share Posted May 21, 2012 Terry, What I worry about is that subset of men who don't like to go to doctors in the first place. They will see the USPSTF statement and use it to reinforce their decision not to go. I surely believe some of them will die needlessly. Manny Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer ScreeningTo: ProstateCancerSupport Date: Monday, May 21, 2012, 9:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New†Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck MaackSent: Tuesday, 22 May 2012 9:37 AMTo: Chuck MaackSubject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. "What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: "Observations" http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2012 Report Share Posted May 21, 2012 Forgot to mention that he is only 50. Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer ScreeningTo: ProstateCancerSupport Date: Monday, May 21, 2012, 6:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New†Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck MaackSent: Tuesday, 22 May 2012 9:37 AMTo: Chuck MaackSubject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. "What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: "Observations" http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2012 Report Share Posted May 21, 2012 Manny, right now what percentage of men have PSA tests? It is a long time since I looked up the figures but I seem to recall a post saying it was under 50% and that the rate was falling. I think that some men wil do everything they can to avoid going to a doctor, while others will have a very different view. Do you really think that the men who are currently avoiding doctors’ visits will increase by a significant degree following this recommendation? They don’t need an excuse. All the best Terry From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Rosenbaum Sent: Tuesday, 22 May 2012 2:22 PM To: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Terry, What I worry about is that subset of men who don't like to go to doctors in the first place. They will see the USPSTF statement and use it to reinforce their decision not to go. I surely believe some of them will die needlessly. Manny Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening To: ProstateCancerSupport Date: Monday, May 21, 2012, 9:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New” Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck Maack Sent: Tuesday, 22 May 2012 9:37 AM To: Chuck Maack Subject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: " Observations " http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2012 Report Share Posted May 21, 2012 I was 54 in 1996 when I was diagnosed with a Gleason 7 disease. All the best Terry From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Suzi Knowles Sent: Tuesday, 22 May 2012 3:05 PM To: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Forgot to mention that he is only 50. Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening To: ProstateCancerSupport Date: Monday, May 21, 2012, 6:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New” Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck Maack Sent: Tuesday, 22 May 2012 9:37 AM To: Chuck Maack Subject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: " Observations " http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 The concern, Terry, is whether or not we are among the, as you note, “sometimes so” that would be in that 30,000 number that die “of” prostate cancer here in the U.S. Chuck Always as close as the other end of your computer to help address any prostate cancer concerns. " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: " Observations " http://www.theprostateadvocate.com From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Terry HerbertSent: Monday, May 21, 2012 10:00 PMTo: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Suzi, I respect your decision and hope that all will be well into the future, but you say <snip> I think he would have died for sure if he didn't have that test. <snip> That belief is not necessarily based on facts. Of course he would have died at some time in the future because we must all die some day, but not necessarily from prostate cancer. As good old Dr Whitmore said “Growing old is invariably fatal while prostate cancer is only sometimes so.” All the best Prostate men need enlightening, not frighteningTerry Herbert - diagnosed in 1996 and still going strongRead A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Suzi KnowlesSent: Tuesday, 22 May 2012 12:40 PMTo: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening I just want to say that I am very thankful for a doctor that ordered PSA testing for my husband as part of his regular 50 year old testing. My husband was asymptomatic. The path report following surgery said that my husband has Gleason 4+3 stage 3 cancer with the cancer spreading just outside the prostate (they think they got everything in surgery). I think he would have died for sure if he didn't have that test. As it is, his 3 month post surgery PSA was undetectable, and he'll get his next test done in a few weeks. We're still debating whether or not he should have radiation.Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer ScreeningTo: ProstateCancerSupport Date: Monday, May 21, 2012, 6:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New” Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, theUSPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should bean informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frighteningTerry Herbert - diagnosed in 1996 and still going strongRead A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck MaackSent: Tuesday, 22 May 2012 9:37 AMTo: Chuck MaackSubject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer ScreeningUSPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdfAMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: " Observations " http://www.theprostateadvocate.com No virus found in this message.Checked by AVG - www.avg.comVersion: 2012.0.2176 / Virus Database: 2425/5014 - Release Date: 05/21/12 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 Those men will die of numerous reasons not just prostate cancer diagnostic failure if they do not have regular checkups and react to bodily warnings of all sorts. The USPSTF statement will have no net effect as the data shows. Prostate over-treatment is a tremendous cash cow, driven by fear, and very much based on anecdotal evidence from persons who underwent the treatment. Neuroscience has shown that people want to " feel " right, not necessarily be right. Once treated for confined PCa, that is a big driver of their perspective. Mr Herbert has a very reasoned view of this situation, ah but we should all have such a balanced view. Rich Luxton > > Terry, > Â > What I worry about is that subset of men who don't like to go to doctors in the first place. They will see the USPSTF statement and use it to reinforce their decision not to go. I surely believe some of them will die needlessly. > Â > Manny > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 Did you have treatment? Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer ScreeningTo: ProstateCancerSupport Date: Monday, May 21, 2012, 6:20 PM Chuck and all, I’m not starting and certainly won’t be joining in any discussion on the pros and cons of PSA testing. There is a good piece on The “New†Prostate Cancer Infolink at http://tinyurl.com/6wfrwpd with links to the actual recommendations and statements in support from Otis Brawley and against from Catalona. It makes interesting reading. Most people may not know precisely what was recommended – and supported by a variety of organizations. This is it: <snip> For men of any age, the USPSTF recommends that doctors and patients do not screen for prostate cancer because the potential benefits do not outweigh the harms. However, the USPSTF realizes that some men may continue requesting the PSA test and some physicians may continue offering it. The decision to start or continue screening should be an informed one that reflects an understanding of the possible benefits and harms and should respect an individual man’s preferences. <snip> Speaking personally I simply do not understand what the fuss is about. Men who are concerned – whether they need to be concerned or not - can still request PSA tests. Doctors who believe in the value of PSA tests can still order them. The aim is that both parties – the doctor and the man should have a clear understanding of the limitations of the test. What is wrong with that? I am an alien, so I can only observe actions in the US from afar, but it seems really odd to me that there are enormous outcries about Government treating people like children on the one hand and not treating them like children on the other. Surely adult sentient men should be given the known facts, ascertained by scientific studies on the potential benefits and harms associated with PSA tests. It is interesting in a country like South Africa – generally regarded as a Third World country, people cannot be given and AIDS test without first having counseling about the potential outcomes of the test. Would it be so hard to do tha same thing about PSA tests? All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Chuck MaackSent: Tuesday, 22 May 2012 9:37 AMTo: Chuck MaackSubject: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. "What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: "Observations" http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 Gotcha beat as to “when” diagnosed, Terry….1992 and age 59 when diagnosed, also with Gleason 7/3+4….and like you, have lived “with” the beast ever since. Life goes on as long as we learn how to deal with the obstacles along the way and accept and get on with our lives for those which we cannot personally control. Chuck " What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. " (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: " Observations " http://www.theprostateadvocate.com From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Terry HerbertSent: Tuesday, May 22, 2012 12:15 AMTo: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening I was 54 in 1996 when I was diagnosed with a Gleason 7 disease. All the best Terry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 Hello Chuck, Went to see Dr. Busby this AM but seen two PA'S. I lowered the boom on Busby about his office presents and the time lapse without seeing me. I did get the necessary paper work for transfer of my medical records. He will leaving this week-end where he came from. My PSA has doubled 13.6. Lupron shots is what she is going to do but not after I see my PCP. He is new and wants to talk to me before I see this other Dr. who first did my biopsy. My brain is spinning out of control. What can I look forward too other than dying. Thanks Pal Rody Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. "What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: "Observations" http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 Rody;Obviously I am not Chuck, but take it from me, just relax a bit.Not too long ago I was in your same position in wondering what to expect. At the time of my diagnosis, my PSA was 61.3. Gleason 3+4 7. After surgery my Gleason was upgraded to 4+3 7, with some lymph node involvement.On June 7, it will be 2 years since surgery. My PSA never did go to undetectable. Lowest it ever got was 0.1. Now it is rising back up and am on several meds to help control it.Enough about me. I write this note to you to let you know you are in good company here on this list. Several, if not all of us men here have been where you are. If your insurance is like mine, your PCP has to be the one who refers you to a specialist. That may be why you need to see yours first. I would not be too concerned with dying yet. You most likely still have plenty of time to make an informed decision on your course of action. I have seen men on here with a PSA count out of sight (1000 and more), and most are still kicking. You might also want to check out Terry Herbert's site, http://www.yananow.org/There are 1000's of men there who have survived what we are going through and tell us in their own words what they did, are doing, and what kind of results there are getting.Just don't panic. I know the Big "C" word sends shivers up and down most everyone's spines, but worrying and being too anxious will not help anything. In fact, it may even cause unnecessary stress and more complications. Lupron shots are really quite painless. That is saying something for a guy who can pass out by just seeing a needle! I know I have to have them, and it goes well for me.Just take it one day at a time. Take a little walk. Read a good book. Do some of the things you have wanted to do. Just let go and relax. Just because we have been diagnosed with prostate cancer doesn't mean we are going to keel over any time soon. Take care my new found friend,Dan Harriman 2 1/4 yr survivor since diagnosis, and 2 yr survivor since surgery. Still planning for the future!If at first you don't succeed, maybe you shouldn't try sky diving! Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening USPSTFPCaMHNVHCpressrelease052112.pdf http://www.menshealthnetwork.org/library/USPSTFPCaMHNVHCpressrelease052112.pdf AMEN! Chuck Disclaim er: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. "What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." (Chuck) Maack - Rmd, PCaA, PCaM Email: maack1@... PCa Help: "Observations" http://www.theprostateadvocate.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 Not when I was diagnosed. I chose what was then called Watchful Waiting now AS (Active Surveillance). See http://www.yananow.org/display_story.php?id=984 if you are interested in the detail All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Suzi Knowles Sent: Wednesday, 23 May 2012 1:09 AM To: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening Did you have treatment? Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening To: ProstateCancerSupport Date: Monday, May 21, 2012, 8:00 PM Suzi, I respect your decision and hope that all will be well into the future, but you say <snip> I think he would have died for sure if he didn't have that test. <snip> That belief is not necessarily based on facts. Of course he would have died at some time in the future because we must all die some day, but not necessarily from prostate cancer. As good old Dr Whitmore said “Growing old is invariably fatal while prostate cancer is only sometimes so.” All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.org/StrangePlace/index.html From: ProstateCancerSupport [mailto: ProstateCancerSupport ] On Behalf Of Suzi Knowles Sent: Tuesday, 22 May 2012 12:40 PM To: ProstateCancerSupport Subject: RE: Men's Health Network and Veterans Health Council Oppose Final USPSTF Recommendation Against Prostate Cancer Screening I just want to say that I am very thankful for a doctor that ordered PSA testing for my husband as part of his regular 50 year old testing. My husband was asymptomatic. The path report following surgery said that my husband has Gleason 4+3 stage 3 cancer with the cancer spreading just outside the prostate (they think they got everything in surgery). I think he would have died for sure if he didn't have that test. As it is, his 3 month post surgery PSA was undetectable, and he'll get his next test done in a few weeks. We're still debating whether or not he should have radiation. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 24, 2012 Report Share Posted May 24, 2012 Alan, You are absolutely correct in your perspective. Unfortunately, it is not feasible, at least today, to find " best practices " of treatment throughout the country. Matter of fact, many are met with a gloom and doom prognostication that may or may not be warranted. That latter happened to my neighbor. As with any activity where there is little consistency, many egos, and numerous other causes, treatments vary widely based upon even wider abilities to either provide or assess those treatments. Under the current scenario of medical practice in the USA, the recommended approach is valid. Furthermore, there aren't enough Dr Myers to treat everyone. The underlying issue is far larger than the panel's recommended approach. The next generation proton radiation therapy machines are being, or were being, developed upon the economic model derived from prostate cancer treatment. PCa treatment is considered the based load revenue source. I wish it were different but it is not. Quote Link to comment Share on other sites More sharing options...
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