Not exactly a major public health issue but heard a speaker at GU ASCO talking about cycling elevating PSA and got two emails today from friends who were told by PCP to stop cycling prior to repeat PSA
Bust the myth!!
Words I never thought I'd type together:
Interrupting/canceling remainder of my telehealth clinic from my kitchen table to take my daughter to a march/protest
My sense is some men choose surgery over RT due to concerns over secondary malignancy.
If you discuss secondary malignancies of RT (as I do), be fair and explain it appears to be an absolute risk of 0.5-1% at 25 years (many docs don't give risk estimate)
Advice from a random joker....re: AUA talks:
- obsess about every detail on each slide (format, spelling, symmetry, font, color, brevity)
- practice until you can give talk without your slides
- eye contact with audience
- don't be the schmuck who goes over time limit
#AUA19
I continue to struggle to comprehend Rad Oncs and Urologists who universally recommend their treatment for men with PrCa who clearly have both as options.
Physician-centered care is anathema to proper discussion and delivery of health care.
In my utopian world, every prostate cancer doc and patient with early stage PrCa understands details of this landmark trial, counseling fairly reflects the data, including 'active monitoring' from 1999-2009 is very different than active surveillance today
At end of operating room time-out: "Perhaps this sounds corny but our team today has women, men, Black, Asian, Arab, White, Hispanic, and people from at least 3 different religions; this is what makes America great, not the other BS."
85 yrs ago today, my gpa and g-gpa taken from their homes to Dachau
Have been on many medical trips to the West Bank and Gaza
So much swirling thru my head the last month….
May the millions of peace loving Israelis and Palestinians find the strength for a path forward
