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Old September 27th 11, 01:27 PM posted to alt.rec.bicycles.recumbent,rec.bicycles.soc
JimmyMac
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Default Insight into the phases of the Internet forum life cycle: a perspective

On Sep 23, 8:35*pm, "Edward Dolan" wrote:
"JimmyMac" wrote in message

...
On Sep 21, 10:29 pm, "Edward Dolan" wrote:
[...]

Smaller towns will not have trauma centers. It is either the ER or
nothing.
I am struck by the excellence of the doctors manning the ERs. That seems
to
be their specialty as they remain on that particular job for years and
keep
very odd hours besides.
Understood. *That is merely a choice limiting decision based primarily


upon one's geophysical place of residence. On another note,
revisiting a previous topic of conversation, regarding detection of
prostate cancer via DRE and/or PSA, one study found that in men 40-50
years of age, tumors detected at time of autopsy were 40% whereas
tumors detected clinically (read DRE/PSA) in the same age group of the
living was mere 1"% ... not very encouraging now is it?

The doctors at the VA insisted on a biopsy because of my high PSA test. It
was an in-office procedure and is definitive.


A prostate biopsy is definitive, but the experience of the doctor on
the other end of the telescope is crucial. Like any profession, there
are some that are better than others at their craft. The one
disturbing risk of a prostate biopsy is needle track seeding which can
spreed the disease.

But alas, most men never get
to the biopsy point until too late because the PSA test is usually all over
the map. The DRE is pretty worthless. You have to catch prostate cancer
before the physical tumor stage, i.e., before it has spread.


Not quite true, Yes the DRE is not definitive nor is a PSA test, but
until better tools become available (some are almost there).that is
what is commonly employed. ON the other hadn you don't have to catch
prostate cancer before the tumor stage and often enough won't. As
long as the tumor is discovered when still organ confined, a
prostatectomy or radiation can, in most instances, be a life saver.
Once the disease has spread to seminal vesicles, lymph nudes or has
metastasized to bone, prognosis is far less promising.

I read every day about men, many not so old, who are still dying of prostate
cancer. The trick is to catch it early before it has spread. Every man over
the age of 50 should be getting the PSA test every year even though it isn't
totally reliable.


Since prostate cancer is now more commonly being discovered in younger
men, the current wisdom is to get a PSA every year beginning at age
40.

Ed Dolan the Great - Minnesota
aka
Saint Edward the Great - Order of the Perpetual Sorrows - Minnesota


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