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still_one

(92,190 posts)
Mon Dec 10, 2012, 12:39 AM Dec 2012

"If Medicare ever decides that PSA testing is not worth the risks

it will be a death sentence for men like my husband, who is 71 now.

In early 2007, he had a slightly elevated PSA result. His urologist said that it probably wasn't significant, but decided to do a needle biopsy. It showed a particularly invasive type of prostate cancer."

http://pubs.aarp.org/aarpbulletin/201212_DC?pg=36#pg36

You suddenly have studies coming out saying that mammography, colonoscopy, and PSA testing is not effective, makes me wonder if there is a conflict of interest going on


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doc03

(35,337 posts)
1. I had a scare a couple months ago. My PSA was elevated so my doctor gave me cipro
Mon Dec 10, 2012, 12:56 AM
Dec 2012

to take for two weeks and my PSA went back to normal. I mentioned to the doctor that I had heard the PSA test wasn't recommended, he said the government doesn't want to pay for it. My interpretation was he blamed it on Obama-care. But I have read several articles saying it does more harm than good. My dad died from the side effects from his radiation treatments for prostate cancer. From what I have read at his age if they would have just left it alone he would have had a better quality of life and probably lived longer without the treatments.

still_one

(92,190 posts)
3. Multiple factors need to be taken into consideration. Not only PSA, but digital exam, and velocity.
Mon Dec 10, 2012, 03:37 AM
Dec 2012

As for your Father I am sorry for your loss, however, second opinions are important, and of course a good urologist

PSA is only one of several factors that need to be considered.

 

Bigmack

(8,020 posts)
2. My PSA never jumped at all...
Mon Dec 10, 2012, 01:08 AM
Dec 2012

... but then my cancer was really, really, small.

Got it very early. DaVinci robot surgery was great, and no loss of any function.

I agree with the idea that statistically those tests aren't cost effective over the whole population.

Of course, me and mine aren't the whole population... we're not statistics... we're special. I imagine you feel the same way about you and yours.

I will pay myself if I have to.

still_one

(92,190 posts)
4. Not by themselves as an absolute value, but if you have several PSA results over several years, and
Mon Dec 10, 2012, 03:40 AM
Dec 2012

the change in values is greater than a certain amount, it is advisable to have a biopsy which is an outpatient procedure

canoeist52

(2,282 posts)
5. They're just trying to get us used to expecting less health care for our money.
Mon Dec 10, 2012, 09:57 AM
Dec 2012

The next meme is that regular check-ups with lab work aren't really necessary.

OldDem2012

(3,526 posts)
6. And earlier deaths. Couple that with the possible raising of the age for getting Medicare....
Mon Dec 10, 2012, 10:03 AM
Dec 2012

...and there will be less people getting "free gifts" from the US Government.

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