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Prostate Exam

Old 01-02-19, 07:09 PM
  #51  
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Originally Posted by Cougrrcj View Post
..............................Post surgical biopsy of the prostate revealed that the Cancer had spread to the entire gland, and was on the verge of metastasizing, Gleason score 9. I count myself as lucky to be alive..............
Good that you acted and sounds like you had a RP or RRP to remove your prostate???? EVEN more imperative that you have follow-up PSA's if that's the case to make sure all of the GL9 is gone and cells didn't remain or already begin migration to metastasizing. WARNING from a GLEASON 10
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Old 01-02-19, 07:15 PM
  #52  
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Originally Posted by BlackForestTerp View Post
...................So long story short, you can't just blindly go along with what the Urologist's practice thinks may be covered, you really have to advocate for yourself........
OUTSTANDING exercise in self advocating. 3TmpMRI before biopsy should be SOP. Your week off the bike DOES MAKE A DIFFERENCE contrary to what you originally had been told. Good luck with your AS.
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Old 01-03-19, 09:30 PM
  #53  
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Originally Posted by Cuyuna View Post
After 40 years as a surgeon and having done 10's of thousands of DRE's, I have a reasonably clear concept of the diagnosis and treatment. It's an evolving paradigm but not a decision-making process that should be derived from the internet. Second opinions (from an actual urolgist) are highly recommended.
Really doc, alternate forms of information gathering should never be ignored simply due to the method by which it is obtained.

The internet database has proven particularly useful for all involved including the healthcare practitioners, where it has become especially helpful in this day and age.

Besides, if healthcare procedure were totally foolproof as it stands, liability in the medical field wouldn't be as high as it is. I'm sure you will agree with that.
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Old 01-04-19, 09:19 AM
  #54  
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Originally Posted by KraneXL View Post
Really doc, alternate forms of information gathering should never be ignored simply due to the method by which it is obtained.

The internet database has proven particularly useful for all involved including the healthcare practitioners, where it has become especially helpful in this day and age.

Besides, if healthcare procedure were totally foolproof as it stands, liability in the medical field wouldn't be as high as it is. I'm sure you will agree with that.
+1 SPOT ON !!!
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Old 01-09-19, 11:27 PM
  #55  
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Wrong thread

Last edited by John00; 01-10-19 at 12:14 AM.
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Old 01-10-19, 12:12 AM
  #56  
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Originally Posted by John00 View Post
Well, I had mine today, it was so easy! I don't know where these fear stories come from. The the 24 hours without food went by easily and the laxative tasted like week Gatorade. Quite of few trips to the growler, but no real inconvenience. I remember watching the white anesthesia drug go half way down the tube, then in what seemed like less then a 1/4 second I'm in the same position and they tell me it's over. I'm 69 and this was my first one, they didn't like that. The doctor said she found no polyps. She found some lymph glands growing on the wall somewhere in there. She said it's unusual, but nothing to worry about. I'm going to have to do a Internet search on that.
I think you may be posting in the wrong thread.
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Old 01-10-19, 12:13 AM
  #57  
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Originally Posted by Cuyuna View Post

I think you may be posting in the wrong thread.
You are right My Bad, I'll delete it.
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Old 01-10-19, 12:18 AM
  #58  
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Originally Posted by John00 View Post
You are right My Bad, I'll delete it.
Well, you likely did get a prostate exam somewhere along the way during your colonoscopy.
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Old 01-10-19, 12:34 AM
  #59  
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Originally Posted by Cuyuna View Post

Well, you likely did get a prostate exam somewhere along the way during your colonoscopy.

I asked the doctor if I would get a prostate exam at the same time, she said it's a different procedure with a different specialist.
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Old 01-10-19, 05:41 AM
  #60  
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Originally Posted by John00 View Post
I asked the doctor if I would get a prostate exam at the same time, she said it's a different procedure with a different specialist.
Thatís an unfortunate attitude. Iíve discovered many prostate cancers over the years. Itís a shame to not take that diagnostic opportunity when it takes no additional effort, no additional time, and all it costs is one glove.
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Old 01-10-19, 05:28 PM
  #61  
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Originally Posted by Cuyuna View Post

Thatís an unfortunate attitude. Iíve discovered many prostate cancers over the years. Itís a shame to not take that diagnostic opportunity when it takes no additional effort, no additional time, and all it costs is one glove.
+1 this. The GI doc who did my colonoscopy last winter did a DRE at the same time. Saved me a repeat DRE at my physical this fall.

Amusing anecdote. I was sitting around a table with a group of family practice MDs who were mentoring family practice residents. One of them lamented that so few of the residents would do a DRE without prompting. Another tsked, "and they're supposed to be the digital generation!"
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Old 01-10-19, 05:43 PM
  #62  
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Originally Posted by JohnDThompson View Post
+1 this. The GI doc who did my colonoscopy last winter did a DRE at the same time. Saved me a repeat DRE at my physical this fall.

Amusing anecdote. I was sitting around a table with a group of family practice MDs who were mentoring family practice residents. One of them lamented that so few of the residents would do a DRE without prompting. Another tsked, "and they're supposed to be the digital generation!"
The old quote to medical students from years past...."if you don't put your finger in it, someday you are likely to put your foot in it".
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Old 01-11-19, 08:31 PM
  #63  
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Originally Posted by Cuyuna View Post

Thatís an unfortunate attitude. Iíve discovered many prostate cancers over the years. Itís a shame to not take that diagnostic opportunity when it takes no additional effort, no additional time, and all it costs is one glove.
I've had numerous colonoscopy procedures and not one included a DRE. Years ago my PCP preceded all of her flexible sigmoidoscopy procedures with a DRE. She was the first to feel my Gleason 10 tumor when I saw here for a check-up.
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Old 01-11-19, 09:03 PM
  #64  
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Originally Posted by OldTryGuy View Post
I've had numerous colonoscopy procedures and not one included a DRE.
That you know of....
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Old 01-11-19, 10:34 PM
  #65  
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Originally Posted by ditty bopper View Post
I think many docs have abandoned the 'finger' exam because of too many false positives and false negatives. Though far from perfect, the PSA test seems the most reliable. Assuming you're a male (j/k), by mid-life odds are you will experience the symptoms you've mentioned. You can read about Benign Prostatic Hyperplasia (BPH) at your leisure. Lastly, neither am I a doctor nor have I ever played one onstage. I have, however, had finger exams and PSA tests.
My doctor told me the same thing that they don't use the finger exam anymore. I was surprised but grateful.
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Old 02-28-19, 06:58 PM
  #66  
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If somebody is diagnosed with BPH, is good to keep biking?
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Old 03-01-19, 12:54 PM
  #67  
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Originally Posted by jskash View Post
My doctor told me the same thing that they don't use the finger exam anymore. I was surprised but grateful.
I asked my doctor if I should have one and she asked if I wanted one, and I said I want the whole workup, whatever that entails, and she said "OK, bend over" and did it. They can check for size and smoothness.

I haven't had the hernia cough exam in quite a while though - I wonder if I aged out of the risk group or something.
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Old 03-01-19, 04:44 PM
  #68  
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Originally Posted by DiabloScott View Post
I asked my doctor if I should have one and she asked if I wanted one, and I said I want the whole workup, whatever that entails, and she said "OK, bend over" and did it. They can check for size and smoothness.

I haven't had the hernia cough exam in quite a while though - I wonder if I aged out of the risk group or something.
A DRE/Prostate exam is still a part of any competent physical examination on adult males. Likewise, evaluation for an inguinal hernia. That particular problem increases with age.
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Old 03-16-19, 09:56 AM
  #69  
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Today is our last full day of cruising on MS Nieuw Statendam. Home tomorrow and another PSA blood test on Monday. Resulting number WILL INDICATE if PCa (Prostate Cancer) is back AGAIN. Biked 101 miles a week ago and have been walking while on board. Out on deck at 3:30AM this morning for 4 miles then back out at 9:00AM walking another 4 miles this time for Holland America's ON DECK FOR A CAUSE.

Holland America Line reaches $6m donated to cancer support
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Old 04-25-19, 01:24 PM
  #70  
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If your practitioner is trained correctly "Mr. Dr finger" is still the best available, unfortunatly...
I would say, as anything concerning medicine : a good clinical exam (a doc putting his hands on your various body parts) and a good interview is still the best available way to diagnose something. Everything else is useful to confirm it and find the best treatment
PSA brings a lot of "false positive" inducing invasive surgical or radio therapy with too many side effects to be bearable.
And first of all, it depends of your age : before 50 a prostate cancer is generally a killer, after 70 it evolves so slowly that patients finally die from something else, just like my dad.

My dad was an urological surgeon and I learned a lot from him even if I'm a psychiatrist !! A clinical exam is always safer and more reliable than many blood samples, Pet scans or MRI.
He died from an pancreatic cancer with carcinogenic lungs he treated like a flu for 6 month. From the first lungs Xray he accepted to pass through to his death it took less than 3 month. He was 86 years old.
Myself I suffered from a pudendal nerve compression due to a traumatic jump on a bike. the saddle exploded when I landed and the only person who was able to diagnose it was a particularly well trained urologist with his very flexible and invading finger... All the other doctors I saw were absolutely unable to find anything and all blood exams and MRI were of no help at all.
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Old 04-25-19, 01:30 PM
  #71  
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There's no problem at all, on the contrary : you can ride with a BPH, just don't forget to use easily openable pants !
BPH is a normal condition for almost every aging male, it's more or less unpleasant.
Surgery is necessary only when there's a bladder problem added.
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Old 05-05-19, 09:19 PM
  #72  
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Originally Posted by Cuyuna View Post
A DRE/Prostate exam is still a part of any competent physical examination on adult males. Likewise, evaluation for an inguinal hernia. That particular problem increases with age.
Depends.
Prostate cancer screening is routinely stopped for men over age 70. First time PSA is checked is if there is a TURP, or some kinds of renal problem. Reason given is that under structure put in place by Affordable Care Act they don't want to worry the majority who will, supposedly, die with prostate cancer, not because of it.
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