tag:blogger.com,1999:blog-75473566213844872592008-07-05T12:46:21.672-05:00The Palpable ProstateThe Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comBlogger105125tag:blogger.com,1999:blog-7547356621384487259.post-66111409845958517662008-06-27T20:45:00.004-05:002008-06-27T20:59:26.382-05:00Blog Updates for June 2008June 1/08. In PSA Screening and Early Detection - Part 2 added: Thus for a given level of PSA a smaller prostate is associated with a higher likelihood of prostate cancer than a larger prostate. In particular a rule of thumb is that for each cubic centimeter (cc) of benign prostate tissue that 0.067 ng/ml of PSA will be produced. Thus for a prostate of 40cc one would expect a PSA of 40 x The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-29979232775225531222008-05-31T07:34:00.016-05:002008-06-24T09:06:52.897-05:00Blog Updates for May 2008May 1. In PSA Screening and Early Detection - Part 3. Current Environment we add a reference to an April Pros and Cons of Screening article: The pros and cons of PSA testing are discussed on pages 8 and 9 of William Ware, 2005. A debate on the screening between Dr. Catalona (pro) and Dr. Talcott (con) was featured at the 2006 AUA conference and is discussed Medscape (login required but free).The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-45817710065169026382008-04-28T09:03:00.002-05:002008-04-28T09:22:27.511-05:00Blog Updates for April 2008April 2/08. In Lycopene, Selenium and Vitamin E in Combination we added: Dr. Marc Garnick (papers) of the Harvard Medical School has written a brief summary of the pros and cons of selenium here. There has been some speculation that selenium might hide rather than prevent prostate cancer.
April 2/08. Added to Bradford Hill Criteria of Causation: Patient Confusion. Patients themselves may The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-39335481498754707822008-03-30T07:41:00.005-05:002008-03-30T08:10:50.649-05:00Blog Updates for March 2008Mar 1/08. On the Case Histories page we have added: Bill Minnick had multiple cancers in addition to prostate cancer. He underwent both RT and HT and has created the endcancernow.org web site which is focused on his personal experience with a macrobiotic diet and cancer.
March 1. In PSA Screening and Early Detection - Part 2 added reference to this 2008 review article on early vs. late The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-47151241099798722512008-02-27T06:00:00.005-05:002008-03-16T07:45:41.122-05:00Blog Updates for February 2008Feb 1/08. In Choosing a Surgeon - Part 2. Finding a Surgeon we add: The PCRI site lists some doctors by speciality and name.
Feb 1. In Prostate Cancer Calculators we added:
There are two particularly comprehensive prostate cancer calculator sites. Their links are easy to remember since their links are nearly the same: http://www.nomogram.org (University of Montreal) and http://The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-15721657798807707642008-02-11T06:00:00.002-05:002008-06-03T18:18:21.404-05:00ContentsThe first post of the Palpable Prostate was published on February 11, 2007 making today the one year anniversary. This is also the 100th post. To make it easier to find material among that many posts this page contains the site Contents.
Calculators & PrognosesProstate Cancer Calculators
PSA Doubling Time (PSADT) - Part 1. Introduction &...
PSA Doubling Time (PSADT) - Part 2. Calculating PS...The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-53440662367092538892008-02-04T06:00:00.037-05:002008-06-14T23:45:41.294-05:00Testosterone Metabolism and Prostate Cancer[Updated June 15, 2008]
IntroductionIn this post we discuss theories of testosterone metabolism as it relates to prostate cancer. The research discussed here involves, in part, theories which, while based on scientific studies, still require additional investigation in order to establish their validity in a medical context. We will primarily rely on the four pathway model found in Endotext, The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-11692902061302086542008-01-28T06:00:00.000-05:002008-01-28T21:04:55.859-05:00Blog Updates for January 2008Jan 9. In PSA Screening and Early Detection - Part 2 added information on split bicycle seats which address the problem of pressure on the perineal area.
Jan 13. In Advice to the Newly Diagnosed added: Although many urologists do offer ED treatment after surgery or provide a referral to an ED specialist you cannot assume either of these steps will automatically happen so be sure to pre-arrange The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-79548826901973533412008-01-16T18:58:00.002-05:002008-04-09T11:31:00.600-05:00NIH Funded Research to be Open Access[updated April 7, 2008]
On December 26, 2007 President Bush signed into law mandatory compliance with National Institute of Health's (NIH) public access policy, formerly voluntary only, so it now requires all NIH funded research to be publicly accessible at the National Library of Medicine's free web site Pubmed Central. SEC. 218. The Director of the National Institutes of Health shall require The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-18072524871762091242008-01-14T06:00:00.010-05:002008-05-16T08:20:04.078-05:00Biochemical PSA Recurrence[Updated May 15, 2008]
IntroductionIn an particularly useful review article in the February 2008 Canadian Family Physician Wilkinson, Brundage and Siemens write An increasing PSA level after curative therapy is termed a biochemical recurrence (BCR). Approximately one-third to half of patients will experience BCR during the course of their follow-up, regardless of modality of treatment. [PMID: The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-53153486858211019542008-01-07T06:00:00.052-05:002008-06-25T23:01:48.981-05:00Advice for the Newly Diagnosed with Prostate Cancer[updated June 25, 2008]
This post is intended to provide pointers to the information you need if you are newly diagnosed with prostate cancer. I found that there was so much information on the net that it took a great deal of time to winnow out the more useful material and hopefully this list provides it. Its based on nearly a year of writing prostate cancer posts on this blog and scanning theThe Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-48444507795323893732007-12-31T08:34:00.000-05:002008-01-18T22:24:03.202-05:00Blips of the HeartHappy New Year to all. For our end of year post:
Everybody wonders what anaesthetists do while the patient is asleep
Everybody wonders what we do for three hours while that machine goes beep
Everybody reckons we drink coffee and we gossip and we're generally subversive
Everybody reckons we do crosswords and sudoku and we chat up all the nurses
Do you really think that's all we do?
Well, The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-52224390990171346272007-12-25T06:00:00.000-05:002007-12-25T06:35:26.673-05:00BMJ on Medical Myths
In celebration (?) of the holidays the British Medical Journal has published a paper by Rachel C. Vreeman and Aaron E. Carroll on common medical myths. The paper is brief and entirely online so we direct the reader directly to it [here].
Also be sure to read the responses where readers dispute the falsehood of some of the so-called myths while other readers add additional myths of their own.
The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-45197177611275465552007-12-23T06:00:00.000-05:002007-12-23T09:05:38.262-05:00December 2007 Blog Updates
Dec 1. In the Urinary Incontinence post, John Tobin related his experience with urinary incontinence (quoted with permission):"Getting proactive makes a big difference. I spent two months just waiting for the problem to go away. I'd been using 1 or 2 pads a day. But very slight improvement. Then I bought an electric scale and resorted to weighing the pads each day to get an idea of relatingThe Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-13472239289731557642007-12-17T06:00:00.000-05:002007-12-16T00:14:23.148-05:00On Being Diagnosed with CancerMotivational talk on being diagnosed with cancer by surgeon and speaker, Dr. John Zelem (about 15 minutes):
The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-14222470117796698002007-12-10T06:00:00.008-05:002008-05-18T15:39:21.535-05:00Yananow Place Name Table[Updated May 13, 2008]
Part 1. Yananow Case History Links and Depth of Presentation Table [previous]
Part 2. current
This is the second in a two part series on Yananow case histories. To answer the question of which patients live near you we have sorted them by place. The place was derived from the filename of the flag image in the post. Within place they are sorted by number of links and The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-89014922737872150852007-12-03T06:00:00.004-05:002008-06-06T09:37:01.455-05:00Yananow Case History Links and Depth of Presentation Table[Updated May 13, 2008]
Part 1. Current post.
Part 2. [Yananow Place Name Table]
This is Part 1 of a two part series on Yananow tables.
The Yananow site has a collection of hundreds of prostate cancer patient histories written by the patients themselves. They are categorized in tables on the site. These tables show the data sorted by Age, PSA, Gleason Score and Year Diagnosed. Also on the The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-9522202094634272072007-11-26T06:00:00.000-05:002007-11-28T08:45:20.491-05:00Blog Updates for November 2007This month there were a particularly large number of retroactive updates including a signifcant expansion of cases histories, more calculators, addition of a few more free journals/magazines, tooltips on the [...] links to the right and on the news links above, a new Basics links line to the right with uptodate.com summaries and additions to the Incontinence, ED, Antioxidants, Vitamin D, WCRF/The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-6322360047723242052007-11-19T06:00:00.000-05:002007-11-24T18:35:23.382-05:00How Long Can Prostate Cancer Treatment be Delayed After Diagnosis?[Updated November 24, 2007]
Prostate cancer can be slow growing taking place over many years. At one extreme is indolent disease which is growing so slowly that it needs never to be treated and on the other extreme is aggressive disease which is more rapidly spreading. These protate cancer calculators (and in particular the calculator listed there that calculates the Probability of Indolent The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-33619177848353893972007-11-12T06:00:00.000-05:002007-12-20T14:14:04.249-05:00WCRF/AICR Diet and Cancer Report[Updated December 20, 2007]
The Report
A 5 year study by a team of 21 experts chaired by Sir Michael Marmot (Wikipedia) and sponsored by the World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) has produced 500+ page report on diet, exercise and cancer, free to download at the Diet and Cancer Site ([report], [summary], [brochure], [graphics], [food table], [The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-54708929146181286872007-11-05T06:00:00.000-05:002007-11-03T10:53:00.611-05:00Canadian Diabetes Association Gets Serious!The Canadian Diabetes Association has developed an amusing interactive video using the medium of speed dating to get across to the viewer what the symptoms of diabetes are. Note that unlike YouTube videos this one is interactive which means you must click at the appropriate spots when asked in order to view the entire video.
Click here: Get Serious!!!The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-46555665594289927302007-10-29T06:00:00.000-05:002007-11-18T19:23:14.518-05:00Blog Updates for October 2007We are highlighting updates that may be of particular interest.
Oct 2. In the Links section to the right we added Glode blog and EAU guidelines.
Oct 4. In How Healthy Men Can Reduce Their Risk we added this 6 page brochure by Neal Barnard [link] .
Oct 4. In Free Downloadable Materials post we added a new section entitled SINGLE TOPICS and started it out with these two documents:
Wassersug on The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-75569502519457131542007-10-22T06:00:00.000-05:002007-10-21T00:56:09.005-05:00Willett Divides Prostate Cancer into FourWalter Willett has proposed that Prostate Cancer cases should be split along two axes: age (young vs. old) and aggressiveness (indolent vs. aggressive) giving four different combinations.
The thrust of the idea is that various nutritional recommendations have been shown to work in some of these groups but not in others. Lumping all groups together may mask an effect which occurs in one group The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-87902860853885506262007-10-15T06:00:00.021-05:002008-07-05T12:46:21.719-05:00Bradford Hill Criteria of Causation[Updated July 5, 2008]
IntroductionMany apparent associations later turn out to be false. When does a study show causation between a risk factor or treatment and the disease? Even if an association is established between a risk factor and a disease it does not necessarily follow that the risk factor caused the disease. Maybe a third factor caused both or perhaps early forms of the disease The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.comtag:blogger.com,1999:blog-7547356621384487259.post-70235024754844860092007-10-08T06:00:00.000-05:002007-10-07T14:15:12.128-05:00Blog updates for September 2007These retroactive updates to past posts are important reading for readers of this web site. Rather than trickle them in one by one we batch them together and post them all every so often. Their text is included right here so you do not have to go back to the original article just to read the update.
Sep 1. In Prostate Cancer Calculators an older 2003 recurrence table by Han et al [Full Text]The Palpable Prostatehttp://www.blogger.com/profile/16142459096123501053noreply@blogger.com