Monday, August 14, 2017
The Prostate Jackpot
I went to see Dr. Amalgam today. (not real name, but sounds like it) I needed a primary care provider, and although I had put off put the visit and procrastinated, I needed a primary care provider. My experiences with local medicine have been bleak. I was able to get my hernia repaired with no dire consequences. All is well on the hernia front. I drink too much, and such my gut probably is like a sieve. Leaky gut they call it. Okay. Recently I had severe abdominal pain and went to the ER. The ER doc was thorough and did a complete work up on me. Labs, CT Scan, the works. It beat having to farm all of that out. Of course it cost a lot. Each and every test came back quality. My numbers all were good. They found nothing. Ouch! Why was I in pain? There are things that do not show up in the internal organs, say like muscle inflammation. When Dr. Amalgam asked about doing lab work, I said I all ready have it. March is only five months ago, and I do not believe my stats have changed much since then. If anything I am better. I told her I drink too much. She was nonplussed. When I told her of my enlarged prostate, she was off and running. To make a long story short, the prostate jackpot appeared. I have been through it before. A slightly elevated PSA test, and suddenly you have cancer. That means a painful prostate biopsy, fear of a diagnosis, and probably treatment for something the inventor of the PSA says can only detect cancer 3.5% of the time. Then the PSA cannot distinguish between malignant and benign cancers. Your chances of living unfettered with slow-growing prostate cancer are good. Very good. I know this, because I have been through this mill before with Dr. Flolan. Hack. Quack. Mack, selling his wares, the ephemeral prostate biopsy guided by an ultrasound. He cocks back a needle gun and shoots it through your rectal wall fifteen times to penetrate your prostate gland. If you didn't have cancer, at least now you have a sponge instead of a sex gland. Most men get infected, because feces in the colon covers the wounds. I said, "No thank you." I agree with Richard J. Ablin, and for once wish only I could see a doctor who truly cared about my health and not the dollar.