Moses

Not everyone likes beef

I'll put it in human terms: "Why should we detect prostate cancer at stage 1 or 2? Let's bring the patient to stage 3-4 and then start treating him - at this stage, patients pay more and are more willing to do so."

Ok. So blood test is harmless. Right? Then why you will not tell to your patient to make blood test in case, for example he complains for frequent urination at night? In my country everything starts from PSA test. Normally, bound PSA makes up approximately 65–70% of total PSA, and free PSA is about 30–35%. However, in prostate cancer, the ratio of fractions usually changes: the percentage of free PSA in relation to total PSA decreases and is usually less than 10%. So, here if number is lower than 15% twice within 3 months, you'll be asked to visit urologist in clinic. Then they will make ultrasonic examination. In case they will think about possibility of cancer, then they will ask for MRI with contrast. And only if your PSA still abnormal, if ultrasonic and MRI will show tumor, only then they will talk about biopsy. And everything before biopsy is harmless (ok, contrast at time of MRI isn't that healthy, but risk is very low). So why do not check all men? What is the harm of blood test?

To whom you explain it? Since I went over that myself, maybe I even know more than you about prostate and prostate cancer. If you will read my advises above, you will find, what my suggestion is: to take home test for yes/no (we are talking about high PSA level) twice within half of year and only if both are positive to go to doctor and ask for blood test with precise level of PSA measuring. For 90% of males "over 50 yo" even first step "yes/no" will be enough for to stop to worry for next 12 months. And I underline, what it is not "a cancer test" it is just signaling test.

So, tell me please what is "potential harm" of blood test?

during the pathological examination of my prostate, which was removed, it was discovered that there was 1 millimeter left before the tumor migrated beyond the prostate capsule, as soon as the cancer had gone beyond the capsule and started to settle in the lymph nodes and bones, I would have had about 5 years to live... so I don't regret anything: I lost the ability to ejaculate and retained all other functions - hardon and orgasm P.S. there is a bonus from the operation: orgasm without ejaculation is approximately 1.5-2 times longer and often stronger, because the body tries to push out sperm that is not there and does it quite diligently

By the way: you even don't need to go to doctor for fast check - home tests are in pharmacies over counter, and cost mostly below $10 even in US and EU. I masked brand because there are a lot of such tests in pharmacies. They are very easy in use: If result is positive, you should make one more test in 3 months (don't worry, prostate cancer is very slow, you have time) If you got positive twice, then you should talk about it with your doctor. And remember: positive test means you have high level of prostate specific antigen and that doesn't mean you have cancer, it just means you have problem with prostate and should check it.

In this case, the "rhetoric" is quite simple: the doctor doesn't care about you - the doctor cares about "protocols". Do you lose anything if you insist on a PSA test? You don't lose anything. What do you lose if the doctor misses your cancer and it metastasizes? You lose your life. So it's simple: if the doctor tells you that you don't need a PSA test - change your doctor.

They mutated millions of years before mammal and 200 millions of years since mammal appeared on our planet... and still bird flu is not transmittable from human to human. So my question is: why should that virus to change his behavior right now?

Long post from above shortly: If you are above 40 yo and below 60-65 yo, and your doctor tells you what you don't need PSA screening - it is right time to change your doctor.

https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2023.1320681/full In my opinion, denying the need for regular PSA screening in men under 60 is a crime. The motives for such denial by state bureaucrats are obvious: reducing costs for social medicine and reducing the burden on health care - it is no coincidence that this point of view was activated precisely during the outbreak of covid - a time when medicine was overloaded. As an individual, any of us should not care whether the system is overloaded or not. "I feel sorry for the state, but I feel even more sorry for myself." Any individual between the ages of 40 and 60, if he wants to live long and happily, should ignore the moans of medical bureaucrats about the unjustified nature of screening - timely screening has reduced the mortality of men in the 40-60 category from prostate cancer by almost 40%. I agree that after 75 years of age, starting PSA screening is quite pointless - if you are diagnosed with cancer, then with a high degree of probability you will die from something other than cancer, because prostate cancer develops very slowly and, as ironic as it may sound, you will not live enough to die from prostate cancer. But if you are impressionable and suspicious - do PSA screening for your own peace of mind, and if the results are alarming, repeat in 3-6 months. You can even do PSA screening yourself by buying a one-time home test at a pharmacy for $2, like those for HIV or Covid. It is important to understand that a positive test is only a reason to repeat it in a few months. Two positive tests are only a reason to talk to a doctor about this topic and undergo (also twice, with a break of 3-6 months) tests for quantitative determination of PSA levels. MRI with contrast makes sense only if the PSA level is high (in my country the threshold is 3). And only if both the blood test and the MRI with contrast show the possible presence of a tumor, only then does it make sense to do a biopsy. This is a truly invasive procedure: from a special "gun" through the rectum, 9 to 16 needles with hooks on the end are simultaneously shot into your prostate and they are pulled out back with samples of your prostate tissue, and then these pieces of your meat are examined under a microscope. And before agreeing to a biopsy, you should weigh what you plan to die from - in 10 years from prostate cancer or in 5 years from anxiety.

this how we sort scientists from shamans...

This is just stupid. I started to check PSA since my 40yo - it is free in my country during yearly free check up. At my 55 I got alarming results, got MRI confirming what I have prostate cancer and it was also confirmed by biopsy after MRI. in 3 month after biopsy I got robotic surgery (it is also free here) - robot removes prostate via 4 small holes on the belly, keeps nerves (and erection), I was discharged from hospital in 4 days after surgery and had to visit it again for catheter removal after one more week. I lost natural erection for about 6 months (blue pills was still working), my first orgasm was in 3 days after catheter removal, and after 6 months natural erection come back. So, I can reassure you: if somebody telling you what PSA screening is bad for people below 60 yo - kick him into face: he has maybe political, maybe financial reasons to tell that, but for sure his reasons aren't laying in medical sphere.

Anyone is ready to explain why virus, which is living on our planet longer than mammal exist should mutate now? And, by the way: bird flu has 65% death rate for humans. Viruses with such death rate and short incubation time can't create pandemy - they kill own host too fast. Covid became pandemy when it extended incubation time to 7 days and death rate fall below 10%. Flu (normal) has death rate below 0.05% - it is only way for virus to survive globally - do not kill host.

N95 and FPP2 have special name - respirators. I'm talking about simple medical masks. N95 and FPP2 are better for to wear by sick persons because they filter up to 98% of exhaled viruses. And they still have low impact on protection for healthy people. Wearing masks is psychological thing - you feel shield on you. Does it work really? Ask Chat GPT

Masks provide little or no protection to the wearer. They are designed to protect others from the virus spread by the asymptomatic mask wearer. There are no vaccines for modern strains of Covid, and those left over from past strains are useless

Bird flu is not transmitted from person to person, you can only get infected from a sick bird

VN is visa free for 45 days for 12 countries and for 15/30 days for even more countries.

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Waiting for your report from Hot springs, Ba Na Hills and Hoi An

It is 100% legal if it is gift "to United States" and Trump will leave it on the balance of presidential library when he will leave oval office.

Indian VPN gives good discount sometimes, also incognito mode in browser and Android phone

Why should I tell it to parents on "Thai-Myanmar" border? That region is controlled by rebels, so it is you, who should tell to rebels to start distribution of antiviral drugs for free, instead to selling them on black market. On the "state side" antiviral drugs are distributed for free, as it is stated by UNAIDS in their docs.

Well. Only I know whether I read fantasy or not. So now you know: I don't read fantasy. And I don't believe in old men with beards and halos. P.S. Quoting a fantasy in which the words "Sodom" and "Gomorrah" are used quite often on a forum where the most popular topics are about buying young bodies of poor boys, also looks sanctimonious. P.P.S. In my culture, there is also a saying on this topic: "Either take off your cross, or put on your underwear."