I you’re going to have a biopsy

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Tycer
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I you’re going to have a biopsy

#1 Post by Tycer » Sun Jul 07, 2019 8:47 am

If you’re going to have a prostate biopsy the technology has changed. Urologists can now target the exact point in the gland they want to get samples from. And accurately hit that point thanks to MRFusion. If the Dr. wants to revisit a treated area he can sample the exact spot.
If you have PHI or 4k score test run and it indicates a need for biopsy, insurance will approve an MRI before the biopsy.
No one in Asheville offers this so I am having it done at Duke.
https://youtu.be/QKKE8qirm9A
Kind regards,
Tycer
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Bill in Oregon
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Re: I you’re going to have a biopsy

#2 Post by Bill in Oregon » Sun Jul 07, 2019 9:45 am

Good luck, Tycer. Thank God for the continuing improvements in medicine.

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crs
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Re: I you’re going to have a biopsy

#3 Post by crs » Sun Jul 07, 2019 10:03 am

Best wishes for good results. (and pretty nurses)
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Re: I you’re going to have a biopsy

#4 Post by Blaine » Sun Jul 07, 2019 10:39 am

:( :( :( :(
:lol: :lol: :lol:
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Re: I you’re going to have a biopsy

#5 Post by AJMD429 » Sun Jul 07, 2019 12:11 pm

Yep. Better accuracy. Still occasionally painful (varies alot), but they can give you stuff so you won't care too much.

Looking for CHANGE in a PSA value is key; not just how high it is.

Also - some evidence is appearing that if a guy lets his testosterone drop (lets a low level go untreated) that it may MASK a cancer by blinding the rise in PSA, thus delaying the diagnosis. If this is true, it is a 180 degree change from what we told guys 20 years ago ("you might feel better on testosterone replacement, but it comes with the risk of stimulating a prostate cancer").

I think the key is to replace testosterone when it gets in the lower 10-20% (not just the 2.5% cutoff the lab gives as a 'reference' range - that is NOT the same thing as a 'normal' or 'ideal' range), keeping in mind that many guys have low levels that cause weight gain, shift from muscle to fat, fatigue, and greatly increased cardiac risk, even though their bedroom function may still be ok.

However, the doctor MUST monitor the estrogen (estradiol, estrone) levels to see they don't rise (if they do, a pill costing six cents a day can block that easily). I Also check for reverse-T3 to free-T3 ratio abnormalities, homocysteine elevations, MTHFR 'mutations', and Factor 2 and 5 abnormalities, and NMR LDL-P to LDL-C ratios and values, because they all affect, or are affected by, a low free/unbound testosterone (total may still be normal). Easy to do (one blood draw).

Also they should be looking for the cause of the low testosterone; sometimes it is driven by elevated insulin (but sugars are normal).

Amyhow, things have come a long way.

The WEAK LINK is still that guys don't get thorough physicals each year; they settle for the minimum that the doctor settles for, which is often the minimum that the insurance requires them to do.

Be assertive and informed when you take your body to the doctor, just like you would if you were taking your prize levergun to the gunsmith, or your 1972 Mustang to the mechanic...!
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Re: I you’re going to have a biopsy

#6 Post by rossim92 » Sun Jul 07, 2019 3:25 pm

yep! some things in life are a pita :shock: I wish ya luck.
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Re: I you’re going to have a biopsy

#7 Post by Griff » Sun Jul 07, 2019 4:19 pm

Gosh Doc, you sound like my doc... I keep askin' her to use English! Oh yeah Tycer, good luck!
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Tycer
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Re: I you’re going to have a biopsy

#8 Post by Tycer » Sun Jul 07, 2019 9:24 pm

Griff wrote:
Sun Jul 07, 2019 4:19 pm
Gosh Doc, you sound like my doc... I keep askin' her to use English! Oh yeah Tycer, good luck!
Thanks Griff. It won’t be luck. The Lord is in control!
Kind regards,
Tycer
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Re: I you’re going to have a biopsy

#9 Post by fordwannabe » Sun Jul 07, 2019 10:26 pm

God Bless. Prayers up.
a Pennsylvanian who has been accused of clinging to my religion and my guns......Good assessment skills.

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Re: I you’re going to have a biopsy

#10 Post by piller » Mon Jul 08, 2019 11:23 am

Prayers up.
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