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Howard Wolinsky's avatar

Meanwhile, a couple of readers made some other interesting points:

--Could the Collins case undermine AS acceptance. A nationally known urologist wrote me: "Wow, Howard, Does this raise a lot of questions.The AS community will need to be ready for the concern re the top doc in the top hospital progressing from Gleason grade group one to five. — don’t want that happening to me!

Wonder about PSA schedule/follow up schedule etc-at any rate a black Swan event with regard to rapidity of prostate cancer progression.

We will know more soon enough."

-- Collins case "is hardly an endorsement of AS. Makes it sound that one can wind up with a PSA of 22 on Active Surveillance." But I'm told by a leading urologist: PSA can increase very quickly if an aggressive tumor/ rapidly dividing or high tumor volume/burden."

Developing.

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Tom's avatar

This thing about Collins’s going from AS to PSA of 22 is not an endorsement of AS. I guess it depends how one understands AS. I have been on AS since ‘22. I’ve been doing telemedicine with a urologist where we review my PSA score; recently from 6 to 5.5. My next MRI is scheduled for September. I read the PSA scores as even, no spike. Even though the PSA’s are elevated, their not too high. My initial biopsy came back Gleason 6. Everything is functioning well below my belt.

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Howard Wolinsky's avatar

A sharp-eyed reader caught an error which I corrected. Collins a PET scan showed NO detectable evidence of cancer outside of the primary tumor. I cprrected the story.

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ThreeArchBay's avatar

Wasn't Collins a guy deeply involved in the Covid Death-jab development and mandates?

And the coverups of the negative information about their effects?

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Howard Wolinsky's avatar

As head of NIH, Dr. Collins in effect was was Dr. Fauci's boss so I suppose he oversaw the NIH COVID-19 response. That's beyond this space wherewe focus on low-risk prostate cancer.

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ThreeArchBay's avatar

Point is, I wouldn't trust that lying criminal if he told me the sun would come up tomorrow.

You should not give him any platform at all. He should be in prison for mass murder... or is that not "woke"?

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