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I suggest to Dr. Gainsburg that every urologist obtain a Baseline status on the level of depression and anxiety for every patient regardless of the type of their disease. Use the PHQ9 for depression and the GAD7 for anxiety. It is not a time burden for the urologist as they will just see the score of each tool when they enter the exam room. Richard

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I did a story the other day on my thoughts about leaving AS since I am 76 and have a tiny chance of developing advanced prostate cancer. I mentioned I planned an article on what some of the top urologists in the world would recommend. I'll do more with this in TheActiveSurveillor. Here's what the urologists say, but let me know what you think in this survey: https://forms.gle/oFvfH3rPdgJmEbiQ7

tps://www.medpagetoday.com/special-reports/apatientsjourney/106873?xid=nl_mpt_PrimaryCare_update_2023-10-18&mh=aac313bd6501cc89aca667114e610ae7?xid%3Dnl_mpt_PrimaryCare_update_2023-10-18&mh=aac313bd6501cc89aca667114e610ae7&utm_source=Sailthru&utm_medium=email&utm_campaign=Automated%20Specialty%20Update%20Primary%20Care%202023-10-18&utm_term=NL_Spec_Primary_Care_Update_Active

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Steve, It's based in Michigan. Pennsylvania has cloned the program to some extent. And some practices outside those two states have joined MUSIC. Take a look in the latest stories. I hope it expands. The secret sauce is for all practitioners from all types of practices to share their data and to develop best practices. MUSIC is a national model. And thewy couldn't do it without support from Blue Cross/Blue Shield. Howard

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You have written about the MUSIC program numerous times. Is it only in Michigan?

Any hope for expansion to the rest of the country?

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