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Bert Vorstman MD's avatar

The healthcare arena makes a lot of money by targeting the vulnerable and desperate with

scare-tactics, false hope and false promises. Any healthcare recommendation should be able to withstand the challenge - where is the irrefutable and reproducible data supporting that particular recommendation? When physicians own studies conclude that PSA testing and surgical treatment FAIL to save significant numbers of lives but still recommend them in their guidelines, the business of prostate cancer is clearly corrupt.

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Jorge Helmer's avatar

Boy was that article a downer. Maybe just go live my life and forget about the whole thing.

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Bert Vorstman MD's avatar

The question, "what do we do if nothing works?" is clearly a difficult question for a physician to handle honestly. However, we feel that it's much better to tell the truth than to mislead with false promises. We ended our blog by recommending research to find tests and treatments that can be supported by irrefutable and reproducible data to be effective for the few potentially deadly prostate cancers. Again, prostate cancer detection and treatment is not the only medical condition where safety and benefits haven't been scientifically proven.

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ThreeArchBay's avatar

Hi, Dr. Bert... Tucson JJ here... since I think most would get the impression that since the current methods of monitoring and treating prostate cancer are so unreliable, other than the well-done MRI and interpretation of same...

And even a well done MRI that finds aggressive cancer is not particularly useful, given the major flaws and potential dangers of all current Standard of care treatments... should not men just, as the gent above stated... just live their lives and hope for the best? Sounds reasonable...

However, after MY PSA of "9", blood draw done immediately after a DRE... as well as DURING my testosterone boosting therapy using Enclomiphene (which almost DOUBLED my Total T in teh 4 weeks prior)... and a diet of plenty of dairy, sugar and saturated fat... (Beware incompetent and uninformed urologists!!)...

I choose to try some alternative therapies... Fenbendazole... Ivermectin... B17/Amygdalin and Chlorine Dioxide Solution (CDS) as preventives (or if cancer is present, treatments).

I have only had minor side effects from the B17... so IMO... WHY NOT? Online one can find a fair amount of information on these alternative therapies and they are interesting and exciting.

Proven... of course not... but as proven as the horrific current treatments for PC!!

Best to you, I hope you are doing great!

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Bert Vorstman MD's avatar

all good mate - rock and roll

cheers

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Howard Wolinsky's avatar

Personally, I don't have a problem with DREs. Low-tech. Mild discomfort. Just don't have a PSA afterward--it could elevate your level. But somne guys find them painful or uncomfortable. I asked Dr. V. to respond to notes like this: Hi Howard. I just read the latest Active Surveillor issue by Vorstman and Piana. I understand their position that today’s standard of care results in over-treatment and unwelcome side effects. However, they do not offer a recommendation concerning how we should be monitoring the presence of prostate cancer, and treating it when identified. Can you comment ?

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ThreeArchBay's avatar

Perhaps first, you should defend the current "Standard of care" monitoring and treatments which Dr. V is claiming are ineffectual and often dangerous? Are you claiming that since these ineffectual and often dangerous "Standard of care" monitoring/treatments are the only game in town... that they should still be utilized???

Or do you claim that they are, in fact, effective and safe?

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Chris's avatar

Don't worry. Be happy.

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