Guidelines be Damned

Oh yes the debate rages on except that its not a debate. I do think we as GPs need to inform educate and teach our patients about the (mis) information around. Primum non nocere. Thats our job. Also a quick peruse of the word Physician and Doctor from Wikipedia so correct me if I am wrong!! The appellation of “Doctor” (from Latin: teacher) was usually awarded only when the individual was in middle age. It indicated a life dedicated to learning, to knowledge, and to the spread of knowledge. The word TEACHER being key. Following this debate and its politics with interest.

Musings of a Dinosaur

The urologists have done it again:

Patient’s [non-prostate-related urological issue] is resolved. Annual prostate cancer screening with PSA and DRE emphasized. [sic] Re-check in one year.

Prostate cancer screening guidelines; FOUR of them: from the American Cancer Society, the American Urological Association, the American College of Physicians, and the United States Preventive Services Task Force. Go ahead; click through; read them.

Central to EACH AND EVERY ONE is the concept of “shared decision making,” recognizing that “[t]he benefits of screening with the prostate-specific antigen (PSA) test are outweighed by the harms for most men.” (American College of Physicians)

Here it is again:

The American Cancer Society (ACS) recommends that men have a chance to make an informed decision with their health care provider about whether to be screened for prostate cancer. The decision should be made after getting information about the uncertainties, risks, and potential…

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