Your health is too important to leave only in the hands of your doctors
I was visiting with a friend this week and he told me that he had
been diagnosed with prostate cancer. His history was that his routine
visits to his doctor usually included a prostate exam and he had been
told things were fine. His PSA (prostate specific antigen) test had
been slowly increasing over the past few years (he is 65), but it was
still normal. The advice from his doctor was consistently, Let's
check this test again in 6 months. Sure enough, the PSA continued
to rise until it reached the point, usually above 4, when the doctor
recommended a biopsy. Following the biopsy, the diagnosis was cancer.
An entire book should be written about this pattern of behavior
in both doctors and patients. The first chapter would be about the
meaning of normal. The second chapter would be about how almost
meaningless it is to be told your result is in the normal range. The
third chapter would cover the faulty thinking to says you should wait
until the test is abnormal. Another chapter could cover the panic that
sets in when you are told you have cancer. Several chapters could be
devoted to thinking there is nothing to do for cancer except radiation,
chemo or surgery.
Back to the rising PSA and several years ago. First of all a good,
maybe not normal but good, PSA is less than 1. When the PSA is
more than 1 you need to take better care of your prostate. Many people
report, My doctor told me I don't need vitamins or minerals or herbs
and that I should just eat a well balanced diet. I think that is the topic of
another chapter.
There is a wide variety of safe, inexpensive, over-the-counter
supplements that can improve you PSA reading. Vitamin D, Progesterone,
Saw Palmento, are a few. A more complete list is available at my office. We
are gradually getting more of our info online. Weight loss is another good
way to lower your PSA. Do not wait for your doctor to suggest these things,
do you own research. Then when you see the doctor you can discuss the
rising PSA rather than attending a lecture about the rising PSA.
These same principles apply to the woman who is told to come back
every 6 months for another mammogram.