Monday, October 14, 2013

And then the gloves came out

"So what did the test show?"
"Well, let me see. *Scrolls through computer files* Your PSA has gone up since last time, it has doubled."
"Ah... What does that mean. Does that mean I have cancer?"

If ever there was one test in medicine that was designed for long and confusing conversations, PSA is one. It's not diagnostic, it's neither sensitive or specific, and patients want you to do it expecting answers.

 "Most people die with prostate cancer rather than from prostate cancer."

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