Risks of Gender Neutral Nursing Assignments The medical profession is generally thought of as gender neutral. Many patients have gender preferences particularly for intimate care.
It is estimated that This i believe taking risks in 7 men suffer from hypogonadism or decreased testosterone production. Testosterone replacement has been promoted in the literature as the panacea for hypertension, lethargy, depression, obesity, insulin resistance, cognitive function, sexual dysfunction and various other disease states.
Paradoxically, the majority of men who would benefit most from testosterone are over 50 years old; an age where the risk of prostate cancer is increasingly significant. Statistics show that one in six men will get prostate cancer in their lifetime while the most prevalent decade for the diagnosis of prostate cancer is the seventh decade of life or men in their 60s.
While testosterone has never been proven to cause prostate cancer, it is well accepted that this prominent male hormone causes prostate cancer to grow, when present. According to the American Cancer Society, approximatelymen are diagnosed with prostate cancer yearly.
According to the Surveillance, Epidemiology and End-Results SEER Data more thanmen are projected to be diagnosed with prostate cancer yearly within the next years.
While low testosterone levels are significant in an aging population, prostate cancer is the number one risk factor that men face from a health standpoint. PSA prostate specific antigena blood test, has been shown to be the best singular marker to prove the presence of prostate disease, albeit, it is non-specific for the diagnosis of prostate cancer.
Notwithstanding this commentary, men with a PSA value of 1. A reasonable PSA level under which men could confidently consider supplementation or replacement with testosterone is a number less than 2.
Not inconsistent with my beliefs, the Society of Endocrinology recommends avoidance of testosterone usage when the PSA number is 3.
Similarly, men should not supplement or replace with testosterone when there is a family history of prostate cancer or if the PSA number has increased by 0. An exception would be made if a Urologist has ruled out prostate cancer.
Unfortunately, the most common method to rule out prostate cancer when the PSA is 2. Historically, biopsy has been thought to be a relatively innocuous procedure associated with acceptable, albeit, temporary side effects like bleeding into the bowel, urinary tract and seminal fluid as well as the possibility of additional clinical conditions like infection, sepsis and sexual dysfunction.
While the public has been led to believe that biopsies are a reasonable solution to a rising PSA, an extensive search of the literature, exposes a more sinister and compelling reason to avoid a biopsy unless certain precautions are met and the procedure is deemed absolutely necessary.
This is a significant issue, whereby cells escape the prostate during a procedure, when a biopsy needle encounters prostate cancer cells in its path. In addition to intensifying inflammation as a root cause of prostate cancer, needle tracking or seeding of prostate cancer cells beyond the prostate capsule has been identified in the Perineum the space between the scrotum and the rectum as well as in the rectal wall.
Prostate biopsy in the traditional format is a crude diagnostic technique, if not an unacceptable means, to evaluate for prostate cancer based on inherent sampling bias and needle tracking. Sampling bias is associated with the uncertainty for what the biopsy needle will yield as a physician sticks a needle after needle randomly into a prostate up to 90 times when a mapping procedure is performed in anticipation of treating prostate cancer definitively.
A much more sophisticated technology is now available with either a 1.
This technology represents the most sensitive and specific diagnostic modality for the prostate, replacing substandard scanning procedures like PET Positron Emitting TomographyCAT scan and Prostascint scans.
The MRI scan creates a virtual road map enabling an evaluation of the entire organ, subsequently allowing for a determination to be made regarding the presence or absence of prostate cancer. In the event, an image indicates the presence of prostate cancer; a targeted biopsy can be performed while using a specific protocol to prevent cells that escape from proliferating.
When a multi-parametric MRI evaluation identifies a localized area of interest that proves to be consistent with the presence of prostate cancer, a decision can be made to treat the disease conservatively with a Chronic Disease Management Protocol, referencing a peer reviewed study published in the Journal, Clinical Interventions in Aging or provide the road map for a focal therapy using either cryosurgery or high intensity focused ultrasound HIFU.
Based on our findings, we believe that the future diagnostic landscape will feature a prostate biopsy, only when preceded by an MRI scan to isolate a region of interest. This paradigm shift in how men qualify for a biopsy will become the new standard of care, allowing men with no evidence of prostate cancer to avoid an unnecessary procedure while treating prostatitis only.
Even if doctors choose not to embrace or understand the advantage of this exceptional technology, patients will demand a change in the diagnostic model as it is the patient who is asked to bear the scars of professional ignorance. With image guided targeted biopsies, the guessing game is over as no more than 6 selective biopsies validate the presence or absence of cancer.
To date, many men have been diagnosed with prostate cancer, stimulated by Testosterone.Nov 21, · Brady Dennis Brady Dennis is a national reporter for The Washington Post, focusing on the environment and public health issues.
He previously spent years covering the .
I believe in taking risks; I believe that a risk taker does not lead a monotonous, despondent and repetitive life, but will be rewarded with a more fulfilling, exciting and well rounded one. From tasting that food you have never tried before, to going to that certain graduate school, to starting up a new business at the age of twenty, life.
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Poppy seed tea contains different opiates in various concentrations. Many development agencies are risk-averse, but there is an emerging consensus that to produce results, development agencies must take risks, not simply avoid them.
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