Addiction III
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Scarlet Knight
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From: In a Haggard Song
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https://rutgers.scout.com/a.z?s=183&p=8&c=1&nid=3773429
VV, This guy was RU's biggest pickup. I want you to look at his GPA etc. He chose RU over the other schools that gave him offers (Auburn, Vols, etc.) because of the superiour academics.
VV, This guy was RU's biggest pickup. I want you to look at his GPA etc. He chose RU over the other schools that gave him offers (Auburn, Vols, etc.) because of the superiour academics.
Scarlet Knight
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From: In a Haggard Song
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I was very happy with Schiano's job this year. Filled a lot of holes with fast, quality guys
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Speed is always a good thing.
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From: Malvern, PA (20 miles West of Philly)
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
A digital exam, not controversial, should be done yearly for men over 50 or younger for those at high risk
However, by the time a prostate tumor is noted on a digital (finger up the butt), it is often advanced....so nowadays the controversy surrounds the PSA (prostate specific antigen) test....it's a BLOOD test.
There are really two problems with detection with a PSA:
First, the MAJORITY of men who have an elevated PSA do NOT have prostate cancer. But like a "shadow" on a mammogram, a PSA slightly above 4.0 raises the specter of cancer and must be investigated - next step is a prostate biopsy. Not pleasant. And it turns out that about 75% of men with a PSA a bit above 4 do NOT have a cancer, but you have to get the biopsy to find out.
That's annoying but the real controversy is that even men WITH prostate cancer, a large number of them have a cancer that is indolent (very slow growing), that would not become serious or life threatening for 20-30 years. So a lot of guys in their 60's are diagnosed with prostate cancer are getting treated (most often with surgery) to treat a cancer that might not be life threatening until they are 90ish. However, once you have a diagnosis of cancer most men want to be treated/cured.
Now there are SOME prostate cancers that are serious and aggressive and really should be treated. But not all of them.
Anyway I still order PSA's on all my patients who have a life expectancy of say 10 or more years (generally up to age 80) because it's "standard of care" and it's the best test we have.
But I am hoping we eventually find a better test that will (A) find folks with cancer and leave the ones without cancer alone (better specificity) and (B) detect only cancers that are aggressive or potentially so.
Last edited by datlas; 02-02-11 at 04:19 PM.
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I will try to sum it up as simply as possible:
A digital exam, not controversial, should be done yearly for men over 50 or younger for those at high risk
However, by the time a prostate tumor is noted on a digital (finger up the butt), it is often advanced....so nowadays the controversy surrounds the PSA (prostate specific antigen) test....it's a BLOOD test.
There are really two problems with detection with a PSA:
First, the MAJORITY of men who have an elevated PSA do NOT have prostate cancer. But like a "shadow" on a mammogram, a PSA slightly above 4.0 raises the specter of cancer and must be investigated - next step is a prostate biopsy. Not pleasant. And it turns out that about 75% of men with a PSA a bit above 4 do NOT have a cancer, but you have to get the biopsy to find out.
That's annoying but the real controversy is that even men WITH prostate cancer, a large number of them have a cancer that is indolent, that would not become serious or life threatening for 20-30 years. So a lot of guys in their 60's are diagnosed with prostate cancer are getting treated (most often with surgery) to treat a cancer that might not be life threatening until they are 90ish. However, once you have a diagnosis of cancer most men want to be treated/cured.
Now there are SOME prostate cancers that are serious and aggressive and really should be treated. But not all of them.
Anyway I still order PSA's on all my patients who have a life expectancy of say 10 or more years (generally up to age 80) because it's "standard of care" and it's the best test we have.
But I am hoping we eventually find a better test that will (A) find folks with cancer and leave the ones without cancer alone (better specificity) and (B) detect only cancers that are aggressive or potentially so.
A digital exam, not controversial, should be done yearly for men over 50 or younger for those at high risk
However, by the time a prostate tumor is noted on a digital (finger up the butt), it is often advanced....so nowadays the controversy surrounds the PSA (prostate specific antigen) test....it's a BLOOD test.
There are really two problems with detection with a PSA:
First, the MAJORITY of men who have an elevated PSA do NOT have prostate cancer. But like a "shadow" on a mammogram, a PSA slightly above 4.0 raises the specter of cancer and must be investigated - next step is a prostate biopsy. Not pleasant. And it turns out that about 75% of men with a PSA a bit above 4 do NOT have a cancer, but you have to get the biopsy to find out.
That's annoying but the real controversy is that even men WITH prostate cancer, a large number of them have a cancer that is indolent, that would not become serious or life threatening for 20-30 years. So a lot of guys in their 60's are diagnosed with prostate cancer are getting treated (most often with surgery) to treat a cancer that might not be life threatening until they are 90ish. However, once you have a diagnosis of cancer most men want to be treated/cured.
Now there are SOME prostate cancers that are serious and aggressive and really should be treated. But not all of them.
Anyway I still order PSA's on all my patients who have a life expectancy of say 10 or more years (generally up to age 80) because it's "standard of care" and it's the best test we have.
But I am hoping we eventually find a better test that will (A) find folks with cancer and leave the ones without cancer alone (better specificity) and (B) detect only cancers that are aggressive or potentially so.
Should Be More Popular




Joined: Dec 2007
Posts: 46,342
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From: Malvern, PA (20 miles West of Philly)
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
https://rutgers.scout.com/a.z?s=183&p=8&c=1&nid=3773429
VV, This guy was RU's biggest pickup. I want you to look at his GPA etc. He chose RU over the other schools that gave him offers (Auburn, Vols, etc.) because of the superiour academics.
VV, This guy was RU's biggest pickup. I want you to look at his GPA etc. He chose RU over the other schools that gave him offers (Auburn, Vols, etc.) because of the superiour academics.
One good thing about real "student athletes" is they're probably less likely to get into trouble.
I saw a tweet about UT's class having a 3.0 GPA or something to that effect. Yet deep down, I doubt many fans really care.
Still can't climb
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From: Limey in Taiwan
if that colonoscopy post had been made in this thread, i dread to think how differently that would have gone.
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coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
Scarlet Knight
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From: In a Haggard Song
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datlas, my internist checked my PSA last month, he told me that my level rose by 0.3 over the past 3 years. I asked him why he was checking it at all, since I am in my 40's. He was not able to answer me, and won't be checking again.
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Scarlet Knight
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From: In a Haggard Song
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most fans don't care, but I do. I am proud of my degree, and want to remain proud. The dumbing down of good academic schools in exchange for athletic prowess pisses me off. I would rather be a fan of a school with good academics and a mediocre team than the converse
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From: Malvern, PA (20 miles West of Philly)
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But whether to continue to check is very controversial, there are potential risks and benefits on both sides. In my community it is standard of care so I order it unless the patient doesn't want it (and I document this fact).
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From: Malvern, PA (20 miles West of Philly)
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
When it get closer, I have a few suggestions:
1. Find a doctor with long skinny fingers (which is what I have, btw)
2. It's not really a big deal, it takes approx 10 seconds and compared to what the women have to go through, it's really quick, easy, and painless.
3. Don't pinch if you can help it.
1. Find a doctor with long skinny fingers (which is what I have, btw)
2. It's not really a big deal, it takes approx 10 seconds and compared to what the women have to go through, it's really quick, easy, and painless.
3. Don't pinch if you can help it.
A few months ago the blood center was offering free PSA screening. (I don't believe you even had to donate). I thought about going, but didn't.
I'm not sure how helpful of a public health exercise that kind of thing is, given that it's apparently not targeted toward any particular group.
I'm not sure how helpful of a public health exercise that kind of thing is, given that it's apparently not targeted toward any particular group.
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From: Awesome, Austin, TX
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My doc hired a female PA a couple years ago who is 5'2", with small hands. I didn't know the exam could be that painless.
MUCH easier to do if #1 above is true.
MUCH easier to do if #1 above is true.
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Scarlet Knight
Joined: May 2009
Posts: 11,271
Likes: 14
From: In a Haggard Song
Bikes: 2009 ORBEA Onix Rival. 2012 Felt Breed, 1999 Raleigh 500
When it get closer, I have a few suggestions:
1. Find a doctor with long skinny fingers (which is what I have, btw)
2. It's not really a big deal, it takes approx 10 seconds and compared to what the women have to go through, it's really quick, easy, and painless.
3. Don't pinch if you can help it.
1. Find a doctor with long skinny fingers (which is what I have, btw)
2. It's not really a big deal, it takes approx 10 seconds and compared to what the women have to go through, it's really quick, easy, and painless.
3. Don't pinch if you can help it.
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Finger up the butt. HTFU all of you.
Still can't climb
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From: Limey in Taiwan
haha. i didn't have the nerve to post that. you is shameless.
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coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
coasting, few quotes are worthy of him, and of those, even fewer printable in a family forum......quote 3alarmer
No @coasting, you should stay 100% as you are right now, don't change a thing....quote Heathpack
Scarlet Knight
Joined: May 2009
Posts: 11,271
Likes: 14
From: In a Haggard Song
Bikes: 2009 ORBEA Onix Rival. 2012 Felt Breed, 1999 Raleigh 500
Harden TFU? really VG?
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There were many "big games" against Cal, where the Stanford students would cheer to the Cal fans "That's alright, that's okay, you're gonna work for us someday!"
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Should Be More Popular




Joined: Dec 2007
Posts: 46,342
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From: Malvern, PA (20 miles West of Philly)
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
Scarlet Knight
Joined: May 2009
Posts: 11,271
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From: In a Haggard Song
Bikes: 2009 ORBEA Onix Rival. 2012 Felt Breed, 1999 Raleigh 500
That's why I was happy to see Stanford do so well this year. My parent's alma mater, I grew up going to games and remember so many years of getting beat up by UCLA, USC, Washington and God forbid, Cal. I'd be curious whether they relaxed their standards for atheletes but I'd like to think not.
There were many "big games" against Cal, where the Stanford students would cheer to the Cal fans "That's alright, that's okay, you're gonna work for us someday!"
There were many "big games" against Cal, where the Stanford students would cheer to the Cal fans "That's alright, that's okay, you're gonna work for us someday!"




