Comments on: Not all doctors discuss the risks and benefits of prostate cancer screening to patients

By: MarylandMD

MarylandMD — Sat, 03 Oct 2009 01:39:23 +0000

I discuss the pros and cons with a good number of my patients. Despite my honest attempt to clarify the issue, and despite my telling them I probably won’t choose the test when it is my turn, many end up confused and the vast majority choose the test anyway. So all the conversation did was put me further behind schedule. Heck, my conversations with other physicians convince me that a large number of physicians don’t really understand the pros and cons of PSA screening. I look forward to the day when the USPSTF comes out with the recommendation against screening with a PSA so I can have the cover to not deal with it at all. Until then, I am stuck with a junk test, and the nagging feeling that even if I counsel the patient properly and document the conversation well, my patient’s family will still come after me if he dies of prostate cancer and I didn’t run a PSA.

By: christophil M.D.

christophil M.D. — Fri, 02 Oct 2009 21:37:55 +0000

What! There’s drinking going on in this here bar! oh my GOD!
It’s no surprise that physicians don’t discuss the pros and cons of prostate cancer screening. They also don’t discuss medications, diagnosis and treatment! I should know I am a primary care doc and I see patients everyday who complain that physicians (except me, wink) never explain anything! Most of my day in the office is spent as a teacher (ahh the original definition of doctor = teacher). Why? are we sloppy, uncaring boobs? NO, we are time pressed, overworked underpaid front-line physicians. Hey, it took more time to read this post then I have with most patients. I don’t like it but that’s the way it is! Hey, I got an idea, we can have a legal waiver signed by every patient prior to any treatment or test spelling out the facts and stats, “shared decision-making” and “informed consent” . You got a better idea?

By: Medicine General

Medicine General — Fri, 02 Oct 2009 15:34:53 +0000

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