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  For men with localized prostate cancer, surgery does not save lives and it has a much higher rate of complications such as impotence and incontenance. However, once a man knows he has prostate cancer, he has a powerful drive to get it out even if the data does not support this approach. The word, "cancer" scares us. We need much better...

  Dr. Len and Nurse Vicki explore the following topics: Health care reform Schemes to cut Medicare costs Environmental pollution Prostate cancer screening: does it pay off? Using digitalis to treat breast and prostate cancer Antidepressants found to cause arteriosclerosis The benefits of maple syrup Vicki's 20-20 tips Greenwashers unwanted...

  Screening does not significantly reduce prostate cancer deaths but it does lead to overdetection and overtreatment. The cancer detection rate is 40% higher with testing, but to prevent one death from prostate cancer more than 1400 men would need screening and 48 would be unnecessarily treated. The era of the PSA is over.