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From Publishers Weekly

There are at least half a million reasons--the number of prostate cancer diagnoses in the U.S. and Europe--to read this engaging diary/resource written from the alternating perspectives of doctor and patient. But those who've faced any cancer crisis should also take heed--and heart--from cultural anthropologist Blum, who's lived with prostate cancer for two decades, and oncologist Scholz, an associate clinical professor at USC School of Medicine, who champions "testosterone inactivating pharmaceuticals" for earlystage disease--these reduce levels of testosterone, which prostate cancer cells need to grow. Among cancers, prostate cancer "is the best deal in town," Blum argues--a slow-growing cancer that demands a slow-go approach, second opinion, and, in his own case, a decision to do no more than watch-and-wait. He then gamely examines his own fear-driven homework on standard and alternative treatments: prostatectomy, cryosurgery, radiation, chemicals, and alternative approaches like Eastern medicine and lifestyle changes. Yet in the end, Blum notes, it's the "insight and involvement of the individual" that makes the difference in a patient's outcome. Here's good advice based on the brave experiences of two compatible souls and medical mavericks. Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

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From Booklist

Each year nearly 500,000 men in both the U.S. and Europe are informed that they have prostate cancer. Along with this frightening news comes pressure from urologists, most of them surgeons, to undergo a radical prostatectomy and avoid a potential death sentence. Yet according to the authors of this eye-opening study of prostate cancer and its current treatment protocols, fully 80 percent of these surgeries are unnecessary. Unlike more lethal cancer varieties, such as breast and lung, prostate cancer is more frequently a milder health condition, and most men live with it for decades, eventually passing away from other causes. Blum, a veteran author and 20-year prostate cancer survivor himself, gives the much-needed patient’s viewpoint here, while Scholz, a board-certified oncologist, presents the medical perspective. Together, in two dozen lucid and engaging chapters, the pair offers a balanced guide to navigating through the thicket of doctors, biopsies, incontinence and impotency risks, and the latest surgical and noninvasive treatment options. An indispensable guide for newly diagnosed and aging males, and their loved ones. --Carl Hays

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Product details

Hardcover: 320 pages

Publisher: Other Press; 1st edition (August 24, 2010)

Language: English

ISBN-10: 1590513428

ISBN-13: 978-1590513422

Product Dimensions:

6.3 x 1.3 x 9.3 inches

Shipping Weight: 1.2 pounds (View shipping rates and policies)

Average Customer Review:

4.5 out of 5 stars

158 customer reviews

Amazon Best Sellers Rank:

#105,828 in Books (See Top 100 in Books)

This book is a common sense approach to the best treatment (active surveillance) for prostate cancer patients with slow growing, encapsulated tumors. It is not typically promoted by urologists because they are all SURGEONS and seem to prefer the safest solution (from a liability standpoint), but brings with it a lot of potential side effects that infringe on your quality of life.I am living proof that it works, because I was lucky enough to have a relationship with one of the nations leading radiology oncologists and I asked his opinion 3-1/2 years ago when I found out I had the BIG C. His answer was DON'T do surgery, radiation, or chemo UNTIL I HAVE TO. Instead I did active surveilsnce for 3-1/2 years with NO negative effects and I feel great, but I do PSA tests every 3-4 months, bone scans every 6 months and CT scans 1/year to monitor the activity. I thank God Almighty I have done it this way. I have friends that did surgery and radiation and now they're incontinent and have other disgusting side effects and have a poor quality of life.This book will tell you the way it REALLY is.

This book was a birthday present for my husband, who had already read the entire book after checking it out from the library. But he valued the content so much that he wanted his own copy...thus it's appearance on his birthday wish list. This book allowed him to rethink his urologist's quick insistence that he have a biopsy (of course, at that doctor's office) and that doctor's claim that only "1 in 1000" have a risk from the procedure. That number sounded way to....made up. It also helped my husband to understand better how to use and interpret the PSA and the risks of following "doctor's advice" as well as the risks of not doing so---of "watchful waiting". The book was written by a doctor AND a patient, which gives a much more thorough perspective and helped my husband to decide to get a second opinion...this time from a integrative doctor that doesn't financially benefit from a biopsy procedure.

This was first book read after PCa diagnosis in Nov. 2010. I needed rapid treatment due to high-intermediate dx. Chose surgery but as date neared I kept comparing outcomes between surgery, radiation, Hifu and even freezing. A blog I read led me to Dr. Scholz's website and I recalled the book I had read 3 months earlier. A second read was much more informative because so much learning had occurred in 3 months. I opted for phone consultation with the author and thereafter cancelled surgery.He referred me to doctor in Seattle who could oversee dual radiation as I live in Alaska and that was much easier to reach than LA. I did 6 months hormone therapy and then did both seeds and beam radiation. Side effects were present but were very tolerable and short lived. I finished last radiation in August 2011. My PSA is very low and I feel great. The prognosis for my risk category is substantially better than surgery, which is why I chose to cancel surgery.Too soon to know long term outcome but missing surgery and better numbers are both comforting. I consider this a really valuable book to anyone facing this diagnosis.Update July 2014. It has been nearly 3 years since the dual radiation treatment. My PSA did spike a bit after about 9 months, but then plunged to zero! My Seattle doctor felt the cancer cells that were eventually dying released the PSA and caused the temporary spike. Now, 2 years since that spike, it remains at zero. Side effects have virtually disappeared in all respects. I seldom need to pee at night more than one time (was 5+ prior to treatment).

Don't let the seemingly flip title of the book put you off. This is a serious examination of the treatment of prostate cancer. It is well written and loaded with information on alternatives to radical treatment of the disease. I was diagnosed with prostate cancer in April of this year. A biopsy revealed stage 1 cancer with a Gleason score of 6 and a PSA of 5.1. My first reaction was "get it out of me" and both urologists I consulted agreed. I was all set to make arrangements for a radical prostatectomy. My wife and brother both called me to tell me to listen to a segment on NPR on prostate cancer. It was a short piece about this book. I purchased and read it and I am now consulting with my GP to undergo active surveillance or "watchful waiting". There is an extended bibliography with capsule reviews of the books for those who want to be better informed. I have been to one seminar and read three books on prostate cancer and spent countless hours on the internet. This book is without a doubt the best source of information on the subject I have encountered. If you are considering radical treatment and have been diagnosed as a low risk stage cancer patient READ THIS BOOK. It will change your life, literally.A post script to this review and my personal story. I enrolled in the watchful waiting program at the University of Chicago Hospital. Part of their protocol is that you have to have a biopsy to start the program regardless of how recent your last biopsy was. The U of C biopsy revealed a higher presence of cancer in different areas of the prostate and a more aggressive cancer. I did not want the second biopsy but I am glad that I did. I proceeded with Brachytherapy. The point is that watchful waiting has it's inherent risks as well. Don't rush into anything but for god's sake take nothing for granted.

Glad there is a medical oncologist who will not insist on a particular therapy and may be willing to work with your preferences. There needs to be a specialty in the field of prostate cancer where one is given unbiased and complete information. A urologist is a trained surgeon and ONLY wants to do surgery (prostatectomy), radiation oncologist ONLY wants to do radiation therapy, etc., etc. There is no area of prostate disease and cancer where one fills like the doctor is really on your side and giving you information that you can really work with to make a good decision.

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