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I started having PSA'a, at the instance of my PCP, at age 50. Eight years later, in 2005, I had a PSA of 4.5 - no elevated PSA'a previous to that. A Prostate biopsy disclosed nothing of note. In September of 2007 I had another PSA at the same level and went for another Biopsy. I was diagnosed with Prostate Cancer with a Gleason of 9. Wages of Agent Orange.

I went to Hopkins for a second opinion at the instance of my Urologist - diagnosis confirmed. Traditional Radiation therapy 42X and Hormone therapy - Zolodex.

But for the second PSA, I'd be a dead man. I am greatly concerned at the recent noise I've heard on the news regarding calls for the PSA to be dropped as a routine test for men over 50. But for the PSA and the vigilance of my physicians, I would not have survived to see my daughter graduate from University or to see my 67th birthday, coming up in a few weeks.

May I have your your thoughts on the cost-benefit analysis of my having survived the last seven years?

America demands Justice for the Fallen of Benghazi!

O stranger, tell the Lacedaemonians that we lie here, obedient to their command.

Listen, O isles, unto me; and hearken, ye people, from far; The LORD hath called me from the womb; from the bowels of my mother hath he made mention of my name. (Isaiah 49:1 KJV)

May I have your your thoughts on the cost-benefit analysis of my having survived the last seven years?

Sure, for you personally, great benefit vs. cost. That is an post hoc analysis. I suspect you couldn't have told me that was going to happen in 1997.

Absolutely meaningless for the population at large. If we could know before-the-fact who the "ConorMacNessas" are it would be great. Would avoid having to subject a lot of people to a dubious test that yields way too many false positives.