Re: Too Much Medicare "Care" Again


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In article <TTZOh.16393$PL.14363@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx>,
George Conklin <georgeconklin1@xxxxxxxxxxxxx> wrote:

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"George Conklin" <georgeconklin1@xxxxxxxxxxxxx> wrote
in
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...................

That is not what mainline science has shown. HRT
was
harmful,
period.

HRT had immediate benefits.

..................

You are the fool. If any advantage were large, it would have
been
established years ago.

You keep playing the fool. I could just as easily (and as
baselessly)
say
the converse.

It is truly pitiful that surgical procedures have been in use
for
100
years before there is a true scientific evaluation. This is just
plan
criminal.

Some surgical procedures have been in use for thousands of
years. Do you think that amputations started only 100
years ago?

I was speaking specifically of prostate surgery.

The current gold standard for prostatectomy is an open radical
retropubic
prostatectomy. As it is done today, it's only a few decades old,
having
undergone a huge revision at that time. The newest method - robotic -
is
still in its infancy.

So? If you change the lighting in the OR, does that change cancer cure
rates too?

your above comment about it being around for a 100 years just isn't
true...
not its current state. Yes, the change in technique a few decades had
DRAMATIC changes with better success, lymph node sampling, less blood
loss,
preservation of urine control and erectile dysfunction (still evolving),
etc.

PSA screening has only been around since the 1990's
and thus the prostate cancer we're operating now is generally less
advanced
than it was before then, when patients often presented with metastatic
and
thus inoperable disease - or locally advanced disease. We really are
in
a
new era of prostate surgery.

Stage can be and has been controlled for in research. Who are you
trying
to confuse? Yourself?

No, George, it hasn't. The vast majority of cancers treated today are
stage
T1c. Before PSA came out in the 1990's THERE WAS NO SUCH STAGE AS T1C.
You
can't contol for it.



In short, you are trying to say that no evaluation of your cash cow is
ever going to be done because you keep changing the definitions and this
will go on forever. Money first. Results? Who cares? We do, but you rely
on faith-based outcomes.


.

Relevant Pages

  • Re: Too Much Medicare "Care" Again
    ... George Conklin wrote: ... I was speaking specifically of prostate surgery. ... preservation of urine control and erectile dysfunction, ... thus inoperable disease - or locally advanced disease. ...
    (talk.politics.medicine)
  • Re: Too Much Medicare "Care" Again
    ... Do you think that amputations started only 100 ... I was speaking specifically of prostate surgery. ... If you change the lighting in the OR, does that change cancer cure ... thus inoperable disease - or locally advanced disease. ...
    (talk.politics.medicine)
  • Re: Too Much Medicare "Care" Again
    ... George Conklin wrote: ... I was speaking specifically of prostate surgery. ... If you change the lighting in the OR, does that change cancer ... My twobiggest money makers are cystoscopies and TRUS biopsies. ...
    (talk.politics.medicine)