<p>Romani, I want you to know that I was at the doctor’s office last week, and because of this thread had a flu shot for the first time in my life. So your passionate advocacy worked on SOMEONE. :)</p>
<p>I also asked for a prescription for the shingles vaccine, since I have achieved the magic age, and have a horror of getting shingles. I know many people who have had it and have suffered terribly, some ending up with chronic facial pain and so forth. I went directly to the pharmacy to get it, and who did I encounter there but a friend who was one of the unlucky one in a million or two to develop paralysis because of a flu shot years ago! What a coincidence. :(</p>
<p>In any case, I had no apparent reaction to the flu shot, but the shingles vaccine caused inflammation and pain at the injection site that lasted for 4 or 5 days. An annoyance, but nothing that would rise to the level of a reason not to get it.</p>
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<p>This is a gross misrepresentation of the process involved in moving from a single high PSA reading to eventual treatment, if necessary. A high PSA reading will trigger a recheck on an accelerated schedule. Depending on that result, the next step might be another recheck in three or 6 months, or a biopsy. When my father had prostate cancer, about 23 years ago, they took only something like 3 biopsy “cores.” Prostate cancer does not appear as a palpable mass and can’t be seen on scans. (Nowadays, they do multiple cores on both sides of the gland, to have a more realistic chance of actually encountering the cancer if it is there.) Found no cancer. Followed up with another biopsy three months later: found cancer. Had surgery. By this time, it had spread into the seminal vesicles. Survival for people whose cancer has spread outside the gland is markedly lower, although nowadays the standard of care would be to follow up surgery with targeted radiation to the area if evidence of cancer is found outside the gland, which is likely to result in far fewer returning cancers. Eventually his cancer returned as a mass behind the bladder, spread into his bones, etc.</p>
<p>H had prostate cancer several years ago. Again, high PSA reading triggered retake a few months later, it had gone down so they waited a year, went up, had a retake, another retake, eventually a biopsy at something like 10 sites, found cancer, samples sent to two labs to be examined and staged, analysed according to scales developed at Hopkins, had surgery, cancer was found to extend right up to the border with the bladder. Watching and waiting further would have likely resulted in bladder cancer.</p>