I wasn't getting routine PSA screening, because my family doctor was following so-called best practices from the CDC and elsewhere — she has changed because of my case. (She did mention it when I turned 50 and we discussed, so I might have gotten it if I pushed).

I'll never know if it would have made a difference. From papers I've read since, my kind of aggressive PCa often develops so fast that even routine screening doesn't catch it before it has already metastasised. And I had a roommate in hospital, a Canadian Afghanistan combat vet who had been getting routine PSA screening (the army has its own medical system with its own best practices), and annual screening didn't catch his in time.

In any case, I can't change the past. I'm getting excellent treatment now, and telling everyone who has a prostate and is willing to listen to start annual PSA tests at 50 (earlier for people of Black and Caribbean ancestry).