Yes, Stage 4 prostate cancer patients should be encouraged by the state of modern medicine as it relates to prostate cancer.

But, this genitourinary oncologist does nothing to set the record straight. Yes, he states the facts in everything he says; yet at the same time there are misrepresentations in much of what he says. I’ll mention just a couple (of many):

> “…But national guidelines recommended against PSA screening for anyone over age 70,…” There is no urologist I’ve come across who strictly follows that guideline. (And the president’s urologist should not have either). Everyone knows that’s a “guideline,” it’s not “gospel.” And that flawed “guideline” was only created following the very very flawed 2012 “guideline”: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012)

> “….due to elevated risk of false positives…” There are rarely false positives with PSA tests. Remember that a PSA test is not a prostate cancer test. A positive PSA test (for elevated levels of PSA) is like a glowing “check engine” light in a car, indicating that something may be wrong somewhere. It’s understood that if there is a positive PSA, it’s then necessary to take steps (like diagnosing a “check engine” light) to rule out other factors that might cause an elevated PSA: like a DRE prior to a PSA test, a UTI, prostatitis, rigorous bicycle-riding, or many more reasons. None of this is indicative of a false positive - unless one does not understand that a PSA test is not a cancer test. (Also remember that PSA is not even “prostate specific.” Even breast tissue and mothers’ milk express PSA…..but, that’s another discussion for another day……

There are many more misrepresentations that causes this not to set the record straight, but that’s enough for a start.