@chippydoo
Agree,
Before I started seeing my present Mayo PCP my previous doctors were "do you want the PSA test" it is voluntary.

Then my present PCP did a lot of research when he was going through medical school and internship and really took an interest in being up on what was current being seen.

The medical institution I agree made huge mistake not recommending PSA test anymore and then finding a sudden rise in stage 4 because were not catcthing at stage 1.

If my PCP was not adamant about not liking my rise of PSA regardless of my PSA being under normal I would NOT have caught my PC early and had the options I did.