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Health & Medicine for Senior Citizens

Veterans Badly Mistreated for Prostate Cancer at VA Hospital, Reports NY Times

92 of 116 cancer treatments were botched during a six year period at Philadelphia unit

 

 
 

Dr. Gary D. Kao is responsible for most of the errors, investigators say. (NY Times Photo)

 

June 22, 2009 - “For patients with prostate cancer, it is a common surgical procedure: a doctor implants dozens of radioactive seeds to attack the disease. But when Dr. Gary D. Kao treated one patient at the veterans’ hospital in Philadelphia, his aim was more than a little off,” says the lead in a New York Times report on Sunday, June 21.

 

Related Stories

 
 

Prostate Cancer Test Proven to Offer Early Prediction of Bone Metastasis, Mortality

UCSF Cancer of the Prostate Risk Assessment gives patients and doctors a better way of gauging long-term risks and pinpointing high risk cases.

June 15, 2009


New Blood Test Significantly Increases Accuracy of PSA Screening for Prostate Cancer

Greatly reduces false-positives in prostate cancer screening that often require a biopsy of the gland to check for tumors

May 28, 2009


Men Should Not Give Up on PSA Prostate Cancer Screening, Just Yet

Urologists argue that men should not be swayed from getting the test - it still saves lives

May 13, 2009


Urological Group Breaks with Major Medical Groups to Recommend Regular Prostate Testing

AUA wants individualized PSA testing starting at age 40; American Cancer Society and others oppose routine prostate cancer testing

April 27, 2009


Statins Protect Against Prostate Cancer, Erectile Dysfunction and Prostate Enlargement, Mayo Study Finds

Study followed older men 40 to 79 from 1990 to assess urologic outcomes among aging men

April 27, 2009


Elderly Men with Short Life Expectancy Do Not Need Prostate Cancer Screening, Study Shows

 

See link to video  in news report

 

U.S. trial shows no early mortality benefit from current annual screening for prostate cancer - watch video, link below

March 19, 2009


Enough is Enough of Prostate-Specific-Antigen Testing Once Men Reach Age 75

PSA test has decreased prostate cancer deaths but other problems more likely to kill elderly

Feb. 23, 2009


Women with Implants See Better Results in Breast Cancer Treatment with Brachytherapy

Better cosmetic outcomes, avoid risk of the implant hardening compared to whole-breast radiation therapy

Dec. 1, 2008


Brachytherapy May Be Best Prostate Cancer Treatment Choice for Obese Men

Follows finding that surgery is technically more challenging in overweight men

Aug. 19, 2008

Prostate Screening Bias Against Obese Men Leads to Late Detection, Less Surgical Success

Aggressiveness of obese men's late-detected tumors and that they may be more difficult to remove, is a double whammy for fat guys

Aug. 8, 2008


Task Force Says Men Age 75 and Older Should Not Be Screened for Prostate Cancer

Chances are they will die of something else before the cancer gets them

Aug. 5, 2008


Androgen Deprivation Does Not Improve Survival for Seniors with Prostate Cancer

Conservative management of the disease does a better job, says study

July 8, 2008


Radiation for Cancer Recurrence after Radical Prostatectomy Shows Increased Survival

Provocative evidence that even men with adverse prognostic features may benefit from salvage radiotherapy

June 17, 2008


Older Men With Prostate Cancer at Much Greater Risk of Bone Fractures

Patients should be checked for osteoporosis, particularly if treated with ADT

May 14, 2008


Read the latest news on Senior Health & Medicine

 

“Most of the seeds, 40 in all, landed in the patient’s healthy bladder, not the prostate,” the report says.

“It was a serious mistake, and under federal rules, regulators investigated. But Dr. Kao, with their consent, made his mistake all but disappear.”

Walt Bogdanich, the Times Reporter, writes, “Had the government responded more aggressively, it might have uncovered a rogue cancer unit at the hospital, one that operated with virtually no outside scrutiny and botched 92 of 116 cancer treatments over a span of more than six years

Read more at the Times on the horrible care provided U.S. veterans. It is also a warning for all men considering prostate cancer treatment. Click Here.

>> More, too, at a NY Times Blog on this story

 

More about seed implants - Seattle Prostate Institute

Seed implants, also called brachytherapy, are small radioactive pellets, each about the size of a grain of rice. The seeds are inserted into the prostate through small needles during a brief outpatient procedure.

Prostate Cancer Patients Have High Survival Rates with Seed Implants

'Quality of the seed implant is a critical ingredient for achieving a better outcome'

January 31, 2007 - More than ninety percent of men who receive appropriate radiation dose levels with permanent radiation seed implants to treat their prostate cancer are cured of their cancer eight years after diagnosis, according to a new study. Read more...

 

The prostate is the gland below a man's bladder that produces fluid for semen. Prostate cancer is the third most common cause of death from cancer in men of all ages. It is rare in men younger than 40.

Levels of a substance called prostate specific antigen (PSA) is often high in men with prostate cancer. However, PSA can also be high with other prostate conditions. Since the PSA test became common, most prostate cancers are found before they cause symptoms. Symptoms of prostate cancer may include

>> Problems passing urine, such as pain, difficulty starting or stopping the stream, or dribbling

>> Low back pain

>> Pain with ejaculation

Prostate cancer treatment often depends on the stage of the cancer. How fast the cancer grows and how different it is from surrounding tissue helps determine the stage. Treatment may include surgery, radiation therapy, chemotherapy or control of hormones that affect the cancer.

> More info at MedlinePLUS

> More at National Cancer Institute


Previous Story explaining more about brachytherapy -

Prostate Cancer Patients Have High Survival Rates with Seed Implants - January 31, 2007

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