what to do about PSA / was RE: Re: Ticklr/ reminder systems

[Guest guest]

Maybe a mild prostatitis? Trial of antibiotics and repeat PSA?  Is a free PSA of any value when the total is within normal limits?

 

 

Madhavi,You might want to run a free PSA and take a look of the free/total ration, in addition to velocity. Helen

To: From: reddypatt@...Date: Fri, 11 Feb 2011 15:08:06 +0000

Subject: Re: Ticklr/ reminder systems 

Thanks everyone. I have some good ideas now on how to develop a tickler system. Still haven't settled on an EMR. Really liked Office Ally for a bit, but had similar issues regarding price changes, inefficient patient portal etc.

there is not one lone tree, but a lone IMP...in Lone Tree!Clinical question for you all: what to do about PSAs. I have a gentleman who is 56, white, PSA doubled in about a year. Was 0.9 a year ago now 1.8. Nothing remarkable on DRE. He does have increased urinary frequency. If I had my druthers wouldn't have checked a PSA to begin with, but he had it done in the past and wanted it repeated. He is excessively concerned about the increase. Would you just repeat? I don't like the fact that it's really weighing on his mind.

Thanks.Madhavi > >>> >>>> >>>> >>> Hi All,

> >>> Wondering if anyone has any easy, sustainable tickler/reminder methods> >>> that help keep track of patient needs, ie when next labs due etc. I do> >>> schedule appts for follow up lab work etc, but having trouble figuring out

> >>> how to remember to call about certain issues, etc.> >>> Thanks.> >>> Madhavi Patt, MD> >>>> >>>> >>> >>> >> --

> >>> >>> >>> >> MD> >> > >> > >> ph fax > >> impcenter.org

> >>> >>> >> >> > --> > M.D.> > www.elainemd.com> > Office:

> > Go in the directions of your dreams and live the life you've imagined.> > This email transmission may contain protected and privileged, highly> > confidential medical, Personal and Health Information (PHI) and/or legal

> > information. The information is intended only for the use of the individual> > or entity named above.> >> >> >> > If you are not the intended recipient of this material, you may not use,

> > publish, discuss, disseminate or otherwise distribute it. If you are not the> > intended recipient, or if you have received this transmission in error,> > please notify the sender immediately and confidentially destroy the

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-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

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[Guest guest]

agree with trial of abx and repeat dxic and free.. free though i dont think is

sensitive if total is less than 4 however i recently had 46 yo with family

history of prostate cancer have an increasing psa from 0.6, 0.6 to 1.6 but i

felt a lump on DRE. Gleason 6

trust your heebeejeebees and err on the good side... though we want to go

academic always, instinct has never been taught.

grace

> > > >>

> > > >>>

> > > >>>

> > > >>> Hi All,

> > > >>> Wondering if anyone has any easy, sustainable tickler/reminder

> > methods

> > > >>> that help keep track of patient needs, ie when next labs due etc. I

> > do

> > > >>> schedule appts for follow up lab work etc, but having trouble

> > figuring out

> > > >>> how to remember to call about certain issues, etc.

> > > >>> Thanks.

> > > >>> Madhavi Patt, MD

> > > >>>

> > > >>>

> > > >>

> > > >>

> > > >> --

> > > >>

> > > >>

> > > >>

> > > >> MD

> > > >>

> > > >>

> > > >> ph fax

> > > >> impcenter.org

> > > >>

> > > >>

> > > >

> > > >

> > > > --

> > > > M.D.

> > > > www.elainemd.com

> > > > Office:

> > > > Go in the directions of your dreams and live the life you've imagined.

> > > > This email transmission may contain protected and privileged, highly

> > > > confidential medical, Personal and Health Information (PHI) and/or

> > legal

> > > > information. The information is intended only for the use of the

> > individual

> > > > or entity named above.

> > > >

> > > >

> > > >

> > > > If you are not the intended recipient of this material, you may not

> > use,

> > > > publish, discuss, disseminate or otherwise distribute it. If you are

> > not the

> > > > intended recipient, or if you have received this transmission in error,

> > > > please notify the sender immediately and confidentially destroy the

> > > > information that email in error.

> > > >

> > > >

> > > >

> > > >

> > >

> >

> >

> >

> >

>

>

>

> --

> M.D.

> www.elainemd.com

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or legal

> information. The information is intended only for the use of the individual

> or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not use,

> publish, discuss, disseminate or otherwise distribute it. If you are not the

> intended recipient, or if you have received this transmission in error,

> please notify the sender immediately and confidentially destroy the

> information that email in error.

>