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My husband and I had a situation in German (Bonn) with a urologist who had evidently been instructed by his hospital to push patients HARD to get magnetic resonance images (MRI's). His hospital had just bought an MRI unit, brand new and expensive. It is a known bad practice in medicine to induce as many patients as possible to use any new device, so it can be promptly paid for, leaving the hospital with a fat profit. Because of a slightly elevated PSA reading, (due to a lot of bike riding, as it turned out) this not so honest urologist warned us darkly about prostate cancer, even though there were no other signs of trouble at all. And he did not mention that soft tissue images often require the use of a very toxic heavy metal dye, gadolinium, a poison which can cause all kinds of serious adverse effects. When we asked him about gadolinium he was rather shocked that we knew about it. I suggested that before my husband did the THREE images this doc wanted, at a cool 800 Euros a pop, he give my husband a nice cheap fast prostate exam...rubber glove, ultra-sound wand, etc. Turned out the result of the exam showed a prostate in excellent shape....no need at all for the MRI's. VERY disappointed urologist. We demanded ALL the results of the exam....diagnosis, wand images, everything, which we have kept as evidence. We never went back to him.

I recommend to all middle-aged and older men a good book on how urologists use the threat of cancer to scare Hell out of patients and their families, and push prostatectomies, very expensive and often productive of devastatingly damaging results. This operation can result in terrible urination and potency problems. The book, “The Great Prostate Hoax: How Big Medicine Hijacked the PSA Test and Caused a Public Health Disaster,” by Richard Ablin and Ronald Piana (Palgrave Macmillan) should be required reading for every urology patient. BEFORE they get the prostate exam!!!

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