I have an elevated PSA and just saw my urologist this morning for a routine quarterly followup. Fortunately I do not have cancer. I have BPH which is a benign condition which can also raise PSA. When seeing my doctor this morning I asked him what he thought about the former president’s condition. He said that even the most aggressive forms of prostate cancer take years to spread to the bone. Significant changes in PSA readings are used to screen for it’s existence and how fast it is growing. My doctor said that he has never seen a case that went from zero to spreading elsewhere in the body in a year or less and that it would be incredibly unlikely. It’s virtually unheard of. Men with prostate cancer have an elevated PSA long before the cancer becomes dominant.
The question is did the former president have his PSA tested at his last physical over a year ago? If his doctor did not order a test for a disease that is so easy to screen for then I would find that unethical. If he did have a test that revealed his elevated PSA then he should have been on active surveillance which includes MRIs and biopsies. If those tests were not ordered by his doctor then that would be unethical. If all of this was known and being followed yet not reported then that is a problem for someone who was / could potentially be the leader of the free world.
There are a lot of public questions and discussions around these points right now. I’ve read several reports from experts that he probably had cancer for years while in office. I’m not linking to anything lest someone deem it to be “political”.