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April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

The Medicine Cabinet-Ask the Harvard Experts: Stopping prostate medicine

By Marc Garnick, M.D.





JewishWorldReview.com | Q: I was diagnosed with an enlarged prostate. My urologist has prescribed finasteride (Proscar) and tamsulosin (Flomax) to treat it. My urine flow has improved and I am able to empty my bladder. When can I stop taking these drugs?

A: You ask a very important question about withdrawing drug treatment of an enlarged prostate, what doctors call benign prostatic hypertrophy or BPH. But the question does not have a "one-size-fits-all answer."


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Have you filled out the BPH questionnaire? It asks seven questions about your urinary function, and a quality of life question. It helps inform your doctor about how much BPH symptoms bother you personally. If you haven't done so already, ask your doctor for a copy. Fill it out and see how you're doing now, while you're still taking the medications.

It's also important to determine the amount of urine you have left in your bladder after "emptying" your bladder. It's a simple test -- called the post void residual -- done with an ultrasound machine in the doctor's office. This result, along with the results of your questionnaire, would be important factors in deciding if and when to stop taking one or both medications.

A third important aspect is whether you have side effects from your medications. Some patients have few and others have significant ones, including sexual dysfunction.

Talk with your doctor about stopping one or both drugs. If the symptoms come back, then it makes sense to go back on them.

Some men are on medicine for BPH for many years. Other men go off medicine once the initial prostate shrinkage has taken place. Others can't tolerate the side effects and choose treatments such as surgery. So there's no one answer for your important question.

One other thing: One group of men who need their PSA checked are those who take finasteride. The baseline PSA before finasteride should be measured. And then at 6 months, if the PSA value does not go down by at least 50 percent from baseline, you may want to speak to a urologist. This may be a sign of prostate cancer.

(Marc Garnick, M.D., is an internationally renowned expert in medical oncology. He is a Clinical Professor of Medicine at Harvard Medical School and maintains an active oncology practice at Beth Israel Deaconess Medical Center, Boston, Mass.)

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