Your independent, respected source for information about medications and natural therapies.

Medication side effects are the #4 leading cause of death in the U.S. annually (JAMA 1998). Yet, few people receive adequate information when medication is prescribed. This website is dedicated to providing information to help you and your doctor make informed, intelligent choices about medications and natural alternatives to maximize the benefits and minimize the risks of treatment. Note: This website is free of drug company or government influence. Jay S. Cohen M.D.

Dr. Jay S. Cohen, M.D.

Dr. Cohen’s New Book: 15 Prostate Cancer Breakthroughs: A New Era in Prostate Cancer Care Offers New Tests, New Treatments, Better Outcomes.

A quiet revolution in the diagnosis and treatment of prostate cancer is underway, but many doctors and most men diagnosed with prostate cancer have not heard about it. Instead, today men are quickly dispatched for aggressive treatment such as prostate surgery or radiation, both of which can affect men’s sexual or bladder competence permanently. The numbers are startling: 85% of men diagnosed with prostate cancer get surgery or radiation, yet only 15% actually need it.

I was diagnosed with prostate cancer in December 2011. Steered immediately toward radical treatment, the doctors said, “Your PSA is very high and your biopsy is positive, so your only alternatives are surgery or radiation.” Luckily I heard about the new methods and was able to avoid these aggressive treatments.

Yes, my PSA was high: 15 ng/ml. Normal is 4 or less. And my biopsy was positive, although the cancer is low grade. Just like me, surgery or radiation is what you likely will be told you need if your PSA is elevated even a little and your biopsy is positive for cancer.

But there are better tests today that can change the direction of treatment: color doppler ultrasound and, most of all, the advanced, prostate specific MRI. Until now, MRIs were not helpful because the prostate is situated so deep in the pelvis, the pictures were unclear and prostate cancer could not be identified. Now, the new MRI is highly accurate in identifying where the prostate cancer is and where it isn’t.

This made all of the difference for me. I learned that my prostate cancer was the size of the tip of my pinky in size, and located in a relatively safe area of the prostate with no sign whatsoever of spread. And because my cancer is slow growing, and my high PSA is likely from previous prostate infections, I am now doing active surveillance with my doctor. We are following the PSA levels and repeated the MRI in November. So far, so good.

In the past and still today, doctors have been very aggressive in treatment prostate cancer. They had little choice because there were no tests to identify the location and size of a man’s prostate cancer. So to avoid under treating men and allowing a cancer to spread, doctors recommended radical treatment for most men. This approach remains the mainstay. The revolution in prostate cancer care that has benefited me and other men so much remains unknown to most men diagnosed with prostate cancer today. Change happens slowly in medical care. It will probably take a decade for the advance, prostate specific MRI to become the standard of care.

You can a lot learn more about this in my new book, Prostate Cancer Breakthroughs: New Tests, New Treatments, Better Options (Oceansong Publishing 2013). Such as:

Below is the table of contents. Prostate Cancer Breakthroughs

Section 1: Obtaining a Thorough Diagnostic Evaluation

Section 2: Treatment Options

Section 3: Weighing the Evidence and Making a Decision

You can see more at (Click the image below.)


Dr. Cohen is an Associate (Voluntary) Professor of Preventive Medicine and Psychiatry at the University of California, San Diego, one of the top 20 universities in America. His work in the area of preventing medication side effects has been widely published and is recognized nationally. If you would like Dr. Cohen’s input on your EM, he is available for office or telephone consultations. He charges a fee for his time, just as he charges people with other medical conditions who come to his office or consult with him from around the world. For information, contact Leslie at 858-345-1760 or
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