Help me with this please.
A 56-year-old man just got a new job. As part of the pre-employment process and in order to be covered by his new company's health insurance, he had to undergo a physical examination and some blood tests. A digital rectal exam was not done.
He has no risk factors for prostate cancer or urinary symptoms and by most guidelines is not a candidate for PSA screening.
He was not told of the possible harms of the test, nor was he told to abstain from ejaculation within 48 hours of the blood being drawn.
Of course, his PSA is 5.9 ng/mL.
The cost of the repeat PSA test will be borne by the patient. There is already talk of biopsies.
Not only will the patient have to deal with the anxiety generated by the test, he is being pro-rated by his health insurance carrier. He will be paying $200 per month extra for his coverage.
Does anyone have any thoughts about this?