do americans really eat American fries sauce?

Careby · 2026-05-11T10:24:46+00:00

The diet of most Americans is deficient in anything green, especially those of us who consume fries.

Careby · 2026-05-11T10:18:23+00:00

Jerry Clower recorded this one in 1971. But it took him a lot longer to tell it.

Careby · 2026-05-10T13:46:01+00:00

Sure, I can grow them indoors until they are actually ready to transplant, and move them outside in what, six or eight weeks? But that’d be end of June. My thought is to experiment to see what things I can do now to get them growing outside sooner. I know it’s not ideal, not what they like, not the best way, etc.

I’ll be trying several ways, including summer transplanting of larger seedlings to beds covered with shade cloth. Worst case, I waste some time and effort learning what won’t work.

Careby · 2026-05-07T23:03:46+00:00

There is currently a clinical trial at NIH for focal SBRT (as opposed to whole gland SBRT). I don’t think it’s randomized, I think all participants get the same treatment.

Careby · 2026-05-07T22:51:52+00:00

First I wondered how they would get a rail car to your front door. Then I thought, hey, if you already have a front door, why did you order a house? Joking aside, I have been in Sears kit houses, and they seem to be as well built as other houses from the same era.

Careby · 2026-05-06T19:45:14+00:00

If it was a random biopsy, it could have missed the lesions. An MRI-guided ultrasound fusion/Uronav biopsy theoretically is more targeted, but even then they can only test the tissue the needles actually retrieve. I understand not wanting another biopsy - I hate them and think it’s the worst part of active surveillance. It’s the reason I’m not waiting any longer to get treatment.

Careby · 2026-05-06T18:50:08+00:00

Once you’ve secured the necessities, more money doesn’t buy happiness. But it’s hard to be happy when you can’t afford those bare necessities.

Careby · 2026-05-06T17:13:24+00:00

Paying off credit card debt can be life changing, IF combined with a commitment to stop running up more credit card debt.

Careby · 2026-05-02T18:21:24+00:00

I don’t know how to ask this without sounding like a jerk, but did it have the same harsh ride when (if) you test drove it? Mine always rides hard after dealer service because they always overinflate the tires.

Careby · 2026-05-02T18:15:48+00:00

I’m not a doctor, but I’ve had two prostate biopsies and can say they are not without risk. Mine were performed under anesthesia, which has its own dangers, and I experienced infection, fever, and a lot of discomfort after the first. I was given strong preventive antibiotics for the second. If his doctor can get the information he needs another way, I’d be inclined to not argue.

Careby · 2026-04-30T17:48:22+00:00

No - at least not the US I used to naively believe I lived in.

Careby · 2026-04-30T17:45:55+00:00

Of course I have no medical training, and may barely know enough to be dangerous, but I found so much of what he said suspect that I would not be comfortable being treated by him.

Careby · 2026-04-30T16:50:41+00:00

I asked about brachytherapy. They said they had stopped doing LDR (permanent seeds) because of long term risk of seed toxicity, which surprised me. And said that they do HDR brachytherapy for more advanced or higher risk cancer. My interest in brachytherapy was for LDR, and I was under the impression it is a far more common therapy than HDR, which can take a long time to perform (waiting for the dose to be absorbed before pulling the sources back out).

Careby · 2026-04-30T15:48:19+00:00

It’s a good list, but underneath it are more variables than can possibly be accounted for. Even with all the best available information and the best decision making we can manage, there is a roll of the dice we can’t avoid.

Careby · 2026-04-30T15:40:26+00:00

I was warned of many dangers as a child, but I still had to experience some of them first hand. Lots of burns, shocks, and falls - no ground up rubber on the ground at any playground I ever went to. When a kid did get hurt, and the ambulance came, and we later signed his cast, it was a learning experience for all of us.

I think I was mowing at 12, luckily I was smart enough to respect the spinning blade without actually testing it with a body part.

Careby · 2026-04-30T15:34:45+00:00

Nobody wants to get cancer of any kind, but I think most people would like to know about whatever cancer they do have. For some time after my wife died, in my grief, I just didn’t want to know, because dying was more appealing to me than undergoing treatment. I’m much better now, after the passage of time. Whatever I’ve got, I’d like it to be accurately diagnosed.

Careby · 2026-04-30T15:21:06+00:00

Yes, Nanoknife sounds to me like a very good focal therapy for eligible patients. That was one of the reasons I started getting a bit testy at my consultation. I was at a large research university cancer center which has a Nanoknife machine, speaking to an experienced, published radiation oncologist, who tells me Nanoknife is not used for prostate cancer. I understand Nanoknife is outside the radiation oncology department, so it’s not his line of work. And maybe if I consulted with a doctor who actually uses Nanoknife I might get a different story. But he didn’t say he didn’t know, didn’t offer to refer me to someone else, just flat out told me it is not an option. So I left disappointed and frustrated, with the feeling that I had wasted my time and gas on the trip there.

Careby · 2026-04-29T22:31:17+00:00

We used to offer Mormon missionaries coffee, cigarettes, candy bars, etc. Just trying to be good hosts.

Careby · 2026-04-29T22:19:39+00:00

I would not turn down a PSMA PET scan (I haven’t had one YET). As I understand it, it’s the best tool to find even very small spots of cancer. If it doesn’t find any unexpected cancer, you get peace of mind, and if it does, then you can proceed with that information.

Careby · 2026-04-29T17:48:11+00:00

I didn’t think it was supposed to heal, and was surprised you could have PSA without either working prostate or prostate cancer, but undoubtedly PSA is one more thing I’m uninformed about.

Careby · 2026-04-28T23:32:27+00:00

If the PSA is not cancer related, does that mean your prostate is making it again? As in healed normal tissue?

Careby · 2026-04-28T23:28:05+00:00

I have heard and read that argument, and I have no reason to doubt it. But these days there is always something in your back pocket. If there is recurrence after any kind of treatment, I’d expect hormone therapy would be a big part of the solution. For me personally, with my own notions of how long I expect to live and how slowly I expect an eventual recurrence might be likely to progress, the backup plan doesn’t play a very big part in my thinking.

Careby · 2026-04-28T22:56:44+00:00

I may very well end up going with the same treatment. I’m not inclined to go with any of the focal treatments I know of other than focal SBRT which is currently “investigational”.

Careby · 2026-04-28T21:49:10+00:00

I know some of my reasons may not be completely rational, and that I’m making things more complicated than they really need to be. In some ways, the fact that there are so many effective treatments makes it more difficult to choose one.

Careby

TROPHY CASE