A Brief Summary of My Education
College – Northwestern U., Evanston Il
Medical School – USC-LAC (now called Keck School of Medicine of USC)
Post Grad training – 2 years of General Surgery at OHSU (Portland, OR)
Urology residency at OHSU in 1979-1982
Board Certified by the American Board of Urology in 1984.
I was Chief of Urology at Kaiser in Oregon and Washington from 1987 – 2012, and was co-chair of the Kaiser National Urology Chief’s group for several years.
While I was in practice I had an appointment at OHSU as adjunct professor. I had a special interest in prostate cancer, urologic oncology, stones, and pediatric urology. My CV delineates my publications and video productions. Here is a link to my CV.
During my career, the diagnosis/screening for prostate cancer was controversial. It remains controversial.The treatment of prostate cancer has been ever changing and evolving, especially with the addition of the daVinci Robot, which is now extensively used for treatment of localized prostate cancer.
Taking this example further, patients with newly diagnosed prostate cancer encounter a multitude of treatment options – active surveillance, multiple types of surgery, multiple types of radiation, cryoablation, HIFU (High-intensity focused ultrasound). If they are unfortunate to have advanced disease there are many options for treatment as well – hormone therapy, chemotherapy, immunotherapy.
Patients, and even primary care providers (MDs, NPs, PAs) may be confused about urologic problems. This confusion is made worse by the amount of misinformation available on the internet. Plus, I was frequently frustrated by not having enough time to explain diagnostic treatment options to patients so that together we could make informed decisions about their care.
These problems inspired me to write on a variety of common urologic problems that bring patients to a doctor. The Table of Contents and Chapter Summaries for both books can be found here.
I hope that these books will be of value to any lay person seeking more information about a urologic ailment, whether it be something simple like a kidney cyst or something serious like a cancer of a urologic organ. I also hope that a primary care clinician might find the books helpful in treating counseling their patients, whether or not they refer that patient to a urologist. Finally, the books may help any practicing urologist who doesn’t have nearly enough time to help patients make shared decisions.
These books contain evidence based facts, as well as ideas and opinions of its author. They are intended to provide information to enable readers to have an informed discussion with their health care provider(s) in the spirit of "shared decision making". The reader should rely on recommendations from their personal professional health care provider(s), and use these books to understand those recommendations better. The publisher and author therefor disclaim all responsibility for any loss, risk, or liability, which may be incurred either directly or indirectly as a consequence of any of the contents within these books.