Prepare for a Doctor visit
Hippocratic Oath: Classical Version
Hippocratic Oath: Classical Version
I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all the gods and goddesses, making them my witnesses, that I will fulfill according to my ability and judgment this oath and this covenant: To hold him who has taught me this art as equal to my parents and to live my life in partnership with him, and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art—if they desire to learn it—without fee and covenant; to give a share of precepts and oral instruction and all the other learning to my sons and to the sons of him who has instructed me and to pupils who have signed the covenant and have taken an oath according to the medical law, but no one else.
I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.
I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect. Similarly I will not give to a woman an abortive remedy. In purity and holiness I will guard my life and my art.
I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work. Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves.
What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about.
If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot.
Hippocratic Oath: Modern Version
Hippocratic Oath: Modern Version
Translation from the Greek by Ludwig Edelstein. From The Hippocratic Oath: Text, Translation, and Interpretation, by Ludwig Edelstein. Baltimore: Johns Hopkins Press, 1943. Hippocratic Oath: Modern Version
I swear to fulfill, to the best of my ability and judgment, this covenant:
I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.
I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of over treatment and therapeutic nihilism.
I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug.
I will not be ashamed to say “I know not,” nor will I fail to call in my colleagues when the skills of another are needed for a patient’s recovery.
I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.
I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.
I will prevent disease whenever I can, for prevention is preferable to cure.
I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.
If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.
Written in 1964 by Louis Lasagna, Academic Dean of the School of Medicine at Tufts University, and used in many medical schools today.
What tests to request with the next Doctor visit.
Do I really need all tests?
Example of how important it is to take all tests before you start any treatment.
I never took any PSA test before I found out that I have prostate cancer. This is a big problem, let me explain that and why. If the PSA number goes slowly down, your total cancer cells go down also. They generate some of the PSA number, the other PSA number gets generated also by other factors.
let’s assume you killed all cancer cells, no more PSA generating cancer cell. But your PSA number still did not go to zero. This is what I call “PSA Base Line” without cancer. If you know that number, you can estimate at what point your cancer is gone. This is meant as a guideline and it is not absolute.
Remember: Everything is dynamic and changes with the type of cancer, age, aggressiveness, type of treatment.
May the winds of change do not run us over!
Norby
Texas: Minimum tests are needed. Part1
| Dr. Visit. Texas needed tests Part1 | |
|---|---|
| # | Group Needed Tests. |
| 1. | Hemoglobin A1c (GNC) |
| 2. | Vitamin D, 25-Hydroxy (GMC, IHC) |
| 3. | Urinalysis (UA) with refl;ex to Microscopic (P-UA) |
| 4. | General Health Panel (P-GHP) |
| 5. | PSA Free and Total (P-PSAFT) |
| 6. | Lipid Panel (P-LIPID) |
| 7. | Apolipoprotein B (P-APOLB) |
| 8. | Estimated Average Glucose (GLUAV) |
Texas: Request all tests. Part2
| Dr. Visit. Texas needed tests Part2 | |
|---|---|
| # | Individual Needed Tests. |
| 1. | MPV |
| 2. | NEUT% |
| 3. | LYMPH% |
Texas: Request all tests. Part3
| Dr. Visit. Texas needed tests Part3 | |
|---|---|
| # | Individual Needed Tests. |
| 6. | MONO% |
| 7. | EOS% |
| 8. | BASO% |
| 9. | NEUT# |
| 10. | MONO# |
| 11. | EOS# |
| 12. | BASO# |
| 13. | IG% |
| 14. | IG# |
| 15. | NRBC# |
| 16. | Immature Granulocyte Automated |
| 17. | Serum parathyroid hormone (PTH) |
| 18. | Globulin, Total |
| 19. | Anion Gap |
| 20. | Testosterone, Total (GMC), 84403 |
| 21. | Ferritin Levels |
| 22. | Iodine |
| 23. | T-Cells |
| 24. | Iron |
Utah: Minimum tests are needed. Part1
| Dr. Visit. Utah needed tests Part1. | |
|---|---|
| # | Group Needed Tests. |
| 1. | CBC with Auto Diff (GMC IHC) |
| 2. | Vitamin D, 25-Hydroxy, I (GMCHC) |
| 3. | TSH Rfx on Abnormal to Free T4 (GMC) |
| 4. | Testosterone, Total (GMC), 84403 |
| 5. | Lipid Panel (P-LIPID) |
| 6. | Hemoglobin A1c (GMC) 83036 |
| 7. | CMP Comprehensive Metabolic Panel (GMC) 80053 |
| 8. | Urinanalysis (UA) with reflex to Microscopic (P-UA) |
Utah: Request all tests. Part2
| Dr. Visit. Utah needed tests Part2. | |
|---|---|
| # | Individual Needed Tests. |
| 1. | PSA Free |
| 2. | fPSA PCT |
| 3. | Cholesterol/HDL Ratio |
| 4. | Non-HDL Cholesterol |
| 5. | LDL / HDL Ratio |
Utah: Request all tests. Part3
| Dr. Visit. Utah needed tests Part3. | |
|---|---|
| # | Individual Needed Tests. |
| 6. | Basophils Automated |
| 7. | PSA Free and Total (P-PSAFT) |
| 8. | Eosinophils Automated |
| 9. | Hemoglobin A1c (GNC) |
| 10. | T-Cells |
| 11. | Iodine |
| 12. | Serum parathyroid hormone (PTH) |
| 13. | Metastatic hormone sensitive prostate Cancer (mHSPC) |
For Doctors Eys only
Progress is the spice of life!
Date: 04-11-2026
What we need to talk about with the next Doctor visit.
Comments:
We are moving in the right direction.
1. PSA (02-16-2026 TX3) PSA 5.86 to PSA 4.87 (03-16-2026 TX1)
2. MRI (02-12-2024 TX4 ) PSA Density 0.24 to 0.12 ng/ml/cc (03-10-2026 TX4)
3. fPSA PCT changed, was 12-17-24 17.64% now 03-16-26 is 21.77% with the 4.87 PSA.
Observation:
1. Observation Volume change from 37.2 cc to 47.4 cc
2. Is that a big problem and what can be done to make it grow slower or even reverse it?
3. I am wondering if that can not be changed over time.
More information:
See Max/Min tables for additional information: