Public Service Announcements
May is Better Hearing and Speech Month
Speech and Language Pathologists at Upland Hills Health are able to address many issues related to speech and how the mouth and throat interact for patients of various ages.
For children, speech therapists can help with:
- Feeding and Swallowing issues. For children who were born with a cleft lip or cleft palate, food and liquid intake can be a problem, but speech and language pathologists are specially trained in this area.
- Speech Sound Errors. This is typically what people think of speech therapy for. Some sound errors are typical, but if your child continues to be very difficult to understand as they get older, you should see your primary care provider to see if a speech therapist would be helpful.
- Stuttering. Again, some stuttering is common in kids as they try to express themselves quickly. If it persists and the child is becoming frustrated by it, it could warrant a visit to the primary care provider.
Upland Hills Health speech and language pathologists see patients at the hospital, in local schools and in homes through Iowa County's Birth to 3 program. If you feel your child could benefit from working with a speech therapist, your first step is to schedule an appointment with your primary care provider.
Hospice Care, Part 1
Upland Hills Health offers Hospice care to terminally ill patients or patients that are in the end stages of life, who are looking for comfort care rather than curative treatment. Often we find that Hospice care is just as valuable for the patient's family as it is for the patient.
In Hospice care, the patient and family decide how large of a team will support them. We offer nursing services, aides to help with personal tasks and cares, social workers, volunteers and spiritual support. After a patient dies, our Hospice team stays in contact with the patient's family for up to 13 months, through newsletters and phone calls, to support them in their grief.
Tune into D99.3 next week for Wellness Wednesday to learn more about Upland Hill Health Hospice.
What is Home Care All About?
Upland Hills Health Home Care can involve skilled nursing care, physical, occupational or speech therapies, and social work. Providers visit patients in their home to help them manage new medications, provide them various therapies, wound care, and help them figure out ways to live safely in their homes.
Who can get home care services?
Many times patients are referred to Upland Hills Health Home Care after a hospitalization, when they need to gain strength, manage a new illness or new medications. Home Care patients are people who have difficulty getting out to appointments outside their home, and they must also meet additional criteria.
Homecare services are usually covered by insurance, Medicare, Medicaid, VA benefits or you can elect to privately pay for services. Call (877) 876-2680 for a representative who can help you determine if homecare services are covered under your current plan.
To learn more about Upland Hills Homecare, please call 608.930-7210.
What is Acupuncture and How Can it Help?
Acupuncture involves placing needles on various points all over the body. It's an Eastern medicine tradition that balances the energy of the body and stimulates the various nerves all over the body to stimulate and regulate the brain, neurotransmitters, and hormones.
Acupuncture can be used to treat almost any health concern, including women’s health issues, headaches, back pain, anxiety.
Upland Hills Health has two acupuncturists on staff. To make an appointment, call 608.930.7147.
Reducing Risks for Heart Disease
Did you know that you can control up to 80% of your risk factors for developing or progressing heart disease? Some things are out of your control, like family history, age and gender, but exercise is a great way to control many of the other risk factors.
Research shows that starting a simple exercise program, even just taking a couple of 10 minute walks each day, can have benefits in reducing stress, cholesterol, blood pressure, and even control blood sugars. For most people, investing in a pair of decent walking shoes and enjoying our local scenery, in your neighborhood on the many trails surrounding us, is all the investment they'll need to see the benefits of starting an exercise program.
Influenza Prevention/Influenza Immunization
Influenza is a contagious disease caused by influenza viruses that infect the respiratory tract (nose, throat, and lungs). It may cause mild to severe illness, sometimes leading to death. Influenza symptoms may often begin suddenly, with fever, headache, tiredness, dry cough, sore throat, nasal congestion and body aches. Influenza is a potentially serious disease that can lead to hospitalization and sometimes even death.
The best way to prevent influenza is to get vaccinated each year.
The goal is to prevent cases of influenza, fewer persons ill with influenza means fewer cases of serious influenza complications.
Everyone 6 months of age and older should get an influenza immunization.
It is particularly important to get an influenza immunization if you are at risk of serious complication from influenza. This includes:
• people 65 years and older,
• people of any age with certain chronic medical conditions (such as asthma, diabetes, or heart disease),
• pregnant women and
• children younger than 5 years, but especially those younger than 2 years old.
Some people should not get an influenza immunization.
• Children younger than 6 months of age are too young to get a flu shot.
• People with severe, life-threatening allergies to flu vaccine or any ingredient in the vaccine. This might include gelatin, antibiotics, or other ingredients.
• Persons with egg allergies should discuss with their medical provider-as they may still be able to get an influenza immunization.
Influenza Immunizations are available at medical clinics, some pharmacies and even some workplaces.
CDC influenza webpage: https://www.cdc.gov/flu/index.htm
Wisconsin Influenza webpage: https://www.dhs.wisconsin.gov/influenza/index.htm
Visit us at the Fair!
Are you visiting the Iowa County Fair this year? Be sure to stop and visit us at our information table located in the Commercial Building! Upland Hills Health is happy to sponsor Noah the Hero Dog's appearance at the Fair. He will be making an appearance on Saturday and Sunday. Check out the complete fair schedule here: Fair Schedule.
Check the Fair Schedule for Saturday and Sunday to see when you can bring your kids to see NOAH THE HERO DOG! Upland Hills Health is the proud sponsor of Noah's appearances. He brings positive messages of tolerance, persistence and love. Check out his Facebook page to learn more about him. https://www.facebook.com/noahslegacy/
Lunch & Learn: How To Read Food Labels - Free
Upland Hills Health is hosting Lunch & Learn Sessions which are free and open to the public. Join us on Thursday, Aug. 23rd at 11:30 and learn the secret to correctly reading food labels, presented by a Registered Dietitian. This 30 minute session will be held on Conference Room A/B. Bring your lunch and join us!
UHH Family Fun Day - Join Us!
Join us for a day of FREE fun activities, at Harris Park, including kickball; dodgeball; punt, pass, and kick competitions; basketball games; hula hoop and jump rope contests; and an obstacle course!
Sign up before SEPT. 1 to get a free event kickball!
Dr. Fox and Dr. Keith will be there to give a short presentation on physical activity and healthy eating.
You also see MEDFLIGHT land in Harris Park at 2:30 pm.
And don't forget to help make crafts and healthy snacks with our registered dietitians! Come when you can; stay as long as you want!
This is a FREE event for all, but please take the time to register your attendance, so we can be sure to have enough supplies on hand. BONUS: Register by September 1st for a free gift upon arrival!
Here is the link to our registration page: www.uhhfamilyfunday.eventbrite.com.
Don't avoid a colonoscopy--it could save your life!
Dr. Dachman took to the radio waves this morning on Wellness Wednesdays on D99.3 to talk about the importance of scheduling a colonoscopy. The American Cancer Society recently lowered the recommended starting age for this important screening from 50 to 45, in order to prevent more cases of colon cancer.
A colonoscopy is the only cancer screening that not only identifies cancer, but prevents it as well. Colon cancer begins as a benign polyp, developing into cancer over a period of time. During a colonoscopy, the physician uses a scope to view the inside of the large intestine, and removes any visible polyps, effectively preventing them from becoming cancerous.
Schedule your colonoscopy today by calling 608.930.7115.
Now is the time to start your training for the upcoming 5K run/walk season.
Did you catch Wellness Wednesdays on D99.3 on Feb. 21st? Lance Maerz, exercise physiologist and co-manager of cardiac rehab, talked about getting your body conditioned to walk or run a 5K.
If you've been contemplating participating in a 5K run/walk event, but were not sure how or when to start training and conditioning your body for it, here's the place! Join others who share your goal by joining our Facebook group--you'll find motivation, tips and support as we all journey toward completing the May 10 Upland Hills Health Run/Walk.
You will find all the details on our event page, including a link to join our "On Our Way to a 5K" private Facebook Group page,where you will support, encouragement, tips and other good information about traiining to walk or run a 5K. You will also find a 10-week, 5K running or walking traiing schedule, which was developed by our staff exercise physiologist, Lance Maerz. You will also be able to get registered for our May 10 community run/walk event on our event page.
Is EECP Therapy Right for You or a Loved One?
Enhanced External Counterpulsation Therapy, better known as EECP, is a non-invasive therapy for those who continue to have chest pain, and bypass or stenting is no longer an option.
Upland Hills Heath is the only facility in a 70 mile radius to offer EECP therapy. Learn more and then contact your doctor to see if EECP could improve your life! Read all about it here: https://goo.gl/VWc82o
January is Cervical Health Awareness Month
- The HPV vaccine (shot) can prevent HPV.
- Cervical cancer can often be prevented with regular screening tests and follow-up care.
- Women to start getting regular cervical cancer screenings at age 21
- Parents to make sure pre-teens get the HPV vaccine at age 11 or 12
- Teens and young adults also need to get the HPV vaccine if they didn’t get it as pre-teens. Women up to age 26 and men up to age 21 can still get the vaccine.
Dodgeville Mason's are holding Heart & Soul, a Concert and Charity Auction
featuring Dr. Adam Dachman
A portion of the proceeds will benefit the Upland Hills Health Foundation
Saturday, Feb. 10, 2018 at 3 pm
Dodgeville Masonic center
200 W.Chapel St., Dodgeville, WI
Tickets $20 - purchase by contacting Julia Oellerich 930.7169
Winter Fire Safety
Many tips for eating better through the holidays
Tips for a Safe and Healthy New Year Celebration
- Don’t drink and drive. Jan. 1 is the No. 1 day of the year with the highest percent of deaths related to alcohol, according to Insurance Institute for Highway Safety data. Between 2007 and 2011, alcohol accounted for 42 percent of all traffic deaths during the holiday. The more alcohol we consume, the slower the activity of the brain, heart and lungs. Before you celebrate, plan ahead. Aim to have a designated driver, or at least to take a cab or an Uber. Beware of other drunk drivers as they are probably more of a worry than yourself. And as always, wear your seatbelt!
- It's best to avoid alcohol; but, if you will be drinking, pace yourself. What many people don’t realize when drinking is that our bodies absorb alcohol faster than we metabolize it. Therefore, the faster we drink, the more time the toxins from the alcohol spend in our bodies. As a result, we have harsher hangovers. Aim to drink no more than one drink per hour. Our livers metabolize about one alcoholic drink per hour. Know the difference in the amounts of the types of alcoholic drinks you are consuming, and that one beer does not equal six shots (12 oz. beer = 4-5 oz. of wine = 1.5 oz. of hard liquor). When drinking, sip slowly. Melted ice will dilute drink, so order drinks on-the-rocks. Add more club soda or tonic water to your drinks than alcohol.
- Know what to mix, and what not to mix. Make sure to stick with the same drink all night. While it is a myth that mixing drinks causes greater intoxication, is remains true that it can often makes people sick and experience worse hangovers. To avoid this, choose light liquors such as vodka. Dark liquors have a higher concentration of toxins which make hangovers more severe. Instead of mixing with soda, use non-carbonated fruit juice or water instead. Carbonated mixers speed up the rate of absorption in the blood. Avoid diet mixers such as Diet Coke. With less sugar and calories, the alcohol goes directly into your bloodstream.
- Alternate alcoholic drinks with water. Alcohol is a diuretic. This means that the more you drink, the more you have to urinate. More frequent urination leads to dehydration. Dehydration causes hangover symptoms such as headaches and dizziness. Aim to drink at least one large glass of water before and in between drinking alcoholic beverages. You should drink one glass of water for every alcoholic drink you consume. This will also keep you from getting too drunk.
- Eat before you drink, and snack while you drink. Never drink on an empty stomach. Make sure to eat a full meal before drinking, and continue snacking while drinking. Eating while drinking will slow down the absorption of alcohol in the digestive track. This gives the alcohol more time to metabolize in the body. Aim to eat foods high in protein such as cheese, meat, and nuts. Fatty carbs work well too, however these are not as healthy.
- Myth: Coffee sobers you up. Many people believe that coffee sobers you up in that the caffeine will speed up alcohol’s metabolism. As a result, many think it is helpful to drink a quick cup of coffee before hitting the road. However, this is a MYTH. Coffee may help you wake up a bit, but will not sober you up. The only cure for being drunk is time. If you need to get home and don’t have time to wait, get a ride from a sober driver or call a cab. You don’t want to risk getting into an accident and hurting yourself, or someone else.
- Have phone numbers in your phone or in your pocket – people to call if you’ve had too much to drink.
The enrollment period for healthcare.gov health insurance ended December 15.
If you have questions go to coveringwi.org or 608.261.1455.
Mental Health as the Seasons Change
The days are getting shorter and it’s the time of year when many begin to experience the symptoms of Seasonal Affect Disorder (SAD). Feelings of sadness, depression, and loss of motivation are all symptoms of this biological ailment, which may be related to reduced sun exposure during the fall and winter months.
If you think you might be exhibiting SAD symptoms, talk to your primary care provider—there are effective options to lessen these symptoms, including focusing on:
- Healthy Sleeping Habits
- A well-balanced diet rich in vegetables and fruit, which includes lean meats and whole grains
- A regular exercise plan. Regular exercise keeps your blood pumping and can lift depressive symptoms.
Learn more about SAD at https://www.nami.org/About-NAMI/NAMI-News/2013/Less-Sunlight-Means-More-Blues-for-Some.
If you are interested in supporting increased access to behavioral health services in Southwest Wisconsin, consider attending the SWCAP Gala event on Thursday, November 9. Proceeds will be used toward securing additional behavioral health presence in our communities. Learn more at http://www.swcap.org/
Drop the Soda
Sugar sweetened beverages, including soda, are the number one contributor to obesity in the United States. There is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases.
People who consume sugary drinks regularly — that’s 1 to 2 cans a day or more — have a 26% greater risk of developing type 2 diabetes and a 20% higher chance of having a heart attack than people who rarely have such drinks. A recent study found a link between diet soda consumption and dementia and stroke. In addition, soda contains a high level of phosphate, which is damaging to your bones.
Milk is a healthy drink alternative. It contains calcium and vitamin D, both known to build strong bones. Water should not be overlooked. It is the best choice for staying hydrated, and when you want to ‘change it up’ choose sparkling water or infused waters. These options are a great alternative to soda. If you drink
sodas regularly, this small change is sure to make a big impact on your overall health.
For more great nutrition information, including healthy, tastey recipes, visit our Nutrition Service page: /our-services/nutrition-services/
Childhood Obesity Can Mean Lifelong Health Problems
One in 3 children in the United States are overweight
- Childhood obesity puts kids at risk for health problems that were once seen only in adults, like type 2 diabetes, high blood pressure, heart disease, asthma, sleep apnea, bone and joint problems
- It affects emotional well-being too – if they are bullied or teased they are more likely to suffer from social isolation, depression and lower self-esteem. The effects can last into adulthood
- Being overweight as a child can lead to lifelong physical and mental health problems
Parents and Caregivers Can Help by Focusing on THREE things:
- Get active outside: Make it easy going and fun! Walk around the neighborhood, play tag, go on a bike ride, or play basketball at the park.
- Limit screen time: Keep screen time (time spent on the computer, watching TV, or playing video games) to 2 hours or less a day.
- Build healthy eating habits -- together:
- Make healthier meals: Serve more vegetables, fruits, and whole-grain foods
- Serve reasonably-sized portions
- Limit or eliminate sugar-sweetened beverages – this includes most juice drinks
- Encourage drinking water
- Pay attention to the food that is easy and available when your kids are hungry between mealtimes, like after school. Make it healthy – apples, veggies, watermelon, peanut butter – frozen grapes make a great snack for
- warm ‘indian summer’ fall days
- Focus on what kids CAN have, rather than what they CAN’T have
- Set a good example
Taking small steps as a family can help your child stay at a healthy weight.
For more suggestions and tips on preventing childhood obesity, visit this site: https://www.cdc.gov/healthyweight/children/index.html
Just in time for Breast Cancer Awareness Month, our Imaging Department has extended early evening hours, just for mammogram appointments. You are now able to schedule your mammogram as late as 6 p.m. Monday through Friday. Contact your primary care provider to get yours scheduled. Read about all of our breast health services available in our imaging department here: /our-services/imaging-laboratory/
You are invited to the ADRC Health & Wellness EXPO, Friday Sept. 29
Mark your calendar!
There's something special happening here!
Upland Hills Health is about to undergo a Remodel and Building Project. Find out how we are improving services for you, by frequentlychecking the BUILDING PROJECT PAGE. We will keep you "in-the-know" about our plans and progress. Find the link conveniently located on our homepage as well!
Do you have a question about it? Ask us!
ATTENTION: Patients of Dr. Young II Kim - medical practice ended (2010)
Address: Dodgeville Clinic, 800 Compassion Way, Suite 106, Dodgeville WI 53533
All medical records in custody of Upland Hills Health, Inc. will be destroyed on Thursday, October 19, 2017 UNLESS patient or person authorized by the patient retrieves them BEFORE the aforementioned destruction date.
To retrieve records, contact Upland Hills Health, Health Information Management Department at 608.930.7119 between the hours of 8:00 am and 4:30 pm Monday through Friday beginning Monday, September 18, 2017 through Wednesday, October 18, 2017. Records may be picked up at Upland Hills Health during the above business hours by appointment with the Health Information Management Department. A minimum notice of 2 business days will be necessary to arrange for pickup of records. Patient and/or representative identification will be required.
Heat exhaustion - do you know the symptoms?
August has been taking it easy on us this year -- it's been cool! But, when the sun comes back out and we get a run of hot and humid fall weather (you know we will), we want you to recognize the symptoms and know what to do about it.
Football season has started – time to talk about the seriousness of concussions
June is Men’s Health Month -- The goal is to heighten the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys. Some Men’s Health Facts:
The number one thing you can do is establish a relationship with a Family Medicine doctor and get a check up -- annually -- and ask your doctor what screenings are important for your age and risk factors.
On average American men live sicker and die younger than American women. Regular check ups and suggested screenings may help men to live longer.
1 in 7 men will be diagnosed with prostate cancer in their lifetime. Having a yearly prostate exam is one important step to take to help discover cancer early. And don’t forget about your colon screening. Your prostate exam can be done at the time of your yearly physical, and we can handle your colon screening right here at Upland Hills Health!
Did you know… 1 in 2 men will get cancer in their lifetime – for women, its 1 in 3. You can influence your ability to survive cancer if you stay on top of your health.
Men, take time to take care of YOU! Your body is like a vehicle; maintain it with good fuel like fresh fruits and vegetables, and frequent oil changes (prostate and colon screening), and a great yearly tune up (check up), and you will be rewarded with smooth running vehicle!
In the early 1900s on average, a woman’s life expectancy was only 1 year longer than a man. NOW Women outlive men by 5 years – lets fix that!The most important things you can do:
- Eat fresh healthy foods… AND eat LESS junk food.
- Exercise daily.
- Make sure you are getting good sleep.
- Be aware of changes in your body and get thing checked out sooner rather than later.
- Don’t wait until something is unbearable before you come in! And sometimes, just feeling “not yourself” is a legitimate reason to see a Doc
- Visit a doctor routinely!
Depression is a real thing guys – PTSD is a real thing too – and there is help – it shows up as irritability, inability to sleep, or concentrate, fatigue. Don’t ignore it – suicide is the 7th leading cause of death among men. Fatigue, Shortness of breath, Sudden weight gain or weight loss, migraines may be symptoms of something more serious.
If you smoke you should definitely see a doctor once a year. If your job exposes you to hazardous material, you’ll definitely want to let your doctor know. See your doctor regularly it will be worth it!
Critical Shortage of Area Blood Supply. Be a Hero and Donate Blood! The American Red Cross states that area blood supplies are at a critical low level. Please consider participating at one of these area blood drives in July: click HERE for more details.
Summer Parade Season is Here! The Upland Hills Health parade team will be making an appearance at several of the area parades this season. Watch for us at these area parades:
May is Mental Health Awareness month. To help spread awareness and break down the stigma associated with suicide and mental health illness, approximately 345 community members, include 42 from Upland Hills Health, will be wearing special made t-shirts every Friday in May. T-shirts were generously provided by the Suicide Prevention Coalition of Iowa County.
Find valuable information and Suicide HOTLINES at: http://www.suicide-iowacountywi.org/
National Suicide Hotline 1-800-273-8255 TEXT 839863
Iowa County WI Hotline 1-800-362-5717
AMERICAN DIABETES DAY - MARCH 28, 2017
9 out of 10 Americans most at risk for type2 diabetes don't know it - TAKE THIS SIMPLE ONLINE TEST and learn more!
Good Questions fro Your Good Health! ASK ME 3
Asking questions can help you be an active member of your health care team. Use the Ask Me 3 questions every time you talk with a health care provider...
1. What is my main problem?
2. What do I need to do?
3. Why is it important for me to do this?
Visit the National Patient Safety Foundation's website for more information at ASK ME 3
Are you suffering from a cold? ..or is it the flu, sinus infection, bronchitis or something more serious?
How to treat cold symptoms... what works and what doesn't?
Download our GENERAL HEALTH ebook. Get answers to the questions that Upland Hills Health's Dr. Joe Berg and Dr. Rachel Hartline hear the most!
Important information to help you stay safe and well...
Listen to D99.3, Wednesday mornings at 7:45 AM for WELLNESS WEDNESDAY announcements.
Tips for a healthy and safe new year celebrating! Check out this article from Huffington Post.
We're expanding our health care services at our clinic in Mount Horeb!
Learn more and meet the health care providers on this WISCONSIN DOCTORS program!
Holiday Cut Out Cookies for the new year! Our Nutritionist, Susan Portz will show you the differences and the benefits - on the Restaurant Show!
Seasonal Affective Disorder (SAD) - Are you feeling blue this time of year?
You can fight off SAD! Start by changing a few of your habits at home. If you need help fending off these seasonal blues, talk to your doctor. SAD is very real and your primary care provider can help you through it.
Five things you need to know if you plan to enroll in the health insurance marketplace
- Be sure you are visiting the government website! Go to www.healthcare.gov
(healthcare.com is not the correct website)
- Before signing up for COBRA, check your options at www.healthcare.gov
- Need help? If you’ve never had health insurance before, it may be wise to seek help with your enrollment. Local people are available to help! (See flyer for local enrollment assistance) They can help you understand the options and terms you may be unfamiliar with. A useful and credible website for finding local assistance is www.coveringwi.org
- This enrollment period ends Jan. 31, 2017 – but if you want your coverage to start Jan. 1 you must enroll before Dec. 15.
- If you choose to explore www.healthcare.gov on your own, TAKE NOTES! BE SURE to write down the username, password and any information you enter so that you do not forget them. Forgetting your log in information makes it very difficult for someone to help you and can cause much delay.
LOCAL HELP TO ENROLL FOR HEALTHCARE -- Affordable Care Act
HOLIDAY HEALTHY EATING GUIDE - from the AMERICAN HEART ASSOCIATION
Men are not immune to health problems, yet many ignore their health.You want to stay in the game, right?•Get an annual physical – take steps to make sure you can ‘stay in the game’•Talk to your doctor about screenings that may be recommended for you regarding your health historyTake a look at your life-style, are you stacking the deck against yourself?
Should screening for prostate cancer be a ‘routine’ screening? – or should it only be done if you are ‘high risk?’https://www.cancer.org/cancer/prostate-cancer/early-detection/acs-recommendations.htmlThe American Cancer Society (ACS) recommends that men have a chance to make an informed decision with their health care provider about whether to be screened for prostate cancer. The decision should be made after getting information about the uncertainties, risks, and potential benefits of prostate cancer screening. Men should not be screened unless they have received this information. The discussion about screening should take place at:•Age 50 for men who are at average risk of prostate cancer and are expected to live at least 10 more years.•Age 45 for men at high risk of developing prostate cancer. This includes African Americans and men who have a first-degree relative (father, brother, or son) diagnosed with prostate cancer at an early age (younger than age 65).•Age 40 for men at even higher risk (those with more than one first-degree relative who had prostate cancer at an early age).After this discussion, men who want to be screened should be tested with the prostate-specific antigen (PSA) blood test. The digital rectal exam (DRE) may also be done as a part of screening.If, after this discussion, a man is unable to decide if testing is right for him, the screening decision can be made by the health care provider, who should take into account the man’s general health preferences and values.If no prostate cancer is found as a result of screening, the time between future screenings depends on the results of the PSA blood test:•Men who choose to be tested who have a PSA of less than 2.5 ng/mL may only need to be retested every 2 years.•Screening should be done yearly for men whose PSA level is 2.5 ng/mL or higher.Because prostate cancer often grows slowly, men without symptoms of prostate cancer who do not have a 10-year life expectancy should not be offered testing since they are not likely to benefit. Overall health status, and not age alone, is important when making decisions about screening.Even after a decision about testing has been made, the discussion about the pros and cons of testing should be repeated as new information about the benefits and risks of testing becomes available. Further discussions are also needed to take into account changes in a man’s health, values, and preferences.