https://wellshit.org/reference/ Recent content in Reference on Well, Shit. Hugo en-us https://wellshit.org/reference/gleason/ Mon, 01 Jan 0001 00:00:00 +0000 https://wellshit.org/reference/gleason/ <p>If you&rsquo;re staring at a pathology report right now, you want the whole system in one place. This is the explainer that ran in <a href="https://wellshit.org/posts/upgrade-u/">Upgrade U</a>, promoted to its own page.</p> <p>A Gleason score is a grading system used to assess the aggressiveness of prostate cancer based on the appearance of cancer cells under a microscope. It comprises two numbers, each ranging from 1 to 5 (in practice, 3 to 5), and operates as follows:</p> https://wellshit.org/reference/treatment-options/ Mon, 01 Jan 0001 00:00:00 +0000 https://wellshit.org/reference/treatment-options/ <p>When the diagnosis landed, the options arrived as a flood — five kinds of doctors, five philosophies, and every one of them certain. This is the map I drew while deciding, written from the patient&rsquo;s seat, not the exam room. Your mileage (and your tumor) will vary.</p> <ul> <li><strong>Surgery</strong> — Open or Laparoscopic (robot-assisted preferred)</li> <li><strong>Radiation</strong> — CyberKnife, SBRT, IMRT, or Proton Therapy</li> <li><strong>Hormone Therapy</strong> — Typically for later-stage cases (ADT info)</li> <li><strong>Focal Therapy</strong> — HIFU, TULSA, Cryoablation, or NanoKnife</li> </ul> <h2 id="where-i-landed">Where I landed</h2> <p><strong>Surgery</strong> — a robot-assisted laparoscopic prostatectomy (RALP), with Dr. Reiter at UCLA. The eviction was executed December 8, 2025, and the story of that day starts <a href="https://wellshit.org/posts/the-day-of/">here</a>.</p>