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You adapt your strategy to the landscape you are faced with. 

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A patient can have lice and fleas at the same time.- Osler

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Some times honesty is indeed the best policy.

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In the end the statistics give you a number and the patient is still left with whether to do a biopsy for an elevated PSA or not. How  big a boy are ya?

aktsjk
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The most common questions that arise at a pre-vasectomy consultation with a urologist.

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