Your Guide Through the Complexity
Clinical Clarity
I provide detailed review and explanation of medical records, including PSA trends, biopsy results, MRI findings, and pathology reports. I translate complex clinical information into clear, understandable language and identify whether additional testing may help better define your overall disease risk.
Empowered Decisions
I help patients make complex decisions, including when active surveillance may be appropriate and when treatment may be worth considering. I also help clarify conflicting recommendations from different providers so you can move forward with greater confidence and, when needed, identify second opinion resources that align with your goals.
Paul Arangua, MPH
Prostate Cancer Epidemiologist
The Power of Being an Informed Patient
In today’s healthcare system, patients who understand their condition and actively advocate for themselves are more likely to receive the care and testing they need.
Research shows that when patients ask informed questions or request specific evaluations, providers are more likely to order additional testing or referrals. Without that advocacy, important opportunities, such as genetic or genomic testing, can be missed.
Many patients who meet criteria for advanced testing still do not receive it in routine practice.
I help you understand your diagnosis, your options, and the right questions to ask so you can take an active role in your care and help ensure nothing important is overlooked.
A Clear Path Forward
Navigating a prostate cancer diagnosis can feel overwhelming, especially when you are presented with complex information and multiple treatment options. My role is to guide you through a clear, step by step process so you can move from uncertainty to confident decision making.
Together, we review your diagnosis, evaluate your options, consider whether advanced testing may be useful, and align each decision with your quality of life goals and personal priorities.
Understand Your Diagnosis
Gain a clear understanding of your PSA trends, biopsy results, imaging, staging, and overall risk so you know exactly where you stand.
Evaluate All Treatment Options
Compare appropriate paths including active surveillance, surgery, radiation, focal therapy, and systemic treatments.
Incorporate Advanced Testing
When appropriate, evaluate genomic and germline testing to further refine risk and guide decision making.
Align with Your Priorities
Consider quality of life, side effects, long term outcomes, and your personal goals so the plan fits you, not just the diagnosis.
Move Forward with Confidence
Leave with greater clarity, direction, and confidence in the next step that feels right for you.
Voices of Clarity and Hope
Hear from individuals and families who found confidence and peace of mind navigating their prostate cancer journey with my personalized support.
""Paul helped me understand my Gleason score and MRI findings when I felt completely overwhelmed. I went from panic to having a clear, confident plan for active surveillance. His guidance was truly a lifeline.""
""My husband's diagnosis was a shock. Paul helped explain the quality-of-life impacts of radiation versus surgery and this helped us make a decision that aligned with our personal goals. We weren't alone in this.""
"I was confused by conflicting advice from different providers. The detailed review of my genomic testing results finally gave me the confidence to move forward with focal therapy. This service is essential for any patient."
Start with Clarity
Schedule a free 15 minute introductory call to discuss your situation, review your current information, and determine how I can help you move forward with greater clarity and confidence.
Clinical Record Review
Clear, personalized explanations of PSA trends, biopsy results, and pathology findings.
Treatment Path Analysis
Understand your options, including active surveillance, surgery, and radiation, and how each may impact your quality of life.
Care Team Preparation
Feel confident going into your appointments with the right questions and a clear understanding of your next steps.
Start the Conversation
Share a few details about your situation, and I will reach out to schedule a free introductory call to better understand your needs and how I can help.





