RB and friends..
I guess I withdrew into a shell for a few weeks but here is an update, all your thoughts are sincerely welcome.
No prospect of DaVinci or anything else until I lose weight. Petitioning insurance company for Lap Band surgery and there is not a single bariatric surgeon in my state of NM. Primary Care physician gave me a referral to Colorado and another to Arizona, both rejected. Dr Fagin--who I have never met but who is a saint in my book--referred me to the two top bariatric guys he knows in Austin. Their offce was responsive but unless I want to pay cash upfront it is unlikely they will get added to my in- network plan....so I am in the final stages of weight loss surgery at the ONLY approved insurance center, one in El Paso with two guys who are young, fairly well experienced, definitely not part of anyone's A-list but they did train in Galveston, the same place as Dr Fagin's guys.
No PSA's taken since my DX in July or my visit to Dr Guillonneau at Sloan Kettering.
about three weeks ago my local urologist who I like and trust, said neither he nor I like "watchful waiting" and he stuck a hormone needle into my stomach that left a bruise for a week but didn't hurt much. I don't know what the drug was, and I didn't care. he said I need a shot every three months until my prostate is removed. He gave me a Rx for
50mg of Casodex once a day. First Wal-Mart said the 90-day supply would be $545, then they said my insurance indeed had it on a copay list so the cost dropped to $105.
Two days ago I got the Insurance companies notice that the in-office hormone shot--are you sitting down? $1,800 of which they "allow" $1,200. I won't even talk about the "great" policy I have that includes an annual deductible of 3k or 5k or whatever...
As with some of you, the combination of three blood pressure pills had killed my libido more than 5 years ago, but occasionally the little guy stirred down there in the middle of the night---3-4 hours after one pill and 3-4 hours before the next one...yes, I tried the blue pill and it didn;t work...but at least once or twice a month my wife knew I was alive...the hormone pills and shot killed that off...at a meeting yesterday conducted by a charming, intelligent, vibrant 20-something Ph.d, blonde 5-foot-11, movie star smile, etc. for a fleeting moment I wished I had just been born a ***, period.
Okay...I'm hauling slash, riding my ATV, getting ready for winter, going to work, emailing my son in Iraq, and basically only discussing this with you guys and gals..