Does anyone know my doctor?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Golf and Cycling
New Member


Date Joined Oct 2008
Total Posts : 9
   Posted 10/9/2008 2:07 PM (GMT -7)   
I am looking for feedback on Dr. James Hendricks, a urologist in Napa, California. He seems to me to be very knowledgeable and good at what he does, but I have no background against which to measure my opinion of him. I have heard good things about him from those who know him in my community. I have not heard anything negative. I am posting this inquiry in an effort to be thorough and would appreciate feedback about Dr. Hendricks from anyone who knows him, either as a patient or as a professional. Thank you.

  • 52 yrs old
  • PSA on 8-11-05 = 2.30
  • PSA on 8-06-08 = 4.04
  • PSA on 8-27-08 = 4.60
  • Needle biopsy on 9-23-08
  • 2 of 16 needle biopsy samples positive
  • Positive sample left lat apex (3+3=6), 20% positive
  • Positive sample left medial apex (3+4=7), 20% positive with Gleason pattern 4 comprising 20% of the cancer
  • 11-6-08 da Vinci surgery scheduled at local hospital


Gordy
Veteran Member


Date Joined Jun 2005
Total Posts : 528
   Posted 10/9/2008 2:40 PM (GMT -7)   
Have you, at least, Googled him? I have and there's lots of stuff about him.

-Les
1/2005 Dx PSA 26.5 Gleason 7 (4+3) @Age 61
1/2005 Start Casodex and Zoladex
PSA drops to <0.01
7/2005-8/2005 5 weeks of IMRT and then HDR brachy
1/2007 Rad Oncologist orders CT scan of pelvis
because of complaints of pain in both thighs
MRI confirms pain not caused by cancer BUT
1/2007 CT scan of pelvis picks up a nodule at bottom of left lung
5/2007 CT scan of lungs shows 1/2007 nodule has grown and
there are numerous nodules on both lungs.
6/2007 Thoracic surgeon removes wedge of left lung for biopsy
6/2007 Path report says 95% chance of metastatic PCa, but she's
never seen cells like this before.
8/2007 2nd opinion at M.D. Anderson in Houston.
They confirm: mutated PCa, very rare, but seen there 2 or
3 times. Recommendation: have CT scans every 6 weeks
and watch for change. At that point start chemo and will
survive for 22 - 24 months thereafter.
PSA still undetectable, but get Lupron shot to bring T down from 27
2/2008 Trip to Houston – PSA now 0.5 and nodules larger. Lupron shot.
6/2008 Trip to Houston - Finally got results from doc. A number of lung nodules have grown, but, more important to him, is the fact that the malignant lesion on my pelvis seems to have flared up and he wants me to start chemo. He said I could wait a few months, but I told him I want to start now. He to get me signed up for a clinical trial in nearby NY.


Golf and Cycling
New Member


Date Joined Oct 2008
Total Posts : 9
   Posted 10/9/2008 2:51 PM (GMT -7)   
I have Googled him (that's an interesting verb, isn't it?). What I found looked good, but I was hoping to find feedback from people with personal expriences.
  • 52 yrs old
  • PSA on 8-11-05 = 2.30
  • PSA on 8-06-08 = 4.04
  • PSA on 8-27-08 = 4.60
  • Needle biopsy on 9-23-08
  • 2 of 16 needle biopsy samples positive
  • Positive sample left lat apex (3+3=6), 20% positive
  • Positive sample left medial apex (3+4=7), 20% positive with Gleason pattern 4 comprising 20% of the cancer
  • 11-6-08 da Vinci surgery scheduled at local hospital


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 10/9/2008 2:52 PM (GMT -7)   
Golf...I checked his web site and from what I can tell you shouldn't have any problems, but I don't know him.

http://www.drjhendricks.com/

Other than that, ask for some phone numbers from his prior patients so that you can talk to them. Most urologist/surgeons don't have any problem with that. Most doctors or professionals won't talk against or say anything negative about any doctor even when they should.
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
14 tumors in prostate - largest being 6 cm 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4014
   Posted 10/12/2008 11:12 AM (GMT -7)   
Golf, the advice from Les above sounds great to me.

I guess the only thing I can add is that I recall from a different thread that your urologist recommended "surgery, surgery and surgery" as your options. Frankly, I would be very suspicious of ANY doc who pushed that hard on one treatment option. In this forum you can see that there are many options. All of the docs to whom I spoke, both surgeons and radiation oncologists, were open about optional treatments even if they did prefer their own. So...is your case so unique that surgery is the only option or is your doc knife happy? Might be worth talking to another urologist just to make sure you are comfortable...this is a big decision...
Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
Pre-procedure stage


Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 10/12/2008 5:12 PM (GMT -7)   
hey there ol buddy . i did a boatload of research before deciding whom to go with , lots of docs are on the web  who quote, unquote SEEM to be fine with lots of stuff to say, however if you havent spoke with actual patients skip it pal. just my thoughts ,i live in nor cal as well napa valley is notorious for great add campaigns(lot of money there) im certain you already know this. if you dont find  any of his paitent willing to talk to you well ???? your on your own at that point.i traveled for my robotic surg. REMEMBER you only get one shot at this how important is it to ya ? its the rest of your life ,and quality of it.my doc was PASSIONATE about the work he does literally,he was the premeier surgeon who trained other surgeon from intuitive surgical the company who make the robot and has authered a number of well published papers on the subject i talked  with several of his patients personally,all with outstanding results . upon getting  closer to my surgery date  my research found  that his partner dr,wilson is ranked the5th  best surgoen in the world at this ........the world....thats the team i want workin on  me. let me sum this up by saying .at 4.5months out  of surgery i too am one of his patients with outstanding results totally dry at 3 mos usable erection at 2 days post  cath removal please compare  these results to whomever you choose please remember this isnt a perfect science yet and these results are typical and not guarunteed please choose wisely  my friend your gonna do fine .....................dirt



Diagnosed November 2007   (43 years old )
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 "First show of the day"
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night

Post Edited (Dirtmover) : 10/12/2008 6:15:14 PM (GMT-6)


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 10/13/2008 12:27 PM (GMT -7)   
Not that you're going to, but making a decision based on what one of us says about our specialist and our experience with this process is probably not the best way to go about resolving your concerns.  Helpful information it can be, but each case/situation is different. 
 
I believe in finding the best professionals I can and in whom I have utmost confidence - and I take their advice.  My primary care physician referred me to my Urologist because it's the person he said he'd personally go to if he were in my shoes.  That's all I had to hear, I have that much confidence in my physician. 
 
Asking for information relative to the number of procedures or treatments for prostate cancer the Urologist/Surgeon has undertaken and for patient references are good places to start the background check/due diligence if you're looking for additional information.  Also weigh carefully the quality of the hospital at which the treatments/procedure will take place because other professionals may be called upon to assist - and quality of facilities (and depth of field of the professionals) becomes very important. 
 
You're asking good questions.  Now, if you could only find the answers you're looking for!  You'll do it. Just plod along.
 
Mavica

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (19 days post-op)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

 


Paul in Pa
Regular Member


Date Joined Sep 2008
Total Posts : 23
   Posted 10/14/2008 6:48 AM (GMT -7)   
Tough question. I'm an anesthesiologist and I can tell you that unfortunately the only physicians that get booted are the really bad ones. Trying to figure out the mediocre from the best is problematic. Probably the best info you can get to go on is the number of procedures he's done; from his web site it looks pretty good for robotics--40-60 a year since 2002 is pretty impressive, if its accurate--I'd ask him directly how many davinci prostatectomies he's done. You probably need to do 50-80 to get over the learning curve. After that how many a year to stay competent? Don't know but I'd guess at least 50. I had an open procedure and I choose a guy whose entire practice is open prostatectomies; he does 4-6 a week and nothing else.

After that you could check with the state board to see if there are any complaints against him; I'd also go to the american board of urology web site to make sure that he is indeed board certified, and re certified if he's been out of training more than 10 years. If you know any medical people at that hospital that's always a source of information but not always reliable. You might get a second opinion from an academic center, ? UCSF?, try to see the chair, and don't ask specifically about Hendricks but ask who the chair would recommend in your area; he probably knows most if not all of the urologists in the area and might list others you haven't considered.

Good luck!
Paul
Paul
53 years old
DX 4/08
Radical Prostatectomy 7/29/08
PSA 14 at diagnosis
Gleasons 3+4
Path good--all in gland, nodes negative, margins clear
Nerves spared
Still with some incontinence/pads
Some rare erections with viagra, one good enough for penetration


Paul in Pa
Regular Member


Date Joined Sep 2008
Total Posts : 23
   Posted 10/14/2008 8:12 AM (GMT -7)   
I just did a little more research on outcome and surgeon experience. Apparently the learning curve for open prostatectomies is much more than 50; 250 is the number this article quotes:

The surgical learning curve for prostate cancer control after radical prostatectomy.
AU Vickers AJ; Bianco FJ; Serio AM; Eastham JA; Schrag D; Klein EA; Reuther AM; Kattan MW; Pontes JE; Scardino PT
SO J Natl Cancer Inst. 2007 Aug 1;99(15):1171-7. Epub 2007 Jul 24.

I would guess, but it's just a guess, that you'd need at least that many if not more for robotic prostatectomies.

Paul
Paul
53 years old
DX 4/08
Radical Prostatectomy 7/29/08
PSA 14 at diagnosis
Gleasons 3+4
Path good--all in gland, nodes negative, margins clear
Nerves spared
Still with some incontinence/pads
Some rare erections with viagra, one good enough for penetration


Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 10/14/2008 8:56 PM (GMT -7)   
MY URO ACTUALLY HELD A SYMPOSIUM ON THIS TOPIC AND 300 WAS THE NUMBER HE QUOTED HE IS THE PRES OF A NATIONAL CANCER GROUP AND HIS PARTNER IS RATED 5TH BEST IN THE ENTIRE WORLD AT THIS ...ACCORDING TO AN OHIO STATE RESEARCH TEAM LOOK IT UP JUST MY TAKE...DIRT

Diagnosed November 2007   (43 years old )
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 "First show of the day"
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night

New Topic Post Reply Printable Version
Forum Information
Currently it is Sunday, February 18, 2018 9:07 PM (GMT -7)
There are a total of 2,930,736 posts in 321,561 threads.
View Active Threads


Who's Online
This forum has 160300 registered members. Please welcome our newest member, Sulei.
382 Guest(s), 8 Registered Member(s) are currently online.  Details
DBwithUC, notsosicklygirl, mattamx, Hoagie, Serfr, Saipan Paradise, ks1905, Connor77