My URO is a DO (anyone know difference between DO and MD Doctor?)

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ScottyMo
Regular Member


Date Joined Oct 2008
Total Posts : 32
   Posted 10/28/2008 10:32 AM (GMT -6)   
Especially when a surgery is involved?
First PSA with family Doctor 12:2007:  1.38
PSA 10/17/2008:  5.9
Biospy has been scheduled for 11/3/08


Paul in Pa
Regular Member


Date Joined Sep 2008
Total Posts : 23
   Posted 10/28/2008 11:05 AM (GMT -6)   
I'll take a stab at this one although it's sort of tricky.

A DO goes to a osteopathic medical school. A MD goes to a allopathic (traditional) medical school. Both have to do residencies after medical school. There are some osteopathic residencies, but often a DO will do a more traditional allopathic residency ( the ones that MDs go through).

Osteopathic medical schools focus more on disease processes in the body being related to imbalances in the spine--I'm really on shaky ground here but that's my understanding. But with that emphasis understood, a DO medical student still learns much the same material as an allopathic medical student. I would say there is more variability in the quality of DO medical schools than there is in allopathic medical schools; some are excellent and some aren't so excellent.

Most of what your urologist really needs to know he learned in his residency, so that's really where I'd focus my attention. If he trained at a good allopathic program then you can probably safely assume that the residency program thought he got a good education at his DO medical school. If he made it through his allopathic residency with out any problems and is board certified then that is further evidence that he is well trained and that he is probably comparable to his allopathic counterparts. If he trained at a osteopathic residency I can't really help you--I'm not familiar with them.

Hope that helps some.

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


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 10/28/2008 11:54 AM (GMT -6)   
Wow Paul...thanks for the info. I noticed on the bottom of my biopsy it was signed by a DO and on the path report it was signed by MD...just thought it was a typo on the biopsy.
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
4 tumors in prostate - largest being 6 cm 
PSA Oct 08 <.05


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 681
   Posted 10/28/2008 6:15 PM (GMT -6)   

If I were you, I would do a lot more research.  I might be wrong, but have always believed that a Doctor of Osteopathy was less fully trained than a Doctor of Medicine.  I'm sure you can find information inline to help you understand the difference between the two.

I know that if I was considering surgery I would always go to a medical doctor.  Particularly if I wanted DaVinci surgery. (I don't know if any OD's are qualified to do the DaVince surgery.)

Don't get me wrong, I have great respect for Alternative Medicine practitioners.  My daughter is a highly trained Accupuncturist and Herbalist.   After her Masters degree, she studied for years at a college of Oriental Medicine. She is now a Doctor of Oriental Medicine.  Osteopaths do at least that much, but I would not want one to operate on me.


PSA up to 4.7 July 2006 , bump noted during DRE
Biopsy 10/16/06
stage T2A  -  Psa 4.7
Gleason  4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8
No extension or invasion found
No continence problems
PSA 90 day (-.01)  , (6 month -.01) , (9 month +.02) , (1 year +.02) ( 18 months +.02)
ED still a problem, minor succces with bi-mix
plaque buildup due to injections 
 
 
 


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 10/28/2008 6:43 PM (GMT -6)   
A D.O. that specializes goes through the same training as any other specialist would. I've had thousands of hours of experience working with both D.O.s and M.D.s. Hands down, D.O.s are more patient oriented and each can possess great talent. There is a methodology difference, not a quality difference.

Swim
 


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 10/28/2008 8:50 PM (GMT -6)   
I too have worked professionally with both MD's and DO's, and can agree with Swim on the fact that both can bring great skill to their chosen specialties. Sure, just as there can be less skilled DO's, the same can be said for MD's. The DO's that are specialist have received the same degree of training as MD's, seem to be more in-tune with the patients, and don't seem to have the same degree of royalty as some MD's seem to possess. In the end, I would consider the experience of the physician, the facility where he or she practices, and the accessibility of the office staff when making a decision to use or not use a doctor. Just my opinion of course, but I have seen incompetence in both, after all, the call the guys or gals that finish at the bottom of their medical or osteopathic school "doctor". Just another good case for the old term "buyer beware".

Randy
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
One Year PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix

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