How many have had biopsy while being put to sleep ?

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cvc
Regular Member


Date Joined Jun 2008
Total Posts : 436
   Posted 11/9/2008 4:03 PM (GMT -7)   
Buddy of mine has rising PSA 50 yrs old 2.5 now 3.5 Dr wants to have biopsy, he doesn't want it because his Dad had one and said it was painfull. Cant he just ask the Dr to do it under anistesia ?
 
My Uro said he had done a few that way when the guys had to tight of an opening ????
 
 
He is stressing big time ( as I probably would be too, check that I KNOW I would be too ) Should he find a Uro that will do it while under ??  Seems like they should do it taht way in a case like this or any case for that matter... eyes

Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 11/9/2008 4:08 PM (GMT -7)   
I had an outpatient procedure twice for the biopsy and went home within a couple hours. I think most Uro's will do it if you ask.

Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 11/9/2008 5:33 PM (GMT -7)   
I hate to say but my biopsy experience was not good. I was taken from the DRE straight into the biopsy room, I got no medication at all, other than a shot for infection. Be sure you ask to have some type of antistesia.
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
cancer in 4 of 6 cores
92%
80%
37%
28%
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 11/9/2008 5:43 PM (GMT -7)   
Hi CVC,

I had my biopsy as an outpatient. Mild local anesthetic. Uro was warning me each time he fired the needle and after the third one I told him to just fire away. There was little to no pain during or after. Some minor rectal bleeding that evening and none after. It felt like someone was thumping me with thier finger. The probe is not really as large as it looks or maybe I am just a bigger **hole than most. :)

Good luck to your friend.
Don
Diagnosed 04/10/08
Age 58
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
PSA test on July 14, 08 after 8 weeks hormone .82
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
Second Lupron shot 09/11/08
Next PSA test by oncologist 03/09
 
 


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2268
   Posted 11/9/2008 6:02 PM (GMT -7)   
I had a local anesthetic, which was allowed a few minutes to take effect before my biopsy.  The anticipation, particularly before the first biopsy sample, was the worst part of it.  For me, it was uncomfortable but not painful.  
PSA quadrupled in 1 yr (0.6 to 2.5)  
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 06 at age 57
Organ confined to one small area Gleason 5   
PSA's undetectable  < 0.1  


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/9/2008 6:08 PM (GMT -7)   
Normal procedure where I had mine was to treat prostate biopsy the same as a colonoscopy. Done as an outpatient under mild anesthesia. In and out (so to speak) in a couple of hours and and completely unaware of the whole process (other than a vague feeling that somebody had had their wicked way with me.)
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 11/9/2008 6:36 PM (GMT -7)   

 

...don't remember a thing about my biopsy. Uro put me in a state of "twilight"....just enough, when he was finished i didn't have to go through any kind of recovery, actually I can remember being taken out of the room and him talking to me before I left the hospital. As far as I'm concerned....that's the only way, it is the 21st century and if we don't have to experience pain or being uncomfortable, no need to....same game as Billy explains, in and out and i dont know!

    Have him ask the doc about it..


 
   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      Gleason-3+4=7
      T2a
      5 of 15 cores positive
      Da Vinci scheduled..7.29.08..as I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08, Bladder Sling installed, hernia repair 
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days)...one lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
 
           ..."just tryin' to reason with hurricane season"..
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
       


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25353
   Posted 11/9/2008 6:36 PM (GMT -7)   

Well, I had 3 prostate biopsies done in a 14 month period, including 2, 6 weeks apart, the 2nd one was done with local anes., that hurt the worse, the shots to administer that hurt worse then the cores being taken.  So on the 3rd one, I told the dr. no way on the pain med.  On all 3, I bled a lot going to the toliet, from both ends, and had heavy bleeding in semen on all 3 the first couple of ejaculations, so I guess everyone is different there too.

David in SC


Age 56, 56 at DX
 
PSA 2005 3.5
PSA 2006 4.0
PSA 2007 5.8
PSA 7-2008 12.3
PSA 9-2008 14.9
PSA 10-2008 16.4
Biopsy 2007 Negative
Biopsy 8-2008 Neg, some PIN, 4 "Suspicious Areas"
Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
Periunual Invasion noted
Additonal High Grade PIN noted
 
Open RP surgery scheduled for Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC


sterd82
Regular Member


Date Joined Sep 2006
Total Posts : 187
   Posted 11/9/2008 6:42 PM (GMT -7)   
I was really chicken about my biopsy and asked my doc to put me under -- he said he couldn't do that in his office, but he gave a a script for a single valium to take an hour before.  I told him I was REALLY chicken, so he added a second script of, I think, seconal (or something like that).... I was higher than a kite for the biopsy, but just fine an hour later.   Didn't mind it a bit!

Sterd82
Age 47 - pre-surgery PSA 39
Open Radical Prostatectomy 6/9/2006
Pathological Stage T3a, Positive Surgical Margin
Gleason 3+4
PSA rose to .24 in November of 2006
6 month hormone therapy initiated December 1. 2006
36 sessions of IMRT Ended Feb 1, 2007
PSA as of May 25, 2007 undetectable
PSA as of November 29, 2007 undetectable
PSA as of May 14, 2008 undetectable
Next PSA November of 2008


Banker
Regular Member


Date Joined Sep 2008
Total Posts : 30
   Posted 11/9/2008 7:58 PM (GMT -7)   
Had three biopsies. The first two were conducted in doc's office...no anesthesia...nothing. Hated every minute. Third exam, still in doc's office, but I took valium ahead of time. The doc inserted probe and anesthetized the prostate, and then proceeded. I kept thinking i was feeling pain, but i realized eventually that i was only feeling a bit of uncomfortable pressure. The loud snapping of the clipping arm freaked me out. But my doc's warped sense of humor made me concentrate on something else. Deep breathing was important and also remember not to tighten up. The test took only 20 minutes if that long.

My advice: tell your buddy to do what his gut says to do. If he needs anesthesia to soothe his nerves, find somebody that will do this.
born 1952
diagnosed with HIV 2001
PSA--ranged from 2-7
2 previous biopsies-all negative 2005 and 2007
diagnosed with prostate cancer:Sept 30, 2008
Gleason Score 3+4=7
bone scan 10-9-08--appears to be negative
trans rectal MRI 10-27-08
appts w/docs to review tests scheduled 11-12-08
 


Banker
Regular Member


Date Joined Sep 2008
Total Posts : 30
   Posted 11/9/2008 7:58 PM (GMT -7)   
Had three biopsies. The first two were conducted in doc's office...no anesthesia...nothing. Hated every minute. Third exam, still in doc's office, but I took valium ahead of time. The doc inserted probe and anesthetized the prostate, and then proceeded. I kept thinking i was feeling pain, but i realized eventually that i was only feeling a bit of uncomfortable pressure. The loud snapping of the clipping arm freaked me out. But my doc's warped sense of humor made me concentrate on something else. Deep breathing was important and also remember not to tighten up. The test took only 20 minutes if that long.

My advice: tell your buddy to do what his gut says to do. If he needs anesthesia to soothe his nerves, find somebody that will do this.
born 1952
diagnosed with HIV 2001
PSA--ranged from 2-7
2 previous biopsies-all negative 2005 and 2007
diagnosed with prostate cancer:Sept 30, 2008
Gleason Score 3+4=7
bone scan 10-9-08--appears to be negative
trans rectal MRI 10-27-08
appts w/docs to review tests scheduled 11-12-08
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4018
   Posted 11/10/2008 5:51 AM (GMT -7)   

Mine was done under anesthesia on an outpatient basis.  No big deal and MUCH better than the "grin and bear it" process that so many men have.  I would definitely recommend it.

However, after effects are similar as I understand it...i.e. spotty blood in urine for a day or two and dark ejaculate for weeks. 


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
27cc
Brachytheraply volume study 11/14/08; brachytherapy to be scheduled in early December


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4814
   Posted 11/10/2008 6:07 AM (GMT -7)   
I think getting a root canal is worse then a biopsy cool   (mainly cause a root canal takes a lot longer)
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
 
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01
 

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices

 


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 664
   Posted 11/10/2008 8:51 AM (GMT -7)   

In my opinion any Medical Doctor who does not use anesthesia during a biopsy should be sued for MALPRACTICE.

Incidently my own doctor, while not being as empathic as me, agrees.  He said no one should have to suffer any more discomfort than necessary.

If your buddy's doctor dosen't do it that way he should dump him.


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 
 
 
 


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 11/10/2008 9:03 AM (GMT -7)   
The fear of a normal 10+ core biopsy is much worse than the biopsy. It's not pleasant but it's more uncomfortable that anything else. As far as an above poster wrote I never had blood in the stool or urine afterward. Although you will for awhile after in your ejaculant. Now my 45 core saturation biopsy was one you needed to be knocked out for.
Diagnosed 10/08/07
Age: 58
3 of 12 @5%
Psa: 2.3
3+3=6
Size: 34g
T-2-A
 
2/22/08
3D Mapping Saturation Biopsy
1 of 45 @2%
Psa:2.1
3+3=6
28g after taking Avodart
Catheter for 1 day
Good Candidate for TFT
(Targeted Focal Therapy)
Cryosurgery(Ice Balls)
Clinical Research Study
 
4/22/08
TFT performed at University of Colorado
Medical Center at Denver Fitzsimmons Campus
Catheter for 4 days
Slight soreness for 2 weeks but afterward
life returns as normal
 
7/30/08
Psa: .32 
 


rocket1952
Regular Member


Date Joined Oct 2008
Total Posts : 26
   Posted 11/10/2008 5:27 PM (GMT -7)   
Where/how do you guys find these urologists who will use anesthesia during a biopsy. My urologist at Mass General Hosp.will likely endup doing a biopsy since my PSA is high (6.5), but I've had some prostatitis problems in the past yet this uro refuses to even give a try with antibiotics. He says that if my PSA retests high he will want to do a biopsy- he only uses a local and refuses to use anesthesia. I guess I need another urologist-- any advice appreciated on how to find one (Boston area) -don't want to randomly look in the yellow pages. Thanks

lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 664
   Posted 11/10/2008 11:03 PM (GMT -7)   

Rocket1952

You bring up an interesting point.  My comment above was probably a bit over the top, however one of the things we learn here is that we need to take responsibility for our own treatment.  I have a great urologist, but I first had an appointment with a doctor who is in the same practice as my doctor (but at a different location).  I was not happy with him and did not like his approach.  I decided to go to a different urologist,  it was the right decision.

So, How do you do that?  You are in an area with many well known prostate cancer specialists.  Ask some more questions here, do some research, and then quietly make an appointment with a doctor that you feel can help you. Go talk to him, you will be able to tell the difference.  I don't know of any doctors that refuse antibiotics and refuse anesthesia. I don't know your particular situation but That just doesn't make sense.

I am sure that you will get some great responses from people on this site.  These are people who know doctors in your part of the country.  Keep in touch and let us know how things are going.


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 
 
 
 


rocket1952
Regular Member


Date Joined Oct 2008
Total Posts : 26
   Posted 11/10/2008 11:42 PM (GMT -7)   
Thanks lifeguyd. If someone could recommend a uro in the boston area I'd be
interested. No friends I know have a recommendation and my PCP has not been very helpful also. Thanks

Paul in Pa
Regular Member


Date Joined Sep 2008
Total Posts : 23
   Posted 11/11/2008 6:39 AM (GMT -7)   
Sorry I don't know any urologists in Boston.

My biopsy was done in the urologist's office with antibiotics given a couple days before the procedure and an antibiotic injection imeediately prior to the procedure. No sedation. I found the procedure very uncomfortable but not painful, if that makes any sense. I am an anesthesiologist and have seen the procedure done with heavy sedation; for your urologist to do that he's need to schedule it at some location that has anesthesia providers; an intermediate course would be for the urologist to administer a light sedative himself; it would be unusual to be "put to sleep" in the sense of a general anesthetic, although in one sense the difference is not one that the patient appreciates--general anesthesia or deep sedation both result in not being aware of the procedure. I questioned my urologist about his method and he said he believes there is less bleeding during the procedure if you don't use heavy sedation. There is also obviously both a financial and a efficiency payoff for the urologist to do the procedure in his own office.

Good luck with your procedure--hope the results are negative!
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


dot'52
New Member


Date Joined Nov 2008
Total Posts : 1
   Posted 11/11/2008 10:06 AM (GMT -7)   
Rocket, my doc is Dr. Michael Kearney at Beth Isreal. Very good guy. Lots of other urologists in the city.

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4018
   Posted 11/11/2008 12:33 PM (GMT -7)   

Dear Rocket:

Further to my previous post, I DID find a urologist who did the biopsy under anesthsia.  In fact, one of the reasons I changed from my orignial urologist was his insistence that it be done in his office with no anesthesia.

I don't know docs in Boston as I am in the DC area.  I found my new urologist by asking a friend who was a hospital administrator PLUS seeing that the uro was listed in "Best Docs in DC" as published by a local magazine  --  the criteria being who physicians would want to see for certain ailments.  There may be a similar publication in Boston.

Also, a ton of info about a practice can be determined from their web site or a phone call.  For example, my new urologist had short articles about procedures published on the web site.  In the article about biopsies, it was clear he used anesthesia. 

This whole deal is stressful enough, why bother with unnecessary pain/discomfort?

And, as long as you are getting a new urologist, you might as well make sure they are experienced in a procedure.  Chances are that anyone who has PCa now will at least consider robotic surgery.  So, why not check for an experienced (200+ procedures) robotic surgeon for your next appointment? That way you won't have to change again if you end up wanting surgery and your "new" urologist is not experienced...


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
27cc
Brachytheraply volume study 11/14/08; brachytherapy to be scheduled in early December


rocket1952
Regular Member


Date Joined Oct 2008
Total Posts : 26
   Posted 11/11/2008 5:28 PM (GMT -7)   
Thanks for the info dot'52 and Tudpock18. I will look-up Michael Kearney at Beth Isreal.

lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 664
   Posted 11/11/2008 7:07 PM (GMT -7)   
Paul in Pa said...
Sorry I don't know any urologists in Boston.

My biopsy was done in the urologist's office with antibiotics given a couple days before the procedure and an antibiotic injection imeediately prior to the procedure. No sedation. I found the procedure very uncomfortable but not painful, if that makes any sense. I am an anesthesiologist and have seen the procedure done with heavy sedation; for your urologist to do that he's need to schedule it at some location that has anesthesia providers; an intermediate course would be for the urologist to administer a light sedative himself; it would be unusual to be "put to sleep" in the sense of a general anesthetic, although in one sense the difference is not one that the patient appreciates--general anesthesia or deep sedation both result in not being aware of the procedure. I questioned my urologist about his method and he said he believes there is less bleeding during the procedure if you don't use heavy sedation. There is also obviously both a financial and a efficiency payoff for the urologist to do the procedure in his own office.

Good luck with your procedure--hope the results are negative!
Paul

Hi Dr Paul
Maybe you can explain what we are saying when we talk of a "light sleep" anesthesia.  This is administered by IV and (correct me if I'm wrong) doesn't require a anesthesiologist to administer.  The nurse or technician called it a valium-like light sleep.  That is what I refer to and have had for my biopsy and three colonoscopies.  My surgery anesthesia was different and required a medical doctor...like you to do the job. Thanks
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 
 
 
 


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 664
   Posted 11/11/2008 7:13 PM (GMT -7)   

Rocket

I have attached the web page for the DaVinci prostate surgeons.  You will find a list of surgeons in your area.

http://www.davinciprostatectomy.com/index.aspx


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 
 
 
 


Paul in Pa
Regular Member


Date Joined Sep 2008
Total Posts : 23
   Posted 11/11/2008 9:29 PM (GMT -7)   
lifeguyd,

We divide sedation into four arbitrary categories: light, moderate, deep and general anesthesia. It is really a continuum. For light sedation, a patient will report feeling more relaxed but there won't be too many other signs of effect of the medication on the patients breathing, blood pressure, responsiveness, or heart rate. For moderate sedation, you start to see a decrease in responsiveness but the breathing , blood pressure, and heart rate don't change much. For deep sedation you may need a painful stimulus (like pinching your shoulder) to get a patient to respond; his breathing may be compromised because of the tissues in his mouth and throat relaxing, and the drive to breath may be impaired; in general anesthesia the patient does not respond to painful stimuli, often the airway is obstructed and requires an breathing tube/device, breathing may need to be assisted because the drive and/or ability to breath is decreased or gone, and there may be depression of the blood pressure. It also gets trickier (ie less predictable responses, more rapid changes, more sensitivity to the medicines) if the patient has other medical problems, esp respiratory, cardiac, neurological problems or obesity.

The general principle is that if you administer sedation you should be able to take care of whatever problems are common to that level of sedation, plus one level deeper in case you over shoot. So practically that means most non anesthesiologists are comfortable giving lignt sedation; moderate sedation takes a little more training, and the last two levels require significant comfort with airway management. Some GI doctors who do alot of sedation will get the training or have someone with the training available to give moderate to deep sedation in their offices; where I work we (eg the anesthesia providers) give deep sedation to everyone getting colonoscopies. Sometimes physicians who want to do a lot of procedures in their offices will hire anesthesia people to administer sedation in their offices.

It's sort of confusing but I hope that helps a little.

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

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