The truth of PCa is that the doctors only can detect or know its where about
s in limited fashion. There are no guarantees with PCa, ever and even for low stats/risk patients it is not 100% guarantee of cure no matter how great the surgeon or method of treatment(s). It is a best guess scenario a s.w.a.g. estimate, using imperfect data, testings, scans and protocols, etc.
Now some docs could or will be honest enough to tell you such, some others will never admit such and sell the patient what they might like to hear.....yeah your salvage radiation will take care of it (or such)...it could do such is the real answer and it also could be done for nothing or very limited results. Just being a realist on what patients are facing, not the glass half full or empty, but more of is their a glass and where is it??? Some patients get taken advantage of in medical things and that is unfortunate and it is part of the culture of greed and profits, what a country. Tons of money wasted on scans, especially in low stats patients (see Dr. Strums data and books, an onco-doc of world class honesty on PCa issues).
John T would know the most about
Combidex, I think he would even say that micro mets could be missed by Combidex and it is missed often by all other scanning equipment that is available.
People put way to much faith in a given doctors verbage or opinion (he is the expert, yada...yada..yada) it is his opinion just like his opinion on politics or whatever, PCa is not a black and white perfected science or calculation type of thing. My guess and experiences lead me to believe that most surgeons do not even bother to learn things for PCa treatments outside their own specialization (sure they know of a few drugs or things, and so do you without a degree or schooling). So you will be given a sales pitch on their craft of perfection and they will be usually biased and they usually will not get emotional about
your possible recurrence or problems after their modality is done on you. Understandable as they cannot get wrapped up in people personal lives, least they break down and become ineffective and unemployed perhaps.
My thoughts for PCa- get mulitple opinions, get mulitiple questions answered by other patients-internet-books-journal articles etc.-read anything even the controversial or negative stuff about
treatments, learn something from any PCa patient (yananow mentors etc.), then weigh all that collective information and reach your own conclusions as best you can....then decide what you wish to consider doing, maybe in conjunction with your chosen doc. The other side of this is do whatever Doc-X says is best, which can be highly biased, highly profitable, full of return visits and perhaps in his best interests and if it happens to serve you well all the better. I could be wrong or biased, but based upon my own experiences and 8 opinions and years of internet boards and discussions, leads me to these conclusions. I am well served by getting those 8 opinions, that was a priceless education in the real world of PCa.
Dx-2002 total urinary blockage, bpsa 46.6 12/12 biopsies all 75-95% , gleasons 7,8,9's . Got 2-surgeons opinions- one guaranteed a cure (wow-sales pitch) second LRRP reknown surgeon-'I won't do surgery on you' (I got 6 more opinions thereafter and plenty of education via searching)