I hear what you are saying, but I don't believe that most doctors lie; I think they are just uninformed about
PC. Surgeons know a lot about
cutting, and radioligy oncologists know a lot about
how to do a treatment plan, but they are not experts in the biology of PC. The 3 urologists and 2 urological oncologists I had didn't lie to me, they just didn't know how to evaluate my stats to come up with a correct treatment recommendation. They were also unaware of the many additional test available for PC. They deal with all sorts of other uninary problems and other cancers and are not experts in PC, although we all think they are.
My oncologist, on the other hand deals only in PC and has 1500 active patients and has probably treated over 10,000 PC patients. His knowledge base and skill sets in PC are far better because of his experience and training. I trust him completely, but would never have him operate on me or give me radiation; that's not his skill set.
It's not surprizing that we get different opinions from different doctors. A surgeon, radiologist and oncologist are all viewing your disease from the point of view of their own skill set and information base.
Doctor's skills also follow the normal distribution curve. On one end there are a small % of bad doctors, the vast majority are in the middle, and on the far end are the few exceptional ones. There is a huge difference in the exceptional vs the average and it takes a lot of work to find the truely exceptional ones. Doing so will significantly alter your outcome. The Partin tables reflect the average, so you can improve your odds by dealing with only the best doctors.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.
2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.
Scheduled for 5 weeks IMRT in July