Tud, I must be the dumbest one here, I don't see all this alledged bias. Don't I (a surgery guy and soon to be a radiation guy) always call out for you, and now JohnT, so you guys going through BT first hand can state the case.
I would hope that someone considering
open surgery would be steered toward me and a few others that went that way. Same with robotics, so many here went on that path.
And of course, lol, if anyone wants to know about
catheters, I am ready to write a book.
In life in general, its hard to talk about
anything you like, or have done, or experienced, without having some kind of positive pre-disposition toward that choice, that is human nature.
But I think most people are smart enough to glean the fluff from the stuff.
And as far as Active Survelience, formerly Watchful Waiting, that's a tougher choice to follow faithfully and responsibly. It doesn't mean sitting on one's ass and doing nothing, that's the beast called Denialism. If a man wants to prolong his normal lifestyle including his sex life, no incontinence, etc, and he meets the strict criteria forAS, then indeed it is a good choice.
A low positive core biopsy, with a moderately low PSA, with very slow velocity issues, and a Gleason 6 at best, gives a man the most options, unless he has underlying other medical issues that complicate things.
A man with a large prostate gland, high PSA, fast PSA velocity, and any flavor of a Gleason 7 or higher, or a man with many high grade, high per cent cancer cores, has fewer choices, and in some of our cases, time can be of the esscence.
To our new friend, we talk a lot of talk, discuss all 360 degrees of the compass, but when push comes to shove, we support each other, and we support each other's treatment choices. Definitely not a one size fit all malady.
David in SC
57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.33rd Biopsy
: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3Open RP:
11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09Path Rpt
: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin2009 PSA
: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16Latest:
7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out 38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, mapping on 9/21/9, 9/24 - mtg & procedure? with uro/surg, IMRT starts 10/5/9
Post Edited (Purgatory) : 9/25/2009 7:19:56 AM (GMT-6)