Please recommend some good website to get doctor report

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qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 10/7/2009 7:29 PM (GMT -6)   
Hi everyone,

We like to find out the rating or report of surgeons we may see. I have no experience on any of those site. Anyone who knows?


Thanks so much!

Jennifer

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/7/2009 9:40 PM (GMT -6)   
Hi Jennifer, I'm not familiar with all the sites, but I have seen a couple of the ones that rate doctors and my assessment is there are only two kinds of posters. First, those who have a problem, either real or a chip on their shoulder --- not happy that they're ill and not in a mood to be nice to any doctor. Second, the doctor's wife, cousins, kids and friends, who post glowing reports.

I would distrust a for-profit doctor's stats when he or she is selling their services, and I'd not trust web sites much either.

What I did was talk to a doctor friend who is very close with an anesthetist and his anesthetist friend asked around with the guys and gals passing gas for the prostate surgeons ---- "If you were choosing a surgeon, who would you use?" The other good source is OR nurses. Amazing what they see and know. Also, nurses who work on the urology wards know who has patients with problems, and who doesn't.

Good luck,

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 826
   Posted 10/8/2009 12:27 AM (GMT -6)   
Jennifer,
 
Who in Columbus did your husbands biopsy, and who read his slides?  Also, did you send the slides any place else for a second opinion?
 
Read these studies in the links below.  They are why I went to Johns Hopkins.  These numbers are for people they operated on.  Not for people who had similar post op. pathologies, but operated on at different hospitals.  J.H. are the only people who have cared to publish their results with the below kind of detail.  I had Organ confined Gleason 6 with no tertiary score.  99.6% of J.H. patients like me don't have recurrence and the ones that did, did not develop metastatic cancer and no patients died of the desease up to 15 years later.  I was looking for who could give me the best shot at a cure.  I found nobody did better then Johns Hopkins.  If they did, they aren't publishing their stats.  J.H. has an 87% overall survial rate no matter what stage you are when you come through the door.  The Cleveland Clinic has been the #2 rate Urology department behind Johns Hopkins for the last 17 years.  I had a consult there as well and would have gone to them if I did not end up at Johns Hopkins.
 
 
 
 
You guys live so close to me I would be happy to meet you and your husband for lunch or dinner sometime to talk about all I have learned about this in the past year and half.  You can email me at crhoads@ee.net.
 
Of course all this assume your hasband stays Gleason 6 organ confined no tertiary score after surgery.  You do know that just because his biopsy should no grade 4 cells does not mean he will stay that way...
 
My biopsy showed no grade 4 or 5 cells.  I had a 50 point saturation biopsy.  Since I had no evidence of any higher grade cells I gambled that I would stay that way and went with the people who had the best treatment record for Gleason 6 organ confined prostate cancer.
 
Chris


Dx 42
Gleason 6 (tertiary score 0)
OPEN RP 10/08  Johns Hopkins
pT2 Organ confined Gleason 6
PSA Undetectable

Post Edited (ChrisR) : 10/8/2009 5:30:14 AM (GMT-6)


qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 10/8/2009 8:17 AM (GMT -6)   
Ok, here is the situation:

First, my husband's second biopsy report read from John Hopkins is back as same result as the first one, still (3+3) 6. according to nurse whom we called. asked them to mail it to us. Nobody let us do another PSA test. his last PSA was done in August. Should we ask for another PSA test to find out if it arising?

Second, My husband and I are having two different approaches towards to this PC. He think it is not a big problem, so a local surgeon who only did 200 of robotic surgery is fine with him. He only did a little research or reading and has no intention to know more about it (he doesn't have much time for this). He still eats red meat and drinks. I am not complaint him here but describe his reaction to his cancer. Maybe men just care less about their health problem (from Tony's post regarding the difference between PC and Breast cancer )? He is a wonderful man and a loving caring husband and great father always.

ok, go back to subject. His urologist recommend two surgeons for him. One is Dr. John K. Burger (riverside hospital) who I find out he is pretty busy. we need waiting a month to see him and don't know how long have to wait to get surgery done. He is doing about 20 surgery per week. and the review for him is pretty good.

Since my husband couldn't see him soon, then the second one is Dr. Jason Jankowski who is about 37 year old and only did about 200 surgery. He can see my husband soon and the nurse was told my husband that she would let her husband done my him. So, my husband likes the idea to let this young surgeon who had little experience to do the operation. This makes me concerned a lot! 200? not me. So we were trying to find out any review or rating on this doctor see if we can find out more. we coul'd find any useful information even we paid on some site.

Due to my insist, my husband agreed to see Dr. Jihad Kaouk in Cleavland Clinic after two weeks (Oct. 22) but I know this wouldn't be his first choice if he can get it done locally. Well, I just have to keep nagging. smilewinkgrin

I did step back, because Dr Mani Menon In henry ford hospital is not participating in our insurance, so my husband had more reason not to go there and I agreed. I look bad guys, I hate to tell him where to do the surgery and who he should see. I fully respect his choice on doctors but this is something that we can't make mistake. Believe or not, we, my husband and I, were never had any disagreement or argument or fight on any issues since we met each other many years ago. Now i feel i acting like a control freak. I totally understand that my husband is working very hard on his job. he works 14 hours a day and some hours on weekend. the stress from job is a big burden on him. That's why he don't want any stress form travel to another city to get surgery done.


Sleepless09, thanks for your advise. too bad we don't' know many medical staff here in Columbus but we will keep our eyes open.

ChrisR, have question for you, is Dr. John K. Burger the one you mentioned in earlier post saying that he is the good one in Columbus area? if that is the case, we may have to stick to him. I'll email you and feel free to email me at qjenxu@hotmail.com. Thanks so much!


Sorry for the little uneasy tone and Thanks for listen.

God bless you!

Jennifer

Post Edited (qjenxu) : 10/8/2009 8:00:23 AM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 10/8/2009 9:05 AM (GMT -6)   
Good morning, Jennifer,

If you have to pay money for any of the doctor rating sites, then it is already a rip off. There are legitimate free rating sources, I know here in SC, you can get the info from the state medical board. I will look around for your state. The best way, and this is how I chose from among the 3 radiation oncologists I "interviewed" with, was simply to talk face to face with some of their patients. Now doing that,you have to factor in the "sour grape" syndrome, and try to average out what the opinions say. The one I went with, with experience and education being equal among all 3, was to choose the one that had nothing but glowing reviews from her patients, and all the bragging about her level of patient care.

Not to side with your husband, or against you, saying this neutral, but I do understand his apprehensions about not wanting to be treated far off from his normal turf. I was the same way, I could have gone to Charlotte, NC or Atlanta, GA, both 2 hours plus from where I live, but we, as a family, wanted to go through this together. As it were, there was already a hospital that I loved and had surgeries in before, St. Francis, 20 minutes from the house, and my uro/surgeon is rated as one of the best in all of SC. The radiation clinic I am attending is the highest rated in the state, so in my case, it was forturnate that I am able to get decent quality care and remain local.

Your husbands stress level and comfort level should be factored in strongly in my opinion, because stress/comfort will factor heavily in his recovery process. Just my take, certainly not telling you what to do.

I loved having my family close by, didn't have to inconvience anyone that wanted to see me, including my grandchildren.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - first treatment IMRT.


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 10/8/2009 9:06 AM (GMT -6)   
Hi Jennifer,

I just wanted to add a little to your discussion and thoughts. As with any thing, the more we perform a task the better we get at doing it. The problem lies in how much is enough to be proficient? Is it 100 surgeries or a 1000 surgeries. Obviously it all is the individual. Some doctors get quite proficient faster than others. Being that said, true you don't want to be the first, but a young doctor with only 200 surgeries might be very much better than someone else with a 1000.

Let your husband choose who he is most comfortable with. There isn't any reason for an argument or disagreement between the two of you over who will be the surgeon, just support the decision he is most comfortable with. My wife and I met with several surgeons, but the choice was based on who I was most comfortable with. My choice was based on the demeanor, the professional attitude and most important to me...a straight shooter, the kind of doc that tells it like it is...very important to most men.

One other reason I chose the surgeon I used, was because he only performs one surgery on the day the of the surgery. He was not the type of surgeon to rush from one surgery to the next, like in an assembly line. Plus that means I would go very early in the morning for surgery and not have to think about it all day long. To me this was the most important criteria and if for some reason there was a complication, he would not feel hurried in any way. Also, if I was behind someone else that had a difficult time, would he have his mind totally on my surgery?

My advice, go with the doctor your are most comfortable with, and one that won't be doing 20-30 surgeries a week. If something should become a problem during surgery, you want to be at the best hospital and with a surgeon that has your interest and focus entirely. My 90 minute surgery turned into a 5 1/2 hour ordeal...and I was very glad that I was his only patient on that day.

Best of luck in your search for the best surgeon for you.

Take care
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08


ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 826
   Posted 10/8/2009 10:31 AM (GMT -6)   
Jennifer,
 
Burgers a Riverside was the surgeon I was talking about.....If you are going to stay here I would see him. 
 
You don't need another PSA test unless you are going to do "Watchfull waiting"  His PSA will be up if it is too soon after his biopsy was done.  This is normal.  Prostate get inflamed by the biopsy.  My PSA was 2.79 and went to 9.6 after my biopsy and kept lowering until surgery.   I waited 6 months after I was Dx to have surgery.
 
Chris


Dx 42
Gleason 6 (tertiary score 0)
OPEN RP 10/08  Johns Hopkins
pT2 Organ confined Gleason 6
PSA Undetectable


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 10/8/2009 10:44 AM (GMT -6)   
This could be of help
http://www.ustoowichita.org/pdf/BEST%20AMONG%20THE%20REST.pdf

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4184
   Posted 10/8/2009 1:09 PM (GMT -6)   

Hi Jennifer:

I will try my best to answer your questions, then take the liberty of offering a little unsolicited advice:

The answers:

1.  There are definitive studies that show "on average" the results of open surgery are better when the doc has performed 250 surgeries.  After 250 the results are essentially the same.  Of course this is "average" and physician dependent.  For robotic surgery, given the learning curve, I would say 250 is a minimum.

2.  I agree that the doctor rating services leave something to be desired.  Does your family physician have an opinion?  Do you know anyone in the medical community? Those are good sources.  Also, any doc worth his salt that does these procedures should be willing to share with you his/her results...cure, incontinence, ED.  If they have not kept records, that should tell you something.  Also, I found most docs more than willing to share a list of patients who they had treated.  If they will not, that is also a problem.  Call the previous patients and see what they say.  Also, as others have said, look at state board info.  And, check on where they were trained.  And, you can even do telephone consults with out of town docs and ask them what they think of your local docs.  While I was thinking of going to Hopkins, I did a telephone consult with one of their best.  He was able to totally recommend a local surgeon whom I was thinking of using.

3.  Since you are in the process of selecting treatment, another PSA test is probably a waste of time and money.

Now for the unsolicited advice:

1.  My wife and I had many spirited discussions re the PCa and treatment possibilities.  I found that was healthy and sincerely appreciated these discussions...especially after the fact!  However, at the end of the day, it had to be my decision.  What I would never want is for my wife to talk me into a procedure/doctor/whatever and for me then to blame her if something didn't go perfectly.  After all of our discussions, it was finally MY decision and, if it doesn't work out, I can only blame little ole me.

2.  Somewhere along the line, I beleive you mentioned in a thread that your were considering brachytherapy.  Whatever happened to that?  Hopefully your hubby at least interviewed a radiation doc and got a good understanding of this alternative.  If he is feeling stress because of being diagnosed with PCa, he will certainly feel it when dealing with the side effects of surgery...

Good luck,

Tudpock


Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 9/1/09.  6 month PSA  1.4 and my docs are "delighted"!

qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 10/8/2009 2:16 PM (GMT -6)   
Thanks every one for your opinion and reply!

When I was typing those post, I was seeking solutions. I read all the post here and your story, I see people original dx lower stage but upgraded to higher one after the surgery. also I see surgery complication happens, recurrence happens. PC is unreasonable. Also I see some people had good surgery and recover well and some had little more trouble. therefore, hope for the best, prepare for the worst is my attitude. I believe everyone here would agree having a experienced surgeon do the operation is very critical.

a little more background, we moved to Columbus oh from Detroit three years ago. We don't have family here nor close friends. we both agree that it would be good for him if he goes away for a week to get surgery done then come back. otherwise, our fast, active two years old would detach his urine instrument in a snap if I couldn't keep up with her. since daughter and father spend a lot of time together, this is the reason brachytherapy (seeds implant) is not a option because my husband doesn't want take 0.01% chance of impact our daughter. also because of this little girl, we have to make a thirty year plan for daddy, not 10 year or 20 year. Surgery give us more option down the road if the cancer ever come back.

I totally agree every said, the finial decision is his. He has to feel comfortable for whom is going to operating him. I am very grateful may people gave me good advices on how to interview doctor. I printed them all and will use them during interview.

Many many thanks!

Jennifer

Post Edited (qjenxu) : 10/8/2009 2:11:19 PM (GMT-6)


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/8/2009 2:48 PM (GMT -6)   
Hi Jennifer,

I want to say something to you about surgeons and experience.

We have a very close family friend, a gynecologist who flys the da Vinci for her patients and loves it for the outcome and the ease on the patient. When I was talking with her about daVinci and surgical experience in general, she agreed experience was a fine thing, but said patients put too much faith in numbers of procedures as being a crtical number. She didn't mind that as she had lots of experience --- looked good in the numbers department, BUT she said judging a surgeon on the number of procedures was like saying a chocolate cake baked by someone who'd made 1,000 chocolate cakes was going to be a way better cake than one made by someone who'd just made 200 of them. As someone who has an aunt who constantly makes pies, dreadful, perfectly dreadful, but no one dare tell her as we sharpen our teeth on the pie crust and choke on the oversweet filling, I can identify. Especially as my wife, who makes perhaps two pies a year, makes an apple pie to die for ---- she learned 'the secret' from her mother.

Now, I do think surgical experience is a good thing. But I'd not hesitate for a moment to go with a surgeon who had done 200 da Vinci radical prostatectomies, just because they'd not done 500, or some number. By the time a surgeon is over 100 or so, I'm convinced other factors are so much more important that the numbers issue is pretty much irrelevant.

You are in Columbus. Would it be easy for you to deal with and/or consult, someone in Cincinnati?

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 10/8/2009 3:02 PM (GMT -6)   
Sleepless09, thanks for the reply.

we live in north-west of columbus, dublin. it takes the same time travel to Cincinnati as to Cleavland.

I know that number is just one aspect. we will find out more when we go interview them.

Jennifer

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/8/2009 3:14 PM (GMT -6)   
Jennifer, as with most surgeries, a prostatectomy is a rather delicate one. The goal is to remove the cancer - that is priority one. My husband's surgery started at 4:00 pm and ended shortly after 9:00 pm - that's 5 hours under anesthesia in an inverted position (his head was slightly lower than his legs). This operation requires that the urethra be detached from the bladder so that the portion of the urethra that runs through the prostate can be removed. Then, it all has to be hooked up again - hopefully in proper working order. Finally, the sole purpose of the operation is remove all of the cancer. A skilled surgeon is critical for the best results. And, you need an excellent surgical team - anesthesiologist, surgical nurses, etc. to compliment the surgeon. When you mention that the surgeon at Riverside does 20 each week, are we talking about prostatectomies or general urological surgery? I would find it hard to believe that any person could do 20 prostatectomies a week since these are long operations. With long operations, there is almost always a back-up surgeon on hand in case the first surgeon should have problems. Perhaps these 20 surgeries include being a back-up or proctoring another surgeon?

I know of one man who had this surgery about 5 years ago. His surgeon was OK but the care in the hospital left alot to be desired. While the surgery was a success in terms of removing the cancer, he had complications after the surgery due to a nicked bowel.

If you have a relationship with other doctors - pediatrician, OB/GYN, general practitioner - I would ask them and their staff if they can recommend a good urological surgeon.

Medical professionals are divided over the merits of the da Vinci system vs. traditional (open) surgery. There are pros and cons to each but, ultimately they both have the same goal: to remove the cancer.

I hope that you and your husband are able to come to a decision that makes both of you happy. There are never guarantees with any treatment or with any doctor, so it's important to be comfortable with the decision you make and to not second-guess yourself later on.

Come back with any questions and we'll do the best we can to answer them.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (extraprostectic extension in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Gleason 3+4 (no change from biopsy). PSA results: April 2008 0.1; May 2008 0.0; August 2008 0.0; November 0.0; February 2009 0.0; May 2009 0.0; August 2009 0.1; September 2009 0.3. Appointment with two radiation oncologists on September 29 and October 2.


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/8/2009 3:24 PM (GMT -6)   
Jennifer:

I may be able to be of some help with a Cincinatti name.

I have a Yahoo account I use for prostate stuff sheldonprostate@yahoo.com

I'll check on the Cincinatti name who would be a good person to give you some advice. Then, if it suits you, we can email on this.

Best.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 10/8/2009 3:38 PM (GMT -6)   
Sleepless, my husband may want have a new wife if I tell him to go Cincinnati to do the surgery smilewinkgrin if it is not too much trouble for you, then it is great to provide more reference.

Thanks!

Jennifer

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/8/2009 3:50 PM (GMT -6)   
Although the "name" is one I trust 100% and is a da Vinci M.D. Anderson trained urologist, oncologist surgeon, I wasn't thinking so much of your going there for surgery as talking to him on a consult and getting some advice.

I used this guy and depended heavily on him.

Feel free to email me at the yahoo account if you wish.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 10/8/2009 4:01 PM (GMT -6)   
will do, Sheldon!

got go and will email you tonight.

Thanks

Jennifer

Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 10/8/2009 5:19 PM (GMT -6)   
Hi Jennifer,

Just joined this discussion and have a site to offer. It is:

http://www.ratemds.com/

I used this up in Canada to see what patients were saying about my surgeon. The comments are all from patients and you can take from it what you may. Remember that the people who usually reply to this type of site may be doing so to complain rather than praise. Not all the time but I suspect that the satisfied customers are less likely to reply. At any rate, this may help you.

Keep well,
Regards,
Bill
Pre-Op:
 
Age 64. Diagnosed with Pca January 2009.
PSA 5.6, Gleason 3+3=6, T1c
 
Biopsy:
 
TRUS biopsies of prostate left adenocarcinoma of prostate involving part of 1/4 biopsy fragments, less than 10% of the surface area involved, CT scan clear.
 
Treatment choice:
 
Robotic Assisted Laparoscopic Prostatectomy - September 29/09. 
Pre-op PSA down to 5.28 which I atribute to visualization techniques and a new vegetarian diet.
 
Post-Op:
 
Robotic Prostatectomy - 09/29/09, back home 10/02/09.

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