Urologists owning IMRT centers

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 10/21/2009 10:41 AM (GMT -6)   
There were several posts on the ERBT Pointers website of an alarming new trend of Urologists owing IMRT centers. There is a law prohibiting this, but some how they are getting around it. It seems there is a lot more money to be made in IMRT than in surgery as the cost of surgery is coming down.
Obviously this is a major conflct of interest, espicially for those undergoing SRT soon after surgery. It's buyer beware; anyone referred to radiaton now must ask if the doctor has a financial interest in the radiation center.
JT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology 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. G7, 4+3, approx 16mmX18mm.

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. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/21/2009 10:47 AM (GMT -6)   
Gee John, one more thing to be worried about. I think I am in the clear on this one, because my urologist was hesitant to pass me off to the Radiation People, even when there were evidence of a reaccurance.

That would be a major conflict of interest.
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 - began IMRT SRT - 39 sessions/72 gys.


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 10/21/2009 8:21 PM (GMT -6)   
nono  

Post Edited (zufus) : 10/26/2009 4:02:57 PM (GMT-6)


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 10/22/2009 5:42 AM (GMT -6)   
Yep zufus you're right on...The nerve of some people expecting a paycheck every two weeks.
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/22/2009 7:31 AM (GMT -6)   
Zufus, there is some truth in what you say. However:

When you compare what medical care costs in other countries vs. what it costs in the U.S., you must take into account the population and the type of healthcare system those countries have. As I've mentioned in another post, my half-sister lives in Manchester, England. She is 32 years old, and the government-run health care program in England allows for a Pap smear every 3 years. In the U.S., an annual GYN exam includes a Pap smear for every woman over the age of 18.

I do agree that there are some within the medical profession where the money is more important than the patient - you could say that in just about every profession. As someone born and raised in New York City (The Bronx, to be exact), stories abound about rogue cops or those who disabuse their power and authority for their own personal means. Does that make the entire NYC police force corrupt - no, but one or two bad apples can poison the whole barrel. I believe that it's no different with doctors - a couple of greedy or unethical practitioners can taint the whole profession.

Perhaps John and I have been blessed with good luck with doctors - our "regular" MDs, my GYN, John's urologist, and everyone we have worked with in the medical profession has treated us with kindness, caring, and courtesy. Or, perhaps, it is because the majority of medical professionals are genuinely concerned with our health and well-being. Depends on how full you see this particular glass.
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. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8. One spot on bone scan (clavicle) being investigated. Third PSA taken on October 16 - PSA IS UNDETECTABLE! Next PSA scheduled for early December. Urged not to begin radiation treatment until it's needed (no problem there!).


brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 10/22/2009 7:38 AM (GMT -6)   
Methinks that Zufus has been badly wronged by the system, or he thinks so.

post edited, sorry, James

Post Edited By Moderator (James C.) : 10/22/2009 8:27:38 AM (GMT-6)


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 10/22/2009 7:53 AM (GMT -6)   
John T - let me ask...what is wrong with an All Inclusive Urologist?
If you like your Urologist wouldn't dealing with him or her be better then having to go looking for someone else to trust?

 

My dentist has an xray machine right there in his office and it beats the heck out of going to see a  Radiologist..


Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/22/2009 7:53 AM (GMT -6)   
Sephie,

You know that I feel like you do on this subject. From the time I had my first major medical crisis at age 28, through the years, 3 former bouts of cancer prior to PC, and a total of 8 surgeries, I too have had my share of good, caring, professional doctors and nurses. I am proud that my own wife is in that group.

Right now, I am very happy about my team of GP, Uro/Surgeon, and Radiation Oncologist. I get treated well and with full dignity. On Monday, when my SP cath blocked up, my uro (with a full load of patients) stopped what he was doing and helped me resolve the issue, I don't think I was in the waiting room for 2 full minutes. And even then, he didn't rush me. Then he handed me a full cath irragation kit, so that my wife could flush it if it were to block again in the nights or weekends, as he does not want any one messing with me in  the ER again.

Only twice in my adult life, have I dismissed two potential doctors, and it wasn't because of lack of skill or a mistake, it was because there was an attitude problem and I didn't feel comfortable.

If there are bad apples, I have been spared from them. In my eyes as a layman, there's no such thing as a dumb doctor or nurse, its too hard to become one in the first place.

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.

Post Edited (Purgatory) : 10/22/2009 7:04:39 AM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/22/2009 8:01 AM (GMT -6)   
Zufas,

So at what point do you, personally, trust someone, i.e. a doctor, or a particular treatment for yourself? Are you actually being treated at the moment in any form or fashion? Never have quite understood that with you. I know all the parts of the system you are negative about, well at least the ones you talk about here. What parts of the medical system/community do you speak well about?

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 10/22/2009 10:25 AM (GMT -6)   
steve,
I don't have an issue of urologists doing initial screenings and doing normal urologist stuff like ED. When it comes to PC most urologists have very limited knowledge and tend to treat from the book. They can't readily recognize exceptions, and PC is a maze of exceptions. I had 5 urologists and 5 minutes into my first conversation with a PC oncologist the difference in knowledge was impressive. It was kind of like moving from the 1950's to current day. If I have something that has the potential to kill me; I want the best in that field working for me. There is a great difference in outcomes in using the best vs the average. This is usually true in everything, law, business, finance, and it is very true in cancer.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology 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. G7, 4+3, approx 16mmX18mm.

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. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/22/2009 11:03 AM (GMT -6)   
John, your arugument about prostate oncologists always makes sense in theory, hard to argue the merits, but I thought it was still the case that they are far and few between, expensive, and some people's insurance if they have it won't even cover.

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 10/22/2009 1:12 PM (GMT -6)   
David,
Very true, but not impossible. My oncologist takes Medicare and Tricare, which I am on. I got my 1st appointment in under 2 weeks. Ohio State has no insurance and no money and has seen some of the best specialists in the PC world. If you work at it good specialists can be found. In my travels I've found only one doctor that would'nt take my insurance and I've gone to some of the best centers and private practice doctors out there.
I found the same thing dealing with my wife's cancer; her oncologist normally wouldn't take our insurance, but made an exception after we met with him.
JT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology 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. G7, 4+3, approx 16mmX18mm.

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. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/22/2009 4:00 PM (GMT -6)   
John T

I have never had to work at it that hard John, I guess. So I apologize. I still agree with your thinking on the subject, I just assumed that the low number of prostate specific oncologists made them kind of "unobtaniable" for the average person. Sounds like if you dig deep enough and hard enough, you can work through some of the stereotypes the average patient (my self being one) has on the subject.

I didn't choose a certain Radiation Oncologist that I interviewed with back in July, but according to the stats provided, 85% of all his patients were strictly prostate cancer patients. Would that make him close enough to being a prostate cancer specialist in your eyes?
I didn't choose him because he was too much of an egotist, acted like a cable channel game show host, etc, and it rubbed me all the wrong way. BTW, he practiced at the same clinic I am going to, and he still won't even acknowledge a "friendly hello dr. xxxx when he passes me in a hall. I find that very unprofessional even if he is as good as he thinks.

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 10/22/2009 8:28 PM (GMT -6)   
David,
Every doctor I have talked to has come with a different perspective and bias. To a urologist it is a mechanical surgical perspective, for a radologist it is what dose and accurracy does to the PC, from an oncologist it is the biological make up of the PC and how it is manifesting itself. There is not a right way only different ways.
You were in business; Given a certain business problem, a finance guy, an operations guy and a sales guy will all have different perspectives on the problem and would probably come up with different solutions. It's exactly the same for PC. Except in this case you are the CEO of your body and take all their inputs and make the best decision possible recognizing everyone's point of view and their biases and limitations. If you only get one point of view you will never get the complete picture and may miss something important.
JT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology 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. G7, 4+3, approx 16mmX18mm.

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. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/22/2009 9:15 PM (GMT -6)   
John, your business anology is a good one actually. When I talk to my Rad Oncologist, as good as she is, I can tell at times she doesn't fully understand the angle of my Uro/Surgeon, and the other way around. Two weeks into the radiation, been getting a lot of penile pain that starts an hour or so after treatment and comes and goes through the evening. By morning, its gone, and the cycle goes on later that day after treatment. I talked to my Uro/Surgeon, figuring it was a "mechanical" issue, and said no way, especially since my SP cath doesnt go through my penis. He said it was "scattering' a term I never heard. He said it meant that even though IMRT is really focused in its delivery, a certain amount sprays or scatters. When I met with the Rad dr on Wednesday, I told her that, and she the Uro's always want to blame them! She admitted to the term scattering, but said she was shooting way away from my penis area and it couldn't possibly be that. So in the end, it hurts every day and no one will take the claim or blame.

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 10/24/2009 9:01 AM (GMT -6)   
I guess that I do not see this as a bad thing. My uro and radiation oncologist both work at the same practice and that practice has both Da Vinci and IMRT with the Varian technology. When I was diagnosed I had no insurance to pay for the "full Monty". My uro assembled a team of his assoicates including the oncologist before making a recommendation to start a two to three year course of HT concurrent with IMRT. In addition they gave me the same price that the insurer would pay. The hospital here was not as generous. Full price or 10% off for cash up front and would not tell me the cost in advance. Not the case with my uro. In addition my oncologist has never charged me more than the Medicare rate for his service. It also turns out that had I gone to the local hospital the radiation oncologist would have been the same doctor since he works for both. My uro also has given me the lupron at cost as far as I can tell from published prices on retail. Greedy doctors? That has not been my experience at all. These guys deserve every dime they make.
 
Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and 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
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.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones 
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
 
 
 

New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, September 22, 2018 9:50 AM (GMT -6)
There are a total of 3,005,664 posts in 329,249 threads.
View Active Threads


Who's Online
This forum has 161795 registered members. Please welcome our newest member, jjakefamily.
175 Guest(s), 6 Registered Member(s) are currently online.  Details
ezhoe, compiler, BillyBob@388, Chow Wan, RunJerRun, andwes