hate to say ste ve hits the target but there are usually financially concerns..
if you have had lots of medical bills this year either to meet deductibles or copays or to achieve an I
rs deduction finishing before dec 31 could be a huge advantage..
If things have been relatively affordable, and you know in a dvance you face a major surgery and los of related follow up care in 2010 you might want to start the clock early in2010. I passed up a mid dec surgery last year because kids had already made xmas plans to visit, and knowing I needed bariatric and davinci operations in the same year i scheduled to first fr jan 23 and the second, the da vinci was this week, so I had at lest 9 plus months of recovery..
you are ina great area with great docs in colo springs, pueblo and denver, and listen to others who advise second and third opinions...having said that also seriously consider that watchful waiting or hormone treatments are not without side effects....early one i was adviced to get a copy of Dr Peter Scardino's prostate book and it remains the best thing I have read on the subject although the latest edition is now probably three years old and you will need to go online or post here for further questions..
take control...become the expert...listen to urologists but dont be afraid to actuallybecome more knowledgeable about Pca than many primary care physicians.
angel fire, nm
AGE 62 davinci 10/19/09
psa HAD GONE FROM 1.7 TO 4.3 IN THREE YEARS...DIGITAL AND ULTRA SOUND EXAM SHOWED NO ENLARGEMENT.
BIOPSY SHOWED 2 OF 12 CORES POSITIVE.
TWO TUMORS SHOWED GLEASON 4+3 AND 3+4
NO INDICATION OF ESCAPE FROM CAPSULE OR METASTASIS
STARTED CONSULTATIONS AT SLOAN KETTERING 8/09
DR GUILLONNEAU SAID NO SURGERY UNLESS MASSIVE WEIGHT LOSS.
AT DX 333 LBS, SLEEP APNEA, AND HIGH BP
BARIATRIC SURGERY RECOMMENDED.
LAP BAND SURGERY IN EL PASO, TX 1/23/09
10/1/09 276 LBS, TRIGLYC AND CHOL NORMAL, NO SIGNS OF SLEEP APNEA, ONE BP RX REMOVED AND OTHERS CUT DOSAGE IN HALF;
STARTED QUARTERLY ZOLODEX BY TAOS,NM UROLOGIST, WHO TRAINED AT MSKCC, INJECTIONS AND CASODEX 50MG DAILY 9/08