Honestly, I always enjoy these threads where there is a little passion...maybe I'm just a sadist at heart! Actually, I think it's just in my nature to admire people with strong opinions who are not afraid of a little confrontation because that approach seems to smoke out the answers a little better..
Anyway, in that same spirit, here is my commentary to some of the comments on this thread:
1. Mel, if I described my uro the way you described yours, I would not be going back to him. However, you probably do need a local urologist if you have treatment 100+ miles away, if only for emergencies (read some of David/Purgatory's history to know why you MIGHT need someone local). So, I would suggest you have someone local even if you get treatment elsewhere.
2. Also, Mel, you may THINK you are being open about evaluating your choices, but it does not read that way (at least to this reader). You have taken great pains to learn about surgeons Drs. Woods and Menon but, when talking about a radiation consult you say, "...a radiology guy." The choice is yours but, IMHO, you owe it to yourself to be open to other treatment options or why bother? And, if you want to be really informed, have you thought about PBT, TFT or HIFU? Why not expand your universe a bit rather than chanelling down the surgery route. Finally, if you are leaning toward surgery...good luck. But I would recommend you take the time to post on this forum "why" that is your leaning, and give some opportunity to folks like me and JohnT to play devil's advocate, even if only to give you peace of mind.
3. I personally don't mind hearing the skepticism about physicians that some members have. I think that provides balance to the new reader. There are plenty of people on here who say, "find a physician whom you feel good about and stick with him/her". That's not the only way and I think it brings balance to hear both sides.
4. David, you know I love you, but it did seem that your pre-edited post was aimed at zufus. If so, I have no problem with it...you and zufus can certainly agree to disagree.
5. Goodlife, the problem with not doing tests like Color Doppler and not seeing multiple docs is that it's tough to know what is an exotic case and what is not. Those who recommend additional tests are just trying to help folks get the best diagnosis possible. Personally, I "think" I'm ok and I didn't have the PCA3 test or the Color Doppler, but if I had that advantage of being on this forum for longer pre-treatment I would have known about them and had them. Most of us only get one chance at this...and I know all of us who talk to newbies are just trying to help them get it right.
6. Andrew, in the infamous words of George's father on "Seinfeld", Serenity Now........
Now that I have proven to be an equal opportunity offender, I think I will go back and read some of Jeff's posts about weighing pee pads...seriously, that is the greatest thing ever and if I was a post surgery guy I would probably be doing the same thing!
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 12/09. 6 month PSA 1.4 and now 1 year PSA at 1.0. My docs are "delighted"!