I always asked each Dr one final question. "If you were in my shoes what would you do and why"
Mr. Gimpy, that is an excellent question, a perfect one to end a consultation with. I have used it before in my PC journey. When my GP passed me off to the urology, I asked him that, and he said with my numbers: definitely surgery, but he would go robotic, because as a dr with a busy practice, he couldn't afford the down time with an
open surgery. When I settled a plan with my uro/surgeon, his answer was similar, he would have surgery with my stats, and also want robotics for the shorter healing (even though he only does
open). Both of them said they would have had it done in either Atlanta or Charlotte, only because at that time, robotic prostate surgery was very new to my area, and they too wanted a more experienced surgeon for themselves.
When I asked my radiation oncologist (and she's a woman) what would she had done with my stats originally. She said, if she were a man with my numbers, she would have had
open surgery, locally. And save radiation in case the surgery failed.
So I think its a great question to remember to ask.
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% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
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 sess/72 gys ,cath #8 33 days, Cath #9 in 35 days, 12/7/9 - Cath #10 in place