It is a reasonable question, unfortunately has unreasonable bias for us patients and especially in the very high risk groups of patients....if you have towards a zero chance of successful surgery should it be your only option???? Look at Partin tables, nomograms, Bluestein, Narayan tables or whatever and multitude of possibles tests..if you wish too. Some patients have little or no chance for successful surgery/being cured, so should they be lead to believe it is the correct protocol or best protocol for them to submit too. It is life altering and changing in many of the possible modalites to choose from on this.
I was in this ridiculous stats area and as a newbie in 2002 and uneducated totally in this at that time(but not for to long), got atleast 8 opinions from various types of docs and walked away and fired one or two. Was not looking for the word cure, 1st expert told me that..I was looking for truth, frankness and what might be the best protocol for the death sentence I was given. Probably nobody would understand such until you walked this in someones shoes...I heard good-bad-ugly and agenda and bias was obvious enough for me to figure out. Also heard righteous words from some...not all of these experts.
Two surgeons with completely opposite opinions on my status, nice scenario for new patient whom is zombied up knowing he has cancer and head is not clear at the time. Nobody would ever want to cash in on a patient???
First surgeon says curative and 1% of incontinence and could do a lapro (non-robotic) and had the gonads to write it down on paper and hand it to me (LOL-LOL).
Second surgeon (one day later I had these lined up), this is from Dr. Mani Menon (1st LRRP doc in USA)....I will not do surgery on you (end of his discussion), he assessed me and my stats and history and knew it would be for nothing and useless...I valued his honest opinion and decided upon other possibilities to atleast extend my lifetime and so far very pleased to be here almost 8 yrs. later and still in very good condition, working, playing music, can work on things etc.
Message in my experiences is question everything on PCa and if you trust (verify is your best friend). I am not the only sob that found the maze and quest unreal in this, now some others everything was supposedly beautiful
day in the neighborhood (probably the way it should be) but beware of the thorns surrounding the roses. So, now you get to consider your own scenario maybe your eyes and ears will serve you better, perhaps.
So what can others learn from such, if you have the very high risk scenario (especially) think it through well...you could still have surgery to "debulk" the tumor burden....cure should be totally a non-guarantee..if it happens shout it to the world.
(The "curative" stats: dx-2002 (Feb/Mar) bpsa 46.6 12/12 biopsies all 75-95% findings, gleasons scores found 7,8,9's (2 sets and about
equal parameters), total urinary blockage in emergency room prior to uro-doc and prognosis, ct and bone scans appeared clear (appeared)) If you can find me evidence of a patient that is cured with stats like this I would like to see the data and story.
Post Edited (zufus) : 12/14/2009 7:25:02 AM (GMT-7)