Cost of latest day surgery

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/17/2010 2:37 PM (GMT -6)   
Got the billings for my latest day surgery, the one done on January 19th.  The hospital charged $11,500 USD for a total of 6 hrs time, and the surgeon charged $1,500 USD for slightly over an hours surgery time.  These charges still do not including being put under, or any lab work or readings.
 
Just boggles my mind to think a simple day procedure could cost so much money.
 
David in SC
 
For the surgeons part:   he had to open up the bladder neck surgically, then he had to dialate the urethra and bladder neck, go back and clean up things with a laser, put in a new SP cath, and put in a Foley Cath.  It involved scoping from below and above the bladder neck at the same time.
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
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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


Arnie
Regular Member


Date Joined Aug 2009
Total Posts : 374
   Posted 2/17/2010 3:29 PM (GMT -6)   

Hey David, (and this is just me thinking aloud)..........do you think that an experienced DaVinci surgeon could make a difference in doing the delicate stuff involving your bladder neck and urethra? They guy that did mine (Lee/HUP) did a very good job (per me, of course) and I was peeing like a teenager and dry at the 3-month mark. Now, I know that we're all different, and so many factors go into successful/problematic surgery. But if an experienced DaVinci guy took a whack at your problem, might it not make a difference? Sounds like this is being done laparoscopically anyway, so, like we all say, would the skill of a Davinci guy be the X factor?----------With post after post of your trevails, it compels me to try and come up with somethingidea........and, I could be just pissing in the wind!

Arnie in DE

 


Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
 
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
 
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, NO MX, Prostate 61.8 grams, gland involvement 2-10%
 
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point......ED at 10 months continues to improve, albeit slowly. Continued daily use of 100mg Viagra (ADC). Discontinued pump use; manual stimulation to varying states of erections; achieved penetratable erection on a couple of occasions
3 month PSA--<0.1
6 month PSA--<0.1
10 month PSA--<0.1


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/17/2010 3:54 PM (GMT -6)   
That's an interesting thought, never thought about it that way before. All the corrective surgeries have been done up through the penis, except for this last one which was done through the SP entrance site and the penis. There are more involved operations that could be done if a long term cure isnt found soon, but just reading about them gives me the willies.
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
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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


Arnie
Regular Member


Date Joined Aug 2009
Total Posts : 374
   Posted 2/17/2010 4:01 PM (GMT -6)   
Well, I'm glad that didn't sound too off the wall or intrusive-----------I just know that compared to other accounts on HW forum, I didn't experience any difficulties other than natural course of healing, and I can't say I've had shrinkage of the penis due to pulling the bladder neck tight, etc.-------Whether it's based in actuality or not, I have to believe that Lee did a helluva job with respect to the bladder neck and reattachment of urethra. So maybe someone of his (DaVinci) ilk, even if it means some travel, might be able to better address your issues.

Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
 
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
 
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, NO MX, Prostate 61.8 grams, gland involvement 2-10%
 
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point......ED at 10 months continues to improve, albeit slowly. Continued daily use of 100mg Viagra (ADC). Discontinued pump use; manual stimulation to varying states of erections; achieved penetratable erection on a couple of occasions
3 month PSA--<0.1
6 month PSA--<0.1
10 month PSA--<0.1


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/17/2010 4:10 PM (GMT -6)   
Unfortunately, according to the doctors, having continuing strictures and blockages this far out from surgery is contained only to about 2-4% of surgery guys. My problem isn't the result of defective or ineffective surgery, its all stems from the constant scarring that my body keeps producing in that area, an area where there isn't a lot of room to play with to start. I have been "lasered" twice, which in theory is suppose to be pretty effective. When the surgeon spoke of this last correction, he told my wife that he was astounded that the bladder neck had completely scarred 100% closed shut within 3 months of a laser fix. Said he had never seen scarring occur that fast. So no easy answer, unfortunately. It would almost be easier at this point just to keep an SP catheter in place long term and let the neck just stay closed. There are other patients (non-PC) that have SP caths in place for years and years without any trouble. I don't know, just thinking out loud.
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
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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/17/2010 4:22 PM (GMT -6)   
David, this thread of yours might be a good place to insert this humor:
 

Post Edited (Casey59) : 2/17/2010 2:26:40 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/17/2010 5:18 PM (GMT -6)   
Not sure I get it, couldn't make a mental connection to the article.
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
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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/17/2010 6:06 PM (GMT -6)   
Uhh...it's a parody

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/17/2010 7:46 PM (GMT -6)   
Casey, one of many flaws, I often don't get the obvious, I am familiar with 'The Onion', but not a regular reader. Now I get it.

Slow of mind 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
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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

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